LOAD BEARING CAPACITY OF THE GLASS RAILING ELEMENT

In this paper some basic physical and mechanical properties of glass as structural material are presented. This research is about specifically manufactured glass railing element that will be a part of a pedestrian bridge construction in Zagreb, Croatia. Load bearing capacity test of the glass railing element is conducted within the Faculty of Civil Engineering in Zagreb and obtained experimental results are discussed and compared to the ones provided by the numerical model. Taking into account the behaviour of laminated glass and results of experimental and numerical testing, glass railing element can be regarded as safe

Positive interaction of industrial and recycled steel fibres in fibre reinforced concrete

In line with current ”green” transport initiatives, Croatia plans to build over the next investment period a high speed railway line which will connect central Croatia and its capital with coastal regions of the country. According to design documents, the track system will be built using ballastless concrete solutions. In the scope of the project “Concrete track system – ECOTRACK”, researchers from the University of Zagreb - Faculty of Civil Engineering analysed a new material, i.e. the rubberized hybrid fibre reinforced concrete (RHFRC), in order to find out whether its properties are adequate for the proposed concrete track system. The RHFRC contains by-products from mechanical recycling of waste tyres (rubber and steel fibres). The study of fibre and rubber interaction and their contribution to mechanical properties of the fibre reinforced concrete is presented, as extensive research on positive interaction between industrial and recycled steel fibres has not as yet been made. The results show that the RHFRC is an innovative, sustainable and cost-effective concrete, which is fully compliant with criteria prescribed in relevant standards

Getting More Out of Existing Structures: Steel Bridge Strengthening via UHPFRC

Ultra-high-performance fiber-reinforced cement-based composite (UHPFRC) has been increasingly adopted for rehabilitation projects over the past two decades, proving itself as a reliable, cost-efficient and sustainable alternative against conventional methods. High compressive strength, low permeability and high ductility are some of the characteristics that render UHPFRC an excellent material for repairing existing aged infrastructure. UHPFRC is most commonly applied as a surface layer for strengthening and rehabilitating concrete structures such as bridge decks or building slabs. However, its implementation with steel structures has so far been limited. In this work, the UHPFRC strengthening of a steel bridge is investigated both in simulation as well as in the laboratory, by exploiting a real-world case study: the Buna Bridge. This Croatian riveted steel bridge, constructed in 1893, repaired in 1953, and decommissioned since 2010, was removed from its original location and transported to laboratory facilities for testing prior to and after rehabilitation via addition of UHPFRC slab. The testing campaign includes static and dynamic experiments featuring state-of-the-art monitoring systems such as embedded fiber optics, acoustic emission sensors and digital image correlation. The information obtained prior to rehabilitation serves for characterization of the actual condition of the structure and allows the design of the rehabilitation solution. The UHPFRC slab thickness was optimized to deliver optimal fatigue and ultimate capacity improvement at reasonable cost. Once the design was implemented, a second round of experiments was conducted in order to confirm the validity of the solution, with particular attention allocated to the interface between the steel substrate and the UHPFRC overlay, as the connection between both materials may result in a weak contact point. A detailed fatigue analysis, based on updated FEM models prior to and after strengthening, combined with the results of a reliability analysis prove the benefits of adoption of such a solution via the significant extension of the structural lifespan

Education, implementation, and teams : 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with treatment recommendations

For this 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations, the Education, Implementation, and Teams Task Force applied the population, intervention, comparator, outcome, study design, time frame format and performed 15 systematic reviews, applying the Grading of Recommendations, Assessment, Development, and Evaluation guidance. Furthermore, 4 scoping reviews and 7 evidence updates assessed any new evidence to determine if a change in any existing treatment recommendation was required. The topics covered included training for the treatment of opioid overdose; basic life support, including automated external defibrillator training; measuring implementation and performance in communities, and cardiac arrest centers; advanced life support training, including team and leadership training and rapid response teams; measuring cardiopulmonary resuscitation performance, feedback devices, and debriefing; and the use of social media to improve cardiopulmonary resuscitation application

Education, implementation, and teams : 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with treatment recommendations

For this 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations, the Education, Implementation, and Teams Task Force applied the population, intervention, comparator, outcome, study design, time frame format and performed 15 systematic reviews, applying the Grading of Recommendations, Assessment, Development, and Evaluation guidance. Furthermore, 4 scoping reviews and 7 evidence updates assessed any new evidence to determine if a change in any existing treatment recommendation was required. The topics covered included training for the treatment of opioid overdose; basic life support, including automated external defibrillator training; measuring implementation and performance in communities, and cardiac arrest centers; advanced life support training, including team and leadership training and rapid response teams; measuring cardiopulmonary resuscitation performance, feedback devices, and debriefing; and the use of social media to improve cardiopulmonary resuscitation application

Ultrasound in Telemedicine: A Brief Overview

The delivery of healthcare from a distance, also known as telemedicine, has evolved over the past 50 years, changing the way healthcare is delivered globally. Its integration into numerous domains has permitted high-quality care that transcends the obstacles of geographic distance, lack of access to health care providers, and cost. Ultrasound is an effective diagnostic tool and its application within telemedicine has advanced substantially in recent years, particularly in high-income settings and low-resource areas. The literature in Pubmed from 1960–2020 was assessed with the keywords “ultrasound”, “telemedicine”, “ultrasound remote”, and “tele-ultrasound” to conduct a SWOT analysis (strengths, weaknesses, opportunities, and threats). In addressing strengths and opportunities, we emphasized practical aspects, such as the usefulness of tele-ultrasound and the cost efficiency of it. Furthermore, aspects of medical education in tele-ultrasound were considered. When it came to weaknesses and threats, we focused on issues that may not be solved immediately, and that require careful consideration or further development, such as new software that is not yet available commercially

