New Frontiers on Seismic Modeling of Masonry Structures

An accurate evaluation of the non-linear behavior of masonry structural elements in existing buildings still represents a complex issue that rigorously requires non-linear finite element strategies difficult to apply to real large structures. Nevertheless, for the static and seismic assessment of existing structures, involving the contribution of masonry materials, engineers need reliable and efficient numerical tools, whose complexity and computational demand should be suitable for practical purposes. For these reasons, the formulation and the validation of simplified numerical strategies represent a very important issue in masonry computational research. In this paper, an innovative macroelement approach, developed by the authors in the last decade, is presented. The proposed macroelement formulation is based on different, plane and spatial, macroelements for the simulation of both the in-plane and out-of-plane behavior of masonry structures also in presence of masonry elements with curved geometry. The mechanical response of the adopted macroelement is governed by non-linear zero-thickness interfaces, whose calibration follows a straightforward fiber discretization, and the non-linear internal shear deformability is ruled by equivalence with a corresponding geometrically consistent homogenized medium. The approach can be considered as "parsimonious" since the kinematics of the adopted elements is controlled by very few degrees of freedom, if compared to a corresponding discretization performed by using non-linear finite element method strategies. This innovative discrete element strategy has been implemented in two user-oriented software codes 3DMacro (Caliò et al., 2012b) and HiStrA (Historical Structures Analysis) (Caliò et al., 2015), which simplify the modeling of buildings and historical structures by means of several wizard generation tools and input/output facilities. The proposed approach, that represents a powerful tool for the structural assessment of structures in which the masonry plays a key role, is here validated against experimental results involving typical masonry monumental substructural elements and numerical results involving real-scale structures

Short-term results of a randomized trial examining timing of carotid endarterectomy in patients with severe asymptomatic unilateral carotid stenosis undergoing coronary artery bypass grafting

ObjectiveThis study evaluated the timing of carotid endarterectomy (CEA) in the prevention of stroke in patients with asymptomatic carotid stenosis >70% receiving a coronary artery bypass graft (CABG).MethodsFrom January 2004 to December 2009, 185 patients with unilateral asymptomatic carotid artery stenosis >70%, candidates for CABG, were randomized into two groups. In group A, 94 patients received a CABG with previous or simultaneous CEA. In group B, 91 patients underwent CABG, followed by CEA. All patients underwent preoperative helical computed tomography scans, excluding significant atheroma of the ascending aorta or aortic arch. Baseline characteristics of the patients, type of coronary artery lesion, and preoperative myocardial function were comparable in the two groups. In group A, all patients underwent CEA under general anesthesia with the systematic use of a carotid shunt, and 79 patients had a combined procedure and 15 underwent CEA a few days before CABG. In group B, all patients underwent CEA, 1 to 3 months after CABG, also under general anesthesia and with systematic carotid shunting.ResultsTwo patients (one in each group) died of cardiac failure in the postoperative period. Operative mortality was 1.0% in group A and 1.1% in group B (P = .98). No strokes occurred in group A vs seven ipsilateral ischemic strokes in group B, including three immediate postoperative strokes and four late strokes, at 39, 50, 58, and 66 days, after CABG. These late strokes occurred in patients for whom CEA was further delayed due to an incomplete sternal wound healing or because of completion of a cardiac rehabilitation program. The 90-day stroke and death rate was 1.0% (one of 94) in group A and 8.8% (eight of 91) in group B (odds ratio [OR], 0.11; 95% confidence interval [CI], 0.01-0.91; P = .02). Logistic regression analysis showed that only delayed CEA (OR, 14.2; 95% CI, 1.32-152.0; P = .03) and duration of cardiopulmonary bypass (OR, 1.06; 95% CI, 1.02-1.11; P = .004) reliably predicted stroke or death at 90 days.ConclusionsThis study suggests that previous or simultaneous CEA in patients with unilateral severe asymptomatic carotid stenosis undergoing CABG could prevent stroke better than delayed CEA, without increasing the overall surgical risk

Age at Onset Influences Progression of Motor and Non-Motor Symptoms during the Early Stage of Parkinson’s Disease: A Monocentric Retrospective Study

