Prevalence and consequences of spinal pain among people with type 1 and type 2 diabetes mellitus in Denmark

Purpose: To describe 1-week and 1-year prevalence of spinal pain and its consequences in relation to leisure activity, work-life, and care-seeking in people with type 1 and 2 diabetes mellitus (DM). Methods: A cross-sectional survey including adults diagnosed with DM from two Danish secondary care centres. Using the Standardised Nordic Questionnaire, spinal pain prevalence (cervical, thoracic, lumbar) and its consequences were evaluated (proportions, 95% confidence intervals) and compared to the general population. Results: Among 3767 people, 1-week and 1-year spinal pain prevalence were 11.6–32.4 and 18.5–49.6%, respectively, highest for lumbar pain (24.6–49.6%). The prevalence was similar between DM types for cervical and thoracic pain, but higher in type 2 for lumbar spine. Women had higher pain prevalence across spinal regions and DM types, while cervical and thoracic pain estimates were higher for age &lt; 60 vs. ≥ 60. Within the past year, &gt; 50% reported pain &gt; 30 days, high proportions had reduced their activities (leisure time, 43.7–63.9%; work, 20.7–33.3%), 13.3–28.1% reported sick-leave &gt; 30 days, and 44.3–48.5% had sought care due to spinal pain. Conclusion: Spinal pain is common in people with type 1 and 2 DM, resulting in considerable consequences for work/leisure activities, sick-leave, and healthcare utilisation as compared to the general population.</p

Improving the fracture toughness and the strength of epoxy using nanomaterials : a review of the current status

The incorporation of nanomaterials in the polymer matrix is considered to be a highly effective technique to improve the mechanical properties of resins. In this paper the effects of the addition of different nanoparticles such as single-walled CNT (SWCNT), double-walled CNT (DWCNT), multi-walled CNT (MWCNT), graphene, nanoclay and nanosilica on fracture toughness, strength and stiffness of the epoxy matrix have been reviewed. The Young's modulus (E), ultimate tensile strength (UTS), mode I (GIC) and mode II (GIIC) fracture toughness of the various nanocomposites at different nanoparticle loadings are compared. The review shows that, depending on the type of nanoparticles, the integration of the nanoparticles has a substantial effect on mode I and mode II fracture toughness, strength and stiffness. The critical factors such as maintaining a homogeneous dispersion and good adhesion between the matrix and the nanoparticles are highlighted. The effect of surface functionalization, its relevancy and toughening mechanism are also scrutinized and discussed. A large variety of data comprised of the mechanical properties of nanomaterial toughened composites reported to date has thus been compiled to facilitate the evolution of this emerging field, and the results are presented in maps showing the effect of nanoparticle loading on mode I fracture toughness, stiffness and strength

Analytical, experimental and numerical study of a graded honeycomb structure under in-plane impact load with low velocity

Given the significance of energy absorption in various industries, light shock absorbers such as honeycomb structure under in-plane and out-of-plane loads have been in the core of attention. The purpose of this research is the analyses of graded honeycomb structure (GHS) behaviour under in-plane impact loading and its optimisation. Primarily, analytical equations for plateau stress and specific energy are represented, taking power hardening model (PHM) and elastic–perfectly plastic model (EPPM) into consideration. For the validation and comparison of acquired analytical equations, the energy absorption of a GHS made of five different aluminium grades is simulated in ABAQUS/CAE. In order to validate the numerical simulation method in ABAQUS, an experimental test has been conducted as the falling a weight with low velocity on a GHS. Numerical results retain an acceptable accordance with experimental ones with a 5.4% occurred error of reaction force. For a structure with a specific kinetic energy, the stress–strain diagram is achieved and compared with the analytical equations obtained. The maximum difference between the numerical and analytical plateau stresses for PHM is 10.58%. However, this value has been measured to be 38.78% for EPPM. In addition, the numerical value of absorbed energy is compared to that of analytical method for two material models. The maximum difference between the numerical and analytical absorbed energies for PHM model is 6.4%, while it retains the value of 48.08% for EPPM. Based on the conducted comparisons, the numerical and analytical results based on PHM are more congruent than EPPM results. Applying sequential quadratic programming method and genetic algorithm, the ratio of structure mass to the absorbed energy is minimised. According to the optimisation results, the structure capacity of absorbing energy increases by 18% compared to the primary model

QT dispersion in patients with systemic lupus erythematosus: the impact of disease activity

