1 Production and Running Status of China’s Refractories Industry in 20241.1 Production and Running Status In 2024,according to the statistical data from The Association of China Refractories Industry,China’s refract...1 Production and Running Status of China’s Refractories Industry in 20241.1 Production and Running Status In 2024,according to the statistical data from The Association of China Refractories Industry,China’s refractories output was 22.0711million tons,decreasing by 3.73%YOY;in which the outputs of dense shaped refractory products,insulating refractory products and monolithic refractories were 11.3163 million tons decreasing by 6.07%YOY,83.77 thousand tons increasing by 11.17%YOY,and 9.9971 million tons decreasing by 2.07%YOY,respectively.The outputs of the main varieties are shown in Fig.1.展开更多
Dear Editor,I diopathic macular telangiectasia(MacTel)type 1 is a retinal vascular disease characterized by abnormal dilation of macular capillaries,leading to metamorphopsia,progressive vision loss,and temporal scoto...Dear Editor,I diopathic macular telangiectasia(MacTel)type 1 is a retinal vascular disease characterized by abnormal dilation of macular capillaries,leading to metamorphopsia,progressive vision loss,and temporal scotoma enlargement.Currently,there is no standardized treatment protocol for MacTel type 1[1-2].Treatment outcomes can vary significantly among individuals,highlighting the ongoing need for further exploration of new and more effective treatment options.This paper presents a case of refractory macular edema associated with MacTel type 1,which showed a favorable response to pars plana vitrectomy(PPV)and internal limiting membrane(ILM)peeling.展开更多
Up-and-coming high-temperature materials,refractory high entropy alloys,are suffering from lower oxidation resistance,restricting their applications in the aerospace field.In this study,two novel treatments of Al-depo...Up-and-coming high-temperature materials,refractory high entropy alloys,are suffering from lower oxidation resistance,restricting their applications in the aerospace field.In this study,two novel treatments of Al-deposited and remelted were developed to refine the microstructure and enhance the oxidation resistance of refractory high entropy alloy using electron beam freeform fabrication(EBF3).Finer and short-range ordering structures were observed in the remelted sample,whereas the Al-deposited sample showcased the formation of silicide and intermetallic phases.High-temperature cyclic and isothermal oxidation tests at 1000℃ were carried out.The total weight gain after 60 h of cyclic oxidation decreased by 17.49%and 30.46%for the remelted and deposited samples,respectively,compared to the as-cast state.Oxidation kinetics reveal an evident lower mass gain and oxidation rate in the treated samples.A multilayer oxide consisting of TiO_(2)+Al_(2)O_(3)+SiO_(2)+AlNbO_(4) was studied for its excellent oxidation resistance.The oxidation behavior of rutile,corundum and other oxides was analyzed using first principles calculations and chemical defect analysis.Overall,this research,which introduces novel treatments,offers promising insights for enhancing the inherent oxidation resistance of refractory high entropy alloys.展开更多
Refractory high/medium-entropy alloys(RH/MEAs)are known for their outstanding performance at el-evated temperatures;however,they usually exhibit poor room-temperature plasticity,which can be at-tributed to the non-uni...Refractory high/medium-entropy alloys(RH/MEAs)are known for their outstanding performance at el-evated temperatures;however,they usually exhibit poor room-temperature plasticity,which can be at-tributed to the non-uniform deformation that occurs at room temperature.Once cracks nucleate,they will rapidly propagate into vertical splitting cracks.Here,we introduce multiple phases including FCC and HCP phases into the NbMoTa RMEA via appropriate addition of carbon.The results show that multiple-phase synergy effectively suppresses non-uniform deformation,thereby delaying the onset of vertical splitting cracks.An optimal combination of compressive strength-plasticity is achieved by the(NbMoTa)_(92.5)C_(7.5) alloy.The significant improvement in room-temperature mechanical properties can be attributed to its hierarchical microstructure:in the mesoscale,the BCC matrix is divided by eutectic structures;while at the microscale,the BCC matrix is further refined by abundant lath-like FCC precipitates.The FCC precip-itates contain high-density stacking faults,acting as a dislocation source under compressive loading.The HCP phase in the eutectic microstructures,in turn,acts as a strong barrier to dislocation movement and simultaneously increases the dislocation storage capacity.These findings open a new route to tailor the microstructure and mechanical properties of RH/MEAs.展开更多
Introducing B2 ordering can effectively improve the mechanical properties of lightweight refractory high-entropy alloys(LRHEAs).However,(Zr,Al)-enriched B2 precipitates generally reduce the ductility because their ord...Introducing B2 ordering can effectively improve the mechanical properties of lightweight refractory high-entropy alloys(LRHEAs).However,(Zr,Al)-enriched B2 precipitates generally reduce the ductility because their ordering characteristic is destroyed after dislocation shearing.Meanwhile,the local chemical order(LCO)cannot provide an adequate strengthening effect due to its small size.展开更多
Grain boundary engineering plays a significant role in the improvement of strength and plasticity of alloys. However, in refractory high-entropy alloys, the susceptibility of grain boundaries to oxygen presents a bott...Grain boundary engineering plays a significant role in the improvement of strength and plasticity of alloys. However, in refractory high-entropy alloys, the susceptibility of grain boundaries to oxygen presents a bottleneck in achieving high mechanical performance. Creating a large number of clean grain boundaries in refractory high-entropy alloys is a challenge. In this study, an ultrafine-grained (UFG) NbMoTaW alloy with high grain-boundary cohesion was prepared by powder metallurgy, taking advantages of rapid hot-pressing sintering and full-process inert atmosphere protection from powder synthesis to sintering. By oxygen control and an increase in the proportion of grain boundaries, the segregation of oxygen and formation of oxides at grain boundaries were strongly mitigated, thus the intrinsic high cohesion of the interfaces was preserved. Compared to the coarse-grained alloys prepared by arc-melting and those sintered by traditional powder metallurgy methods, the UFG NbMoTaW alloy demonstrated simultaneously increased strength and plasticity at ambient temperature. The highly cohesive grain boundaries not only reduce brittle fractures effectively but also promote intragranular deformation. Consequently, the UFG NbMoTaW alloy achieved a high yield strength even at elevated temperatures, with a remarkable performance of 1117 MPa at 1200 ℃. This work provides a feasible solution for producing refractory high-entropy alloys with low impurity content, refined microstructure, and excellent mechanical performance.展开更多
