Non-Linear Elasto-Plastic Behaviour of Lacustrine Clay

The paper presents the experimental investigation and analysis of the non-linear elasto-plastic stress-strain behaviour of normally consolidated lacustrine clay. Drained triaxial stress path tests were performed on natural block samples of Swiss lacustrine clay. Data were analysed using plasticity theory and the shape and extent of kinematic yield and bounding surfaces were determined and found to be elliptical but not congruent. Cross-anisotropic elasticity was used to quantify elastic strains to permit plastic strain increment vectors and hence a plastic potential surface to be define

Economic Sampling and Extraction of Undisturbed, High Quality Samples in Normally Consolidated Lacustrine Clays Using a Large Diameter Tube

This paper describes the development, design and use of a large diameter sampling tube. High quality test specimens are essential for the investigation of mechanical properties of a soil for high risk projects and when complex and expensive testing methods are to be used. Block sampling is recommended to give the highest sample quality for clayey soils, however, extracting blocks of normally consolidated lacustrine silty clay without excessive disturbance was challenging due to the inherent structure of the soft varved silty clay and difficulty in maintaining Ko conditions, as well as no vertical strain, in the sample. A new sample tube, with an inner diameter of 196mm, an area ratio of 4% and an outer cutting-edge angle of 11° was designed to offer a larger cross sectional area than conventional thin walled sampling tubes, to provide the necessary side support and to prevent water ingress at the sides of the sample. The length-diameter aspect ratio was 1.275 to optimise the amount of clay sampled for subsequent testing and in an attempt to minimize the pressure in front of the tube. Samples were taken in initially newly excavated trenches at a depth of c. 1m with this new sampler and with conventionally sampled soil specimens, prior to the main testing programme with samples from 6m depth. A comparative study was then performed including preliminary unconsolidated unconfined compression tests followed by anisotropically consolidated undrained triaxial compression tests. It was important to establish whether this approach had led to an improvement in sample quality prior to embarking on an extensive triaxial stress path testing programme on this varved soil (Messerklinger, Non-linearity and small strain behaviour in lacustrine clay, 2006; Messerklinger and Springman, Geotech Test J 30(6), 2007; Messerklinger and Springman, Geotech Geol J, 2008). The results showed that the undrained shear strength of the specimens from the new sampler was consistently around 20% higher than that of specimens extruded from conventional thin walled tube samplers. This confirmed that samples with a significantly higher quality could be extracted from normally consolidated, fine grained, varved lacustrine deposits with this large diameter ‘block' sampling tub

Pre and post functional endoscopic sinus surgery nasal cavity volume assessment by acoustic rhinometry

Acoustic rhinometry is an objective method to determine nasal cavity geometry. The technique is based on sound wave reflexion analysis in the nasal cavity, and determines crossectional areas as a function of distance as well as volume. AIM: The purpose of this study is to analyse nasal cavity volume changes caused by functional endoscopic sinus surgery (FESS) in adults with chronic rhinosinusitis by acoustic rhinometry, and to correlate these changes with improvements in the sensation of nasal obstruction. MATERIAL AND METHOD: Forty patients aged from 18 to 73 years were prospectively evaluated between August and October 1999 at the Graz University Hospital, Austria. All patients were diagnosed with chronic rhinosinusitis, and undertook acoustic rhinometry before and after FESS. SCIENTIFIC DESIGN: A clinical prospective study. RESULTS: The nasal cavity total volume increased significantly after surgery. Nasal obstruction was improved in 88% of the patients, 20% with partial improvement and 68% with total improvement. There was no correlation between volume increase and improvement of the sensation of nasal obstruction. CONCLUSION: Total nasal cavity volume significantly increased after surgery; however, there was no correlation between volume increase and improvements of nasal obstruction. No significant pre or postoperative increase in total nasal cavity volume after decongestion were observed.A rinometria acústica é um método objetivo de determinar a geometria da cavidade nasal, pela análise da reflexão de ondas sonoras. Determina a área de secção transversal da cavidade em função da distância da narina e seu volume. OBJETIVO: Analisar a alteração do volume da cavidade nasal causada pela cirurgia endoscópica funcional dos seios paranasais, em adultos com rinossinusite crônica, e correlacionar esta alteração com a melhora da obstrução nasal. MATERIAL E MÉTODO: Foram avaliados 40 pacientes de 18 a 73 anos, entre agosto e outubro de 1999, na Universidade de Graz - Áustria, com rinossinusite crônica, antes e depois de serem submetidos à CEFSP. FORMA DE ESTUDO: Clínico prospectivo. RESULTADOS: O volume total da cavidade nasal aumentou significativamente no pós-operatório. 88% dos pacientes referiram melhora da obstrução nasal, 20% de forma parcial e 68% total. Nenhum paciente piorou deste sintoma. Não houve relação linear entre o aumento do volume da cavidade nasal e melhora subjetiva da obstrução nasal. CONCLUSÃO: O volume total da cavidade nasal aumentou no pós-operatório, mas não houve relação entre aumento do volume e melhora da obstrução nasal. Não houve aumento do volume da cavidade nasal após o uso do vasoconstritor, seja no pré ou no pós-operatório.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina setor de RinologiaUniversidade de Graz Depto. de OtorrinolaringologiaUNIFESP, EPM, setor de RinologiaSciEL

International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS