Virtual Sensor for On-Line Hardness Assessment in TIG Welding of Inconel 600 Alloy Thin Plates.

Maintaining high-quality welded connections is crucial in many industries. One of the challenges is assessing the mechanical properties of a joint during its production phase. Currently, in industrial practice, this occurs through NDT (non-destructive testing) conducted after the production process. This article proposes the use of a virtual sensor, which, based on temperature distributions observed on the joint surface during the welding process, allows for the determination of hardness distribution across the cross-section of a joint. Welding trials were conducted with temperature recording, hardness measurements were taken, and then, neural networks with different hyperparameters were tested and evaluated. As a basis for developing a virtual sensor, LSTM networks were utilized, which can be applied to time series prediction, as in the analyzed case of hardness value sequences across the cross-section of a welded joint. Through the analysis of the obtained results, it was determined that the developed virtual sensor can be applied to predict global temperature changes in the weld area, in terms of both its value and geometry changes, with the mean average error being less than 20 HV (mean for model ~35 HV). However, in its current form, predicting local hardness disturbances resulting from process instabilities and defects is not feasible.

Dynamic Range Compression of Thermograms for Assessment of Welded Joint Face Quality.

Temperature is one of the essential parameters in fusion welding. Typically, an uncooled infrared detector acquires 14-bit data, while a human observer can only distinguish about 128 levels of grey. For IR HDR (high dynamic range) images, one of the main goals of dynamic range compression is to enhance the visibility of low-contrast details. It is an important issue because the temperature span in the cross-section of a welded joint and its length are large. In the paper, global approaches for range compression are investigated, such as algorithms that include pixel transformations, histogram equalization ('he') and some of its variants. Additionally, multiscale decomposition methods were investigated. All results are obtained for the sequences of thermograms acquired during the TIG welding of plates made of Inconel 625 superalloy. The process was observed with an uncooled IR camera. The application of compression methods led to the generation of low-dynamic-range (LDR) IR images. The algorithms allowed the preservation of global contrast and enhancement of the visibility of hot details in dark and low-contrast areas. All IR representations of the welded samples were evaluated, and relationships between apparent temperature counted in the pixel-level value and weld-face geometry were revealed. Methods based on wavelet transforms were found to be the most suitable for this type of image; nevertheless, a relatively large local noise was generated.

Short-term mortality of patients ≥80 years old admitted to European intensive care units: an international observational study.

BACKGROUND: Limited evidence suggests variation in mortality of older critically ill adults across Europe. We aimed to investigate regional differences in mortality among very old ICU patients. METHODS: Multilevel analysis of two international prospective cohort studies. We included patients ≥80 yr old from 322 ICUs located in 16 European countries. The primary outcome was mortality within 30 days from admission to the ICU. Results are presented as n (%) with 95% confidence intervals and odds ratios (ORs). RESULTS: Of 8457 patients, 2944 (36.9% [35.9-38.0%]) died within 30 days. Crude mortality rates varied widely between participating countries (from 10.1% [6.4-15.6%] to 45.1% [41.1-49.2%] in the ICU and from 21.3% [16.3-28.9%] to 55.3% [51.1-59.5%] within 30 days). After adjustment for confounding variables, the variation in 30-day mortality between countries was substantially smaller than between ICUs (median OR 1.14 vs 1.58). Healthcare expenditure per capita (OR=0.84 per $1000 [0.75-0.94]) and social health insurance framework (OR=1.43 [1.01-2.01]) were associated with ICU mortality, but the direction and magnitude of these relationships was uncertain in 30-day follow-up. Volume of admissions was associated with lower mortality both in the ICU (OR=0.81 per 1000 annual ICU admissions [0.71-0.94]) and in 30-day follow-up (OR=0.86 [0.76-0.97]). CONCLUSION: The apparent variation in short-term mortality rates of older adults hospitalised in ICUs across Europe can be largely attributed to differences in the clinical profile of patients admitted. The volume-outcome relationship identified in this population requires further investigation.

Relationship between the Clinical Frailty Scale and short-term mortality in patients ≥ 80 years old acutely admitted to the ICU: a prospective cohort study.

