Stability and ultimate behaviour of prestressed stayed beam-columns

The instability of beam-columns with crossarms and externally prestressed cable stays is studied analytically, where the combination of bending and compression is assumed to be derived from the system self-weight acting orthogonally to the applied axial load. Three principal zones of behaviour are identified with two of these each having two sub-zones that relate the critical buckling load to the initial prestressing force applied to the stay cables. The ultimate load-carrying capacity of the beam-columns is evaluated by conducting nonlinear finite element analysis within the commercial package ABAQUS. Results show that the analytically derived critical buckling loads generally provide safe predictions of the ultimate loads due to significant post-buckling strength. It is found that releasing the geometric double symmetry of the system can make for a significantly more efficient structure due to the effect of pre-cambering against the self-weight. The strength and efficiency of stayed beam-column systems opens up a range of potential applications, including lighter alternatives to conventional props to support wide excavations, which currently utilize very heavy steelwork

Anticholinergic burden measures, symptoms, and fall-associated risk in older adults with polypharmacy: Development and validation of a prognostic model.

BackgroundAnticholinergic burden has been associated with adverse outcomes such as falls. To date, no gold standard measure has been identified to assess anticholinergic burden, and no conclusion has been drawn on which of the different measure algorithms best predicts falls in older patients from general practice. This study compared the ability of five measures of anticholinergic burden to predict falls. To account for patients' individual susceptibility to medications, the added predictive value of typical anticholinergic symptoms was further quantified in this context.Methods and findingsTo predict falls, models were developed and validated based on logistic regression models created using data from two German cluster-randomized controlled trials. The outcome was defined as "≥ 1 fall" vs. "no fall" within a 6-month follow-up period. Data from the RIME study (n = 1,197) were used in model development, and from PRIMUM (n = 502) for external validation. The models were developed step-wise in order to quantify the predictive ability of anticholinergic burden measures, and anticholinergic symptoms. In the development set, 1,015 patients had complete data and 188 (18.5%) experienced ≥ 1 fall within the 6-month follow-up period. The overall predictive value of the five anticholinergic measures was limited, with neither the employed anticholinergic variable (binary / count / burden), nor dose-dependent or dose-independent measures differing significantly in their ability to predict falls. The highest c-statistic was obtained using the German Anticholinergic Burden Score (0.73), whereby the optimism-corrected c-statistic was 0.71 after interval validation using bootstrapping and 0.63 in the external validation. Previous falls and dizziness / vertigo had the strongest prognostic value in all models.ConclusionsThe ability of anticholinergic burden measures to predict falls does not appear to differ significantly, and the added value they contribute to risk classification in fall-prediction models is limited. Previous falls and dizziness / vertigo contributed most to model performance