• The Transactions of the Korean Institute of Electrical Engineers
• /
• v.37 no.5
• /
• pp.272-281
• /
• 1988

The problem of optimal transmission system planning is to find the most economical locations and time of transmission line construction under the various constraints such as available rights-of-way, finances, the technical characteristics of power system, and the reliability criterion of power supply, and so on. In this paper the constraint of right-of-way is represented as a finite set of available rights-of-way. And the constructed for a unit period. The electrical constraints are represented in terms of line overload and steady state stability margin. And the reliability criterion is dealt with the suppression of failure cost and with single-contingency analysis. In general, the transmission planning problem requires integer solutions and its objective function is nonlinear. In this paper the objective function is defined as a sum of the present values of construction cost and the minimum operating cost of power system. The latter is represented as a sum of generation cost and failure cost considering the change of yearly load, economic dispatch, and the line contingency. For the calculation of operating cost linear programming is adopted on the base of DC load flow calculation, and for the optimization of main objective function nonlinear Branch-and-Bound algorithm is used. Finally, for improving the efficiency of B & B algorithm a new sensitivity analysis algorithm is proposed.

• Health Policy and Management
• /
• v.19 no.3
• /
• pp.1-26
• /
• 2009

Objectives : To identify target areas and set priorities among those areas identified for national quality evaluation. Methods : Target areas were identified from: i) analysis of the national health insurance claims data, mortality and prevalence data ii) various group surveys, including representatives from 22 medical specialty associations, 19 physician associations, QI staffs in hospital, civil organizations, and commissioners of Health Insurance Review and Assessment Service(HIRA) ⅲ) literature reviews and RAM(RAND/UCLA appropriateness method). The priority areas for national quality evaluation represented the full spectrum of health care and the entire life span. The criteria for selecting the priority areas were impact, improvability, and measurability. The priority areas were divided into three categories : short-term, mid-term, long-term. Results: Based on the group surveys and the data analysis, 46 candidates were selected as quality evaluation priority areas. 13 areas were selected as having a short-term priority areas: tuberculosis, community acquired pneumonia, stroke, ischaemic heart disease, diabetes, hypertension, chronic lower respiratory disease(asthma, chronic obstructive pulmonary disease), intensive care unit, emergency room, nosocomial infection, use of antibiotics, multiple medication and renal failure. This results suggested that we need to enlarge the target priority areas to the chronic diseases in short-term. Conclusions: The priority areas identified from the study will assist healthcare quality associated institutions as well as HIRA in selecting quality evaluation areas. It is required to develope and implement strategies for improving the quality of care within the next 5 years.

• Journal of Korean Foot and Ankle Society
• /
• v.23 no.1
• /
• pp.18-23
• /
• 2019

Purpose: This study compared and analyzed the risk factors that affect a wound healing group and healing failure group. Materials and Methods: From 2010 to 2018, 39 patients who had suffered a single toe amputation were evaluated retrospectively. The patients were divided into two groups (wound healing group and healing failure group - within at least 3 months following the amputation). Regarding the possible risk factors, age, gender, Wagner and Brodsky classifications, duration of diabetes mellitus, whether the patient had peripheral arterial occlusive disease (PAOD) or cardiovascular disease, body mass index, HbA1c, total cholesterol, estimated glomerular filtration rate (eGFR), blood urea nitrogen (BUN), smoking, and alcohol were investigated. Results: The mean duration of diabetes mellitus was 140 months in the healing group and 227 months in the healing failure group, and the duration of diabetes was significantly longer in the failure group (p=0.009). A significant difference in eGFR was observed between the two groups ($59.17mL/min/1.73m^2$ in the healing group and $31.1mL/min/1.73m^2$ in the failure group) (p=0.022). Sixteen patients with PAOD were found, all 10 patients in the healing failure group were PAOD patients. Conclusion: To reduce the additional complications in single toe amputation patients, the underlying disease and appropriate treatment are the most important factors. In addition, a more proximal level of amputation also should be considered in cases of patients with PAOD, high BUN and low eGFR, and patients with long-term diabetes.

