• Journal of Hospice and Palliative Care
• /
• v.24 no.3
• /
• pp.194-197
• /
• 2021

End-of-life assessments aim to help dying patients and their families plan clinical interventions in advance and prepare them for a peaceful end of life, in which the patient accepts life and death, and the family accepts the patient's departure. It is important to assess whether death is imminent within a few days, because critical hospice care is provided intensively during that period. The following five changes constitute objective evidence of the end of life: diminished daily living performance, decreased food intake, changes in consciousness and increased sleep quantity, worsening of respiratory distress, and end-stage delirium. As subjective evidence, it is suggested that sensitive perceptions of experienced nurses and the feelings of family members caring for patients should also be considered. When notifying a patient or family members that the end of life is approaching, the members of the multidisciplinary hospice team must communicate with each other, share accurate information, and provide consistent explanations. They must also listen to non-verbal communication in an empathic and supportive manner.

• The Korean Journal of Rehabilitation Nursing
• /
• v.6 no.2
• /
• pp.137-151
• /
• 2003

The purpose of this study was to develop a multidisciplinary team approach program for stroke survivors, and to identify its effects on their rehabilitation. The team was composed of 7 members: a rehabilitation nurse, a physician, a physical therapist, an occupational therapist, a therapeutic recreational therapist, a nutritionist, and a researcher. A quasi-experimental study was performed with 36 subjects: 18 in the experimental group and 18 in the control group, using a noneqivalent control group pretest-posttest design. The experimental group participated 4 times in rehabilitation programsfocused on information and emotional support provided by the rehabilation team-and received telephone counseling from the researcher. The control group did not receive any treatment. The selection criteria for the subjects in this study were: (a) patients who were diagnosed as having had an ischemic stroke within the last year, (b) patients free of any communication disorder, (c) and those having a primary caregiver who could assist in filling out the form assessing the level of ADL. The data were collected from patients who had been discharged from a tertiary hospital, between October 1st, 1999 and September 30th, 2000. The data were analysed by $X^2$ test, Fisher's exact test, ANCOVA, Wilcoxon's rank sum test, and Wilcoxon's signed rank test using an SAS program. The results were as follows: 1. In terms of physical variables (blood pressure, grasp power, and ADL) 1) There was a significant difference in blood pressure between the two groups (systolic pressure P= .012, diastolic pressure P= .050). 2) There was also a significant difference in grasp power between the two groups (affected side : P= .012, unaffected side : P= .010). 3) There was no significant change in the level of ADL between the two groups. 2. In terms of psychosocial variables (depression, self-efficacy, self-esteem, and social activities) 1) There were no significant differences between the two groups. However, all four psychosocial variables showed a tendency to improve in the experimental group, while only two variables (depression and self-efficacy) showed a simalar tendency in the control group. 2) The level of social activities in the control group decreased significantly after a month (P= .050). 3. The level of life satisfaction improved in both groups, but no significant difference was found. Stroke has high recurrence rate and requires considerable follow-up care. The program used in this study was developed and designed for stimulting the rehabilitation process of stroke survivors. Through the program period of one month (meetings were held weekly), a positive effect was detected in physical variables, although the psychosocial variables did not improve significantly. In retrospect, a one month period may not be an adequate length of time to improve the psychosocial variables, as the stroke survivors were complicated cases, and most of them were elderly. Further research is therefore recommended by increasing the length of program, so that its effect can be more noticeable.

• Journal of Korean Neuropsychiatric Association
• /
• v.57 no.2
• /
• pp.190-208
• /
• 2018

Objectives To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.25 no.1
• /
• pp.13-15
• /
• 2014

Presbyphonia is defined as voice change caused by aging. Since presbyphonia is one of the natural aging processes, the treatment should be considered for the patients complaining communication difficulties. The treatment should not only target on presbylaryngis, but also on underlying systemic conditions such as lung function, neurological diseases and medications. Therefore, the treatment for the patients with presbyphonia should be multidisciplinary including underlying disease control, voice therapy and surgical treatment. Although various experiments on treatment of presbylaryngis are currently being tried, repeated injection laryngoplasty is still playing an important role because presbyphonia is destined to get worse over time.

