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While philosophy has been defined as a critical endeavour since Plato, the critical potential of rhetoric has been mostly overlooked. In recent years, critique itself – as a means of enlightenment and emancipation – has come under attack. While there have been various attempts to renew and strengthen critical theory and practice, rhetoric has not yet played a part in these attempts. Addressing this lacuna, the article argues that rhetoric can function as a critical force within philosophy. The rhetorical perspective confronts the claim to rational discourse and universal knowledge with the contingency of philosophical languages, means of representation, and social practices. Moreover, it allows us to think of critique as an activity of a subject that is at the same time constituted and transformed by it. This opens up the possibility of a rhetorical philosophizing that meets its critical standards by taking into account both the conditions of its own speaking and what it must exclude as its ‘other’ in order to function.

Contrary demands like a reduction of carbon dioxide emissions and an increase in functionality are facing the manufacturing industry with growing challenges. When processing functional components, like synchronizer rings, conventional process chains, like shearing and subsequent joining, are reaching their limits due to an increased complexity of the components and a lack in efficiency, referring to the long process time. To meet these challenges, the strategy of lightweight construction combines the application of lightweight materials with efficient manufacturing processes and an innovative product design. One possibility within lightweight construction is the utilization of load-adapted hybrid components, featuring different material strength classes. In previous research, the process of orbital forming is used to manufacture semi-finished products with a varying thickness profile due to the specific radial material flow. This material flow should now be used to realize a permanent joint between materials of two different strength levels. Therefore, the process of orbital forming is modified to manufacture hybrid semi-finished products from a dual-phase steel DP600 and a naturally rigid aluminum alloy EN AW 5754, both with an initial thickness of 2.0 mm. Different joint geometries are cut by laser into a steel ring and the part is coaxially positioned around a basic aluminum disc inside a die and subsequently formed. The joint is investigated regarding the geometrical and mechanical properties, comparing a radial cross-section and the micro hardness distribution. In order to reveal the potential of orbital forming for a combined forming and joining operation, the axial as well as the peeling strength of the multi-material components are investigated and evaluated.

Conventional processes like shearing dispose a lack in efficiency and formability to manufacture functional components with a high geometric variety. A possibility to allow the efficient and sustainable manufacturing is the application of innovative forming operations like orbital forming. Thus, a strain-hardened component with a load-adapted thickness profile can be manufactured in a single-stage process. Thereby, the control of the material flow could be identified as major challenge due to the three-dimensional stress and strain state. In order to reduce the parts weight and simultaneously guarantee the same level of performance, conventional steel is substituted by lightweight materials such as precipitation hardenable aluminum alloys. However, new challenges arise due to the reduced formability of aluminum compared to conventional steel. In recent research, the potential of a short-term heat treatment to enlarge the formability could be shown. The presented process locally reduces the materials strength, thus allowing a control of the material flow by the interaction between softened areas and areas, which offer the initial conditions. In this contribution, the influence on the formability of orbital formed components manufactured out of the precipitation hardenable aluminum alloy EN AW 6016 by a local short-term heat treatment is investigated. Different geometry-based heat treatment layouts are applied in order to maximize the thickening on different radial positions. The potential to enhance the formability is evaluated by comparing geometrical and mechanical properties of the components manufactured in the conventional process route and with a previous heat treatment. The analysis of radial cross-sections and the hardness distribution reveals the positive influence of the heat treatment but also points out the geometrical dependency of the effect due to the characteristic material flow in orbital forming.

Nowadays, the manufacturing industry faces opposing challenges like a reduction of carbon dioxide on the one hand and on the other hand an increasing weight due to higher safety standards and additional functions. Concepts like lightweight design and functional integration are essential to ensure a sustainable and individual mobility. Gear systems consist of multi-functional parts with a varying sheet thickness and different geometric elements. Since conventional manufacturing processes like shearing are reaching their limits due to complexity and a lack in efficiency, the application of Tailored Blanks is a promising approach to meet these requirements. Manufactured by orbital forming, these process-adapted blanks dispose a high material efficiency. A tumbling motion of the upper punch enables the material distribution, realizing functional components with different material thickenings. The substitution of steel by aluminum is a common approach to meet the demands of lightweight construction. However, the use of aluminum results in a decreased formability at a constant level of strength. In order to enhance the local forming limits, a short-term heat treatment can be applied, reducing the materials’ strength, whereas the untreated areas still offer the initial properties. To transfer the results of fundamental research in Sheet-Bulk Metal Forming with conventional steel to the use of lightweight material, the precipitation hardenable aluminum alloy EN AW 6016 is investigated in an orbital forming process. Since the formability of aluminum is limited and the material flow during the process is three-dimensional, different heat treatment strategies are applied to a rotational-symmetric Tailored Blank and the resulting components are investigated regarding their geometry and mechanical properties. To increase the geometric complexity with regard to an industrial application, the transferability to a cyclic-symmetric layout is analyzed. To evaluate the potential of the heat treatment, the treated components are compared to Tailored Blanks manufactured without heat treatment.

