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The purpose of this paper is to examine England’s Accident and Emergency (A&E) arm of the National Health Service (NHS). It considers the positive impact that Lean has had and Six-Sigma can have in A&E departments to improve the quality and reliability of the service offered, in an area that is facing performance challenges.

Independent variables average monthly temperature data (degrees Celsius) obtained from the Met Office and weekly A&E data, patient volume is analysed alongside the dependent variable, the percentage of patients seen in 4 h or less.

The model produced a robust positive impact when Lean Six-Sigma is adopted, increasing the likelihood of A&E dependents meeting their performance objective to see and treat patients in 4 h or less.

Further variables such as staffing levels, A&E admission type should be considered in future studies. Additionally, it would add further clarity to analyse hospitals and trusts individually, to gauge which are struggling.

Should the NHS further its understanding and adoption of Lean Six-Sigma, it is believed this could have significant improvements in productivity, patient care and cost reduction.

Productivity improvements will allow the NHS to do more with an equal amount of funding, therefore improving capacity and patient care.

Through observing A&E and its ability to treat patients in a timely fashion it is clear the NHS is struggling to meet its performance objectives, the recommendation of Six-Sigma in A&E should improve the reliability and quality of care offered to patients.

This work aims to identify the linear elastic orthotropic material paramters of Pinus pinaster Ait. wood, using full-field measurements and an inverse identification strategy based on the finite element (FE) method updating technique.

Compression tests are carried out under uniaxial and quasi-static loading conditions on wood specimens oriented on the radial-tangential (RT) plane, with different grain orientations. Full-field displacements and strains are measured using digital image correlation (DIC), which are then used as a reference in the identification procedure. A FE model is implemented assuming plane stress conditions, where wood is modelled as an orthotropic homogeneous material. Based on the numerical results, a synthetic image reconstruction scheme is implemented to synthetically deform the reference experimental image, which is then processed by DIC and further compared to the experimental results.

The results for both approaches were similar when both specimen configurations were used in a single run. However, when using the DIC-based FEMU approach with the on-axis configuration, the identified modulus of elasticity in the tangential direction and shear modulus are closer to the reference values.

This approach ensures a fair comparison between both sets of data since the full-field strain maps are obtained through the same filter and therefore have the same strain formulation, spatial resolution and data filtering. Firstly, the identification is performed using a single configuration, either the on-axis or the off-axis specimen. Secondly, the identification is carried out by merging data from both on-axis and off-axis configurations.

The antique structures are part of the inheritance that our elders left, being important to preserve their memories. It is important to preserve, rehabilitate and restore the historic buildings protecting the cultural patrimony, attending to the actual comfort and habitability requirements. It is necessary to study the behaviour of the various elements that compose antique structures (masonry and wood) in order to develop assessment measures according to the characteristics of the original materials. The paper aims to discuss these issues.

An experimental campaign to characterize the mechanical behaviour of the wood of the roof of the “sequeiro” of “Quinta Lobeira de Cima”, a building from the twentieth century located in Minho, was carried out. The tested wood specimens are from two different species: chestnut and oak. Compression, tension and static flexion tests according to parallel to the grain direction were performed. Other parameters, such as density, moisture content and longitudinal modulus of elasticity in compression and in tension, were also obtained. The measurement of displacements was made with Digital Image Correlation (DIC).

The results of this study show the similarity between experimental and empirical values for the studied woods species.

This original study aimed at characterizing the mechanical properties using DIC of wood of the roof of the “sequeiro” of “Quinta Lobeira de Cima”, a building from the twentieth century located in Minho (Portugal). This study is part of master thesis of João Martins, an original research work.