Damage localization in laminated composite plates using mode shapes measured by pulsed TV holography

Three methods for the damage localization of impact damage in laminated composite plates, based on their vibrational characteristics, are presented in this paper. These methods use double pulse TV holography with acoustic excitation for mode shapes acquisition and the differences in translations, rotations and curvatures. The rotations and curvatures are obtained by numerical differentiation of mode shapes translations using a differentiation/smoothing technique. The methods are applied to a carbon fiber reinforced epoxy rectangular plate, free in space, subjected to two cases of impact damage. It is shown that the method based on curvatures allows the localization of both cases of damage, which can be undetected by visual, X-ray or C-scan inspections. The best localizations are achieved by selecting and applying the method to the most changed mode.Three methods for the damage localization of impact damage in laminated composite plates, based on their vibrational characteristics, are presented in this paper. These methods use double pulse TV holography with acoustic excitation for mode shapes acquisition and the differences in translations, rotations and curvatures. The rotations and curvatures are obtained by numerical differentiation of mode shapes translations using a differentiation/smoothing technique. The methods are applied to a carbon fiber reinforced epoxy rectangular plate, free in space, subjected to two cases of impact damage. It is shown that the method based on curvatures allows the localization of both cases of damage, which can be undetected by visual, X-ray or C-scan inspections. The best localizations are achieved by selecting and applying the method to the most changed mode

Damage localization in laminated composite plates using double pulse-electronic holographic interferometry

One method for the damage localization of impact damage in laminated composite plates, based on their vibrational characteristics, is presented in this paper. This method uses double pulse-electronic holographic interferometry for mode shapes acquisition and the differences in curvatures. The rotations and curvatures are numerically obtained. The method is applied to a carbon fibre reinforced epoxy rectangular plate, free in space, subjected to two cases of impact damage. It is shown that the method based on curvatures allows for the localization of both cases of damage, which can be undetected by visual, X-ray or C-Scan inspections. The best localizations are achieved by selecting and applying the method to the most changed mode

EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

International nosocomial infection control consortium (INICC) report, data summary of 36 countries, for 2004-2009

The results of a surveillance study conducted by the International Nosocomial Infection Control Consortium (INICC) from January 2004 through December 2009 in 422 intensive care units (ICUs) of 36 countries in Latin America, Asia, Africa, and Europe are reported. During the 6-year study period, using Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN; formerly the National Nosocomial Infection Surveillance system [NNIS]) definitions for device-associated health care-associated infections, we gathered prospective data from 313,008 patients hospitalized in the consortium's ICUs for an aggregate of 2,194,897 ICU bed-days. Despite the fact that the use of devices in the developing countries' ICUs was remarkably similar to that reported in US ICUs in the CDC's NHSN, rates of device-associated nosocomial infection were significantly higher in the ICUs of the INICC hospitals; the pooled rate of central line-associated bloodstream infection in the INICC ICUs of 6.8 per 1,000 central line-days was more than 3-fold higher than the 2.0 per 1,000 central line-days reported in comparable US ICUs. The overall rate of ventilator-associated pneumonia also was far higher (15.8 vs 3.3 per 1,000 ventilator-days), as was the rate of catheter-associated urinary tract infection (6.3 vs. 3.3 per 1,000 catheter-days). Notably, the frequencies of resistance of Pseudomonas aeruginosa isolates to imipenem (47.2% vs 23.0%), Klebsiella pneumoniae isolates to ceftazidime (76.3% vs 27.1%), Escherichia coli isolates to ceftazidime (66.7% vs 8.1%), Staphylococcus aureus isolates to methicillin (84.4% vs 56.8%), were also higher in the consortium's ICUs, and the crude unadjusted excess mortalities of device-related infections ranged from 7.3% (for catheter-associated urinary tract infection) to 15.2% (for ventilator-associated pneumonia). Copyright © 2012 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved

Reconstructing History: The Amazonian Mura Indians

We studied demographic characteristics of two Mura Indian villages. Two-hundred six inhabitants of these villages and another population were tested in relation to 30 blood and 4 saliva genetic systems. These groups exhibit high mobility and exogamy rates and high fertility but relatively low mortality and variance in number of children per woman. Hb J Oxford and albumin Maku were observed, and they show high prevalences of GPT*1 and RH*R1 but low of HP*1 compared to other South American Indians. Four electrophoretic saliva systems are reported here for the first time in a predominantly Amerindian group. The amount of polymorphism was more limited than that found in Caucasian, black, and Oriental populations. The Mura are still predominantly Indian (82%) but have African (11%) and Caucasoid (7%) admixture. Using these values, the putative ancestral Mura gene frequencies were assessed. Problems related to quantitative estimations of admixture and the factors that influence the process are discussed