• Journal of Chest Surgery
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• v.29 no.10
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• pp.1090-1094
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• 1996

From February 1980 to September 1995, 31 children between 2 months and 15 years of age with mitral valve disease have undergone mitral valve replacement(MVR) at Yonsei Cardiovascular Center and com- plete follow-up has been obtained on 28 patients. There were 10 males and 18 females whose weight ranged from 4.9kg to 56kg. Two patients died early postopeiatively and the overall hospital mortality rate was 7.1%. These two were infants but there were no statistically significant difference in overall mortality among the age groups(p=0.13). The valve related complication rate was 57.1% in children younger than 5 years of age, which showed higher complication rate compared to older patients(p< 0.05). The bioprosthetic valve have been applied in 7 patients, and its 5-year valve failure-free survival rate was 50% . No mechanical valve failu e had occurred in 21 patients. In considering high re-replacement rate of bioprosthetic valve, mechanical valve is recommended despite its possibility of bleeding and thromboembolic complications. However, the consequences of increasing body size and long-term interposition of a rigid prosthesis in a growing heart will require second valve replacement. En conclusion, mitral valve replacement can be performed tilth satisfactory long-term survival in children, although younger mean age of the children has an important influence on early mortality and com- plication rate. And therefore mitral valve replacement in children younger than 5 years of age needs special consideration.

• Industrial Engineering and Management Systems
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• v.3 no.2
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• pp.134-139
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• 2004

During the last three decades, a few attentions have been paid for investigating the cost distribution for the optimal maintenance problems. In this article, we derive the moment of the discounted cost distribution over an infinite time horizon for the basic age replacement problem. With first two moments of the discounted cost distribution, we approximate the underlying distribution function by three theoretical distributions. Through a Monte Carlo simulation, we conclude that the log-normal distribution is the best fitted one to approximate the discounted cost distribution.

• International Journal of Reliability and Applications
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• v.18 no.1
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• pp.9-20
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• 2017

In this paper, we consider a renewable repair-replacement warranty strategy with age-dependent minimal repair service and propose an optimal maintenance model during post-warranty period. Such model implements the repair time limit under warranty and follows with a certain form of system maintenance strategy when the warranty expires. The expected cost rate is investigated per unit time during the life period of the system as for the standard for optimality. Based on the cost design defined for each failure of the system, the expected cost rate is derived during the life period of the system, considering that a renewable minimal repair-replacement warranty strategy with the repair time limit is provided to the customer under warranty. When the warranty is finished, the maintenance of the system is the customer's responsibility. The life period of the system is defined and the expected cost rate is developed from the viewpoint of the customer's perspective. We obtain the optimal maintenance strategy during the maintenance period by minimizing such a cost rate after a warranty expires. Numerical examples using field data are shown to exemplify the application of the methodologies proposed in this paper.

• Proceedings of the Korean Institute of Building Construction Conference
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• 2013.05a
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• pp.89-90
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• 2013

This study is to predict the compressive strength for the concrete of ground granulated blast-furnace slag, and use Plowman's, Gompertz's model. The results are as follows; The prediction compressive strength were simiar using Rastrup's equivalent age model. but The prediction compressive strength using Freiesleben's equivalent age model weren't simiar in bfs replacement Ratio of 50%, because it is analyzed as the activation energy.

• Journal of the Korea Institute of Building Construction
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• v.7 no.2 s.24
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• pp.59-65
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• 2007

Recently, due to the increase of high-rise buildings construction, many researches for making harden of concrete earlier and remove of forms faster are being performed to reduce construction period. In this study, we compared and analysed the early strength properties of mortar according to the kinds and replacement ratio of mineral admixture to select the kinds and replacement ratio of mineral admixture of high early strength concrete. For this purpose, mortar mixtures according to the kinds(FA, MK, ZR, BFS, DM) and replacement ratio(0, 2, 4% by volume of sand) of mineral admixture were selected. From our test data, early-age compressive strength decreased in accordance with the increase of replacement ratio of fly-ash(FA) & blast furnace slag powder(BSF) and, in case of addition admixture, early-age compressive strength of with containing 4% appeared higher compared with containing 2%.

• Health Policy and Management
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• v.30 no.1
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• pp.62-71
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• 2020

Background: The purpose of this study is to analyze the current status and factors of elderly patients' hospitalization for hip replacement, knee replacement, and general spine surgery. Methods: National health insurance data in 2018 was provided by the National Health Insurance Service. We used multiple regression to analyze factors associated with the medical utilization of hip replacement, knee replacement, and general spine surgery in elderly patients over 65 years old. The dependent variables are the length of stay and total health expenditure. The independent variables are the demographic-social factors (sex, age, region, insurance type, income level) and surgery-related factors (institution type, location of the hospital, surgery classification). Results: The most common factor affecting surgery was the location of medical institutions. Compared with the medical institutions located in metropolitan, the length of stay in rural medical institutions was higher and total health expenditure was lower. The lower quartile of income, the higher the length of stay and total health expenditure. In addition, the variables of age, type of health insurance, and type of medical institution were statistically significant. Conclusion: In this study, we confirmed the effect of sociodemographic factors and medical institution factors on the Healthcare Utilization of spinal and joint surgery.

• Journal of Chest Surgery
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• v.23 no.2
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• pp.236-244
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• 1990

To improve the prognosis of mitral valve replacement surgery, analysis and evaluation of pre and intra operative risk factors will be very much valuable. Author studied 205 cases of mitral valve replacement from Feb 1982 to June 1989 for the risk factors of hospital death. 90 patients were male and 115 were female, and age was from 16 to 59 years, Mitral stenosis dominant lesions were 91 cases and regurgitation 114. Suspected risk factors were NYHA functional class, cardiothoracic ratio, implanted valve type and size, operation time, age and sex, thrombus in left atrium, atrial fibrillation, aortic cross clamping time, left ventricular end diastolic and systolic dimension, nephropathy, hepatopathy and respiratory insufficiency. Statistic analysis was performed by X2 test between survivors and death group. Statistical significances as pre and intraoperative risk factors of hospital death after mitral valve replacement were confirmed in those presence of AF on the EKG, NYHA functional class[>IV], cardiothoracic ratio[>70%], and implanted valve size[>33mm]

• Proceedings of the Korea Concrete Institute Conference
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• 2004.05a
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• pp.676-679
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• 2004

In this study, we considered the characteristic of drying shrinkage from age of high strength concrete with garnet minute powder to be industry by-product. The factors of experiment are unit water content$(160kg/m^3)$, water-binder ratio(30, $35\%$), fine aggregate ratio(40, 42, $44\%$), admixture replacement ratio(0, 10, $20\%$), admixture type(garnet minute powder, fly ash, blast-furnace slag). We make a comparative study of shrinkage about concrete with a passage of age(1, 3, 7, 14, 28, 56, 91 days). As a result of experiment, we reach a conclusion as follow. In the same mix condition, as unit water content and fine aggregate ratio go up, the drying shrinkage ratio increase. In the drying shrinkage ratio according to admixture replacement ratio, it goes up when admixture replacement Ratio increase in case of fly ash and blast-furnace slag. But, drying shrinkage ratio decrease when admixture replacement ratio increase in case of garnet minute powder.

• Journal of the Korean Operations Research and Management Science Society
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• v.14 no.2
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• pp.75-86
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• 1989

Joint stocking and preventive age replacement policy is considered for non-repairable items assuming instantaneous replenishment. A recursive relationship among the optimal preventive replacement ages is obtained, which shows that the preventive replacement ages in a replenishment cycle form an increasing sequence due to the inventory carrying cost. Using this relationship, a procedure is given for determining how many units to purchase on each order and when to replace each unit after it has begun operating so as to minimize the total cost per unit time over an infinite time span. The problem can be simplified if equal preventive replacement ages are assumed, and the solution is very close to that of the original unconstrained problem.

• Proceedings of the Korea Concrete Institute Conference
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• 2006.11a
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• pp.889-892
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• 2006

In this study, we compared and analysed the early strength properties of mortar according to the kinds and replacement ratio of mineral admixture to select the kinds and replacement ratio of mineral admixture of high early strength concrete. For this purpose, mortar mixtures according to the kinds(FA, MK, ZR, BFS, DM) and replacement ratio(0, 2, 4% by volume of sand) of mineral admixture were selected. From our test data, early-age compressive strength decreased in accordance with the increase of replacement ratio of fly-ash(FA) & blast furnace slag powder(BSF) and, in case of addintion admixture, early-age compressive strength of with containing ZR & BFS appeared higher compared with containing other mineral admixture.