Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 9.361
Filtrar
1.
Rev. Bras. Med. Fam. Comunidade ; 19(46): 3772, 20241804.
Artigo em Inglês, Português | LILACS-Express | LILACS | ID: biblio-1552241

RESUMO

A aprendizagem baseada em projeto orientada pelos fundamentos da educação interprofissional é um modelo que pode contribuir para a formação de relacionamentos interpessoais, criatividade, empatia e colaboração na educação médica, por meio de uma colaboração mútua com profissionais de saúde da rede. Muito se fala da efetividade desse método no campo do ensino e aprendizagem médica, mas há a necessidade de incluir a importância do desenvolvimento de habilidades interprofissionais, com equipes colaborativas, em ações extensionistas, diante das necessidades locais no contexto da atenção primária, pensando na melhoria dos resultados de saúde. O objetivo deste trabalho é apresentar um relato de experiência de aprendizagem baseada em projeto de estudantes de Medicina no contexto da Estratégia Saúde da Família. Participaram deste trabalho estudantes do Módulo Integração Ensino, Serviço e Comunidade da Faculdade de Medicina da Universidade Federal dos Vales do Jequitinhonha e Mucuri que executaram, em colaboração com uma equipe interprofissional o projeto sobre a saúde do homem. Como resultado da análise qualitativa do feedback entre os integrantes, observaram-se mudanças no comportamento dos estudantes, com melhorias na comunicação, empatia e nas relações interpessoais, por meio do trabalho colaborativo com a equipe interprofissional. Esta experiência poderá ser adaptada para implementar o ensino e aprendizagem no projeto pedagógico orientado pela educação interprofissional na atenção primária.


Project-based learning guided by the fundamentals of interprofessional education is a model that can contribute to the formation of interpersonal relationships, creativity, empathy and collaboration within medical education, through mutual collaboration with health professionals in the health network. Much has been said about the effectiveness of this method in medical teaching and learning, but there is a need to include the importance of developing interprofessional skills, with collaborative teams, within extension actions, in view of local needs in the context of primary care, thinking about the improved health outcomes. The objective of this work was to present a report of a project-based learning experience of medical students in Family Health Strategy. Students from the Teaching, Service and Community Integration Module of the Faculty of Medicine of Universidade Federal dos Vales do Jequitinhonha e Mucuri participated in this work, executing in collaboration with an interprofessional team a project about men's health. As a result of the qualitative analysis of the feedback among the members, changes in student behavior were observed with improvements in communication, empathy and interpersonal relationships through collaborative work with the interprofessional team. This experience can be adapted to implement teaching and learning in the pedagogical project guided by interprofessional education in primary care.


El aprendizaje basado en proyectos y guiado por los fundamentos de la educación interprofesional es un modelo que puede contribuir a la formación de relaciones interpersonales, creatividad, empatía y colaboración dentro de la educación médica, a través de la colaboración mutua con los profesionales de la salud en la red de salud. Mucho se habla de la efectividad de este método dentro de la enseñanza y el aprendizaje médico, pero es necesario incluir la importancia del desarrollo de habilidades interprofesionales, con equipos colaborativos, dentro de las acciones de extensión, frente a las necesidades locales en el contexto de la atención primaria, pensando sobre los mejores resultados de salud. El objetivo de este trabajo es presentar un informe de experiencia de aprendizaje basado en proyectos de estudiantes de medicina en la Estrategia de Salud Familiar. Participaron en este trabajo estudiantes del Módulo Integración Enseñanza, Servicio y Comunidad de la Facultad de Medicina de la Universidade Federal dos Vales do Jequitinhonha e Mucuri que ejecutaron en colaboración con un equipo interprofesional el proyecto sobre la salud del hombre. Como resultado del análisis cualitativo de la retroalimentación entre los integrantes, se observaron cambios en el comportamiento de los estudiantes con mejoras en la comunicación, la empatía y las relaciones interpersonales a través del trabajo colaborativo con el equipo interprofesional. Esta experiencia puede adaptarse para implementar la enseñanza y el aprendizaje en el proyecto pedagógico guiado por la educación interprofesional en atención primaria.

