Strength grading of sawn timber in Europe: an explanation for engineers and researchers.

This paper is a concise explanation of the normative background to strength grading in Europe, addressing important aspects that are commonly misunderstood by structural engineers and timber researchers. It also highlights changes that are being made to the standards to: incorporate requirements of the construction products regulations; add improvements to the system to accommodate the latest knowledge and technology; and widen the application of the standards. Where designs need to be optimised, there is an opportunity to use the system more intelligently, in combination with the latest technology, to better fit design values to the true properties of the timber resource. This can bring a design enhancement equivalent to effort improving other aspects of the structure, such as connectors and reinforcement. Parallel to this, researchers working on other aspects of structural improvement need to understand what grades really mean in respect of the properties of the timber, in order to correctly analyse the results of testing. It is also useful to know how techniques used in grading can assist with material properties characterisation for research. The amount of destructive testing involved in establishing machine grading settings and visual grading assignments presents a barrier to greater use of local timber, and diversification of commercial species, so it is important that any researcher assessing the properties of such species should consider, from the outset, doing the research in a way that can contribute to a grading dataset at a later date. This paper provides an overview of what is required for this.

Self-management of coronary heart disease in angina patients after percutaneous coronary intervention: A mixed methods study.

After having elective percutaneous coronary intervention (PCI) patients are expected to self-manage their coronary heart disease (CHD) by modifying their risk factors, adhering to medication and effectively managing any recurring angina symptoms but that may be ineffective. Objective: Explore how patients self-manage their coronary heart disease (CHD) after elective PCI and identify any factors that may infl uence that. Design and method: This mixed methods study recruited a convenience sample of patients (n=93) approximately three months after elective PCI. Quantitative data were collected using a survey and were subject to univariate, bivariate and multi-variate analysis. Qualitative data from participant interviews was analysed using thematic analysis. Findings: After PCI, 74% of participants managed their angina symptoms inappropriately. Younger participants and those with threatening perceptions of their CHD were more likely to know how to effectively manage their angina symptoms. Few patients adopted a healthier lifestyle after PCI. Qualitative analysis revealed that intentional non-adherence to some medicines was an issue. Some participants felt unsupported by healthcare providers and social networks in relation to their self-management. Participants reported strong emotional responses to CHD and this had a detrimental effect on their self-management. Few patients accessed cardiac rehabilitation.