Diffeomorphic approximation of Sobolev homeomorphisms

Every homeomorphism h : X -> Y between planar open sets that belongs to the Sobolev class W^{1,p}(X,Y), 1<p<\infty, can be approximated in the Sobolev norm by diffeomorphisms.Comment: 21 pages, 5 figure

Whirl mappings on generalised annuli and the incompressible symmetric equilibria of the dirichlet energy

In this paper we show a striking contrast in the symmetries of equilibria and extremisers of the total elastic energy of a hyperelastic incompressible annulus subject to pure displacement boundary conditions.Indeed upon considering the equilibrium equations, here, the nonlinear second order elliptic system formulated for the deformation u=(u1,…,uN) : EL[u,X]=⎧⎩⎨⎪⎪Δu=div(P(x)cof∇u)det∇u=1u≡φinX,inX,on∂X, where X is a finite, open, symmetric N -annulus (with N≥2 ), P=P(x) is an unknown hydrostatic pressure field and φ is the identity mapping, we prove that, despite the inherent rotational symmetry in the system, when N=3 , the problem possesses no non-trivial symmetric equilibria whereas in sharp contrast, when N=2 , the problem possesses an infinite family of symmetric and topologically distinct equilibria. We extend and prove the counterparts of these results in higher dimensions by way of showing that a similar dichotomy persists between all odd vs. even dimensions N≥4 and discuss a number of closely related issues

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

Computing and Information A MATHEMATICAL INVESTIGATION OF THE ROLE OF INTRACRANIAL PRESSURE PULSATIONS AND SMALL GRADIENTS IN THE PATHOGENESIS OF HYDROCEPHALUS

Abstract. Cerebrospinal fluid (CSF) pulsations have been proposed as a possible causative mechanism for the ventricular enlargement that characterizes the neurological condition known as hydrocephalus. This paper summarizes recent work by the authors to anaylze the effect of CSF pulsations on brain tissue to determine if they are mechanically capable of enlarging the cerebral ventricles. First a poroelastic model is presented to analyze the interactions that occur between the fluid and porous solid constituents of brain tissue due to CSF pulsations. A viscoelastic model is then presented to analyze the effects of the fluid pulsations on the solid brain tissue. The combined results indicate that CSF pulsations in a healthy brain are incapable of causing tissue damage and thus the ventricular enlargement observed in hydrocephalus. Therefore they cannot be the primary cause of this condition. Finally, a hyper-viscoelastic model is presented and used to demonstrate that small long-term transmantle pressure gradients may be a possible cause of communicating hydrocephalus in infants

Ontogeny of α-amylase gene expression in sea bass larvae (Lates calcarifer)

10.1007/s10126-001-0018-1Marine Biotechnology35463-469MABI

Erratum: Hormonal influence on amylase gene expression during Seabass (Lates calcarifer) larval development (General and Comparative Endocrinology (2004) 138 (14-19) DOI: 10.1016/j.ygcen.2004.04.007)

10.1016/j.ygcen.2004.09.012General and Comparative Endocrinology1393278-GCEN