• Journal of Chest Surgery
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• v.22 no.6
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• pp.951-959
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• 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 %]

• Journal of Korean Society for Quality Management
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• v.19 no.2
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• pp.117-124
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• 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
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• v.24 no.10
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• pp.967-972
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• 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.

• Proceedings of the KSR Conference
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• 2009.05a
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• pp.191-197
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• 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.

• Journal of the Korean Ceramic Society
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• v.51 no.2
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• pp.127-131
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• 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.

• Journal of Applied Reliability
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• v.1 no.1
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• pp.35-46
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• 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.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.10 no.16
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• pp.75-80
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• 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
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• v.33 no.2
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• pp.160-166
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• 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.

• International conference on construction engineering and project management
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• 2011.02a
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• pp.376-381
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• 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
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• v.40 no.12
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• pp.817-824
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• 2007

Background: There are two choices for heart valve replacement-the use of a tissue valve and the use of a mechanical valve. Using a tissue valve, additional surgery will be problematic due to valve degeneration. If the risk of additional surgery could be reduced, the tissue valve could be more widely used. Therefore, we analyzed the risk factors and mortality of patients undergoing repeated heart valve replacement and primary replacement. Material and Method: We analyzed 25 consecutive patients who underwent repeated heart valve replacement and 158 patients who underwent primary heart valve replacement among 239 patients that underwent heart vale replacement in out hospital from January 1995 to December 2004. Result: There were no differences in age, sex, and preoperative ejection fraction between the repeated valve replacement group of patients and the primary valve replacement group of patients. In the repeated valve replacement group, the previously used artificial valves were 3 mechanical valves and 23 tissue valves. One of these cases had simultaneous replacement of the tricuspid and aortic valve with tissue valves. The mean duration after a previous operation was 92 months for the use of a mechanical valve and 160 months for the use of a tissue valve. The mean cardiopulmonary bypass time and aortic cross clamp time were 152 minutes and 108 minutes, respectively, for the repeated valve replacement group of patients and 130 minutes and 89 minutes, respectively, for the primary valve replacement group of patients. These results were statistically significant. The use of an intra aortic balloon pump (IABP) was required for 2 cases (8%) in the repeated valve replacement group of patients and 6 cases (3.8%) in the primary valve replacement group of patients. An operative death occurred in one case (4%) in the repeated valve replacement group of patients and occurred in nine cases (5.1%) in the primary valve replacement group of patients. Among postoperative complications, the need for mechanical ventilation over 48 hours was different between the two groups. The mean follow up period after surgery was $6.5{\pm}3.2$ years. The 5-year survival of patients in the repeated valve replacement group was 74% and the 5-year survival of patients in the primary valve replacement group was 95%. Conclusion: The risk was slightly increased, but there was little difference in mortality between the repeated and primary heart valve replacement group of patients. Therefore, it is necessary to reconsider the issue of avoiding the use of a tissue valve due to the risk of additional surgery, and it is encouraged to use the tissue valve selectively, which has several advantages over the use of a mechanical valve. In the case of a repeated replacement, however, the mortality rate was high for a patient whose preoperative status was not poor. A proper as sessment of cardiac function and patient status is required after the primary valve replacement. Subsequently, a secondary replacement could then be considered.