• 대한족부족관절학회지
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• 제17권1호
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• pp.52-59
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• 2013

Purpose: The purpose of this study is to evaluate treatment results of multidisciplinary approach of critical ischemic limb with diabetic foot. Materials and Methods: From March 2005 to March 2012, 674 diabetic foot patients were analyzed. Among them, 85 patients were neuroarthropathic type, 383 patients were infectious type, and 206 patients were ischemic type. The subjects were 206 patients who had critical ischemic limbs and major or minor amputations were done. Various single or combined treatment method before amputation was performed. We investigated their ABI, HbA1c, main occlusion lesion, limb salvage and hospitalization period by various treatment method. Results: Major amputation was 27 cases, minor amputation was 179 cases. Mean HbA1c was 8.2%, and mean ABI was 0.66. Main occlusion lesion was 6 cases at common iliac artery, 13 cases at external iliac artery, 9 cases at internal iliac artery, 11 cases at common femoral artery, 23 cases at deep femoral artery, 52 cases at superficial femoral artery, 35 cases at popliteal artery, 40 cases at posterior tibia artery, 35 cases at anterior tibial artery, 28 cases at peroneal artery, and 13 cases at dorsalis pedis artery. Major amputations were decreased, minor amputations were increased, and hospitalization period was reduced by treatment of multidisciplinary approach. Conclusion: Treatment of multidisciplinary approach, which include preoperation percutaneus transluminal angioplasty, vascular surgery, and amputation, of critical ischemic limb with diabetic foot had advantages of limb salvage and hospitalization period reduction.

• Journal of Contemporary Eastern Asia
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• 제12권1호
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• pp.49-63
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• 2013

This work identifies the key factors influencing the success of multidisciplinary, interdisciplinary, and trans-disciplinary R&D projects in transition economies by integrating knowledge management, organizational, inter/intra-collaboration (open-innovation), and leadership perspectives, while also addressing the perspective of the science of team science, which is an integrative approach to R&D. This is followed by providing the major sub-constructs of team science and policy implications to better facilitate multidisciplinary, interdisciplinary, and transdisciplinary R&D projects in knowledge-based transition economies.

• 셀메드
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• 제2권2호
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• pp.15.1-15.3
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• 2012

Kampo medicine, a Japanese traditional herbal medicine, has been used in clinical practice in Japan. The most appropriate Kampo formula should be chosen for each individual by the four diagnostic procedures. Fuku shin, the abdominal exam, is one of the most important approaches in the procedures. There are several abdominal conformations (signs) when administering Fuku shin. In Kampo medicine, psychiatric illness-marked by depression and anxiety-has been shown to be related with an abdominal conformation, Shin ka hi koh (Epigastric Obstructive Hardness). The aim was to see the occurrence of abdominal conformations in each level of depression and anxiety symptoms. Two hundred fifteen patients were assigned to high-, moderate-, or low-level psychiatric comorbidity based on the Hospital Anxiety and Depression Scale and were studied regarding the occurrence of major abdominal conformations. Moderate and high psychopathological groups showed the higher occurrence of Shin ka hi koh [Low, 21%; Moderate, 67%; High, 74%] ($p$ < 0.0001). In conclusion, moderate and high psychopathological patients showed the higher occurrence of a specific abdominal sign.

• 한국가구학회지
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• 제23권1호
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• pp.47-56
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• 2012

This study particularly looked at educational philosophy and content of Design Academy Eindhoven in Holland which provides multidisciplinary design education. For it might be important data for examining the educational substance and directivity in design that help construct education system in design for a new era among the varying design paradigm. The biggest feature of DAE education system designed for students to optimize their ability with systematic education of 8 contexts with 4 approaches through innovative specialty system. Besides, their interaction helps students major in what is individual specialty. Most of all, the study on the contents of DAE's multidisciplinary education is expected to be significant data for our design education that lacks integrative perspective in the respect that students might be able to develop their identity as an individual designer in changing society beyond the mere technical and formative level of design.

• Journal of Chest Surgery
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• 제49권5호
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• pp.374-378
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• 2016

A multistage plan and multidisciplinary approach are the keys to successful repair in patients with pulmonary atresia (PA) with ventricular septal defect (VSD) and major aortopulmonary collateral arteries (MAPCAs). In this article, we present a multidisciplinary approach adopted to treat a patient with PA with VSD and MAPCAs associated with left pulmonary artery interruption.

• 디지털융복합연구
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• 제9권5호
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• pp.113-121
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• 2011

정보보호에 대한 중요성이 점차 증대됨에 따라 관련 업무를 수행할 수 있는 전문인력에 대한 수요 역시 증가하고 있다. 하지만, 양질의 전문인력을 양성하는데 있어 현실적인 문제점이 존재하며 이에 대한 장 단기적 해결방안이 요구된다. 본 논문에서는 정보보호 전문인력 양성을 위한 정보보호 필수요구지식을 직무에 따라 제시하고, 융합전공 기반의 교육인증 프로그램 및 향후연구를 제안하였다. 이를 위하여 미국의 정보보호 교육인종 프로그램을 분석하는 한편, 국내 현실을 반영한 정보보호 교육인증 프로그램의 성공요인을 제시하였다.