2.
Enferm. actual Costa Rica (Online) ; (46): 58440, Jan.-Jun. 2024. tab
Artigo em Português | LILACS, BDENF - Enfermagem, SaludCR | ID: biblio-1550243

RESUMO

Resumo Introdução: A Cultura de Segurança do Paciente é considerada um importante componente estrutural dos serviços, que favorece a implantação de práticas seguras e a diminuição da ocorrência de eventos adversos. Objetivo: Identificar os fatores associados à cultura de segurança do paciente nas unidades de terapia intensiva adulto em hospitais de grande porte da região Sudeste do Brasil. Método: Estudo transversal do tipo survey e multicêntrico. Participaram 168 profissionais de saúde de quatro unidades (A, B, C e D) de terapia intensiva adulto. Foi utilizado o questionário "Hospital Survey on Patient Safety Culture". Considerou-se como variável dependente o nível de cultura de segurança do paciente e variáveis independentes aspectos sociodemográficos e laborais. Foram usadas estatísticas descritivas e para a análise dos fatores associados foi elaborado um modelo de regressão logística múltipla. Resultados: Identificou-se associação entre tipo de hospital com onze dimensões da cultura de segurança, quanto à função a categoria profissional médico, técnico de enfermagem e enfermeiro foram relacionadas com três dimensões; o gênero com duas dimensões e tempo de atuação no setor com uma dimensão. Conclusão: Evidenciou-se que o tipo de hospital, categoria profissional, tempo de atuação no setor e gênero foram associados às dimensões de cultura de segurança do paciente.


Resumen Introducción: La cultura de seguridad del paciente se considera un componente estructural importante de los servicios, que favorece la aplicación de prácticas seguras y la reducción de la aparición de acontecimientos adversos. Objetivo: Identificar los factores asociados a la cultura de seguridad del paciente en unidades de terapia intensiva adulto en hospitales de la región Sudeste del Brasil. Metodología: Estudio transversal de tipo encuesta y multicéntrico. Participaron 168 profesionales de salud de cuatro unidades (A, B, C y D) de terapia intensiva adulto. Se utilizó el cuestionario "Hospital Survey on Patient Safety Culture". Se consideró como variable dependiente el nivel de cultura de seguridad del paciente y variables independientes los aspectos sociodemográficos y laborales. Fueron usadas estadísticas descriptivas y, para analizar los factores asociados, fue elaborado un modelo de regresión logística múltiple. Resultados: Se identificó asociación entre tipo de hospital con once dimensiones de cultura de seguridad del paciente. En relación a la función, personal médico, técnicos de enfermería y personal de enfermería fueron asociados con tres dimensiones, el género con dos dimensiones y tiempo de actuación con una dimensión en el modelo de regresión. Conclusión: Se evidenció que el tipo de hospital, función, tiempo de actuación en el sector y género fueron asociados a las dimensiones de la cultura de seguridad del paciente.


Abstract Introduction: Patient safety culture is considered an important structural component of the services, which promotes the implementation of safe practices and the reduction of adverse events. Objective: To identify the factors associated with patient safety culture in adult intensive care units in large hospitals in Belo Horizonte. Method: Cross-sectional survey and multicenter study. A total of 168 health professionals from four units (A, B, C and D) of adult intensive care participated. The questionnaire "Hospital Survey on Patient Safety Culture" was used. The patient's level of safety culture was considered as a dependent variable, and sociodemographic and labor aspects were the independent variables. Descriptive statistics were used and a multiple logistic regression model was developed to analyze the associated factors. Results: An association was identified between the type of hospital and eleven dimensions of the safety culture. In terms of function, the doctors, nursing technicians, and nurse were related to three dimensions; gender with two dimensions, and time working in the sector with one dimension. Conclusion: It was evidenced that the type of hospital, function, time working in the sector, and gender were associated with the dimensions of patient safety culture.


Assuntos
Humanos , Masculino , Feminino , Segurança do Paciente , Unidades de Terapia Intensiva , Brasil , Indicadores de Qualidade em Assistência à Saúde/normas
3.
Rehabilitación (Madr., Ed. impr.) ; 58(2): 1-13, abril-junio 2024. tab
Artigo em Espanhol | IBECS | ID: ibc-232119

RESUMO

El objetivo de la presente revisión sistemática consistió en determinar el efecto de la comunicación en el ámbito sanitario sobre la kinesiofobia. Para ello, se realizó una búsqueda bibliográfica en siete bases de datos entre noviembre de 2022 y febrero de 2023. La revisión se efectuó acorde a la declaración Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) y para el análisis de la calidad metodológica se utilizaron: la escala Physiotherapy Evidence Database (PEDro), los criterios de Van Tulder y el análisis del riesgo de sesgo de la Colaboración Cochrane. Se incluyeron un total de 13 artículos que presentaron una calidad metodológica media de 7,1 sobre 10. Se obtuvieron resultados significativos para al menos una variable (kinesiofobia, discapacidad o nivel de actividad física) en 12 trabajos. Existe evidencia sólida de que la comunicación puede influir sobre la kinesiofobia del sujeto. Es más probable que esta influencia ocurra en un sentido negativo o discapacitante, pero también puede actuar en sentido positivo disminuyendo la misma. (AU)


