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Low-grade limestone (LGL) is not used to produce cement clinker, but this leftover material in cement quarries increases the water demand when used as a filler in concrete production. In this study, the effect of six commercial superplasticizers on the performance of cement mixes containing 35% LGL and 2% gypsum was investigated. The optimal doses of these superplasticizers were found in a range of different water/binder (w/b) ratios by conducting several Marsh cone and mini-slump tests. The addition of a superplasticizer with a higher active solid content produced a maximum cement flow, regardless of the w/b ratios. The LGL-based mortar samples admixed with this superplasticizer obtained a maximum compressive strength of about 36 MPa at the end of 28 days. SEM and XRD results showed the formation of a new calcium-rich mineral in their microstructure. These findings highlight the impact of the type and properties of superplasticizers on the performance of concrete mixes containing LGL as a supplementary cementitious material.
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INTRODUCTION: Elderly patients pose a significant challenge to intensive care unit (ICU) clinicians. In this study we attempted to characterise the population of patients over 80 years old admitted to ICUs in Poland and identify associations between clinical features and short-term outcomes. MATERIAL AND METHODS: The study is a post-hoc analysis of the Polish cohort of the VIP2 European prospective observational study enrolling patients > 80 years old admitted to ICUs over a 6-month period. Data including clinical features, clinical frailty scale (CFS), geriatric scales, interventions within the ICU, and outcomes (30-day and ICU mortality and length of stay) were gathered. Univariate analyses comparing frail (CFS > 4) to non-frail patients and survivors to non-survivors were performed. Multivariable models with CFS, activities of daily living score (ADL), and the cognitive decline questionnaire IQCODE as predictors and ICU or 30-day mortality as outcomes were formed. RESULTS: A total of 371 patients from 27 ICUs were enrolled. Frail patients had significantly higher ICU (58% vs. 44.45%, P = 0.03) and 30-day (65.61% vs. 54.14%, P = 0.01) mortality compared to non-frail counterparts. The survivors had significantly lower SOFA score, CFS, ADL, and IQCODE than non-survivors. In multivariable analysis CFS (OR 1.15, 95% CI: 1.00-1.34) and SOFA score (OR 1.29, 95% CI: 1.19-1.41) were identified as significant predictors for ICU mortality; however, CFS was not a predictor for 30-day mortality ( P = 0.07). No statistical significance was found for ADL, IQCODE, polypharmacy, or comorbidities. CONCLUSIONS: We found a positive correlation between CFS and ICU mortality, which might point to the value of assessing the score for every patient admitted to the ICU. The older Polish ICU patients were characterised by higher mortality compared to the other European countries.
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Unidades de Terapia Intensiva , Humanos , Polônia/epidemiologia , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Feminino , Estudos Prospectivos , Idoso de 80 Anos ou mais , Fragilidade/epidemiologia , Tempo de Internação/estatística & dados numéricos , Mortalidade Hospitalar , Atividades Cotidianas , Avaliação Geriátrica/métodos , Idoso Fragilizado/estatística & dados numéricos , Estudos de CoortesRESUMO
PURPOSE: Several initiatives have recently focused on raising awareness about limitations of treatment in Poland. We aimed to assess if the propensity to limit LST among elderly patients in 2018-2019 increased compared to 2016-2017. METHODS: We analysed Polish cohorts from studies VIP1 (October 2016 - May 2017) and VIP2 (May 2018 - May 2019) that enrolled critical patients aged >80. We collected data on demographics, clinical features limitations of LST. Primary analysis assessed factors associated with prevalence of limitations of LST, A secondary analysis explored differences between patients with and without limitations of LST. RESULTS: 601 patients were enrolled. Prevalence of LST limitations was 16.1% in 2016-2017 and 20.5% in 2018-2019. No difference was found in univariate analysis (p = 0.22), multivariable model showed higher propensity towards limiting LST in the 2018-2019 cohort compared to 2016-2017 cohort (OR 1.07;95%CI, 1.01-1.14). There was higher mortality and a longer length of stay of patients with limitations of LST compared to the patients without limitations of LST. (11 vs. 6 days, p = 0.001). CONCLUSIONS: The clinicians in Poland have become more proactive in limiting LST in critically ill patients ≥80 years old over the studied period, however the prevalence of limitations of LST in Poland remains low.
