• 한국추진공학회:학술대회논문집
• /
• 한국추진공학회 2005년도 제24회 춘계학술대회논문집
• /
• pp.11-15
• /
• 2005

공중발사 방식은 일반적인 지상발사와 비교해 볼 때 많은 장점을 지니고 있다. 그러나 공중발사 로켓의 형상은 모선에 장착 시 많은 제한이 따르기 때문에 여러 해석분야를 통합한 시스템 설계가 필요하다. 시스템 설계는 순차적 최적화와 MDF 기법을 이용하여 수행되었다. 해석 모듈은 임무분석, 단배분, 추진해석, 형상, 중량해석, 공력해석, 궤적해석을 포함한다. 두 가지 기법 중 MDF 기법을 이용하였을 때 더 좋은 결과를 도출하였다. 시스템 최적화 결과 총 중량 1244.91 kg. 위성중량 7.5 kg, 총 길이 6.18m, 지름 0.60 m을 지닌 초음속 공중발사 로켓이 설계되었다.

• 한국항공우주학회지
• /
• 제33권12호
• /
• pp.26-32
• /
• 2005

공중발사 방식은 일반적인 지상발사와 비교해 볼 때 많은 장점을 지니고 있다. 그러나 공중발사 로켓의 형상은 모선에 장착 시 많은 제한이 따르기 때문에 여러 해석분야를 통합한 시스템 설계가 필요하다. 시스템 설계는 순차적 최적화와 MDF 기법을 이용하여 수행되었다. 해석 모듈은 임무분석, 단배분, 추진해석, 형상, 중량해석, 공력해석, 궤적해석을 포함한다. 두 가지 기법 중 MDF 기법을 이용하였을 때 더 좋은 결과를 도출하였다. 시스템 최적화 결과 총 중량 1244.91kg, 위성중량 7.5kg, 총 길이 6.36 m, 지름 0.60m을 지닌 초음속 공중발사 로켓이 설계되었다.

• Human Ecology Research
• /
• 제51권6호
• /
• pp.649-663
• /
• 2013

As cultural diversity has gained a great deal of attention and the social fabric of Korean society is redefined, the number of studies on multi-cultural family homes has been growing in the area of human ecology, but relevant research is rarely found on the subject of housing. While the emphasis of housing research is on multidisciplinary approaches and empirical research is highly valued, a theoretical and methodological platform for discussing the new rising agenda of multi-cultural family homes is lacking. The purpose of this study was to explore approaches to and to discuss the issues in research for multi-cultural family homes in terms of housing theories and multidisciplinary approaches. To understand the housing related needs of multi-cultural families, this study highlights social constructionism, the ecological perspective, and feminist epistemology. These three multidisciplinary approaches were useful for generating an ontological analysis of multi-cultural family homes. Further, this study highlights two housing related theories, the microsociological and housing pathways approaches, for dealing with multi-cultural family homes. In conclusion, the five approaches were useful for exploring issues in housing research on multi-cultural family homes with appropriate research methods like hermeneutics, quantitative, and qualitative methods, and field research. Insights into using perspectives and holistic approaches might be useful for solving the problems of multi-cultural family homes in Korea.

• Radiation Oncology Journal
• /
• 제35권1호
• /
• pp.16-24
• /
• 2017

Locally advanced non-small cell lung cancer (LA-NSCLC) is composed of heterogeneous subgroups that require a multidisciplinary team approach in order to ensure optimal therapy for each patient. Since 2010, the National Comprehensive Cancer Network has recommended chemoradiation therapy (CRT) for bulky mediastinal disease and surgical combination for those patients with single-station N2 involvement who respond to neoadjuvant therapy. According to lung cancer tumor boards, thoracic surgeons make a decision on the resectability of the tumor, if it is determined to be unresectable, concurrent CRT (CCRT) is considered the next choice. However, the survival benefit of CCRT over sequential CRT or radiotherapy alone carries the risk of additional toxicity. Considering severe adverse events that may lead to death, fit patients who are able to tolerate CCRT must be identified by multidisciplinary tumor board. Decelerated approaches, such as sequential CRT or high-dose radiation alone may be a valuable alternative for patients who are not eligible for CCRT. As a new treatment strategy, investigators are interested in the application of the innovative radiation techniques, trimodality therapy combining surgery after high-dose definitive CCRT, and the combination of radiation with targeted or immunotherapy agents. The updated results and on-going studies are thoroughly reviewed in this article.

• Clinical Endoscopy
• /
• 제55권2호
• /
• pp.292-296
• /
• 2022

Iatrogenic perforations are severe complications of gastrointestinal endoscopy; therefore, their management should be adequately planned. A 77-year-old man with a history of diverticulosis underwent a colonoscopy for anemia. During the procedure, an iatrogenic perforation occurred suddenly in the sigmoid colon, near a severe angle among the numerous diverticula. Through-the-scope clips were immediately applied to treat it and close mucosal edges. Laboratory tests showed increased levels of inflammation and infection, and although there were no complaints of abdominal pain, the patient had an extremely distended abdomen. A multidisciplinary board began management based on a conservative approach. Pneumoperitoneum was treated with computed tomography-assisted drainage. After 72 hours, his intestinal canalization and laboratory tests were normal. Though this adverse event is rare, a multidisciplinary board should be promptly gathered upon occurrence, even if the patient appears clinically stable, to consider a conservative approach and avoid surgical treatment.

