Finite Element Modeling of Ultrasonic Waves in Viscoelastic Media

Linear viscoelasticity theory offers a minimal framework within which to construct a consistent, linear and causal model of mechanical wave dispersion. The term dispersion is used here to imply temporal wave spreading and amplitude reduction due to absorptive material properties rather than due to geometrical wave spreading. Numerical modeling of wave propagation in absorptive media has been the subject of recent research in such areas as material property measurement [1] [2], seismology [3] [4] [5] and medical ultrasound [6] [7]. Previously, wave attenuation has been included in transient finite element formulations via a constant damping matrix [8] or functionally in terms of a power law relation [9]. The formulation presented here is based on representing the viscoelastic shear and bulk moduli of the medium as either a discrete or continuous spectrum of decaying exponentials [10]. As a first test of the correctness of the viscoelastic finite element formulation, the finite element results for a simple hypothetical medium are compared with an equivalent Laplace-Hankel transform domain solution.</p

Risk Factors of Household Transmission of Pandemic (H1N1) 2009 among Patients Treated with Antivirals: A Prospective Study at a Primary Clinic in Japan

Background: Household transmission of influenza can affect the daily lives of patients and their families and be a trigger for community transmission, thus it is necessary to take precautions to prevent household transmission. We aimed to determine the risks of household transmission of pandemic (H1N1) 2009 influenza virus from an index patient who visited a primary clinic and was treated with antiviral drugs. Methods: We followed up all the patients who were diagnosed with influenza A by rapid diagnostic test with a questionnaire or interview from July 2009 to April 2010. Secondary cases were defined as patients visiting the clinic or other clinics and being positive for influenza A by rapid diagnostic test within 7 days of onset of an index patient. Logistic regression analysis was used to explore the association between household transmission and the studied variables. Results: We recruited 591 index patients and 1629 household contacts. The crude secondary attack rate was 7.3 % [95% confidence interval (CI): 6.1–8.7]. Age of index patients (0–6 years old: odds ratio 2.56; 95 % CI: 1.31–4.01; 7–12 years old: 2.44, 1.31–3.72; 30–39 years old 3.88; 2.09–5.21; 40 years old or more 2.76; 1.17–4.53) and number of household members with five or more (3.09, 2.11–4.07), medication started 48 hours from the onset of fever (2.38, 1.17–3.87) were significantly associated with household transmission. Conclusions: Household transmission was associated with index patients aged #12 years old and adults 30 years wit

The role of facemasks and hand hygiene in the prevention of influenza transmission in households: results from a cluster randomised trial; Berlin, Germany, 2009-2011

Background: Previous controlled studies on the effect of non-pharmaceutical interventions (NPI) - namely the use of facemasks and intensified hand hygiene - in preventing household transmission of influenza have not produced definitive results. We aimed to investigate efficacy, acceptability, and tolerability of NPI in households with influenza index patients. Methods: We conducted a cluster randomized controlled trial during the pandemic season 2009/10 and the ensuing influenza season 2010/11. We included households with an influenza positive index case in the absence of further respiratory illness within the preceding 14 days. Study arms were wearing a facemask and practicing intensified hand hygiene (MH group), wearing facemasks only (M group) and none of the two (control group). Main outcome measure was laboratory confirmed influenza infection in a household contact. We used daily questionnaires to examine adherence and tolerability of the interventions. Results: We recruited 84 households (30 control, 26 M and 28 MH households) with 82, 69 and 67 household contacts, respectively. In 2009/10 all 41 index cases had a influenza A (H1N1) pdm09 infection, in 2010/11 24 had an A (H1N1) pdm09 and 20 had a B infection. The total secondary attack rate was 16% (35/218). In intention-totreat analysis there was no statistically significant effect of the M and MH interventions on secondary infections. When analysing only households where intervention was implemented within 36 h after symptom onset of the index case, secondary infection in the pooled M and MH groups was significantly lower compared to the control group (adjusted odds ratio 0.16, 95% CI, 0.03-0.92). In a per-protocol analysis odds ratios were significantly reduced among participants of the M group (adjusted odds ratio, 0.30, 95% CI, 0.10-0.94). With the exception of MH index cases in 2010/11 adherence was good for adults and children, contacts and index cases. Conclusions: Results suggest that household transmission of influenza can be reduced by the use of NPI, such as facemasks and intensified hand hygiene, when implemented early and used diligently. Concerns about acceptability and tolerability of the interventions should not be a reason against their recommendation

Effect of the one-child policy on influenza transmission in China: a stochastic transmission model

published_or_final_versio

Numerical modeling of wave propagation in anisotropic viscoelastic laminated materials in transient regime: Application to modeling ultrasonic testing of composite structures

Composite laminate structures remain an important family of materials used in cutting-edge industrial areas. Building efficient numerical modeling tools for high-frequency wave propagation in order to represent ultrasonic testing experiments of these materials remains a major challenge. In particular, incorporating attenuation phenomena within anisotropic plies, and thin intermediate isotropic layers between the plies often represent significant obstacles for standard numerical approaches. In our work, we address both issues by proposing a systematic study of the fully discrete propagators associated to the Kelvin-Voigt, Maxwell, and Zener models, and by incorporating effective transmission conditions between plies using the mortar element method. We illustrate the soundness of our approach by proposing intermediate one-dimensional and two-dimensional numerical evidence, and we apply it to a more realistic configuration of a curved laminate composite structure in a three-dimensional setting