On the formulation of thermodynamically-consistent viscoplastic-damage constitutive models.

This paper illustrates the formulation of viscoplastic-damage constitutive models using the framework of hyperplasticity. The entire constitutive behaviour is derived from only two scalar potentials; a free energy potential and a dissipation potential. This ensures that the model obeys the laws of thermodynamics

On the formulation of thermodynamically-consistent viscoplastic-damage constitutive models

This paper illustrates the formulation of viscoplastic-damage constitutive models using the framework of hyperplasticity. The entire constitutive behaviour is derived from only two scalar potentials; a free energy potential and a dissipation potential. This ensures that the model obeys the laws of thermodynamics

Interactive Boundary Element Analysis for Engineering Design

Structural design of mechanical components is an iterative process that involves multiple stress analysis runs; this can be time consuming and expensive. Significant improvements in the eciency of this process can be made by increasing the level of interactivity. One approach is through real-time re-analysis of models with continuously updating geometry. Three primary areas need to be considered to accelerate the re-solution of boundary element problems. These are re-meshing the model, updating the boundary element system of equations and re-solution of the system. Once the initial model has been constructed and solved, the user may apply geometric perturbations to parts of the model. The re-meshing algorithm must accommodate these changes in geometry whilst retaining as much of the existing mesh as possible. This allows the majority of the previous boundary element system of equations to be re-used for the new analysis. For this problem, a GMRES solver has been shown to provide the fastest convergence rate. Further time savings can be made by preconditioning the updated system with the LU decomposition of the original system. Using these techniques, near real-time analysis can be achieved for 3D simulations; for 2D models such real-time performance has already been demonstrated

Chlorhexidine versus povidone–iodine skin antisepsis before upper limb surgery (CIPHUR) : an international multicentre prospective cohort study

Introduction Surgical site infection (SSI) is the most common and costly complication of surgery. International guidelines recommend topical alcoholic chlorhexidine (CHX) before surgery. However, upper limb surgeons continue to use other antiseptics, citing a lack of applicable evidence, and concerns related to open wounds and tourniquets. This study aimed to evaluate the safety and effectiveness of different topical antiseptics before upper limb surgery. Methods This international multicentre prospective cohort study recruited consecutive adults and children who underwent surgery distal to the shoulder joint. The intervention was use of CHX or povidone–iodine (PVI) antiseptics in either aqueous or alcoholic form. The primary outcome was SSI within 90 days. Mixed-effects time-to-event models were used to estimate the risk (hazard ratio (HR)) of SSI for patients undergoing elective and emergency upper limb surgery. Results A total of 2454 patients were included. The overall risk of SSI was 3.5 per cent. For elective upper limb surgery (1018 patients), alcoholic CHX appeared to be the most effective antiseptic, reducing the risk of SSI by 70 per cent (adjusted HR 0.30, 95 per cent c.i. 0.11 to 0.84), when compared with aqueous PVI. Concerning emergency upper limb surgery (1436 patients), aqueous PVI appeared to be the least effective antiseptic for preventing SSI; however, there was uncertainty in the estimates. No adverse events were reported. Conclusion The findings align with the global evidence base and international guidance, suggesting that alcoholic CHX should be used for skin antisepsis before clean (elective upper limb) surgery. For emergency (contaminated or dirty) upper limb surgery, the findings of this study were unclear and contradict the available evidence, concluding that further research is necessary