• Journal of Yeungnam Medical Science
• /
• v.19 no.2
• /
• pp.126-135
• /
• 2002

Background: Neovascular glaucoma is common secondary glaucoma at high risk for failure of glaucoma filtering surgery. Recently, trabeculectomy with adjunctive mitomycin C trabeculectomy has been tried to improve the surgical success rate of conventional trabeculectomy. But, the long-term effects of mitomycin C trabeculectomy for neovascular glaucoma are unknown. Thus, we evaluated the long-term effects of mitomycin C trabeculectomy and its prognostic factors influencing the outcome. Materials and Methods: Medical records of 62 eyes of 55 neovascular glaucoma who had undergone mitomycin C trabeculectomy were retrospectively reviewed. Surgical success was defined as intraocular pressures of 21 mmHg or less with or without glaucoma medications and no loss of light perception. Surgical failure was defined as postoperative loss of light perception in patients with preoperative vision better than light perception, additional glaucoma surgery, or phthisis bulbi in patients with preoperative vision of no light perception. Results: Postoperative success was obtained in 37 (60%) out of 62 eyes after mean followup period of $23.9{\pm}16.2$ months. Using Kaplan-Meier survival analysis, cumulative success rate at the 6-, 12-, 24- and 36-month intervals were 85%, 71%, 57% and 52%, respectively. Success rate was greater in eyes with diabetic retinopathy than other causes(p=0.005) and in eyes with preoperative panretinal photocoagulation(PRP) than without PRP(p=0.015). However, Cox proportional hazard regression analysis revealed that preoperative PRP was not a significant risk factor for surgical failure. Conclusion: Prognosis of neovascular glaucoma caused by diabetic retinopathy was better than that caused by the other disorders following mitomycin C trabeculectomy. The author would suggest that mitomycin C trabeculectomy could be effective and relatively safe as the first procedure of choice before performing glaucoma drainage device implantation or cyclodestructive procedure.

• Journal of Chest Surgery
• /
• v.46 no.2
• /
• pp.111-116
• /
• 2013

Background: Heart transplantation in elderly patients has raised concerns because of co-morbidities and limited life expectancy in the era of donor shortage. We examined the outcomes after heart transplantation in elderly patients. Materials and Methods: From March 1994 to December 2011, 81 patients (male:female=64:17, $49.1{\pm}14.0$ years) underwent heart transplantation. The outcomes after heart transplantation in the younger patients (<60 years; group Y, n=60) were compared with those in the elderly patients (${\geq}60$ years; group O, n=21). The follow-up duration was $51.8{\pm}62.7$ months. Results: Early mortality (${\leq}30$ days) occurred in 5.0% (3/60) and 4.8% (1/21) of groups Y and O, respectively (p>0.999). There were no differences in overall survival between the two groups (p=0.201). Freedom from rejection was higher in group O than in group Y (p=0.026). Multivariable analysis revealed that age ${\geq}60$ years was not a significant risk factor for long-term survival; postoperative renal failure was the only significant risk factor for long-term survival (p=0.011). Conclusion: Early and mid-term results of heart transplantation in elderly patients were similar to those in younger patients.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.10
• /
• pp.289-299
• /
• 2016

Weapon systems require reliability in the development phase for efficient combat readiness. Improved reliability in various manufacturing processes have been achieved using data analysis. However, data analysis in the development phase is difficult due to problems such as the lack of data, high cost, and the importance of security. Therefore, Post Logistics Support (PLS) data collected following integration is analyzed for long-term quality improvement of weapon systems. In this study, we propose a methodology for examining the correlation between the failure rate and PLS data as follows: First, key variables affecting reliability were identified the correlation between variables on the failure rate examined. Second, corresponding analysis was conducted for determining the correlation between patterns of categorical data. Third, extract categories with the higher contribution and quality of representation, and find the highest variable correlated with failure period through visualization. Then, after selecting patterns which have shorter failure period, the cause of decreased reliability was confirmed through frequency analysis. This study will contribute to improving reliability when developing new weapon systems and will help to strengthen the combat readiness of military.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.10
• /
• pp.149-158
• /
• 2019

The scheduling of planned maintenance problem of a system consisting of a number of components was studied. The purpose of maintenance scheduling is to minimize the cost of maintaining long-term operations. On the system side, the cost of a system shutdown can be minimized by grouping and inspecting a number of components. In addition, proper inspection cycles can be selected for each component to identify the failure sufficiently early to minimize the cost of the failure. To reduce the complexity of the calculations, the 'base interval approach' used in previous studies was applied and, in addition, the inspection cost savings from simultaneous inspections of multiple components were considered. To compare the effectiveness of inspection cost savings, this paper presents the results of simulation analysis performed by referring to the cases in the existing studies.