• The Journal of the Korean dental association
• /
• v.49 no.12
• /
• pp.739-748
• /
• 2011

Patients with severe mental challenges are often subjected to extensive dental problems. Their impaired communication and lack of cooperation unable to receive timely dental treatments, which deteriorates their adverse oral conditions. In spite of a limited time frame, well-planned comprehensive treatments can be delivered in an one-day operation setting under general anesthesia. This multidisciplinary treatment regimen primarily comprises of single-visit endodontics, direct bonded restoration, periodontal treatment, and surgical extraction. Further, one or two additional visits for prosthetic procedures are able to accomplish functional reestablishment and esthetic enhancement. This article discusses on clinical managements for severely mentally challenged patients under a single-day operation.

• Journal of information and communication convergence engineering
• /
• v.8 no.5
• /
• pp.479-483
• /
• 2010

The rapid progress of the Internet and network is affecting the engineering design environment as well as business that use Web technologies to enhance their competitive edge. In product development, experts and organization who take part in the design process are often geographically dispersed. Furthermore, different divisions and business often have heterogeneous CAD/CAE systems and methods for expressing product data, and addressing this heterogeneity creates additional costs and increases development time. Managing distributed CAD, CAE and other related systems in an organic and holistic manner from the initial stages of product development is imperative to ensure successful collaboration in the design process. Therefore, this study suggests a Web-based MDO framework to support interfacing and collective use of design and analysis tools.

• Journal of the Korean Ceramic Society
• /
• v.56 no.5
• /
• pp.421-434
• /
• 2019

We face many fascinating and diverse challenges, the most important among which is to determine how to store a large amount of information with novel approaches. Info-convergence ceramic nanosystems, which combine ceramic materials science and information technology, may provide an attractive alternative. This review considers recent multidisciplinary advances in the development of info-convergence nanosystems based on ceramic materials and discusses various strategies under ceramic-based information systems with a special focus on materials and nanohybridization technologies. Ceramic materials have played diverse roles not only as the generic coding support, but also as the central coding substance. The review highlights the ceramic nanohybrid bio code and ceramic nanoparticle optical code for applications in tracking-and-traceability management, nano-forensics, anti-counterfeiting, and even communication, as well as the four steps of encoding, encrypting, decrypting, and decoding for the desired applications. Additionally, associated challenges, potential solutions, and perspectives for future developments in the field are discussed.

• Proceedings of the Korean Institute of Building Construction Conference
• /
• 2011.05a
• /
• pp.181-184
• /
• 2011

The earlier studies which are related to conflict management for urban regeneration project were based on limited case-studies on a specific phase. In addition, those studies did not considered a multidisciplinary approach for critical factor of conflict occurrence. In this reason, to establish a practical management or a policy is limited. In this paper, 'Good communication and information sharing' and 'Cooperativeness of stakeholders on project' are defined by critical factors for minimization of conflict between stakeholders. Furthermore we analysis the influence of those factors to minimization of conflict using path-analysis. This paper contributes to increase the efficiency of conflict management through understanding influence of each factors.

• Journal of Engineering Education Research
• /
• v.24 no.3
• /
• pp.3-10
• /
• 2021

The purpose of this study was to explore the theory behind creative engineering design instructional characteristics. This study was conducted as a literature review to derive engineering design instructional characteristics. The results showed that there are three primary characteristics: learner-centered instructional activities, collaborative communication interactions, and multidisciplinary convergence to promote creative thinking. This study was meaningful in that it identified creative engineering design instructional characteristics based theoretical considerations of engineering design and engineering design education. Therefore, it is expected that the results of this study will contribute to the development of creative engineering design instructional models.

• International Journal of Computer Science & Network Security
• /
• v.23 no.4
• /
• pp.25-31
• /
• 2023

Fog computing diversifies cloud computing by using edge devices to provide computing, data storage, communication, management, and control services. As it has a decentralised infrastructure that is capable of amalgamating with cloud computing as well as providing real-time data analysis, it is an emerging method of using multidisciplinary domains for a variety of applications; such as the IoT, Big Data, and smart cities. This present study provides an overview of the security and privacy concerns of fog computing. It also examines its fundamentals and architecture as well as the current trends, challenges, and potential methods of overcoming issues in fog computing.