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Full-Endoscopic versus Minimally Invasive Lumbar Interbody Fusion for Lumbar Degenerative Diseases : A Systematic Review and Meta-Analysis

  • Son, Seong;Yoo, Byung Rhae;Lee, Sang Gu;Kim, Woo Kyung;Jung, Jong Myung
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.539-548
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    • 2022
  • Objective : Although full-endoscopic lumbar interbody fusion (Endo-LIF) has been tried as the latest alternative technique to minimally invasive transforaminal lumbar interobody fusion (MIS-TLIF) since mid-2010, the evidence is still lacking. We compared the clinical outcome and safety of Endo-LIF to MIS-TLIF for lumbar degenerative disease. Methods : We systematically searched electronic databases, including PubMed, EMBASE, and Cochrane Library to find literature comparing Endo-LIF to MIS-TLIF. The results retrieved were last updated on December 11, 2020. The perioperative outcome included the operation time, blood loss, complication, and hospital stay. The clinical outcomes included Visual analog scale (VAS) of low back pain and leg pain and Oswestry disability index (ODI), and the radiological outcome included pseudoarthosis rate with 12-month minimum follow-up. Results : Four retrospective observational studies and one prospective observational study comprising 423 patients (183 Endo-LIF and 241 MIS-TLIF) were included, and the pooled data analysis revealed low heterogeneity between studies in our review. Baseline characteristics including age and sex were not different between the two groups. Operation time was significantly longer in Endo-LIF (mean difference [MD], 23.220 minutes; 95% confidence interval [CI], 10.669-35.771; p=0.001). However, Endo-LIF resulted in less perioperative blood loss (MD, -144.710 mL; 95% CI, 247.941-41.478; p=0.023). Although VAS back pain at final (MD, -0.120; p=0.586), leg pain within 2 weeks (MD, 0.005; p=0.293), VAS leg pain at final (MD, 0.099; p=0.099), ODI at final (MD, 0.141; p=0.093) were not different, VAS back pain within 2 weeks was more favorable in the Endo-LIF (MD, -1.538; 95% CI, -2.044 to -1.032; p<0.001). On the other hand, no statistically significant group difference in complication rate (relative risk [RR], 0.709; p=0.774), hospital stay (MD, -2.399; p=0.151), and pseudoarthrosis rate (RR, 1.284; p=0.736) were found. Conclusion : Relative to MIS-TLIF, immediate outcomes were favorable in Endo-LIF in terms of blood loss and immediate VAS back pain, although complication rate, mid-term clinical outcomes, and fusion rate were not different. However, the challenges for Endo-LIF include longer operation time which means a difficult learning curve and limited surgical indication which means patient selection bias. Larger-scale, well-designed study with long-term follow-up and randomized controlled trials are needed to confirm and update the results of this systematic review.

Exploratory Study of the Applicability of Kompsat 3/3A Satellite Pan-sharpened Imagery Using Semantic Segmentation Model (아리랑 3/3A호 위성 융합영상의 Semantic Segmentation을 통한 활용 가능성 탐색 연구)

  • Chae, Hanseong;Rhim, Heesoo;Lee, Jaegwan;Choi, Jinmu
    • Korean Journal of Remote Sensing
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    • v.38 no.6_4
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    • pp.1889-1900
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    • 2022
  • Roads are an essential factor in the physical functioning of modern society. The spatial information of the road has much longer update cycle than the traffic situation information, and it is necessary to generate the information faster and more accurately than now. In this study, as a way to achieve that goal, the Pan-sharpening technique was applied to satellite images of Kompsat 3 and 3A to improve spatial resolution. Then, the data were used for road extraction using the semantic segmentation technique, which has been actively researched recently. The acquired Kompsat 3/3A pan-sharpened images were trained by putting it into a U-Net based segmentation model along with Massachusetts road data, and the applicability of the images were evaluated. As a result of training and verification, it was found that the model prediction performance was maintained as long as certain conditions were maintained for the input image. Therefore, it is expected that the possibility of utilizing satellite images such as Kompsat satellite will be even higher if rich training data are constructed by applying a method that minimizes the impact of surrounding environmental conditions affecting models such as shadows and surface conditions.

