Background: The durability of the tissue valve is important in choice between a mechanical valve and a tissue valve in cardiac surgery. We studied the mid-term results of tissue valve in the aortic position. Material and Method: The subjects were 380 patients who had undergone aortic prosthesis replacement between May 1990 and March 2009. We retrospectively analyzed hospital and outpatient records: the mean age was $69{\pm}9$ years; the male to female ratio was 227 : 162; and the mean follow-up duration was $46.7{\pm}40.8$ months (range 0~196 months). Result: 389 surgical cases in total had been taken with 380 patients. Early death occurred in 15 patients (3.9%). Overall survival rate at 1, 5 and 10 years were 92.3%, 78.1% and 54.2% respectively. Freedom from reoperation at 1, 5 and 10 years were 98.4%, 97.1% and 91.7% respectively. Freedom from structural valvular deterioration at 1, 5 and 10 years were 96.1%, 92.3% and 88.0% respectively. In the multivariate analysis of preoperative risk factors, young age (p<0.001) was significant risk factor for reoperation. High peak velocity in the postoperative period (p=0.034) and young age (p=0.029) were significant risk factors for structural valvular deterioration. Old age (p=0.001), long bypass time (p=0.035), concomitant coronary artery bypass graft surgery (p=0.003) and preoperative low left ventricular ejection fraction (p=0.003) were significant factors for early mortality. Preoperative estimated glomerular filtration rate (< 60 mL/min) (p=0.025) and persistent left ventricular hypertrophy (p=0.032) were the risk factors for late mortality. Conclusion: This study showed that the freedom from reoperation and the freedom from structural valvular deterioration in aortic tissue valve replacement were acceptable. It will be necessary to conduct further studies with long-term follow-up and more patients.
The structural failure of the glutaraldehyde-treated xenograft valves has been the primary concern about the limited durability as predicted from the begimling of clinical use, and long-term follow-up has shown a significant incidence of primary tissue failure(PTF) from both biological and mechanical reasons. Twenty-seven patients with the low-profile lonescu-Shiley valves explanted from mitral position for PTF(Group III) were studied on the patient characteristics and valve pathology, and the results were compared with the matched observations of the Haycock(Group I) and of the standard-profile lonesiu-Shiley valves(Group II). Patients were aged 16 to 56 years(mean, 38.0$\pm$ 11.0 years), and the size of the failed mitral bioprosthesis was 30.8$\pm$ 1.3 mm. The hemodynamic consequences were stenosis in 29.6%, insufficiency in 44.4%, mixed steno-insufficiency in 14.8%, together with normal function for the rest of patients of prophylactic re-replacement. Pathology revealed calcification with or without tissue damage in 63.0% and tissue damage with or without calcification in 58.l%, in contrast with the observations of predominant tissue damage(76.8%) over calcification in Group I and of calcification(76.1%) over tissue damage in group II. Although dystrophic calcification has long and repeatedly dealt with patient's young age as a determinant of valve durability, such a characteristic evidence was not reached even in patients with calcified valves. Moreover, the prolonged explantation p riods from the studied on the previous report suggested strongly yet possibly evolving destructive processes among the valves in the remaining patients, and awaits further follow-up. In conclusion, PTF of the xenograft valves seems to result from more complicated biologic and metabolic reasons as well as more complex mecharical factors than the reported, and newer generation prostheses, with tissue preservation with glutaraldehyde, do not likely to provide decisive improvement in the occurrence of structural failurebioprostheses is generally limited to the highly aged.
Journal of Korean Tunnelling and Underground Space Association
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v.24
no.6
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pp.451-464
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2022
The high-level nuclear waste repository is a deep geological disposal system exposed to complex environmental conditions such as high temperature, radiation, and ground-water due to handling spent nuclear fuel. Continuous exposure can lead to cracking and deterioration of the structure over time. On the other hand, the high-level nuclear waste repository requires an ultra-long life expectancy. Thus long-term structural health monitoring is essential. Various sensors such as an accelerometer, earth pressure gauge, and displacement meter can be used to monitor the health of a structure, and a piezoelectric sensor is generally used. Therefore, it is necessary to develop a highly durable sensor based on the durability assessment of the piezoelectric sensor. This study designed an accelerated life test for durability assessment and life prediction of the piezoelectric sensor. Based on the literature review, the number of accelerated stress levels for a single stress factor, and the number of samples for each level were selected. The failure mode and mechanism of the piezoelectric sensor that can occur in the environmental conditions of the high-level waste repository were analyzed. In addition, two methods were proposed to investigate the maximum harsh condition for the temperature stress factor. The reliable operating limit of the piezoelectric sensor was derived, and a reasonable accelerated stress level was set for the accelerated life test. The suggested methods contain economical and practical ideas and can be widely used in designing accelerated life tests of piezoelectric sensors.
