Sustainable Hybrid Lightweight Aggregate Concrete Using Recycled Expanded Polystyrene.

Global concrete production, reaching 14×1013m3/year, raises environmental concerns due to the resource-intensive nature of ordinary Portland cement (OPC) manufacturing. Simultaneously, 32.7×109 kg/year of expanded polystyrene (EPS) waste poses ecological threats. This research explores the mechanical behavior of lightweight concrete (LWAC) using recycled EPS manufactured with a hybrid cement mixture (OPC and alkali-activated cement). These types of cement have been shown to improve the compressive strength of concrete, while recycled EPS significantly decreases concrete density. However, the impact of these two materials on the LWAC mechanical behavior is unclear. LWAC comprises 35% lightweight aggregates (LWA)-a combination of EPS and expanded clays (EC) - and 65% normal-weight aggregates. As a cementitious matrix, this LWAC employs 30% OPC and 70% alkaline-activated cement (AAC) based on fly ash (FA) and lime. Compressive strength tests after 28 curing days show a remarkable 48.8% improvement, surpassing the ACI 213R-03 standard requirement, which would allow this sustainable hybrid lightweight aggregate concrete to be used as structural lightweight concrete. Also obtained was a 21.5% reduction in density; this implies potential cost savings through downsizing structural elements and enhancing thermal and acoustic insulation. X-ray diffraction (XRD) and Fourier transform infrared (FTIR) spectroscopy reveal the presence of C-S-H, C-(A)-S-H, and N-A-S-H gels. However, anhydrous products in the hybrid LWAC suggest a slower reaction rate. Further investigation into activator solution dosage and curing temperature is recommended for improved mechanical performance on the 28th day of curing. This research highlights the potential for sustainable construction incorporating waste and underscores the importance of refining activation parameters for optimal performance.

Manifestaciones dermatológicas de la cirrosis hepática: revisión de la literatura / Dermatological manifestations of liver cirrhosis: review of the literature

La piel y sus anexos tienen amplia relación con todos los órganos y sistemas. Los cambios presentes en estos pueden ser el primer hallazgo en un paciente con enfermedad hepática, encontrándose hasta en el 20 % de los casos, por lo que las manifestaciones extrahepáticas adquieren importancia, y aunque muchas de estas no son específicas, algunos marcadores dermatológicos pueden ayudar al diagnóstico de la enfermedad y se pueden correlacionar con su severidad. El desarrollo de las lesiones cutáneas en los pacientes con cirrosis hepática se genera principalmente por hipertensión portal y exceso de estrógenos circulantes, por lo tanto, su tratamiento se basa en el manejo de la patología hepática subyacente. En el presente artículo se hace una revisión de la literatura y se describe un amplio espectro de manifestaciones dermatológicas asociadas a cirrosis hepática, con sus características y etiopatogénesis, siendo las más frecuentes la ictericia, el prurito, los nevus en araña, el eritema palmar, las venas en cabeza de Medusa, y los cambios de uñas y del vello, entre otras.

The skin and its annexes have a broad relationship with all organs and systems. Changes present in these can be the initial finding in a patient with liver disease, occurring in up to 20% of cases, therefore the extrahepatic manifestations become important, and although many of these are not specific, some dermatological markers can help in the diagnosis of the disease and may correlate with its severity. The development of cutaneous lesions in patients with liver cirrhosis is mainly generated by portal hypertension and excess of circulating estrogens, therefore their treatment is based on managing the underlying liver pathology. This article reviews the literature and describes a wide range of dermatological manifestations associated with liver cirrhosis, with their characteristics and etiopathogenesis, being the most frequent jaundice, pruritus, spider nevus, palmar erythema, caput Medusae veins, nail and hair changes, among others.

Carbonation Behavior of Mortar Made from Treated Recycled Aggregates: Influence of Diammonium Phosphate.

This research aims to improve the quality of recycled concrete fine aggregates (RFA) by using diammonium hydrogen phosphate (DAP). We aimed to understand the effect of DAP treatment on durability performance due to the carbonation action of mortars with the partial and total substitution of treated RFA. The results showed a maximum reduction in the RFA water absorption of up to 33% using a minimum DAP concentration due to a pore refinement as a consequence of the formation of calcium phosphates such as hydroxyapatite (HAP). The carbonation phenomenon did not have a significant effect on the durability of mortars with DAP-treated RFA, as we did not find a decrease in the compressive strength; the carbonation depth of the mortars with 100% treated RFA decreased up to 90% and 63% for a w/c of 0.45 and 0.50, in comparison with mortars with 0% treated RFA. An inversely proportional relationship was found between the accelerate carbonation and the compressive strength, showing that higher percentages of treated RFAs in the mortar promoted an increase in compressive strength and a decrease in the carbonation rate, which is behavior associated with a lower permeability of the cement matrix as one of the consequences of the microstructural densification by DAP treatment.

