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Comparison of Single-Incision Robotic Cholecystectomy, Single-Incision Laparoscopic Cholecystectomy and 3-Port Laparoscopic Cholecystectomy - Postoperative Pain, Cosmetic Outcome and Surgeon's Workload

  • Kim, Hyeong Seok;Han, Youngmin;Kang, Jae Seung;Lee, Doo-ho;Kim, Jae Ri;Kwon, Wooil;Kim, Sun-Whe;Jang, Jin-Young
    • Journal of Minimally Invasive Surgery
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    • v.21 no.4
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    • pp.168-176
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    • 2018
  • Purpose: Robotic-associated minimally invasive surgery is a novel method for overcoming some limitations of laparoscopic surgery. This study aimed to evaluate the outcomes (postoperative pain, cosmesis, surgeon's workload) of single-incision robotic cholecystectomy (SIRC) vs. single-incision laparoscopic cholecystectomy (SILC) vs. conventional three-port laparoscopic cholecystectomy (3PLC). Methods: 134 patients who underwent laparoscopic or robotic cholecystectomy at a single center during 2016~2017 were enrolled. Prospectively collected data included demographics, operative outcomes, questionnaire regarding pain and cosmesis, and NASA-Task Load Index (NASA-TLX) scores for surgeon's workload. Results: 55 patients underwent SIRC, 29 SILC, and 50 3PLC during the same period. 3PLC patient group was older than the others (SIRC vs. SILC vs. 3PLC: 48.1 vs. 42.2 vs. 54.1 years, p<0.001). Operative time was shortest with 3PLC (44.1 vs. 38.8 vs. 25.4 min, p<0.001). Estimated blood loss, postoperative complications, and postoperative stay were similar among the groups. Pain control was lowest in the 3PLC group (98.2% vs. 100% vs. 84.0%, p=0.004), however, at 2 weeks postoperatively there were no differences among the groups (p=0.374). Cosmesis scores were also worst after 3PLC (17.5 vs. 18.4 vs. 13.3, p<0.001). NASA-TLX score was highest in the SILC group (21.9 vs. 44.3 vs. 25.2, p<0.001). Conclusion: Although SIRC and SILC take longer than 3PLC, they produce superior cosmetic outcomes. Compared with SILC, SIRC is more ergonomic, lowering the surgeon's workload. Despite of higher cost, SIRC could be an alternative for treating gallbladder disease in selected patients.

Development of water circulation status estimation model by using multiple linear regression analysis of urban characteristic factors (도시특성 요인의 다중선형회귀 분석을 이용한 물순환상태추정모델 개발)

  • Kim, Youngran;Hwang, Seonghwan;Lee, Yunsun
    • Journal of Korean Society of Water and Wastewater
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    • v.34 no.6
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    • pp.503-512
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    • 2020
  • Identifying the water circulation status is one of the indispensable processes for watershed management in an urban area. Recently, various water circulation models have been developed to simulate the water circulation, but it takes a lot of time and cost to make a water circulation model that could adapt the characteristics of the watershed. This paper aims to develop a water circulation state estimation model that could easily calculate the status of water circulation in an urban watershed by using multiple linear regression analysis. The study watershed is a watershed in Seoul that applied the impermeable area ratio in 1962 and 2000. And, It was divided into 73 watersheds in order to consider changes in water circulation status according to the urban characteristic factors. The input data of the SHER(Similar Hydrologic Element Response) model, a water circulation model, were used as data for the urban characteristic factors of each watershed. A total of seven factors were considered as urban characteristic factors. Those factors included annual precipitation, watershed area, average land-surface slope, impervious surface ratio, coefficient of saturated permeability, hydraulic gradient of groundwater surface, and length of contact line with downstream block. With significance probabilities (or p-values) of 0.05 and below, all five models showed significant results in estimating the water circulation status such as the surface runoff rate and the evapotranspiration rate. The model that was applied all seven urban characteristics factors, can calculate the most similar results such as the existing water circulation model. The water circulation estimation model developed in this study is not only useful to simply estimate the water circulation status of ungauged watersheds but can also provide data for parameter calibration and validation.

