• 제목/요약/키워드: Replacement rate

검색결과 1,126건 처리시간 0.034초

상행대동맥 벽내 혈종에 의해 발생한 심낭 압전의 지연 진단 - 1예 보고 - (Delayed Diagnosis of Cardiac Tamponade That Was Caused by Intramural Hematoma of the Ascending Aorta -A case report-)

  • 황유화;송석원;이기종
    • Journal of Chest Surgery
    • /
    • 제43권2호
    • /
    • pp.194-198
    • /
    • 2010
  • 대동맥 벽내 혈종은 대동맥 내벽의 열상 등 손상이 없으면서 대동맥의 혈관벽내의 출혈로 정의되며 고전적인 대동맥 박리로 진행할 수 있는 질환으로 대동맥 박리의 변형된 형태로 여겨지기도 한다. 대동맥 벽내 혈종은 높은 이환율과 사망률을 보이나 궁극적 치료는 아직 확실하지 않다. 하지만 상행 대동맥에 발생한 대동맥 벽내 혈종은 대동맥 파열과 심낭 압전의 위험성으로 인해 보통 수술적인 치료가 고려되고 있다. 저자들은 실신을 주소로 내원한 71세 남환에서 대동맥 벽내 혈종 1예를 수술 치험 하였다. 잘못된 진단으로 인해 응급실 내원 5시간 뒤 시행된 대동맥 단층 컴퓨터 촬영 검사 결과 상행대동맥 벽내 혈종과 심낭 압전 소견이 동반되어 있었으며 이로 인해 급성 신부전, 허혈성 장기손상의 합병증이 발생하였다. 응급 수술로 상행대동맥 및 대동맥궁 치환술을 진행하였고 환자는 수술 14일 뒤 합병증 없이 퇴원하였다.

자일리톨 첨가 머핀의 품질특성 (Quality Characteristics of Muffins with Xylitol)

  • 안혜령;허수진;이광석
    • 한국조리학회지
    • /
    • 제16권3호
    • /
    • pp.307-316
    • /
    • 2010
  • 본 논문의 목적은 자일리톨을 설탕 대체제로 사용하여 만든 머핀의 최적 배합을 개발하고자 함이다. 자일리톨을 첨가한 머핀의 특성은 높이, 부피, 무게, 비용적, 굽기 손실률, 영상분석, 색도와 관능검사에 의해 측정되었고, 저장기간 동안(0, 1, 3, 5일)의 머핀의 노화에 대한 자일리톨의 영향은 조직감 분석 기계에 의해 측정되었다. 자일리톨 첨가량이 증가할수록 머핀의 경도는 증가하였고, 저장기간 동안 유의적으로 증가하였다. 머핀 껍질의 명도(L값)는 자일리톨 첨가에 의해 유의적으로 증가하였다. 관능검사에서 자일리톨을 첨가하지 않은 대조구는 외관과 조직감에 가장 높은 수치를 보였다. 풍미, 맛과 전체적인 기호도에서는 자일리톨을 25% 첨가한 머핀이 가장 좋은 결과를 보였지만 대조구와는 유의적인 차이는 없었다.

  • PDF

Treated Olive Cake as a Non-forage Fiber Source for Growing Awassi Lambs: Effects on Nutrient Intake, Rumen and Urine pH, Performance, and Carcass Yield

  • Awawdeh, M.S.;Obeidat, B.S.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제26권5호
    • /
    • pp.661-667
    • /
    • 2013
  • The objective of this study was to investigate the effects of partial replacement of wheat hay with sun-dried (SOC) or acid-treated SOC (ASOC) olive cake on nutrient intake and performance of Awassi lambs. An additional objective was to study the effects of acid treatment of olive cake (OC) on its chemical composition and nutritive value. On DM basis, sun-drying of OC did not dramatically affect its chemical composition. On the other hand, treating SOC with phosphoric acid decreased (p<0.05) SOC contents of neutral detergent fiber. Twenty seven male lambs ($17.6{\pm}0.75$ kg body weight) individually housed in shaded pens were randomly assigned to one of three dietary treatments (9 lambs/treatment). Dietary treatments were formulated to be isocaloric and isonitrogenous by replacing 50% of wheat hay in the control diet (CTL) with SOC or ASOC and to meet all nutrient requirements. Dietary treatments had no effects on nutrient intake or digestibility except for ether extract. Lambs fed the SOC diet had (p = 0.05) faster growth rate, greater final body weight, and greater total body weight gain in comparison with the CTL diet, but not different from the ASOC diet. Additionally, lambs fed the SOC diet had greater (p = 0.03) hot and cold carcass weights than the ASOC diet, but not different from the CTL diet. However, feed conversion ratios and dressing percentages were similar among dietary treatments. In conclusion, replacing half of dietary wheat hay with SOC improved performance of Awassi lambs with no detrimental effects on nutrients intake or digestibility. No further improvements in the nutritive value of SOC and lambs performance were detected when SOC was treated with acid.

