• Title/Summary/Keyword: replacement rate

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A Study on the Usefulness of Total Hip Replacement Arthroplasty Using Fluoroscopy (투시하에 시행한 고관절 확대계측 촬영술의 유용성에 관한 분석)

  • Lee, H.J.;Son, S.Y.;Um, J.Y.;Chin, J.H.;Kim, K.C.
    • Journal of radiological science and technology
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    • v.22 no.1
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    • pp.21-26
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    • 1999
  • To make a comparative analysis for clinical application of total hip replacement arthroplasty(THRA) using fluoroscopy, we have performed total hip replacement arthroplasty making 30 patients an object with general radiography and fluoroscopy respectively. The results are as follows : 1) Reexamination rate was 80% of patients and mean 3.9 sheets in the general radiography, where as it was 46.7% and 0.37 sheets in the fluoroscopy(p<0.01) 2) Add examination was 2 cases in the general radiography, but fluoroscopy was no add examination. 3) The total film sheet used was mean 10.16 in the general radiography and 6.73 in the fluoroscopy. 4) In the cause of reexmination and add examination, inaccurate position of patient accounted for 72.6% in the general radiography and poor exposure condition accounted for 45.5% in the fluoroscopy. Total hip replacement arthroplasty using the fluoroscopy decreased reexamination and add examination rate, for these reasons, this method was effective abatement of pain, exposured radiation dose, and examination time and so on.

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Ionescu-Shiley valve replacement: mid-term folow-up (이오네스크-쉴리 판막을 이용한 심장판막치환술에 관한 임상적 고찰)

  • Sim, Yeong-Mok;Lee, Yeong-Gyun
    • Journal of Chest Surgery
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    • v.16 no.4
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    • pp.458-469
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    • 1983
  • Between October, 1978, and December, 1982, Glutaraldehyde-stablized pericardial xenografts [Ionescu-Shiley valve] were used for heart valve replacement in 409 patients.[251 mitral, 49 aortic, 11 tricuspid, and 98 multiple valve replacement]. There were 31 early deaths [7.6%], and 371 operative survival were observed for a total of 507.6 years over a period of 1 to 44 months. [mean 17 months]. Actuarial analysis of late results indicates an excepted survival rate at 4 years of 86.25.4% for patients with mitral, 79.37.1% for patients with aortic valve replacement. Actuarial survival rates for total patients at 4 years was 77.88.2%. The rate of systemic embolism has been 1.6% per patient-year for mitral and 1.8% per patient-year for aortic group in the presence of anticoagulation treatment. Among the 6 embolic episodes, 2 patients were died. The incidence of hemorrhagic complication was 1.3% per patient-year for anticoagulated patients. There were 6 confirmed valve failures, five in mitral and one in aortic position. Re-replacement of destructed valve was performed in one patient and others were treated medically. Among the 6 episodes, 3 occurred in children [Below 15 years], it account almost 9 times higher than adult. Our clinical data compare very favorable with those obtained with other available prostheses and tissue valves, but it should be considered to give short-term anticoagulation therapy to hemodynamically stable patients and aortic valve patients, and other prosthetic valve must be considered to use in children.

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The Effect of Enhancing Unemployment Benefits in Korea: Wage Replacement Rate vs. Maximum Benefit Duration

  • KIM, JIWOON
    • KDI Journal of Economic Policy
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    • v.40 no.3
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    • pp.1-44
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    • 2018
  • This paper studies the macroeconomic effects of an enhancement in unemployment benefits in Korea. In particular, I quantify the welfare effect of two specific policy chances which have been mainly discussed among policymakers in recent years: increasing wage replacement rates by 10%p and extending maximum benefit durations by one month. To this end, I build and calibrate an overlapping generation model which reflects the heterogeneity of the unemployed and the specificity of the unemployment insurance (UI) system in Korea. The quantitative analysis conducted here shows that extending maximum benefit durations by one month improves social welfare, whereas increasing wage replacement rates by 10%p deteriorates social welfare. Extending maximum benefit durations is applied to potentially all the UI recipients, including unemployed workers whose wage before job loss is relatively low and whose marginal utility is relatively high. However, increasing wage replacement rates is applied to only a small number of UI recipients whose wage before job loss is relatively high, while the increase in the UI premium is passed onto all of the employed. This study suggests that given the current UI system and economic environment in Korea, it is more desirable to extend maximum benefit durations rather than to increase wage replacement rates in terms of social welfare.

