• Journal of Yeungnam Medical Science
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• v.41 no.3
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• pp.166-178
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• 2024

Amid the worldwide increase in spinal surgery rates, a significant proportion of patients continue to experience refractory chronic pain, resulting in reduced quality of life and escalated healthcare demands. Failed back surgery syndrome (FBSS) is a clinical condition characterized by persistent or recurrent pain after one or more spinal surgeries. The diverse characteristics and stigmatizing descriptions of FBSS necessitate a reevaluation of its nomenclature to reflect its complexity more accurately. Accurate identification of the cause of FBSS is hampered by the complex nature of the syndrome and limitations of current diagnostic labels. Management requires a multidisciplinary approach that may include pharmacological treatment, physical therapy, psychological support, and interventional procedures, emphasizing realistic goal-setting and patient education. Further research is needed to increase our understanding, improve diagnostic accuracy, and develop more effective management strategies.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.35 no.1
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• pp.15-21
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• 2024

Autism spectrum disorder (ASD) is diagnosed by the clinical decision of a trained professional based on the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition or International Classification of Diseases 11th Revision diagnostic criteria. To obtain information for diagnostic formulation, professionals should explore detailed developmental history, and can use structured or semi-structured assessment tools to observe interaction between the child and parents or strangers. Diagnostic assessment should include a profile of the strength and weaknesses of the individual and should be conducted using an optimal approach by a multidisciplinary team with appropriate techniques and experience. Assessment of language, cognitive, neuropsychological, and adaptive functioning should be conducted in ASD individuals prior to establishing an individualized treatment plan. Genetic testing, brain magnetic resonance imaging or electroencephalogram testing can be considered for identification of underlying causes.

• The Journal of the Korea Contents Association
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• v.15 no.11
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• pp.635-657
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• 2015

The current society characterized by knowledge-based information technology and multiculturalism put more emphasis on problem-solving skills, creative thinking, and communication skills than any other periods did. In response to the demand of the current times, multidisciplinary, or convergence courses and majors are being created and conducted in college education, yet, with the lack of specific teaching and learning model for the convergence courses. In this context, this study aimed to examine PBL as an instructional model for the convergent approaches in classroom, since PBL has been regarded as a model for fostering the 21st century learning capabilities for student coupled with the learning principles of authentic tasks, learner-centeredness, collaborative learning. This study, after conducted a PBL course for the general art education during the summer semester of 2014, analyzed the result using data collected from students' reflective journals, in-depth interviews, and SNS posts among the students. The result presented students' enhanced self-respect, increased interest in their learning and communication skills, and their recognition of the value on diversity and empathetic attitudes toward each others. In conclusion, PBL showed its potential as an alternative instructional model for the multidisciplinary and convergent learning in college education.

• Korean Journal of Clinical Pharmacy
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• v.26 no.4
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• pp.318-323
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• 2016

Background: Multidisciplinary team care (MTC) is a collaborative approach to treatment plan and ongoing care. We aimed to evaluate the clinical effect of MTC on the regulation of chronic kidney disease-mineral and bone disorder (CKD-MBD) complications in dialysis patients. Methods: This retrospective observational study was approved by the institutional review board. Among patients who have undergone dialysis at admission, the patients admitted to the nephrology ward were allocated to MTC group, and the others to usual care (UC) group. The MTC group had collaborative care by nephrologists, nurses, pharmacists, and nutritionists. The endpoints were the regulation of corrected calcium (cCa) and phosphate (P), the percent of patients in target level of cCa-P product ($cCa{\times}P$), and the prescription rate of non-calcium based P-binders. Results: A total of 163 patients were included from January to December 2009. A significant difference was shown in the percentage of patients in target $cCa{\times}P$ level at admission (MTC vs. UC, 81.40% vs. 91.67%; P = 0.038), but there was no significant difference at discharge. During admission, the cCa and P levels of patients in only UC group were significantly changed. In addition, compared with UC group, patients in MTC group were more likely prescribed appropriate P-binders, when they had higher $cCa{\times}P$ levels than $55mg^2/dL^2$ (P <0.001). Conclusion: It was found that MTC had beneficial effect on improving the regulation of CKD-MBD and the appropriate phosphate binder uses. Therefore, application of the MTC is anticipated to enhance quality of clinical care in chronic diseases.

• Journal of the Korean Society for information Management
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• v.39 no.2
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• pp.203-232
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• 2022

Drug addiction or substance use disorder is continuously observed worldwide for its risks and prevalence. In this context, numerous studies have been conducted regarding this issue. However, bibliometric analysis related to drug addiction is insufficient. In particular, it is difficult to find research that utilizes a macro-level bibliographic approach that comprehensively reflects various characteristics related to drug addiction. In this study, to reflect the multidimensional features of drug addiction, research trends in drug addiction in social science, natural science, and multidisciplinary studies were compared and analyzed. This study collected drug addiction research articles from 2002 to 2021 by searching from the Web of Science, and classified academic disciplines based on SCI(E) and SSCI information. Author keyword co-occurrence analysis was also conducted, which provided confirmation that natural science mainly studied psychoactive substances and the reward system in the brain, while drug addiction studies reflecting demographic characteristics were conducted in the domain of social science. In the multidisciplinary field, all of the above topics were covered. Author co-citation analysis was also employed, which showed that there are superstars (i.e., authors who receive a rigorous amount of citation) in the field of natural science, while in the social science domain, authors were highly cited not only at the individual level but also at the institutional level.

