• Title/Summary/Keyword: Replacement method

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Evaluation on Flexural Performance of Precast Bridge Decks with Ribbed Connection (요철형 이음단면을 갖는 프리캐스트 교량 바닥판의 휨성능 평가)

  • Shin, Dong-Ho;Park, Se-Jin;Oh, Hyun-Chul;Kim, In-Gyu;Kim, Young-Jin
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.19 no.3
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    • pp.1-9
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    • 2015
  • Due to the increasing number of deteriorated bridges worldwide, the importance of maintenance and replacement of existing bridges are being emphasized. Cast-in-place concrete deck which is mainly applied to deck replacement of existing bridges have problems such as deterioration concerns by initial crack, labor cost increase, difficulties of maintenance and replacement, construction time increase, and indirect cost increase by traffic congestion. On the contrary, a precast concrete deck is considered as an effective alternative because of its quality assurance and accelerated construction. The connection method ensuring the required strength and durability is especially important, because the connection part of the precast concrete deck is vulnerable to cracks and leakage. Therefore, this study proposes precast bridge decks with ribbed connection which are more improved than existing bridge deck joints, and flexural performance is verified through various parameter tests.

A development of facility management system providing alarm function for fault effect and replacement of each component (부품별 고장 영향 및 교체 알람을 제공하는 시설물 관리 시스템의 개발)

  • Hwang, Hun-Gyu;Park, Dong-Wook;Park, Jong-Il;Lee, Jang-Se;Rhyu, Keel-Soo
    • Journal of Advanced Marine Engineering and Technology
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    • v.38 no.4
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    • pp.456-462
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    • 2014
  • In this paper, we develop a facility management system which provides fault effect and replacement alarm function of each component for supporting effective maintenance of facility. To do this, we use weighting method to each component, calculate importance of each component, and make them to hierarchy structure using bill of materials of facility. Also, we draw fault cause and fault effect of components based on failure modes effects and criticality analysis, and define criteria of severity, occurrence and detection to get risk priority number. To apply these concepts, we develop and test the facility management system to verify its practicality. In the future, we expect the developed system to apply many domains such as maintenance of ship and offshore plant.

Review of Literatures for Development of Clinical Trial Guideline for Total Ankle Arthroplasty (인공발목관절의 임상시험 가이드라인 개발을 위한 문헌적 고찰)

  • Park, Jin Oh;Lee, Moses;Lee, Jin Woo;Lee, Soo Bin;Han, Seung Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.4
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    • pp.195-201
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    • 2014
  • Purpose: The purpose of this study is to develop guidelines for clinical trial of the total ankle replacement system for premarket approval. Materials and Methods: We selected and analyzed nine peer-reviewed articles whose quality had been proven in a previous phase. Two investigators extracted parameters for guideline criteria, including number of cases, patient age, follow-up period, failure rate, radiographic osteolysis rate, residual pain rate, and percentage of satisfaction. In addition, the inclusion and exclusion criteria were analyzed and developed. Results: Eight level IV studies and one level II study were included. The average number of cases was 159 cases and the mean patient age was 63.5 years. The mean follow-up period was 4.2 years, ranging from two to nine. The average failure rate of total ankle replacement in mid- to long-term follow-up was approximately 13% (2%~32.3%). The rate of osteolysis was approximately 18%. Residual pain was common (21.4%~46%), but overall patient satisfaction was approximately 85.6% (67.5%~97%). Conclusion: The results could be used as criteria for designing the clinical studies, such as number of cases, patient age (over 60 years), and follow-up period (minimum two years). The clinical scoring system and 36-item short form health survey (SF-36) was the most commonly used method for clinical evaluation for total ankle arthroplasty. In addition, the overall results, including failure rate, osteolysis rate, and patient satisfaction, could be used as a parameter of guidelines for premarket approval.

Clinical Experiences of Open Heart Surgery [50 Cases] (개심술 치험 50례)

