Wind-Induced Vibration Monitoring of High-Mast Illumination Poles Using Wireless Smart Sensors.

This paper describes the use of wireless smart sensors for examining the underlying mechanism for the wind-induced vibration of high-mast illumination pole (HMIP) structures. HMIPs are tall, slender structures with low inherent damping. Video recordings of multiple HMIPs showed considerable vibrations of these HMIPs under wind loading in the state of Kansas. The HMIPs experienced cyclic large-amplitude displacements at the top, which can produce high-stress demand and lead to fatigue cracking at the bottom of the pole. In this study, the natural frequencies of the HMIP were assessed using pluck tests and finite element modeling, and the recorded vibration frequencies were obtained through computer vision-based video analysis. Meanwhile, a 30.48 m tall HMIP with three LED luminaires made of galvanized steel located in Wakeeney, Kansas, was selected for long-term vibration monitoring using wireless smart sensors to investigate the underlying mechanism for the excessive wind-induced vibrations. Data analysis with the long-term monitoring data indicates that while vortex-induced vibration occurs frequently at relatively low amplitude, buffeting-induced vibration was the leading cause of the excessive vibrations of the monitored HMIP. The findings provide crucial information to guide the design of vibration mitigation strategies for these HMIP structures.

A pictorial guide to artifacts on contrast mammography: How to avoid pitfalls and improve interpretation.

Contrast-enhanced mammography (CEM) is an increasingly accepted emerging imaging modality that demonstrates a similar sensitivity to MRI but has the advantage of being less time consuming and inexpensive. The use of CEM continues to expand as it is recognized and utilized as a valuable tool for diagnostic and potentially screening examinations. As with any radiologic examination, artifacts occur and knowledge of these is important for adequate image interpretation. The purpose of this paper is to provide a pictorial review the common artifacts encountered on CEM examinations and identify causes and potential resolutions.

Structural Health Monitoring of Fatigue Cracks for Steel Bridges with Wireless Large-Area Strain Sensors.

This paper presents a field implementation of the structural health monitoring (SHM) of fatigue cracks for steel bridge structures. Steel bridges experience fatigue cracks under repetitive traffic loading, which pose great threats to their structural integrity and can lead to catastrophic failures. Currently, accurate and reliable fatigue crack monitoring for the safety assessment of bridges is still a difficult task. On the other hand, wireless smart sensors have achieved great success in global SHM by enabling long-term modal identifications of civil structures. However, long-term field monitoring of localized damage such as fatigue cracks has been limited due to the lack of effective sensors and the associated algorithms specifically designed for fatigue crack monitoring. To fill this gap, this paper proposes a wireless large-area strain sensor (WLASS) to measure large-area strain fatigue cracks and develops an effective algorithm to process the measured large-area strain data into actionable information. The proposed WLASS consists of a soft elastomeric capacitor (SEC) used to measure large-area structural surface strain, a capacitive sensor board to convert the signal from SEC to a measurable change in voltage, and a commercial wireless smart sensor platform for triggered-based wireless data acquisition, remote data retrieval, and cloud storage. Meanwhile, the developed algorithm for fatigue crack monitoring processes the data obtained from the WLASS under traffic loading through three automated steps, including (1) traffic event detection, (2) time-frequency analysis using a generalized Morse wavelet (GM-CWT) and peak identification, and (3) a modified crack growth index (CGI) that tracks potential fatigue crack growth. The developed WLASS and the algorithm present a complete system for long-term fatigue crack monitoring in the field. The effectiveness of the proposed time-frequency analysis algorithm based on GM-CWT to reliably extract the impulsive traffic events is validated using a numerical investigation. Subsequently, the developed WLASS and algorithm are validated through a field deployment on a steel highway bridge in Kansas City, KS, USA.

Breast Cancer Genomics: Primary and Most Common Metastases.

Specific genomic alterations have been found in primary breast cancer involving driver mutations that result in tumorigenesis. Metastatic breast cancer, which is uncommon at the time of disease onset, variably impacts patients throughout the course of their disease. Both the molecular profiles and diverse genomic pathways vary in the development and progression of metastatic breast cancer. From the most common metastatic site (bone), to the rare sites such as orbital, gynecologic, or pancreatic metastases, different levels of gene expression indicate the potential involvement of numerous genes in the development and spread of breast cancer. Knowledge of these alterations can, not only help predict future disease, but also lead to advancement in breast cancer treatments. This review discusses the somatic landscape of breast primary and metastatic tumors.

Soft Elastomeric Capacitor for Angular Rotation Sensing in Steel Components.

