A Model for Ferrite/Pearlite Band Formation and Prevention in Steels

A model for predicting the conditions under which ferrite/pearlite band formation occurs, and therefore the conditions in which it can be avoided in steels, has been developed. The model requires as input the alloy composition and microchemical segregation wavelength, and provides in turn the homogenization temperature and time in which the alloy should be held in the austenite region for band elimination. The model was applied to three alloys and predicted with accuracy the conditions under which bands were observed to disappear in different investigations from literature. The conditions under which the model can be applied to any alloy are explored.Materials Science and EngineeringMechanical, Maritime and Materials Engineerin

Making the first fracture the last fracture: ASBMR task force report on secondary fracture prevention

Fragility fractures are common, affecting almost one in two older women and one in three older men. Every fragility fracture signals increased risk of future fractures as well as risk of premature mortality. Despite the major health care impact worldwide, currently there are few systems in place to identify and “capture” individuals after a fragility fracture to ensure appropriate assessment and treatment (according to national guidelines) to reduce future fracture risk and adverse health outcomes. The Task Force reviewed the current evidence about different systematic interventional approaches, their logical background, as well as the medical and ethical rationale. This included reviewing the evidence supporting cost-effective interventions and developing a toolkit for reducing secondary fracture incidence. This report presents this evidence for cost-effective interventions versus the human and health care costs associated with the failure to address further fractures. In particular, it summarizes the evidence for various forms of Fracture Liaison Service as the most effective intervention for secondary fracture prevention. It also summarizes the evidence that certain interventions, particularly those based on patient and/or community-focused educational approaches, are consistently, if unexpectedly, ineffective. As an international group, representing 36 countries throughout Asia-Pacific, South America, Europe, and North America, the Task Force reviewed and summarized the international data on barriers encountered in implementing risk-reduction strategies. It presents the ethical imperatives for providing quality of care in osteoporosis management. As part of an implementation strategy, it describes both the quality improvement methods best suited to transforming care and the research questions that remain outstanding. The overarching outcome of the Task Force's work has been the provision of a rational background and the scientific evidence underpinning secondary fracture prevention and stresses the utility of one form or another of a Fracture Liaison Service in achieving those quality outcomes worldwide