  • 임진수
    • Journal of Chest Surgery
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    • v.18 no.4
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    • pp.692-699
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    • 1985
  • Fifty cases of Open Heart Surgery due to congenital and acquired heart disease were done using the cardiopulmonary bypass in the Department of Thoracic and Cardiovascular surgery, Chosun University Hospital from November, 1980 to June, 1985. 1. The age of the congenital heart disease was from 7 to 29 years, the mean age was 14.5 years. In the acquired heart disease, the age was from 14 to 48 years, and the mean age was 22.3 years. The ratio of male to female was about 1.8:1. 2. The number of congenital cyanotic heart disease were 7 patients, congenital acyanotic heart disease were 17 patients and acquired valvular heart disease were 26 patients. All of the acquired heart disease was one or more valve disease. 3. Preoperative symptoms of the congenital heart disease were exertional dyspnea [cyanotic 100%, acyanotic 70.6%] and palpitation [cyanotic 28.6%, acyanotic 76.1%], and the acquired heart diseases were exertional dyspnea [92.3%], palpitation [34.1 %], and chest discomfort [30.8%]. 4. The method of the myocardial protection during the cardiopulmonary bypass were mild or moderate hypothermia, intermittent coronary perfusion of the cardioplegic solution, topical myocardial hypothermia with 4oC Hartmann`s solution. 5. In the cases of the valve replacement, postoperative oral anticoagulant therapy was started at oral intake of food using the warfarin and persantin, and the prothrombin time was maintained 30-50% of control value during 3-6 months for tissue valve replacement and permanently for metal valve replacement. 6. The postoperative complications were appeared in 24 cases and the complications were wound infection, occipital alopecia, hemorrhage etc. 7. The mortality after open heart surgery was 8 percents and the cause of death was low cardiac output syndrome, right heart failure, DIC, and Left ventricle rupture.

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Study on the Standardization and Physicochemical Property for Non-waxy Gyungdan Adapted with Mechanically Impacting Technology (기계적 충격기술을 적용한 멥쌀 경단의 규격 표준화 및 품질특성에 대한 연구)

  • Han, Seo-Young;Park, Hye-Young;Shin, Dong-Sun;Kim, Kyung-Mi;Han, Gwi-Jung
    • Korean journal of food and cookery science
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    • v.29 no.1
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    • pp.29-36
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    • 2013
  • The present study was conducted to supply more scientific information for standardization of preparation method of Gyungdan and to determine the standard for manufacturing procedure adapted with mechanically impacting technology (MIT) for mass production. The optimum preparation condition for non-waxy Gyungdan adapted with MIT was 35% of water, 0.5% of wheat flour (w/w of soaked rice), and mechanically impacting for 10 min at 450 rpm. In the present study, standardization of manufacturing procedure for merchandizing of Gyungdan was established with width, weight, and height. Average of Gyungdan adapted with MIT at 90 rpm (stuffing speed) and 46.58 Herz (cutting speed) is 18.3 g of weight, 28.4 mm of height, and 32.4 mm of width. Hardness, as a main parameter of texture profile, of Gyungdan was maintained lower than 100 g up to 3 days at the storage of $20^{\circ}C$ and up to 70 days at the storage of $-20^{\circ}C$. And, it was performed to develop rice cake as meal-replacement adapted with MIT and sub-ingredients such as strawberry, pumpkin, and mugwort. Gyungdan prepared under controlling manufacturing condition of MIT was supplemented with 0-1.6% of sub-ingredients, respectively. In sensory tests, the best substitute ratios of strawberry, pumpkin, and mugwort were 1.6%, 0.8%, and 1.6%, respectively. With the results above, not-harden Gyungdan supplemented with sub-ingredients and various stuffs can be expected to application for wheat-substitute meal-replacement.

Analysis of Furnace Conditions with Waste Plastics Injection into Blast Furnace (폐플라스틱의 吹入에 따른 高爐 爐況解析)

  • 허남환;백찬영;임창희
    • Resources Recycling
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    • v.9 no.6
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    • pp.23-30
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    • 2000
  • Since most of the waste plastics are incinerated and landfilled for the plastic treatment, the environmental friendly processes must be introduced. The plastic utilization of plastic to the blast furnace as a substitutional fuel was developed as a useful recycling method of waste plastics, and commercialized in several ironmaking company in Europe and Japan. Present study was carried out to understand the effect of plastic injection on blast furnace process continuously by using the foundry blast furnace in POSCO. The coke replacement ratio turned out to be 0.98 with the waste plastic injection up to 13.8 kg/thm of injection rate, and there were no significant effect of the kinds of injection plastics on the replacement ratio in this test operation. The permeability in the furnace became worse and the heat load in the lower part of blast furnace was increased with increasing the injection rate of waste plastics. As the rate of plastic injection were increased, the top gas utilization and shaft efficiency were also decreased from the Rist diagram analysis.

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A Study on Gas Hydrate Replacement Method for Organic Methane Recovery in Ocean Sediment (해저 퇴적토 내 유기성 메탄 회수를 위한 가스하이드레이트 치환기법 연구)

  • Shin, Dong Hyung;Park, Dae Won
    • Journal of the Korea Organic Resources Recycling Association
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    • v.26 no.4
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    • pp.5-10
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    • 2018
  • In this study, the effect of physico-chemical factors (e.g., pressure, electrolyte, and organic matter) in the gas hydrate deposit on CH4-CO2 replacement process was investigated experimentally. The higher initial pressure during gas injection led the higher reaction rate at the first time, but finally it did not. Electrolytes and organic matter have some effects on reforming process after dissociation of gas hydrate. It is expected that further research using real marine sediments with actual gas hydrate will enable the development of technologies applicable to the characteristics of domestic seabed geology. Ultimately, it is expected that it will be possible to recover and utilize methane as an organic resource through application of domestic gas hydrate deposit in the Ulleung Basin, East Sea.

