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Feasibility and Safety of Robotic Surgery for Gynecologic Cancers

  • Manchana, Tarinee;Sirisabya, Nakarin;Vasuratna, Apichai;Termrungruanglert, Wichai;Tresukosol, Damrong;Wisawasukmongchol, Wirach
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.13
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    • pp.5359-5364
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    • 2014
  • Background: To determine surgical outcomes, perioperative complications, and patient outcomes in gynecologic cancer patients undergoing robotic surgery. Materials and Methods: Surgical outcomes, including docking time, total operative time, console time, estimated blood loss (EBL), conversion rate and perioperative complications were retrospectively reviewed in 30 gynecologic cancer patients undergoing robotic surgery. Patient outcomes included recovery time and patient satisfaction, as scored by a visual analogue scale (VAS) from 0-10. Results: The operations included 24 hysterectomies with pelvic lymphadenectomy (PLD) and/or para-aortic lymphadenectomy, four radical hysterectomies with PLD, and two radical trachelectomies with PLD. Mean docking time was $12.8{\pm}9.7min$, total operative time was $345.5{\pm}85.0min$, and console time was $281.9{\pm}78.6min$. These times were decreased in the second half of the cases. There was no conversion rate. Three intraoperative complications, including one external iliac artery injury, one bladder injury, and one massive bleeding requiring blood transfusion were reported. Postoperative complications occurred in eight patients, most were minor. Only one patient had port herniation that required reoperation. Mean hospital stay was $3.5{\pm}1.7days$, and recovery time was $14.2{\pm}8.1days$. Two-thirds of patients felt very satisfied and one-third felt satisfied; the mean satisfaction score was 9.4 +0.9. Two patients with stage III endometrial cancer developed isolated port site metastasis at five and 13 months postoperatively. Conclusions: Robotic surgery for gynecologic cancer appears to be feasible, with acceptable perioperative complication rate, fast recovery time and high patient satisfaction.

A Study on the Users' Awareness of Waterfront in Busan Area - Focusing on Haeundae & Jagalchi (부산지역 수변공간에서의 수변공간의식에 관한 연구 - 해운대와 자갈치를 대상으로 -)

  • Yang, Dong-Cheon;Kon, Masayuki;Lee, Myung-Kwon
    • Journal of Navigation and Port Research
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    • v.37 no.5
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    • pp.543-549
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    • 2013
  • In this study, as waterfront space to represent the Busan, to elect (Haeundae, Minrak park, Gwangalli, APEC Naru Park, Dadaepo, Jagalchi, Taejongdae) the seven high degree of recognition, we conducted a pre-sample survey. We investigated the awareness of waterfront space to re-conducted a questionnaire survey (Haeundae, Jagalchi) the two places the property was most apparent on the basis of the result, visitors feel about waterside space. As a result, the Haeundae, has been answered ". Feels the breeze of the sea" (163 people) 81.5% of users, Jagalchi is the fruits of the sea "(111 people) 55.8% it is answered. "that can be eaten. In addition, the center of consciousness of waterfront space, we conducted an analysis of the overall satisfaction of waterfront space age group of each, depending on the desired behavior.

Acoustic Transfer Characteristic of Ship's Bridge for Whistle Sound (기적음에 대한 선박 선교의 음향전달특성)

  • 임정빈;김창경
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2004.04a
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    • pp.55-60
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    • 2004
  • The paper describes measurement techniques for an acoustic transfer characteristic of ship's bridge stimulated by a whistle sound. The response sounds, according to the opening-shutting conditions of bridge doors for T/S ‘SAENURI’, are measured by B&K 2260D equipment, and then extracted the frequency responses by B&K 7830 software. To evaluate the measured transfer characteristic, the 128th order FIR (Finite Impulse Response) filters, containing the frequency characteristic, are constructed based on the frequency sampling-based design method. Using evaluation indexes with six scales, psychological assessments by five subjects are carried out with test sounds which are convolved source sound and FIR filters. As results of tests, the test sounds gives A/sub s/=3.3∼4.7 which means the psychological sense of 'it is almost similar sound as original ones in a real world', and thus it is cleary seen tint the proposed method can be suit for the measurement of an acoustic transfer characteristic of ship's bridg.

