Prevalence of urinary tract cancer in the Spanish cohort of the IDENTIFY study.

INTRODUCTION: Malignant tumors of the urinary tract are associated with high morbidity and mortality, and their prevalence can vary worldwide. Recently, the IDENTIFY study has published results on the prevalence of urinary tract cancer at a global level. This study evaluates the prevalence of cancer within the Spanish cohort of the IDENTIFY study to determine whether the published results can be extrapolated to our population. PATIENTS AND METHODS: An analysis of the data from the Spanish cohort of patients in the IDENTIFY study was performed. This is a prospective cohort of patients referred to secondary care with suspected cancer, predominantly due to hematuria. Patients were recruited between December 2017 and December 2018. RESULTS: A total of 706 patients from 9 Spanish centers were analyzed. Of these, 277 (39.2%) were diagnosed with cancer: 259 (36.7%) bladder cancer, 10 (1.4%) upper tract urothelial carcinoma, 9 (1.2%) renal cancer and 5 (0.7%) prostate cancer. Increasing age (OR 1.05 (95% CI 1.03-1.06; P < 0.001)), visible hematuria (VH) OR 2.19 (95% CI 1.13-4.24; P = 0.02)) and smoking (ex-smokers: OR 2.11(95% CI 1.30-3.40; P = 0.002); smokers: OR 2.36 (95% CI 1.40-3.95; P = 0.001)) were associated with higher probability of bladder cancer. CONCLUSION: This study highlights the risk of bladder cancer in patients with VH and smoking habits. Bladder cancer presented the highest prevalence; higher than the prevalence reported in previous series and presented in the IDENTIFY study. Future work should evaluate other associated factors that allow us to create cancer prediction models to improve the detection of cancer in our patients.

Milling with ceramic inserts of austempered ductile iron (ADI): process conditions and performance.

In the work here presented, the high performance of ceramic insert tools in milling of ADI 1000 iron casting is analyzed. Austempered ductile irons (ADI) are ductile iron castings with strength and mechanical properties enhanced after specific heat treatment, achieving 1000 MPa or even more. Sintered carbide tools are state of the art in many industrial applications, including iron casting machining, but ceramic inserts are a feasible and promising option since cutting speed can be improved by 5 or even 10 times. A complete testing campaign was performed, starting with coated sintered carbides and aiming at the use of whisker reinforced Al2O3 ceramics and Si3N4 tools. The two most important conclusions are as follows: firstly, that the milling type so-called up-milling (or conventional) is more recommended than down-milling, also known as climb milling, and secondly, that dry machining enhances ceramics performance in comparison with using emulsion coolants (oil in water). Finally, results regarding economic aspects were analyzed based on the tools cost-performance ratio.