• Journal of Chest Surgery
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• v.51 no.2
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• pp.100-108
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• 2018

Background: The question of which type of prosthetic aortic valve leads to the best outcomes in patients in their 60s remains controversial. We examined the hemodynamic and clinical outcomes of aortic valve replacement in sexagenarians according to the type of prosthesis. Methods: We retrospectively reviewed 270 patients in their 60s who underwent first-time aortic valve replacement from 1995 to 2011. Early and late mortality, major adverse valve-related events, anticoagulation-related events, and hemodynamic outcomes were assessed. The mean follow-up duration was $58.7{\pm}44.0$ months. Results: Of the 270 patients, 93 had a mechanical prosthesis (mechanical group), and 177 had a bioprosthesis (tissue group). The tissue group had a higher mean age and prevalence of preoperative stroke than the mechanical group. The groups had no differences in the aortic valve mean pressure gradient (AVMPG) or the left ventricular mass index (LVMI) at 5 years after surgery. In a sub-analysis limited to prostheses in the supra-annular position, the AVMPG was higher in the tissue group, but the LVMI was still not significantly different. There was no early mortality. The 10-year survival rate was 83% in the mechanical group and 90% in the tissue group. The type of aortic prosthesis did not influence overall mortality, cardiac mortality, or major adverse valve-related events. Anticoagulation-related events were more common in the mechanical group than in the tissue group (p=0.034; hazard ratio, 4.100; 95% confidence interval, 1.111-15.132). Conclusion: The type of aortic prosthesis was not associated with hemodynamic or clinical outcomes, except for anticoagulation-related events.

• Journal of the Korean Society of Marine Environment & Safety
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• v.24 no.1
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• pp.56-67
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• 2018

With the introduction of the maritime safety supervisor system in Korea following the passenger vessel Sewol accident, the safety control system for coastal vessels has been reinforced. A maritime safety supervisor performs marine accident prevention activities by offering periodical or occasional guidance and supervision. When a deficiency is found during guidance or supervision sessions, an order for improvement is issued to rectify the problem by such measures as supplementation or replacement of vessel facilities, improvement of work hours and working conditions for employees, educational and training programs for executives and employees, or the improvement of other affairs relating to maritime safety control. However the present order for navigation suspension by a maritime safety supervisor is limited solely to supplementation or replacement. For this reason, orders for navigation suspension against other facilities is impossible, even if a serious deficiency that could lead to a marine accident such as poor cargo loading conditions or unqualified crew is identified. Therefore, the order for vessel navigation suspension to secure seaworthiness should be expanded to include cargo loading/unloading operations, certificates and documentation, maritime safety management systems, and human elements including emergency drills and working conditions, in addition to the supplementation or replacement of vessel facilities that exists.

• Journal of the Korean Institute of Landscape Architecture
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• v.39 no.2
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• pp.91-102
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• 2011

This study was carried out to analyze the problems on several steps of the establishment of the Nature Ecological Forest in Yeouido Park, Seoul, and also to suggest improved approaches on each step. For execution drawing, planting models and plans seemed to be uncertain, and the quantity and size of planting trees seemed to be impractical. For construction, the woody plants planted on the site were different in species and size from the planting plan. Ecological planting was somewhat limited because of the inappropriate soil properties. For management, replacement of the dead trees was not executed properly, and no management scheme was prepared after the replacement period. We suggested improved approaches for the establishment of ecological forests in urban areas as follows: for execution drawing, overstory, understory and herbaceous ground cover layers should be composed based on standard plant community structures. Trees that are available from tree markets should be specified in the planting plan. For construction, trees for planting need to be tagged to identify species and size. When tree species and size are changed, they should be checked to ensure that they are proper to the plant community model. Soil information should be collected to check that they fit the target plant community model. For management, the proper amount of trees needs to be specified in the planting plan by applying regular discount rates, especially for trees supplied from the government sector. The replacement period should be extended from two years to five years. The change of plant communities should be monitored during first five years after establishment.

