New Materials and Technologies for Durability and Conservation of Building Heritage.

The increase in concrete structures' durability is a milestone to improve the sustainability of buildings and infrastructures. In order to ensure a prolonged service life, it is necessary to detect the deterioration of materials by means of monitoring systems aimed at evaluating not only the penetration of aggressive substances into concrete but also the corrosion of carbon-steel reinforcement. Therefore, proper data collection makes it possible to plan suitable restoration works which can be carried out with traditional or innovative techniques and materials. This work focuses on building heritage and it highlights the most recent findings for the conservation and restoration of reinforced concrete structures and masonry buildings.

Comparison of Three 3D Segmentation Software Tools for Hip Surgical Planning.

In hip arthroplasty, preoperative planning is fundamental to reaching a successful surgery. Nowadays, several software tools for computed tomography (CT) image processing are available. However, research studies comparing segmentation tools for hip surgery planning for patients affected by osteoarthritic diseases or osteoporotic fractures are still lacking. The present work compares three different software from the geometric, dimensional, and usability perspectives to identify the best three-dimensional (3D) modelling tool for the reconstruction of pathological femoral heads. Syngo.via Frontier (by Siemens Healthcare) is a medical image reading and post-processing software that allows low-skilled operators to produce prototypes. Materialise (by Mimics) is a commercial medical modelling software. 3D Slicer (by slicer.org) is an open-source development platform used in medical and biomedical fields. The 3D models reconstructed starting from the in vivo CT images of the pathological femoral head are compared with the geometries obtained from the laser scan of the in vitro bony specimens. The results show that Mimics and 3D Slicer are better for dimensional and geometric accuracy in the 3D reconstruction, while syngo.via Frontier is the easiest to use in the hospital setting.

A Procedure for Designing Custom-Made Implants for Forehead Augmentation in People Suffering from Apert Syndrome.

This paper presents a methodological procedure, based on the anatomical reconstruction and constrained deformation, to design custom-made implants for forehead augmentation in people affected by Apert syndrome, experiencing a frontal bone deficiency. According to the anthropometric theory, a cranial landmarks identification procedure was applied to retrieve, from a repository, a healthy skull, used as reference geometry for implant modelling. Then, using constrained deformation and free-form modelling techniques, it was possible to design a patient-specific implant. At last, the implant was realised using a custom mould, specially designed according to the patient's needs to provide an accurate fit of the defect site. The design procedure was tested on a patient suffering from Apert syndrome. Three implants were virtually modelled and 3D-printed for pre-surgical evaluation. Their shapes were 3D compared with a reference one (handcrafted by a surgeon) to test the accuracy. Deviations are negligible, and the customised implant fulfilled the surgeon's requirements.

Preliminary simulation model toward the study of the effects caused by different mandibular advancement devices in OSAS treatment.

The paper aims to evaluate the effects caused by a Mandibular Advancement Device (MAD) for Obstructive Sleep Apnoea Syndrome (OSAS) treatment. This study is based on Finite Element Method (FEM) for evaluating the load distribution on temporomandibular joint, especially on the mandibular condyle and disc, and on periodontal ligaments. The stress values on condyle and periodontal ligaments lead authors to consider MAD a safe procedure even for a long period. The obtained results also show the relationship between MAD material and load distribution at the periodontal ligaments. The paper is a step toward future analyses for studying and comparing the effects of MAD features, such as material, shape and dimensions, in order to allow the clinician prescribing the most fitting device.

Binders alternative to Portland cement and waste management for sustainable construction-part 1.

This review presents "a state of the art" report on sustainability in construction materials. The authors propose different solutions to make the concrete industry more environmentally friendly in order to reduce greenhouse gases emissions and consumption of non-renewable resources. Part 1-the present paper-focuses on the use of binders alternative to Portland cement, including sulfoaluminate cements, alkali-activated materials, and geopolymers. Part 2 will be dedicated to traditional Portland-free binders and waste management and recycling in mortar and concrete production.

Binders alternative to Portland cement and waste management for sustainable construction - Part 2.

The paper represents the "state of the art" on sustainability in construction materials. In Part 1 of the paper, issues related to production, microstructures, chemical nature, engineering properties, and durability of mixtures based on binders alternative to Portland cement were presented. This second part of the paper concerns the use of traditional and innovative Portland-free lime-based mortars in the conservation of cultural heritage, and the recycling and management of wastes to reduce consumption of natural resources in the production of construction materials. The latter is one of the main concerns in terms of sustainability since nowadays more than 75% of wastes are disposed of in landfills.

Particle size, size distribution and morphological evaluation of glass fiber reinforced plastic (GRP) industrial by-product.