BACKGROUND A case study of multiple distinct levels of skipped thoracolumbar spine infection was reported in which 13 successful vacuum sealing drainage(VSD)surgeries were treated.CASE SUMMARY The patient underwent a ...BACKGROUND A case study of multiple distinct levels of skipped thoracolumbar spine infection was reported in which 13 successful vacuum sealing drainage(VSD)surgeries were treated.CASE SUMMARY The patient underwent a total of 13 procedures within our medical facility,including five performed under local anesthesia and eight performed under general anesthesia.The source of the ailment was ultimately identified as Enterobacter cloacae.After the last procedure,the patient's symptoms were alleviated,and the recovery process was satisfactory.Three months post-operation,the Japanese Orthopaedic Association scores had improved to 100%.Imageological examination revealed a satisfactory position of internal fixation,and the abnormal signals in the vertebral body and intervertebral space had been eliminated when compared to the pre-operative results.CONCLUSION The study demonstrates that the extreme lateral approach debridement combined with multiple VSD operations is a secure and successful method of treatment for recurrent spinal infection,providing an alternative to traditional surgery.展开更多
Hydrogen-based mineral phase transformation(HMPT)technology has demonstrated its effectiveness in separating iron and enriching rare earths from Bayan Obo refractory ores.However,further research is needed to clarify ...Hydrogen-based mineral phase transformation(HMPT)technology has demonstrated its effectiveness in separating iron and enriching rare earths from Bayan Obo refractory ores.However,further research is needed to clarify the phase composition and floatability of rare earths obtained after HMPT owing to the associated phase transformations.This study explored the mineralogical characteristics and separation behavior of rare earths in HMPT-treated iron tailings.Process mineralogy studies conducted via BGRIMM process mineralogy analysis and X-ray diffraction revealed that the main valuable minerals in the tailings included rare-earth oxides(9.15wt%),monazite(5.31wt%),and fluorite(23.52wt%).The study also examined the impact of mineral liberation and gangue mineral intergrowth on flotation performance.Flotation tests achieved a rare-earth oxide(REO)grade of 74.12wt% with a recovery of 34.17% in open-circuit flotation,whereas closed-circuit flotation resulted in a REO grade of 60.27wt% with a recovery of 73%.Transmission electron microscopy and scanning electron microscopy coupled with energy-dispersive spectroscopy revealed that monazite remained stable during the HMPT process,while bastnaesite was transformed into Ce_(7)O_(12)and CeF_(3),leading to increased collector consumption.Nonetheless,the HMPT process did not significantly affect the flotation performance of rare earths.The enrichment of fluorite in the tailings highlighted its further recovery potential.The integration of HMPT with magnetic separation and flotation presents an efficient strategy for recovering rare earths,iron,and fluorite from Bayan Obo ores.展开更多
Based on the properties of antimony(Sb)and arsenic(As),a method was proposed to enhance gold recovery during iron matte smelting.The impact of Sb and As on gold enhancement capture was investigated using an exclusion ...Based on the properties of antimony(Sb)and arsenic(As),a method was proposed to enhance gold recovery during iron matte smelting.The impact of Sb and As on gold enhancement capture was investigated using an exclusion method.The results demonstrated that both Sb and As significantly improved the gold recovery rate.As the Sb or As content increased,the gold recovery rate increased.The enhancement effect of Sb was better than that of As,and the optimal results were achieved through the synergistic effects of Sb and As.Under optimized conditions,the gold recovery rate reached 97.12%,whereas the gold content in the slag decreased to 1.70 g/t.Sb captured and aggregated free gold as an Au-Sb alloy,whereas As-Fe alloy also captured free gold.The growth of the gold-captured phase size enhanced the settling velocity,thereby promoting gold recovery.展开更多
Refractory wounds cause significant harm to the health of patients and the most common treatments in clinical practice are surgical debridement and wound dressings.However,certain challenges,including surgical difficu...Refractory wounds cause significant harm to the health of patients and the most common treatments in clinical practice are surgical debridement and wound dressings.However,certain challenges,including surgical difficulty,lengthy recovery times,and a high recurrence rate persist.Conductive hydrogel dressings with combined monitoring and therapeutic properties have strong advantages in promoting wound healing due to the stimulation of endogenous current on wounds and are the focus of recent advancements.Therefore,this review introduces the mechanism of conductive hydrogel used for wound monitoring and healing,the materials selection of conductive hydrogel dressings used for wound monitoring,focuses on the conductive hydrogel sensor to monitor the output categories of wound status signals,proving invaluable for non-invasive,real-time evaluation of wound condition to encourage wound healing.Notably,the research of artificial intelligence(AI)model based on sensor derived data to predict the wound healing state,AI makes use of this abundant data set to forecast and optimize the trajectory of tissue regeneration and assess the stage of wound healing.Finally,refractory wounds including pressure ulcers,diabetes ulcers and articular wounds,and the corresponding wound monitoring and healing process are discussed in detail.This manuscript supports the growth of clinically linked disciplines and offers motivation to researchers working in the multidisciplinary field of conductive hydrogel dressings.展开更多
