Estimation of gestational age from fundal height: a solution for resource-poor settings

Many women in resource-poor settings lack access to reliable gestational age assessment because they do not know their last menstrual period; there is no ultrasound (US) and methods of newborn gestational age dating are not practised by birth attendants. A bespoke multiple-measures model was developed to predict the expected date of delivery determined by US. The results are compared with both a linear and a nonlinear model. Prospectively collected early US and serial symphysis-pubis fundal height (SFH) data were used in the models. The data were collected from Karen and Burmese women attending antenatal care on the Thai–Burmese border. The multiple-measures model performed best, resulting in a range of accuracy depending on the number of SFH measures recorded per mother (for example six SFH measurements resulted in a prediction accuracy of ±2 weeks). SFH remains the proxy for gestational age in much of the resource-poor world. While more accurate measures should be encouraged, we demonstrate that a formula that incorporates at least three SFH measures from an individual mother and the slopes between them provide a significant increase in the accuracy of prediction compared with the linear and nonlinear formulae also using multiple SFH measures.     

An innovation funnel process for set-based conceptual design via DOE exploration,DEA selection and computer simulation

This paper presents a conceptual design approach including pattern creation from designers, alternative exploration with a DOE matrix, alternative analysis via computer simulation and alternative selection by DEA analysis. Designers possessing domain knowledge create various design patterns to meet the requirements of product performance and customer expectations. Then, based on these design patterns, the alternatives, considered as decision-making units (DMUs), are extracted from various quality level combinations by following the use of the DOE matrix. The nature of the DOE matrix ensures that distinctive representatives are constructed for all design alternatives. The total alternatives (DMUs) consist of the alternatives associated with all the patterns. Computer simulation with ANSYS software is introduced to convert the quality level combination of each alternative (DMU) into simulated outputs, which are further categorised into DEA inputs and DEA outputs for DEA frontier analysis. Four DEA methods, CCR-min input, CCR-max output, BCC-min input and BCC-max output, are used for analysing typical market representatives resulting from market uncertainty. The found efficiencies are used to rank and select the explored alternatives (DMUs) for the next stage of the detailed design. A bike-frame product is chosen as an example to demonstrate the proposed approach. The results clearly show that the proposed approach enables designers to economically select appropriate design alternatives that satisfy performance expectations during the conceptual design stage.     

Robust processes through latent variable modeling and optimization

A data‐based approach for developing robust processes is presented and illustrated with an application to an industrial membrane manufacturing process. Using historical process data, principal component analysis and partial least squares are used to extract models of the process and of the sensitivities of the process to various disturbances, including raw material variations, environmental conditions, and process equipment differences. Robustness measures are presented to quantify the robustness of the process to each of these disturbances. The process is then made robust (insensitive) to the disturbances over which one has some control (e.g., by modifying the equipment units to which the process is sensitive and imposing specification regions on sensitive raw materials). It is also made robust to disturbances over which one has little control (e.g., environmental variations) by optimizing the process operating conditions with respect to performance and robustness measures. The optimization is easily performed in the low‐dimensional space of the latent variables even though the number of process variables involved is very large. After applying the methodology to historical data from the membrane manufacturing process, results from several months of subsequent operation are used to demonstrate the large improvement achieved in the robustness of the process. © 2010 American Institute of Chemical Engineers AIChE J, 2011     

Radio‐opaque fecal impaction and pseudo‐occlusion in a dialyzed patient taking lanthanum carbonate

Lanthanum therapy is an efficient therapy of hyperphosphoremia by chelating phosphore in the digestive tract. Lanthanum is a silvery white metallic element that belongs to group 3 of the periodic table. This drug is lightly absorbed and has low water solubility. It should be borne in mind that abdominal X‐rays of patients taking lanthanum carbonate may have a radio‐opaque appearance typical of imaging agents. This characteristic is suggested to confirm adherence of the patient by doing an abdominal X‐ray. We describe in our case a particular good compliant patient with slow digestive transit, which ends by pseudo‐occlusion.     

