Influence of Electroless Nickel-DLC (Diamond-like Carbon) Multilayer Coating on the Mechanical Performance of the Heat-Treated AlSi10Mg Alloy Produced by Powder Bed Fusion-Laser Beam.

This study characterizes the mechanical performance of the AlSi10Mg alloy produced by powder bed fusion-laser beam (PBF-LB) subjected to two combined cycles consisting of multilayer coating deposition (electroless nickel (Ni-P) + diamond-like carbon (DLC)) and heat treatment. In particular, the DLC deposition phase replaces the artificial aging step in the T5 and T6 heat treatments, obtaining the following post-production cycles: (i) Ni-P + DLC deposition and (ii) rapid solution (SHTR) (10 min at 510 °C) before Ni-P + DLC deposition. Microstructural characterization shows no appreciable modifications in the morphology and dimensions of the hard Si-rich phase of the eutectic network and secondary spheroidal Si phase.

How Emergency Medicine Residents Have Conversations About Life-Sustaining Treatments in Critical Illness: A Qualitative Study Using Inductive Thematic Analysis.

Study Objective: The inherent pressures of high-acuity, critical illness in the emergency department create a unique environment whereby acute goals-of-care discussions must be had with patients or substitute decision makers to rapidly decide between divergent treatment paths. Among university-affiliated hospitals, resident physicians are often conducting these highly consequential discussions. This study aimed to use qualitative methods to explore how emergency medicine residents make recommendations regarding life-sustaining treatments during acute goals-of-care discussions in critical illness.

On the Role of Microstructure and Defects in the Room and High-Temperature Tensile Behavior of the PBF-LB A357 (AlSi7Mg) Alloy in As-Built and Peak-Aged Conditions.

Additive processes like Laser Beam Powder Bed Fusion (PBF-LB) result in a distinctive microstructure characterized by metastability, supersaturation, and finesse. Post-process heat treatments modify microstructural features and tune mechanical behavior. However, the exposition at high temperatures can induce changes in the microstructure.

Influence of Microstructure on Fracture Mechanisms of the Heat-Treated AlSi10Mg Alloy Produced by Laser-Based Powder Bed Fusion.

Few systematic studies on the correlation between alloy microstructure and mechanical failure of the AlSi10Mg alloy produced by laser-based powder bed fusion (L-PBF) are available in the literature. This work investigates the fracture mechanisms of the L-PBF AlSi10Mg alloy in as-built (AB) condition and after three different heat treatments (T5 (4 h at 160 °C), standard T6 (T6B) (1 h at 540 °C followed by 4 h at 160 °C), and rapid T6 (T6R) (10 min at 510 °C followed by 6 h at 160 °C)). In-situ tensile tests were conducted with scanning electron microscopy combined with electron backscattering diffraction.

Impact of baseline beta-blocker use on inotrope response and clinical outcomes in cardiogenic shock: a subgroup analysis of the DOREMI trial.

Background: Cardiogenic shock (CS) is associated with significant morbidity and mortality. The impact of beta-blocker (BB) use on patients who develop CS remains unknown. We sought to evaluate the clinical outcomes and hemodynamic response profiles in patients treated with BB in the 24 h prior to the development of CS.