Intrauterine manometry: Technique and application to fetal pathology

A technique is described for measuring pressure within the amniotic cavity and within fetal vessels and/or body compartments. Two saline-filled catheters were connected at one end to needles inserted during indicated invasive procedures and at the other to silicon strain gauge transducers. In 36 pregnancies with normal liquor volume, stable intra-amniotic pressure (IAP, range 1–14 mmHg) increased with gestation (r=0·48, p<0·01). In pregnancies complicated by severe oligohydramnios, IAP was ≤ 1 mm Hg and rose to normal levels with saline amnioinfusion. Raised IAP (range 17–26 mm Hg), found in pregnancies with gross polyhydramnios, fell with drainage of amniotic fluid. Subtraction manometry was used to determine supra-amniotic pressure within the intervillus space, umbilical vein, umbilical artery, abdominal and thoracic cavities, and the urinary tract in normal and/or pathological fetuses. Low intravesical and intrapelvicalyceal pressures (median 6·5, range 2–10 mmHg) were noted in fetuses with obstructive uropathies. Intrauterine subtraction manometry appears to be a useful tool in the understanding of fetal pathophysiology and may be of clinical benefit in the therapeutic drainage and infusion of amniotic fluid and in the assessment of certain fetal disease states.     

Calculating overpressure from BLEVE explosions

Although a certain number of authors have analyzed the prediction of boiling liquid expanding vapour explosion (BLEVE) and fireball effects, only very few of them have proposed methodologies for predicting the overpressure from such explosions. In this paper, the methods previously published are discussed and shown to introduce a significant overestimation due to the erroneous thermodynamic assumptions—ideal gas behaviour and isentropic vapour expansion—on which they are based (in fact, they give the maximum value of overpressure which can be caused by a BLEVE). A new approach is proposed, based on the—more realistic—assumption of an adiabatic and irreversible expansion process; the real properties of the substance involved in the explosion are used. The two methods are compared through the application to a given case.     

A Novel Formulation for Designing a Monitoring Strategy: Application to the Design of a River Quality Monitoring System

In this work, we propose a technique to automatically optimize the monitoring of any distributed indicator (concentration of a substance along a river, blood pressure of a patient over time, etc.) for which a reliable estimate is previously available. From a mathematical point of view, the problem is based on obtaining a reliable estimate of the chosen indicator (e.g., by numerical simulation), and then solving a multi-objective optimization problem (with mixed real and integer variables) whose solution must provide an efficient and satisfactory monitoring strategy. As an illustrative case, we show the steps to follow in order to implement that strategy when designing a system for monitoring water quality in a river. Finally, we present and analyze the results when applying the proposed technique to study a real case in the Neuse River (North Carolina, USA).     

Process design optimization and risk analysis

Hazard identification and risk assessment are key aspects in process plant design. They are often applied in the final stages of the process at whatever the cost, unless financial constraints are imposed. However, a much better solution would be to introduce risk analysis earlier by including it in earlier stages of the design process, such as when the cost of a plant and the cost of any accidents that may occur are estimated. In this paper, an optimization methodology is proposed, in which both cost and risk (with a deterministic approach) are taken into account, to improve on the current situation. If a decision variable is chosen, an objective function will be established that makes it possible to analyze variations in overall costs, including the cost of the investment and the cost of accidents. This leads to an optimum situation in which costs are kept to a minimum. Of course, this optimization is subject to constraints, the greatest of which is the fact that risk must not exceed tolerated threshold levels. The procedure is explained and two examples, one involving a toxic release and the other a BLEVE/fireball, are used to illustrate it.     

The Efficacy of a Programme of Landslide Risk Reduction in Areas of Unplanned Housing in the Eastern Caribbean

Poor countries are disproportionately affected by the cost of disasters. Yet there is evidence of the benefits of seeking to mitigate the impact of a disaster, compared with the costs incurred in ‘making good’ after a major event has occurred. This article reviews a programme of landslide risk reduction in unplanned communities in the Eastern Caribbean. The construction of appropriate surface water management measures, based on the application of scientific and engineering principles, has been demonstrated to reduce the hazard from rainfall-triggered landslides. Adopting a community-based approach additionally delivers social and environmental benefits relating to employment generation, improvements in the environmental conditions within the community, and improvements slope management practices. The sustained implementation of the community-based projects has provided the necessary evidence-base for these practices to influence Government policy and practice, and gain recognition from regional development agencies. The strategic and incremental uptake of the community-based methodology is demonstrated to be an effective means for delivering physical landslide risk reduction measures in the most ‘at risk’ areas of unplanned housing.     

Predicting the frequency of accidents in port areas by developing event trees from historical analysis

The historical analysis of 828 accidents in port areas, which have been selected from a database, has been used to identify the sequences of the accidents. Processing these data has allowed the event trees and the probability of the various accident scenarios to be determined. By using these event trees and figures detailing the frequency of the events that initiated the accidents, as taken from various authors, the frequency of the accidents has been determined.     

A new approach to the estimation of the probable number of fatalities in accidental explosions

This paper presents a new methodology for estimating the probable number of fatalities in accidental explosions in fixed installations, as a function of the amount of the flammable substance involved. A review of the procedure proposed by Marshall (1977) (Marshall, V.C., 1977 How lethal are explosions and toxic escapes? The Chemical Engineer, August 1977, 573–577). reveals its limitations, given the great dispersion of ungrouped data. The proposed alternative enables the estimation of the maximum probable number of fatalities and the percentage of cases in which a certain number of fatalities is reached, based on the knowledge of the amount of material presumably involved and through the application of the historical analysis of accidents. It must be pointed out that the proposed method considers not only fatalities derived directly from the overpressure wave but also those due to thermal radiation or missile impact.