• 제목/요약/키워드: Limited replacement

검색결과 230건 처리시간 0.025초

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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    • 제53권2호
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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.

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

  • 백완기;김현태;심상석;조상록;박현희
    • Journal of Chest Surgery
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    • 제31권1호
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    • pp.52-54
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    • 1998
  • 근래 들어 최소 침습적 심장수술을 위한 여러 가지 다양한 소절개법이 개발되고 있다. 소절개를 통한 심장판막수술이 기존의 정중 흉골절개술에 비해 단일판막수술의 경우, 수술시야의 확보에 있어 그다지 뒤떨어지지 않으나, 다중판막수술과 같이 서로 떨어져 있는 두 병소를 동시에 수술해야 할 경우 단일 소절개로 양쪽 병소를 다 잘 볼 수 있는 만족스러운 수술시야를 얻기란 용이하지 않다. 본 인하병원 흉부외과에서는 최근 횡흉골절개를 통한 최소 침습적 방법으로 대동맥판막치환술을 2례 시행한데 이어, 금번 소흉골절개를 통한 이중판막치환술을 시행한 바, 수술시야는 비교적 만족스러웠으며 수술 후 환자의 호응도도 높았기에 수술방법을 중심으로 문헌고찰과 함께 보고하고자 한다.

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Development of Flash Memory Page Management Techniques

  • Kim, Jeong-Joon
    • Journal of Information Processing Systems
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    • 제14권3호
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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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    • 제어로봇시스템학회 2001년도 ICCAS
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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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    • 제31권11호
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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.

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

  • Soo-haeng, Lee;Sang-bang, Choi
    • 한국통신학회논문지
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    • 제27권5C호
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    • pp.399-410
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    • 2002
  • 웹 캐시는 클라이언트와 서버사이에 위치하여, 대리자의 역할을 하는 프락시 서버의 기능적측면의 다른 이름이다. 클라이언트와 프락시 서버사이는 주로 LAN을 통해 연결되므로 넓은 대역폭을 갖게 되지만 웹 캐시의 저장공간은 한정되어 있으므로 웹 캐시내에 존재하는 개체들은 대체 알고리즘이라는 어떤 규칙에 의해 새 개체를 위한 공간확보를 위해 삭제되게 된다. 대부분의 대체 알고리즘들은 성능평가기준인 히트율과 바이트히트율 중 단지 하나의 성능평가기준만을 만족하던지, 때때로 어느 한 기준도 만족시키지 못한다. 본 논문에서 우리는 히트율과 바이트히트율 모두에서 높은 성능을 나타내는 두 가지의 대체알고리즘을 제안한다. 첫 번째 알고리즘은 기본모델로서, 캐시를 파일타입에 따라 적절히 분할시킨다. 두 번째 알고리즘에서는 2-레벨의 캐시구조를 사용한다. 상위레벨캐시는 기본 모델에서처럼 운용되고, 하위레벨캐시는 공유공간으로서 모든 타입의 개체들을 집합적으로 수용하게 된다. 트레이스-드리븐 시뮬레이션을 사용하여 히트율과 바이트히트율을 측정함으로써 제안 알고리즘들의 성능을 평가하였다.

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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    • 제34권9호
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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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    • 제12권2호
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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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    • 제10권1호
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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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    • 제15권2호
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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.