• 제목/요약/키워드: replacement

검색결과 6,986건 처리시간 0.055초

연간 개심술 416례 보고 [1980 년도] (Annual Open Heart Surgery: Report of 416 Cases in 1980)

  • 이영균
    • Journal of Chest Surgery
    • /
    • 제14권1호
    • /
    • pp.17-25
    • /
    • 1981
  • In 1980, 416 cases of open heart surgery were done in this Department with over all operative mortality of 12.3%. 1. There were 288 congenital anomalies consisting of 174 acyanotic and 114 cyanotic varieties, which showed operative mortality of 6.9% and 25.4% respectively. 2. There were 128 cases of acquired lesions, 124 valvular disease and 3 myxoma being the main lesions. 3. There were 128 cases of valve replacement with operative mortality of 7.8%. 4. The most frequently operated anomaly was VSD, 90 pure VSD and 21 cases were associated with one or 2 cardiac anomalies. Over all operative mortality in 111 VSD cases was 8.1% but in 90 pure VSD cases it was 6.7%. 5. Tetralogy of Fallot showed the highest incidence in cyanotic group with 88 cases, consisting of 68 pure and 20 with other cardiac anomalies. Over all mortality in 88 cases was 19.3% but in pure form 16.2%. 6. In 128 valve replacement cases over all mortality was 9.4%. There were 85 mitral, 11 aortic, 2 tricuspid, 21 mitral with aortic, 6 mitral with tricuspid, 3 mitral, aortic, and tricuspid valve replacement cases. For mitral valve replacement operative mortality was 5.9%. 7. Twenty-one cases of babies under 10kg body weight were operated on with over all operative mortality of 28.6%. Sixteen cases of VSD were found with operative mortality of 25%. 8. Among 128 cases of valve replacement 7 were under the age of 15 years and 12 were between 15 and 20 years old. Five pediatric cases underwent mitral valve replacement without mortality, 9 year old boy was the youngest among them. In this Department open heart surgery for infancy and complex anomalies showed still hip operative risk which should be improved in the coming years. For open heart surgery Shiley oxygenators and 2 sets of A-O de-lux 5 head roller pump were utilized exclusively. For valve replacement Ionescu-Shiley bovine pericardial xenografts were mainly used. In pediatric and rural patients Persantin with aspirin regimen was satisfactorily administered for anticoagulation after valve replacement. Routinely Coumadin was administered for one year after valve replacement* In patients who had thrombus on valve sites, chronic atrial fibrillation, and giant left atrium Persantin-Aspirin regimen was used when one year coumadin administration was discontinued.

  • PDF

소비자관점에서 계획적 진부화가 스마트폰 교체의도에 미치는 영향 -소비자 혁신성의 조절효과를 중심으로- (The Effects of Customer Based Planned Obsolescence on Replacement Purchase Intention -The Moderating Role of Consumer Innovativeness Focus-)

  • 변충규;성창수
    • 경영과정보연구
    • /
    • 제36권1호
    • /
    • pp.143-159
    • /
    • 2017
  • 많은 소비자들이 제품 교체결정에 직면했을 때, 진부화의 정도는 소비자의 태도와 구매행동에 영향을 미치고 있을 것이다. 이러한 영향관계를 알아보기 위해 본 연구의 목적은 계획적 진부화의 개념을 적용하여 스마트폰의 교체결정에 어떠한 영향을 미치는 지 살펴보고, 스마트폰의 교체결정과정에서 소비자 혁신성과의 관계를 조사하고자 하였다. 스마트폰을 사용하고 있는 소비자들을 대상으로 설문조사를 실시하였으며, 총 205부가 최종 분석에 사용되었다. 본 연구 결과 계획적 진부화는 소비자의 교체의도에 영향을 미치는 것으로 확인되었다. 구체적으로 기능적 진부화, 심리적 진부화, 경제적 진부화의 순으로 교체의도에 영향을 주었다. 그리고 소비자 혁신성의 조절효과를 검증한 결과 고혁신성 집단에서는 기능적 진부화, 심리적 진부화, 경제적 진부화가 교체의도에 영향을 미쳤지만, 저혁신성 집단에서는 경제적 진부화에서만 영향관계가 확인되었다. 따라서 계획적 진부화의 영향력은 소비자의 혁신성이 높을수록 교체의도가 높음을 확인하였다. 본 연구 결과는 성숙기 시장인 스마트폰 시장에서 교체구매행동을 이해할 수 있으며, 기업의 효과적인 판매 전략을 수립하는데 유용한 시사점을 제시하였다.