• Journal of Chest Surgery
• /
• 제54권2호
• /
• pp.99-105
• /
• 2021

Background: The number of heart transplantations (HTx) is increasing annually. Due to advances in medical and surgical support, the outcomes of HTx are also improving. Extracorporeal circulatory life support (ECLS) provides patients with decompensated heart failure a chance to undergo HTx. A medical approach involving collaboration among experienced experts in different fields should improve the outcomes and prognosis of ECLS-bridged HTx. Methods: From December 2003 to December 2018, 1,465 patients received ECLS at Samsung Medical Center. We excluded patients who had not undergone HTx or underwent repeated transplantations. Patients younger than 18 years were excluded. We also excluded patients who received an implantable durable left ventricular assist device before HTx. In total, 91 patients were included in this study. A multidisciplinary team approach began in March 2013 at our hospital. We divided the patients into 2 groups depending on whether they were treated before or after implementation of the team approach. Results: The 30-day mortality rate was significantly higher in the pre-ECLS team group than in the post-ECLS team group (n=5, 18.5% vs. n=2, 3.1%; p=0.023). The 1-year survival rate was better in the post-ECLS team group than in the pre-ECLS team group (n=57, 89.1% vs. n=19, 70.4%; p=0.023). Conclusion: We found that implementing a multidisciplinary team approach improved the outcomes of ECLS-bridged HTx. Team-based care should be adapted at HTx centers that perform high-risk HTx.

• 구강회복응용과학지
• /
• 제30권4호
• /
• pp.329-338
• /
• 2014

치주질환이나 우식으로 인해 구치부 치아가 상실된 환자들은 잔존하고 있는 전치부 및 소구치부 치아로 안정된 교합고경을 유지하기 어렵다. 구치의 상실로 대합치의 정출이나 인접치의 경사가 발생되는 경우 교합평면이 붕괴되거나 부적절한 교합간섭을 야기하게 된다. 만약 치아 상실 상태가 지속된 경우에는 하악의 전방이동으로 인해 상악 전치의 동요와 순측 이개를 초래하게 되며 치주질환이 동반된 경우에는 더욱 심각한 상황으로 변화한다. 이와 같이 치아의 병적 이동이 일어난 환자의 치료는 보존 및 치주치료, 교정 치료를 통한 재배열, 그리고 상실된 치아의 보철수복을 통한 교합 고경의 재설정 및 유지와 같은 다과간 협력 진료가 매우 중요하다.

• 대한치과교정학회지
• /
• 제47권6호
• /
• pp.384-393
• /
• 2017

Fusion of teeth is a developmental anomaly. It occurs at the stage of tooth formation, which determines the shape and size of the tooth crown, when one or more teeth fuse at the dentin level during the morphodifferentiation of the dental germs. Such teeth show macrodontia and may cause crowding, as well as esthetic and endodontic problems. In this article, we report a rare case of a maxillary central incisor fused to a supernumerary tooth showing labial and palatal talon cusps, which was orthodontically moved across the midpalatal suture. A 13-year-old Caucasian boy sought treatment for the unesthetic appearance of his maxillary central incisor and anterior crowding. He was rehabilitated successfully via a multidisciplinary approach involving orthodontic, nonsurgical endodontic, periodontal, and prosthodontic treatments. After a 26-month treatment period, the patient's macroesthetics and microesthetics were improved. The overall improvement of this macrodontic tooth and its surrounding tissues through multidisciplinary treatment was documented using cone-beam computed tomography.

• 대한구순구개열학회지
• /
• 제8권2호
• /
• pp.95-105
• /
• 2005

Cleft lip and palate is a congenital deformity which needs a professional and consistent management from the birth and along with the physical growth of patients. The patients with cleft lip and palate can have general speech problems with resonance disorders, voice disorders and articulation disorders after the successful primary surgical management and the physical growth. Speech problems of Cleft lip and palate are characterized hypernasality, nasal air emission, increased nasal air flow, and aberrant speech marks which decrease intelligibility. These speech problems of cleft lip and palate can be treated with the secondary surgical procedure, the application of temporary prosthesis and the effective and well-timed speech therapy. The speech and language problems of cleft lip and palate, the general procedures and schedules of the speech assessment and therapy based on the multidisciplinary approach are introduced for the patients with cleft lip and palate, their family and the other members of the cleft palate treatment team.

• The Journal of Advanced Prosthodontics
• /
• 제4권4호
• /
• pp.243-247
• /
• 2012

The velopharynx is a tridimensional muscular valve located between the oral and nasal cavities, consisting of the lateral and posterior pharyngeal walls and the soft palate, and controls the passage of air. Velopharyngeal insufficiency may take place when the velopharyngeal valve is unable to perform its own closing, due to a lack of tissue or lack of proper movement. Treatment options include surgical correction, prosthetic rehabilitation, and speech therapy; though optimal results often require a multidisciplinary approach for the restoration of both anatomical and physiological defect. We report a case of 56 year old male patient presenting with hypernasal speech pattern and velopharyngeal insufficiency secondary to cleft palate which had been surgically corrected 18 years ago. The patient was treated with a combination of speech therapy and palatal lift prosthesis employing interim prostheses in various phases before the insertion of definitive appliance. This phase-wise treatment plan helped to improve patient's compliance and final outcome.