The authors have previously proposed corrugated soft elastomeric capacitors (cSEC) to create ultra compliant scalable strain gauges. The cSEC technology has been successfully demonstrated in engineering and biomechanical applications for in-plane strain measurements. This study extends work on the cSEC to evaluate its performance at measuring angular rotation when installed folded at the junction of two plates. The objective is to characterize the sensor's electromechanical behavior anticipating applications to the monitoring of welded connections in steel components. To do so, an electromechanical model that maps the cSEC signal to bending strain induced by angular rotation is derived and adjusted using a validated finite element model. Given the difficulty in mapping strain measurements to rotation, an algorithm termed angular rotation index (ARI) is formulated to link measurements to angular rotation directly. Experimental work is conducted on a hollow structural section (HSS) steel specimen equipped with cSECs subjected to compression to generate angular rotations at the corners within the cross-section. Results confirm that the cSEC is capable of tracking angular rotation-induced bending strain linearly, however with accuracy levels significantly lower than found over flat configurations. Nevertheless, measurements were mapped to angular rotations using the ARI, and it was found that the ARI mapped linearly to the angle of rotation, with an accuracy of 0.416∘.

Facilitating transition of young people with long-term health conditions from children's to adults' healthcare services - implications of a 5-year research programme.

BACKGROUND: During transition from children's to adults' healthcare, young adults with long-term conditions may show delays in psychosocial development compared to their peers without long-term conditions, and deterioration of their conditions' medical control. METHODS: This paper integrates the findings, already published in 10 separate papers, of a 5-year transition research programme. IMPLICATIONS: There is an important role for funders (commissioners) of adults' services to fund transitional healthcare, in addition to funders of children's services who currently take responsibility.It is important that healthcare provider organisations adopt an organisation-wide approach to implementation to ensure that good practice is adopted in children's and adults' services, not just adopted by enthusiasts in some specialties. This includes provision of 'developmentally appropriate healthcare' which recognises the changing biopsychosocial developmental needs of young people.Three features of transitional healthcare were associated with improved outcomes: appropriate parent involvement, promotion of young people's confidence in managing their health and meeting the adult team before transfer. These should be maintained or introduced as a priority.Child and adult healthcare providers should routinely explore with a young person how they approach transition and personalise their clinical approach thereafter.These implications are relevant for a range of stakeholders, including funders of transitional healthcare, organisations providing transitional healthcare and clinical practitioners.

Accuracy and early outcomes in medial unicompartmental knee arthroplasty performed using patient specific instrumentation.

Unicompartmental knee arthroplasty (UKA) is a technically demanding procedure and poor implant positioning has been identified as a factor in early failure. The aim of this study was to evaluate the accuracy and clinical outcomes of the patient specific instrumentation implementation technique with a fixed bearing UKA. We carried out a prospective study of 41 patients (44 procedures) between December 2011 and April 2013. The preoperative planned sizes of implants used were accurate to within one implant size change in 96% of cases. The mean post-operative limb alignment was 3.8° varus. The Oxford Knee Scores (OKS) (0-48) improved from a mean preoperative score of 23.8 to 35.6 at six weeks and 44.5 at one year. The mean improvement in OKS from preoperative to one year was 20.7. The mean one year FJS (0-100) was 80.6. At a mean follow-up of 24 months there were no complications identified and there was a 100% survivorship. This technique may offer a particular advantage to surgeons who perform lower volumes of UKA with the potential to improve both clinical outcomes and implant survivorship in UKA to achieve greater consistency of results.

A prospective randomised study of minimally invasive midvastus total knee arthroplasty compared with standard total knee arthroplasty.

INTRODUCTION: Proposed advantages of minimally invasive surgery include shorter hospital stay, less blood loss, and a greater range of motion but potential concerns are raised about both prolonged learning curves and a compromise in exposure leading to implant malposition. PATIENTS AND METHODS: This powered study evaluates the outcomes of 80 patients randomised to have mini-midvastus (MMV) approach or standard medial parapatellar (MPP) approach. Rehabilitation protocols and discharge criteria were standardised. Patients were discharged home directly, capable of safe independent care. Validated outcome measures were recorded post-operatively at intervals up to 1 year. Independent, blinded review of post-operative x-rays was obtained. RESULTS: Length of stay was similar in the MMV and MPP groups (median 3.73 days vs. 3.75 days). No statistically significant differences were detected in either the demographic data or any intra-operative variable apart from blood loss and incision length. No statistically significant difference in clinical outcome measures (Oxford/Knee Society Scores) or radiographic analysis was observed. CONCLUSION: The MMV approach does not appear to confer any clinically significant benefit apart from a smaller surgical scar, compared to the MPP surgical technique. Level of evidence I: randomised control trial. R.E.C. 040301.