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Keywords = Dislocation bundles

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22 pages, 4820 KiB  
Article
Microstructure and Properties of Corrosion-Resistant Steel Produced by CASTRIP
by Kai Lei, Long Chen, Hengchang Lu, Xintong Lian, Qingxiao Feng, Hualong Li and Han Dong
Crystals 2025, 15(7), 595; https://doi.org/10.3390/cryst15070595 - 24 Jun 2025
Viewed by 390
Abstract
The CASTRIP process is an innovative method for producing flat rolled low-carbon and low-alloy steel at very thin thicknesses. By casting steel close to its final dimensions, enormous savings in time and energy can be realized. In this paper, an ultra-high-strength low-alloy corrosion-resistant [...] Read more.
The CASTRIP process is an innovative method for producing flat rolled low-carbon and low-alloy steel at very thin thicknesses. By casting steel close to its final dimensions, enormous savings in time and energy can be realized. In this paper, an ultra-high-strength low-alloy corrosion-resistant steel was produced through the CASTRIP process. Microstructure and properties were investigated by means of optical microscopy (OM), scanning electron microscopy (SEM), transmission electron microscopy (TEM), laser confocal microscopy (LSCM), electron backscattered diffraction (EBSD), and tensile testing. The results show that the microstructure is mainly composed of polygonal ferrite, bainite ferrite, and acicular ferrite. The bainite ferrite forms parallel lath bundles nucleating at austenite grain boundaries, propagating perpendicularly into the parent grains. The acicular ferrite exhibits a cross-interlocked morphology preferentially nucleating at oxide/sulfide inclusions. Microstructural characterization confirms that the phase transformation of acicular ferrite and bainite ferrite introduces high-density dislocations, identified as the primary strengthening mechanism. Under the CASTRIP process, corrosion-resistant elements such as Cu, P, Sb, and Nb are completely dissolved in the matrix without grain boundary segregation, thereby contributing to solid solution strengthening. Full article
(This article belongs to the Special Issue Phase Transformation and Microstructure Evolution of Alloys)
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10 pages, 8429 KiB  
Article
Study on Fatigue Fracture Behavior of S32750 Duplex Stainless Steel at Different Solution Temperatures
by Shun Bao, Han Feng, Zhigang Song, Jianguo He, Xiaohan Wu and Yang Gu
Crystals 2025, 15(1), 44; https://doi.org/10.3390/cryst15010044 - 31 Dec 2024
Cited by 1 | Viewed by 806
Abstract
This paper investigates the tensile and low-cycle fatigue characteristics of S32750 duplex stainless steel subjected to two distinct solid solution treatment temperatures. The microstructures, fracture surfaces, and slip systems of the tested steel were analyzed using optical microscopy (OM), scanning electron microscopy (SEM), [...] Read more.
This paper investigates the tensile and low-cycle fatigue characteristics of S32750 duplex stainless steel subjected to two distinct solid solution treatment temperatures. The microstructures, fracture surfaces, and slip systems of the tested steel were analyzed using optical microscopy (OM), scanning electron microscopy (SEM), and transmission electron microscopy (TEM) techniques. The findings reveal that elevating the solid solution treatment temperature from 1080 °C to 1180 °C results in an increase in the yield strength of the tested steel by approximately 36 MPa and a substantial enhancement in fatigue life by 34%. Microhardness measurements indicate that the degree of hardening in austenite post-fatigue failure significantly surpasses that of ferrite. The variation in solid solution temperature alters the ferrite and austenite content within the matrix, consequently affecting the strain distribution between the two phases. The high-temperature solid solution treatment effectively enhances the two-phase strain-bearing capacity of the tested steel. Following the 1180 °C solid solution treatment, no cloud-like dislocation patterns were observed in the ferrite; instead, they were replaced by a proliferation of thick, interwoven dislocation bundles. In contrast, the dislocations within the austenite predominantly consist of ordered planar slip and twinning. The primary contributor to the extended fatigue life is the increased number of absorbed dislocations within the ferrite grains. Full article
(This article belongs to the Special Issue Advanced High-Strength Steel)
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25 pages, 6294 KiB  
Article
Transition to Metallic and Superconducting States Induced by Thermal or Electrical Deoxidation of the Dislocation Network in the Surface Region of SrTiO3
by Krzysztof Szot, Christian Rodenbücher, Krzysztof Rogacki, Gustav Bihlmayer, Wolfgang Speier, Krystian Roleder, Franciszek Krok, Hugo Keller, Arndt Simon and Annette Bussmann-Holder
Nanomaterials 2024, 14(23), 1944; https://doi.org/10.3390/nano14231944 - 4 Dec 2024
Viewed by 1220
Abstract
The question as to why deoxidized SrTiO3−δ becomes metallic and superconducting at extremely low levels of oxygen vacancy concentration has been a mystery for many decades. Here, we show that the real amount of effused oxygen during thermal reduction, which is needed [...] Read more.
