Effects of Forging and Heat Treatment on Martensite Lath,Recrystallization and Mechanical Properties Evolution of 18Ni(250) Maraging Steel

The manufacturing process of maraging steel parts include forging, heat treatment and other technological links, and the strengthening mechanism at different stages is different, which has an important impact on the process design of forgings. To investigate the strengthening behavior of maraging steel, forging experiments with different deformation amounts and heat treatment conditions were carried out, and the microstructural and mechanical properties evolution of 18Ni(250) steel was analyzed. The experimental results show that the size of the martensite lath is affected by multiple factors such as the influence of grain size, recrystallization and martensite substructure fraction. The strengthening mechanism of maraging steel during forging and heat treatment is different. Forging combined with heat treatment can refine grains, and the internal defects of the original material can be better eliminated. The thermal deformation can better play the role of grain refinement compared with cyclic phase transformation, which can improve the plasticity of 18Ni(250) maraging steel.     

Network Structure and Properties of Lithium Aluminosilicate Glass

Based on lithium aluminosilicate glass, the composition of glass was optimized by replacing SiO₂ with B₂O₃, and the influence of glass composition on structure and performance was studied. With the increase in B₂O₃ concentrations from 0 to 6.5 mol%, Al₂O₃ always existed in the form of four-coordinated [AlO₄] in the network structure, and B₂O₃ mainly entered the network in the form of four-coordinated [BO₄]. The content of Si-O-Si linkages (Q₄^(0Al)) was always dominant. The incorporation of boron oxide improved the overall degree of polymerization and connectivity of the lithium aluminosilicate glass network structure. An increase in the degree of network polymerization led to a decrease in the thermal expansion coefficient of the glass and an increase in Vickers hardness and density. The durability of the glass in hydrofluoric acid and NaOH and KOH solutions was enhanced overall.     

A New Model Supporting Stability Quality of Materials and Industrial Products

Stabilizing the quality of industrial product materials remains a challenge. This applies mainly to new or significantly modified materials. It also refers to special processes. The tests of product quality can stabilize the quality of industrial product materials. The popular method for this is using the non-destructive testing (NDT). The NDT identifies incompatibility but does not determine the cause of its occurrence. Hence, it was necessary to support the process of identifying causes of incompatibilities in products. The purpose of the article was to develop a model based on a new approach to determine the ranking of actions that are possible as part of the process of stabilizing the quality of industrial products. The model was developed to improve quality through sequential and systematic methods of identification (and reduce) and incompatibility. The quality management techniques and decision method were applied and combined in this model, i.e., SMART(-ER) the method, method of selecting a team of experts, brainstorming (BM), Ishikawa diagram with the 5M rule, Likert scale validation technique, arithmetic average, and Grey Relational Analysis (GRA). The test of this model was carried out to find cracks in the outer hull of 418 alloy four-point bearing (CPW-S 5616), which was identified by NDT (magnetic-powder method). As a result, a ranking of activities was obtained to stabilize the quality of the product and the main cause of incompatibility was indicated, i.e., the cause which can influence to the most degree influence on occurrence the incompatibility. The originality of the proposed model is an application in the right order of specially selected and combined qualitative methods and supporting decision methods. The finding of causes of incompatibility of products is the basis of product improvement in the area of stabilizing the quality of materials, mainly by the occurrence of special processes. The universality of the model refers to the possibility of its application for any material, processes of its formation, and processes of products, and any incompatibilities where the model can be integrated with quality control.     

A Study on the Design Depth of Permeable Road Pavement through Dynamic Load Experiment

This study investigated vertical strain and stress through a dynamic load experiment at the testing area of Ke-Da Road, Pingtung, Taiwan. A thirty-five-ton truck was moved at constant speeds of 40, 60, and 80 km/h to simulate heavy load conditions to study the mechanical variations. From the results, it was found that the strain and stress curves of the permeable road pavement showed asymmetry due to the viscoelastic property of the open-grade friction course. The results showed that vertical strains and vertical stresses of permeable road pavement were greatly affected by the axle configuration and the change in traffic speed. Furthermore, to propose the design thickness of a permeable road pavement, the pavement strain and stress were modelled with respect to depth using regression based on these collected data. According to the stress regression models and considering the construction uncertainty, the recommend design depth of a permeable pavement is 30 cm. The findings of this study would be helpful in determining the permeable road pavement depth when subjected to heavy traffic load, and the material combination of open-graded friction concrete, porous asphalt concrete, and permeable cement concrete was proposed in this study during the design period.     

Effects of Processing Parameters on the Microstructure and Mechanical Properties of Nanoscaled WC-10Co Cemented Carbide

This work was mainly focused on the processing-parameter-related microstructure and properties of ultrafine WC-10Co-0.4VC-0.5Cr₃C₂ cemented carbide. The samples were prepared via a spark plasma sintering (SPS) technique using nano WC and Co powders and the corresponding inhibitor VC and Cr₃C₂ powders. The influence of the processing process on the microstructure and mechanical properties of ultrafine-grained cemented carbide was investigated under different ball-milling times and sintering temperatures. The results showed that the grain size of WC decreased with increasing ball-milling time and decreasing sintering temperature and that the specific gravity of ε-Co increased with increasing ball-milling time. The hardness of cemented carbide increased with increasing ball-milling time and decreased with increasing sintering temperature due to the corresponding variation in grain size and the relative density of samples. The transverse fracture strength (TRS) was mainly affected by ball-milling time. The increase in ball-milling time led to decreased TRS values, mainly ascribed to the formation of WC particle agglomeration and the decreased WC-Co eutectic temperature. In addition, temperature changes were found to have little effect on TRS. The samples sintered at 1250 °C with a ball-milling time of 60 h had comprehensive mechanical properties. Their average grain size, relative density, hardness, and TRS were 355.5 nm, 95.79%, 2035.5 kg/mm², and 2155.99 MPa, respectively.     

Mechanical pulmonic valve thrombosis: expanding role of cardiac CT and multimodality imaging

We report a case of a 44-year-old man with a clinical history of Tetralogy of Fallot status post staged surgical correction with mechanical pulmonic valve replacement who presented with progressive exertional dyspnea in the setting of non-compliance with anticoagulation. In the context of this suggestive clinical presentation, the diagnosis of mechanical pulmonic valve thrombosis (MPVT) was made possible via multimodality imaging, including transthoracic echocardiogram and cardiac computed tomography angiography. Due to the uncommon nature of the condition, the patient was treated with systemic thrombolysis and anticoagulation using evidence-based guidelines, largely extrapolated from left-sided mechanical valve thrombosis. Our case underscores the importance of anticoagulation in MPVT and recognizing the features of MPVT on clinical history, physical examination, and multimodality imaging. It is essential to understand the pivotal role of multimodality imaging in the assessment of MPVT and realize the limitations of available data regarding the management of MPVT in the current era.     

Coronary artery lesion distribution in patients with chronic kidney disease undergoing percutaneous coronary intervention

PurposeTo determine the location of coronary atherosclerosis distribution observed in patients with chronic kidney disease (CKD).MethodsA cross-sectional study was conducted using the database of cardiovascular medicine data from Saitama Sekishinkai Hospital to clarify the association between renal function and angiographic characteristics of coronary atherosclerosis. In total, 3268 patients who underwent percutaneous coronary intervention were included. Propensity score matching revised the total to 1772. The association of renal function with the location and/or distribution of coronary atherosclerosis lesions was then examined.ResultsOverall, coronary lesion was observed in the left anterior descending coronary artery (LAD) in 56% patients, whereas 28% and 22% were in the right coronary artery (RCA) and left circumflex coronary artery (LCX), respectively. LAD was most affected and observed in 57% patients with stage 1 CKD. RCA was second-most affected, at 26% CKD stage 1, but it increased to 31%, 38%, and 59% in CKD 3, 4, and 5, respectively. In CKD 5 patients, the RCA was the most affected artery (59%), with 41% LAD lesions. Logistic regression analysis after propensity score matching showed that the odds ratios for an RCA lesion was 3.658 in CKD 5 (p = .025) compared with CKD 1 after adjusting for traditional risk factors.ConclusionThe prevalence of RCA lesions, but not LAD or LCX lesions, increased with increasing CKD stage. The pathophysiology of coronary atherosclerosis may differ by lesion location. Deterioration of renal function may affect progression of atherosclerosis more in the RCA than in the LAD or LCX.     

