• Journal of Chest Surgery
• /
• 제22권6호
• /
• pp.951-959
• /
• 1989

Between September, 1972 and September, 1989, total 359 patients were operated for acquired heart disease at Department of Thoracic and Cardiovascular Surgery, Hanyang University Hospital. A consecutive series of 293 prosthetic valve replacement was also performed during this period. The results were summarized as follows; 1. There were 141 men and 218 women, whose ages ranged from 6 to 64 years, [mean 35.5 years] 2. Out of 293 cases, mitral valve replacement was 182 cases, aortic valve replacement was 39 cases and double valve replacement was70 cases. 3. Early post-operative death was 30 cases [Mortality; 8.4 %] and late death was 9 cases in the survivors. 4. Re-operation was 30 cases and operative mortality was 10%. 5. Mean post-operative interval was 76 months. [Ranged from 216 months to 2 months] 6. Among re-operation cases, primary prosthetic valve failure was 16 cases and paravalvular leakage was 2 cases. 7. Since January 1988, 79 cases of prosthetic valve replacement were performed and then 1 case was expired. [Mortality; 1.2 %]

• 품질경영학회지
• /
• 제19권2호
• /
• pp.117-124
• /
• 1991

In this paper, it is assumed that a system is composed of an essential unit and a nonessential unit. During the running of the system, an essential unit is replaced at periodic replacement time T or at nth failure of essential unit whichever occurs first. Nonessential unit is replaced at its failure and at the replacement of essential unit. This paper derive optimal replacement period which minmises the total expected cost for replacement. The unimodality of totoal maintenance cost function is proved under the assumption that hazard rate of each component is continuous and monotone increasing failure rate(IFR). Based on this condition, it is shown that the optimal replacement period is finite and unique.

• Journal of Chest Surgery
• /
• 제24권10호
• /
• pp.967-972
• /
• 1991

Between Feb. 1982 and July 1990, 173 patients [male: 89, female: 84] Who underwent heart valve replacement for acquired valvular heart disease on the Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, were reviewed for return to work after heart valve replacement. The replaced valve were mitral [128, 74.0%], aortic[10, 5.8%], mitral & aortic[35, 20.2%]. Two tricuspid valve replacement were excluded. Several important factors influencing the return to work were age, the employment status before surgery, the number of replaced valve, the pre - op NYHA functional class and cardiac function [ejection fraction]. These factors were closely related to the optimal time of heart valve replacement. It can be concluded that the rate of return to work and the quality of life would be improved if valve replacement were performed at an earlier stage of valvular heart disease.

• 한국철도학회:학술대회논문집
• /
• 한국철도학회 2009년도 춘계학술대회 논문집
• /
• pp.191-197
• /
• 2009

As a case study on determining the replacement interval for the CMB contactor, we analyzed a field failure data during 59 months and through the simulation reliability is analyzed. As a result of analyzing the reliability we estimated parameters and analyzed distribution characteristics. Ultimately using the estimated results and applying the Age Replacement Policy considered the cost information, CMB contactor's replacement interval is determined. Through the comparison, analysis between the replacement interval and manufacturing company's, the necessity of replacement interval that is reflected in our operation circumstances is examined.

• 한국세라믹학회지
• /
• 제51권2호
• /
• pp.127-131
• /
• 2014

Precipitated calcium carbonate(PCC) inorganic fillers for plastic offera higher replacement ratio with improved mechanical properties than any other inorganic fillers. Due to its secure economic feasibility, its fields of application areexpanding. For optimized PCC grain size and polymer replacement ratio, it is good to maintain at least $0.035{\mu}m$ grains and keep double the grain size of distance between particles, depending on the molecular weight and volume replacement rate of the polymer. PCC has unique characteristics, ie, with smaller grain size, dispersibility decreases, and if grain size is not homogenous, polymer cracking occurs. The maximum replacement ratio of PCC is approximately 30%, but in the range of 10 - 15% it produces the highest mechanical strength. When mixed with a biodegradable plastic like starch, it also improves initial environmental degradability.

• 한국신뢰성학회지:신뢰성응용연구
• /
• 제1권1호
• /
• pp.35-46
• /
• 2001

Replacement policy of a degradation system is investigated by incorporating the loss function. Loss function is defined by the deviation of the value of quality characteristic from its target value, which determines the loss cost. Cost function is comprised of the inspection cost, replacement cost and loss cost. Two cost minimization problems are formulated : 1)determination of an optimal inspection period given the state for the replacement and 2)determination of an optimal state for replacement under fixed inspection period. Simulation analysis is performed to observe the variation of total cost with respect to the variation of the parameters of loss function and inspection cost, respectively As a result, parameters of loss function are seen to be the most sensitive to the total cost. On the contrary, inspection cost is observed to be insensitive. This study can be applied to the replacement policy of a degradation system which has to produce the quality critical product.

• 산업경영시스템학회지
• /
• 제10권16호
• /
• pp.75-80
• /
• 1987

This paper is deals with the preventive replacement for the equipment which fails only when the total amount of damage reaches a prespecified failure level. Most of replacement model use time as their decision variable, but it is not appropriate for the cases in which failures dependent on their cumulative damage levels. In this paper, a new type preventive replacement model is introduced in which an equipment is replaced before failure when the cumulative damage reaches a certain level or replaced on failure, whichever occures first. The optimal replacement damage levels which minimize total expected cost are obtained by the Dynamic programming Method when the number of use of the equipment is finite. A numerical example is also presented. The optimal preventive replacement policy when the equipment will be used for a finite time span is also discussed.

