Shear Behavior of Reinforced Concrete Beam Retrofitted with Modularized Steel Plates.

This paper presents the results of a shear test on a reinforced concrete beam retrofitted with modularized steel plates. A total of five retrofitted concrete beams with various span-depth ratios as a variable were fabricated and tested. A companion beam without retrofitting was used as the control specimen. The results of this experiment confirmed that the method proposed in this study improved the shear performance by approximately 1.8 times compared with the non-retrofitted reinforced concrete beam. The test results indicate that the shear retrofitting method using modularized steel plates can be effective in retrofitting the concrete beams, resulting in improvement in the strength, stiffness and deformations.

Improved Shear Strength Equation for Reinforced Concrete Columns Retrofitted with Hybrid Concrete Jackets.

The adequacy of retrofitting with concrete jacketing is influenced by the bonding between the old section and jacketing section. In this study, five specimens were fabricated, and cyclic loading tests were performed to investigate the integration behavior of the hybrid concrete jacketing method under combined loads. The experimental results showed that the strength of the proposed retrofitting method increased approximately three times compared to the old column, and bonding capacity was also improved. This paper proposed a shear strength equation that considers the slip between the jacketed section and the old section. Moreover, a factor was proposed for considering the reduction in the shear capacity of the stirrup resulting from the slippage between the mortar and stirrup utilized on the jacketing section. The accuracy and validity of the proposed equations were examined through a comparison with the ACI 318-19 design criteria and test results.

Seismic Behavior of Concrete Columns Retrofitted with a Brace-Type Replaceable Steel Link.

This paper presents the results of a combined cyclic loading test on a single reinforced concrete column which was retrofitted with a newly proposed brace-type replaceable steel link. A total of four retrofitted reinforced concrete columns, with the length of the brace as a variable, were fabricated and tested. A companion column without retrofitting was used as the control specimen. The test results indicate that the proposed brace-type replaceable steel link can be effective in retrofitting the concrete columns, resulting in improvements in the strength, stiffness, and energy dissipation of columns. We observed that the maximum load increases by at least 87%, effective stiffness increases by 44%, and energy dissipation capacity increases by 91% when compared with non-retrofitted specimen.

An Experimental Study on Torsional Behavior of Reinforced Concrete Columns Retrofitted with Hybrid Concrete Jackets.

The concrete jacketing method for retrofitting old reinforced concrete (RC) columns should secure confinement and seismic performance under torsion as well as unidirectional later loads. In a previous study, a hybrid concrete jacketing method was proposed using steel wire mesh (SWM), steel grid reinforcement (SGR), which can replace reinforcement of existing concrete jacketing method, and using steel fiber non-shrinkage mortar (SFNM). These details can simplify the retrofitting process of the existing concrete jacketing method, and seismic performance was evaluated by conducting a cyclic loading test under unidirectional loading. In this paper, the torsional behavior of RC columns retrofitted with the hybrid concrete jacketing method was investigated. Four specimens were fabricated and conducted cyclic loading tests under two types of loading schemes, unidirectional and bidirectional loading, to examine the effect of the loading path. The strength and energy dissipation capacity of retrofitted columns with hybrid concrete jackets increased approximately eight times compared to the old RC columns under torsional loading. Therefore, the hybrid concrete jacketing method can improve torsional resistance.

Seismic Performance of Reinforced Concrete Columns Retrofitted with Hybrid Concrete Jackets Subjected to Combined Loadings.

In the existing reinforced concrete columns where they are insufficient seismic details, critical failure mode such as shear failure can be observed under seismic loads. One strategy for the retrofitting of existing concrete columns is to use concrete jacketing. Concrete jacketing consists of a new concrete layer with longitudinal and transverse reinforcements, and can improve seismic resistance capacity. In this paper, a detail of concrete jacket that can be expected for easy construction and improved adhesion performance of longitudinal and transverse reinforcement was proposed. Additionally, a combined cyclic loading test was conducted to consider the seismic load with multiaxial characteristics. The concrete jacket details utilize three components: Steel Grid Reinforcement (SGR), Steel Wire Mesh (SWM), and Steel Fiber Non-Shrinkage Mortar (SFNM). One RC column with non-seismic details and two jacketed RC columns were fabricated to demonstrate the construction efficiencies and structural capacities of the jacketed columns. Two details of jacketed section were considered as variables. It was observed that the specimens retrofitted with concrete jacket resisted torsional load more than the un-retrofitted specimen in terms of crack and failure mode. The experimental results showed that the maximum load of retrofitted specimens was increased by more than 8 times compared to the un-retrofitted specimen, regardless of the jacket details. Newly designed concrete jacket effectively increased the strength. Compared with the un-retrofitted column, the columns retrofitted with the proposed details achieved significant increase in initial stiffness and energy dissipation.

