• Journal of the Korean Society of Safety
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• v.18 no.4
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• pp.35-38
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• 2003

The wire rope, one of the component of the elevator, is extremely important for the sage operation of the elevator. That is why the wire rope is replaced at a specific interval regradless of the operating conditions or the degree of damage to prevent the breakage of the wire rope. This is the waste of resources, causing economic and environmental loss. This paper has surveyed and analyzed and analyzed the status of replacing wire-rope by buildings that use elevators, in order to compare the replacement cycles of the wire rope under each operating conditions.

• Proceedings of the KIEE Conference
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• 1996.11a
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• pp.49-51
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• 1996

The z-transform method is a basic mathematical tool in analyzing and designing sampled-data control systems. However, since the z-transform method relates only the sampling-instants signals, another mathematical tool is necessary to describe the continous signals between the sampling instants. For this purpose the delayed and the modi fled z-transform methods were developed. The definition of the modi fled z-transform includes a sample in the interval [-T,0] of the original signal in its series expression, where the signal value is always zero for any physical system. From this reason one step skew of the time index always appears in its application formulas. This introduces an unnecessary operation and a gap in linking the mathematical formula and its physical interpretation. Considering the conceptual difficulty and application inconvenience, a method of using the advanced z-transform in analysis of sampled-data control systems is developed as a replacement of the modi fled z-transform. With one formulation of the advanced z-transform, now it is possible to relate both the signals of the sampling instants and those in between without any complication and conceptual difficulty.

• Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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• 2003.11a
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• pp.161-163
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• 2003

Ring-shaped electrodeless fluorescent lamp is removed the internal electrodes and heating filaments that are a light-limiting factor of conventional fluorescent lamps. The ring-shaped electrodeless lamp is intended as a high efficacy replacement for the incandescent reflector lamp in many applications. In this paper, maxwell 3D finite element analysis program (Ansoft) was used to obtain electromagnetic properties associated with the coil and nearby structures. The electromagnetic emitting properties were presented by 3D simulation software operated at 250[㎑]and some specific conditions. The optical measurement measured luminance and a temperature and an optical spectrum distribution for 10 minutes in a one minute interval at the same time.

• Journal of Chest Surgery
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• v.35 no.11
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• pp.785-791
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• 2002

The results of reoperative valve replacement can be improved if appropriate analysis for the risk of reoperation was achieved. The purpose of our study was to analyze the results of reoperations for failure of bioprosthesis, and to define the risk factors in high-risk populations for reoperative procedures. Material and Method The series of 46 consecutive patients who had undergone first reoperative replacement for failed bioprosthesis between 1993 and 2001 were reviewed retrospectively. Mean age was 42 $\pm$ 12 years, mean body surface area was 1.52 $\pm$0.15 $m^2$. The reoperative procedure comprised of 36 MVR, 8 DVR, and 2 AVR. The first operation comprised of 2 DVR, 1 AVR, and 43 MVR. Factors which were choose to assess a predictor of results in reoperative valve replacement were sex, old age(＞60 years), early age at first operation(＜30 years), long interval between first and redo operation(.15years), poor NYHA functional class(＞3), LV dysfunction(LVEF＜45%), long operation time(＞8hours), endocarditis, combined procedures, and renal insufficiency, Result : Overall mortality was 4.3%(2 cases). The risk factors that influenced postoperative complications and unexpected postoperative results were lower ejection fraction(p＝0.012), older age(p＝0.045), endocarditis(p＝0.023), long operation time above 8 hours(p＝0.027). There was no statistically significant factor influencing hospital mortality. Conclusion : No factor influenced the mortality. Better results could be achieved if reoferation was performed carefully in poor left ventricular function, old aged patient, and with endocarditis. Effort to shorten the operation time would be helpful on postoperative results.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.10
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• pp.493-502
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• 2019

Recently, the installation of renewable energy including PV systems in distribution systems has increased energetically to cope with climate change and energy shortages according to the government's policy of renewable energy 3020. On the other hand, the electrical performance and lifespan of PV modules installed outdoors can be decreased considerably due to a range of deterioration phenomena depending on the ambient environmental factors. To overcome these problems, replacement of degraded PV modules with new ones is increased before the lifespan guaranteed by the makers of PV modules. Therefore, this paper proposes a disposal diagnosis algorithm to evaluate the time interval of the optimal replacement for PV modules according to performance degradation rate of PV modules. In addition, this study modeled an economic evaluation, which is composed of the cost and benefit of PV systems. From the simulation results based on the proposed modeling and algorithm to consider the performance degradation rate specifically, the replacement approach was found to have the best B/C ratio in 10th year with a 3[%] degradation rate and the disposal diagnosis algorithm of PV modules are useful and practical tools for economic evaluations of the replacement of PV modules.

