Static Procedure Research Articles

New solubility data of Amoxapine (anti-depressant) drug in supercritical CO2: Application of cubic EoSs

The solubility of the anti-depressant drug, Amoxapine drug, in supercritical carbon dioxide has been studied. The experiments were performed by the simple and static procedure at P = 120-300 bar and T(K) = 311, 323, 333, and 343. The drug solubilities (mole fraction) ranged from 0.44×10-6 to 7.81×10-6. The drug solubilities were modeled, first using two cubic equations of state (Peng-Robinson and Soave-Redlich-Kwong EoSs with van der Waals mixing rule) and additionally by 17 semi-empirical density-based correlations (Stahl et al., Chrastil, Kumar-Johnston, Garlapati-Madras (model I and II), Sung-Shim, del Valle and Aguilera, Adachi-Lu, Ch and Madras, Hezave and Lashkarbolooki, Mendez-Santiago-Teja, Bartle et al., Jafari Nejad et al., Hozhabr et al., Keshmiri et al., Khansary et al. and Sodeifian et al.). The results revealed that cubic EoSs and semi-empirical density-based correlations can be used to obtain satisfactory drug solubility correlations at various temperatures and pressures. Between cubic EoSs, Peng-Robinson EoS (with Akaike Information Criterion is -692.12), and among 17 density-based correlations, the Stahl et al. correlation (with AARD% = 4.16%, corresponding corrected Akaike Information Criterion is -700.98 and Radj = 0.9963) gave much better accuracy with the experimental data. The thermodynamic consistency test based on Gibbs-Durham's theory was performed by using both cubic EoSs and all experimental data were examined. Furthermore, the solvation, vaporization, and total enthalpies of Amoxapine-CO2 were calculated by Chrastil, KJ, and Bartle et al. correlations.

Surgery for facial palsy in the hands of otorhinolaryngologists: a population-based study.

Modern facial surgery can improve eye closure and address facial functional and emotional expression disabilities in case of severe acute facial paralysis with low probability of recovery and in cases of chronic flaccid facial paralysis. Reports on outcome typically originate from specialized tertiary care centers, whereas population-based data from routine care beyond specialized centers is sparse. Therefore, patients' characteristics, surgical techniques, postoperative complications, and patients' satisfaction with the final outcome were analyzed for all inpatients with facial paralysis undergoing facial surgery in Thuringia, a federal state in Germany, between 2006 and 2022. 260 patients (female 41.5%; median age 65 years) were included. On average, the surgery rate was higher for men than for women (0.83 ± 0.39 versus 0.58 ± 0.24 per 100,000 population per year). For first surgery, static procedures were dominating (67.3%), followed by dynamic reconstruction (13.8%), and combined static and dynamic reconstructions (13.5%). The most frequent type of surgery was upper lid weight loading (38.5%), hypoglossal-facial jump nerve suture (17.3%), and facial-facial interpositional graft suture (16.9%). Bleeding/hematoma formation needing revision surgery was the most frequent complication (6.2%). Overall, 70.4% of the patients were satisfied with the final result. The satisfaction was higher if the target was to improve eye closure (65.2%) or to improve upper face function (65.3%) than to improve the lower face function (53.3%). If facial nerve reconstruction surgery and/or upper lid weight placement was performed, the satisfaction was significantly higher. If revision surgery was needed to improve the result, the satisfaction was significantly lower.

Comparison of seismic assessment guidelines using a case study reinforced concrete wall building

There are several seismic assessment standards and guidelines available around the world that can be used to identify vulnerable buildings. The assessment procedures and criteria in these documents are different, and thus, the assessment outcomes for a particular building, if assessed using different standards, can also be different. In this study, provisions of the linear static and non-linear static analysis procedures of three prominent seismic assessment documents, the American Society of Civil Engineers /Structural Engineers Institute standard ASCE 41 (2017) [1], the New Zealand Seismic Assessment Guidelines (2017) [2], and the European Standard EN 1998-3 (2005) [3] (also known as Eurocode 8 Part-3 or EC8-3) are discussed and compared, highlighting some of their similarities and differences. A reinforced concrete (RC) wall building used in FEMA P-2006 (2018) [4] for demonstration of ASCE 41 provisions is taken as the case study building for comparison of the assessment provisions. The linear and non-linear static analysis procedures specified in the three documents are applied to the case study building and the assessment outcomes are compared. The assessment results are found to vary across the analysis methods and guidelines. However, the critical governing vulnerability for the building is found to be the same. It is observed that with the simplifying modelling assumptions, coupled with the inherent conservatism in the assessment using linear static analysis, a more conservative outcome is obtained using the linear static methods as compared to the non-linear static methods. Overall, EC8-3 provisions are found to be the most conservative of all three guidelines considered for the assessment of the example building.

