Límites de ductilidad y de servicio al cálculo en carga última de estructuras de hormigón armado y de fábrica

En este trabajo se aborda una cuestión central en el diseño en carga última de estructuras de hormigón armado y de fábrica: la posibilidad efectiva de que las deformaciones plásticas necesarias para verificar un estado de rotura puedan ser alcanzadas por las regiones de la estructura que deban desarrollar su capacidad última para verificar tal estado. Así, se parte de las decisiones de diseño que mediante mera estática aseguran un equilibrio de la estructura para las cargas últimas que deba resistir, pero determinando directamente el valor de las deformaciones necesarias para llegar a tal estado. Por tanto, no se acude a los teoremas de rotura sin más, sino que se formula el problema desde un punto de vista elastoplástico. Es decir, no se obvia el recorrido que la estructura deba realizar en un proceso de carga incremental monótono, de modo que las regiones no plastificadas contribuyen a coaccionar las libres deformaciones plásticas que, en la teoría de rotura, se suponen. En términos de trabajo y energía, se introduce en el balance del trabajo de las fuerzas externas y en el de la energía de deformación, aquella parte del sistema que no ha plastificado. Establecido así el balance energético como potencial del sistema es cuando la condición de estacionariedad del mismo hace determinados los campos de desplazamientos y, por tanto, el de las deformaciones plásticas también. En definitiva, se trata de un modo de verificar si la ductilidad de los diseños previstos es suficiente, y en qué medida, para verificar el estado de rotura previsto, para unas determinadas cargas impuestas. Dentro del desarrollo teórico del problema, se encuentran ciertas precisiones importantes. Entre ellas, la verificación de que el estado de rotura a que se llega de manera determinada mediante el balance energético elasto-plástico satisface las condiciones de la solución de rotura que los teoremas de carga última predicen, asegurando, por tanto, que la solución determinada -unicidad del problema elásticocoincide con el teorema de unicidad de la carga de rotura, acotando además cuál es el sistema de equilibrio y cuál es la deformada de colapso, aspectos que los teoremas de rotura no pueden asegurar, sino sólo el valor de la carga última a verificar. Otra precisión se basa en la particularidad de los casos en que el sistema presenta una superficie de rotura plana, haciendo infinitas las posibilidades de equilibrio para una misma deformada de colapso determinada, lo que está en la base de, aparentemente, poder plastificar a antojo en vigas y arcos. Desde el planteamiento anterior, se encuentra entonces que existe una condición inherente a cualquier sistema, definidas unas leyes constitutivas internas, que permite al mismo llegar al inicio del estado de rotura sin demandar deformación plástica alguna, produciéndose la plastificación simultánea de todas las regiones que hayan llegado a su solicitación de rotura. En cierto modo, se daría un colapso de apariencia frágil. En tal caso, el sistema conserva plenamente hasta el final su capacidad dúctil y tal estado actúa como representante canónico de cualquier otra solución de equilibrio que con idéntico criterio de diseño interno se prevea para tal estructura. En la medida que el diseño se acerque o aleje de la solución canónica, la demanda de ductilidad del sistema para verificar la carga última será menor o mayor. Las soluciones que se aparten en exceso de la solución canónica, no verificarán el estado de rotura previsto por falta de ductilidad: la demanda de deformación plástica de alguna región plastificada estará más allá de la capacidad de la misma, revelándose una carga de rotura por falta de ductilidad menor que la que se preveía por mero equilibrio. Para la determinación de las deformaciones plásticas de las rótulas, se ha tomado un modelo formulado mediante el Método de los Elementos de Contorno, que proporciona un campo continuo de desplazamientos -y, por ende, de deformaciones y de tensiones- incluso en presencia de fisuras en el contorno. Importante cuestión es que se formula la diferencia, nada desdeñable, de la capacidad de rotación plástica de las secciones de hormigón armado en presencia de cortante y en su ausencia. Para las rótulas de fábrica, la diferencia se establece para las condiciones de la excentricidad -asociadas al valor relativo de la compresión-, donde las diferencias entres las regiones plastificadas con esfuerzo normal relativo alto o bajo son reseñables. Por otro lado, si bien de manera un tanto secundaria, las condiciones de servicio también imponen un límite al diseño previo en carga última deseado. La plastificación lleva asociadas deformaciones considerables, sean locales como globales. Tal cosa impone que, en estado de servicio, si la plastificación de alguna región lleva asociadas fisuraciones excesivas para el ambiente del entorno, la solución sea inviable por ello. Asimismo, las deformaciones de las estructuras suponen un límite severo a las posibilidades de su diseño. Especialmente en edificación, las deformaciones activas son un factor crítico a la hora de decidirse por una u otra solución. Por tanto, al límite que se impone por razón de ductilidad, se debe añadir el que se imponga por razón de las condiciones de servicio. Del modo anterior, considerando las condiciones de ductilidad y de servicio en cada caso, se puede tasar cada decisión de diseño con la previsión de cuáles serán las consecuencias en su estado de carga última y de servicio. Es decir, conocidos los límites, podemos acotar cuáles son los diseños a priori que podrán satisfacer seguro las condiciones de ductilidad y de servicio previstas, y en qué medida. Y, en caso de no poderse satisfacer, qué correcciones debieran realizarse sobre el diseño previo para poderlas cumplir. Por último, de las