Effects of Additive Manufacturing Methods on the Dynamic Properties of 15-5PH Stainless Steel

Experimental research was conducted to determine the dynamic properties and characterize the microstructure of 15-5PH Stainless Steel manufactured through Direct Metal Laser Sintering (DMLS) additive manufacturing (AM) processes and heat treated using common heat treatment protocols. A thorough understanding of the material\u27s properties is necessary before such parts are utilized in an operational capacity. Of the five builds, two deviated significantly from the specified composition of 15-5PH stainless steel. The remaining three builds, possessing the desired composition and crystalline structure, were tested in compression and tension at two strain rates. Tension tests using a reflected wave and a momentum trap SHB setup collected data reflecting a natural variation within builds and across builds and orientation of typically less than 7%. A slight build orientation bias is noted resulting in higher ductility of the horizontal build orientation compared to the vertical of the same material. A simplistic linear interpolation of true stress-strain curves show fairly consistent strain softening trends at higher strain rates across the material subject sets

TeamSTEPPS: Radiologic Sciences Students’ Perspective

Purpose: Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) provides participants with a simulated interprofessional education experience. TeamSTEPPS focuses on skills that support teamwork performance and communication principles with the goal of improving quality and patient safety. Background: Thomas Jefferson University is a leader in providing its students with interprofessional training and education opportunities. Students in the Department of Radiologic Sciences, Jefferson School of Health Professions (JSHP), participate in interprofessional education sessions with other health professional disciplines including nursing and bioscience technology. For the past two years, radiologic sciences students have participated in the TeamSTEPPS program. The simulated case scenarios provided an opportunity for multiple medical and healthcare professional disciplines to participate. Description of program: Student representatives from various medical and health professional programs at Thomas Jefferson University participated in TeamSTEPPS in the Spring of 2013 and the Spring of 2014. During the TeamSTEPPS program, students participated in the simulated case scenarios and provided feedback in the debriefing session. Results: Feedback from the radiologic sciences students was positive and insightful. Radiologic science students were proud to be a valued member of the team. In a literature review of radiologic science participation in interprofessional education activities, there appears to be a want and need for radiologic science inclusion in both interprofessional education and the interprofessional healthcare delivery. Conclusion: Radiologic sciences students express a want and need for continued participation in interprofessional education and training opportunities including TeamSTEPPS. Relevance to Interprofessional Education and Practice: Interprofessional education and training provides healthcare professionals with effective collaborative working skills and knowledge to improve patient outcomes, patient safety, teamwork and communication among healthcare professionals. At the conclusion of this session participants will be able to: 1. Discuss the importance of interprofessional education and training. 2. Identify the role radiologic science professionals have in the interprofessional team

Investigation of Bearing Fatigue Damage Life Prediction Using Oil Debris Monitoring

Research was performed to determine if a diagnostic tool for detecting fatigue damage of helicopter tapered roller bearings can be used to determine remaining useful life (RUL). The taper roller bearings under study were installed on the tail gearbox (TGB) output shaft of UH- 60M helicopters, removed from the helicopters and subsequently installed in a bearing spall propagation test rig. The diagnostic tool was developed and evaluated experimentally by collecting oil debris data during spall progression tests on four bearings. During each test, data from an on-line, in-line, inductance type oil debris sensor was monitored and recorded for the occurrence of pitting damage. Results from the four bearings tested indicate that measuring the debris generated when a bearing outer race begins to spall can be used to indicate bearing damage progression and remaining bearing life

Hospital Malnutrition: Prevalence, Identification and Impact on Patients and the Healthcare System

Malnutrition is a debilitating and highly prevalent condition in the acute hospital setting, with Australian and international studies reporting rates of approximately 40%. Malnutrition is associated with many adverse outcomes including depression of the immune system, impaired wound healing, muscle wasting, longer lengths of hospital stay, higher treatment costs and increased mortality. Referral rates for dietetic assessment and treatment of malnourished patients have proven to be suboptimal, thereby increasing the likelihood of developing such aforementioned complications. Nutrition risk screening using a validated tool is a simple technique to rapidly identify patients at risk of malnutrition, and provides a basis for prompt dietetic referrals. In Australia, nutrition screening upon hospital admission is not mandatory, which is of concern knowing that malnutrition remains under-reported and often poorly documented. Unidentified malnutrition not only heightens the risk of adverse complications for patients, but can potentially result in foregone reimbursements to the hospital through casemix-based funding schemes. It is strongly recommended that mandatory nutrition screening be widely adopted in line with published best-practice guidelines to effectively target and reduce the incidence of hospital malnutrition

Terrestrial chemical cues help coral reef fish larvae locate settlement habitat surrounding islands

