Sinter formation during directed energy deposition of titanium alloy powders

During directed energy deposition (DED) additive manufacturing, powder agglomeration and sintering can occur outside of the melt pool when using titanium alloy powders. Using in situ synchrotron radiography we investigate the mechanisms by which sintering of Ti6242 powder occurs around the pool, performing a parametric study to determine the influence of laser power and stage traverse speed on sinter build-up. The results reveal that detrimental sinter can be reduced using a high laser power or increased stage traverse speed, although the latter also reduces deposition layer thickness. The mechanism of sinter formation during DED was determined to be in-flight heating of the powder particles in the laser beam. Calculations of particle heating under the processing conditions explored in this study confirm that powder particles can reasonably exceed 700 °C, the threshold for Ti surface oxide dissolution, and thus the powder is prone to sintering if not incorporated into the melt pool. The build-up of sinter powder layer on deposit surfaces led to lack of fusion pores. To mitigate sinter formation and its detrimental effects on DED component quality, it is essential that the powder delivery spot area is smaller than the melt pool, ensuring most powder lands in the melt pool

Correlative full field X-ray Compton scattering imaging and X-ray computed tomography for in situ observation of Li ion batteries

Increasing electrode thickness is gaining more attention as a potential route to increase energy density for Li ion batteries although the realizable capacity and rate capability are usually limited by Li+ ion diffusion during (dis)charge, especially at increased (dis)charge rates. It remains challenging to visualize and quantify the low atomic number Li+ chemical stoichiometry distribution inside the electrode within commercially standard battery geometry, e.g. coin cells with stainless steel casings. Here, we map the distribution of Li + chemical stoichiometry in the electrode microstructure inside a working coin cell battery to show the amount of electrode materials contributing to energy storage performance using innovative in situ correlative full-field X-ray Compton scattering imaging (XCS-I) and X-ray computed tomography (XCT). We design and fabricate an ultra-thick (∼1 mm) cathode of LiNi0.8Mn0.1Co0.1O2 with a microstructure containing vertically oriented pore arrays using a directional ice templating method. This novel technique paves a new way to map low atomic number elements in 3D structures and study how the microstructure improves Li + ion diffusivity and energy storage performance

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

2013 WSES guidelines for management of intra-abdominal infections

Peer reviewe

Objective evaluation of the effect of therapy : footscan

Author's first name and surname: Jana Chorváthová Bachelor thesis supervizor: MUDr. Marie Ticha Oponent: Title of bachelor thesis: Objective evaluation of the effect of therapy: footscan Abstract: This bacheor thesis is focused on problems of postural stability. Two patiens, after brain damage occurred as a result of the traumatic injury, were selected for this study. It objectively evaluates the effect of the chosen therapy, which is balancing Chung Shi shoes brand. Balance shoes are modern and revolutionary element that is used in physiotherapy. It is objectively evaluated on the footscan device, biomechanical noninvasive imaging equipment, measuring the disintegration of static and dynamic pressures on the soles of the feet. The theoretical part deals with the incidence, prevalence, epidemiology, consequences and rehabilitation of the traumatic brain injury and the possible effects on the postural stability. The practical part is compiled by a qualitative research, this is a pilot study. Two groups took part in the measurement: experimental groups of two women after traumatic brain injury at the age of 20 and 24 and a control group of two women showing no signs of postural instability, aged 21 and 23. The stability training lasted for 14 days, 30 minutes a day. Data of experimental and control group were..