Quasiconvexity at the boundary and the nucleation of austenite

Motivated by experimental observations of H. Seiner et al., we study the nucleation of austenite in a single crystal of a CuAlNi shape-memory alloy stabilized as a single variant of martensite. In the experiments the nucleation process was induced by localized heating and it was observed that, regardless of where the localized heating was applied, the nucleation points were always located at one of the corners of the sample - a rectangular parallelepiped in the austenite. Using a simplified nonlinear elasticity model, we propose an explanation for the location of the nucleation points by showing that the martensite is a local minimizer of the energy with respect to localized variations in the interior, on faces and edges of the sample, but not at some corners, where a localized microstructure, involving austenite and a simple laminate of martensite, can lower the energy. The result for the interior, faces and edges is established by showing that the free-energy function satisfies a set of quasiconvexity conditions at the stabilized variant in the interior, faces and edges, respectively, provided the specimen is suitably cut

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

On homotopy conditions and the existence of multiple equilibria in finite elasticity

In this paper we study homotopy classes of deformations and their properties under weak convergence. As an application, we give an analytic proof (in two and three dimensions) of the existence of infinitely many local minimisers for a displacement boundary-value problem from finite elasticity, posed on a nonconvex domain, under the constitutive assumption of polyconvexity.</jats:p