The aim of the present systematic review was to determine the effect of communication in the health care setting on kinesiophobia. To this end, a literature search was conducted in seven databases between November 2022 and February 2023. The review was carried out following the PRISMA statement and for the analysis of methodological quality we used: PEDro Scale, Van Tulder criteria and risk of bias analysis of the Cochrane Collaboration. A total of 13 articles were included with a mean methodological quality of 7.1 out of 10. Significant results were obtained for at least one variable (kinesiophobia, disability or level of physical activity) in 12 articles. There is strong evidence that communication can influence a subject's kinesiophobia. This influence is most likely to be in a negative or disabling sense, but it can also act in a positive sense by decreasing it. (AU)


Assuntos
Humanos , Informação de Saúde ao Consumidor , Efeito Placebo , Efeito Nocebo , Comportamento Sedentário , Fatores de Risco
4.
Toxicol Res (Camb) ; 13(2): tfae034, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38559758

RESUMO

Introduction: Metal oxide nanoparticles are currently used widely in many aspects of human and animal life with broad prospects for biomedical purposes. The present work was carried out to investigate the effects of orally administrated TiO2NPs, ZnONPs, IONs and Al2O3NPs on the mRNA expression level of CYP 1A1 and NBN in the rat liver. Materials and Methods: Four groups of male Albino rats were given their respective treatment orally for 60 days in a dose of 1/20 of the LD50 TiO2NPs (600 mg/Kg b.wt/day), ZnONPs (340 mg/Kg b.wt/day), IONs (200 mg/kg b.wt/day) and Al2O3NPs (100 mg/Kg b.wt/day) and a fifth group served as a control group. Rresults: The mRNA level of CYP 1A1 and NBN showed up-regulation in all the NPs-treated groups relative to the control group. ZnONPs group recorded the highest expression level while the TiO2NPs group showed the lowest expression level transcript. Conclusion:The toxic effects produced by these nanoparticles were more pronounced in the case of zinc oxide, followed by aluminum oxide, iron oxide nanoparticles and titanium dioxide, respectively.

5.
Heliyon ; 10(7): e28186, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38560101

RESUMO

Due to the increases in agriculture and industry sector as well as high population, lack of water is becoming a major problem in the Middle East especially in arid regions. Saudi Arabia needs more groundwater research and explorations because of its higher water use and no source of freshwater. Assessing groundwater zonation in semi-arid locations is essential due to the significant degree of variation in groundwater depth, aquifer features, topographical characteristics, and insufficient precipitation. Mapping prospective groundwater zones in Al Qunfudhah region of southwestern Saudi Arabia has utilized the capability of the multi-criteria decision approaches (MCDA), and the Geographic information system (GIS). We have used the analytical hierarchy process (AHP) as one of the MCDA that is applied to achieve the objective of the current study by integrating twelve controlling factors. These factors are represented by the thematic layers; slope, precipitation, soil type, land use/cover (LULC), drainage density (DD), normalized difference vegetation index (NDVI), curvature, topographic position index (TPI), Terrain Ruggedness Index (TRI), drainage density (DD), and Lineament Density (LD). These thematic layers are combined with GIS to delineate the zones of groundwater potentialities. All factors were classified and weighted according to their importance and its effect on groundwater zones. Their normalized weights were evaluated using a pairwise comparison matrix. The present study shows that the groundwater potential zones (GWPZs) map is represented by five groups ranging between a very high zone with an area of 23781.06 Km2 that represents 4.04 % of the studied area, and a very poor GWPZ with an area of 182944.4 Km2 that represents 31.09 % of the studied area. The AHP model suggests that lineament density, slope, and drainage density are more important for determining the groundwater potentiality than other physiographic factors. The study's findings will be helpful in developing practical strategies for the region's groundwater supply. This analysis shows how the methodology may be used to study a broad coastal groundwater basin. The current study will give the decision makers to select suitable sites with a high groundwater potential.

6.
Heliyon ; 10(7): e27714, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38560196

RESUMO

This study examined the effect of traverse speed on the mechanical properties, corrosion-resistance behavior, and microstructure of friction stir-welded A390/10 wt% SiC composites-AA2024 Al alloy joints. The laminar flow of both materials was found to diminish in the stir zone (SZ) when the traverse speed of the tool increased from 40 to 80 mm/min, lowering their mixing rate. Large aspect ratio Si particles are broken by the tool pin-induced applied plastic strain, which turns them into refined equiaxed particles. Their aspect ratio remains unchanged in the SZ, despite their decreasing size. SiC and Si particles progressively come into view when moving from the AA2024 alloy's SZ to the composite workpieces. These changes happen abruptly as traverse speed increases due to the lack of an interfacial layer structure. The advancing side (AS)'s SZ grain size drops from 4.2 ± 0.3 µm to 1.2 ± 0.2 µm as the traverse speed drops from 80 to 40 mm/min. Increased traverse speed from 40 to 80 mm/min will result in a 5.8% decrease in elongation percentage (EP) and 8.4%, 36%, and 10.3% increases in the ultimate tensile strength (UTS), corrosion resistance, and yield strength, respectively.

