Improved imaging techniques within the last 20 years have enabled the preoperative diagnosis of one quarter of patients with gallbladder torsion. With prompt surgical intervention, the condition has an excellent prognosis.

Torsion of the gallbladder is an uncommon condition that is rarely diagnosed pre-operatively. Here, we present the case of a 76 year old male who was found to have a complete torsion of the gallbladder, and was successfully treated with cholecystectomy.

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The cyclic performance of non-seismically designed reinforced concrete (RC) columns, strengthened with carbon fiber reinforced polymer (CFRP) jackets, was analytically and experimentally investigated herein. Three cantilever column specimens were constructed, incorporating design parameters of the period 1950s–1970s, namely with concrete of a low compressive strength, plain steel bars, widely-spaced ties and inadequate lap splices of reinforcement. The specimens were strengthened using CFRP jackets and were subsequently subjected to cyclic inelastic lateral displacements. The main parameters examined were the length of the lap splices, the acceptable relative bar slipping value and the width of the jackets. The hysteresis behaviors of the enhanced columns were compared, while also being evaluated with respect to those of two original columns and to the seismic performance of a control specimen with continuous reinforcement, tested in a previous work. An analytical formulation was proposed for accurately predicting the seismic responses of the column specimens, comparing the actual shear stress value with the ultimate shear capacity of the concrete in the lap splice region. The test results verified the predictions of the analytical model, regarding the seismic performance of the strengthened columns. Moreover, the influences of the examined parameters in securing the ductile hysteresis performance were evaluated.

The necessity of ensuring the long-term sustainability of existing structures is rising. An important issue concerning existing reinforced concrete (RC) structures in seismically active regions is that a significant number of them lack the required earthquake-resistant capacities to meet the increased design earthquake demands. Inexpensive, fast and long-term strengthening strategies for repairing/strengthening RC structures are urgently required, not only after destructive earthquakes, but even before they occur. Retrofitting existing buildings extending their service life rather than demolishing and rebuilding new ones is the best option in terms of economic gain and environmental protection. This paper experimentally investigates the effectiveness of externally applied (i) carbon fiber-reinforced polymer (C-FRP) ropes in X-type form and (b) C-FRP sheets that are bonded on both sides of the joint area of RC beam-column joint connections. Six comparative full-scale exterior RC beam-column joint specimens were tested under reverse cyclic deformation. Two of them were control specimens, two were strengthened using C-FRP ropes (novel technique) and two were retrofitted using C-FRP sheets (widely used technique). Extensive comparisons and discussion of the test results derive new quantitative and qualitative results concerning the seismic capacity and the service life extension of the strengthened RC members using the proposed retrofitting scheme.

The use of the innovative material of Carbon Fiber-Reinforced (C-FRP) ropes as external near surface mounted reinforcement for the strengthening of reinforced concrete beam-column joints is studied. The ropes are diagonally applied forming external X-type reinforcements on both sides of the joint body. The efficiency of the technique is mainly based on the assumption that the confinement of the joint body due to the applied X-shaped ropes and the contribution of the ropes as shear reinforcement are efficient enough to reduce the shear deformations observed in the joint core during the seismic excitation. Thereof the experimental measurements of the shear deformations of nine full scale beam-column joints tested in cyclic deformations are elaborated and presented herein. The specimens are sorted in two groups. Specimens of group A have been designed in the way that damage is mainly expected in the beam. On the other hand, in order to investigate the efficacy of the use of the ropes for substandard joints the group B specimens have been designed in the way that cracks and some damages are expected to develop in the joint body. Systematic and extended comparative presentations for specimens with and without ropes proved in all the examined cases that the externally mounted C-FRP ropes kept the joint body intact and substantially reduced the shear deformations especially in high drifts. Moreover, the influence of the externally mounted X-shaped C-FRP ropes on the seismic behaviour of these specimens is also examined in terms of the developing principal tensile stresses inside the joint body. From the comparisons of the principal stresses developing in specimens with and without X-form C-FRP ropes it became quite obvious that the ropes kept the joint body intact and allowed the development of higher values of principal stresses comparing with the stresses developing in specimens without ropes.

An analytical and experimental investigation was conducted herein to examine the cyclic load behavior of beam–column joint subassemblages, typical of both the modern reinforced concrete (RC) structures and of the pre-1960s–1970s existing ones. Seven exterior RC beam–column joint subassemblages were constructed and subjected to earthquake-type loading. Three specimens were designed according to the requirements of the Eurocode (EC) for ductility class medium (DCM), while the other three specimens possessed poor seismic details, conforming to past building codes. The hysteresis behavior of the subassemblages was evaluated. An analytical model was used to calculate the ultimate shear capacity of the beam–column joint area, while also predicting accurately the failure mode of the specimens. It was clearly demonstrated experimentally and analytically that it is possible for excessive seismic damage of the beam–column joint region to occur when designing according to the current European building codes. In addition, the proposed analytical model was found to be very satisfactory in accurately predicting seismic behavior and in preventing the premature brittle shear failure of the joints. The seventh subassemblage, constructed with steel fiber RC and significantly less transverse reinforcement than that required according to the EC, exhibited satisfactory ductile seismic performance, demonstrating the effectiveness of the proposed design solution.

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