• 로봇학회논문지
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• 제8권4호
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• pp.273-282
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• 2013

The purpose of this study was to investigate effect of robot-assisted hand rehabilitation(Amadeo(R)) on hand motor function in chronic stroke patients. This study used a single-subject experimental design with multiple baselines across individuals. Three chronic stroke survivors with mild to sever motor impairment took part in study. Each participants had 2 weeks interval of starting intervention. Participants received robot-assisted therapy(45min/session. 3session/wk for 6wks). Finger active range of motion(AROM) was assessed by Range of Assessment program in Amadeo(R), and test-retest reliability was verified using Pearson correlation analysis. To investigate effect of Amadeo(R), finger AROM was measured immediately after each sessions and Fugl-Meyer Assessment of Upper extremity, Motor Activity Log, Nine hole peg board test and Jebsen-Taylor hand motor function test were assessed at pre-post intervention. Results were analyzed by visual analysis and comparison of pre-post tests. The test-retest reliability of Range of Assessment was good(r=.99). After robot-assisted therapy, finger AROM of participant 1, 2, and 3 was respectively improved by 18%, 3.6%, and 6% each. Hand motor function of participant 1, 3 was improved on all four tests, but not effect in participant 2. Robot-assisted hand rehabilitation could improve finger AROM and effect on hand motor function in chronic stroke patients.

• Journal of Gastric Cancer
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• 제4권2호
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• pp.75-81
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• 2004

Recently detection of early gastric cancer (EGC) has been increasing and the treatment strategies for gastric cancer have been changing. The purpose of this study was to compare clinical outcomes between laparoscopically assisted (LADG) and hand-assisted laparoscopic gastrectomy (HALDG) and open distal gastrectomy for early gastric cancer. This review is directed toward providing gastric surgeons with recent advances in the treatment of EGC. We investigated the English language literature for the past 12 years through computer searches which focused on : 1) Patient demographics, 2) Operation time, 3) Intra-operative blood loss, 4) Depth of invasion, 5) CBC, 6)Weight loss, 7) Analgesic requirement, 8)Time NPO, 9) Length of hospital stay, 10) Tumor stage, 11) Lymph node (LN) dissection, 12) Position of LN resected, 13) Complications. Improved operative techniques and surgical instrumentation have facilitated the development of minimally invasive gastric cancer surgery. The short-term benefits of laparoscopic gastrectomy included less surgical trauma, less pain, rapid return of gastrointestinal function, and shorter hospital stay, with no change in operative outcome. Laparoscopic gastrectomy was better accepted by the patients as a good procedure and promptly brought the patients back to their previous lifestyle and activities of daily living. But the advantages of HALDG for gastric cancer, extended lymph node dissection and intracorporeal anastomosis are feasible and easier with the presence of the internal hand. The hand-assisted laparoscopic (HALDG) method reported the best results in lymph node dissection.This method is an alternative to total laparoscopic radical gastrectomy. LADG and HALDG, when compared with conventional open gastrectomy, have several advantages. When performed by a skilled surgeon, LADG and HALDG are safe and useful techniques for patients with early-stage gastric cancer. Their appropriateness for gastric cancer surgery require further study.

• Journal of Gastric Cancer
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• 제12권2호
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• pp.120-125
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• 2012

Purpose: Mechanical stapler is regarded as a good alternative to the hand sewing technique, when used in gastric reconstruction. The circular stapling method has been widely applied to gastrectomy (open orlaparoscopic), for gastric cancer. We illustrated and compared the hand-sutured method to the circular stapling method, for Billroth-II, in patients who underwent laparoscopy assisted distal gastrectomy for gastric cancer. Materials and Methods: Between April 2009 and May 2011, 60 patients who underwent laparoscopy assisted distal gastrectomy, with Billroth-II, were enrolled. Hand-sutured Billroth-II was performed in 40 patients (manual group) and circular stapler Billroth-II was performed in 20 patients (stapler group). Clinicopathological features and post-operative outcomes were evaluated and compared between the two groups. Results: Nosignificant differences were observed in clinicopathologic parameters and post-operative outcomes, except in the operation times. Operation times and anastomosis times were significantly shorter in the stapler group (P=0.004 and P<0.001). Conclusions: Compared to the hand-sutured method, the circular stapling method can be applied safely and more efficiently, when performing Billroth-II anastomosis, after laparoscopy assisted distal gastrectomy in patients with gastric cancer.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.121-126
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• 2011

