• Title/Summary/Keyword: present age

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Central Sarcopenia, Frailty and Comorbidity as Predictor of Surgical Outcome in Elderly Patients with Degenerative Spine Disease

  • Kim, Dong Uk;Park, Hyung Ki;Lee, Gyeoung Hae;Chang, Jae Chil;Park, Hye Ran;Park, Sukh Que;Cho, Sung Jin
    • Journal of Korean Neurosurgical Society
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    • v.64 no.6
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    • pp.995-1003
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    • 2021
  • Objective : People are living longer and the elderly population continues to increase. The incidence of degenerative spinal diseases (DSDs) in the elderly population is quite high. Therefore, we are facing more cases of DSD and offering more surgical solutions in geriatric patients. Understanding the significance and association of frailty and central sarcopenia as risk factors for spinal surgery in elderly patients will be helpful in improving surgical outcomes. We conducted a retrospective cohort analysis of prospectively collected data to assess the impact of preoperative central sarcopenia, frailty, and comorbidity on surgical outcome in elderly patients with DSD. Methods : We conducted a retrospective analysis of patients who underwent elective spinal surgery performed from January 1, 2019 to September 30, 2020 at our hospital. We included patients aged 65 and over who underwent surgery on the thoracic or lumbar spine and were diagnosed as DSD. Central sarcopenia was measured by the 50th percentile of psoas : L4 vertebral index (PLVI) using the cross-sectional area of the psoas muscle. We used the Korean version of the fatigue, resistance, ambulation, illnesses, and loss of weight (K-FRAIL) scale to measure frailty. Comorbidity was confirmed and scored using the Charlson Comorbidity Index (CCI). As a tool for measuring surgical outcome, we used the Clavien-Dindo (CD) classification for postoperative complications and the length of stay (LOS). Results : This study included 85 patients (35 males and 50 females). The mean age was 74.05±6.47 years. Using the K-FRAIL scale, four patients were scored as robust, 44 patients were pre-frail and 37 patients were frail. The mean PLVI was 0.61±0.19. According to the CD classification, 50 patients were classified as grade 1, 19 as grade 2, and four as grade 4. The mean LOS was 12.35±8.17 days. Multivariate stepwise regression analysis showed that postoperative complication was significantly associated with surgical invasiveness and K-FRAIL scale. LOS was significantly associated with surgical invasiveness and CCI. K-FRAIL scale showed a significant correlation with CCI and PLVI. Conclusion : The present study demonstrates that frailty, comorbidity, and surgical invasiveness are important risk factors for postoperative complications and LOS in elderly patients with DSD. Preoperative recognition of these factors may be useful for perioperative optimization, risk stratification, and patient counseling.

Implementation of the Unborrowed Book Recommendation System for Public Libraries: Based on Daegu D Library (공공도서관 미대출 도서 추천시스템 구현 : 대구 D도서관을 중심으로)

  • Jin, Min-Ha;Jeong, Seung-Yeon;Cho, Eun-Ji;Lee, Myoung-Hun;Kim, Keun-Wook
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.175-186
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    • 2021
  • The roles and functions of domestic public libraries are diversifying, but various problems have emerged due to internally biased book lending. In addition, due to the 4th Industrial Revolution, public libraries have introduced a book recommendation system focusing on popular books, but the variety of books that users can access is limited. Therefore, in this study, the public library unborrowed book recommendation system was implemented limiting its spatial scope to Duryu Library in Daegu City to enhance the satisfaction of public library users, by using the loan records data (213,093 cases), user information (35,561 people), etc. and utilizing methods like cluster analysis, topic modeling, content-based filtering recommendation algorithm, and conducted a survey on actual users' satisfaction to present the possibility and implications of the unborrowed book recommendation system. As a result of the analysis, the majority of users responded with high satisfaction, and was able to find the satisfaction was relatively high in the class classified by specific gender, age, occupation, and usual reading. Through the results of this study, it is expected that some problems such as biased book lending and reduced operational efficiency of public libraries can be improved, and limitations of the study was also presented.

