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      • 프리스트레스트 콘크리트 Beam 교량의 콘크리트 강도 평가를 위한 비파괴 검사

        한경봉 ( Han Kyoung-bong ),천영덕 ( Chun Young-duk ),박선규 ( Park Sun-kyu ),이성희 ( Lee Sung-heu ) 한국구조물진단유지관리공학회 1998 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.2 No.2

        Due to the heterogeneous nature of a concrete, periodic inspections are compulsory to maintenance of quality of concrete structures. The major object of this study is to analyze and investigate experimentally the experimental equation for the estimate of compressive strength of prestressed concrete. In this study, surface hardness method, ultrasonic method are investigated to evaluate strength of concrete specimens. Specimens are cast in laboratory and cores are cut from specimens in order to estimate the accurate strength. These values are used to compare with calculated values from test data. The result shows that the proposed equation can reproduce the results at prestressed concrete beam girders more appropriately than previous equations.

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        만성 편측 장골동맥 폐색 환자에서 대퇴동맥-대퇴동맥 우회로조성술 시 혈관성형술의 의의

        강석형,천영덕,민연기,하헌균,전재영,김남렬,송태진,이재복,정석인,김윤환,최상용,황정웅 대한혈관외과학회 2002 Vascular Specialist International Vol.18 No.1

        Purpose: The purpose of this article is to analysis the results of combined agioplasity and femorofemoral bypass in patients with unilateral iliac arterial occlusive disease. Method: During the 11-year period from 1990 to 2000, 44 patients with iliac artery occlusion and a hemodynamically significant contralateral iliac artery stenosis were treated by using a combination of percutaneous transluminal femoral bypass (n=14) at Korea university medical center. PTA was performed if the lesions in the donor iliac artery were less than 3 ??㎝ in length with in more than one well-localized lesion in either the common or external iliac artery, or both. Stent was deployed for suboptimal PTAs. The femorofermoral bypass was done within 3 to 5 days after PTA or stenting. Result: The mean age was 61.2 years. The Indications of fermorofermoral bypass were hypertension, ischemic heart disease, chronic obstructive lung disease, old age (>75), cancer, and previous abdominal operation, The complication rate of the combination treatment was lower than that of the others. Primary patency rate at 1 and 3 years were 89%, 78% for aortobifemoral bypass, 83%, 66% for iliofemoral bypass, and 77%, 65% for femorofemoral bypass, respectively. Conclusion: The combination of PTA with or without stent deployment and femorofemoral bypass can be a useful option for treating iliac occlusion and contralateral iliac stenosis in patients with severe comorbid illness, advanced age, and intra-abdominal pathology. Angioplasity can allow more widespread use of femorofemoral pypass in these patients.

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        외상성 동맥손상 환자의 임상양상 변화

        정석인,황정웅,민연기,천영덕,조용걸 대한혈관외과학회 2001 Vascular Specialist International Vol.17 No.1

        Purpose: As traffic accidents and invasive vascular procedures are increasing these days so are vascular trauma, either blunt or penetrating. So we investigated the changes of clinical status of vascular trauma for the last 10 years. Method: We retrospectively reviewed the medical records of 121 patients who had admitted and operated at Korea University Hospital due to traumatic arterial injuries from 1990 to 1999. We divided those patients by period into two groups; Era 1 (1990~1994) and Era 2 (1995~1999). The former group included 51 patients, the latter 70. Age distribution, causes of injury, location, degrees of injury, amputation rate, mortality rate, and operation methods between these two groups were compared. Result: The most common cause of arterial injury was blunt trauma by traffic accident in Era 1, injury by broken glasses in Era 2. Iatrogenic injury cases increased (from 3.9% in Era 1 to 10% in Era 2), and so did industrial injuries. Two groups also show similar distribution of degrees and location of injuries. Amputation rate in cases of vascular trauma of lower extremities correlates with combined fracture in both group (p$lt;0.05). Amputation rate was 35.5% in Era 1, and 23.5% in Era 2. The mortality rate was 15.7% in Era 1 and 12.9% in Era 2 (p$gt;0.05). Each group presented statistically significant correlation between location of injury and mortality (p$lt;0.05). Abdominal injury was related to high mortality rate (63.2%). Conclusion: The latter period (Era 2) showed increased iatrogenic injury rate compared to the former. Amputation rate increased when combined with fracture in both groups, but mortality rate didn't significantly change between these two groups.

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