• Title/Summary/Keyword: systemic approach

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Home mechanical ventilation in children with chronic respiratory failure: a narrative review

  • Soyoung Kwak
    • Journal of Yeungnam Medical Science
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    • v.40 no.2
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    • pp.123-135
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    • 2023
  • Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient's individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

Current understanding of angiosarcoma: disease biology and evolving treatment

  • Woo Ju Kim;Han Koo Kim
    • Archives of Craniofacial Surgery
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    • v.24 no.5
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    • pp.203-210
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    • 2023
  • Angiosarcoma is a very rare soft tissue sarcoma that originates from endothelial cells and typically has a poor prognosis. It is most commonly found in elderly white men and can occur anywhere in the body, particularly in the head, neck, and scalp. Patients who have undergone previous radiation treatment or who have chronic lymphedema also face an elevated risk of this condition. Various genetic changes are suspected to contribute to the development of angiosarcoma, and these changes have been identified as potential targets for treatment. For localized disease, wide surgical resection is often the prudent course of action. A multidisciplinary approach, which may include surgery, radiotherapy, systemic chemotherapy, or immunotherapy, is typically the most effective way to achieve favorable outcomes. In this review, we discuss the general understanding of angiosarcoma and its management, with a particular focus on the current evolving treatments for the disease.

Health-related Quality of Life in Elderly Asian American and Non-Hispanic White Cancer Survivors

  • Suzanne Vang
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.5
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    • pp.440-448
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    • 2023
  • Objectives: The purpose of this study was to assess predictors of health-related quality of life (HRQoL) in elderly Asian American and non-Hispanic White cancer survivors. Methods: We conducted cross-sectional secondary data analyses using the combined datasets from the Surveillance, Epidemiology, and End Results program and the Medicare Health Outcomes Survey. Results: Elderly Asian American cancer survivors reported a lower mental HRQoL but a comparable physical HRQoL relative to elderly non-Hispanic White cancer survivors. Stress factors, such as comorbidities, difficulties with activities of daily living, and a history of depressive symptoms, along with coping resources like self-rated health and the ability to take the survey in English, were significantly associated with mental and physical HRQoL. Among elderly Asian American cancer survivors, a significantly lower mental HRQoL was observed among those taking the survey in the Chinese language. Conclusions: The findings suggest that race exerts a differential impact on HRQoL. Interventions should be designed to address the distinct cultural, linguistic, and systemic needs of elderly Asian American cancer survivors. Such an approach could assist in reducing cancer-related health disparities.

A discursive approach to analysis of definition of graph in first year middle school textbooks (담론적 관점(discursive approach)에서 중1 수학 교과서의 그래프 정의 분석)

  • Kim, Won;Choi, Sang-Ho;Kim, Dong-Joong
    • Communications of Mathematical Education
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    • v.32 no.3
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    • pp.407-433
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    • 2018
  • In order to analyze textbooks from a discursive approach, the purpose of this study is to structuralize an analytic framework based on previous literature review and apply it to analyzing the meanings and their syntheses developed by words and visual mediators appeared in the definition of graph in first-year middle school textbooks. The discursive approach consists of the communicational approach developed by Sfard(2008) and the systemic functional linguistics developed by Halliday(1985/2004). In this study, ideational meta-functions for ideational meanings and interpersonal meta-functions for interpersonal meanings were employed to analyze the meanings produced by words and visual mediators in textbooks, whereas textual meta-functions for textual meanings were used for analyzing the synthesized relationships between words and visual mediators. Results show that first, density in mathematical discourse was very high and subjects in mathematical activities were ambiguous in the ideational meanings of words, and behavior aspect was more emphasized than thinking aspect in the interpersonal meanings of words which request student participations. In the case of ideational meanings of visual mediators, there was a lack of narrative diagrams, whereas there were qualitative differences in the case of offer. Second, there was a need for promoting a wide range of diverse synthetic relationships between words and visual mediators for developing enriched mathematical meanings through the varying uses like specification, explanation, similarity, and complement. These results are so important that they provide a new analytic framework from a discursive approach to textbook analysis because not only words, but also visual mediators are analyzed as tools for producing meanings in mathematics textbooks and their synthetic relationships are also examined.

