Assessing knowledge, attitude and behaviour of Artisanal Miners on Occupational Health and Safety in Kolwezi, Democratic Republic of Congo

Abstract: Background: From 2002, in Kolwezi City, alongside several mining companies, artisanal mining has also become prevalent. This activity, while it significantly contributes to the national economy has proven to be dangerous due to the non-compliance to national regulations that governs it by its practitioners. Objective: The study aimed to assess the knowledge, attitude and behaviour of artisanal miners on Occupational Health and Safety and the Democratic Republic of the Congo mining regulation between workers who possess and those who do not possess professional cards required for that industry...M.A. (Public Health

The mechanical alloying of sub-stoichiometric titanium carbonitride-tungsten-aluminium by high energy ball milling.

The transformations occurring in the sub-stoichiometric Ti(C,N) – W - Al system processed by high energy ball mill were investigated. The milling parameters included the milling time and the temperature comprising milling at subzero temperature and above 25°C. Two sub-stoichiometric Ti(C,N) stocks were selected, the Ti(C0.5N0.05) containing more interstitial elements than the Ti(C0.5N0.5)0.6.The transformation stages and mechanisms of alloying are discussed with respect to the changes in crystal structures of the powder constituents. The milling atmosphere had an effect on the lattice strain of milled products, and hence on the kinetics of solid state dissolution between the powder constituents, but it did not affect the fracturing process. The release of the stored crystallite lattice strain energy was the major determinant in mechanical alloying, with particle size reduction playing a necessary, but less significant role. The strain energy and the fine particle size contributed to the increased chemical reactivity with oxygen of the powders milled for shorter times. The affinity of the powders with oxygen decreased after W dissolution in Ti(C,N), and the subsequent decrease in lattice strains. The annealing behaviour of Ti(C0.5N0.05) - 40wt% W and Ti(C0.5N0.5)0.6 - 40wt% W mechanically alloyed powders were investigated using XRD, TEM, SEM and DTA techniques. It was observed that the reaction start and finish temperatures between constituents were lower in the system that had higher residual lattice strains after milling. The compositions of the intermetallic compounds and the solid solutions formed were dependent on the milling conditions and the annealing temperature. Thermal alloying was observed during annealing of Ti(C0.5N0.05) - 40wt% W mechanically alloyed products, whereas de-mixing of W-rich phases from the metastable solid solution occurred during annealing of the Ti(C0.5N0.5)0.6 - 40wt% W milled powders. The effects of Al addition and milling at subzero temperatures on the transformation of Ti(C0.5N0.05)-W powder mixtures were investigated. Addition of Al powder improved the kinetics of solid solution between powder constituents. The effect of Al was ascribed to the increase of lattice strain during short milling time followed of relaxation at longer time, and to the fast diffusion of atoms. Also, it was noticed that the high viscosity of the process control agent could inhibit the alloying process. Multiple three-component compounds could be formed. Aluminium preferably reacted with tungsten. The W(Al,C) and W(Al,Ti) formed were stable, thus solubility of W in Ti(C0.5N0.05) in the presence of Al was limited. The evolution of the morphologies of Ti(C,N)-W mixtures show that fracturing of hard particles dominated in the early stage of milling in the absence of Al, whereas with Al, plastic deformation of particles and cold welding of Ti(C,N) and W particles by the softer Al prevailed at the same time. Longer milling time improved the homogeneity and the formation of nanostructured binder pools in the sintered products. Lower oxygen contents in sintered PcBN were achieved by mechanically alloying Ti(C,N), W and Al in the high energy ball milling stage. Low level of Co in the infiltration layer was also achieved when sintering PcBN with this type of binder. A link was established between the addition of Al at the attrition milling stage and high oxygen content in the sintered PcBN, thus should be avoided. The pressure and temperature applied during sintering or annealing had a strong effect on the compositions and the crystal structures of the phases formed in the mechanically alloyed binder. The lattice strains of the binder and the PcBN were higher in the sintered materials prepared with the Ti(C0.5N0.5)0.6-W binder than in those made using the Ti(C0.5N0.05)-W alloys

Optimising the mechanical properties and microstructure of armoured steel plate in quenched and tempered condition

