• Archives of Plastic Surgery
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• v.50 no.6
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• pp.568-572
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• 2023

Cutaneous squamous cell carcinoma (CSCC) overlying an arteriovenous fistula (AVF) is rare and presents unique challenges. This case report describes a method of fistula preservation after CSCC excision using a flow-through venous free flap. The saphenous vein of the venous flap was used as flow-through segment for AVF preservation. The flap was inserted along the dorsal aspect of the forearm wound and microvascular anastomosis of the arterial inflow was completed using a vein just proximal to the radiocephalic fistula anastomosis. Venous outflow was established by creating an end-to-end vascular anastomosis between the cephalic vein and the greater saphenous vein. A separate subcutaneous vein was used to provide a low-pressure outflow for the flap to avoid congestion. This case demonstrates an option for AVF preservation that has not been previously described. It also highlights the importance of a multidisciplinary approach for the safe treatment of CSCCs overlying AVFs.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.32 no.2
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• pp.37-47
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• 2024

This paper examines the unique transportation challenges posed by Nepal's diverse and rugged terrain, which significantly hampers socio-economic development due to its negative impact on infrastructure, trade, and accessibility. Despite ongoing efforts to enhance road and traditional air transport systems, Nepal's geographic and environmental conditions continue to obstruct efficient connectivity, particularly in rural and remote areas. This study proposes Advanced Air Mobility (AAM) as a transformative solution, leveraging recent technological advancements in unmanned aerial vehicles (UAVs) and electric vertical takeoff and landing (eVTOL) aircraft. By conducting a comprehensive analysis of Nepal's current transportation infrastructure and the feasibility of AAM implementation, the paper highlights the potential benefits of AAM, including improved accessibility, economic growth, and environmental sustainability. Furthermore, it addresses the anticipated challenges and regulatory considerations necessary for integrating AAM into Nepal's transportation network. Through a multidisciplinary approach, this research aims to contribute to the discourse on overcoming transportation barriers in mountainous regions, offering policy recommendations and identifying areas for future study to facilitate the adoption of AAM in Nepal and similar contexts worldwide.

• The Korean Journal of Food & Health Convergence
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• v.10 no.4
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• pp.21-27
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• 2024

The purpose of this study is to identify the sociocultural aspects of zero-calorie beverage consumption among young Koreans. Through an interview methodology, this study explores the perceptions of zero-calorie beverages, consumption behavior, and the important role of zero-calorie beverages in identity formation. The study uniquely integrates theories from health psychology, sociology, and cultural studies to analyze the complex interplay between individual health beliefs, social norms, and evolving cultural trends. The results show that the choice of zero-calorie beverages is heavily influenced by health consciousness, pervasive appearance culture, social media dynamics, and shifting workplace paradigms. Participants had a nuanced view of these drinks as both a "healthy alternative" and an "artificial product," reflecting the deep ambivalence that characterizes modern consumer society. Importantly, we found that the consumption of zero-calorie beverages serves as a means of sophisticated self-expression and impression management, acting as a form of cultural capital. This study makes a significant contribution to our understanding of health behavior in specific sociocultural contexts and provides important insights for health policy makers, marketing strategists. The study emphasizes that a multidisciplinary approach is essential in studying contemporary food and beverage consumption patterns, which have far-reaching implications for public health efforts and social epidemiology at home and abroad.

• Korean Journal of Agricultural and Forest Meteorology
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• v.17 no.3
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• pp.236-247
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• 2015

Domestic agricultural and forest management suffers disturbances arising from rapid economic, social and environmental changes including climate change. Sustainable management has emerged as a key to overcoming these challenges. From the domestic and international viewpoint, we have identified mainly three (i.e. indicator, accounting, and ecological) approaches to sustainable management of agricultural and forest ecosystems. Compared to persistent investment in indicator and accounting approaches, we find the paucity of the domestic efforts in ecological approach. The latter approach can be facilitated based on the long-term meteorological and flux data including the ecosystem-level energy, matter and information flows, which have been monitored and managed by Korea Meteorological Administration, Rural Development Administration and Korea Forest Service. In order to keep up with vigorous international efforts toward sustainable ecosystem management, more interdisciplinary, multidisciplinary and transdisciplinary collaborations among diverse domestic sectors and institutes are essential.

• Korean Journal of Cleft Lip And Palate
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• v.15 no.2
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• pp.69-82
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• 2012

Our Team Approach consists of following five stages; (1) Peri-natal care until lip repair After ultrasound diagnosis, some obstetricians recommend the mother with CL/P fetus to undergo prenatal counseling in our CLP clinic. On the day the CL/P baby was born, our oral surgeon, nurse, and pedodontist visit the maternity clinic, and take counseling and take impression for a feeding plate. The cheiloplasty is performed in three months old. (2) From lip repair to palatal repair At one year of age, Otorhinolaryngologist checks middle-ear disease. Palatoplasty is carried out at 1.5 - 2 years old. (3) In deciduous and early mixed dentitions Speech is the most important issue in social life for the CL/P subjects, therefore the training of velopharyngeal function is essential. Orthodontist monitors dentofacial development from 5 years of age. In the case of severe maxillary under-growth or severe collapse, maxillary protractor or lateral expansion is indicative, respectively. In early mixed dentition, upper central incisor on the cleft area erupts with some torsion, and then the traumatic occlusion with tooth torsion must be corrected. (4) In mixed dentition Right before the eruption of upper canines, secondary bone grafting is performed. One year prior to the operation, maxillary fan-type expansion is carried out to correct the collapse of maxillary segments. Following the surgical operation, the erupted canine will be moved into the transplanted bone to avoid alveolar resorption. (5) In permanent dentition Final tooth alignment is carried out after eruption of second molars. Some cases may require orthognathic surgery after physical maturation. Prosthetic oral rehabilitation including the dental-implant is carried out after age eighteen.