AAPM Task Group Report 325: MRI static magnetic field homogeneity measurement and evaluation procedures - Guidance and resources.

Measurement of static magnetic field (B0) homogeneity is an essential component of routine MRI system evaluation. This report summarizes the work of AAPM Task Group (TG) 325 on vendor-specific methods of B0 homogeneity measurement and evaluation. TG 325 was charged with producing a set of detailed, step-by-step instructions to implement B0 homogeneity measurement methods discussed in the American College of Radiology (ACR) MRI Quality Control Manual using specific makes and models of MRI scanners. The TG produced such instructions for as many approaches as was relevant and practical on six currently available vendor platforms including details of software/tools, settings, phantoms, and other experimental details needed for a reproducible protocol. Because edits to these instructions may need to be made as vendors enter and exit the market and change available tools, interfaces, and access levels over time, the step-by-step instructions are published as a living document on the AAPM website. This summary document provides an introduction to B0 homogeneity testing in MRI and several of the common methods for its measurement and evaluation. A living document on the AAPM website provides vendor-specific step-by-step instructions for performing these tests to facilitate accurate and reproducible B0 homogeneity evaluation on a routine basis.

An algorithm based on B-differentiable equations method for solving problems involving frictional contact coupled with concrete plastic damage

In this paper, an algorithm is proposed to solve the frictional contact problems while considering elasto-plastic material properties. The static and dynamic solution procedures are derived in incremental form, respectively. The proposed method employs a two-layer iteration strategy. In the outer iteration layer, the equilibrium equations are solved, with the stress and stiffness matrix updated at each iteration. Within the inner iteration layer, the contact force is calculated, where the contact equations, expressed as B-differentiable equations, incorporate only contact conditions in normal and tangential directions, and the contact flexibility matrix, obtained by applying unit force pair to all contact node pairs in turn, is introduced. Consequently, the solution for nonlinear equilibrium equations and contact equations is decoupled, requiring only one decomposition of the stiffness matrix for each calculation of the contact flexibility matrix, as it remains constant within the contact iteration layer. In addition, the constitutive model of concrete developed by Lee and Fenves is utilized. This model adopts two independent variables to describe tensile and compressive damage, together considering the strength recovery of the concrete. Numerical examples demonstrate the accuracy of the proposed method by comparing the results from Abaqus. Furthermore, the present algorithm is applied to static and dynamic analyses of a concrete arch dam with several transverse joints, where the effects of gravity, water level, the number of contact surfaces, and seismic load are considered, and some conclusions are obtained.

Longitudinal Analysis of the Use of Facial Reanimation Procedures for Bell's Palsy.

Background: Treatment of Bell's palsy ranges from medical management with high-dose corticosteroids to complex facial reanimation procedures. Objective: To characterize the number of static, dynamic, and combined facial reanimation procedures for the management of Bell's palsy using a national database over time. Methods: This retrospective cohort study included patients in the 2013-2020 National Surgical Quality Improvement Project database with a postoperative diagnosis of Bell's palsy. Cases were categorized as involving only static, only dynamic, and a combination of static and dynamic procedures. Chi-square or Fisher's exact tests were performed for patient demographics, and linear regressions were created to evaluate utilization trends. Results: In total, 294 patients were identified. There was no significant difference in patient sex and comorbidities between these treatment groups. Of the 294 patients, 101 received both types of procedures, 107 received only dynamic procedures, and 86 received only static procedures. The trendlines for all treatment groups were significantly positive (B = 1.27 for both, B = 0.89 for dynamic only, and B = 1.01 for static only). Conclusion: In this study of a national surgical database, an increase in static, dynamic, and combined treatments for patients with Bell's palsy was found.

Ulnohumeral Cross-Pinning in the Management of Traumatic Elbow Instability

Traumatic elbow instability (subluxation and dislocation) represents a challenging clinical entity that can be complicated by persistent intraoperative instability after attempted stabilization or recurrent postoperative instability. Both static and dynamic supplemental stabilization procedures have been described for cases where fracture fixation and ligament repair fail to restore stability. There is a paucity of prior studies involving ulnohumeral cross-pinning (UCP), which is a type of static supplemental stabilization. Our purpose was to assess complications and outcomes after UCP. We reviewed all surgical cases involving primary and revision UCP for traumatic elbow instability at a single center from 2017-2023. Baseline demographics were recorded. Outcomes including radiographs, range of motion, patient-reported outcome measures, and surgical complications were analyzed. Fourteen patients undergoing UCP were included with a mean follow-up of 27 months. Five cross-pinnings (36%) were performed during revision procedures. Mean visual analog scale (VAS) pain, Disabilities of the Arm, Shoulder, and Hand (QuickDASH), and the Single Assessment Numeric Evaluation (SANE) scores were 2.4, 34, and 69, respectively. The mean flexion-extension and pronation-supination arcs were 114° and 140°, with 85% achieving at least a 100° arc for flexion and forearm rotation. Five patients (36%) had complications, all of which required reoperation. Two complications involved postoperative instability: one radial head subluxation and one radial head dislocation. Both occurred in revision UCP cases indicated for recurrent postoperative instability. Ulnohumeral cross-pinning for persistent and recurrent elbow instability results in maintained ulnohumeral joint alignment, functional arcs of elbow range of motion, and acceptable patient-reported outcome measures, particularly in the setting of a primary procedure indicated for persistent intraoperative instability. Ulnohumeral cross-pinning is a reasonable supplemental stabilization procedure for complex elbow instability. Therapeutic IV.

Analysis of Non-Linear Static Procedure Based on Fema 356 to Evaluate Structural Performance in the Alton Apartment Building

Alton Apartment is a high-rise residential building. The city of Semarang, within a radius of 500 km, has a fault range with a strength of up to 8.3 magnitude. The purpose of this study is to calculate the performance level of the structure, find out the nonlinear static procedure conditions and whether the analysis results can be used, calculate the value of ductility R, check the boundaries between levels, check the influence of P-delta, adjust horizontal irregularities, and check the vertical irregularity conditions. This study uses the FEMA 356 method. New regulations are used in the analysis, such as peak acceleration maps and response spectra from PuSGeN in 2021, deaggregation maps of Indonesian earthquake hazards for planning and evaluation of earthquake-resistant infrastructure from the Director General of Cipta Karya in 2022, and earthquake resilience planning procedures for building and non-building structures from SNI 1726-2019. The result of the structure performance of the drift value is below 1% for the life safety (LS) performance level on the 250-year earthquake map, and the result of the drift value is below 2% for the collapse prevention (CP) performance level on the 100-year earthquake map. The results of the FEMA 356 condition one analysis show that the strength ratio (μstrength) value of less than μmax has been met for 250-year and 1000-year earthquake maps with a review of the x and y directions of the earthquake. The value of the R ductility in 250-year and 1000-year earthquakes is above seven according to the earthquake force holding system of special reinforced concrete sliding walls.

Extending the concepts of response spectrum analysis to nonlinear static analysis: Does it make sense?

The study presented in this paper aims to assess the recent novelties proposed by new generation building codes about the extension of some concepts at the base of linear analyses to the procedures of nonlinear static analysis. The nonlinear static analysis (pushover) is an extensively adopted approach by engineers and practitioners for purpose of assessing the seismic performance of new and existing buildings, although several drawbacks characterize this methodology, as evidenced by the existing scientific literature. In order to overcome the well-known limitations characterizing nonlinear static analysis, and to offer an alternative to nonlinear dynamic analysis, the recent upgrades of some building codes, such as the Italian one, provide different rules to employ in nonlinear static procedures. Among these new provisions, one regards the possibility to use a horizontal load profile proportional to the storey forces derived from a response spectrum analysis in all cases (i.e., also for irregular buildings). The main goal of this study is to demonstrate the reliability of this new load profile when strong irregularities arise. To this scope, the seismic behaviour of a sample of archetype buildings characterized by increasing in-height irregularity was investigated. The sample of buildings was subdivided in two subsets characterized by different design levels, one conceived by considering the prescriptions of the new Italian building code and one designed according to the oldest Italian building code (i.e., without considering anti-seismic details). The sample of buildings, simulating new and existing cases, was firstly modelled and after investigated through nonlinear static analyses by employing both traditional (i.e., inverse triangular- and uniform-like) and new (i.e., derived from response spectrum analysis) load profiles. After, nonlinear dynamic analyses were run, in order to assess the capacity of both traditional and new load profiles to capture the dynamic behaviour of the investigated archetype buildings. The performed analysis campaign demonstrated the efficiency of the new load profile proposed by the code, and the output of the work provided an answer to the main question posed by the authors: does it make sense to extend the concepts of response spectrum analysis to nonlinear static analysis?