<p>Abstract</p> <p>Background</p> <p>Patients with systemic lupus erythematosus (SLE) have increased cardiovascular morbidity and mortality. Although autopsy studies have documented that the heart is affected in most SLE patients, clinical manifestations occur in less than 10%. QT dispersion is a new parameter that can be used to assess homogeneity of cardiac repolarization and autonomic function. We compared the increase in QT dispersion in SLE patients with high disease activity and mild or moderate disease activity.</p> <p>Methods and Results</p> <p>One hundred twenty-four patients with SLE were enrolled in the study. Complete history and physical exam, ECG, echocardiography, exercise test and SLE disease activity index (SLEDAI) were recorded. Twenty patients were excluded on the basis of our exclusion criteria. The patients were divided to two groups based on SLEDAI: 54 in the high-score group (SLEDAI > 10) and 50 in the low-score group (SLEDAI < 10).</p> <p>QT dispersion was significantly higher in high-score group (58.31 ± 18.66 vs. 47.90 ± 17.41 respectively; <it>P </it>< 0.004). QT dispersion was not significantly higher in patients who had received hydroxychloroquine (54.17 ± 19.36 vs. 50.82 ± 15.96, <it>P </it>= 0.45) or corticosteroids (53.58 ± 19.16 vs. 50.40 + 11.59, <it>P </it>= 0.47). There was a statistically significant correlation between abnormal echocardiographic findings (abnormalities of pericardial effusion, pericarditis, pulmonary hypertension and Libman-Sacks endocarditis) and SLEADI (<it>P </it>< 0.004).</p> <p>Conclusions</p> <p>QT dispersion can be a useful, simple noninvasive method for the early detection of cardiac involvement in SLE patients with active disease. Concerning high chance of cardiac involvement, cardiovascular evaluation for every SLE patient with a SLEDAI higher than 10 may be recommended.</p> <p>Trial registration</p> <p>Clinicaltrial.gov registration <a href="http://www.clinicaltrials.gov/ct2/show/NCT01031797">NCT01031797</a></p

Epidemiological study on some environmental and management parameters affecting on WSD occurrence in Fenneropenaeus indicus and Penaeus vannamei

For the first time white spot disease (WSD) was reported in shrimp farms of khoozestan province, in southwest of IRAN in 2002. Then in 2005 the neighbor province, boushehr, was contaminated. In 2008 WSD outbreak reported in sistan-bloochestan province in southeast of Iran. In 2015 all of southern shrimp farms of country except Hormozgan, the middle southern province, which has remained free of WSD, are being contaminated. White Spot disease suspended shrimp culture in thousands hectares of shrimp farms. Considering that white spot disease has not been observed in Hormozgan province yet, the question is; to what extent environmental and management factors participated in preventing WSD outbreak or cause WSD outbreak. In this study (20102012), the effects of environmental factors and management, stressors that decrease immune system function of shrimp are discussed. In addition, the role of pathogen as the main factor of outbreak is discussed. The goal of this study is to define environmental parameters and management practices associates with outbreak of white spot disease in affected provinces and discover reasons of being Hormozgan province free of this disease. In this study the role of the local environmental factors and management practice stressors in susceptibility to WSD was determine. Both the effects of environmental factors in water of ponds including total ammonia, nitrogen, dissolved oxygen, pH, salinity, transparency, and temperature and management issues related to biosecurity are studied. There were overlaps on physical and chemical parameter values obtained in clear areas with contaminated areas .Results of the data analysis suggest that lack of association with WSD incidence was 7 times greater than WSD incidence despite of disease outbreak in sistan-bloochestan province, so other sources of white spot disease virus incidence was suspected in affected areas. Histopathological examinations and polymerase chain reaction (PCR) tests during project performance did not reveal white spot disease virus evidences in post larvae examined from khoozestan province stocked in farms but disease outbreak was happened in that farms , so we suspected to management practice include feed , pond preparation and carrier of disease. Recorded values of temperature and salinity in some months during inspection in Hormozgan province specified stressful condition that may lead to WSD outbreak, however the disease did not appear. Therefore the hypothesis that the water physical and chemical conditions are reasons to prevent disease outbreak in Hormozgan province is being rejected. The policy of Hormozgan’s fishery authorities, to replaced Fenneropenaeus indicus with specific pathogen free Litopenaeus vannamei, that is more resistant to some of diseases, before incidence of WSD in farms and to before being endemic in the Hormozgan province, made an advantage compare to affected southern provinces that introduced Litopenaeus vannamei after WSD prevalence to their farms. However it does not guarantee to maintain current trend of being Hormozgan province farms free of white spot disease. Therefore establishing the principals of biosecurity are strongly emphasized. Strategies taken by the proficient authorities in preparation of SPF shrimp broodstock can be the most important factor in preventing WSD. Regarding biosecurity principals purchased feed must be free of shrimp head powder. Construction the new shrimp farms should be as far as it could be away from contaminated areas

Two-way fluid-structure coupling in vibration and damping analysis of an oscillating hydrofoil

Fluid-structure interaction (FSI) and unavoidable vibrations are important characteristics in the operation of hydropower structures and must be taken into account in the analysis and design of such equipment. Hydrodynamic damping influences the amplitude of vibrations and is directly related to fatigue problems in hydraulic machines which are of great importance. The aim of this study is to investigate the coupled effects of flowing fluid on a simplified hydrofoil by using three-dimensional two-way fluid-structure interaction modeling, in order to determine its importance in predicting vibration amplitudes and damping. The effect of considering different flow velocities is also investigated in the present study. The results of this research are compared with those obtained from experiments done by ANDRITZ [1]. The influences of mesh size and time step are also studied. Our results indicate that considering FSI in predicting the frequencies of the fluctuating fluid forces in practical problems might be ignored if the main concern of the analysis is to check the possibility of resonance. However, FSI must be included in the modeling when we aim to predict the influence of the fluid on the damping behavior in the hydrofoil vibration.</jats:p