7.
Plant J ; 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38565306

RESUMO

Poor management and excess fertilization of apple (Malus domestica Borkh.) orchards are causing increasingly serious soil acidification, resulting in Al toxicity and direct poisoning of roots. Strigolactones (SLs) are reported to be involved in plant responses to abiotic stress, but their role and mechanism under AlCl3 stress remain unknown. Here, we found that applying 1 µm GR24 (an SL analoge) significantly alleviated AlCl3 stress of M26 apple rootstock, mainly by blocking the movement of Al through cell wall and by vacuolar compartmentalization of Al. RNA-seq analysis identified the core transcription factor gene MdWRKY53, and overexpressing MdWRKY53 enhanced AlCl3 tolerance in transgenic apple plants through the same mechanism as GR24. Subsequently, we identified MdPMEI45 (encoding pectin methylesterase inhibitor) and MdALS3 (encoding an Al transporter) as downstream target genes of MdWRKY53 using chromatin immunoprecipitation followed by sequencing (ChIP-seq). GR24 enhanced the interaction between MdWRKY53 and the transcription factor MdTCP15, further increasing the binding of MdWRKY53 to the MdPMEI45 promoter and inducing MdPMEI45 expression to prevent Al from crossing cell wall. MdWRKY53 also bound to the promoter of MdALS3 and enhanced its transcription to compartmentalize Al in vacuoles under AlCl3 stress. We therefore identified two modules involved in alleviating AlCl3 stress in woody plant apple: the SL-WRKY+TCP-PMEI module required for excluding external Al by blocking the entry of Al3+ into cells and the SL-WRKY-ALS module allowing internal detoxification of Al through vacuolar compartmentalization. These findings lay a foundation for the practical application of SLs in agriculture.

8.
Waste Manag Res ; : 734242X241241602, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38563513

RESUMO

The development of the solar market has been fast in the past decades, and the number of photovoltaic module installations is large. The photovoltaic modules have a lifetime of about 25 years and need recovery after that. The aluminium-back surface field (Al-BSF) module is the first kind of large-scale installed module and will come to its end of life in the next few years. The recycling of silicon material in the Al-BSF module is investigated in this work. The components of the module are separated, and the silicon material in the module is collected and then purified by (aluminium-silicon) Al-Si solvent refining for reuse. It is found that Al-Si solvent refining removed key impurity elements, namely boron and phosphorus, in the collected silicon. Kinetics has a great effect on boron and phosphorus removal, and boron and phosphorus contents in purified silicon decrease with decreasing cooling rate. The boron and phosphorus contents in silicon are lowered to 0.28 and 0.03 ppmw, respectively, after two times of Al-Si solvent refining with the cooling rate of 5.55 * 10-4 K second-1, and it meets the requirement of solar-grade silicon.

9.
Sci Rep ; 14(1): 7714, 2024 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-38565635

RESUMO

For the first time, it has been found that the electrochemical performance of the Al-Mg alloy as an anode in alkaline batteries has been markedly enhanced in the presence of CO2 and LiOH as an electrolyte. This work compares the electrochemical performance of an Al-Mg alloy used as an anode in Al-air batteries in KOH and LiOH solutions, both with and without CO2. Potentiodynamic polarization (Tafel), charging-discharging (galvanostatic) experiments, and electrochemical impedance spectroscopy (EIS) are used. X-ray diffraction spectroscopy (XRD) and a scanning electron microscope (SEM) outfitted with an energetic-dispersive X-ray spectroscope (EDX) were utilized for the investigation of the products on the corroded surface of the electrode. Findings revealed that the examined electrode's density of corrosion current (icorr.) density in pure LiOH is significantly lower than in pure KOH (1 M). Nevertheless, in the two CO2-containing solutions investigated, icorr. significantly decreased. The corrosion rate of the examined alloy in the two studied basic solutions with and without CO2 drops in the following order: KOH > LiOH > KOH + CO2 > LiOH + CO2. The obtained results from galvanostatic charge-discharge measurements showed excellent performance of the battery in both LiOH and KOH containing CO2. The electrochemical findings and the XRD, SEM, and EDX results illustrations are in good accordance.