BACKGROUND: The Clinical Frailty Scale (CFS) is frequently used to measure frailty in critically ill adults. There is wide variation in the approach to analysing the relationship between the CFS score and mortality after admission to the ICU. This study aimed to evaluate the influence of modelling approach on the association between the CFS score and short-term mortality and quantify the prognostic value of frailty in this context. METHODS: We analysed data from two multicentre prospective cohort studies which enrolled intensive care unit patients ≥ 80 years old in 26 countries. The primary outcome was mortality within 30-days from admission to the ICU. Logistic regression models for both ICU and 30-day mortality included the CFS score as either a categorical, continuous or dichotomous variable and were adjusted for patient's age, sex, reason for admission to the ICU, and admission Sequential Organ Failure Assessment score. RESULTS: The median age in the sample of 7487 consecutive patients was 84 years (IQR 81-87). The highest fraction of new prognostic information from frailty in the context of 30-day mortality was observed when the CFS score was treated as either a categorical variable using all original levels of frailty or a nonlinear continuous variable and was equal to 9% using these modelling approaches (p < 0.001). The relationship between the CFS score and mortality was nonlinear (p < 0.01). CONCLUSION: Knowledge about a patient's frailty status adds a substantial amount of new prognostic information at the moment of admission to the ICU. Arbitrary simplification of the CFS score into fewer groups than originally intended leads to a loss of information and should be avoided. Trial registration NCT03134807 (VIP1), NCT03370692 (VIP2).

Perioperative cardiovascular complications rate and activity of coagulation and fibrinolysis among patients undergoing vascular surgery for peripheral artery disease and abdominal aortic aneurysm.

OBJECTIVES: To compare preoperative coagulation and fibrinolysis activity and incidence of perioperative complications between patients undergoing vascular procedures for peripheral artery disease and abdominal aortic aneurysm. METHODS: This is a substudy of a prospective observational cohort study (VISION; NCT00512109) in which we recruited patients aged ≥45 years, undergoing surgery for peripheral artery disease and abdominal aortic aneurysm. Blood samples were obtained 24 h preoperatively to measure platelet count, concentrations of coagulation coagulation (fibrinogen, factor VIII, von Willebrand factor:Ristocetin cofactor, antithrombin III), fibrinolysis (dimer D, plasmin-antiplasmin complexes, tissue plasminogen activator) markers and level of soluble CD40 ligand. Incidence of myocardial infarction, stroke, and death (composite endpoint) was assessed in 30-day follow-up. RESULTS: The study group included 131 patients at the mean age of 68.3 years among whom reason for surgery was peripheral artery disease in 77 patients (58.8%) and abdominal aortic aneurysm in 54 patients (41.2%). Peripheral artery disease group was characterized by higher platelet count (250.5 versus 209.5 (×103/µl), p = 0.001), concentrations of fibrinogen (5.4 versus 4.1 (g/l), p < 0.001), factor VIII (176.9 versus 141.9 (%), p < 0.001), von Willebrand factor:Ristocetin cofactor (188.9 versus 152.3 (%), p = 0.009), and soluble CD40 ligand (9016.0 versus 7936.6 (pg/ml), p = 0.005). The dimer D level was higher (808.0 versus 2590.5 (ng/ml), p < 0.001) in the abdominal aortic aneurysm group. Incidence of major cardiovascular events (death, myocardial infarction, stroke) within 30 days from surgery did not differ between the groups (39.0% versus 29.6%, p = 0.27). CONCLUSIONS: The study suggests higher activation of coagulation and relatively lower fibrinolytic activity in peripheral artery disease group compared to patients undergoing surgery for abdominal aortic aneurysm without a significant difference in cardiovascular outcomes.

Preoperative levels of natriuretic peptides and the incidence of postoperative atrial fibrillation after noncardiac surgery: a prospective cohort study.

