Wind-induced vibration control for buildings equipped with non-linear fluid viscous dampers

A study regarding the effectiveness of non-linear fluid viscous dampers in controlling the wind-induced vibration on buildings is presented. For this purpose, a 28-story building with a large area exposed to wind is designed in two different ways: a) conventionally (without supplemental damping), and b) using non-linear fluid viscous dissipating devices. The building is subjected to 10 groups of simulated wind velocities, where each group is composed of 28 wind signals, which are correlated on the building’s height. Results show that the damping system reduces the floor acceleration by 6.5 and 10.3 times with respect to that of the conventional building, for wind speeds associated with return periods of 10-years and 50-years, respectively. For the case of the building with energy dissipating devices, the floor accelerations result lower than the perception thresholds specified in the literature

Effect of the Distribution of Mass and Structural Member Discretization on the Seismic Response of Steel Buildings

The response of steel moment frames is estimated by first considering that the mass matrix is the concentrated type (ML) and then consistent type (MC). The effect of considering more than one element per beam is also evaluated. Low-, mid- and high-rise frames, modeled as complex-2D-MDOF systems, are used in the numerical study. Results indicate that if ML is used, depending upon the response parameter under consideration, the structural model, the seismic intensity and the structural location, the response can be significantly overestimated, precisely calculated, or significantly underestimated. Axial loads at columns, on an average basis, are significantly overestimated (up to 60%), while lateral drifts and flexural moments at beams are precisely calculated. Inter-story shears and flexural moments at columns, on average, are underestimated by up to 15% and 35%, respectively; however, underestimations of up to 60% can be seen for some individual strong motions. Similarly, if just one element per beam is used in the structural modeling, inter-story shears and axial loads on columns are overestimated, on average, by up to 21% and 95%, respectively, while the lateral drifts are precisely calculated. Flexural moments at columns and beams can be considerably underestimated (on average up to 14% and 35%, respectively), but underestimations larger than 50% can be seen for some individual cases. Hence, there is no error in terms of lateral drifts if ML or one element per beam is used, but significant errors can be introduced in the design due to the overestimation and underestimation of the design forces. It is strongly suggested to use MC and at least two elements per beam in the structural modeling

On the Seismic Design of Structures with Tilting Located within a Seismic Region

A reliability-based criterion to estimate strength amplification factors for buildings with asymmetric yielding located within a seismic region presenting different soil conditions is proposed and applied. The approach involves the calculation of the mean annual rate of exceedance of structural demands of systems with different levels of asymmetric yielding. Two simplified mathematical expressions are developed considering different soil conditions of the valley of Mexico. The mathematical expressions depend on the ductility of the structural systems, their level of asymmetric yielding, their fundamental vibration period and the dominant period of the soil. In addition, the proposed expressions are compared with that recommended by the current Mexico City Building Code (MCBC). Since the expressions are developed with the help of simplified structural systems, the validity of such expressions is corroborated by comparing the expected ductility demand of multi-degree of freedom (MDOF) structural systems with respect to that of their equivalent simplified systems. Both structural representations are associated with a given annual rate of exceedance value of an engineering demand parameter. The expressions proposed in this study will be incorporated in the new version of the MCBC.UNAM [PAPIIT-IN103517]; Instituto para la Seguridad de las Construcciones en el Distrito Federal; Consejo Nacional de Ciencia y Tecnologia (CONACyT)Open access journal.This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]

Experimental Study of Infill Walls with Joint Reinforcement Subjected to In-Plane Lateral Load

The results of an experimental study of four infilled frames with brick masonry walls subject to reversal cyclic lateral load are presented. The variables studied were the height to length aspect ratio of the wall and the use of joint reinforcement. The investigation was motivated by the fact that the Mexican code establishes the same specifications about the use of joint reinforcement for infill walls as for confined walls, because there is not enough experimental evidence on joint reinforced infill walls. To investigate the possible interaction of the study variables in the seismic performance of the walls, two pairs of specimens, scaled 1:2, with different aspect ratios (H/L = 0.75, 0.41) were tested. The specimens in each pair were identical except that one of them included steel bars into the bed-joints as reinforcement leading to amount  phfyh=0.6 MPa. The infill walls with H/L = 0.41 were included from a previous study. The behavior of the specimens was defined in terms of lateral strength, ductility, displacement capacity, deformation of the joint reinforcement and crack pattern. The results indicate that joint reinforcement increases the strength of the system; however, the increase was more pronounced in longer walls. Ductility was reduced with horizontal reinforcement and this behavior was more important for longer walls. As occurred in confined walls, the joint reinforcement generates a more distributed cracking and reduces the width of the cracks. The experiments are described and this and other results are discussed in detail

Effect of the Distribution of Mass and Structural Member Discretization on the Seismic Response of Steel Buildings

The response of steel moment frames is estimated by first considering that the mass matrix is the concentrated type (ML) and then consistent type (MC). The effect of considering more than one element per beam is also evaluated. Low-, mid- and high-rise frames, modeled as complex-2D-MDOF systems, are used in the numerical study. Results indicate that if ML is used, depending upon the response parameter under consideration, the structural model, the seismic intensity and the structural location, the response can be significantly overestimated, precisely calculated, or significantly underestimated. Axial loads at columns, on an average basis, are significantly overestimated (up to 60%), while lateral drifts and flexural moments at beams are precisely calculated. Inter-story shears and flexural moments at columns, on average, are underestimated by up to 15% and 35%, respectively; however, underestimations of up to 60% can be seen for some individual strong motions. Similarly, if just one element per beam is used in the structural modeling, inter-story shears and axial loads on columns are overestimated, on average, by up to 21% and 95%, respectively, while the lateral drifts are precisely calculated. Flexural moments at columns and beams can be considerably underestimated (on average up to 14% and 35%, respectively), but underestimations larger than 50% can be seen for some individual cases. Hence, there is no error in terms of lateral drifts if ML or one element per beam is used, but significant errors can be introduced in the design due to the overestimation and underestimation of the design forces. It is strongly suggested to use MC and at least two elements per beam in the structural modeling

