• 대한물리치료과학회지
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• 제24권2호
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• pp.53-60
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• 2017

Purpose: This study aimed to investigate the effect of physiotherapy on the range of motion (ROM) of patients with hemophilic arthropathy after total knee replacement (TKR) during treadmill gait. Method: Nineteen patients (age range, 30-61 years) who received physiotherapy at the Korea Hemophilia Foundation (KHF) Clinic in Seoul between 2011 and 2013 after TKR were recruited. Protocol rehabilitation was performed (KHF Clinic, Department of Physiotherapy) with an average follow-up of 70 days (range, 6-141 days). Result: Physiotherapy after TKR improved the ROM parameters, including the post-operative average ROM. The post-operative and follow-up ROM also significantly increased. Conclusion: Patients with hemophilia require different physiotherapeutic techniques and need dedicated post-operative care in comparison with the general population.

• Communications for Statistical Applications and Methods
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• 제10권1호
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• pp.191-202
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• 2003

Availability is an important measure of performance of a repairable component. In this paper, the explicit expression for the availability of a repairable component, which is subject to the policy II(Age Replacement Policy) of Barlow and Hunter (1960), is obtained and the existence of the steady state availability is shown. The steady state availabilities of the model are also obtained for the cases when the mean of the minimal repair time is increasing at a geometric rate or linearly increasing, In order to show the importance and the utility of the obtained result, we also consider an illustrative example of the repairable coherent system whose components are repairable, and the obtained results are applied to derive the steady state availability of the whole system. In this situation, we can see that the condition of the existence of the steady state availability for each component is essential. Some remarks on the optimal replacement policy that maximizes the steady state availability are also given.

• Journal of Chest Surgery
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• 제25권2호
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• pp.158-166
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• 1992

From 1985 to 1990, a total of 160 new valves were implanted for 125 adult patients to whom prosthetic valve replacement had been performed [One patient had consecutive 2 reoperations]. Following data are the results from the follow-up study from January 1985 to February 1991. Mean age of the patients was 37.9$\pm$12.1 years. Mean follow-up period was 25.8$\pm$18.8 months. In bioprosthesis, mean interval between the previous operation and reoperation was 85.6$\pm$36.4 months in aortic valve, and 87.3$\pm$30.0 months in mitral valve. The causes of reoperation were prosthetic valve failure[103 patients, 81.7%], prosthetic valve endocarditis[17 patients, 13.5%], periprosthetic leakage[5 patients, 4.0%], and aneurysm of ascending aorta[1 patient, 0.8%]. Fourteen patients[11.1%] died in hospital; 5 in 22 replacement of aortic valve[22.7%], 6 in 73 rereplacement of mitral valve[8.2%], and 3 in 31 replacement of multiple valves [9.7%] Except for 3 intraoperative deaths, postoperative, major and minor complications occurred in 39 patients[31.0%]. And the actuarial 5-year survival rate of operative survivors was 95.5$\pm$8.6%.

• 한국건축시공학회지
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• 제2권3호
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• pp.115-121
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• 2002

The purpose of this study is investigating characteristics of paper-ash mortar according to partial replacement of fine aggregate by Paper-ash. For this purpose, selected test variables were mixing ratio with two levels of mortar(1:2, 1:3), and 3 types of paper-ash(A, B, C), and paper-ash content with four levels(5%,, 10%, 15%, 20%). As a result of this study, in all mixes with partial replacement of fine aggregate by Paper-ash generally Produced Paper-ash mortar with decreased compressive strength at ail age as compared to ordinary mixes. The mixing rate 1:2 was the higher increasing rate of strength than the mixing rate 1:3. The flow value and unit weight of paper-ash mortar were decreased with increasing of the paper-ash content. And the thermal conductivity of the thermal conductivity of the paper-ash mortar was lower than normal mixing without paper-ash.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2019년도 춘계 학술논문 발표대회
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• pp.38-39
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• 2019

Mechanical properties of concrete containing furnace slag according to the CBS Dust Replacement Ratio were analyzed. The experimental study found that the compressive strength was excellent in the early age when the CBS Dust was replaced, and the drying shrinkage was excellent, and the replacement of CBS Dust 5% on the concrete containing the furnace slag would have a positive effect.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2009년도 추계 학술논문 발표대회
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• pp.87-91
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• 2009

Recycling demolished concrete as an alternative source of coarse aggregates for the production of new concrete can help solve the growing waste disposal crisis and the problem of depleted natural aggregates. The purpose of this study is to investigate chloride migration of recycled aggregate concrete containing pozzolanic materials by chloride migration coefficient. The specimens were made with recycled coarse aggregate as various replacement ratio(10, 30, 50%) and metakaolin, blast furnace slag, fly ash is replaced for recycled concrete with mixing ratio 20%. The major results are as follows. 1) Compressive strength of recycled aggregate concrete containing pozzolanic materials increase as curing age and chloride migration decrease. 2) When the replacement ratio of recycled coarse aggregate is 30%, the chloride migration coefficient of recycled concrete containing blast furnace slag, metakaolin shows the similar or lower value than plain concrete at all ages.