A meta-analysis on advantages of peripheral nerve block post-total knee arthroplasty

  • You, Di;Qin, Lu;Li, Kai;Li, Di;Zhao, Guoqing;Li, Longyun
    • The Korean Journal of Pain
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    • v.34 no.3
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    • pp.271-287
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    • 2021
  • Background: Postoperative pain management is crucial for patients undergoing total knee arthroplasty (TKA). There have been many recent clinical trials on post-TKA peripheral nerve block; however, they have reported inconsistent findings. In this meta-analysis, we aimed to comprehensively analyze studies on post-TKA analgesia to provide evidence-based clinical suggestions. Methods: We performed a computer-based query of PubMed, Embase, the Cochrane Library, and the Web of Science to retrieve related articles using neurothe following search terms: nerve block, nerve blockade, chemodenervation, chemical neurolysis, peridural block, epidural anesthesia, extradural anesthesia, total knee arthroplasty, total knee replacement, partial knee replacement, and others. After quality evaluation and data extraction, we analyzed the complications, visual analogue scale (VAS) score, patient satisfaction, perioperative opioid dosage, and rehabilitation indices. Evidence was rated using the Grading of Recommendations Assessment, Development, and Evaluation approach. Results: We included 16 randomized controlled trials involving 981 patients (511 receiving peripheral nerve block and 470 receiving epidural block) in the final analysis. Compared with an epidural block, a peripheral nerve block significantly reduced complications. There were no significant between-group differences in the postoperative VAS score, patient satisfaction, perioperative opioid dosage, and rehabilitation indices. Conclusions: Our findings demonstrate that the peripheral nerve block is superior to the epidural block in reducing complications without compromising the analgesic effect and patient satisfaction. Therefore, a peripheral nerve block is a safe and effective postoperative analgesic method with encouraging clinical prospects.

Experience of Patients with Mucopolysaccharide Receiving Enzyme Replacement Therapy (효소보충치료(ERT)를 받고 있는 뮤코다당증 환자의 경험)

  • Kwon, Eun Kyung;Jung, So-Young;Choi, Eu Jin;Cho, Sung Yoon;Jin, Dong Kyu
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.37-48
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    • 2021
  • The purpose of this study was to explore the meaning of the experience of Mucopolysaccharidosis patients receiving Enzyme Replacement Therapy(ERT). A qualitative research design was adopted. The participants were 7 patients diagnosed with MPS who is receiving ERT for several years. Data were collected through in-depth interviews from 1 July 2018 to 22 July 2018 for seven adult patients with MPS receiving ERT. Individual interviews were recorded, and transcribed data were analyzed using the inductive method of content analysis. The final 4 categories and 15 subcategories were identified. The 4 categories of the experience of Mucopolysaccharidosis patients receiving ERT were "Physical and psychological changes through ERT", "Continuous tunnel called ERT", "Accepting the reality" and "Cautious hope". This study provides deep insight into the experience of Mucopolysaccharidosis patients receiving ERT. Medical staff including nurses and related organizations should concern their distress during ERT as well as physical symptoms.

The Effect of adding Hip Abductor Strengthening to Conventional Rehabilitation on Muscular Strength and Physical Function following Total Knee Replacement

  • Kim, San-Han;Park, Hye-Kang;Lee, Wan-Hee
    • Physical Therapy Rehabilitation Science
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    • v.11 no.1
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    • pp.16-23
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    • 2022
  • Objective: This study aimed to investigate the effect of adding hip abductor strengthening to conventional rehabilitation on muscle strength and physical function following total knee replacement (TKR) for knee osteoarthritis. Design: Randomized controlled trial Methods: Thirty-five participants were randomly allocated to exercise groups I (n=18) and II (n=17). Group I underwent hip abductor training and conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. Group II underwent conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. The participants in both groups also received continuous passive motion therapy for 15 min per day, 5 days per week for 4 weeks. To investigate the effect of the intervention, the Biodex dynamometer was used to measure the peak torque of both knee extensors and hip abductors. This study used the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) to assess physical function, as well as the figure-of-8 walk test (F8W) and the stair climb test (SCT). Results: According to the interventions, exercise groups I and II showed significantly improved muscle strength and KOS-ADLS, F8W, and SCT scores (p<0.001). Compared with that of exercise group II, exercise group I showed significantly improved hip abductor strength (p<0.001) and KOS-ADLS, F8W, and SCT scores (p<0.05). Conclusions: The results of this study indicate that the combination of hip abductor strengthening and conventional rehabilitation is an effective exercise method to increase hip abductor muscle strength and physical function after TKR.