• Title/Summary/Keyword: Deterioration grade

Search Result 110, Processing Time 0.032 seconds

A Case Report of Quadriparesis due to Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Cerebral Aneurysm Rupture Improved after Treated with Korean Medicine Treatment Including Tonggyuhwalhyeol-tang-gagambang (통규활혈탕가감방을 포함한 한의복합치료로 뇌동맥류 파열에 의한 뇌실내출혈을 동반한 지주막하출혈 환자의 사지마비에 개선을 보인 증례보고 1례)

  • Seong-hyeon Jeon;Eun-soo Park;Yu-bin Kim;Ji-su Lee;Eun-yeong Park
    • The Journal of Internal Korean Medicine
    • /
    • v.44 no.5
    • /
    • pp.1050-1061
    • /
    • 2023
  • This study reported the case of a patient with quadriparesis due to cerebral aneurysm rupture, subarachnoid hemorrhage, and intraventricular hemorrhage (IVH) treated with Korean medicine. The patient was treated with acupuncture, herbal medicine (mainly Tonggyuhwalhyeol-tang-gagam), Western medicine, moxibustion, cupping, and rehabilitative therapy for 75 days, and improved after administration. After treatment, the Manual Muscle Test grade improved from 4/4-/3+/3 to 4+/4+/4+/4+, the Korean version of the modified Barthel Index score improved from 9 to 100, the National Institute of Health's Stroke Scale score improved from 2 to 0, the Global Deterioration Scale score improved from 3 to 2, and the Korean version of the Mini-Mental State Examination score improved from 22 to 30. During administration, the patient did not show seizures, shock, or loss of consciousness, and the vital signs were stable in the normal range. We followed up the brain computed tomography findings for 2 times and found that there was no definite evidence of intracranial hemorrhage or IVH or re-rupture or rebleeding after Korean medicine treatment. This study suggests that Korean medicine treatment with blood-invigorating and stasis-removing herbs could be a safe and effective intervention option for improving quadriparesis due to cerebral aneurysm rupture and subarachnoid hemorrhage.

Lithological Characteristics and Deterioration Diagnosis of Dosolammaaebulsang (Rock-carved Buddha Statue of Dosolam) in the Seonunsa Temple, Gochang, Korea (고창 선운사 도솔암마애불의 암석학적 특성과 손상도 진단)

  • Park, Sung-Mi;Ryu, Keong-Seok;Choi, Hee-Soo;Lee, Chan-Hee
    • Journal of Conservation Science
    • /
    • v.27 no.1
    • /
    • pp.101-114
    • /
    • 2011
  • The rock-carved Buddha statue at Dosolam (Korea Treasure No. 1200) of the Seonunsa temple in Gochang is unique style sculptured on natural rock cliff of 13.0m height. The Buddha statue is composed of volcanic complex with tuff, dacitic tuff breccia, tuff bereccia and lithic tuff. Especially, the Buddha statue is characterized by hydrothermal alteration and fragmentation on the upper and lower part. As a result of damage diagnosis, exfoliation and detachment of physical weathering are high of 11.3% and 9.3%, respectively. Infrared thermography analysis, exfoliation and micro-cracks occurred in the measuring parts that have not been confirmed by naked eyes. Chemical index of alteration and weathering potential index of host rock for the Buddha statue are 55.16 to 64.01 and 6.14 to 9.92 which are represented within highly weathering degree. In surface, dark black, reddish brown and white discoloration are observed prominently in the lower. Brown discoloration 6.9% is highest. According to the P-XRF measurements, high concentration of Fe in common, in part of dark black discoloration was Mn, white and brown discoloration in part of S and Ca content were higher. Biological weathering that yellowish brown and dark gray crustoes lichenes appeared by 20.8% and 13.3%, respectively. Therefore, comprehensive deterioration rate of Buddha statue show physical damage by 21.2%, discoloration for inorganic contaminants by 10.8% and biological damage by 39.4%. Ultrasonic velocity measurement carried out of Buddha statue on the surface by 555 points. Measured value of ultrasonic velocity was about 2,273m/s(1,067 to 3,215m/s, and weathering coefficient is 0.5(0.4 to 0.8) that progress on MW(moderately weathered) to HW(highly weathered) grade of rocks.

