In Securing Oblivion

In lieu of an abstract, below is the essay\u27s first paragraph. It was once just an old sand lot sitting in nothing and surrounded by other sand lots. The lot lay content in doing nothing. Large grains of sand shifted; water spilled over rocks and stones and filtered into deep crevices. But nothing moved under its own power, for power was as of now, not. Only passive parts, waiting

How best to capture the respiratory consequences of prematurity?

Chronic respiratory morbidity is a common complication of premature birth, generally defined by the presence of bronchopulmonary dysplasia, both clinically and in trials of respiratory therapies. However, recent data have highlighted that bronchopulmonary dysplasia does not correlate with chronic respiratory morbidity in older children born preterm. Longitudinally evaluating pulmonary morbidity from early life through to childhood provides a more rational method of defining the continuum of chronic respiratory morbidity of prematurity, and offers new insights into the efficacy of neonatal respiratory interventions. The changing nature of preterm lung disease suggests that a multimodal approach using dynamic lung function assessment will be needed to assess the efficacy of a neonatal respiratory therapy and predict the long-term respiratory consequences of premature birth. Our aim is to review the literature regarding the long-term respiratory outcomes of neonatal respiratory strategies, the difficulties of assessing dynamic lung function in infants, and potential new solutions

High Flow Nasal Cannulae in preterm infants

Despite of improved survival of premature infants, the incidence of long term pulmonary complications, mostly associated with ventilation-induced lung injury, remains high. Non invasive ventilation (NIV) is able to reduce the adverse effects of mechanical ventilation. Although nasal continuous positive airway pressure (NCPAP) is an effective mode of NIV, traumatic nasal complications and intolerance of the nasal interface are common. Recently high flow nasal cannula (HFNC) is emerging as an efficient, better tolerated form of NIV, allowing better access to the baby's face, which may improve nursing, feeding and bonding. The aim of this review is to discuss the available evidence of effectiveness and safety of HFNC in preterm newborns with respiratory distress syndrome (RDS). It is known that distending pressure generated by HFNC increases with increasing flow rate and decreasing infant size and varies according to the amount of leaks by nose and mouth. The effects of HFNC on lung mechanics, its clinical efficacy and safety are still insufficiently investigated. In conclusion, there is a growing evidence of the feasibility of HFNC as an alternative mode of NIV. However, further larger randomized trials are required, before being able to recommend HFNC in the treatment of moderate respiratory distress of preterm infants

Comparison between two different modes of non-invasive ventilatory support in preterm newborn infants with respiratory distress syndrome mild to moderate: preliminary data

Despite of improved survival of premature infants, the incidence of long term pulmonary complications, mostly associated with ventilation-induced lung injury, remains high. Non invasive ventilation (NIV) is able to reduce the adverse effects of mechanical ventilation. Although nasal continuous positive airway pressure (NCPAP) is an effective mode of NIV, traumatic nasal complications and intolerance of the nasal interface are common. Recently high flow nasal cannula (HFNC) is emerging as a better tolerated form of NIV, allowing better access to the baby's face, which may improve nursing, feeding and bonding. HFNC may be effective in the treatment of some neonatal respiratory conditions while being more user-friendly for care-givers than conventional NCPAP. Limited evidence is available to support the specific role, efficacy and safety of HFNC in newborns and to demonstrate efficacy compared with NCPAP; some studies suggest a potential role for HFNC in respiratory care of the neonate as a distinct non invasive ventilatory support. We present the preliminary data of a randomized clinical trial; the aim of this study was to assess efficacy and safety of HFNC compared to NCPAP in preterm newborns with mild to moderate respiratory distress syndrome (RDS)

[Assessment of pulmonary function in a follow-up of premature infants: our experience].

