• Journal of Chest Surgery
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• v.21 no.1
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• pp.164-168
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• 1988

Between November, 1984, and May, 1986, 93 patients underwent combined valvular and coronary artery operation. They were 70 male and 23 female, the age ranging from 29 to 82. From this population 89 patients underwent single valve replacement and 4 patients underwent double valve replacement. Patients with mitral valve disease were in the majority present in the age group between 50 till 70, where as in the group after 60 years, patients with aortic valve disease were dominant. The main indication for aortic valve replacement was aortic stenosis and the indication for mitral valve replacement was equal between mitral stenosis and mitral incompetence, the later was due to papillary dysfunction after myocardial infarction. Dyspnea was a very frequent symptom and it was found in nearly all patients. 28 patients had a previous myocardial infarction and severe left ventricular dysfunction. The grafts were placed prior to valve replacement and periods of myocardial ischemia were kept at a minimum by maintaining coronary perfusion throughout the operation. It is our opinion that simultaneous valve replacement and myocardial revascularization does not increase the risk of cardiac valve replacement substantially.

• Journal of Chest Surgery
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• v.29 no.2
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• pp.164-170
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• 1996

From January 1986 to June 1993, 12 patients Aad required reoperation: 9 had undergone mitral and 3 aortic valve replacement. Five were male and 7 female, and ages ranged from 29 to 61 years. Replacement of the prosthetic heart valve was performed at a mean interval of 98 $\pm$ 1 months after the Hrst operation. In aortic valve replacement patients the mean interval was 115 $\pm$ 2 months and in mitral valve replacement patients 98 $\pm$ 4 months. Primary tissue failure was the most frequent reason of replacement (10 patients) followed by valve thrombosis (1 patient) and prophylactic replacement (1 patient) in order. The most pronounced pathology of the failed prosthetic heart valves seen in the primary tissue failure group was calcification, perforation, shrinkage and tearing of the cusps. There was one early operative death (8.3%) due to intractable low cardiac output and acute renal failure. Eleven early survivors had successful operative results and there was no late death.

• Proceedings of the Safety Management and Science Conference
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• 2004.11a
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• pp.115-123
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• 2004

Replacement problems can be classed as either deterministic of stochastic. Deterministic problems are those in which the timing and the outcome of the replacement action are assumed to be known with certainty. Before proceeding with development of replacement models it is important to note that preventive replacement actions, that is, ones taken before equipment reaches a failed state, require two necessary conditions: (1) The total cost of the replacement must be greater after failure than before. (2) The failure rate of the equipment must be increasing. Equipment is subject to failure. On failure, one of two possible actions can be taken : repair or complete replacement of the failed equipment. In this paper, we proposed optimal overhaul, repair, replacement maintenance model with two-state.

• Journal of Applied Reliability
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• v.17 no.4
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• pp.316-324
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• 2017

Purpose: The purpose of this study is to determine the replacement cycle applied age replacement policy by reliability analysis based on railway vehicle contactor's failure history data. Method: We performed reliability analysis based on railway vehicle contactor's failure history data. We found a suitable distribution by goodness of fit test and predicted the reliability through estimation of scale & shape parameter. Considering cost information we determined the replacement cycle that minimize the opportunity cost. Result: Suitable distribution was the Weibull and scale parameter & shape parameter are estimated by reliability analysis. The replacement cycle was predicted and MTTF, $B_6$ percentile life were suggested additionally. Conclusion: We confirmed that failure rate type of railway vehicle contactor is degradation model having a time dependent characteristic and examined the replacement cycle in our country's operating environment. We expect that this study result contribute to railway operation agency for maintenance policy decision.

• Journal of Integrative Natural Science
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• v.14 no.4
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• pp.197-204
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• 2021

Under the two-phase warranty, the warranty period is divided into two intervals, one of which is for renewing replacement warranty, and the other is for minimal repair warranty. Jung^[13] discusses the two types of extended two-phase warranty models. In this paper, we suggest the replacement model after the extended two-phase warranty that has been proposed by Jung^[13]. To determine the optimal replacement policy, we adopt the expected cost rate per unit time. So, the expressions for the total expected cost, the expected length of the cycle and the expected cost rate per unit time from the user's point of view are derived. Also, we discuss the optimal replacement policy and the uniqueness of the solution for the optimization. Furthermore, the numerical examples are provided to illustrate the proposed the replacement model.

• Journal of Chest Surgery
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• v.13 no.4
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• pp.422-434
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• 1980

