Early hydration of C4AF with silica fume and its role on katoite composition.

C4AF is considered the least reactive main clinker phase, but its reactivity may be affected by adding supplementary cementitious materials (SCMs). Pure C4AF was synthesised in a laboratory furnace, and the role of silica fume without gypsum on its early hydration properties was monitored. Burning was carried out in four stages to achieve 99% purity of C4AF. Heat flow development was monitored by isothermal calorimetry over 7 days of hydration at 20°C and 40°C. The role of silica fume on hydrogarnet phase katoite (Ca3Al2(SiO4)3 - x(OH)4 x x = 1.5-3) formation during early hydration was studied. Rapid dissolution of C4AF, formation of metastable C-(A,F)-H and its conversion to C3(A, F)H6 was evidenced by isothermal calorimetry as a large exotherm. Changes in microstructure during early hydration were documented by SE micrographs, EDS point analyses, X-ray mapping and line scans by SEM-EDS. The phase composition was characterised by DTA-TGA and QXRD after 7 days of hydration. The katoite diffraction pattern is similar for the reference sample and sample with silica fume, but substitution in its structure can be revealed by X-ray microanalyses. The composition of katoite is variable due to the various extent of substitution of 4OH- by SiO4 4- due to silica fume.

The Ameliorating Effects of n-3 Polyunsaturated Fatty Acids on Liver Steatosis Induced by a High-Fat Methionine Choline-Deficient Diet in Mice.

The pathogenesis of non-alcoholic fatty liver disease (NAFLD) is associated with abnormalities of liver lipid metabolism. On the contrary, a diet enriched with n-3 polyunsaturated fatty acids (n-3-PUFAs) has been reported to ameliorate the progression of NAFLD. The aim of our study was to investigate the impact of dietary n-3-PUFA enrichment on the development of NAFLD and liver lipidome. Mice were fed for 6 weeks either a high-fat methionine choline-deficient diet (MCD) or standard chow with or without n-3-PUFAs. Liver histology, serum biochemistry, detailed plasma and liver lipidomic analyses, and genome-wide transcriptome analysis were performed. Mice fed an MCD developed histopathological changes characteristic of NAFLD, and these changes were ameliorated with n-3-PUFAs. Simultaneously, n-3-PUFAs decreased serum triacylglycerol and cholesterol concentrations as well as ALT and AST activities. N-3-PUFAs decreased serum concentrations of saturated and monounsaturated free fatty acids (FAs), while increasing serum concentrations of long-chain PUFAs. Furthermore, in the liver, the MCD significantly increased the hepatic triacylglycerol content, while the administration of n-3-PUFAs eliminated this effect. Administration of n-3-PUFAs led to significant beneficial differences in gene expression within biosynthetic pathways of cholesterol, FAs, and pro-inflammatory cytokines (IL-1 and TNF-α). To conclude, n-3-PUFA supplementation appears to represent a promising nutraceutical approach for the restoration of abnormalities in liver lipid metabolism and the prevention and treatment of NAFLD.

Diagnostic methods of fatty liver diseases.

Fatty liver diseases represent the most common chronic liver diseases today. Therefore, the diagnostics of fatty liver is of great importance. Sonography is the most used imaging method in daily clinical practice for its availability and good diagnostic performance. But there are limitations in lower sensitivity in mild steatosis and in subjects with more severe obesity. Sonographic findings of fatty liver include higher echogenity of liver parenchyma and attenuation of ultrasound waves in deeper parts of the liver. Furthermore, there are some other advanced methods for semiquantitative and quantitative assessment of the amount of the liver fat. Many of them are based on acoustic signal attenuation assessment. The most broadly used is a CAP (controlled attenuation parameter) feature of FibroScan, which can assess fatty liver without classic ultrasound examination. Thera are also special MR based techniques - MR spectroscopy and PDFF (protein density fat fraction) which allow liver fat quantification with high precision and can be used as a reference standard.

Liver elastography.

