Characterization of steel billet scales generated during the continuous casting process in SIDERPERU steel plant

AbstractTons of waste is produced during iron steel’s industrial production, creating environmental pollution. This work aims to characterize the steel scale formed on the billet surface during the last step of steel production in the SIDERPERU steel plant. Scanning Electron Microscopy (SEM) shows stacked layers one above the other on steel billets scales surface. Energy Dispersive X-ray (EDX) and X-ray Fluorescence (XRF) reveal the high content of Fe and O, with Ca, Si, Mn, and Cr as minority elemental compounds. X-ray Diffraction (XRD) shows FeO, α-Fe2O3 and Fe3O4 as crystallographic phases. Magnetometry reveals Verwey transition and paramagnetic signals that screen the Morin transition. Mössbauer Spectroscopy at room temperature displays magnetic and non-magnetic parts. The non-magnetic part has the hyperfine parameters corresponding to predominant nonstoichiometric wustite. Octahedral (Fe+2/Fe3+) and tetrahedral Fe+3 hyperfine fields of 46.0 and 49.4 T values respectively are associated to nonstoichiometric magnetite and another sextet with a hyperfine field of 52.0 T is related to hematite.</jats:p

Characterization of steel billet scales generated during the continuous casting process in SIDERPERU steel plant

AbstractTons of waste is produced during iron steel’s industrial production, creating environmental pollution. This work aims to characterize the steel scale formed on the billet surface during the last step of steel production in the SIDERPERU steel plant. Scanning Electron Microscopy (SEM) shows stacked layers one above the other on steel billets scales surface. Energy Dispersive X-ray (EDX) and X-ray Fluorescence (XRF) reveal the high content of Fe and O, with Ca, Si, Mn, and Cr as minority elemental compounds. X-ray Diffraction (XRD) shows FeO, α-Fe2O3 and Fe3O4 as crystallographic phases. Magnetometry reveals Verwey transition and paramagnetic signals that screen the Morin transition. Mössbauer Spectroscopy at room temperature displays magnetic and non-magnetic parts. The non-magnetic part has the hyperfine parameters corresponding to predominant nonstoichiometric wustite. Octahedral (Fe+2/Fe3+) and tetrahedral Fe+3 hyperfine fields of 46.0 and 49.4 T values respectively are associated to nonstoichiometric magnetite and another sextet with a hyperfine field of 52.0 T is related to hematite.</jats:p

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

The role of the epithelial-to-mesenchymal transition (EMT) in diseases of the salivary glands

The link between inflammatory microenvironment and cancer emerged in the last years as a decisive factor in the induction of the pathological epithelial-mesenchymal transition (EMT). The EMT induces changes of cell states converting the epithelial cells to mesenchymal cells when this program is fully executed and EMT has emerged as a central driver of tumor malignancy. Cellular pathways activated by chronic inflammation brought about by chronic infections, by immune-mediated diseases, or by dysregulated wound healing at sites of repetitive tissue injury, constitute risk factors or initial cell transformation and for cancer progression. EMT and its intermediate states have recently been identified as crucial inducers of organ fibrosis, inflammation and tumor progression. In this review, we discuss the current state-of-the-art and latest findings regarding the link between EMT, inflammation, fibrosis and cancer, highlighting the most recent data on EMT-dependent tissue fibrosis during chronic inflammatory salivary glands conditions and salivary glands tumors