The interactions between the age at onset with other pathogenic mechanisms and the interplays between the disease progression and the aging processes in Parkinson’s disease (PD) remain undefined, particularly during the first years of illness. Here, we retrospectively investigated the clinical presentation and evolution of the motor and non-motor symptoms and treatment-related complications during the first 5 years of illness in subjects categorized according to age at onset. A total of 131 subjects were divided into “Early-Onset-PD” (EOPD; onset ≤49 years), “Middle-Onset-PD” (MOPD; onset 50–69 years) and “Late-Onset-PD” (LOPD; onset ≥70 years). The T0 visit was set at the time of the clinical diagnosis; the T1 visit was 5 years (±5 months) later. At T0, there were no significant differences in the motor features among the groups. At T1, the LOPD patients displayed a significantly higher frequency of gait disturbances and a higher frequency of postural instability. Moreover, at T1, the LOPD subjects reported a significantly higher frequency of non-motor symptoms; in particular, cardiovascular, cognitive and neuropsychiatric domains. The presented results showed a significantly different progression of motor and non-motor symptoms in the early course of PD according to the age at onset. These findings contribute to the definition of the role of age at onset on disease progression and may be useful for the pharmacological and non-pharmacological management of PD

Seismic assessment of unreinforced masonry structures: a coupled mesoscale-DMEM approach

A numerical investigation is performed to investigate the potential of a discrete macro-element coupled with a mesoscale approach for the seismic assessment of unreinforced masonry structures. At first, parametric analyses are performed on a U-shape stone masonry prototype. Nonlinear static analyses are performed to investigate parameters that affect the results when a mesoscale masonry pattern representation is adopted. Results prove the suitability of a mesoscale representation of unreinforced masonry structures through a discrete macro-element approach. Furhthermore, it is demonstrated that an irregular placement of masonry units’ have a significant role in the structural response, either from a strength and ductility standpoints, when compared to a regular and periodic distribution of units

Investigating the seismic response of URM walls with irregular opening layout through different modeling approaches

TThe façade and internal walls of unreinforced masonry (URM) buildings often present an irregular opening layout, due to architectural reasons or modifications to the structure, which make the expected seismic damage pattern less predictable a priori. Therefore, the discretization of the walls in structural components is not standardized, conversely to cases with a regular opening layout for which the available modeling methods are corroborated by seismic damage surveys reporting recurrent failure patterns. The structural component discretization is a relevant step for the code-conforming seismic assessment, typically based on comparing the internal forces and drifts of each component to strength criteria and drift thresholds. Therefore, the lack of well-established approaches can significantly influence the assessment. The issue is even more evident when the structural components must be identified a priori in the modeling stage, namely for equivalent frame models. The applicability of available methods for discretization of URM walls with irregular opening layout has been already investigated in literature, but a conclusive judgment requires further studies. In this context, this paper presents an overview of the preliminary results addressing the numerical modeling of this type of walls within the framework of the DPC-ReLUIS 2022-2024 project (Subtask 10.3), funded by the Italian Department of Civil Protection. The Subtask aims to propose consensus-based recommendations for researchers and practitioners which can contribute to harmonize the use of different modeling approaches. Seven research groups are involved in the research, adopting different modeling approaches and computer codes, but similar assumptions and the same analysis method (pushover) are used. The benchmark URM structure illustrated in the paper is a two-story wall from which four configurations with increasing irregularity of opening layout were derived. The results of four modeling approached are presented. Three of them reproduce the mechanical response of masonry at the material scale by means of FE models implemented in OpenSees, DIANA and Abaqus software, while the remaining approach describes the mechanical response of masonry at the macro-element scale in 3DMacro software. Results were compared in terms of capacity curves, predicted failure mechanisms and evolution of internal forces in piers. The adoption of consistent assumptions among the different approaches led to an overall agreement of predictions at both wall and pier scales, particularly in terms of damage pattern with higher concentration of damage at the ground story. Despite that, differences on the pushover curves have been highlighted. They are mainly due to some deviations of the internal forces in squat piers deriving from a complex load flow in these elements.DPC - Dipartimento della Protezione Civile, Presidenza del Consiglio dei Ministri(LA/P/0112/2020

