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Biportal Endoscopic Spinal Surgery for Lumbar Intervertebral Disc Herniation (두 개의 입구를 통한 내시경 척추 수술: 요추부 추간판 탈출증에의 적용)

  • Lee, Ho-Jin;Choi, Dae-Jung;Park, Eugene J.
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.3
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    • pp.211-218
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    • 2019
  • Herniation of the intervertebral disc is a medical disease manifesting as a bulging out of the nucleus pulposus or annulus fibrosis beyond the normal position. Most lumbar disc herniation cases have a favorable natural course. On the other hand, surgical intervention is reserved for patients with severe neurological symptoms or signs, progressive neurological symptoms, cauda equina syndrome, and those who are non-responsive to conservative treatment. Numerous surgical methods have been introduced, ranging from conventional open, microscope assisted, tubular retractor assisted, and endoscopic surgery. Among them, microscopic discectomy is currently the standard method. Biportal endoscopic spinal surgery (BESS) has several merits over other surgical techniques, including separate and free handling of endoscopy and surgical instruments, wide view of the surgical field with small skin incisions, absence of the procedure of removing fog from the endoscope, and lower infection rate by continuous saline irrigation. In addition, existing arthroscopic instruments for the extremities and conventional spinal instruments can be used for this technique and surgery for recurred disc herniation is applicable because delicate surgical procedures are performed under a brightness of 2,700 to 6,700 lux and a magnification of 28 to 35 times. Therefore, due to such advantages, BESS is a novel technique for the surgical treatment of lumbar disc herniation.

Analysis of Drought Damage around Tonlé Sap which is Largest Lake in Southeast Asia (동남아시아 최대 호수인 톤레사프호 주변 가뭄피해 분석)

  • Lee, Jong Sin;Um, Dae Yong
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.5
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    • pp.961-969
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    • 2017
  • Today, the world is experiencing a variety of natural disasters due to the extreme weather. Drought that occurred throughout Southeast Asia from February to May 2016 is also a form of abnormal climate. As a result of this drought, five countries, including Cambodia, Thailand, Vietnam, Laos and Myanmar, faced food shortages, food shortages, as well as rice yields for export. In this study, remote sensing technique was applied to the vicinity of Tonlé Sap, the largest lake in Southeast Asia, to quantitatively analyze the damage caused by drought. As a result, the change of land cover caused a drastic decrease in the water system (132.582㎢) and greenery (706.937㎢) in February 2016, and the reduced water system and greenery changed to dry land and paddy field. It was also found that the temperature rise of 6℃ ~ 8 ℃ compared to the previous year due to the drought from February to April 2016 due to the change of the surface temperature. And it was found that the function of the lake was deteriorated in April due to continuous drought.

3D Architecture Modeling and Quantity Estimation using SketchUp (스케치업을 활용한 3D 건축모델링 및 물량산출)

  • Kim, Min Gyu;Um, Dae Yong
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.6
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    • pp.701-708
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    • 2017
  • The construction cost is estimated based on the drawings at the design stage and constructor will find efficient construction methods for budgeting and budgeting appropriate to the budget. Accurate quantity estimation and budgeting are critical to determining whether the project is profitable or not. However, since this process is mostly performed depending on manpower or 2D drawings, errors are likely to occur and The BIM(Build Information Modeling) program, which can be automated, is very expensive and difficult to apply in the field. In this study, 3D architectural modeling was performed using SketchUp which is a 3D modeling software and suggest a methodology for Quantity Estimation. As a result, 3D modeling was performed effectively using 2D drawings of buildings. Based on the modeling results, it was possible to calculate the difference of the quantity estimation by 2D drawing and 3D modeling. The research suggests that the 3D modeling using the SketchUp and the calculation of the quantity can prevent the error of the conventional 2D calculation method. If the applicability of the research method is verified through continuous research, it will contribute to increase the efficiency of architectural modeling and quantity Estimation work.