consecuencias que se extraen de lo estudiado, se proponen ciertas líneas de estudio y de experimentación para poder llegar a completar o expandir de manera práctica los resultados obtenidos. ABSTRACT This work deals with a main issue for the ultimate load design in reinforced concrete and masonry structures: the actual possibility that needed yield strains to reach a ultimate state could be reached by yielded regions on the structure that should develop their ultimate capacity to fulfill such a state. Thus, some statically determined design decisions are posed as a start for prescribed ultimate loads to be counteracted, but finding out the determined value of the strains needed to reach the ultimate load state. Therefore, ultimate load theorems are not taken as they are, but a full elasto-plastic formulation point of view is used. As a result, the path the structure must develop in a monotonus increasing loading procedure is not neglected, leading to the fact that non yielded regions will restrict the supposed totally free yield strains under a pure ultimate load theory. In work and energy terms, in the overall account of external forces work and internal strain energy, those domains in the body not reaching their ultimate state are considered. Once thus established the energy balance of the system as its potential, by imposing on it the stationary condition, both displacements and yield strains appear as determined values. Consequently, what proposed is a means for verifying whether the ductility of prescribed designs is enough and the extent to which they are so, for known imposed loads. On the way for the theoretical development of the proposal, some important aspects have been found. Among these, the verification that the conditions for the ultimate state reached under the elastoplastic energy balance fulfills the conditions prescribed for the ultimate load state predicted through the ultimate load theorems, assuring, therefore, that the determinate solution -unicity of the elastic problemcoincides with the unicity ultimate load theorem, determining as well which equilibrium system and which collapse shape are linked to it, being these two last aspects unaffordable by the ultimate load theorems, that make sure only which is the value of the ultimate load leading to collapse. Another aspect is based on the particular case in which the yield surface of the system is flat -i.e. expressed under a linear expression-, turning out infinite the equilibrium possibilities for one determined collapse shape, which is the basis of, apparently, deciding at own free will the yield distribution in beams and arches. From the foresaid approach, is then found that there is an inherent condition in any system, once defined internal constitutive laws, which allows it arrive at the beginning of the ultimate state or collapse without any yield strain demand, reaching the collapse simultaneously for all regions that have come to their ultimate strength. In a certain way, it would appear to be a fragile collapse. In such a case case, the system fully keeps until the end its ductility, and such a state acts as a canonical representative of any other statically determined solution having the same internal design criteria that could be posed for the that same structure. The extent to which a design is closer to or farther from the canonical solution, the ductility demand of the system to verify the ultimate load will be higher or lower. The solutions being far in excess from the canonical solution, will not verify the ultimate state due to lack of ductility: the demand for yield strains of any yielded region will be beyond its capacity, and a shortcoming ultimate load by lack of ductility will appear, lower than the expected by mere equilibrium. For determining the yield strains of plastic hinges, a Boundary Element Method based model has been used, leading to a continuous displacement field -therefore, for strains and stresses as well- even if cracks on the boundary are present. An important aspect is that a remarkable difference is found in the rotation capacity between plastic hinges in reinforced concrete with or without shear. For masonry hinges, such difference appears when dealing with the eccentricity of axial forces -related to their relative value of compression- on the section, where differences between yield regions under high or low relative compressions are remarkable. On the other hand, although in a certain secondary manner, serviceability conditions impose limits to the previous ultimate load stated wanted too. Yield means always big strains and deformations, locally and globally. Such a thing imposes, for serviceability states, that if a yielded region is associated with too large cracking for the environmental conditions, the predicted design will be unsuitable due to this. Furthermore, displacements must be restricted under certain severe limits that restrain the possibilities for a free design. Especially in building structures, active displacements are a critical factor when chosing one or another solution. Then, to the limits due to ductility reasons, other limits dealing with serviceability conditions shoud be added. In the foresaid way, both considering ductility and serviceability conditions in every case, the results for ultimate load and serviceability to which every design decision will lead can be bounded. This means that, once the limits are known, it is possible to bound which a priori designs will fulfill for sure the prescribed ductility and serviceability conditions, and the extent to wich they will be fulfilled, And, in case they were not, which corrections must be performed in the previous design so that it will. Finally, from the consequences derived through what studied, several study and experimental fields are proposed, in order to achieve a completeness and practical expansion of the obtained results