Liver elastography is a completely non-invasive method for examination of a stiffness of a liver parenchyma. It has been used worldwide and plays an essential role in detection and assessment of severity of liver fibrosis. Ultrasound based elastography methods - transient elastography (TE) and shear wave elastography (SWE) are the most widely used methods in clinical practice. Quick bedside examination, high reproducibility of results, availability and repeatability in time are among the benefits which led to a significant decrease in number of liver biopsies performed in last years. Elastography methods are also capable to evaluate presence of portal hypertension and risk of related complications in patients with liver cirrhosis noninvasively. Liver elastography represents an established diagnostic tool that has changed clinical practice in hepatology.

An overview of current therapy options of non-alcoholic fatty liver disease.

Finding an effective treatment of non-alcoholic fatty liver disease (NAFLD) remains one of main challenges in hepatological research for the 21st century, since there is no such a treatment yet. Lifestyle modifications leading to weight reduction are cheap and effective, however only a fraction of patients reaches significant weight loss goals. Current pharmacological treatment of NAFLD comprises screening and therapy of metabolic syndrome components and minimizing of alcohol intake. There are new substances being evaluated in clinical trials, the most promising ones are semaglutide and lanifibranor.

A cirrhotic patient in an internal medicine ward.

Liver cirrhosis represents a common condition with substantial mortality. Manifestation and progression of ascites, hepatic encephalopathy or gastrointestinal bleeding are among main reasons for hospital admission. Infections represent another specific area in cirrhotic patients. Timely and correct diagnosis and therapy of these conditions are the mainstay of optimal outcome. Manifestation of complications of liver cirrhosis significantly deteriorates prognosis of the patient. Ascites in portal hypertension develops as a result of sodium and consequently water retention. Therapy comprises of restriction of sodium intake, diuretic therapy with combination of spironolactone and furosemide, alternatively large-volume paracentesis. Hepatic encephalopathy comprises a spectrum of neuropsychiatric abnormalities from subtle changes to overt desorientation and asterixis to hepatic coma. Treatment includes correcting of predisposing conditions, administering of non-absorbable disaccharides or rifaximin. The most common cause of bleeding in a cirrhotic patient is oesophageal bleeding. Therapy is complex including hemodynamic stabilisation, antibiotic prophylaxis, vasoactive and endoscopic treatment. Infections are common causes of decompensation and occurrence of complications of advanced chronic liver disease. Their unfavourable outcome is a result of a complex immune disorder in cirrhotic patients. Specific type of infection in cirrhosis is spontaneous bacterial peritonitis, which has to be always excluded with diagnostic paracentesis. The mainstay of successful therapy of infections is timely and vigorous broad spectrum antibiotic therapy which can significantly improve otherwise unfavourable outcome of these patients.

Prospective evaluation of contrast-enhanced ultrasound of breast BI-RADS 3-5 lesions.

BACKGROUND: To determine the benefit of contrast-enhanced ultrasound (CEUS) in the assessment of breast lesions. METHODS: A standardized contrast-enhanced ultrasound was performed in 230 breast lesions classified as BI-RADS category 3 to 5. All lesions were subjected to qualitative and quantitative analysis. MVI (MicroVascular Imaging) technique was used to derive qualitative analysis parameters; blood perfusion of the lesions was assessed (perfusion homogeneity, type of vascularization, enhancement degree). Quantitative analysis was conducted to estimate perfusion changes in the lesions within drawn regions of interest (ROI); parameters TTP (time to peak), PI (peak intensity), WIS (wash in slope), AUC (area under curve) were obtained from time intensity (TI) curves. Acquired data were statistically analyzed to assess the ability of each parameter to differentiate between malignant and benign lesions. The combination of parameters was also evaluated for the possibility of increasing the overall diagnostic accuracy. Biological nature of the lesions was verified by a pathologist. Benign lesions without histopathological verification (BI-RADS 3) were followed up for at least 24 months. RESULTS: Out of 230 lesions, 146 (64%) were benign, 67 (29%) were malignant, 17 (7%) lesions were eliminated. Malignant tumors showed statistically significantly lower TTP parameters (sensitivity 77.6%, specificity 52.7%) and higher WIS values (sensitivity 74.6%, specificity 66.4%) than benign tumors. Enhancement degree also proved to be statistically well discriminating as 55.2% of malignant lesions had a rich vascularity (sensitivity 89.6% and specificity 48.6%). The combination of quantitative analysis parameters (TTP, WIS) with enhancement degree did not result in higher accuracy in distinguishing between malignant and benign breast lesions. CONCLUSIONS: We have demonstrated that contrast-enhanced breast ultrasound has the potential to distinguish between malignant and benign lesions. In particular, this method could help to differentiate lesions BI-RADS category 3 and 4 and thus reduce the number of core-cut biopsies performed in benign lesions. Qualitative analysis, despite its subjective element, appeared to be more beneficial. A combination of quantitative and qualitative analysis did not increase the predictive capability of CEUS.

