Numerical framework for seismic collapse assessment of rigid wall-flexible diaphragm structures

This study focuses on the development of a two dimensional (2D) simplified numerical framework of rigid wall-flexible diaphragm (RWFD) structures that can be used to validate seismic design approaches. This type of low-rise industrial buildings, which is widely used in North America, incorporates rigid in-plane concrete or masonry walls and flexible in-plane wood, steel or “hybrid” roof diaphragms. The numerical modeling is detailed enough to capture the nonlinear seismic response of RWFD buildings, but simplified enough to efficiently conduct a large number of nonlinear time-history dynamic analyses. The 2D numerical modeling framework is based on a three step sub-structuring approach including: (1) a hysteretic response database for diaphragm connectors, (2) a 2D inelastic roof diaphragm model incorporating hysteretic connector response and (3) a simplified 2D building model incorporating hysteretic diaphragm model response. The diaphragm connector database (step 1) was developed for both wood and steel deck connectors using cyclic test data available in the literature. Two well-known hysteretic models (Wayne-Stewart and CUREE-SAWS) were used for estimating/fitting hysteretic parameters of each connector type. The analytical model of the inelastic roof diaphragm (step 2) was generated to account for the elastic shear deformation of deck panels, elastic flexural deformations of chord members as well as inelastic deformations of deck-to-frame connectors (from the connector database-step 1). This model includes monotonic and cyclic analysis capabilities. The last step of the proposed analytical framework is a simplified two dimensional model of a RWFD building developed in RUAUMOKO2D to account for the inelastic response of roof diaphragms (based on the analytical roof diaphragm model-step 2) and the out-of-plane walls as well as second order (P-Δ) effects. Both the proposed analytical model of the roof diaphragm and the proposed simplified building model were validated with experimental and analytical studies available in the literature. Furthermore, a sensitivity study was conducted to examine the effect of: (i) analysis time step, (ii) different base fixity of the out-of-plane walls, (iii) P-Δ effects, (iv) inherent viscous damping and (v) direction of shaking on the collapse assessment of RWFD structures

Development of seismic design methodologies for rigid wall-flexible diaphragm structures

Evidence indicates that the dynamic behavior of Rigid Wall – Flexible Diaphragm (RWFD) structures is dominated by the diaphragm’s response instead of the walls’ response, and this is a significant departure from the underlying assumptions of the widely used equivalent lateral force method in current building codes. RWFD buildings are common in North America and other parts of the world, and incorporate rigid in-plane concrete or masonry walls and flexible in-plane wood or steel roof diaphragms. With the use of a numerical computer modeling framework developed specifically for this type of building, this study sets out to investigate the seismic response of a variety of building archetypes with the intent to develop a simpler, more rational approach to the engineering design of RWFD buildings. A representative list of building archetypes is developed accounting for a variety of common parameters found in North America involving the building size, shape, diaphragm material, and diaphragm connections. Archetype designs are developed under ASCE/SEI 7-10 and this study’s proposed approach to develop design methodologies uses the FEMA P-695 methodology to evaluate building performance. In addition, two separate seismic force levels were utilized during the assessment representing both moderate and high seismic exposures to evaluate the impact of these parameters

Circulating serotypes and antimicrobial sensitivity of Streptococcus pyogenes isolates from children in Cyprus

ABSTRACTThe most common T-serotypes among group A streptococci (n = 88) isolated from pharyngeal samples of children referred to a tertiary hospital in Cyprus for pharyngitis or scarlet fever during a 14-month period (2003–2004) were T28 (25%), T8/25/Imp19 (22.7%) and T12 (9.1%). All 88 isolates were sensitive to penicillin and clindamycin, but 1.1% and 18.2% of isolates were resistant to erythromycin and tetracycline, respectively. Macrolide consumption was estimated at 1.7 defined daily doses/1000 inhabitants/day. The low percentage of resistance to macrolides may have been related, at least in part, to the low consumption of macrolides

Beyond the physical risk: Psychosocial impact and coping in healthcare professionals during the COVID-19 pandemic

Aims and objectives This study aimed to examine the psychosocial impact and identify risk factors for poor psychosocial outcomes in healthcare professionals during the Coronavirus disease 2019 (COVID-19) pandemic in Cyprus. Background Healthcare professionals are in the forefront of the COVID-19 pandemic facing an unprecedented global health crisis, which can have consequences on their psychosocial health. There is a need to identify risk factors for poor psychosocial outcomes to inform the design of tailored psychological interventions. Design Cross-sectional online study. Methods A total of 1071 healthcare professionals completed self-report questionnaires. Measures included sociodemographic information, COVID-19-related characteristics, quality of life (Brief World Health Organization Quality of Life; WHOQOL-Bref), anxiety (Generalized Anxiety Disorder-7; GAD-7), depression (Patient Health Questionnaire-8; PHQ-8), occupational burnout (Copenhagen Burnout Inventory; CBI), and coping (Brief Coping Orientation to Problems Experienced; Brief COPE). This article follows the STROBE reporting guidelines. Results The prevalence of moderate to severe anxiety and clinically significant depression was 27.6% and 26.8%, respectively. Significant risk factors for poor psychological outcomes included being female, being a nurse or doctor (vs non-medical professional), working in frontline units (inpatient, intensive care), perceptions of inadequate workplace preparation to deal with the pandemic, and using avoidance coping. Depression and occupational burnout were significant risk factors for poor quality of life. Conclusion The findings suggest several individual, psychosocial, and organisational risk factors for the adverse psychological outcomes observed in healthcare professionals during the COVID-19 pandemic. Relevance to clinical practice This study highlights the urgent need for screening for anxiety and depression and psychological interventions to combat an imminent mental health crisis in healthcare professionals during the COVID-19 pandemic. Pandemic response protocols and public health initiatives aiming to improve and prevent mental health problems in healthcare professionals during the current and future health crises, need to account for the various factors at play

