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Analysis of Laparoscopy-assisted Gastric Cancer Operations Performed by Inexperienced Junior Surgeons

  • Zhang, Xing-Mao;Wang, Zheng;Liang, Jian-Wei;Zhou, Zhi-Xiang
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권12호
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    • pp.5077-5081
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    • 2014
  • To clarify whether gastric cancer patients can benefit from laparoscopy-assisted surgery completed by junior surgeons under supervision of expert surgeons, data of 232 patients with gastric cancer underwent operation performed by inexperienced junior surgeons were reviewed. Of the 232 patients, 137 underwent laparoscopy-assisted resection and in 118 cases this approach was successful. All of these 118 patients were assigned to laparoscopic group in this study, 19 patients who were switched to open resection were excluded. All laparoscopic operations were performed under the supervision of expert laparoscopic surgeons. Some 95 patients receiving open resection were assigned to the open group. All open operations were completed independently by the same surgeons. Short-term outcomes including oncologic outcomes, operative time intra-operative blood loss, time to first flatus, time to first defecation, postoperative hospital stay and perioperative complication were compared between the two groups. The numbers of lymph nodes harvested in the laparoscopic and open groups were $21.1{\pm}9.6$ and $18.2{\pm}9.7$ (p=0.029). There was no significant difference in the length of margins. The mean operative time was $215.9{\pm}32.2$ min in laparoscopic group and $220.1{\pm}34.6min$ in the open group (p=0.866), and the mean blood loss in laparoscopic group was obviously less than that in open group ($200.9{\pm}197.0ml$ vs $291.1{\pm}191.4ml$; p=0.001). Time to first flatus in laparoscopic and open groups was $4.0{\pm}1.0$ days and $4.3{\pm}1.2$ days respectively and the difference was not significant (p=0.135). Similarly no statically significant difference was noted for time to first defecation ($4.7{\pm}1.6$ vs $4.8{\pm}1.6$, p=0.586). Eleven patients in the laparoscopic group and 19 in the open group suffered from peri-operative complications and the difference between the two groups was significant (9.3% vs 20.0%, p=0.026). The conversion rate for laparoscopic surgery was 13.9%. Patients with gastric cancer can benefit from laparoscopy-assisted operations completed by inexperienced junior surgeons under supervision of expert laparoscopic surgeons.

오픈소스 플랫폼 기반의 실시간 환자 대기시간 모니터링 시스템 설계 (A System Design for Real-Time Monitoring of Patient Waiting Time based on Open-Source Platform)

  • 류우석
    • 한국정보통신학회논문지
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    • 제22권4호
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    • pp.575-580
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    • 2018
  • 본 논문에서는 병원에서 환자의 대기시간을 실시간으로 모니터링하기 위한 오픈소스 기반의 시스템을 제안한다. 환자의 위치 데이터를 실시간으로 분석, 처리하기 위한 고성능 스트림 처리 시스템을 비용 효율적으로 구축하기 위해서는 오픈소스 프로젝트를 활용하는 것이 필요하다. 빅데이터를 처리하기 위한 오픈 소스 시스템으로 다양한 하둡 서브프로젝트들로 구성된 하둡 에코시스템이 있다. 본 논문에서는 먼저 시스템 요구사항을 정의하고 하둡 에코시스템에서 이를 만족시키기 위한 몇 가지 오픈소스 프로젝트들을 선정한다. 그리고, 선정된 아파치 스파크, 아파치 카프카 등을 이용한 시스템 구조 설계 및 상세 모듈 설계를 제안한다. 제안된 시스템은 기존 시스템과의 연계 및 오픈소스 프로젝트를 통해 구축비용을 절감할 수 있으며, 또한 분산 스트림 처리를 통해 고성능과 안정성을 확보할 수 있다.

외과 점액낭염의 내시경적 방법과 개방적 점액낭 절제술의 비교 연구 (Endoscopy versus Open Bursectomy of Lateral Malleolar Bursitis; Comparative Study)