• Korean Journal of Health Education and Promotion
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• v.35 no.5
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• pp.1-16
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• 2018

Objectives: This study aimed to examine systems behavior of urban walking by analyzing a dynamic structure in Seoul, South Korea. Methods: As a systems thinking approach to urban walking and health promotion, we developed a Casual Loop Diagram based on literature review and expert consultation. The reviewed literature included: 1) qualitative studies that explores the experiences of urban walkers in Seoul; 2) a systematic review study on the built environmental factors related to walking; 3) policy research reports related to urban walking in Seoul. Results: The feedback structure for urban walking was related to the three urban environments (safety & walking environment, socioeconomic environment, and public transportation environment), and was characterized by a trade-off consisting of eight reinforcing loops and four balancing loops. Conclusions: The policies for a walkable city require multi-sectoral cooperation in order to change the causal loop structure related to the decline of walking. Therefore, it is necessary to establish legal and institutional conditions so that multi-sectoral and multidisciplinary approaches are possible.

• Plant Journal
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• v.13 no.4
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• pp.41-47
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• 2017

This paper is a study on validation model that can verify the arrangement of equipment constituting offshore plant using system engineering approach in offshore plant tender stage. In order to design offshore plant topside maintenance equipment, topside layout verification should be preceded. However, there are many errors in the bidding stage due to the FEED results that are not perfect, the verification can not be performed sufficiently due to the limitation of the bidding period and others reasons. Therefore, we propose a validation model that can effectively verify the equipment layout within a limited condition by simplifying the main process in the system engineering process, which is a multidisciplinary approach, and confirmed through the Functional Deployment Model. Also, we verified the validation model for topside equipment deployment through case studies.

• Archives of Plastic Surgery
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• v.48 no.4
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• pp.373-377
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• 2021

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently described form of T-cell non-Hodgkin lymphoma now formally recognized by the World Health Organization classification of lymphoid neoplasms. The aim of this paper is to report the first case of BIA-ALCL diagnosed in a pregnant patient. It is well known that BIA-ALCL appears as an indolent lymphoma with a good prognosis when diag-nosed at early stages and clinical guidelines for its management have been clearly published. Nevertheless, they lack a standardized approach for BIA-ALCL during pregnancy. With limited experience in our case, treatment has been safely postponed after term without affecting patient's overall prognosis and without fetal complication. The fact that the disease was diagnosed at an early stage (stage I) undoubtedly influenced the course of treatment. A multidisciplinary approach weighing the risks and benefits of treatment is of paramount importance in order to ensure the best possible outcome for both the mother and her child and clinical update guidelines should be issued.

• Journal of the Korea Convergence Society
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• v.13 no.4
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• pp.195-201
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• 2022

The core of the Fourth Industrial revolution, the topic of the 21st century, lies in the convergence of various technologies that are developing to the cutting edge. Therefore, convergence education is essential to solve problems from various perspectives. Above all, in order to solve the complex problem arising from the contact point between humans and technology in the future society, it was considered that insight through a humanities and artistic approach was necessary. Now, universities are trying to run a multidisciplinary comprehensive design to adapt to the new digital environment. In this study, an operation case of an engineering comprehensive design subject incorporating art operated by a researcher was described. The researcher presented an art convergence curriculum in a comprehensive design subject by applying 1. problem recognition and definition, 2. idea derivation and evaluation, 3. project development, 4. presentation, and demonstration process operation methods. Through this study, it is meaningful that it presented a method of operating art convergence in engineering comprehensive design subjects by allowing students to attempt an artistic aesthetic and emotional approach to project development.

• Journal of Ecology and Environment
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• v.47 no.4
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• pp.264-271
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• 2023

Environmental crises caused by climate change and human-induced disturbances have become urgent challenges to the sustainability of human beings. These issues can be addressed based on a data-driven understanding and forecasting of ecosystem responses to environmental changes. In this study, we introduce a long-term ecological monitoring system in Korean Long-Term Ecological Research (KLTER), and a plan for the Korean Ecological Observatory Network (KEON). KLTER has been conducted since 2004 and has yielded valuable scientific results. However, the KLTER approach has limitations in data integration and coordinated observations. To overcome these limitations, we developed a KEON plan focused on multidisciplinary monitoring of the physiochemical, meteorological, and biological components of ecosystems to deepen process-based understanding of ecosystem functions and detect changes. KEON aims to answer nationwide and long-term ecological questions by using a standardized monitoring approach. We are preparing three types of observatories: two supersites depending on the climate-vegetation zones, three local sites depending on the ecosystem types, and two mobile deployment platforms to act on urgent ecological issues. The main observation topics were species diversity, population dynamics, biogeochemistry (carbon, methane, and water cycles), phenology, and remote sensing. We believe that KEON can address environmental challenges and play an important role in ecological observations through partnerships with international observatories.