• Journal of the Korea institute for structural maintenance and inspection
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• v.20 no.2
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• pp.49-59
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• 2016

According to KS and Standard Specifications for Concrete, the compressive strength of concrete containing recycled aggregate is limited to 27 MPa and thereafter there are little research on concrete containing recycled aggregate of its compressive strength of greater than 27 MPa. Therefore, to expand the applicability of concrete recycled coarse aggregate(RCA), this paper concerns the mechanical properties of concrete containing RCA with compressive strength ranging from 30 to 60 MPa. The experimental parameters were water-cement ratio and replacement ratio of RCA. Water-cement ratio(w/c) was 0.36, 0.46 and 0.53, and replacement ratio of RCA was 30, 50, 70 and 100%. The experimental results were discussed about compressive strength, elastic modulus, split tensile strength and modulus of rupture. Test results of elastic modulus were compared to the design code predictions. Experimental elastic modulus for concrete with w/c=0.53 decreased by greater than 10% compared with that for concrete with w/c=0.36. The design code predictions for elastic modulus overestimated the experimental results. Whereas, the design code predictions for modulus of rupture underestimated the measured values.

• Korean Circulation Journal
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• v.54 no.2
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• pp.63-75
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• 2024

Background and Objectives: Evidence regarding the efficacy and safety of intracardiac echocardiography (ICE) for guidance during transcatheter aortic valve replacement (TAVR) is limited. This study aimed to compare the clinical efficacy and safety of ICE versus transesophageal echocardiography (TEE) for guiding TAVR. Methods: This prospective cohort study included patients who underwent TAVR from August 18, 2015, to June 31, 2021. Eligible patients were stratified by echocardiographic modality (ICE or TEE) and anesthesia mode (monitored anesthesia care [MAC] or general anesthesia [GA]). Primary outcome was the 1-year composite of all-cause mortality, rehospitalization for cardiovascular cause, or stroke, according to the Valve Academic Research Consortium-3 (VARC-3) definition. Propensity score matching was performed, and study outcomes were analyzed for the matched cohorts. Results: Of the 359 eligible patients, 120 patients were matched for the ICE-MAC and TEEGA groups, respectively. The incidence of primary outcome was similar between matched groups (18.3% vs. 20.0%; adjusted hazard ratio, 0.94; 95% confidence interval [CI], 0.53-1.68; p=0.843). ICE-MAC and TEE-GA also had similar incidences of moderate-to-severe paravalvular regurgitation (PVR) (4.2% vs. 5.0%; adjusted odds ratio, 0.83; 95% CI, 0.23-2.82; p=0.758), new permanent pacemaker implantation, and VARC-3 types 2-4 bleeding. Conclusions: ICE was comparable to TEE for guidance during TAVR for the composite clinical efficacy outcome, with similar incidences of moderate-to-severe PVR, new permanent pacemaker implantation, and major bleeding. These results suggest that ICE could be a safe and effective alternative echocardiographic modality to TEE for guiding TAVR.

• Steel and Composite Structures
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• v.50 no.3
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• pp.319-336
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• 2024

Ultra-high-performance concrete (UHPC) has attracted increasing attention in prefabricated steel-concrete composite beams as achieving the onsite construction time savings and structural performance improvement. The inferior replacement and removal efficiency of conventional prefabricated steel-UHPC composite beams (PSUCBs) has thwarted its sustainable applications because of the widely used welded-connectors. Single embedded nut bolted shear connectors (SENBs) have recently introduced as an attempt to enhance demountability of PSUCBs. An in-depth exploration of the mechanical behavior of SENBs in UHPC is necessary to evidence feasibilities of corresponding PSUCBs. However, existing research has been limited to SENB arrangement impacts and lacked considerations on SENB geometric configuration counterparts. To this end, this paper performed twenty push-out tests and theoretical analyses on the shear performance and design recommendation of SENBs. Key test parameters comprised the diameter and grade of SENBs, degree and sequence of pretension, concrete casting method and connector type. Test results indicated that both diameters and grades of bolts exerted remarkable impacts on the SENB shear performance with respect to the shear and frictional responses. Also, there was limited influence of the bolt preload degrees on the shear capacity and ductility of SENBs, but non-negligible contributions to their corresponding frictional resistance and initial shear stiffness. Moreover, inverse pretension sequences or monolithic cast slabs presented slight improvements in the ultimate shear and slip capacity. Finally, design-oriented models with higher accuracy were introduced for predictions of the ultimate shear resistance and load-slip relationship of SENBs in PSUCBs.