  • 최재혁;김정렬;김동현;정우철;윤정로;오성록;이경태
    • 대한족부족관절학회지
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    • 제15권2호
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    • pp.92-96
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    • 2011
  • Purpose: To compare the result of endoscopic versus open bursectomy in lateral malleolar bursitis, which was not treated conservatively. Materials and Methods: Between January 2008 and October 2009, We divided to two groups, endoscopy (group A) 11 cases, open bursectomy (group B) 11 cases. The average follow up period was 15 months (range, 12 to 18), the mean age was 66 (range, 38 to 79). We compared patients satisfaction, complete healing time, operation time, complications and recurrence. Results: Group A had significant difference in terms of the clinical satisfactions, complete healing time. operation time, complications. Group A showed satisfaction (excellent 9, good 2), mean complete healing time 11.9 (8~14) days, operation time 37 (25~45) minutes, 1 case recur. Group B showed satisfaction (excellent 4, good 3, fair 1, poor 3), complete healing time 32.7 (14~98) days, operation time 22 (18~26) minutes. complication were one case of skin necrosis, one case of wound dehiscence, two cases of superficial peroneal nerve injury, no recurrence. Significant advantages of endoscopic method include lower morbidity and rapid wound healing period (p<0.05). Conclusion: Endoscopic resection of the lateral malleolar bursitis is a promising technique and shows favourable results compared to the open resection. Significant advantages of this method include lower morbidiy and rapid wound healing.

족부 및 족관절의 개방성 골절 환자에서 음압 치료와 실버 드레싱 제재 복합 치료의 유용성 (The Effectiveness of Vacuum-Assisted Closure (V.A.C) Dressing combined with Silver Dressing Material in Open Fracture of the Foot and Ankle)

  • 이유상;조재호;박 진;한승환
    • 대한족부족관절학회지
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    • 제12권2호
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    • pp.156-162
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    • 2008
  • Purpose: Open fractures of the foot and ankle require prompt repair of the wound due to the complexity of anatomy, insufficiency of soft tissues and inadequate blood supply. Early flaps and skin grafts are used for this purpose yet general condition of the patient as well as local wound environment often precludes such treatment options. Vacuum- Assisted Closure (VAC) is recently being used in such cases. This study was done to validate the use of VAC together with silver antimicrobial dressing materials in contaminated open fracture wounds. Materials and Methods: We have selected 10 patients with Gustillo-Anderson type III open fractures of the foot & ankle treated with VAC and silver antimicrobial dressing materials from March 2007 to January 2008. The relationship between duration of treatment with wound size, contamination, and degree of soft tissue damage was analyzed. Results: The average age of patients was 36.6 years. The average amount of VAC application time was 23.4 days. Silver dressing materials were used for 16.8 days. Average wound healing time was 51.9 days. Statistically significant relationship was found between wound size, VAC application time and silver dressing material application time. No complications such as osteomyelitis were found after treatment. Conclusion: VAC technique is recently being used in open fractures with wide skin and soft tissue defects, producing good results. A wide array of dressing materials such as silver dressing is in development. We have incorporated the VAC technique together with silver dressing materials in the treatment of open fractures and achieved complication free results.

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딥러닝과 교통정보 Open API를 이용한 시각장애인 버스 탑승 보조 시스템에서 딥러닝 알고리즘 성능 비교 (Comparison of Deep Learning Algorithm in Bus Boarding Assistance System for the Visually Impaired using Deep Learning and Traffic Information Open API)

  • 김태홍;여길수;정세준;유윤섭
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2021년도 추계학술대회
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    • pp.388-390
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    • 2021
  • 본 논문은 키패드, 도트매트릭스, 라이다센서, NFC 리더기를 부착한 임베디드 보드와 공공데이터포털 Open API 시스템과 딥러닝 알고리즘(YOLOv5)를 사용하여 시각장애인의 버스 탑승에 도움을 줄 수 있는 시스템을 소개한다. 이용자는 NFC 리더기 및 키패드를 통해 희망하는 버스번호를 입력한 뒤, Open API 실시간 데이터를 통해 해당 버스의 위치 및 도착예정시간 정보를 시스템에 입력해놓은 음성 출력을 통해 얻는다. 또한 도트매트릭스로 버스번호를 출력하여 기사와의 상호작용을 대기함과 동시에 딥러닝 알고리즘(YOLOv5)은 정차하는 버스 번호를 실시간 인식하고 거리센서로 버스와의 거리를 감지하여 정차유무정보를 확인, 전달하는 시스템을 제안한다.

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OpenMP 병렬프로그램을 이용한 그물의 수중형상 시뮬레이션 구현 (Implementation of Underwater Simulation of a Net using OpenMP)

  • 박명철;박석규
    • 한국컴퓨터정보학회논문지
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    • 제13권2호
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    • pp.11-17
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    • 2008
  • 수중에서 그물의 형상변화는 다양한 벡터에 의해 영향을 받게 된다. 그러나 그물의 각 입자마다 모든 벡터의 영향을 계산하는 것은 정확성과 사실성은 증대하지만, 방대한 계산량으로 처리 시간이 많이 소요된다. 기존의 시뮬레이션 방법들은 물리적 사실성을 희생하고 시각적인 사실성을 유지하는 범위에서 수중 가상현실을 시뮬레이션으로 구현하였다. 본 논문에서는 입자들의 병렬처리를 통하여 물리적, 시각적 사실성을 모두 만족하는 시뮬레이션을 제안한다. 병렬처리를 위해서는 OpenMP를 이용하였고, 사실적 그래픽 표현은 OpenGL을 사용하여 구현하였다. 본 논문에서 구현한 시뮬레이션은 게임 및 해양수산 분야에서 모델분석이나 전문가 시스템구축을 위한 기초자료로 활용될 수 있을 것이다.

