Lamellar Spacing Modelling for LPBF Aluminum Parts

The high cooling rates reached during metal additive manufacturing (MAM) generate microstructures very different from those obtained by other conventional manufacturing methods. Therefore, research about the modeling of this type of microstructure is of great interest to the MAM community. In this work, the prediction of the lamellar spacing of an AlSi10Mg sample manufactured by laser powder bed fusion (LPBF), is presented. A multiscale approach is used, combining a CALPHAD (Computer Coupling of Phase Diagrams and Thermochemistry) model to predict the material properties, with a macroscale model of the sample manufacturing and with a microscale model to predict the microstructure. The manufacturing and metallographic characterization of the sample is also included. The results prove that the multiscale strategy followed is a valid approximation to simulate this type of manufacturing process. In addition, it is shown that the use of a generic simulation software focused on metal casting processes can be useful in predicting the lamellar spacing of the microstructure manufactured by LPBF. Finally, the relationship between the cooling rate and the resulting lamellar spacing has been established for this AlSi10Mg under the specific manufacturing conditions considered.This work was supported by the ICME project, which has received funding from the Basque Government under the ELKARTEK Program (KK-2021/00022)

Systolic blood pressure and mortality in acute symptomatic pulmonary embolism.

The optimal cutoff for systolic blood pressure (SBP) level to define high-risk pulmonary embolism (PE) remains to be defined. To evaluate the relationship between SBP levels on admission and mortality in patients with acute symptomatic PE, the current study included 39,257 consecutive patients with acute symptomatic PE from the RIETE registry between 2001 and 2018. Primary outcomes included all-cause and PE-specific 30-day mortality. Secondary outcomes included major bleeding and recurrent venous thromboembolism (VTE). There was a linear inverse relationship between admission SBP and 30-day all-cause and PE-related mortality that persisted after multivariable adjustment. Patients in the lower SBP strata had higher rates of all-cause death (reference: SBP 110-129 mmHg) (adjusted odds ratio [OR] 2.9; 95% confidence interval [CI], 2.0-4.2 for SBP 190 mmHg). Consistent findings were also observed for 30-day PE-related death. In patients with acute symptomatic PE, a low SBP portends an increased risk of all-cause and PE-related mortality. The highest mortality was observed in patients with SB

Systolic blood pressure and mortality in acute symptomatic pulmonary embolism

BACKGROUND: The optimal cutoff for systolic blood pressure (SBP) level to define high-risk pulmonary embolism (PE) remains to be defined. METHODS: To evaluate the relationship between SBP levels on admission and mortality in patients with acute symptomatic PE, the current study included 39,257 consecutive patients with acute symptomatic PE from the RIETE registry between 2001 and 2018. Primary outcomes included all-cause and PE-specific 30-day mortality. Secondary outcomes included major bleeding and recurrent venous thromboembolism (VTE). RESULTS: There was a linear inverse relationship between admission SBP and 30-day all-cause and PE-related mortality that persisted after multivariable adjustment. Patients in the lower SBP strata had higher rates of all-cause death (reference: SBP 110-129 mmHg) (adjusted odds ratio [OR] 2.9; 95% confidence interval [CI], 2.0-4.2 for SBP 190 mmHg). Consistent findings were also observed for 30-day PE-related death. CONCLUSIONS: In patients with acute symptomatic PE, a low SBP portends an increased risk of all-cause and PE-related mortality. The highest mortality was observed in patients with SBP <70 mmHg.status: publishe