Exploring Elementary Students' Positioning in a Context of Socio-scientific Issues (SSI) Education: Focus on an Action-oriented Climate Change Club Activity (과학 관련 사회적 문제 (SSI) 교육 맥락에서 초등학생의 위치짓기 양상 -실천 지향 기후변화 동아리 활동을 중심으로-)

  • Kim, Jong-Uk;Kim, Chan-Jong
    • Journal of The Korean Association For Science Education
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    • v.41 no.6
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    • pp.501-517
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    • 2021
  • In the present age, when the development of science and technology is leading the changes, this study supports the view that students should possess the literacy to participate democratically and critically in socio-scientific issues, and should be positioned as agentic and participatory citizens. Accordingly, we implemented a club activity that emphasize climate social action for elementary students, and explored how students were positioned in relation to climate change. In this study, position is defined as a complex cluster of rights and duties that students have in relation to climate change. The club activity was implemented throughout 46 sessions from March to July, 2019 for 11 sixth graders of 'H elementary School' in Seoul, and transcripts of video and interviews were analyzed by means of a constant comparison method. In the course of the activity consisting of three steps, the students exhibited different positioning and they are as follows: In the global warming modeling activity for Step 1, students were positioned as 'active learners', but at the same time, they showed a contradiction in being positioned as 'apprentice'. In the student-led research activities inherent to Step 2, they were positioned as 'scientists who design and conduct research' and 'bystanders' due to the controversial nature of SSI knowledge. As students participate in the social actions involved in Step 3, the position changed from 'elementary school students facing difficulty in making a change' to 'participatory citizens creating changes.' This study is significant because it shows students' potential to promote participatory and democratic citizenship through action-oriented SSI activities. In addition, pedagogical approaches were discussed dealing with the contradictions and limitations of positioning.

The association of vitamin D and urine microalbumin/creatinine and obesity in Korean adults (한국 여성에서 혈청 ferritin과 25-hydroxyvitamin D 및 대사 증후군의 관련성)

  • Choi, Jung-Hun;Kim, Sung-Gil;Eun, Sung-Jong;Song, Mi-Ok
    • Journal of the Health Care and Life Science
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    • v.9 no.1
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    • pp.161-167
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    • 2021
  • The present study was conducted to assess the association between serum ferritin and 25-hydroxyvitamin D [25(OH)D] and metabolic syndrome (MetS) in Korean women. The data of a total of 9,256 adults (4,196 premenopausal women and 4,340 postmenopausal women) aged ≥ 20 years from the Fifth Korean National Health and Nutrition Examination Survey (KNHANES V) (2010-2012) were analyzed. The key study results were as follows: First, in women without MetS, after adjusting for related variables (age, smoking, alcohol consumption, regular exercise, SBP, DBP, WM, TC, TGs, HDL-C, FPG, Hb, Hct, and Fe), vitamin D status was positively associated with serum ferritin levels (premenopausal, p < 0.001; postmenopausal, p = 0.027). Second, in women with MetS, after adjusting for related variables, vitamin D status was not associated with serum ferritin levels (premenopausal, p = 0.739; postmenopausal, p = 0.278). In conclusions, vitamin D status was positively associated with serum ferritin levels in women without MetS but not in women with MetS.

Mental and physical healing techniques of Sa-Sang Constitutional Medicine - In contrast with the Integral life Practice(ILP) of Integral psychology - (사상의학의 심신치유기법 - 통합심리학의 ILP(Integral life practice)와 대비하여 -)

  • Heo, Hoon
    • Journal of Korean Philosophical Society
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    • v.131
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    • pp.353-381
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    • 2014
  • "The four types of temperament" (hereinafter "Sa-Sang Constitutional Medicine") is applied to not only medicine, but also various fields like management, politics, education, etc. Despite that "Sa-Sang Constitutional Medicine" is "Mind-Body Medicine" which is fundamentally based on "Controling Mind and Body", though, it was rarely used for psychotherapy in practical. Practical treatment on clinical medicine is limited to only medicine-treatment or acupuncture-therapy. However treatment on illness and pathological phenomenon suggested by "Sa-Sang Constitutional Medicine" keeps individual's nature in control, and it governs environmental facts: age, region, and socio-cultural factors: alcohol, debauchery, riches, authority(酒 色 財 權). Especially, "Moral Cultivation" in "Sa-Sang Constitutional Medicine" emphasizes the importance of properly understanding vice(邪心) and laziness(怠行) concealed in natural temperament of human being, and pursuing "Understanding Each Other(博通)" and "Upright Conduct by Oneself(獨行)". Furthermore, because "Sa-Sang Constitutional Medicine" is developing medical theory based on "Understanding Others(知人)" and "Straighten Oneself(正己)" doing try integral approach, it has great implications for the present generation that forms much of social connection. Similarly, Ken Wilber who is one of representatives of "World Philosophy" and "Integral Psychology" is suggesting "Integral Life Practice" (hereinafter ILP) - applies practical and heuristic "Integral Approach" to individual experiences. ILP is the only practical discipline for development of viable whole-area. ILP says that there are four core modules: body, mind, shadow, spirit(靈), and five auxiliary modules: morals(倫理), gender(性), work(일), emotion(情緖), relationships(關係性). These nine modules could apply mind-body treatment of "Sa-Sang Constitutional Medicine", and thereby more developed mind-body treatment would be found.