Stoma-free survival after anastomotic leak following rectal cancer resection: worldwide cohort of 2470 patients

Background: The optimal treatment of anastomotic leak after rectal cancer resection is unclear. This worldwide cohort study aimed to provide an overview of four treatment strategies applied. Methods: Patients from 216 centres and 45 countries with anastomotic leak after rectal cancer resection between 2014 and 2018 were included. Treatment was categorized as salvage surgery, faecal diversion with passive or active (vacuum) drainage, and no primary/secondary faecal diversion. The primary outcome was 1-year stoma-free survival. In addition, passive and active drainage were compared using propensity score matching (2: 1). Results: Of 2470 evaluable patients, 388 (16.0 per cent) underwent salvage surgery, 1524 (62.0 per cent) passive drainage, 278 (11.0 per cent) active drainage, and 280 (11.0 per cent) had no faecal diversion. One-year stoma-free survival rates were 13.7, 48.3, 48.2, and 65.4 per cent respectively. Propensity score matching resulted in 556 patients with passive and 278 with active drainage. There was no statistically significant difference between these groups in 1-year stoma-free survival (OR 0.95, 95 per cent c.i. 0.66 to 1.33), with a risk difference of -1.1 (95 per cent c.i. -9.0 to 7.0) per cent. After active drainage, more patients required secondary salvage surgery (OR 2.32, 1.49 to 3.59), prolonged hospital admission (an additional 6 (95 per cent c.i. 2 to 10) days), and ICU admission (OR 1.41, 1.02 to 1.94). Mean duration of leak healing did not differ significantly (an additional 12 (-28 to 52) days). Conclusion: Primary salvage surgery or omission of faecal diversion likely correspond to the most severe and least severe leaks respectively. In patients with diverted leaks, stoma-free survival did not differ statistically between passive and active drainage, although the increased risk of secondary salvage surgery and ICU admission suggests residual confounding

Stoma-free Survival After Rectal Cancer Resection With Anastomotic Leakage: Development and Validation of a Prediction Model in a Large International Cohort.

Objective:To develop and validate a prediction model (STOMA score) for 1-year stoma-free survival in patients with rectal cancer (RC) with anastomotic leakage (AL).Background:AL after RC resection often results in a permanent stoma.Methods:This international retrospective cohort study (TENTACLE-Rectum) encompassed 216 participating centres and included patients who developed AL after RC surgery between 2014 and 2018. Clinically relevant predictors for 1-year stoma-free survival were included in uni and multivariable logistic regression models. The STOMA score was developed and internally validated in a cohort of patients operated between 2014 and 2017, with subsequent temporal validation in a 2018 cohort. The discriminative power and calibration of the models' performance were evaluated.Results:This study included 2499 patients with AL, 1954 in the development cohort and 545 in the validation cohort. Baseline characteristics were comparable. One-year stoma-free survival was 45.0% in the development cohort and 43.7% in the validation cohort. The following predictors were included in the STOMA score: sex, age, American Society of Anestesiologist classification, body mass index, clinical M-disease, neoadjuvant therapy, abdominal and transanal approach, primary defunctioning stoma, multivisceral resection, clinical setting in which AL was diagnosed, postoperative day of AL diagnosis, abdominal contamination, anastomotic defect circumference, bowel wall ischemia, anastomotic fistula, retraction, and reactivation leakage. The STOMA score showed good discrimination and calibration (c-index: 0.71, 95% CI: 0.66-0.76).Conclusions:The STOMA score consists of 18 clinically relevant factors and estimates the individual risk for 1-year stoma-free survival in patients with AL after RC surgery, which may improve patient counseling and give guidance when analyzing the efficacy of different treatment strategies in future studies

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)

The impact of surgical delay on resectability of colorectal cancer: An international prospective cohort study

AimThe SARS-CoV-2 pandemic has provided a unique opportunity to explore the impact of surgical delays on cancer resectability. This study aimed to compare resectability for colorectal cancer patients undergoing delayed versus non-delayed surgery.MethodsThis was an international prospective cohort study of consecutive colorectal cancer patients with a decision for curative surgery (January-April 2020). Surgical delay was defined as an operation taking place more than 4 weeks after treatment decision, in a patient who did not receive neoadjuvant therapy. A subgroup analysis explored the effects of delay in elective patients only. The impact of longer delays was explored in a sensitivity analysis. The primary outcome was complete resection, defined as curative resection with an R0 margin.ResultsOverall, 5453 patients from 304 hospitals in 47 countries were included, of whom 6.6% (358/5453) did not receive their planned operation. Of the 4304 operated patients without neoadjuvant therapy, 40.5% (1744/4304) were delayed beyond 4 weeks. Delayed patients were more likely to be older, men, more comorbid, have higher body mass index and have rectal cancer and early stage disease. Delayed patients had higher unadjusted rates of complete resection (93.7% vs. 91.9%, P = 0.032) and lower rates of emergency surgery (4.5% vs. 22.5%, P ConclusionOne in 15 colorectal cancer patients did not receive their planned operation during the first wave of COVID-19. Surgical delay did not appear to compromise resectability, raising the hypothesis that any reduction in long-term survival attributable to delays is likely to be due to micro-metastatic disease