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Cuidados para Prolongar a Vida , Assistência Terminal , Idoso , Humanos , Idoso de 80 Anos ou mais , Polônia/epidemiologia , Prevalência , Tomada de Decisões , Cuidados CríticosRESUMO
INTRODUCTION: The study aims to present a case of acute mercuric chloride poisoning treated successfully with continuous renal replacement therapy using the CytoSorb filter. CASE DESCRIPTION: A 21-year-old female patient after a suicide attempt by intentional ingestion of mercuric chloride, was admitted to the hospital with features of multiple organ damage for specific treatment. The performed laboratory tests confirmed high levels of mercury in the blood (1051 µg/L) and urine (22,960 µg/L). Due to acute renal failure, continuous renal replacement therapy (CRRT) CVVHD Ci-Ca was initiated; the procedure was then converted to CVVHDF Ci-Ca with ultrafiltration to optimise therapy, and CytoSorb was added to the artificial kidney system on day 3. Specific antidote therapy (DMPS) was administered concurrently. The ongoing treatment resulted in a reduction in subjective complaints, a decrease in blood mercury levels to 580 µg/L, and an improvement in parenchymal organ function. CONCLUSION: In the event of poisoning with inorganic mercury compounds (mercuric chloride), continuous renal replacement therapy using the CytoSorb filter as an extracorporeal blood purification method may be considered.
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Injúria Renal Aguda , Intoxicação por Mercúrio , Mercúrio , Feminino , Humanos , Adulto Jovem , Adulto , Cloreto de Mercúrio/uso terapêutico , Cloretos/uso terapêutico , Intoxicação por Mercúrio/diagnóstico , Intoxicação por Mercúrio/tratamento farmacológico , Mercúrio/uso terapêutico , Injúria Renal Aguda/induzido quimicamente , Injúria Renal Aguda/terapiaRESUMO
This study aims to present a case of acute mercuric chloride poisoning at a potentially lethal dose treated with the antidote - 2,3-dimercapto- 1-propanesulfonic acid (DMPS) and continuous renal replacement therapy (CRRT) combined with CytoSorb. A 21-year-old woman was admitted to a hospital with abdominal pain, vomiting, and suspected gastrointestinal bleeding after taking 5000 mg of mercuric chloride for suicidal purposes. Due to the patient deteriorating general condition and multiple organ damage, on the third day she was transported to the Clinic of Anaesthesiology and Intensive Care (CAaIC), Lódz, Poland. Laboratory tests confirmed features of acute kidney injury and high mercury levels in the blood (1051 µg/l) and urine (22 960 µg/l) - DMPS therapy and CRRT combined with CytoSorb were instituted. Due to nervous system complaints (headache, dizziness), a lumbosacral puncture was performed - the mercury concentration in the cerebrospinal fluid (CSF) was 5.45 µg/l. During a colonoscopy, significant diagnostic abnormalities revealed features of colonic mucosal necrosis. The treatment resulted in a decrease in subjective complaints, decreased mercury levels in biological material, and improved parenchymal organ function. On the 15th day of therapy, the patient was transferred to the primary care center for further treatment. The case confirms the possibility of improvement of patient condition following ingestion of a potentially lethal dose (5 g) as a result of the initiation of appropriate therapy even on the third day. The presence of mercury in CSF confirms that inorganic mercury compounds (mercuric chloride) can pass through the blood-brain barrier after oral ingestion. Int J Occup Med Environ Health. 2023;36(5):685-92.
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Injúria Renal Aguda , Intoxicação por Mercúrio , Mercúrio , Feminino , Humanos , Adulto Jovem , Cloreto de Mercúrio/intoxicação , Intoxicação por Mercúrio/terapia , Intoxicação por Mercúrio/tratamento farmacológicoRESUMO
This article deals with the study of hazardous chromium leaching, stabilized/solidified by cement CEM II after 28 days of curing, in an acidic environment. The mortars subjected to this study were investigated by X-ray diffraction (XRD) characterization to evaluate the influence of chromium waste on their mineralogical structure. In the study range (0.6-1.2%), increasing the mass percentage of Cr2O3 in the mortars indicates that chromium accelerates the hydration process and setting of the mortar and increases the mechanical strength of the mortars compared to the control sample. It was observed that the release of chromium during the Toxicity Characteristic Leaching Procedure (TCLP) test and the efficiency of the stabilization/solidification process depended on the initial Cr concentration and the leaching time. The use of XRD allowed the identification of new crystallized phases in the cement matrices, namely, CaCrO4·2H2O and chromium-ettringite Ca6Cr2(SO4)3(OH)12·26H2O, which confirms the immobilization of chromium and the efficiency of the stabilization/solidification process. In this research, the release mechanism was found to be primarily a surface phenomenon by modeling the experimental data (dissolution or precipitation).