Accelerated-strategy renal replacement therapy for critically ill patients: A systematic review and meta-analysis

Background:The aim of this study was to investigate the clinical effect and safety of accelerated-strategy initiation of renal replacement therapy (RRT) in critically ill patients.Methods:PubMed, Embase, OVID, EBSCO, and the Cochrane Library databases were searched for relevant articles from inception to December 30, 2020. Only RCTs that compared the clinical efficacy and safety between accelerated-strategy RRT and standard-strategy RRT among critically ill adult patients with acute kidney injury (AKI) were included. The primary outcome was 28-day mortality.Results:A total of 5279 patients in 12 RCTs were included in this meta-analysis. The 28-day mortality rates of patients treated with accelerated and standard RRT were 37.3% (969/2596) and 37.9% (976/2573), respectively. No significant difference was observed between the groups (OR, 0.92; 95% CI, 0.70–1.12; I² = 60%). The recovery rates of renal function were 54.5% and 52.5% in the accelerated- and standard-RRT groups, respectively, with no significant difference (OR, 1.03; 95% CI, 0.89–1.19; I² = 56%). The rate of RRT dependency was similar in the accelerated- and standard-RRT strategies (6.7% vs 5.0%; OR, 1.11; 95% CI, 0.71–1.72; I² = 20%). The accelerated-RRT group displayed higher risks of hypotension, catheter-related infection, and hypophosphatemia than the standard-RRT group (hypotension: OR, 1.26; 95% CI, 1.10–1.45; I² = 36%; catheter-related infection: OR, 1.90; 95% CI, 1.17–3.09; I² = 0%; hypophosphatemia: OR, 2.11; 95% CI, 1.43–3.15; I² = 67%).Conclusions:Accelerated RRT does not reduce the risk of death and does not improve the recovery of kidney function among critically ill patients with AKI. In contrast, an increased risk of adverse events was observed in patients receiving accelerated RRT. However, these findings were based on low quality of evidence. Further large-scale RCTs is warranted.     

心脏不停跳心内直视手术113例

目的探讨不停跳心内直视手术的方法和意义。方法浅低温（31℃-34℃）不停跳心脏直视手术共113例,男59例,女54例。年龄4-73岁,平均31.4岁。其中房间隔缺损（atrial septal defect,ASD）22例,室间隔缺损（ventricular septal defect,VSD）32例,法乐氏三联征（triad of Fallot,F3）3例,双腔右心室1例,Ebstein畸形3例,二尖瓣置换手术（mitral valve replacement,MVR）36例,主动脉瓣置换手术（aortic valve replacement,AVR）9例,双瓣置换手术（double valves replacemnet,DVR）7例。结果1例二尖瓣置换手术因术中暴露极差而被迫降温心脏停跳操作外,其余全为非停跳手术,全组手术顺利,无死亡,术后恢复良好。结论心脏不停跳手术简化了手术操作程序,方便手术后管理,减少了心脏停跳后的负面影响。     

鼻腔内机械振荡刺激对健康人群静息态脑电图相对功率及有效连接的影响

鼻腔内机械振荡刺激(iMVS)是一种新型的无创神经刺激技术,可提升边缘系统内在功能活性从而改善自主神经平衡.通过分析iMVS对健康人群脑电图(EEG)相对功率以及EEG有效连接的影响,探索iMVS的神经生理机制.将22名健康成年被试随机均分为刺激组与对照组,并对11名刺激组被试两侧鼻腔各进行10 min的iMVS,11...