Model Analysis of AI-Based Water Pipeline Improved Decision (AI기반 상수도시설 개량 의사결정 모델 분석)

  • Kim, Gi-Tae;Min, Byung-Won;Oh, Yong-Sun
    • Journal of Internet of Things and Convergence
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    • v.8 no.5
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    • pp.11-16
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    • 2022
  • As an interest in the development of artificial intelligence(AI) technology in the water supply sector increases, we have developed an AI algorithm that can predict improvement decision-making ratings through repetitive learning using the data of pipe condition evaluation results, and present the most reliable prediction model through a verification process. We have developed the algorithm that can predict pipe ratings by pre-processing 12 indirect evaluation items based on the 2020 Han River Basin's basic plan and applying the AI algorithm to update weighting factors through backpropagation. This method ensured that the concordance rate between the direct evaluation result value and the calculated result value through repetitive learning and verification was more than 90%. As a result of the algorithm accuracy verification process, it was confirmed that all water pipe type data were evenly distributed, and the more learning data, the higher prediction accuracy. If data from all across the country is collected, the reliability of the prediction technique for pipe ratings using AI algorithm will be improved, and therefore, it is expected that the AI algorithm will play a role in supporting decision-making in the objective evaluation of the condition of aging pipes.

A Study on the War Simulation and Prediction Using Bayesian Inference (베이지안 추론을 이용한 전쟁 시뮬레이션과 예측 연구)

  • Lee, Seung-Lyong;Yoo, Byung Joo;Youn, Sangyoun;Bang, Sang-Ho;Jung, Jae-Woong
    • The Journal of the Korea Contents Association
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    • v.21 no.11
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    • pp.77-86
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    • 2021
  • A method of constructing a war simulation based on Bayesian Inference was proposed as a method of constructing heterogeneous historical war data obtained with a time difference into a single model. A method of applying a linear regression model can be considered as a method of predicting future battles by analyzing historical war results. However it is not appropriate for two heterogeneous types of historical data that reflect changes in the battlefield environment due to different times to be suitable as a single linear regression model and violation of the model's assumptions. To resolve these problems a Bayesian inference method was proposed to obtain a post-distribution by assuming the data from the previous era as a non-informative prior distribution and to infer the final posterior distribution by using it as a prior distribution to analyze the data obtained from the next era. Another advantage of the Bayesian inference method is that the results sampled by the Markov Chain Monte Carlo method can be used to infer posterior distribution or posterior predictive distribution reflecting uncertainty. In this way, it has the advantage of not only being able to utilize a variety of information rather than analyzing it with a classical linear regression model, but also continuing to update the model by reflecting additional data obtained in the future.

Revision of 22-year Records of Atmospheric Baseline CO2 in South Korea: Application of the WMO X2019 CO2 Scale and a New Baseline Selection Method (NIMS Filter) (지난 22년간 한반도 이산화탄소 배경농도 재산정 연구 - WMO/GAW 척도 변경과 NIMS 온실가스 배경농도 산출기법을 중심으로 -)

  • Seo, Wonick;Lee, Haeyoung;Kim, Yeon-Hee
    • Atmosphere
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    • v.31 no.5
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    • pp.593-606
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    • 2021
  • The Korea Meteorological Administration/National Institute of Meteorological Sciences (KMA/NIMS) has monitored atmospheric CO2 at Anmyeondo (AMY) World Meteorological Organization (WMO) Global Atmosphere Watch Programme (GAW) regional station since 1999, and expanded its observations at Jeju Gosan Suwolbong station (JGS) in the South and at Ulleungdo-Dokdo stations in the East (ULD and DOK) since 2012. Due to a recent WMO CO2 scale update and a new filter (NIMS) to select baseline levels at each station, the 22 years of CO2 data are recalculated. After correction for the new CO2 scale, we confirmed that those corrected records are reasonable within the compatibility goal (±0.1 ppm of CO2) between KMA/NIMS and National Oceanic and Atmosphereic Administration (NOAA) flask-air measurements with the new scale. With the new NIMS filter, CO2 baseline levels are now more representative of the large-scale background compared to previous values, which contained large CO2 enhancements. Atmospheric CO2 observed in South Korea is 4 to 8 ppm greater than the global average while the amplitude of seasonal variation is similar (10~13 ppm) to the amplitude averaged over a comparable latitude zone (30°N-60°N). Variations in CO2 growth rate are also similar, increasing and decreasing similar to global values, as it reflects the net balance between terrestrial respiration and photosynthesis. In 2020, atmospheric CO2 continued increasing despite the COVID-19 pandemic. Even though fossil emission was reduced (around -7% globally), we still emitted large amounts of anthropogenic CO2. Overall, since CO2 has large natural variations and its source was derived from not only fossil fuel but also biomass burning, the small fossil emission reduction could not affect the atmospheric level directly.

