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Paradoxical Upper Airway Obstruction and Central Sleep Apnea Developed After Anterior Cervical Spine Fusion (전방경추융합술 후 발생한 역설상기도폐쇄 및 중추성 수면 무호흡)

  • Lee, Sang Haak;Choi, Young Mee;Park, Ye Ree;Kang, Ji Ho;Kim, Young Kyoon;Kim, Kwan Hyoung;Song, Jeong Sup;Park, Sung Hak;Moon, Hwa Sik
    • Tuberculosis and Respiratory Diseases
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    • v.58 no.3
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    • pp.295-298
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    • 2005
  • We report a case of a 48-year-old man with a paradoxic upper airway obstruction and central sleep apnea that developed after an anterior cervical spinal fusion. Nine months before being admitted to this hospital, he was diagnosed with a herniated intervertebral disc between the 5th and 6th cervical spine, and the first operation was carried out. Two months later, a pseudoarthrosis has developed and a second operation, an anterior interbody fusion of the C5 and C6 using autogenous strut bone graft, was performed. After the second operation, he began to complain of snoring, excessive daytime sleepiness, insomnia, and a bizarre sound heard near the upper airway during breathing. Nasopharyngoscope and magnetic resonance imaging disclosed a paradoxical narrowing of the nasopharynx during expiration. On the overnight polysomnography, the apnea index was 8.7/h (central apnea, 7.0/h; obstructive apnea, 1.7/h). Nasal continuous positive airway pressure was applied, but he complained of pressure-intolerance, and laser-assisted uvulopalatoplasty was then performed. Two months after surgery, clinical symptoms as well as the apneas had improved markedly. We suggest that this paradoxic upper airway obstruction might be associated with the anterior cervical spinal surgery even though the mechanism is unclear. This case also emphasizes that an upper airway obstruction can contribute to the development of central sleep apnea.

Home Economics related Programs from the First Pilot Schools implementing the Free Learning Semester (자유학기제 1차 연구학교의 가정교과 관련 운영 실태)

  • Lee, Eun-Young;Son, Joo-Young;Kim, Yea-Seul;Cho, Jae-Soon
    • Journal of Korean Home Economics Education Association
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    • v.26 no.3
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    • pp.69-89
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    • 2014
  • The purpose of this paper was to understand the outlines of 1) common and free curricula implemented by the first pilot schools and 2) Home Economics related programs from both curricula. This study analyzed the 42 reports from the first pilot schools which implemented the free learning semester in 2013. The results showed that more than half of schools set two or more emphasis models of the free learning semester. In 15 out of 28 schools, the lesson hours of Home Economics were reduced by one to three hours. Various common curricula were implemented in many aspects of teaching-learning methods, curriculum, evaluation, and subject related career lessons. Free curriculum was implemented in four areas such as career exploration, student optional program, club activity, and art sports activity. In common curriculum, Home Economics was carried out in 17 out of 39 schools. The Home Economics class included subject related career lessons and improvement of teaching- learning methods. Various interesting activities and programs as a free curriculum were implemented in career exploration, students' optional program, and club activities in 38 schools. The most frequently implemented was the activity program related to food and nutrition. Further research was proposed to develop students' optional programs related to Home Economics subject, responding to their needs.

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Development of Carbon Dioxide Emission Factor from Resource Recovery Facility (폐기물자원회수시설의 이산화탄소 배출계수 개발)

  • Kim, Seungjin;Im, Gikyo;Yi, Chi-Yeong;Lee, Seehyung;Sa, Jae-Hwan;Jeon, Eui-Chan
    • Journal of Climate Change Research
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    • v.4 no.1
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    • pp.51-61
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    • 2013
  • To address the problems associated with climate change and energy shortage, Korea has been making efforts to turn waste materials into usable energy. Due to the ongoing efforts to convert waste materials into energy, waste incineration is expanding to utilize the heat generated, and the subsequent greenhouse gas emissions from these waste material incineration are expected to increase. In this study, a municipal waste incineration plant that generates heat and electricity through heat recovery was selected as a subject facility. Methods for estimating the greenhouse gas emissions in the municipal waste incineration plant that was selected as a subject plant were sought, and the greenhouse gas emissions and emission factor were estimated. The $CO_2$ concentrations in discharge gas from the subject facility were on average 6.99%, and the result from calculating this into greenhouse gas emissions showed that the total amount of emissions was $254.60ton\;CO_2/day$. The net emissions, excluding the amount of greenhouse gas emitted from biomass incineration, was shown to be $110.59ton\;CO_2/day$. In addition, after estimating the emissions by separating the heat and electricity generated in the incineration facility, greenhouse gas emission factors were calculated using the greenhouse gas emissions produced per each unit of output. The estimated emission factor for heat was found to be $0.047ton\;CO_2/GJ$ and the emission factor for electricity was found to be $0.652ton\;CO_2/MWh$. The estimated emission factor was shown to be about 17% lower than the $0.783ton\;CO_2/MWh$ emission factor for thermal power plants that use fossil fuels. Waste material types and fossil carbon contents were evaluated as being the factors that have major effects on the greenhouse gas emissions and emission factor.

