• 제목/요약/키워드: interdisciplinary approach

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개구 장애를 지닌 소아환자를 대상으로한 Interdisciplinary approach (INTERDISCIPLINARY APPROACH A CHILD PATIENT WITH RESTRICTED MOUTH OPENING : A CASE REPORT)

  • 임철수;김용기
    • 대한소아치과학회지
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    • 제21권2호
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    • pp.605-610
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    • 1994
  • Resricted opening of the mouth in children can be derived from a variety af extra and intra articular causes. A 5-year-old female patient with an elongated right coronoid process and with congenital missing teeth came to clinic for wearing of esthetic denture. A proper medical consultation and laboratory test had done for assessment a systemic syndrome related to her dental anomalies. The result was that her systemic findings dindn't accord specific signs and symptoms of Hallermann-Streiff syndrome. Unilateral coronoidectomy was fulfilled to improve mouth opening and subsequently endodontic and restorative procedure. Maxillary partial denture was delivered for esthetic problem. The periodic recall medical/dental check-up are recommended.

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Esthetic restorations of maxillary anterior teeth with orthodontic treatment and porcelain laminate veneers : a case report

  • Moon, Ji-Eun;Kim, Sung-Hun;Han, Jung-Suk;Yang, Jae-Ho;Lee, Jai-Bong
    • The Journal of Advanced Prosthodontics
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    • 제2권2호
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    • pp.61-63
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    • 2010
  • If orthodontists and restorative dentists establish the interdisciplinary approach to esthetic dentistry, the esthetic and functional outcome of their combined efforts will be greatly enhanced. This article describes satisfying esthetic results obtained by the distribution of space for restoration by orthodontic treatment and porcelain laminate veneers in uneven space between maxillary anterior teeth. It is proposed that the use of orthodontic treatment for re-distribution of the space and the use of porcelain laminate veneers to alter crown anatomy provide maximum esthetic and functional correction for patients with irregular interdental spacing.

Bacterial Community and Diversity from the Watermelon Cultivated Soils through Next Generation Sequencing Approach

  • Adhikari, Mahesh;Kim, Sang Woo;Kim, Hyun Seung;Kim, Ki Young;Park, Hyo Bin;Kim, Ki Jung;Lee, Youn Su
    • The Plant Pathology Journal
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    • 제37권6호
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    • pp.521-532
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    • 2021
  • Knowledge and better understanding of functions of the microbial community are pivotal for crop management. This study was conducted to study bacterial structures including Acidovorax species community structures and diversity from the watermelon cultivated soils in different regions of South Korea. In this study, soil samples were collected from watermelon cultivation areas from various places of South Korea and microbiome analysis was performed to analyze bacterial communities including Acidovorax species community. Next generation sequencing (NGS) was performed by extracting genomic DNA from 92 soil samples from 8 different provinces using a fast genomic DNA extraction kit. NGS data analysis results revealed that, total, 39,367 operational taxonomic unit (OTU), were obtained. NGS data results revealed that, most dominant phylum in all the soil samples was Proteobacteria (37.3%). In addition, most abundant genus was Acidobacterium (1.8%) in all the samples. In order to analyze species diversity among the collected soil samples, OTUs, community diversity, and Shannon index were measured. Shannon (9.297) and inverse Simpson (0.996) were found to have the highest diversity scores in the greenhouse soil sample of Gyeonggi-do province (GG4). Results from NGS sequencing suggest that, most of the soil samples consists of similar trend of bacterial community and diversity. Environmental factors play a key role in shaping the bacterial community and diversity. In order to address this statement, further correlation analysis between soil physical and chemical parameters with dominant bacterial community will be carried out to observe their interactions.