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Development of Analysis and Evaluation Simulation System for Whistle Sound Related Marine Casualty (기적음관련 해양사고 분석·평가 시뮬레이션 시스템 개발)

  • Yim, Jeong-Bin;Kim, Chang-Kyoung
    • Journal of Navigation and Port Research
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    • v.28 no.8
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    • pp.659-666
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    • 2004
  • This paper describes Three-Dimensional Listening Simulation System (3D-LSS) which is to analyze whistle sound related marine casualties, and is to evaluate the accident situations using 3D sound by Head Related Transfer Function At first, the hree-dimensional listening model from the analysis of accident situations is proposed, and then the reproduction and evaluation methods of 3D sounds are also discussed. The system is designed to explain the accident situations and to simulate the possible situations with GUI based graphics and 3D sound reproduction. The evaluation experiments using 3D-LSS are carried out with six cases that did not known whether it is true or not the blast and listening of the whistle sound between two vessels. As results of psychological assessments by five subjects, the six cases can be analyzed clearly by visual images and audio sounds, thus the usability of 3D-LSS as one of the judgment assistant system of marine casualty is verified.

Reality Enhancement Method of Virtual Reality Based Simulator by Mutual Synergy Effect between Stereoscopic Image and Three-Dimensional Sound (입체영상과 3차원음향의 상호 상승효과에 의한 가상현실기반 시뮬레이터 현실감 증대방법)

  • Yim, Jeong-Bin;Kim, Hyeon-Ra
    • Journal of Navigation and Port Research
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    • v.27 no.2
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    • pp.145-153
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    • 2003
  • The presence-feeling enhancement method of a Virtual Reality (VR) simulator is proposed in this paper. The method is to increase realistic human feeling by mutual synergy effect between stereoscopic image and three-dimensional (3D) sound. In order to test the influence of mutual synergy effect, subject assessment with five university students is carried out using VR ship simulator having PC monitor and LCD shutter glasses. It I found that the averaged scale value of image naturalness is increased by 0.5 from $I_{nat}$=3.1 to 3.6 when blending stereoscopic images with 3D sound, and the averaged score value of sound localization is increased by 10% from $A_{SL}$ = 70~75% to $A_{SL}$ = 80~85% when blending 3D sound with stereoscopic image. In conclusion, the results show that the proposed method is able to increase the presence feeling in the VR simulator.

A Study on the Evaluation of the Logistics Service Quality of Container Terminal Operators (컨테이너터미널 운영사의 물류서비스 품질 평가에 관한 연구)

  • Park, Eun-Kyoung;Kim, Hyun-Duk;Lee, Kwang-Bae
    • Journal of Korea Port Economic Association
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    • v.25 no.1
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    • pp.47-62
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    • 2009
  • The paper attempts to identify the Logistics Service Duality of Container Terminals and to test the model by using of the Analytic Hierarchy Process(AHP). Also, the research assess the practical competitiveness of Container Terminals in Kwangyang by Fuzzy technique. To conclude, we can make the following observations: (1) we classifies the Logistic Service Quality into five attributes such as Tangibility, Reliability, Responsiveness, Assurance, Empathy, (2) Assurance is drawn to the most important attribute, (3) There is a significant disparity between the operators and the users in the relative importance of the Logistics Service Quality Attributes of Container Terminal, (4) In the result of analysis of the terminals' competitiveness, C Terminal is extracted as the most superior operator. In Addition, we hope to provide useful contribution to increase Gwangyang container terminal's competitiveness and offer some insight in further research.

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Analysis of GPS Signal Acquisition Performance

  • Li, Xiaofan;Manandhar, Dinesh;Shibasaki, Ryosuke
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.2
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    • pp.229-234
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    • 2006
  • Acquisition is to detect the presence of the GPS signal. Once the signal is detected, the estimated frequency and code phase are passed to a tracking loop to demodulate the navigation data. In order to detect the weak signal, multiple length of data integration is always needed. In this paper, we present five different acquisition approaches based on circular correlation and Fast Fourier Transform (FFT), using coherent as well as non-coherent integration techniques for the multiple length of collected GPS satellite signal. Moreover a general approach of determining the acquisition threshold is introduced based on noise distribution which has been proved effective, and independent of the hardware. In the end of this paper, the processing speed and acquisition gain of each method are illustrated, compared, and analyzed. The results show that coherent approach is much more time consuming compared to noncoherent approaches, and in the case of multiple length of data integration from 2ms to 8ms, the processing times consumed by the fastest non-coherent acquisition method are only 25.87% to 1.52% in a single search, and 34.76% to 1.06% in a global search of those in the coherent acquisition. However, coherent acquisition also demonstrates its better performance in the acquisition gain, and in the case of 8ms of data integration it is 4.23 to 4.41 dB higher than that in the non-coherent approaches. Finally, an applicable scheme of combining coherent and non-coherent acquisition approaches in the development of a real-time Software GPS receiver in the University of Tokyo is provided.

