• Title/Summary/Keyword: Optimal replacement

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Thrombolysis for Prosthetic Mitral Valve Thrombosis - 3 cases report - (인공승모판막 혈전의 용해 치료 - 3례 보고 -)

  • Baek, Man-Jong;Kim, Hyoung-Mook;Lee, In-Sung;Sun, Kyung;Kim, Kwang-Taik;Kim, Hark-Jei
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.70-74
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    • 1999
  • Thrombosis in valve or left atrium after mechanical mitral valve replacement causes prosthetic valve dysfunction or thromboembolism. Early and adequate therapy is very important but clinically not easy. Thrombolysis can avoid reoperation-related risks and act as an optimal therapy for prosthetic valve thrombosis. This report describes three patients who were treated by using low molecular weight heparin (LMWH) and wafarin. Two patients, including one pregnant woman, had prosthetic valve thrombosis and immobility of valve leaflets, and one patient with recent cerebral infarction due to thromboembolism had thrombus in left atrium. Fraxiparine 0.3 cc (7,500 ICU AXa) was administrated subcutaneously twice or triple daily. At discharge, thrombosis in valve and left atrium were completely or near totally lysed and valve leaflets were normally mobile. During the period of thrombolysis and follow up, there were no complications in all patients.

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A Study on Resistance of Chloride Ion Penetration in Ground Granulated Blast-Furnace Slag Concrete (고로슬래그 미분말 콘크리트의 염화물 침투 저항성에 관한 연구)

  • Song, Ha-Won;Kwon, Seung-Jun;Lee, Suk-Won;Byun, Keun-Joo
    • Journal of the Korea Concrete Institute
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    • v.15 no.3
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    • pp.400-408
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    • 2003
  • Chloride ion inside concrete destroys the so-called passive film surrounding reinforcing bars inside concrete so that the so-called salt attack accelerates corrosion which is the most critical factor for durability as well as structural safety of reinforced concrete structures. Recently, as a solution of the salt attack, the ground granulated blast-furnace slag(GGBFS) have been used as binder or blended cement more extensively. In this paper, characteristics of chloride ion diffusion for the GGBFS concrete, which is known to possess better resistance to damage due to the chloride ion penetration than ordinary portland cement(OPC) concrete possesses, are analyzed and a chloride ion diffusion model for the GGBFS concrete is proposed by modifying an existing diffusion model for the OPC concrete. The proposed model is verified by comparing diffusion analysis results using the model accelerated chloride penetration test results for concrete specimens as well as field test results for an RC bridge pier. Then, an optimal resistance condition to chloride penetration for the GGBFS concrete is obtained according to degrees of fineness and replacement ratios of the GGBFS concrete. The result shows that the GGBFS concrete has better resistance to chloride ion penetration than OPC concrete has and the resistance is more affected by the replacement ratio than the degree of fineness of the GGBFS.

Diagnostic keys of the overcoming risk factors and achieving predictable esthetics in anterior single implant

  • Choi, Geun-Bae;Yang, Jong-Sook
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.16 no.2
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    • pp.7-18
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    • 2007
  • There is now an increased demand for harmony between the peri-implant gingiva and adjacent dentition. In the event of a pending loss of a single tooth in the aesthetic zone with healthy periodontium, expectation for optimal gingival and prosthodontic aesthetics are often very high. Unfortunately, bone resorption is common following the removal of an anterior tooth, compromising the gingival tissue levels for the eventual implant restoration. Also, improper implant placement and inadequate osseous-gingival support potentially deleterious aesthetic result. The creation of an esthetic implant restoration with gingival architecture that harmonizes with the adjacent dentitionis formidable challenge. The predictability of the peri-implant esthetic outcome may ultimately be determined by the patient's own presenting anatomy rather than the clinician's ability to manage state-of-the-art procedures. To more accurately predict the peri-implant esthetic outcome before removing a failing tooth, a considering of diagnostic keys is essential. This presentation addresses the useful diagnostic keys that affect the predictability of peri-implant gingival aesthetics and the overcoming of the risk factors in anterior single-tooth replacement; it also describes a surgical and prosthodontic technique in achieving a long term successful esthetic outcome. Proper diagnosis and understanding of the biological and periodontal variables of failing dentition and their response to surgical and prosthodontic procedures are the essence of predictability. Using a smart protocol that alters the periodontium toward less risk and more favorable assessment of the diagnostic keys before implant placement will provide the most predictable esthetic outcome. Simple diagnostic keys suggested this presentation are useful method to evaluate the overcoming of the risk factors in anterior single implant restoration.