10.
Conserv Biol ; : e14266, 2024 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-38578127

RESUMO

Survival of the immobile embryo in response to rising temperature is important to determine a species' vulnerability to climate change. However, the collective effects of 2 key thermal characteristics associated with climate change (i.e., rising average temperature and acute heat events) on embryonic survival remain largely unexplored. We used empirical measurements and niche modeling to investigate how chronic and acute heat stress independently and collectively influence the embryonic survival of lizards across latitudes. We collected and bred lizards from 5 latitudes and incubated their eggs across a range of temperatures to quantify population-specific responses to chronic and acute heat stress. Using an embryonic development model parameterized with measured embryonic heat tolerances, we further identified a collective impact of embryonic chronic and acute heat tolerances on embryonic survival. We also incorporated embryonic chronic and acute heat tolerance in hybrid species distribution models to determine species' range shifts under climate change. Embryos' tolerance of chronic heat (T-chronic) remained consistent across latitudes, whereas their tolerance of acute heat (T-acute) was higher at high latitudes than at low latitudes. Tolerance of acute heat exerted a more pronounced influence than tolerance of chronic heat. In species distribution models, climate change led to the most significant habitat loss for each population and species in its low-latitude distribution. Consequently, habitat for populations across all latitudes will shift toward high latitudes. Our study also highlights the importance of considering embryonic survival under chronic and acute heat stresses to predict species' vulnerability to climate change.


Efectos colectivos del aumento de las temperaturas promedio y los eventos de calor en embriones ovíparos Resumen La supervivencia de los embriones inmóviles en respuesta al incremento de temperatura es importante para determinar la vulnerabilidad de las especies al cambio climático. Sin embargo, los efectos colectivos de dos características térmicas claves asociadas con el cambio climático (i. e., aumento de temperatura promedio y eventos de calor agudo) sobre la supervivencia embrionaria permanecen en gran parte inexplorados. Utilizamos mediciones empíricas y modelos de nicho para investigar cómo el estrés térmico crónico y agudo influye de forma independiente y colectiva en la supervivencia embrionaria de los lagartos en todas las latitudes. Recolectamos y criamos lagartos de cinco latitudes e incubamos sus huevos en un rango de temperaturas para cuantificar las respuestas específicas de la población al estrés por calor crónico y agudo. Posteriormente, mediante un modelo de desarrollo embrionario parametrizado con mediciones de tolerancia embrionaria al calor, identificamos un impacto colectivo de las tolerancias embrionarias al calor agudo y crónico en la supervivencia embrionaria. También incorporamos la tolerancia embrionaria crónica y aguda al calor en modelos de distribución de especies híbridas para determinar los cambios de distribución de las especies bajo el cambio climático. La tolerancia embrionaria al calor crónico (T­crónico) permaneció constante, mientras que la tolerancia al calor agudo (T­agudo) fue mayor en latitudes altas que en latitudes bajas. La tolerancia al calor agudo ejerció una influencia más pronunciada que la tolerancia al calor crónico. En los modelos de distribución de especies, el cambio climático provocó la pérdida de hábitat más significativa para cada población y especie en su distribución de latitudes bajas. En consecuencia, el hábitat para poblaciones en todas las latitudes se desplazará a latitudes altas. Nuestro estudio también resalta la importancia de considerar la supervivencia embrionaria bajo estrés térmico crónico y agudo para predecir la vulnerabilidad de las especies al cambio climático.

11.
Environ Res ; : 118856, 2024 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-38599447

RESUMO

The contamination of wastewater with antibiotics has emerged as a critical global challenge, with profound implications for environmental integrity and human well-being. Adsorption techniques have been meticulously investigated and developed to mitigate and alleviate their effects. In this study, we have investigated the adsorption behaviour of Erythromycin (ERY), Gentamicin (GEN), Levofloxacin (LEVO), and Metronidazole (MET) antibiotics as pharmaceutical contaminants (PHCs) on amide-functionalized (RC (=O)NH2)/MIL-53 (Al) (AMD/ML53A), using molecular simulations and density functional theory (DFT) calculations. Based on our Density Functional Theory (DFT) calculations, it becomes apparent that the adsorption tendencies of antibiotics are predominantly governed by the presence of AMD functional groups on the adsorbent surface. Specifically, hydrogen bonding (HB) and van der Waals (vdW) interactions between antibiotics and AMD groups serve as the primary mechanisms facilitating adsorption. Furthermore, we have observed that the adsorption behaviors of these antibiotics are influenced by their respective functional groups, molecular shapes, and sizes. Our molecular simulations delved into how the AMD/ML53A surfaces interact with antibiotics as PHCs. Moreover, various chemical quantum descriptors based on Frontier Molecular Orbitals (FMO) were explored to elucidate the extent of AMD/ML53A adsorption and to assess potential alterations in their electronic properties throughout the adsorption process. Monte Carlo (MC) calculations showed the following order for adsorption energy: ERY (-404.47 kcal/mol) > GEN (-230.99 kcal/mol) > LEVO (-229.66 kcal/mol) > MET (-184.14 kcal/mol). Molecular dynamics (MD) simulations revealed parallel orientation for the ERY molecule's adsorption on AMD/ML53A with 80% rejection rate. In conclusion, our study highlighted the importance of modeling in developing practical solutions for removing antibiotics as PHCs from wastewater. The insights gained from our calculations can facilitate the design of more effective adsorption materials, ultimately leading to a more hygienic and sustainable ecosystem.