Comparative Study for Surgical Treatment of Acute Distal Tibiofibular Syndesmotic Lesions Using the Modified Suture-Button Fixation Versus Static Syndesmotic Screw Fixation.

Several techniques to treat acute distal tibiofibular instability are described consisting in static and dynamic fixation procedures. The aim of our work is to compare the outcomes of acute syndesmotic injury fixation between the modified technique of dynamic fixation using the suture-button principle as an efficient and low-cost method and the classic static fixation. It is a prospective study including patients presenting with acute syndesmotic injury. After fracture fixation, residual syndesmotic instability was managed using syndesmotic screw in group A and dynamic fixation with a double Ethibond suture in group B. Functional results were assessed using the American Orthopaedic Foot and Ankle Society score (AOFAS) score. Radiological evaluation was done by a postoperative computed tomography (CT) scan of both ankles and plain X-rays of the ankle after surgery and at 18 months. Group A included 20 patients meanwhile 35 patients were in group B. The reduction was satisfactory in the 2 groups according to the postoperative CT scan measurements. The mean healing time in group A was 49.65 days and 51.49 days in group B (P = .45). We did not find any significant difference in terms of loss of reduction in the 2 groups. The return to work was faster in group B (P = .04). Patients in group B had better AOFAS score (P = .03) and ankle range of motion than those in group A. The difference was statistically significant (P = .02 for dorsal flexion and P = .001 for plantar flexion). For group A, we did not note any early complications. Meanwhile, 7 patients developed skin complications in group B (P = .03). However, no significant difference was found in terms of late complications. The modified dynamic suture-button fixation remains a therapeutic alternative in low-income countries that could achieve better outcomes than static fixation, with easy postoperative follow-up. Level II.

Two-dimensional Search Space for Extracting Broadside Tests from Functional Test Sequences

Testing for delay faults after chip manufacturing is critical to correct chip operation. Tests for delay faults are applied using scan chains that provide access to internal memory elements. As a result, a circuit may operate under non-functional operation conditions during test application. This may lead to overtesting. The extraction of broadside tests from functional test sequences ensures that the tests create functional operation conditions. When N functional test sequences of length L +1 are available, the number of broadside tests that can be extracted is N · L . Depending on the source of the functional test sequences, the value of N · L may be large. In this case, it is important to select a subset of n ≤ N sequences and consider only the first l ≤ L clock cycles of every sequence for the extraction of n · l ≪ N · L broadside tests. The two-dimensional N × L search space for broadside tests is the subject of this article. Using a static procedure that considers fixed values of N and l , the article demonstrates that, for the same value of N · L , different circuits benefit from different values of N and l . It also describes a dynamic procedure that matches the parameters N and l to the circuit. The discussion is supported by experimental results for transition faults in benchmark circuits.

Seismic analysis of RC building with plan irregularity in Baghdad/Iraq to obtain the optimal behavior

Abstract A study was conducted for four-story reinforced concrete (RC) structure existing in Baghdad-Iraq (residential building) to evaluate the accuracy and reliability of the equivalent lateral force procedure (ELFP) analysis and the response spectrum model (RSA) according to Iraqi seismic code (ISC 2016) for designing and analyzing irregular buildings. The building was classified as an irregular in plan according to American Society of Civil Engineers (ASCE 7-16). The seismic behavior of the building was investigated by verifying many parameters: the ratio of shear demand to shear strength on the columns ( V V / V n {V}_{n} ), internal force (bending moment, shear force, and axial force) for beams and columns, and the inter-story drift ratio (IDR) obtained from the (ELFP and RSA); then, the results were compared with the nonlinear static procedure (NSP) and the nonlinear dynamic procedure (NDP) according to ASCE 7-16. Also, this study investigated the effects of the higher modes in the plan (roof plan displacement). From the results, it can be concluded that ELFP and RSA are not a suitable analysis for asymmetric structures and should use appropriate methods such as the NSP and NDP.

Assessment of Non-Linear Analyses of RC Buildings Retrofitted with Hysteretic Dampers According to the Italian Building Code

While the use of steel hysteretic dampers has spread in the last decade for both new and retrofitted constructions, the Italian Building Code (IBC), as well as the Eurocode 8, does not provide specific recommendations for the design and verification of structures equipped with this technology. Due to their strong non-linear behavior, the effectiveness of the design with these systems must be verified through non-linear analyses. Non-Linear Time-History analyses (NLTHAs) are the most reliable method, but they are computationally expensive. The aim of the study is to investigate the reliability of non-linear static procedures, allowed by the IBC as an alternative to NLTHAs, for the analysis of buildings equipped with hysteretic devices provided with high damping capability. A parametric study is conducted on two reinforced concrete residential buildings, typical of the Italian residential heritage, retrofitted with hysteretic braces characterized by different stiffness and ductility values. The retrofit design is verified using non-linear analyses, both static and dynamic, considering either natural or artificial accelerograms, as the IBC deems them as equivalent. Within this work, reference is made only to the IBC; however, given the significant similarity between the IBC and the European code, the outcomes are expected to have a broader impact and to be not limited to the Italian context. Therefore, although this work is a preliminary study, it is believed to offer some initial insights on the topic and serve as the foundation for a more in-depth study that could lead to a regulatory revision on the subject.

Evaluation of the offset static rope evacuation procedure: insights from a safe job analysis.

Recently, the Norwegian Helicopter Emergency Medical Service (HEMS) has developed a procedure for a special type of static rope rescue operation, referred to as the offset technique. In this technique, the helicopter is offset from the accident site, and the HEMS technical crew member uses an offset throw line to gain access to the scene. Today, there is little practical experience of such operations, and a need has been identified for more knowledge on the potential hazards encountered during this type of operation. Such knowledge is of importance for further development of the procedure for the offset technique. To identify potential hazards for helicopter rescue operations using the static rope offset technique and, thereby, to improve the procedure for such operations. This may lead to improved safety for patients and crew members during offset rescue operations. A Safe Job Analysis was used to identify the hazards of offset rescue operations. Such operations are divided into tasks and sub-tasks. For each sub-task, we identified potential hazards and suggested ways of preventing these. Through the Safe Job Analysis, we suggest some changes in the existing procedure for the offset technique, to make it more robust against potential hazards. We have demonstrated the value of Safe Job Analysis for improving the static rope offset evacuation procedure. Our analysis has led to some changes in the procedure for offset rescue operations. This is the importance of having two throw lines and focusing on "why" in the procedure.

Demographic review of aesthetic surgery for patients with facial palsy.

This study analyzed the demographic characteristics of patients with facial palsy who were treated using either dynamic or static procedures. This study aimed to compare the frequency of procedure implementation and age distribution between the two groups. This study retrospectively analyzed the medical records of patients treated for facial palsy at a single institution from 2014 to 2022. Among cases included in our study, dynamic procedures involved cross-facial nerve graft and latissimus dorsi or gracilis muscle flap transfer. Static procedures included gold weight insertion, canthopexy, browlift, and thread lift/static slings. Among the 31 patients included in our study, eight (25.8%) incorporated dynamic techniques, and the average age of patients was 44.75 years (range, 24-68 years) with a male to female ratio of 1:4. The remaining 23 patients (74.2%) underwent a static procedure, of which the average age was 59.17 years (range, 23-81 years) which was statistically significantly higher than the average age of 44.75 of dynamic patients (p= 0.013). Regarding the timing of treatment after diagnosis, no patient underwent dynamic procedures more than 20 years after initial diagnosis. A greater diversity in the timing of treatment was observed in the static group. All patients who underwent dynamic procedures were treated using static procedures during the study period. Because aesthetics-based static techniques are typically quick outpatient procedures that can be performed under local anesthesia, our study shows that these are often preferred treatments for all age groups, especially for debilitated or older patients. Further research is required to investigate the long-term functional outcomes of these surgical techniques in a wider population of patients.

Accuracy of Dental Implant Placement with Dynamic Navigation-Investigation of the Influence of Two Different Optical Reference Systems: A Randomized Clinical Trial.