Purpose: To provide the primary data for reaching a consensus on the adequate duration of treatment of lamivudine in children with HBeAg negative chronic hepatitis B. Methods: Seven of 83 children/adolescents with chronic hepatitis B were diagnosed with HBeAg-negative and HBV DNA-positive chronic hepatitis B and treated with lamivudine. Six children/adolescents were enrolled among 7 patients, who had been treated with lamivudine over 2 years. The primary goal of treatment was HBV DNA clearance and normalization of the serum ALT level; the final goal of treatment was the durability of the complete response after discontinuation of lamivudine. It was planned to continue lamivudine for more than two additional years after HBV DNA negativity and normalization of ALT. Results: The mean duration of lamivudine treatment was 32.2 months (range, 26~40 months) and the mean duration of follow-up was 59.5 months (range, 26~110 months). HBV DNA levels became undetectable (<0.5 pg/mL) in 6 patients within 3 months of treatment. ALT levels were normalized in 3.5 months (range, 2~7 months) in all 6 patients. Biochemical breakthrough developed in 1 patient 18 months after the initiation of lamivudine treatment. No evidence of relapse could be found in 4 patients with a mean follow-up of 23.8 months (range, 4~75 months) after cessation of lamivudine treatment. Conclusion: Suppression of HBV replication and normalization of serum ALT levels were effectively achieved with long-term lamivudine treatment in children/adolescents with HBeAg-negative chronic hepatitis B. Two additional years of lamivudine may be needed after HBV DNA clearance and ALT normalization in HBeAg-negative chronic hepatitis B in order to decrease the relapse rate.
This study examines the stage costumes of the creative musical 'Hyecho', which was performed six times in the Chung Ang Art Center hosted by Chung-Ang University's performance & media agency from December 20 to 22 in 2006. The stage costumes were made based on these basic design elements of stage costumes that were dyed : line, silhouette, material, and color. First, the creative musical 'Hyecho' presents a new form of fusion theatre, which blends Korean traditional music and dance with videos. Thereby, the musical has opened a new phase in Korea's creative performing arts. Second, in musical performances that combines dance and songs, stage costumes should be made not only to attract the audience's eyes, but also not to interrupt actors' vocalizations and movements by taking their physical features into account. Also, costumes should be made in consideration of their relationships with visual elements, including stage settings and lighting. Third, the musical features fusion-style stage costumes, which combines Hanbok, the Korean traditional costume, and Indian traditional costumes with modern costumes. For the line and silhouette, costumes show the beauty of curves through the curves of Hanbok and India's traditional costumes and also through irregular pleats of pants. Also, by using cotton materials, which is easy to dye and not readily deformed, costumes feature colors that are found in nature through a gradation dyeing technique. In doing so, it offers visual amusement to the audience by making stage costumes look like a beautiful painting. Fourth, the stage costumes of the chorus feature costumes that use lining and pleated skirts using belts, and various accessories, including necklaces that use strings in order to express evil spirits. Since there is not much time to change costumes during a performance, using such items are helpful to show the unique characteristics of actors effectively during the limited time. Also, coordinating with the lighting director allows the costume designer to make better costumes for the chorus and make the performance more dramatic. Finally, it was not necessary to wash the costumes of the chorus of the fusion musical Hyecho 2006 since it was performed only six times. However, when using dyed costumes for the long-term performance, it might cause problems such as bleaching that result from the washing of costumes and low durability that can result in the deformation of costumes. As performing arts are made in various forms and are diversified, it is needed for stage costumes to change accordingly through new attempts and various ways of expression.
Journal of the Korea institute for structural maintenance and inspection
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v.23
no.1
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pp.130-137
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2019
Precast concrete (PC) structure is one of the type of the structures which is made in a facility prior to installing it to a construction field. The contact surfaces between two PC structures should be treated for obtaining enough binding force by inducing prestressing force. However, in the many cases, the contact surface causes the crack and leakage of water. These cracks and water leakage can cause the corrosion of the rebar, and the corrosion of the rebar can severely reduce the long-term durability. In this study, the SMA wire connector is suggested to solve the problem with the contact surfaces between two PC structures. The pull-out resistance of the suggested SMA wire connector is evaluated by conducting the tests to find the effect of the number of wires, shape of connector part, and shape memory effect. As a result of this study, the empirical formula is suggested to estimate the pull-out resistance related with the effects of the shape of the connector, shape memory effect, and the adhesive force. The validity between the estimated pull-out resistance and the measured value is confirmed.
