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This inclusion method of pulmonary autograft implantation leads to minimal increases in aortic root size over time, with no reoperations for aortic root dilatation and a low requirement for aortic valve reoperation. The Ross procedure deserves to remain on the surgical menu for aortic valve replacement.

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Four metrics related to vehicle duty cycle are derived from the energy equation of vehicle motion. Three key application areas are introduced. The first is the ability to quantify the sameness between vehicle duty cycles and the ability to asses a duty cycle's suitability for hybrid vehicle usage. The second area of application allows for the estimation of fuel consumption for a given vehicle over a target duty cycle. The third area of application allows us to predict how non-propulsion fuel use will affect energy use. The paper ends with real-world examples involving actual heavy-duty hybrids.