Review and Evaluation of the J100â 10 Risk and Resilience Management Standard for Water and Wastewater Systems

Risk analysis standards are often employed to protect critical infrastructures, which are vital to a nation’s security, economy, and safety of its citizens. We present an analysis framework for evaluating such standards and apply it to the J100â 10 risk analysis standard for water and wastewater systems. In doing so, we identify gaps between practices recommended in the standard and the state of the art. While individual processes found within infrastructure risk analysis standards have been evaluated in the past, we present a foundational review and focus specifically on water systems. By highlighting both the conceptual shortcomings and practical limitations, we aim to prioritize the shortcomings needed to be addressed. Key findings from this study include (1) risk definitions fail to address notions of uncertainty, (2) the sole use of â worst reasonable caseâ assumptions can lead to mischaracterizations of risk, (3) analysis of risk and resilience at the threatâ asset resolution ignores dependencies within the system, and (4) stakeholder values need to be assessed when balancing the tradeoffs between risk reduction and resilience enhancement.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/154262/1/risa13421_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/154262/2/risa13421.pd

The potential risks and impact of the start of the 2015–2016 influenza season in the WHO European Region: a rapid risk assessment

Background: Countries in the World Health Organization (WHO) European Region are reporting more severe influenza activity in the 2015–2016 season compared to previous seasons. Objectives: To conduct a rapid risk assessment to provide interim information on the severity of the current influenza season. Methods: Using the WHO manual for rapid risk assessment of acute public health events and surveillance data available from Flu News Europe, an assessment of the current influenza season from 28 September 2015 (week 40/2015) up to 31 January 2016 (week 04/2016) was made compared with the four previous seasons. Results: The current influenza season started around week 51/2015 with higher influenza activity reported in Eastern Europe compared to Western Europe. There is a strong predominance of influenza A(H1N1)pdm09 compared to previous seasons, but the virus is antigenically similar to the strain included in the seasonal influenza vaccine. Compared to the 2014/2015 season, there was a rapid increase in the number of severe cases in Eastern European countries with the majority of such cases occurring among adults aged < 65 years. Conclusions: The current influenza season is characterized by an early start in Eastern European countries, with indications of a more severe season. Currently circulating influenza A(H1N1)pdm09 viruses are antigenically similar to those included in the seasonal influenza vaccine, and the vaccine is expected to be effective. Authorities should provide information to the public and health providers about the current influenza season, recommendations for the treatment of severe disease and effective public health measures to prevent influenza transmission

Trends in HIV surveillance data in the EU/EEA, 2005 to 2014: New HIV diagnoses still increasing in men who have sex with men

Human immunodeficiency virus (HIV) transmission remains significant in Europe. Rates of acquired immunodeficiency syndrome (AIDS) have declined, but not in all countries. New HIV diagnoses have increased among native and foreign-born men who have sex with men. Median CD4+T-cell count at diagnosis has increased, but not in all groups, and late diagnosis remains common. HIV infection and AIDS can be eliminated in Europe with resolute prevention measures, early diagnosis and access to effective treatment

Immunisation of migrants in EU/EEA countries: Policies and practices

In recent years various EU/EEA countries have experienced an influx of migrants from low and middle-income countries. In 2018, the “Vaccine European New Integrated Collaboration Effort (VENICE)” survey group conducted a survey among 30 EU/EEA countries to investigate immunisation policies and practices targeting irregular migrants, refugees and asylum seekers (later called “migrants” in this report). Twenty-nine countries participated in the survey. Twenty-eight countries reported having national policies targeting children/adolescent and adult migrants, however vaccinations offered to adult migrants are limited to specific conditions in seven countries. All the vaccinations included in the National Immunisation Programme (NIP) are offered to children/adolescents in 27/28 countries and to adults in 13/28 countries. In the 15 countries offering only certain vaccinations to adults, priority is given to diphtheria-tetanus, measles-mumps-rubella and polio vaccinations. Information about the vaccines given to child/adolescent migrants is recorded in 22 countries and to adult migrants in 19 countries with a large variation in recording methods found across countries. Individual and aggregated data are reportedly not shared with other centres/institutions in 13 and 15 countries, respectively. Twenty countries reported not collecting data on vaccination uptake among migrants; only three countries have these data at the national level. Procedures to guarantee migrants’ access to vaccinations at the community level are available in 13 countries. In conclusion, although diversified, strategies for migrant vaccination are in place in all countries except for one, and the strategies are generally in line with international recommendations. Efforts are needed to strengthen partnerships and implement initiatives across countries of origin, transit and destination to develop and better share documentation in order to guarantee a completion of vaccination series and to avoid unnecessary re-vaccination. Development of migrant-friendly strategies to facilitate migrants' access to vaccination and collection of vaccination uptake data among migrants is needed to meet existing gaps