A novel bio-inspired microstructure for progressive compressive failure in multidirectional composite laminates

n this study we take inspiration from biological materials to design a modified microstructure for laminated multidirectional (MD) carbon fiber reinforced polymers (CFRP), with the objective of mitigating their compressive failure behavior. We introduce soft inclusions in the form of thin longitudinal strips of foam in 0° load bearing layers, aiming at arresting kinkband propagation. We conceived a bespoke stacking sequence and developed a tailored procedure for manufacturing the microstructure. We then performed in-situ tests on small scale notched specimens from a baseline laminate and a modified one. Results are presented and discussed

Summary care record early adopter programme: an independent evaluation by University College London.

Benefits The main potential benefit of the SCR is considered to be in emergency and unscheduled care settings, especially for people who are unconscious, confused, unsure of their medical details, or unable to communicate effectively in English. Other benefits may include improved efficiency of care and avoidance of hospital admission, but it is too early for potential benefits to be verified or quantified. Progress As of end April 2008, the SCR of 153,188 patients in the first two Early Adopter sites (Bolton and Bury) had been created. A total of 614,052 patients in four Early Adopter sites had been sent a letter informing them of the programme and their choices for opting out of having a SCR. Staff attitudes and usage The evaluation found that many NHS staff in Early Adopter sites (which had been selected partly for their keenness to innovate in ICT) were enthusiastic about the SCR and keen to see it up and running, but a significant minority of GPs had chosen not to participate in the programme and others had deferred participation until data quality improvement work was completed. Whilst 80 per cent of patients interviewed were either positive about the idea of having a SCR or ?did not mind?, others were strongly opposed ?on principle?. Staff who had attempted to use the SCR when caring for patients felt that the current version was technically immature (describing it as ?clunky? and ?complicated?), and were looking forward to a more definitive version of the technology. A comparable technology (the Emergency Care Summary) introduced in Scotland two years ago is now working well, and over a million records have been accessed in emergency and out-of-hours care. Patient attitudes and awareness Having a SCR is optional (people may opt out if they wish, though fewer than one per cent of people in Early Adopter sites have done so) and technical security is said to be high via a system of password protection and strict access controls. Nevertheless, the evaluation showed that recent stories about data loss by government and NHS organisations had raised concerns amongst both staff and patients that human fallibility could potentially jeopardise the operational security of the system. Despite an extensive information programme to inform the public in Early Adopter sites about the SCR, many patients interviewed by the UCL team were not aware of the programme at all. This raises important questions about the ethics of an ?implied consent? model for creating the SCR. The evaluation recommended that the developers of the SCR should consider a model in which the patient is asked for ?consent to view? whenever a member of staff wishes to access their record. Not a single patient interviewed in the evaluation was confident that the SCR would be 100 per cent secure, but they were philosophical about the risks of security breaches. Typically, people said that the potential benefit of a doctor having access to key medical details in an emergency outweighed the small but real risk of data loss due to human or technical error. Even patients whose medical record contained potentially sensitive data such as mental health problems, HIV or drug use were often (though not always) keen to have a SCR and generally trusted NHS staff to treat sensitive data appropriately. However, they and many other NHS patients wanted to be able to control which staff members were allowed to access their record at the point of care. Some doctors, nurses and receptionists, it seems, are trusted to view a person?s SCR, whereas others are not, and this is a decision which patients would like to make in real time

Outpatient services and primary care: scoping review, substudies and international comparisons