Detecting and Extracting Changed Objects in Ground Information (지반정보 변화객체 탐지·추출 시스템 개발)

  • Kim, Kwangsoo;Kim, Bong Wan;Jang, In Sung
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.39 no.6
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    • pp.515-523
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    • 2021
  • An integrated underground spatial map consists of underground facilities, underground structures, and ground information, and is periodically updated. In this paper, we design and implement a system for detecting and extracting only changed ground objects to shorten the map update speed. To find the changed objects, all the objects are compared, which are included in the newly input map and the reference map in the integrated map. Since the entire process of comparing objects and generating results is classified by function, the implemented system is composed of several modules such as object comparer, changed object detector, history data manager, changed object extractor, changed type classifier, and changed object saver. We use two metrics: detection rate and extraction rate, to evaluate the performance of the system. As a result of applying the system to boreholes, ground wells, soil layers, and rock floors in Pyeongtaek, 100% of inserted, deleted, and updated objects in each layer are detected. In addition, it provides the advantage of ensuring the up-to-dateness of the reference map by downloading it whenever maps are compared. In the future, additional research is needed to confirm the stability and effectiveness of the developed system using various data to apply it to the field.

Program Development and Field Application for the use of the Integration Map of Underground Spatial Information (지하공간통합지도 활용을 위한 프로그램 개발 및 현장 적용)

  • Kim, Sung Gil;Song, Seok Jin;Cho, Hae Yong;Heo, Hyun Min
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.39 no.6
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    • pp.483-490
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    • 2021
  • Due to the recent increase in various problems from underground development in urbanized areas, accurate underground facility information management is highly needed. Therefore, in this study, in order to utilize the Integration Map of Underground Goespatial Information in real time on-site, the function of comparing the mutual location of the GPR (Ground Penetration Radar) sensing data and the Integration Map of Underground Goespatial Information, and function of analyze underground facilities, and function of converting surveying data into a shape file through position correction & attribute editing in a 3D space, and the function of submitting the shape file to the Integration Map of Underground Goespatial Information mobile center was defined and developed as a program. In addition, for the on-site application test of the development program, scenarios used at the underground facility real-time survey site and GPR exploration site were derived, and four sites in Seoul were tested to confirm that the use scenario worked properly. Through this, the on-site utilization of the program developed in this study could be confirmed, and it would contribute to the confirmation of the quality of Shape-file and the "update automation" of "Integration Map of Underground Goespatial Information". In addition, it is expected that the development program will be further applied to the Underground Facility Map's Accuracy Improvement Diffusion Project' promoted by the MOLIT (Ministry of Land, Infrastructure, and Transport).

