• Title/Summary/Keyword: Limited replacement

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Surgical Outcomes of Type A Aortic Dissection at a Small-Volume Medical Center: Analysis according to the Extent of Surgery

  • Lee, Chul Ho;Cho, Jun Woo;Jang, Jae Seok;Yoon, Tae Hong
    • Journal of Chest Surgery
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    • v.53 no.2
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    • pp.58-63
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    • 2020
  • Background: Despite progress in treatment, Stanford type A aortic dissection is still a life-threatening disease. In this study, we analyzed surgical outcomes in patients with Stanford type A aortic dissection according to the extent of surgery at Daegu Catholic University Medical Center. Methods: We retrospectively analyzed 98 patients with Stanford type A aortic dissection who underwent surgery at our institution between January 2008 and June 2018. Of these patients, 82 underwent limited replacement (hemi-arch or ascending aortic replacement), while 16 patients underwent total arch replacement (TAR). We analyzed in-hospital mortality, postoperative complications, the overall 5-year survival rate, and the 5-year aortic event-free survival rate. Results: The median follow-up time was 48 months (range, 1-128 months), with a completion rate of 85.7% (n=84). The overall in-hospital mortality rate was 8.2%: 6.1% in the limited replacement group and 18.8% in the TAR group (p=0.120). The overall 5-year survival rate was 78.8% in the limited replacement group and 81.3% in the TAR group (p=0.78). The overall 5-year aortic event-free survival rate was 85.3% in the limited replacement group and 88.9% in the TAR group (p=0.46). Conclusion: The extent of surgery was not related to the rates of in-hospital mortality, complications, aortic events, or survival. Although this study was conducted at a small-volume center, the in-hospital mortality and 5-year survival rates were satisfactory.

Double Valve Replacement via Ministernotomy -A Case Report- (소흉골절개술을 통한 이중판막치환술 -1례 보고-)

  • 백완기;김현태;심상석;조상록;박현희
    • Journal of Chest Surgery
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    • v.31 no.1
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    • pp.52-54
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    • 1998
  • Recently, several versatile approaches via limited incision have been developed for minimally invasive cardiac surgery. As the incision is limited, it is often dfficult to get a satisfactory operative field, especially for the manipulation of two separate lesions such as simultaneous mitral and aortic valve disease with a single limited incision. Here, we describe a case of successful double valve replacement via ministernotomy, which was followed by two cases of minimally invasive aortic valve replacement via transsternal approach. The operative field was unexceptionally satisfactory and the postoperative patient's acceptance was high. The methodology is described with a review of the relevant literatures.

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Development of Flash Memory Page Management Techniques

  • Kim, Jeong-Joon
    • Journal of Information Processing Systems
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    • v.14 no.3
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    • pp.631-644
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    • 2018
  • Many studies on flash memory-based buffer replacement algorithms that consider the characteristics of flash memory have recently been developed. Conventional flash memory-based buffer replacement algorithms have the disadvantage that the operation speed slows down, because only the reference is checked when selecting a replacement target page and either the reference count is not considered, or when the reference time is considered, the elapsed time is considered. Therefore, this paper seeks to solve the problem of conventional flash memory-based buffer replacement algorithm by dividing pages into groups and considering the reference frequency and reference time when selecting the replacement target page. In addition, because flash memory has a limited lifespan, candidates for replacement pages are selected based on the number of deletions.

Proper Decision for Maintenance Intervals of Equipment in Power Stations by Considering Maintenance Replacement Rate and Operation Rate

  • Nakamura, Masatoshi;Suzuki, Yoshihiro;Hatazaki, Hironori
    • 제어로봇시스템학회:학술대회논문집
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    • 2001.10a
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    • pp.157.3-157
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    • 2001
  • In this paper, the optimal maintenance scheduling for turbine with considering maintenance replacement rate was proposed in order to reduce the maintenance cost during the whole period of operation, meanwhile keeping current reliability of turbine. The proposed method is only based on a few limited available data with various factors relating to maintenance replacement and repair of turbine. The proposed method will be adopted by Kyushu Electric Power Co., Inc. from April in 2002 to determine the maintenance schedule of thermal power plants.

