Simplified probabilistic model for maximum traffic load from weigh-in-motion data

This is an Accepted Manuscript of an article published by Taylor & Francis Group in Structure and infrastructure engineering on 2016, available online at: http://www.tandfonline.com/10.1080/15732479.2016.1164728This paper reviews the simplified procedure proposed by Ghosn and Sivakumar to model the maximum expected traffic load effect on highway bridges and illustrates the methodology using a set of Weigh-In-Motion (WIM) data collected on one site in the U.S.A. The paper compares different approaches for implementing the procedure and explores the effects of limitations in the site-specific data on the projected maximum live load effect for different bridge service lives. A sensitivity analysis is carried out to study changes in the final results due to variations in the parameters that define the characteristics of the WIM data and those used in the calculation of the maximum load effect. The procedure is also implemented on a set of WIM data collected in Slovenia to study the maximum load effect on existing Slovenian highway bridges and how the projected results compare to the values obtained using advanced simulation algorithms and those specified in the Eurocode of actions.Peer ReviewedPostprint (author's final draft

Use of the integrated health interview series: trends in medical provider utilization (1972-2008)

The Integrated Health Interview Series (IHIS) is a public data repository that harmonizes four decades of the National Health Interview Survey (NHIS). The NHIS is the premier source of information on the health of the U.S. population. Since 1957 the survey has collected information on health behaviors, health conditions, and health care access. The long running time series of the NHIS is a powerful tool for health research. However, efforts to fully utilize its time span are obstructed by difficult documentation, unstable variable and coding definitions, and non-ignorable sample re-designs. To overcome these hurdles the IHIS, a freely available and web-accessible resource, provides harmonized NHIS data from 1969-2010. This paper describes the challenges of working with the NHIS and how the IHIS reduces such burdens. To demonstrate one potential use of the IHIS we examine utilization patterns in the U.S. from 1972-2008

Cellular activation status in femoral shaft fracture hematoma following different reaming techniques - A large animal model

The local inflammatory impact of different reaming protocols in intramedullary nailing has been sparsely investigated. We examined the effect of different reaming protocols on fracture hematoma (FH) immunological characteristics in pigs. To do so, a standardized midshaft femur fracture was induced in adult male pigs. Fractures were treated with conventional reamed femoral nailing (group RFN, n = 6); unreamed femoral nailing (group UFN, n = 6); reaming with a Reamer Irrigator Aspirator device (group RIA, n = 12). Animals were observed for 6 h and FH was collected. FH-cell apoptosis and neutrophil receptor expression (Mac-1/CD11b and FcγRIII/CD16) were studied by flow cytometry and local temperature changes were analyzed. The study demonstrates that apoptosis-rates of FH-immune cells were significantly lower in group RIA (3.50 ± 0.53%) when compared with non-RIA groups: (group UFN 12.50 ± 5.22%, p = 0.028 UFN vs. RIA), (group RFN 13.30 ± 3.18%, p < 0.001, RFN vs. RIA). Further, RIA-FH showed lower neutrophil CD11b/CD16 expression when compared with RFN (mean difference of 43.0% median fluorescence intensity (MFI), p = 0.02; and mean difference of 35.3% MFI, p = 0.04, respectively). Finally, RIA induced a transient local hypothermia and hypothermia negatively correlated with both FH-immune cell apoptosis and neutrophil activation. In conclusion, immunologic changes observed in FH appear to be modified by certain reaming techniques. Irrigation during reaming was associated with transient local hypothermia, decreased apoptosis, and reduced neutrophil activation. Further study is warranted to examine whether the rinsing effect of RIA, specific tissue removal by reaming, or thermal effects predominantly determine local inflammatory changes during reaming

Case Report: Sapien 3 Transcatheter Heart Valve Embolization: Cause, Management, and Redo

The transcatheter heart valve (THV) embolization is a rare but challenging complication in transcatheter aortic valve implantation (TAVI). We report the case of an 81-year-old man with Sapien 3 embolization caused by interrupted rapid pacing. In this setting, we describe the embolized THV management and the technique of the second Sapien 3 implantation

IoT Smart Parking System Based on the Visual-Aided Smart Vehicle Presence Sensor: SPIN-V

