Chopped basalt fibres: A new perspective in reinforcing poly(lactic acid) to produce injection moulded engineering composites from renewable and natural resources

This paper focuses on the reinforcing of Poly(lactic acid) with chopped basalt fibres by using silane treated and untreated basalt fibres. Composite materials with 5–10–15–20–30–40 wt% basalt fibre contents were prepared from silane sized basalt fibres using extrusion, and injection moulding, while composites with 5–10–15 wt% basalt fibre contents were also prepared by using untreated basalt fibres as control. The properties of the injection moulded composites were extensively examined by using quasi-static (tensile, three-point bending) and dynamic mechanical tests (notched and unnotched Charpy impact tests), dynamic mechanical analysis (DMA), differential scanning calorimetry (DSC), heat deflection temperature (HDT) analysis, dimensional stability test, as well as melt flow index (MFI) analysis and scanning electron microscopic (SEM) observations. It was found that silane treated chopped basalt fibres are much more effective in reinforcing Poly(lactic acid) than natural fibres; although basalt fibres are not biodegradable but they are still considered as natural (can be found in nature in the form of volcanic rocks) and biologically inert. It is demonstrated in this paper that by using basalt fibre reinforcement, a renewable and natural resource based composite can be produced by injection moulding with excellent mechanical properties suitable even for engineering applications. Finally it was shown that by using adequate drying of the materials, composites with higher mechanical properties can be achieved compared to literature data

E-health and e-welfare of Finland - Check point 2015

The new e-health and e-welfare strategy in Finland aims to support the renewal of the social welfare and health care services and the active role of citizens in maintaining their own well-being. The means include the development of knowledge management and increasing the provision of online services. The overall structural changes taking place in Finnish health and social care will also influence information and communication technologies (ICT). The report provides information about the change in the services and the service system brought on by ICT over time. The report illustrates the status in 2014 as compared with the strategic outcomes and objectives set on ICT to support performance and renewal of social welfare and health care. The results are condensed from four surveys for a comprehensive view: availability and use of ICT in health care as well as in social care, usability of the systems for physicians, and citizens´ use and anticipations. These are accompanied by a review of Finnish health care system and ICT development. For the international reader, the report provides an overview of progressive nationwide activities towards better e-services in Finland

E-health and e-welfare of Finland : Check Point 2022

The report provides an overview of progressive nationwide activities towards better e-services in Finland. The information system services of social welfare and health care are monitored by systematic gathering, analysis, and use of data, which allows the tracking of the progress of operations and the realisation of goals. In 2020 and 2021, six data collections were carried out to produce data for the monitoring of the Finnish ‘Information to support well-being and service renewal, eHealth and eSocial Strategy’. Some of the results presented in the report are also openly available in database cubes

Improving the analysis and use of patient complaints in the English National Health Service

The English National Health Service (NHS) receives over 200,000 patient complaints annually. Complaints provide rich narratives of poor and unsafe care, and are often submitted with the aim of preventing harm from occurring to others. Inquiries into safety failures have demonstrated that complaints signal problems where internal systems fail. Yet, their insights remain underutilised due to their complex unstructured nature, a disregard for their informational value, and a complaints process designed for case-by-case redress. This work develops evidence-based and theory-informed approaches towards improving the analysis and use of complaints in the English NHS. Using process modelling and realist review methods, this thesis generates theory on how and under what conditions healthcare settings can achieve both case-by-case redress and system-wide analysis of complaints. Findings identify the need for a robust coding taxonomy to detect systemic problems with healthcare delivery, and support the prioritisation of deeper qualitative analysis and investigation. The inter-rater reliability of the existing NHS complaints reporting scheme ‘KO41a’ is tested across four NHS Trusts, and compared to the psychometrically robust and theory-informed Healthcare Complaints Analysis Tool (HCAT). Results highlight the limited discriminative value of KO41a, and indicate HCAT as a reliable alternative in most investigated settings. Drawing from social science approaches to safety, the final study conducts data linkage and narrative analysis of complaints and staff incident reports, and demonstrates the contributions of using complainants’ interpretation and sense-making of adverse events to test, challenge, and complement staff representations of the causes and severity of harm. Collectively, the work in this thesis demonstrates why patient and staff perspectives need to be combined for a more holistic understanding of patient safety, and provides a pragmatic, evidence-based pathway towards integrating complaints into the historically staff-driven quality monitoring and improvement systems.Open Acces

Research priorities in land use and land-cover change for the Earth System and Integrated Assessment Modelling

This special issue has highlighted recent and innovative methods and results that integrate observations and modelling analyses of regional to global aspect of biophysical and biogeochemical interactions of land-cover change with the climate system. Both the Earth System and the Integrated Assessment modeling communities recognize the importance of an accurate representation of land use and land-cover change to understand and quantify the interactions and feedbacks with the climate and socio-economic systems, respectively. To date, cooperation between these communities has been limited. Based on common interests, this work discusses research priorities in representing land use and land-cover change for improved collaboration across modelling, observing and measurement communities. Major research topics in land use and land-cover change are those that help us better understand (1) the interaction of land use and land cover with the climate system (e.g. carbon cycle feedbacks), (2) the provision of goods and ecosystem services by terrestrial (natural and anthropogenic) land-cover types (e.g. food production), (3) land use and management decisions and (4) opportunities and limitations for managing climate change (for both mitigation and adaptation strategies

Issues in Evaluating Health Department Web-Based Data Query Systems: Working Papers

Compiles papers on conceptual and methodological topics to consider in evaluating state health department systems that provide aggregate data online, such as taxonomy, logic models, indicators, and design. Includes surveys and examples of evaluations