Background and Purpose— Many patients with acute ischemic stroke are not eligible for thrombolysis or mechanical reperfusion therapies due to contraindications, inaccessible vascular occlusions, late presentation, or large infarct core. Sphenopalatine ganglion (SPG) stimulation to enhance collateral flow and stabilize the blood-brain barrier offers an alternative, potentially more widely deliverable, therapy. Methods— In a randomized, sham-controlled, double-masked trial at 41 centers in 7 countries, patients with anterior circulation ischemic stroke not treated with reperfusion therapies within 24 hours of onset were randomly allocated to active SPG stimulation or sham control. The primary efficacy outcome was improvement beyond expectations on the modified Rankin Scale of global disability at 90 days (sliding dichotomy), assessed in the modified intention-to-treat population. The initial planned sample size was 660 patients, but the trial was stopped early when technical improvements in device placement occurred, so that analysis of accumulated experience could be conducted to inform a successor trial. Results— Among 303 enrolled patients, 253 received at least one active SPG or sham stimulation, constituting the modified intention-to-treat population (153 SPG stimulation and 100 sham control). Age was median 73 years (interquartile range, 64–79), 52.6% were female, deficit severity on the National Institutes of Health Stroke Scale was median 11 (interquartile range, 9–15), and time from last known well median 18.6 hours (interquartile range, 14.5–22.5). For the primary outcome, improved 3-month disability beyond expectations, rates in the SPG versus sham treatment groups were 49.7% versus 40.0%; odds ratio, 1.48 (95% CI, 0.89–2.47); P =0.13. A significant treatment interaction with stroke location (cortical versus noncortical) was noted, P =0.04. In the 87 patients with confirmed cortical involvement, rates of improvement beyond expectations were 50.0% versus 27.0%; odds ratio, 2.70 (95% CI, 1.08–6.73); P =0.03. Similar response patterns were observed for all prespecified secondary efficacy outcomes. No differences in mortality or serious adverse event safety end points were observed. Conclusions— SPG stimulation within 24 hours of onset is safe in acute ischemic stroke. SPG stimulation was not shown to statistically significantly improve 3-month disability above expectations, though favorable outcomes were nominally higher with SPG stimulation. Beneficial effects may distinctively be conferred in patients with confirmed cortical involvement. The results of this study need to be confirmed in a larger pivotal study. Clinical Trial Registration— URL: https://www.clinicaltrials.gov . Unique identifier: NCT03767192.

Due to rising demands regarding the functionality and load-bearing capacity of functional components such as synchronizer rings in gear systems, conventional forming operations are reaching their limits with respect to formability and efficiency. One way to meet these challenges is the application of the innovative process class of sheet-bulk metal forming (SBMF). By applying bulk forming operations to sheet metal, the advantages of both process classes can be combined, thus realizing an optimized part weight and an adapted load-bearing capacity. Different approaches to manufacturing relevant part geometries were presented and evaluated regarding the process properties and applicability. In this contribution, a self-learning engineering workbench was used to provide geometry-based data regarding a novel component geometry with circumferential involute gearing manufactured in an SBMF process combination of deep drawing and upsetting. Within the comprehensive investigations, the mechanical and geometrical properties of the part were analyzed. Moreover, the manufactured components were compared regarding the increased fatigue strength in cyclic load tests. With the gained experimental and numerical data, the workbench was used for the first time to generate the desired component as a CAD model, as well as to derive design guidelines referring to the investigated properties and fatigue behavior.

The efficient process of orbital forming can be used to manufacture functional components with a varying sheet thickness profile. It is characterized by a tumbling movement of the die and counterpunch, thus reducing the contact area between work piece and tool as well as the maximum forming force significantly. Within the project A1 of the Transregional Collaborative Research Centre (TCRC 73), the process of orbital forming has been investigated fundamentally. The control of the material flow to increase the maximum form filling could be identified as major challenge. The objective of this transfer project is the enlargement of the forming limits in comparison to conventional orbital forming by developing and applying tailor-made process and heat treatment strategies for industrial relevant steel and aluminum alloys. For the purpose of a transfer to industrial application, a demonstrator geometry with a varying sheet thickness profile is defined. Main aspects of the investigation are the resulting geometrical and mechanical properties and the possibility to enlarge the forming limits. The final geometric shape is realized by applying different cutting operations. An industrial application is evaluated by assembling the demonstrator to a near-series clutch disc and analyzing the functional behavior.

