Spring back of infinite honeycomb sheets beyond plastic deformation

Cellular structures are promising for applications where high stiffness and strength are required with the minimal use of material. They are often used in applications where the plastic deformation plays an important role, such as those involving crashworthiness, energy absorption, and stents. The elastic analysis of a honeycomb sheet has been carried out in the past [1]. The present analysis extends this classical work in the elasto-plastic regime. Recoil analysis due to elastic recovery is absent from the published literature. This work aims to develop an analytical model to calculate the spring back for a simplified case, that of an infinite honeycomb sheet. An elastic-perfectly plastic material model is assumed. The recoil for a clamped beam with a load and moment applied at the free edge is analytically calculated first. This is carried out by relating the stress distribution of the cross section to the final deformed shape. The part corresponding to the elastic contribution is subsequently subtracted in order to obtain the final configuration after the external load is removed. This simple elasto-plastic analysis is then incorporated into the analysis of an infinite sheet made of uniform hexagonal cells. The translational symmetry of the lattice is exploited along with the analysis of a beam under tip loading through to plastic stage and recoil. The final shape of the struts upon the removal of the remote stress is completely determined by the plastic deformation which cannot be recovered. The expression for the beam thus obtained is then used to build an analytical model for an infinite honeycomb sheet loaded in both directions

Elastic stabilisation of wrinkles in thin films by auxetic microstructure

Thin elastic sheets and membranes are known to wrinkle when they are stretched -- the associated physics is highly non-linear. The mechanics of thin films that exhibit unusual behavior upon stretching, when they possess auxetic structure, i.e. when their apparent Poisson's ratio is negative, is presented here. Wrinkling is now suppressed within the bulk of auxetic films when tensioned, whereas localized creases confined to the clamps, that decay away exponentially, appear. These edge wrinkles are characterized for their amplitude and wavelength experimentally, theoretically, and computationally, which show excellent agreement with expected trends. The scaling for amplitude, wavelength and decay rate upon film properties and tension is obtained using simple analyses based on kinematic mismatch resulting from lateral Poisson's expansion

RHEOS.jl -- A Julia Package for Rheology Data Analysis

Rheology is the science of deformation and flow, with a focus on materials that do not exhibit simple linear elastic or viscous Newtonian behaviours. Rheology plays an important role in the characterisation of soft viscoelastic materials commonly found in the food and cosmetics industries, as well as in biology and bioengineering. Empirical and theoretical approaches are commonly used to identify and quantify material behaviours based on experimental data. RHEOS (RHEology, Open-Source) is a software package designed to make the analysis of rheological data simpler, faster, and more reproducible. RHEOS is currently limited to the broad family of linear viscoelastic models. A particular strength of the library is its ability to handle rheological models containing fractional derivatives, which have demonstrable utility for the modelling of biological materials (Aime, Cipelletti, & Ramos, 2018; Bonfanti, Fouchard, Khalilgharibi, Charras, & Kabla, 2019; Bouzid et al., 2018; Kaplan, Torode, Daher, & Braybrook, 2019), but have hitherto remained in relative obscurity – possibly due to their mathematical and computational complexity. RHEOS is written in Julia (Bezanson, Edelman, Karpinski, & Shah, 2017), which provides excellent computational efficiency and approachable syntax. RHEOS is fully documented and has extensive testing coverage. To our knowledge, there is to this date no other software package that offers RHEOS’ broad selection of rheology analysis tools and extensive library of both traditional and fractional models. It has been used to process data and validate a model in Bonfanti et al. (2019), and is currently in use for several ongoing projects. It should be noted that RHEOS is not an optimisation package. It builds on another optimisation package, NLopt (Johnson, n.d.), by adding a large number of abstractions and functionality specific to the exploration of viscoelastic data.JLK would like thank the George and Lillian Schiff Foundation for the PhD funding which facilitated this project. AB, JLK, and AJK acknowledge the BBSRC grants BB/M002578/1, BB/K018175/1, and BB/P003184/1

ANALISI DI LUNGO PERIODO DELLA TRASFORMAZIONE DEL PAESAGGIO FORESTALE NELL’AREA METROPOLITANA DI ROMA CAPITALE A SUPPORTO DELLA GOVERNANCE DEL TERRITORIO PER LA TRANSIZIONE ECOLOGICA