A Study on Planning Characteristics and Usability of Community Space of Rented Apartment -Focusing on the rental apartment complex constructed in the 1990's- (임대아파트 커뮤니티 공간의 계획 특성과 이용성 연구 -1990년대 조성된 임대아파트 단지를 중심으로-)

  • Park, Hoon
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.8 no.5
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    • pp.893-903
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    • 2018
  • Rental housing complex is the complex built up for stable supply of residence for low income class and it offers significant implication to the Korean society in the residential welfare aspect, and as it has been the continuous subject of dispute and interest, such an issue has stirred significant interest on residential environment of low income class. It has made along with the residence history of Korea, but in the aspect of quality of life for low income class, there is a significant difference with generally supplied residence, and it ultimately continues with the disputes with the rights on quality of life for low income class. For this study, a total of six rental housing complexes were implemented with the field survey and it also had the survey on facility utility and physical environment. Use of facilities is influenced by the arrangement plan on physical environment of the complex, and in particular, it is influenced by the relationship of the main entry to the complex and surrounding complexes. In addition, following the level of design and facility plan of community space and it has confirmed the need to accommodate the request of users through securing the integrated function of community facilities.

A Narrative Inquiry on Korea Science Academy Physical Education Teachers's Assessment Experiences (한국과학영재학교 체육교사의 체육평가 경험에 대한 내러티브 탐구)

  • Lee, Jong-Min;Lee, Keun-Mo
    • 한국체육학회지인문사회과학편
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    • v.55 no.3
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    • pp.43-57
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    • 2016
  • This narrative study aims to describe the experience of P.E. assessment that was conducted by P.E. teachers of Korea Science Academy of KAIST, and interpret the educational significance that was found in the process. The study participants were two P.E. teachers who were selected by decisive case sampling method. Data were collected mainly through official interviews with study participants, and through researcher's field notes, informal interviews, various minutes, students' evaluation of teaching, and emails between the researcher and study participants. Data were analyzed through inductive categorization, and to gain veracity of the study, there were integration of diverse materials, advice and suggestions of fellow researchers, continuous confirmation of study texts by study participants. Study participants, while conducting P.E. assessment in Korea Science Academy of KAIST, experienced effectiveness of evaluation such as qualitative development of P,E. classes in accordance with the simplified assessment, freedom from the chores of handling assessment results, students' improved perceptions of P.E. class, realization of safe classes without excessive competition, and the possibility of giving alternative evaluations to pass/fail system but at the same time experienced limitations such as concerns over gaining validity and reliability of P.E. evaluation, the students' attitude who take lightly of P.E. class, and the reality that teachers cannot fail students. The evaluation experiences of the two P.E teachers were educationally interpreted as encounter with good P.E. classes, invitation to P.E. class criticism, and the start of school P.E. culture that is led by students.

Generation Y's Delivery Apps Choice Attributes and Their Consequences (Y세대의 배달앱 선택속성과 결과)

  • Lee, Jung-Won;Kim, Tea-Wan;Lee, Min-Jong;Lee, Sung-Hoon
    • The Korean Journal of Franchise Management
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    • v.9 no.1
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    • pp.27-39
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    • 2018
  • Purpose - Recently, the mobile application field has been receiving astronomical attention from the past few years due to the growing number of mobile app downloads and withal due to the revenues being engendered. Especially delivery apps by mobile service market is experiencing rapid growth and competition is intensifying. Therefore, delivery apps' choice attributes has become important as a strategy for survival of franchise firms. Based on previous studies, this research proposed the theoretical framework about the structural relationships among customer satisfaction, trust and revisit intention on delivery apps' choice attributes. Research design, data, and methodology - This study examines the structural relationship between choice attributes of using the delivery app, satisfaction, trust, and revisit intention. More specifically, this study has been examined from the perspective of Generation Y who is enjoying electronic commerce and shopping with mobile phone. In this model, choice attributes of delivery app consists of three sub-dimensions such as service quality, system quality, interaction quality. So as to test the purposes of this study, research model and hypotheses were developed. After excluding 24 invalid respondent questionnaires, 201 valid questionnaires were coded and analyzed using frequency, confirmatory factor analysis, correlations analysis, and structural equation modeling with SPSS 21 and SmartPLS 3.0. Result - The results of the study are as follows. First, service quality and interaction quality had positive effects on satisfaction, and interaction quality had positive effects on trust, but system quality did not have a significant effect on both satisfaction and trust. Second, satisfaction had positive effects on both trust and revisit intention. Third, trust had positive effects on revisit intention. Conclusions - The implications of this study are following as: From the theoretical perspective, this study confirms the effect of delivery apps' choice attributes on satisfaction, trust, and revisit intention. In addition, it is significant that we examined the influence of choice attributes of delivery apps on their attitudes and behaviors of Generation Y familiar with mobile environment. Through this study, we hypothesized that the attributes of service quality and interaction quality of delivery apps have a significant effect on customer satisfaction, and this can be expected to provide meaningful implications for the development of franchise restaurant industry. To encourage continuous repurchase through customer satisfaction, franchise companies need to establish various strategic alliances with delivery app companies and new growth engines by providing diverse and high-quality services to customers in the smart age.