의학적 충고에 반한 퇴원의 특성과 퇴원결정 요인에 관한 연구 - 사회사업가의 개입사례와 역할을 중심으로 - (A Study on the Characteristics of DAMA(Discharge Against Medical Advice) Case and Causal Factors of DAMA - Perspective of Medical Social Worker's Role and Intervention -)

  • 강흥구;이상진;조경기
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1620-1627
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    • 2000
  • Objectives : DAMA cases were analyzed to examine what the main casual factors of DAMA were and how to deal with these cases effectively in hospital with the DAMA interdisciplinary team including medical social worker whose role is to perform psycho-social assessment, family counsel, to evaluate family's DAMA need. Patients and Methods : The content analysis of medical record and social work record were reviewed in 37 cases referred by medical doctor to DAMA team. These cases were reported by patients' self discharge request or family's request for discharge from September 1998 to February 2000. The DAMA team consists of Assistant Director of Hospital as team leader, medical staff in-charge, social worker, QI nurse, other staff members who are not involved in direct treatment for patient, and administrative clerk. Results : The results of content analysis are as follows : 1) The most causal factors of DAMA consist of combination of more than 2 factors. 2) The major decision-maker is revealed to be son and daughter of patient. 3) In 59.4% of cases, family was not informed of patients' prognosis, alternatives, the consequence of DAMA at all. 4) In cases of DAMA report, the rapid intervention of social worker is carried out. Conclusion : In this study, we propose the interdisciplinary team approach to make decision legitimately and ethically for DAMA. The suggestions from this study are as follows : 1) To deal with DAMA case properly, the interdisciplinary team approach should be considered. 2) The criteria for DAMA case should be formed carefully. For the explicit selection of DAMA case, preliminary system for high-risk patient screening is recommended. 3) The medical social worker is available for the psycho-social problems of the patient once family members. For the effective family counselling, discharge planning and nursing home placement, the participation of medical social worker should be mandatory.

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담음변증(痰飮辨證) 설간(設間) 개발(開發)을 위한 문헌연구(文獻硏究) (Preliminary Study on Pattern Questionnaire for Damum Patterns)

  • 박재성;김민용;박영재
    • 대한한의진단학회지
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    • 제10권1호
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    • pp.54-63
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    • 2006
  • Objectives: In this study a pattern questionnaire for damum patterns was developed by means of literature review and statistical analysis. The individual approach of korean medicine is based on the concept of pattern identification, the objectivity and validity issues of which hold important meaning in the pratice and research. Methods: Review of literatures led to the selection of 22 items describing Dam or Um pattern. A preliminary questinnaire consisted of these items that may be scored with positive score at zero to seven. Results: Damum is all over the body syndromes. That is abnormal body conditions. Damun arouse body pain, breath disorder, digestion disorder, nerves disorder, excretion disorder. Conclusions: Review of literatures led to selection of 29 items describing Damun. A questionnaire is in preparation.

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선천결손된 상악 측절치와 수복 불가능한 대구치들의 심미수복을 위한 다학제 진료 (Interdisciplinary treatment of restoring congenitally missing lateral incisor and unrestorable molars)

  • 박철완
    • 대한심미치과학회지
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    • 제26권2호
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    • pp.101-114
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    • 2017
  • 성공적인 심미치과치료를 위해서는 종종 교정과, 치주과, 보철과의사의 협진치료가 필요하다. 상실된 치아를 수복하는 경우, 특히 심미가 중요시되는 전치부의 상실치 수복시 임상가는 여러가지 치료방법의 장단점을 고려하여 치료법을 선택해야 한다. 이 글에서는 선천결손된 상악측절치와 발치가 필요한 구치를 가진 환자를 치아교정과 임플란트 수술 그리고 임플란트 보철의 다학제간 진료로 치료한 증례를 보여드리고자 한다.

