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Lawal O, V. Shajihan SA, Mechitov K, Spencer BF. An Event-Classification Neural Network Approach for Rapid Railroad Bridge Impact Detection. Sensors (Basel) 2023; 23:3330. [PMID: 36992040 PMCID: PMC10054092 DOI: 10.3390/s23063330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 03/17/2023] [Accepted: 03/20/2023] [Indexed: 06/19/2023]
Abstract
Railroads are a critical part of the United States' transportation sector. Over 40 percent (by weight) of the nation's freight is transported by rail, and according to the Bureau of Transportation statistics, railroads moved $186.5 billion of freight in 2021. A vital part of the freight network is railroad bridges, with a good number being low-clearance bridges that are prone to impacts from over-height vehicles; such impacts can cause damage to the bridge and lead to unwanted interruption in its usage. Therefore, the detection of impacts from over-height vehicles is critical for the safe operation and maintenance of railroad bridges. While some previous studies have been published regarding bridge impact detection, most approaches utilize more expensive wired sensors, as well as relying on simple threshold-based detection. The challenge is that the use of vibration thresholds may not accurately distinguish between impacts and other events, such as a common train crossing. In this paper, a machine learning approach is developed for accurate impact detection using event-triggered wireless sensors. The neural network is trained with key features which are extracted from event responses collected from two instrumented railroad bridges. The trained model classifies events as impacts, train crossings, or other events. An average classification accuracy of 98.67% is obtained from cross-validation, while the false positive rate is minimal. Finally, a framework for edge classification of events is also proposed and demonstrated using an edge device.
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Fu Y, Zhu Y, Hoang T, Mechitov K, Spencer BF. xImpact: Intelligent Wireless System for Cost-Effective Rapid Condition Assessment of Bridges under Impacts. Sensors (Basel) 2022; 22:5701. [PMID: 35957256 PMCID: PMC9371040 DOI: 10.3390/s22155701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 07/21/2022] [Accepted: 07/25/2022] [Indexed: 06/15/2023]
Abstract
Bridge strikes by over-height vehicles or ships are critical sudden events. Due to their unpredictable nature, many events go unnoticed or unreported, but they can induce structural failures or hidden damage that accelerates the bridge's long-term degradation. Therefore, always-on monitoring is essential for deployed systems to enhance bridge safety through the reliable detection of such events and the rapid assessment of bridge conditions. Traditional bridge monitoring systems using wired sensors are too expensive for widespread implementation, mainly due to their significant installation cost. In this paper, an intelligent wireless monitoring system is developed as a cost-effective solution. It employs ultralow-power, event-triggered wireless sensor prototypes, which enables on-demand, high-fidelity sensing without missing unpredictable impact events. Furthermore, the proposed system adopts a smart artificial intelligence (AI)-based framework for rapid bridge assessment by utilizing artificial neural networks. Specifically, it can identify the impact location and estimate the peak force and impulse of impacts. The obtained impact information is used to provide early estimation of bridge conditions, allowing the bridge engineers to prioritize resource allocation for the timely inspection of the more severe impacts. The performance of the proposed monitoring system is demonstrated through a full-scale field test. The test results show that the developed system can capture the onset of bridge impacts, provide high-quality synchronized data, and offer a rapid damage assessment of bridges under impact events, achieving the error of around 2 m in impact localization, 1 kN for peak force estimation, and 0.01 kN·s for impulse estimation. Long-term deployment is planned in the future to demonstrate its reliability for real-life impact events.
