101 research outputs found

    A damaging block-based model for the analysis of the cyclic behaviour of full-scale masonry structures

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    In this paper, a damaging block-based model is proposed for the numerical analysis of the cyclic behaviour of full-scale masonry structures. Solid 3D finite elements governed by a plastic-damage constitutive law in tension and compression are used to model the blocks, while a cohesive-frictional contact-based formulation is developed to simulate their cyclic interaction. The use of tests on small-scale specimens to calibrate the mechanical properties of the numerical model is presented and discussed. The tests belong to a comprehensive experimental campaign performed on calcium silicate brick masonry. The calibrated models are used to simulate in-plane and out-of-plane cyclic tests on masonry walls made of the same material, as well as a quasi-static cyclic pushover test on a full-scale terraced masonry house. The efficiency, the potentialities and the accuracy of the model here proposed are shown and discussed. The capability of explicitly representing structural details (e.g. running bonds) and any in-plane and through-thickness texture of masonry, which appears essential to study the response of masonry structures, is guaranteed by the block-based modelling approach. A good agreement between the numerical results and the experimental outcomes is observed. This allows to validate the model in the cyclic response as well as the strategy proposed for its mechanical characterization

    Comparative study of inhibitory efficacy of methionine and its derivatives in acidic medium by mild steel

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    Corrosion inhibition effect of L-Methionine (MT1), L-Methionine sulfoxide (MT2) and L-Methionine sulfone (MT3) on mild steel corrosion in 1M HCl solution was studied by using weight loss, electrochemical polarization and electrochemical impedance spectroscopy (EIS) techniques. The experimental results showed that the inhibitory efficiency of the three aminoacids improves with the increase of concentration to reach the maximum value of 95.20% for MT1, 94.14% for MT2 and 88.92% for MT3 for a concentration of 10-3M, which translates that the surface covered by the inhibitor increases with the concentration. The effect of temperature on the corrosion rate was investigated and some thermodynamic parameters were calculated. Polarization studies show that three studied inhibitors suggested that three inhibitors control the anodic as well as cathodic reactions and act as mixed type in nature. The results show that MT1, MT2 and MT3 are good inhibitors, and the adsorption of each inhibitor on mild steel surface obeys Flory-Huggins and Langmuir, with a better fit of the Langmuir isotherm through mixed adsorption (physisorption as well as chemisorption) process. In addition, the quantum approach based on density functional theory (DFT), monte Carlo (MC) and molecular dynamics (MD) simulations was confirmed the reactivity of the studied compound towards the corrosion process

    Human metapneumovirus establishes persistent infection in lung microvascular endothelial cells and primes a th2-skewed immune response

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    Human metapneumovirus (HMPV) is a major cause of lower respiratory tract infections. HMPV infection has been hypothesized to alter dendritic cell (DC) immune response; however, many questions regarding HMPV pathogenesis within the infected lung remain unanswered. Here, we show that HMPV productively infects human lung microvascular endothelial cells (L-HMVECs). The release of infectious virus occurs for up to more than 30 days of culture without producing overt cytopathic effects and medium derived from persistently HMPV-infected L-HMVECs (secretome) induced monocyte-derived DCs to prime naĂŻve CD4 T-cells toward a Th2 phenotype. Moreover, we demonstrated that infected secretomes trigger DCs to up-regulate OX40L expression and OX40L neutralization abolished the pro-Th2 effect that is induced by HMPV-secretome. We clarified secretome from HMPV by size exclusion and ultracentrifugation with the aim to characterize the role of viral particles in the observed pro-Th2 effect. In both cases, the percentage of IL-4-producing cells and expression of OX40L returned at basal levels. Finally, we showed that HMPV, per se, could reproduce the ability of secretome to prime pro-Th2 DCs. These results suggest that HMPV, persistently released by L-HMVECs, might take part in the development of a skewed, pro-Th2 lung microenvironment

    Hair analysis for detection of triptans occasionally used or overused by migraine patients-a pilot study

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    Purpose The aim of this study is to evaluate the detection rate of almotriptan, eletriptan, frovatriptan, sumatriptan, rizatriptan, and zolmitriptan in the hair of migraineurs taking these drugs; the degree of agreement between type of self-reported triptan and triptan found in hair; if the concentrations in hair were related to the reported cumulative doses of triptans; and whether hair analysis was able to distinguish occasional use from the overuse of these drugs. Methods Out of 300 headache patients consecutively enrolled, we included 147 migraine patients who reported to have taken at least one dose of one triptan in the previous 3 months; 51 % of the patients overused triptans. A detailed pharmacological history and a sample of hair were collected for each patient. Hair samples were analyzed by liquid chromatography-electrospray tandem mass spectrometry (LC-MS/MS) by a method that we developed. Results All the triptans could be detected in the hair of the patients. The agreement between type of self-reported triptan and type of triptan found in hair was from fair to good for frovatriptan and zolmitriptan and excellent for almotriptan, eletriptan, sumatriptan, and rizatriptan (P < 0.01, Cohen’s kappa). The correlation between the reported quantities of triptan and hair concentrations was statistically significant for almotriptan, eletriptan, rizatriptan, and sumatriptan (P < 0.01, Spearman’ s rank correlation coefficient). The accuracy of hair analysis in distinguishing occasionally users from overusers was high for almotriptan (ROC AUC = 0.9092), eletriptan (ROC AUC = 0.8721), rizatriptan (ROC AUC = 0.9724), and sumatriptan (ROC AUC = 0.9583). Conclusions Hair analysis can be a valuable system to discriminate occasional use from triptan overuse

    Use of anticoagulants and antiplatelet agents in stable outpatients with coronary artery disease and atrial fibrillation. International CLARIFY registry

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    Manual therapy for chronic migraine: a pragmatic randomised controlled trial study protocol

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    Introduction Chronic migraine is a largely refractory condition affecting between 1 and 2.2% of the overall population worldwide, with females more affected than males. There are also high health and socioeconomic costs associated both for the individual and society. The mainstay of chronic migraine management is pharmacological, but the options available have limited efficacy and there are often unwanted side effects. There is some evidence for manual therapy as a treatment option for migraine, but its effectiveness for chronic migraine is unknown. Therefore, we have designed a pragmatic randomised control trial to investigate whether adding manual therapy to the tertiary specialist treatment of chronic migraine improves patient-reported outcomes. Methods A pragmatic, randomised controlled trial in a hospital tertiary headache clinic. Participants will be randomised into one of two groups: treatment as usual or treatment as usual plus manual therapy. The primary outcome measure will be a change in the Headache Impact Test score. Secondary outcomes will also be measured over the 12-week study period including changes in headache frequency, migraine specific quality of life and reductions in relevant medicine consumption. The manual therapy group will have five treatment sessions each lasting 30 min. The recruitment target of 64 participants will allow power at 80% with p = 0.05 using minimal clinical difference for Headache Impact Test of 3.7 and includes provision for a 10% dropout rate. Recruitment will take place between August 2018 and February 2019. The results will form part of a doctoral study and be published in peer-reviewed journals and presented at national/international conferences. Discussion Current pharmacological approaches have limited effects in the management of chronic migraine and there is a requirement to improve treatment options and reduce the health and economic burden of the condition. Manual therapy has been shown to be effective in other chronic pain conditions as well as other primary headaches. This study will explore the effectiveness of manual therapy as an adjunctive approach to the management of chronic migraine. Trial registration The trial has received a favourable opinion from the UK Health Research Authority (IRAS 228901) and is registered at ClinicalTrials.gov.number NCT03395457. Registered 1st March 2018
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