• Title/Summary/Keyword: multidisciplinary approach

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Reliability Technology Trends: A Multidisciplinary Approach (다학제적 관점의 신뢰성 기술 동향)

  • Han, In-Sup;Kim, Sung-Kyu;Go, Hee-Yang;Lee, Young-Pyo;Choi, Joo-Ho;Byeon, Jai-Won;Park, Jung-Won;Nam, Kyoung-Hyun;Kim, Yong-Soo
    • Journal of Applied Reliability
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    • v.15 no.1
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    • pp.33-43
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    • 2015
  • The importance of reliability engineering has increased in recent years. Many studies have been carried out into reliability in a variety of research domains, largely focused on industrial engineering, mechanical engineering, electronics engineering, materials engineering and statistical science. However, most of these studies were carried out without collaboration between different areas of study. Here, we analyze research papers and patents regarding reliability that were published during the past five years, and describe core trends in the development of reliability technology from a multidisciplinary perspective.

Multidisciplinary Collaborative Therapy for 30 Children with Orbital Rhabdomyosarcoma

  • Ge, Xin;Huang, Dong-Sheng;Shi, Ji-Tong;Ma, Jian-Min
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4641-4646
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    • 2013
  • Objective: To explore clinical experience and propose new ideas for treating children diagnosed with orbital rhabdomyosarcoma (RMS). Methods: We retrospectively analyzed the clinical data for30 patients (16 males and 14 females, with a median age of 6.2 years) with primary orbital RMS who were enrolled in the Department of Eye Oncology and Pediatrics of our hospital from November 2004 to December 2012. International Rhabdomyosarcoma Organization Staging Standards indicated that among the 30 patients, 4 cases were in phase II, 20 were in phase III, and 6 were in phase IV. All patients underwent a multidisciplinary collaborative model of comprehensive treatment (surgery, chemotherapy, external radiotherapy, $^{125}I$ radioactive particle implantation, and autologous peripheral blood stem-cell transplantation). Results: Follow-up was conducted until March 2013, with a median follow-up time of 47.2 months (5 to 95 months), and 7 deaths occurred. The 2-year estimated survival rate reached 86.1%, the ${\geq}3$-year estimated survival rate was 77%, and the 5-year estimated survival rate was 70.6%. Conclusions: The multidisciplinary collaborative model can be a safe and effective approach to the comprehensive treatment of children with orbital RMS. It has clinical significance in improving the tumor remission rate.

Plastic surgery in a trauma center: a multidisciplinary approach for polytrauma patients

  • Kyung-Chul, Moon;Yu-Kyeong, Yun
    • Journal of Trauma and Injury
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    • v.35 no.4
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    • pp.261-267
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    • 2022
  • Purpose: With the increasing number of polytrauma patients treated at high-level trauma centers, plastic surgery has entered the specialty of traumatology. Plastic surgeons specialize in the simultaneous surgical care of patients with facial or hand trauma and soft tissue injuries requiring microsurgery. The purpose of this study was to introduce the role of plastic surgery in a high-level trauma center. Methods: Between January 2020 and December 2020, 5,712 patients with traumatic injuries were admitted to the emergency department of a tertiary hospital. Of these 5,712 patients, 1,578 patients were hospitalized for surgical treatment and/or critical care. Among the 1,578 hospitalized trauma patients, 551 patients (35%) required at least one plastic surgery procedure. The patient variables included age, sex, etiology, the injured area, and injury characteristics. We also retrospectively investigated surgical data such as the duration of the operation, hospital stay, length of time from injury to surgery, and collaboration with other departments. Results: The most common injury referred to plastic surgery was facial trauma (41%), followed by hand trauma (36%), and soft tissue injuries requiring microsurgery in various parts of the body other than the hand (7%). The majority of facial and hand traumas were concomitant injuries. Sixteen percent of patients underwent collaborative surgical management for polytrauma involving both plastic surgery and another department. Conclusions: The role of plastic surgery in multidisciplinary teams at high-level trauma centers has become increasingly important. The results of this study may help in the development of multidisciplinary trauma team strategies and future workforce planning.

A Study on the Integration of Analysis Modules and the Optimization Process in the MDO Framework (MDO 프레임워크 개발을 위한 해석 코드 및 최적화 과정 통합에 관한 연구)

  • Cho, Sang-Oh;Lee, Jae-Woo;Byun, Yung-Hwan
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.30 no.7
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    • pp.1-10
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    • 2002
  • Multidisciplinary Design Optimization (MDO) is a new design approach, which aims to reduce the design cycle and the development cost, while improving the performance of the product. In order to develop a framework software where the multidisciplinary design is possible, several methods about the analysis codes integration, the analysis and optimization process management, and the software architecture, are proposed in this study. Centralized DataBase Management System (DBMS) is adopted. Both the Dynamic Link Library(DLL) and the File Interface are suggested and implemented as analysis codes integration methods. To efficiently manage the optimization process and the data flow, the Graphic Programming approach is introduced. The proposed integration methods are verified by two test case examples: Simple house design example and the aircraft wing design problem using three dimensional Panel Code.