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Affiliation(s)
- Yuguang Fu
- School of Civil and Environmental Engineering, Nanyang Technological University, Singapore 639798, Singapore;
| | - Yaoyu Zhu
- CCCC Highway Bridges National Engineering Research Centre Co., Ltd., Beijing 100088, China
| | - Tu Hoang
- Department of Civil Engineering, Tsinghua University, Beijing 100191, China;
- Palo Alto Research Center, Palo Alto, CA 94304, USA
| | | | - Billie F. Spencer
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61820, USA;
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Lawal O, Najafi A, Hoang T, Shajihan SAV, Mechitov K, Spencer BF. Development and Validation of a Framework for Smart Wireless Strain and Acceleration Sensing. Sensors (Basel) 2022; 22:s22051998. [PMID: 35271144 PMCID: PMC8914880 DOI: 10.3390/s22051998] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Revised: 02/16/2022] [Accepted: 03/01/2022] [Indexed: 02/04/2023]
Abstract
Civil infrastructure worldwide is subject to factors such as aging and deterioration. Structural health monitoring (SHM) can be used to assess the impact of these processes on structural performance. SHM demands have evolved from routine monitoring to real-time and autonomous assessment. One of the frontiers in achieving effective SHM systems has been the use of wireless smart sensors (WSSs), which are attractive compared to wired sensors, due to their flexibility of use, lower costs, and ease of long-term deployment. Most WSSs use accelerometers to collect global dynamic vibration data. However, obtaining local behaviors in a structure using measurands such as strain may also be desirable. While wireless strain sensors have previously been developed by some researchers, there is still a need for a high sensitivity wireless strain sensor that fully meets the general demands for monitoring large-scale civil infrastructure. In this paper, a framework for synchronized wireless high-fidelity acceleration and strain sensing, which is commonly termed multimetric sensing in the literature, is proposed. The framework is implemented on the Xnode, a next-generation wireless smart sensor platform, and integrates with the strain sensor for strain acquisition. An application of the multimetric sensing framework is illustrated for total displacement estimation. Finally, the potential of the proposed framework integrated with vision-based measurement systems for multi-point displacement estimation with camera-motion compensation is demonstrated. The proposed approach is verified experimentally, showing the potential of the developed framework for various SHM applications.
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Levine NM, Spencer BF. Post-Earthquake Building Evaluation Using UAVs: A BIM-Based Digital Twin Framework. Sensors (Basel) 2022; 22:s22030873. [PMID: 35161619 PMCID: PMC8839102 DOI: 10.3390/s22030873] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 01/19/2022] [Accepted: 01/19/2022] [Indexed: 05/27/2023]
Abstract
Computer vision has shown potential for assisting post-earthquake inspection of buildings through automatic damage detection in images. However, assessing the safety of an earthquake-damaged building requires considering this damage in the context of its global impact on the structural system. Thus, an inspection must consider the expected damage progression of the associated component and the component's contribution to structural system performance. To address this issue, a digital twin framework is proposed for post-earthquake building evaluation that integrates unmanned aerial vehicle (UAV) imagery, component identification, and damage evaluation using a Building Information Model (BIM) as a reference platform. The BIM guides selection of optimal sets of images for each building component. Then, if damage is identified, each image pixel is assigned to a specific BIM component, using a GrabCut-based segmentation method. In addition, 3D point cloud change detection is employed to identify nonstructural damage and associate that damage with specific BIM components. Two example applications are presented. The first develops a digital twin for an existing reinforced concrete moment frame building and demonstrates BIM-guided image selection and component identification. The second uses a synthetic graphics environment to demonstrate 3D point cloud change detection for identifying damaged nonstructural masonry walls. In both examples, observed damage is tied to BIM components, enabling damage to be considered in the context of each component's known design and expected earthquake performance. The goal of this framework is to combine component-wise damage estimates with a pre-earthquake structural analysis of the building to predict a building's post-earthquake safety based on an external UAV survey.
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Veluthedath Shajihan SA, Chow R, Mechitov K, Fu Y, Hoang T, Spencer BF. Development of Synchronized High-Sensitivity Wireless Accelerometer for Structural Health Monitoring. Sensors (Basel) 2020; 20:s20154169. [PMID: 32727037 PMCID: PMC7436125 DOI: 10.3390/s20154169] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/25/2020] [Accepted: 07/25/2020] [Indexed: 11/16/2022]
Abstract
The use of digital accelerometers featuring high sensitivity and low noise levels in wireless smart sensors (WSSs) is becoming increasingly common for structural health monitoring (SHM) applications. Improvements in the design of Micro Electro-Mechanical System (MEMS) based digital accelerometers allow for high resolution sensing required for SHM with low power consumption suitable for WSSs. However, new approaches are needed to synchronize data from these sensors. Data synchronization is essential in wireless smart sensor networks (WSSNs) for accurate condition assessment of structures and reduced false-positive indications of damage. Efforts to achieve synchronized data sampling from multiple WSS nodes with digital accelerometers have been lacking, primarily because these sensors feature an internal Analog to Digital Converter (ADC) to which the host platform has no direct access. The result is increased uncertainty in the ADC startup time and thus worse synchronization among sensors. In this study, a high-sensitivity digital accelerometer is integrated with a next-generation WSS platform, the Xnode. An adaptive iterative algorithm is used to characterize these delays without the need for a dedicated evaluation setup and hardware-level access to the ADC. Extensive tests are conducted to evaluate the performance of the accelerometer experimentally. Overall time-synchronization achieved is under 15 µs, demonstrating the efficacy of this approach for synchronization of critical SHM applications.