12.
Leuk Lymphoma ; : 1-11, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38600883

RESUMO

Amyloid light chain (AL) amyloidosis is a progressive plasma cell disorder caused by amyloid deposition resulting in organ damage and failure. Current standard-of-care treatments target clonal plasma cells, the source of misfolded light chains (amyloid precursors), yet only half of patients with advanced disease survive ≥6 months. The amyloid depleter birtamimab is an investigational humanized monoclonal antibody that binds misfolded κ and λ light chains with high specificity and was designed to neutralize soluble toxic light chain aggregates and promote phagocytic clearance of deposited amyloid. Post hoc analyses from the Phase 3 VITAL trial suggested birtamimab plus standard of care confers a survival benefit in patients with advanced (Mayo Stage IV) AL amyloidosis. AFFIRM-AL (NCT04973137), a Phase 3 confirmatory trial of birtamimab plus standard of care in patients with Mayo Stage IV AL amyloidosis, is ongoing. This review summarizes birtamimab's mechanism of action, attributes, and potential clinical utility.

13.
ACS Biomater Sci Eng ; 2024 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-38590081

RESUMO

Massive unmelted Ti6Al4 V (Ti64) particles presented across all surfaces of additively manufactured Ti64 scaffolds significantly impacted the designed surface topography, mechanical properties, and permeability, reducing the osseointegration of the scaffolds. In this study, the proposed flowing acid etching (FAE) method presented high efficiency in eliminating Ti64 particles and enhancing the surface modification capacity across all surfaces of Ti64 scaffolds. The Ti64 particles across all surfaces of the scaffolds were completely removed effectively and evenly. The surface topography of the scaffolds closely resembled the design after the 75 s FAE treatment. The actual elastic modulus of the treated scaffolds (3.206 ± 0.040 GPa) was closer to the designed value (3.110 GPa), and a micrometer-scale structure was constructed on the inner and outer surfaces of the scaffolds after the 90 s FAE treatment. However, the yield strength of scaffolds was reduced to 89.743 ± 0.893 MPa from 118.251 ± 0.982 MPa after the 90 s FAE treatment. The FAE method also showed higher efficiency in decreasing the roughness and enhancing the hydrophilicity and surface energy of all of the surfaces. The FAE treatment improved the permeability of scaffolds efficiently, and the permeability of scaffolds increased to 11.93 ± 0.21 × 10-10 mm2 from 8.57 ± 0.021 × 10-10 mm2 after the 90 s FAE treatment. The treated Ti64 scaffolds after the 90 s FAE treatment exhibited optimized osseointegration effects in vitro and in vivo. In conclusion, the FAE method was an efficient way to eliminate unmelted Ti64 particles and obtain ideal surface topography, mechanical properties, and permeability to promote osseointegration in additively manufactured Ti64 scaffolds.

14.
Materials (Basel) ; 17(3)2024 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-38591390

RESUMO

Desirable properties including strength, ductility and extrudability of 6060 Al-alloys are highly dependent on processing to control the development of microstructural features. In this study, the process chain of an extrudable 6060 Al-alloy was modeled in an Integrated Computational Materials Engineering framework and validated experimentally via quantitative SEM-EDX and TEM. All critical processing stages were considered including casting, homogenization heating and holding, extrusion cooling and two-stage aging. Segregation and intermetallics formation were accurately predicted and experimentally verified in the as-cast condition. Diffusion simulations predicted the dissolution of intermetallics and completion of ß-AlFeSi to α-AlFeSi transformation during homogenization, in excellent agreement with quantitative SEM-EDX characterization. Precipitation simulations predicted the development of a ß″ strengthening dispersion during extrusion cooling and aging. Needle-shaped ß″ precipitates were observed and analyzed with quantitative high-resolution TEM, validating predictions. Ensuing precipitation strengthening was modeled in terms of aging time, presenting good agreement with yield strength measurements. Precipitate-Free Zones and coarse, metastable ß-type particles on dispersoids and grain boundaries were investigated. The proposed integrated modeling and characterization approach considers all critical processing stages and could be used to optimize processing of extrudable 6xxx Al-alloys, providing insight to mechanisms controlling microstructural evolution and resulting properties.

