An analytical and experimental assessment of flexible road ironwork support structures

This paper describes work undertaken to investigate the mechanical performance of road ironwork installations in highways, concentrating on the chamber construction. The principal aim was to provide the background research which would allow improved designs to be developed to reduce the incidence of failures through improvements to the structural continuity between the installation and the surrounding pavement. In doing this, recycled polymeric construction materials (Jig Brix) were studied with a view to including them in future designs and specifications. This paper concentrates on the Finite Element (FE) analysis of traditional (masonry) and flexible road ironwork structures incorporating Jig Brix. The global and local buckling capacity of the Jig Brix elements was investigated and results compared well with laboratory measurements. FE models have also been developed for full-scale traditional (masonry) and flexible installations in a surrounding flexible (asphalt) pavement structure. Predictions of response to wheel loading were compared with full-scale laboratory measurements. Good agreement was achieved with the traditional (masonry) construction but poorer agreement for the flexible construction. Predictions from the FE model indicated that the use of flexible elements significantly reduces the tensile horizontal strain on the surface of the surrounding asphaltic material which is likely to reduce the incidence of surface cracking

Laboratory mix design of asphalt mixture containing reclaimed material

This paper presents a study on the production of asphalt test specimens in the laboratory containing reclaimed asphalt. The mixtures considered were stone mastic asphalt concrete mixtures containing up to 30% of reclaimed asphalt. Specimens were compacted to the reference density obtained from the Marshall mix design. Gyration compaction method was used for preparing specimens for the experimental programme, while coring and cutting methods and X-ray computed tomography (CT) were used to investigate the change in properties within the specimens and to validate the selected methodology.The study concluded that gyratory compaction is suitable to produce homogeneous test specimens also for mixtures containing high amount of reclaimed asphalt. Nevertheless, preliminary trials for each material are mandatory, as well as final coring and trimming of the specimens due to side effects

Fatigue resistance: is it possible having a unique response?

The mechanical characterisation of the asphalt concrete in terms of both the fatigue resistance and the stiffness modulus is necessary to use any design method of the flexible road pavements. Different kinds of test are usually used in experimental work such as bending tests, uniaxial tests, etc., but sometimes they do not give the same answer. In this paper mechanical characterization was carried out by means of fatigue tests undertaken with two most used testing machines for asphalt material: two point bending (2PB) test at IFSTTAR in Nantes (France) and four point bending (4PB) test at University of Palermo, in Palermo (Italy). Different strain controlled tests were undertaken for the same material under the same loading conditions, frequency and temperature (15 Hz and 20˚C), according to the European standard 12697 part 24 and 26. The first results of this interlaboratory activity are showed in this paper

Test methods and influential factors for analysis of bonding between bituminous pavement layers

The durability and maintenance of pavements depend on several factors. One of the most influential is the bond between layers. This bond is responsible for ensuring all layers behave as a single entity, reducing cracks and deformation of the pavement. Several methods, developed by different authors over the past 30 years, to measure bonding between layers are analyzed in this paper. Different research lines are discussed, concluding that the most influential variables are: tack coat type, dosage, mixture type, surface characteristics, temperature, and emulsion breaking time. In order to reach the highest bond strength values, the following factors should be considered: high values of surface macro-texture, low temperatures, the use of heat-adhesive emulsion, a dosage from 300 to 450 g/m2 of residual bitumen and the compaction after emulsion break. Moreover, a non-destructive test method to assess tack coat dosage on site is proposed

Sleep Disorders and Medical Conditions in Women

Abstract Sleep disorders affect women differently than they affect men and may have different manifestations and prevalences. With regard to obstructive sleep apnea (OSA), variations in symptoms may cause misdiagnoses and delay of appropriate treatment. The prevalence of OSA appears to increase markedly after the time of menopause. Although OSA as defined by the numbers of apneas/hypopneas may be less severe in women, its consequences are similar and perhaps worse. Therapeutic issues related to gender should be factored into the management of OSA. The prevalence of insomnia is significantly greater in women than in men throughout most of the life span. The ratio of insomnia in women to men is approximately 1.4:1.0, but the difference is minimal before puberty and increases steadily with age. Although much of the higher prevalence of insomnia in women may be attributable to the hormonal or psychological changes associated with major life transitions, some of the gender differences may result from the higher prevalence of depression and pain in women. Insomnia's negative impact on quality of life is important to address in women, given the high relative prevalence of insomnia as well as the comorbid disorders in this population. Gender differences in etiology and symptom manifestation in narcolepsy remain understudied in humans. There is little available scientific information to evaluate the clinical significance and specific consequences of the diagnosis of narcolepsy in women. Restless legs syndrome (RLS) is characterized by an urge to move the legs or other limbs during periods of rest or inactivity and may affect as much as 10% of the population. This condition is more likely to afflict women than men, and its risk is increased by pregnancy. Although RLS is associated with impaired quality of life, highly effective treatment is available.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/63103/1/jwh.2007.0561.pd

Mechanical and structural assessment of laboratory- and field-compacted asphalt mixtures