• KEPCO Journal on Electric Power and Energy
• /
• v.5 no.4
• /
• pp.323-330
• /
• 2019

The 500 MW Korean standard coal-fired power plant is the largest standardized power plant in Korea and has played a pivotal role in domestic power generation for over 20 years. In addition to the aging degradation due to long term operation, the probability of failure of power generation facilities is increasing due to frequent startup and stop caused by the lower utilization rate due to air pollution problem caused by coal-fired power plants. Among them, steam piping plays an important role in transferring high-temperature & pressure steam produced in a boiler to turbine for power generation. In recent years, failure of steam piping of large coal-fired power plant has frequently occurred. Therefore, in this study, failure analysis of high pressure piping weld was conducted. We identify the damage caused by high stress due to abnormal supporting structure of the piping and suggest improved supporting structure to eliminate high stress through microstructure analysis and piping stress analysis to prevent the occurrence of the similar failure of other power plant in the case of repetitive damage to the main steam piping system of the 500 MW Korean standard coal-fired power plant.

• Journal of Chest Surgery
• /
• v.26 no.9
• /
• pp.677-685
• /
• 1993

Experience with bileaflet mechanical valve replacement at the Inha Hospital in 192 patients, operated on from June 1986 until April 1993. Two hundred fourty-one prostheses [51 Duromedics, 79 St.Jude Medical, and 111 CafboMedics]were implanted during the total 195 operations. Mitral valve replacment[MVR]was done in 113 cases, aortic valve replacement[AVR]in 34, tricuspid valve replacement[TVR]in 2, and double valve replacement[DVR]in 46 cases.Of the total patients, 63.0% were women and 37.0% were men. The mean age of the patients was 40.8 years, ranged from 14 to 67years. Overall early mortality was 9.2\ulcorner%[18 out of 195]; 9.7%[11 out of 113]for MVR, 14,7% [5 out of 34]for AVR, and 4.3%[2 out of 46]for DVR. All of the operative survors were followed over a period of one to 83 months with a mean of 37 months, for total 543 patient-years. So far, eleven patients[6.7% of the long-term survivors]were lost to follov-up after a mean postoperative follow-up of 22.8 months. There were nine late deaths; three deaths due to prostetic valve endocarditis, two due to persistent heart failure, one due to cerebral hemorrhage, one due to aortic dissection after Bentall oreration, and two sudden deaths. Actuarial survival rate at 6.9 years was 94.8%, There were seventeen valve-related complications; three prosthetic valve thromboses, three thrombembolisms, three instances of prosthetic valve endocarditis, two paravalvular leakages, and six hemorrhagic complications related to anticoagulation. The actuarial rate of freedom from all valve-related complications at 6.9years was 91.3%. There were significant decreases in the heart size postoperatively that can be demonstrated by comparison of cardio-thoracic ratios on simple chest X-ray and left ventricle dimensions on echocardiography. We conclude that this midterm follow-up shows good results in terms of hemodynamics and durability although further long-term evaluations are mandatory.

• Geomechanics and Engineering
• /
• v.31 no.1
• /
• pp.31-52
• /
• 2022

Investigating and evaluating the long-term creep behavior of historical buildings built on seismic zones is of great importance in terms of transferring these structures to future generations. Furthermore, assessing the earthquake behavior of historical structures such as masonry stone bridges is very important for the future and seismic safety of these structures. For this reason, in this study, earthquake analyses of a masonry stone bridge are carried out considering strong ground motions and various water levels. Tokatli masonry stone arch bridge that was built in the 10th century in Turkey-Karabük is selected for three-dimensional (3D) finite difference analyses and this bridge is modeled using FLAC3D software based on the three-dimensional finite difference method. Firstly, each stone element of the bridge is modeled separately and special stiffness parameters are defined between each stone element. Thanks to these parameters, the interaction conditions between each stone element are provided. Then, the Burger-Creep and Drucker-Prager material models are defined to arch material, rockfill material for evaluating the creep and seismic failure behaviors of the bridge. Besides, the boundaries of the 3D model of the bridge are modeled by considering the free-field and quiet boundary conditions, which were not considered in the past for the seismic behavior of masonry bridges. The bridge is analyzed for 6 different water levels and these water levels are 0 m, 30 m, 60 m, 70 m, 80 m, and 90 m, respectively. A total of 10 different seismic analyzes are performed and according to the seismic analysis results, it is concluded that historical stone bridges exhibit different seismic behaviors under different water levels. Moreover, it is openly seen that the water level is of great importance in terms of earthquake safety of historical stone bridges built in earthquake zones. For this reason, it is strongly recommended to consider the water levels while strengthening and analyzing the historical stone bridges.