Respiratory diseases are a major cause of morbidity in neonates, especially preterm infants; a long term complication of prematurity such as bronchopulmonary dysplasia (BPD) is particularly relevant today. The exact role of the Pulmonary Function Test (PFT) in this area is not yet well defined; the PFT in newborns and infants - in contrast to what happens in uncooperative children and adults - are routinely used only in a few centers. The assessment of pulmonary function in newborns and infants, however, is nowadays possible with the same reliability that in cooperative patients with the possibility to extend the assessment of polmonary function from bench to bed. The assessment of pulmonary function must be carried out with non invasive and safe methods, at the bedside, with the possibility of continuous monitoring and providing adequate calculation and management of data. The ability to assess lung function helps to define the mechanisms of respiratory failure, improving the treatment and its effects and is therefore a useful tool in the follow-up of newborn and infant with pulmonary disease

Influence of Microstructure and Shot Peening Treatment on Corrosion Resistance of AISI F55-UNS S32760 Super Duplex Stainless Steel

Shot peening is a surface process commonly used in the aeronautic and automotive industries to improve fatigue resistance. Shot peening is proven to be beneficial in the fatigue behavior of components, but rarely has its influence on wear and pitting corrosion resistance been evaluated. In this work, shot peening was performed on AISI F55-UNS S32760 super-duplex stainless steel samples previously submitted to various thermal treatments, to obtain different initial microstructures and properties. Samples have been characterized in terms of microstructure morphology, local chemical composition, microhardness of each constituent phase, and energy dissipation modes. The enhanced properties provided by shot peening has been evaluated through residual stress depth profiles and Full Width at Half Maximum (FWHM) using X-ray diffraction (XRD), surface hardness, surface roughness, and corrosion resistance through salt spray fog tests. The 1400 °C solution thermal treatment was identified as the optimum initial condition, which maximizes the advantages of the shot peening treatment, even pitting corrosion resistance. These results are related to the uniformity of austenite and ferrite in terms of microstructure morphology, micromechanical properties, and alloying elements distribution

Isothermal austenite-Ferrite phase transformations and microstructural evolution during annealing in super duplex stainless steels

Super Duplex Stainless Steels (SDSSs) are composed of α-ferrite and γ-austenite grains, the simultaneous presence of which forms an optimal microstructure to achieve the best combination of mechanical and corrosion resistance properties. Moreover, international quality standards are strict about the phase fraction ratio. The purpose of this work is the achievement of a better description of the phase ratio evolution taking place during annealing at 1080°C in the super duplex stainless steels F53â\u80\u93S32750 and F55â\u80\u93S32760. The experimental results show a damped sinusoidal trend in the α/γ phase ratio evolution with the increase of the soaking time of thermal treatment. This can be described by coupling both the competitive coarsening growth regime and the concept of the local equilibrium phase transformations, pointing out a good correspondence with the experimental data. Further, recrystallization phenomena also play a major role. Finally, the additivity character of the observed processes has been proven

Hot-dip aluminizing on AISI F55-UNS S32760 super duplex stainless steel properties: Effect of thermal treatments

The behavior of super duplex stainless steels AISI F55-UNS S32760 in hot-dip aluminizing process has been studied, investigating the influence of cold working and of different initial microstructures obtained through a preliminary thermal treatment. The microstructural features examined are the secondary austenite precipitation, the static recovery of ferrite and the thermal dissolution of austenite within ferritic matrix. The hot-dip aluminizing temperature has been optimized through sessile drop tests. The treatment has been performed at 1100 °C for 300 s, 900 s and 2700 s. A strong chemical interaction occurs, generating intermetallic compounds at the interface. Molten aluminum interacts exclusively with the ferritic phase due to its much higher diffusivity in this phase coupled with its marked ferrite-stabilizer behavior. Thus, the influence of cold working is not remarkable, since the strains are mainly allocated by austenitic phase. The diffusivity of aluminum increases due to lattice defects thermally generated and, mainly, to influence given by grain boundaries, multiplied by secondary austenite precipitation, which act as short-circuit diffusion paths. Ni and Cr contents in the ferritic matrix have an influence but not highly relevant. Then, the best starting condition of the super duplex stainless steel substrates, to obtain a thick interfacial layer, are the thermal annealing at 1080 °C for 360 s/mm after a solution thermal treatment at 1300 °C for 60 s/mm