The effect of the chemical composition, austenitisation temperature and tempering temperature and time on the mechanical properties and on the ballistic performance of martensitic steel armour plates was studied. It was established in this study that the mechanical properties and the ballistic performance of martensitic steels can be optimised by controlling the chemical composition and the heat treatment parameters. However, it was observed that for a given chemical composition of the steel the heat treatment parameters to be applied to advanced ballistic performance armour plates were different from those required for higher mechanical properties. Such a contradiction rendered the relationship between mechanical properties and ballistic performance questionable. Systematic analysis of the microstructure and the fracture mechanism of some martensitic armour plate steels was carried out to explain the improved ballistic performance of steels whose mechanical properties were below that specificied for military and security applications. It was inferred from phase analysis and its quantification by X-ray diffraction, characterisation of the martensite using scanning electron microscopy, transmission electron microscopy and atomic force microscopy that the retained austenite located in the plate interfaces and on grain boundaries of the martensite was the main constituent resisting localised yielding during ballistic impact on thin steel plates. A part of the kinetic energy is transformed into adiabatic heat where a reaustenitisation of the plate martensite and the formation of new lath martensite was observed. Another part is used to elastically and plastically deform the ballistic impact affected region around the incidence point. Dislocation pile-ups at twinned plate interfaces suggest that the twin interfaces act as barriers to dislocation movement upon high velocity impact loading. The diameter of the affected regions, that determines the volume of the material deforming plastically upon impact, was found to vary as a function of the volume fraction of retained austenite in the martensitic steel. Upon impact, retained austenite transforms to martensite by Transformation Induced Plasticity, the “ TRIP ” effect. High volume fractions of retained austenite in the martensitic steel were found to yield low values of the ratio yield strength to ultimate tensile strength (YS/UTS) and a high resistance against localised yielding and, therefore, against ballistic perforation. A Ballistic Parameter was proposed for the prediction of ballistic performance using the volume fraction of retained austenite and the thickness of the armour plate as variables. Based on the martensite structure and the results of the ballistic testing of 13 armour plate steels a design methodology comprising new specifications was proposed for the manufacture of armour plates whose thicknesses may be thinner than 6mm.Dissertation (MSc (Metallurgical Engineering))--University of Pretoria, 2007.Materials Science and Metallurgical Engineeringunrestricte

Concepts actuels de l'hyperaldostéronisme primaire

peer reviewe

Asporin Is a Fibroblast-Derived TGF-beta1 Inhibitor and a Tumor Suppressor Associated with Good Prognosis in Breast Cancer.

BACKGROUND: Breast cancer is a leading malignancy affecting the female population worldwide. Most morbidity is caused by metastases that remain incurable to date. TGF-beta1 has been identified as a key driving force behind metastatic breast cancer, with promising therapeutic implications. METHODS AND FINDINGS: Employing immunohistochemistry (IHC) analysis, we report, to our knowledge for the first time, that asporin is overexpressed in the stroma of most human breast cancers and is not expressed in normal breast tissue. In vitro, asporin is secreted by breast fibroblasts upon exposure to conditioned medium from some but not all human breast cancer cells. While hormone receptor (HR) positive cells cause strong asporin expression, triple-negative breast cancer (TNBC) cells suppress it. Further, our findings show that soluble IL-1beta, secreted by TNBC cells, is responsible for inhibiting asporin in normal and cancer-associated fibroblasts. Using recombinant protein, as well as a synthetic peptide fragment, we demonstrate the ability of asporin to inhibit TGF-beta1-mediated SMAD2 phosphorylation, epithelial to mesenchymal transition, and stemness in breast cancer cells. In two in vivo murine models of TNBC, we observed that tumors expressing asporin exhibit significantly reduced growth (2-fold; p = 0.01) and metastatic properties (3-fold; p = 0.045). A retrospective IHC study performed on human breast carcinoma (n = 180) demonstrates that asporin expression is lowest in TNBC and HER2+ tumors, while HR+ tumors have significantly higher asporin expression (4-fold; p = 0.001). Assessment of asporin expression and patient outcome (n = 60; 10-y follow-up) shows that low protein levels in the primary breast lesion significantly delineate patients with bad outcome regardless of the tumor HR status (area under the curve = 0.87; 95% CI 0.78-0.96; p = 0.0001). Survival analysis, based on gene expression (n = 375; 25-y follow-up), confirmed that low asporin levels are associated with a reduced likelihood of survival (hazard ratio = 0.58; 95% CI 0.37-0.91; p = 0.017). Although these data highlight the potential of asporin to serve as a prognostic marker, confirmation of the clinical value would require a prospective study on a much larger patient cohort. CONCLUSIONS: Our data show that asporin is a stroma-derived inhibitor of TGF-beta1 and a tumor suppressor in breast cancer. High asporin expression is significantly associated with less aggressive tumors, stratifying patients according to the clinical outcome. Future pre-clinical studies should consider options for increasing asporin expression in TNBC as a promising strategy for targeted therapy

