Probabilistic soil identification based on cone penetration tests

In geotechnical engineering, soil classification is an essential component in the design process. Field methods such as the cone penetration test (CPT) can be used as less expensive and faster alternatives to sample retrieval and testing. Unfortunately, current soil classification charts based on CPT data and laboratory measurements are too generic, and may not provide an accurate prediction of the soil type. A probabilistic approach is proposed here to update and modify soil identification charts based on site-specific CPT data. The probability that a soil is correctly classified is also estimated. The updated identification chart can be used for a more accurate prediction of the classification of the soil, and can account for prior information available before conducting the tests, site-specific data, and measurement errors. As an illustration, the proposed approach is implemented using CPT data from the Treporti Test Site (TTS) near Venice (Italy) and the National Geotechnical Experimentation Sites (NGES) at Texas A&M University. The applicability of the site-specific chart for other sites in Venice Lagoon is assessed using data from the Malamocco test site, approximately 20 km from TTS.

UK guidance on the initial evaluation of an infant or an adolescent with a suspected disorder of sex development

It is paramount that any child or adolescent with a suspected disorder of sex development (DSD) is assessed by an experienced clinician with adequate knowledge about the range of conditions associated with DSD. If there is any doubt, the case should be discussed with the regional team. In most cases, particularly in the case of the newborn, the paediatric endocrinologist within the regional DSD team acts as the first point of contact. The underlying pathophysiology of DSD and the strengths and weaknesses of the tests that can be performed should be discussed with the parents and affected young person and tests undertaken in a timely fashion. This clinician should be part of a multidisciplinary team experienced in management of DSD and should ensure that the affected person and parents are as fully informed as possible and have access to specialist psychological support. Finally, in the field of rare conditions, it is imperative that the clinician shares the experience with others through national and international clinical and research collaboration. © 2011 Blackwell Publishing Ltd.