Anforderungen an Stahl‐ und Verbundknoten bei Stützenausfall in einem Rahmentragwerk

Eine lokale Schädigung innerhalb der Tragstruktur (z. B. Stützenausfall durch Anprall oder Explosion) kann zu einem Versagen der Gesamtstruktur und damit zum Einsturz des Gebäudes führen. Um solch ein globales Versagen durch lokale Schädigung zu vermeiden, muss innerhalb der Tragstruktur eine Umlagerung der Schnittgrößen ermöglicht werden, d. h., es müssen sich alternative Lastpfade ausbilden können. Solch eine Umlagerung, z. B. von einem reinen Biegezustand in einen gemischten Biege‐/Membranspannungszustand, bedingt unter Umständen sehr große Verformungen, die zu großen Deformationen der Anschlüsse führen. Im Rahmen eines europäischen RFCS‐Forschungsprojektes wurde versucht, mit Hilfe sehr duktiler Anschlussausbildungen die Robustheit von Stahl‐ und Verbundrahmentragwerken zu verbessern. Hauptaugenmerk bei der Konzeption der Anschlüsse war dabei, den Material‐ und Fertigungsaufwand der Anschlüsse so gering wie möglich zu halten und die Umlagerungsmöglichkeiten für außergewöhnliche Bemessungssituationen vornehmlich über das Vorhalten hoher Verformungskapazitäten der Anschlüsse zu aktivieren. Aus diesem Grund wurden hier nachgiebige teiltragfähige Anschlüsse gewählt. Als außergewöhnliche Bemessungssituation wurde in diesem Projekt schwerpunktmäßig der Stützenausfall in einem Rahmentragwerk betrachtet. (RFCS Research Fund for Coal and Steel) Requirements on steel‐ and composite joints for the load case column removal. Local failure in a structure (e. g. sudden column loss due to impact or explosion) may lead to progressive collapse propagation of the global structural system resulting in a total collapse. To avoid progressive collapse initiated by local damage a redistribution of force from the damaged part of the structure has to be enabled by alternate load paths. Activation of alternate load paths by change of the bearing mechanism from pure bending state to more or less pure membrane state is a measure that is only possible by allowing large deformations resulting in high deformation requirements for the joints. In the course of an European RFCS research project ductile joint solutions have been developed to improve the robustness as characteristic of the structure. Main focus of the joint design was to obtain the required deformation capacity for accidental design situations mainly from ductile joint and cause at the same time only few additional material and fabrication costs for the joints. As a result semi‐rigid and partial‐strength joint solutions have been chosen. Objectives within the project were to determine requirements of the joints concerning deformation capacity as well as M‐N‐resistance to enable the activation of catenary action for the load case notional column removal.     

Evaluation of uncertainties in sewer condition assessment

Closed Circuit Television Inspection is used since decades as industry standard for sewer system inspection and structural performance evaluation. In current practice, inspection data are helpful to support asset management decisions. However, the quality and uncertainty of sewer condition assessment is rarely questioned. This article presents a methodology to determine the probability to underestimate, overestimate or accurately estimate the real condition of a pipe using visual inspection. The approach is based on the analysis of double inspections of the same sewer pipes and has been tested using the extensive data-set of the city of Braunschweig in Germany. Results indicate that the probability to inspect correctly a pipe in poor condition is close to 80%. The probability to overestimate the condition of a pipe in bad condition (false negative) is 20% whereas the probability to underestimate the condition of a pipe in good condition (false positive) is 15%. Finally, sewer condition evaluation can be used to assess the general condition of the network with an excellent accuracy probably because the respective effects of false positive and false negative are buffered.     

后京都议定书时代的大都市:从手段到目的,从规划到激发

2008年,法国政府发起"后京都议定书时代大都市"和"未来都市巴黎"的研究,l'AUC事务所入选10家国际团队作为大巴黎研究项目的咨询顾问。本文展示了l'AUC事务所的方案及其他4个项目,分别针对当代规划、城市主义和建筑不同方面的主要问题:回收,生态城,紧凑和节点城市。     

Learning from the extreme River Tyne flood in January 2005

Extreme floods often demonstrate unanticipated characteristics that pose problems for management and response. The floods on the Tyne and Eden in January 2005 provided numerous examples of such unexpected response. This paper describes characteristics of storm rainfall and runoff generation on the River Tyne catchment, flood effects and damage. Unusual aspects of hydrological behaviour are highlighted as a basis for assessing what lessons can be learned for flood risk management. These include problems associated with coincidence of extreme wind speeds and rainfall, the retarding influence of floodplain storage on flood wave travel time in extreme flows, the influence of critical storm duration on the severity of the resulting flood on headwaters and main river, and the variety of mechanisms of flood occurrence. The occurrence of such an extreme flood provides the opportunity to validate and enhance the review process of the Environment Agency's flood zone maps.