The Effect of Elective Ligation of the Arteriovenous Fistula on Cardiac and Renal Functions in Kidney Transplant Recipients.

peer reviewed[en] KEY POINTS: Surgical AVF ligation in KTRs is associated with a significant increase in diastolic BP while systolic BP remains stable. AVF closure in KTRs leads to an improvement of LV and LA morphology and a decrease in serum NT-proBNP levels. There is no significant effect of AVF ligation on kidney allograft function: The eGFR remains stable over time. BACKGROUND: Kidney transplantation is considered as the best kidney replacement therapy, and arteriovenous fistula (AVF) is the preferred vascular access for hemodialysis. The systematic ligation of a functioning AVF in stable kidney transplant recipients (KTRs) remains debatable. METHODS: In this prospective study, we investigated the hemodynamic effect of the surgical closure of AVF in KTRs. Forty-three KTRs underwent an ambulatory BP monitoring before surgical closure of AVF (T0) and 12 months later (M12), as well as measurement of serum cardiac biomarkers (i.e., soluble suppression of tumorigenicity 2, N-terminal pro b-type natriuretic peptide [NT-proBNP], and galectin-3). Serum tests were also performed 6 months after AVF closure (M6). An echocardiographic examination was performed at each time point. All serum creatinine values were collected to compare the individual eGFR slopes before versus after AVF closure. The latest measure of the AVF flow before kidney transplantation was recorded. RESULTS: Diastolic BP significantly rose from T0 to M12: +4.4±7.3 mm Hg (P = 0.0003) for 24h, +3.8±7.4 mm Hg (P = 0.0018) during the day, and +6.3±9.9 mm Hg (P = 0.0002) during the night, leading to an increased proportion of KTRs with European Society of Hypertension (ESH)-defined arterial hypertension after AVF ligation. No change was observed for systolic BP. NT-proBNP significantly dropped between T0 and M6 (345 [190; 553] to 230 [118; 458] pg/ml, P = 0.0001) and then remained stable from M6 to M12 while suppression of tumorigenicity 2 and galectin-3 levels did not change from T0 to M12. We observed a significant decrease in left ventricular (LV) end-diastolic volume, LV end-systolic volume, LV mass, interventricular septum diameter, left atrial volume, and tricuspid annular plane systolic excursion from T0 to M6 and then a stability from M6 to M12. LV ejection fraction and eGFR slope remained stable during the whole study. These observations remained unchanged after adjustment for AVF flow. CONCLUSION: The closure of a patent AVF in KTRs is associated with elevation of diastolic BP, drop in serum NT-proBNP levels, reduction of left ventricular and atrial dimensions, and stability of eGFR slope

Neck emergency due to parathyroid adenoma bleeding: a case report

<p>Abstract</p> <p>Introduction</p> <p>The spontaneous rupture of a parathyroid adenoma accompanied by extracapsular hemorrhage is a rare, potentially fatal, condition and is a cervicomediastinal surgical emergency.</p> <p>Case presentation</p> <p>This report describes an atypical two-step spontaneous rupture of an asymptomatic parathyroid adenoma in a 56-year-old Caucasian woman who presented with a painful mass in the right side of her neck.</p> <p>Conclusion</p> <p>Based on this case report and similar cases reported in the medical literature, a diagnosis of extracapsular parathyroid hemorrhage should be considered when a non-traumatic sudden neck swelling coexists with hypercalcemia and regional ecchymosis.</p