Acueducto de Segovia: Comportamiento mecánico

Informe destinado a aportar luz sobre algunos aspectos de la mecánica del Acueducto de Segovia: tensiones y deformaciones derivadas de las variaciones térmicas diarias y estacionales y alteraciones de los campos de tensión derivados de las degradaciones típicas de las juntas. Se aportan entre otros resultados explicaciones a la frecuente existencia de fisuras en prolongación de las juntas, asi como evidencia sobre fenómenos mecánicos que coadyuvan en el proceso de desescamación de los sillares degradados

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Role of age and comorbidities in mortality of patients with infective endocarditis

[Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation

Cabbage and fermented vegetables : From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19

Large differences in COVID-19 death rates exist between countries and between regions of the same country. Some very low death rate countries such as Eastern Asia, Central Europe, or the Balkans have a common feature of eating large quantities of fermented foods. Although biases exist when examining ecological studies, fermented vegetables or cabbage have been associated with low death rates in European countries. SARS-CoV-2 binds to its receptor, the angiotensin-converting enzyme 2 (ACE2). As a result of SARS-CoV-2 binding, ACE2 downregulation enhances the angiotensin II receptor type 1 (AT(1)R) axis associated with oxidative stress. This leads to insulin resistance as well as lung and endothelial damage, two severe outcomes of COVID-19. The nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is the most potent antioxidant in humans and can block in particular the AT(1)R axis. Cabbage contains precursors of sulforaphane, the most active natural activator of Nrf2. Fermented vegetables contain many lactobacilli, which are also potent Nrf2 activators. Three examples are: kimchi in Korea, westernized foods, and the slum paradox. It is proposed that fermented cabbage is a proof-of-concept of dietary manipulations that may enhance Nrf2-associated antioxidant effects, helpful in mitigating COVID-19 severity.Peer reviewe

Nrf2-interacting nutrients and COVID-19 : time for research to develop adaptation strategies

There are large between- and within-country variations in COVID-19 death rates. Some very low death rate settings such as Eastern Asia, Central Europe, the Balkans and Africa have a common feature of eating large quantities of fermented foods whose intake is associated with the activation of the Nrf2 (Nuclear factor (erythroid-derived 2)-like 2) anti-oxidant transcription factor. There are many Nrf2-interacting nutrients (berberine, curcumin, epigallocatechin gallate, genistein, quercetin, resveratrol, sulforaphane) that all act similarly to reduce insulin resistance, endothelial damage, lung injury and cytokine storm. They also act on the same mechanisms (mTOR: Mammalian target of rapamycin, PPAR gamma:Peroxisome proliferator-activated receptor, NF kappa B: Nuclear factor kappa B, ERK: Extracellular signal-regulated kinases and eIF2 alpha:Elongation initiation factor 2 alpha). They may as a result be important in mitigating the severity of COVID-19, acting through the endoplasmic reticulum stress or ACE-Angiotensin-II-AT(1)R axis (AT(1)R) pathway. Many Nrf2-interacting nutrients are also interacting with TRPA1 and/or TRPV1. Interestingly, geographical areas with very low COVID-19 mortality are those with the lowest prevalence of obesity (Sub-Saharan Africa and Asia). It is tempting to propose that Nrf2-interacting foods and nutrients can re-balance insulin resistance and have a significant effect on COVID-19 severity. It is therefore possible that the intake of these foods may restore an optimal natural balance for the Nrf2 pathway and may be of interest in the mitigation of COVID-19 severity

