• Title/Summary/Keyword: Combined Deterioration

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Surgical Treatment of Chronic Constrictive Pericarditis -Report of 4 ases- (만성 교약성 심낭염의 외과적 치료 -4례 보고-)

  • 전희재
    • Journal of Chest Surgery
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    • v.27 no.9
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    • pp.793-797
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    • 1994
  • Constrictive pericarditis is often accompanied with ~brothorax and deterioration of cardiac, hemodynamic functions. Surgical relief of fibrous peel causes remarkable improvement in pulmonary, cardiac, hemodynamic function, and subjective symptoms. We experienced 4 cases of constrictive pericarditis combined with bilateral ~brothorax after bilateral pleural effusion caused by tuberculosis and non-specific inflammation. Pleural decortication and pericardiectomy were done at the same time through anterolateral thoracotomy with sternal transection[3 patients] and median sternotomy incision[l patient]. Low cardiac output was the most common complication. With left anterolateral thoracotomy, we could prevent the hypotension from massive retraction for dissecting by median sternotomy, which was good for dissecting from anterior wall of left ventricle to posterior wall of left ventricle and surrounding phrenic nerve. It was enough to dissect the portion being through hard to dissect, right atrium, SVC and IVC.

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A Case of Probable Moyamoya Disease (Unilateal Moyamoya Disease) Coexisting Arteriovenous Malformation

  • Shin, Doog-Soo;Song, Kwan-Young;Hong, Hyun-Jong;Kong, Min-Ho
    • Journal of Korean Neurosurgical Society
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    • v.42 no.1
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    • pp.49-52
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    • 2007
  • The authors report a unique case of unilateral Moyamoya disease with a rare combination of arteriovenous malformation (AVM) who presented with intracerebral hemorrhage (ICH). A 50-year-old man suffered from sudden onset of mental deterioration and right hemiparesis. Brain computed tomography (CT) showed intracerebral hemorrhage on left thalamus. Brain CT angiography and cerebral digital subtraction angiography (DSA) revealed AVM combined with unilateral moyamoya disease involving left middle cerebral artery (MCA) and choroid plexus in left lateral ventricle. Intraventricular hemorrhage and hydrocephalus were managed conservatively. A rare case of unilateral Moyamoya disease accompanied by a cerebral arteriovenous malformation is described and discussed with review of pertinent literature.

Minimally Invasive Redo Mitral Valve Replacement under Fibrillatory Arrest in a Patient with a Calcified Aorta and Patent Previous Bypass Grafts

  • Kim, Seung Hyun;Kim, Hak Ju;Hwang, Ho Young
    • Journal of Chest Surgery
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    • v.51 no.4
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    • pp.283-285
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    • 2018
  • A 73-year-old woman who underwent combined bioprosthetic mitral valve replacement, tricuspid ring annuloplasty, and coronary artery bypass grafting 12 years previously visited our clinic due to aggravated dyspnea caused by structural valve deterioration of the mitral prosthesis. Because aortic or femoral artery cannulation and cross-clamping would have a high risk of stroke owing to severe calcification of the ascending aorta and ilio-femoral vessels, and because there was a risk of redo sternotomy due to the patent bypass grafts, a comprehensive approach including axillary artery cannulation, a minimally invasive right thoracotomy approach, and a clampless hypothermic fibrillatory arrest technique was used during redo mitral valve replacement.

Management System for Saemangeum Gate Bridge (배수갑문 교량의 노후도 감시시스템)

  • Lee, Joon-Gu;Cho, Young-Kwon;Kim, Han-Joung;Kim, Kwan-Ho;Kim, Myung-Won
    • Proceedings of the Korea Concrete Institute Conference
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    • 2006.05b
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    • pp.241-244
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    • 2006
  • The basic prediction model was constructed to obtain optimal maintenance method for concrete structure under marine environment by exploring the mechanism of mono and combined deterioration in lab. This model was planned to be upgraded with data acquired from several exposure specimens under same environment as structures. The computer program developed to give useful guidance observer would be improved. Several repair materials and repair construction methods applied to exposure specimens will be tested for its performance of prohibit salt attack and freezing & thawing action during experimental period about ten years. All of these data could be available to complete the prediction system. The manager will be able to use the system for optimal maintenance of marine concrete structures.

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Time-Dependent Deformation and Durability of High-Strength Concrete over 60MPa for PSC Bridges (PSC 교량용 설계강도 60MPa 이상 고강도 콘크리트의 실용화를 위한 시간의존적 변형 및 내구성에 관한 연구)

  • Yang, Jun-Mo;Lee, Joo-Ha;Cheong, Hai-Moon;Ahn, Tae-Song;Yoon, Young-Soo
    • Proceedings of the Korea Concrete Institute Conference
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    • 2006.05b
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    • pp.5-8
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    • 2006
  • In this study, various fundamental experiments including durability and time-dependent deformation are performed to compile a database for a utilization of high-strength concrete for PSC bridges. In the mix design, concrete strength at early age when prestressing forces are introduced to the PSC member and slumpflow suitable for pumping of concrete are considered to make a concrete fit for PSC bridges. The main parameters investigated are the kinds and replacement ratios of mineral admixtures and low-heat cement. Experimental tests on durability include penetration of chloride ions, freezing-thawing, combined deterioration, and simple adiabatic temperature rise test. In addition, time-dependent deformation such as creep, drying and autogenous shrinkage, which is particularly important factor in the design and construction of PSC bridges, is tested and analyzed.

