An Analytical Approach to the Analysis of Inhomogeneous Pipes under External Pressure

Pipes for deep-water applications possess a diameter-to-thickness ratio in a region where failure is dominated by both instability and plastic collapse. This implies that prior to failure the compressive yield strength of the material must be exceeded, followed by ovalisation and further local yielding. This paper presents an investigation into the mechanics of this specific problem and develops an analytical approach that accounts for the effects of geometrical and material data on the collapse pressure of inhomogeneous rings under external hydrostatic pressure. The analytical expressions have been correlated to numerical and experimental test data, proving their accuracy

Stability Analysis of Circular Beams with Mixed-Mode Imperfections under Uniform Lateral Pressure

The elastic-plastic collapse of circular beams under uniform lateral pressure with an initial imperfection represented by a combination of different modes and amplitudes and with varying material properties is analysed from a computational viewpoint. The work is stimulated by a number of accurate experimental tests recently performed and it is found that both the initial imperfection and the material inhomogeneity along the beam axis can affect the collapse and produce a sensible variation in the carrying capacity of the structure on account of the changes between the underlying buckling modes. This can give reason for some apparently anomalous observed experimental results

An Analytical Approach to the Analysis of Inhomogeneous Pipes under External Pressure

Pipes for deep-water applications possess a diameter-to-thickness ratio in a region where failure is dominated by both instability and plastic collapse. This implies that prior to failure the compressive yield strength of the material must be exceeded, followed by ovalisation and further local yielding. This paper presents an investigation into the mechanics of this specific problem and develops an analytical approach that accounts for the effects of geometrical and material data on the collapse pressure of inhomogeneous rings under external hydrostatic pressure. The analytical expressions have been correlated to numerical and experimental test data, proving their accuracy

A numerical investigation into the plastic buckling paradox for circular cylindrical shells under axial compression

It is widely accepted that for many buckling problems of plates and shells in the plastic range the flow theory of plasticity leads to a significant overestimation of the buckling stress while the deformation theory provides much more accurate predictions and is therefore generally recommended for use in practical applications. The present work aims to contribute to further understanding of the seeming differences between these two theories with particular regards to circular cylindrical shells subjected to axial compression. A clearer understanding of the two theories is established using accurate numerical examples and comparisons with some widely cited accurate physical test results. It is found that, contrary to common perception, by using a geometrically nonlinear finite element formulation with carefully determined and validated constitutive laws very good agreement between numerical and test results can be obtained in the case of the physically more sound flow theory of plasticity. The reasons underlying the apparent buckling paradox found in the literature regarding the application of deformation and flow theories and the different conclusions reached in this work are investigated and discussed in detail. © 2014 Elsevier Ltd

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat