5 research outputs found

    Lung function variability in children and adolescents with and without asthma (LUV Study): Protocol for a prospective, nonrandomized, clinical trial

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    Background: Variability analysis of peak expiratory flow (PEF) and forced expiratory volume at 1 second (FEV1) has been used in research to predict exacerbations in adults with asthma. However, there is a paucity of data regarding PEF and FEV1 variability in healthy children and adolescents and those with asthma. Objective: The objective of this study is the assessment of PEF and FEV1 variability in (1) healthy children and adolescents, to define the normal daily fluctuation of PEF and FEV1 and the parameters that may influence it, and (2) children and adolescents with asthma, to explore the differences from healthy subjects and reveal any specific variability changes prior to exacerbation. Methods: The study will include 100 healthy children and adolescents aged 6-18 years (assessment of normal PEF and FEV1 variability) and 100 children and adolescents of the same age with diagnosed asthma (assessment of PEF and FEV1 variability in subjects with asthma). PEF and FEV1 measurements will be performed using an ultraportable spirometer (Spirobank Smart; MIR Medical International Research) capable of smartphone connection. Measurements will be performed twice a day between 7 AM and 9 AM and between 7 PM and 9 PM and will be dispatched via email to a central database for a period of 3 months. PEF and FEV1 variability will be assessed by detrended fluctuation and sample entropy analysis, aiming to define the normal pattern (healthy controls) and to detect and quantify any deviations among individuals with asthma. The anticipated duration of the study is 24 months. Results: The study is funded by the “C. Caratheodory” Programme of the University of Patras, Greece (PN 47014/24.9.2018). It was approved by the Ethics Committee (decision 218/19-03-2019) and the Scientific Board (decision 329/02-04-2019) of the University Hospital of Patras, Greece. Patient recruitment started in January 2020, and as of June 2020, 100 healthy children have been enrolled (74 of them have completed the measurements). The anticipated duration of the study is 24 months. The first part of the study (assessment of lung function variability in healthy children and adolescents) will be completed in August 2020, and the results will be available for publication by October 2020. ©Eirini-Sofia Frima, Ilias Theodorakopoulos, Dimos Gidaris, Nikolaos Karantaglis, Grigorios Chatziparasidis, Panagiotis Plotas, Michael Anthracopoulos, Sotirios Fouzas

    Fragility Assessment of Transportation Infrastructure Systems Subjected to Earthquakes

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    This paper provides a review of the different methodologies for the fragility assessment of critical transportation infrastructure subjected to earthquake excitations with emphasis placed on geotechnical effects. Available approaches to fragility analysis are summarized, along with the main parameters and limitations. Additionally, definitions of damage are synthesized for the individual transportation assets and subsequently the definition of system of assets (SoA) is introduced. Numerical fragility curves are developed for a representative SoA subjected to seismic excitations. The paper concludes with the gaps in the area of fragility analysis and the needs for future development.acceptedVersion© 2018. This is the authors' accepted and refereed manuscript to the article. The final authenticated version is available online at: http://dx.doi.org/10.1061/9780784481479.01
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