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Introduction: Research indicates that the immobilisation mask required for radiation therapy (RT) for head and neck cancers can provoke intense anxiety. However, little is known about the rates of this anxiety, whether it changes over a course of treatment and how it is managed in clinical practice. This study aimed to describe the rates and patterns of situational anxiety in patients undergoing RT for head and neck cancer and the use of anxiety management interventions in current clinical practice in a major regional cancer setting in New South Wales, Australia. Methods: Situational anxiety rates and patterns were assessed at five time points using the State‐Trait Anxiety Inventory prior to treatment planning (SIM), the first three treatment sessions (Tx 1, Tx 2 and Tx 3) and treatment 20 (Tx 20). Sessions were observed to record the use of general supportive interventions (music and support person) and anxiety‐specific interventions (break from the mask, relaxation techniques and anxiolytic medication). Sociodemographic and clinical information was extracted from the medical record. Results: One hundred and one patients were recruited. One‐third had clinically significant anxiety at any of the first three time points (33.3–40%), and a quarter at Tx 3 (26.4%) and Tx 20 (23.4%). Of the sample, 55.4% had available data for categorisation into one of four pattern groups: 'No Anxiety' (46.4%); 'Decreasing Anxiety' (35.7%); 'Increasing Anxiety' (7.1%); and 'Stable High Anxiety' (10.7%). Most participants had social support present at SIM (53.5%) and listened to music during treatment (86.7–92.9%). Few participants received relaxation techniques alone (1.2–2.3%). Anxiolytic medication was provided for 10% of patients at some stage during the treatment journey and 5% required a break from the mask at SIM, with frequency decreasing throughout the treatment course. Conclusions: In this regional cancer setting, situational anxiety was common, but generally decreased throughout treatment. Some patients experience persistent or increasing anxiety, with up to 10% of patients receiving specific anxiety management interventions. [ABSTRACT FROM AUTHOR]

Nickel-based alloys that contain chromium are widely used in corrosion-resistant applications in industry, but they are sensitive to the environment when the passive chromium oxide layer is damaged. In Ni600 and Ni625 alloys, precipitates can deplete the surface layer of chromium oxide. To better characterize and analyze the nickel alloy surfaces and their chromium carbides, chemical etching with different etchants and electrolytic etching were applied to sample surfaces. This paper revealed their efficacy in etching various carbides within the nickel alloys, and orange phases ranging from 2 to 20 μm in optical micrographs were identified as titanium-containing compounds. Carbides located on the grain boundaries were determined to be Cr23C6 and were surrounded by chromium-depleted zones. The findings and figures in this paper provide a more intuitive reference for future analysis of carbides and titanium nitrides, enhancing the understanding of their impact on the corrosion resistance of these alloys, which will not only contribute to the material science field but also aid in developing the Ni-based alloys for industrial applications. [ABSTRACT FROM AUTHOR]

Micro-pillar tests on α and α-β colony Ti alloys in combination with crystal plasticity finite element analysis has enabled the extraction of a and b phase slip strength and rate sensitivity properties. Faithfully representative α-β microstructure polycrystal plasticity models have then been established in order to investigate dwell fatigue in isothermal rig test behaviour and anisothermal thermomechanical flight loading conditions. The role of thermal alleviation in diminishing dwell sensitivity has been demonstrated.

Aims Dietary modification is essential for the secondary prevention of cardiovascular disease. However, there are limited published evidence syntheses to guide practice in the cardiac rehabilitation (CR) setting. This systematic review's objective was to assess effectiveness and reporting of nutrition interventions to optimize dietary intake in adults attending CR. Methods and results Randomized controlled trials (RCTs) of nutrition interventions within CR were eligible for inclusion and had to have measured change in dietary intake. MEDLINE, Embase, Emcare, PsycINFO, CINAHL, Scopus, and The Cochrane Library were searched from 2000 to June 2020, limited to publications in English. Evidence from included RCTs was synthesized descriptively. The risk of bias was assessed using the Cochrane Risk of Bias 2 tool. This review is registered on PROSPERO; CRD42020188723. Of 13 048 unique articles identified, 11 were eligible. Randomized controlled trials were conducted in 10 different countries, included 1542 participants, and evaluated 29 distinct dietary intake outcomes. Five studies reported statistically significant changes in diet across 13 outcomes. Most nutrition interventions were not reported in a manner that allowed replication in clinical practice or future research. Conclusion There is a gap in research testing high-quality nutrition interventions in CR settings. Findings should be interpreted in the light of limitations, given the overall body of evidence was heterogenous across outcomes and study quality; 6 of 11 studies were conducted more than 10 years old. Future research should investigate strategies to optimize and maintain nutrition improvements for patients attending CR. Registration PROSPERO; CRD42020188723. [ABSTRACT FROM AUTHOR]