BACKGROUND: Postoperative atrial fibrillation (POAF) is associated with clinically significant short- and long-term complications after noncardiac surgery. Our aim was to describe the incidence of clinically important POAF after noncardiac surgery and establish the prognostic value of N-terminal pro-brain-type natriuretic peptide (NT-proBNP) in this context. METHODS: The Vascular events In noncardiac Surgery patIents cOhort evaluatioN (VISION) Study was a prospective cohort study involving patients aged 45 years and older who had inpatient noncardiac surgery that was performed between August 2007 and November 2013. We determined 30-day incidence of clinically important POAF (i.e., resulting in angina, congestive heart failure, symptomatic hypotension or requiring treatment) using logistic regression models to analyze the association between preoperative NT-proBNP and POAF. RESULTS: In 37 664 patients with no history of atrial fibrillation, we found that the incidence of POAF was 1.0% (95% confidence interval [CI] 0.9%-1.1%; 369 events); 3.2% (95% CI 2.3%-4.4%) in patients undergoing major thoracic surgery, 1.3% (95% CI 1.2%-1.5%) in patients undergoing major nonthoracic surgery and 0.2% (95% CI 0.1%-0.3%) in patients undergoing low-risk surgery. In a subgroup of 9789 patients with preoperative NT-proBNP measurements, the biomarker improved the prediction of POAF risk over conventional prognostic factors (likelihood ratio test p < 0.001; fraction of new information from NT-proBNP was 16%). Compared with a reference NT-proBNP measurement set at 100 ng/L, adjusted odds ratios for the occurrence of POAF were 1.31 (95% CI 1.15-1.49) at 200 ng/L, 2.07 (95% CI 1.27-3.36) at 1500 ng/L and 2.39 (95% CI 1.26-4.51) at 3000 ng/L. INTERPRETATION: We determined that the incidence of clinically important POAF after noncardiac surgery was 1.0%. We also found that preoperative NT-proBNP levels were associated with POAF independent of established prognostic factors. Trial registration: ClinicalTrials.gov, no. NCT00512109.

Assessing MMA Welding Process Stability Using Machine Vision-Based Arc Features Tracking System.

Arc length is a crucial parameter of the manual metal arc (MMA) welding process, as it influences the arc voltage and the resulting welded joint. In the MMA method, the process' stability is mainly controlled by the skills of a welder. According to that, giving the feedback about the arc length as well as the welding speed to the welder is a valuable property at the stage of weld training and in the production of welded elements. The proposed solution is based on the application of relatively cheap Complementary Metal Oxide Semiconductor (CMOS) cameras to track the welding electrode tip and to estimate the geometrical properties of welding arc. All measured parameters are varying during welding. To validate the results of image processing, arc voltage was measured as a reference value describing in some part the process stability.

Myocardial Injury is More Common than Deep Venous Thrombosis after Vascular Surgery and is Associated with a High One Year Mortality Risk.

OBJECTIVE/BACKGROUND: Venous thromboembolism (VTE) has been considered the dominant major life threatening vascular complication after non-cardiac surgery, but recent studies have shifted the emphasis toward myocardial injury after non-cardiac surgery (MINS) as a common adverse event in the peri-operative setting. The aim of the present study was to compare the incidence and influence on mortality of two dominant venous and arterial events in the peri-operative period by prospectively screening a consecutive cohort of patients undergoing vascular surgery. METHODS: This was a sub-study of Vascular Events In Non-cardiac Surgery Patients Cohort Evaluation (VISION), the main objective of which was to evaluate major peri-operative complications after non-cardiac surgery. Patients undergoing vascular surgery had their blood collected to measure the Roche fifth generation high sensitivity troponin T (hsTnT) assay before and four times after surgery (6-12 h post-operatively, on the first, second, and third day following the procedure). MINS was defined as an elevated post-operative hsTnT ≥65 ng/L or an hsTnT ≥20 to <65 ng/L with an absolute change of ≥5 ng/L that was judged to be due to ischaemia. All patients underwent ultrasound venous compression testing for deep vein thrombosis (DVT) before, 4, and 7 days after surgery and follow-up was performed by telephone 30 days and 1 year after surgery. RESULTS: In total, 164 consecutive patients were included in this sub-study. MINS was diagnosed in 39 patients (23.8%) and DVT in four patients (2.4%). The 1 year mortality was higher in MINS (9/39 [23.1%]) than non-MINS patients (9/125 [7.2%]; p = .006). None of the patients who developed DVT died in the first year after surgery. CONCLUSION: MINS is a common complication after vascular surgery. It occurs more frequently than DVT and is associated with high 1 year mortality.