The question as to why deoxidized SrTiO3−δ becomes metallic and superconducting at extremely low levels of oxygen vacancy concentration has been a mystery for many decades. Here, we show that the real amount of effused oxygen during thermal reduction, which is needed to induce superconducting properties, is in the range of only 1014/cm3 and thus even lower than the critical carrier concentrations assumed previously (1017–1019/cm3). By performing detailed investigations of the optical and electrical properties down to the nanoscale, we reveal that filaments are forming during reduction along a network of dislocations in the surface layer. Hence, a reduced epi-polished SrTiO3−δ crystal has to be regarded as a nano-composite consisting of a perfect dielectric matrix with negligible carrier density, which is short-circuited by metallic filaments with a local carrier density in the range of 1020/cm3. We present that electro-degradation leads to a more pronounced evolution of filamentary bundles and thus can generate a superconducting state with higher TC than thermal reduction. These findings indicate that traditional homogeneous models of superconductivity in self-doped SrTiO3−δ need to be revised, and we propose an alternative explanation taking into account the coexistence of metallic dislocation cores with polar insulating regions allowing for polaronic coupling. Full article
(This article belongs to the Special Issue Recent Advances in Nanowires and Superconductors (Second Edition))
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16 pages, 9738 KiB  
Article
Spectral Characteristics of Nitrogen-Doped CVD Synthetic Diamonds and the Origin of Surface Blue Fluorescence
by Yu Zhang, Guanghai Shi and Zixuan Xie
Crystals 2024, 14(9), 804; https://doi.org/10.3390/cryst14090804 - 11 Sep 2024
Viewed by 1785
Abstract
In recent years, many studies have been published on CVD diamond growth, but the reason for the irregular blue surface fluorescence of CVD diamond under ultra-deep UV radiation (i.e., under DiamondView) is still unclear. Here, a batch of as-grown and LPHT-annealed CVD synthetic [...] Read more.
