The Development of Structural Integrity Procedures for the Safe Working of Ceramics Industry Ball Mills with Cast Iron Ends

Author(s):  
I. C. Howard ◽  
A. C. Pugh

A ball mill at a ceramics materials company in North Staffordshire exploded in the spring of 2000. Luckily, nobody was injured as a result. Even so, the damage was so extensive that many in and around the ceramics industry rapidly concluded that the industry must introduce suitable operating practices so that the risk of a similar explosion was made acceptably small. As a result, a group of engineers, industry representatives and safety professionals has developed a set of Structural Integrity procedures for adoption in this industry. These mills and their operation are very different from the structures in those industries that normally draw upon Fracture Mechanics-based Structural Integrity principles. Hence, the development of these SI procedures for the ceramics industry is a good example of how their rapid acceptance could benefit traditional industries. Ceramics materials are ground wet, and so the mill must be sealed when running, to keep the resultant slurry inside. Since grinding produces a large amount of heat, the pressure in the mill rises as the water vapor and air inside attempt to expand. The mill therefore becomes a pressure vessel if it is left running long enough for the internal pressure to reach significant values. There are more than 250 ball mills in the UK industry. At least one half of those in the ceramics industry have cast iron ends, as did the mill that exploded. They are cylindrical, and rotate around a horizontal axis. Their construction typically involves a steel cylindrical wrapper, fastened, in different ways, to the two end plates. The end plates are therefore the critically sensitive components. The paper describes the work to assess the sensitivity of the cast iron end plates to the presence of cracks, and how this can be related to regular operating practice in the industry. The structure of the industry makes it heavily constrained against large capital expenditure, so effective SI procedures must be affordable by each company. The practicality of the procedures depends crucially upon non-critical flaws being observable by eye for a long period of mill running. As a result, the planned SI procedures can be implemented through a programme of education and training of all plant personnel and their supervisors and managers. This is an excellent example of how SI practice depends upon effective working of all relevant staff in an industry.

2019 ◽  
Author(s):  
Sneha Barai

UNSTRUCTURED The UK General Medical Council (GMC) explicitly states doctors have a duty to ‘contribute to teaching and training…by acting as a positive role model’. However, recent studies suggest some are not fulfilling this, which is impacting medical students' experiences and attitudes during their training. As such, doctors have a duty to act as role models and teachers, as specified by the GMC, which it seems are not currently being fulfilled. This would improve the medical students’ learning experiences and demonstrate good professional values for them to emulate. Therefore, these duties should be as important as patient care, since this will influence future generations.


2021 ◽  
pp. bmjmilitary-2020-001690
Author(s):  
Giles Nordmann ◽  
J Ralph ◽  
J E Smith

This paper examines the development and evolution of the deployed medical director (DMD) role and argues for the re-establishment of a formal selection process and training pathway. Recent deployments into new areas of operations, deployment of smaller medical treatment facilities (MTFs), the reduced numbers of deployments for clinicians, working with various multinational partners and both military and civilian organisations all pose specific problems for DMDs. The initial and then continued deployment of a secondary care role 2 MTF as part of the United Nations Mission in South Sudan illustrated some of these challenges. Although a novel operation, the broad categories of these new challenges were similar to the historical challenges facing the first DMDs in Afghanistan. Corporate memory loss may be unavoidable to some degree due to rapid turnover in appointments, particularly in single service and joint headquarters. However, individual memory and experience remains extant within the military medical deployable workforce. After the cessation of UK military deployed hospital care involvement in Afghanistan, the UK DMD formal training pathway ended. This paper argues for the re-establishment of a more formal DMD selection process and training pathway to ensure that organisational learning is optimised.


2021 ◽  
Vol 135 (2) ◽  
pp. 176-178 ◽  
Author(s):  
A Sawhney ◽  
R Bidaye ◽  
A Khanna

AbstractBackgroundPeritonsillar abscess, or quinsy, is one of the most common emergency presentations to ENT departments, and is the most common deep tissue infection of the head and neck. In the UK, junior members of the ENT team are regularly required to independently assess, diagnose and treat patients with peritonsillar aspiration or incision and drainage.IssueInexperienced practitioners can stumble at several obstacles: poor access due to trismus; poor lighting; difficulty in learning the therapeutic procedure; and difficulty in accurately documenting findings and treatment.SolutionTo counter these and other difficulties, the authors describe the routine use of video endoscopy as a training tool and therapeutic adjunct in the management of quinsy.


JRSM Open ◽  
2015 ◽  
Vol 6 (12) ◽  
pp. 205427041561630 ◽  
Author(s):  
Trevor Lambert ◽  
Fay Smith ◽  
Michael J Goldacre

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Conor S Jones ◽  
Mo Dada ◽  
Max Dewhurst ◽  
Ffion Dewi ◽  
Samir Pathak ◽  
...  

Abstract Introduction For students and trainees, COVID-19 has restricted opportunities for training and development. We sought to develop a virtual network to facilitate remote engagement and training in surgical research during COVID-19. RoboSurg aims to conduct a series of systematic reviews, to summarise and critique the reporting of studies of robot-assisted surgery across seven upper gastrointestinal procedures. Methods A protocol was developed based on previously published work. Searches were undertaken to identify studies evaluating robotic pancreas, liver, oesophagus, stomach, gallbladder, bariatric and anti-reflux surgery. Participants were identified through social media and collaborative research networks. Abstracts were screened for inclusion by two participants. Data extraction is completed by teams of collaborators, entered into a bespoke REDCap database and verified by senior team member. Changes are logged, with rationale and feedback provided to collaborators and reviewed by a third reviewer to assess consistency. Results of each review will be summarised in narrative syntheses. Results A total of 134 collaborators have registered, with 73 active participants. Collaborators range from second year medical students to surgical registrars across the UK. To date, 9444 abstracts and 1653 full texts have been screened with 422 eligible articles identified. Data extraction for two systematic reviews, including 193 articles, has been completed using this approach. Conclusion RoboSurg has developed a network and methodological framework for the remote conduction of complex systematic reviews, which can be utilised to engage and train students and trainees in surgical research.


2010 ◽  
Vol 69 (4) ◽  
pp. 470-476 ◽  
Author(s):  
M. Elia ◽  
C. A. Russell ◽  
R. J. Stratton

In 2007, the estimated cost of disease-related malnutrition in the UK was in excess of £13×109. At any point in time, only about 2% of over 3 million individuals at risk of malnutrition were in hospital, 5% in care homes and the remainder in the community (2–3% in sheltered housing). Some government statistics (England) grossly underestimated the prevalence of malnutrition on admission and discharge from hospital (1000–3000 annually between 1998 and 2008), which is less than 1% of the prevalence (about 3 million in 2007–2008) established by national surveys using criteria based on the ‘Malnutrition Universal Screening Tool’ (‘MUST’). The incidence of malnutrition-related deaths in hospitals, according to government statistics (242 deaths in England in 2007), was also <1% of an independent estimate, which was as high as 100 000/year. Recent healthcare policies have reduced the number of hospital and care home beds and encouraged care closer to home. Such policies have raised issues about education and training of the homecare workforce, including 6 million insufficiently supported informal carers (10% of the population), the commissioning process, and difficulties in implementing nutritional policies in a widely distributed population. The four devolved nations in the UK (England, Scotland, Northern Ireland and Wales) have developed their own healthcare polices to deal with malnutrition. These generally aim to span across all care settings and various government departments in a co-ordinated manner, but their effectiveness remains to be properly evaluated.


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