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The incorporation of polycarboxylate ether superplasticizer (PCE)-type polymers and silica fume (SF) in high-performance concretes (HPC) leads to remarkable rheological and mechanical improvements. In the fresh state, PCEs are adsorbed on cement particles and dispersants, promoting the workability of the concrete. Silica fume enables very well-compacted concrete to be obtained, which is characterized by high mechanical parameters in its hardened state. Some PCEs are incompatible with silica fume, which can result in slump loss and poor rheological behavior. The main objective of this research is to study the influence of three types of PCEs, which all have different molecular architectures, on the rheological and mechanical behavior of high-performance concretes containing 10% SF as a partial replacement of cement. The results show that the carboxylic density of PCE has an influence on its compatibility with SF.
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Quartz powder sourced from industrial wastes is very hazardous. It is because it contains large amounts of fine particles. Thus, it has the potential to cause cancer and nervous system impact on humans and animals. Furthermore, its disposal leads to water pollution and plant pollination (negative for the environment). It will not be dangerous if incorporated into a hardened epoxy resin coating. In turn, epoxy resin is very harmful to the environment, in particular to aquatic organisms; therefore, it is necessary to reduce its mass in coatings by using additives. The article describes the systematic investigation of the adhesion of an epoxy resin coating and an economic and toxicity analysis showing the cost and toxicity reduction of the epoxy resin coating by replacing a part of the epoxy resin mass with waste quartz powder. The key novelty of the following article is to highlight a new way to decrease the hazardous effect of waste quartz powder, thanks to its utilization in epoxy resin coatings. Furthermore, the novelty is to decrease the toxicity of epoxy resin by reducing its mass necessary to make the industrial coating.
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Resinas Epóxi , Quartzo , Humanos , Animais , Pós , IndústriasRESUMO
The purpose of this article is to determine the effect of granite powder grain size and grinding time on the properties of cement paste. A series of cement pastes modified by the addition of granite powder were made and the properties of the fresh mixtures and the mechanical properties of hardened pastes were studied. Based on the study, the best results, from the point of view of the application of granite powder in cementitious composites, were obtained for a sample with granite powder ground for 3 h, in which 50% of the particles were smaller than 4 µm, and 90% were below 20 µm. Compressive strength of 55 MPa and flexural strength of 6.8 MPa were obtained on this sample after aging for 28 days. To confirm the validity of using granite powder as substitute materials, additional tests such as scanning microscopy with elemental analysis (SEM, EDS) and infrared (FTIR) studies were performed.
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Granite is a well-known building and decorative material, and, therefore, the amount of produced waste in the form of granite powder is a problem. Granite powder affects the health of people living near landfills. Dust particles floating in the air, which are blown by gusts of wind, can lead to lung silicosis and eye infections, and can also affect the immune system. To find an application for this kind of waste material, it was decided to study the effect of partially replacing cement with waste granite powder on the properties of fresh and hardened mortars intended for masonry applications. The authors planned to replace 5%, 10%, and 15% of cement with waste material. Series of mortar with the addition of granite powder achieved 50% to 70% of the compressive strength of the reference series, and 60% to 76% of the bending strength of the reference series. The partial replacement of cement with the granite powder significantly increased the water sorption coefficient. The consistency of the fresh mortar, and its density and water absorption also increased when compared to the reference series. Therefore, Granite powder can be used as a partial replacement of cement in masonry mortars.
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In this study, a machine learning model for the precise manufacturing of green cementitious composites modified with granite powder sourced from quarry waste was designed. For this purpose, decision tree, random forest and AdaBoost ensemble models were used and compared. A database was created containing 216 sets of data based on an experimental study. The database consists of parameters such as the percentage of cement substituted with granite powder, time of testing and curing conditions. It was shown that this method for designing green cementitious composite mixes, in terms of predicting compressive strength using ensemble models and only three input parameters, can be more accurate and much more precise than the conventional approach. Moreover, to the best of the authors' knowledge, artificial intelligence has been one of the most effective and precise methods used in the design and manufacturing industry in recent decades. The simplicity of this method makes it more suitable for construction practice due to the ease of evaluating the input variables. As the push towards decreasing carbon emissions increases, a method for designing green cementitious composites without producing waste that is more precise than traditional tests performed in a laboratory is essential.