• Journal of the Korean GEO-environmental Society
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• v.14 no.9
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• pp.31-37
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• 2013

In this study installation diameter, interval, area replacement ratio and ground hardness of applicable ground in C.G.S method should be mastered through surrounding ground by conducting modeling. Optimum artificial neural network was selected through the study of the parameter of artificial neural network and prediction model was developed by the relationship with numerical analysis and artificial neural network. As this result, C.G.S pile settlement and ground settlement were found to be equal in terms of diameter, interval, area replacement ratio and ground hardness, presented in a single curve, which means that the behavior pattern of applied ground in C.G.S method was presented as some form, and based on such a result, learning the artificial neural network for 3D behavior was found to be possible. As the study results of artificial neural network internal factor, when using the number of neural in hidden layer 10, momentum constant 0.2 and learning rate 0.2, relationship between input and output was expressed properly. As a result of evaluating the ground behavior of C.G.S method which was applied to using such optimum structure of artificial neural network model, is that determination coefficient in case of C.G.S pile settlement was 0.8737, in case of ground settlement was 0.7339 and in case of ground heaving was 0.7212, sufficient reliability was known.

• Journal of East-West Nursing Research
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• v.17 no.2
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• pp.96-102
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• 2011

Purpose: Patient-controlled epidural analgesia (PCEA) is an effective method for controlling post surgical pain. However, it is associated with adverse drug reactions such as nausea and vomiting. In this, study we tested the effects of Nei-Guan (P6) acupressure on PCEA-associated nausea, vomiting, and pain in geriatric patients after total knee replacement arthroplasty (TKRA). Methods: Ninety-nine patients who had TKRA for the first time were randomly assigned to either, experiment group (n=50) or control groups (n=49). All patients received PCEA immediately after surgery, but acupressure on Nei-Guan (P6) point was applied to experiment group only. Ten minutes of finger acupressure on Nei-Guan (P6) acupressure point was applied twice with 15 minute-interval in the experiment group. The incidence of nausea, vomiting, and retching as well as pain intensity were assessed at 12 and 24 hours after surgery. Nausea, and vomiting were assessed by Index of Nausea, Vomiting and Retching (INVR) questionnaire. Pain intensity was measured with frequency of analgesics. Results: Vomiting both was significantly different between two groups at 12 hours (t=-2.18, p=0.03) and 24 hours (t=-2.64, p=0.01) after surgery. Total scores of nausea, vomiting and retching in experimental group was significantly lower than control group 24hours after surgery (t=-2.18, p=0.03). However, pain was not different between two groups. Conclusion: Nei-Guan (P6) acupressure may be considered as an effective nursing intervention to decrease PCEA-associated nausea and vomiting in older patients after TKRA.

• Clinics in Orthopedic Surgery
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• v.10 no.4
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• pp.398-406
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• 2018