A Study on the Development of Ultra-precision Small Angle Spindle for Curved Processing of Special Shape Pocket in the Fourth Industrial Revolution of Machine Tools (공작기계의 4차 산업혁명에서 특수한 형상 포켓 곡면가공을 위한 초정밀 소형 앵글 스핀들 개발에 관한 연구)

  • Lee Ji Woong
    • Journal of Practical Engineering Education
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    • v.15 no.1
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    • pp.119-126
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    • 2023
  • Today, in order to improve fuel efficiency and dynamic behavior of automobiles, an era of light weight and simplification of automobile parts is being formed. In order to simplify and design and manufacture the shape of the product, various components are integrated. For example, in order to commercialize three products into one product, product processing is occurring to a very narrow area. In the case of existing parts, precision die casting or casting production is used for processing convenience, and the multi-piece method requires a lot of processes and reduces the precision and strength of the parts. It is very advantageous to manufacture integrally to simplify the processing air and secure the strength of the parts, but if a deep and narrow pocket part needs to be processed, it cannot be processed with the equipment's own spindle. To solve a problem, research on cutting processing is being actively conducted, and multi-axis composite processing technology not only solves this problem. It has many advantages, such as being able to cut into composite shapes that have been difficult to flexibly cut through various processes with one machine tool so far. However, the reality is that expensive equipment increases manufacturing costs and lacks engineers who can operate the machine. In the five-axis cutting processing machine, when producing products with deep and narrow sections, the cycle time increases in product production due to the indirectness of tools, and many problems occur in processing. Therefore, dedicated machine tools and multi-axis composite machines should be used. Alternatively, an angle spindle may be used as a special tool capable of multi-axis composite machining of five or more axes in a three-axis machining center. Various and continuous studies are needed in areas such as processing vibration absorption, low heat generation and operational stability, excellent dimensional stability, and strength securing by using the angle spindle.

Relationship between Progressive culture and arts activities and social transformation (진보적 문화예술 활동과 사회변화의 상관성 -광주민주화운동을 중심으로-)

  • LEE, Seung-Kwon;Yun, Man-sik
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.3
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    • pp.41-50
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    • 2018
  • The present article focuses on the cultural arts, the role and functions of people as intermediate to carry out the revitalization of memory. Most of the basic cultural activities and events sparked from the cardinal point of the democratization of Gwangju and the interwoven relationships this created. In other words, the events leading to Gwangju democratization movement have derived from democratic culture and art and they contributed to change and influence South Korea's revolutionary movements. As far as clarifying the concept of culture is concerned, the idea of culture is too wide to encompass it so we aim to narrow it down to the special events of 5.18 democratization movements which launched the national transformation of the cultural stage and the development of democracy in South Korea. Through this, the movement of popular culture and popular arts fostered the revolution of society. Moreover, the value of the 5.18 movement for democratization stems from democracy, human rights, the universal value of peace and so many efforts were made by popular artists until it became upgraded as a national commemoration day. Raising the people's awareness that culture could change the course of history is still necessary so that popular art and culture play a central role in people's lives. In order to fulfill the people's inherent hope it is necessary to promote aesthetic values and a continuous revolution in societal practices.

Applying a smart livestock system as a development strategy for the animal life industry in the future: A review (미래 동물생명산업 발전전략으로써 스마트축산의 응용: 리뷰)

  • Park, Sang-O
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.1
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    • pp.241-262
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    • 2021
  • This paper reviewed the necessity of a information and communication technology (ICT)-based smart livestock system as a development strategy for the animal life industry in the future. It also predicted the trends of livestock and animal food until 2050, 30 years later. Worldwide, livestock raising and consumption of animal food are rapidly changing in response to population growth, aging, reduction of agriculture population, urbanization, and income growth. Climate change can change the environment and livestock's productivity and reproductive efficiencies. Livestock production can lead to increased greenhouse gas emissions, land degradation, water pollution, animal welfare, and human health problems. To solve these issues, there is a need for a preemptive future response strategy to respond to climate change, improve productivity, animal welfare, and nutritional quality of animal foods, and prevent animal diseases using ICT-based smart livestock system fused with the 4th industrial revolution in various aspects of the animal life industry. The animal life industry of the future needs to integrate automation to improve sustainability and production efficiency. In the digital age, intelligent precision animal feeding with IoT (internet of things) and big data, ICT-based smart livestock system can collect, process, and analyze data from various sources in the animal life industry. It is composed of a digital system that can precisely remote control environmental parameters inside and outside the animal husbandry. The ICT-based smart livestock system can also be used for monitoring animal behavior and welfare, and feeding management of livestock using sensing technology for remote control through the Internet and mobile phones. It can be helpful in the collection, storage, retrieval, and dissemination of a wide range of information that farmers need. It can provide new information services to farmers.