In recent years, many studies have been published on CVD diamond growth, but the reason for the irregular blue surface fluorescence of CVD diamond under ultra-deep UV radiation (i.e., under DiamondView) is still unclear. Here, a batch of as-grown and LPHT-annealed CVD synthetic diamond samples from a Chinese company in Zhejiang were analyzed for the various spectral (infrared (IR), UV–visible absorption, Raman, and photoluminescence (PL)) characteristics to explore the origin of surface blue fluorescence. The results show that the samples are nitrogen-doped type IIa CVD synthetic diamonds. Spectral peaks of the earlier CVD products, e.g., 3123 cm−1 (NVH0) (IR absorption spectrum) and 596/597 nm (PL emission spectrum), are absent in these samples, while the peaks at 736.5/736.8 nm (SiV) in the UV or PL spectra are less common. PL spectra and DiamondView fluorescence indicate that the samples have generally strong luminescence peaks at 637 nm in the NV center, 575 nm in the NV0 center, and other luminescence peaks caused by nitrogen-related defects. The as-grown samples observed under DiamondView show orange-red fluorescence accompanied by striations due to step-flow growth, and blue fluorescence appears as irregular threads or bundles on the surface. The LPHT-annealed sample shows weaker fluorescence with localized patches of green fluorescence contributed by weak H3 centers. The micro-IR spectra suggest that the unique blue fluorescence in the CVD diamond may be related to the dislocations caused by sp3-CH2 due to the incomplete dehydrogenation of hydrocarbon groups in the raw material. Full article
(This article belongs to the Special Issue The Progress of In-Situ Study of Mineralogy and Gemmology)
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12 pages, 11343 KiB  
Article
Study on the Deformation Behavior of Two Phases during the Low Cycle Fatigue of UNS S32750 Duplex Stainless Steel
by Shun Bao, Han Feng, Zhigang Song, Jianguo He, Xiaohan Wu and Yang Gu
Materials 2024, 17(14), 3390; https://doi.org/10.3390/ma17143390 - 9 Jul 2024
Cited by 1 | Viewed by 1049
Abstract
In this paper, the deformation behavior of UNS S32750 (S32750) duplex stainless steel during low cycle fatigue was studied by controlling the number of cycles. The microstructure of the specimens under different cycles was characterized by optical microscope (OM), scanning electron microscope (SEM), [...] Read more.
In this paper, the deformation behavior of UNS S32750 (S32750) duplex stainless steel during low cycle fatigue was studied by controlling the number of cycles. The microstructure of the specimens under different cycles was characterized by optical microscope (OM), scanning electron microscope (SEM), electron backscatter diffraction (EBSD), and transmission electron microscope (TEM). The microhardness of the two phases was measured by a digital microhardness instrument. The results showed that the microhardness of ferrite increases significantly after the first 4000 cycles, while the austenite shows a higher strain hardening rate after fatigue fracture, and the microhardness of ferrite and austenite increases by 23 HV and 87 HV, respectively. The two-phase kernel average misorientation (KAM) diagram showed that the continuous accumulation of plastic deformation easily leads to the initiation of cracks inside the austenite and at the phase boundaries. The evolution of dislocation morphology in the two phases was obviously different. With the increase in cycle number, the dislocation in ferrite gradually transforms from dislocation bundles and a dislocation array to a sub-grain structure, while the dislocation in austenite gradually develops from dipole array to an ordered Taylor lattice network structure. Full article
(This article belongs to the Section Metals and Alloys)
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14 pages, 425 KiB  
Systematic Review
The Use of Synthetic Graft for MPFL Reconstruction Surgery: A Systematic Review of the Clinical Outcomes
by Panayiotis Tanos, Chryssa Neo, Edwin Tong and Andrea Volpin
Med. Sci. 2023, 11(4), 75; https://doi.org/10.3390/medsci11040075 - 28 Nov 2023
Cited by 5 | Viewed by 3357
Abstract
(1) Background: Acute patella dislocation (APD) is a prevalent knee injury, with rates between 5.8–77.8 per 100,000. APD often results in repeat lateral patella dislocations due to the instability of the medial patellofemoral ligament (MPFL). Non-operative treatments have a 50% recurrence rate. While [...] Read more.
