The effect of the nitrogen content in the shielding gas and its effect on temperature distributions at the welded zone of thin sheets of duplex stainless steel have been evaluated. The duplex stainless steels have many features due to unique microstructural combination of austenite and ferrite grains. The phase balance can be easily shifted depending on the welding parameters. Two sheets were welded using pure argon and pure argon plus 2% of nitrogen as shielding gas. The thermal profile had shown that N2-supplemented shielding gas lead to higher peaks of temperature using similar welding parameters. Microstructural examination showed that the austenite phase in the weld increased with the presence of nitrogen in the shielding gas. The added nitrogen promoted primary austenite formation and slightly increases the microhardness at the solidified zone. Microhardness mapping and metallographic imaging presented information about microstructures, confirming the formation of secondary phases during thermal cycle in the temperature range 850 °C and 950 °C. Control of ferrite amounts in the welds is essential mainly to improve mechanical properties and corrosion resistance of welding zones.

The characterization of sintered valve seat inserts (VSIs) after being subjected to different heat treatment operations has been carried out. The VSIs were obtained from three different alloys by mixing iron powder with AISI M3:2, AISI M2 high-speed steels, and AISI D2 tool steel. After sintering, the VSI were quenched in air followed by double tempering at seven different temperatures. The cooling rate during air quenching was measured by means of a thermocouple type k attached to a data acquisition system. The characterization of the mechanical and physical properties of the VSIs was achieved by measuring relative density, apparent hardness and crush radial strength. The resulting microstructures for the sintered parts were interpreted using the isothermal and continuous cooling transformation diagrams for similar alloys. The VSI obtained with AISI M3:2 and AISI M2 high-speed steels after air quenching and double tempering at 600 ºC showed the best results in terms of apparent hardness and crush radial strength.

Objective: To assess the effectiveness of a cognitive-behavioral therapy-based intervention (Superwellness Program) on weight gain compared with a treatment-as-usual (TAU) approach in patients treated with antipsychotics, and to evaluate the relationship between body mass index (BMI) variation and clinical variables. Method: Eighty-five patients treated with antipsychotics were allocated across two groups, experimental (n=59) and control (n=26). The Superwellness Program (experimental group) consisted of 32 twice-weekly 1-hour sessions, conducted by a psychologist and a nutritionist/nurse, concurrently with moderate food intake and moderate physical activity plans. Sociodemographic, clinical, and biological variables were collected at baseline, at the end of intervention (16 weeks), and after 6 months. Results: BMI change from baseline differed significantly between the experimental and control groups, with a larger decrease in the experimental group (F = 5.5, p = 0.021). Duration of illness moderated the effect of treatment on BMI (p = 0.026). No significant (p = 0.499) effect of intervention during the follow-up period was found. Interestingly, the intervention indirectly induced a significant (p = 0.024) reduction in metabolic risk by reducing BMI. Conclusion: A cognitive-behavioral therapy-based intervention could be useful in reducing weight in a clinical population taking antipsychotics, with consequent benefit to physical and mental health.

Abstract: We describe herein what is to our knowledge the first reported case of an invasive cutaneous metastasis with unknown primary, electively treated solely with electrochemotherapy. We describe a female patient with a large, invasive and painful lesion in her hypogastric region, extending up to the pubic area. The cutaneous biopsy and instrumental and laboratory analyses, all failed to reveal the primary site. A final diagnosis of cutaneous metastasis with unknown primary was made and treatment was performed with electrochemotherapy. Our case highlights the importance of interdisciplinary choices in clinical practice to cope with the lack of a primary site and to improve quality of life, since no standardized therapy exists for these classes of patients.

INTRODUCTION: The possibility that variation in packaging and pill appearance may reduce adherence is a reason for concern, especially for chronic diseases. The objectives of the study were to quantify the extent of switches between generic antidiabetics and to verify whether switching between different products of the same substance affects adherence. MATERIALS AND METHODS: All elderly residents of the Umbria Region who received at least 2 prescriptions of antidiabetics in 2010 and 2011 were included in the study. Switching was defined as the dispensing of two different products of the same substance in a series of two prescriptions. Single and multiple switchers were identified according to the number of switches during 2011. Switching relevant to the three off-patent substances with generic use ≥ 5% (metformin, gliclazide and repaglinide) was quantified. The effect of switching on adherence, defined as the proportion of days in 2011 covered by prescriptions (Medication Possession Ratio, MPR), was estimated. RESULTS: Among the 15 964 patients receiving antidiabetics (14.4% of the elderly population) 9211 were prescribed at least one of the generic substances. Of these patients, 23.3% experienced a single switch and 15.7% were multiple switchers (61.0% never switched). The proportion of multiple switchers increased with the number of prescriptions, reaching 26% among patients with ≥ 11 prescriptions. MPR was 62%, 62% and 72%, respectively among non-switchers, single and multiple switchers. CONCLUSIONS: In elderly patients treated with antidiabetics, the substitution between branded and unbranded products (as well as between generics) of the same substance, did not negatively affect adherence.

O artigo utiliza abordagens teóricas como simplexidade (simplexity) , neurociências e enactivismo para discutir cenários cotidianos de sala de aula. Busca transpor a clássica divisão bipolar entre mente e corpo, por meio destas abordagens das ciências cognitivas. Dois experimentos sobre o papel do corpo na didática são apresentados para demonstrar a relevância da conscientização do corpo, para melhorar o desempenho em sala de aula. O primeiro experimento utiliza o neurofeedback para medir a temperatura corporal, como meio para entender o papel do corpo na auto-regulação e gestão da atenção. O segundo utiliza um bracelete multi-sensor, que fornece dados sobre a energia gasta pelo professor nas atividades cotidianas em sala de aula. Pesquisadores italianos e brasileiros cooperam para que esta trajetória experimental de didática inclusiva, seja utilizada em classes com crianças e adolescentes com Déficit de Atenção e Hiperatividade.

The article uses theoretical approaches as simplexity, neuroscience and enactivism to discuss everyday classroom activities. It tries to transpose the classical bipolar division between mind and body, through these approaches in cognitive science. Two experiments on the body’s role in teaching are presented to demonstrate the relevance of the awareness of the body, to improve performance in the classroom. The first experiment uses neurofeedback to measure the body temperature, as a means to understand the role of the body in self-regulation and control of the attention. The second uses a bracelet multi-sensor, which provides data on the energy spent by the teacher in daily activities in the classroom. Italian and Brazilian researchers cooperate in this experimental path of inclusive teaching, to be used in classes with children and adolescents with Attention Deficit Hyperactivity Disorder.

AIMS: The aims of the study were to describe the epidemiology of home injuries (HI) among Italian students' mothers and to identify the possible predictors of having HI. METHODS: An anonymous questionnaire was used in several Italian schools. In order to identify predictors of having HI, a multivariate analysis was performed. RESULTS: In our sample (3,610 women), the prevalence of HI was 18%; 6.2% of the interviewed had a severe HI. The multivariate analyses showed that increasing age, to spend more than 13 hours a day at home and to be housewife are risk factors for having HI. CONCLUSIONS: This study reports a high prevalence of HI, highlighting an urgent need for undertaking interventions to develop an adequate culture of safety and prevention.