Analysis on Looped Stage-Discharge Relation and Its Simulation using the Numerical Model (수치모형을 이용한 고리형 수위-유량 관계 분석)

  • Kim, Ji Sung;Kim, Won;Kim, Dong Gu;Kim, Chi Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.1B
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    • pp.1-9
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    • 2009
  • This study is focused on the analysis of loop characteristics of stage-discharge relation which is widely used for the production of discharge data and the simulation of loop stage-discharge relation using the numerical model. Analysis of consecutive stage and discharge data at 3 points revealed that loop of stage-discharge relationship is very strong. This means that the existing single stage-discharge relation may include large amount of error. Various flood events are simulated in mainstream of Han river with one-dimensional numerical model. The calculated stage data are compared with measured data. Especially continuous field-flow measurements concurrently collected with an Acoustic Doppler Velocity Meter (ADVM) on Hangang bridge in the case of 2007 flood event are used to verify the model applicability of estimating flows in open channels. This comparison shows that numerical model is an accurate and reliable alternative for making the real stage-discharge relation. Simulation of stage-discharge relation by a numerical model at Paldang and Hangang bridge showed good agreements with measured one, so it may be possible to generate real loop stage-discharge relation with properly calibrated and verified numerical model. It can be concluded that results of this study can contribute to error analysis of conventional single stage-discharge relation and development of loop stage-discharge relation with numerical model.

The development of the theory of yin and yang in the ancient East Asian culture (东亚古代文化中的阴阳理论之嬗变)

  • 刘萍
    • Journal of the Daesoon Academy of Sciences
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    • v.18
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    • pp.101-122
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    • 2004
  • When people discuss the continental cultural elements in the ancient East Asian culture, people always attach great importance to the two major cultures of Confucianism and Taoism, but offer little explanation to the significant influence of the theory of yin and yang, the important philosophical base of the two major cultures. The theory of yin and yang, existing as the theoretical source at a profounder level, possesses philosophical connotations that are always embedded into the mainstream of thought, religions and customs, displaying its unique glamour in its unique way. Its influence is more than that, however. It has exerted far-reaching influence on and is of significant importance to the development of the ancient culture of East Asia. This article aims at exploring this field of study. After the erudite scholar of The Five Classics made a voyage to the east in the early sixth century, The Book of Changes, the most important Chinese ancient classic expounding the theory of yin and yang, started to circulate among the Japanese court, via Baiji in the Korea Peninsula. As a result, the theory of yin and yang found its way to Japan. Examining the spreading channels, we learn that the theory's dissemination was largely related to the activities of Buddhist monks. Shoutoku Prince, regent of Japan at the time, was himself an enthusiastic supporter of Buddhism and was excelled in the study of The Book of Changes and the theory of yin and yang. In the Twelve Ranks System and Seventeen-article Constitution promulgated by Shoutoku Prince, the influence of the theory of yin and yang and of the theory of the five elements can be visibly discerned. This obviously proves the sublime status of the Chinese theory of yin and yang in Japan, thanks to the victory of the political clique that adored Buddhism. In the shaping course of ancient Japanese culture, the theory of yin and yang served as an important philosophical source of its development. Mythology based on Kojiki and Nihon Shoki, two earliest Japanese books that exist today, record mythological stories about the emergence of the Japanese nation. The notion about the birth of heaven and earth and the forming of Japanese Shinto, expressed in the mythological stories, not only tell us the source and historical progress of the Japanese nation but also the nation's world outlook in the transition from barbarian period to civilized period, as well as the basis for its philosophical thinking. All these were marked with profound influence of the Chinese theory of yin and yang. The theory of yin and yang, as one of the ancient Chinese academic thoughts, was accepted asa political belief when it first spread to Japan. The emergence and establishment of both the Mikado system and the centralized regime in ancient Japan drew largely on the theory of yin and yang and adopted it as an important philosophical basis to deify and aggrandize the "imperial power" so as to protect the authority of the imperial ruling and consolidate the established regime. Following the continuous strengthening and expansion of the centralized state power, the theory of yin and yang was further employed, and gradually "hidden" in Japanese culture with the passage of time, finally becoming the edge tool of ancient Japanese Mikados in exercising political power and controlling the country.