(1) Background: Acute patella dislocation (APD) is a prevalent knee injury, with rates between 5.8–77.8 per 100,000. APD often results in repeat lateral patella dislocations due to the instability of the medial patellofemoral ligament (MPFL). Non-operative treatments have a 50% recurrence rate. While autologous grafting for MPFL has been favored, surgeons are now exploring synthetic grafts. We aimed to assess the effectiveness of synthetic grafts in MPFL reconstruction surgeries for repeated patellar dislocations; (2) Methods: Our research was based on a thorough search from the National Institute of Health and Clinical Excellence Healthcare Databases, using the Modified Coleman Methodology Score for quality assessment; (3) Results: Six studies met the inclusion criteria. A total of 284 patients and 230 knees were included. Seventy-five percent of patients were graded to have excellent-good clinical outcomes using the Crosby and Insall Grading System. International Knee Documentation Committee score and Knee injury and Osteoarthritis Outcome Score scores showed 59% and 60% post-operative improvement, respectively; (4) Conclusions: All studies showed improvement in post-operative functional outcomes and report no serious adverse events. The 6 mm, LARS (Orthomedic Ltd., Dollard-des-Ormeaux, QC, Canada) proved to have the most improvement in post-operative outcomes when used as a double bundle graft. Full article
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16 pages, 6413 KiB  
Article
Temperature Effect on the Deformation Behavior in Nanocrystalline Magnesium under Compression: An Atomistic Study
by Cheng Zhang, Chun Xu, Yu Li, Binjun Wang and Yanhui Guo
Crystals 2023, 13(10), 1479; https://doi.org/10.3390/cryst13101479 - 11 Oct 2023
Cited by 2 | Viewed by 1573
Abstract
The classic molecular dynamics (MD) simulation approach has been used to investigate the microstructure change in polycrystalline magnesium (Mg) during compressive deformation at various temperatures. At low temperatures, there exists a competition between the sliding of Shockley partial dislocation (SPD) and perfect <a> [...] Read more.
The classic molecular dynamics (MD) simulation approach has been used to investigate the microstructure change in polycrystalline magnesium (Mg) during compressive deformation at various temperatures. At low temperatures, there exists a competition between the sliding of Shockley partial dislocation (SPD) and perfect <a> dislocation. Abundant dislocation behaviors such as dislocation bundle and double cross slipping are observed. With a temperature increase, the dislocation sliding is hindered by the newly formed grain boundaries (GBs). The grain reorientation should be the compensatory mechanism for plastic deformation at high temperatures. Furthermore, dynamic recrystallization (DRX) is found at the highest temperature investigated. For all the temperature cases studied, twinning is unsensitive against applied compressive stress. The results of this work may help to understand the temperature effect on the mechanism in polycrystalline Mg under compressive deformation. Full article
(This article belongs to the Special Issue Corrosion and Mechanical Performance of Magnesium Alloys)
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17 pages, 596 KiB  
Review
Early and Long-Term Clinical and Echocardiographic Outcomes of Sutureless vs. Sutured Bioprosthesis for Aortic Valve Replacement
by Aleksander Dokollari, Gianluca Torregrossa, Gianluigi Bisleri, Ali Fatehi Hassanabad, Michel Pompeu Sa, Serge Sicouri, Altin Veshti, Edvin Prifti, Beatrice Bacchi, Francesco Cabrucci, Basel Ramlawi and Massimo Bonacchi
J. Cardiovasc. Dev. Dis. 2023, 10(5), 224; https://doi.org/10.3390/jcdd10050224 - 22 May 2023
Cited by 5 | Viewed by 2384
Abstract
Objective: The goal of this manuscript is to compare clinical and echocardiographic outcomes of patients undergoing aortic valve replacement (AVR) with Perceval sutureless bioprosthesis (SU-AVR) and sutured bioprosthesis (SB). Methods: Following the PRISMA statement, data were extracted from studies published after [...] Read more.