This is the final version of the report. Available from the publisher via the DOI in this record.AIM: This study updates a previous scoping review published by the National Institute for Health Research (NIHR) in 2006 (Roland M, McDonald R, Sibbald B. Outpatient Services and Primary Care: A Scoping Review of Research Into Strategies For Improving Outpatient Effectiveness and Efficiency. Southampton: NIHR Trials and Studies Coordinating Centre; 2006) and focuses on strategies to improve the effectiveness and efficiency of outpatient services. FINDINGS FROM THE SCOPING REVIEW: Evidence from the scoping review suggests that, with appropriate safeguards, training and support, substantial parts of care given in outpatient clinics can be transferred to primary care. This includes additional evidence since our 2006 review which supports general practitioner (GP) follow-up as an alternative to outpatient follow-up appointments, primary medical care of chronic conditions and minor surgery in primary care. Relocating specialists to primary care settings is popular with patients, and increased joint working between specialists and GPs, as suggested in the NHS Five Year Forward View, can be of substantial educational value. However, for these approaches there is very limited information on cost-effectiveness; we do not know whether they increase or reduce overall demand and whether the new models cost more or less than traditional approaches. One promising development is the increasing use of e-mail between GPs and specialists, with some studies suggesting that better communication (including the transmission of results and images) could substantially reduce the need for some referrals. FINDINGS FROM THE SUBSTUDIES: Because of the limited literature on some areas, we conducted a number of substudies in England. The first was of referral management centres, which have been established to triage and, potentially, divert referrals away from hospitals. These centres encounter practical and administrative challenges and have difficulty getting buy-in from local clinicians. Their effectiveness is uncertain, as is the effect of schemes which provide systematic review of referrals within GP practices. However, the latter appear to have more positive educational value, as shown in our second substudy. We also studied consultants who held contracts with community-based organisations rather than with hospital trusts. Although these posts offer opportunities in terms of breaking down artificial and unhelpful primary–secondary care barriers, they may be constrained by their idiosyncratic nature, a lack of clarity around roles, challenges to professional identity and a lack of opportunities for professional development. Finally, we examined the work done by other countries to reform activity at the primary–secondary care interface. Common approaches included the use of financial mechanisms and incentives, the transfer of work to primary care, the relocation of specialists and the use of guidelines and protocols. With the possible exception of financial incentives, the lack of robust evidence on the effect of these approaches and the contexts in which they were introduced limits the lessons that can be drawn for the English NHS. CONCLUSIONS: For many conditions, high-quality care in the community can be provided and is popular with patients. There is little conclusive evidence on the cost-effectiveness of the provision of more care in the community. In developing new models of care for the NHS, it should not be assumed that community-based care will be cheaper than conventional hospital-based care. Possible reasons care in the community may be more expensive include supply-induced demand and addressing unmet need through new forms of care and through loss of efficiency gained from concentrating services in hospitals. Evidence from this study suggests that further shifts of care into the community can be justified only if (a) high value is given to patient convenience in relation to NHS costs or (b) community care can be provided in a way that reduces overall health-care costs. However, reconfigurations of services are often introduced without adequate evaluation and it is important that new NHS initiatives should collect data to show whether or not they have added value, and improved quality and patient and staff experience.The NIHR Health Services and Delivery Research programme

Implementing structural fuses in CFRP components via microstructurally-engineered crack paths

This study aims to develop and implement actual carbon fibre-reinforced polymer (CFRP) solutions for realising structural fuses in real components. To this end, we have developed various concepts for structural fuses, applied to generic idealised components and aimed at engaging different in-plane and through-the-thickness damage propagation mechanisms. Micro-cut patterns (MCPs) / crack path combinations have been engraved on thin-ply CFRP prepregs (by using a laser cut machine) for manufacturing CFRP specimens. Afterwards, we have carried out a series of experimental studies to evaluate the fracture properties of various MCPs under three-point bending (3PB). Then, 3PB results were used to refine and down-select our concepts, for use in our generic idealised component design to test them under indentation test using a cantilever beam rig. The test results demonstrated that MCPs can provide significant control over the fracture locus and path, additionally allowing the failure initiation load and energy dissipation to be tailored

Hierarchical carbon aerogel modified carbon fiber composites for structural power applications

The desire to reduce overall weight in devices is a key driver for perpetual material development; the ability to combine composites with energy storage functions/capabilities which simultaneously provide structural integrity has the potential to supersede monofunctional components. To achieve this ambition, the multifunctional structure must perform both mechanical and energy storage functions sufficiently, but often there is a trade off in performance which is a significant challenge to overcome. Carbon aerogels have been shown to contribute positively to (electro-chemical double layer) capacitive performance due to an increased surface area in multifunctional carbon fiber based composite electrodes, but have also been shown to reduce mechanical properties; the addition of nanoscale reinforcers, such as carbon nanotubes, graphene or alike, with their superlative electrical and mechanical properties are proposed to address these concerns and create a truly hierarchical structure suitable for structural power applications