Effectiveness of plasmapheresis in ANCA clearance in patients with ANCA-associated vasculitides.

Introduction: Plasmapheresis is a therapeutic method based on removal of high molecular weight particles from blood. It is used in a variety of clinical entities in which pathogenic role of such particles has been proven e.g. ANCA-associated vasculitides (granulomatosis with polyangiitis [GPA] and microscopic polyangiitis [MPA]). Efficacy of plasmapheresis in ANCA antibodies removal and its impact on disease activity has not been adequately investigated so far. Influence of antibodies levels on disease activity also remains unknown. Objectives: Analysis of plasmapheresis effect on serum ANCA levels in patients with ANCA-associated vasculitides. Patients and methods: Seven patients with diagnoses of ANCA-associated vasculitides were enrolled in the study between November 2015 and April 2016. All of them underwent plasmapheresis procedures. Serum ANCA levels were measured before and after plasmaphereses using fluoroimmunoenzymatic assay (FEIA). Disease activity was assessed using Birmingham Activity Vasculitis Score; BVAS ver. 3 before first plasma exchange procedure. Results: Patients in disease exacerbation (BVAS 5-10) with positive ANCA antibodies were enrolled in the study: 2 patients with GPA and 5 patients with MPA. Number of performed plasmapheresis procedures ranged from 5 to 7 (median=7). Decrease of serum antibodies concentration was observed in all patients (mean decrease of 88.3% (±10.1%)) with statistically significant difference in mean antibodies concentration before and after plasmapheresis procedures (113.0 vs 15.4; p=0.014). Conclusions: Plasmapheresis is an effective method of ANCA antibodies removal in patients in disease exacerbation.

Research on the Influence of HMFI and PWHT Treatments on the Properties and Stress States of MAG-Welded S690QL Steel Joints.

The aim of this study was to analyze the effect of the HFMI (high-frequency mechanical impact) treatment of each weld bead on the properties of a butt joint with a ceramic backing welded by robotic method 135 (MAG-metal active gas welding method) and to determine the effect of HMFI on the stress level. This analysis was based on a comparison of three butt joints made of a S690QL plate, in the as-welded condition, with the HFMI of each bead and with the heat treatment carried out with PWHT stress relief annealing. The high-frequency (90 Hz) peening of each weld bead was linked with a stress reduction in the weld via the implementation of compressive stresses into the joint. The HFMI pneumatic hammer was used for this. The correctness of treatment was achieved when 100% of the surface of each bead including the face was treated. As part of the post-welding tests, basic tests were carried out based on the standards for the qualification of welding technology, and as a supplementary test, a stress state analysis using the Barkhausen effect was carried out. The tests carried out showed that the use of high-frequency peening after each pass did not affect the negative results of all the required tests when qualifying the welding technology of S690QL sheet metal compared to the test plates in the as-welded condition and after heat treatment-stress relief annealing. Inter-pass peening of the welded face and HAZ (heat-affected zone) resulted in a reduction in post-weld residual stresses at a distance of 12 mm from the joint axis compared to the stress measurement result for the sample in the as-welded condition. This allowed for a positive assessment of peening in the context of reducing the notch, which is the concentration of tensile stresses in the area of the fusion line and HAZ. The tests carried out showed that the peening process does not reduce the strength properties of welded joints, and the results obtained allow the technology to be qualified based on applicable standards.

Effect of Cooling Rate on Microstructure of In Situ TiC-Reinforced Composite Surface Layers Synthesized on Ductile Cast Iron by Laser Alloying.

The microstructure of the in situ TiC-reinforced composite surface layers developed during laser surface alloying of a ductile cast iron substrate with titanium was related to the solidification conditions in the molten pool. The solidification conditions were estimated using infrared thermography. It was found that the cooling rates of the melt up to about 700 °C/s enable the complete reaction between carbon and the entire amount of titanium introduced into the molten pool. In turn, the cooling rate of about 280 °C/s for the melt containing 8.0 wt% Ti allows the TiC particles to grow in the dendritic form with well-developed secondary arms and a total size of up to 30 µm. For a constant Ti content, the cooling rate of the melt had no effect on the TiC fraction. The increase in the cooling rate elevated the retained austenite fraction in the matrix material, lowering its hardness.

