An experimental investigation of laser scabbling of concrete

Laser scabbling of concrete is the process of removal of surface material using a high power laser beam. The main aim of this investigation was to establish an experimental procedure for assessing the effects of various parameters that may be critical for the effectiveness of the process, such as material composition and initial moisture content. The study shows that the key characteristics of the process can be detected by monitoring surface temperature variations. This experimental procedure is used to provide data on the effects of each parameter to explain the mechanisms that drive the process. The results suggest that scabbling is mainly driven by pore pressures in the cement paste, but strongly affected by other factors. Reducing permeability by adding PFA to the cement paste resulted in significant increase in volume removal; but reducing moisture content by air-drying of the material did not result in the expected reduction in volume removal

Personalizing health care: feasibility and future implications

Considerable variety in how patients respond to treatments, driven by differences in their geno- and/ or phenotypes, calls for a more tailored approach. This is already happening, and will accelerate with developments in personalized medicine. However, its promise has not always translated into improvements in patient care due to the complexities involved. There are also concerns that advice for tests has been reversed, current tests can be costly, there is fragmentation of funding of care, and companies may seek high prices for new targeted drugs. There is a need to integrate current knowledge from a payer’s perspective to provide future guidance. Multiple findings including general considerations; influence of pharmacogenomics on response and toxicity of drug therapies; value of biomarker tests; limitations and costs of tests; and potentially high acquisition costs of new targeted therapies help to give guidance on potential ways forward for all stakeholder groups. Overall, personalized medicine has the potential to revolutionize care. However, current challenges and concerns need to be addressed to enhance its uptake and funding to benefit patients