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The article presents the results of research that was carried out in order to analyze the capillary suction of cement mortar. Capillary suction is a common process that occurs when porous material is in free contact with moisture. The result of high capillary suction may be excessive moisture in buildings, and it is therefore important to limit the causes of such moisture. The main aim of the presented research is to show the influence of sodium silicate (in various proportions), as well as the quantity of aggregate, on capillary suction. Three different types of cement mortar and one type of fine aggregates were analyzed in the research. At the beginning, the capillary suction of the aggregates was analyzed. Afterwards, nine cement mortar bars were made, which were then used to examine the capillary suction. As a result of this study, it was proved that M15 cement mortar with basalt fine aggregate and a higher proportion of sodium silicate was the mortar with the lowest capillary suction. It was found that M15 cement mortar with basalt fine aggregate and a higher proportion of sodium silicate had 39 mm of capillary suction after 120 h of being immersed in water. M5 cement mortar without sodium silicate had the highest index of capillary suction, which shows that adding sodium silicate to cement mortar can significantly reduce capillary suction.
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Recently, the research of innovative building materials is focused on applying supplementary materials in the form of micro- and nanopowders in cementitious composites due to the growing insistence on sustainable development. Considering above, in paper, a research on the effect of microsilica and SiO2 nanoparticles addition to cement paste, designed with Andreasen and Andersen (AA) packing density model (PDM), in terms of its physical and mechanical properties was conducted. Density, porosity, compressive strength, hardness, and modulus of indentation were investigated and compared regarding different amount of additives used in cement paste mixes. Microstructure of the obtained pastes was analyzed. The possibility of negative influence of alkali-silica reaction (ASR) on the mechanical properties of the obtained composites was analyzed. The results of the conducted investigations were discussed, and conclusions, also practical, were presented. The obtained results confirmed that the applied PDM may be an effective tool in cement paste design, when low porosity of prepared composite is required. On the other hand, the application of AA model did not bring satisfactory results of mechanical performance as expected, what was related, as shown by SEM imaging, with inhomogeneous dispersion of microsilica, and creation of agglomerates acting as reactive aggregates, what as a consequence caused ASR reaction, crack occurrence and lowered mechanical properties. Finally, the study found that the use of about 7.5% wt. of microsilica is the optimum in regards to obtain low porosity, while, to achieve improved mechanical properties, the use of 4 wt. % of microsilica seems to be optimal, in the case of tested cement pastes.
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The aim of this article is to predict the compressive strength of environmentally friendly concrete modified with eggshell powder. For this purpose, an optimized artificial neural network, combined with a novel metaheuristic shuffled frog leaping optimization algorithm, was employed and compared with a well-known genetic algorithm and multiple linear regression. The presented results confirm that the highest compressive strength (46 MPa on average) can be achieved for mix designs containing 7 to 9% of eggshell powder. This means that the strength increased by 55% when compared to conventional Portland cement-based concrete. The comparative results also show that the proposed artificial neural network, combined with the novel metaheuristic shuffled frog leaping optimization algorithm, offers satisfactory results of compressive strength predictions for concrete modified using eggshell powder concrete. Moreover, it has a higher accuracy than the genetic algorithm and the multiple linear regression. This finding makes the present method useful for construction practice because it enables a concrete mix with a specific compressive strength to be developed based on industrial waste that is locally available.
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Recently, the surfaces of concrete structures are impregnated to protect them against the environment in order to increase their durability. It is still not known how the use of these agents affects the near-surface hardness of concrete. This is especially important for experts who use the near-surface hardness of concrete for estimating its compressive strength. The impregnation agents are colorless and, thus, without knowledge of their use, mistakes can be made when testing the surface hardness of concrete. This paper presents the results of investigations concerning the impact of impregnation on the subsurface hardness concrete measured using a Schmidt hammer. For this research, samples of cement paste with a water-cement ratio of 0.4 and 0.5 were used. The samples were impregnated with one, two, and three layers of two different agents. The first agent has been made based on silanes and siloxanes and the second agent has been made based on based on polymers. The obtained research results allow for the conclusion that impregnation affects the near-surface hardness of concrete. This research highlights the fact that a lack of knowledge about the applied impregnation of concrete when testing its near-surface hardness, which is then translated into its compressive strength, can lead to serious mistakes.