Cases of screw-retained implant prosthesis in the anterior maxilla through multidisciplinary approach, including orthodontic teeth alignment (교정적 치아 재배열을 포함한 다학제적 접근(multidisciplinary approach)을 통한 상악 전치부의 나사 유지형 임플란트 보철 수복 증례)

  • Kim, Hyo-Seon;Lee, Won-Sup;Lee, Su-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.244-250
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    • 2020
  • The labio-palatal location of the implant in the maxillary anterior region is one of the important factors affecting the aesthetics of the implant prosthesis. However, the thin labial bone of maxilla could be absorbed in significant amounts after extraction of the teeth, which makes the implant be placed on the palatal side rather than the ideal location. In fact, in the cases of maxillary central incisor loss, UCLA was used for prosthetic restoration of palatally placed implant. In addition, with multidisciplinary treatment, GBR (Guided Bone Regeneration) was performed for compensating the absorbed alveolar bone and adjacent anterior tooth were aligned. Definitive restoration was performed after confirming aesthetic recovery of the gingiva with sufficient provisional restoration period. There were satisfactory results of functional and esthetic recovery of tooth loss through implant prosthesis.

Current Trends in the Treatment of Diabetic Foot: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (당뇨발 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Won, Sung Hun;Min, Tae-Hong;Chun, Dong-Il;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.1
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    • pp.30-39
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    • 2022
  • Purpose: This study aimed to report the current trends in the management of diabetic foot over the last few decades through a survey of the Korean Foot and Ankle Society (KFAS) members. Materials and Methods: A web-based questionnaire containing 40 questions was sent to all KFAS members in September 2021. The questions were mainly related to the demographics of patients with diabetic foot, diagnostic tools, and multidisciplinary treatment. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: Seventy-eight of the 550 members (14.2%) responded to the survey. The most common demographic factors of diabetic foot patients were male dominance with a high percentage in the 60- to 70-year-old. Although the need for multidisciplinary treatment is highly recognized in the treatment of diabetic foot patients, the actual implementation rate is about 39%. The contrast-enhanced magnetic resonance imaging (88.5%) was reported to be the most used tool for the diagnosis of osteomyelitis of the diabetic foot. It was reported that the use of antibiotics was started empirically and then changed based on bacterial culture tests in 82.1% of patients. Simple wound dressing and antibiotic treatment were most frequently reported for mild ulcers. Conclusion: This study provides updated information on the current trends in the management of a diabetic foot in Korea. Both consensus and variations in the approach to patients with diabetic foot were identified by this survey study. Further efforts are required for better access to a multidisciplinary approach, such as appropriate insurance payment policies and patient education.

New Strategy of Forest Tree Breeding for Society, Forest Science, and Forestry in Korea

  • Choi, Yong-Eui;Kim, Chul-Woo;Yi, Jae-Seon
    • Journal of Forest and Environmental Science
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    • v.24 no.1
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    • pp.15-25
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    • 2008
  • Social and scientific changes, i.e., global warming, desertification, pollution, biodiversity, bioenergy, plant variety protection, biotechnology, timber demand, reforestation in North Korea, and etc., were reviewed for new strategy of forest tree breeding in Korea. Diversified breeding goals, globalization of breeding target species, multidisciplinary research approaches, manpower networking, establishment of new administrative and research units in KFS and KFRI were proposed. Principles suggested for new tree breeding strategy are: 1) multi-disciplinary approach in settlement of objectives, breeding methods, and etc., 2) expansion of target trees including foreign species, 3) fulfillment of both domestic and international demands for forest tree breeding, 4) establishment of breeding program well-grounded on genetic resources conservation, 5) acknowledgement of breeding products (i.e., variety, technique, gene, and etc.) as goods, and 6) provision of more research opportunities for young scientists. Lastly, ongoing tree breeding project in Indonesia and NTFP R&D Center at the College of Forest and Environmental Sciences, Kangwon National University were introduced as examples of desirable breeding projects based on target species diversification, multidisciplinary approach, and manpower networking.

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Multidisciplinary Approach to an Extended Pressure Sore at the Lumbosacral Area

  • Yoon, Sehoon;Jeong, Euicheol;Lazaro, Hudson Alex
    • Archives of Plastic Surgery
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    • v.43 no.6
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    • pp.586-589
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    • 2016
  • A pressure sore wound is often extensive or complicated by local infection involving adjacent soft tissue and bone. In this case, a regional flap after simple debridement is not adequate. Here, we present a case of an extensive pressure sore in the sacral area with deep tissue infection. A 43-year-old female patient with a complicated sore with deep tissue infection had a presacral abscess, an iliopsoas abscess, and an epidural abscess in the lumbar spine. After a multidisciplinary approach performed in stages, the infection had subsided and removal of the devitalized tissue was possible. The large soft tissue defect with significant depth was reconstructed with a free latissimus dorsi musculocutaneous flap, which was expected to act as a local barrier from vertical infection and provide tensionless skin coverage upon hip flexion. The extensive sacral sore was treated effectively without complication, and the deep tissue infection completely resolved. There was no evidence of donor site morbidity, and wheelchair ambulation was possible by a month after surgery.

Radiation prosthetic stents applied to oral cancer patients during the radiation therapy: case reports (효율적 방사선요법을 위한 구강 방사선스텐트의 적용: 증례보고)

  • Nam, Ki Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.282-288
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    • 2020
  • Radiation prosthetic stent is defined as the customized oral devices which serve for an efficient administration of radiation dose to the affected areas or a minimizing the unnecessary irradiation to surrounding normal tissues during maxillofacial cancer radiotherapy. Since the use of stents is individualized, a close collaboration among radiotherapist, surgeon and prosthodontist is essential thereby which helps in limiting the post-therapy morbidity as well as the stable oral rehabilitation. In this report, two customized stents (bolus carrier and tongue depressing) were fabricated and applied to patient undergone irradiation for soft palate and tongue carcinoma selectively. Multidisciplinary approach can be a proper strategy and recommended for control the sequel of post-irradiation.