The Diagnostic Role of HRCT in Simple Pneumoconiosis (단순진폐증에 대한 흉부 고해상 전산화 단층촬영의 진단적 의의)

  • Kim, Kyoung-Ah;Kim, Hi-Hong;Chang, Hwang-Sin;Ahn, Hyeong-Sook;Lim, Young;Yun, Im-Goung
    • Journal of Preventive Medicine and Public Health
    • /
    • v.29 no.3 s.54
    • /
    • pp.471-482
    • /
    • 1996
  • Early recognition of coalescence in pneumoconiotic lesions is important because such coalescence is associated with the respiratory symptoms and deterioration of lung function. This complicated form of pneumoconiosis also has worse prognosis than does simple pneumoconiosis. High resolution computerized tomography(HRCT) provides significant additional information on the stage of the pneumoconiosis because it easily detects coalescence of nodules and emphysema that may not be apparent on the simple radiograph. The purpose of this study is to clarify the role of HRCT in detection of large opacity and the relationship of change between the coalescence of nodules or emphysema and lung function in dust exposed workers. 1. There was good correlation between the HRCT grade of pneumoconiosis and ILO category of profusion. 5(9.09%) in 55 study population had confluent nodule extending eve, two o, more cuts on HRCT. HRCT could identify the pneumoconiotic nodules which was not found by simple radiogrphy in 6 workers with category 0/0. 2. No significant difference was observed coalescence of nodules and emphysema by dust type. 3. There was no significant difference in pulmonary function according to ILO and HRCT classification. 4. HRCT could detect the significant reduction in $FEV_1,\;FEV_1/FVC$, PEFR, $FEF_{25},\;FEF_{50},\;and\;FEF_{75}$ and remarkable increase in RV and TLC in study persons with emphysema compared with non-emphysema group. 5. Emphysema was found more often in nodules-coalescence group than small opacity group by HRCT. We found that HRCT could easily detect areas of coalescence and complicated emphysema compared to plain chest X-ray. Also our data suggest that it is primarily the degree of emphysema rather than the degree of pneumoconiosis that determines the level of pulmonary function.

  • PDF

Effect of Typhoon 'Rusa' on the Natural Yeon-gok Stream and Coastal Ecosystem in the Yeong-Dong Province (영동지방 자연형 하천(강릉 연곡천)과 인근 연안 생태계에 대한 태풍 루사의 영향)

  • Yoon Yi-Yong;Kim Hung-sub
    • Journal of the Korean Society for Marine Environment & Energy
    • /
    • v.7 no.1
    • /
    • pp.35-41
    • /
    • 2004
  • The yeongok stream originates at the natural park, Mt. O-dae and flows to the East Sea of korea, normally maintaining I or II grade of water quality and its average water flux is 352,100 ㎥/d. However, the typhoon 'Rusa', which occured on 31 August 2002, changed its watercourse and configuration, and the ecosystem was deeply damaged. Moreover, the hydrological characteristics were once more transformed, and the ecosystem was secondarily damaged during repair-work of destroyed bridges and elevations. After the flood disaster, the species diversity diminished 17% for attached diatom and 44% for aquatic animals. However, the earth and sand, dug from river bed during intensive repair-work throughout the entire stream, made diversity drop to 32% for the diatom and the aquatic animals were wiped out. Especially, fishes were totally destroyed except for some species such as Moroco oxycephalus in the upper stream. The yeongok stream has little contamination source and short water residence time due to the short length and rapid slope, and consequently a temporary deterioration of water quality caused by repair-work may be rapidly recovered, but it needs a long time to restore the damaged ecosystem.

  • PDF

Primary Non-Hodgkin's Lymphomas Presenting with Extradural Spinal Cord Compression as the Initial Manifestation (초기 증상으로 척수 압박 증세를 보인 원발성 Non-Hodgkin 임파종)

  • Kim, Se Hoon;Lim, Dong Jun;Cho, Tai Hyoung;Park, Jung Yul;Chung, Yong Gu;Lee, Hoon Kap;Lee, Ki Chan;Suh, Jung Keun
    • Journal of Korean Neurosurgical Society
    • /
    • v.29 no.10
    • /
    • pp.1365-1371
    • /
    • 2000
  • Objectives : Spinal cord compression is a rare presentation of non-Hodgkin's lymphoma(NHL), occurring in 0.1% to 10.2% of patients. Primary spinal extradural NHL, i.e. occurring in the absence of any detectable extraspinal lymphoproliferative disorder, has a potentially favourable outcome if diagnosed and treated early. The authors describe two patients with a clinical picture of acute spinal cord compression as the first presentation of NHL. Methods : The patients were 48-year-old female and 27-year-old female. Both presented with back pain followed by acute paraparesis and voiding difficulty. One patient was diabetic. Plain radiographs of the spine were not specific. Thoracic spine magnetic resonance imaging(MRI) revealed evidence of extradural soft tissue mass extending multiple vertebral segments. Results : The patients underwent emergency laminectomy for decompression and tissue diagnosis. Histological and immunohistochemical study revealed B-cell lymphoma, intermediate grade in both patients. Postoperative staging did not reveal any additional lesions other than extradural manifestation of the malignant lymphoma. Surgery with additional chemotherapy and radiotherapy allowed the clinical improvement of both patients. Conclusion : The authors report two patients with a clinical picture of acute spinal cord compression as the first presentation of NHL, and stress that primary spinal epidural NHL should be a diagnostic consideration in the patient without prior history of malignancy who presents with a prodrome of back pain followed by a rapid neurological deterioration.

