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        Evaluation of the Compatibility of Repair Materials for Concrete Structures

        Giri Venkiteela,Matthew Klein,Husam Najm,Perumalsamy Naidu Balaguru 한국콘크리트학회 2017 International Journal of Concrete Structures and M Vol.11 No.3

        This study evaluates the compatibility of repair materials for concrete bridge decks. A new compatibility test set-up was designed and tested based on the concrete bridge deck cracking and delamination mechanism theory. The repair materials used in this study include lab formulated inorganic nano-aluminum silicates and commercially available organic two-part epoxy systems. Two different lab test-setups are proposed in this study: a prototype and a full-scale test. The developed test procedures were effective in communicating results in terms of compatibility of material properties, performance and quality. The prototype beams test can successfully serve as a small scale screening test providing insights on materials selection for the full-scale beam tests. The full-scale beams demonstrated the compatibility of the repaired system by providing data on authentic field conditions. Based on the observations it can be concluded that the proposed test setup is effective in examining the concrete bridge deck repair materials performance and selection, and compatibility in terms of mechanical properties and further guarantee the repaired structure safety.

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        Risk factors for unexpected readmission and reoperation following open procedures for shoulder instability: a national database study of 1,942 cases

        John M. Tarazi,Matthew J. Partan,Alton Daley,Brandon Klein,Luke Bartlett,Randy M. Cohn 대한견주관절의학회 2023 대한견주관절의학회지 Vol.26 No.3

        Background: The purpose of this study was to identify demographics and risk factors associated with unplanned 30-day readmission and reoperation following open procedures for shoulder instability and examine recent trends in open shoulder instability procedures. Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was queried using current procedural terminology (CPT) codes 23455, 23460, and 23462 to find patients who underwent shoulder instability surgery from 2015 to 2019. Independent sample Student t-tests and chi-square tests were used in univariate analyses to identify demographic, lifestyle, and perioperative variables related to 30-day readmission following repair for shoulder instability. Multivariate logistic regression modeling was subsequently performed. Results: In total, 1,942 cases of open surgical procedures for shoulder instability were identified. Within our study sample, 1.27% of patients were readmitted within 30 days of surgery, and 0.85% required reoperation. Multivariate logistic regression modeling confirmed that the following patient variables were associated with a statistically significant increase in the odds of readmission: open anterior bone block/Latarjet-Bristow procedure, being a current smoker, and a long hospital stay (all P<0.05). Multivariate logistic regression modeling confirmed statistically significant increased odds of reoperation with an open anterior bone block or Latarjet-Bristow procedure (P<0.05). Conclusions: Unplanned 30-day readmission and reoperation after open shoulder instability surgery is infrequent. Patients who are current smokers, have an open anterior bone block or Latarjet-Bristow procedure, or a longer than average hospital stay have higher odds of readmission than others. Patients who undergo an open anterior bone block or Latarjet-Bristow procedure have higher odds of reoperation than those who undergo an open soft-tissue procedure.

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