15.
Materials (Basel) ; 17(3)2024 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-38591422

RESUMO

It is a challenge to polish the interior surface of a small bent pipe with complex structures and sizes less than 0.5 mm. This is because of the fact that traditional polishing methods could destroy, block, or break the small complex structures. For a small bent pipe made of aluminum alloy produced using additive manufacturing, the defects, such as adhered powders and spatters, are easy to jam the pipe without polishing, possibly resulting in catastrophic failure for aerospace applications. To overcome this challenge, a novel water jet polisher was developed using soft polymethyl methacrylate (PMMA) abrasives. After polishing a specific area, the adhered powders on the interior surface were reduced from over 140 to 2, 3, and 6 by the soft abrasives with mesh sizes of 200, 400, and 600, respectively. The surface roughness Sa was decreased from 3.41 to 0.92 µm after polishing using PMMA abrasives with a mesh size of 200. In comparison, silica abrasives were also employed to polish the small bent pipes, leading to the bent part of pipes breaking. However, this kind of failure was absent when using soft abrasives. Computational fluid dynamics calculations elucidate that a peak erosion rate of silica abrasives for a bent pipe with a turn angle of 30° is 2.18 kg/(m2·s), which is 17 times that of soft abrasives. This is why the small bent pipe was broken using silica abrasives, whereas it remained intact when polished with soft abrasives. In addition, water jet polishing has a lower erosion rate, a relatively smooth erosion curve, and less erosion energy, leaving the bent parts intact. The developed soft abrasive water jet polisher and the findings of this study suggest new possibilities for cleaning the adhered powders and spatters and polishing the interior surface of small bent pipes with complex structures.

16.
Materials (Basel) ; 17(3)2024 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-38591473

RESUMO

Thin twin-roll cast strips from a model Al-Cu-Mg-Li-Zr alloy with a small addition of Sc were prepared. A combination of a fast solidification rate and a favorable effect of Sc microalloying refines the grain size and the size of primary phase particles and reduces eutectic cell dimensions to 10-15 µm. Long-term homogenization annealings used in conventionally cast materials lasting several tens of hours followed by a necessary dimension reduction through rolling/extruding could be substituted by energy and material-saving procedure. It consists of two-step short annealings at 300 °C/30 min and 450 °C/30 min, followed by the refinement and hardening of the structure using constrained groove pressing. A dense dispersion of 10-20 nm spherical Al3(Sc,Zr) precipitates intensively forms during this treatment and effectively stabilizes the structure and inhibits the grain growth during subsequent solution treatment at 530 °C/30 min. Small (3%) pre-straining after quenching assures more uniform precipitation of strengthening Al2Cu (θ'), Al2CuMg (S'), and Al2CuLi (T1) particles during subsequent age-hardening annealing at 180 °C/14 h. The material does not contain a directional and anisotropic structure unavoidable in rolled or extruded sheets. The proposed procedure thus represents a model near net shape processing strategy for manufacturing lightweight high-strength sheets for cryogenic applications in aeronautics.

17.
Materials (Basel) ; 17(3)2024 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-38591497

RESUMO

Research on the development of new lightweight Al-Li alloys using a selective laser melting process has great potential for industrial applications. This paper reports on the development of novel aluminum-lithium alloys using selective laser melting technology. Al-Cu-Li-Mg-Ag-Sc-Zr pre-alloyed powders with lithium contents of 1 wt.%, 2 wt.% and 3 wt.%, respectively, were prepared by inert gas atomization. After SLM process optimization, the microstructure and mechanical properties of the as-printed specimens were investigated. The densifications of the three newly developed alloys were 99.51%, 98.96% and 92.01%, respectively. They all had good formability, with the lithium loss rate at about 15%. The as-printed alloy with 1% Li content presented good comprehensive properties, with a yield strength of 413 ± 16 MPa, an ultimate tensile strength of 461 ± 12 MPa, and an elongation of 14 ± 1%. The three alloys exhibited a layered molten pool stacking morphology and had a typical heterostructure. The columnar crystals and equiaxed fine grains were alternately arranged, and most of the precipitated phases were enriched at the grain boundaries. The change in Li content mainly affected the precipitation of the Cu-containing phase. When the Li content was 1 wt.%, the following occured: θ phase, T1 phase and TB phase. When Li increased to 2 wt.%, T1 and T2 phases precipitated together. When Li reaches 3 wt.%, δ' phase precipitated with T2 phase. This study provides useful guidance for the future SLM forming of new crack-free and high-strength Al-Li alloys.

