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This paper describes the effect of composite slabs in increasing beam strength and its implications for design. It also discusses the "beam-growth" phenomena, which can detrimentally influence the performance of a frame with reinforced concrete or precast concrete beams, and its impact on steel beams with RC slabs. From the subassembly testing conducted the slab increased the beam strength by around 40%. However the slab could not maintain strength at large drifts without degradation with transverse or longitudinal decking placed around the columns. This indicates that while transverse or longitudinal slabs should not be considered in design to size the beam, they should be considered in the beam overstrength calculations for the design of other members. Also, both rational considerations and experimental results

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Stress-induced hyperglycemia is prevalent in critical care, even in patients with no history of diabetes. Control of blood glucose level with tight insulin therapy has been shown to reduce incidences of hyperglycemia leading to reduced mortality and improved clinical outcomes. STAR is a tablet-based glucose control protocol with a specialized user interface into which insulin and nutrition information can be entered and predicted. This research describes the first clinical pilot trial of STAR approach in International Islamic University Hospital, Kuantan, Pahang. The clinically specified target for blood glucose level is between 4.4 and 8.0 mmol/L. Seven episodes (359 hours) were recruited based on the need for GC. Overall, 43.93% of measurement are in the range of 4.4-8.0 mmol/L band. The BG median is 8.30 [6.32-10.00] mmol/L with only 1 patient having below than 2.22 mmol/L which is the guaranteed minimum risk level. This pilot study shows that STAR protocol is a patient specific approach that provides a good glycemic control in critically ill patients. Nevertheless, its implementation in Malaysian intensive care environments require modifications and improvements in certain areas.