Objective: The goal of this manuscript is to compare clinical and echocardiographic outcomes of patients undergoing aortic valve replacement (AVR) with Perceval sutureless bioprosthesis (SU-AVR) and sutured bioprosthesis (SB). Methods: Following the PRISMA statement, data were extracted from studies published after August 2022 and found in PubMed/MEDLINE, EMBASE, CENTRAL/CCTR, ClinicalTrials.gov, SciELO, LILACS, and Google Scholar. The primary outcome of interest was post-procedural permanent pacemaker implantation, and the secondary outcomes were new left bundle branch block (LBBB), moderate/severe paravalvular leak (PVL), valve dislocation (pop-out), need for a second transcatheter heart valve, 30-day mortality, stroke, and echocardiographic outcomes. Results: Twenty-one studies were included in the analysis. When SU-AVR was compared to other SB, mortality ranged from 0 to 6.4% for Perceval and 0 to 5.9% for SB. Incidence of PVL (Perceval 1–19.4% vs. SB 0–1%), PPI (Perceval 2–10.7% vs. SB 1.8–8.5%), and MI (Perceval 0–7.8% vs. SB 0–4.3%) were comparable. In addition, the stroke rate was lower in the SU-AVR group when compared to SB (Perceval 0–3.7% vs. SB 1.8–7.3%). In patients with a bicuspid aortic valve, the mortality rate was 0–4% and PVL incidence was 0–2.3%. Long-term survival ranged between 96.7 and 98.6%. Valve cost analysis was lower for the Perceval valve and higher for sutured bioprosthesis. Conclusions: Compared to SB valves, Perceval bioprosthesis has proved to be a reliable prosthesis for surgical aortic valve replacement due to its non-inferior hemodynamics, implantation speed, reduced cardiopulmonary bypass time, reduced aortic cross-clamp time, and shorter length of stay. Full article
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15 pages, 1498 KiB  
Review
Studies of Dislocations in Type Ib, Type IIa HPHT and CVD Single Crystal Diamonds
by Devi Shanker Misra
Crystals 2023, 13(4), 657; https://doi.org/10.3390/cryst13040657 - 11 Apr 2023
Cited by 4 | Viewed by 3988
Abstract
In this review, the X-ray topography results of various types of single crystal diamonds (SCDs) are reported. Dislocations and dislocation bundles are present in all types of SCDs, the only exception being type IIa high-pressure, high-temperature (HPHT) SCDs. The technology of growing HPHT [...] Read more.
In this review, the X-ray topography results of various types of single crystal diamonds (SCDs) are reported. Dislocations and dislocation bundles are present in all types of SCDs, the only exception being type IIa high-pressure, high-temperature (HPHT) SCDs. The technology of growing HPHT type IIa SCDs has advanced to a level where the samples show almost no dislocations or dislocation bundles. However, very few groups appear to have perfected the process of HPHT growth of type IIa SCDs. There appears to be a characteristic difference in the dislocations present in type Ib HPHT and chemical vapor deposited (CVD) SCDs. The dislocations in CVD SCDs are mostly in aggregate form, while in HPHT type Ib diamonds there are line dislocations which propagate in <111> or <112> directions. The CVD SCDs growth appears to be in the early stage in terms of the control of dislocations and dislocation bundles, compared to other semiconductor wafers. The dislocations and dislocation bundles and aggregates in SCDs limit their applications in electronic and optical devices. For instance, high-power laser windows must have low dislocations and dislocation bundles. For electronic devices such as high-power diodes, dislocations reduce the breakdown voltage of SCDs, limiting their applications. The knowledge of dislocations, their identification and their origin are, therefore, of utmost importance for the applications of SCDs, be they HPHT or CVD grown. Full article
(This article belongs to the Special Issue Diamonds: Growth, Properties and Applications)
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28 pages, 4511 KiB  
Article
High Precision Mesh-Based Drone Image Stitching Based on Salient Structure Preservation and Regular Boundaries
by Qiuze Yu, Ruikai Wang, Fanghong Liu, Jinsheng Xiao, Jiachun An and Jin Liu
Drones 2023, 7(4), 230; https://doi.org/10.3390/drones7040230 - 27 Mar 2023
Cited by 2 | Viewed by 2977
Abstract
Addressing problems such as obvious ghost, dislocation, and distortion resulting from the traditional stitching method, a novel drone image-stitching method is proposed using mesh-based local double-feature bundle adjustment and salient structure preservation which aims to obtain more natural panoramas.The proposed method is divided [...] Read more.