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A Study on the Hydration Characteristics and Fundamental Properties of Ternary Blended Cement Using Ferronickel Slag (페로니켈슬래그 및 고로슬래그 미분말을 결합재로 사용한 삼성분계 시멘트의 수화 특성 및 기초물성에 관한 연구)

  • Cho, Won-Jung;Kim, Han-Sol;Ann, Ki-Yong
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.8 no.1
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    • pp.39-48
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    • 2020
  • The present study investigates the chemical reaction and performance of ternary blended binders by mixing ferronickel slag. Cement was replaced using ground granulated blast furnace slag and ferronickel slag, combined up to 50% of the replacement rate. The blended cements were tested by setting times, length change, compressive strength at 1, 3, 7, 28 days. X-ray diffraction and scanning electron microscope were conducted for detecting hydration products while the MIP and microhydation heat were used for examining morphological characteristics. The results showed that by adding ferronickel slag, Pozzolanic reaction occurred, forming a dense pore structure and the effect of reducing hydration heat and dry shrinkage was also found. The compressive strength at 28 days was lower than that of 100% OPC control specimen (OSP0), but ternary blended cements showed no significant difference compared to binary blended (OSP50). If the optimal mix is derived later and used for the purpose, the potential for use as a cement binder is expected.

Simulation Study on the Application of LNG Cold Energy for Hydrogen Liquefaction Process (수소액화공정에서 LNG 냉열 적용에 관한 시뮬레이션 연구)

  • HAN, DANBEE;BYUN, HYUNSEUNG;BAEK, YOUNGSOON
    • Journal of Hydrogen and New Energy
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    • v.31 no.1
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    • pp.33-40
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    • 2020
  • As hydrogen utilization becomes more active recently, a large amount of hydrogen should be supplied safely. Among the three supply methods, liquefied hydrogen, which is an optimal method of storage and transportation convenience and high safety, has a low temperature of -253℃, which is complicated by the liquefaction process and consumes a lot of electricity, resulting in high operating costs. In order to reduce the electrical energy required for liquefaction and to raise the efficiency, hydrogen is cooled by using a mixed refrigerant in a precooling step. The electricity required for the precooling process of the mixed refrigerant can be reduced by using the cold energy of LNG. Actually, LNG cold energy is used in refrigeration warehouse and air liquefaction separation process, and a lot of power reduction is achieved. The purpose of this study is to replace the electric power by using LNG cold energy instead of the electric air-cooler to lower the temperature of the hydrogen and refrigerant that are increased due to the compression in the hydrogen liquefaction process. The required energy was obtained by simulating mixed refrigerant (MR) hydrogen liquefaction system with LNG cold heat and electric system. In addition, the power replacement rate of the electric process were obtained with the pressure, the temperature of LNG, the rate of latent heat utilization, and the hydrogen liquefaction capacity, Therefore, optimization of the hydrogen liquefaction system using LNG cold energy was carried out.

Monostotic Fibrous Dysplasia in the Spine - A Case Report - (척추에 발생한 단골성 섬유 이형성증 - 증례 보고-)

  • Yang, Jun-Young;Lee, June-Kyu;Lee, Jun-Ho;Yang, Jae-Hoon
    • The Journal of the Korean bone and joint tumor society
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    • v.11 no.2
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    • pp.188-193
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    • 2005
  • Fibrous dysplasia is a condition characterized by the replacement of the medullary component of predominantly long bone with fibrous tissues. The monostotic form of the fibrous dysplasia occurs more frequent than the polyostotic form. Only the twenty three previous cases of vertebral involvement in monostotic fibrous dysplasia have been reported. Authors experienced a case of monostotic fibrous dysplasia of the third lumbar vertebra, so we report this case. Report details the diagnosis and treatment of a 34 years old man with back pain from monostotic fibrous dysplasia of the third lumbar vertebra. We discuss the experience in the consideration of previous report to recommend the optimal management of this disease.

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A Study on Aspheric Optics European LED Streetlights Type for the Prevention of Light Pollution (빛 공해 방지를 위한 유럽형 LED 가로등용 비구면 광학계에 관한 연구)