Status of Groundwater Potential Mapping Research Using GIS and Machine Learning (GIS와 기계학습을 이용한 지하수 가능성도 작성 연구 현황)

  • Lee, Saro;Fetemeh, Rezaie
    • Korean Journal of Remote Sensing
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    • v.36 no.6_1
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    • pp.1277-1290
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    • 2020
  • Water resources which is formed of surface and groundwater, are considered as one of the pivotal natural resources worldwide. Since last century, the rapid population growth as well as accelerated industrialization and explosive urbanization lead to boost demand for groundwater for domestic, industrial and agricultural use. In fact, better management of groundwater can play crucial role in sustainable development; therefore, determining accurate location of groundwater based groundwater potential mapping is indispensable. In recent years, integration of machine learning techniques, Geographical Information System (GIS) and Remote Sensing (RS) are popular and effective methods employed for groundwater potential mapping. For determining the status of the integrated approach, a systematic review of 94 directly relevant papers were carried out over the six previous years (2015-2020). According to the literature review, the number of studies published annually increased rapidly over time. The total study area spanned 15 countries, and 85.1% of studies focused on Iran, India, China, South Korea, and Iraq. 20 variables were found to be frequently involved in groundwater potential investigations, of which 9 factors are almost always present namely slope, lithology (geology), land use/land cover (LU/LC), drainage/river density, altitude (elevation), topographic wetness index (TWI), distance from river, rainfall, and aspect. The data integration was carried random forest, support vector machine and boost regression tree among the machine learning techniques. Our study shows that for optimal results, groundwater mapping must be used as a tool to complement field work, rather than a low-cost substitute. Consequently, more study should be conducted to enhance the generalization and precision of groundwater potential map.

A Comparative Study of a Deeply-inserted Acupotomy Applied to Hyeopcheok Points and Usual Korean Medicine Treatments for Lumbosacral Radiculopathy: Safety, Effectiveness, Cost-effectiveness: A Study Protocol (요천추신경병증에 대한 심부협척 도침술과 한의통상치료의 효과 비교: 안전성, 유효성, 경제성평가: 연구 프로토콜)

  • Heo, In;Lee, Jin-Hyun;Ko, Youn-Suk;Jo, Dong Chan;Kim, Young Il;Lee, Sang-Hyun;Hwang, Eui-Hyoung;Park, Tae-Yong;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.2
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    • pp.69-77
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    • 2021
  • 연구 배경 최근 한국 및 중국에서 근골격계 질환에 대한 도침술의 활용이 늘고 있다. 하지만 현재까지의 임상연구는 대부분 증례보고 형태에 그치거나, 충분한 근거가 확보되지는 않은 실정이다. 우리는 요천추신경병증환자의 치료에 있어 도침치료와 통상한의치료와의 비교를 통해 도침치료의 유효성, 안전성, 경제성 평가를 시행하기 위해 본 연구를 기획하게 되었다. 연구 방법 본 연구는 예비임상 연구로, 다기관에서 진행되며, 무작위대조군, 활성 대조군을 통한 2개군 병행집단 연구로 평가자 맹검을 시행하게 된다. 이 연구에서는 총 50명의 요천추신경병증 환자를 대상으로 2개군으로 균등하게 분배하여 도침술 또는 통상한의치료를 시행하게 된다(각군당 25명). 도침술 그룹의 경우 협척혈에 도침치료를 시행 받게 되며, 통상 한의치료군은 연구자 판단하에 도침술을 제외한 적절한 한의치료를 시행 받게 된다. 두 개의 그룹은 주당 2회씩 총 3주간 치료를 받게 된다. 일차 유효성 평가는 요통으로 인한 기능장애를 평가하기 위한 Oswestry disability index를 통해 시행한다. 이차 유효성 평가지표로는 numeric rating scale, European Quality of Life 5-Dimension 5-Level, short-form McGill Pain Questionnaire, Roland-Morris Disability Questionnaire scores를 시행하게 된다. 고찰 본 예비임상연구의 결과는 추후 있을 요천추신경병증에 대한 도침치료 및 한의통상치료 비교효과 연구의 유효성, 경제성평가 본 임상연구를 위한 기초 정보 및 가능성을 확인하고 적절한 대상자수 산정에 도움이 될 것이다.