Restoring the forest ecosystem’s functionality is as an urgent action for biodiversity conservation and carbon mitigation as well as for achieving the 2030 Agenda of United Nations sustainability goals. By developing a landscape dynamics framework to guide future management and planning policies we characterised the historical trend of forest area changes from 1936 to 2010 in the Metropolitan City of Rome Capital (Italy). Remote sensing-based products and historical forest maps, coupled with landscape pattern metrics and fragmentation analysis have been implemented. Two main forest landscape dynamics were reconstructed: I) the increase of forest cover fragmentation in the lowland areas; (II) the rise in forest area by recently established forest in the interior sectors of the mountain landscape, mainly within protected areas. Results revealed the urgent need to establish new protected areas and rewilding spaces. The proposed framework can be used for testing the effectiveness of environmental planning and management in other forest landscapes to achieve the Agenda 2030 goals and EU 2030 Biodiversity Strategy

Evaluation of the prognostic value of impaired renal function on clinical progression in a large cohort of HIV-infected people seen for care in Italy

Whilst renal dysfunction, especially mild impairment (60<eGFR<90 ml/min), has been often described in HIV-infected population, its potential contribution to HIV evolution and risk of cerebro-cardiovascular disease (CCVD) has not been clarified. Data from HIV-1 infected patients enrolled in the Italian Cohort of Antiretroviral-Naïve (Icona) Foundation Study collected between January 2000 and February 2014 with at least two creatinine values available. eGFR (CKD-epi) and renal dysfunction defined using a priori cut-offs of 60 (severely impaired) and 90 ml/min/1.73m2 (mildly impaired). Characteristics of patients were described after stratification in these groups and compared using chi-square test (categorical variables) or Kruskal Wallis test comparing median values. Follow-up accrued from baseline up to the date of the CCVD or AIDS related events or death or last available visit. Kaplan Meier curves were used to estimate the cumulative probability of occurrence of the events over time. Adjusted analysis was performed using a proportional hazards Cox regression model. We included 7,385 patients, observed for a median follow-up of 43 months (inter-quartile range [IQR]: 21-93 months). Over this time, 130 cerebro-cardiovascular events (including 11 deaths due to CCVD) and 311 AIDS-related events (including 45 deaths) were observed. The rate of CCVD events among patients with eGFR >90, 60-89, <60 ml/min, was 2.91 (95% CI 2.30-3.67), 4.63 (95% CI 3.51-6.11) and 11.9 (95% CI 6.19-22.85) per 1,000 PYFU respectively, with an unadjusted hazard ratio (HR) of 4.14 (95%CI 2.07-8.29) for patients with eGFR <60 ml/min and 1.58 (95%CI 1.10-2.27) for eGFR 60-89 compared to those with eGFR ≥90. Of note, these estimates are adjusted for traditional cardio-vascular risk factors (e.g. smoking, diabetes, hypertension, dyslipidemia). Incidence of AIDS-related events was 9.51 (95%CI 8.35-10.83), 6.04 (95%CI 4.74-7.71) and 25.0 (95%CI 15.96-39.22) per 1,000 PYFU, among patients with eGFR >90, 60-89, <60 ml/min, respectively, with an unadjusted HR of 2.49 (95%CI 1.56-3.97) for patients with eGFR <60 ml/min and 0.68 (95%CI 0.52-0.90) for eGFR 60-89. The risk of AIDS events was significantly lower in mild renal dysfunction group even after adjustment for HIV-related characteristics. Our data confirm that impaired renal function is an important risk marker for CCVD events in the HIV-population; importantly, even those with mild renal impairment (90<eGFR<60) seem to be at increased risk of cerebro-cardiovascular morbidity and mortality

Biomechanical Characterization at the Cell Scale: Present and Prospects

The rapidly growing field of mechanobiology demands for robust and reproducible characterization of cell mechanical properties. Recent achievements in understanding the mechanical regulation of cell fate largely rely on technological platforms capable of probing the mechanical response of living cells and their physico–chemical interaction with the microenvironment. Besides the established family of atomic force microscopy (AFM) based methods, other approaches include optical, magnetic, and acoustic tweezers, as well as sensing substrates that take advantage of biomaterials chemistry and microfabrication techniques. In this review, we introduce the available methods with an emphasis on the most recent advances, and we discuss the challenges associated with their implementation

