• Title/Summary/Keyword: Age Replacement

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Determination of Container Ship' s Economical Replacement Policy by Fuzzy Annual Equivalent Cost Method (퍼지 연등가 비용법을 이용한 선박의 경제적 교체시기 결정)

  • Jang, Woon-Jae;Keum, Jong-Soo
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2007.12a
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    • pp.241-242
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    • 2007
  • This paper aims to determination of container ship's economical replacement policy by Fuzzy Annual Equivalent Cost Method Especially, though there was much vagueness to expense for calculation of container ship's economical life, this paper expressed such vague nature with a fuzzy number. And this paper developed the fuzzy expense model with a fuzzy number, and to analyze more practically than an expense model, was decided economical life-age with an application in a containership of various volumes.

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Short-term Clinical Experience with CarboMedics Valve (CarboMedics 기계판막의 단기 임상 성적)

  • 우석정
    • Journal of Chest Surgery
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    • v.25 no.6
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    • pp.661-671
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    • 1992
  • From March 1988 to May 1991, 140 CarboMedics cardiac valve prostheses[75 mitral, 9 aortic and 28 double aortic-mitral] were implanted in 112 consecutive patients[mean age 36.7$\pm$11.6 years, male/female 48/76] by one surgical team operating on adult cardiac patients at Kyoungpook University Hospital Associated Surgical procedures were performed in 19 patients[16.9%]. Total follow up represented 2,345 patient-months[mean 22.4 months] and was 100% complete. Eighty-two patients[73%] were in NYHA functional class IIIor IV preoperatively and 102 patients [95%] were in class I or II postoperatively. Hospital[30 day] mortality was 4.4%, [3/75 mitral, 1/9 aortic, 1/28 double valve replacement] and late death was 1.7%. [1 /74 mitral, 1 /28 double valve replacement] The actuarial survival at 36 months was 94.0% after mitral, 80% after aortic, 92% after double valve replacement, and 93.2% for the total group. The linearized incidence of valve relater death, prosthetic valve thrombosis, anticoagulant related hemorrhage, and reoperation was 1.00%/pt-yr, 0.51%/pt/yr, 0.51%/pt-yr, and 0.51%/pt-yr respectively. The 36 month rates of freedom from valve replated death, thromboembolism, endocarditis, anti-coagulant related hemorrages, and reoperation were 98.75%, 99.08%, 100%, 99.04%, and 99.08% respectively. The 36 month rate of freedom from all valve related complications and deaths including hospital mortality was 90.2%. These fact suggest that the CarboMedics heart valve has excellent short-term result, low incidence of valve-related complications and valve dysfunction, and additional long term follow up study is necessary.

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Total Aortic Replacement - A Case Report - (대동맥 전장 치환 치험 1례)

  • Kim, Doo-Sang;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.173-177
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    • 1998
  • A 28 years old pregnant woman(Gestational age 35 weeks) had been operated emergency Cesarian section for delivery and emergency graft replacement of ascending aorta and total arch for acute type A aortic dissection. 1 year and 6 months later, she underwent aortic graft replacement from descending thoracic aorta to both common iliac arteries because of further progression of aortic dissection. So far she has a complete artificial graft aorta.

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Fundamental Characteristics of High Strength SCMs Concrete According to Mixing Ratio of FA and BS (FA 및 BS의 혼합비율 변화에 따른 3성분계 고강도 콘크리트의 기초적 특성)

  • Kim, Min-Sang;Moon, Byeong-Yong;Lee, Jae-Jin;Park, Sung-Bae;Han, Min-Cheol;Han, Cheon-Goo
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2017.05a
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    • pp.154-155
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    • 2017
  • With the recent development in construction industry, industrial by-products fly ash(FA) and blast furnace slag(BS) have been used in large quantities as an alternative to cement, as a solution for environmental problems and resource exhaustion. This study analyzed the basic characteristics according to the changes in replacement ratio and mixing ratio of FA and BS in high strength SCMs concrete, from which in turn it sought to find the optimal mixing ratio for high strength concrete The results showed that in unhardened concrete the more the replacement ratio and FA mixing ratio increases the slump flow will increase while amount of air decreases, and setting time is delayed. In hardened concrete the more the replacement ratio and FA mixing ratio increases the more the overall compression strength decreases, but until 28 days of material age the larger of the BS ratio displayed the best compression strength.