Noninvasive diagnostics of liver diseases - imaging methods.

Introduction and spread of elastographical methods have changed clinical practice in hepatology substantially. Elastography is becoming more available and the field of non-invasive diagnostics of liver diseases keeps growing dynamically. New technologies and applications are being developed allowing non-invasive staging of liver diseases to much broader extent. Ultrasound based methods like transient elastography (TE) and shear wave elasto-graphy (SWE) are dominating the field of liver elastography. Both methods are able to distinguish advanced liver fibrosis/cirrhosis with high accuracy and in patients with all most common chronic liver diseases. A technically well performed examination and its interpretation in a clinical context are prerequisites for a valid diagnosis. TE also enables assessment of presence/severity of portal hypertension in patients with compensated chronic advanced liver disease. There are new methods under development and validation like an ultrasound-based liver fat content quantification, assessment of portal hypertension using elastography of the spleen or the use of elastography in the diagnostics of focal liver lesions.

Activation of Adenylyl Cyclase Causes Stimulation of Adenosine Receptors.

BACKGROUND/AIMS: Signaling of Gs protein-coupled receptors (GsPCRs) is accomplished by stimulation of adenylyl cyclase, causing an increase of the intracellular cAMP concentration, activation of the intracellular cAMP effectors protein kinase A (PKA) and Epac, and an efflux of cAMP, the function of which is still unclear. METHODS: Activation of adenylyl cyclase by GsPCR agonists or cholera toxin was monitored by measurement of the intracellular cAMP concentration by ELISA, anti-phospho-PKA substrate motif phosphorylation by immunoblotting, and an Epac-FRET assay in the presence and absence of adenosine receptor antagonists or ecto-nucleotide phosphodiesterase/pyrophosphatase2 (eNPP2) inhibitors. The production of AMP from cAMP by recombinant eNPP2 was measured by HPLC. Extracellular adenosine was determined by LC-MS/MS, extracellular ATP by luciferase and LC-MS/MS. The expression of eNPP isoenzymes 1-3 was examined by RT-PCR. The expression of multidrug resistance protein 4 was suppressed by siRNA. RESULTS: Here we show that the activation of GsPCRs and the GsPCRs-independent activation of Gs proteins and adenylyl cyclase by cholera toxin induce stimulation of cell surface adenosine receptors (A2A or A2B adenosine receptors). In PC12 cells stimulation of adenylyl cyclase by GsPCR or cholera toxin caused activation of A2A adenosine receptors by an autocrine signaling pathway involving cAMP efflux through multidrug resistance protein 4 and hydrolysis of released cAMP to AMP by eNPP2. In contrast, in PC3 cells cholera toxin- and GsPCR-induced stimulation of adenylyl cyclase resulted in the activation of A2B adenosine receptors. CONCLUSION: Our findings show that stimulation of adenylyl cyclase causes a remarkable activation of cell surface adenosine receptors.

Formation, Stability, and Crystallinity of Various Tricalcium Aluminate Polymorphs.

Tricalcium aluminate is an important phase of Portland clinker. In this paper, three polymorphs of C3A were prepared by means of the solid-state synthesis method using intensive milling of the raw material mixture which was doped with various amounts of Na2O and sintered at a temperature of 1300 °C for 2 h. The final products were evaluated through X-ray diffraction using Rietveld analysis. The effect of the Na dopant content on the change in the crystalline structure of tricalcium aluminate was studied. It was proven that the given preparation procedure, which differed from other studies, was close to the real conditions of the formation of Portland clinker, and it was possible to prepare a mixture of different polymorphs of calcium aluminate. Fundamental changes in the crystal structure occurred in the range of 3-4% Na, when the cubic structure changes to orthorhombic. At a dosage of Na dopant above 4%, the orthorhombic structure changes to a monoclinic structure. There are no clearly defined boundaries for the existence of individual C3A phases; these phases arise at the same time and overlap each other in the areas of their formation at different Na doses.