Microstructure and Erosion Wear of In Situ TiC-Reinforced Co-Cr-W-C (Stellite 6) Laser-Cladded Coatings.

The article presents research results on the possibility of shaping the structure and properties of Co-Cr-W-C-Ti alloys (type Stellite 6) using laser cladding technology. Cobalt-based alloys are used in several industries because they are characterized by high erosion, abrasion, and corrosion resistance, retaining these properties at high temperatures. To further increase erosion resistance, it seems appropriate to reinforce material by in situ synthesis of hard phases. Among the transition metal carbides (TMCs), titanium carbide is one of the hardest and can have a positive effect on the extension of the lifetime of components made from cobalt-based alloys. In this article, concentration of C, W, and Ti due to the possibility of in situ synthesis of titanium carbides was subjected to detailed analysis. The provided research includes macrostructure and microstructure analysis, X-ray diffraction (XRD), microhardness, and penetrant tests. It was found that the optimal concentrations of Ti and C in the Co-Cr-W-C alloy allow the formation of titanium carbides, which significantly improves erosion resistance for low impact angles. Depending on the concentrations of titanium, carbon, and tungsten in the molten metal pool, it is possible to shape the alloy structure by influencing to morphology and size of the reinforcing phase in the form of the complex carbide (Ti,W)C.

Mortality and major postoperative complications within 1 year after vascular surgery: a prospective cohort study.

INTRODUCTION: Patients undergoing vascular procedures are prone to developing postoperative complications affecting their short­term mortality. Prospective reports describing the incidence of long­term complications after vascular surgery are lacking. OBJECTIVES: We aimed to describe the incidence of complications 1 year after vascular surgery and to evaluate an association between myocardial injury after noncardiac surgery (MINS) and 1­year mortality. PATIENTS AND METHODS: This is a substudy of a large prospective cohort study Vascular Events in Noncardiac Surgery Patients Cohort Evaluation (VISION). Recruitment took place in 28 centers across 14 countries from August 2007 to November 2013. We enrolled patients aged 45 years or older undergoing vascular surgery, receiving general or regional anesthesia, and hospitalized for at least 1 night postoperatively. Plasma cardiac troponin T concentration was measured before the surgery and on the first, second, and third postoperative day. The patients or their relatives were contacted 1 year after the procedure to assess the incidence of major postoperative complications. RESULTS: We enrolled 2641 patients who underwent vascular surgery, 2534 (95.9%) of whom completed 1­year follow­up. Their mean (SD) age was 68.2 (9.8) years, and the cohort was predominantly male (77.5%). The most frequent 1­year complications were myocardial infarction (224/2534, 8.8%), amputation (187/2534, 7.4%), and congestive heart failure (67/2534, 2.6%). The 1­year mortality rate was 8.8% (223/2534). MINS occurred in 633 patients (24%) and was associated with an increased 1­year mortality (hazard ratio, 2.82; 95% CI, 2.14-3.72; P <0.001). CONCLUSIONS: The incidence of major postoperative complications after vascular surgery is high. The occurrence of MINS is associated with a nearly 3­fold increase in 1­year mortality.

The Structure and Properties of Laser-Cladded Inconel 625/TiC Composite Coatings.