Multiple myeloma is a complex and challenging blood cancer,particularly in cases where the disease has relapsed or become resistant to treatment.These situations often have a significant impact on both patient surviva...Multiple myeloma is a complex and challenging blood cancer,particularly in cases where the disease has relapsed or become resistant to treatment.These situations often have a significant impact on both patient survival and quality of life.Over recent years,advances in precision medicine and translational medicine have brought about a shift in treatment strategies,moving toward more personalized and targeted approaches.This review highlights the latest developments in the management of refractory and relapsed multiple myeloma,focusing on the current state of precision diagnosis and treatment,the role of translational medicine,and potential future directions in research.By reviewing key studies and clinical trial data,we aim to offer fresh perspectives and strategies that could improve clinical outcomes.展开更多
BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)has an important role in the therapy of complications of portal-hypertension-related ascites.Various guidelines now indicate that TIPS is indicated for ref...BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)has an important role in the therapy of complications of portal-hypertension-related ascites.Various guidelines now indicate that TIPS is indicated for refractory ascites(RA),but TIPS for recurrent nonrefractory ascites(RNRA)achieved better clinical results.AIM To compare the clinical outcomes of TIPS for RA and RNRA in patients with complications related to portal hypertension.METHODS There were 863 patients divided into two main categories who underwent TIPS between September 2016 and September 2021.In category 1,patients had ascites without cirrhotic gastrointestinal bleeding.The patients were divided into group A(RNRA,n=183)and group B(RA,n=217).In category 2,patients had ascites and cirrhotic gastrointestinal bleeding.The patients were divided into group C(RNRA,n=328)and group D(RA,n=135).The clinical outcomes were probability of total hepatic impairment,incidence of hepatic encephalopathy(HE)and mortality.RESULTS The symptoms of ascites disappeared or were relieved within 1 week in group A compared with group B(P=0.032),and in group C compared with group D(P=0.027).By the end of follow-up,there were significant differences in the rate of RA in group A compared with group B(P=0.016),and in group C compared with group D(P=0.012).The probability of total hepatic impairment was significantly different in group A compared with group B(P=0.024),and in group C compared with group D(P=0.019).The total incidence of HE was significantly different in group A compared with group B(P=0.008),and in group C compared with group D(P=0.004).The 6-month,and 1-,2-and 3-year survival rates were significantly different between groups A and B(all P<0.05),and between groups C and D(all P<0.05).CONCLUSION TIPS has a good therapeutic effect on ascites related to cirrhotic portal hypertension,and early TIPS for RNRA can prolong survival,and prevent progression to RA.展开更多
Emergency cesarean section has always been a challenge for patients,surgeons,and anesthesiologists,as it endangers the safety of both parturients and fetuses.Obesity and hypertension are common among pregnant women,bu...Emergency cesarean section has always been a challenge for patients,surgeons,and anesthesiologists,as it endangers the safety of both parturients and fetuses.Obesity and hypertension are common among pregnant women,but severe obesity combined with refractory hypertension is very rare in clinical practice.The optimal anesthetic management strategy for obese pregnant women with a difficult airway and poorly controlled hypertension remains debatable.This report presents a 32-year-old woman with severe obesity and refractory hypertension at 36 weeks and 6 days of pregnancy.Owing to fetal heart rate abnormalities,she was scheduled for emergency cesarean section.Given the urgency of the fetal condition and the challenges posed by the patient's obesity for epidural puncture,the anesthesiologist opted for rapid sequence induction and tracheal intubation instead of intervertebral anesthesia.Short-acting antihypertensive medications were adminstrated preoperatively to control elevated blood pressure,and vasopressor agents were continuously infused during surgery to prevent severe hypotension induced by anesthetic drugs.The entire anesthesia and surgical procedure proceeded uneventfully,with no major adverse events observed.Both the patient and fetus achieved favorable outcomes.This case indicates that early anesthetic risk assessment and meticulous pre-delivery planning are paramount,necessitating personalized management of airway and hemodynamics to optimize outcomes in obese parturients.展开更多
CD5-positive(CD5+)diffuse large B-cell lymphoma(DLBCL)represents a special subgroup of DLBCL with a more aggressive disease course and is more likely to develop into relapsed/refractory(r/r)DLBCL in response to immuno...CD5-positive(CD5+)diffuse large B-cell lymphoma(DLBCL)represents a special subgroup of DLBCL with a more aggressive disease course and is more likely to develop into relapsed/refractory(r/r)DLBCL in response to immunochemotherapy.The incidence of CD5+DLBCL is 5%–10%among DLBCL patients1.展开更多
The effects of strain rate on tensile properties and fracture behavior of HfNbTaTiZr refractory high-entropy alloy (RHEA) were investigated. With the increase of strain rate in the range from 0.0001 to 0.1 s^(−1), the...The effects of strain rate on tensile properties and fracture behavior of HfNbTaTiZr refractory high-entropy alloy (RHEA) were investigated. With the increase of strain rate in the range from 0.0001 to 0.1 s^(−1), the yield strength increases from 740 to 825 MPa, demonstrating a strain rate sensitivity coefficient of 0.0173. Notably, while the uniform elongation diminished with rising strain rates, the fracture elongation of the RHEA remained constant at ~ 43%, suggesting an enhanced non-uniform elongation and an improved resistance to tensile fracture. Single-edge notch tension test further proves that the notch toughness increases at elevated loading rates. The complete work-hardening rate curves were plotted, and the work-hardening ability of the RHEA was found not decreasing significantly after necking, especially at high strain rate. The fracture of tensile samples across all the strain rates was dominated by void growth and coalesce, with dimples on the fracture surface being smaller at higher strain rates. This work reveals an unconventional increase in fracture resistance at higher strain rates, further indicating that ductile RHEAs may possess superior potential for use in structural applications subjected to high strain rate loading.展开更多