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리얼타임 리눅스기반 개방향제어기 개발 (Development of Real time Linux-based Open Architecture Controller)

  • 조영준;강희석;김영진;강성복;서연곤
    • 제어로봇시스템학회논문지
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    • 제9권10호
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    • pp.816-821
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    • 2003
  • In the manufacturing industries, agility and flexibility are the key issues to meet the various market demands. From this point of view, open architecture control has many advantages. This paper suggests a real-time Linux-based open architecture controller. Linux-based and windows-based controllers are compared in several aspects, and Linux is shown to be advantageous over the windows. With the user friendly GUI, the suggested controller is applied to the X-Y stage which is made of two linear motors. Path following and repeatability performances are successfully observed, which shows the validity of the suggested controller.

A Current Dynamic Analysis Based Open-Circuit Fault Diagnosis Method in Voltage-Source Inverter Fed Induction Motors

  • Tian, Lisi;Wu, Feng;Shi, Yi;Zhao, Jin
    • Journal of Power Electronics
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    • 제17권3호
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    • pp.725-732
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    • 2017
  • This paper proposed a real-time, low-cost, fast transistor open-circuit fault diagnosis method for voltage-source inverter fed induction motors. A transistor open-circuit changes the symmetry of the inverter topology, leading to different similarities among three phase load currents. In this paper, dynamic time warping is proposed to describe the similarities among load currents. The proposed diagnosis is independent of the system model and needs no extra sensors or electrical circuits. Both simulation and experimental results show the high efficiency of the proposed fault diagnosis method.

소프트웨어 정의 라디오: 실시간 동영상 데이터 송수신기 구현에 대한 접근 (Software-defined Radio (SDR): An Approach to Real-Time Video Data Transceiver Implementation)

  • 유동호
    • 방송공학회논문지
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    • 제28권1호
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    • pp.149-152
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    • 2023
  • 본 논문에서는 소프트웨어 정의 라디오 (SDR: Software-defined Radio)를 활용하여 실시간 동영상 송수신기를 구현하기 위한 접근 방법을 제시한다. 이를 통해 최근 주목받고 있는 개방형 무선 접속망(O-RAN: Open Radio Access Network)을 연구하고 이를 SDR 장치와 개방형 소프트웨어를 통해 구현하고자 하는 연구자들의 접근 문턱을 낮추고 새로운 시각과 통찰력을 제공할 수 있을 것으로 기대한다.

The Effects of a Trauma Team Approach on the Management of Open Extremity Fractures in Polytrauma Patients: A Retrospective Comparative Study

  • Sakong, Seungyeob;Lim, Eic Ju;Cho, Jun-Min;Choi, Nak-Jun;Cho, Jae-Woo;Oh, Jong-Keon
    • Journal of Trauma and Injury
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    • 제34권2호
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    • pp.105-111
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    • 2021
  • Purpose: Open extremity fractures require prompt antibiotic medication and initial debridement surgery to reduce the infection rate and restore functional stabilization. We aimed to report the effects and positive outcomes of a trauma team approach on the management of open extremity fractures in polytrauma patients. Methods: This retrospective review included all polytrauma patients with open extremity fractures admitted between March 2009 and December 2019. Patients were divided into two groups according to whether they were treated before or after the implementation of the trauma team approach (March 2014). We analyzed the outcomes in each group with respect to the time interval until the doctor's arrival, total length of stay in the emergency department, the time interval until initial antibiotic treatment and operation, whether the initial operation was performed within 24 hours, and the rate of deep infections. Results: A total of 123 patients met the inclusion criteria. There were no statistically significant differences in demographic characteristics. The time interval until the doctor's arrival (64.12±49.2 minutes vs. 19.82±15.23 minutes; p=0.035) and initial antibiotic treatment (115.47±72.12 minutes vs. 48.78±30.12 minutes; p=0.023) significantly improved after implementing the trauma team approach. The union rate was not significantly different. However, the time interval until initial debridement, opportunity for initial debridement within 24 hours, and the rate of deep infections demonstrated better results. Conclusions: The reduced time interval until initial antibiotic treatment and debridement could be attributed to the positive effect of the trauma team approach on the management of open extremity fractures in polytrauma patients.