• 보건행정학회지
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• 제28권3호
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• pp.233-239
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• 2018

A rapid decrease of total fertility rate to 1.08 in 2005 prompted the Korean government to plan and implement a '5-year plan for ageing society and population policy' starting from 2006. The 1st and 2nd 5-year plans had not shown any discernible impact on the fertility and the 3rd 5-year plan was launched in 2016. However, the fertility rate is going down further. The author reviewed the contents and assessment reports of the fertility promotion plan to suggest ideas for complementing the shortcomings of it. Author defined the major determinants of marriage and child birth as philosophy, politics, sense of value, social norm, culture, healthcare, and education. The plan was examined in view of these determinants. Transformation of Korea from an agricultural society to an industrialized society in a short period of time had brought about changes in most of the determinants of marriage and child birth; in particular philosophy and sense of value. These aspects were not put into consideration in the plan. Author suggested to launch a social education program for the general public to establish a sound philosophy of life, reform the sense of value on family, child birth and education, and cultivate the skill to draw a consensus through discussions on the social issues. A special program to promote marriage of women at the optimum age for child birth was proposed. The government should implement well balanced policy for economic development and labor. Multidisciplinary approach was recommended for these tasks.

• Radiation Oncology Journal
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• 제37권1호
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• pp.60-65
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• 2019

Purpose: The quality assurance (QA) chart rounds are multidisciplinary meetings to review radiation therapy (RT) treatment plans. This study focus on describing the changes in RT management based on QA round reviews in a single institution. Materials and Methods: After 9 full years of implementation, a retrospective review of all patients whose charts passed through departmental QA chart rounds from 2007 to 2015. The reviewed cases were presented for RT plan review; subcategorized based on decision in QA rounds into: approved, minor modifications or major modifications. Major modification defined as any substantial change which required patient re-simulation or re-planning prior to commencement of RT. Minor modification included treatment plan changes which didn't necessarily require RT re-planning. Results: Overall 7,149 RT treatment plans for different anatomical sites were reviewed at QA rounds. From these treatment plans, 6,654 (93%) were approved, 144 (2%) required minor modifications, while 351 (5%) required major modifications. Major modification included changes in: selected RT dose (96/351, 27%), target volume definition (127/351, 36%), organs-at-risk contouring (10/351, 3%), dose volume objectives/constraints criteria (90/351, 26%), and intent of treatment (28/351, 8%). The RT plans which required major modification according to the tumor subtype were as follows: head and neck (104/904, 12%), thoracic (12/199, 6%), gastrointestinal (33/687,5%), skin (5/106, 5%), genitourinary (16/359, 4%), breast (104/2387, 4%), central nervous system (36/846, 4%), sarcoma (11/277, 4%), pediatric (7/251, 3%), lymphoma (10/423, 2%), gynecological tumors (2/359, 1%), and others (11/351, 3%). Conclusion: Multi-disciplinary standardized QA chart rounds provide a comprehensive and an influential method on RT plans and/or treatment decisions.

• 한국항공우주학회지
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• 제43권6호
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• pp.568-583
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• 2015

본 논문에서는 다분야 통합 설계최적화(MDO : Multidisciplinary Design Optimization)를 적용한 지구관측위성의 개념설계 과정 및 결과를 기술하였다. 현재까지 구축된 지구관측 위성의 데이터베이스를 기반으로 주요 파라미터에 대한 개념설계식을 정립하였으며, 다분야 통합 최적설계 아키텍처 중 CO(Collaborative Optimization) 기반을 이용하여 지구관측 위성 시스템의 최적 개념설계를 수행할 수 있는 설계 도구를 개발하였다. 주어진 제약조건을 만족시키면서 위성의 총 질량을 최소화하는 것을 설계 목표로 설정하였으며, 최적화 알고리즘으로는 SQP(Sequential Quadratic Programming)를 이용하였다. 다분야 통합 최적설계를 적용한 개념설계 결과와 ASNARO-1 및 IKONOS-2 위성 규격의 비교를 통해 해당설계도구의 유용성을 검증하였다.

• 한국항공우주학회지
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• 제50권8호
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• pp.583-590
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• 2022

본 논문에서는 UAM의 다학제 설계 프레임워크 MADAM (Multidisciplinary Analysis Design for Advanced Mobility)을 소개한다. UAM의 실제 운영에서는 항공기 성능뿐 아니라 서비스의 수요와 비용 그리고 운항 시나리오까지 서로 상관관계가 있다. 따라서 다학제를 종합적으로 고려하는 프레임워크는 필수적이다. 본 연구에서는 다학제 설계 프레임워크 MADAM을 개발하였고 이를 소개한다. 프레임워크를 이용한 서울 지역에서 김포-삼성 UAM 노선의 수요 및 비용분석을 예시 결과로 제시하였다. 높은 비용을 요구하는 주요 요소들의 연도별 양상 변화를 적용하여 35년에는 7만 6천원 가장 높은 총이익을 도출하는 티켓 가격으로 계산이 되었다.