• 제목/요약/키워드: multidisciplinary

검색결과 1,173건 처리시간 0.033초

Perceptions regarding the multidisciplinary treatment of patients with severe trauma in Korea: a survey of trauma specialists

  • Shin Ae Lee;Yeon Jin Joo;Ye Rim Chang
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.322-328
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    • 2023
  • Purpose: Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements. Methods: An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treatment. Results: Out of the 41 hospitals with which participants were affiliated, only nine conducted multidisciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and anesthesiology involvement. Conclusions: This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.

효율적 분산협동설계를 위한 분해 기반 병렬화 기법의 개발 (Decomposition Based Parallel Processing Technique for Efficient Collaborative Optimization)

  • 박형욱;김성찬;김민수;최동훈
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2000년도 추계학술대회논문집A
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    • pp.818-823
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    • 2000
  • In practical design studies, most of designers solve multidisciplinary problems with complex design structure. These multidisciplinary problems have hundreds of analysis and thousands of variables. The sequence of process to solve these problems affects the speed of total design cycle. Thus it is very important for designer to reorder original design processes to minimize total cost and time. This is accomplished by decomposing large multidisciplinary problem into several multidisciplinary analysis subsystem (MDASS) and processing it in parallel. This paper proposes new strategy for parallel decomposition of multidisciplinary problem to raise design efficiency by using genetic algorithm and shows the relationship between decomposition and multidisciplinary design optimization (MDO) methodology.

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Fabrication of Carbon Nanotubes Monolayer Film using Liquid/Liquid Interface

  • Matsui, Jun;Yamamoto, Kohei;Inokuma, Nobuhiro;Orikasa, Hironori;Kyotani, Takashi;Miyashita, Tokuji
    • 한국고분자학회:학술대회논문집
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    • 한국고분자학회 2006년도 IUPAC International Symposium on Advanced Polymers for Emerging Technologies
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    • pp.279-279
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    • 2006
  • We report a fabrication of carbon nanotube (CNT) monolayer thin film using liquid-liquid interface. The multiwalled carbon nanotube (MWCNT), which were synthesized by the alumina template method formed a monolayer at the liquid-liquid interface after sonicating the MWCNT water-oil dispersion. Moreover, with the addition of ethanol, the MWCNT monlayer was also formed at the liquid-liquid interface. The monolayer is transferable onto solid substrates and the transferred film was observed using atomic force microscopy (AFM)

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A New Decomposition Method for Parallel Processing Multi-Level Optimization

  • Park, Dong-Hoon;Park, Hyung-Wook;Kim, Min-Soo
    • Journal of Mechanical Science and Technology
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    • 제16권5호
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    • pp.609-618
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    • 2002
  • In practical designs, most of the multidisciplinary problems have a large-size and complicate design system. Since multidisciplinary problems have hundreds of analyses and thousands of variables, the grouping of analyses and the order of the analyses in the group affect the speed of the total design cycle. Therefore, it is very important to reorder and regroup the original design processes in order to minimize the total computational cost by decomposing large multidisciplinary problems into several multidisciplinary analysis subsystems (MDASS) and by processing them in parallel. In this study, a new decomposition method is proposed for parallel processing of multidisciplinary design optimization, such as collaborative optimization (CO) and individual discipline feasible (IDF) method. Numerical results for two example problems are presented to show the feasibility of the proposed method.

Fuku shin, a Kampo diagnostic procedure, could be one of useful diagnostic tools for anxiety disorders and depression

  • Arai, Young-Chang P.;Nishihara, Makoto;Sato, Jun;Ushida, Takahiro;Morimoto, Atsuko;Sakurai, Hiroki;Ohmichi, Yusuke;Makino, Izumi;Suzuki, Chiharu
    • 셀메드
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    • 제2권2호
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    • pp.15.1-15.3
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    • 2012
  • Kampo medicine, a Japanese traditional herbal medicine, has been used in clinical practice in Japan. The most appropriate Kampo formula should be chosen for each individual by the four diagnostic procedures. Fuku shin, the abdominal exam, is one of the most important approaches in the procedures. There are several abdominal conformations (signs) when administering Fuku shin. In Kampo medicine, psychiatric illness-marked by depression and anxiety-has been shown to be related with an abdominal conformation, Shin ka hi koh (Epigastric Obstructive Hardness). The aim was to see the occurrence of abdominal conformations in each level of depression and anxiety symptoms. Two hundred fifteen patients were assigned to high-, moderate-, or low-level psychiatric comorbidity based on the Hospital Anxiety and Depression Scale and were studied regarding the occurrence of major abdominal conformations. Moderate and high psychopathological groups showed the higher occurrence of Shin ka hi koh [Low, 21%; Moderate, 67%; High, 74%] ($p$ < 0.0001). In conclusion, moderate and high psychopathological patients showed the higher occurrence of a specific abdominal sign.

