Neutron diffraction study of mechanically alloyed and in situ

The mechanical treatment of a Al75Mo25mixture of pure elemental powders in a high-energy mixer mill induces partial solid state reactivity and solid solution formation. This is suggested by a quantitative phase evaluation and by the changes of Al lattice parameter carried out with Rietveld analysis of diffraction patterns collected after extended time of processing (4, 8, 16, 32, 57, and 78 h). The small angle neutron scattering experiments showed that diffusion processes are the rate-controlling step for these solid state reactions. The formation of metastable phases is confirmed byin situneutron diffraction annealing experiments on selected as-milled powders. In the specimen mechanically alloyed for 4 h, Al12Mo phase is formed at 590 °C (below the aluminum melting point). Soon after this temperature, the remaining Al is consumed to form the Al8Mo3phase. In the alloy mechanically treated for 32 h, the Al12Mo phase appears after annealing at 430 °C, while the Al8Mo3phase is found at 493 °C. After the disappearance of Al12Mo phase (500 °C), the solid state reaction proceeds to form a new tetragonal Al3Mo phase, not reported in the equilibrium phase diagram. In the specimen mechanically treated for 57 h, the total formation of Al8Mo3is recorded at 430 °C. Conversely, in the powder ball milled for 78 h, the Al8Mo3phase appears at 390 °C and coexists with tetragonal Al3Mo

Titanium carbide reinforcement in iron matrix through carbothermal reduction of mechanically milled hematite and anatase

This study investigated the influence of the duration of milling on the formation of TiC-reinforced iron composite through carbothermal reduction of a hematite and anatase mixture. Mixtures of hematite, anatase, and graphite powders were mechanically activated in a planetary ball mill in an argon atmosphere with different milling times (0 to 60 hours). X-ray diffraction showed that with increasing milling time, the crystallite size of the hematite decreased to nanometer range, accompanied by an increment in internal strain. Prolonging the milling process increased dislocation density of the as-milled powder. The as-milled powder was consolidated by cold pressing under 100 MPa and sintered in vacuum at 1373 K (1100 °C). High temperature during sintering resulted in the formation of iron and titanium carbide phases as confirmed by X-ray diffraction, scanning electron microscope, and energy dispersive X-ray analysis. Without mechanically activated milling, the reaction forming TiC did not occur during sintering at 1373 K (1100 °C), indicating a reduction in reaction temperature promoted by mechanical milling. An increase in milling time resulted in an increase in sintered density and hardness due to the fineness of the composite powder, together with complete TiC and iron phase formation

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide. Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters. Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 per cent of patients (2901 of 4223). Major complication rates (Clavien–Dindo grade at least IIIa) were 24, 18, and 27 per cent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 per cent; however, it was 41 per cent in low-to-middle- compared with 19 per cent in very high-HDI countries. Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)