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Analysis of Pseudolite Augmentation for Vessel Berthing

  • Cho, Deuk-Jae;Park, Sang-Hyun;Suh, Sang-Hyun
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.1
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    • pp.15-19
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    • 2006
  • GPS has been increasingly exploited to provide positioning and navigation solutions for a variety of applications. In vessel berthing application, however, there are stringent requirements in terms of positioning accuracy, availability and integrity that cannot be satisfied by GPS alone. This is because the performance of satellite-based positioning and navigation systems are heavily dependent on both the number and the geometric distribution of satellite tracked by receivers. Due to the limited number of GPS satellites, a sufficient number of ‘visible’ satellites cannot be sometimes guaranteed. This paper discusses some issues associated with the implementation of ground-based pseudolite augmentation for vessel berthing. Pseudolite means small transmitter that transmits GPS-like signals in local area. Actually, pseudolite can play three different roles in GPS augmentation scheme, depending on the operational conditions. Firstly, in the case of kinematic GPS operation where there are no signal blockages, and more than five satellites are available, additional pseudolites strengthen the GPS satellite-pseudolite geometry, and more accurate and reliable positioning solution can be achieved. Secondly, in the case when there are adverse GPS operational environments in which the number of tracked satellites is less than four, pseudolites can complement the GPS signals. In the third case, GPS signals are completely unavailable, such as when operated indoor. In such cases the pseudolites can replace the satellite constellation. However, the first role will be considered in this paper, since more than four satellite signals can usually be tracked in most marine applications. This paper presents that the pseudolite-augmented precise positioning system can provides continuous centimeter-level positioning accuracy through comparison analysis of RDOP simulation result of the GPS satellite constellation and the pseudolite-augmented GPS satellite constellation.

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A Study on the Decision-Making Factors of Street Turn Platform (복화운송 플렛폼 사용의사 결정요인 분석에 대한 연구)

  • Kim, Ki-Yong;Gong, Jeong-Min;Nam, Tae-Hyun;Yeo, Gi-Tae
    • Journal of Navigation and Port Research
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    • v.41 no.6
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    • pp.401-408
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    • 2017
  • The Street Turn system in South Korea has been developing continuously with the advancement of information technology; however, this has not lead to an increase of the Street Turn transportation volume. As a result, this study presents the decision-making factors for using the system from the standpoint of users of the existing Street Turn transportation system. The people who have used domestic Street Turn transportation services or who are working in a shipping company were analyzed using Fuzzy-AHP. A total of five major factors and 17 detailed factors were derived from this analysis. As a result, timeliness was selected as the most important major factor, and in particular, the information provision time (0.207) was selected as the most important factor, followed by platform use process (0.079), and number of participating shippers (0.074).

Evaluation and Selection of MEMS-Based Inertial Sensor to Implement Inertial Measurement Unit for a Small-Sized Vessel (소형 선박용 관성측정장치 개발을 위한 MEMS 기반 관성 센서의 평가와 선정)

  • Yim, Jeong-Bin
    • Journal of Navigation and Port Research
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    • v.35 no.10
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    • pp.785-791
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    • 2011
  • This paper describes the evaluation and selection of MEMS(Micro-Elect Mechanical System) based inertial sensor to fit to implement the Inertial Measurement Unit(IMU) for a small-sized vessel at sea. At first, the error model and the noise model of the inertial sensors are defined with Euler's equations and then, the inertial sensor evaluation is carried out with Allan Variance techniques and Monte Carlo simulation. As evaluation results for the five sensors, ADIS16405, SAR10Z, SAR100Grade100, LIS344ALH and ADXL103, the combination of gyroscope and accelerometer of ADIS16405 is shown minimum error having around 160 m/s standard deviation of velocity error and around 35 km standard deviation of position error after 600 seconds. Thus, we select the ADIS16405 inertial sensor as a MEMS-based inertial sensor to implement IMU and, the error reducing method is also considered with the search for reference papers.