A Damage Identification procedure based on Hilbert transform: experimental validation

This paper aims at validating the feasibility of an identification procedure, based on the use of the Hilbert transform, by means of experimental tests for shear-type multi-degree-of-freedom systems. Particularly, a three-degree-of-freedom frame will be studied either numerically or experimentally by means of a laboratory scale model built at the laboratory of the Structural, Aerospace and Geotechnical Engineering Department (DISAG) of University of Palermo. Several damage scenarios have been considered to prove the effectiveness of the procedure. Moreover, the experimental tests have been conducted by considering two different input loads: pulse forces, simulated by means of an instrumental hammer, and wide band noise base inputs, by a shake table. In the first section the damage identification procedure, proposed in recent works, is presented. The procedure is based on the minimization of an objective function mathematically based on the properties of the analytical signal and the Hilbert transform. Second section reports the experimental model geometrical data and the data acquisition set-up as built in the DISAG laboratory. In Section 3, the results of the experimental campaigns are presented and discussed having considered three damage scenarios. The validated procedure has been proved to be able to not only detect damage even at early stage but it also needs processing of only few samples of the structural respons

Pulmonary congestion assessment in heart failure: traditional and new tools

Congestion related to cardiac pressure and/or volume overload plays a central role in the pathophysiology, presentation, and prognosis of heart failure (HF). Most HF exacerbations are related to a progressive rise in cardiac filling pressures that precipitate pulmonary congestion and symptomatic decompensation. Furthermore, persistent symptoms and signs of congestion at discharge or among outpatients are strong predictors of an adverse outcome. Pulmonary congestion is also one of the most important diagnostic and therapeutic targets in chronic heart failure. The aim of this review is to analyze the importance of clinical, instrumental, and biochemical evaluation of congestion in HF by describing old and new tools. Lung ultrasonography (LUS) is an emerging method to assess pulmonary congestion. Accordingly, we describe the additive prognostic role of chest ultrasound with respect to traditional clinical and X-ray assessment in acute and chronic HF setting

Analytical Solutions of Viscoelastic Nonlocal Timoshenko Beams

A consistent nonlocal viscoelastic beam model is proposed in this paper. Specifically, a Timoshenko bending problem, where size-and time-dependent effects cannot be neglected, is investigated. In order to inspect scale phenomena, a stress-driven nonlocal formulation is used, whereas to simulate time-dependent effects, fractional linear viscoelasticity is considered. These two approaches are adopted to develop a new Timoshenko bending model. Analytical solutions and application samples of the proposed formulation are presented. Moreover, in order to show influences of viscoelastic and size effects on mechanical response, parametric analyses are provided. The contributed results can be useful for the design and optimization of small-scale devices exhibiting flexural behaviour

A new dataset and empirical relationships between magnitude/intensity and epicentral distance for liquefaction in central-eastern Sicily

Strong earthquakes can trigger several phenomena inducing soil deformation, such as liquefaction, ground fracturing and landslides, which can often cause more damage than the seismic shaking itself. A research performed on numerous historical accounts reporting descriptions of seismogeological effects in central-eastern Sicily, allowed the authors to update the previous liquefaction datasets. 75 liquefaction-induced phenomena observed in 26 sites, triggered by 14 earthquakes, have been used to define relationships between intensity/magnitude values and epicentral distance from the liquefied sites. The proposed upper bound-curves, at regional scale for central- eastern Sicily, are realized by using the updating liquefaction dataset and also the new CPTI04 Italian earthquake parametric catalogue. These relationships can be useful in hazard assessment to evaluate the minimum energy of an earthquake inducing liquefactions

Nodular histiocytic/mesothelial hyperplasia as consequence of chronic mesothelium irritation by sub-phrenic abscess.

Nodular histiocytic/mesothelial hyperplasia (NHMH) is a benign localized alteration, first described in 1975 by Rosai in the hernia sac [1]. Few pulmonary cases have been reported in literature [2–6]. Sometimes it has been reported in the pericardium [7,8] or presenting as an inguinal mass [9]. The ‘mesothelial/monocytic incidental cardiac excrescence’, first described by Weinot et al. in 1994 [10] is now considered a similar lesion to NHMH [11]. It consists of a reactive proliferation of histiocytes and mesothelium secondary to chronic irritation and it has been observed in pleura-damaging processes, such as pneumothorax [5], or as consequence of cardiac catheterization, inflammation, mechanical or tumor stimulation [11]. The rarity of NHMH and the moderate cytological atypia often present, make this lesion difficult to diagnose. It can be easily confused with primary mesothelial lesions and neoplasms such as adenocarcinomas, granulosa cell tumors or Langerhans’ histiocytosis. We report a case of pleural NHMH in a patient with a subphrenic abscess, in which no pulmonary pathogenic noxa was evident. We hypothesize a transdiaphragmatic chronic irritation as a pathogenetic mechanism underlying NHMH

Recent activity and kinematics of the bounding faults of the Catanzaro trough (Central Calabria, italy): new morphotectonic, geodetic and seismological data