Analysis of problem posing activity of fifth grade students (초등학교 5학년 학생들의 문제 만들기 활동 분석)

  • Sung, Chang-Geun;Lee, Nam kyung;Lee, Dae Hyun
    • Education of Primary School Mathematics
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    • v.20 no.3
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    • pp.193-204
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    • 2017
  • The purpose of the study was to investigate and develop a practical approach to integrating student-driven mathematical problems posing in mathematics instruction. A problem posing activity was performed during regular mathematics instruction. A total of 540 mathematical problems generated by students were recorded and analysed using systemic procedures and criteria. Of the problems, 81% were mathematically solvable problem and 18% were classified as error type problems. The Mathematically solvable problem were analysed and categorized according to the complexity level; 13% were of a high-level, 30% mid-level and 57% low-level. The error-type problem were classified as such within three categories: non-mathematical problem, statement or mathematically unsolvable problem. The error-type problem category was distributed variously according to the leaning theme and accomplishment level. The study has important implications in that it used systemic procedures and criteria to analyse problem generated by students and provided the way for integrating mathematical instruction and problem posing activity.

Two Bacterial Entophytes Eliciting Both Plant Growth Promotion and Plant Defense on Pepper (Capsicum annuum L.)

  • Kang, Seung-Hoon;Cho, Hyun-Soo;Cheong, Hoon;Ryu Choong-Min;Kim, Ji-Hyun;Park, Seung-Hwan
    • Journal of Microbiology and Biotechnology
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    • v.17 no.1
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    • pp.96-103
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    • 2007
  • Plant growth-promoting rhizobacteria (PGPR) have the potential to be used as microbial inoculants to reduce disease incidence and severity and to increase crop yield. Some of the PGPR have been reported to be able to enter plant tissues and establish endophytic populations. Here, we demonstrated an approach to screen bacterial endophytes that have the capacity to promote the growth of pepper seedlings and protect pepper plants against a bacterial pathogen. Initially, out of 150 bacterial isolates collected from healthy stems of peppers cultivated in the Chungcheong and Gyeongsang provinces of Korea, 23 putative endophytic isolates that were considered to be predominating and representative of each pepper sample were selected. By phenotypic characterization and partial 16S rDNA sequence analysis, the isolates were identified as species of Ochrobacterium, Pantoea, Pseudomonas, Sphingomonas, Janthinobacterium, Ralstonia, Arthrobacter, Clavibacter, Sporosarcina, Acidovorax, and Brevundimonas. Among them, two isolates, PS4 and PS27, were selected because they showed consistent colonizing capacity in pepper stems at the levels of $10^6-10^7CFU/g$ tissue, and were found to be most closely related to Pseudomonas rhodesiae and Pantoea ananatis, respectively, by additional analyses of their entire 16S rDNA sequences. Drenching application of the two strains on the pepper seedlings promoted significant growth of peppers, enhancing their root fresh weight by 73.9% and 41.5%, respectively. The two strains also elicited induced systemic resistance of plants against Xanthomonas axonopodis pv. vesicatoria.

An Exploration on the Academic Research Areas for Service Business in the Perspective of Service Innovation Strategy and Development (서비스 혁신 전략 및 개발 관점에서의 서비스 비즈니스에 대한 학술적 연구 대상 영역의 탐색)

  • Ahn, Yeon S
    • Journal of Service Research and Studies
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    • v.1 no.1
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    • pp.123-148
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    • 2011
  • The types and characteristics of the service business are various in the service process and product. So the communication and sharing for learning about experience and knowledge are very important. But up to the present, the academic and systemic research have not been activated in this field. Recently, the demand and supply in the service business are growing rapidly, the related researches by the scientific and systemic approach are required. In this study, the some research area discussed and suggested in the perspective of service innovation by the Ostrom's research(2010)'s category and suggestions mainly. In the service planning area, some research theme candidates, research trends, and examples are introduced in the categories of the fostering service infusion and growth, the improving well-being through transformative service, and the creating and maintaining a service culture. Also, in the service development area, various research theme candidates, trends, and suggestions are described in the categories of the stimulating service innovation, the enhancing service design, and the optimizing service networks and value chains.

