Hybrid Cements: Mechanical Properties, Microstructure and Radiological Behavior.

The use of more eco-efficient cements in concretes is one of the keys to ensuring construction industry sustainability. Such eco-efficient binders often contain large but variable proportions of industrial waste or by-products in their composition, many of which may be naturally occurring radioactive materials (NORMs). This study explored the application of a new gamma spectrometric method for measuring radionuclide activity in hybrid alkali-activated cements from solid 5 cm cubic specimens rather than powder samples. The research involved assessing the effect of significant variables such as the nature of the alkaline activator, reaction time and curing conditions to relate the microstructures identified to the radiological behavior observed. The findings showed that varying the inputs generated pastes with similar reaction products (C-S-H, C-A-S-H and (N,C)-A-S-H) but different microstructures. The new gamma spectrometric method for measuring radioactivity in solid 5 cm cubic specimens in alkaline pastes was found to be valid. The variables involved in hybrid cement activation were shown to have no impact on specimen radioactive content. The powder samples, however, emanated 222Rn (a descendent of 226Ra), possibly due to the deformation taking place in fly ash structure during alkaline activation. Further research would be required to explain that finding.

An Evaluation of the Radioactive Content of Ashes Obtained from the Use of Fuels from Recycled Materials by Co-Processing in the Cement Industry.

The co-processing of different wastes as fuels in the manufacture of cement clinker not only meets the objectives of a circular economy but also contributes to the reduction in CO2 emissions in the manufacture of Portland cement. However, waste used as alternative fuels, such as sludge or organic-rich residues, may contain naturally occurring radionuclides that can be concentrated during the combustion process. In this study, the presence of natural radionuclides (radioactive series of uranium, thorium, and 40K) and anthropogenic radionuclides (137Cs) in these wastes has been investigated by gamma spectrometry. Possible relationships between the radioactive content and the obtained chemical composition, determined by X-ray fluorescence, have also been studied by applying a principal component analysis (PCA). The results showed that the wastes with the highest radioactive content were sewage sludge with activity concentrations of 238U and 210Pb of 321 ± 38 Bq kg-1 and 110 ± 14 Bq kg-1, respectively. A correlation between radioactive content and Fe2O3 concentration was also observed. The annual effective dose rates to workers for the ashes estimated from the ash content ranged from 0.0033 mSv to 0.092 mSv and therefore do not pose a risk to workers as they are lower than the 1 mSv per year limit for the general public (DIRECTIVE 2013/59/EURATOM).

Valorisation of "La Palma" Volcanic Ash for Making Portland-Blended, Alkaline and Hybrid Portland-Alkaline Cements.

The present work evaluates the feasibility of using volcanic fly ash (VFA) generated by the eruption of the Tajogaite volcano on the island of La Palma (Spain) in 2021, as a precursor in the preparation of cementitious materials with different Portland cement (PC) replacement levels (0%, 30%, 70% and 100%), in the absence (Blended Cement, BC) and presence of an alkaline activator (Hybrid Alkaline Cement, HAC, and Alkaline Cements, AC). Hydration kinetics (isothermal conduction calorimetry), paste mechanical strengths and reaction products were characterised by XRD, FTIR, TG/DTG and BSEM/EDX. The results obtained indicate that the strengths developed by the hybrid alkaline cements (HAC) are higher than those of the blended cements (BC), especially at the age of 2 days, where 25 MPa were obtained with the replacement of 70% PC by VFA. Alkaline cements (AC, 100% VFA) that were prepared with 8 M NaOH solution as the activator reached 40 MPa after 2 days. It was observed that in all the binders, depending on the initial composition of the binder mixture and the percentage of replacement and/or activator, VFA reacts to form cementitious gels, C-A-S-H and N-A-S-H type, which supports its use as a mineral addition to blended cement or as a precursor in the preparation of alkaline and hybrid alkaline cements.

Intraosseous access EZ-IO in a prehospital emergency service.

BACKGROUND: Several scientific and professional associations have made reports and recommendations to regulate the use of intraosseous (IO) access as an alternative to conventional intravenous access (IA) in emergency situations when IA cannot be obtained. It has been well documented that IO access is safe and effective for fluid resuscitation, drug delivery, and blood collection. IO access is attainable in all age groups. OBJECTIVE: The objective of this prospective study was to test the use of a semi-automatic IO infusion system (EZ-IO) as an alternative to vascular access in critical patients treated in a prehospital emergency setting. METHOD: This prospective, cross-sectional study included patients who required immediate peripheral vascular access. This study was performed by reviewing clinical records and through a questionnaire (created by and for nurses who perform the insertion with the EZ-IO). RESULTS: During the study period we identified 107 patients who underwent EZ-IO insertion (114 insertions were performed). Patients were predominantly male (66%) and middle aged (mean age 56 years; range 3-94). Overall, insertion was performed via the proximal tibia (49.4%) distal tibia (25.2%), radius (14.9%), and humerus (10.5%). During the study period, 14 insertions were performed in 2007, 44 in 2008, and 56 in 2009. A majority of patients (50.9%) had medical cardiac arrest, (25.4%) were injured trauma patients, and 12.3% had traumatic cardiac arrest. All patients were transported to a hospital with 2 sites of peripheral vascular access. The first site of access in these patients was IO (100% of cases) and the second site (in 79% of cases) was peripheral intravenous access. All EZ-IO insertions were achieved within 30 seconds and were successful upon the first attempt. CONCLUSION: The use of the EZ-IO provides a quick (100% performed within 30 seconds), easy, and reliable alternative to conventional venous access in critically ill patients. Traditional peripheral venous access requires a minimal preparation that can delay initial treatment in critically ill patients and cause possible interference with resuscitation. The main advantage of using EZ-IO is to obtain secure, immediate, noncollapsible peripheral venous access in critically ill patients. It is possible to obtain a second site of access such as peripheral venous access to administer fluids and drugs, which can improve survival rates.