Functional variants of eNOS and iNOS genes have no relationship to the portal hypertension in patients with liver cirrhosis.

OBJECTIVE: Nitric oxide is an important vasoactive mediator. Changes in NO production, caused by functional variants of both endothelial and inducible NO synthase (eNOS, iNOS), might play a role in portal hypertension. The aim was to study the significance of functional eNOS and iNOS gene variants in cirrhotic patients and their interrelationship to both inflammatory and endothelial activation parameters. MATERIAL AND METHODS: One hundred and thirty-two patients with liver cirrhosis (age 36-72 years) and 101 controls were examined for functional variants of eNOS (E298D, 27bpintr4, 786T/C) and iNOS (R221W, S608L) genes. Inflammatory (IL6, IL8, IL10) and vasoactive (sVCAM-1, E-selectin) cytokines were measured using ELISA kits. RESULTS: The frequency of E298D (GG 12%, GT 41%, TT 47%), 28bpintr4 (AA 6%, AB 28%, BB 66%), 786T/C genotypes (CC 17%, CT 45%, TT 38%), as well as R221W (CC 93%, CT 7%, TT 0%), and S608L (CC 65%, CT 32%, TT 3%) genotypes in cirrhotic patients did not differ from the controls (p > 0.05 for all comparisons). No relationship was found between the frequency of these genotypes and the severity of portal hypertension, or either inflammatory or vasoactive cytokines. A positive correlation was found between hepatic venous pressure gradient and cytokine concentration: sVCAM-1, IL6, IL8, IL10. CONCLUSIONS: Examined eNOS and iNOS variants have no relationship to pathogenesis of liver cirrhosis. Severity of portal hypertension was associated with the changes in endothelial activation.

[Differential diagnosis of the ileum diseases]. / Diferenciální diagnostika onemocnení ilea*

Inflammation of the ileum - ileitis - is classically connected with Crohn's disease. But a wide variety of diseases is associated with inflammation of the ileum. These include inflammatory bowel disease, infections, spondyloarthropathies, vascular diseases, drug-related enteritis, infiltration (e.g. sarcoidosis, amyloidosis), postirradiation enteritis, tumors, endometriosis, celiac disease and collagenosis.

Application of a Method for Measuring the Grindability of Fine-Grained Materials by High-Speed Milling.

This article deals with the development of an alternative method for determining the grindability index of fine-grained materials. This method is inspired by the commercially used VTI method (also known as RTI after the Russian Thermal Energy Institute), which was widely used in Central and Eastern Europe in coal grinding. The disadvantage of the VTI method is that it uses a specific grinding device that otherwise has no other use and nowadays is no longer commonly available. Through the new method, high-energy grinding was performed using a commercially available planetary mill on silicate materials such as limestone, feldspar, corundum, and quartz. The effectiveness of the method was verified on clinker as a representative of widely used materials. The deviation between the grindability index calculated by the origin VTI method and the new developed method was on average approximately 8%; in the case of clinker grinding, it was only 3%. The results showed that the VTI method could be replaced by a new method that uses a modern available planetary mill and laser granulometry to determine the grindability index. The result is a new classification of materials according to their grindability indexes, which is based on the original VTI method.

Effect of Omega-3 Polyunsaturated Fatty Acids on Lipid Metabolism in Patients With Metabolic Syndrome and NAFLD.