An easy-to-build, low-budget point-of-care ultrasound simulator: from Linux to a web-based solution

Abstract Background Hands-on training in point-of-care ultrasound (POC-US) should ideally comprise bedside teaching, as well as simulated clinical scenarios. High-fidelity phantoms and portable ultrasound simulation systems are commercially available, however, at considerable costs. This limits their suitability for medical schools. A Linux-based software for Emergency Department Ultrasound Simulation (edus2TM) was developed by Kulyk and Olszynski in 2011. Its feasibility for POC-US education has been well-documented, and shows good acceptance. An important limitation to an even more widespread use of edus2, however, may be due to the need for a virtual machine for WINDOWS® systems. Our aim was to adapt the original software toward an HTML-based solution, thus making it affordable and applicable in any simulation setting. Methods We created an HTML browser-based ultrasound simulation application, which reads the input of different sensors, triggering an ultrasound video to be displayed on a respective device. RFID tags, NFC tags, and QR Codes™ have been integrated into training phantoms or were attached to standardized patients. The RFID antenna was hidden in a mock ultrasound probe. The application is independent from the respective device. Results Our application was used successfully with different trigger/scanner combinations and mounted readily into simulated training scenarios. The application runs independently from operating systems or electronic devices. Conclusion This low-cost, browser-based ultrasound simulator is easy-to-build, very adaptive, and independent from operating systems. It has the potential to facilitate POC-US training throughout the world, especially in resource-limited areas

Vibration-based Damage Identification in the UHPFRC Strengthened Buna bridge

The Buna Bridge in Croatia, a steel riveted bridge from 1893, was decommissioned in 2010. As part of a research investigation, the structure was rehabilitated and strengthened by means of a novel method, comprising a lightweight slab made of Ultra High Performance Fiber Reinforced Cementituos-composite (UHPFRC) atop the main girders, acting in composite action with them. An extensive experimental campaign was carried out in the laboratory, including static and dynamic tests, comprising three phases, namely prior to and after rehabilitation, and after artificial damages of increasing severity were introduced on the steel structure by progressively cutting into a zone of the main beam flanges. The results obtained from the dynamic experiment measurements are analyzed in this paper, in order to explore the capability for damage identification. To this end, vibration-based criteria are employed in order to identify and localize the artificially introduced damage, relying on mode shape curvatures and modal flexibility. The effectiveness of each approach is assessed in terms of accuracy in identifying the damage patterns of increasing severity with limited sensing information

Beneficial Effects of Adjusted Perfusion and Defibrillation Strategies on Rhythm Control within Controlled Automated Reperfusion of the Whole Body (CARL) for Refractory Out-of-Hospital Cardiac Arrest

Survival and neurological outcomes after out-of-hospital cardiac arrest (OHCA) remain low. The further development of prehospital extracorporeal resuscitation (ECPR) towards Controlled Automated Reperfusion of the Whole Body (CARL) has the potential to improve survival and outcome in these patients. In CARL therapy, pulsatile, high blood-flow reperfusion is performed combined with several modified reperfusion parameters and adjusted defibrillation strategies. We aimed to investigate whether pulsatile, high-flow reperfusion is feasible in refractory OHCA and whether the CARL approach improves heart-rhythm control during ECPR. In a reality-based porcine model of refractory OHCA, 20 pigs underwent prehospital CARL or conventional ECPR. Significantly higher pulsatile blood-flow proved to be feasible, and critical hypotension was consistently prevented via CARL. In the CARL group, spontaneous rhythm conversions were observed using a modified priming solution. Applying potassium-induced secondary cardioplegia proved to be a safe and effective method for sustained rhythm conversion. Moreover, significantly fewer defibrillation attempts were needed, and cardiac arrhythmias were reduced during reperfusion via CARL. Prehospital CARL therapy thus not only proved to be feasible after prolonged OHCA, but it turned out to be superior to conventional ECPR regarding rhythm control

Data-driven sudden cardiac arrest research in Europe: Experts’ perspectives on ethical challenges and governance strategies

Background: Observational studies using large-scale databases and biobanks help improve prevention and treatment of sudden cardiac arrest (SCA) but the lack of guidance on data protection issues in this setting may harm patients’ rights and the research enterprise itself. This qualitative study explored the ethical aspects of observational SCA research, as well as solutions. Methods: European experts in SCA research, medical ethics and health law reflected on this topic through semi-structured interviews (N = 29) and a virtual roundtable conference (N = 18). The ESCAPE-NET project served as a discussion case. Findings were coded and thematically analysed. Results: The first theme concerned the potential benefits and harms (at individual and group level) of observational data-based SCA studies and included the following sub-themes: societal value, scientific validity, data privacy, disclosure of genetic findings, stigma and discrimination, and medicalisation of sudden death. The second theme involved governance through ‘privacy by design’, ‘privacy by policy’ and associated regulation and oversight. Sub-themes were: de-identification of data, informed consent (broad and deferred), ethics review, and harmonisation. Conclusions: Researchers and scientific societies should be aware that ethico-legal issues may arise during data-driven studies in SCA and other emergencies. These can be mitigated by combining technical data protection safeguards with appropriate informed consent policies and proportional ethics oversight. To ensure responsible conduct of data research in emergency medicine, we recommend the establishment of ‘codes of conduct’ which should be developed in interdisciplinary groups and together with patient representatives