  • PDF

Application of Isocyanate and Modified Polyester Containing Phosphorous and Chlorine to Crosslinked PU Flame-Retardant Coatings (인과 염소 함유 변성폴리에스터/이소시아네이트 가교 폴리머의 PU 난연도료에의 적용)

  • Park, Hong-Soo;Kim, Song-Hyoung;Ahn, Sung-Hwan;Yoo, Gyu-Yeol;Hahm, Hyun-Sik
    • Journal of the Korean Applied Science and Technology
    • /
    • v.24 no.2
    • /
    • pp.124-139
    • /
    • 2007
  • In order to obtain the maximum flame retardancy with the minimal deterioration of physical properties of PU flame-retardant coatings, chlorine and phosphorous functional groups were introduced into the pre-polymer of modified polyesters. In the first step, the tetramethylene bis(orthophosphate) (TBOP) and neohexanediol dichloroacetate (DCA-adduct) intermediates were synthesized. In the second step, 1,4-butanediol and adipic acid monomers were polymerized with the two kind of intermediates to obtain copolymer. The modified polyesters containing chlorine and phosphorous (ATBA-10C, -20C, and -30C) were synthesized by adjusting the contents of chlorine compound (dichloroacetic acid, 10, 20, 30 wt%) with fixed the content of phosphorous compound (2 wt%). The PU flame-retardant coatings (TTBAH -10C, -20C, and -30C) were prepared using the synthesized ATBAs and HDI-trimer as curing agent at room temperature. The physical properties of PU flame-retardant coatings with chlorine and phosphorous were inferior to those with phosphorous only and the properties were getting worse with increasing chlorine content. Flame retardancy was tested with three methods. With the vertical method, Complete combustion time of ATBAHs were $259^{\sim}347$ seconds, which means that the prepared coatings are good flame-retardant. With the $45^{\circ}$ Meckel burner method, char lengths of the three prepared coatings were less than 2.9 cm, which indicates that the prepared coatings are 1st grade flame retardancy. With the limiting oxygen index (LOI) method, the LOI values of the three prepared coatings were in the range of $30^{\sim}35%$, which proves good flame retardancy of the prepared coatings. From the results of flame retardancy tests of the specimens that contain the same amounts of flame retarding compounds, it was found that the coatings containing both phosphorous and chlorine show higher flame retardancy than the coatings containing phosphorous alone. This indicates that some synergy effect of flame retardancy exists between phosphorous and chlorine.

Compressive Properties of Ultra High Strength Concrete Exposed to High Temperature (고온에 노출된 초고강도 콘크리트의 압축특성)

  • Kang, Yong-Hak;Kang, Choong-Hyun;Choi, Hyun-Guk;Shin, Hyun-Jun;Kim, Wha-Jung
    • Journal of the Korea Concrete Institute
    • /
    • v.26 no.3
    • /
    • pp.377-384
    • /
    • 2014
  • Recently, the trend toward larger architectural structures continues and accelerates demand for Ultra High Strength Concrete (UHSC) which satisfies structural performance. However, UHSC has weakness in fire and the performance tests are required. In this paper, the change of mechanical properties of 100 MPa grade UHSC exposed to high temperatures ($20^{\circ}C{\sim}800^{\circ}C$) was observed to develop high temperature material model of UHSC: residual compressive strength, modulus of elasticity, property of stress-strain on monotonous loading and property of stress-strain on cyclic loading. In addition, TG/DTA and SEM Images analyses were performed to investigate chemical and physical characteristics of UHSC, and the results of this research were compared with those of previous studies. As a result, UHSC at the heating temperature of $300^{\circ}C$ showed a sharp decrease of residual compressive strength and modulus of elasticity. And It was shown that UHSC had a plastic behavior at more than $400^{\circ}C$ on the cyclic loading and revealed a same tendency in both monotonous and cyclic loading of all heating temperatures. In addition, through TG/DTA and SEM images analyses compared with those from previous studies, it was shown that the deterioration of concrete inner tissue, water evaporation and chemical reaction caused the decrease of residual compressive strength and modulus of elasticity.

