339 research outputs found

    Stability assessment of a tailings storage facility using a non-local constitutive model accounting for anisotropic strain-softening

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    Recent failures of upstream-raised tailings storage facilities (TSF) raised con-cerns on the future use of these dams. While being cost-effective, they entail higher risks than conventional dams, as stability largely relies on the strength of tailings, which are loose and normally-consolidated materials that may exhibit strain-softening during un-drained loading. Current design practice involves limit equilibrium analyses adopting a fully-softened shear strength; while being conservative, this practice neglects the work input required to start the softening process that leads to progressive failure. This paper describes the calibration and application of the NGI-ADPSoft constitutive model to evaluate the potential of static liquefaction of an upstream-raised TSF and provides an indirect measure of resilience. The constitutive model incorporates undrained shear strength anisotropy and a mesh-independent anisotropic post-peak strain softening. The calibration is performed using laboratory testing, including anisotropically-consolidated triaxial compression tests and direct simple shear tests. The peak and residual undrained shear strengths are validated by statistical interpretation of the available CPTu data. It is shown that this numerical exercise is useful to verify the robustness of the TSF design.Comment: NGI-ADPSoft, Plaxis 2D, Strain-softening, Tailings, Static Liquefactio

    The estimated economic burden of genital herpes in the United States. An analysis using two costing approaches

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    BACKGROUND: Only limited data exist on the costs of genital herpes (GH) in the USA. We estimated the economic burden of GH in the USA using two different costing approaches. METHODS: The first approach was a cross-sectional survey of a sample of primary and secondary care physicians, analyzing health care resource utilization. The second approach was based on the analysis of a large administrative claims data set. Both approaches were used to generate the number of patients with symptomatic GH seeking medical treatment, the average medical expenditures and estimated national costs. Costs were valued from a societal and a third party payer's perspective in 1996 US dollars. RESULTS: In the cross-sectional study, based on an estimated 3.1 million symptomatic episodes per year in the USA, the annual direct medical costs were estimated at a maximum of 984million.Ofthesecosts,49.7984 million. Of these costs, 49.7% were caused by drug expenditures, 47.7% by outpatient medical care and 2.6% by hospital costs. Indirect costs accounted for further 214 million. The analysis of 1,565 GH cases from the claims database yielded a minimum national estimate of $283 million direct medical costs. CONCLUSIONS: GH appears to be an important public health problem from the health economic point of view. The observed difference in direct medical costs may be explained with the influence of compliance to treatment and possible undersampling of subpopulations in the claims data set. The present study demonstrates the validity of using different approaches in estimating the economic burden of a specific disease to the health care system

    Cognitive and social functioning correlates of employment among people with severe mental illness

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    We assess how social and cognitive functioning is associated to gaining employment for 213 people diagnosed with severe mental illness taking part in employment programs in Andalusia (Spain). We used the Repeatable Battery for the Assessment of Neuropsychological Status and the Social Functioning Scale and conducted two binary logistical regression analyses. Response variables were: having a job or not, in ordinary companies (OCs) and social enterprises (SEs), and working in and OC or not. There were two variables with significant adjusted odds ratios for having a job: “attention” and “Educational level”. There were five variables with significant odds ratios for having a job in an OC: “Sex”, “Educational level”, “Attention”, “Communication”, and “Independence-competence”. The study looks at the possible benefits of combining employment with support and social enterprises in employment programs for these people and underlines how both social and cognitive functioning are central to developing employment models

    The role of beta-lactamase-producing-bacteria in mixed infections

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    Beta-lactamase-producing bacteria (BLPB) can play an important role in polymicrobial infections. They can have a direct pathogenic impact in causing the infection as well as an indirect effect through their ability to produce the enzyme beta-lactamase. BLPB may not only survive penicillin therapy but can also, as was demonstrated in in vitro and in vivo studies, protect other penicillin-susceptible bacteria from penicillin by releasing the free enzyme into their environment. This phenomenon occurs in upper respiratory tract, skin, soft tissue, surgical and other infections. The clinical, in vitro, and in vivo evidence supporting the role of these organisms in the increased failure rate of penicillin in eradication of these infections and the implication of that increased rate on the management of infections is discussed
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