• Title/Summary/Keyword: Liaison

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Causal Attributions, Social Support and Psychological Morbidity in Patients Undergoing Thyroid Surgery

  • Yildirim, Nazmiye Kocaman;Ozcinar, Beyza;Dogan, Selim;Aksakal, Nihat;Sahbaz, Nuri Alper;Tutal, Firat;Torun, Bahar Canday;Ozkan, Mine;Erbil, Yesim
    • Journal of Endocrine Surgery
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    • v.18 no.4
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    • pp.219-227
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    • 2018
  • Purpose: The primary objective of the present study was to investigate the course of anxiety and depression in thyroidectomy. The second objective was to investigate the association between somatic symptoms and psychological symptoms, and the final objective was to identify the sociodemographic, clinical, and psychosocial factors that affect psychiatric morbidity. Methods: This prospective study, 101 patients who were admitted to the Endocrine Surgery Clinic of the Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul, with thyroid pathology were included in the study. Data were collected before surgery, and in the early, and late periods after surgery. Data were collected using a semi-structured interview form, a visual analogue scale, and the Hospital Anxiety and Depression Scale. Results: The average scores of anxiety and depression before surgery were statistically significantly higher compared with the early and late periods after surgery (P<0.001). Psychological morbidity was identified about 10% of patients before surgery and remained after thyroidectomy. A poor positive correlation founded between somatic symptoms and psychological condition in period surgery (P<0.05). Various sociodemographic features and psychosocial parameters affected anxiety and depression level (P<0.05). Conclusion: Anxiety and depression level in thyroid diseases decreased after thyroidectomy. These patients may express psychologic distress through somatic symptoms. Screening of psychological morbidity is suggested in patients planned thyroid surgery, especially in women, low-educated, inadequate social support, attributed to psychological causes.

Analysis of Clothing Pressure of Commercial Body Shapers using 3D Printed Torso Dummy for Middle-aged Women (중년 여성용 3D 프린팅 토르소 더미를 사용한 시판 바디쉐이퍼 제품의 의복압 분석)

  • Do, Wolhee;Lee, Jeongeun
    • Fashion & Textile Research Journal
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    • v.23 no.6
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    • pp.810-825
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    • 2021
  • This study measured and analyzed clothing pressure at each measurement part of commercial body shapers to provide basic information for product design and clothing pressure standard and level. This study used five body shaper. Clothing pressure measurements were taken at 18points: Anterior area 8points, lateral area 5points, posterior area 5points. The findings of this study were as follows. As a result of measuring the clothing pressure, the body shaper 1 showed the highest pressure, and body shaper 5 showed the lowest pressure at almost of the measurement points of the three body types. In some cases, body shapers 2, 3, and 4 showed different orders of pressure depending on the measurement point. The highest measured values in most body shapers were the P1 shoulder area and the P2 bust area. The lowest measurement area differed by body type, but mainly P3 underbust area, P4 thorax area and P9 axillary area, P11 waist lateral area, P13 hip lateral area. These body shapers showed different results depending on the the manufacturers and body type of middle-aged women, and because there was no standard for the pressure value. Therefore, it is necessary to design a body shaper sizing system after accurately setting the clothing pressure value for each body part of the consumer.

Nudging of Vertical Profiles of Meteorological Parameters in One-Dimensional Atmospheric Model: A Step Towards Improvements in Numerical Simulations

  • Subrahamanyam, D. Bala;Rani, S. Indira;Ramachandran, Radhika;Kunhikrishnan, P. K.
    • Ocean Science Journal
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    • v.43 no.4
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    • pp.165-173
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    • 2008
  • In this article, we describe a simple yet effective method for insertion of observational datasets in a mesoscale atmospheric model used in one-dimensional configuration through Nudging. To demonstrate the effectiveness of this technique, vertical profiles of meteorological parameters obtained from GLASS Sonde launches from a tiny island of Kaashidhoo in the Republic of Maldives are injected in a mesoscale atmospheric model - Advanced Regional Prediction System (ARPS), and model simulated parameters are compared with the available observational datasets. Analysis of one-time nudging in the model simulations over Kaashidhoo show that incorporation of this technique reasonably improves the model simulations within a time domain of +6 to +12 Hrs, while its impact on +18 Hrs simulations and beyond becomes literally null.

A Study on the Effects of CIOs' Managerial Roles on Users (정보담당 최고임원 (CIO)의 경영자 역할이 사용자에 미치는 직접적 영향에 관한 연구)

  • Lee, Jae-Beom;An, Sang-Hyeop
    • Asia pacific journal of information systems
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    • v.7 no.3
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    • pp.125-143
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    • 1997
  • As information is the critical resource of business, CIOs(chief information officers)' managerial roles become more important. CIOs work out the organization and information system strategies, introduce changes into organizations, communicate with chief executive officers and users, and take the responsibilities of the information system operation. The CIOs' managerial roles make affects on the information system performance and the organizational effectiveness. They are divided into six sub-roles; leader, liaison, entrepreneur, monitor, resource allocator and spokesman. The CIOs' influences on organizations are evaluated by information systems performance. User information satisfaction is one of the most valid information system evaluation criterions. User participation and user involvement are regarded as the antecedents of user satisfaction. This study investigates the effect of CIOs' managerial roles on user satisfaction, user participation, user involvement, CIOs' six managerial roles do not equally influence users. The results of this study have implications for the CIOs' managerial roles in organizations. As CIOs effectively perform managerial roles, user satisfaction is improved.

