Pediatric seatbelt injuries: unusual Chance's fracture associated with intra-abdominal lesions in a child

The authors report the case of a 7-year-old child involved in a motor vehicle accident. She sustained an unusual flexion-distraction vertebral injury. This spinal injury was related to seatbelt use and was associated with intra-abdominal lesions. The spinal lesion consisted of a posterior ligamentous disruption with widening of the posterior intervertebral space at two adjacent lumbar levels. The purpose of this case report is to describe an atypical and perhaps often unrecognized spinal lesion and to explain our approach to diagnosis and treatmen

Simplified Seismic Vulnerability Assessment Methods: A Comparative Analysis with Reference to Regional School Building Stock in Italy

The paper compares several simplified methods proposed in the literature for assessing the seismic vulnerability of existing buildings. Type and number of input and output data, limitations of use for different structural typologies, and complexity of use are examined for each methodology to identify the most suitable for assessing the vulnerability of a given class of buildings, based on the available data, the computational effort, and the type of vulnerability judgment. The selected methods were applied to a sample of school buildings located in the province of Naples (Italy). Data were available due to a digital platform and were used to verify the possibility of providing reliable large scale vulnerability judgments based on a reduced set of information, without carrying out additional surveys. The most simplified methods were applied to a sample of about a thousand of buildings, while more detailed methods, needing more information, were applied to a smaller sample. The comparison between the results obtained from different methods allows highlighting advantages and weaknesses of each, so as to identify the convenience in their use according to the specific available information and the objectives of the analysis, finally to evaluate which is more or less safe

Clinical and financial impacts of flexible intramedullary nailing in pediatric diaphyseal forearm fractures: A case-control study.

Flexible intramedullary nailing is regularly applied for pediatric displaced unstable forearm fractures. When compared to closed reduction and casting (orthopedic treatment), flexible intramedullary nailing decreases malalignment, shortens immobilization time, and should decrease follow-up controls. Comparing flexible intramedullary nailing and orthopedic treatment in the clinical, radiological, and financial managements of these fractures was performed. Retrospective 5 years study of pediatric cases in two pediatric orthopedic university departments. Treatment method, post-operative course, and radiological follow-up were reviewed. Number of radiographs, follow-up controls, type and duration of immobilization, final bone angulation, and reported complications were compared. Extensive financial analysis was completed. Of 73 girls and 168 boys included in the study, 150 were treated by flexible intramedullary nailing and 91 by orthopedic treatment. No difference was noted with regard to total number of radiographs (7.3 vs 7.2, respectively). Total number of follow-ups was 6.4 and 5.5, respectively. Malalignment occurred in two flexible intramedullary nailing and sixteen orthopedic treatments. The least expensive cost was ambulatory orthopedic treatment. Flexible intramedullary nailing treated children had similar numbers of radiographs or follow-up consultation, but less malunion when compared to orthopedic treatment. Orthopedic management was systematically cheaper than flexible intramedullary nailing. Unless post-operative management guidelines decreasing the number of radiographs and follow-ups are implemented, flexible intramedullary nailing will remain a costly procedure when compared to conventional orthopedic treatment. level III case-control retrospective study

Light-harvesting antennae based on copper indium sulfide (CIS) quantum dots

Copper indium sulfide quantum dots (CIS QDs) and their core-shell analogues (CIS@ZnS QDs) were functionalized with pyrene chromophores via a dihydrolipoamide bifunctional binding moiety: UV excitation of the pyrene chromophores resulted in sensitized emission of the CIS core because of an efficient energy transfer process; the core-shell hybrid system exhibits a 50% increased brightness when excited at 345 nm

Experimental results of a national technical assessment procedure on commercial FRP for structural strengthening: wet-lay-up systems

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Efficiency of CFRP NSM strips and EBR laminates for flexural strengthening of RC beams

The efficiency of Fiber Reinforced Polymer (FRP) materials for strengthening existing Reinforced Concrete (RC) structures according to the Near Surface Mounted (NSM) technique can be greater than the External Bonded Reinforcement (EBR) technique since the tensile strength of the FRP materials is in general better exploited. Firstly, this paper deals with analyzing the effect of the loading pattern on RC beams strengthened with both types of strengthening technique; in particular, two loading patterns have been used for the experimental tests on simple supported beams: 1) a four points bending scheme, and 2) a scheme with distributed loads, in order to check the sensitivity of failure modes and ultimate loads to different distributions of bending moment and shear along the beam. Then, a comparison between the results of flexural tests on RC beams strengthened with both NSM and EBR techniques is dealt with

Benign fibrous histiocytoma of bone in a paediatric population: a report of 6 cases

Case records and radiological investigations of six children with benign fibrous histiocytoma were studied retrospectively. BFH occurred in the femur (n=2), tibia (n=2) and fibula (n=2). Clinically, patients reported pain from the lesion lasting several months (mean 6months). The pain was not associated with pathological fracture in any patient. On X-rays, the lesions appeared as lytic and sharply demarcated with a sclerotic rim and fine trabeculations. The reported cases were located in the metaphysis and the diaphysis of the long bones. The tumour was restricted to bone, without periosteal or soft tissue reaction. Treatment consisted of careful intralesional curettage of the lesion; the defect was thereafter filled with bone bank graft or injectable phosphocalcic cement. The length of follow-up ranged from 24months to 4.75years (mean 35.2months). One case presented with recurrence of the disease and required successful repeat intralesional curettage. Benign fibrous histiocytoma is probably underestimated among patients less than 20years of age. This diagnosis should be considered in any child or teenager who presents with a non-ossifying fibroma accompanied by unexplainable pain or a rapid growing. Surgery restricted to the osteolytic lesion seems sufficient to achieve bone healin

Assessment of nonlinear bond laws for near-surface-mounted systems in concrete elements

This paper presents a numerical plane Finite Element (FE) Model for use in simulating the behaviour of different types of Near Surface Mounted (NSM) Fibre Reinforced Plastic (FRP) strengthening systems for concrete elements. Based on a nonlinear bond law for simulating the behaviour of the FRP reinforcement-adhesive-concrete interface, the model employs an interface element between the NSM FRP reinforcement and the concrete. The results of two different experimental programs, both dealing with 'bond tests' but with distinct set-ups, are briefly summarised and analysed. The main objective of this research is to assess the values of the parameters that define the nonlinear bond laws for each type of FRP reinforcement tested. This assessment was accomplished by inverse analysis, fitting numerically the pullout load–displacement curves that were experimentally recorded. The effect of bond length on different types of NSM FRP reinforcement is assessed. Finally, the bond behaviour in the transverse plane is examined too.Fundação para a Ciência e a Tecnologia (FCT