• Journal of Chest Surgery
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• 제19권1호
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• pp.134-139
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• 1986

Seventeen patients underwent operations for aneurysm of ascending aorta with aortic regurgitation from August 1979 to October 1985. 10 patients underwent complete replacement of the ascending aorta and the aortic valve with a composite graft and implantation of coronary ostia on the graft. Seven patients underwent supracoronary noncomposite graft replacement and aortic valve replacement. The patients ranged in age from 25 to 55 years [mean 37.6 years]. There were 11 male and 6 female patients. All patients had aortic incompetence and aneurysmal dilatation of the ascending aorta. Seven of the patients has concomitant aortic dissection in ascending aorta and one had dissection in abdominal aorta. Eight patients had signs of Marfan syndrome and the other 3 patients had cystic degeneration in the medial layer of the aorta. There was one hospital death[5.8%]. He died of sepsis on the 23rd postoperative day. All survivors showed improvement in NYHA functional classification in the 34.9 patient-year follow-up period.

• Journal of Chest Surgery
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• 제52권2호
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• pp.109-111
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• 2019

We report the case of a female patient who underwent late reoperation following endocarditis surgery. The patient first underwent surgery at 22 years of age for endocarditis with aortic and tricuspid insufficiency. She underwent aortic root replacement with a homograft and tricuspid valve replacement with a tissue valve. Coronary artery bypass using the internal thoracic artery and ligation of the left main coronary artery were performed. Ten years later, failure of the homograft and the tricuspid valve developed. In the second operation, the patient underwent a successful Bentall operation and tricuspid valve replacement with a mechanical valve under deep hypothermia and retrograde cold cardioplegia without drainage.

• Computers and Concrete
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• 제26권6호
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• pp.577-585
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• 2020

By the increasing amount of waste materials, it eventually dumped into the environment and covering a larger area of the landfill which cause several environmental pollution problems. The utilization of Palm Kernal Shell Ash (PKSA) in concrete might bring a great benefit in addressing both environmental and economic issues. This article investigates the effect of PKSA as a partial cement replacement of High Strength Concrete (HSC). Several concrete mixtures were prepared with different PKSA of 0%, 10%, 20%, and 30% replaced by the cement mass. This procedure was replicated twice for the two different target mean strengths of 40 MPa and 50 MPa. The mixtures were prepared to test different fresh and hardened properties of HSC including slump test, the compressive strength of 3, 7, 14, 28, and 90 days, flexural strength of 28-days, drying shrinkage, density measurement, and sorptivity. It was observed 10% PKSA replacement as optimum percentage which reduced the drying shrinkage, sorptivity, and density and improved the late-age compressive strength of concrete.

• Journal of Chest Surgery
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• 제35권11호
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• pp.785-791
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• 2002

판막재치환술의 결과는 재수술의 위험에 대한 적절한 분석으로 개선될 수 있다. 본 연구의 목적은 판막 재치환술의 결과를 통해 위험 인자를 분석하여 수술의 결과를 개선하고자 한다. 대상 및 방법 : 1993년 6월부터 2001년 8월까지 판막 재치환술을 시행한 46명의 환자를 대상으로 하였다. 대상 환자의 평균연령은 42 $\pm$ 12세였고 평균 체표면적은 1.52 $\pm$ 0.15 $m^2$였다. 재수술은 승모판막치환술 36예, 다중판막치환술 8예, 그리고 대동맥판막치환술 2예를 시행하였고 첫 판막치환술에서는 승모판막치환술이 43예, 다중판막치환술이 2예, 대동맥판막치환술이 1예였다. 판막 재치환술 후 결과의 예견인자로 분석한 인자들은 성별, 고령(60세 이상), 첫 수술이 30세 미만, 첫 수술과 재수술간의 기간이 15년 이상, 수술 전 NYHA functional class 3 이상, 수술 전 좌심실 구출율 45% 이하, 8시간 이상의 수술시간, 심내막염으로 재치환이 필요한 경우, 병행된 다른 수술의 유무, 신기능 부전 등이었다. 결과 : 사망률은 2예로 4.3% 였다. 수술 후 합병증과 그 외의 좋지 않은 예후와 관련이 있는 위험 인자들은 술전 저심박출증이 있던 경우(p＝0.012), 60세 이상의 고령(p＝0.045), 심내막염에 의한 재치환술(p＝0.023), 8시간 이상의 긴 수술시간(p＝0.027)이었다. 수술 사망에 영향을 주는 통계적으로 유의한 인자는 없었다. 결론 : 판막 재치환술에서 수술사망에 영향을 주는 인자는 없었다. 심기능이 나쁜 경우, 고령의 환자, 심내막염으로 인한 재수술에서 이환율을 줄이기 위한 주의를 기울여야 하며, 수술 시간을 단축하려는 노력이 수술 후 결과를 호전시키는 데 도움될 것으로 사료된다.