  • PDF

심장판막증의 외과적 치료 (Clinical Analysis of Cardiac Valve Surgery)

  • 김형묵
    • Journal of Chest Surgery
    • /
    • 제18권3호
    • /
    • pp.446-455
    • /
    • 1985
  • A total and consecutive 156 patients have undergone cardiac valve surgery including 13 closed mitral commissurotomy, 13 open mitral commissurotomy, one mitral annuloplasty, 75 mitral valve replacement, one aortic annuloplasty, 24 aortic valve replacement, 3 tricuspid valve replacement, 25 double valve replacement and one triple valve replacement. 155 prosthetic valves were replaced in a period between September 1976 and August 1985. There were 68 males and 88 females with age range from 8 to 69 yrs [mean 36.5 yr]. Out of replaced valves, 61 was tissue valve including 54 Carpentier-Edwards, and 4 was mechanical valves including 74 St. Jude Medical, and the position replaced was 101 valves for mitral, 46 for aortic and 8 for tricuspid. Single valve replacement in 102 cases, double valve replacement in 25 cases [17 for AVR+MVR, and 8 for MVR+TVR], and only one case was noted in the triple valve replacement. Early mortality within 30 days after operation was noted in 11 cases [7%]; 7 after MVR, 2 after DVR, and each one after open mitral commissurotomy and mitral annuloplasty. Cause of death was valve thrombus, cerebral air embolism, low output syndrome, uncontrollable arrhythmia, parapneumonic sepsis, acute cardiac tamponade and left atrial rupture. 7 late deaths were noted during the follow-up period from 1 to 104 months [average 48 month]; three due to valve and left atrial thrombus formation, two due to CVA from overdose of warfarin, and each one due to congestive heart failure and chronic constrictive pericarditis, Anticoagulants after prosthetic valve replacement were maintained with warfarin, dipyridamole and aspirin to the level of around 50% of normal prothrombin time in 79 cases, and Ticlopidine with aspirin in 47 cases to compare the result of each group. There were 11 major thromboembolic episodes including 3 deaths in the warfarin group. Two cases of CVA due to overdose of warfarin was noted in the warfarin group. In the ticlopidine group, there was only one left atrial thrombus confirmed at the time of autopsy. Among the survived 138 cases, nearly all cases[136 cases] were included in NYHA functional class I and II during the follow-up period. In conclusion, surgical treatment of the cardiac valve disease in 156 clinical cases revealed excellent result with acceptable operative risk and late mortality. Prevention of thrombus formation with anti-platelet aggregator Ticlopidine has better result than warfarin group presently with no specific side effect such as bleeding or gastrointestinal trouble.

  • PDF

웹 캐시에서 사이트의 인기도에 의한 도큐먼트 교체정책 (Document Replacement Policy by Site Popularity in Web Cache)

  • 유행석;장태무
    • 한국게임학회 논문지
    • /
    • 제3권1호
    • /
    • pp.67-73
    • /
    • 2003
  • 대부분의 웹 캐시는 도큐먼트를 기반으로 하여 캐시 내에 임시적으로 도큐먼트를 저장하고 사용자의 요청이 있을 때 그에 해당된 도큐먼트가 캐시 내에 존재하면 그 도큐먼트를 사용자에게 전송해 주고, 캐시 내에 존재하지 않을 때에는 새로운 도큐먼트를 서버에게 요청하여 캐시 내에 복사를 하고 사용자에게 되돌려 준다. 이때 캐시의 용량 초과로 인해 새로운 도큐먼트를 기존의 도큐먼트와 교체하기 위해 도큐먼트 교체정책(replacement policy)을 사용한다. 일반적인 교체정책에는 도큐먼트를 기반으로 한 LRU기법이나 UFU기법 등이 있고, 그 밖의 여러 가지 교체정책을 사용하여 캐시내의 도큐먼트를 효과적으로 교체한다. 하지만, 위의 교체정책은 사이트의 인기도를 고려하지 않고 도큐먼트 요청 시간과 빈도수 만을 고려하여 교체정책을 수행한다. 따라서 본 논문에서는 요청이 빈번한 도큐먼트와 사이트의 인기도를 고려한 교체정책을 사용하여 요청이 빈번하지 않은 도큐먼트를 효과적으로 교체함으로써 캐시의 적중률(hit-ratio)을 높이고, 캐시의 내용을 효과적으로 관리할 수 있는 현대적인 네트워크 환경에 적합한 도큐먼트 교체정책인 사이트의 인기도를 고려한 도큐먼트 교체 정책을 제시한다.