This study is to reduce the rate of drowning accident by using of buoyancy bag. People are exposed to the high risk of drowning accident when they have water leisure activities due to the lack of safety mind-set and shortage of safety products. In case of drowning accident, the rescue action is normally depending on the other people's assistance. Therefore, rescue activities which relyn the people doesn't improve the ratio of survival in the drowning accidents. The submarine specialists should use the buoyancy products to rescue the people in the drowning accident. The citizen can carry portable buoyancy product in the automobile as well as by hands anywhere and anytime. It will be effective rescue tool to save his/her life in the emergency. In addition, it will contribute to rescue other's life because it can be used immediately. There are 3 positive characteristics on the buoyancy bag. First, it is convenience. Documents and other stuffs can be kept in the bag. Second is safety. The material of buoyancy is placed in the inner of the bag. It is possible to float the person whose weight is 90 kg. Lastly, it is durability. It can be used long-term because the outer of the bag is made of anti-water material and anti-water zipper. As a result of performance analysis, it is evident that the buoyancy bag can be used to rescue the people in the drowning accident as a indirect rescue tool compared with the current other rescue products. It is recommended that the design of outer box and performance of buoyancy are required to be improved in order to contribute more to rescue people in the accident.
Kwon, Young Jeong;Park, Min Chul;Shin, Hyo Hee;Lee, Song
Journal of the Korea institute for structural maintenance and inspection
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v.15
no.5
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pp.150-159
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2011
The need of securing the stability and extending service lives by efficient maintenance of deteriorated tunnels for several decades has been increased. The stability and the usability of conventional tunnels can be decreased by change of physical properties of the surrounding ground, geometrical properties of the tunnel, an underground water level, environmental conditions, oxidation of lining and the breakdown of constituent materials. In respect of a long-term view, it is need to check all sorts of degradation, the degree of damage and durability to improve the serviceability and to come up with measures to maintain effectively. This paper is about study to analyze the stability of conventional tunnels(American Steel Support Method. ASSM). Three tunnels are chosen in those built in the 1930s and 1960s and the locations of tunnels are selected variously(ChungCheong, GyungBuk, GangWon, Jeolla, etc.) to secure reliability of this study. The state of repair and reinforcement of linings, cracks, and thickness and strength of lining of conventional tunnels in service are researched, compared and analyzed. The crack gauge, the GPR, the schmitt hammer was used for the crack investigation, cavitation, the strength respectively. By using these, the comparative analysis for conventional tunnels was conducted. As a result, there are more cracks in tunnels built in the 1930s than those of tunnels built in the 1960s, and lining strength of the 1930s is higher than those of the 1960s. The thickness of lining in tunnels built in the 1960s is higher than those in tunnels built in the 1930s. In proportion to thickness, cavitation occurred more frequently in tunnels built in the 1960s compared to those in tunnels built in the 1930s.
Sim, Jong Sung;Oh, Hong Seob;Ju, Min Kwan;Ha, Woo Jin
Journal of the Korea institute for structural maintenance and inspection
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v.12
no.2
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pp.59-66
/
2008
In the construction site, to improve the man-dependent form work, non-stripping form has been studied but the developed non-stripping form was hard to applied with respect to the cost, form size and performance. This study is for evaluating the adaptability of the developed non-stripping form named as high performance permanent form (HPPF). To do this, the analytical approach and parametric study were performed based on the research for fundamental material characteristic of the HPPF. The target concrete structure is a wall structure because of its effectiveness of HPPF. To evaluate the structural efficiency of the HPPF applied wall structure, FEM analysis was performed to decide the maximum placing height at one time then it was applied to design the wall structure. In the result of the analysis, the HPPF applied wall structure showed the lots of advantages that it can reduce the cost resulted from reducing concrete and steel rebar even if it has same structural performance to the conventional concrete wall structure with same dimension. With this analysis result, it can be evaluated that the HPPF applied concrete structure can be a concrete structure with the long term durability in site.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.11
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pp.9-18
/
2020
Recently, studies of integrated management platform and performance-based maintenance decision-marking systems have proceeded to the efficient management of port facilities. The purpose of this study was to manage and operate port facilities based on performance and to provide long-term durability and budgetary execution. Thus, it is essential to secure basic data to be analyzed in an integrated platform and decision-marking system. This study derived the data linkage measures to secure port facility design and management information. The target of deriving the data linkage was the POMS (Port Facility Management System) currently in operation by the MOF (Ministry of Oceans and Fisheries). To derive data linkage, analyze the database of POMS and select the data required for the operation-integrated platform and decision-marking system. The final data linkage target was determined by compiling the requirements of the relevant experts and selecting the final target of three groups (port and facility information, management information, and user information). As a result, the API interface design was prepared for detailed linked data and data linkage framework between the linkage data of POMS. The provision of real-time data linkage between POMS and integrated platform is expected to improve the operational efficiency of the integrated platform.
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