This article presents production results concerning metal matrix composite-coatings made using the laser-cladding technology. The enhancement of the wear resistance of the material surface is the one of the main goals accompanying the manufacturing of composite coatings. Nickel-based superalloys are used in several industries because they are characterized by a number of desirable properties including high tensile and fatigue strength as well as resistance to high-temperature corrosion in aggressive environments. One of the most interesting materials from the group of superalloys is Inconel 625, used as a matrix material in tests discussed in this article. However, nickel-based superalloys are also characterized by an insufficient wear resistance of the surface, therefore, in relation to the tests discussed in this article, Inconel 625-based composite coatings were reinforced by adding 10%, 20% and 40% of titanium carbide particles. The addition of hard phases, i.e., TiC, WC or SiC particles can have a positive effect on the erosion resistance of cladded specimens. The aim of the experiment was to determine the impact of the titanium carbide content on the structure of the alloy and its resistance to corrosive wear, enabling the extension of the service life of Inconel 625/TiC composite coatings. The investigation included microhardness tests, corrosion resistance analysis, penetrant tests, macrostructure and microstructure analyses and X-ray diffraction (XRD) tests. The TiC particles increased the hardness of the coatings and, in general, had a negative impact on the corrosion resistance of pure Inconel 625 coatings. However, the increased homogeneity of composite coatings translated into the improvement of corrosion resistance.

Assessment of the Laser Beam Welding of Galvanized Car Body Steel with an Additional Organic Protective Layer.

This study discusses the effect of laser beam welding parameters on the structure, mechanical properties and corrosion resistance of 1.2 mm thick galvanized sheets made of low-carbon steel DC04 provided with a ZE36/36 GardoprotectOC2BU organic coating. The test laser beam butt welded joints were made without the filler metal, using a variable welding rate, where linear welding energy was restricted within the range of 30 J/mm to 90 J/mm. The joints were subjected to non-destructive tests, destructive tests and corrosion resistance tests. The tests revealed the possibility of making joints meeting the criteria specified in the ISO 15614-11 standard. Regardless of the value of linear welding energy applied in the process, all the joints were characterised by high mechanical and plastic properties. It was noticed that an increase in linear welding energy from 30 J/mm to 90 J/mm was accompanied by the widening of the weld and that of the heat-affected zone (HAZ). In addition, an increase in linear welding energy was accompanied by a decrease in the maximum weld hardness to approximately 250 HV0.2. In the HAZ, hardness was restricted within the range of 190 HV0.2 to 230 HV0.2 and decreased along with increasing linear welding energy. In the static tensile test, regardless of the value of linear welding energy, the test specimen ruptured in the base material. In the bend test, regardless of the value of linear welding energy, a bend angle of 180° was obtained without partial tear or scratches; unit elongation was restricted within the range of 29% to 42%. The electrochemical tests and experiments performed in the salt spray chamber revealed the very high effectiveness of the corrosion protections against aggressive chloride ions.

The effect of TIG welding on the structure and hardness of butt joints made of Inconel 718.

The tests discussed in the article aimed to analyse the structure and hardness of the heat affected zone and that of the weld in thin butt joints (1.0 mm) made of Inconel 718 using the TIG method and variable welding linear energy restricted within the range of 45 J/mm to 80 J/mm. The test joints were subjected to visual tests, macro and microscopic metallographic tests, scanning electron microscopy-based structural observations and hardness measurements. The tests concerned with the effect of the TIG welding of butt joints made of 1.0 mm thick sheets (Inconel 718) in laboratory conditions revealed that the most favourable quality of the sheets was obtained when welding arc linear energy was restricted within the range of approximately 45 J/mm to 80 J/mm. An increase in linear energy within the above-presented range led to an increase in the width of the weld and that of the HAZ (observed in the joints subjected to macroscopic metallographic tests). In addition, an increase in linear energy restricted within the aforesaid range increased the grain size in matrix γ (in the HAZ) from approximately 10 µm-20 µm. The structure of the weld contained the zone of columnar grains oriented towards the fusion line as well as large groups of primary grains having the dendritic structure with clearly visible axes of primary dendrites of varied orientation. In addition, the weld structure also contained precipitates in the form of low-melting eutectics located in interdendritic spaces.

Two-dimensional speckle-tracking echocardiography reveals systolic abnormalities in granulomatosis with polyangiitis (Wegener's).

