Coordination of Care by Primary Care Practices: Strategies, Lessons and Implications

Documents successful strategies for coordinating care within primary care settings, including family and caregivers; with specialists; with hospital settings; and with community-based services. Discusses challenges, lessons learned, and implications

Interaction mechanisms and damage formation in laser cutting of CFRP laminates obtained by recycled carbon fibre

The increase in the use of composite materials poses the problem of their disposal/recycling after the End of Life (EOL). Different strategies were developed to recycle composite material, resulting in the availability of new raw materials, characterised by overall good mechanical properties and significantly low cost. However, the applicability of these materials to industrial production also depends on the possibility of producing and processing them with likewise available technologies. Among the production and processing technologies that can be adopted for recycled composite materials, resin infusion under flexible tooling (RIFT) and laser machining, respectively, stand out above all due to the high production/machining speed compared to the cost. This paper investigates the possibility to apply both these technologies to carbon fibre-reinforced polymer laminates obtained by adopting recycled carbon fibres. Recycled CFRP plates of about 2.7 mm in thickness were produced by RIFT and characterised in tensile and flexural tests. After mechanical characterisation, cutting tests were performed by using a 450 W QCW fibre laser, varying the pulse power, the pulse length, and the pulse overlap. The kerf geometries and the HAZ extension were measured at the upper and bottom parts as well as in the section. Analysis of variance was adopted to define which and how the process parameters affect the kerf dimension and HAZ extension. Results showed that it is possible to cut the composite at a cutting speed up to 2000 mm/s, obtaining, in the best conditions, narrow kerf, limited HAZ, and taper angle of about 0 degrees

Statistical Approach to Fiber Laser Microcutting of NIMONIC® C263 Superalloy Sheet Used in Effusion Cooling System of Aero Engines

AbstractIn order to reduce thermal stress and avoid premature failure of turbine blades in the hot section of aero-engines, a diffusion cooling system is often adopted. This system is a thin sheet, with a closely spaced holes array allowing a uniform cooling of the turbine blade thanks to the evenly distributing of the cooling fluid within its wall. The holes diameters vary in the range of 0.3-1.0 mm. Furthermore, tight tolerances, perpendicular surfaces, no burr, no recast layer, are required. In order to satisfy the hole requirements, typically EDM technique is adopted. However, EDM micro-drilling needs long process time (about 20 s for hole). A promising alternative is laser trepanning. In this technique, a laser beam, with a very small focused spot, is used to make a hole by circular cutting. The hole is obtained in few seconds (<3 s). In this work a preliminary study on laser microcutting of NIMONIC® C263 sheet is presented in order to verify the possibility to adopt a low-power Yb:YAG fiber laser for the microdrilling. Linear cutting tests were carried out on NIMONIC® C263 superalloy sheet, 0.38 mm thick, using a 100 W Yb:YAG fiber laser working in modulated regime. A systematic approach based on Design of Experiment (DoE) has been successfully adopted with the aim to detect which and how the process parameters affect the kerf geometry in term of kerf width, taper angle and tolerances. The examined process parameters were scan speed, on-time, pulse duration and gas pressure. A full factorial design and ANalysis Of VAriance (ANOVA) were applied. Experimental results show the possibility to obtain kerf characterized by narrow width (<100 μm), low taper angle values (<1.8°) and small tolerance (<0.22 μm). Then, the possibility to produce in-tolerance holes was proved

Laser cutting of basalt fibre reinforced polymers by QCW fiber laser: interaction mechanisms and effect of laser parameters

In the paper, laser cutting of basalt fibre reinforced polymer laminate using a 450 W QCW fiber laser, working in a pulsed regime is presented. Preliminary tests were performed on a basalt laminate, 1.3 mm in thickness, changing the pulse power (Pp) and pulse duration (D) to find the maximum cutting speed. Then a 33 experimental plan was carried out changing the pulse power, the pulse duration, and the cutting speed. The kerf width and the heat-affected zone were measured in the section and on the external surfaces. ANOVA analysis was adopted to assess the process parameters’ influence. The interaction mechanisms were found and discussed. From the results, the BFRP laminate appears easy to cut at maximum cutting speeds up to 3500 mm/min. However, thermal damages occur. Kerf geometry and HAZ are mainly affected by the cutting speed, while the Pp and D seem to have a minor role

