• Journal of Gastric Cancer
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• 제21권1호
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• pp.38-48
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• 2021

Purpose: As the number of gastric cancer survivors is increasing and their quality of life after surgery is being emphasized, single-port surgery is emerging as an alternative to conventional gastrectomy. A novel multi-degree-of-freedom (DOF) articulating device, the ArtiSential® device (LivsMed, Seongnam, Korea), was designed to allow more intuitive and meticulous control for surgeons facing ergonomic difficulties with conventional tools. In this study, we evaluated the feasibility of this new device during single-port laparoscopic distal gastrectomy (SP-LDG) for early gastric cancer (EGC) patients. Materials and Methods: Consecutive patients diagnosed with EGC who underwent SP-LDG with ArtiSential® (LivsMed) graspers between April 2018 and August 2020 were enrolled in the study. The clinical outcomes were compared with those of a control group, in which prebent graspers (Olympus Medical Systems Corp) were used for the same procedures. Results: Seventeen patients were enrolled in the ArtiSential® group. There was no significant difference in operative time (205.4±6.0 vs. 218.1±9.9 minutes, P= 0.270) or the quality of surgery, in terms of the number of retrieved lymph nodes (49.5±3.5 vs. 45.9±4.0, P=0.473), length of hospital stay (15.4±2.0 vs. 12.4±1.3 days, P=0.588), and postoperative complications (40.0% vs. 41.2%, P=0.595), between the ArtiSential® group and the control group. Conclusions: The new multi-DOF articulating grasper is feasible and can be used as an alternative for prebent graspers during SP-LDG.

• 대한간호학회지
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• 제51권6호
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• pp.732-745
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• 2021

Purpose: This study aimed to assess combined effects of early oral feeding after Cesarean section (C/S) under regional anesthesia on bowel function, gastrointestinal complications and surgical recovery. Methods: A systematic literature search was conducted using KISS, RISS, PubMed, CINAHL, EMBASE, CENTRAL and Google Scholar to identify randomized clinical trials comparing early oral feeding (EOF) with delayed oral feeding (DOF) after C/S. Outcome variables were bowel function and gastrointestinal complications and surgical recovery. Effect size was calculated using weighted mean differences (WMDs) and relative risks (RRs), with 95% confidence intervals (CIs). Results: Seven studies involving 1,911 patients from 568 studies, 7 studies were included in meta-analysis. EOF was significantly associated with shorter time to recover bowel movement compared with DOF (WMD, - 2.50; CI, - 3.50~- 1.50). EOF was not associated with nausea (RR, 1.15; CI, 0.87~1.53) and vomiting (RR, 0.96; CI, 0.65~1.42), but lower incidence of abdominal distension (RR, 0.70; CI, 0.50~0.98). EOF was significantly associated with shorter time to discontinuation of intravenous fluids (WMD, - 8.88; 95% CI, - 16.65~- 1.11) and removal of urinary catheter (WMD, - 15.23; CI, - 25.62~- 4.85). Conclusion: This meta-analysis provides evidence that EOF after C/S under regional anesthesia not only accelerates return of bowel function and surgical recovery but also reduces gastrointestinal complications. These results suggest that EOF should be offered to women who have undergone C/S to improve the recovery experience and reduce overall medical costs.

• 한국소음진동공학회논문집
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• 제17권6호
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• pp.515-523
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• 2007

As environmental vibration requirements on precision equipments get more stringent, use of pneumatic vibration isolators becomes more crucial and, hence, their dynamic performance needs to be further improved. Dynamic behavior of those pneumatic vibration Isolation tables is very important to both manufacturer and customer as performance specifications. Together with conventional transmissibility, transient response characteristics are another critical performance index especially when movements of components, e.g., x-y tables, of the precision equipments are very dynamic. In this paper, analysis on transient response of a pneumatic vibration isolation table loaded by a mass moving on it is presented. This is a conventional dynamics problem on a rigid body with 6 degree of freedom and a mass with another degree of freedom. How to obtain transient responses of the isolation table is described when the movements of the mass are prescribed relative to the table.