18.
Materials (Basel) ; 17(3)2024 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-38591531

RESUMO

The present work evaluates the effect of Co content on the microstructure and corrosion performance of Al-Co alloys of various compositions (2-32 wt% Co), fabricated by flux-assisted stir casting. A preliminary investigation on the effect of heat treatment (600 °C, up to 72 h) on the microstructure and corrosion behavior of Al-20 wt% Co and Al-32 wt% Co was also conducted. The Al- (2-10) wt% Co alloys were composed of acicular Al9Co2 particles uniformly dispersed in an Al matrix. The Al-20 wt% Co and Al-32 wt% Co alloys additionally contained Al13Co4 blades enveloped in Al9Co2 wedges. Heat treatment of Al-20 wt% Co and Al-32 wt% Co led to a significant reduction in the volume fraction of Al13Co4 and a decrease in hardness. Al-Co alloys with high Co content (10-32 wt% Co) exhibited greater resistance to localized corrosion in 3.5 wt% NaCl, but lower resistance to general corrosion compared to the (0-5 wt% Co) alloys. Heat treatment led to a slight increase in the corrosion resistance of the Al-Co alloys. The microstructure of the produced alloys was analyzed and correlated with the corrosion performance. Finally, corrosion mechanisms were formulated.

19.
Materials (Basel) ; 17(3)2024 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-38591563

RESUMO

(TiH2 + ScH3)/Al-Mg composite powders with different Ti contents were produced by ball milling. These composite powders were fabricated to cube and cuboid shape samples via a laser powder bed fusion process with optimal processing parameters. The TiH2 and ScH3 particles underwent dehydrogenation during the laser powder bed fusion process, and these composite powders ultimately formed Al-Mg-Sc-Ti alloys. The relative density, printability, microstructure, hardness and tensile properties of these alloy samples were investigated. The results show that these Al-Mg-Sc-Ti alloys have lower hot-crack sensitivity, having fine equiaxed grains. An Al18Mg3(Ti,Sc)2 intermetallic phase and in situ L12-Al3(Sc,Ti) precipitations formed during the laser powder bed fusion process, which is beneficial for nucleation and dispersion strengthening. The ultimate tensile strength of the Al-Mg-0.7Sc-1.0Ti alloy was 313.6 MPa with an elongation of 6.6%. During the hot isostatic pressing treatment, most of the Mg element precipitated from the matrix and changed the Al3(Sc,Ti) into a Al18Mg3(Ti,Sc)2 precipitate completely. The Al-Mg-Sc-Ti alloys were nearly fully dense after the hot isostatic pressing treatment and exhibited better mechanical properties. The ultimate tensile strength of the Al-Mg-0.7Sc-1.0Ti was 475 MPa with an elongation of 8.5%.

20.
Small ; : e2400272, 2024 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-38623970

RESUMO

Polymer-in-salt solid-state electrolytes (PIS SSEs) are emerging for high room-temperature ionic conductivity and facile handling, but suffer from poor mechanical durability and large thickness. Here, Al2O3-coated PE (PE/AO) separators are proposed as robust and large-scale substrates to trim the thickness of PIS SSEs without compromising mechanical durability. Various characterizations unravel that introducing Al2O3 coating on PE separators efficiently improves the wettability, thermal stability, and Li-dendrite resistance of PIS SSEs. The resulting PE/AO@PIS demonstrates ultra-small thickness (25 µm), exceptional mechanical durability (55.1 MPa), high decomposition temperature (330 °C), and favorable ionic conductivity (0.12 mS cm-1 at 25 °C). Consequently, the symmetrical Li cells remain stable at 0.1 mA cm-2 for 3000 h, without Li dendrite formation. Besides, the LiFePO4|Li full cells showcase excellent rate capability (131.0 mAh g-1 at 10C) and cyclability (93.6% capacity retention at 2C after 400 cycles), and high-mass-loading performance (7.5 mg cm-2). Moreover, the PE/AO@PIS can also pair with nickel-rich layered oxides (NCM811 and NCM9055), showing a remarkable specific capacity of 165.3 and 175.4 mAh g-1 at 0.2C after 100 cycles, respectively. This work presents an effective large-scale preparation approach for mechanically durable and ultrathin PIS SSEs, driving their practical applications for next-generation solid-state Li-metal batteries.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...