  • Lee, Shi-Woo;Lee, Chang-Soo;Hyun, Dong-Hoon
    • Journal of the Korean Society of Manufacturing Technology Engineers
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    • v.22 no.3
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    • pp.429-436
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    • 2013
  • In this study, we researched a pendant-type aspherical optical system, which could be applied to street lighting and security lighting in Europe. The goal of this research was eco-friendly artificial lighting that could be used for the one-to-one replacement of ordinary lighting. LED lighting was miniaturized by using one COB LED Module and one aspherical optical system, which could control the luminosity of the LED. Through the aspherical optical system, the light distribution angle could be controlled in a range of $140^{\circ}$ for the X-axis and $40^{\circ}$ for the Y-axis. This means that this optical system is appropriate for catenary-type lighting, which is widely used in Europe on both narrow and broad roads. The performance was determined using a lighting simulation program. This lighting system simulation showed that road rates M4 and M5 could be satisfied, with the condition of a 13-m height and 50-m distance (U0 and TI). The simulation program estimated that light pollution, which disturbs sleep, could beeliminated in the European streetlight case. Determining methods for the light distribution control, performance, and optimal lighting setup conditions is very important to prevent light pollution. Moreover, the initial step of developing the lighting system design and post management will require an effort with much analysis.

Relationship between Growth Pattern, Age at First Calving and Next Reproduction in Holstein Heifers

  • Lim, Hyun-Joo;Yoon, Ho-Beak;Im, Seok-Ki
    • Journal of Embryo Transfer
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    • v.30 no.4
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    • pp.265-270
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    • 2015
  • Growth rate during rearing, which varies depending on provided nutrition, has been related with age at $1^{st}$ calving (AFC). This study investigated the effect of upgrowth parameters during the rearing period on the reproduction of nulliparous Holstein heifers. The study comprised 77 successively born heifers from the same herd. Growth rate and fertility traits were measured during rearing and fertility parameters were recorded in lactations 1. Growth parameters (body weight, height, heart girth and body length) were measured at the approximate birth time, 270 and 450 d of age. Reproduction data collected included age at $1^{st}$ breeding, number of services per conception (S/C), pregnancy rate to $1^{st}$ artificial insemination, AFC. Animals were subsequently divided into 4 AFC groups for analysis: <23 mo, 23~25 mo, 26~30 mo and >30 mo. The AFC reflected both upgrowth rate and heifer reproduction, with later calving heifers smaller. Increased skeletal growth (at 270 and 450 d) was related with a reduced AFC (p<0.05). Early calving animals (<23 mo) had the best reproduction as nulliparous heifers, with most conceiving at first service (87.5%). Fertility in the first lactation was the worst in the oldest AFC group (>30 mo). In the 1st lactation period, a number of services per conception ($3.1{\pm}0.3$) increased with increasing AFC (>30 mo). Sub-optimal upgrowth related with an increased AFC could be mitigated by improved monitoring of replacement heifers during the rearing period.

Playback Quantity-based Proxy Caching Scheme for Continuous Media Data (재생량에 기반한 연속미디어 데이터 프록시 캐슁 기법)

  • Hong, Hyeon-Ok;Im, Eun-Ji;Jeong, Gi-Dong
    • The KIPS Transactions:PartB
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    • v.9B no.3
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    • pp.303-310
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    • 2002
  • In this paper, we propose a proxy caching scheme that stores a portion of a continuous media object or an entire object on the Internet. The proxy stores the initial fraction of a continuous media object and determines the optimal size of the initial fraction of the continuous media object to be cached based on the object popularity. Under the proposed scheme, the initial latency of most clients and the data transferred from a remote server can be reduced and limited cache storage space can be utilized efficiently. Considering the characteristics of continuous media, we also propose the novel popularity for the continuous media objects based on the amount of the data of each object played by the clients. Finally, we have performed trace-driven simulations to evaluate our caching scheme and the popularity for the continuous media objects. Through these simulations, we have verified that our caching scheme, PPC outperforms other well-known caching schemes in terms of BHR, DSR and replacement and that popularity for the continuous media objects based on the amount of the playback data can enhance the performance of caching scheme.

Successful Treatment of Lower Extremity Malperfusion Caused by Acute Aortic Dissection (급성 대동맥 박리증에 의한 하지 관류부전의 치료)

  • Lee, Jae-Hoon;Kim, Hyong-Tae;Kim, Young-Hwan;Choi, Sae-Young;Keum, Dong-Yoon;Park, Nam-Hee
    • Journal of Chest Surgery
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    • v.39 no.12 s.269
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    • pp.934-938
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    • 2006
  • Organ malperfusion may mask the presence of aortic dissection and is one of major cause of death in patient with aortic dissection. Several key mechanism appear to contribute to the development of malperfusion, therefore optimal choosing of treatment is necessary to obtain better result. In cases of extremity malperfusion, open bypass procedures have been used for primary treatment, but noninvasive interventional procedures are also recommended as good alternatives in some cases. Here in, we report a case of successful aortic replacement followed by stent insertion in patient with extremity malperfusion caused by acute aortic dissection.