Dietary α‐Linolenic Acid, Marine ω‐3 Fatty Acids, and Mortality in a Population With High Fish Consumption: Findings From the PREvención con DIeta MEDiterránea (PREDIMED) Study

Background: Epidemiological evidence suggests a cardioprotective role of α‐linolenic acid (ALA), a plant‐derived ω‐3 fatty acid. It is unclear whether ALA is beneficial in a background of high marine ω‐3 fatty acids (long‐chain n‐3 polyunsaturated fatty acids) intake. In persons at high cardiovascular risk from Spain, a country in which fish consumption is customarily high, we investigated whether meeting the International Society for the Study of Fatty Acids and Lipids recommendation for dietary ALA (0.7% of total energy) at baseline was related to all‐cause and cardiovascular disease mortality. We also examined the effect of meeting the society's recommendation for long‐chain n‐3 polyunsaturated fatty acids (≥500 mg/day). Methods and Results: We longitudinally evaluated 7202 participants in the PREvención con DIeta MEDiterránea (PREDIMED) trial. Multivariable‐adjusted Cox regression models were fitted to estimate hazard ratios. ALA intake correlated to walnut consumption (r=0.94). During a 5.9‐y follow‐up, 431 deaths occurred (104 cardiovascular disease, 55 coronary heart disease, 32 sudden cardiac death, 25 stroke). The hazard ratios for meeting ALA recommendation (n=1615, 22.4%) were 0.72 (95% CI 0.56–0.92) for all‐cause mortality and 0.95 (95% CI 0.58–1.57) for fatal cardiovascular disease. The hazard ratios for meeting the recommendation for long‐chain n‐3 polyunsaturated fatty acids (n=5452, 75.7%) were 0.84 (95% CI 0.67–1.05) for all‐cause mortality, 0.61 (95% CI 0.39–0.96) for fatal cardiovascular disease, 0.54 (95% CI 0.29–0.99) for fatal coronary heart disease, and 0.49 (95% CI 0.22–1.01) for sudden cardiac death. The highest reduction in all‐cause mortality occurred in participants meeting both recommendations (hazard ratio 0.63 [95% CI 0.45–0.87]). Conclusions: In participants without prior cardiovascular disease and high fish consumption, dietary ALA, supplied mainly by walnuts and olive oil, relates inversely to all‐cause mortality, whereas protection from cardiac mortality is limited to fish‐derived long‐chain n‐3 polyunsaturated fatty acids. Clinical Trial Registration URL: http://www.Controlled-trials.com/. Unique identifier: ISRCTN35739639

Discutindo a educação ambiental no cotidiano escolar: desenvolvimento de projetos na escola formação inicial e continuada de professores

A presente pesquisa buscou discutir como a Educação Ambiental (EA) vem sendo trabalhada, no Ensino Fundamental e como os docentes desta escola compreendem e vem inserindo a EA no cotidiano escolar., em uma escola estadual do município de Tangará da Serra/MT, Brasil. Para tanto, realizou-se entrevistas com os professores que fazem parte de um projeto interdisciplinar de EA na escola pesquisada. Verificou-se que o projeto da escola não vem conseguindo alcançar os objetivos propostos por: desconhecimento do mesmo, pelos professores; formação deficiente dos professores, não entendimento da EA como processo de ensino-aprendizagem, falta de recursos didáticos, planejamento inadequado das atividades. A partir dessa constatação, procurou-se debater a impossibilidade de tratar do tema fora do trabalho interdisciplinar, bem como, e principalmente, a importância de um estudo mais aprofundado de EA, vinculando teoria e prática, tanto na formação docente, como em projetos escolares, a fim de fugir do tradicional vínculo “EA e ecologia, lixo e horta”.Facultad de Humanidades y Ciencias de la Educació