PECAN: Peer Cache Adaptation for Peer-to-Peer Video-on-Demand Streaming

  • Kim, Jong-Tack;Bahk, Sae-Woong
    • Journal of Communications and Networks
    • /
    • 제14권3호
    • /
    • pp.286-295
    • /
    • 2012
  • To meet the increased demand of video-on-demand (VoD) services, peer-to-peer (P2P) mesh-based multiple video approaches have been recently proposed, where each peer is able to find a video segment interested without resort to the video server. However, they have not considered the constraint of the server's upload bandwidth and the fairness between upload and download amounts at each peer. In this paper, we propose a novel P2P VoD streaming system, named peer cache adaptation (PECAN) where each peer adjusts its cache capacity adaptively to meet the server's upload bandwidth constraint and achieve the fairness. For doing so, we first propose a new cache replacement algorithm that designs the number of caches for a segment to be proportional to its popularity. Second, we mathematically prove that if the cache capacity of a peer is proportional to its segment request rate, the fairness between upload and download amounts at each peer can be achieved. Third, we propose a method that determines each peer's cache capacity adaptively according to the constraint of the server's upload bandwidth. Against the proposed design objective, some selfish peers may not follow our protocol to increase their payoff. To detect such peers, we design a simple distributed reputation and monitoring system. Through simulations, we show that PECAN meets the server upload bandwidth constraint, and achieves the fairness well at each peer. We finally verify that the control overhead in PECAN caused by the search, reputation, and monitoring systems is very small, which is an important factor for real deployment.

심층수 이용 열교환기 개발을 위한 기초연구: 열교환기 부식이 열교환기 성능에 미치는 영향 (A Fundamentals study on Heat Exchanger using Deep Ocean Water: Effects of Corrosion on Heat Transfer Performance)

  • 권영철;이석현;허철;조맹익;이창경;권정태
    • 한국산학기술학회논문지
    • /
    • 제14권11호
    • /
    • pp.5377-5384
    • /
    • 2013
  • 본 논문은 심층수용 열교환기 재질로 티타늄, 알루미늄, 스테인리스, 구리와 알루미늄을 코팅하여 재질의 특성 및 부식이 미치는 영향을 조사하기 위하여 이중관 열교환 실험장치를 활용하였다. 열교환기 재질은 티타늄, 스테인레스, 구리, 알루미늄, 카본 코팅된 알루미늄 등 6종이 비부식관과 부식관에 대하여 해석과 실험이 수행되었다. 해석은 EES 프로그램을 사용하였다. 부식의 영향을 살펴보기 위하여 부식 제조장치를 제작하고, 3.5%의 염수를 $70^{\circ}C$의 온도로 약 6주간 담가서 가속부식을 실시하였다. 부식된 관으로 이중관 열교환기의 성능실험을 실시하여 비부식관과 비교하였다. 실험결과로부터 티타늄을 대체용으로 알루미늄 코팅관(카본 블랙 $150{\mu}m$)의 가능성을 확인하였다.