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A Fundamental Study on Physical Properties of Concrete with Packaged Dry Combined Materials (혼합건식 포장 콘크리트의 물리적 특성에 관한 기초적 연구)

  • Kim Han Sik;Han Da Hee;Park Moo Young;Kim Woo Jae;Lee Young Do;Jung Sang Jin
    • Proceedings of the Korea Concrete Institute Conference
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    • 2005.11a
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    • pp.735-738
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    • 2005
  • Most concrete is recently made of an aggregate which is properly absorbed, and carried in it in order to do capability at every fields. We have been close to demand new capability of high flowing and enduring for specific concretes. That is difficult to cope with claiming the efficiency on deterioration from lack of a high quality aggregate. Therefore, For solving the problems we apply to a packing method for using dried materials. That is to say it is a kind of making into an instant. In this study, There is a purpose to present fundamental data, comparing and analyzing a phenomenon about aggregate's absorption following the rate of adding water, for using existing materials.

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Determination of Required Cover Depth of Concrete Exposed to Simultaneous Attack of Carbonation and Chloride Ion (중성화와 염소이온의 동시 복합환경에 노출된 콘크리트의 적정 피복두께의 결정)

  • 이창수;윤인석;이규동
    • Proceedings of the Korea Concrete Institute Conference
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    • 2003.11a
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    • pp.90-93
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    • 2003
  • The most common deteriorating processes of concrete structures in the world-wide are carbonation and chloride ion. In this paper, chloride profiles of carbonated concrete is predicted to considering two layer composite model, which is based on Fick's 2nd law. From the experimental result on combined deterioration of chloride and carbonation, it was examined that high chloride concentration was built up to 3-5㎜ over depth from carbonation depth. The analytical modeling of chloride diffusion, which was based on the Fick's 2nd law of diffusion, was suggested to depict the relative influence of the carbonation depth.

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A Fundamental Study on Method of Packaged Dry Combined Materials for Concrete - based on physical properties of concrete according to adding-water ratio - (건조된 콘크리트 재료의 포장화에 관한 기초적 연구 -가수율에 따른 콘크리트의 기초물성을 중심으로-)

  • 한다희;황병준;김제섭;박희곤;이영도;정상진
    • Proceedings of the Korea Concrete Institute Conference
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    • 2003.11a
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    • pp.493-496
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    • 2003
  • Most concrete is recently made of an aggregate which is properly absorbed, and carried in it in order to do capability at every fields. We have been close to demand new capability of high flowing and enduring for specific concretes. That is difficult to cope with claiming the efficiency on deterioration from lack of a high quality aggregate. Therefore, for solving the problems we apply to a packing method for using dried materials. That is to say it is a kind of making into an instant. In this study, There is a purpose to present fundamental data, comparing and analyzing a phenomenon about aggregate absorption following the rate of adding water, for using existing materials.

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Temperature History of the Wall Concrete Subjected to -10℃ depending on Heat Curing Method (-10℃ 조건에서의 보온양생방법 변화에 따른 벽체 콘크리트의 온도이력)

  • Han, Sang-Yoon;Son, Ho-Jung;Cheong, Sang-Hyun;Ahn, Sang-Ku;Han, Cheon-Goo;Han, Min-Cheol
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2011.11a
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    • pp.255-256
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    • 2011
  • This study investigates the effect of a curing condition on the temperature history and strength development of concrete under -10℃. Combination of various curing methods was applied, i.e. a conventional form was combined with compressed insulation, heat panel and heat cable. Results showed that the concrete cured by a single use of a conventional form resulted in serious deterioration of early strength development. However, other concretes cured by the proposed curing methods maintained the temperature of the concretes between 5 and 20℃, and thus resulted in no frost damage.

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An Experimental Study on Physical Properies of Concrete with Packaged Dry Combined Materials (건식혼합 포장 콘크리트의 물리적 특성에 관한 실험적 연구)

  • Han, Da-hee;Park, Hee-Gon;Lee, Young-Do;Jung, Sang-Jin
    • Journal of the Korea Institute of Building Construction
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    • v.5 no.2 s.16
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    • pp.131-138
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    • 2005
  • Most concrete is recently made of an aggregate which is properly absorbed, and carried in it in order to do capability at every fields. We have been close to demand new rapability of high flowing and enduring for specific concretes. That is difficult to cope with claiming the efficiency on deterioration from lack of a high quality aggregate. Therefore, For solving the problems we apply to a packing method for using dried materials. That is to say that it is a kind of making into an instant. In this study. There is a purpose to present fundamental data, comparing and analyzing a phenomenon of aggregate's absorption following the rate of adding water, for using existing materials.