The Association between Major Adverse Cardiovascular Events and Peripheral Artery Disease Burden.

OBJECTIVE: The aim of the present study was to investigate the possible relationship between the segmental burden of lower limb atherosclerosis and Major Adverse Cardiovascular Events (MACEs). METHODS: All the consecutive symptomatic peripheral artery disease (PAD) patients admitted for digital subtraction angiography (DSA) at Turku University Hospital department of Vascular Surgery between 1 January 2009 and 30 July 2011 were retrospectively analyzed. Angiography due to symptomatic PAD was used as the index date for the inclusion in the study. The segmental burden of atherosclerosis based on DSA was divided into three categories according to the highest disease burden of the defined artery segment: aorto-iliac, femoropopliteal, or tibial segments. The major association for the study was MACEs (defined as a cerebrovascular event, heart failure (HF) and myocardial infarction requiring hospital admission). Demographic data and MACEs were obtained from the hospital electronic medical records system. RESULTS: The lower limb atherosclerosis burden of tibial vessels was related to an increased probability for HF (OR 3.9; 95%CI 2.4-6.5) and for MACEs overall (OR 2.3; 95%CI 1.4-3.6). The probability of both HF and MACEs overall rose with the increasing severity of the atherosclerosis burden. Moreover, the more severe the tibial vessel atherosclerosis, the higher the risk of HF and MACEs. The most extensive tibial atherosclerosis patients had an OR 4.5; 95%CI 2.6-8.0 for HF and an OR 3.1; and 95%CI 1.7-5.6 for MACEs overall. The femoropopliteal disease burden was also associated with an increased risk of HF (OR 2.3; 95%CI 1.6-3.2) and MACE (OR 1.9; 95%CI 1.3-2.7). However, the increasing extent of atherosclerosis of the femoropopliteal segment solely increased the risk of MACEs. CONCLUSIONS: PAD patients with severe tibial atherosclerosis are likely to present with MACEs. The risk is further enhanced as the extent of tibial vessel atherosclerosis is increased. An association between MACE and severe atherosclerosis on the aortoiliac segment was not detected. However, when the femoropopliteal segment was the most affected artery segment, the risk of MACEs was increased.

Hybrid Effect of Steel Bars and PAN Textile Reinforcement on Ductility of One-Way Slab Subjected to Bending.

Textile reinforced concrete (TRC) has gained attention from the construction industry due to several characteristics such as its lightweight, high tensile strength, design flexibility, corrosion resistance and remarkably long service life. Some structural applications that utilize TRC components include precast panels, structural repairs, waterproofing elements and façades. TRC is produced by incorporating textile fabrics into thin cementitious concrete panels. However, in order to use this strengthening method in construction practice, a design model is required. Investigating the combined effect of conventional steel and textile reinforcement on the ductility behavior of composite TRC/RC one-way slab is vitally important. Therefore, the current study describes the proper methods of calculating the ductility of the composite concrete reinforced by a direct combination of conventional steel and textile reinforcement. Four methods are presented to calculate the ductility of the three considered one-way slab specimens. The three slabs having dimensions 1500 mm × 500 mm × 50 mm were reinforced by steel bars (SRC), by steel with one layer of carbon fabric (SRC + 1T), and by steel with two layers of carbon fabric (SRC + 2T). The three slab specimens were cast by the hand lay-up method, removed from the molds, cured, and then tested in flexure after 28 days using the four-point bending method. The obtained results and calculations revealed the non-reasonability of using the conventional method based on yielding of steel reinforcement as the only criterion in the ductility determination. The results also confirmed the suitability of using the energy-based method over other discussed methods in the calculation of the ductility for the hybrid reinforced members.

Side Effects of COVID-19 Vaccines (Pfizer, AstraZeneca) in Saudi Arabia, Eastern Province.

BACKGROUND: The coronavirus disease 2019 (COVID-19) virus has wreaked havoc on the planet, causing death and illness. Effective vaccination to eradicate the virus is the best approach to safeguarding the globe from it. Our study is considered one of the earliest studies conducted to determine the side effects of COVID-19 vaccines. We started data collection from May 2021 till September 2021, which was the beginning period of vaccine distribution in Saudi Arabia. This study aims to look at potential side effects and factors that contribute to their occurrence. METHODS: The optimal study design for achieving our goals was survey-based. Following Institutional Review Board approval, we created an online self-administered questionnaire using the Google survey webpage (Google LLC, Mountain View, California, United States). We disseminated the survey to 2293 individuals from May 2021 till September 2021 in the eastern province of Saudi Arabia, to males and females above the age of 18 who have been vaccinated by either Pfizer or AstraZeneca in one dose or two doses. RESULTS: The most prevalent side effect was pain at the injection site (60.7%), followed by general fatigue (23.8%) and swelling at the injection site (16.7%), with shortness of breath being the least common (0.9%). When the prevalence of COVID-19 vaccine side effects was compared to the socio-demographic characteristics of participants, we discovered that those without associated comorbidity (p=0.025) and non-smoking participants (p=0.009) showed more side effects. On the other hand, those who received Pfizer vaccine (p0.001) and those who exercised regularly (p0.001) had lower rates of COVID-19 vaccine side effects. Also, obesity was shown to be the most commonly related disease in terms of comorbidities (8.5%), followed by allergy (4.9%) and asthma (4.6%). CONCLUSION: We find that vaccination against COVID-19 has only minor adverse effects. Therefore we anticipate that this study will assist in dispelling rumors about dangerous side effects of the COVID-19 vaccine.