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Summative Usability Assessment of Software for Ventilator Central Monitoring System (인공호흡기 중앙감시시스템 소프트웨어의 사용적합성 총괄평가)

  • Ji-Yong Chung;You Rim Kim;Wonseuk Jang
    • Journal of Biomedical Engineering Research
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    • v.44 no.6
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    • pp.363-376
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    • 2023
  • According to the COVID-19, development of various medical software based on IoT(Internet of Things) was accelerated. Especially, interest in a central software system that can remotely monitor and control ventilators is increasing to solve problems related to the continuous increase in severe COVID-19 patients. Since medical device software is closely related to human life, this study aims to develop central monitoring system that can remotely monitor and control multiple ventilators in compliance with medical device software development standards and to verify performance of system. In addition, to ensure the safety and reliability of this central monitoring system, this study also specifies risk management requirements that can identify hazardous situations and evaluate potential hazards and confirms the implementation of cybersecurity to protect against potential cyber threats, which can have serious consequences for patient safety. As a result, we obtained medical device software manufacturing certificates from MFDS(Ministry of Food and Drug Safety) through technical documents about performance verification, risk management and cybersecurity application.The purpose of this study is to conduct a usability assessment to ensure that ergonomic design has been applied so that the ventilator central monitoring system can improve user satisfaction, efficiency, and safety. The rapid spread of COVID-19, which began in 2019, caused significant damage global medical system. In this situation, the need for a system to monitor multiple patients with ventilators was highlighted as a solution for various problems. Since medical device software is closely related to human life, ensuring their safety and satisfaction is important before their actual deployment in the field. In this study, a total of 21 participants consisting of respiratory staffs conducted usability test according to the use scenarios in the simulated use environment. Nine use scenarios were conducted to derive an average task success rate and opinions on user interface were collected through five-point Likert scale satisfaction evaluation and questionnaire. Participants conducted a total of nine use scenario tasks with an average success rate of 93% and five-point Likert scale satisfaction survey showed a high satisfaction result of 4.7 points on average. Users evaluated that the device would be useful for effectively managing multiple patients with ventilators. However, improvements are required for interfaces associated with task that do not exceed the threshold for task success rate. In addition, even medical devices with sufficient safety and efficiency cannot guarantee absolute safety, so it is suggested to continuously evaluate user feedback even after introducing them to the actual site.

Advances in Shoreline Detection using Satellite Imagery (위성영상을 활용한 해안선 탐지 연구동향)

  • Tae-Soon Kang;Ho-Jun Yoo;Ye-Jin Hwang
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.6
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    • pp.598-608
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    • 2023
  • To comprehensively grasp the dynamic changes in the coastal terrain and coastal erosion, it is imperative to incorporate temporal and spatial continuity through frequent and continuous monitoring. Recently, there has been a proliferation of research in coastal monitoring using remote sensing, accompanied by advancements in image monitoring and analysis technologies. Remote sensing, typically involves collection of images from aircraft or satellites from a distance, and offers distinct advantages in swiftly and accurately analyzing coastal terrain changes, leading to an escalating trend in its utilization. Remote satellite image-based coastal line detection involves defining measurable coastal lines from satellite images and extracting coastal lines by applying coastal line detection technology. Drawing from the various data sources surveyed in existing literature, this study has comprehensively analyzed encompassing the definition of coastal lines based on satellite images, current status of remote satellite imagery, existing research trends, and evolving landscape of technology for satellite image-based coastal line detection. Based on the results, research directions, on latest trends, practical techniques for ideal coastal line extraction, and enhanced integration with advanced digital monitoring were proposed. To effectively capture the changing trends and erosion levels across the entire Korean Peninsula in future, it is vital to move beyond localized monitoring and establish an active monitoring framework using digital monitoring, such as broad-scale satellite imagery. In light of these results, it is anticipated that the coastal line detection field will expedite the progression of ongoing research practices and analytical technologies.