BACKGROUND: Two-dimensional speckle-tracking echocardiography (STE) is a novel technique providing accurate assessment of myocardial function. However, its value in granulomatosis with polyangiitis (Wegener's) (WG) has not been studied. OBJECTIVE: To assess the presence and frequency of systolic left ventricular (LV) dysfunction using STE and to determine incremental value of STE over standard echocardiography to detect myocardial abnormalities in WG. METHODS: Twenty-two WG patients (11 males, 11 females, mean age 46.8 ± 12.3 years) and 22 sex- and age-matched healthy subjects underwent standard and STE. Global longitudinal, circumferential, and rotational deformation parameters were calculated. RESULTS: All patients had LV ejection fraction (EF) >50%. LVEF was 65.0 ± 7.5% and LV end-diastolic volume index 44.8 ± 11.8 mL/m(2) . Regional LV wall motion abnormalities were found in 7 (32%), while abnormal global STE determined systolic dysfunction in 16 (73%) subjects (P = 0.008). Global longitudinal, circumferential and radial peak-systolic deformational parameters (strain or strain rate) were decreased in 11 (50%), 9 (41%), and 3 (14%) patients (P = 0.02), respectively. Comparing patients with abnormal and normal STE derived global systolic function, the former had higher cumulative disease extent index (10.6 ± 3.0 vs 7.5 ± 1.8; P = 0.03) and vasculitis damage index (7.9 ± 1.9 vs 6.0 ± 1.7; P = 0.04). CONCLUSIONS: Despite normal LVEF the global systolic LV abnormalities detected by STE are common in WG. They correspond to the extent and severity of WG and are more frequent than regional wall motion abnormalities in standard echocardiography.

FEM-Based Thermogram Correction for Inconel 625 Joint Hardness Clustering.

Assessing the temperature of the joint in on-line mode is a vital task that is demanded to characterize the formations of terns formations that are taking place in a joint and result in reaching necessary properties of the joint. Arc welding generates a high amount of heat that is reflected by the metallic surface of the welded object. In the paper, a temperature measurement credibility increase method is described and evaluated. The proposed method is used to reduce the influence of the reflected temperature of the hot torch and the arc on the temperature distribution observed on the surface of the welded joint using an infrared camera. The elaborated approach is based on comparison between infrared observation of the solidifying weld and precisely performed finite element method (FEM) simulation. The FEM simulations were calibrated according to the geometry of the fusion zone. It allows to precisely model heat source properties. The best-reflected temperature correction map was selected and applied to obtain a temperature representation that differs from the FEM baseline by less than 10 °C. Precise temperature values allowed us to cluster welded joints in 3D feature space (temperature, hardness, linear energy). It was found that by using the k-means clustering method it is possible to distinguish between correct and faulty (in terms of too low mechanical properties) joints.

Treatment outcomes in Polish COVID-19 patients requiring hospitalisation in the intensive care unit: a single-centre retrospective study.

INTRODUCTION: COVID-19 has disturbed the functioning of Polish healthcare for the past two years. Due to the high proportion of patients requiring admission to the intensive care unit (ICU), these wards are particularly overwhelmed and are considered the bottleneck of the healthcare system. The aim of this study was to describe clinical outcomes of critically ill patients treated in a single tertiary ICU in Poland, assess factors associated with mortality and compare outcomes of patients treated during the 2nd and 3rd waves of the pandemic. MATERIAL AND METHODS: This is a retrospective single-centre study including patients admitted to the ICU between October 2020 and May 2021 (the 3rd wave) with confirmed SARS-CoV-2 infection. Patients were followed up until death or 90 days after ICU admission. The co-primary endpoints of this study included ICU, 30-day and 90-day mortality. RESULTS: We enrolled 108 patients at a mean age of 64.3 (SD = 12) years, the majority of whom were male (63.9%). Mortality in the ICU, after 30 days and 90 days was 44.4% (48/108), 50.0% (54/108), and 57.9% (62/108), respectively. Mortality at 90 days was associated with increasing age (OR = 3.97, 95% CI: 1.87-8.41) and was significantly higher during the 2nd wave (65.6 vs. 46.5%, log-rank P = 0.043) compared to the 3rd wave of the pandemic. CONCLUSIONS: This retrospective single-centre study confirms the high mortality rate among critically ill patients with COVID-19. Moreover, it suggests a significant association between 90-day mortality and increasing age as well as differences in mortality between the 2nd and 3rd waves of the pandemic in Poland.