Effect of Rare Earth on M7C3 Eutectic Carbide in 13% Chromium Alloy Cast Iron

The crystallization process of hypoeutectic white cast iron consists of the first secreted austenite branch after the reaction of the austenite -carbide crystal is formed, and the phase crystal fills in the middle of the austenite branches. If the austenite branches are small and smooth, the crystals carbide are fine. The cast iron with 13% chromium which has 3 – 3.2% carbon, have the carbide crystalline as M7C3. The elements in rare earth have a strong affinity for oxygen and sulfur to produce rare earth oxides. These rare earth oxides can create heterogeneous germ center for austenite phases and smooth down these phases. The effect of rare earth on the M7C3 and crystals of 13% chrome white iron has been elucidated. Along with the increase of rare earth content, the microstructure of M7C3 with fine finely graded, more uniformly distributed, dispersed throughout the sample surface. When the carbide is fine and dispersion, will contribute to improving the properties of cast iron especially the impact strength as well as the abrasion resistance of the alloy. The research results show that in the presence of rare earth, rare earth elements created with oxygen and form La2O3 and Ce2O3 as the nucleation for the solidification process and create the small fineness of phases. The orientation of the crystal structure of these oxides is similar to the crystal structure orientation of Fe-γ phase. Finding and proving the oxides of rare earth has crystal structure with phase γ which will be small smooth exogenous minds that the microstructure has a smooth, small size

Optimizing Active Tuberculosis Case Finding: Evaluating the Impact of Community Referral for Chest X-ray Screening and Xpert Testing on Case Notifications in Two Cities in Viet Nam

To accelerate the reduction in tuberculosis (TB) incidence, it is necessary to optimize the use of innovative tools and approaches available within a local context. This study evaluated the use of an existing network of community health workers (CHW) for active case finding, in combination with mobile chest X-ray (CXR) screening events and the expansion of Xpert MTB/RIF testing eligibility, in order to reach people with TB who had been missed by the current system. A controlled intervention study was conducted from January 2018 to March 2019 in five intervention and four control districts of two low to medium TB burden cities in Viet Nam. CHWs screened and referred eligible persons for CXR to TB care facilities or mobile screening events in the community. The initial diagnostic test was Xpert MTB/RIF for persons with parenchymal abnormalities suggestive of TB on CXR or otherwise on smear microscopy. We analyzed the TB care cascade by calculating the yield and number needed to screen (NNS), estimated the impact on TB notifications and conducted a pre-/postintervention comparison of TB notification rates using controlled, interrupted time series (ITS) analyses. We screened 30,336 individuals in both cities to detect and treat 243 individuals with TB, 88.9% of whom completed treatment successfully. All forms of TB notifications rose by +18.3% (95% CI: +15.8%, +20.8%). The ITS detected a significant postintervention step-increase in the intervention area for all-form TB notification rates (IRR(β6) = 1.221 (95% CI: 1.011, 1.475); p = 0.038). The combined use of CHWs for active case findings and mobile CXR screening expanded the access to and uptake of Xpert MTB/RIF testing and resulted in a significant increase in TB notifications. This model could serve as a blueprint for expansion throughout Vietnam. Moreover, the results demonstrate the need to optimize the use of the best available tools and approaches in order to end TB