COMPUTATIONAL SIMULATIONS FOR HOMOGENIZATION OF MASONRY STRUCTURES

In this paper proposed the application of two-parameters damage model, based on non-linear finite element approach, to the analysis of masonry panels. Masonry is treated as a homogenized material, for which the material characteristics can be defined by using homogenization technique. The masonry panels subjected to shear loading are studied by using the proposed procedure within the framework of three-dimensional analyses. The nonlinear behaviour of masonry can be modelled using concepts of damage theory. In this case an adequate damage function is defined for taking into account different response of masonry under tension and compression states. Cracking can, therefore, be interpreted as a local damage effect, defined by the evolution of known material parameters and by one or several functions which control the onset and evolution of damage. The model takes into account all the important aspects which should be considered in the nonlinear analysis of masonry structures such as the effect of stiffness degradation due to mechanical effects and the problem of objectivity of the results with respect to the finite element mesh. Finally the proposed damage model is validated with a comparison with experimental results available in the literature

The association of indwelling urinary catheter with delirium in hospitalized patients and nursing home residents: an explorative analysis from the "Delirium Day 2015"

BackroundUse of indwelling urinary catheter (IUC) in older adults has negative consequences, including delirium.AimThis analysis, from the Delirium Day 2015, a nationwide multicenter prevalence study, aim to evaluate the association of IUC with delirium in hospitalized and Nursing Homes (NHs) patients.MethodsPatients underwent a comprehensive geriatric assessment, including the presence of IUC; inclusion criteria were age>65 years, being Italian speaker and providing informed consent; exclusion criteria were coma, aphasia, end-of-life status. Delirium was assessed using the 4AT test (score4: possible delirium; scores 1-3: possible cognitive impairment).ResultsAmong 1867 hospitalized patients (mean age 82.07.5 years, 58% female), 539 (28.9%) had IUC, 429 (22.9%) delirium and 675 (36.1%) cognitive impairment. IUC was significantly associated with cognitive impairment (OR 1.60, 95% CI 1.19-2.16) and delirium (2.45, 95% CI 1.73-3.47), this latter being significant also in the subset of patients without dementia (OR 2.28, 95% CI 1.52-3.43). Inattention and impaired alertness were also independently associated with IUC. Among 1454 NHs residents (mean age 84.47.4 years, 70.% female), 63 (4.3%) had IUC, 535 (36.8%) a 4AT score4, and 653 (44.9%) a 4AT score 1-3. The multivariate logistic regression analysis did not show a significant association between 4AT test or its specific items with IUC, neither in the subset of patients without dementia.DiscussionWe confirmed a significant association between IUC and delirium in hospitalized patients but not in NHs residents.ConclusionEnvironmental and clinical factors of acute setting might contribute to IUC-associated delirium occurrence