• Earthquakes and Structures
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• v.9 no.2
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• pp.321-337
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• 2015

Existing building structures can easily present material mechanical properties which can largely vary even within a single structure. The current European Technical Code, Eurocode 8, does not provide specific instructions to account for high variability in mechanical properties. As a consequence of the high strength variability, at the occurrence of seismic events, the structure may evidence unexpected phenomena, like torsional effects, with larger experienced deformations and, in turn, with reduced seismic performance. This work is focused on the reduction in seismic performance due to the concrete strength variability. The analysis has been performed on a case-study, i.e., a 3D RC framed 4 storey building. A Normal distribution, compatible to a large available database, has been taken to represent the concrete strength domain. Different plan layouts, representative of realistic strength distributions, have been considered, and a statistical analysis has been performed on the induced reduction in seismic performance. The obtained results have been compared to the standard analysis as provided by Eurocode 8 for existing buildings. The comparison has shown that the Eurocode 8 provisions are not conservative for existing buildings having a large variability in concrete strength.

• Journal of English Language & Literature
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• v.58 no.6
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• pp.1063-1083
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• 2012

Florence Nightingale is best remembered today as the Lady with the Lamp, but modern research on the English nurse primarily addresses her popular iconography as a historical misrepresentation of her character and career. This scholarly reluctance to analyze critically Nightingalean iconography, however, has obscured important cultural work performed by the popular tropes. This article argues that the proliferation of Nightingale's iconic image as a symbol of Christian womanhood in transatlantic periodical poetry, when examined separately from biographical considerations, reveals important insights into the complex relationship between form and affect in mid-nineteenth periodicals. Popular representations of Nightingale give form to the disorienting effects produced on newspaper readers by the nascent field of international journalism and reflect a key generic paradox at the heart of the Victorian periodical: the simultaneous aim to report news objectively and to move readers affectively in response to events beyond national contexts and interests. Focusing on Lewis Carroll's "The Path of Roses" and Henry Wadsworth Longfellow's "Santa Filomena," this article contends that Nightingalean periodical poetry mirrors back to readers their own affective response to modern media and functions as a new technology for managing an increasingly acute awareness of events and ethical responsibilities beyond the nation.

• The Korean Nurse
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• v.9 no.3 s.47
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• pp.33-34
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• 1970

• Korean Architects
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• s.574
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• pp.116-119
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• 2017

• Steel and Composite Structures
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• v.24 no.2
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• pp.201-211
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• 2017

This study evaluates the reliability of present European codes in predicting the collapse load of columns made with perforated cold-formed steel (CFS) profiles under combined axial load and bending. To this aim, a series of experimental tests on slender open-section specimens have been performed at varying load eccentricity. Preliminarily, stub column tests have also been performed to calculate the effective section properties of the investigated profile. By comparison of experimental data with code-specified M-N strength domains, the authors demonstrate that present code formulations may underestimate the collapse load of thin-walled perforated open sections. The study is the first step of a wider experimental and numerical study aimed at better describing strength domains of perforated CFS open sections.

• Journal of muscle and joint health
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• v.28 no.3
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• pp.217-222
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• 2021

Background: The reaction of nurses to the advent of artificial intelligence (AI) during the fourth industrial revolution era remains questionable. Understanding Florence Nightingale's achievements may provide valuable lessons that will be helpful to contemporary nurses. Aims: To understand Nightingale's nursing philosophy and methods and provide suggestions for future nursing practice, education, research, and health policy. Source of evidence: Literature. Discussion/Conclusion: Just as Nightingale captured the situation of her time and introduced latest scientific methods, modern nurses need to learn from Nightingale's drastic actions to meet social needs. Nursing can regain a solid humanistic foundation by returning to core values of nursing and humanities, while simultaneously adopting state-of-the-art technologies. Implications for Nursing Policy: AI-driven technologies will advance nursing services and provide greater human-centered and personalized care by eliminating iterative and labor-intensive tasks. Nursing educational policy should support the advancement of nursing curricula to develop AI competencies and specialists within the nursing field.

• Archives of Plastic Surgery
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• v.40 no.2
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• pp.91-96
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• 2013

Background A thinned anterolateral thigh (ALT) flap is often harvested to achieve optimal skin resurfacing. Several techniques have been described to thin an ALT flap including an adipocutaneous flap, an adipofascial flap and delayed debulking. Methods By systematically reviewing all of the available literature in English and French, the present manuscript attempts to identify the common surgical indications, complications and donor site morbidity of the adipofascial variant of the ALT flap. The studies were identified by performing a systematic search on Medline, Ovid, EMBASE, the Cochrane Database of Systematic Reviews, Current Contents, PubMed, Google, and Google Scholar. Results The study selection process was adapted from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement, and 15 articles were identified using the study inclusion criteria. These articles were then reviewed for author name(s), year of publication, flap dimensions and thickness following defatting, perforator type, type of transfer, complications, thinning technique, number of cases with a particular area of application and donor site morbidity. Conclusions The adipofascial variant of the ALT flap provides tissue to fill large defects and improve pliability. Its strong and safe blood supply permits adequate immediate or delayed debulking without vascular complications. The presence of the deep fascia makes it possible to prevent sagging by suspending and fixing the flap for functional reconstructive purposes (e.g., the intraoral cavity). Donor site morbidity is minimal, and thigh deformities can be reduced through immediate direct closure or liposuction and direct closure. A safe blood supply was confirmed by the rate of secondary flap debulking.

• Archives of Craniofacial Surgery
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• v.18 no.2
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• pp.105-111
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• 2017

Background: The author analyse the impact of extracapsular lymph node spread and bone engagement in the ipsilateral neck of patients suffering squamous cell carcinoma (SCC) of the lower lip. Methods: The data of 56 neck dissections performed in patients suffering SCC of the lower lip between January 2000 and December 2008 were retrospectively analysed. Statistical analysis was performed with the Kaplan-Meier life table method, and the survival rate was investigated with the log rank statistic and significance test. The values were considered statistically significant at p<0.05. Results: Nine patients took advantage from simultaneous treatment of tumor and prophylactic neck dissection (level I-III), reaching 100% survival rate. Patients suffering metastasized disease, who received radical neck dissection at the time of tumor treatment, presented 83.3% survival rate. Patients who underwent previous surgery and radiotherapy presented worse prognosis although radical neck dissection in case of extra-capsular spread only (24.7%) and osseous engagement (22.2%). Conclusion: Prophylactic neck dissection (level I-III) is recommended in T3-T4 N0 SCC. Simultaneous treatment of tumor and cervical lymph nodes provides a better prognosis as respect to delayed nodal management. Extra-capsular spread with or without bone engagement represents independent risk factor responsible for high mortality rate of SCC of the lower lip.

• Archives of Plastic Surgery
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• v.42 no.6
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• pp.793-795
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• 2015

• Archives of Plastic Surgery
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• v.48 no.5
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• pp.526-527
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• 2021