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However, patients with active disease reported more severe MS than patients with inactive disease as measured by both severity scales, reflecting better discriminative properties for measures of severity vs measures of duration.
Severe MS-severe AS sequences could significantly reduce the mean structural collapse capacity/maximum drift capacity of substandard bridge piers compared to severe MS only attacks.
It is unlikely a severe MS is followed by a similar severe AS.
The existing damage under a severe MS attack may significantly jeopardize the post-MS resilience of substandard bridge piers.
This observation clearly indicates the effect of existing damage under a severe MS on the post-MS collapse capacity when severe AS is considered.
Symptoms and signs vary across patients and can include cognitive impairment, fatigue, vertigo, diplopia, ataxia, hemiparesis, and paraparesis in severe MS patients.
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For this reason, repair jackets were less effective for the severe MS-moderate AS compared to severe MS-severe AS sequence.
The collapse capacity and drift capacity of repaired bridge pier under severe MS-severe AS and severe MS-moderate AS were quantified.
Repair jackets application on damaged bridge piers are less effective for the severe MS-moderate AS sequence compared to severe MS-severe AS scenario.
Two seismic sequences from ensemble 1 and two seismic sequences from ensemble 2 were considered, namely (1) severe MS-moderate AS, and (2) severe MS-severe AS.
The obtained fragilities demonstrate the decrease of vulnerability for the unrepaired and repaired bridge under severe MS-moderate AS compared to severe MS-severe AS.
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