  • PDF

웹 사이트의 인기도에 의한 도큐먼트 교체정책 (Document Replacement Policy by Web Site Popularity)

  • 유행석;장태무
    • 한국컴퓨터정보학회논문지
    • /
    • 제13권1호
    • /
    • pp.227-232
    • /
    • 2008
  • 일반적으로 웹 캐시는 도큐먼트를 기반으로 하여 캐시 내에 임시적으로 도큐먼트를 저장하고 사용자의 요청이 있을 때 그에 해당된 도큐먼트가 캐시 내에 존재하면 그 도큐먼트를 사용자에게 전송해 주고, 캐시 내에 존재하지 않을 때에는 새로운 도큐먼트를 서버에게 요청하여 캐시 내에 복사를 하고 사용자에게 되돌려 준다. 이때 캐시의 용량 초과로 인해 새로운 도큐먼트를 기존의 도큐먼트와 교체하기 위해 도큐먼트 교체정책(replacement policy)을 사용한다. 일반적인 교체정책에는 도큐먼트를 기반으로 한 LRU기법이나 LFU기법 등이 있고, 그 밖의 여러 가지 교체정책을 사용하여 캐시내의 도큐먼트를 효과적으로 교체한다. 하지만. 위의 교체정책은 사이트의 인기도를 고려하지 않고 도큐먼트 요청 시간과 빈도수 만을 고려하여 교체정책을 수행한다. 따라서 본 논문에서는 요청이 빈번한 도큐먼트와 사이트의 인기도를 고려한 교체정책을 사용하여 요청이 빈번하지 않은 도큐먼트를 효과적으로 교체함으로써 캐시의 적중률(hit-ratio)을 높이고, 캐시의 내용을 효과적으로 관리할 수 있는 현대적인 네트워크 환경에 적합한 도큐먼트 교체정책인 웹사이트의 인기도를 고려한 도큐먼트 교체 정책을 제시한다.

  • PDF

준설매립지반의 세립토가 SCP공법의 치환율에 미치는 영향 (Effect of Replacement Ratio of Sand Compaction Pile of Fine-Grained Soils With Reclamed Land)

  • 김종국;윤원섭;채영수;최인걸
    • 한국지반공학회:학술대회논문집
    • /
    • 한국지반공학회 2009년도 세계 도시지반공학 심포지엄
    • /
    • pp.1192-1201
    • /
    • 2009
  • The ground work with of the research is constructed by a SCP method to improve clay ground in the sedimentary layer and sand ground in the reclamation layer at the same time as a reclaimed soft ground by reclaiming deep depth. Improved fine-grained soils in the sand ground decrease the ground improvement effect and have an influence on replacement ratio of SCP method. Fine-Grained soils which advances in sand ground reduces a from improvement effect, Makes affect in replacement ratio of SCP method. In this study, consideration about replacement ratio of sand ground, Tried to observe affects in replacement ratio of fine-grained soils SCP method of dredging reclamation ground. The result, replacement ratio which follows in the Japan Geotechnical Society experience-chart(1988) recording where fine-grained soils content will increase feebly, was visible the aspect which increases progressively, replacement ratio in compliance with Gibbs and Holts(1973) methods according to fine-grained soils increase is visible the tendency which decreases gradually with the enemy. Specially, according to case fine-grained content of Mizuno(1987) methods increases, replacement ratio suddenly was showing the trend which rises from of 50% and according to fine-grained soils increase was overestimated.

  • PDF

Utilisation of glass powder in high strength copper slag concrete

  • Zaidi, Kaleem A.;Ram, Shobha;Gautam, Mukesh K.
    • Advances in concrete construction
    • /
    • 제5권1호
    • /
    • pp.65-74
    • /
    • 2017
  • This study was focused on the use of partial replacement of cement with glass powder in high strength concrete and also copper slag as a partial replacement of coarse sand in concrete. The high strength concrete was prepared with different mineral admixtures like silica fume, fly ash and rice ash husk in different proportions. An experimental investigation has been carried to study about the effect of glass powder on high strength copper slag concrete. The range of glass powder was 10%, 15% and 20% as a replacement of cement. The range of copper slag was 0%, 20%, 40% and 60% as a replacement of natural sand. In addition to the different percentage of fly ash, silica fume, and rice husk ash 5% and 10% was also studied in copper slag concrete. Thus, a total of 51 cubes were casted and compressive strength test was performed on them. The result of the study shows that the value of average compressive strength of concrete after addition of 10%, 15% and 20% of glass powder are 70.47, 72.01 and 73.31 respectively. The value of average compressive strength after addition of 20%, 40% and 60% copper slag as a replacement of sand are 72.18, 74.38 and 73.08 respectively. The value of average compressive strength after addition of 5% and 10% fly ash as a replacement of cement are 71.56 and 73.22. The value of average compressive strength after addition of 5% and 10% silica fume as a replacement of cement are 72.33 and 73.53. The value of average compressive strength after addition of 5% and 10% rice husk ash as a replacement of cement are 72.86 and 69.49. At the level of 20% replacement of cement by glass powder meets maximum strength as compared to that of controlled concrete and copper slag high strength concrete.

