Selection Criterion of Stable Dendritic Growth for a Ternary (Multicomponent) Melt with a Forced Convective Flow

A stable growth mode of a single dendritic crystal solidifying in an undercooled ternary (multicomponent) melt is studied with allowance for a forced convective flow. The steady-state temperature, solute concentrations and fluid velocity components are found for two- and three-dimensional problems. The stability criterion and the total undercooling balance are derived accounting for surface tension anisotropy at the solid-melt interface. The theory under consideration is compared with experimental data and phase-field modeling for Ni 98 Zr 1 Al 1 alloy

Selection Criterion of Stable Dendritic Growth for a Ternary (Multicomponent) Melt with a Forced Convective Flow

A stable growth mode of a single dendritic crystal solidifying in an undercooled ternary (multicomponent) melt is studied with allowance for a forced convective flow. The steady-state temperature, solute concentrations and fluid velocity components are found for two- and three-dimensional problems. The stability criterion and the total undercooling balance are derived accounting for surface tension anisotropy at the solid-melt interface. The theory under consideration is compared with experimental data and phase-field modeling for Ni98Zr1Al1 alloy

Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey

Background Shared decision-making (SDM) between clinicians and patients is one of the pillars of the modern patient-centric philosophy of care. This study aims to explore SDM in the discipline of trauma and emergency surgery, investigating its interpretation as well as the barriers and facilitators for its implementation among surgeons. Methods Grounding on the literature on the topics of the understanding, barriers, and facilitators of SDM in trauma and emergency surgery, a survey was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was sent to all 917 WSES members, advertised through the society’s website, and shared on the society’s Twitter profile. Results A total of 650 trauma and emergency surgeons from 71 countries in five continents participated in the initiative. Less than half of the surgeons understood SDM, and 30% still saw the value in exclusively engaging multidisciplinary provider teams without involving the patient. Several barriers to effectively partnering with the patient in the decision-making process were identified, such as the lack of time and the need to concentrate on making medical teams work smoothly. Discussion Our investigation underlines how only a minority of trauma and emergency surgeons understand SDM, and perhaps, the value of SDM is not fully accepted in trauma and emergency situations. The inclusion of SDM practices in clinical guidelines may represent the most feasible and advocated solutions