BACKGROUND In open heart surgery requiring cardiopulmonary bypass(CPB),ventricular fibrillation(VF)is common,but refractory recurrent VF is uncommon but perilous.CASE SUMMARY This article reports a 58-year-old male pa...BACKGROUND In open heart surgery requiring cardiopulmonary bypass(CPB),ventricular fibrillation(VF)is common,but refractory recurrent VF is uncommon but perilous.CASE SUMMARY This article reports a 58-year-old male patient with an ascending aortic aneurysm who presented for a Bentall procedure and subsequently experienced multiple occurrences of unexplained VF after weaning from CPB.The recurrent episodes of VF in this case were felt to be related to coronary insufficiency after reconstruction of the aortic root.Coronary artery bypass grafting(CABG)of the proximal right coronary artery and the left anterior descending artery successfully resolved VF.Finally,this patient was safely transferred to the postoperative intensive care unit,and was discharged successfully after subsequent supportive treatment.CONCLUSION In aortic root replacement,coronary insufficiency is a potential cause of VF episodes and should be considered in the differential diagnosis.CABG is the sole effective treatment for VF caused by coronary insufficiency.展开更多
Diffuse large B-cell lymphoma(DLBCL),the most common subtype of non-Hodgkin’s lymphoma(NHL)worldwide,accounts for 39% and 44% of nodal and extranodal NHL cases in China,respectively1.Standard first-line treatment for...Diffuse large B-cell lymphoma(DLBCL),the most common subtype of non-Hodgkin’s lymphoma(NHL)worldwide,accounts for 39% and 44% of nodal and extranodal NHL cases in China,respectively1.Standard first-line treatment for DLBCL is chemo-immunotherapy with rituximab,cyclophos-phamide,doxorubicin,vincristine,and prednisone,which cures 50%-60% of patients2.展开更多
Refractory high-entropy alloys(RHEAs)stand as promising candidates for the development of a new generation of hightemperature materials due to their exceptional mechanical properties.However,the inherent low ductility...Refractory high-entropy alloys(RHEAs)stand as promising candidates for the development of a new generation of hightemperature materials due to their exceptional mechanical properties.However,the inherent low ductility and high density of RHEAs have hindered their widespread adoption in industrial applications.In this study,an Nb_(38)Ti_(35)Al_(15)V_(6)Cr_(4)(TaHfMoW)_(2) RHEA with a BCC/B2 dual-phase structure is successfully developed.The RHEA exhibits excellent specifc yield strength of 162.4 MPa·g^(−1)·cm^(3) and 84.3 MPa·g^(−1)·cm^(3) at room temperature(RT)and 800℃,respectively.It was found that the pinning efect of the B2 phase induces a gradual transition in dislocation slip mode from planar slip to cross slip,homogenizing the plastic fow and resulting in excellent compression plasticity(ε>50%).Additionally,the B2 phase endows the alloy with excellent yield strength at high temperatures by precipitation strengthening.Moreover,the dominated a/2<111>type dislocation contributes to the alloy's superior plasticity at high temperatures.展开更多
Laboratory experiments and thermodynamic calculations were performed to investigate the interfacial reactions between the MgO-C refractory and the steel with and without the lanthanum(La)addition.Following a reaction ...Laboratory experiments and thermodynamic calculations were performed to investigate the interfacial reactions between the MgO-C refractory and the steel with and without the lanthanum(La)addition.Following a reaction time of 50 min,a reaction layer comprised MgO and CaS with a thickness of 30μm was observed at the interface between the La-free steel and refractory.The MgO layer was observed in La-bearing steel after just 10 min of reaction.The addition of La to the steel accelerated the formation of the MgO layer.As the reaction time increased,a La-containing layer was formed at the La-bearing steel/refractory interface.This La-containing layer progressed through stages from La_(2)O_(2)S+La2O3→La-Ca-O-S→La-Ca-O→La-Ca-Al-O.Furthermore,the evolution of oxide inclusions in the La-free steel followed the sequence of MgO⋅Al_(2)O_(3),Ti-Ca-Al-O and Ti-Mg-Al-O→MgO·Al_(2)O_(3)and MgO with increasing the reaction time.In contrast,the sequence for the La-bearing steel was:La_(2)O_(2)S and La2O3→La_(2)O_(2)S and La-Ti-Al-Mg-O→La-Ti-Al-Mg-O,MgO and MgO·Al_(2)O_(3).The average penetration depth of the La-bearing steel into the refractory was notably lower than that of the La-free steel,revealing that the incorporation of rare earth element La in steel exhibits a significant inhibitory effect on the penetration of molten steel into the MgO-C refractory.展开更多
Refractory high-entropy alloys(RHEAs)exhibit outstanding strength at room temperature,but their high-temperature applications are hindered by severe strain-softening.Here,we report slip-band-driven dy-namic recrystall...Refractory high-entropy alloys(RHEAs)exhibit outstanding strength at room temperature,but their high-temperature applications are hindered by severe strain-softening.Here,we report slip-band-driven dy-namic recrystallization to enhance the high-temperature strain hardening of HfNbTaTiZr RHEA.By intro-ducing partial lattice defects through hot forging,we increase the nucleation sites for dynamic recrys-tallization during subsequent thermomechanical deformation,thus suppressing the strain-softening be-havior.We reveal that the high-temperature deformation is governed by the formation of heterogeneous bimodal grains along slip bands,which effectively constrain dislocation motion and improve strength,while microbands prevent premature failure.The fracture mode also changes from ductile to mixed to cleavage-dominated with increasing temperature.Our results demonstrate a simple and effective method for overcoming high-temperature strain-softening for BCC high entropy alloys.展开更多
文摘1 Production and Running Status of China’s Refractories Industry in 20241.1 Production and Running Status In 2024,according to the statistical data from The Association of China Refractories Industry,China’s refractories output was 22.0711million tons,decreasing by 3.73%YOY;in which the outputs of dense shaped refractory products,insulating refractory products and monolithic refractories were 11.3163 million tons decreasing by 6.07%YOY,83.77 thousand tons increasing by 11.17%YOY,and 9.9971 million tons decreasing by 2.07%YOY,respectively.The outputs of the main varieties are shown in Fig.1.