Effects of Various Thawing Methods on the Quality Characteristics of Frozen Beef

  • Kim, Young Boong;Jeong, Ji Yun;Ku, Su Kyung;Kim, Eun Mi;Park, Kee Jae;Jang, Aera
    • Food Science of Animal Resources
    • /
    • v.33 no.6
    • /
    • pp.723-729
    • /
    • 2013
  • In this study, the quality characteristics due to the influence of various thawing methods on electro-magnetic and air blast frozen beef were examined. The loin and round of second grade Hanwoo were sliced into 5-7 cm thickness and packed with aerobic packaging. The packaged beef samples, which were frozen by air blast freezing at $-45^{\circ}C$ and electro-magnetic freezing at $-55^{\circ}C$, were thawed by 4 thawing methods with refrigeration ($4{\pm}1^{\circ}C$), room temperature (RT, $25^{\circ}C$), cold water ($15^{\circ}C$), and microwave (2450 MHz). These samples were thawed to the point, which were core temperature reached $0^{\circ}C$. Analyses were carried out to determine drip and cooking loss, water holding capacity (WHC), moisture contents and sensory evaluation. Frozen beef thawed by microwave indicated a lower drip loss (0.66-2.01%) than the other thawing methods (0.80-2.50%). Cooking loss after electro-magnetic freezing indicated 52.0% by microwave thawing for round compared with 41.8% by refrigeration, 50.1% by RT, and 50.8% by cold water. WHC thawing by microwave with electro-magnetic freezing didn't showed any difference depending on the thawing methods, while moisture contents was higher thawing by microwave with electro-magnetic freezing than refrigeration (71.9%), RT (75.0%), and cold water (74.9%) for round. The texture of sensory evaluation for round thawed by microwave result was the highest than refrigeration (4.7 point), RT (6.4 point) and cold water (6.6 point), while sensory evaluation was no significant difference. Therefore, it was shown that microwave thawing is an appropriate way to reduce the deterioration of meat quality due to freezing.

Quality Grading of Concrete Soil Erosion Control Dam in the Aspect of Unconfined Concrete Strength by Surface-Wave Technique (표면파 기법에 의한 콘크리트 사방댐의 콘크리트 강도 등급 평가)

  • Lee, Chang-Woo;Joh, Sung-Ho;Park, Ki-Hyung;Kim, Min-Sik;Yoon, Ho-Joong;Raja Ahmad, Raja Hassanul
    • Journal of Korean Society of Forest Science
    • /
    • v.101 no.3
    • /
    • pp.412-425
    • /
    • 2012
  • Concrete Soil Erosion Control Dam, which blocks flow of debris flow in torrential stream, are reported to lose expected functions due to structural failure and collapses, caused by poor construction, material deterioration and external impacts. In this paper, an integrity assessment technique for debris barriers was proposed, which allows preliminary detection of problems inherent in debris barriers. The proposed integrity assessment technique is a non-destructive method based on SASW method, one of surface-wave tests. In this paper, a practical procedure and analysis guidelines in applying the SASW technique to debris barrier was proposed and its validity was verified using five decrepit debris barriers older than 20-year old. As a result, the SASW method was validated for the reliable grade evaluation method for concrete soil erosion control dam, and the resulting grades turned out to agree with the results determined by Sabang Associations.

An Experimental Study on Field Application of Self-Compacting Concrete Using Recycled Fine Aggregate (순환잔골재를 혼입한 자기충전 콘크리트의 현장적용을 위한 실험적 연구)

  • Ryou, Jae Suk;Song, Il Hyun
    • Journal of the Korea institute for structural maintenance and inspection
    • /
    • v.15 no.4
    • /
    • pp.193-203
    • /
    • 2011
  • The purpose of this study, looking to which the recycled fine aggregates from waste concrete have a lot of problems as a material for structure purpose, is applying the recycled fine aggregate to Self-Compacting Concrete(In the reminder of this paper, it often referred to as SCC) by using the characteristic which the powder containing the recycled fine aggregates can increase strength and liquidity. In this study, that is, the recycled fine aggregate powder is appropriate for developing high strength(over 40 MPa) and liquidity(JSCE 2 grade), the characteristic of the SCC and it was increased the ratio of mixing the recycled fine aggregates emerging from waste concrete and the normal fine aggregates by 25%, making differential in total 5 levels and applied to SCC. After all, this study was reviewed the physical properties of the fresh concrete, analyzed the mechanical properties and durability of the hardening concrete and tried to ensure the possibility of utilizing the recycled fine aggregates as a material for SCC. As a result, this study reached a conclusion that among the 5-level replacement ratios of the physical, mechanical analysis and the durability characteristics, the normal fine aggregates could be applied up to a replacement ratio of 50% more than the recycled fine aggregates and resulted in a deterioration in performance the replacement ratio larger than 50%. It is judged that the applicability of the real structures should be followed up in order to check the possibility of applying the recycled fine aggregates to real life.