Background: Hypoalbuminemia (serum albumin < 3.5 g/dL) is associated with increased morbidity and mortality in patients undergoing total hip arthroplasty (THA) and total knee arthroplasty (TKA). However, costs associated with hypoalbuminemia remain unknown. This study investigated the effect of serum albumin on direct treatment costs, length of stay (LOS), and readmissions for primary and revision THA and TKA patients. Methods: All adult patients at a single institution undergoing primary or revision THA or TKA between January 2014 and December 2016 were retrospectively reviewed. Patients were stratified by preoperative serum albumin level. The primary outcome was total direct costs at index hospitalization. Secondary outcomes included LOS and readmission within 30 days. Multivariable regressions were utilized to adjust for demographics and comorbidities. Results: Of 3,785 patients, 114 (3.0%) had hypoalbuminemia. After adjustment, hypoalbuminemia was associated with a 16.2% increase in costs (${\beta}=0.162$; 95% confidence interval [CI], 0.112 to 0.213; p < 0.001), representing an average cost increase of $3,383 (95% CI, $2,281 to $4,485) relative to costs for serum albumin > 4.5 g/dL. The increased total costs were significantly higher in revision ($4,322, p = 0.034) than in primary ($3,446, p < 0.001) procedures. In adjusted regression, each 1.0 g/dL increase in serum albumin yielded a 6.6% reduction in costs (${\beta}=-0.066$; 95% CI, -0.090 to -0.042]; p < 0.001), for average savings of $1,282 (95% CI, $759 to $1,806) per unit albumin. Adjusted regressions demonstrated that a 1-point increase in serum albumin reduced readmissions by 53% (odds ratio, 0.47; 95% CI, 0.31-0.73; p = 0.001) and LOS by 0.6 days (${\beta}=-0.60$; 95% CI, -0.76 to -0.44; p < 0.001). Conclusions: Hypoalbuminemia is associated with increased total direct costs, LOS, and readmissions following primary and revision THA and TKA. Future efforts to predict and address total costs should take into consideration the patient's preoperative serum albumin levels.

• Vascular Specialist International
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• v.34 no.4
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• pp.103-108
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• 2018

Purpose: Surgery is the most common risk factor for pulmonary embolism (PE) in patients with a recent venous thromboembolism (VTE). This study reviewed clinical outcomes of preoperative inferior vena cava filter (IVCF) use in patients with acute VTE during abdominal-pelvic cancer or lower extremity orthopedic surgeries. Materials and Methods: We retrospectively analyzed 122 patients with a recent VTE who underwent IVCF replacement prior to abdominal-pelvic cancer or lower extremity orthopedic surgery conducted between January 2010 and December 2016. Demographics, clinical characteristics, postoperative IVCF status, risk factors for a captured thrombus, and clinical outcomes were collected for these subjects. Results: Among the 122 study patients who were diagnosed with acute VTE in the prior 3 months and underwent preoperative IVCF replacement, 70 patients (57.4%) received abdominal-pelvic cancer surgery and 52 (42.6%) underwent lower extremity orthopedic surgery. There were no perioperative complications associated with IVCF in the study population and no cases of symptomatic PE postoperatively. A captured thrombus in the filter was identified postoperatively in 16 patients (13.1%). Logistic regression analysis indicated that postoperative anticoagulation within 48 hours significantly reduced the risk of a captured thrombus (odds ratio [OR], 0.28; 95% confidence interval [CI], 0.08-0.94; P=0.032). Conclusion: A captured thrombus in preoperative IVCF was identified postoperatively in 16 patients (13.1%). Postoperative anticoagulation within 48 hours reduces the risk of captured thrombus in these cases.

• Journal of Chest Surgery
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• v.56 no.5
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• pp.304-310
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• 2023

Background: The late progression of tricuspid regurgitation (TR) after mitral valve surgery is well known. However, few reports have described the progression of TR after aortic valve surgery. We investigated the incidence of and risk factors for the development of significant TR after isolated aortic valve replacement (AVR). Methods: This study analyzed patients with less than moderate TR who underwent isolated AVR at Seoul National University Hospital from January 1990 to December 2018. Significant TR was defined as moderate or higher. Echocardiographic follow-up was performed in all patients. The Fine-Gray model was used to identify clinical risk factors for the development of significant TR. Results: In total, 583 patients (61.7±14.2 years old) were included. Operative mortality occurred in 9 patients (1.5%), and the overall survival rates at 10, 20, and 25 years were 91.1%, 83.2%, and 78.9%, respectively. Sixteen patients (2.7%) developed significant TR during the follow-up period (13 moderate; 3 severe). The cumulative incidence of significant TR at 10, 20, and 25 years was 0.77%, 3.83%, and 6.42%, respectively. No patients underwent reoperation or reintervention of the tricuspid valve. Hemodialysis or peritoneal dialysis for chronic kidney disease (hazard ratio [HR], 5.188; 95% confidence interval [CI], 1.154-23.322) and preoperative mild TR (HR, 5.919; 95% CI, 2.059-17.017) were associated with the development of significant TR in the multivariable analysis. Conclusion: TR progression after isolated AVR in patients with less than moderate TR is rare. Preoperative mild TR and hemodialysis or peritoneal dialysis for chronic kidney disease were significant risk factors for the development of TR.