Tempering of Die-steels based on indigenous materials

This paper present studies on the effects of quenching temperature, tempering temperature and time on the hardness of three die steels of similar carbon contents but having increasing chromium percentages. While tempering in the range of 150°C to 400°C it was observed that hardness decreased as quenching temperature was raised. All the steels showed secondary hardening phenomenon in relation to the variables mentioned above. It was also observed that on tempering the steels above 450°C, after prior quenching from increasing temperatures, hardness gradually increased upto the quenching temperature of 1100°C, beyond which followed a decrease in hardness. This phenomenon was the decrease in hardness. This phenomenon was the same at all tempering temperatures upto 601°C, but the increase in hardness from low quenching temperatures to the maximum quenching temperature was less at 450°C than at the higher temperatures and attained a maximum at 600°C secondary hardening decreased with the increase of quenching temperatur

Socioeconomic deprivation and age are barriers to the online collection of patient reported outcome measures in orthopaedic patients

Introduction: Questionnaires are used commonly to assess functional outcome and satisfaction in surgical patients. Although these have in the past been administered through written forms, there is increasing interest in the use of new technology to improve the efficiency of collection. The aim of this study was to assess the availability of internet access for a group of orthopaedic patients and the acceptability of online survey completion. Methods: A total of 497 patients attending orthopaedic outpatient clinics were surveyed to assess access to the internet and their preferred means for completing follow-up questionnaires. Results: Overall, 358 patients (72%) reported having internet access. Lack of access was associated with socioeconomic deprivation and older age. Multivariable regression confirmed increased age and greater deprivation to be independently associated with lack of internet access. Out of the total group, 198 (40%) indicated a preference for assessment of outcomes via email and the internet. Conclusions: Internet access was not universal among the patients in our orthopaedic clinic. Reliance on internet collection of PROMs may introduce bias by not including results from patients in older age groups and those from the more deprived socioeconomic groups

Medical research and ethics - Revisited

Ethics in the medical research is known since many years; however, there have been new developments in this area recently. A phenomenal improvement in the health-care system, leading to increased life expectancy, and thereby, newer lifestyle and other health-related diseases has opened avenues for newer drugs and health-care technology. However, these have to be tried and tested in the context of the disease epidemiology, health-care delivery and of course, medical ethics. Monitoring and evaluation of the treatment regimes of well documented effective medicines is also required. This is the core of medical research. With the ever increasing concept of evidence-based medical system, and thereby, a rapid rise in the number of clinical trials; the role of medical ethics is potentially increasing to keep the patient

Research and Development work on Substitute Nickel-Free Austenitic Stainless Steels

THE demands of austenitic stainless steel as what is termed as `non-magnetic' in the Indian market in sheet, plate, tube and rod forms have been multiplying during each successive Five-Year Plan.Due to severe import restrictions, acute and chronic shortage of foreign exchange, the actual import figures tend to taper off and do not represent the actual requirements of the country including stainless sheet used specifically for engineering, chemical and dairy industries incl- uding utensil-making and household hardware. The engi-neering uses of the stainless steel have also multi-plied with the rising tempo of industrial growth. Likewise, stainless steel finished items and assembled components of composite equipment etc. represent an `invisible' demand for heavy imports in one form or the other. About a decade back, the import of stain- less sheet alone represented about Rs 7-8 crores (Rs 70-80 million) of import bill in foreign exchange annually. This figure will double or treble itself, were import restrictions to be removed

Substitution of galvanising by aluminising of steels

ALUMINISING has been accepted by the Government of India as it substitute for galvanising because of the existing scarcity of zinc. Zinc resources of our country are limited whereas minerals for extraction of aluminium are available in plenty. The Hindustan Steel (P ) Ltd., has decided to have provision for strip aluminising plant at Rourkela and Tata Iron and Steel Co. Ltd., may also be going for strip alum-inising adopting the Sendzimir Process . Bokaro Steel Plant has also made provision for aluminising of steel strip

Development of substitute high temperature creep resistant alloys

HIGH temperature creep resistant super strength alloys invariably contain considerable amounts of Ni,Co,W, etc. as alloying additions, in respect of which India lacks in raw material resources. Extensive work has been carried out on development of Cr-Mn-N type austenitic steels as substitute for 18 Cr 8 Ni austenitic stainless steel and their aging behaviour have been extensively studied at the National Metallurgical Laboratory in the last decade. The present work has been initiated to further study the high temperature creep behaviour of Cr-Mn-N type austenitic steels with a view to evolving suitable compositions and heat-treatment to obtain opti-mum high temperature creep strength and rupture ducti- lity in these alloys. In this group of steel Mn and N are used as the chief austenitic stabilizers besides C

Scaffold-associated procedures are superior to microfracture in managing focal cartilage defects in the knee: a systematic review & meta-analysis

