• Title/Summary/Keyword: ICH

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Parametric Study on Seismic Performance of Internally Confined Hollow CFT Column (내부 구속 중공 CFT 교각의 내진성능에 대한 매개변수 연구)

  • Yeom, Eung-Jun;Kim, Hyun-Jong;Han, Taek-Hee;Kang, Young-Jong
    • Journal of the Korean Society of Hazard Mitigation
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    • v.8 no.1
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    • pp.15-21
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    • 2008
  • The internally confined hollow-concrete filled tube (ICH-CFT) column has two tubes on the both sides (hollow part and outer part) of the concrete. The inner tube and the outer tube perform great seismic abilities, ductility and absorption of energy due to the steel tubes and the hollow part. So, the study of this column type for the practical use is needed. In this study, the qualitative analysis about seismic capacities depending on parameters is performed for the practical design of the ICH-CFT column. The parameters are diameter of column, hollow ratio and thickness of tubes with the same resistance of the moment. Also, the economical evaluation of ductility and comparison with CFT column make this study to be of practical use. Especially, a change of seismic performance depends on the hollow ratio and the thickness of the outer tube, and the economical hollow ratios according to the thickness of the outer tube in the ICH-CFT column are suggested.

Cerebral Arterial Stenosis in Patients with Spontaneous Intracerebral Hemorrhage

  • Chung, Pil-Wook;Won, Yu Sam
    • Journal of Korean Neurosurgical Society
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    • v.60 no.5
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    • pp.511-517
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    • 2017
  • Objective : Spontaneous intracerebral hemorrhage (ICH) and ischemic stroke share common vascular risk factors such as aging and hypertension. Previous studies suggested that the rate of recurrent ICH and ischemic stroke might be similar after ICH. Presence of cerebral arterial stenosis is a potential risk factor for future ischemic stroke. This study investigated the prevalence and factors associated with cerebral arterial stenosis in Korean patients with spontaneous ICH. Methods : A total of 167 patients with spontaneous ICH were enrolled. Intracranial arterial stenosis (ICAS) and extracranial arterial stenosis (ECAS) were assessed by computed tomography angiography. Presence of ICAS was defined if patients had arterial stenosis in at least one intracranial artery. ECAS was assessed in the extracranial carotid artery. More than 50% luminal stenosis was defined as presence of stenosis. Prevalence and factors associated with presence of ICAS and cerebral arterial stenosis (presence of ICAS and/or ECAS) were investigated by multivariable logistic regression analysis. Results : Thirty-two (19.2%) patients had ICAS, 7.2% had ECAS, and 39 (23.4%) patients had any cerebral arterial stenosis. Frequency of ICAS and ECAS did not differ among ganglionic ICH, lobar ICH, and brainstem ICH. Age was higher in patients with ICAS ($67.6{\pm}11.8$ vs. $58.9{\pm}13.6years$ p=0.004) and cerebral arterial stenosis ($67.9{\pm}11.6$ vs. $59.3{\pm}13.5years$, p<0.001) compared to those without stenosis. Patients with ICAS were older, more frequently had diabetes, had a higher serum glucose level, and had a lower hemoglobin level than those without ICAS. Patients with cerebral arterial stenosis were older, had diabetes and lower hemoglobin level, which was consistent with findings in patients with ICAS. However, patients with cerebral arterial stenosis showed higher prevalence of hypertension and decreased kidney function compared to those without cerebral arterial stenosis. Multivariable logistic regression analyses showed that aging and presence of diabetes independently predicted the presence of ICAS, and aging, diabetes, and hypertension were independently associated with presence of cerebral arterial stenosis. Conclusion : 19.2% of patients with spontaneous ICH had ICAS, but the prevalence of ECAS was relatively lower (7.2%) compared with ICAS. Aging and diabetes were independent factors for the presence of ICAS, whereas aging, hypertension, and diabetes were factors for the cerebral arterial stenosis.