Purpose: Vaccum-assisted closure (VAC) has rapidly evolved into a widely accepted treatment of contaminated wounds, envenomations, infiltrations, and wound complications. This results in a sealed, moist environment where tissue is given the opportunity to survive as edema is removed and perfusion is increased. Many plastic surgeons now place a VAC device directly over the fasciotomy site at the time of the initial procedure. Large amounts of the fluid are withdrawn, and fasciotomies can be closed primarily sooner. This study was designed to observe the effect of VAC in preventing complications in snake bitten hands. Methods: In our study of three cases of snake bite, three of them underwent the VAC treatment & fasciotomy of the wound in the hand. This cases, the posterior compartment of the hand was bitten for a few days, releasing incisions were made of the posterior hand and 125 mmHg of continuous vacuum was applied to fasciomy incision site and the biting wound. The dressings were changed three times per week. Results: Our study examining the effects of applied vacuum in preventing snake bite wounds showed that the incidence of tissue necrosis and compartment syndrome was significantly lower for vacuum-treated wounds than for conservative wounds. Serum myoglobin, CK-MB, and CPK levels measured after fasciotomy incision were significantly decreased. We obtained satisfactory results from early dorsal fasciotomy, drainage of the edema with the VAC system, and then primary closure. The postoperative course was uneventful. Conclusion: Envenomation is a term implying that sufficient venom has been introduced into the body to cause either local signs at the site of the bite and/or systemic signs. Use of the vacuum-assisted closure device in snake bite can result in a decreased rate of tissue necrosis, lymphatic fluid collection, hemolytic fluid collection, and edema. Early fasciotomy of the dorsal hand and VAC apply is the alternative treatment of the snake bite.

• Archives of Plastic Surgery
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• 제40권4호
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• pp.320-326
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• 2013

Robotically assisted microsurgery or telemicrosurgery is a new technique using robotic telemanipulators. This allows for the addition of optical magnification (which defines conventional microsurgery) to robotic instrument arms to allow the microsurgeon to perform complex microsurgical procedures. There are several possible applications for this platform in various microsurgical disciplines. Since 2009, basic skills training courses have been organized by the Robotic Assisted Microsurgical and Endoscopic Society. These basic courses are performed on training models in five levels of increasing complexity. This paper reviews the current state of the art in robotically asisted microsurgical training.

• 한국응급구조학회지
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• 제14권2호
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• pp.5-12
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• 2010

Purpose : The comparative effectiveness of without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCPR) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR) in CPR. Methods : The CPR instruction to 774 students and faculties in universities and colleges. There selected without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCRP) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR). Compare the effectiveness to sills performance of DCPR and NDCPR students and faculties of according to the CPR. Results : 397(51%) students and faculties was DCPR and 377(49%) students and faculties was NDCPR. There was no difference in the compression depth, hand position, adequacy of recoil, volume of ventilation, self-confidence, and willingness to do CPR between the two instructional methods. Conclusion : Under the guide of dispatcher-assisted CPR instruction integrated into mobil phone, novice could perform more effective CPR. This method could be used as a supplement to CPR practice and skill retention.

• Journal of Chest Surgery
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• 제57권4호
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• pp.339-341
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• 2024

• 대한의용생체공학회:의공학회지
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• 제9권2호
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• pp.239-246
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• 1988

This paper describes the design and implementation of personal computer assisted karyotyping system of Giemsa stained chromosomes. The system consists of an Image Acquisition Module being capable of $256 {\times} 256$ pixels and its relevent software modules optimized for karyotyping. The results of karyotyping using this system with an image of chromosomes taken from the Rana Amurensis are acceptable. As a result of this study we can save our load oweing to the conventional hand- karyotyping and the high-cost computer.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2021년도 제64차 하계학술대회논문집 29권2호
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• pp.485-486
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• 2021

항공기에는 많은 시스템이 있고 다양한 장치들이 있다. 이 장치들은 사용자의 명령을 입력받아 사용되는데 자동을 제외한 거의 모든 시스템들은 사용자의 직접적인 조작으로 작동된다. 하지만 여전히 완전 자동화는 되지 않아 사소하고 섬세한 부분에서 조종사는 수동으로 작동시켜 주어야하는 부분들이 있다. 사소한 부분들을 신경써야 하기에 조종사에게 피로는 필수적을 따라왔다. 본 연구에선 현재의 기술에서 더 나아가 음성인식(STT, TTS)을 활용하여 항공기의 다양한 장치들을 원격제어할 수 있게 개발하여 완전 자동화를 목적으로 한다. 음성을 이용한 방식은 조종사에게 손을 사용하지 않는 편리함을 제공한다. 조종사에게 원거리에서 음성으로 조작할 수 있게 해줌으로써 손을 사용하여 조작하지 않아 편의성을 제공할 수 있고 명령을 통해 컴퓨터가 처리함으로써 조종이 간단해진다. 본 연구로 인해 사소한 부분까지 신경쓸 필요가 없어져 조종사의 실수나 피로로인해 일어나는 사고를 방지할 수 있다.

• Journal of Chest Surgery
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• 제42권5호
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• pp.645-648
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• 2009

저자들은 우리나라에서는 처음으로 복강경을 이용한 수기보조 방법으로 복부 대동맥류 치환술을 시행하였다. 환자는 67세 남자였으며, 복부 대동맥류의 직경은 약 5.8 cm였다. 첫 단계로 상복부에 6 cm 절개선을 내고, 복강경하에서 집도의의 왼손을 이용하여 대동맥류 주위를 박리하였다. 근위부 문합은 절개창을 통하여 직접 하였으며, 인조혈관의 양쪽 다리를 후복막을 통하여 양족 서혜부에서 총대퇴동맥과 단측문합하였다. 환자는 술 후 6시간 후 경구 식이를 시작하였으며, 술 후 4일째 퇴원하였다.