Evaluation and Numerical Investigations of the Cyclic Behavior of Smart Composite Steel-Concrete Shear Wall: Comprehensive Study of Finite Element Model.

The composite shear wall has various merits over the traditional reinforced concrete walls. Thus, several experimental studies have been reported in the literature in order to study the seismic behavior of composite shear walls. However, few numerical investigations were found in the previous literature because of difficulties in the interaction behavior of steel and concrete. This study aimed to present a numerical analysis of smart composite shear walls, which use an infilled steel plate and concrete. The study was carried out using the ANSYS software. The mechanical mechanisms between the web plate and concrete were investigated thoroughly. The results obtained from the finite element (FE) analysis show excellent agreement with the experimental test results in terms of the hysteresis curves, failure behavior, ultimate strength, initial stiffness, and ductility. The present numerical investigations were focused on the effects of the gap, thickness of infill steel plate, thickness of the concrete wall, and distance between shear studs on the composite steel plate shear wall (CSPSW) behavior. The results indicate that increasing the gap between steel plate and concrete wall from 0 mm to 40 mm improved the stiffness by 18% as compared to the reference model, which led to delay failures of this model. Expanding the infill steel plate thickness to 12 mm enhanced the stiffness and energy absorption with a ratio of 95% and 58%, respectively. This resulted in a gradual drop in the strength capacity of this model. Meanwhile, increasing concrete wall thickness to 150 mm enhanced the ductility and energy absorption with a ratio of 52% and 32%, respectively, which led to restricting the model and reduced lateral offset. Changing the distance between shear studs from 20% to 25% enhanced the ductility and energy absorption by about 66% and 32%, respectively.

Evaluation and Prediction of the Bending Behavior of Circular Hollow Steel Tube Sections Using Finite Element Analysis.

Circular hollow steel tube columns are widely used in high-rise buildings and bridges due to their ductility and lower weight compared to reinforced concrete. The use of this type of steel section has several advantages over using reinforced concrete members. The present study investigates the bending behavior of steel circular hollow sections when subjected to bending loads. The variations in material characteristics with regard to position along the cross-section of a steel tube member is first considered in this experimental study, providing for a more accurate definition of the material behavior in the model. A supported beam tested by two-point loads is the loading type that is used to study the bending performance of steel tubes. Ten circular hollow beam specimens were prepared and tested up to and post the failure stage with the following dimensions: thickness (2, 3, and 6 mm), diameter (76.2, 101.6, and 219 mm), and span (1000, 1500, and 2000 mm). A finite element analysis has been conducted for these ten specimens using the ANSYS program. The finite element model is compared to experimentally obtained data to verify that both local and global behaviors are correctly considered. The load-deflection results of this analysis showed a good agreement with the experimental results. A parametric study also was performed that considered two variables, which were the effect of the presence of circular rings and the change of opening location in the length direction on the specimens' behavior. This study showed that the presence of the circular rings in the specimen led to an increase in its ultimate strength (of 53.24%) compared with the non-presence of these rings. In contrast, the presence of openings at 30, 40, and 50% from the specimen length reduced the strength capacity by 8.76, 14.23, and 17.88%, respectively.

Experimental Analysis of Steel Circular Hollow Section under Bending Loads: Comprehensive Study of Mechanical Performance.

The present study aimed at evaluating the mechanical performance under bending loads of circular hollow sections of steel. Different bending tests have been carried out by applying two-point loads, to determine and examine the effects of the diameter, the thickness of the section, and the span of the beam on the performance of the steel tube. The effects of square opening and variation in the number of openings on the performance of these sections have also been examined. Ten samples of hollow circular beams of varying thickness (2 mm, 3 mm, and 6 mm), varying diameter (76.2 mm, 101.6 mm, and 219 mm), and varying span (1000 mm, 1500 mm, and 2000 mm) were fabricated and tested for pre-failure and post-failure stages. The dimensions of the reference specimen considered were 3 mm in thickness, 101.6 mm in diameter, and 1500 mm in span. The results have shown that on increasing the section thickness by 200%, ductility and bearing strength were enhanced by 58.04% and 81.75%, respectively. Meanwhile, decreasing the section thickness by 67%, ductility and bearing strength were reduced by 64.86% and 38.87%, respectively. Moreover, on increasing the specimen diameter and on decreasing span, a significant increase in bearing strength and stiffness was observed; however, ductility was reduced. Meanwhile, on increasing the span of the specimen, all the parameters observed, i.e., bearing strength, stiffness, and ductility, decreased. On observing the ultimate strength of each specimen with square opening, the ultimate strength was reduced by 17.88%, 19.71%, and 14.23% for one, two-, and three-square openings, respectively. Moreover, the ductility was significantly reduced by 72.40%, 67.71%, and 60.88% for one, two-, and three-square openings/apertures, respectively, and led to the sudden failure of these specimens. The local buckling failure dominated for specimens having a D/t ratio more than 50 and showed very negligible levels of ovalization of the cross-section. Local buckling failure was observed to be prevented after providing the circular rings in the specimen, since bearing strength increased compared with the specimen without rings.

