Ultrasound and Perforated Viscus; Dirty Fluid, Dirty Shadows, and Peritoneal Enhancement.

Early detection of free air in the peritoneal cavity is vital in diagnosis of life-threatening emergencies, and can play a significant role in expediting treatment. We present a series of cases in which bedside ultrasound (US) in the emergency department accurately identified evidence of free intra-peritoneal air and echogenic (dirty) free fluid consistent with a surgical final diagnosis of a perforated hollow viscus. In all patients with suspected perforated viscus, clinicians were able to accurately identify the signs of pneumoperitoneum including enhanced peritoneal stripe sign (EPSS), peritoneal stripe reverberations, and focal air collections associated with dirty shadowing or distal multiple reflections as ring down artifacts. In all cases, hollow viscus perforation was confirmed surgically. It seems that, performing US in patients with suspected perforated viscus can accurately identify presence of intra-peritoneal echogenic or dirty free fluid as well as evidence of free air, and may expedite patient management

A benchmark activity on the fatigue life assessment of AlSi10Mg components manufactured by L-PBF

One of the challenges associated with additive manufacturing (AM) is the definition of an assessment route which considers the main process signatures of the AM process. To this end, this work presents a complete benchmark activity for the assessment of an AlSi10Mg component produced by a laser pow- der bed fusion process, aimed at advancing the understanding of the fatigue resistance of AM materials with particular focus on the comparison between the fatigue performances of small coupons and demon- strators. Four builds of AlSi10Mg specimen geometries were manufactured to: (i) determine the fatigue curves for both as-built and machined conditions; (ii) measure the fatigue crack growth rate; (iii) produce and test under fatigue a benchmark component used as a reference for the validation of the fatigue assessment procedure. Tools and concepts of flaw tolerance were then used to perform the fatigue assess- ment of the benchmark component and were shown to be successful in the life prediction. Results obtained from this wide database (related to internal defects and surface features) show that only a fracture-based fatigue assessment is able to provide precise life estimates consistent with material crack growth properties. Eventually, all the experimental results including specimens design, analysis of frac- ture surfaces and raw tests’ data will be made available in a database which can be accessed and used by the industrial and scientific communities to calibrate and validate alternative fatigue assessment proce- dures of AM parts

Effective removal of organic pollution by using sonochemical prepared LaFeO3 perovskite under visible light

In the present work, LaFeO3 perovskite was prepared via ultrasonic probe with power of 60 W and frequency of 18 KHz. LaFeO3 nanorods were formed when sonication time was 20 min. In this research, green materials including corn, starch, and rice were used to control the size, morphology, and purity of final products. As-prepared LaFeO3 nanostructures were used to purify water containing organic contaminants. LaFeO3 nanostructures prepared by using corn, starch, and rice showed higher photocatalytic activity compare to LaFeO3 nanostructures without natural capping agents. Using corn increased degradation efficiency by 65 under visible light. XRD results show that Fe2O3 appeared as an impurity when starch was used to prepare LaFeO3 nanostructures. This impurity significantly boosts the degradation efficiency under UV light. Fe2O3 under UV light act as co-absorbent and boost efficiency by 43. LaFeO3 nanostructures were characterized by XRD, EDX, SEM, CV, BET, TEM, DRS and FT-IR. © 2019 Elsevier B.V

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI