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A vast majority of failures emanate from stress concentrators such as geometrical discontinuities. The role of stress concentration was first highlighted by Inglis (1912) who gives a stress concentration factor for an elliptical defect, and later by Neuber (1936). With the progress in computing, it is now possible to compute the real stress distribution at a notch tip. This distribution is not simple, but looks like pseudo-singularity as in principle the power dependence with distance remains. This distribution is governed by the notch stress intensity factor which is the basis of Notch Fracture Mechanics. Notch Fracture Mechanics is associated with the volumetric method which postulates that fracture requires a physical volume. Since fatigue also needs a physical process volume, Notch Fracture Mechanics can easily be extended to fatigue emanating from a stress concentration.
"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
There are approximately 4,000 fatalities in crashes involving trucks and buses in the United States each year. Though estimates are wide-ranging, possibly 10 to 20 percent of these crashes might have involved fatigued drivers. The stresses associated with their particular jobs (irregular schedules, etc.) and the lifestyle that many truck and bus drivers lead, puts them at substantial risk for insufficient sleep and for developing short- and long-term health problems. Commercial Motor Vehicle Driver Fatigue, Long-Term Health and Highway Safety assesses the state of knowledge about the relationship of such factors as hours of driving, hours on duty, and periods of rest to the fatigue experienced by truck and bus drivers while driving and the implications for the safe operation of their vehicles. This report evaluates the relationship of these factors to drivers' health over the longer term, and identifies improvements in data and research methods that can lead to better understanding in both areas.
Myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS) are serious, debilitating conditions that affect millions of people in the United States and around the world. ME/CFS can cause significant impairment and disability. Despite substantial efforts by researchers to better understand ME/CFS, there is no known cause or effective treatment. Diagnosing the disease remains a challenge, and patients often struggle with their illness for years before an identification is made. Some health care providers have been skeptical about the serious physiological - rather than psychological - nature of the illness. Once diagnosed, patients often complain of receiving hostility from their health care provider as well as being subjected to treatment strategies that exacerbate their symptoms. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome proposes new diagnostic clinical criteria for ME/CFS and a new term for the illness - systemic exertion intolerance disease(SEID). According to this report, the term myalgic encephalomyelitis does not accurately describe this illness, and the term chronic fatigue syndrome can result in trivialization and stigmatization for patients afflicted with this illness. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome stresses that SEID is a medical - not a psychiatric or psychological - illness. This report lists the major symptoms of SEID and recommends a diagnostic process.One of the report's most important conclusions is that a thorough history, physical examination, and targeted work-up are necessary and often sufficient for diagnosis. The new criteria will allow a large percentage of undiagnosed patients to receive an accurate diagnosis and appropriate care. Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome will be a valuable resource to promote the prompt diagnosis of patients with this complex, multisystem, and often devastating disorder; enhance public understanding; and provide a firm foundation for future improvements in diagnosis and treatment.
Dr Theodore Nicholas ran the High Cycle Fatigue Program for the US Air Force between 1995 and 2003 at Wright-Patterson Air Force Base, and is one of the world's leading authorities on the subject, having authored over 250 papers in leading archival journals and books. Bringing his plethora of expertise to this book, Dr Nicholas discusses the subject of high cycle fatigue (HCF) from an engineering viewpoint in response to a series of HCF failures in the USAF and the concurrent realization that HCF failures in general were taking place universally in both civilian and military engines. Topic covered include: - Constant life diagrams - Fatigue limits under combined LCF and HCF - Notch fatigue under HCF conditions - Foreign object damage (FOD) - Brings years of the Author's US Air Force experience in high cycle fatigue together in one text - Discusses HCF in the context of recent international military and civilian engine failures
First published in 1995. Traumatology, or the field of traumatic stress studies, has become a dominant focus of interest in the mental health fields only in the past decade. Yet the origin of the study of human reactions to traumatic events can be traced to the earliest medical writings in Kunus Pyprus, published in 1900 B.C. in Egypt. Many factors account for the recent emergence of this field, including a growing awareness of the long-term consequences of shocking events. Among these consequences are violence toward others, extraordinary depression, dysfunctional behavior, and a plethora of medical maladies associated with emotional stress. This is the latest in a series of books that have focused on the immediate and long-term consequences of highly stressful events. The purposes of the book, then, are (a) to introduce the concept of compassion fatigue as a natural and disruptive by-product of working with traumatized and troubled clients; (b) to provide a theoretical basis for the assessment and treatment of compassion stress and compassion fatigue: (c) to explain the difference between compassion fatigue and PTSD, burnout, and countertransference; (d) to identify innovative methods for treating compassion fatigue in therapists, and (e) to suggest methods for preventing compassion fatigue.
Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
Written by a leading researcher in the field, this revised and updated second edition of a highly successful book provides an authoritative, comprehensive and unified treatment of the mechanics and micromechanisms of fatigue in metals, non-metals and composites. The author discusses the principles of cyclic deformation, crack initiation and crack growth by fatigue, covering both microscopic and continuum aspects. The book begins with discussions of cyclic deformation and fatigue crack initiation in monocrystalline and polycrystalline ductile alloys as well as in brittle and semi-/non-crystalline solids. Total life and damage-tolerant approaches are then introduced in metals, non-metals and composites followed by more advanced topics. The book includes an extensive bibliography and a problem set for each chapter, together with worked-out example problems and case studies. This will be an important reference for anyone studying fracture and fatigue in materials science and engineering, mechanical, civil, nuclear and aerospace engineering, and biomechanics.
To provide a forum for discussion, the International Conference on Fatigue Science was organized, the first being held in 2002 in Sandhamn, Sweden, and the second in 2005 in Karuizawa, Japan. Subsequently it was decided that the papers presented at the two conferences should be collected. The result is an authoritative guide to recent progress in the molecular and neural mechanisms of fatigue and in the development of the ways to prevent and overcome fatigue and chronic fatigue.
This book is an attempt to provide a uni?ed methodology to derive models for fatigue life. This includes S-N, ?-N and crack propagation models. This is not a conventional book aimed at describing the fatigue fundamentals, but rather a book in which the basic models of the three main fatigue approaches, the stress-based, the strain-based and the fracture mechanics approaches, are contemplated from a novel and integrated point of view. On the other hand, as an alternative to the preferential attention paid to deterministic models based on the physical, phenomenological and empirical description of fatigue, their probabilistic nature is emphasized in this book, in which stochastic fatigue and crack growth models are presented. This book is the result of a long period of close collaborationbetween its two authors who, although of di?erent backgrounds, mathematical and mechanical, both have a strong sense of engineering with respect to the fatigue problem. When the authors of this book ?rst approached the fatigue ?eld in 1982 (twenty six years ago), they found the following scenario: 1. Linear, bilinear or trilinear models were frequently proposed by relevant laboratoriesandacademiccenterstoreproducetheW ̈ ohler?eld. Thiswas the case of well known institutions, which justi?ed these models based on clientrequirementsorpreferences. Thisledtotheinclusionofsuchmodels and methods as, for example, the up-and-down, in standards and o?cial practical directives (ASTM, Euronorm, etc.), which have proved to be unfortunate.