An Optimal Block Replacement Policy Using Items with Different Reliability

  • Lie, Chang-Hoon;Bae, Moon-Sik;Chun, Young-Ho
    • Journal of the military operations research society of Korea
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    • v.10 no.2
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    • pp.61-73
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    • 1984
  • A block replacement policy using items with different reliability is discussed. We divide system unit failure modes into two modes and use less reliable unit when operating unit fails near the planned preventive replacement time. In this policy, item A has two failure modes. Mode-1 failure is removed by minimal repair, mode-2 failure by replacement. If mode-2 failure of item A happens in (0, $T-{\delta}$), failure item A is replaced by new item A. If mode-2 failure of item A happens in ($T-{\delta}$, T), failure item A is replaced by new item B. Item B should be cheaper and less durable than item A. Under this policy, we determine the preventive replacement interval $T^{*}$ and the interval ${\delta}^{*}$ of item B replacement which minimize the cost rate per unit time.

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A Clinical Study for Return to Work after Heart Valve Replacement - A Case Report - (심장판막 치환술후 직업복귀에 대한 임상적 고찰)

  • 김현경
    • 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.

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Effect of Grain Size and Replacement Ratio on the Plastic Properties of Precipitated Calcium Carbonate Using Limestone as Raw Material

  • Baek, Chul Seoung;Cho, Kye Hong;Ahn, Ji-Whan
    • 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.

Fundamental Properties of Lightweight Concrete with Dry Bottom Ash as Fine Aggregate and Burned Artificial Lightweight Aggregate as Coarse Aggregate (건식 바텀애시 경량 잔골재와 소성 인공경량 굵은골재를 사용한 콘크리트의 기초 특성)

  • Choi, Hong-Beom;Kim, Jin-Man
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.6 no.4
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    • pp.267-274
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    • 2018
  • Though the wet bottom ash has been used as a type of lightweight aggregate, dry bottom ash, new type bottom ash from coal combustion power plant, has scarcely researched. It is excellent lightweight aggregate in the view point of construction material. This study is performed to check the applicability of dry bottom ash as a fine aggregate in lightweight aggregate concrete, by analyzing various properties of fresh and hardened concrete. We get results that the slump of concrete is within the target range at less than 75% replacement rate of dry bottom ash, the air content is not affected by the replacement rate of dry bottom ash, the bleeding capacity is less than $0.025cm^3/cm^2$ at 75% under of the replacement rate of dry bottom ash, and the compressive strength of concrete show 90% or more comparing the base mix while initial strength development is a little low. Oven dry unit weight of concrete is reduced by 8.9% when replaced 100% dry bottom ash, and dry shrinkage tends to decrease depending on increase of replacement rate of dry bottom ash. Modulus of elasticity of concrete shows no decease at 50% over of the replacement rate of dry bottom ash, while modulus of elasticity of concrete decreases when the replacement rate increases further. The dry bottom ash, when used as a fine aggregate in lightweight concrete, can be used effectively without any deterioration in quality.

