Vibration control by means of piezoelectric actuators shunted with LR impedances: Performance and robustness analysis

This paper deals with passive monomodal vibration control by shunting piezoelectric actuators to electric impedances constituting the series of a resistance and an inductance. Although this kind of vibration attenuation strategy has long been employed, there are still unsolved problems; particularly, this kind of control does suffer from issues relative to robustness because the features of the electric impedance cannot be adapted to changes of the system. This work investigates different algorithms that can be employed to optimise the values of the electric components of the shunt impedance. Some of these algorithms derive from the theory of the tuned mass dampers. First a performance analysis is provided, comparing the attenuation achievable with these algorithms. Then, an analysis and comparison of the same algorithms in terms of robustness are carried out. The approach adopted herein allows identifying the algorithm capable of providing the highest degree of robustness and explains the solutions that can be employed to resolve some of the issues concerning the practical implementation of this control technique. The analytical and numerical results presented in the paper have been validated experimentally by means of a proper test setup

Damage detection based on strain transmissibility for beam structure by using distributed fiber optics

Structural damage identification is a coral and challenging research topic. Research mainly focuses on identification and detection of linear damage in structures by using modal parameters such as change of natural frequency, frequency response function, mode shape, etc. Transmissibility is conventionally defined as the spectra ratio of two measurement points, which has been utilized for damage identification as a powerful damage indicator. In this paper, strain transmissibility, defined as ratio of strain response spectra, is proposed as a new damage indicator. In order to achieve more precise sensing information, distributed fiber optics has been applied to damage detection on a beam structure, which adds new capability of sensing with its combination of high spatial density sensing and dynamic acquisition over a single optical fiber sensor. A numerical simulation has been conducted to investigate the feasibility of strain transmissibility for damage detection which has revealed a better performance compared to traditional transmissibility. The applicability of the proposed method has been confirmed by applying distributed fiber optics on a clamped-clamped beam. Both simulation and experiment validate the effectiveness of damage detection approach based on strain transmissibility by using distributed fiber optics

Boussignac continuous positive airway pressure for the management of acute cardiogenic pulmonary edema: prospective study with a retrospective control group

<p>Abstract</p> <p>Background</p> <p>Continuous positive airway pressure (CPAP) treatment for acute cardiogenic pulmonary edema can have important benefits in acute cardiac care. However, coronary care units are usually not equipped and their personnel not adequately trained for applying CPAP with mechanical ventilators. Therefore we investigated in the coronary care unit setting the feasibility and outcome of the simple Boussignac mask-CPAP (BCPAP) system that does not need a mechanical ventilator.</p> <p>Methods</p> <p>BCPAP was introduced in a coronary care unit where staff had no CPAP experience. All consecutive patients transported to our hospital with acute cardiogenic pulmonary edema, a respiratory rate > 25 breaths/min and a peripheral arterial oxygen saturation of < 95% while receiving oxygen, were included in a prospective BCPAP group that was compared with a historical control group that received conventional treatment with oxygen alone.</p> <p>Results</p> <p>During the 2-year prospective BCPAP study period 108 patients were admitted with acute cardiogenic pulmonary edema. Eighty-four of these patients (78%) were treated at the coronary care unit of which 66 (61%) were treated with BCPAP. During the control period 66 patients were admitted over a 1-year period of whom 31 (47%) needed respiratory support in the intensive care unit. BCPAP treatment was associated with a reduced hospital length of stay and fewer transfers to the intensive care unit for intubation and mechanical ventilation. Overall estimated savings of approximately € 3,800 per patient were achieved with the BCPAP strategy compared to conventional treatment.</p> <p>Conclusion</p> <p>At the coronary care unit, BCPAP was feasible, medically effective, and cost-effective in the treatment of acute cardiogenic pulmonary edema. Endpoints included mortality, coronary care unit and hospital length of stay, need of ventilatory support, and cost (savings).</p

Neurological assessment with validated tools in general ICU : multicenter, randomized, before and after, pragmatic study to evaluate the effectiveness of an e-learning platform for continuous medical education

BACKGROUND: International guidelines recommend systematic assessment of pain, agitation/sedation and delirium with validated scales for all ICU patients. However, these evaluations are often not done. We have created an e-learning training platform for the continuous medical education, and assessed its efficacy in increasing the use of validated tools by all medical and nursing staff of the participating ICUs during their daily practice. METHODS: Multicenter, randomized, before and after study. The eight participating centers were randomized in two groups, and received training at different times. The use of validated tools (Verbal Numeric Rating or Behavioral Pain Scale for pain; Richmond Agitation-Sedation Scale for agitation; Confusion Assessment Method for the ICU for delirium) was evaluated from clinical data recorded in medical charts during a week, with follow-up up to six months after the training. All the operators were invited to complete a questionnaire, at baseline and after the training. RESULTS : Among the 374 nurses and physicians involved, 140 (37.4%) completed at least one of the three courses. The assessment of pain (38.1 vs. 92.9%, P<0.01) and delirium (0 vs. 78.6%, P<0.01) using validated tools significantly increased after training. Observation in the follow-up showed further improvement in delirium monitoring, with no signs of extinction for pain and sedation/agitation measurements. CONCLUSIONS: This e-learning program shows encouraging effectiveness, and the increase in the use of validated tools for neurological monitoring in critically ill patients lasts over time.BACKGROUND: International guidelines recommend systematic assessment of pain, agitation/sedation and delirium with validated scales for all ICU patients. However, these evaluations are often not done. We have created an e-learning training platform for the continuous medical education, and assessed its efficacy in increasing the use of validated tools by all medical and nursing staff of the participating ICUs during their daily practice. METHODS: Multicenter, randomized, before and after study. The eight participating centers were randomized in two groups, and received training at different times. The use of validated tools (Verbal Numeric Rating or Behavioral Pain Scale for pain; Richmond Agitation-Sedation Scale for agitation; Confusion Assessment Method for the ICU for delirium) was evaluated from clinical data recorded in medical charts during a week, with follow-up up to six months after the training. All the operators were invited to complete a questionnaire, at baseline and after the training. RESULTS : Among the 374 nurses and physicians involved, 140 (37.4%) completed at least one of the three courses. The assessment of pain (38.1 vs. 92.9%, P<0.01) and delirium (0 vs. 78.6%, P<0.01) using validated tools significantly increased after training. Observation in the follow-up showed further improvement in delirium monitoring, with no signs of extinction for pain and sedation/agitation measurements. CONCLUSIONS: This e-learning program shows encouraging effectiveness, and the increase in the use of validated tools for neurological monitoring in critically ill patients lasts over time

Long term operational modal analysis of a stadium grandstand to structural health monitoring purposes

In the last years an increasing interest has been devoted to all the topics related to security and safety of people. Particular attention has been paid to health monitoring of large civil structures hosting lot of people, like high-rise buildings and stadia. The vast scientific literature confirms the possibility to relate structural health to the evolution of modal parameters, often reaching the aim of localizing any eventual damage, a task otherwise impossible with different techniques. This paper shows a part of the long lasting project involving Politecnico di Milano in the setting up of a permanent health monitoring system at the G. Meazza stadium in Milan. As damage identification is related to changes of the modal parameters, the evaluation of their normal spread is fundamental to fix a threshold in order to identify possible worrying situations. This paper deals with the identification of the spread in the modal parameter estimation of one of the grandstands of the so-called 3° ring of the G. Meazza stadium in Milan, setting up an automated Operational Modal Analysis algorithm and analyzing a first set of data. Some ideas are gathered in order to identify the minimum number of identifications needed to have a robust estimation of the modal parameters. ©2009 IEEE