The waste management of glass fiber reinforced polymer (GRP) materials, in particular those made with thermosetting resins, is a critical issue for the composites industry because these materials cannot be reprocessed. Therefore, most thermosetting GRP waste is presently sent to landfill, in spite of the significant environmental impact caused by their disposal in this way. The limited GRP waste recycling worldwide is mostly due to its intrinsic thermosetting properties, lack of characterization data and unavailability of viable recycling and recovery routes. One of the possibility for re-using GRP industrial by-product is in form of powder as a partial aggregate replacement or filler addition in cement based composites for applications in sustainable construction materials and technologies. However, the feasibility of this kind of reutilization strongly depends on the morphology and particle size distribution of a powder made up of polymer granules and glass fibers. In the present study, the use of image analysis method, based on scanning electron microscopy (SEM) and ImageJ processing program, is proposed in order to evaluate the morphology of the particles and measure the particle size and size distribution of fine GRP waste powder. The obtained results show a great potential of such a method in order to be considered as a standardized method of measurement and analysis in order to characterize the grain size and size distribution of GRP particles before exploiting any compatibility issue for its recycling management.

Selective laser sintering in biomedical engineering.

Selective laser sintering (SLS) is a solid freeform fabrication technique, developed by Carl Deckard for his master's thesis at the University of Texas, patented in 1989. SLS manufacturing is a technique that produces physical models through a selective solidification of a variety of fine powders. SLS technology is getting a great amount of attention in the clinical field. In this paper the characteristics features of SLS and the materials that have been developed for are reviewed together with a discussion on the principles of the above-mentioned manufacturing technique. The applications of SLS in tissue engineering, and at-large in the biomedical field, are reviewed and discussed.

Preliminary results on the use of a noninvasive instrument for the evaluation of the depth of pigmented skin lesions: numerical simulations and experimental measurements.

The early detection of cutaneous pigmented lesions is an important aid to the clinician in recognizing malignant melanoma. In an attempt to correlate the depth of a pigmented skin lesion with its malignant potential, phantoms able to simulate the diffuse reflectance of some lesions of different thicknesses were manufactured and tested to validate a diagnostic instrument developed in-house. Such optical skin-tissue phantoms may be useful for accelerating and optimizing the diagnosis of suspicious lesions of the skin. In fact, benign melanocytic lesions are different in terms of their diffuse reflectance from melanoma. The diffuse reflectance of pigmented skin lesions depends on the amount and distribution of the absorbing/diffusing chromophores embedded in the skin layers. The basic phantom material is a PVA hydrogel in which appropriate amounts of optical scatter are added extraneously at the time of formation to achieve tunability of the optical properties. Liquid Indian ink is used to simulate melanin and all the other chromophores. Slabs were prepared to mimic lesions of different depths. The optical properties of the tissue phantoms were determined in the visible and near-infrared spectral ranges using a noninvasive instrument made from a purpose-modified digital camera. The measured reflectance was correlated with the depth of the lesion both in a Monte Carlo simulation environment and in a laboratory experiment.

Palatal volume following rapid maxillary expansion in mixed dentition.

OBJECTIVE: To evaluate volumetric variations in the palate following rapid expansion, both immediately after treatment and over time. MATERIALS AND METHODS: The sample was composed of 30 patients in early mixed dentition treated with a Haas-type device cemented onto the primary second molars. The mean age of the patients upon commencement of expansion was 7 years and 6 months (standard deviation [SD], 12 months). Measurement of palatal volume was conducted via 3D acquisition of plaster models using laser scanning before treatment (T1), upon device removal (T2), and 2.6 years afterward (T3). RESULTS: The volume of the palate increased in a statistically significant fashion from T1 to T2 and from T1 to T3, and it decreased in a nonsignificant fashion from T2 to T3. CONCLUSIONS: Palatal volume significantly increases with rapid maxillary expansion (RME) treatment with insignificant relapse. The use of virtual 3D models with the aid of Apposite software permits evaluation of the morphologic and volumetric changes induced by orthodontic treatment.

Short-term chemical and physical changes in invisalign appliances.

OBJECTIVE: To investigate the short-term optical, chemical and morphological changes in Invisalign appliances. METHODS: One 'as-received' Invisalign aligner, one 'as-received' Invisalign aligner immersed in artificial saliva for 14 days and 10 Invisalign aligners worn by 10 randomly selected patients for 14 days were used. Fourier'transform infra-red microspectroscopy was used to characterise any molecular changes on the surfaces of the appliances, spectrophotometry was used to evaluate any changes in colour and transparency, scanning electron microscopy and energy dispersive X-ray microanalysis were used to examine the surface morphology and elemental composition of deposits on the surfaces of the aligners and gas chromatography-mass spectrometry was used to identify substances released from the aligners into the artificial saliva. RESULTS: Aligners worn for 14 days had microcracks, abraded and delaminated areas, localised calcified biofilm deposits and loss of transparency. Monomers and/or by-products were not released from the aligner suspended in artificial saliva for 14 days, which suggests that the material is chemically stable. CONCLUSIONS: Further studies are required to evaluate how intra-oral conditions may influence the optical properties and chemical stability of the aligners.

Evaluation of 3D technologies in dentistry.

Quality of service, in terms of improvement in patient satisfaction, is an increasingly important objective in all medical fields, and is especially imperative in orthodontics due to the high numbers of patients treated. Information technology can provide a meaningful contribution to bettering treatment processes, and we maintain that systems such as CAD, CAM and CAE, although initially conceived for industrial purposes, should be evaluated, studied and customized with a view to use in medicine. The present study aims to evaluate Reverse Engineering (RE) and Rapid Prototyping (RP) in order to define an ideal chain of advanced technological solutions to support the critical processes of orthodontic activity.