• Journal of Service Research and Studies
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• v.10 no.4
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• pp.21-41
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• 2020

As the 4th Industrial Revolution unfolds rapidly, it is important to re-light the intrinsic mission given to universities from a system theory perspective as a condition for the university to survive. In this study, the university was prescribed as a fifth service industry that creates high value-added through higher education services, and attempted to provide a new and novel perspective to various university officials for the scientific rationalization of university management by re-describing it based on the Multidisciplinary perspective based on business administration, but in particular on the theory of service operation management. To this end, the primary purpose of this study is to classify the nature of educational organizations, research organizations, service organizations, and support organizations to properly perform the university's essential mission of education, research, and service, and to explore concepts and techniques for performing management activities that are appropriate to them. In addition, after identifying the university from an academic and practical point of view as a fifth service industry that creates high value-added through higher education services, but more specifically, to provide a new perspective and means for the scientific rationalization of university management by re-identifying university administration based on the business administration theory, in particular the theory of service operation management, and further reflecting a recent trend to view the university president from the CEO's point of view, the specific purpose of this study is to look at this academic system. Through this, we sought the ideal form of a systematic and scientific university management organization that can respond to new environmental changes.

• Journal of Chest Surgery
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• v.56 no.1
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• pp.35-41
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• 2023

Background: We analyzed our experience with descending necrotizing mediastinitis (DNM) treatment and investigated the efficacy of video-assisted thoracoscopic surgery (VATS) for mediastinal drainage. Methods: This retrospective analysis included patients who underwent surgical drainage for DNM at our hospital from 2005 to 2020. We analyzed patients' baseline characteristics, surgical data, and perioperative outcomes and compared them according to the mediastinal drainage approach among patients with type II DNM. Results: Twenty-five patients (male-to-female ratio, 18:7) with a mean age of 54.0±12.9 years were enrolled in this study. The most common infection sources were pharyngeal infections (60%). Most patients had significantly increased white blood cell counts, elevated C-reactive protein levels, and decreased albumin levels on admission. The most common DNM type was type IIB (n=16, 64%), while 5 and 4 patients had types I and IIA, respectively. For mediastinal drainage, the transcervical approach was used in 15 patients and the transthoracic approach (VATS) in 10 patients. The mean length of hospital stay was 26.5±23.8 days, and the postoperative morbidity and in-hospital mortality rates were 24% and 12%, respectively. No statistically significant differences were found among patients with type II DNM between the transcervical and VATS groups. However, the VATS group showed shorter mean antibiotic therapy duration, drainage duration, and hospital stay length than the transcervical group. Conclusion: DNM manifested as severe infection requiring long-term inpatient treatment, with a mortality rate of 12%. Thus, active treatment with a multidisciplinary approach is crucial, and mediastinal drainage using VATS is considered relatively safe and effective.

• Journal of the Korea Convergence Society
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• v.11 no.10
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• pp.171-179
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• 2020

This study was attempted to identify the media preferences and the reasons of cancer patients. The data collection was conducted on 76 people. and they are 6 men, 70 women with 38 breast cancer patients, and 38 patients with other cancers. For measuring tools, self-written questionnaires and Mandala paintings were used for single-time art therapy. The data analysis compared the results of technical statistics, independence verification and chi verification using the SPSS WIN ver.25.0 with the Mandala painting. There were no significant differences in media preference by age and duration of the disease, and there were significant differences in media preference by disease. In the Mandala painting, the characteristics of the medium and the factors of specific disease showed that there were reasons and effects of preference media choice. This study is meaningful in that it concentrated on the art therapy access and support in terms of the cancer outpatients, which have been concentrated on inpatients so that they shed light to the support and intervention needed by the outpatients, and can be used as basic data for the development of art therapy programs to help stabilize the mind of cancer patients in the future.

• Journal of Hospice and Palliative Care
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• v.16 no.2
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• pp.74-79
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• 2013

The purpose of this paper is to suggest a direction for future studies based on the analysis of the articles published in the Korean Journal of Hospice and Palliative Care from 1998 to 2012. A total of 240 articles (51 reviews, 189 original) were examined in three five-year groups. Categories of analysis include authors' background (profession, region) and general characteristics and qualitative aspects of the original paper (participants, topic, study design, data analysis, ethical consideration, multidisciplinary approach, research funds and sample size estimation). While the journal publishes more of articles than before, it is mainly due to the increase in the number of review articles, not original articles. As for study topics, healthcare industry and physical symptoms were most frequently studied. The disparity in authors' regional background is fading, and more articles are published by nurses than before. Moreover, more studies are funded while fewer papers tend to adopt a multidisciplinary approach or focus on care givers. Also, in terms of a study design, the number of experimental and methodological studies has slightly increased. In the qualitative aspect, studies considered ethical issues and collected participation consent, and fewer studies reported an estimated sample size. In data analysis, post-adjustment comparison decreased, and new analytical methods are increasingly used. Our results indicate the need to conduct research with more extensive scientific data in various fields of hospice and palliative care.

• Archives of design research
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• v.12 no.2
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• pp.171-182
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• 1999

This study aims to clarify the nature and properties of multimedia interface design, and to identify direction of multimedia interface design research. It also focuses on forecasting boundaries and major trends in current researches on multimedia interface design. The two jargons, 'interface' and 'interaction', are distinguished clearly to show the definition and boundary of multimedia interface. The multidisciplinary nature of multimedia interface design is identified as a result of examination and analysis on major researches. Nine research cases have been selected and categorized into two directions as the theoretical approach and the technical approach. Major characteristics of each case are examined in terms of subjects and methodologies. Findings on current states of the multimedia interface design research are: $\circled1$increasing importance of contextuality; $\circled2$emerging tendency for perceiving the content as one of interacting subjects; $\circled3$providing idiomatic interface context; and $\circled4$paying much attention to the meaning of minor actions. Those findings can be possible as a result of expansion of boundary of multimedia content with rapid distribution of multimedia in recent years. The study concludes that further researches can be activated on the basis of the concept of content-based multimedia interface.