BACKGROUND: Debate continues as to whether surgical treatment with chondral-regeneration devices is superior to microfracture for focal articular cartilage defects in the knee. PURPOSE: To evaluate the superiority of scaffold-associated chondral-regeneration procedures over microfracture by assessing: (1) Patient-reported outcomes; (2) Intervention failure; (3) Histological quality of cartilage repair. STUDY DESIGN: A three-concept keyword search strategy was designed, in accordance with PRISMA guidelines: (i) knee (ii) microfracture (iii) scaffold. Four databases (Ovid Medline, Embase, CINAHL and Scopus) were searched for comparative clinical trials (Level I-III evidence). Critical appraisal used two Cochrane tools: the Risk of Bias tool (RoB2) for randomized control trials and the Risk of Bias in Non-randomized Studies-of Interventions (ROBINS-I). Study heterogeneity permitted qualitative analysis with the exception of three patient-reported scores, for which a meta-analysis was performed. RESULTS: Twenty-one studies were identified (1699 patients, age range 18-66 years): ten randomized control trials and eleven non-randomized study interventions. Meta-analyses of the International Knee Documentation Committee (IKDC), Knee Injury And Osteoarthritis Outcome Score (KOOS) for pain and activities of daily living, and Lysholm score demonstrated statistically significant improvement in outcomes for scaffold procedures compared to microfracture at two years. No statistical difference was seen at five years. CONCLUSION: Despite the limitations of study heterogeneity, scaffold-associated procedures appear to be superior to MF in terms of patient-reported outcomes at two years though similar at five years. Future evaluation would benefit from studies using validated clinical scoring systems, reporting failure, adverse events and long-term clinical follow up to determine technique safety and superiority

Incidence of Primary Mitochondrial Disease in Children Younger Than 2 Years Presenting With Acute Liver Failure

Background: Mitochondrial liver disease (MLD), and in particular mitochondrial DNA (mtDNA) depletion syndrome (MDS) is an important cause of acute liver failure (ALF) in infancy. Early and accurate diagnosis is important because liver transplantation (LT) is often contraindicated. It is unclear which methods are the best to diagnose MLD in the setting of ALF. Objective: The aim of the study was to determine the incidence of MLD in children younger than 2 years with ALF and the utility of routine investigations to detect MLD. Methods: Thirty-nine consecutive infants with ALF were admitted to a single unit from 2009 to 2011. All were extensively investigated using an established protocol. Genes implicated in mitochondrial DNA depletion syndrome were sequenced in all cases and tissue mtDNA copy number measured where available. Results: Five infants (17%) had genetically proven MLD: DGUOK (n ¼ 2), POLG (n ¼ 2), and MPV17 (1). Four of these died, whereas 1 recovered. Two had normal muscle mtDNA copy number and 3 had normal muscle respiratory chain enzymes. An additional 8 children had low hepatic mtDNA copy number but pathogenic mutations were not detected. One of these developed fatal multisystemic disease after LT, whereas 5 who survived remain well without evidence of multisystemic disease up to 6 years later. Magnetic resonance spectroscopy did not distinguish between those with and without MLD. Conclusions: Low liver mtDNA copy number may be a secondary phenomenon in ALF. Screening for mtDNA maintenance gene mutations may be the most efficient way to confirm MLD in ALF in the first 2 years of life

Effect of hydrogen on ground state structures of small silicon clusters

We present results for ground state structures of small Si$_{n}$H (2 \leq \emph{n} \leq 10) clusters using the Car-Parrinello molecular dynamics. In particular, we focus on how the addition of a hydrogen atom affects the ground state geometry, total energy and the first excited electronic level gap of an Si$_{n}$ cluster. We discuss the nature of bonding of hydrogen in these clusters. We find that hydrogen bonds with two silicon atoms only in Si$_{2}$H, Si$_{3}$H and Si$_{5}$H clusters, while in other clusters (i.e. Si$_{4}$H, Si$_{6}$H, Si$_{7}$H, Si$_{8}$H, Si$_{9}$H and Si$_{10}$H) hydrogen is bonded to only one silicon atom. Also in the case of a compact and closed silicon cluster hydrogen bonds to the cluster from outside. We find that the first excited electronic level gap of Si$_{n}$ and Si$_{n}$H fluctuates as a function of size and this may provide a first principles basis for the short-range potential fluctuations in hydrogenated amorphous silicon. Our results show that the addition of a single hydrogen can cause large changes in the electronic structure of a silicon cluster, though the geometry is not much affected. Our calculation of the lowest energy fragmentation products of Si$_{n}$H clusters shows that hydrogen is easily removed from Si$_{n}$H clusters.Comment: one latex file named script.tex including table and figure caption. Six postscript figure files. figure_1a.ps and figure_1b.ps are files representing Fig. 1 in the main tex

Coupled Maps on Trees

We study coupled maps on a Cayley tree, with local (nearest-neighbor) interactions, and with a variety of boundary conditions. The homogeneous state (where every lattice site has the same value) and the node-synchronized state (where sites of a given generation have the same value) are both shown to occur for particular values of the parameters and coupling constants. We study the stability of these states and their domains of attraction. As the number of sites that become synchronized is much higher compared to that on a regular lattice, control is easier to effect. A general procedure is given to deduce the eigenvalue spectrum for these states. Perturbations of the synchronized state lead to different spatio-temporal structures. We find that a mean-field like treatment is valid on this (effectively infinite dimensional) lattice.Comment: latex file (25 pages), 4 figures included. To be published in Phys. Rev.