Internal carotid artery rupture caused by carotid shunt insertion

Introduction: Shunting is a well-accepted method of maintaining cerebral perfusion during carotid endarterectomy (CEA). Nonetheless, shunt insertion may lead to complications including arterial dissection, embolization, and thrombosis. We present a complication of shunt insertion consisting of arterial wall rupture, not reported previously. Presentation of case: A 78-year-old woman underwent CEA combined with coronary artery bypass grafting (CABG). At the time of shunt insertion an arterial rupture at the distal tip of the shunt was detected and was repaired via a small saphenous vein patch. Eversion CEA and subsequent CABG completed the procedure whose postoperative course was uneventful. Discussion: Shunting during combined CEA-CABG may be advisable to assure cerebral protection from possible hypoperfusion due to potential hemodynamic instability of patients with severe coronary artery disease. Awareness and prompt management of possible shunt-related complications, including the newly reported one, may contribute to limiting their harmful effect. Conclusion: Arterial wall rupture is a possible, previously not reported, shunt-related complication to be aware of when performing CEA

A Discrete Macro Element Method for Modelling Ductile Steel Frames around the Openings of URM Buildings as Low Impact Retrofitting Strategy

This paper adopts the use of steel frames around existing openings as a low-impact seismic retrofitting strategy for unreinforced masonry structures (URM). Although elastic steel frames have been commonly adopted for strengthening masonry walls in case of the realization of new openings, the use of elasto-plastic frames has been proposed only recently. This study adopts the application of low-resistance ductile steel frames on the openings of existing masonry buildings as a low-impact retrofitting strategy. The adopted low-invasive solution possesses the advantage of increasing the in-plane resistance of the masonry wall, improving the displacement capacity, introducing additional energy dissipation under dynamic loadings, and providing a confinement effect on the adjacent masonry piers. An original aspect of the present paper is related to the adopted numerical method for modelling the presence of the steel frames around the openings. Namely, a Discrete Macro-Element Method (DMEM), which allows an efficient and reliable simulation of the involved collapse mechanisms of the masonry walls interacting with the frames, has been adopted. After the validation of the numerical approach, through a comparison with experimental results already reported in the literature, the low-impact strategy has been applied on a benchmark known as the “via Martoglio building”. The obtained results suggest that this low-impact retrofitting strategy can be successfully proposed for URM buildings and can be efficiently modelled by means of the DMEM

Histology and immunohistochemical evaluation of phimotic prepuce: The role of steroid therapy

Phimosis is one of the most frequent andrological diseases in paediatric age. Steroids are useful to treat phimosis. Through a retrospective study of histological and immunohistochemical analysis, we evaluated the effectiveness of topical steroid treatment in patients undergoing circumcision. Cases of patients treated for phimosis were selected during the two-year study period. All patients underwent circumcision and were divided into four groups: groups A (religiously circumcised patients), B (phimotic patients not undergoing steroid treatment), C (phimotic patients who do not respond to cortisone treatment) and D (hypospadic patients undergoing urethroplasty). An histological evaluation of the degree of fibrosis and an immunohistochemical evaluation of collagen IV and tenascin were carried out. Study results demonstrate that the grade of fibrosis is age-related. On histological and immunohistochemical evaluation, fibrosis was found to be lower in patients receiving steroids; higher degrees of fibrosis were found in older patients (p < .05). Different degrees of fibrosis have also been found in hypospadic patients. We can conclude that study results correlated with the clinical history of the patients. The success rate of medical therapy seems to be age-related

Numerical Simulation of the Response of an Unreinforced Brick-Masonry Cross Vault Subjected to Seismic Loading

This paper presents the numerical evaluation of the seismic response of a masonry cross vault using the Discrete Macro-Element Method (DMEM). The case study corresponded to a full-scale unstrengthened cross vault that was experimentally investigated within the scope of the SERA Project — Seismic Response of Masonry Cross Vaults: Shaking table tests and numerical validations. The cross vault was subjected to repeated shaking table and dynamic identification tests until reaching significant damage. The numerical simulations involved the calibration of the Young’s modulus of the masonry material aiming at reproducing the cross vault’s experimental natural frequencies and mode shapes. The comparison of frequencies was carried out by estimating the difference between experimental and numerical results, whereas the correspondence between mode shapes was studied using the Modal Assurance Criterion. Subsequently, a sensitivity analysis was performed to identify the influence of nonlinear properties on the seismic response of the cross vault (displacement and acceleration time histories and failure mechanism). The accuracy of the numerical time histories was evaluated by estimating magnitude and phase discrepancies. The results aimed at demonstrating the applicability of the DMEM for assessing the seismic response of masonry cross vaults with an acceptable degree of accuracy and low computational cost