Prospects for Future Multi-disciplinary Collaboration

  • Lai, Claudia K.Y.
    • Perspectives in Nursing Science
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    • 제4권1호
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    • pp.9-18
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    • 2007
  • Background: Intersectoral and multidisciplinary collaboration is becoming more prominent in all facets of government, health, social services, and scientific endeavors. An interplay of a multitude of driving forces moves multiple disciplines forward to achieve quality outcomes in health and social sciences services and research. Aim: This paper aims at discussing the prospects for future multidisciplinary collaboration. If inter organizational integration and multidisciplinary collaboration are the ways of the future in academia and the scientific world, it then becomes crucial to examine what lies ahead for the nursing profession, Discussion: This paper argues that in order for multidisciplinary endeavors to succeed, the leaders in multidisciplinary teams shoulder the largest share of the responsibilities involved. In developing a lasting team constituting professionals from different disciplines, the leader needs to include the right individuals in the team, identify a common goal, build trusting relationships through open communication and interprofessional education, and empower members through creating room for autonomy and at the same time allowing space for personal development. The leader will need to utilize information technologies to manage communication issues in a large multi-site multidisciplinary project. Lastly, he or she must be able to demonstrate team productivity through process and outcome evaluation. It needs to be emphasized that it falls to each individual nurse to speak up and act upon what nursing believes and represents in our quest for success in multidisciplinary endeavors. Conclusion: The significance of the role of the leader is paramount for a team to succeed. Yet there is no prospect if only a handful of exceptional nurse leaders are moving ahead in multidisciplinary endeavors. Without the actualization of professional roles by each individual nurse, the profession will have no prospect in collaborations across disciplines.

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효율적 분산협동최적설계를 위한 병렬처리 기반 분해 기법 (Parallel Processing Based Decompositon Technique for Efficient Collaborative Optimization)

  • 박형욱;김성찬;김민수;최동훈
    • 대한기계학회논문집A
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    • 제25권5호
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    • pp.883-890
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    • 2001
  • In practical design studies, most of designers solve multidisciplinary problems with large size and complex design system. These multidisciplinary problems have hundreds of analysis and thousands of variables. The sequence of process to solve these problems affects the speed of total design cycle. Thus it is very important for designer to reorder the original design processes to minimize total computational cost. This is accomplished by decomposing large multidisciplinary problem into several multidisciplinary analysis subsystem (MDASS) and processing it in parallel. This paper proposes new strategy for parallel decomposition of multidisciplinary problem to raise design efficiency by using genetic algorithm and shows the relationship between decomposition and multidisciplinary design optimization (MDO) methodology.

성인 구순구개열 환자에서 Multidisciplinary 치료로 기능성 교합을 형성한 증례 (Multidisciplinary Treatment Approach in a Secondary Cleft Lip and Palate Patient for Functional Occlusal Rehabilitation)

  • 이지나
    • 대한구순구개열학회지
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    • 제15권1호
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    • pp.29-38
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    • 2012
  • A 20 year-old cleft lip and palate patient came for occlusal rehabilitation, but the constricted maxilla and early loss of posterior teeth called for an unusual treatment modalities. Distraction osteogenesis in the edentulous areas followed by artificial bone graft, dental implant along with orthodontic tooth movement were planed. Multidisciplinary treatment enabled both esthetic and functional oral rehabilitation of this patient.

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VSV-G Viral Envelope Glycoprotein Prepared from Pichia pastoris Enhances Transfection of DNA into Animal Cells

  • Liu, Xin;Dong, Ying;Wang, Jingquan;Li, Long;Zhong, Zhenmin;Li, Yun-Pan;Chen, Shao-Jun;Fu, Yu-Cai;Xu, Wen-Can;Wei, Chi-Ju
    • Journal of Microbiology and Biotechnology
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    • 제27권6호
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    • pp.1098-1105
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    • 2017
  • Vesicular stomatitis virus G glycoprotein (VSV-G) has been widely used for pseudotyping retroviral, lentiviral, and artificial viral vectors. The objective of this study was to establish a potential approach for large-scale production of VSV-G. To this end, VSV-G was cloned with an N-terminal His-tag into Pichia pastoris expression vector pPIC3.5K. Three clones ($Mut^s$) containing the VSV-G expression cassette were identified by PCR. All clones proliferated normally in expansion medium, whereas the proliferation was reduced significantly under induction conditions. VSV-G protein was detected in cell lysates by western blot analysis, and the highest expression level was observed at 96 h post induction. VSV-G could also be obtained from the condition medium of yeast protoplasts. Furthermore, VSV-G could be incorporated into Ad293 cells and was able to induce cell fusion, leading to the transfer of cytoplasmic protein. Finally, VSV-G-mediated DNA transfection was assayed by flow cytometry and luciferase measurement. Incubation of VSV-G lysate with the pGL3-control DNA complex increased the luciferase activity in Ad293 and HeLa cells by about 3-fold. Likewise, incubation of VSV-G lysate with the pCMV-DsRed DNA complex improved the transfection efficiency into Ad293 by 10% and into HeLa cells by about 1-fold. In conclusion, these results demonstrate that VSV-G could be produced from P. pastoris with biofunctionalities, demonstrating that large-scale production of the viral glycoprotein is feasible.