scholarly journals Treatise on Sustainable Infrastructure Construction: Green Composites, Cross Laminated/Mass Timber, Wood Truss Connectors, Nondestructive Technologies, Health Assessment and Monitoring: Utility Poles and Geofoam

2021 ◽  
Author(s):  
Rafaat Hussein
Keyword(s):  
Laminated Composites ◽  
Health Assessment ◽  
Green Composites ◽  
Interlaminar Stresses ◽  
Equilibrium Equations ◽  
Sustainable Infrastructure ◽  
Unrealistic Assumption ◽  
Multiple Orders ◽  
Assessment And Monitoring ◽  
Mass Timber

The understanding of the engineering performance of green laminated composites is necessary to the design of load bearing components in building and infrastructure construction, and packaging applications. These components are made of outer thin laminae called skins or faces and a thick inner layer called core. The use of bonding is unavoidable in the assembling of these composite products. Like all materials, the bonding materials have finite mechanical properties, e.g. stiffness, but when used in the literature, they are assumed perfectly rigid. That is an unrealistic assumption. Our analytical solutions change this assumption by using the real properties of bonding. In general, the analytical formulations are based on the equilibrium equations of forces, the compatibility of interlaminar stresses and deformation, and the geometrical conditions of the panels. Once solutions are obtained, the next step is to evaluate them. The numerical evaluations proved that perfect rigid bonding in laminated composites greatly underestimates the true performance. At low values of adhesive stiffness, the serviceability is multiple orders of magnitude of that at high values. The logical question is thus: what constitutes perfect bonding? The answer to this question lies in the core-to-adhesive stiffness. The lower the ration is the higher the error in using the rigid-bond theories. It is worth noting that green-composites in this chapter refer to components made of traditional materials such as wood, in addition to newly developed bio-based and bio-degradable and bio-based composites, made of renewable resources. In addition, bonding and adhesive are used interchangeably.

Health and Fall Risk Monitoring Within Common Assessments

2021 ◽  
pp. 182-199
Author(s):  
Rafael Nogueira Rodrigues ◽  
Adriana Caldo ◽  
Fernanda M. Silva ◽  
Cidalina Conceição Ferreira Abreu ◽  
Guilherme Eustaquio Furtado ◽  
...  
Keyword(s):  
Global Health ◽  
Fall Risk ◽  
Health Assessment ◽  
Assessment Tools ◽  
Specific Intervention ◽  
Common Assessments ◽  
Risk Monitoring ◽  
Fitness Assessment ◽  
Assessment And Monitoring ◽  
Specific Assessment

This chapter presents an exploratory review on the evaluation, assessment, and monitoring in health and fall risk by common and the most used assessment tools. The main discussion of this chapter of evaluation in health and fall risk is divided into six categories—global health assessment, specific physical (and fitness) assessment, cognitive and psychological assessment, pharmacological assessment, fall risk specific assessment, and some complementary assessment—which show information and how to access. Whereas health evaluative experiences and practices are essential to drive a better and specific intervention, revealing its importance and necessity was also highlighted.

scholarly journals Atypical oral candidiasis in a psoriatic patient during targeted immunotherapy with an interleukin 17 inhibitor (secukinumab)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bruna Lavinas Sayed Picciani ◽  
Arkadiusz Dziedzic ◽  
Juliana Tristão Werneck ◽  
Marcello Alves Marinho ◽  
Thaylla Núñez Amin Dick ◽  
...  
Keyword(s):  
Side Effects ◽  
Fungal Infections ◽  
Oral Candidiasis ◽  
Human Monoclonal Antibody ◽  
Health Assessment ◽  
Diagnostic Process ◽  
Interleukin 17 ◽  
Clinical Approach ◽  
Oral Corticosteroids ◽  
Assessment And Monitoring

Abstract Background Secukinumab is a human monoclonal antibody immunoglobulin that neutralises interleukin (IL)-17A, and as such, is effective in the treatment of psoriasis. However, as IL-17A is essential in protection against fungal infections, patients treated with this drug may develop candidiasis. This report presents a case of atypical oral candidiasis occurring during targeted drug immunotherapy with an interleukin 17 (IL-17) inhibitor (secukinumab), with the aim of emphasisinge the necessity of periodical oral health assessment and monitoring. It provides a rational clinical approach to therapeutic protocol in the treatment of side effects associated with novel medications for autoimmune diseases. Case presentation Symptomatic tongue lesions were observed in a 50-year-old female patient on a monthly systemic treatment of 300 mg of secukinumab, which appeared after 60 days of using the medication. Two inconclusive biopsies and an unsuccessful application of oral corticosteroids made the diagnostic process challenging. Papillae on the back of the tongue were atrophied, forming a well-defined erythema and white non-detachable plaques on the lateral border of the tongue. Cytopathological and histopathological exam results were compatible with a diagnosis of oral candidiasis. Topical antifungal medication led to subsequent regression of the tongue lesions. During asymptomatic period and follow up for 7 months, a reduced monthly dose 150 mg of secukinumab was administered. Conclusions Patients undergoing treatment with IL-17 blockers, such as secukinumab, should be carefully monitored in order to avoid oral side effects resulting from the use of this medication.

scholarly journals The 2015 Nepal Earthquake Disaster: Is the Threat of Occurrence of Communicable Disease Epidemic Over?

2018 ◽  
Vol 1 (1) ◽  
pp. 105-110 ◽  
Author(s):  
Sakiko Kanbara ◽  
Nlandu Roger Ngatu (Corresponding author) ◽  
Tara Pokhrel T ◽  
Apsara Pandey ◽  
Chandrakara Sharma ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Communicable Disease ◽  
Health Assessment ◽  
Health Events ◽  
Governmental Agencies ◽  
Nepal Earthquake ◽  
Assessment And Monitoring ◽  
Monitoring And Surveillance ◽  
Post Disaster ◽  
2015 Nepal Earthquake

This opinion paper highlights the state of public health assessment in evacuation centers following the 2015 Nepal earthquake. It also suggests an approach to reinforce risk assessment and surveillance of communicable diseases (CD) in remote Nepalese districts. A short surveillance research was conducted on outbreaks of infectious diseases in Nepal in the post-2015 earthquake in evacuation centers in Kathmandu and Dhading districts. In collaboration with the Nursing Association of Nepal (NAN), the researchers have established a monitoring and surveillance system, named ‘EpiNurse’ program, in remote Nepalese districts. Periodic shelter to shelter visits, CD risk assessment and relief needs inventory in local communities are implemented, whereas health events with a potential to cause a CD outbreak are being reported to governmental agencies and health clusters involved in post-disaster relief in Nepal. Several cases of diarrheal diseases were identi fied in Nepalese districts after the 2015 earthquake, suggesting the existence of potential risk for the occurrence of new CD epidemics. Onsite risk assessment and monitoring of the effectiveness of actions and interventions implemented, as well as improvement of risk communication between relief agencies should be expanded to less resourced districts to reduce the risk of CD outbreak occurrence.

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