REPLACEMENT OF POSTERIOR RESTORATIONS (구치부 수복물의 재수복에 관한 연구)

  • Kim, Ji-Young;Choi, Kyoung-Kyu;Park, Sang-Jin
    • Restorative Dentistry and Endodontics
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    • v.31 no.6
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    • pp.460-469
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    • 2006
  • This article complies a survey on the replacement of the posterior restorations and accesses possible factors that influence the replacement of posterior restorations. The data was collected from patients that visited department of conservative dentistry from Dec 1st 2003, to Sep 3rd 2004. Teeth was restricted to posterior permanent teeth. 9 dentists recorded age, gender of patients, tooth location, cavity farm and restorative material. They rated marginal adaptation, anatomic form, secondary caries of old restoration by modified Ryge criteria system. The statistical analysis was performed with Chi square test (p < 0.05) for replacement ratio according to patients, tooth factor and One way ANOVA was performed for comparison of old restoration according to restorative material. The results were as follows; 1. The female (62%) was statistically higher ratio than the male (38%). 2. The distribution of replacement case according to age, the rate of replacement was in descending order, 20's (38.3%), 40's (16.8%), 30's (15.9%), 10's (11.1%), 50's (9.2%), 60's (8.7%). 3. The rate of replacement was 88% for molar and 12% for premolar (p $gt; 0.05). 4. The rate of replacement was 39% for maxillar and 61% for mandible (p $gt; 0.05). 5. The material of restorations was amalgam (69%), gold inlay (17%), composite resin (13%). 6. In rating system by modified Ryge criteria system on margin adaptation, there was statistically significant difference between amalgam and gold inlay. But on anatomic form and caries, there was no statistically significant difference among the material of restorations.

Clinical Results of Double Mitral and Aortic Valve Replacement (승모판과 대동맥판의 중복치환수술의 임상적 평가)

  • 김종환
    • Journal of Chest Surgery
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    • v.18 no.1
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    • pp.54-61
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    • 1985
  • One-hundred-and-seven patients were the consecutive cases of double replacement of the mitral and the aortic valves at the same time using the lonescu-Shiley bovine pericardial xenograft valve during the period between May, 1979 and June, 1984. They were 64 males and 43 females, and their ages ranged from 13 to 62 years [mean age, 34.011.9 years]. Eight patients died within 30 days after surgery [operative mortality rate, 7.5%], and 7 others thereafter [late mortality rate, 6.5%; or 4.21%/patient-year]. Ninety-nine early survivors were followed up for a total duration of 166.1 patient-years [mean duration, 20.116.1 months]. Two patients experienced thromboembolic complication with no death [1.20%/patient-year]; five developed prosthetic valve endocarditis [3.01%/patient-year] with one death; and three had a new development of aortic regurgitant murmur and they were, along with a mortality from endocarditis, classified into the cases of tissue valve failure [2.41%/patient-year]. The actuarial survival rate including the operative mortality was 82.24.7% at 6 years after surgery. The probabilities of freedom from thromboembolism and from valve failure were 97.61.7% and 88.67.6% at 6 years respectively. Symptomatic improvement was excellent in most of the cases at the follow-up end, showing the mean of the postoperative NYHA Classes of 1.120.33 from the preoperative one of 2.860.54. These results compares favorably with the ones reported from the major institutions. Clinical results of isolated replacement of the mitral valve and of the aortic valve were previously reported. The clinical results of a total and consecutive patients with replacement of single mitral and single aortic and double mitral and aortic valves on the mortality rate, survival rate, complication frequency, and symptomatic improvement all fully stands for the good therapeutic modalities of the valvular heart diseases with severely damaged lesions.

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Replacement Model Following the Expiration of NFRRW (비 재생무료교체-수리보증이 종료된 이후의 교체모형)

  • Jung, Ki-Mun
    • The Korean Journal of Applied Statistics
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    • v.23 no.6
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    • pp.1147-1156
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    • 2010
  • This paper proposes a replacement policy following the expiration of a non-renewing free replacement-repair Warranty(NFFRW). The non-renewing free replacement-repair warranty is defined and then the maintenance model following the expiration of the NFRRW is studied from the user's point of view. As the criteria to determine the optimality of the maintenance policy, we consider the expected cost rate per unit time from the user's perspective. All maintenance costs of the system incurred after the expiration of the warranty are paid by the user. Given the cost structures during the life cycle of the system, we determine the optimal maintenance period following the expiration of a NFRRW. Finally, the numerical examples are presented for illustrative purposes.