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Evaluation of polyherbal formulation and synthetic choline chloride on choline deficiency model in broilers: implications on zootechnical parameters, serum biochemistry and liver histopathology

  • Selvam, Ramasamy;Saravanakumar, Marimuthu;Suresh, Subramaniyam;Chandrasekeran, CV;Prashanth, D'Souza
    • Asian-Australasian Journal of Animal Sciences
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    • v.31 no.11
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    • pp.1795-1806
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    • 2018
  • Objective: The study was designed to establish choline deficiency model (CDM) in broilers for evaluating efficacy of polyherbal formulation (PHF) in comparison with synthetic choline chloride (SCC). Methods: A total of 2,550 one-day-old Cobb 430 broiler chicks were randomly assigned to different groups in three experiments. In experiment 1, G1 and G2 served as normal controls and were fed a basal diet with 100% soybean meal (SBM) as a major protein source supplemented with and without SCC, respectively. In G3, G4, G5, and G6 groups, SBM was replaced at 25%, 50%, 75%, and 100% by soy protein isolate (SPI) to induce a graded level of choline deficiency. In experiment 2, PHF (500 and 1,000 g/ton) in comparison with SCC (1,000 g/ton) were evaluated. In experiment 3, dose-response of PHF (200, 400, and 500 g/ton) with SCC (400 g/ton) was determined. Results: Replacement of SBM by SPI produced a linear decrease in body weight gain (BWG) with a poor feed conversion ratio (FCR). 25% SBM replacement by SPI yielded an optimum negative impact on BWG and FCR; hence, it is considered for further studies. In experiment 2, PHF (500 and 1,000 g/ton) and SCC (1,000 g/ton) showed a similar performance in BWG, FCR and relative liver weight. In experiment 3, PHF produced an optimum efficacy at 400 g/ton and was comparable to SCC in the restoration of serum aspartate aminotransferase activity, abdominal fat, breast muscle lipid content and liver histopathological abnormalities. Conclusion: Replacement of SBM by SPI caused choline deficiency characterised by worsening of BWG, FCR, elevation in liver enzymes and histopathological changes indicating fatty liver. CDM was found valid for evaluating SCC and PHF. It is concluded that PHF has the potential to mimic biological activities of SCC through the restoration of negative effects caused by CDM.

Web Proxy Cache Replacement Algorithms using Object Type Partition (개체 타입별 분할공간을 이용한 웹 프락시 캐시의 대체 알고리즘)

  • Soo-haeng, Lee;Sang-bang, Choi
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.27 no.5C
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    • pp.399-410
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    • 2002
  • Web cache, which is functionally another word of proxy server, is located between client and server. Web cache has a limited storage area although it has broad bandwidth between client and proxy server, which are usually connected through LAN. Because of limited storage capacity, existing objects in web cache can be deleted for new objects by some rules called replacement algorithm. Hit rate and byte-hit rate are general metrics to evaluate replacement algorithms. Most of the replacement algorithms do satisfy only one metric, or sometimes none of them. In this paper, we propose two replacement algorithms to achieve both high hit rate and byte-hit rate with great satisfaction. In the first algorithm, the cache is appropriately partitioned according to file types as a basic model. In the second algorithm, the cache is composed of two levels; the upper level cache is managed by the basic algorithm, but the lower level is collectively used for all types of files as a shared area. To show the performance of the proposed algorithms, we evaluate hit rate and byte-hit rate of the proposed replacement algorithms using the trace driven simulation.