Neural network implementation for the prediction of load curves of a flat head indenter on hot aluminum alloy

The indentation test performed by means of a flat-ended indenter is a valuable non-destructive method for assessment of metals at a local scale. Particularly, from the indentation curves it is possible to achieve several mechanical properties. The aim of this paper is the implementation of an artificial neural network for the prediction of the indentation load as a function of the penetration depth for an aluminium substrate. In particular, the neural network is addressed to the mechanical characterization of the bulk in function of temperature and indentation rate. The results obtained showed a high accuracy in curves prediction

Vino e Ambiente: sostenibilità e qualità primaria nel sottobacino Iudeo-Bucari (TP).

In questa raccolta di scritti, vengono riportati i risultati dell’attività di ricerca realizzata con la collaborazione della cantina UVAM e dell’Istituto Regionale Vino e Olio di Sicili

Presence of Candida zemplinina in Sicilian Musts and Selection of a Strain for Wine Mixed Fermentations

The purpose of this work was to investigate the presence of C. zemplinina yeasts in Sicilian musts andgrapes and to identify strains of oenological interest. We report on the taxonomical reclassificationof Candida yeast isolates from Sicilian musts and on the selection of one strain of oenological interest(Cz3), based on mixed micro-fermentation experiments in sterile Nero d’Avola musts. Our results showthat Candida zemplinina is abundant in Sicilian grapes and musts, and that the Cz3 strain is suitablefor Candida zemplinina/Saccharomyces cerevisiae mixed fermentations. The higher glycerol content andthe lower ethanol level stood out as the most promising features of the wines obtained upon sequentialinoculation of the Cz3 and (S. cerevisiae) NDA21 yeast starters. We therefore have isolated a Sicilian Czstrain endowed with very promising features for the future development of mixed fermentation protocols

Laser Marking of Titanium Coating for Aerospace Applications

Abstract In the aerospace industry, in order to ensure the identification and the traceability of the products, high repeatability, non-invasive and durable marking processes are required. Laser marking is one of the most advanced marking technologies. Compared to traditional marking processes, like punches, microdot, scribing or electric discharge pencil etcher, laser marking offers several advantages, such us: non-contact working, high repeatability, high scanning speed, mark width comparable to the laser spot dimension, high flexibility and high automation of the process itself. In order to assure the mark visibility for the component lifetime, an appropriate depth of the mark is required. In this way, a stable behaviour is ensured also when the component operates in aggressive environments (i.e. in presence of oxidation, corrosion and wear phenomena). The mark depth is strongly affected by the laser source kind and by the process parameters, such us average power, pulse frequency and scanning speed. Moreover, an excessive mark penetration could cause stress concentrations and reduce the fatigue life of the component. Consequently, an appropriate selection of the process parameters is required in order to assure visibility and to avoid excessive damage. Cold Spray Deposition (CSD) is a relative new technology that allows to produce surface coatings without significant substrate temperature increasing. In aeronautics fields this technology is useful to coat materials sensible to temperature, such as solution tempered aluminum alloy, with a titanium layer. Aim of the work is to characterize the laser marking process on CSD Ti coating, in order to study the influence of the laser marking process parameters (pulse power and scanning speed), on the groove geometry of the marking. The experimental marking tests were carried out through a 30 W MOPA Q-Switched Yb:YAG fibre laser; under different process conditions. The groove geometry was measured through a HIROX HK9700 optical microscope. The results showed the effectiveness of the laser process to produce high quality marks on the titanium layer. Moreover, a correlation between the process parameters and the mark's geometry was clearly observed