Compaction forms an integral part in the formation of the aggregate orientation and structure of an asphalt mixture and therefore has a profound influence on its final volumetric and mechanical performance. This article describes the influence of various forms of laboratory (gyratory, vibratory and slab-roller) and field compaction on the internal structure of asphalt specimens and subsequently on their mechanical properties, particularly stiffness and permanent deformation. A 2D image capturing and image analysis system has been used together with alternative specimen sizes and orientations to quantify the internal aggregate structure (orientation and segregation) for a range of typically used continuously graded asphalt mixtures. The results show that in terms of aggregate orientation, slab-compacted specimens tend to mimic field compaction better than gyratory and vibratory compaction. The mechanical properties of slab-compacted specimens also tend to be closer to that of field cores. However, the results also show that through careful selection of specimen size, specimen orientation and compaction variables, even mould-based compaction methods can be utilised with particular asphalt mixtures to represent field-compacted asphalt mixtures

Clinical Guidelines for the Use of Unattended Portable Monitors in the Diagnosis of Obstructive Sleep Apnea in Adult Patients

Based on a review of literature and consensus, the Portable Monitoring Task Force of the American Academy of Sleep Medicine (AASM) makes the following recommendations: unattended portable monitoring (PM) for the diagnosis of obstructive sleep apnea (OSA) should be performed only in conjunction with a comprehensive sleep evaluation. Clinical sleep evaluations using PM must be supervised by a practitioner with board certification in sleep medicine or an individual who fulfills the eligibility criteria for the sleep medicine certification examination. PM may be used as an alternative to polysomnography (PSG) for the diagnosis of OSA in patients with a high pretest probability of moderate to severe OSA. PM is not appropriate for the diagnosis of OSA in patients with significant comorbid medical conditions that may degrade the accuracy of PM. PM is not appropriate for the diagnostic evaluation of patients suspected of having comorbid sleep disorders. PM is not appropriate for general screening of asymptomatic populations. PM may be indicated for the diagnosis of OSA in patients for whom in-laboratory PSG is not possible by virtue of immobility, safety, or critical illness. PM may also be indicated to monitor the response to non-CPAP treatments for sleep apnea. At a minimum, PM must record airflow, respiratory effort, and blood oxygenation. The airflow, effort, and oximetric biosensors conventionally used for in-laboratory PSG should be used in PM. The Task Force recommends that PM testing be performed under the auspices of an AASM-accredited comprehensive sleep medicine pro- gram with written policies and procedures. An experienced sleep technologist/technician must apply the sensors or directly educate patients in sensor application. The PM device must allow for display of raw data with the capability of manual scoring or editing of automated scoring by a qualified sleep technician/technologist. A board certified sleep specialist, or an individual who fulfills the eligibility criteria for the sleep medicine certification examination, must review the raw data from PM using scoring criteria consistent with current published AASM standards. Under the conditions specified above, PM may be used for unattended studies in the patient’s home. A follow-up visit to review test results should be performed for all patients undergoing PM. Negative or technically in- adequate PM tests in patients with a high pretest probability of moderate to severe OSA should prompt in-laboratory polysomnography

Obstructive sleep apnea is underrecognized and underdiagnosed in patients undergoing bariatric surgery

The aim of this study was to evaluate prevalence of obstructive sleep apnea among patients undergoing bariatric surgery and the predictive value of various clinical parameters: body mass index (BMI), neck circumference (NC) and the Epworth Sleepiness Scale (ESS). We performed a prospective, multidisciplinary, single-center observational study including all patients on the waiting list for bariatric surgery between June 2009 and June 2010, irrespective of history or clinical findings. Patients visited our ENT outpatient clinic for patient history, ENT and general examination and underwent a full night polysomnography, unless performed previously. As much as 69.9% of the patients fulfilled the criteria for OSA (mean BMI 44.2 ± SD 6.4 kg/m2); 40.4% of the patients met the criteria for severe OSA. The regression models found BMI to be the best clinical predictor, while the ROC curve found the NC to be the most accurate predictor of the presence of OSA. The discrepancy of the results and the poor statistical power suggest that all three clinical parameters are inadequate predictors of OSA. In conclusion, in this large patient series, 69.9% of patients undergoing BS meet the criteria for OSA. More than 40% of these patients have severe OSA. A mere 13.3% of the patients were diagnosed with OSA before being placed on the waiting list for BS. On statistical analysis, increased neck circumference, BMI and the ESS were found to be insufficient predictors of the presence of OSA. Polysomnography is an essential component of the preoperative workup of patients undergoing BS. When OSA is found, specific perioperative measures are indicated

A review of ECG-based diagnosis support systems for obstructive sleep apnea

Humans need sleep. It is important for physical and psychological recreation. During sleep our consciousness is suspended or least altered. Hence, our ability to avoid or react to disturbances is reduced. These disturbances can come from external sources or from disorders within the body. Obstructive Sleep Apnea (OSA) is such a disorder. It is caused by obstruction of the upper airways which causes periods where the breathing ceases. In many cases, periods of reduced breathing, known as hypopnea, precede OSA events. The medical background of OSA is well understood, but the traditional diagnosis is expensive, as it requires sophisticated measurements and human interpretation of potentially large amounts of physiological data. Electrocardiogram (ECG) measurements have the potential to reduce the cost of OSA diagnosis by simplifying the measurement process. On the down side, detecting OSA events based on ECG data is a complex task which requires highly skilled practitioners. Computer algorithms can help to detect the subtle signal changes which indicate the presence of a disorder. That approach has the following advantages: computers never tire, processing resources are economical and progress, in the form of better algorithms, can be easily disseminated as updates over the internet. Furthermore, Computer-Aided Diagnosis (CAD) reduces intra- and inter-observer variability. In this review, we adopt and support the position that computer based ECG signal interpretation is able to diagnose OSA with a high degree of accuracy