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Affiliation(s)
- Shaik Althaf Veluthedath Shajihan
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA; (S.A.V.S.); (T.H.)
| | | | - Kirill Mechitov
- Department of Computer Science, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA;
| | - Yuguang Fu
- School of Mechanical Engineering, Purdue University, West Lafayette, IN 47907, USA;
| | - Tu Hoang
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA; (S.A.V.S.); (T.H.)
| | - Billie F. Spencer
- Anne M. and Nathan M. Endowed Chair in Civil Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA
- Correspondence: ; Tel.: +1-217-333-8630
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Fu Y, Hoang T, Mechitov K, Kim JR, Zhang D, Spencer BF. Sudden Event Monitoring of Civil Infrastructure Using Demand-Based Wireless Smart Sensors. Sensors (Basel) 2018; 18:s18124480. [PMID: 30567375 PMCID: PMC6308715 DOI: 10.3390/s18124480] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/18/2018] [Revised: 12/11/2018] [Accepted: 12/14/2018] [Indexed: 11/25/2022]
Abstract
Wireless smart sensors (WSS) have been proposed as an effective means to reduce the high cost of wired structural health monitoring systems. However, many damage scenarios for civil infrastructure involve sudden events, such as strong earthquakes, which can result in damage or even failure in a matter of seconds. Wireless monitoring systems typically employ duty cycling to reduce power consumption; hence, they will miss such events if they are in power-saving sleep mode when the events occur. This paper develops a demand-based WSS to meet the requirements of sudden event monitoring with minimal power budget and low response latency, without sacrificing high-fidelity measurements or risking a loss of critical information. In the proposed WSS, a programmable event-based switch is implemented utilizing a low-power trigger accelerometer; the switch is integrated in a high-fidelity sensor platform. Particularly, the approach can rapidly turn on the WSS upon the occurrence of a sudden event and seamlessly transition from low-power acceleration measurement to high-fidelity data acquisition. The capabilities of the proposed WSS are validated through laboratory and field experiments. The results show that the proposed approach is able to capture the occurrence of sudden events and provide high-fidelity data for structural condition assessment in an efficient manner.
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Affiliation(s)
- Yuguang Fu
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
| | - Tu Hoang
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
| | - Kirill Mechitov
- Department of Computer Science, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
| | - Jong R Kim
- Department of Civil and Environmental Engineering, Nazarbayev University, Astana 010000, Kazakhstan.
| | - Dichuan Zhang
- Department of Civil and Environmental Engineering, Nazarbayev University, Astana 010000, Kazakhstan.