A rare case of persistent urogenital sinus in an adult woman associated with unilateral rudimentary horn with ipsilateral renal agenesis and contralateral dermoid cyst / Un caso raro de seno urogenital persistente en una mujer adulta asociado a cuerno rudimentario unilateral con agenesia renal ipsilateral y quiste dermoide contralateral

Persistent urogenital sinus (PUGS) is an uncommon developmental cloacal anomaly, with Incidence of 0.6 in 10000 female births. Herein we depict the case of a 22-year of age lady who presented with Infertility for 16 months with dyspareunia and was found to have Persistent urogenital sinus associated with other urogenital anomalies as unilateral rudimentary horn with ipsilateral renal agenesis and contralateral dermoid cyst. The patient was successfully treated with the excision of the sinus, the rudimentary horn and the dermoid cyst. (AU)

El seno urogenital persistente (PUGS) es una anomalía cloacal del desarrollo poco común, con una incidencia de 0,6 en 10000 nacimientos de mujeres. Aquí representamos el caso de una señora de 22 años que presentó Infertilidad durante 16 meses con dispareunia y se encontró que tenía seno urogenital persistente asociado con otras anomalías urogenitales como cuerno rudimentario unilateral con agenesia renal ipsilateral y quiste dermoide contralateral. El paciente fue tratado con éxito con la escisión del seno, el cuerno rudimentario y el quistedermoide. (AU)

A Novel Approach for Classifying Native Chinese and Malay Speaking Persons According to Cortical Auditory Evoked Responses.

OBJECTIVES: This study uses a new approach for classifying the human ethnicity according to the auditory brain responses (electroencephalography [EEG] signals) with a high level of accuracy. Moreover, the study presents three different algorithms used to classify the human ethnicity using auditory brain responses. The algorithms were tested on Malays and Chinese as a case study. MATERIALS AND METHODS: The EEG signal was used as a brain response signal, which was evoked by two auditory stimuli (Tones and Consonant Vowels stimulus). The study was carried out on Malaysians (Malay and Chinese) with normal hearing and with hearing loss. A ranking process for the subjects' EEG data and the nonlinear features was used to obtain the maximum classification accuracy. RESULTS: The study formulated the classification of Normal Hearing Ethnicity Index and Sensorineural Hearing Loss Ethnicity Index. These indices classified the human ethnicity according to brain auditory responses by using numerical values of response signal features. Three classification algorithms were used to verify the human ethnicity. Support Vector Machine (SVM) classified the human ethnicity with an accuracy of 90% in the cases of normal hearing and sensorineural hearing loss (SNHL); the SVM classified with an accuracy of 84%. CONCLUSION: The classification indices categorized or separated the human ethnicity in both hearing cases of normal hearing and SNHL with high accuracy. The SVM classifier provided a good accuracy in the classification of the auditory brain responses. The proposed indices might constitute valuable tools for the classification of the brain responses according to the human ethnicity.

The effects of audio stimuli on auditory-evoked potential in normal hearing Malay adults.

OBJECTIVES: The hearing process in the brain is very complicated and hard to solve. However, an understanding of the hearing process is an essential issue and needed in many rehabilitation or treatment applications. This study investigates and compares the effects of simple and complex sounds on latency and amplitude of various event-related potential (ERP) components to male ethnic Malay adults. Comparisons were made with previous studies. MATERIALS AND METHODS: Simple and complex sounds were used (pure tones and the naturally produced Malay consonant-vowels [CVs]) to evoke the cortical auditory-evoked potential (CAEP) signals. Moreover, this study analyzed the influence of related CAEP components that are distinct to the selected population and determined which of the ERP components among (CAEP) components is most affected by the two distinct stimuli. Moreover, the study used classification algorithms to discover the ability of the brain in distinguishing CAEP evoked by stimuli contrasts. RESULTS: The results showed some resemblance between our results and ERP waveforms outlined in previous studies conducted on native speakers of English. On the other hand, it was also observed that the P1 and N2 had a significant effect in amplitude due to different stimulus. CONCLUSION: The results show high classification accuracy for the brain to distinguish auditory stimuli. Moreover, the results indicated some resemblance to previous studies conducted on native English speakers using similar tones and English CV stimuli. However, the amplitudes and latencies of the P1 were found to have a significant difference due to stimuli complexity.