• Journal of Digestive Cancer Research
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• 제4권2호
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• pp.99-106
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• 2016

Minimally invasive surgery for gastric cancer has increased in popularity during the last two decades mainly in the Asia for patients with early-stage cancer. Nevertheless, the development of laparoscopic surgery for gastric cancers in the Western world has been slow because of the advanced stage at diagnosis for which LG is not yet considered an acceptable alternative to standard open surgery. RAG has been reported as a safe alternative to conventional surgery for treating of early gastric carcinoma. We assess the current status of robotic surgery in the treatment of gastric cancer focusing on the technical details, postoperative outcome, oncological considerations and future perspectives. In gastrectomy the biggest advantage of the robotic approach is the ease and reproducibility of lymphadenectomy. Reports also show that even the intra corporeal digestive restoration is facilitated by use of the robotic approach, particularly following TG. Additionally, the accuracy of robotic dissection is confirmed by decreased blood loss in comparison to conventional laparoscopy. The learning curve and technical reproducibility also appear to be shorter with robotic surgery and, consequently, robotics can help to standardize and diffuse minimally invasive surgery in the treatment of gastric cancer. While published reports have shown no significant differences in surgical morbidity, mortality, or oncological adequacy between robot-assisted and conventional gastrectomy. There are some advantages in terms of postoperative recovery of patients after robotic surgery. More studies are needed to assess the true indications and oncological effectiveness of robotic use in the treatment of gastric carcinoma.

• 한국직업건강간호학회지
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• 제15권2호
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• pp.153-164
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• 2006

Purpose: This study aimed to develop hypertension control programs and to analyse their effects in small scale enterprises(SSE). Method: One program was based on 'Transtheoretical Model and Stages of Change' and named 'Individual Approach'. Another program was based on 'Ecological Model' added to the former theory and named 'Integrating Approach'. The target population of the programs are 33 and 34 workers each. The two intervention programs were conducted for 18 weeks after a pre-intervention survey. Immediately after the programs end, first post-intervention survey was done, and second post-intervention survey was done after 28 weeks. Results: First, at the beginning of intervention, the target workers were evenly distributed over the five stages of Transtheoretical Model. But after the intervention, all workers were found in the maintenance stage. Second, the blood pressure level was diminished in the two programs. In Individual Approach, the workers have lost systolic blood pressure by 17.3 mmHg and diastolic blood pressure by 11.8mmHg. In Integrating Approach, the workers have lost systolic blood pressure by 20.0mmHg and diastolic blood pressure by 15.0mmHg. Conclusion: Integration Approach is more favorable than Individual Approach as an intervention program of hypertension in small scale enterprises.

• Journal of Korean Neurosurgical Society
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• 제62권1호
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• pp.61-70
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• 2019

Objective : Corpectomy of the first lumbar vertebra (L1) for the management of different L1 pathologies can be performed using either an anterior or posterior approach. The aim of this study was to evaluate the usefulness of a retroperitoneal extrapleural approach through the twelfth rib for performing L1 corpectomy. Methods : Thirty consecutive patients underwent L1 corpectomy between 2010 and 2016. The retroperitoneal extrapleural approach through the 12th rib was used in all cases to perform single-stage anterior L1 corpectomy, reconstruction and anterior instrumentation, except for in two recurrent cases in which posterior fixation was added. Visual analogue scale (VAS) was used for pain intensity measurement and ASIA impairment scale for neurological assessment. The mean follow-up period was 14.5 months. Results : The sample included 18 males and 12 females, and the mean age was 40.3 years. Twenty patients (67%) had sensory or motor deficits before the surgery. The pathologies encountered included traumatic fracture in 12 cases, osteoporotic fracture in four cases, tumor in eight cases and spinal infection in the remaining six cases. The surgeries were performed from the left side, except in two cases. There was significant improvement of back pain and radicular pain as recorded by VAS. One patient exhibited postoperative neurological deterioration due to bone graft dislodgement. All patients with deficits at least partially improved after the surgery. During the follow-up, no hardware failures or losses of correction were detected. Conclusion : The retroperitoneal extrapleural approach through the 12th rib is a feasible approach for L1 corpectomy that can combine adequate decompression of the dural sac with effective biomechanical restoration of the compromised anterior loadbearing column. It is associated with less pulmonary complication, no need for chest tube, no abdominal distention and rapid recovery compared with other approaches.

• 한국사회복지학
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• 제58권4호
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• pp.291-312
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• 2006

본 연구는 행동심리학의 견고한 이론적 기반을 가지고 북미에서 약물남용자에게 효과성이 실증적으로 입증된 접근방법인 인센티브치료를 국내 지역사회기관에서 두 명의 알코올남용클라이언트에게 실시하고 그 효과성을 알아보는 것을 목적으로 한 탐색적 조사이다. 이를 위해 ABA단일체계설계를 활용하여 총 12주간의 기초선 단계, 인센티브치료 개입단계, 개입철회단계동안 표적행동으로 클라이언트의 음주여부를 음주측정기로 측정하였다. 시행결과 음주사용의 감소가 인센티브치료 개입단계 중반 무렵부터 발생하였다. 개입철회단계에서는 한 사례의 경우 다시 음주가 시작된 반면, 또 한 사례에서는 단주가 유지되어 일관된 결과를 발견할 수 없었다. 하지만 인센티브치료는 알코올남용자의 단주에 대한 동기를 유발시켜 지속적인 심리사회적 상담 및 사회복지개입의 기회를 제공한다는 점에서 지역사회에서 실행가능성이 높은 방법임이 제시되었다.