New Approach to Determine the Activity Concentration Index in Cements, Fly Ashes, and Slags on the Basis of Their Chemical Composition.

The manufacture of Portland cement entails high energy and environmental costs, and various solutions have been implemented in recent years to mitigate this negative impact. These solutions include improvements in the manufacture of cement clinker or the use of supplementary cementitious materials (SCMs), such as fly ash (FA) or slag as a replacement for a portion of the clinker in cement. The incorporation of these SCMs in cement may increase its radiological content as they are naturally occurring radioactive materials (NORMs). The Activity Concentration Index (ACI) is a screening tool established in the European EURATOM Directive 2013/59 to determine the radiation protection suitability of a final construction material. The ACI is determined by the activity concentrations of 226Ra, 232Th and 40K, usually determined by gamma spectrometry. The methodology of gamma spectrometry is accurate and appropriate, but this technique is not available in all laboratories. For this reason, and taking into account that there is a relationship between the chemical and radiological composition of these building materials, a new approach is proposed to determine the radiological content of these materials from a chemical analysis such as X-ray fluorescence (XRF). In this paper, principal component analysis (PCA) is used to establish the relationships between the chemical composition and radiological content of cements, FAs, and slags of different natures. Through PCA it was possible to group the cements based on two variables: CaO content and Fe2O3-Al2O3-TiO2 content. A lower correlation was observed for the FAs and slags, as the sample scores were centered around the origin of the coordinates and showed greater dispersion than the cements. The clusters obtained in the HJ-Biplots allowed the determination, using multiple regression, of models relating the activity concentration of 226Ra, 232Th (212Pb), and 40K to the oxide percentages obtained for the three matrices studied. The models were validated using five cements, one FA and one slag with relative percentage deviations (RSD(%)) equal to or less than 30% for 89% of the activity concentrations and 100% of the ACI determined.

New Approach for the Determination of Radiological Parameters on Hardened Cement Pastes with Coal Fly Ash.

Supplementary cementitious materials (SCMs) in industrial waste and by-products are routinely used to mitigate the adverse environmental effects of, and lower the energy consumption associated with, ordinary Portland cement (OPC) manufacture. Many such SCMs, such as type F coal fly ash (FA), are naturally occurring radioactive materials (NORMs). 226Ra, 232Th and 40K radionuclide activity concentration, information needed to determine what is known as the gamma-ray activity concentration index (ACI), is normally collected from ground cement samples. The present study aims to validate a new method for calculating the ACI from measurements made on unground 5 cm cubic specimens. Mechanical, mineralogical and radiological characterisation of 28-day OPC + FA pastes (bearing up to 30 wt % FA) were characterised to determine their mechanical, mineralogical and radiological properties. The activity concentrations found for 226Ra, 212Pb, 232Th and 40K in hardened, intact 5 cm cubic specimens were also statistically equal to the theoretically calculated values and to the same materials when ground to a powder. These findings consequently validated the new method. The possibility of determining the activity concentrations needed to establish the ACI for cement-based materials on unground samples introduces a new field of radiological research on actual cement, mortar and concrete materials.

Microstructural, Mechanical and Radiological Characterization of Mortars Made with Granite Sand.

The study reported the effect of granite sand on strength and microstructural developments in mortars prepare from OPC with a high coal fly ash (FA) content or from hybrid alkaline cements. The radiological behaviour of the resulting mortars was compared to materials prepared with siliceous sand (with particles sizes of <2 mm) and the relationship between such radiological findings and mortar microstructure and strength was explored. A new method for determining natural radionuclides and their activity concentration Index (ACI) on cement mortars (specifically to solid 5-cm cubic specimens) was applied and validated. The microstructural changes associated in mortars have no effect on mortar radiological content measurements. The mortars with granite sand exhibited very high ACI > 0.96, which would ultimately limit their use. A conclusion of interest is that where information is at hand on the starting materials (OPC, FA, sand, admixtures), their proportions in the mortar and the mixing liquid content (water or alkaline activators) their radiological content is accurately predicted. The inference is that a mortar's radiological content and ACI can be known prior to mixing, providing a criterion for determining its viability. That in turn lowers environmental risks and the health hazards for people in contact with such materials.

Tuberculosis y respuesta inmune / Tuberculosis and immune response

Objectivo. La infección tuberculosa continúa siendo un importante problema de salud en nuestro medio. El complejo entramado de interacciones moleculares del sistema inmune puede estar alterado en las infecciones producidas por Mycobacterium tuberculosis. Con el objetivo de contribuir a mejorar el conocimiento de estas alteraciones se diseñó el presente estudio. Métodos. Se obtuvieron muestras de sangre periférica de 20 pacientes con infección tuberculosa activa y de 20 controles sanos. Se realizó un estudio de la activación de linfocitos T mediante la estimulación con fitohemaglutinina (PHA), interleucina-2 (IL-2), factor de necrosis tumoral beta o linfotoxina (LT) y factor de necrosis tumoral alfa (TNFalfa). Posteriormente se caracterizó fenotípicamente a las diferentes subpoblaciones linfocitarias T por medio del empleo de anticuerpos monoclonales. Resultados y conclusiones. La infección activa por Mycobacterium tuberculosis se asoció con una alteración funcional de los linfocitos T, con una pobre respuesta blastogénica a los diversos estímulos empleados. No se encontraron alteraciones significativas en la distribución de las subpoblaciones linfocitarias T (AU)