동물성 첨가제가 모르타르 및 콘크리트의 기초 물성에 미치는 영향 (Effects of Animal Additives on the Fundamental Properties of Mortar and Concrete)

  • 송진우;문승권
    • 한국건설순환자원학회논문집
    • /
    • 제7권1호
    • /
    • pp.69-75
    • /
    • 2012
  • 본 연구는 모르타르와 콘크리트에 첨가제로서, 돈혈을 혼합하였을 때 물성에 미치는 영향을 알아보기 위해 실험을 실시하였다. 모르타르 실험에는 단위질량, 플로우, 압축강도 실험을 실시하였고, 콘크리트 실험에는 공기량, 슬럼프, 블리딩, 응결시간, 압축강도, 동결융해저항성 실험을 실시하였다. 실험 결과로서, 돈혈을 모르타르와 콘크리트에 첨가하면 공기연행효과를 가지는 것으로 나타났다. 모르타르 실험에서는 플로우 값은 증가하며, 단위중량은 감소하고, 압축강도는 공기연행에 의해 감소하였다. 콘크리트 실험에서는 돈혈을 첨가하였을 때 공기연행효과로 공기량은 증가하나, 시간이 경과함에 따라 공기량이 감소하는 경향이 있으며, 응결시간이 지연되고, 블리딩량은 감소하는 경향을 보이는 것으로 나타났다. 콘크리트의 압축강도는 공기연행작용으로 인하여 강도가 감소하며, 동결융해 저항성은 향상되는 효과가 있는 것으로 나타났다.

  • PDF

말기 류마티스성 발목관절염에 대한 인공관절 전치환술 및 항류마티스 약물 조절 후의 중기 추시 임상 결과 (Intermediate-Term Clinical Outcomes after Total Ankle Arthroplasty for End-Stage Rheumatoid Arthritis with Modification of Perioperative Anti-Rheumatic Medication)

  • 조병기;고반석
    • 대한족부족관절학회지
    • /
    • 제23권3호
    • /
    • pp.91-99
    • /
    • 2019
  • Purpose: This retrospective study reports the intermediate-term clinical outcomes including the practical function in daily and sports activities after total ankle arthroplasty for end-stage rheumatoid arthritis, as well as the effects of modification of perioperative anti-rheumatic medications. Materials and Methods: Twelve patients were followed for a minimum of 2 years after total ankle replacement for end-stage rheumatoid arthritis. Perioperative anti-rheumatic medications in all patients were modified based on a specific guideline. Clinical evaluations consisted of American Orthopaedic Foot and Ankle Society (AOFAS) scores, Foot and Ankle Outcome Score (FAOS), and Foot and Ankle Ability Measure (FAAM) scores. Periodic radiographic evaluation was conducted to detect changes in ankle alignment and postoperative complications. Results: Mean AOFAS, FAOS, and FAAM scores improved significantly from 37.5 to 81.2, 39.1 to 72.4, and 33.8 to 64.0 points at final follow-up, respectively (p<0.001). Functional outcomes in daily and sports activities at final follow-up were found to be 76.5 and 55.8 points for the FAOS and 70.5 and 57.5 points for the FAAM, respectively. As early postoperative complications, there was one case of local wound necrosis, one case of medial malleolar fracture, and one case of deep peroneal nerve injury. Radiological evaluation revealed two cases of asymptomatic heterotopic ossification and one case of progressive arthritis in the talonavicular joint. Reoperation was performed in only one patient (8.3%) with a medial soft tissue impingement at a mean of 35.6 months follow-up. Conclusion: Total ankle arthroplasty appears to be an effective surgical option for end-stage rheumatoid arthritis. Practical functions in daily and sports activities were significantly improved at intermediate-term follow-up. Modification of perioperative anti-rheumatic medications can be one of the solutions to reduce the postoperative complication rate.

스리랑카 길어깨 적용을 위한 안정처리 재료의 적용성 평가 연구 (Application of Soil Stabilization Technique for Shoulder Construction in Sri Lanka)

