A novel marker for heart failure: Cross sectional area assessment in a large vein by conductance catheter.

The present study investigates the feasibility of a new application able to check the heart failure status in a patient through the estimation of the venous distension. In this way it would be possible to follow up patients, avoiding invasive or expensive exams such as cardiac catheterization and echocardiography. Moreover, the devices would also be able to diagnose the decline of the disease, in order to allow a new adaptation to therapy, and vice versa to check the improvement in the patient’s conditions after the CRT device implant. This thesis is essentially divided into three parts: an analytical model was used to obtain an estimation of the error committed for the calculation of the CSA and to understand how the accuracy and sensitivity depend on the different configurations of the electrodes and the catheter position inside the vein; secondly, an in-vitro experiment was carried out in order to verify the practical feasibility for these kinds of measurements, in a very simplified model; in the end, several animal experiments were done to test the in-vivo practicability of the proposed method. The obtained results showed the feasibility of this approach. In fact, the error committed in the estimation of CSA, during the animal experiments, can be considered acceptable (CSAerror_max ≈ -14%). Moreover, it has been demonstrated that the conductance catheter allows assessing, not only the vein CSA, but also the breathing of the animal.

Geometrical optimization of a short-stem hip implant for the reduction of proximal stress shielding (ottimizzazione geometrica di uno stelo corto di protesi d?anca per la riduzione della schermatura del carico prossimale)

Nowadays the number of hip joints arthroplasty operations continues to increase because the elderly population is growing. Moreover, the global life expectancy is increasing and people adopt a more active way of life. For this reasons, the demand of implant revision operations is becoming more frequent. The operation procedure includes the surgical removal of the old implant and its substitution with a new one. Every time a new implant is inserted, it generates an alteration in the internal femur strain distribution, jeopardizing the remodeling process with the possibility of bone tissue loss. This is of major concern, particularly in the proximal Gruen zones, which are considered critical for implant stability and longevity. Today, different implant designs exist in the market; however there is not a clear understanding of which are the best implant design parameters to achieve mechanical optimal conditions. The aim of the study is to investigate the stress shielding effect generated by different implant design parameters on proximal femur, evaluating which ranges of those parameters lead to the most physiological conditions.

Comparison of the seismic performances of a steel frame building equipped with different geometrical configurations of Crescent Shaped Braces

The Crescent Shaped Brace (CSB) is a new simple steel hysteretic device proposed to be used as an enhanced diagonal brace in framed structures. The CSB allows the practical designer to choose the lateral stiffness independently from the yield strength of the device, due to its peculiar ad-hoc shape. In the present thesis, a complete study referring to different CSB configurations has been presented. After the validation of the hysteretic capacities of the Crescent Shaped Braces, the seismic concept of the "enhanced first story isolation" system has been proposed within the PBSD. It relies on the total separation between the Vertical Resisting System (VRS) and the Horizontal Resisting System (HRS) in order to attain a certain objective curve of the structure. An applicative example has been studied following this concept and exploiting the advantages of the CSBs as seismic dissipative devices used for the HRS. Then several geometrical configurations called Single CSB system, Single 2 CSB system, Double CSB system, Coupled CSB system, Coupled with high length CSB system, and the final one was Cross bracing system have been introduced and modelled with SAP2000 and the results have been compared.