Thymic cyst in the neck. Apropos of a case

Accidents are the most common cause of death in children over one year of age. Prevention remains a high priority. We have reviewed the current epidemiology of childhood accidents and their prevention, and made recommendations for the future. In 1992, 559 children died in United Kingdom as a result of an accidents--240 from road traffic accidents and 100 from burns and scalds. Every year 50 children drown. Accidents cause significant disability to children. Many children, up to one in four of the population in urban areas, attend accident and emergency departments, and 5-10% of these are admitted to hospital. Accident risk factors include low social class, psychosocial stress, an unsafe environment, and child developmental disorders. Research has shown that prevention is best achieved by making the child's environment safer, often through legislation. Insufficient resources have been put into both research into childhood injuries and preventive work in communities. Collaboration between health authorities, NHS trusts, local authorities and community networks is vital if success is to be achieved. A national safety agenda for children would focus the attention that this problem deserves.     

Electrochemical degradation and toxicity reduction of C.I. Basic Red 29 solution and textile wastewater by using diamond anode

Electrochemical oxidation of Basic Red 29 (BR29) was studied in a bipolar trickle tower (BTT) reactor by using Raschig ring shaped boron-doped diamond (BDD) electrodes, which were originally employed by the present researchers, in a recirculated batch mode. The model solution was prepared with BR29 using distilled water. The effects of initial dye concentration, Na(2)SO(4) concentration as supporting electrolyte, current density, flow rate and initial pH on the removal efficiency were investigated, and practically, complete BR29 removal (over 99%) was obtained in all the studies. After optimum experimental conditions were determined, textile wastewater has also studied by monitoring the destruction of color and COD. With the textile wastewater, 97.2% of color and 91% of COD removal were, respectively, achieved at the current density of 1mA/cm(2). Microtox toxicity tests were performed in both BR29 solution and textile wastewater under optimum experimental conditions, and relatively good toxicity reductions were obtained with respect to the initial values. According to the results, BDD anode was seen to be a unique material for the degradation of BR29 and COD and also the reduction of toxicity simultaneously.     

Reversible Bonding of Aromatic Thermosetting Copolyesters for In‐Space Assembly

Reversible bonding is an attractive option for assembly and disassembly of reconfigurable space structures due to the simplicity of the fastening concept. Interchain transesterifications reaction [ITR—a type of dynamic covalent exchange reactions afforded by aromatic thermosetting copolyesters (ATSP)] between two ATSP coatings can successfully be used as a reversible bonding concept, provided that the mode of debonding is completely cohesive (rather than adhesive or delaminatory from metal substrate). An optimization study is carried out on the ITR bonding for which ATSP coating is applied on 7075 aluminum substrates and bond/debond experiments are carried out using a custom‐built tool kit. The toolkit enables precise control over bonding pressure, temperature, and contact time. Bonding conditions are optimized to produce complete cohesive failure with maximized bonding strength. Optimized bonding parameters are successfully implemented to realize 50 cycles of bond/debond process without compromising adhesive strength. Experiments show a debonding strength of 28.7 MPa for the 51st cycle at room temperature—significantly in excess of prior highest reversible bonding strength results found in the literature. These results, in addition to the high thermal stability and glass transition temperature of the base polymer, indicate viability of this reversible bonding concept for in‐space assembly.     

Mechanically Flexible Chip-to-Substrate Optical Interconnections Using Optical Pillars

We experimentally characterize the benefits of using surface-normal mechanically flexible optical waveguides, or optical pillars, for chip-to-substrate optical interconnection. In order to benchmark the performance of the optical pillars, the optical coupling efficiency from a light source to an optical aperture with and without an optical pillar is measured. For a light source with 12deg beam divergence, a 50times150 mum optical pillar improves the coupling efficiency by 2-4 dB compared to pillar-free (free-space) optical coupling. A 30times150 m optical pillar improves the coupling efficiency by 3-4.5 dB. This demonstrates the importance of using optical pillars when small photodetectors (PDs) and dense optical input/outputs (I/Os) are needed. The optical excess losses of 50times150 mum optical pillars are measured to be less than 0.2 dB. Due to the high mechanical flexibility of the pillars, we also demonstrate that optical pillars enhance the optical coupling efficiency between the chip and substrate when they are misaligned in the lateral direction. This is especially important since the coefficient of thermal expansion of the chip and substrate are often mismatched, and preserving optical alignment and interconnection between them is critical during thermal excursions. The lateral mechanical compliance of the optical pillars is also measured and can be as great as 30 mum/mN. The optical pillars are also shown to be compliant under a compressive force thus allowing the optical I/Os to be assembled on nonplanar surfaces such as low-cost organic substrates.     

Single daily dose of digoxin for maintenance therapy of infants and children with cardiac disease: is it reliable?

