PurposeViral infections are involved in ~50% of exacerbations among Caucasian adult asthmatics. However, there have been few reports on the causative virus of exacerbations in Korean adult asthmatics. Thus, we compared frequencies and types of viruses between lower respiratory tract illnesses (LRTIs) with exacerbations (exacerbated LRTIs) and those without exacerbations (stable LRTIs) to evaluate contribution of respiratory viruses to exacerbations.MethodsViral RNA was extracted from sputum using the Viral Gene-spin™ Kit. Reverse transcription-polymerase chain reaction (RT-PCR) was performed to detect adenovirus (ADV), metapneumovirus (MPV), parainfluenza virus (PIV) 1/2/3, influenza virus (IFV) A, IFV B, respiratory syncytial virus (RSV) A/B, and rhinovirus (RV) A.ResultsAmong the 259 patients, 210 underwent a single sputum examination, and the remaining 49 underwent 2 to 4 sputum examinations. Virus was detected in 68 of the 259 exacerbated episodes and in 11 of the 64 stable episodes. Among the exacerbated episodes, RV was the most frequently detected virus, followed by influenza A, parainfluenza, RSV A/B, and ADV. Among the 11 stable episodes, RV was most frequently detected. Detection rates of these viruses did not differ between the 2 groups (P>0.05). Thirty-five patients underwent the virus examination at 2 episodes of exacerbation, while 14 patients underwent at each time of exacerbated and stable episodes. Virus detection rate at the second examination was significantly higher in cases with 2 exacerbation episodes than in those with initial exacerbation and sequential stable episodes (P=0.003). A seasonal pattern was noted in the detection rates of RV (September to December), IFV (January to April), PIV (May to September), and RSV A/B (September to April).ConclusionsRespiratory viruses were identified in approximately 20% of LRTI irrespective of the presence of asthma exacerbation. RV and IFV A/B were most frequently detected. A group of patients experienced frequent viral infections followed by asthma exacerbations.

Post-tensioned anchorage zones need enough strength to resist large forces from jacking forces from prestress and need spiral reinforcement to give confinement effect. High-strength concrete (HSC) has high-strength and brings the advantage of reducing material using and simplifying reinforcing. We tested strain stabilization, load–displacement, and strain of lateral reinforcements. Specimens that used one and two lateral reinforcements without spiral reinforcement did not satisfy the strain stabilization. Load capacity also did not satisfy the condition of 1.1 times the nominal tensile strength of PS strands presented in ETAG 013. On the other hand, specimens that used three and four lateral reinforcements without spiral reinforcement satisfied the strain stabilization but did not satisfy 1.1 times the nominal tensile strength of PS strands. However, the secondary confinement effect could be confirmed from strain stabilization. In addition, the affection of HSC characteristics could be confirmed from a reinforcing level comparing other studies. The main confinement effect could be confirmed from the reinforcement strain results; there was a considerable difference between with and without spiral reinforcement at least 393 MPa. Comprehensively, main and secondary confinement effects are essential in post-tensioned anchorage zones. In addition, the performance of the anchorage zone could be increased by using HSC that the combination of high-strength and confinement effect.