• 항공우주기술
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• 제2권1호
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• pp.171-181
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• 2003

KSR-III의 탑재부를 보호하고 있는 nose fairing은 목표 고도에 도달하면 화약 폭발에 의한 분리 장치의 작용으로 탑재부가 주어진 임무를 수행할 수 있도록 로켓으로부터 떨어져 나가도록 설계되어 있다. 이때 분리된 fairing이 로켓에 부딪치지 않고 안전하게 분리될 수 있게 하기 위해서는 적절한 크기의 분리력이 가해져야 하며, 이러한 분리력의 결정에 있어서 공기의 영향이 거의 없는 고도도 조건을 가정하였다. 그러나 KSR-III의 설계가 진행됨에 따라 발사체의 임무에 수정이 가해졌으며, fairing의 분리도 고도고가 아닌 공력의 영향이 상당 부분 남아 있는 고도 45km에서 이루어질 것으로 예상됨으로써 이러한 새로운 조건에서도 충분히 안전한 분리를 이룰 수 있는 지의 여부에 대한 확인이 필요하게 되었다. 본 연구에서는 병렬형 부스터 분리 운동 해석을 위해 개발되었던 6자유도 운동방정식 해석 프로그램인 PASEM을 fairing 힌지를 모사할 수 있도록 수정을 가하여 fairing의 분리 운동을 예측하였다. 먼저 지상 시험 결과와의 비교를 통하여 힌지 운동 모사의 정확도를 검증하고 정확한 분리 조건을 설정하였다. 다음으로 고도 45km에서 받음각, 중력 작용 방향, 돌풍의 존재 여부 등을 바꾸어 가며 안전한 분리가 가능함을 판단하였으며, 힌지 이탈각을 60도에서 45도로 줄여줌으로써 훨씬 더 안전한 분리가 가능함을 확인하였다. 또한 발사 당일의 기상 조건의 변화에 따라 분리 고도가 40km로 낮추어져도 안전한 분리한 가능함을 알 수 있었다.

• 한국군사과학기술학회지
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• 제18권6호
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• pp.728-735
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• 2015

A gas gun system to replicate the flight motions of large caliber spin-stabilized ammunition has been investigated experimentally and numerically. The system is specially designed to study aerodynamic characteristics and dynamics of a flight body ejected from a cargo shell or a subsonic projectile itself at up to 2,000 rpm and 100 m/s. Raynolds-averaged Navier-Stokes equations with a overset mesh technique and 6-DOF dynamics were solved to decide the chamber pressure according to the muzzle velocity input by users. The predicted velocity values show less than 6 % of discrepancies compared to experimental data. The system has successfully been tested for the simulation of deployment of a parafoil for a 155 mm gun-launched projectile.

• 한국융합학회논문지
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• 제3권4호
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• pp.35-44
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• 2012

본 연구에서 모사 프로그램이 6WD/6WS를 가진 특수 목적 차량의 비정상상태 코너링 성능을 조사하기 위해 개발되었다. 6WD 차량은 비포장 도로에서 작전을 수행하기 좋은 성능을 가지고 있고 안전한 성능을 가진 것으로 신뢰받고 있다. 그러나, 6WS 차량들의 코너링 성능은 관련 문헌을 통해서는 언뜻 이해가 어렵다. 본 논문에서는 6WD/6WS 차량들은 비선형 차량 동력학, 타이어 모델, 운동학적 효과 등을 포함한 18 자유도 시스템으로 모델링 되었다. 그리고 그 차량 모델은 입/출력과 차량변수가 수식화된 접근 방법으로 쉽게 변환될 수 있도록 MATLAB/SIMULINK를 사용한 모사 프로그램으로 구성되었다. 6WS 차량의 코너링 성능은 브레이크 휠과 피봇팅 각각으로 해석되었다. 모사 결과들을 보면, 코너링 성능은 전후 휠 조향 뿐만이 아니라 중간 휠 조향에 따라 좌우됨을 보여준다. 덧붙여, 새로운 6WS 제어법칙은 측면 미끄러짐 각을 최소화하기 위해 제안되었다. 차량변경 모사 결과들은 제안된 제어법칙의 6WS 차량의 장점을 보여준다.