Measurement of Aldehydes in Replacement Liquids of Electronic Cigarettes by Headspace Gas Chromatography-mass Spectrometry

  • Lim, Hyun-Hee;Shin, Ho-Sang
    • Bulletin of the Korean Chemical Society
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    • v.34 no.9
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    • pp.2691-2696
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    • 2013
  • The electronic cigarette (E-cigarette) is a battery-powered device that aerosolizes nicotine so that it is readily delivered into the respiratory tract. The analytical data regarding the substances present in E-cigarettes are very limited. The aim of this study was to measure the concentration of aldehydes-formaldehyde (FA), acetaldehyde (AA) and, acrolein (AL)-in 225 replacement liquid brands from 17 E-cigarette shops sold in the Republic of Korea by headspace solid-phase micro extraction and gas chromatography-mass spectrometry (HS-SPME GC-MS). The concentration range of FA and AA was 0.02-10.09 mg/L (mean = 2.16 mg/L, detected in 207 of 225 samples) and 0.10-15.63 mg/L (mean = 4.98 mg/L, detected in all samples), respectively. AL was not detected in any of 225 replacement liquids. FA and AA were originally present in almost all replacement liquids of electronic cigarettes.

Condition based age replacement policy of used item

  • Lim, J.H.;Lipi, T.F.;Zuo, M.J.
    • International Journal of Reliability and Applications
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    • v.12 no.2
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    • pp.131-143
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    • 2011
  • In most of literatures of age replacement policy, the authors consider the case that a new item starts operating at time zero and is to be replaced by new one at time T. It is, however, often to purchase used items because of the limited budget. In this paper, we consider age replacement policy of a used item whose age is $t_0$. The mathematical formulas of the expected cost rate per unit time are derived for both infinite-horizon case and finite-horizon case. For each case, we show that the optimal replacement age exists and is finite and investigate the effect of the age of the used item.

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A Note on Age Replacement Policy of Used Item at Age $t_0$

  • Lim, J.H.
    • International Journal of Reliability and Applications
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    • v.10 no.1
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    • pp.33-42
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    • 2009
  • In most of literatures of age replacement policy, the authors consider the case that a new item starts operating at time zero and is to be replaced by new one at time T. It is, however, often to purchase used items because of the limited budget. In this paper, we consider age replacement policy of a used item whose age is $t_0$. The mathematical formulas of the expected cost rate per unit time are derived for both infinite-horizon case and finite-horizon case. For each case, we show that the optimal replacement age exists and is finite and investigate the effect of the age of the used item.

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Comparison of the Association Between Presenteeism and Absenteeism among Replacement Workers and Paid Workers: Cross-sectional Studies and Machine Learning Techniques

  • Heejoo Park;Juho Sim;Juyeon Oh;Jongmin Lee;Chorom Lee;Yangwook Kim;Byungyoon Yun;Jin-ha Yoon
    • Safety and Health at Work
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    • v.15 no.2
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    • pp.151-157
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    • 2024
  • Background: Replacement drivers represent a significant portion of platform labor in the Republic of Korea, often facing night shifts and the demands of emotional labor. Research on replacement drivers is limited due to their widespread nature. This study examined the levels of presenteeism and absenteeism among replacement drivers in comparison to those of paid male workers in the Republic of Korea. Methods: This study collected data for replacement drivers and used data from the 6th Korean Working Conditions Survey for paid male workers over the age of 20 years. Propensity score matching was performed to balance the differences between paid workers and replacement drivers. Multivariable logistic regression was used to estimate the adjusted odds ratio (OR) and 95% confidence intervals for presenteeism and absenteeism by replacement drivers. Stratified analysis was conducted for age groups, educational levels, income levels, and working hours. The analysis was adjusted for variables including age, education, income, working hours, working days per week, and working duration. Results: Among the 1,417 participants, the prevalence of presenteeism and absenteeism among replacement drivers was 53.6% (n = 210) and 51.3% (n = 201), respectively. The association of presenteeism and absenteeism (adjusted OR [95% CI] = 8.42 [6.36-11.16] and 20.80 [95% CI = 14.60-29.62], respectively) with replacement drivers being significant, with a prominent association among the young age group, high educational, and medium income levels. Conclusion: The results demonstrated that replacement drivers were more significantly associated with presenteeism and absenteeism than paid workers. Further studies are necessary to establish a strategy to decrease the risk factors among replacement drivers.