Experimental investigation on cyclic response of RC elements repaired by CFRP external reinforcing systems

This paper deals with the experimental results of an investigation aimed at studying cyclic response of half scaled RC specimens previously damaged and then repaired with externally bonded carbon fiber reinforced polymer sheets. The research involved the test of ten specimens. Two of them were tested without any external strengthening material in order to provide a reference for the response of repaired specimens. These latter were tested after a previous damaging procedure and a subsequent repair intervention with fiber reinforced polymer composites. The parameters under investigation were the level of initial damage, the strengthening configuration, and the level of axial load. Test results have pointed out effectiveness of the adopted strengthening systems, since repaired specimens exhibited better mechanical responses than the unstrengthened ones

Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes

Background: Albuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage 653 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage 653 CKD in a large cohort of patients affected by T1DM. Methods: A total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage 653 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated. Results: The mean estimated GFR was 98 \ub1 17 mL/min/1.73m2 and the proportion of patients with albuminuria was 15.3% (n = 654) at baseline. About 8% (n = 337) of patients developed one of the two renal endpoints during the 4-year follow-up period. Age, albuminuria (micro or macro) and baseline eGFR < 90 ml/min/m2 were independent risk factors for stage 653 CKD and renal function worsening. When compared to patients with eGFR > 90 ml/min/1.73m2 and normoalbuminuria, those with albuminuria at baseline had a 1.69 greater risk of reaching stage 3 CKD, while patients with mild eGFR reduction (i.e. eGFR between 90 and 60 mL/min/1.73 m2) show a 3.81 greater risk that rose to 8.24 for those patients with albuminuria and mild eGFR reduction at baseline. Conclusions: Albuminuria and eGFR reduction represent independent risk factors for incident stage 653 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening

Experimental investigation on cyclic response of RC elements repaired by CFRP external reinforcing systems

This paper deals with the experimental results of an investigation aimed at studying cyclic response of half scaled RC specimens previously damaged and then repaired with externally bonded carbon fiber reinforced polymer sheets. The research involved the test of ten specimens. Two of them were tested without any external strengthening material in order to provide a reference for the response of repaired specimens. These latter were tested after a previous damaging procedure and a subsequent repair intervention with fiber reinforced polymer composites. The parameters under investigation were the level of initial damage, the strengthening configuration, and the level of axial load. Test results have pointed out effectiveness of the adopted strengthening systems, since repaired specimens exhibited better mechanical responses than the unstrengthened ones

Gestational diabetes mellitus in Italy: A multicenter study

Objective: This prospective study evaluated the impact of gestational diabetes on maternal and fetal outcome in a large cohort of women with gestational diabetes mellitus (GDM) followed up using standardized clinical criteria. Study design: Between 1999 and 2003, we collected 3465 GDM women from 31 Italian regional obstetric or diabetes centers, recording the time and mode of delivery, gestational hypertension, pre-eclampsia, eclampsia, congenital malformations, and neonatal mortality, comparing findings with the Italian general pregnant population. Results: The rate of cesarean sections was 34.9% and macrosomia 8.7% (33.2 and 7.4%, respectively, in the general population, p = ns). The stillbirth and neonatal mortality rates were no different in GDM patients and normal pregnancies (0.34% vs. 0.30%, p = 0.176 and 0.29% vs. 0.32%, p = 0.748), but the former had twice as many newborn with congenital malformations (2.05% vs. 0.89%, p < 0.01; Cl 1.64-2.62). A prognostic model for the outcome of pregnancy was built and the concurrent occurrence of several conditions was deemed as a positive outcome. Pregnancies which did not meet one or more of the above criteria were classified as "complicated". On multivariate logistic analysis, only the week of gestation when GDM was diagnosed and prepregnancy BMI were independent predictors of a complicated pregnancy. Conclusion: When correctly diagnosed and treated during pregnancy, women with GDM have a pregnancy outcome similar to the general pregnant population, except for a greater likelihood of congenital malformations in the newborn, probably due to unrecognized prior diabetes. Prepregnancy obesity plays an important part in raising the risk of adverse perinatal outcomes in GDM patients. (C) 2009 Elsevier Ireland Ltd. All rights reserved