基金Supported by Science and Technology Project of Sichuan Provincial Health Commission(No.24WXXT13)North Sichuan Medical College Doctor Start-up Fund Project(No.CBY24-QDA01).
文摘Dear Editor,I diopathic macular telangiectasia(MacTel)type 1 is a retinal vascular disease characterized by abnormal dilation of macular capillaries,leading to metamorphopsia,progressive vision loss,and temporal scotoma enlargement.Currently,there is no standardized treatment protocol for MacTel type 1[1-2].Treatment outcomes can vary significantly among individuals,highlighting the ongoing need for further exploration of new and more effective treatment options.This paper presents a case of refractory macular edema associated with MacTel type 1,which showed a favorable response to pars plana vitrectomy(PPV)and internal limiting membrane(ILM)peeling.
基金supported by the National Key Research and Development Program of China(Grant No.2022YFF0609000)National Natural Science Foundation of China(Grant Nos.52171034 and 52101037)Postdoctoral Fellowship Program of CPSFara(No.GZB20230944).
文摘Up-and-coming high-temperature materials,refractory high entropy alloys,are suffering from lower oxidation resistance,restricting their applications in the aerospace field.In this study,two novel treatments of Al-deposited and remelted were developed to refine the microstructure and enhance the oxidation resistance of refractory high entropy alloy using electron beam freeform fabrication(EBF3).Finer and short-range ordering structures were observed in the remelted sample,whereas the Al-deposited sample showcased the formation of silicide and intermetallic phases.High-temperature cyclic and isothermal oxidation tests at 1000℃ were carried out.The total weight gain after 60 h of cyclic oxidation decreased by 17.49%and 30.46%for the remelted and deposited samples,respectively,compared to the as-cast state.Oxidation kinetics reveal an evident lower mass gain and oxidation rate in the treated samples.A multilayer oxide consisting of TiO_(2)+Al_(2)O_(3)+SiO_(2)+AlNbO_(4) was studied for its excellent oxidation resistance.The oxidation behavior of rutile,corundum and other oxides was analyzed using first principles calculations and chemical defect analysis.Overall,this research,which introduces novel treatments,offers promising insights for enhancing the inherent oxidation resistance of refractory high entropy alloys.
基金financial support from the Na-tional Natural Science Foundation of China(No.52231006)National Key Research and Development Program of China(No.2017YFB0702003)the National Natural Science Foundation of China(No.51871217).
文摘Refractory high/medium-entropy alloys(RH/MEAs)are known for their outstanding performance at el-evated temperatures;however,they usually exhibit poor room-temperature plasticity,which can be at-tributed to the non-uniform deformation that occurs at room temperature.Once cracks nucleate,they will rapidly propagate into vertical splitting cracks.Here,we introduce multiple phases including FCC and HCP phases into the NbMoTa RMEA via appropriate addition of carbon.The results show that multiple-phase synergy effectively suppresses non-uniform deformation,thereby delaying the onset of vertical splitting cracks.An optimal combination of compressive strength-plasticity is achieved by the(NbMoTa)_(92.5)C_(7.5) alloy.The significant improvement in room-temperature mechanical properties can be attributed to its hierarchical microstructure:in the mesoscale,the BCC matrix is divided by eutectic structures;while at the microscale,the BCC matrix is further refined by abundant lath-like FCC precipitates.The FCC precip-itates contain high-density stacking faults,acting as a dislocation source under compressive loading.The HCP phase in the eutectic microstructures,in turn,acts as a strong barrier to dislocation movement and simultaneously increases the dislocation storage capacity.These findings open a new route to tailor the microstructure and mechanical properties of RH/MEAs.
基金supported by the National Natural Science Foundation of China(Nos.52171166 and U20A20231)the Natural Science Foundation of Hunan Province,China(Nos.2024JJ2060 and 2024JJ5406)+1 种基金the Key Laboratory of Materials in Dynamic Extremes of Sichuan Province(No.2023SCKT1102)the Postgraduate Scientific Research Innovation Project of National University of Defense Technology(No.XJJC2024065).
文摘Introducing B2 ordering can effectively improve the mechanical properties of lightweight refractory high-entropy alloys(LRHEAs).However,(Zr,Al)-enriched B2 precipitates generally reduce the ductility because their ordering characteristic is destroyed after dislocation shearing.Meanwhile,the local chemical order(LCO)cannot provide an adequate strengthening effect due to its small size.
基金supported by the National Natural Science Foundation of China(Nos.52371128,52304378,52101031 and 92163107).
文摘Grain boundary engineering plays a significant role in the improvement of strength and plasticity of alloys. However, in refractory high-entropy alloys, the susceptibility of grain boundaries to oxygen presents a bottleneck in achieving high mechanical performance. Creating a large number of clean grain boundaries in refractory high-entropy alloys is a challenge. In this study, an ultrafine-grained (UFG) NbMoTaW alloy with high grain-boundary cohesion was prepared by powder metallurgy, taking advantages of rapid hot-pressing sintering and full-process inert atmosphere protection from powder synthesis to sintering. By oxygen control and an increase in the proportion of grain boundaries, the segregation of oxygen and formation of oxides at grain boundaries were strongly mitigated, thus the intrinsic high cohesion of the interfaces was preserved. Compared to the coarse-grained alloys prepared by arc-melting and those sintered by traditional powder metallurgy methods, the UFG NbMoTaW alloy demonstrated simultaneously increased strength and plasticity at ambient temperature. The highly cohesive grain boundaries not only reduce brittle fractures effectively but also promote intragranular deformation. Consequently, the UFG NbMoTaW alloy achieved a high yield strength even at elevated temperatures, with a remarkable performance of 1117 MPa at 1200 ℃. This work provides a feasible solution for producing refractory high-entropy alloys with low impurity content, refined microstructure, and excellent mechanical performance.