  • 박기수;박희문
    • 한국도로학회논문집
    • /
    • 제20권4호
    • /
    • pp.21-26
    • /
    • 2018
  • PURPOSES : The objective of this study is to evaluate the application of soil stabilization method for soft shoulder construction in the iRoad Project of Sri Lanka. METHODS : Firstly, the quantitative analysis of soil strength improvement due to soil stabilization was done for soil samples collected from iRoad construction sites. Two types of soils were selected from iRoad Project sites and prepared for soil stabilization testing by the Road Development Authority. Secondly, the appropriate stabilizer was selected at given soil type based on test results. Two different stabilizers, ST-1 and ST-2, produced in Korea were used for estimating soil strength improvements. Finally, the optimum stabilizer content was determined for improving shoulder performance. The uniaxial compressive strength (UCS) test was conducted to evaluate the strength of stabilized soil samples in accordance with ASTM D 1633. The use of bottom ash as a stabilizer produced from power plant in Sri Lanka was also reviewed in this task. RESULTS : It is found from the UCS testing that a 3% use of soil stabilizer can improve the strength up to 2~5 times in stabilized soft shoulder soils with respect to unstabilized soils. It is also observed from UCS testing that the ST-1 shows high strength improvement in 3% of stabilizer content but the strength improvement rate with increase of stabilizer content is relatively low compared with ST-2. The ST-2 shows a low UCS value at 3% of content but the UCS values increase significantly with increase of stabilizer content. When using the ST-2 as stabilizing agent, the 5% is recommended as minimum content based on UCS testing results. Based on the testing results for bottom ash replacement, the stabilized sample with bottom ash shows the low strength value. CONCLUSIONS : This paper is intended to check the feasibility for use the soil stabilization technique for shoulder construction in Sri Lanka. The use of soil stabilizer enables to improve the durability and strength in soft shoulder materials. When applying the bottom ash as a soil stabilizer, various testings should be conducted to satisfy the specification criteria.

1983년도 인구 정책에 관한 소고 (A Note on the Population Policy of 1983)

  • 박원란;정지원;박희창;이석훈
    • 응용통계연구
    • /
    • 제22권3호
    • /
    • pp.653-665
    • /
    • 2009
  • 각종 정책 및 계획은 시행시기에 따라 그 효과가 반감되거나, 오히려 역효과를 낼 수 있기 때문에 아무리 좋은 정책이나 계획이라 하더라도 시행의 시기가 적절해야 하므로 시행 시기가 적기인지 아닌지를 판단하는 것은 중요하다. 본 논문에서는 정책의 수립시기 판단이 지연됨에 따라 초래된 상황의 심각성을 인구 정책의 사례를 통하여 두 가지의 방법으로 논의하여 본다. 하나는 1983년의 상황으로 돌아가서 그 당시 통계를 이용하여 제시할 수 있는 제안들과 그 결과들을 유도하여 현재의 상황과 차이를 도출하여 보는 것이다. 다른 하나는 현재까지 나타난 결과로부터 1983년 이후 시행된 인구 억제 정책이 중지되었다면 나타날수 있었던 상황들을 가상적인 시나리오를 세워 시뮬레이션 하여 현실과의 차이를 검토하여 본다.

원심력 필터 재생기능을 갖춘 오일 미스트 여과 집진장치 개발 (Development of an Oil Mist Collector Equipped with Centrifugal De-oiling System)

  • 김태형;서정윤;하현철;김종철;조진호
    • 한국산업보건학회지
    • /
    • 제15권3호
    • /
    • pp.166-175
    • /
    • 2005
  • Health effects associated with metal working fluid (MWF) exposures include dermatitis, respiratory disease, hypersensitive pneumonitis, and asthma. Frequently, occupational exposures to MWFs are controlled by ventilating an enclosure with an air cleaning unit that includes a fan preceded by various kinds of filtration. There are several kinds of air cleaning units used in machining centers. But the associated troubles have hindered from efficiently using these devices. The main problem is the relatively short period of filter replacement. The reason is that the air cleaning units usually do not have the de-oiling systems, thus leading the earlier clogging of filters and reducing the flow rate of hood. Thus, the first stage of study was conducted to overcome this problem by developing the new oil mist collector equipped with the easy de-oiling system. The principle of de-oiling is that the centrifugal force generated by spinning the drum covered by filter fabric separates oils from the filter fabric. It would be very similar to the spin-dry laundry. By adopting this de-oiling technique, the problems associated with the conventional oil mist collectors could be solved. Several tests/analyses were performed to make the lab-scale oil mist collector. The collection efficiencies and the de-oiling efficiencies of commercially available filter fabrics were tested. Subsequently, the endurance test were conducted by observing SEM photos of filter fabrics and measuring tensile strength/expansion coefficient after spinning the filter drum for 20 minutes at the different rotation speeds. By doing these experiments, the most appropriate filter fabric and rotation speed/duration were selected. Finally, the new oil mist collector was designed. In the near future, this device must be tested in the real machining center.