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The article presents a comparative analysis of the impact of the addition of steel and polypropylene fibers on the properties of the concrete mixes and hardened concrete used in the concrete floor industry. The behavior of concrete intended for floors is different from conventional structural concrete because it is formed horizontally; until now, the effect of steel and polypropylene fibers on the properties of concrete formed horizontally has not yet been fully understood. Therefore, the aim of this article is to examine this issue and compare the behavior of concrete modified with steel and polypropylene fibers in concrete that is formed horizontally. The following properties of fresh concrete mixes were analyzed: consistency, the content of air-voids, and bulk density. Consequently, the following properties of hardened concrete were analyzed: compressive strength, bending tensile strength, and brittleness. It was confirmed that steel and polypropylene fibers have a different type of effect on the properties of fresh concrete mixes and hardened concrete. Finally, a combined economic and mechanical analysis was performed.
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This article describes the effect of adding polypropylene fibers to primer on the pull-off strength of epoxy resin coatings. Investigated primers were laid on substrates made of cement mortar and cement slurry. The primer was made of epoxy resin modified with the addition of 0.5%, 1%, 1.5% and 2% of polypropylene fibers. One reference sample was made without the addition of fibers. Then, an epoxy resin coating was applied to each substrate. Four pull-off strength tests were performed for each material configuration. For this purpose, an automatic device for measuring the pull-off strength of the coatings was used. The results were compared with the results obtained for the reference sample. The optimum content of polypropylene fibers was found to be in the range of 0.5-1.0 wt. % of the mass of the resin. One percent of fibers was optimum for the epoxy resin laid on the cement slurry, while 0.5 wt. % of fibers was optimum for the mortar substrate. The addition of a higher amount of polypropylene fibers resulted in a lower pull-off strength of coatings than for the reference sample.
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The article presents original complex methodology for the effective control of the entire process of executing floors made of cement-based materials. This methodology has been lacking in literature so far. The methodology was developed on the basis of many years of the authors' experience, which was acquired when diagnosing the technical condition of such floors. The methodology was preceded by a synthetic summary of the most important technological and technical requirements for floors made of cement-based materials. It was also enriched with a discussion of the problem documented by sample research results showing the state that may be the result of disregarding and not performing the necessary control activities.
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This article focuses on the development of nanoalumina-based cement mortars for overlay applications in concrete floors. It focuses on the effect of applying aluminum oxide (Al2O3) nanopowder to the cement mortar used to make the overlay, on the adhesion of this overlay to concrete substrate and on its functional properties. It was claimed that the addition of 0.5% of Al2O3 nanopowder has a positive effect on the adhesion of the cement mortar used to make the overlay to the substrate made of concrete. The prior studies performed using scanning electron microscopy (SEM) confirmed that the reason for the improvement in adhesion is the fact that cement mortar used to make the overlay with the addition of 0.5% of Al2O3 nanopowder is less porous than the reference mortar within the interphase. The article concurs that the most favorable results, in terms of lower abrasion resistance and higher subsurface tensile strength of the cement mortar used to make the overlay, are mainly brought about by adding 0.5% of Al2O3 nanopowder.
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The aim of this study was to develop a nature-inspired metaheuristic method to predict the creep strain of green concrete containing ground granulated blast furnace slag (GGBFS) using an artificial neural network (ANN)model. The firefly algorithm (FA) was used to optimize the weights in the ANN. For this purpose, the cement content, GGBFS content, water-to-binder ratio, fine aggregate content, coarse aggregate content, slump, the compaction factor of concrete and the age after loading were used as the input parameters, and in turn, the creep strain (εcr) of the GGBFS concrete was considered as the output parameters. To evaluate the accuracy of the FA-ANN model, it was compared with the well-known genetic algorithm (GA), imperialist competitive algorithm (ICA) and particle swarm optimization (PSO). Results indicated that the ANNs model, in which the weights were optimized by the FA, were more capable, flexible and precise than other optimization algorithms in predicting the εcr of GGBFS concrete.