基金Supported by Natural Science Foundation of Shandong Province,No.ZR2023MH331.
文摘BACKGROUND A case study of multiple distinct levels of skipped thoracolumbar spine infection was reported in which 13 successful vacuum sealing drainage(VSD)surgeries were treated.CASE SUMMARY The patient underwent a total of 13 procedures within our medical facility,including five performed under local anesthesia and eight performed under general anesthesia.The source of the ailment was ultimately identified as Enterobacter cloacae.After the last procedure,the patient's symptoms were alleviated,and the recovery process was satisfactory.Three months post-operation,the Japanese Orthopaedic Association scores had improved to 100%.Imageological examination revealed a satisfactory position of internal fixation,and the abnormal signals in the vertebral body and intervertebral space had been eliminated when compared to the pre-operative results.CONCLUSION The study demonstrates that the extreme lateral approach debridement combined with multiple VSD operations is a secure and successful method of treatment for recurrent spinal infection,providing an alternative to traditional surgery.
基金the financial support received from the Key Program of National Natural Science Foundation of China(No.52130406)the National Key R&D Program of China(Nos.2021YFC2901000 and 2022YFC2905800)+1 种基金the General Program of National Natural Science Foundation of China(No.52274253)Natural Science Foundation Innovation Group Project of Hubei Province,China(No.2023AFA044)。
文摘Hydrogen-based mineral phase transformation(HMPT)technology has demonstrated its effectiveness in separating iron and enriching rare earths from Bayan Obo refractory ores.However,further research is needed to clarify the phase composition and floatability of rare earths obtained after HMPT owing to the associated phase transformations.This study explored the mineralogical characteristics and separation behavior of rare earths in HMPT-treated iron tailings.Process mineralogy studies conducted via BGRIMM process mineralogy analysis and X-ray diffraction revealed that the main valuable minerals in the tailings included rare-earth oxides(9.15wt%),monazite(5.31wt%),and fluorite(23.52wt%).The study also examined the impact of mineral liberation and gangue mineral intergrowth on flotation performance.Flotation tests achieved a rare-earth oxide(REO)grade of 74.12wt% with a recovery of 34.17% in open-circuit flotation,whereas closed-circuit flotation resulted in a REO grade of 60.27wt% with a recovery of 73%.Transmission electron microscopy and scanning electron microscopy coupled with energy-dispersive spectroscopy revealed that monazite remained stable during the HMPT process,while bastnaesite was transformed into Ce_(7)O_(12)and CeF_(3),leading to increased collector consumption.Nonetheless,the HMPT process did not significantly affect the flotation performance of rare earths.The enrichment of fluorite in the tailings highlighted its further recovery potential.The integration of HMPT with magnetic separation and flotation presents an efficient strategy for recovering rare earths,iron,and fluorite from Bayan Obo ores.
基金financially supported from the National Natural Science Foundation of China(No.52274358)the Natural Science Foundation of Hunan Province,China(No.2020JJ4718)+2 种基金the Major Science and Technology Projects of Gansu Province,China(No.22ZD6GC017)the Young Scientists Fund of National Natural Science Foundation of China(No.51404296)the National Key Research and Development Program of China(No.2018YFC1901604).
文摘Based on the properties of antimony(Sb)and arsenic(As),a method was proposed to enhance gold recovery during iron matte smelting.The impact of Sb and As on gold enhancement capture was investigated using an exclusion method.The results demonstrated that both Sb and As significantly improved the gold recovery rate.As the Sb or As content increased,the gold recovery rate increased.The enhancement effect of Sb was better than that of As,and the optimal results were achieved through the synergistic effects of Sb and As.Under optimized conditions,the gold recovery rate reached 97.12%,whereas the gold content in the slag decreased to 1.70 g/t.Sb captured and aggregated free gold as an Au-Sb alloy,whereas As-Fe alloy also captured free gold.The growth of the gold-captured phase size enhanced the settling velocity,thereby promoting gold recovery.
基金supports received from Scientific Research Fund of Liaoning Province Education Department(Grant No.JYTQN 2023025)Scientific Research Fund of Liaoning Province Education Department(Grant No.JYTQN 2023025)+3 种基金the Natural Science Foundation of Liaoning Province(Grant No.2024-MS-075)the National Natural Science Foundation of China(32201179)National Key R&D Program of China(2023YFC2508200)Liaoning Provincial Natural Science Foundation Joint Fund(General Support Program Project)(2023-MSBA-093).
文摘Refractory wounds cause significant harm to the health of patients and the most common treatments in clinical practice are surgical debridement and wound dressings.However,certain challenges,including surgical difficulty,lengthy recovery times,and a high recurrence rate persist.Conductive hydrogel dressings with combined monitoring and therapeutic properties have strong advantages in promoting wound healing due to the stimulation of endogenous current on wounds and are the focus of recent advancements.Therefore,this review introduces the mechanism of conductive hydrogel used for wound monitoring and healing,the materials selection of conductive hydrogel dressings used for wound monitoring,focuses on the conductive hydrogel sensor to monitor the output categories of wound status signals,proving invaluable for non-invasive,real-time evaluation of wound condition to encourage wound healing.Notably,the research of artificial intelligence(AI)model based on sensor derived data to predict the wound healing state,AI makes use of this abundant data set to forecast and optimize the trajectory of tissue regeneration and assess the stage of wound healing.Finally,refractory wounds including pressure ulcers,diabetes ulcers and articular wounds,and the corresponding wound monitoring and healing process are discussed in detail.This manuscript supports the growth of clinically linked disciplines and offers motivation to researchers working in the multidisciplinary field of conductive hydrogel dressings.