A novel profiling concept leading to a significant increase in the mechanical performance of metal to composite joints

In this work, we designed metal-CFRP joints with a profiled adherend termination to improve the mechanical performance. We have applied several profiles to the edge of titanium adherends which were adhesively bonded to CFRP substrates. We conducted finite element modelling and experimental 4PB (4-Point-Bend) testing to investigate how the geometry of the adherend edge profile effects the mechanical performance of the joint. This work shows that profiling of the metal adherend can result in increases of at least 27% in the peak load, and of at least 272% in the energy dissipated up to critical failure normalised by the mechanical energy

Caring for the patient, caring for the record: an ethnographic study of 'back office' work in upholding quality of care in general practice

© 2015 Swinglehurst and Greenhalgh; licensee BioMed Central. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.Additional file 1: Box 1. Field notes on summarising (Clover Surgery). Box 2. Extract of document prepared for GPs by summarisers at Clover Surgery. Box 3. Fieldnotes on coding incoming post, Clover (original notes edited for brevity).This work was funded by a research grant from the UK Medical Research Council (Healthcare Electronic Records in Organisations 07/133) and a National Institute of Health Research doctoral fellowship award for DS (RDA/03/07/076). The funders were not involved in the selection or analysis of data nor did they make any contribution to the content of the final manuscript

Stiff monolithic aerogel matrices for structural fibre composites

Resorcinol-formaldehyde based aerogel precursors were infused into structural carbon fibre weaves, then gelled and carbonised to generate a continuous monolithic matrix network. This hierarchical carbon preform was subsequently infused with polymeric resins, both multifunctional and structural, to produce dense composites. The resulting hierarchical composites have a nanoscale reinforcement in the matrix at up to an order of magnitude higher loadings than typically available by other techniques. Compression, tension, ±45° shear and short beam tests demonstrate the potential of such matrix systems to address matrix dominated failures. However, for the best structural performance it will be necessary to re-optimise the fibre-matrix interface, which is degraded by the current processing regime

Structural power performance requirements for future aircraft integration

This paper investigates the use of structural power composites in Airbus A220-100 aircraft cabins by integrating floor panels with face sheets made of structural power composites to power the in-flight entertainment system. This application requires a minimum specific energy of 305 Wh/kg and a minimum specific power of 0.610 kW/kg. The static and dynamic loads for which the floor panels must be certified require an in-plane Young’s modulus of 50 GPa, a compressive strength of 225 MPa and a tensile strength of 119 MPa. Structural power composite floor panels are predicted to yield mass savings of 324 kg, annual cost savings of £85,000 per aircraft and annual reductions in CO2 and NOx emissions of 343 tonnes and 1.4 tonnes respectively. However, addressing challenges such as fire-resistance, long term cycling performance and public perception of structural power composites are necessary to enable widespread use of such materials on-board airliners

A residual performance methodology to evaluate multifunctional systems

The development of multifunctional materials and structures is receiving increasing interest for many applications and industries; it is a promising way to increase system-wide efficiency and improve the ability to meet environmental targets. However, quantifying the advantages of a multifunctional solution over monofunctional systems can be challenging. One approach is to calculate a reduction in mass, volume or other penalty function. Another approach is to use a multifunctional efficiency metric. However, either approach can lead to results that are unfamiliar or difficult to interpret and implement for an audience without a multifunctional materials or structures background. Instead, we introduce a comparative metric for multifunctional materials that correlates with familiar design parameters for monofunctional materials. This metric allows the potential benefits of the multifunctional system to be understood easily without needing a holistic viewpoint. The analysis is applied to two different examples of multifunctional systems; a structural battery and a structural supercapacitor, demonstrating the methodology and its potential for state-of-the-art structural power materials to offer a weight saving over conventional systems. This metric offers a new way to communicate research on structural power which could help identify and prioritise future research