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Biomechanical Finite Element Analysis of Bone Cemented Hip Crack Initiation According to Stem Design

  • Kim, Byeong-Soo;Moon, Byung-Young;Park, Jung-Hong
    • Journal of Mechanical Science and Technology
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    • v.20 no.12
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    • pp.2168-2177
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    • 2006
  • The purpose of this investigation was to determine the specific fracture mechanics response of cracks that initiate at the stem-cement interface and propagate into the cement mantle. Two-dimensional finite element models of idealized stem-cement-bone cross-sections from the proximal femur were developed for this study. Two general stem types were considered; Rectangular shape and Charnley type stem designs. The FE results showed that the highest principal stress in the cement mantle for each case occurred in the upper left and lower right regions adjacent to the stem-cement interface. There was also a general decrease in maximum tensile stress with increasing cement mantle thickness for both Rectangular and Charnley-type stem designs. The cement thickness is found to be one of the important fatigue failure parameters which affect the longevity of cemented femoral components, in which the thinner cement was significantly associated with early mechanical failure for shot-time period.

An innovative prostheses design for rehabilitation of severely mutilated dentition: a case report

  • Abduo, Jaafar
    • The Journal of Advanced Prosthodontics
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    • v.3 no.1
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    • pp.37-42
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    • 2011
  • Partial edentulism has multiple implications in relation to function, esthetics and future rehabilitative treatment. This case report illustrates the management of a patient with extreme consequences of partial edentulism. The main clinical findings were unopposed remaining teeth, overeruption of the remaining teeth, loss of vertical dimension of occlusion, and significant disfigurement of the occlusal plane. Following the diagnostic procedure, a well-coordinated prosthodontic treatment involving liaison with other dental disciplines was indicated. The management involved an innovative combination of fixed and removable prostheses in conjunction with crown lengthening surgery and strategic implant placement. Series of provisional prostheses were applied to facilitate the transition to the final treatment.

Present status of industrial information services (산업분야 정보서비스의 현단계)

  • 김용근
    • Journal of Korean Library and Information Science Society
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    • v.27
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    • pp.271.2-336
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    • 1997
  • The present study is a review to determine by what bodies and through what mechanisms the national industrial information policy is implemented and administered, that is what is its content and how it is linked to industrial and technological needs in the field of industrial firms. There are lacking essential capabilities required to transfer industrial information and to channel it to ultimate users. It is not possible to identify users' information needs adequately, to acquire pertinent information, to adapt it to prevailing conditions, to disseminate it to those who need it. Various organizations work to meet the specific information requirements of industry. These organizations include governmental agencies, industrial associations, research institutes and information centers. They have, however, developed independently without liaison among them. They may be some unnecessary duplication in some spheres and inadequate facilities in others. A n.0, ppropriate institutions which provide industrial information would be industrial associations, industrial research and development institutes. They serve as a coupling mechanism between industry and the existing information facilities.

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The Use of Psychotropics in Patients with Renal Diseases (신장질환환자들에서 향정신성 약물의 사용)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.25-34
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    • 1993
  • The author reviewed the general principle in the use of psychotropics for patients with renal diseases. who have psychiatric problems. Durgs which are dialyzable and metabolized or eliminated by kidney should not be used for patients with renal failure. However, lithium can be effectively used in a single dose$(300{\sim}600 mg/day)$ after each dialysis. though lithium has the double negative components. It is recommended that serum lithium level should be frequently monitored and the dose of lithium should be gradually increased to minimize its side effect Most of other psychotropics such as benzodiazepine anxiolytics tricyclic or tetracyclic antidepressants, and neuroleptics are metabolized in the liver, and they can be used in renal patients. The dose of these drugs should be reduced in two-thirds of the standard dose. In addition. it is necessary for liaison psychiatrists and other physicians to understand the interactions between psychotropics and drugs often used for treatment of renal diseases in order to prescribe psychotropics safely and effectively in renal patients.

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Therapeutic Approaches to the Patients Who were Referred for Psychiatric Consultation from Medical Departments - Psychosocial Aspects in Consultation-liaison Psychiatry - (정신과에 의뢰된 내과계 환자들에 대한 치료적 접근 - 정신사회적 측면 -)

  • Park, Chong-Cheul
    • Korean Journal of Psychosomatic Medicine
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    • v.1 no.1
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    • pp.98-100
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    • 1993
  • To become an effective and successful consultation-liasion psychiatrist the psychiatrist should consider two aspects of consultation before he/she meets his/her patients. First the psychiatrist should understand the internal need and psychological state of patients who visited their physician before being refered to a psychiatrist So psychiatrists should be careful in the evaluation of the patient's intention whether they are willing to accept the psychiatric treatment approach or not Second the psychiatrist should understand the situation and the physician's internal need in the consultation. Psychiatrists should recognize whether there are any factors which interfere with the mutual understanding and cooperation between physicians and psychiatrist.

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Ferroelectric P(VDF/TrFE) Copolymers in Low-Cost Non-Volatile Data Storage Applications

  • Prabu A. Anand;Lee, Jong-Soon;Chang You-Min;Kim, Kap-Jin
    • Proceedings of the Polymer Society of Korea Conference
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    • 2006.10a
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    • pp.237-237
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    • 2006
  • P(VDF/TrFE(72/28) ultrathin films were used in the fabrication of Metal-Ferroelectric polymer-Metal (MFM) single bit device with special emphasis on uniform film surface, faster dipole switching time under applied external field and longer memory retention time. AFM and FTIR-GIRAS were complementary in analyzing surface crystalline morphology and the resultant change in chain orientation with varying thermal history. DC-EFM technique was used to 'write-read-erase' the data on the memory bit in a much faster time than P-E studies. The results obtained from this study will enable us to have a good understanding of the ferroelectric and piezoelectric behavior of P(VDF/TrFE)(72/28) thin films suitable for high density data storage applications.

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