• Journal of Environmental Policy
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• v.8 no.2
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• pp.25-61
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• 2009

These days, environmental policies have changed from being command and control systems toward economic incentive systems, with various incentives having been established by OECD countries. In Korea, many environmental charges have been established in order to diminish activities which damage natural resources. Among them, the Ecosystem Conservation Cooperation Charge and the Replacement Charge for Forest Resources Creation are considered to be representative environmental charges. These charges, along with a few others, were designed to encourage efforts to protect natural resources. The charges include a number of different features, utilize varying methods, and altered ranges of jurisdiction. However, the charges may pose serious inequity problems in terms of their estimated values and their conditions of reduction and exemption. For instance, although the Ecosystem Conservation Cooperation Charge is a primary charge applied to natural resource damage, the charge does not fully secure its original objectives due to its low levy and limited range of provisions. Moreover, the Replacement Charge for Forest Resources Creation has been criticized because of similar reduction and exemption provisions. Therefore, this study analyzes the inequity problems associated with the charges and proposes solutions. First of all, the Ecosystem Conservation Cooperation Charge should be redesigned in such a way that it reflects the substantial value of natural resource damage through either abrogate or increased maximum limits of the charge. With regard to the Replacement Charge for Forest Resources Creation, the cases and ranges of reduction and exemption provisions should be narrowed. Finally, the charges collected should be expended in conformity with their original objectives, and their expenditure should be restricted to either restoration activities or activities directly related to compensation and mitigation of damaged natural resources.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.62 no.11
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• pp.1511-1519
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• 2013

This paper proposes the allocation method for capacitor-reactor banks in a distribution system with dispersed generators to reduce the installation costs, the maintenance costs and minimize the loss of electrical energy. The expected lifetime and maintenance period of devices with moving parts depends on the total number of operations, which affects the replacement and maintenance period for aging equipment under a limited budget. In this paper, the expected device lifetimes and the maintenance period are included in the formulation, and the optimal operation status of the devices is determined using a genetic algorithm. The optimal numbers and locations for capacitor-reactor banks are determined based on the optimal operation status. Simulation results in a 69-bus distribution system with the dispersed generator show that the proposed technique performs better than conventional methods.

• Journal of the Korean Ceramic Society
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• v.53 no.4
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• pp.435-443
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• 2016

Coal ash, a material generated from coal-fired power plants, can be classified as fly ash and bottom ash. The amount of domestic fly ash generation is almost 6.84 million tons per year, while the amount of bottom ash generation is 1.51 million tons. The fly ash is commonly used as a concrete admixture and a subsidiary raw material in cement fabrication process. And some amount of bottom ash is used as a material for embankment and block. However, the recyclable amount of the ash is limited since it could cause deterioration of physical properties. In Korea, the ashes are simply mixed and used as a replacement material for cement. In this study, an attempt was made to mechanically activate the ash by grinding process in order to increase recycling rates of the fly ash. Activated fly ash was prepared by controlling the mill types and the milling times and characteristics of the mortar containing the activated fly ash was analyzed. When the ash was ground by using a vibratory mill, physical properties of the mortar mixed with such fly ash were higher than the mortar mixed with fly ash ground by a planetary mill.

• Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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• v.25 no.9
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• pp.1-7
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• 2011

A performance delivers the contents and feeling through human bodies and stage settings in the limited space of a stage. Among the stage settings, the lighting creates overall atmospheres effectively according to the situations of the performance such as a time flow, a change of seasons, an expression of the mental state of the performer. As the LED lighting is used more widely, the number and the size of the lighting is being decreased, which makes it possible for various devices to be used. However, just as conventional lighting devices, most of them are fixed. So it is difficult to use them at a blind spot and to replace them. To solve this problem, this article suggests a system which replaces lighting automatically and moves. As it can moved to a spot we want on a rail, and the lighting system can be replaced by itself, it can have various lighting effects, increasing the effectiveness of the performance. Additionally, it can also decrease the danger of a worker operating the lighting device located at a high place. At the mock-up experiment, its mobility and stability on a rail were tested using the wheel of the Modular Robot.