The Danish national return-to-work program - aims, contents and design of the process and effect evaluation

The Danish national return-to-work (RTW) program aims to improve the management of municipal sickness benefit in Denmark. A study is currently ongoing to evaluate the RTW program. The purpose of this article is to describe the study protocol. The program includes 21 municipalities encompassing approximately 19 500 working-age adults on long-term sickness absence, regardless of reason for sickness absence or employment status. It consists of three core elements: (i) establishment of multidisciplinary RTW teams, (ii) introduction of standardized workability assessments and sickness absence management procedures, and (iii) a comprehensive training course for the RTW teams. The effect evaluation is based on a parallel group randomized trial and a stratified cluster-controlled trial and focuses on register-based primary outcomes-duration of sickness absence and RTW and questionnaire-based secondary outcomes such as health and workability. The process evaluation utilizes questionnaires, interviews, and municipal data. The effect evaluation tests whether participants in the intervention have a (i) shorter duration of full-time sickness absence, (ii) longer time until recurrent long-term sickness absence, (iii) faster full RTW, (iv) more positive development in health, workability, pain, and sleep; it also tests whether the program is (v) cost-effective. The process evaluation investigates: (i) whether the expected target population is reached; (ii) if the program is implemented as intended; (iii) how the beneficiaries, the RTW teams, and the external stakeholders experience the program; and (iv) whether contextual factors influenced the implementation. The program has the potential to contribute markedly to lowering human and economic costs and increasing labor force supply. First results will be available in 2013. The trial registrations are ISRCTN43004323, and ISRCTN51445682

Mechanical drilling processes for titanium alloys: a literature review

Titanium and its alloys (Ti) are attractive for many applications due to their superior properties. However, they are regarded as hard-to-machine materials. Drilling is an important machining process since it is involved in nearly all Ti applications. It is desirable to develop cost-effective drilling processes for Ti and/or improve the cost-effectiveness of currently-available processes. Such development and improvement will be benefited by a comprehensive literature review of drilling processes for Ti. This paper presents a literature review on mechanical drilling processes for Ti, namely, twist drilling, vibration assisted twist drilling, ultrasonic machining, and rotary ultrasonic machining. It discusses cutting force, cutting temperature, tool wear and tool life, hole quality (diameter and cylindricity, surface roughness, and burr), and chip type when drilling of Ti using these processes