Addressing problems such as obvious ghost, dislocation, and distortion resulting from the traditional stitching method, a novel drone image-stitching method is proposed using mesh-based local double-feature bundle adjustment and salient structure preservation which aims to obtain more natural panoramas.The proposed method is divided into the following steps. First, reducing parallax error is considered from both global and local aspects. Global bundle adjustment is introduced to minimize global transfer error, and then the local mesh-based feature-alignment model is incorporated into the optimization framework to achieve more accurate alignment. Considering the sensitivity of human eyes to linear structure, the global linear structure that runs through the images obtained by segment fusion is introduced to prevent distortions and align matching line segments better. Rectangular panoramas usually have better visual effects. Therefore, regular boundary constraint combined with mesh-based shape-preserving transform can make the results more natural while preserving mesh geometry. Two new evaluation metrics are also developed to quantify the performance of linear structure preservation and the alignment difference of matching line segments. Extensive experiments show that our proposed method can eliminate parallax and preserve global linear structures better than other state-of-the-art stitching methods and obtain more natural-looking stitching results. Full article
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26 pages, 10784 KiB  
Article
Large-Scale Defect Clusters with Hexagonal Honeycomb-like Arrangement in Ammonothermal GaN Crystals
by Lutz Kirste, Thu Nhi Tran Thi Caliste, Jan L. Weyher, Julita Smalc-Koziorowska, Magdalena A. Zajac, Robert Kucharski, Tomasz Sochacki, Karolina Grabianska, Malgorzata Iwinska, Carsten Detlefs, Andreas N. Danilewsky, Michal Bockowski and José Baruchel
Materials 2022, 15(19), 6996; https://doi.org/10.3390/ma15196996 - 9 Oct 2022
Cited by 8 | Viewed by 2509
Abstract
In this paper, we investigate, using X-ray Bragg diffraction imaging and defect selective etching, a new type of extended defect that occurs in ammonothermally grown gallium nitride (GaN) single crystals. This hexagonal “honeycomb” shaped defect is composed of bundles of parallel threading edge [...] Read more.
In this paper, we investigate, using X-ray Bragg diffraction imaging and defect selective etching, a new type of extended defect that occurs in ammonothermally grown gallium nitride (GaN) single crystals. This hexagonal “honeycomb” shaped defect is composed of bundles of parallel threading edge dislocations located in the corners of the hexagon. The observed size of the honeycomb ranges from 0.05 mm to 2 mm and is clearly correlated with the number of dislocations located in each of the hexagon’s corners: typically ~5 to 200, respectively. These dislocations are either grouped in areas that exhibit “diameters” of 100–250 µm, or they show up as straight long chain alignments of the same size that behave like limited subgrain boundaries. The lattice distortions associated with these hexagonally arranged dislocation bundles are extensively measured on one of these honeycombs using rocking curve imaging, and the ensemble of the results is discussed with the aim of providing clues about the origin of these “honeycombs”. Full article
(This article belongs to the Section Electronic Materials)
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11 pages, 3537 KiB  
Article
Study on Microstructure and Properties of NM500/Q345 Clad Plates at Different Austenitization Temperatures
by Guanghui Zhao, Ruifeng Zhang, Juan Li, Cuirong Liu, Huaying Li and Yugui Li
Crystals 2022, 12(10), 1395; https://doi.org/10.3390/cryst12101395 - 1 Oct 2022
Cited by 3 | Viewed by 2262
Abstract
In this paper, the change in the mechanical properties of a composite plate was studied using the heat treatment method, and it was found that the performance of the composite plate was greatly improved under the process of quenching at 900 °C and [...] Read more.