Understanding the degree of connectivity between coastal and island landscapes and nearby coral reefs is vital to the integrated management of terrestrial and marine environments in the tropics. Coral reef fish are capable of navigating appropriate settlement habitats following their pelagic larval phase, but the mechanisms by which they do this are unclear. The importance of olfactory cues in settlement site selection has been demonstrated, and there is increasing evidence that chemical cues from terrestrial sources may be important for some species. Here, we test the olfactory preferences of eight island-associated coral reef fish recruits and one generalist species to discern the capacity for terrestrial cue recognition that may aid in settlement site selection. A series of pairwise choice experiments were used to evaluate the potential role that terrestrial, water-borne olfactory cues play in island–reef recognition. Olfactory stimuli tested included near-shore water, terrestrial rainforest leaf litter, and olfactory cues collected from different reef types (reefs surrounding vegetated islands, and reefs with no islands present). All eight island-associated species demonstrated high levels of olfactory discrimination and responded positively toward olfactory cues indicating the presence of a vegetated island. We hypothesize that although these fish use a suite of cues for settlement site recognition, one mechanism in locating their island/reef habitat is through the olfactory cues produced by vegetated islands. This research highlights the role terrestrial olfactory cues play in large-scale settlement site selection and suggests a high degree of ecosystem connectivity

Is a history of work-related low back injury associated with prevalent low back pain and depression in the general population?

<p>Abstract</p> <p>Background</p> <p>Little is known about the role of prior occupational low back injury in future episodes of low back pain and disability in the general population. We conducted a study to determine if a lifetime history of work-related low back injury is associated with prevalent severity-graded low back pain, depressive symptoms, or both, in the general population.</p> <p>Methods</p> <p>We used data from the Saskatchewan Health and Back Pain Survey – a population-based cross-sectional survey mailed to a random, stratified sample of 2,184 Saskatchewan adults 20 to 69 years of age in 1995. Information on the main independent variable was gathered by asking respondents whether they had ever injured their low back at work. Our outcomes, the 6-month period prevalence of severity-graded low back pain and depressive symptoms during the past week, were measured with valid and reliable questionnaires. The associations between prior work-related low back injury and our outcomes were estimated through multinomial and binary multivariable logistic regression with adjustment for age, gender, and other important covariates.</p> <p>Results</p> <p>Fifty-five percent of the eligible population participated. Of the 1,086 participants who responded to the question about the main independent variable, 38.0% reported a history of work-related low back injury. A history of work-related low back injury was positively associated with low intensity/low disability low back pain (OR, 3.66; 95%CI, 2.48–5.42), with high intensity/low disability low back pain (OR, 4.03; 95%CI, 2.41–6.76), and with high disability low back pain (OR, 6.76; 95%CI, 3.80–12.01). No association was found between a history of work-related low back injury and depression (OR, 0.85; 95%CI, 0.55–1.30).</p> <p>Conclusion</p> <p>Our analysis shows an association between past occupational low back injury and increasing severity of prevalent low back pain, but not depression. These results suggest that past work-related low back injury may be an important risk factor for future episodes of low back pain and disability in the general population.</p

Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries.

BACKGROUND: As global initiatives increase patient access to surgical treatments, there remains a need to understand the adverse effects of surgery and define appropriate levels of perioperative care. METHODS: We designed a prospective international 7-day cohort study of outcomes following elective adult inpatient surgery in 27 countries. The primary outcome was in-hospital complications. Secondary outcomes were death following a complication (failure to rescue) and death in hospital. Process measures were admission to critical care immediately after surgery or to treat a complication and duration of hospital stay. A single definition of critical care was used for all countries. RESULTS: A total of 474 hospitals in 19 high-, 7 middle- and 1 low-income country were included in the primary analysis. Data included 44 814 patients with a median hospital stay of 4 (range 2-7) days. A total of 7508 patients (16.8%) developed one or more postoperative complication and 207 died (0.5%). The overall mortality among patients who developed complications was 2.8%. Mortality following complications ranged from 2.4% for pulmonary embolism to 43.9% for cardiac arrest. A total of 4360 (9.7%) patients were admitted to a critical care unit as routine immediately after surgery, of whom 2198 (50.4%) developed a complication, with 105 (2.4%) deaths. A total of 1233 patients (16.4%) were admitted to a critical care unit to treat complications, with 119 (9.7%) deaths. Despite lower baseline risk, outcomes were similar in low- and middle-income compared with high-income countries. CONCLUSIONS: Poor patient outcomes are common after inpatient surgery. Global initiatives to increase access to surgical treatments should also address the need for safe perioperative care. STUDY REGISTRATION: ISRCTN5181700