Finite Element Model of Stress Wave Topology in Unidirectional Graphite/Epoxy: Wave Velocities and Flux Deviations

Until recently, the use of a finite element model (FEM) to simulate stress wave propagation has been limited to solutions where the number of degrees of freedom are kept to a minimum, because of hardware limitations on computer memory and computational speed. With the advent of a numte

Surgical outcomes of patients with neuroblastoma in a tertiary centre in Hong Kong: A 12-year experience

Introduction: Neuroblastoma has a heterogeneous clinical course. The prognosis varies widely depending on the age of diagnosis, extent of disease and tumour biology. However, the specific clinical outcome of this disease in Hong Kong has not been well characterised thus far. Complete tumour excision has been demonstrated to confer survival benefit on patients with advanced disease even if there is metastasis. Since year 2004, we have adopted a revised, more aggressive surgical approach in managing these patients. Here, we aim to review our experience in the management of this disease. Methods: A retrospective review was performed for the past 12 years to include all patients who presented with neuroblastoma in our institution. Data such as the survival, age at diagnosis, MYCN amplification status, the extent of tumour excision, and stage of the disease were recorded and analysed. Results: 37 patients were included in this study. Overall survival of our patients was 67.6%. Patients with Stage 1, 2 and 4S have 100% survival whereas stage 4 patients only have 41.4% survival. Since our revised surgical approach in 2004, patients who had been operated had a better survival. Survival of stage 4 patients with operation after 2004 was 57.1% whereas the survival of patients at the same stage before 2004 was only 30%. Age at diagnosis, completeness of tumour excision and stage of disease are also correlated with overall prognosis. Further, patients with the presence of MYCN gene amplification have apparently poorer survival but it is not statistically significant due to the small sample size. Conclusion: The management of patients with neuroblastoma remains a challenge. Advanced stage of disease, incomplete tumour excision and increased age at diagnosis were all associated with poor survival. We demonstrated a better survival for those who underwent a more aggressive surgical approach, though this is a technically demanding and time consuming procedure. Thus, the management of advanced neuroblastoma should be centralised in a centre with combined surgical, oncological and paediatric intensive care expertise.published_or_final_versio

Graphite-Fiber Elastic Constants: Determination from Ultrasonic Measurements on Composite Materials

We determined the complete five-component transverse-isotropic-symmetry elastic-constant tensor for two graphite fibers: high-strength/low-modulus and low-strength/high-modulus. We did this in two steps. First, we measured ultrasonically the complete elastic constants of a metal matrix with embedded uniaxial graphite fibers. Second, we did an inverse—modeling calculation to extract the fiber’s elastic constants. This calculation requires three inputs: composite elastic constants, matrix elastic constants, and fiber-matrix phase geometry, principally the fiber volume fraction. We compare the results with those expected for a random quasiisotropic graphite aggregate and for a hypothetical graphite fiber with perfectly aligned basal planes

Ultrasonic Evaluation of in-Plane and out-of-Plane Elastic Properties of Composite Materials

Evaluation of elastic properties of composite materials using ultrasound is important for the generation of output data for the design of composites. It is also extremely important as a nondestructive tool for quality evaluation of the composites after manufacturing. The problem was addressed in the seventies [1–3] when Markham [1] suggested using the time-delay through transmission technique with obliquely incident ultrasonic waves from water onto a composite plate. The full set of elastic constants was measured later by Kriz and Stinchcomb [4] on samples cut out in different directions from a composite plate. Recently several works have appeared where the set of elastic constants was measured by using Markham’s technique [5–7]

Clinical practice: The bleeding child. Part II: Disorders of secondary hemostasis and fibrinolysis

Bleeding complications in children may be caused by disorders of secondary hemostasis or fibrinolysis. Characteristic features in medical history and physical examination, especially of hemophilia, are palpable deep hematomas, bleeding in joints and muscles, and recurrent bleedings. A detailed medical and family history combined with a thorough physical examination is essential to distinguish abnormal from normal bleeding and to decide whether it is necessary to perform diagnostic laboratory evaluation. Initial laboratory tests include prothrombin time and activated partial thromboplastin time. Knowledge of the classical coagulation cascade with its intrinsic, extrinsic, and common pathways, is useful to identify potential defects in the coagulation in order to decide which additional coagulation tests should be performed

Formulaic expert method to integrate evaluation and valuation of heritage trees in compact city

Urban trees serve important environmental, social and economic functions, but similar to other natural endowments they are not customarily depicted in monetary terms. The needs to augment protection, funding and community support for urban greening call for proper valuation. Heritage trees (HTs), the cream of urban-tree stock, deserve special attention. Existing assessment methods do not give justice to outstanding trees in compact cities deficient in high-caliber greenery, and to their social-cultural-historical importance. They artificially separate evaluation from valuation, which should be a natural progression from the former. Review of tree valuation methods suggested the formula approach to be more suitable than contingent valuation and hedonic pricing, and provided hints on their strengths and weaknesses. This study develops an alternative formulaic expert method (FEM) that integrates evaluation and valuation, maximizes objectivity, broadly encompasses the key tree, tree-environment and tree-human traits, and accords realistic monetary value to HTs. Six primary criteria (dimension, species, tree, condition, location, and outstanding consideration) branched into 45 secondary criteria, each allocated numerical marks. Each primary criterion was standardized to carry equal weight, and a tree's maximum aggregate score is capped at 100. A Monetary Assignment Factor (MAF) to consign dollar value to each score unit was derived from three-year average per m2 sale price of medium-sized residential flats. The applicability of FEM was tested on selected HTs in compact Hong Kong. The aggregate score of a tree multiplied by MAF yielded monetary value, which was on average 66 times higher than the result from the commonly-adopted Council of Tree and Landscape Appraisers method. The computed tree values could be publicized together with multiple tree benefits to raise understanding and awareness and rally support to protect HTs. The property-linked FEM could be flexibly applied to other cities, especially to assess HTs in compact developing cities. © Springer Science + Business Media, Inc. 2006.link_to_subscribed_fulltex