In this paper, the change in the mechanical properties of a composite plate was studied using the heat treatment method, and it was found that the performance of the composite plate was greatly improved under the process of quenching at 900 °C and tempering at 200 °C. The hot-rolled NM500/Q345 clad plates were subjected to heat treatment tests of 860 °C, 900 °C, and 940 °C austenitization + 200 tempering. With the help of an optical microscope, scanning electron microscope, EBSD, and transmission electron microscope, the microstructure, interface element distribution, and defect composition at the composite bonding interface of hot rolling and heat treatment were analyzed. An analysis and friction and wear tests were carried out on the wear resistance of the clad NM500. It was found that the microstructure of the NM500/Q345 clad plate before austenitization was mainly pearlite and ferrite, and both were transformed into lath martensite after austenitization. As the austenitization temperature increased, the size of the martensitic lath bundle also became coarse. After austenitization at 900 °C and tempering at 200 °C, the lath-like martensite structure of NM500 contained high-density dislocations between the laths. With the increase in the austenitization temperature, the surface Rockwell hardness showed a trend of first increasing and then decreasing. The wear was the worst when the material was not quenched. When the clad plate was quenched at 900 °C and tempered at 200 °C, the wear of NM500 was the lightest; the maximum depth of the wear scar was 14 μm; the width was the narrowest, 0.73 mm; and the wear volume was the smallest, 0.0305 mm3. Full article
(This article belongs to the Special Issue Dynamic Behavior of Materials)
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11 pages, 523 KiB  
Article
Early Pacemaker Implantation after Transcatheter Aortic Valve Replacement: Impact of PlasmaBlade™ for Prevention of Device-Associated Bleeding Complications
by Alexander Lind, Majid Ahsan, Elif Kaya, Reza Wakili, Tienush Rassaf and Rolf Alexander Jánosi
Medicina 2021, 57(12), 1331; https://doi.org/10.3390/medicina57121331 - 5 Dec 2021
Cited by 3 | Viewed by 3205
Abstract
Background and Objectives: Permanent pacemaker implantation (PPI) is frequently required following transcatheter aortic valve replacement (TAVR). Dual antiplatelet therapy (DAPT) or oral anticoagulation therapy (OAK) is often necessary in these patients since they are at higher risk of thromboembolic events due to [...] Read more.
Background and Objectives: Permanent pacemaker implantation (PPI) is frequently required following transcatheter aortic valve replacement (TAVR). Dual antiplatelet therapy (DAPT) or oral anticoagulation therapy (OAK) is often necessary in these patients since they are at higher risk of thromboembolic events due to TAVR implantation, high incidence of coronary artery diseases (CAD) with the necessity of coronary intervention, and high rate of atrial fibrillation with the need of stroke prevention. We sought to evaluate the safety, efficiency, and clinical outcomes of early PPI following TAVR using the PlasmaBlade™ (Medtronic Inc., Minneapolis, MN, USA) pulsed electron avalanche knife (PEAK) for bleeding control in patients under DAPT or OAK. Materials and Methods: This retrospective single-center study included patients who underwent PPI after transfemoral TAVR (TF) at our center between December 2015 and May 2020. All PPI were performed using the PlasmaBlade™ Device. Results: The overall PPI rate was 14.1% (83 of 587 patients; 82.5 ± 4.6 years; 45.8% male). The PPI procedures were used to treat high-grade atrioventricular block (81.9%), severe sinus node dysfunction (13.3%), and alternating bundle branch block (4.8%). At the time of the procedure, 35 (42.2%) patients received DAPT, and 48 (57.8%) patients received OAK (50% with vitamin K antagonist (VKA) and 50% with novel oral anticoagulants (NOAK)). One device-pocket hematoma treated conservatively occurred in a patient (1.2%) receiving NOAK. Two re-operations were necessary in patients due to immediate lead dislocation (2.4%). Conclusions: The results of this study illustrate that the use of PlasmaBlade™ for PPI in patients after a TAVR who require antithrombotic treatment is feasible and might result into lower rates of severe bleeding complications compared to rates reported in the literature. Use of the PlasmaBlade device may be considered in this specific group of patients because of their high risk of bleeding. Full article
(This article belongs to the Section Cardiology)
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20 pages, 5623 KiB  
Article
Structural Analysis of Low Defect Ammonothermally Grown GaN Wafers by Borrmann Effect X-ray Topography
by Lutz Kirste, Karolina Grabianska, Robert Kucharski, Tomasz Sochacki, Boleslaw Lucznik and Michal Bockowski
Materials 2021, 14(19), 5472; https://doi.org/10.3390/ma14195472 - 22 Sep 2021
Cited by 26 | Viewed by 3867 | Correction
Abstract
X-ray topography defect analysis of entire 1.8-inch GaN substrates, using the Borrmann effect, is presented in this paper. The GaN wafers were grown by the ammonothermal method. Borrmann effect topography of anomalous transmission could be applied due to the low defect density of [...] Read more.