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease. n-3 polyunsaturated fatty acids (n-3-PUFAs) have been reported to ameliorate the progression of NAFLD in experimental studies; however, clinical trials have yielded contradictory results. The aim of our study was to assess the effects of n-3-PUFA administration on lipid metabolism and the progression of NAFLD in patients with metabolic syndrome. Sixty patients with metabolic syndrome and NAFLD were randomized in a double-blind placebo-controlled trial (3.6 g/day n-3-PUFA vs. placebo). During the 1-year follow-up, the patients underwent periodic clinical and laboratory examinations, liver stiffness measurements, magnetic resonance spectroscopy of the liver, and plasma lipidomic analyses. After 12 months of n-3-PUFA administration, a significant decrease in serum GGT activity was recorded compared with the placebo group (2.03 ± 2.8 vs. 1.43 ± 1.6; P < 0.05). Although no significant changes in anthropometric parameters were recorded, a significant correlation between the reduction of liver fat after 12 months of treatment-and weight reduction-was observed; furthermore, this effect was clearly potentiated by n-3-PUFA treatment (P < 0.005). In addition, n-3-PUFA treatment resulted in substantial changes in the plasma lipidome, with n-3-PUFA-enriched triacylglycerols and phospholipids being the most expressed lipid signatures. Conclusion: Twelve months of n-3-PUFA treatment of patients with NAFLD patients was associated with a significant decrease in GGT activity, the liver fat reduction in those who reduced their weight, and beneficial changes in the plasma lipid profile.

Application of an Arbitrary Lagrangian-Eulerian Method to Modelling the Machining of Rigid Polyurethane Foam.

Rigid polyurethane (PUR) foam, which has an extensive range of construction, engineering, and healthcare applications, is commonly used in technical practice. PUR foam is a brittle material, and its mechanical material properties are strongly dependent on temperature and strain rate. Our work aimed to create a robust FE model enabling the simulation of PUR foam machining and verify the results of FE simulations using the experiments' results. We created a complex FE model using the Arbitrary Lagrangian-Eulerian (ALE) method. In the developed FE model, a constitutive material model was used in which the dependence of the strain rate, damage initiation, damage propagation, and plastic deformation on temperature was implemented. To verify the FE analyses' results with experimentally measured data, we measured the maximum temperature during PUR foam drilling with different densities (10, 25, and 40 PCF) and at various cutting speeds. The FE models with a constant cutting speed of 500 mm/s and various PUR foam densities led to slightly higher Tmax values, where the differences were 13.1% (10 PCF), 7.0% (25 PCF), and 10.0% (40 PCF). The same situation was observed for the simulation results related to various cutting speeds at a constant PUR foam density of 40 PCF, where the differences were 25.3% (133 mm/s), 10.1% (500 mm/s), and 15.5% (833 mm/s). The presented results show that the ALE method provides a good match with the experimental data and can be used for accurate simulation of rigid PUR foam machining.

Composite Binder Containing Industrial By-Products (FCCCw and PSw) and Nano SiO2.

This article analyzes the integrated effect of industrial by-products (spent fluidized bed catalytic cracking catalyst waste (FCCCw) and paper sludge waste (PSw) generated in paper manufacturing) combined with nano-SiO2 (NS) on the properties of cement binder, when a certain part of the binder is replaced with the said by-products in the cement mix. Standard testing methods were used to analyze the physical and mechanical properties of cement-based materials. For structure analysis, we used X-ray diffraction (XRD), derivative thermogravimetry (DTG), mercury intrusion porosimetry (MIP) and scanning electron microscopy (SEM). It was found that the replacement of cement by a combined additive of FCCCw, PSw and NS is important not only for ecological reasons (abatement of CO2 emissions and recovery of waste through secondary raw materials), but also in order to enhance the properties of cement-based binders. Presumably, higher amounts of calcium silicate hydrate (CSH) and calcium alumina silicate hydrate (CASH) in the compound binder are the result of the low content of portlandite and alite in the test specimens. The specimens modified with all three additives had the highest density (~2100 kg/m3), ultrasonic pulse velocity (UPV) (~4160 m/s) and compressive strength (~105 MPa), which was ~40% higher than in the control specimens. The average pore diameter of the complex binder decreased by 21%, whereas the median pore diameter decreased by 47%.

Influence of 3D Printing Topology by DMLS Method on Crack Propagation.

