Synthesis and Characterization of Nanostructured Oxide Layers on Ti-Nb-Zr-Ta and Ti-Nb-Zr-Fe Biomedical Alloys

Nanoporous/nanotubular complex oxide layers were developed on high-fraction β phase quaternary Ti-Nb-Zr-Ta and Ti-Nb-Zr-Fe promising biomedical alloys with a low elasticity modulus. Surface modification was achieved by electrochemical anodization aimed at the synthesis of the morphology of the nanostructures, which exhibited inner diameters of 15–100 nm. SEM, EDS, XRD, and current evolution analyses were performed for the characterization of the oxide layers. By optimizing the process parameters of electrochemical anodization, complex oxide layers with pore/tube openings of 18–92 nm on Ti-10Nb-10Zr-5Ta, 19–89 nm on Ti-20Nb-20Zr-4Ta, and 17–72 nm on Ti-29.3Nb-13.6Zr-1.9Fe alloys were synthesized using 1 M H3PO4 + 0.5 wt% HF aqueous electrolytes and 0.5 wt% NH4F + 2 wt% H20 + ethylene glycol organic electrolytes

Information-rich quality controls prediction model based on non-destructive analysis for porosity determination of AISI H13 produced by electron beam melting

The number of materials processed via additive manufacturing (AM) technologies has rapidly increased over the past decade. As of these emerging technologies, electron beam powder bed fusion (EB-PBF) process is becoming an enabling technology to manufacture complex-shaped components made of thermal-cracking sensitive materials, such as AISI H13 hot-work tool steel. In this process, a proper combination of process parameters should be employed to produce dense parts. Therefore, one of the first steps in the EB-PBF part production is to perform the process parameter optimization procedure. However, the conventional procedure that includes the image analysis of the cross-section of several as-built samples is time-consuming and costly. Hence, a new model is introduced in this work to find the best combination of EB-PBF process parameters concisely and cost-effectively. A correlation between the surface topography, the internal porosity, and the process parameters is established. The correlation between the internal porosity and the melting process parameters has been described by a high robust model (R-adj(2) = 0.91) as well as the correlation of topography parameters and melting process parameters (R-adj(2) = 0.77-0.96). Finally, a robust and information-rich prediction model for evaluating the internal porosity is proposed (R-adj(2) = 0.95) based on in situ surface topography characterization and process parameters. The information-rich prediction model allows obtaining more robust and representative model, yielding an improvement of about 4% with respect to the process parameter-based model. The model is experimentally validated showing adequate performances, with a RMSE of 2% on the predicted porosity. This result can support process and quality control designers in optimizing resource usage towards zero-defect manufacturing by reducing scraps and waste from destructive quality controls and reworks

Position paper of the Italian Association of Medical Oncology on the impact of COVID-19 on Italian oncology and the path forward: the 2021 Matera statement

The coronavirus disease 2019 (COVID-19) pandemic has severely affected cancer care and research by disrupting the prevention and treatment paths as well as the preclinical, clinical, and translational research ecosystem. In Italy, this has been particularly significant given the severity of the pandemic's impact and the intrinsic vulnerabilities of the national health system. However, whilst detrimental, disruption can also be constructive and may stimulate innovation and progress. The Italian Association of Medical Oncology (AIOM) has recognized the impact of COVID-19 on cancer care continuum and research and proposes the '2021 Matera statement' which aims at providing pragmatic guidance for policymakers and health care institutions to mitigate the impact of the global health crisis on Italian oncology and design the recovery plan for the post-pandemic scenario. The interventions are addressed both to the pillars (prevention, diagnosis, treatment, follow-up, health care professionals) and foundations of cancer care (communication and care relationship, system organization, resources, research, networking). The priorities to be implemented can be summarized in the MATERA acronym: Multidisciplinarity; Access to cancer care; Telemedicine and Territoriality; Equity, ethics, education; Research and resources; Alliance between stakeholders and patients

Personalizing Cancer Pain Therapy: Insights from the Rational Use of Analgesics (RUA) Group

Introduction: A previous Delphi survey from the Rational Use of Analgesics (RUA) project involving Italian palliative care specialists revealed some discrepancies between current guidelines and clinical practice with a lack of consensus on items regarding the use of strong opioids in treating cancer pain. Those results represented the basis for a new Delphi study addressing a better approach to pain treatment in patients with cancer. Methods: The study consisted of a two-round multidisciplinary Delphi study. Specialists rated their agreement with a set of 17 statements using a 5-point Likert scale (0 = totally disagree and 4 = totally agree). Consensus on a statement was achieved if the median consensus score (MCS) (expressed as value at which at least 50% of participants agreed) was at least 4 and the interquartile range (IQR) was 3–4. Results: This survey included input from 186 palliative care specialists representing all Italian territory. Consensus was reached on seven statements. More than 70% of participants agreed with the use of low dose of strong opioids in moderate pain treatment and valued transdermal route as an effective option when the oral route is not available. There was strong consensus on the importance of knowing opioid pharmacokinetics for therapy personalization and on identifying immediate-release opioids as key for tailoring therapy to patients’ needs. Limited agreement was reached on items regarding breakthrough pain and the management of opioid-induced bowel dysfunction. Conclusion: These findings may assist clinicians in applying clinical evidence to routine care settings and call for a reappraisal of current pain treatment recommendations with the final aim of optimizing the clinical use of strong opioids in patients with cancer

Languages as historical facts

This paper focuses on the history of a language as a field of research which considers concrete linguistic phenomena in a linguistic area characterised by variation. A linguistic phenomenon can be related to the territory and the social environment in which it is used; it can also provide information about the social relationships between individuals, and its structure can vary according to the phonic or graphic substance of which it is made. Language observed on the diachronic axis is related to discursive habits that spread through society and across geographical space. Thus, the history of a language is related to the history of society and culture

Quando il non detto fa chiarezza. Per un approccio pragmatico alle dimensioni implicite nelle pratiche comunicative

The implicit dimension is a crucial component of communication; it operates alongside explicit components, both verbal and non-verbal in nature. Often the decisive factor in a communication event lies precisely in what is not said, and it is up to the interlocutor to find access to it by means of inferential processes. Here, the focus is on how the implicit dimension is decisive for interpreting questions that arise in everyday conversation

Foreword

Health communication can profit from an application of a performance-oriented linguistic analysis that pays attention to the role of the various relevant context factors in speech events related to specific activity types. In the book presented, the open questions regarding communication in medical encounters are considered under a new light

Il potere della lingua fra verità e menzogna

Si presentano alcuni criteri di analisi delle espressioni tipiche degli usi linguistici nella dimensione politica. Particolare attenzione è rivolta al contributo di Josef Klein sulla Begriffsbesetzung, o 'occupazione del campo concettuale'

LA MOTIVAZIONE DEI NOMI PER ‘LEGGE’ E ‘DIRITTO’ IN ALCUNE LINGUE D’EUROPA

This contribution aims to describe some semantic components that characterise words used to denote law. For the most part, these characteristics are language-specific and do not appear to be relevant to the understanding of a text. The comparison of structures that are organised in different ways according to the language considered can, however, serve to reconstruct a web of relationships between words that proves crucial for placing law within the constituent practices of a cultural tradition. Words help to organise intellectual experience on the basis of perceived physical reality, so that a language can be considered a 'folk model' of the world