• Journal of Chest Surgery
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• 제24권10호
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• pp.979-986
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• 1991

From October 1988 to November 1989, seven patients underwent valve replacement during the active phase of native valve endocarditis. There were 4 males and 3 females whose mean age was 41 years[range, 16 to 68 years]. Preoperative two-dimensional and Doppler echocardiography showed vegetations and severe valvular regurgitation in all patients. Blood cultures were positive in 4, and negative in 3 patients Organisms were alpha-hemolytic Streptococcus in 2, Staphylococcus epidermidis in 1, Erysipelothrix rhusiopathiae in 1 patient Valve tissue cultures were negative in all patients. Intravenous antibiotic therapy had been done for 3 to 18 days in 5 patients pre-operatively and was not done in 2 patients, Indications for operation were heart failure in h, and systemic emboli in 1 patient. The aortic valve was involved in 3, mitral in 1, and both aortic and mitral in 3 patients, One operative death[14.4%] occurred in patient with cardiogenic shock before operation. Late death occurred in one on 14 months after operation. The remaining 5 patients were followed up over a two year period in good condition. In conclusion, native valve endocarditis with severe heart failure must be considered for early operation.

• Journal of Chest Surgery
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• 제21권1호
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• pp.121-130
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• 1988

During one year period from Sep. 1986 to Sep. 1987, we have experienced 6 cases of infective endocarditis requiring surgical interventions. All 6 patients had class IV or V cardiac disability at the time of surgery. The indication for surgery was rapidly progressive congestive heart failure in all cases. Four patients underwent aortic valve replacement including one double valve replacement. Two other patients required other surgical procedures, removal of large left atrial vegetation mass in one patient and excision of destroyed pulmonary valve and aortic vegetation in the other patient. Two patients died; one of mitral annulus rupture after release of aortic clamp and the other of mediastinal bleeding 3 months after replacement of aortic valve. Three out of 4 survivors are in NYHA Class I and the remaining patient is in Class II. We emphasize that early operative intervention is life-saving in patients with persistent or progressive congestive heart failure, irrespective of the activity of the infective process or the duration of antibiotic therapy.

• International Journal of Reliability and Applications
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• 제9권1호
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• pp.113-122
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• 2008

In this paper, we consider a periodic preventive maintenance policy in which each preventive maintenance reduces the hazard rate of amount proportional to the failure intensity, which increases since the system started to operate. And the effect of preventive maintenance at each preventive maintenance epoch is different. The expected cost rate per unit time for the proposed model is obtained. We discuss the optimal number N of the periodic preventive maintenance and the optimal period x, which minimize the expected cost rate per unit time and obtain the optimal preventive maintenance schedule for given cost structures of the model. A numerical example is given for the purpose of illustrating our results when the failure time distribution is Weibull distribution.

• International Journal of Reliability and Applications
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• 제8권1호
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• pp.67-82
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• 2007

This paper deals with the effectiveness analysis of an engineering system, which has two units of different strengths in parallel and one unit as a cold standby unit. Failure times for all the units have negative exponential distribution whereas their repair times have general distribution. Single server caters the need for the system. The effectiveness analysis of the system is done by using regenerative point technique. The different measures of effectiveness such as mean sojourn time, mean time to system failure, availability, busy period, etc, are derived. Cost factors also taken into consideration.

• Journal of Chest Surgery
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• 제26권10호
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• pp.753-760
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• 1993

The CarboMedics valve is a bileaflet prosthesis with excellent hemodynamic characteristics, but the long term surgical experience with this valve, its durability and its biocompatibility are unknown. During a 5 year period from october 1988 to July 1993, 748 prostheses [402 mitral, 261 aortic, 58 tricuspid, 27 pulmonic] were inserted in 552 patients [mean age 40.2 years]. The operative mortality was 6.6% [37/560, 13.2% in age group below 15 years and 5.7% above 15 years]. and the main causes of death were complex congenital malformation and left ventricular failure. Follow up was totaled 1182 patient- years and mean follow up was 28.3 months/patient. No structural failure has been observed. Hemorrhage was the most frequent valve related complication[1.78% / Patient-year]. Embolism occurred at a rate of 0.93% / Patient-year. There were 5 cases of valve thrombosis [0.42% / Patient-year, two fatal]. There occurred 11 late deaths[6 valve related] and 42 valve related complications. Actuarial survival at 5 years is 97.18 0.94% and actuarial complication free survival at 5 years is 89.07 1.54%. In summary, the CarboMedics valve stands for a durable valve substitute, with low valve related complications.