Research Trends of Middle-aged Women' Health in Korea Using Topic Modeling and Text Network Analysis (텍스트네트워크분석과 토픽모델링을 활용한 국내 중년여성 건강 관련 연구 동향 분석)

  • Lee, Do-Young;Noh, Gie-Ok
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.163-171
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    • 2022
  • This study was conducted to understand the research trends and central concepts of middle-aged women' health in Korea. For the analysis of this study, target papers published from 2012 to 2021 were collected by entering the keywords of 'middle-aged woman' or 'menopausal woman'. 1,116 papers were used for analysis. The co-occurrence network of key words was developed and analyzed, and the research trends were analyzed through topic modeling of the LSD by dividing it into five-year units (2012-2016, 2017-2021), and visualized word cloud and sociogram were used. The keywords that appeared the most during the last 10 years were obesity, depression, body composition, stress, and menopause symptom. Five topics analyzed in the thesis data for 5 years from 2012 to 2016 were 'postmenopausal self-efficacy and satisfaction enhancement strategy', 'exercise to manage obesity and risk factors', 'intervention for obesity and stress', 'promotion of happiness and life management' and 'menopausal depression and quality of life' were confirmed. Five topics of research conducted for the next five years (2017-2021) were 'menopausal depression and quality of life', 'management of obesity and cardiovascular risk factors', 'life experience as a middle-aged woman', and 'life satisfaction and psychological well-being' and 'menopausal symptom relief strategy'. Through the results, the trend of research topics related to middle-aged women's health over the past 10 years have been identified, and research on health of middle-aged women that reflects the trend of the future should be continued.

A Study on the Influence Fators of Safety Education for Delivery Workers on Accident Prevention (배달종사자 대상 안전교육이 사고 예방에 미치는 영향 요인에 관한 연구)

  • Kim, Jeongheun;Jeong, Myeongjin;Yim, Yunjeong;Cha, Jaehoon;Choi, Woojung
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.709-714
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    • 2022
  • As the delivery service market continued to increase, the number of delivery workers also increased, but the corresponding safety education is insufficient. Therefore, this study is going to explore the importance of safety education by grasping the relationship between safety awareness, accident experience, and safety behavior of delivery workers. With the help of the delivery workers' online community site, this study conducted a survey on the status of delivery workers' safety education for a total of 114 delivery workers. As a result of the association analysis, more than half of the general agency workers said they did not receive safety training, and delivery workers who completed safety training were 2.36 times more frequent than delivery workers who did not complete safety training. In addition, through correlation analysis and simple regression analysis, safety education had a positive effect on safety perception of delivery workers, and there was a significant correlation between safety perception and safety behavior. Through these, the relationship between safety education and safety awareness, safety behavior, and the number of accident experiences was noticed, and it was concluded that safety education should be mandatory on all delivery platforms to prevent accidents.

Metaverse Augmented Reality Research Trends Using Topic Modeling Methodology (토픽 모델링 기법을 활용한 메타버스 증강현실 연구 동향 분석)

  • An, Jaeyoung;Shim, Soyun;Yun, Haejung
    • Knowledge Management Research
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    • v.23 no.2
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    • pp.123-142
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    • 2022
  • The non-face-to-face environment accelerated by COVID-19 has speeded up the dissemination of digital virtual ecosystems and metaverse. In order for the metaverse to be sustainable, digital twins that are compatible with the real world are key, and critical technology for that is AR (Augmented Reality). In this study, we examined research trends about AR, and will propose the directions for future AR research. We conducted LDA based topic modeling on 11,049 abstracts of published domestic and foreign AR related papers from 2009 to Mar 2022, and then looked into AR that was comprehensive research trends, comparison of domestic and foreign research trends, and research trends before and after the popularity of metaverse concepts. As a result, the topics of AR related research were deduced from 11 topics such as device, network communication, surgery, digital twin, education, serious game, camera/vision, color application, therapy, location accuracy, and interface design. After popularity of metaverse, 6 topics were deduced such as camera/vision, training, digital twin, surgical/surgical, interaction performance, and network communication. We will expect, through this study, to encourage active research on metaverse AR with convergent characteristics in multidisciplinary fields and contribute to giving useful implications to practitioners.

Development of Numerical Computation Techniques for the Free-Surface of U-Tube Type Anti-roll Tank (U-튜브형 횡동요 감쇄 탱크의 자유수면 해석기법 개발에 관한 연구)

  • Sang-Eui Lee
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.7
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    • pp.1244-1251
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    • 2022
  • Marine accidents due to a loss of stability, have been gradually increasing over the last decade. Measures must be taken on the roll reduction of a ship. Amongst the measures, building an anti-roll tank in a ship is recognized as the most simple and effective way to reduce the roll motion. Therefore, this study aims to develop a computational model for a U-tube type anti-roll tank and to validate it by experiment. In particular, to validate the developed computational model, the height of the free surface in the tank was measured in the experiment. To develop a computational model, the mesh dependency test was carried out. Further, the effects of a turbulence model, time step size, and the number of iterations on the numerical solution were analyzed. In summary, a U-tube type anti-roll tank simulation had to be performed accurately with conditions of a realizable k-𝜖 turbulence model, 10-2s time step size, and 15 iterations. In validation, the two cases of measured data from the experiment were compared with the numerical results. In the present study, STAR-CCM+ (ver. 17.02), a RANS-based commercial solver was used.