A multidisciplinary work integrating structural, geodetic and seismological data was performed in the Catanzaro Trough (central Calabria, Italy) to define the seismotectonic setting of this area. The Catanzaro Trough is a structural depression transversal to the Calabrian Arc, lying in-between two longitudinal grabens: the Crati Basin to the north and the Mesima Basin to the south. The investigated area experienced some of the strongest historical earthquakes of Italy, whose seismogenic sources are still not well defined. We investigated and mapped the major WSW–ENE to WNW–ESE trending normal-oblique Lamezia-Catanzaro Fault System, bounding to the north the Catanzaro Trough. Morphotectonic data reveal that some fault segments have recently been reactivated since they have displaced upper Pleistocene deposits showing typical geomorphic features associated with active normal fault scarps such as triangular and trapezoidal facets, and displaced alluvial fans. The analysis of instrumental seismicity indicates that some clusters of earthquakes have nucleated on the Lamezia-Catanzaro Fault System. In addition, focal mechanisms indicate the prevalence of left-lateral kinematics on E–W roughly oriented fault plains. GPS data confirm that slow left-lateral motion occurs along this fault system. Minor north-dipping normal faults were also mapped in the southern side of the Catanzaro Trough. They show eroded fault scarps along which weak seismic activity and negligible geodetic motion occur. Our study highlights that the Catanzaro Trough is a poliphased Plio-Quaternary extensional basin developed early as a half-graben in the frame of the tear-faulting occurring at the northern edge of the subducting Ionian slab. In this context, the strike-slip motion contributes to the longitudinal segmentation of the Calabrian Arc. In addition, the high number of seismic events evidenced by the instrumental seismicity, the macroseismic intensity distribution of the historical earthquakes and the scaling laws relating to earthquakes and seismogenic faults support the hypothesis that the Lamezia-Catanzaro Fault System may have been responsible for the historical earthquakes since it is capable of triggering earthquakes with magnitude up to 6.9

Clinical, Laboratory and Lung Ultrasound Assessment of Congestion in Patients with Acute Heart Failure

Congestion is the main cause of hospitalization in patients with acute heart failure (AHF), however its precise assessment by simple clinical evaluation remains elusive. The recent introduction of the lung ultrasound scan (LUS) allowed to physicians to more precisely quantify pulmonary congestion. The aim of this study was to compare clinical congestion (CC) with LUS and B-type natriuretic peptide (BNP) in order to achieve a more complete evaluation and to evaluate the prognostic power of each measurement. Methods: All patients were submitted to clinical evaluation for blood sample analysis and LUS at admission and before discharge. LUS protocol evaluated the number of B-lines for each chest zone by standardized eight site protocol. CC was measured following ESC criteria. The mean difference between admission and discharge congestion logBNP and B-lines values were calculated. Combined end points of death and rehospitalization was calculated over 180 days. Results: 213 patients were included in the protocol; 133 experienced heart failure with reduced ejection fraction (HFrEF), and 83 presented with heart failure with preserved ejection fraction (HFpEF). Patients with HFrEF had a more increased level of BNP (1150 (812-1790) vs. 851 (694-1196); p = 0.002) and B lines total number (32 (27-38) vs. 30 (25-36); p = 0.05). A positive correlation was found between log BNP and Blines number in both HFrEF (r = 0.57; p < 0.001) and HFpEF (r = 0.36; p = 0.001). Similarly, dividing B-lines among tertiles the upper group (B-lines >= 36) had an increased clinical congestion score. Among three variables at admission only B-lines were predictive for outcome (AUC 0.68 p < 0.001) but not LogBNP and CC score. During 180 days of follow-up, univariate analysis showed that persistent Delta B-lines <-32.3% (HR 6.54 (4.19-10.20); p < 0.001), persistent Delta BNP < -43.8% (HR 2.48 (1.69-3.63); p < 0.001) and persistent Delta CC < 50% (HR 4.25 (2.90-6.21); p < 0.001) were all significantly related to adverse outcome. Multivariable analysis confirmed that persistent Delta B-lines (HR 4.38 (2.64-7.29); p < 0.001), Delta BNP (HR 1.74 (1.11-2.74); p = 0.016) and Delta CC (HR 3.38 (2.10-5.44); p < 0.001 were associated with the combined end point. Conclusions: a complete clinical laboratory and LUS assessment better recognized different congestion occurrence in AHF. The difference between admission and discharge B-lines provides useful prognostic information compared to traditional clinical evaluation. © 2022 by the authors. Licensee MDPI, Basel, Switzerland

Role of Advanced Glycation End-Products and Oxidative Stress in Type-2-Diabetes-Induced Bone Fragility and Implications on Fracture Risk Stratification

Type 2 diabetes (T2D) and osteoporosis (OP) are major causes of morbidity and mortality that have arelevant health and economic burden. Recent epidemiological evidence suggests that both of these disorders are often associated with each other and that T2D patients have an increased risk of fracture, making bone an additional target of diabetes. As occurs for other diabetic complications, the increased accumulation of advanced glycation end-products (AGEs) and oxidative stress represent the major mechanisms explaining bone fragility in T2D. Both of these conditions directly and indirectly (through the promotion of microvascular complications) impair the structural ductility of bone and negatively affect bone turnover, leading to impaired bone quality, rather than decreased bone density. This makes diabetes-induced bone fragility remarkably different from other forms of OP and represents a major challenge for fracture risk stratification, since either the measurement of BMD or the use of common diagnostic algorithms for OP have a poor predictive value. We review and discuss the role of AGEs and oxidative stress on the pathophysiology of bone fragility in T2D, providing some indications on how to improve fracture risk prediction in T2D patients