Clinical Features and Risk Factors of Adrenal Insufficiency in Patients With Cancer Admitted to the Hospitalist-Managed Medical Unit.

BACKGROUND: The symptoms of adrenal insufficiency (AI) overlap with the common effects of advanced cancer and chemotherapy. Considering that AI may negatively affect the overall prognosis of cancer patients if not diagnosed in a timely manner, we analyzed the incidence, risk factors, and predictive methods of AI in cancer patients. METHODS: We retrospectively analyzed the medical records of 184 adult patients with malignancy who underwent a rapid adrenocorticotrophic hormone stimulation test in the medical hospitalist units of a tertiary hospital. Their baseline characteristics and clinical features were evaluated, and the risk factors for AI were identified using logistic regression analysis. RESULTS: Of the study patients, 65 (35%) were diagnosed with AI, in whom general weakness (63%) was the most common symptom. Multivariate logistic regression showed that eosinophilia (adjusted odds ratio [aOR], 4.28; 95% confidence interval [CI], 1.10-16.63; P = 0.036), history of steroid use (aOR, 2.37; 95% CI, 1.10-5.15; P = 0.028), and history of megestrol acetate use (aOR, 2.71; 95% CI, 1.38-5.33; P = 0.004) were associated with AI. Baseline cortisol levels of 6.2 µg/dL and 12.85 µg/dL showed a specificity of 95.0% and 95.4% for AI diagnosis, respectively. CONCLUSION: AI was found in about one-third of patients with cancer who showed general symptoms that may be easily masked by cancer or chemotherapy, suggesting that clinical suspicion of AI is important while treating cancer patients. History of corticosteroids or megestrol acetate were risk factors for AI and eosinophilia was a pre-test predictor of AI. Baseline cortisol level appears to be a useful adjunct marker for AI.

The Simple Lamb Wave Analysis to Characterize Concrete Wide Beams by the Practical MASW Test.

In recent years, the Lamb wave analysis by the multi-channel analysis of surface waves (MASW) for concrete structures has been an effective nondestructive evaluation, such as the condition assessment and dimension identification by the elastic wave velocities and their reflections from boundaries. This study proposes an effective Lamb wave analysis by the practical application of MASW to concrete wide beams in an easy and simple manner in order to identify the dimension and elastic wave velocity (R-wave) for the condition assessment (e.g., the estimation of elastic properties). This is done by identifying the zero-order antisymmetric (A0) and first-order symmetric (S1) modes among multimodal Lamb waves. The MASW data were collected on eight concrete wide beams and compared to the actual depth and to the pressure (P-) wave velocities collected for the same specimen. Information is extracted from multimodal Lamb wave dispersion curves to obtain the elastic stiffness parameters and the thickness of the concrete structures. Due to the simple and cost-effective procedure associated with the MASW processing technique, the characteristics of several fundamental modes in the experimental Lamb wave dispersion curves could be measured. Available reference data are in good agreement with the parameters that were determined by our analysis scheme.

[Diagnosis of Helicobacter pylori infection with urine and stool].

BACKGROUND/AIMS: The urine antibody and stool antigen test are newly developed non-invasive tests for Helicobacter pylori (H. pylori) infection. The aim of this study was to assess the diagnostic value of these tests. METHODS: Urine and stool specimens from 50 consecutive patients who had undergone gastroscopy (28 men, mean age 54 years) were obtained. A kit for antibody against H. pylori (RAPIRUN test) was used for urine specimens and a kit for H. pylori antigen using ELISA (HpSA test) was used for stool specimens. None of patients had ever received any treatment to eradicate H. pylori. The H. pylori status was evaluated based on three different tests (histology, 13C-urea breath test, rapid urease test) and defined as positive when two of three tests were positive. RESULTS: Of 50 patients, 31 patients were diagnosed as H. pylori positive and 15 patients were negative. The RAPIRUN test was positive in 24 of 31 patients (sensitivity 77.4%) and negative in 13 of 15 patients (specificity 86.7%). The HpSA test was positive in 25 of 31 patients (sensitivity 80.1%) and negative in 14 of 15 patients (specificity 93.3%). CONCLUSIONS: The accuracies of H. pylori urine antibody and stool antigen test are similar to those of Western studies. These two tests are found to be useful methods for diagnosis of H. pylori infection in Korea.