基金supported by grants from the 925th Science Foundation(Grant Nos.2023-3 and 2024-2/3).
文摘Multiple myeloma is a complex and challenging blood cancer,particularly in cases where the disease has relapsed or become resistant to treatment.These situations often have a significant impact on both patient survival and quality of life.Over recent years,advances in precision medicine and translational medicine have brought about a shift in treatment strategies,moving toward more personalized and targeted approaches.This review highlights the latest developments in the management of refractory and relapsed multiple myeloma,focusing on the current state of precision diagnosis and treatment,the role of translational medicine,and potential future directions in research.By reviewing key studies and clinical trial data,we aim to offer fresh perspectives and strategies that could improve clinical outcomes.
文摘BACKGROUND Transjugular intrahepatic portosystemic shunt(TIPS)has an important role in the therapy of complications of portal-hypertension-related ascites.Various guidelines now indicate that TIPS is indicated for refractory ascites(RA),but TIPS for recurrent nonrefractory ascites(RNRA)achieved better clinical results.AIM To compare the clinical outcomes of TIPS for RA and RNRA in patients with complications related to portal hypertension.METHODS There were 863 patients divided into two main categories who underwent TIPS between September 2016 and September 2021.In category 1,patients had ascites without cirrhotic gastrointestinal bleeding.The patients were divided into group A(RNRA,n=183)and group B(RA,n=217).In category 2,patients had ascites and cirrhotic gastrointestinal bleeding.The patients were divided into group C(RNRA,n=328)and group D(RA,n=135).The clinical outcomes were probability of total hepatic impairment,incidence of hepatic encephalopathy(HE)and mortality.RESULTS The symptoms of ascites disappeared or were relieved within 1 week in group A compared with group B(P=0.032),and in group C compared with group D(P=0.027).By the end of follow-up,there were significant differences in the rate of RA in group A compared with group B(P=0.016),and in group C compared with group D(P=0.012).The probability of total hepatic impairment was significantly different in group A compared with group B(P=0.024),and in group C compared with group D(P=0.019).The total incidence of HE was significantly different in group A compared with group B(P=0.008),and in group C compared with group D(P=0.004).The 6-month,and 1-,2-and 3-year survival rates were significantly different between groups A and B(all P<0.05),and between groups C and D(all P<0.05).CONCLUSION TIPS has a good therapeutic effect on ascites related to cirrhotic portal hypertension,and early TIPS for RNRA can prolong survival,and prevent progression to RA.
文摘Emergency cesarean section has always been a challenge for patients,surgeons,and anesthesiologists,as it endangers the safety of both parturients and fetuses.Obesity and hypertension are common among pregnant women,but severe obesity combined with refractory hypertension is very rare in clinical practice.The optimal anesthetic management strategy for obese pregnant women with a difficult airway and poorly controlled hypertension remains debatable.This report presents a 32-year-old woman with severe obesity and refractory hypertension at 36 weeks and 6 days of pregnancy.Owing to fetal heart rate abnormalities,she was scheduled for emergency cesarean section.Given the urgency of the fetal condition and the challenges posed by the patient's obesity for epidural puncture,the anesthesiologist opted for rapid sequence induction and tracheal intubation instead of intervertebral anesthesia.Short-acting antihypertensive medications were adminstrated preoperatively to control elevated blood pressure,and vasopressor agents were continuously infused during surgery to prevent severe hypotension induced by anesthetic drugs.The entire anesthesia and surgical procedure proceeded uneventfully,with no major adverse events observed.Both the patient and fetus achieved favorable outcomes.This case indicates that early anesthetic risk assessment and meticulous pre-delivery planning are paramount,necessitating personalized management of airway and hemodynamics to optimize outcomes in obese parturients.
基金supported by funding from the National Natural Science Foundation of China(Grant No.82170167 to Xiaoxi Zhou and Grant No.82300226 to Hui Luo)。
文摘CD5-positive(CD5+)diffuse large B-cell lymphoma(DLBCL)represents a special subgroup of DLBCL with a more aggressive disease course and is more likely to develop into relapsed/refractory(r/r)DLBCL in response to immunochemotherapy.The incidence of CD5+DLBCL is 5%–10%among DLBCL patients1.
基金supported by the National Natural Science Foundation of China(Nos.52271072,52431002 and 52130110)the Research Fund of the State Key Laboratory of Solidification Processing(No.2021-TS-10)the Fundamental Research Funds for the Central Universities.
文摘The effects of strain rate on tensile properties and fracture behavior of HfNbTaTiZr refractory high-entropy alloy (RHEA) were investigated. With the increase of strain rate in the range from 0.0001 to 0.1 s^(−1), the yield strength increases from 740 to 825 MPa, demonstrating a strain rate sensitivity coefficient of 0.0173. Notably, while the uniform elongation diminished with rising strain rates, the fracture elongation of the RHEA remained constant at ~ 43%, suggesting an enhanced non-uniform elongation and an improved resistance to tensile fracture. Single-edge notch tension test further proves that the notch toughness increases at elevated loading rates. The complete work-hardening rate curves were plotted, and the work-hardening ability of the RHEA was found not decreasing significantly after necking, especially at high strain rate. The fracture of tensile samples across all the strain rates was dominated by void growth and coalesce, with dimples on the fracture surface being smaller at higher strain rates. This work reveals an unconventional increase in fracture resistance at higher strain rates, further indicating that ductile RHEAs may possess superior potential for use in structural applications subjected to high strain rate loading.