The presented text deals with research into the influence of the printing layers' orientation on crack propagation in an AlSi10Mg material specimen, produced by additive technology, using the Direct Metal Laser Sintering (DMLS) method. It is a method based on sintering and melting layers of powder material using a laser beam. The material specimen is presented as a Compact Tension test specimen and is printed in four different defined orientations (topology) of the printing layers-0°, 45°, 90°, and twice 90°. The normalized specimen is loaded cyclically, where the crack length is measured and recorded, and at the same time, the crack growth rate is determined. The evaluation of the experiment shows an apparent influence of the topology, which is essential especially for possible use in the design and technical preparation of the production of real machine parts in industrial practice. Simultaneously with the measurement results, other influencing factors are listed, especially product postprocessing and the measurement method used. The hypothesis of crack propagation using Computer Aided Engineering/Finite Element Method (CAE/FEM) simulation is also stated here based on the achieved results.

Determining Johnson-Cook Constitutive Equation for Low-Carbon Steel via Taylor Anvil Test.

Tristal steel is low-carbon construction-type steel widely used in the automotive industry, e.g., for braking components. Given the contemporary demands on the high-volume production of such components, these are typically fabricated using automatic sequential machines, which can produce components at strain rates up to 103 s-1. For this reason, characterising the behaviour of the used material at high strain rates is of the utmost importance for successful industrial production. This study focuses on the characterisation of the behaviour of low-carbon steel via developing its material model using the Johnson-Cook constitutive equation. At first, the Taylor anvil test is performed. Subsequently, the acquired data together with the results of observations of structures and properties of the tested specimens are used to fill the necessary parameters into the equation. Finally, the developed equation is used to numerically simulate the Taylor anvil test and the predicted data is correlated with the experimentally acquired one. The results showed a satisfactory correlation of the experimental and predicted data; the deformed specimen region featured increased occurrence of dislocations, as well as higher hardness (its original value of 88 HV increased to more than 200 HV after testing), which corresponded to the predicted distributions of effective imposed strain and compressive stress.

Conversion of silica by-product into zeolites by thermo-sonochemical treatment.

The fine powdered silica by-product of processing of aluminum fluoride (fertilizer plant, Lithuania) was used for zeolite synthesis as silica and aluminum source. The effect of sonication time and the time of hydrothermal synthesis on crystallinity of the synthesized zeolite were studied. This allowed the transformation of the by-product to the mixture of Na-P zeolite and Na-X zeolite. It was determined that ultrasonic-assisted hydrothermal action effected the "diamond" shape formation of Na-P zeolite with clear crystal edges. Na-P zeolite had the morphology of pseudo-spherical forms constituted by small plates when hydrothermal treatment (without sonication) was use for the preparation of zeolites. Moreover, it was determined that ultrasonic-assisted hydrothermal method effected a reduction in the crystal size compared with the zeolites which were synthesized only by using hydrothermal synthesis. The total amount of zeolites as high as 88-93% was achieved after 24 h of hydrothermal treatment followed or unfollowed by sonication. By using longer duration (20 min) of ultrasound pretreatment it is possible to reduce the duration of hydrothermal synthesis: from 24 h to 12 h of hydrothermal treatment. In this case, similar results of total amount of zeolites were detected. In the present work, low-cost raw materials, such as silica by-product have been investigated for the production of zeolites.

Clinically silent LINE 1 insertion in the PNPLA3 gene may impede genotyping of the p.I148M variant.

The patatin-like phospholipase domain containing 3 (PNPLA3) gene (viz. its I148M variant) is one of the key players in the pathogenesis of nonalcoholic fatty liver disease (NAFLD). We have identified a novel insertion/deletion variant of 1114 bp, localized in the second intron of the PNPLA3 gene, which corresponds to the 3' terminal sequence of the long-interspersed element (LINE-1). DNA analysis of 122 NAFLD patients and 167 control subjects as well as RNA analysis of 19 liver biopsies revealed that the novel variant is very common (frequency = 0.41), fully linked to the clinically important I148M variant, and clinically silent. Although the LINE-1 insertion does not seem to have any biological effect, it can impede genotyping of the I148M variant. If insertion prevents the attachment of the diagnostic primer, then the non-insertion allele will be selectively amplified; and thus the frequency of the 148M "risk" allele will be significantly overestimated due to the complete linkage of the LINE-1 insertion and the 148I allele of the PNPLA3 gene. Therefore, our findings underline the importance of careful design and consistent documentation of the methodology, including primer sequences. Critical revisions of the results of some studies that have already been reported may therefore be needed.