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Surgical Treatment of Annuloaortic Ectasia - Review of 4 cases - (Annuloaortic ectasia의 외과적 치험)

  • Lee, S.;Ahn, W.S.;Kim, B.Y.;Lee, J.H.;Yu, H.S.
    • Journal of Chest Surgery
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    • v.24 no.1
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    • pp.36-40
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    • 1991
  • Between November, 1981 and July, 1989, 4 patients, 3 male and 1 female patients ranging in age from 36 to 45 years, were operated on for aortic insufficiency associated with uncomplicated annuloaortic ectasia. All patients were in New York Heart Association class III. Two patients had clinical stigmata of the Marfan syndrome. The surgical treatment consisted of. supracoronary replacement of ascending aorta with vascular graft and replacement of the aortic valve in our first case. and composite graft replacement of the ascending aorta and aortic valve with reimplantation of the coronary arteries in subsequent 3 cases. Our first patient developed aneurysm of proximal aorta and pseudoaneurysm of distal aortic anastomosis 5 years postoperatively. One patient among the three patients with Ben-tall operation, died of ventricular fibrillation and myocardial failure during immediate postoperative period. Remaining 2 patients were in NYHA class I with follow-up of 16 months and 20 months respectively.

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Clinical study of multiple cardiac valve operation (중복판막수술에 대한 임상적 연구)

  • 김승진
    • Journal of Chest Surgery
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    • v.22 no.6
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    • pp.1036-1043
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    • 1989
  • Seventy eight patients underwent operation for combined multiple valve disease, with an overall early mortality of 14.1 % from January, 1983 to September, 1988 in the department of thoracic and cardiovascular surgery of Pusan National University Hospital. All of the above cases had combined multiple valve procedures. There were 33 mitral valve replacements and tricuspid annuloplasties, 33 aortic and mitral valve replacements, 5 aortic and mitral valve replacements with tricuspid annuloplasties, 3 aortic valve replacements and mitral annuloplasties, 1 open mitral commissurotomy and tricuspid annuloplasty and, 1 mitral valve replacement and primary closure of tricuspid valve cleft, 1 mitral valve replacement and aortic commissurotomy, 1 mitral, aortic and tricuspid valve replacement were done. 44 were male and 34 were female and the age distribution was from 14 to 57 with mean 38 year old. According to NYHA[New York Heart Association] classification, 49 patients were class I, 19 patients were class Il and 10 were class IV. Average perfusion time was 205.3 minutes. The live patients perfusion time was 178.7 minutes while that of dead ones was 272.0 minutes. Early deaths within 30 days from operation were 11 cases, 6 of which were due to low cardiac output, 3 were acute renal failure and 2 were cardiac rupture. The 65 patients were followed up from 2 to 30 months for a total 20.6 patient years. 1 patient committed suicide because of postoperative depression 1 year after operation. All of the survivors were enjoying their daily life and their NYHA class was superior to the preoperative ones.

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Concomitant Right Ventricular Outflow Tract Cryoablation during Pulmonary Valve Replacement in a Patient with Tetralogy of Fallot

  • Shin, Hong Ju;Song, Seunghwan;Shin, Yu Rim;Park, Han Ki;Park, Young Hwan
    • Journal of Chest Surgery
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    • v.50 no.1
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    • pp.41-43
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    • 2017
  • A 38-year-old female patient with a history of tetralogy of Fallot repair at 10 years of age underwent pulmonary valve replacement with a mechanical prosthesis, tricuspid annuloplasty, and right ventricular outflow tract cryoablation due to pulmonary regurgitation, tricuspid regurgitation, and multiple premature ventricular contractions with sustained ventricular tachycardia. After surgery, she had an uneventful postoperative course with arrhythmia monitoring. She was discharged without incident, and a follow-up Holter examination showed a decrease in the number of ventricular ectopic beats from 702 to 41.

Effect of the Replacement of Fine Particle Cement on Mechanical Properties of the Concrete (미분 시멘트의 치환율 변화가 콘크리트의 역학적 특성에 미치는 영향)

  • Choi, Sung-Yong;No, Dong-Hyun;Kim, Kyung-Min;Park, Sang-Joon;Kwan, O-Bong;Han, Min-Cheol
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2007.11a
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    • pp.133-136
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    • 2007
  • This study investigates mechanical properties of the concrete using fine particle cement which is manufactured by the pulverizing process. The variable factors are 3 types of W/C such as 40, 50, and 60%, 3 types of curing temperature such as 5, 20, and $35^{\circ}C$, and 5types of the replacement of the fine particle cement such as 0, 25, 50, 75, and 100%. The unit water content, S/a and amount of the SP and AE agents to secure the slump and air content is gradually increased in accordance with amount of replacement. It can be confirmed that the delay of the setting time depending on FC content is decreased corresponding to FC content, so the effect of the acceleration to the setting time is expected. The compressive strength corresponding to FC content is proportionally increased, and the growth is confirmed about $30{\sim}40%$ at a day in 50% of FC contents. However, the increase of the strength is gradually decreased in accordance with increasing age.