• 제어로봇시스템학회논문지
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• 제7권1호
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• pp.1178-1186
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• 2001

This paper presents design and analysis of a 6 degree-of-freedom new haptic device using a par-allel mechanism for interfacing with virtual reality. The mechanism is composed of three pantograph mecha-misms that, driven by ground-fixed servomotors. stand perpendicularly to the base plate. Three spherical joints connect the top of the pantograph with connecting bars, and three revolute joint connect connecting bars with a mobile joystick handle. Forward and inverse kinematic analyses have been performed and the Jacobian matrix is derived by using the screw theroy. Performance indices such as GPI(Global Payload Index), GCI(Global Conditioning index), Traslation and Orientation workspaces, and Sensitivity are evaluated to find optimal pa-rameters in the design stage. The proposed haptic mechanism has better load capability than those of the ex-isting haptic mechanisms due to the fact that motors are fixed at the base. It has also wider orientation work-space mainly due to RRR type spherical joints.

• 한국군사과학기술학회지
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• 제17권6호
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• pp.793-799
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• 2014

EO GRD(Ground Resolved Distance) resolution of airborne EO/IR(Electro-Optical/Infrared) sensor is a critical factor in test and evaluation for EO sensor performance. We propose the laboratory measurement set-up for EO GRD by constructing optical collimator which includes integrated sphere, blackbody, equivalent 3-bar target and 6 DOF motion simulator. GRD is measured in the photographic imagery of bar targets by 3 different distances for 3 EO/IR sensors and the measured results were analyzed statistically. We found that at least 7 sheets of imagery are needed in order to obtain meaningful EO GRD. The result of statistical analysis shows that the distribution of the measured GRD is nearly symmetric about the average GRD, and the better imagery ratio above the average GRD is about 40~70%. Also from the best GRD analysis, it is estimated that the design goal for EO GRD should be 30% superior to the required GRD.

• 한국소음진동공학회논문집
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• 제18권9호
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• pp.905-912
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• 2008

Notion sickness is well known to be caused by long time exposure to the very low frequency motion in the multiple axes of human body Since the vestibular system for the perception of low frequency motion is located in the head, accurate measurement of 6 degree of freedom head motion is of great importance. In this study, the measurement system consisting of a safety helmet and 9 translational accelerometers was constructed for the estimation of 3 translational and 3 rotational motions of human head. Since estimation errors of 3 rotational components can be significantly magnified even by small offset of the sensitivity axis from the geometric center of an accelerometer, accurate measurement of sensitivity axis must be preceded. The method for accurate estimation of the offset was proposed, and the effect of offset on the estimation of angular acceleration was investigated.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2007년도 춘계학술대회논문집
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• pp.97-102
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• 2007

As environmental vibration requirements on precision equipments get more stringent, use of pneumatic vibration isolators becomes more crucial and, hence, their dynamic performance needs to be further improved. Dynamic behavior of those pneumatic vibration isolation tables is very important to both manufacturer and customer as performance specifications. Together with conventional transmissibility, transient response characteristics are another critical performance index especially when movements of components, e.g., x-y tables, of the precision equipments are very dynamic. In this paper, analysis on transient response of a pneumatic vibration isolation table loaded by a mass moving on it is presented. This is a conventional dynamics problem on a rigid body with 6 degree of freedom and a mass with another degree of freedom. How to obtain transient responses of the isolation table is described when the movements of the mass are prescribed relative to the table.