Humanity is currently experiencing one of the short periods of transition thanks to novel sensing solutions for smart cities that bring the future to today. Overpopulation of cities demands the development of solid strategic plannings that uses infrastructure, innovation, and technology to adapt to rapid changes. To improve mobility in cities with a larger and larger vehicle fleet, a novel sensing solution that is the cornerstone of a smart parking system, the smart vehicular presence sensor (SPIN-V, in its Spanish abbreviation), is presented. The SPIN-V is composed of a small single-board computer, distance sensor, camera, LED indicator, buzzer, and battery and devoted to obtain the status of a parking space. This smart mobility project involves three main elements, namely the SPIN-V, a mobile application, and a monitoring center, working together to monitor, control, process, and display the parking space information in real-time to the drivers. In addition, the design and implementation of the three elements of the complete architecture are presented.ITESO, A.C

Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors: design and evaluation

Background Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent unscheduled healthcare use. The use of Information and Communication Technology (ICT) can improve post-surgery care, as it enables frequent monitoring of health status in daily life, provides timely and personalized feedback to patients and professionals, and improves accessibility to rehabilitation programs. Despite its promises, implementation of telehealthcare applications is challenging, often hampered by non-acceptance of the developed service by its end-users. A promising approach is to involve the end-users early and continuously during the developmental process through a so-called user-centred design approach. The aim of this article is to report on this process of co-creation and evaluation of a multimodal ICT-supported cancer rehabilitation program with and for lung cancer patients treated with lung resection and their healthcare professionals (HCPs). Methods A user-centered design approach was used. Through semi-structured interviews (n = 10 LC patients and 6 HCPs), focus groups (n = 5 HCPs), and scenarios (n = 5 HCPs), user needs and requirements were elicited. Semi-structured interviews and the System Usability Scale (SUS) were used to evaluate usability of the telehealthcare application with 7 LC patients and 10 HCPs. Results The developed application consists of: 1) self-monitoring of symptoms and physical activity using on-body sensors and a smartphone, and 2) a web based physical exercise program. 71 % of LC patients and 78 % of HCPs were willing to use the application as part of lung cancer treatment. Accessibility of data via electronic patient records was essential for HCPs. LC patients regarded a positive attitude of the HCP towards the application essential. Overall, the usability (SUS median score = 70, range 35–95) was rated acceptable. Conclusions A telehealthcare application that facilitates symptom monitoring and physical fitness training is considered a useful tool to further improve recovery following surgery of resected lung cancer (LC) patients. Involvement of end users in the design process appears to be necessary to optimize chances of adoption, compliance and implementation of telemedicine

Bond strength of resin composites to dentin associated to filled and unfilled adhesive systems

Este trabalho analisou in vitro duas marcas de adesivos de quarta geração do sistema simplificado (Optisolo - Kerr, com carga, e Single Bond - 3M, sem carga) e duas marcas de resinas compostas (Prodigy - Kerr e Z100 - 3M), com o objetivo de verificação da adesividade na dentina. Oitenta corpos-de-prova, confeccionados a partir de molares humanos extraídos, foram incluídos em resina acrílica e desgastados até exposição de dentina no sentido longitudinal, e divididos em 4 grupos. Cones de resina composta foram aderidos a estes corpos-de-prova precedidos dos sistemas adesivos, seguindo a orientação dos fabricantes. Os corpos-de-prova foram submetidos a teste de tração numa máquina de ensaios Universal Mini-Instron 4442, a uma velocidade de 0,5 mm/min. Os resultados obtidos foram transformados em MPa de acordo com a área de adesão e submetidos a análise estatística pela ANOVA. Pelos resultados obtidos, concluiu-se que houve diferença estatisticamente significante (p ; 0,05).This study analyzed in vitro two brands of one-step adhesive systems of fourth generation (Optisolo - Kerr, filled; and Single Bond - 3M, unfilled) and two composite resins (Prodigy - Kerr and Z100 - 3M), aiming at evaluating their bond strength to dentin. Eighty human extracted molars were embedded in acrylic resin and grounded until dentin was exposed in longitudinal direction. The specimens were divided in 4 groups. Composite resin cones were bonded to the specimens using the mentioned adhesive systems, following the instructions of the manufacturers. The test-specimens were submitted to tensile tests using a 4442 Universal Mini-Instron Machine with the speed of 0.5 mm/min. The results were converted into MPa, according to the area of adhesion, and submitted to statistical analysis with ANOVA. There was significant statistical difference (p ; 0.05) between the composites (F = 0.43)