• 한국해양공학회지
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• 제18권1호
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• pp.22-27
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• 2004

An orthotropic steel deck system is widely adapted form for a long-span bridge. It has many advantages, such as the big reduction of dead weight, the simplicity for erection, and the reduction of the construction period. However, an orthotropic steel deck system requires a lot of welding work, which may result in defects and deformation of connection. Therefore, the research for the general behavior and fatigue strength of the several details in orthotropic steel deck bridge is necessary. The fatigue failure with distortion results from secondary stress by out-of-plane deformation; these kinds of cracks are very difficult to measure, and can not be precisely calculated through finite element analysis. This stress concentration phenomenon generates the fatigue failure around the lower scallop of the transverse rib. This paper presents improved details of the intersection between the longitudinal rib and the transverse rib of an orthotropic steel deck bridge by the third dimensional hit size test, and the finite element method, which can minimize local stress through parametric study.

• Transactions on Electrical and Electronic Materials
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• 제7권6호
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• pp.324-329
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• 2006

As the average usage period of transformers increases, it is becoming increasingly necessary to know the internal condition of transformers. It is therefore critically important to establish monitoring and diagnostic techniques that can perform transformer condition assessment. Frequency response analysis, generally known as FRA, is one of the technologies to diagnose transformers. Using case studies, this paper presents the effectiveness of FRA as measurements for detecting transformer failures. This paper introduces the fact that FRA waveforms have useful information about diagnosis of failure on core earths and winding shield, and that the condition outside transformers can affect frequency response characteristics.

• 산업경영시스템학회지
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• 제24권62호
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• pp.1-10
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• 2001

The electronics industry is fast growing segment of manufacturing and service industries. It is important that the manufacturer develops a product with adequate life cycle, high quality, and low failure rate in the specified time period. Environmental Stress Screening(ESS) and burn-in are widely used in the electronic industry to assist in the elimination of early failure. In this research, we construct optimal cost model of combined ESS and burn-in under various warranty policy and establish optimal testing times for given environments. Also we conduct sensitivity analysis on various parameter. The results of this study are summarized as follows. Comparing free warranty policy to rebate warranty policy, optimal ESS time is longer under free warranty policy, and optimal burn-in time is longer under rebate warranty policy. Free warranty policy higher than rebate warranty policy in total cost.

• 대한안전경영과학회지
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• 제19권1호
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• pp.169-179
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• 2017

The size of the market for SCM information systems have globally and steadily increased. And there are businesses that obtained innovative business performance by introducing SCM information systems. However, many businesses have still undergone trial and error in the process to introduce and operate SCM. As external factors including suppliers, customers, etc. and internal factors of businesses have been analyzed to be failure factors of executing SCM information systems, the businesses that try to introduce SCM information systems need to understand possible failure factors and establish the solutions. Therefore, this study tries to verify the diffusion of SCM information systems and effects on bullwhip effects. The study is expected to suggest empirical data that people will refer to the establishment of next counterstrategies according to the lapse of the period that systems are introduced based on theoretical bases related to the diffusion of SCM information systems.

• 대한산업공학회지
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• 제25권4호
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• pp.517-526
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• 1999

This paper deals with two economic optimal designs of constant-stress accelerated life test(ALT) where failure distribution follows one of location-scale family, i. e., exponential, Weibull, and lognormal distributions which have been ones of the popular choices of failure distributions. Two optimization criteria to develop ALT plans are the statistical efficiency per unit expected cost which consists of the fixed test cost, cost being proportional to the number of test units, and variable test cost depending on test period and stress level, and the expected loss which combines Taguchi's quadratic loss function and expected test cost. Optimum plan determines the low stress level, test units allocated to each stress, and censoring times at two stress levels under Type I censoring. The proposed ALT plans are illustrated with a numerical example and sensitivity analyses are conducted to study effects of pre-estimates of design parameters.