文摘BACKGROUND In open heart surgery requiring cardiopulmonary bypass(CPB),ventricular fibrillation(VF)is common,but refractory recurrent VF is uncommon but perilous.CASE SUMMARY This article reports a 58-year-old male patient with an ascending aortic aneurysm who presented for a Bentall procedure and subsequently experienced multiple occurrences of unexplained VF after weaning from CPB.The recurrent episodes of VF in this case were felt to be related to coronary insufficiency after reconstruction of the aortic root.Coronary artery bypass grafting(CABG)of the proximal right coronary artery and the left anterior descending artery successfully resolved VF.Finally,this patient was safely transferred to the postoperative intensive care unit,and was discharged successfully after subsequent supportive treatment.CONCLUSION In aortic root replacement,coronary insufficiency is a potential cause of VF episodes and should be considered in the differential diagnosis.CABG is the sole effective treatment for VF caused by coronary insufficiency.
基金sponsored by Shanghai Roche Pharmaceuticals Ltd.
文摘Diffuse large B-cell lymphoma(DLBCL),the most common subtype of non-Hodgkin’s lymphoma(NHL)worldwide,accounts for 39% and 44% of nodal and extranodal NHL cases in China,respectively1.Standard first-line treatment for DLBCL is chemo-immunotherapy with rituximab,cyclophos-phamide,doxorubicin,vincristine,and prednisone,which cures 50%-60% of patients2.
基金supported by the Chinese Academy of Sciences(ZDBS-LY-JSC023)the National Natural Science Foundation of China(No.52404370)+3 种基金the Natural Science Foundation of Liaoning Province(2023-BS-012)the Youth Innovation Promotion Association CAS(2021188)the IMR Innovation Fund(2023-PY16)the Guangdong Basic and Applied Basic Research Foundation(2023A1515111060).
文摘Refractory high-entropy alloys(RHEAs)stand as promising candidates for the development of a new generation of hightemperature materials due to their exceptional mechanical properties.However,the inherent low ductility and high density of RHEAs have hindered their widespread adoption in industrial applications.In this study,an Nb_(38)Ti_(35)Al_(15)V_(6)Cr_(4)(TaHfMoW)_(2) RHEA with a BCC/B2 dual-phase structure is successfully developed.The RHEA exhibits excellent specifc yield strength of 162.4 MPa·g^(−1)·cm^(3) and 84.3 MPa·g^(−1)·cm^(3) at room temperature(RT)and 800℃,respectively.It was found that the pinning efect of the B2 phase induces a gradual transition in dislocation slip mode from planar slip to cross slip,homogenizing the plastic fow and resulting in excellent compression plasticity(ε>50%).Additionally,the B2 phase endows the alloy with excellent yield strength at high temperatures by precipitation strengthening.Moreover,the dominated a/2<111>type dislocation contributes to the alloy's superior plasticity at high temperatures.
基金the support from the National Key R&D Program(No.2023YFB3709900)the National Key R&D Program(No.2023YFB3709901)+2 种基金the National Natural Science Foundation of China(Grant No.U22A20171)the Hebei Natural Science Foundation(Grant No.52304340)the High Steel Center(HSC)at North China University of Technology.
文摘Laboratory experiments and thermodynamic calculations were performed to investigate the interfacial reactions between the MgO-C refractory and the steel with and without the lanthanum(La)addition.Following a reaction time of 50 min,a reaction layer comprised MgO and CaS with a thickness of 30μm was observed at the interface between the La-free steel and refractory.The MgO layer was observed in La-bearing steel after just 10 min of reaction.The addition of La to the steel accelerated the formation of the MgO layer.As the reaction time increased,a La-containing layer was formed at the La-bearing steel/refractory interface.This La-containing layer progressed through stages from La_(2)O_(2)S+La2O3→La-Ca-O-S→La-Ca-O→La-Ca-Al-O.Furthermore,the evolution of oxide inclusions in the La-free steel followed the sequence of MgO⋅Al_(2)O_(3),Ti-Ca-Al-O and Ti-Mg-Al-O→MgO·Al_(2)O_(3)and MgO with increasing the reaction time.In contrast,the sequence for the La-bearing steel was:La_(2)O_(2)S and La2O3→La_(2)O_(2)S and La-Ti-Al-Mg-O→La-Ti-Al-Mg-O,MgO and MgO·Al_(2)O_(3).The average penetration depth of the La-bearing steel into the refractory was notably lower than that of the La-free steel,revealing that the incorporation of rare earth element La in steel exhibits a significant inhibitory effect on the penetration of molten steel into the MgO-C refractory.
基金supported by the Aviation Foundation(No.2023Z0530S6004)Program 173(No.2020-JCIQ-ZD-186-01)+4 种基金the Space Utilization System of China Manned Space Engineering(No.KJZ-YY-NCL08)the Shanghai“Super Postdoc”Incentive Program(No.2023314)the National High-end Foreign Experts Introduction Program(No.G2023014006)the Zhenjiang International Science and Technology Cooperation Program(No.GJ2023011)the Jiangsu University(High-tech ship)Collaborative Innovation Center Program(No.XTCX202401).
文摘Refractory high-entropy alloys(RHEAs)exhibit outstanding strength at room temperature,but their high-temperature applications are hindered by severe strain-softening.Here,we report slip-band-driven dy-namic recrystallization to enhance the high-temperature strain hardening of HfNbTaTiZr RHEA.By intro-ducing partial lattice defects through hot forging,we increase the nucleation sites for dynamic recrys-tallization during subsequent thermomechanical deformation,thus suppressing the strain-softening be-havior.We reveal that the high-temperature deformation is governed by the formation of heterogeneous bimodal grains along slip bands,which effectively constrain dislocation motion and improve strength,while microbands prevent premature failure.The fracture mode also changes from ductile to mixed to cleavage-dominated with increasing temperature.Our results demonstrate a simple and effective method for overcoming high-temperature strain-softening for BCC high entropy alloys.