Commercial fishery assessment of Malaysian water offshore structure

  • Mohd, Mohd Hairil;Thiyahuddin, Mohd Izzat Mohd;Rahman, Mohd Asamudin A;Hong, Tan Chun;Siang, Hii Yii;Othman, Nor Adlina;Rahman, Azam Abdul;Rahman, Ahmad Rizal Abdul;Fitriadhy, Ahmad
    • Fisheries and Aquatic Sciences
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    • v.25 no.9
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    • pp.473-488
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    • 2022
  • To have a better understanding of the impact of the PETRONAS oil and gas platform on commercial fisheries activities, Universiti Malaysia Terengganu (UMT) examined two approaches which are data collection from satellite and data collection from fishermen and anglers. By profiling the anglers who utilize reefed oil and gas structures for fishing, it can determine if the design and location of the reef platforms will benefit or negatively impacts those anglers and fisherman. Furthermore, this assessment will be contributing to the knowledge regarding the value of offshore oil and gas platforms as fisheries resources. Collectively, the apparent fishing activity data included, combined with the findings in the reefing viability index will help to inform PETRONAS's future decommissioning decisions and may help determine if the design and proposed locations for future rigs-to-reefs candidates would benefit commercial fishing groups, further qualifying them as appropriate artificial reef candidates. The method applied in this study is approaching by using a data satellite known as Google's Global Fishing Watch technology, which is one of the applications to measure commercial fishing efforts around the globe. The apparent commercial fishing effort around the selected twelve PETRONAS platforms was analyzed from January 2012 to December 2018. Using the data collection from fishermen which is the total estimation of commercial fish value cost (in Malaysia ringgit, MYR [RM]) in Peninsular Malaysia Asset, Sabah Asset, and Sarawak Operation region. The data were extracted every month from 2016 to 2018 from the National Oceanic and Atmospheric Administration database. Most of the selected platforms that show a high frequency of vessels around the year are platform KP-A, platform BG-A and platform PL-B. The estimated values of commercial fishes varied between platforms, with ranged from RM 10,209.92 to RM 89,023.78. Thus, platforms with high commercial fish value are selected for reefing in-situ and will serve multi-purposes and benefit the locals as well as the country. The current study has successfully assessed the potential reefing area of the Malaysian offshore environment with greater representativeness and this paper focused on its potential as a new fishing ground.

Data Product Value Evaluation Method for Data Exchange Platform (데이터거래 활성화를 위한 데이터상품가치 평가모델 연구)

  • Kim, Sujin;Lee, Junghyun;Park, Cheonwoong
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.34-46
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    • 2021
  • In the domestic data exchanging market, unreasonable pricing of purchase data is consistently mentioned as a major obstacle in data trading. This is a problem caused by the inability to properly evaluate the value of data products due to lack of product information and experience in using them. In order to activate trading, the data exchanges need to provide information that allows consumers to comprehensively judge the value of data products in addition to prices. The cost-based, income-based, and market-based methods, which are mainly applied to data valuation, are insufficient as data valuation methods to stimulate trading and distribution because only price information, a result of valuation from a supplier's point of view, can be shared with consumers. This study aims to develop a measurable valuation method that allows data trading stakeholders (exchanges, suppliers, and consumers) to judge and share the value of data products from a common perspective. To this end, we identified the value drivers of data products, which are considered important in overseas data exchanges and related research, and derived an evaluation method that can quantitatively measure each value driver. In addition, evaluation criteria in the form of a rating table were developed using data products for transactions, and a value evaluation index was developed through stratification analysis (AHP) to enable relative value comparison. As a result of applying the evaluation criteria to actual data products, it was found that the evaluation values were differentiated according to the characteristics of individual data products, so it could be used as a relative value comparison tool.

A Case Study on the Application of AI-OCR for Data Transformation of Paper Records (종이기록 데이터화를 위한 AI-OCR 적용 사례연구)

  • Ahn, Sejin;Hwang, Hyunho;Yim, Jin Hee
    • Journal of the Korean Society for information Management
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    • v.39 no.3
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    • pp.165-193
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    • 2022
  • It can be said that digital technology is at the center of the change in the modern work environment. In particular, in general public institutions that prove their work with records produced by business management systems and document production systems, the record management system is also the work environment itself. Gimpo City applied for the 2021 public cloud leading project of the National Information Society Agency (NIA) to proactively respond to the 4th industrial revolution technology era and implemented a public cloud-based AI-OCR technology enhancement project with 330 million won in support of 330 million won. Through this, it was converted into data beyond the limitations of non-electronic records limited to search and image viewing that depend on standardized index values. In addition, a 98% recognition rate was realized by applying a new technology called AI-OCR. Since digital technology has been used to improve work efficiency, productivity, development cost, and record management service levels of internal and external users, we would like to share the direction of enhancing expertise in the record management and implementation of work environment innovation.