Between July 1990 and September 1991, 30 infants and children, most of whom had a congenital heart defect and who had been treated at least during the previous 20 days by two daily doses of digoxin and were in a stable clinical condition, were selected at random. A maintenance dose of digoxin was administered at 24-h intervals for 7 days in the study group (n = 15); no change was made in the 12-h dosage interval in the control group (n = 15). When the serum digoxin concentrations were compared, no significant difference was found between pre- and poststudy values in the study group (1.0 +/- 0.6 and 0.8 +/- 0.3 ng/ml, respectively) or between the control and study groups (0.9 +/- 0.6 and 0.8 +/- 0.3 ng/ml, respectively) in terms of trough serum digoxin concentrations. Although the peak serum concentrations in the study group were increased significantly (2.3 +/- 0.8 ng/ml) compared with prestudy peak levels (1.6 +/- 0.7 ng/ml, p < 0.05) and with the level in the control group (1.5 +/- 0.8 ng/ml, p < 0.05), a toxic concentration was not reached, and toxicity symptoms were not observed clinically. Blood pressure, heart rate, and liver size did not change significantly in any patient during the study.     

Value of imaging in the assessment of malignant fibrous histiocytoma of the soft tissues

Malignant fibrous histiocytoma (MFH) is a rare and potentially highly malignant sarcoma. The authors report 6 cases of MFH in various sites: two in the chest wall, one in the pelvis, two in the gluteal zones and one on the scalp. Ultrasonography and computed tomography were the main imaging methods used in the assessment of the structure and extension of the tumor. A poor prognosis was noted in four cases: death within a few months in the two thoracic sites, recurrence in the pelvic and scalp lesions, radical surgery allowed recovery in two cases. A review of the literature showed that MRI and CT are complementary in the initial staging and follow-up of these patients.     

Model predictive control for continuous lactide ring‐opening polymerization processes

Polylactic acid (PLA) is an attractive environment‐friendly thermoplastic that is bio‐sourced and biodegradable. PLA is industrially produced by the ring‐opening polymerization of lactide. This reaction is sensitive to drifts in the operating conditions and impurities in the raw materials that may affect the reaction rate as well as the polymer properties, which can be very costly in continuous processes. It is therefore crucial to employ a control strategy that allows recovering the nominal conditions and maintaining the desired properties and conversion level in case of drift. Three control strategies are discussed in this paper: proportional‐integral (PI) controller, dynamic optimization, and model predictive control (MPC). The proposed approaches are validated by simulation of a continuous PLA process constituted of three cascade reactors including one loop reactor in the middle. Besides the coupling of inputs and outputs, the process model is highly nonlinear, and the control is done only on the boundaries. The results show that the open‐loop optimization strategy provides better performance compared to the PI controller if the disturbance is assumed to be measured. The MPC also shows superior performances provided that the disturbance is first estimated. A polynomial model is developed to predict the nonmeasured disturbance based on the measured outputs.     

Evolutionary Design of Fuzzy Logic Based Position Controller for Mobile Robot

This paper develops a fuzzy logic based position controller whose membership functions are tuned by genetic algorithm. The main goal is to ensure successful velocity and position trajectories tracking between the mobile robot and the virtual reference cart. The proposed fuzzy controller has two inputs and two outputs. The first input represents the distance between the mobile robot and the reference cart. The second input is the angle formed by the straight line defined with the orientation of the robot, and the straight line that connects the robot with the reference cart. The outputs represent linear and angular velocity commands, respectively. The performance of the fuzzy controller is validated through comparison with previously developed mobile robot position controller based on control Lyapunov functions (CLF). Simulation results indicate good performance of position tracking while at the same time a substantial reduction of the control torques is achieved.     

Multiscale thermal study of virgin and aged polyphenylene sulfide reinforced by glass fiber

In this study, virgin and thermal aged PPS samples were prepared and tested using different techniques such as thermogravimetric analysis (TGA), coupled TGA–Fourier transform infrared spectroscopy (FTIR), and FTIR as well as optical microscopy. Some interesting research results can be summarized as follows: TGA results prove the PPS composite samples aged at 180 and 200°C have been degraded obviously during the aging period in oven. Moreover, accelerated aging leads to the degradation of PPS composite with the observation of increased thermal oxidation layer from outside to inside. There is a plateau standing at about 350 μm for the thermal oxidation layer at oxidation temperature of 200°C. Some thermal decomposition models are applied to clarify the degradation kinetics of PPS composite. According to the activation energy value, it appears degradation more easily at the beginning of the heating process in the atmosphere of oxygen than that of nitrogen. Moreover, the related products of PPS composites during pyrolysis are fully discussed with the combined analysis of TGA–FTIR techniques.