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Effect of metakaolin on the properties of conventional and self compacting concrete

  • Lenka, S.;Panda, K.C.
    • Advances in concrete construction
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    • v.5 no.1
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    • pp.31-48
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    • 2017
  • Supplementary cementitious materials (SCM) have turned out to be a vital portion of extraordinary strength and performance concrete. Metakaolin (MK) is one of SCM material is acquired by calcinations of kaolinite. Universally utilised as pozzolanic material in concrete to enhance mechanical and durability properties. This study investigates the fresh and hardened properties of conventional concrete (CC) and self compacting concrete (SCC) by partially replacing cement with MK in diverse percentages. In CC and SCC, partial replacement of cement with MK varies from 5-20%. Fresh concrete properties of CC are conducted by slump test and compaction factor tests and for SCC, slump flow, T500, J-Ring, L-Box, V-Funnel and U-Box tests. Hardened concrete characteristics are investigated by compressive, split tensile and flexural strengths at age of 7, 28 and 90 days of curing under water. Carbonation depth, water absorption and density of MK based CC and SCC was also computed. Fresh concrete test results indicated that increase in MK replacement increases workability of concrete in a constant w/b ratio. Also, outcomes reveal that concrete integrating MK had greater compressive, flexural and split tensile strengths. Optimum replacement level of MK for cement was 10%, which increased mechanical properties and robustness properties of concrete.

Four Year Experience with Valve Replacement of Valvular Heart Diseases (심장판막 치환술후 단기 추적성적)

  • 류한영
    • Journal of Chest Surgery
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    • v.23 no.6
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    • pp.1180-1190
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    • 1990
  • 96 patients underwent cardiac valve replacement for valvular heart diseases consecutively between February 1986 to February 1990 in the Department of Thoracic and Cardiovascular Surgery of Yeungnam University Hospital. The follow up period was between 6 months and 4.5 years postoperatively[mean 23.4$\pm$13.1 months]. 75 cases got mitral valve replacement, 6 cases, aortic valve replacement, 15 cases, double valve replacement. 30[31.2%] patients were male and 66[68.8%] were female and the age ranged from 14 to 66 years old. Early hospital death within 30 days postoperation were 5 patients[5.2%], consisting of by low cardiac output in 2, infective endocarditis in 1, multiple organ failure with sepsis in 1 patient. There was no late postoperative death. Most common early postoperative complication was wound disruption [8.7%] and then low cardiac output, pneumothorax, pleural effusion in order. Most common late postoperative complications were minor bleeding episodes[8.7%] related to anticoagulant therapy which were consisted of frequent epistaxis in 3, gum bleeding in 2, hemorrhagic gastritis in 1, hypermenorrhea in 1, hematoma in right arm in 1 patient. Valve-related complications included valve thrombosis [1.6%/ patient-year], valve failure due to pannus formation[1.1% /patient-year], prosthetic valve endocarditis[1, 1%o/patient-year] and minor anticoagulant hemorrhage[4.4% /patient-year]. 5 cases of reoperations were performed in 4 patients due to valve failure and all of them were in the mitral positions[2.7% /patient-year]. Cardiothoracic ratios in the chest X-ray decreased at the 6th month and 1st year postoperation in all patients. But in New York Heart Association[NYHA] functional class IV, no change in cardiothoracic ratio was found between 6 months and 1 year postoperation. In the echocardiogram, the size of the cardiac chambers decreased, but ejection fraction increased postoperatively in each functional class. In the electrocardiogram, decreases were found in the incidence of atrial fibrillation, left atrial enlargement, left ventricular hypertrophy with right bundle branch block increasing postoperatively in each functional class. The actuarial survival rate was 98.4% for all patients, 98.7% for mitral valve replacement, 83.8% for aortic valve replacement, and 80% for double valve replacement at the end of a 4.5 year follow up period. Meanwhile the actuarial freedom rate was 91.5% for prosthetic valve endocarditis, 91.6% for thromboembolism, 89.0% for prosthetic valve failure and 83.7% for minor anticoagulant hemorrhage. Preoperative NYHA class III and IV were 75% of all patients, but 95% of all patients were up graded to NYHA class I and II postoperatively.

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