• Title/Summary/Keyword: replacement

Search Result 6,959, Processing Time 0.032 seconds

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

  • 이영균
    • Journal of Chest Surgery
    • /
    • v.14 no.1
    • /
    • 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

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

  • Byun, Chung-Gyu;Sung, Chang-Soo
    • Management & Information Systems Review
    • /
    • v.36 no.1
    • /
    • pp.143-159
    • /
    • 2017
  • The purpose of this study examined the relationships between planned obsolescence and replacement purchase intention. This study also analyze the moderating effect of consumer innovativeness use on the relationship of planned obsolescence and replacement purchase intention. From total 205 survey analysis, this study finds the positive relationship planned obsolescence and replacement purchase intention. The result of analysis indicated that the functional obsolescence had positive effects on replacement purchase intention. The result of analysis indicated that the economic obsolescence had positive effects on replacement purchase intention. The result of analysis indicated that the psychological obsolescence had positive effects on replacement purchase intention. The result also shows that consumer innovativeness had a moderating effect on the relationship between planned obsolescence and replacement purchase intention. Finally, this study concluded with a discussion of the implications of the research findings and directions for future research.

  • PDF

Clinical Analysis of Cardiac Valve Surgery (심장판막증의 외과적 치료)

  • 김형묵
    • Journal of Chest Surgery
    • /
    • v.18 no.3
    • /
    • 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

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

  • Yoo, Hang-Suk;Jang, Tea-Mu
    • Journal of Korea Game Society
    • /
    • v.3 no.1
    • /
    • pp.67-73
    • /
    • 2003
  • Most web caches save documents temporarily into themselves on the basis of those documents. And when a corresponding document exists within the cache on wei s request, web cache sends the document to corresponding user. On the contrary, when there is not any document within the cache, web cache requests a new document to the related server to copy the document into the cache and then rum it back to user. Here, web cache uses a replacement policy to change existing document into a new one due to exceeded capacity of cache. Typical replacement policy includes document-based LRU or LFU technique and other various replacement policies are used to replace the documents within cache effectively. However, these replacement policies function only with regard to the time and frequency of document request, not considering the popularity of each web site. Based on replacement policies with regard to documents on frequent requests and the popularity of each web site, this paper aims to present the document replacement policies with regard to the popularity of each web site, which are suitable for latest network environments to enhance the hit-ratio of cache and efficiently manage the contents of cache by effectively replacing documents on intermittent requests by new ones.

  • PDF

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

  • Yoo, Hang-Suk;Chang, Tae-Mu
    • Journal of the Korea Society of Computer and Information
    • /
    • v.13 no.1
    • /
    • pp.227-232
    • /
    • 2008
  • General web caches save documents temporarily into themselves on the basis of those documents. And when a corresponding document exists within the cache on user's request. web cache sends the document to corresponding user. On the contrary. when there is not any document within the cache, web cache requests a new document to the related server to copy the document into the cache and then turn it back to user. Here, web cache uses a replacement policy to change existing document into a new one due to exceeded capacity of cache. Typical replacement policy includes document-based LRU or LFU technique and other various replacement policies are used to replace the documents within cache effectively. However. these replacement policies function only with regard to the time and frequency of document request. not considering the popularity of each web site. Based on replacement policies with regard to documents on frequent requests and the popularity of each web site, this paper aims to present the document replacement policies with regard to the popularity of each web site, which are suitable for latest network environments to enhance the hit-ratio of cache and efficiently manage the contents of cache by effectively replacing documents on intermittent requests by new ones.

  • PDF

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

  • Kim, Jong-Kook;Yoon, Won-Sub;Chae, Young-Soo;Choi, In-Gul
    • Proceedings of the Korean Geotechical Society Conference
    • /
    • 2009.09a
    • /
    • 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
    • /
    • v.5 no.1
    • /
    • 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.

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

  • Na, Ok-Pin;Lee, Gi-Yeol
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.22 no.4
    • /
    • pp.131-139
    • /
    • 2021
  • This study assessed the use of zeolite with high absorption performance in landscape paving concrete as a substitute for aggregate. The absorption performance and strength properties of paving concrete were investigated according to the replacement rate of the zeolite coarse aggregate, and the mechanical properties were investigated through strength tests. The absorption rate of the zeolite aggregate was 14%, which is 2.5 times higher than that of general aggregate. When zeolite coarse aggregate is applied to paving concrete, the absorption rate increases according to the replacement rate. The absorption rate was 5.2% at a replacement rate of 50%, which was 42% higher than that of general paving concrete. The compressive strength increased to 20% of the replacement rate and decreased at a higher replacement, but all the strengths in the construction standard code were satisfied. The flexural strength satisfied the code up to a replacement rate of 10%, but the strength decreased with increasing replacement rate, and the splitting tensile strength was greater than that of paving concrete using general aggregate up to a 20% replacement rate. Overall, zeolite coarse aggregate can be applied as a substitute.

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

  • Lee Sang-Soo;Song Ha-Young;Kim Eul-Yong
    • Journal of the Korea Institute of Building Construction
    • /
    • v.6 no.3 s.21
    • /
    • 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
    • /
    • 2004.08a
    • /
    • 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