• Smart Structures and Systems
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• 제15권3호
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• pp.665-682
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• 2015

Structural identification or St-Id is 'the parametric correlation of structural response characteristics predicted by a mathematical model with analogous characteristics derived from experimental measurements'. This paper describes a St-Id exercise on Humber Bridge that adopted a novel two-stage approach to first calibrate and then validate a mathematical model. This model was then used to predict effects of wind and temperature loads on global static deformation that would be practically impossible to observe. The first stage of the process was an ambient vibration survey in 2008 that used operational modal analysis to estimate a set of modes classified as vertical, torsional or lateral. In the more recent second stage a finite element model (FEM) was developed with an appropriate level of refinement to provide a corresponding set of modal properties. A series of manual adjustments to modal parameters such as cable tension and bearing stiffness resulted in a FEM that produced excellent correspondence for vertical and torsional modes, along with correspondence for the lower frequency lateral modes. In the third stage traffic, wind and temperature data along with deformation measurements from a sparse structural health monitoring system installed in 2011 were compared with equivalent predictions from the partially validated FEM. The match of static response between FEM and SHM data proved good enough for the FEM to be used to predict the un-measurable global deformed shape of the bridge due to vehicle and temperature effects but the FEM had limited capability to reproduce static effects of wind. In addition the FEM was used to show internal forces due to a heavy vehicle to to estimate the worst-case bearing movements under extreme combinations of wind, traffic and temperature loads. The paper shows that in this case, but with limitations, such a two-stage FEM calibration/validation process can be an effective tool for performance prognosis.

• Journal of Multimedia Information System
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• 제2권2호
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• pp.193-206
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• 2015

In this paper a new approach for image encryption based on quadruple encryption with dual chaotic maps is proposed. The encryption process is performed with quadruple encryption by invoking the encrypt and decrypt routines with different keys in the sequence EDEE. The decryption process is performed in the reverse direction DDED. The key generation for the quadruple encryption is achieved with a 1D Circle map. The chaotic values for the encrypt and decrypt routines are generated by using a 2D Henon map. The Encrypt routine E is composed of three stages i.e. permutation, pixel value rotation and diffusion. The permutation is achieved by: row and column scrambling with chaotic values, exchanging the lower and the upper principal and secondary diagonal elements based on the chaotic values. The second stage circularly rotates all the pixel values based on the chaotic values. The last stage performs the diffusion in two directions (forward and backward) with two previously diffused pixels and two chaotic values. The security and performance of the proposed scheme are assessed thoroughly by using the key space, statistical, differential, entropy and performance analysis. The proposed scheme is computationally fast with security intact.

• 산업경영시스템학회지
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• 제44권3호
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• pp.248-261
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• 2021

Scientific and technological performances (e.g., patents and publications) made through R&D play a pivotal role for national economic growth. National governments encourage academia-industry cooperation and thereby pursue continuous development of science technology and innovation. Increasing R&D-related investments and manpower are crucial for national industrial development, but evidence of poor performance in business performance, efficiency, and effectiveness has recently been found in Korea. This study evaluates performance efficiency of the 6T sector (Information Technology, Bio Technology, Nano Technology, Space Technology, Environment Technology, Culture Technology), which is considered a high-potential promising industry for the next generation growth and currently occupies two thirds of the national R&D projects. The study measures the relative efficiency of R&D in a comparative perspective by employing the Data Envelopment Analysis (DEA) method. The result reveals overall low efficiency in basic R&D (0.2112), applied R&D (0.2083), development R&D (0.2638), and others (0.0641), confirming that economic performance and efficiency were relatively poor compared to production efficiency. Efficient R&D needs policy makers to create strategies that can increase overall efficiency by improving productivity performance and quality while increasing economic performance.

• International journal of advanced smart convergence
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• 제10권1호
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• pp.151-158
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• 2021

The main cause of ulcer is pressure, which starts to develop when the critical body pressure (32mmHg) is exceeded, and when the critical time elapses, ulcer occurs. In this study, the keyboard mechanism of the medical bed with 4 bar links was adopted, and each key can be controlled vertically. A key has one servo drive and one sensor controller which hasseveral body pressure sensors. The sensor controllers and the servo drives are connected to the main controller by two CAN (Car Are Network) in series, respectively. By reading the maximum body pressure value of each keyboard sensor, and by calculating the error value based on the critical body pressure, the fuzzy controller moves each key so that the total error becomes zero. If the fuzzy controller fails, then it prevents ulcer by lifting and lowering the keys of the bed alternatively within a short time. Thus, the controller operates in two-stage. The validity and effectiveness of the proposed approach have been verified through experiments.

• 제어로봇시스템학회논문지
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• 제17권5호
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• pp.490-498
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• 2011

In this paper, we present a two-stage vision-based approach to detect multi views of pedestrian in road scene images. The first stage is HG (Hypothesis Generation), in which potential pedestrian are hypothesized. During the hypothesis generation step, we use a vertical, horizontal edge map, and different colors between road background and pedestrian's clothes to determine the leg position of pedestrian, then a novel symmetry peaks processing is performed to define how many pedestrians is covered in one potential candidate region. Finally, the real candidate region where pedestrian exists will be constructed. The second stage is HV (Hypothesis Verification). In this stage, all hypotheses are verified by Support Vector Machine for classification, which is robust for multi views of pedestrian detection and recognition problems.

• 경영과학
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• 제13권2호
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• pp.193-203
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• 1996

There is no generally accepted definition of information technology (IT) although this is an important issue in the management information systems (MIS) area. In an effort to address this issue, the evolution of IT is reviewed from a historical perspective. A historical review on IT suggests that its evolution be broken down into three stages in a systematic way. Further, the identification of mainstream research interests at each stage makes a contribution in part to defining IT. Two approaches to defining IT are identified, and limitations of each approach are discussed. Finally, a better way to address these limitations is suggested.