| | - Billie F Spencer
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
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Zhou F, Chen Z, Liu H, Cui J, Spencer BF, Fang G. Simultaneous Estimation of Rebar Diameter and Cover Thickness by a GPR-EMI Dual Sensor. Sensors (Basel) 2018; 18:s18092969. [PMID: 30200606 PMCID: PMC6163369 DOI: 10.3390/s18092969] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 08/29/2018] [Accepted: 08/31/2018] [Indexed: 11/16/2022]
Abstract
Precise characterization of reinforcing bars (rebars) in a concrete structure is of significant importance for construction quality control and post-disaster safety evaluation. This paper integrates ground-penetrating radar (GPR) and electromagnetic induction (EMI) methods for simultaneous estimation of rebar diameter and cover thickness. A prototype of GPR-EMI dual sensor is developed, and a calibration experiment is conducted to collect a standard EMI dataset corresponding to various rebar diameters and cover thicknesses. The handheld testing cart can synchronously collect both GPR and EMI data when moving on the concrete surface, from which a data processing algorithm is proposed to simultaneously estimate the rebar diameter and cover thickness. Firstly, by extracting the apex of the hyperbolic reflection from the rebar in the preprocessed GPR profile, the rebar position is determined and further used to extract the effective EMI curve. Then, the rebar diameter and cover thickness are simultaneously estimated from the minimum mean square error between the measured and calibrated EMI data under the constraint of the GPR-estimated cover thickness. A laboratory experiment is performed using four casted concrete specimens with 11 embedded steel rebars. The results show that the diameters of 10 rebars are correctly estimated out of the 11 rebars, and the maximum estimation error for the cover thickness is 6.7%. A field trial is carried out in a newly-constructed building, and the diameters of four tested rebars are all accurately estimated while the estimation errors of the cover thickness are less than 5%. It is concluded that the developed GPR-EMI dual sensor and the proposed algorithm can estimate the rebar diameter and cover thickness accurately by a single scan.
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Affiliation(s)
- Feng Zhou
- School of Mechanical Engineering and Electronic Information, China University of Geosciences (Wuhan), Wuhan 430074, China.
| | - Zhongchang Chen
- School of Mechanical Engineering and Electronic Information, China University of Geosciences (Wuhan), Wuhan 430074, China.
| | - Hai Liu
- School of Civil Engineering, Guangzhou University, Guangzhou 510006, China.
| | - Jie Cui
- School of Civil Engineering, Guangzhou University, Guangzhou 510006, China.
| | - Billie F Spencer
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
| | - Guangyou Fang
- Institute of Electronics, Chinese Academy of Sciences, Beijing 100190, China.
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Kim RE, Mechitov K, Sim SH, Spencer BF, Song J. Probabilistic Assessment of High-Throughput Wireless Sensor Networks. Sensors (Basel) 2016; 16:s16060792. [PMID: 27258270 PMCID: PMC4934218 DOI: 10.3390/s16060792] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 05/22/2016] [Accepted: 05/26/2016] [Indexed: 11/18/2022]
Abstract
Structural health monitoring (SHM) using wireless smart sensors (WSS) has the potential to provide rich information on the state of a structure. However, because of their distributed nature, maintaining highly robust and reliable networks can be challenging. Assessing WSS network communication quality before and after finalizing a deployment is critical to achieve a successful WSS network for SHM purposes. Early studies on WSS network reliability mostly used temporal signal indicators, composed of a smaller number of packets, to assess the network reliability. However, because the WSS networks for SHM purpose often require high data throughput, i.e., a larger number of packets are delivered within the communication, such an approach is not sufficient. Instead, in this study, a model that can assess, probabilistically, the long-term performance of the network is proposed. The proposed model is based on readily-available measured data sets that represent communication quality during high-throughput data transfer. Then, an empirical limit-state function is determined, which is further used to estimate the probability of network communication failure. Monte Carlo simulation is adopted in this paper and applied to a small and a full-bridge wireless networks. By performing the proposed analysis in complex sensor networks, an optimized sensor topology can be achieved.
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Affiliation(s)
- Robin E Kim
- Fire Research Center, Korea Institute of Civil Engineering and Building Technology, Gyeonggi-do 18544, Korea.
| | - Kirill Mechitov
- Department of Computer Science, University of Illinois at Urbana-Champaign, Champaign, IL 61801, USA.
| | - Sung-Han Sim
- School of Urban and Environmental Engineering, Ulsan National Institute of Science and Technology (UNIST), Ulsan 44919, Korea.
| | - Billie F Spencer
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Champaign, IL 61801, USA.
| | - Junho Song
- Department of Civil and Environmental Engineering, Seoul National University, Seoul 08826, Korea.