Covariance Among Lactation Number, Growth Performance, Calving Interval, and Milk Yield in Holstein Dairy Cows in Korea

  • Kim, Tae-Il;Mayakrishnan, Vijayakumar;Baek, Kwang-Soo;Jeong, Ha-Yeon;Park, Boem-Young;Lim, Dong-Hyun
    • Journal of agriculture & life science
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    • v.51 no.6
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    • pp.137-144
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    • 2017
  • A diverse of recommendation has been made for the structure and management of dairy cows, despite demanding research, the relationship between lactation number and various factors is yet to be established. The present study was aimed to investigate the covariance among lactation number, growth performance, calving interval, and milk production was considered to increase an efficiency of selection schemes and to manage more efficiently Holstein dairy cows that have been raised on small-scale family farms in Republic of Korea. For that purpose, the data were observed from 850 Holstein dairy cows, which a total of 3929 milking, since April 2016 - January 2017. We measured the body weight, height, age, calving interval, and milk production of the each dairy cow. Also, information about the date of lactation, calving interval, and milk production was recorded using an automatic milking system(AMS) with identification numbers. Milk production was calculated per udder quarter in the AMS. Our study results showed the increased average body weight(p>0.05) in 1, 2, 3, and $4^{th}$ lactating dairy cows and afterwards, we noticed the tendency on the average body weight(p<0.05) per lactation progressed. There was no significant difference noticed on height measurement of dairy cows. From the processing data of 850 Holstein dairy cows, the lactation number 1 and 7 had a greater calving interval with significantly lowered milk production, and the lactation number 2, 3, 4, 5, and 6 had significantly lowered the calving interval(p<0.05) with a greater milk production. From our study results, we evidenced that there is a significant relationship between the lactation number, growth performance, calving interval, and milk yield, and the maximum production of milk occurring in the $3^{rd}$ and $4^{th}$ lactation dairy cows. The achieved results from this study can be used by the small-scale farmers to encourage the structure and management of growth performance, calving interval, and milk yield in Holstein dairy cows in Korea.

Post-Historical Description and Spatial Attribute - Focusing on the Movie Paradise in Service - (탈역사 서술과 공간의 표상 - 영화 <군중낙원>을 중심으로)

  • Jin, Sung Hee
    • Cross-Cultural Studies
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    • v.43
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    • pp.405-428
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    • 2016
  • The purpose of this paper is to examine the narrative-building method and the post-historical descriptive aspects of the movie Paradise in Service, which deals with the modern history of Taiwan. Although Paradise in Service tells the history of a certain time period, it focuses on the anguish and agony felt by people who lived during that age rather than on the meaning of historical events or interpretation of the past in terms of official historical discourse. That is, as it avoids looking at the present by composing a narrative in the descriptive historical context and from bearing weight from the viewpoint of realism, it gains the possibility of establishing a new field of discourse through a post-historical discussion using descriptive historical texts. However, the movie tries to create fantasy through a special type of licensed prostitution as a means of post-historical description. In other words, when this movie tries to reproduce the microscopic history of common people in trouble because of a historical tragedy, it considers only men and excludes "weak" women. Thus, although Paradise in Service has meaning in that it gives an example of how movies can disrupt official historical discourse and group memory and rewrite history by focusing on individuals, it is limited by its male-centrism.

Beyond Humanism - The End of Modern Humanity and the New Transformations of Human Being (휴머니즘의 경계를 넘어서 - 근대 인간학의 종언과 인간의 새로운 변형 -)

  • Choi, Jin-Seok
    • Cross-Cultural Studies
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    • v.41
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    • pp.381-413
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    • 2015
  • This article aims to trace a historical trajectory of "Humanism" as a Modern scientific concept in the light of Michel Foucault's genealogy. Generally, we believe that Humanism is a natural and eternal idea for mankind, because no one doubts that he or she is not included in the category of a "Human Being." On the contrary, according to French philosopher Foucault, the Idea of Humanism, or anthropocentrism, appeared only in the Modern Age, from the 16th century downward. Before the Renaissance, human beings did not occupy the most important status in Nature, and only existed as natural beings. As soon as mankind was liberated from the superstitious of fear and religious dogma, the concept of "Human Being" is supplied with new meanings and values. The famous maxim, such as, "Man is the lord of creation" constitutes modern human science as an inviolable category of modernity. However, Foucault tried to illuminate the hidden sides of humanism, and gave us the strict warning on the end of the human beings, which turned out to be an object of Modern knowledge. If there would be no reason to maintain a knowledge system of Modernity, in other words, Modernity as knowledge would lose its validity and we could give up Humanism as a heavy burden. Moreover, it is very clear that we are confronted with the critical moments of radical skepticism on the meaning and value for Humanity. That means that we need to think about the new transformations of Human Beings, which will probably appear in the forms of "Non-Humans," "Machines (Deleuze & Guattari)," or "Post-Humans" etc. At the present time, we cannot know if it will be positive, or negative for mankind. We should look back at the history of Humanism from a genealogical perspective, which is why we have to investigate the conceptual trajectory of Humanism in this moment.

A Study on the Collecting Policy of Oral History Archives (구술기록의 수집과 아카이브 정책에 관한 연구)

  • Cho, Young-Sung
    • The Korean Journal of Archival Studies
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    • no.25
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    • pp.233-278
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    • 2010
  • An interest in various description of history was increased, resolutely breaking away from the existing frame also in a historical science world, under the influence of post-modernism arisen from the mid 20th century, and for this, oral history archives and oral history methodology began to attract the attention in various academia including archival science as a method for a new writing of history. Also, under the circumstance of korea having a difficulty in performing a whole reconstruction of modern age history and a liquidation of past affairs due to an absolute lack of archives, the tendency is toward more active management of oral history archives and establishing oral history archives in the context of an excavation of new archives and a reinterpretation of history, owing to the necessity in a particular situation. This article started with a critical mind regarding an absence of a collecting policy which can help an effective development of collection from a point of view of archival science, with regard to oral history archives that recently shows a rapid increase of an interest. For this, this article intended to present an new element of a collecting policy besides the study on a collecting policy performed meanwhile by an archival science world by noticing a characteristic and a collecting method of oral history archives, this can be examined largely through 'a statement of mission and collection purpose', 'a policy of collection at large', 'a definition of maintenance and use of the holdings', and 'a guide for a development of collection', and add a proposal regarding a plan to embody the parr which should be actually applied to collection of oral history archives among the existing constituents.

Impact of pore fluid heterogeneities on angle-dependent reflectivity in poroelastic layers: A study driven by seismic petrophysics

  • Ahmad, Mubasher;Ahmed, Nisar;Khalid, Perveiz;Badar, Muhammad A.;Akram, Sohail;Hussain, Mureed;Anwar, Muhammad A.;Mahmood, Azhar;Ali, Shahid;Rehman, Anees U.
    • Geomechanics and Engineering
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    • v.17 no.4
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    • pp.343-354
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    • 2019
  • The present study demonstrates the application of seismic petrophysics and amplitude versus angle (AVA) forward modeling to identify the reservoir fluids, discriminate their saturation levels and natural gas composition. Two case studies of the Lumshiwal Formation (mainly sandstone) of the Lower Cretaceous age have been studied from the Kohat Sub-basin and the Middle Indus Basin of Pakistan. The conventional angle-dependent reflection amplitudes such as P converted P ($R_{PP}$) and S ($R_{PS}$), S converted S ($R_{SS}$) and P ($R_{SP}$) and newly developed AVA attributes (${\Delta}R_{PP}$, ${\Delta}R_{PS}$, ${\Delta}R_{SS}$ and ${\Delta}R_{SP}$) are analyzed at different gas saturation levels in the reservoir rock. These attributes are generated by taking the differences between the water wet reflection coefficient and the reflection coefficient at unknown gas saturation. Intercept (A) and gradient (B) attributes are also computed and cross-plotted at different gas compositions and gas/water scenarios to define the AVO class of reservoir sands. The numerical simulation reveals that ${\Delta}R_{PP}$, ${\Delta}R_{PS}$, ${\Delta}R_{SS}$ and ${\Delta}R_{SP}$ are good indicators and able to distinguish low and high gas saturation with a high level of confidence as compared to conventional reflection amplitudes such as P-P, P-S, S-S and S-P. In A-B cross-plots, the gas lines move towards the fluid (wet) lines as the proportion of heavier gases increase in the Lumshiwal Sands. Because of the upper contacts with different sedimentary rocks (Shale/Limestone) in both wells, the same reservoir sand exhibits different response similar to AVO classes like class I and class IV. This study will help to analyze gas sands by using amplitude based attributes as direct gas indicators in further gas drilling wells in clastic successions.