• Journal of Chest Surgery
• /
• 제33권2호
• /
• pp.160-166
• /
• 2000

Background: The purpose of this study is to evaluate and analyze the surgical results in patients undergoing operations for multiple for multiple valvular heart diseases. Material and method: From April 1982 to June 1997 multiple valve replacement was performed in 150 patients mitral and aortic valve replacement were done in 135 patients mitral and tricuspid valve replacements in 10 patients triple replacements in 4 patients and aortic and tricuspid valve replacement in 1 patient. Of the valves implanted 157 were St. Jude 104 Duromedics 20 Carpenter-Edwards 6 Bjork-Shiley 6 Ionescu-Shiley and 2 Medtronics. Result: The hospital mortality rate was 10.7% (16/150) and the late mortality rate was 7.2% (8/134) The mortality rate was high in early operative period but decreased with time. The causes of death were low cardiac output in 9 sudden death in 3 congestive heart failure in 3 bleeding in 2 cerebral thrombosis in 1 leukemia in 1 multiorgan failure in 1 and so on . The actuarial survival rate excluding operative death was 83.1% at 15 years. Conclusion: With a follow-up now extending to 15 years the multiple valve replacement continues to be reliable procedure with relatively low mortality and morbidity.

• 국제학술발표논문집
• /
• The 4th International Conference on Construction Engineering and Project Management Organized by the University of New South Wales
• /
• pp.376-381
• /
• 2011

In Korea Water Resources Corporation (K-Water) has seen four problems rising in four aspects of property management of approximately 1,300 buildings scattered through put to country. To solve these, ground data for repair and replacement works to be conducted for prevention will be prepared and building maintenance system (hereinafter referred to as PBMS) intended to record related repair and replacement work histories and calculate LCC of the related these items will be developed. PBMS, a web-based system, will be developed for users' convenience and data monitoring in real time. To sum up, PBMS are expected to maximize efficiency in four aspects including the establishment of repair and replacement work plans for prevention, history management, DB for predicting future work to be occurred and enable the determination of priorities by being developing into facility condition assessment systems through the results of analysis of repair and replacement histories and LCC.

• Journal of Chest Surgery
• /
• 제40권12호
• /
• pp.817-824
• /
• 2007

목적: 심장판막치환술 시에 선택하는 판막에는 크게 기계판막과 조직판막이 있다. 두 가지는 각기 피할 수 없는 단점이 있는데 조직판막의 경우 판막의 퇴행성 변화에 따른 재수술이 가장 문제가 되며 판막재치환술의 위험도가 적다면 조직판막의 사용이 증가되리라 생각된다. 이에 저자들은 심장판막치환술 후 재치환술의 위험도 및 사망률을 심장판막 일차치환술과 비교 평가하였다. 대상 및 방법: 1995년 1월부터 2004년 12월까지 최근 10년간 본 병원에서 연속적으로 시행한 심장판막수술 환자 239명 중 심장판막치환술 후 재치환술을 받은 25명과 심장판막일차치환술을 받은 158명의 한자를 후향적으로 비교, 분석하였다. 결과: 심장판막 재치환술군과 심장판막 일차치환술군 간의 나이, 성별, 술전심박출률 등은 통계적으로 큰 차이가 없었다. 재치환군에서 첫 수술의 판막은 기계판막 3예, 조직판막 22예로 이중 대동맥판막과 승모판막을 동시에 조직판막으로 치환한 경우가 1명 있었으며, 재수술까지의 기간은 기계판막의 경우 92개월, 조직판막인 경우 평균 160개월이었다. 체외순환 및 대동맥차단의 평균시간은 재치환술의 경우 152분, 108분, 일차치환술의 경우 130분, 89분으로 통계적인 유의함을 보였다. IABP의 사용은 재치환술의 경우 2예(8%), 일차치환술은 6예(3.8%)로 차이를 보였으며, 수술사망은 재치환술의 경우 1예(4%), 일차치환술의 경우 9예(5.1%)였다. 술 후 합병증 중에서 술 후 48시간 이상의 인공호흡이 재수술에서는 13.6%, 1차 수술에서 5.7%로 차이를 보였고 다른 인자에서는 큰 차이를 보이지 않았다. 수술 후 평균 추적기간은 $6.5{\pm}3.2$년이고 재치환술 환자의 5년 생존율은 74%였으며 일차치환술의 경우 5년 생존율은 95%를 보여 유의한 차이를 보였다. 결론: 심장판막재치환술은 일차치환술과 비교하여 볼 때 수술 위험도는 약간 증가되나 사망률에서는 큰 차이를 보이지 않았다. 따라서 재수술 위험을 고려하여 조직판막을 너무 기피하는 것은 재고되어야 하며 다른 장점이 많은 조직판막의 선택적인 사용이 권장된다. 그러나 재치한술의 경우 술전 상태가 나빴던 환자에서 만기사망률이 높으므로 일차치환술 후 적절한 심장기능 및 환자상태의 평가가 필요하며 너무 늦지 않은 적정한 시기에 재치환술을 고려해야 겠다.