제올라이트 굵은골재 대체율에 따른 조경포장 콘크리트의 흡수 및 강도 특성 (Absorption and Strength Properties of Landscape Paving Concrete According to Zeolite Coarse Aggregate Replacement Rate)

  • 나옥빈;이기열
    • 한국산학기술학회논문지
    • /
    • 제22권4호
    • /
    • pp.131-139
    • /
    • 2021
  • 이 논문은 흡수율이 높은 제올라이트를 일반 굵은골재의 대체재로 보도용 조경포장 콘크리트에 적용하기 위한 기초 연구로서, 제올라이트 굵은골재 대체율에 따른 포장 콘크리트의 흡수성능과 강도 특성을 파악하였다. 제올라이트 굵은골재의 흡수율은 약 14%로서 일반 굵은골재와 비교하여 흡수성능이 2.5배 증가하였다. 그리고, 제올라이트 굵은골재를 포장 콘크리트에 혼입하면 굵은골재 대체율에 따라 흡수율이 증가하고, 최대 대체율 50%에서 5.2%로 일반 포장 콘크리트와 비교하여 약 42% 증가하였다. 제올라이트 혼입 포장 콘크리트의 압축강도는 대체율 20%까지 증가한 후 감소하였지만 건설기준코드에서 규정하는 압축강도 기준은 모두 충족하였다. 휨강도는 대체율 10%까지 기준강도를 만족하였으나 대체율에 따라 강도가 감소하였으며, 포장 콘크리트의 균열저항성에 영향을 주는 쪼갬인장강도는 대체율 20%까지 일반 포장 콘크리트의 강도보다 크게 나타났다. 제올라이트 혼입 포장 콘크리트의 흡수성능과 강도 특성에 대한 연구결과로부터 제올라이트 굵은골재를 일반 굵은골재의 대체재로 적용이 가능함을 확인하였다.

풍쇄슬래그 잔골재를 사용한 콘크리트의 공학적 특성에 관한 실험적 연구 (An Experimental Study on the Engineering Properties of Concrete using Fine Aggregate of PS ball Slag)

  • 이상수;송하영;김을용
    • 한국건축시공학회지
    • /
    • 제6권3호
    • /
    • pp.107-114
    • /
    • 2006
  • In this study, the experiment was carried out to investigate and analyze the engineering properties of concrete using fine aggregate of PS bal slagl. The main experimental variables were water/cement ratio 30, 40, 50(%), water content $170kg/m^3$, replacement ratio of slag fine aggregate 0, 25, 50, 75(%) in experiment I and water/cement ratio 30, 40, 50(%), water content 165, 170, 175($kg/m^3$), replacement ratio of fine aggregate of PS ball 0, 50 in experiment II. According to the test results, the principle conclusions are summarized as follows (1) The workability of slag fine aggregate-mixed concrete tends to improve, as the replacement rate increases. (2) The air content of slag fine aggregate-mixed concrete tends to decrease, as the replacement rate increases. (3) The unit volume weight of slag fine aggregate-mixed concrete tends to significantly increase, as the replacement rate increases. (4) The compressive strength of slag fine aggregate-mixed concrete tends to show more increasing propensity, in case the curing period is relatively long, as the replacement rate increases.

Replacement Algorithm Selection Mechanism Considering File Size for Web Cache Server

  • Sontisiri, Tanasun;Sopechoke, Pawin;Thipchaksurat, Sakchai;Varakulsiripunth, Ruttikorn
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 제어로봇시스템학회 2004년도 ICCAS
    • /
    • pp.1084-1089
    • /
    • 2004
  • This paper describes the improvement of web cache server by scoping in replacement algorithm of data which are collected from the clients. We have found that each replacement algorithm is suitable for each type of data in the web pages. Therefore, we introduce the mechanism to select the replacement algorithm depending on the size of data called the Replacement Algorithm Selection Mechanism (RASM). RASM allows the web cache server to have the suitable replacement algorithm for each type of data. As the result, the byte hit ratio of web cache server can be increased and the congestion in the network can be alleviated.

  • PDF