Background and purpose External counterpulsation improves cerebral perfusion velocity in acute stroke and may stimulate collateral artery growth. However, whether (non-acute) at-risk patients with high-grade carotid artery disease may benefit from counterpulsation needs to be validated. Methods Twenty-eight patients (71 ± 6.5 years, five women) with asymptomatic unilateral chronic severe internal carotid artery stenosis (>70%) or occlusion were randomized to receive 20 min active counterpulsation followed by sham treatment or vice versa. Cerebral blood flow velocity (CBFV) (measured bilaterally by transcranial middle cerebral artery Doppler), tissue oxygenation index (TOI) (measured over the bilateral prefrontal cortex by near-infrared spectroscopy) and cerebral hemodynamic parameters, such as relative pulse slope index (RPSI), were monitored. Results Ipsilateral mean CBFV (ΔVmean +3.5 ± 1.2 cm/s) and tissue oxygenation (ΔTOI +2.86 ± 0.8) increased significantly during active counterpulsation compared to baseline, whilst the sham had little effect (ΔVmean +1.13 ± 1.1 cm/s; ΔTOI +1.25 ± 0.65). On contralateral sides, neither counterpulsation nor sham control had any effect on either parameter. During counterpulsation, early dynamic changes in ΔRPSI of the ipsilateral CBFV signal predicted improved tissue oxygenation during counterpulsation (odds ratio 1.179, 95% confidence interval 1.01-1.51), whilst baseline cerebrovascular reactivity to hypercapnia failed to show an association. Conclusions In patients with high-grade carotid disease, ipsilateral cerebral oxygenation and blood flow velocity are increased by counterpulsation. This is a necessary condition for the stimulation of regenerative collateral artery growth and thus a therapeutic concept for the prevention of cerebral ischaemia. This study provides a rationale for further clinical investigations on the long-term effects of counterpulsation on cerebral hemodynamics and collateral growth.

Background Treatment of individuals with asymptomatic carotid artery stenosis is still handled controversially. Recommendations for treatment of asymptomatic carotid stenosis with carotid endarterectomy (CEA) are based on trials having recruited patients more than 15 years ago. Registry data indicate that advances in best medical treatment (BMT) may lead to a markedly decreasing risk of stroke in asymptomatic carotid stenosis. The aim of the SPACE-2 trial (ISRCTN78592017) was to compare the stroke preventive effects of BMT alone with that of BMT in combination with CEA or carotid artery stenting (CAS), respectively, in patients with asymptomatic carotid artery stenosis of ≥70% European Carotid Surgery Trial (ECST) criteria. Methods SPACE-2 is a randomized, controlled, multicenter, open study. A major secondary endpoint was the cumulative rate of any stroke (ischemic or hemorrhagic) or death from any cause within 30 days plus an ipsilateral ischemic stroke within one year of follow-up. Safety was assessed as the rate of any stroke and death from any cause within 30 days after CEA or CAS. Protocol changes had to be implemented. The results on the one-year period after treatment are reported. Findings It was planned to enroll 3550 patients. Due to low recruitment, the enrollment of patients was stopped prematurely after randomization of 513 patients in 36 centers to CEA (n = 203), CAS (n = 197), or BMT (n = 113). The one-year rate of the major secondary endpoint did not significantly differ between groups (CEA 2.5%, CAS 3.0%, BMT 0.9%; p = 0.530) as well as rates of any stroke (CEA 3.9%, CAS 4.1%, BMT 0.9%; p = 0.256) and all-cause mortality (CEA 2.5%, CAS 1.0%, BMT 3.5%; p = 0.304). About half of all strokes occurred in the peri-interventional period. Higher albeit statistically non-significant rates of restenosis occurred in the stenting group (CEA 2.0% vs. CAS 5.6%; p = 0.068) without evidence of increased stroke rates. Interpretation The low sample size of this prematurely stopped trial of 513 patients implies that its power is not sufficient to show that CEA or CAS is superior to a modern medical therapy (BMT) in the primary prevention of ischemic stroke in patients with an asymptomatic carotid stenosis up to one year after treatment. Also, no evidence for differences in safety between CAS and CEA during the first year after treatment could be derived. Follow-up will be performed up to five years. Data may be used for pooled analysis with ongoing trials.