Deep Intracerebral Hemorrhage Caused by Rupture of Distal Lenticulostriate Artery Aneurysm : A Report of Two Cases and a Literature Review

  • Choo, Yeon Soo;Kim, Yong Bae;Shin, Yong Sam;Joo, Jin Yang
    • Journal of Korean Neurosurgical Society
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    • v.58 no.5
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    • pp.471-475
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    • 2015
  • Intracerebral hemorrhage (ICH) is common among various types of storkes; however, it is rare in young patients and patients who do not have any risk factors. In such cases, ICH is generally caused by vascular malformations, tumors, vasculitis, or drug abuse. Basal ganglia ICH is rarely related with distal lenticulostriate artery (LSA) aneurysm. Since the 1960s, a total of 29 distal LSA aneurysm cases causing ICH have been reported in the English literature. Despite of the small number of cases, various treatment methods have been attempted : surgical clipping, endovascular treatment, conservative treatment, superficial temporal artery-middle cerebral artery anastomosis, and gamma-knife radiosurgery. Here, we report two additional cases and review the literature. Thereupon, we discerned that young patients with deep ICH are in need of conventional cerebral angiography. Moreover, initial conservative treatment with follow-up cerebral angiography might be a good treatment option except for cases with a large amount of hematoma that necessitates emergency evacuation. If the LSA aneurysm still persists or enlarges on follow-up angiography, it should be treated surgically or endovascularly.

The Spot Sign Predicts Hematoma Expansion, Outcome, and Mortality in Patients with Primary Intracerebral Hemorrhage

  • Han, Ju-Hee;Lee, Jong-Myong;Koh, Eun-Jeong;Choi, Ha-Young
    • Journal of Korean Neurosurgical Society
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    • v.56 no.4
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    • pp.303-309
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    • 2014
  • Objective : The purpose of this study was to retrospectively review cases of intracerebral hemorrhage (ICH) medically treated at our institution to determine if the CT angiography (CTA) 'spot sign' predicts in-hospital mortality and clinical outcome at 3 months in patients with spontaneous ICH. Methods : We conducted a retrospective review of all consecutive patients who were admitted to the department of neurosurgery. Clinical data of patients with ICH were collected by 2 neurosurgeons blinded to the radiological data and at the 90-day follow-up. Results : Multivariate logistic regression analysis identified predictors of poor outcome; we found that hematoma location, spot sign, and intraventricular hemorrhage were independent predictors of poor outcome. In-hospital mortality was 57.4% (35 of 61) in the CTA spot-sign positive group versus 7.9% (10 of 126) in the CTA spot-sign negative group. In multivariate logistic analysis, we found that presence of spot sign and presence of volume expansion were independent predictors for the in-hospital mortality of ICH. Conclusion : The spot sign is a strong independent predictor of hematoma expansion, mortality, and poor clinical outcome in primary ICH. In this study, we emphasized the importance of hematoma expansion as a therapeutic target in both clinical practice and research.

Behavior of Internally Confined Hollow RC Columns (내부 구속 중공 RC 기둥의 거동 특성)

  • Han, Taek-Hee;Won, Deok-Hee;Yi, Gyu-Sei;Kang, Young-Jong
    • Journal of the Korea Concrete Institute
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    • v.21 no.5
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    • pp.649-660
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    • 2009
  • A nonlinear column model of an internally confined hollow (ICH) reinforced concrete (RC) column was suggested and a parametric study was performed. The suggested column model considered the confining effect and the material nonlinearity of concrete. To verify the suggested column model, its analysis results were compared with the test results from previous researchers and a quasi static test performed in this study. They showed that the suggested column model was reasonable and had acceptable accuracy. The results from parametric studies showed that the thickness of the internal tube, concrete strength, and the hollow ratio of the ICH RC column affected its behavior.

Effects of Astragali Radix on Brain Edema and Apoptosis in Intracerebral Hemorrhage of Rats (황기(黃芪)가 Intracerebral Hemorrhage 흰쥐의 뇌부종(腦浮腫)에 미치는 영향)

  • Jung, Hyung-Jin;Park, Wan-Su;Kim, Youn-Sub
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.6
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    • pp.1027-1033
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    • 2010
  • This study aimed to evaluate the effects of Astragali radix on brain edema of intracerebral hemorrhage(ICH)-induced rats. Brain edema following ICH was induced via the stereotaxic intrastriatal injection of bacterial collagenase type VII in Sprague-Dawley rats. Ethanol extract of Astragli radix was treated once a day for 3 days. Then brain hematoma volume and edema were examined. Immunohistochemistry was processed for iNOS, c-Fos, Bax, and HSP72 expressions in the brain sections and each immuno-labeling were calculated with image analysis. Ethanol extract of Astragli radix reduced hematoma volume(not significantly) and brain edema(significantly) ICH induced rats. Ethanol extract of Astragli radix reduced iNOS expressions, c-Fos, Bax and HSP72 positive cells significantly and reduced apoptotic bodies and swollen neurons in ICH induced rat brain. These results suggest that Astragli radix plays an inhibitory role in the hemorrhagic, inflammatory and apoptotic events induced by ICH. And it is supposed that neuroprotective effect of Astragli radix reveals by anti-apoptosis mechanism.