X-ray topography defect analysis of entire 1.8-inch GaN substrates, using the Borrmann effect, is presented in this paper. The GaN wafers were grown by the ammonothermal method. Borrmann effect topography of anomalous transmission could be applied due to the low defect density of the substrates. It was possible to trace the process and growth history of the GaN crystals in detail from their defect pattern imaged. Microscopic defects such as threading dislocations, but also macroscopic defects, for example dislocation clusters due to preparation insufficiency, traces of facet formation, growth bands, dislocation walls and dislocation bundles, were detected. Influences of seed crystal preparation and process parameters of crystal growth on the formation of the defects are discussed. Full article
(This article belongs to the Section Electronic Materials)
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10 pages, 675 KiB  
Article
The Implementation of a Complication Avoidance Care Bundle Significantly Reduces Adverse Surgical Outcomes in Orthopedic Trauma Patients
by Thomas Lustenberger, Simon Lars Meier, René Danilo Verboket, Philipp Störmann, Maren Janko, Johannes Frank and Ingo Marzi
J. Clin. Med. 2020, 9(12), 4006; https://doi.org/10.3390/jcm9124006 - 11 Dec 2020
Cited by 1 | Viewed by 2122
Abstract
Background: Surgical complications are associated with a significant burden to patients and hospitals and are increasingly discussed in recent literature. This cohort study reviewed surgery-related complications in a Level I trauma center. The effect of a complication avoidance care bundle on the rate [...] Read more.
Background: Surgical complications are associated with a significant burden to patients and hospitals and are increasingly discussed in recent literature. This cohort study reviewed surgery-related complications in a Level I trauma center. The effect of a complication avoidance care bundle on the rate of surgical complications was analyzed. Methods: All complications (surgical and nonsurgical) that occur in our trauma department are prospectively captured using a standardized documentation form and are discussed and analyzed in a weekly trauma Morbidity and Mortality (M&M) conference. Surgical complication rates are calculated using the annual surgical procedure numbers. Based on discussions in the M&M conference, a complication avoidance care bundle consisting of five measures was established: (1) Improving team situational awareness; (2) reducing operating room traffic by staff members and limiting door-opening events; (3) preoperative screening for infectious foci; (4) adapted preoperative antibiotic prophylaxis in anatomic regions with a high risk of infectious complications; and (5) use of iodine-impregnated adhesive drape. Results: The number of surgical procedures steadily increased over the study years, from 3587 in 2015 to 3962 in 2019 (an increase of 10.5%). Within this 5-year study period, the overall rate of surgical complications was 0.8%. Surgical site infections were the most frequently found complications (n = 40, 24.8% of all surgical complications), followed by screw malposition (n = 20, 12.4%), postoperative dislocations of arthroplasties (n = 18, 11.2%), and suboptimal fracture reduction (n = 18, 11.2%). Following implementation of the complication avoidance care bundle, the overall rate of surgical complications significantly decreased, from 1.14% in the year 2016 to 0.56% in the study year 2019, which represents a reduction of 51% within a 3-year time period. Conclusions: A multimodal strategy targeted at reducing the surgical complication rate can be successfully established based on a transparent discussion of adverse surgical outcomes. The combination of the different preventive measures was associated with reducing the overall complication rate by half within a 3-year time period. Full article
(This article belongs to the Section Orthopedics)
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