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        Automated design of optimum longitudinal reinforcement for flexural and axial loading

        Antonio Tomás,Antonio Alarcón 사단법인 한국계산역학회 2012 Computers and Concrete, An International Journal Vol.10 No.2

        The problem of a concrete cross section under flexural and axial loading is indeterminate due to the existence of more unknowns than equations. Among the infinite solutions, it is possible to find the optimum, which is that of minimum reinforcement that satisfies certain design constraints (section ductility, minimum reinforcement area, etc.). This article proposes the automation of the optimum reinforcement calculation under any combination of flexural and axial loading. The procedure has been implemented in a program code that is attached in the Appendix. Conventional-strength or high-strength concrete may be chosen, minimum reinforcement area may be considered (it being possible to choose between the standards ACI 318 or Eurocode 2), and the neutral axis depth may be constrained in order to guarantee a certain sectional ductility. Some numerical examples are presented, drawing comparisons between the results obtained by ACI 318, EC 2 and the conventional method.

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        Intestinal ultrasonography and fecal calprotectin for monitoring inflammation of ileal Crohn’s disease: two complementary tests

        José María Paredes,Tomás Ripollés,Ángela Algarra,Rafael Diaz,Nadia Moreno,Patricia Latorre,María Jesús Martínez,Pilar Llopis,Antonio López,Eduardo Moreno-Osset 대한장연구학회 2022 Intestinal Research Vol.20 No.3

        Background/Aims: Tight control of inflammation and adjustment of treatment if activity persists is the current strategy for the management of Crohn’s disease (CD). The usefulness of fecal calprotectin (FC) in isolated involvement of the small intestine in CD is controversial. To assess the usefulness of FC to determine the inflammatory activity detected by intestinal ultrasonography (IUS) in ileal CD. Methods: Patients with exclusively ileal involvement CD who underwent IUS and an FC were prospectively included. Simple ultrasound index was used to determine inflammatory activity. The usual statistical tests for comparison of diagnostic techniques were used. Results: One hundred and five patients were included, IUS showed inflammatory activity in 59% of patients and complications in 18.1%. FC showed a significant correlation with IUS in the weak range (Spearman coefficient <i>r</i>=0.502; <i>P</i><0.001); the area under the receiver operating characteristic curve was 0.79 (95% confidence interval, 0.70–0.88; <i>P</i><0.001). The FC value that best reflected the activity in IUS was 100 μg/g with sensitivity, specificity, and positive and negative predictive values of 73.0%, 71.4%, 79.3% and 63.8%, respectively. There were no differences in FC concentration between patients with or without transmural complications. The addition of serum C-reactive protein to FC did not improve the ability to assess IUS activity.Conclusions: FC has a significant correlation with IUS to monitor ileal CD activity. This correlation is weak and it does not allow assessing the presence of CD complications. Both tests should be used in conjunction for tight control of ileal CD. More studies on noninvasive tests in this location are needed.

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        Peri-implantitis, systemic inflammation, and dyslipidemia: a cross-sectional biochemical study

        Carlota Blanco,Antonio Liñares,Jose Dopico,Alex Pico,Tomás Sobrino,Yago Leira,Juan Blanco 대한치주과학회 2021 Journal of Periodontal & Implant Science Vol.51 No.5

        Purpose: The aim of this study was to compare the inflammatory and lipid profile of patients with and without peri-implantitis. Methods: A cross-sectional biochemical study was carried out in which blood samples were collected from 16 patients with peri-implantitis and from 31 subjects with healthy implants. Clinical peri-implant parameters were obtained from all subjects. Levels of tumor necrosis factor-alpha and interleukin-10 (IL-10) were measured in serum. Lipid fractions, glucose and creatinine levels, and complete blood count were also assessed. Results: After controlling for a history of periodontitis, statistically significant differences between peri-implantitis patients and controls were found for total cholesterol (estimated adjusted mean difference, 76.4 mg/dL; 95% confidence interval [CI], 39.6, 113.2 mg/dL; P<0.001), low-density lipoprotein (LDL) cholesterol (estimated adjusted mean difference, 57.7 mg/dL; 95% CI, 23.8, 91.6 mg/dL; P<0.001), white blood cells (WBC) (estimated adjusted mean difference, 2.8×103/μL; 95% CI, 1.6, 4.0×103/μL; P<0.001) and IL-10 (estimated adjusted mean difference, −10.4 pg/mL; 95% CI, −15.8, −5.0 pg/mL; P<0.001). The peri-implant probing pocket depth (PPD) was modestly positively correlated with total cholesterol (r=0.512; P<0.001), LDL cholesterol (r=0.463; P=0.001), and WBC (r=0.519; P<0.001). A moderate negative correlation was observed between IL-10 and PPD (r=0.609; P<0.001). Conclusions: Otherwise healthy individuals with peri-implantitis showed increased low-grade systemic inflammation and dyslipidemia.

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