Seismic Performance of Internally Confined Hollow RC Column with Corrugated Steel Tube (파형강관 내부 구속 중공 철근 콘크리트 기둥의 내진 성능)

  • Han, Taek-Hee;Kim, Jong-Min;Kang, Jun-Suk;Kang, Young-Jong
    • Journal of the Korean Society of Hazard Mitigation
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    • v.8 no.2
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    • pp.31-38
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    • 2008
  • A column test was performed far a new-type column with a quasi static test. An internally confined hollow reinforced concrete column with a corrugated steel tube (ICH RC-CT column) was tested to evaluate its seismic performance. And also, a general solid RC column was tested fur the comparison. The test was performed as planned drift levels. The lateral displacements and the lateral loads of column specimens were measured during tests. From the test results, the ICH RC-CT column showed smaller energy absorbing capacity than a solid RC column but showed the almost equal energy ductility and equivalent viscous damping ratio to those of the solid RC column.

Nonlinear Analysis of Internally Confined Hollow CFT Columns (내부 구속 중공 CFT 기둥의 비선형 해석)

  • Han, Taek-Hee;Won, Deok-Hee;Kang, Young-Jong
    • Journal of Korean Society of Steel Construction
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    • v.23 no.4
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    • pp.439-454
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    • 2011
  • A nonlinear analysis model for internally confined hollow concrete-filled tube (ICH CFT) columns was suggested and was verified by the test results obtained by the previous researchers. The suggested model considered the confining effect and nonlinearity of concrete. The verified results showed that the suggested model was reasonable and reliable for predicting the behavior of an ICH CFT column. Additionally, a simple parametric study was carried out. The strength of concrete, the hollow ratio of a column, and the thickness of an inner tube were selected as parameters affecting the behavior of an ICH CFT column. The analysis results showed that the concrete strength and the thickness of the inner tube affect the axial strength and moment capacity of the column while the hollow ratio affects only its axial strength.

Semantische Beschreibungen von VP-Ellipsen - AUCH als Fokusoperator und Prasuppositionsausloser - (동사구 생략구문의 의미기술 - 초점연계사와 전제유발자로서의 AUCH -)

  • Lee Hae-Yun
    • Koreanishche Zeitschrift fur Deutsche Sprachwissenschaft
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    • v.9
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    • pp.109-128
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    • 2004
  • Bei den vorigen Untersuchungen von VP-Ellipsen handelte es sich urn Auxiliarverben, die im elliptischen Satz auftreten und auf die Wiederherstellung der elliptischen VP bezogen sind. Im Unterschied dazu, geht es bei der vorliegenden Arbeit urn die Partikel auch, die in den VP-Ellipsenkonstruktionen auftritt. Zuerst spielt die Partikel auch als ein Fokusoperator eine Rolle, d.h. sie identifiziert das Subjekt des elliptischen zweiten Satzes als eine Fokuskonstituente und addiert die Fokusbedeutung der Fokuskonstituente. Zweitens spielt die Partikel auch als ein $Pr\"{a}suppositionsausl\"{o}ser$ eine Rolle. Hierbei behauptete ich, dass sie eine einfachere Proposition 'Jemand anders als das Subjekt des elliptischen zweiten Satzes existiert.' als in den vorigen Untersuchungen $pr\"{a}supponiert$. Aufgrund von oben genannten Beobachtungen $repr\"{a}sentierte$ ich im Rahmen von $Diskursrepr\"{a}sentationstheorie$ die Bedeutung der VP-Ellipsenkonstruktionen. Insbesondere, indem ich nach Kamp et al. (2003) zweistufige Prozedure von DRS-Konstruktionen annehme, konnte ich einzelne Bedeutungen der Partikel auch erfassen und beschreiben.

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