This randomized prospective clinical study aims to analyze the differences between the computer-assisted planned implant position and the clinically realized implant position using dynamic navigation. In the randomized prospective clinical study, 30 patients were recruited, of whom 27 could receive an implant (BLT, Straumann Institut AG, Basel, Switzerland) using a dynamic computer-assisted approach. Patients with at least six teeth in their jaws to be implanted were included in the study. Digital planning was performed using cone beam tomography imaging, and the visualization of the actual situation was carried out using an intraoral scan. Two different workflows with differently prepared reference markers were performed with 15 patients per group. The actual clinically achieved implant position was recorded with scan bodies fixed to the implants and an intraoral scan. The deviations between the planned and realized implant positions were recorded using evaluation software. The clinical examinations revealed no significant differences between procedures A and B in the mesiodistal, buccolingual and apicocoronal directions. For the mean angular deviation, group B showed a significantly more accurate value of 2.7° (95% CI 1.6-3.9°) than group A, with a value of 6.3° (95% CI 4.0-8.7°). The mean 3D deviation at the implant shoulder was 2.35 mm for workflow A (95% CI 1.92-2.78 mm) and 1.62 mm for workflow B (95% CI 1.2-2.05 mm). Workflow B also showed significantly higher accuracy in this respect. Similar values were determined at the implant apex. The clinical examination shows that sufficiently accurate implant placement is possible with the dynamic navigation system used here. The use of different workflows sometimes resulted in significantly different accuracy results. The data of the present study are comparable with the published findings of other static and dynamic navigation procedures.

Investigating the Reliability of Nonlinear Static Procedures for the Seismic Assessment of Existing Masonry Buildings

Investigating the Reliability of Nonlinear Static Procedures for the Seismic Assessment of Existing Masonry Buildings

Nonlocal anisotropic model for deformation and fracture using peridynamic operator method

This paper proposes a nonlocal anisotropic model for deformation and fracture based on peridynamic operator method. The classic anisotropic theory is reformulated from its local form into nonlocal form by using peridynamic operator method. The final solution formulation is developed by employing variational principles and Lagrange's equations. In the case of the circular interaction domain, this model can be regarded as a novel anisotropic ordinary state-based peridynamic model. Moreover, we present for the first time the energetic failure criterion for the weak anisotropic fracture. Unlike the existing anisotropic peridynamic models that consider only two fracture toughness constants for orthogonal orientation, the fracture toughness in this criterion is an orientation-dependent function. Additionally, we develop an implicit static solution procedure to investigate corresponding crack propagation problems. Several numerical examples demonstrate the effectiveness and ability of the proposed model in handling the deformation and fracture behaviours of anisotropic materials.

VR communication simulation with scripted dialog elicits HPA axis stress

Stress-inducing virtual reality (VR) systems have various applications in research, ranging from training to therapy to the observation of biological stress responses. Stress in VR can be evoked through environmental, cognitive, and social stimuli. Although various VR tasks can induce an autonomic nervous system (ANS) stress response, hypothalamic-pituitary-adrenal (HPA) axis stress responses have only been confirmed in VR for the virtual Trier social stress test (V-TSST). Understanding the impact of a wider variety of tasks on HPA-axis stress response could lead to the development of more effective stress relief measures and treatments. This study aims to clarify whether a virtual communication simulation, using a static procedure with a predetermined dialog, can evoke an HPA-axis stress response. Employing a virtual customer service system, we varied the intensity of the presented stress by changing the tone and gestures of the virtual customer. The findings confirm that HPA-axis stress responses can be elicited by such static virtual customer service training systems, and the stress responses can be adjusted by altering the avatar’s attitude. These findings suggest potential applications in research for observing human physiological responses to stress and development of stress reduction strategies, thereby affirming the effectiveness of VR in communication training.

Shuttle diplomacy

In practice mediation operates through shuttle diplomacy: the mediator goes back and forth between parties, meeting them in private. We model shuttle diplomacy as a dynamic procedure. The mediator helps each party to gradually discover (privately) her value from settlement and re-assess her bargaining position, while also proposing the terms of the deal. We show that shuttle diplomacy always allows parties to achieve an ex-post efficient final settlement. In contrast, this is not possible with a static mediation procedure. In addition, if parties have symmetric prior value distributions, shuttle diplomacy guarantees a fair split of the social value from settlement.