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In this investigation, the optimization of mechanical properties with thermal post-processing treatments was analyzed across a wide range of variants. A major aspect of additive manufacturing is the correlation between heat treatments and the effects on the mechanical properties and microstructure of the printed materials. Therefore, the present paper describes a comprehensive overview of post-process heat treatments for Laser Powder Bed Fusion fabricated AlSi10Mg alloy consisting of stress relief anneals at 190 ̊C and 285 ̊C for 2 h, hot isostatic pressing at 515 ̊C for 3 h, hot isostatic pressing + T6 treatment for 6 h, and final aging of each of these conditions at 177 ̊C for up to 1000 h. This has resulted in 40 experimental variants: 20 in the vertical and 20 in the horizontal tensile direction. After tensile testing, the resulting mechanical properties (ultimate tensile strength, yield strength, and elongation) and stress–strain curves are analyzed for comparison between all variants. Ultra-fine cellular, micro dendritic structures (0.6–1.2 μm) along with melt-band structures dominated the asbuilt and stress relief anneal conditions. In contrast, hot isostatic pressing and hot isostatic pressing + T6 conditions were dominated by ~10 μm, equiaxed, recrystallized grain structures and pseudo-eutectic silicon particles with varying sizes and size distributions. Microhardness and fractography results also corresponded to their specific heat treatment and microstructure. The comparison and correlation of the heat treatments are presented to help advance the selection of design strategies for high performance applications.

Papillary thyroid carcinoma is a common malignancy to affect the thyroid and is typified by a nonaggressive nature and low rates of mortality. In contrast, anaplastic thyroid carcinoma is the most aggressive thyroid malignancy with a mortality rate of nearly 90% and survival typically of only six months after the diagnosis is made. The transformation of papillary thyroid carcinoma to anaplastic thyroid carcinoma is well documented in the literature but is uncommon and in most instances is reported as a case report or small series only. Transformation of papillary thyroid carcinoma to anaplastic thyroid carcinoma usually takes place in the thyroid itself or in the adjacent lymph nodes. Only on rare occasions does a transformation occur in a papillary thyroid carcinoma metastasis outside of these locations. In the present case report and subsequent discussion we highlight an unusual case of PTC with transformation to anaplastic thyroid carcinoma, which is shown to involve numerous locations to include near total lung parenchyma obliteration. We also discuss the differential diagnostic challenges when faced with a thyroid malignancy that is negative for thyroglobulin.

The authors report a case of propofol infusion being mistaken for chyle during a two stage thoracic spinal fusion. Propofol is commonly used during spine surgery to facilitate neuromonitoring and there are no reported cases of these observations in the spine literature. We describe the positioning, timing, and treatment in a patient that required prolonged care to rule out a chylothorax. Chyle and the pharmacologic and physiologic effects of propofol are discussed. This review outlines our reasoning and steps used to rule out a chyle leak in the setting of propofol-based anesthesia. [ABSTRACT FROM AUTHOR]

Non-alcoholic fatty liver disease (NAFLD) encompasses the simple steatosis to more progressive steatosis with associated hepatitis, fibrosis, cirrhosis, and in some cases hepatocellular carcinoma. NAFLD is a growing epidemic, not only in the United States, but worldwide in part due to obesity and insulin resistance leading to liver accumulation of triglycerides and free fatty acids. Numerous risk factors for the development of NAFLD have been espoused with most having some form of metabolic derangement or insulin resistance at the core of its pathophysiology. NAFLD patients are at increased risk of liver-related as well as cardiovascular mortality, and NAFLD is rapidly becoming the leading indication for liver transplantation. Liver biopsy remains the gold standard for definitive diagnosis, but the development of noninvasive advanced imaging, biochemical and genetic tests will no doubt provide future clinicians with a great deal of information and opportunity for enhanced understanding of the pathogenesis and targeted treatment. As it currently stands several medications/supplements are being used in the treatment of NAFLD; however, none seem to be the "magic bullet" in curtailing this growing problem yet. In this review we summarized the current knowledge of NAFLD epidemiology, risk factors, diagnosis, pathogenesis, pathologic changes, natural history, and treatment in order to aid in further understanding this disease and better managing NAFLD patients., Competing Interests: Conflict-of-interest statement: Authors declare no conflict of interests for this article.