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Designing in situ whiskers to enhance the fracture toughness of ceramics presents challenges for structural applications. Herein, two corundum-type medium-entropy oxide ceramics (MEO-1 and MEO-2) are synthesized through solid-state reaction sintering under controlled oxygen partial pressures. MEO-1 is a single-phase corundum-type oxide (AlCrFeTi)O, while MEO-2 incorporates (FeAlCr)TiO whiskers to reinforce (AlCrFeTi)O. By regulating variable valence ions at different oxygen partial pressures, the whiskers achieved a maximum average length of 28.3 µm and a length-to-diameter ratio of 17.7 at 50.6 kPa, significantly enhancing the fracture toughness of the MEO-2, which possesses the optimal flexural strength, Vickers hardness, and fracture toughness of 321 ± 8 MPa, 22.4 ± 1.5 GPa, and 3.87 ± 0.12 MPa m, respectively. Bravais-Friedel-Donnay-Harker law (BFDH) simulation elucidates that oxygen partial pressures can effectively regulate ionic diffusion behavior and whisker growth. First-principles calculations demonstrate that the whisker growth direction [0 4 0] aligns with the high shear modulus direction, contributing to the strengthening mechanism. This work provides new insights for designing high-performance medium/high-entropy ceramics, highlighting the critical role of oxygen partial pressure in regulating whisker growth and improving mechanical properties.
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http://dx.doi.org/10.1002/advs.202508378 | DOI Listing |
Introduction: Distraction methods such as virtual reality and cold vibration devices (Buzzy) are recommended during vascular access. Few studies focused on distraction during intramuscular injection.
Methods: This study evaluated the effect of distraction methods on procedure-related pain, fear, and anxiety during the intramuscular injection in children aged 5 to 12 years in the pediatric emergency department.
JTCVS Open
August 2025
Department of Critical Care Medicine, Mayo Clinic, Jacksonville, Fla.
Objective: Ex vivo lung perfusion (EVLP) has resulted in a significant increase in the use of extended-criteria donor lungs without negatively impacting survival outcomes. However, in-house EVLP is resource-intensive, thereby limiting accessibility. Remote, centralized EVLP (rc-EVLP) has been used with acceptable outcomes in a highly protocolized feasibility study, although has not been assessed in a clinical setting.
View Article and Find Full Text PDFMedicine (Baltimore)
September 2025
Department of Chest Diseases, Health Ministry of the Turkish Republic, Bursa City Hospital, Bursa, Türkiye.
Using high-flow nasal cannula (HFNC) in patients with hypoxemic respiratory failure to avoid intubation raises concerns about its potential to increase mortality due to delayed intubation. Identifying at-risk patients is essential. While the literature predicts risk with oxygen-based indices (ROX, SpO2/FiO2, PaO2/FiO2), we aimed to detect ventilation insufficiency.
View Article and Find Full Text PDFAm J Respir Crit Care Med
September 2025
Aalborg University Hospital, Anaesthesia and Intensive Care, Aalborg, North Denmark Region, Denmark.
Rationale: In intensive care unit (ICU) patients lower oxygenation targets may impair long-term cognitive function, while higher targets may impair long-term pulmonary function.
Objectives: To assess the effects of a partial pressure of arterial oxygen (PaO) target of 60 vs 90 mmHg on one-year cognitive and pulmonary functions in ICU survivors of acute hypoxemic respiratory failure.
Methods: 3654 patients were randomized in the Handling Oxygenation Targets in the ICU and the Handling Oxygenation Targets in COVID-19 trials: 1916 (52.
Cureus
August 2025
Department of Thoracic Surgery, Attikon General Hospital, National and Kapodistrian University of Athens, Athens, GRC.
Left-sided partial anomalous pulmonary venous return (PAPVR) may remain clinically silent and undiagnosed until incidentally identified, potentially introducing complexity in perioperative assessment and management, particularly in patients with significant comorbidities. We report the case of a 77-year-old male with metastatic colorectal adenocarcinoma and a history of multiple right-sided pulmonary metastasectomies. He underwent a right completion upper bilobectomy.
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