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The Review on the Study of Bee Venom in the Journals of Korean Medicine (국내 봉독 관련 연구에 대한 고찰)

  • Han, Chang-Hyun;Lee, Yong-Seok;Kwon, Oh-Min;Lee, Young-Joon
    • Korean Journal of Acupuncture
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    • v.30 no.1
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    • pp.27-36
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    • 2013
  • Objectives : The focus of the analysis was laid on changes in research pertaining to bee venom in regards to time progression. Methods : We collected 365 articles on Bee venom study result from OASIS system using the Keyword 'bee venom, apitoxin, apitherapy, bee sting'. We figured out number and percentage of theses according to year, study method, journal, subject. Results : Bee venom papers published in the journal of korean medicine from 1976. The classification of papers associated with bee venom, clinical studies outnumbered the other study types by a ratio of 1.3 to 1, followed by 138 for experimental papers, and 22 for literature studies. Proportion of Experimental Papers Classified According to the Theme, 16 for pain-killing, 14 papers concentrated on apoptosis anticancer, 13 for anti inflammatory, 11 for arthritis, and other disorders were followed. Type analysis of papers associated with bee venom in clinical trials, lumbar disorders comprised 38 out of 205 papers, 35 papers concentrated on upper limb disorders, 34 papers concentrated on systemic disease, followed by the effect on body. Conclusions : Bee venom is a treatment method based on the unique theory of Korean traditional medicine. Its effort and academical approach on bee venom are expected to receive positive evaluation through numerous research works.

An Exploration on the Academic Research Areas for Service Business Area in the Perspective of Service Business Implementation (서비스 실행 관점에서의 서비스 비즈니스에 대한 학술적 연구 대상 영역의 탐색)

  • Ahn, Yeon S.
    • Journal of Service Research and Studies
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    • v.2 no.1
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    • pp.69-80
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    • 2012
  • The process and product types of the service business are various. Though the communication and sharing for learning about experience and knowledge are very important, but up to the present, the academic and systemic research have not been activated in this field. Recently, the demand and supply in the service business are growing rapidly, the related researches by the scientific and systemic approach are required. In this study, based on the research of Ostrom's team (2010) which described the category and suggestions on the service innovation issues, in the service implementation area, some research theme candidates, research trends, and examples are introduced. In service implementation area, three theme are introduced such as Effectively branding and selling services, Enhancing the service experience through co-creation, Measuring and optimizing the value of service. Finally to the service strategy, development and implementation planning scopes, the theme of leveraging technology to advance service can be applied commonly.

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Korean Guidelines for Diagnosis and Management of Interstitial Lung Diseases: Part 5. Connective Tissue Disease Associated Interstitial Lung Disease

  • Koo, So-My;Kim, Song Yee;Choi, Sun Mi;Lee, Hyun-Kyung;Korean Interstitial Lung Diseases Study Group
    • Tuberculosis and Respiratory Diseases
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    • v.82 no.4
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    • pp.285-297
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    • 2019
  • Connective tissue disease (CTD) is a collection of disorders characterized by various signs and symptoms such as circulation of autoantibodies in the entire system causing damage to internal organs. Interstitial lung disease (ILD) which is associated with CTD is referred to as CTD-ILD. Patients diagnosed with ILD should be thoroughly examined for the cooccurrence of CTD, since the treatment procedures and prognosis of CTD-ILD are vary from those of idiopathic interstitial pneumonia. The representative types of CTD which may accompany ILD include rheumatoid arthritis, systemic sclerosis (SSc), Sjogren's syndrome, mixed CTD, idiopathic inflammatory myopathies, and systemic lupus erythematous. Of these, ILD most frequently co-exists with SSc. If an ILD is observed in the chest, high resolution computed tomography and specific diagnostic criteria for any type of CTD are met, then a diagnosis of CTD-ILD is made. It is challenging to conduct a properly designed randomized study on CTD-ILD, due to low incidence. Therefore, CTD-ILD treatment approach is yet to been established in absence of randomized controlled clinical trials, with the exception of SSc-ILD. When a patient is presented with acute CTD-ILD or if symptoms occur due to progression of the disease, steroid and immunosuppressive therapy are generally considered.