Wall Thickness Measurement of Respiratory Airway in CT Images: Signal Processing Aspects

  • Park, Sang-Joon;Kim, Jong-Hyo;Kim, Kwang-Gi;Lee, Sang-Ho
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2007년도 하계종합학술대회 논문집
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    • pp.279-280
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    • 2007
  • Airway wall thickness is an important bio-marker for evaluation of pulmonary diseases such as stenosis, bronchiectasis. Nevertheless, an image-based analysis of the airway tree can provide precise and valuable airway size information, quantitative measurement of airway wall thickness in CT images involves various sources of error and uncertainty. So we have developed an accurate airway wall measurement technique for small airways with three-dimensional (3-D) approach. To illustrate performance of these techniques, we used airway phantom that consisted of 4 acryl tubes with various inner and outer diameters. Results show that evaluation of interpolation and deconvolution methods of airways in 3-D CT images, and significant improvement over the full-width-half-maximum method for measurement of not only location of the luminal and outer edge of the airway wall but airway wall thickness.

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Understanding the Perspectives of Paediatric Physicians on Physiotherapy in Paediatric Rehabilitation in Chennai, India: A Qualitative Approach

  • Vadivelan Kanniappan;Abishek Jayapal Rajeswari;Pearlyn Esther Padma Lawrence;Subash Sundar
    • Journal of Preventive Medicine and Public Health
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    • 제57권2호
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    • pp.157-166
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    • 2024
  • Objectives: Children with disabilities may exhibit a multitude of symptoms, and treatment requires a multidisciplinary approach for a satisfactory outcome. Lack of awareness among physicians, lack of referral, and lack of inter-sectoral coordination have hindered paediatric practice in Tamil Nadu, a state in India with a striking childhood disability rate that warrants a timely interdisciplinary approach. However, the perspectives of paediatricians on paediatric physiotherapy are unknown. The aim of the study was to investigate the perspectives of practicing paediatric physicians in Chennai on the role of physiotherapy in paediatrics. Methods: For an in-depth exploration, qualitative semi-structured interviews were conducted in person with 10 paediatricians. Audio from the sessions was recorded and transcribed, and data saturation was achieved through iterative analysis. Results: A grounded theory analysis of the results yielded 5 domains under which the perspectives and expectations of the physicians were described, along with the barriers experienced by patients' parents as explained by their paediatrician. The responses highlighted deficits in awareness, structural support, accessibility and direct communication between physicians and physiotherapists. Conclusions: Paediatric physicians have different opinions, and some ignorance persists concerning paediatric physiotherapy. This study warrants a proper structure of the paediatric rehabilitation unit and regular interdisciplinary meetings and focus group discussions to increase access for parents and improve patient outcomes.

GIS를 지리환경교육에 통합하는 교육과정 개발에 관한 연구: 뉴욕주 버팔로 지역의 Eighteenmile Creek에 관한 수업 안 개발을 사례로 (Integrating GIS with Geographic and Environmental Education into K-12: an Interdisciplinary Curriculum Development Entitled Studying the Environment of Eighteenmile Creek)

  • 전보애;홍일영
    • 대한지리학회지
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    • 제42권2호
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    • pp.295-313
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    • 2007
  • 지리학은 오랫동안 자연과학과 인문과학을 연결하는 역할을 수행해왔기에 학문 간의 통합적 시각으로서의 특징을 갖는다고 할 수 있다. 본 연구는 이러한 지리학의 통합학문으로서의 역할에 기초하여 환경교육에 접근하는 통합교육과정의 효과를 먼저 고찰하고자 한다. 이를 바탕으로, "에잇틴마일 크릭의 환경 연구"라는 제목으로 8학년을 위한 일곱 차례의 90분간 수업을 위한 수업 안을 구성하였다. GIS는 자녀교육을 보다 학습자 중심의 교육으로, 보다 적극적인 학습이 이루어지게 하고, 또한 우리가 살고 있는 삶을 중심으로 하여 실생활과 밀접한 학습이 가능하도록 하는 중요한 역할을 감당할 것으로 기대되며, 이를 통해 지리학을 중심으로 하는 다학문간의 통합적 시각을 강화하고 활성화할 것이다.