A Constrained Sequential-Lamination Algorithm for the Simulation of Sub-Grid Microstructure in Martensitic Materials

We present a practical algorithm for partially relaxing multiwell energy densities such as pertain to materials undergoing martensitic phase transitions. The algorithm is based on sequential lamination, but the evolution of the microstructure during a deformation process is required to satisfy a continuity constraint, in the sense that the new microstructure should be reachable from the preceding one by a combination of branching and pruning operations. All microstructures generated by the algorithm are in static and configurational equilibrium. Owing to the continuity constrained imposed upon the microstructural evolution, the predicted material behavior may be path-dependent and exhibit hysteresis. In cases in which there is a strict separation of micro and macrostructural lengthscales, the proposed relaxation algorithm may effectively be integrated into macroscopic finite-element calculations at the subgrid level. We demonstrate this aspect of the algorithm by means of a numerical example concerned with the indentation of an Cu-Al-Ni shape memory alloy by a spherical indenter.Comment: 27 pages with 9 figures. To appear in: Computer Methods in Applied Mechanics and Engineering. New version incorporates minor revisions from revie

Patient decision-making about emergency and planned stoma surgery for IBD: a qualitative exploration of patient and clinician perspectives

Background: Many IBD patients worry about stoma forming surgery (SFS), sometimes enduring poor bowel-related quality of life to avoid it. Anticipation of SFS and whether expectations match experience is under-reported. This qualitative study explored influences on patients’ SFS decision-making, and compared pre-operative concerns with post-operative outcomes. Methods: We purposively recruited participants with IBD from UK hospital outpatient and community sources, and IBD clinicians from public hospitals. Four focus groups and 29 semi-structured patient participant interviews, and 18 clinician interviews were audio recorded, transcribed, and analysed thematically. Participants had a current temporary, recently-reversed, or permanent stoma, or were stoma naïve. Results: Four themes emerged: Pre-operative concerns and expectations, Patient decision-making, Surgery and recovery, and Long-term outcomes. Participants and clinicians agreed about most pre-operative concerns, that outcomes were often better than expected, and support from others with a stoma is beneficial. Patient decision-making involves multiple factors, including disease status. Some clinicians avoid discussing SFS, and the phrase ‘last resort’ can bias patient perceptions; others recommend early discussion, increasing dialogue when medical management becomes ineffective. The post-operative period is particularly challenging for patients. Stoma acceptance is influenced by personal perceptions and pre- and post-operative clinical and social support. Conclusion: Patients need balanced information on all treatment options, including surgery, from an early stage. Early multi-disciplinary team dialogue about SFS, and contact with others living well with a stoma, could enable informed decision-making. Life with a stoma is often better than anticipated, improving quality of life and control. Ongoing specialist nursing support aids recovery and adjustment

Concentrations, Oscillations and Microstructure Modeling

Available from STL Prague, CZ / NTK - National Technical LibrarySIGLECZCzech Republi