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Park JW, Sim SH, Jung HJ, Spencer BF. Development of a wireless displacement measurement system using acceleration responses. Sensors (Basel) 2013; 13:8377-92. [PMID: 23881123 PMCID: PMC3758599 DOI: 10.3390/s130708377] [Citation(s) in RCA: 54] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/14/2013] [Revised: 05/31/2013] [Accepted: 06/13/2013] [Indexed: 11/16/2022]
Abstract
Displacement measurements are useful information for various engineering applications such as structural health monitoring (SHM), earthquake engineering and system identification. Most existing displacement measurement methods are costly, labor-intensive, and have difficulties particularly when applying to full-scale civil structures because the methods require stationary reference points. Indirect estimation methods converting acceleration to displacement can be a good alternative as acceleration transducers are generally cost-effective, easy to install, and have low noise. However, the application of acceleration-based methods to full-scale civil structures such as long span bridges is challenging due to the need to install cables to connect the sensors to a base station. This article proposes a low-cost wireless displacement measurement system using acceleration. Developed with smart sensors that are low-cost, wireless, and capable of on-board computation, the wireless displacement measurement system has significant potential to impact many applications that need displacement information at multiple locations of a structure. The system implements an FIR-filter type displacement estimation algorithm that can remove low frequency drifts typically caused by numerical integration of discrete acceleration signals. To verify the accuracy and feasibility of the proposed system, laboratory tests are carried out using a shaking table and on a three storey shear building model, experimentally confirming the effectiveness of the proposed system.
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Affiliation(s)
- Jong-Woong Park
- Department of Civil and Environmental Engineering, KAIST, Daejeon 305-701, Korea; E-Mails: (J.-W.P.); (H.-J.J.)
| | - Sung-Han Sim
- School of Urban and Environmental Engineering, Ulsan National Institute of Science and Technology (UNIST), Ulsan 689-798, Korea
- Author to whom correspondence should be addressed; E-Mail: ; Tel.: +82-52-217-2816; Fax: +82-52-217-2819
| | - Hyung-Jo Jung
- Department of Civil and Environmental Engineering, KAIST, Daejeon 305-701, Korea; E-Mails: (J.-W.P.); (H.-J.J.)
| | - Billie F. Spencer
- Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Champaign, IL 61801, USA; E-Mail:
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Park KS, Jung HJ, Spencer BF, Lee IW. Hybrid control systems for seismic protection of a phase II benchmark cable-stayed bridge. ACTA ACUST UNITED AC 2003. [DOI: 10.1002/stc.27] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Spencer BF, Huth SA. Health premium increases due to utilization? History, corporate experience indicate otherwise. Employee Benefit Plan Rev 1981; 35:32, 36, 76. [PMID: 10252165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Spencer BF. Health care costs depend upon priorities: consumers will ultimately make decisions. Employee Benefit Plan Rev 1977; 32:10-1. [PMID: 10304872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Spencer BF. Views: government and health care costs. Employee Benefit Plan Rev 1977; 32:5-6, 82. [PMID: 10304824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Spencer BF. Vision care seminar looks at providers: who provides services? What are the costs? Employee Benefit Plan Rev 1977; 31:8-9. [PMID: 10277869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Spencer BF. CEB speakers urge employers to become involved in hospital cost control programs. Employee Benefit Plan Rev 1976; 31:8-9. [PMID: 1037602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Spencer BF. Bill would limit Sec. 105(d) sick pay exclusion. Employee Benefit Plan Rev 1976; 30:42, 65. [PMID: 1037499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Spencer BF. Anti-selection can play an important role in HMO coverage, Rochester experience demonstrates. Employee Benefit Plan Rev 1976; 30:8-9. [PMID: 1037515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Spencer BF. Viability of the HMO concept depends on how well the qualified provider is subsequently monitored. Employee Benefit Plan Rev 1975; 30:8-9. [PMID: 10278028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
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Spencer BF. State laws have big impact on benefits: Minnesota Solons considering nearly 50 bills. Employee Benefit Plan Rev 1975; 29:22, 24, 26. [PMID: 10277971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Spencer BF. NHI Advisory Council selected by Ways & Means; don't look for practical answers from them! Employee Benefit Plan Rev 1975; 29:58-9. [PMID: 10277967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Spencer BF. Will deficits cause hospitals to close outpatient clinics? Employee Benefit Plan Rev 1975; 29:17. [PMID: 1244046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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