Construction Method of ECVAM using Land Cover Map and KOMPSAT-3A Image (토지피복지도와 KOMPSAT-3A위성영상을 활용한 환경성평가지도의 구축)

  • Kwon, Hee Sung;Song, Ah Ram;Jung, Se Jung;Lee, Won Hee
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.40 no.5
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    • pp.367-380
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    • 2022
  • In this study, the periodic and simplified update and production way of the ECVAM (Environmental Conservation Value Assessment Map) was presented through the classification of environmental values using KOMPSAT-3A satellite imagery and land cover map. ECVAM is a map that evaluates the environmental value of the country in five stages based on 62 legal evaluation items and 8 environmental and ecological evaluation items, and is provided on two scales: 1:25000 and 1:5000. However, the 1:5000 scale environmental assessment map is being produced and serviced with a slow renewal cycle of one year due to various constraints such as the absence of reference materials and different production years. Therefore, in this study, one of the deep learning techniques, KOMPSAT-3A satellite image, SI (Spectral Indices), and land cover map were used to conduct this study to confirm the possibility of establishing an environmental assessment map. As a result, the accuracy was calculated to be 87.25% and 85.88%, respectively. Through the results of the study, it was possible to confirm the possibility of constructing an environmental assessment map using satellite imagery, optical index, and land cover classification.

Study on Chinese Youth Film Expression through Defamiliarization :Taking Us and Them(后来的我们) as Example ('낯설게 하기'를 통한 중국 청년 영화의 표현에 관한 연구 : 중국 영화 <먼 훗날 우리> (后来的我们)를 중심으로)

  • Zhang, Lin
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.1
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    • pp.117-124
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    • 2020
  • Chinese youth films fall into the dilemma of continuous development after experiencing rapid development from 2013 to 2017. How to update the creative ideas and methods of the films, arouse the audience's interest in watching and stimulate a new aesthetic experience has become a focal point for the creators who concern about the Chinese film market. "Us and Them" is a successful youth film in 2018. Its creative practice proves that defamiliarization can provide theoretical and methodological basis for the creation of Chinese youth films. Therefore, taking the current situation of Chinese youth film as the research background, treating "Us and Them" as the research object, the defamiliarization of narrative discourse and narrative content used in the film are analyzed. First, the defamiliarization of narrative discourse composed of scenes, characters and plots makes the film "stand out" from the real world. Second, the defamiliarization of narrative content composed of metropolis adoration, self-identity and hometown affection makes the film "stand out" from the existing context. These methods of creation not only meet the needs of the contemporary, but also provide an effective reference for the creation of other youth films. Research will be needed to utilize the elements of defamiliarization through the analysis of the successful case in spite of the time change.

Implementation of Responsive Web-based Vessel Auxiliary Equipment and Pipe Condition Diagnosis Monitoring System (반응형 웹 기반 선박 보조기기 및 배관 상태 진단 모니터링 시스템 구현)

  • Sun-Ho, Park;Woo-Geun, Choi;Kyung-Yeol, Choi;Sang-Hyuk, Kwon
    • Journal of Navigation and Port Research
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    • v.46 no.6
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    • pp.562-569
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    • 2022
  • The alarm monitoring technology applied to existing operating ships manages data items such as temperature and pressure with AMS (Alarm Monitoring System) and provides an alarm to the crew should these sensing data exceed the normal level range. In addition, the maintenance of existing ships follows the Planned Maintenance System (PMS). whereby the sensing data measured from the equipment is monitored and if it surpasses the set range, maintenance is performed through an alarm, or the corresponding part is replaced in advance after being used for a certain period of time regardless of whether the target device has a malfunction or not. To secure the reliability and operational safety of ship engine operation, it is necessary to enable advanced diagnosis and prediction based on real-time condition monitoring data. To do so, comprehensive measurement of actual ship data, creation of a database, and implementation of a condition diagnosis monitoring system for condition-based predictive maintenance of auxiliary equipment and piping must take place. Furthermore, the system should enable management of auxiliary equipment and piping status information based on a responsive web, and be optimized for screen and resolution so that it can be accessed and used by various mobile devices such as smartphones as well as for viewing on a PC on board. This update cost is low, and the management method is easy. In this paper, we propose CBM (Condition Based Management) technology, for autonomous ships. This core technology is used to identify abnormal phenomena through state diagnosis and monitoring of pumps and purifiers among ship auxiliary equipment, and seawater and steam pipes among pipes. It is intended to provide performance diagnosis and failure prediction of ship auxiliary equipment and piping for convergence analysis, and to support preventive maintenance decision-making.