Infrared spectra experimental analyses on alkali-activated fly ash-based binders.

One of the most used characterization techniques in the field of alkaline activated cements studies is infrared spectroscopy. Its prominence lies in that it allows characterizing mixtures during the alkaline activation by providing information about the vibrations of the chemical bonds in the molecular units, both of amorphous and crystalline products. This research paper is aimed at examining the influence of the concentration of calcium hydroxide (CH), sodium hydroxide (SH), temperature and curing time on the structure of alkaline activated cements, based on coal fly ash, from the deconvolution of the infrared spectrum between 4000 and 400 cm-1. 9 mixtures were analyzed by infrared spectroscopy at 3 and 28 days after curing, based on a surface's response experimental design by varying the amount of SH (5.17-10.83 M), CH (2.93-17.07% ash's wt.) and the curing temperature (25, 35 and 45 °C). The results show significant variations in the frequency and area of the deconvolved bands in the functional groups: O-H (2600-3800 cm-1), C-O (1580 and 1350 cm-1) and T-O (T: Si (Al), 1300-400 cm -1). Such variations are due to the reorganization of the forming elements (present in the ash) network and modifiers (present in CH and SH) for the formation of cementing gels C-(A) -S-H (970 cm-1) and N-A-S-H (1009 cm-1).

Multimodal Breast Phantoms for Microwave, Ultrasound, Mammography, Magnetic Resonance and Computed Tomography Imaging.

The aim of this work was to develop multimodal anthropomorphic breast phantoms suitable for evaluating the imaging performance of a recently-introduced Microwave Imaging (MWI) technique in comparison to the established diagnostic imaging modalities of Magnetic Resonance Imaging (MRI), Ultrasound (US), mammography and Computed Tomography (CT). MWI is an emerging technique with significant potential to supplement established imaging techniques to improve diagnostic confidence for breast cancer detection. To date, numerical simulations have been used to assess the different MWI scanning and image reconstruction algorithms in current use, while only a few clinical trials have been conducted. To bridge the gap between the numerical simulation environment and a more realistic diagnostic scenario, anthropomorphic phantoms which mimic breast tissues in terms of their heterogeneity, anatomy, morphology, and mechanical and dielectric characteristics, may be used. Key in this regard is achieving realism in the imaging appearance of the different healthy and pathologic tissue types for each of the modalities, taking into consideration the differing imaging and contrast mechanisms for each modality. Suitable phantoms can thus be used by radiologists to correlate image findings between the emerging MWI technique and the more familiar images generated by the conventional modalities. Two phantoms were developed in this study, representing difficult-to-image and easy-to-image patients: the former contained a complex boundary between the mammary fat and fibroglandular tissues, extracted from real patient MRI datasets, while the latter contained a simpler and less morphologically accurate interface. Both phantoms were otherwise identical, with tissue-mimicking materials (TMMs) developed to mimic skin, subcutaneous fat, fibroglandular tissue, tumor and pectoral muscle. The phantoms' construction used non-toxic materials, and they were inexpensive and relatively easy to manufacture. Both phantoms were scanned using conventional modalities (MRI, US, mammography and CT) and a recently introduced MWI radar detection procedure called in-coherent Multiple Signal Classification (I-MUSIC). Clinically realistic artifact-free images of the anthropomorphic breast phantoms were obtained using the conventional imaging techniques as well as the emerging technique of MWI.

A COTS-Based Microwave Imaging System for Breast-Cancer Detection.

Microwave imaging is an emerging breast cancer diagnostic technique, which aims at complementing already established methods like mammography, magnetic resonance imaging, and ultrasound. It offers two striking advantages: no-risk for the patient and potential low-cost for national health systems. So far, however, the prototypes developed for validation in labs and clinics used costly lab instruments such as a vector network analyzer (VNA). Moreover, the CPU time required by complex image reconstruction algorithms may not be compatible with the duration of a medical examination. In this paper, both these issues are tackled. Indeed, we present a prototype system based on low-cost and off-the-shelf microwave components, custom-made antennas, and a small form-factor processing system with an embedded field-programmable gate array for accelerating the execution of the imaging algorithm. We show that our low-cost system can compete with an expensive VNA in terms of accuracy, and it is more than 20x faster than a high-performance server at image reconstruction.