How to communicate with families living in complete isolation

The global emergency caused by the SARS-CoV-2 pandemic has suddenly changed how we communicate with families in all the CoViD19 care settings, on account of the need to maintain complete social isolation. Far-reaching mental suffering manifests itself in widespread anxiety. Health workers are isolated from their families, and must manage the consequences of this isolation just like the patients under their care. Patients and their families perceive not only the clinical results but also the personal attitudes, closeness and psychological support from the care teams. This perception of genuine participation by the health worker in the course of the treatment is especially important when a patient dies, and may influence the whole process of grief

Impact of social determinants on antiretroviral therapy access and outcomes entering the era of universal treatment for people living with HIV in Italy

Background: Social determinants are known to be a driving force of health inequalities, even in high income countries. Aim of our study was to determine if these factors can limit antiretroviral therapy (ART) access, outcome and retention in care of people living with HIV (PLHIV) in Italy. Methods: All ART naïve HIV+ patients (pts) of Italian nationality enrolled in the ICONA Cohort from 2002 to 2016 were included. The association of socio-demographic characteristics (age, sex, risk factor for HIV infection, educational level, occupational status and residency area) with time to: ART initiation (from the first positive anti-HIV test), ART regimen discontinuation, and first HIV-RNA < 50 cp/mL, were evaluated by Cox regression analysis, Kaplan Meier method and log-rank test. Results: A total of 8023 HIV+ pts (82% males, median age at first pos anti-HIV test 36 years, IQR: 29-44) were included: 6214 (77.5%) started ART during the study period. Women, people who inject drugs (PWID) and residents in Southern Italy presented the lowest levels of education and the highest rate of unemployment compared to other groups. Females, pts aged > 50 yrs., unemployed vs employed, and people with lower educational levels presented the lowest CD4 count at ART initiation compared to other groups. The overall median time to ART initiation was 0.6 years (yrs) (IQR 0.1-3.7), with a significant decrease over time [2002-2006 = 3.3 yrs. (0.2-9.4); 2007-2011 = 1.0 yrs. (0.1-3.9); 2012-2016 = 0.2 yrs. (0.1-2.1), p < 0.001]. By multivariate analysis, females (p < 0.01) and PWID (p < 0.001), presented a longer time to ART initiation, while older people (p < 0.001), people with higher educational levels (p < 0.001), unemployed (p = 0.02) and students (p < 0.001) were more likely to initiate ART. Moreover, PWID, unemployed vs stable employed, and pts. with lower educational levels showed a lower 1-year probability of achieving HIV-RNA suppression, while females, older patients, men who have sex with men (MSM), unemployed had higher 1-year risk of first-line ART discontinuation. Conclusions: Despite median time to ART start decreased from 2002 to 2016, socio-demographic factors still contribute to disparities in ART initiation, outcome and durability

Has COVID-19 Delayed the Diagnosis and Worsened the Presentation of Type 1 Diabetes in Children?

Objective: To evaluate whether the diagnosis of pediatric type 1 diabetes or its acute complications changed during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Italy. Research design and methods: This was a cross-sectional, Web-based survey of all Italian pediatric diabetes centers to collect diabetes, diabetic ketoacidosis (DKA), and COVID-19 data in patients presenting with new-onset or established type 1 diabetes between 20 February and 14 April in 2019 and 2020. Results: Fifty-three of 68 centers (77.9%) responded. There was a 23% reduction in new diabetes cases in 2020 compared with 2019. Among those newly diagnosed patient who presented in a state of DKA, the proportion with severe DKA was 44.3% in 2020 vs. 36.1% in 2019 (P = 0.03). There were no differences in acute complications. Eight patients with asymptomatic or mild COVID-19 had laboratory-confirmed severe acute respiratory syndrome coronavirus 2. Conclusions: The COVID-19 pandemic might have altered diabetes presentation and DKA severity. Preparing for any "second wave" requires strategies to educate and reassure parents about timely emergency department attendance for non-COVID-19 symptoms