Since 1968 up to the end of October 1980, 448 valves were replaced in 354 patients in Seoul National University Hospital. There were 238 mitral, 38 aortic, 7 tricuspid, 45 aortic with mitral, 23 tricuspid with mitral, and 3 triple valve replacement aortic mitral and tricuspid cases. Annual increase of mitral valve replacement cases and decrease of operative maortality were remarkable. Recently operative mortality of mitral valve replacement is about 5%. Sex ratio of mitral valve replacement is almost equal and there were 12 cases of pediatric patients (5%) among 238 cases, and patients under the age of 20 years were 34 (14.3%). Mitral valve replacement was done for 199 single mitral, 38 double valve and one triple valve lesions. Among 238 mitral valve replacement paients left atrial thrombus in 23(9.7%), atrial fibrillation in 132 (55.5%), and reoperation after blind mitral commissurotomy in 12(5%) cases were noted. In recent cases bioprosthetic valves, mainly lonescu-shiley valve were utilized to overcome the difficulties of postoperative late complications in anticoagnuation, especially for the rural patients and pediatric cases, in addition to the hemodynamic advantages of lonesocu valve. Among 354 patients 16 cases were congenital heart anomaly related, 5 ventricular septal defect related aortic and 4 Ebstein related tribuspid valve replacement cases. There were 2 congenital anomaly related mitral valve replacements, one for congenital mitral insufficiency of 7 years old boy and one for corrected transposition of the great vessels associated with mitral insufficiency. Among total 354 valve replacements 49 operative deaths (13.3%) were noted and in 238 mitral valve replacement 24 operative deaths occurred (10.1%). In 39 patients among 354 total valve replacements late complications were found. In 238 mitral valve replacement cases late complications were noted in 26 patients, among whom 16 cases expired. Main late complications were thrombe-embolism, subacute becteerial endocarditis, arrythmia cerebral hemorrhage due to unsatisfactory anticoagulation, and congestive heart failure in the incipient period of valve replacement were also noted. In mitral valve replacement cases long-term survival rate was 83.2% who showed marked clinical improvement. Ther were no evidences of calcification during the 2 years follow-up period for the lonescu-valve replacement cases among 19 pediatric patients. In conclusion 238 cases of mitral valve replacement were done with 24 operative deaths and 26 late complication cases among whom 16 expired. The long term survival was 83.2% of the cases. In pediatric cases in place of coumadin anticoagulation Persantin **** 75 and aspirin were administered after valve replacement. In adult cases who have difficulaties with coumadin anticoagulation and for those even with bioprosthetic heart valve replacement who needs long-term or permanent anticoagulation persantin 75 and aspirin combination regimen were administered with antisfactory results.

• Proceedings of the Korea Concrete Institute Conference
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• 2006.05b
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• pp.545-548
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• 2006

This study has been carried out to examine the properties of concrete according to replacement ratio and curing method of fly ash, in order to increase utilization of it. As the result of experiments, the 7 days of early age strength presented around 20MPa, up to 20% of replacement ratio, which is almost the same strength as non-replacement. However, when the replacement ratio was 30%, the strength was decreased to 16MPa, as 20% reduction compared to the non-replacement condition. In 365 days of long term aging, the strength was 5% higher, up to 20% of the replacement ratio, due to the pozzolanic reaction of fly ash. When the replacement ratio was 30%, it presented similar strength development as the non-replacement condition. Steam curing and autoclave curing increased the short age strength, regardless of the replacement ratio of fly ash; however, they don't have an effect on increasing the 365 days of long term strength. Water curing showed high strength development after 28 days, 51.81MPa, which is around 30% higher than air curing, 38.9MPa, steam curing, 38.6MPa, and autoclave curing, 39MPa. Therefore, water curing was examined as one of the very effective curing methods for developing long term strength of concrete.

• Journal of Chest Surgery
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• v.27 no.3
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• pp.187-190
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• 1994

Between March, 1989, and August, 1993, 10 patients underwent aortocoronary bypass surgery concomittant with cardiac valve replacement. They were 6 men and 4 women, the age ranging from 47 to 64. 7 patients underwent single valve replacement and 2 patients underwent double valve replacement, Another one patient underwent only CABG one year after valve replacement and he had no evidence of prosthetic valve failure. Total number of graft vessels were.15,14 were saphenous venous grafts and 1 was internal mammary artery graft. Dyspnea on exertion was frequent symptom and was found in all patients. 8 patients presented stable angina, only 1 patient presented postinfarct angina and another 1 patient presented no angina symptom. The graft was placed prior to valve replacement and periods of myocardial ischemia were kept at a minimum by maintaining coronary perfusion throughout operation. Postoperative course was uneventful and there was no hospital mortality, as was supported by many reports, it is our opinion that simultaneous valve replacement and aortotomy bypass graft does not increase the risk of cardiac valve replacement substantially.

• Korean Journal of Soil Science and Fertilizer
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• v.50 no.4
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• pp.293-305
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• 2017

This experiment was conducted to evaluate the effect of leachate replacement frequency on solid state anaerobic digestion (SSAD) of dairy manure using 22 L volume lab-scale digesters at mesophilic temperature ($37^{\circ}C$) in batch mode. Three different leachate replacement strategies (no replacement, once every three days, and once every nine days) were applied and three digesters per each treatment were operated for 45 days. Results showed that leachate replacement test unit every nine days resulted in 1.6 times more methane production ($53.8N{\cdot}mL\;g^{-1}{\cdot}VS$) from SSAD compared to test unit every three days ($34.0N{\cdot}mL\;g^{-1}{\cdot}VS$). No leachate replacement strategy applied group showed slightly higher methane production ($56.3N{\cdot}mL\;g^{-1}{\cdot}VS$) than every nine days replaced one. When added the methane production potential of replaced leachate itself to the methane produced from digester, leachate replacement every nine days resulted in quite similar methane production ($56.5N{\cdot}mL\;g^{-1}{\cdot}VS$) to no leachate replacement group. Even though methane production potential of replaced leachate itself added to the methane produced from digester, every three days replacement showed only $34N{\cdot}mL$ methane production per gram of volatile solids. These results suggest that farmers do not need to replace leachate during SSAD of dairy manure and sawdust mixture in order to maximize methane production. If there are any concerns with accumulation of inhibiting substances in the digester, the 9-day cycle leachate replacement is appropriate.

• Architectural research
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• v.14 no.2
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• pp.75-83
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• 2012

Buildings that are more than 10 years old generally have considerable repair and replacement costs due to the rapid deterioration of their systems. For public buildings in particular, which have national and social significance, considerable effort is required not only to ensure a long life cycle and safety but also to minimize the overall public expense. Along with increasing repair and replacement requirements, however, there have been problems related to the establishment of an accurate facility management budget. To address these concerns, a repair and replacement cost management system was constructed. This system manages both invested maintenance and forecast costs to establish a reasonable repair and replacement planning process and budget. The effectiveness of the system was verified through a pilot test targeting one of public Corporation (K).