Deep Learning based Estimation of Depth to Bearing Layer from In-situ Data (딥러닝 기반 국내 지반의 지지층 깊이 예측)

  • Jang, Young-Eun;Jung, Jaeho;Han, Jin-Tae;Yu, Yonggyun
    • Journal of the Korean Geotechnical Society
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    • v.38 no.3
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    • pp.35-42
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    • 2022
  • The N-value from the Standard Penetration Test (SPT), which is one of the representative in-situ test, is an important index that provides basic geological information and the depth of the bearing layer for the design of geotechnical structures. In the aspect of time and cost-effectiveness, there is a need to carry out a representative sampling test. However, the various variability and uncertainty are existing in the soil layer, so it is difficult to grasp the characteristics of the entire field from the limited test results. Thus the spatial interpolation techniques such as Kriging and IDW (inverse distance weighted) have been used for predicting unknown point from existing data. Recently, in order to increase the accuracy of interpolation results, studies that combine the geotechnics and deep learning method have been conducted. In this study, based on the SPT results of about 22,000 holes of ground survey, a comparative study was conducted to predict the depth of the bearing layer using deep learning methods and IDW. The average error among the prediction results of the bearing layer of each analysis model was 3.01 m for IDW, 3.22 m and 2.46 m for fully connected network and PointNet, respectively. The standard deviation was 3.99 for IDW, 3.95 and 3.54 for fully connected network and PointNet. As a result, the point net deep learing algorithm showed improved results compared to IDW and other deep learning method.

Efficient IoT data processing techniques based on deep learning for Edge Network Environments (에지 네트워크 환경을 위한 딥 러닝 기반의 효율적인 IoT 데이터 처리 기법)

  • Jeong, Yoon-Su
    • Journal of Digital Convergence
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    • v.20 no.3
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    • pp.325-331
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    • 2022
  • As IoT devices are used in various ways in an edge network environment, multiple studies are being conducted that utilizes the information collected from IoT devices in various applications. However, it is not easy to apply accurate IoT data immediately as IoT data collected according to network environment (interference, interference, etc.) are frequently missed or error occurs. In order to minimize mistakes in IoT data collected in an edge network environment, this paper proposes a management technique that ensures the reliability of IoT data by randomly generating signature values of IoT data and allocating only Security Information (SI) values to IoT data in bit form. The proposed technique binds IoT data into a blockchain by applying multiple hash chains to asymmetrically link and process data collected from IoT devices. In this case, the blockchainized IoT data uses a probability function to which a weight is applied according to a correlation index based on deep learning. In addition, the proposed technique can expand and operate grouped IoT data into an n-layer structure to lower the integrity and processing cost of IoT data.

Automatic 3D data extraction method of fashion image with mannequin using watershed and U-net (워터쉐드와 U-net을 이용한 마네킹 패션 이미지의 자동 3D 데이터 추출 방법)

  • Youngmin Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.825-834
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    • 2023
  • The demands of people who purchase fashion products on Internet shopping are gradually increasing, and attempts are being made to provide user-friendly images with 3D contents and web 3D software instead of pictures and videos of products provided. As a reason for this issue, which has emerged as the most important aspect in the fashion web shopping industry, complaints that the product is different when the product is received and the image at the time of purchase has been heightened. As a way to solve this problem, various image processing technologies have been introduced, but there is a limit to the quality of 2D images. In this study, we proposed an automatic conversion technology that converts 2D images into 3D and grafts them to web 3D technology that allows customers to identify products in various locations and reduces the cost and calculation time required for conversion. We developed a system that shoots a mannequin by placing it on a rotating turntable using only 8 cameras. In order to extract only the clothing part from the image taken by this system, markers are removed using U-net, and an algorithm that extracts only the clothing area by identifying the color feature information of the background area and mannequin area is proposed. Using this algorithm, the time taken to extract only the clothes area after taking an image is 2.25 seconds per image, and it takes a total of 144 seconds (2 minutes and 4 seconds) when taking 64 images of one piece of clothing. It can extract 3D objects with very good performance compared to the system.