Combined Nutrition in Very-Low-Birth-Weight Preterm Infants in the Neonatal Intensive Care Unit.

Background Adequate nutritional support is crucial for achieving optimal growth and development in very-low-birth-weight (VLBW) preterm infants. This study evaluated the efficacy of combined nutrition (CN) (parenteral plus enteral nutrition (EN)) as an alternative nutrition protocol for VLBW infants in the neonatal intensive care unit (NICU). Methods This retrospective cohort study collected clinical and growth data from the medical records of VLBW infants weighing between 1,000 and 1,500 grams in the NICU of the Hospital of Obstetrics and Gynecology "Dr. Víctor Manuel Espinosa de los Reyes Sánchez" of the Centro Médico Nacional "La Raza" Instituto Mexicano del Seguro Social, Mexico. Parenteral nutrition (PN) alone or CN (PN plus EN) was used for nutritional management. Statistical tests, such as Student's t-test, Mann-Whitney U test, and chi-square test as appropriate, were used to compare the clinical characteristics and growth data of the two groups, and relative risk was calculated to determine the probability of comorbidities according to feeding type. Statistical significance was set at p<0.05. Results The study included 90 VLBW infants, with 27 receiving PN alone and 63 receiving CN. No statistically significant differences were found concerning sex, age, or Apgar score. The CN group showed better weight gain with statistically significant differences at 28 days (p=0.002), with no increase in the relative risk of necrotizing enterocolitis (NEC) or other complications. Conclusions The CN protocol met the caloric and nutritional needs, without increasing morbidity and mortality. The protocol had a positive impact on weight gain and a shorter NICU stay and should be considered as a nutritional alternative for VLBW infants.

Accelerated Carbonation of Vibro-Compacted Porous Concrete for Eco-Friendly Precast Elements.

This research studied the effect of accelerated carbonation in the physical, mechanical and chemical properties of a non-structural vibro-compacted porous concrete made with natural aggregates and two types of recycled aggregates from construction and demolition waste (CDW). Natural aggregates were replaced by recycled aggregates using a volumetric substitution method and the CO2 capture capacity was also calculated. Two hardening environments were used: a carbonation chamber with 5% CO2 and a normal climatic chamber with atmospheric CO2 concentration. The effect of curing times of 1, 3, 7, 14 and 28 days on concrete properties was also analysed. The accelerated carbonation increased the dry bulk density, decreased the accessible porosity water, improved the compressive strength and decreased the setting time to reach a higher mechanical strength. The maximum CO2 capture ratio was achieved with the use of recycled concrete aggregate (52.52 kg/t). Accelerate carbonation conditions led to an increase in carbon capture of 525% compared to curing under atmospheric conditions. Accelerated carbonation of cement-based products containing recycled aggregates from construction and demolition waste is a promising technology for CO2 capture and utilisation and a way to mitigate the effects of climate change, as well as promote the new circular economy paradigm.

Carbon Emission Evaluation of CO2 Curing in Vibro-Compacted Precast Concrete Made with Recycled Aggregates.

The objective of the present study was to explore three types of vibro-compacted precast concrete mixtures replacing fine and coarse gravel with a recycled/mixed concrete aggregate (RCA or MCA). The portlandite phase found in RCA and MCA by XRD is a "potential" CO2 sink. CO2 curing improved the compressive strength in all the mixtures studied. One tonne of the mixtures studied could be decarbonised after only 7 days of curing 13,604, 36,077 and 24,635 m3 of air using natural aggregates, RCA or MCA, respectively. The compressive strength obtained, XRD, TGA/DTA and carbon emission evaluation showed that curing longer than 7 days in CO2 was pointless. The total CO2 emissions by a mixture using CO2 curing at 7 days were 221.26, 204.38 and 210.05 kg CO2 eq/m3 air using natural aggregates, RCA or MCA, respectively. The findings of this study provide a valuable contribution to carbon emission evaluation of CO2 curing in vibro-compacted precast concrete with recycled/mixed concrete aggregates (RCA or MCA). The technology proposed in this research facilitates carbon capture and use and guarantees enhanced compressive strength of the concrete samples.

The Effect of Acanthocardia tuberculata Shell Powder as Filler on the Performance of Self-Compacting Mortar.

In this research, the feasibility of using Acanthocardia tuberculata shell waste from the canning industry in the manufacturing of self-compacting mortar (SCM) was tested. The seashells were finely ground to be used as filler instead of the limestone filler normally used in this type of SCM. First, a physicochemical and microstructural characterisation of all raw materials was carried out, including the particle size distribution of both fillers. Subsequently, the self-compactability properties in the fresh state of SCM were evaluated using a total substitution by volume of limestone filler for seashell powder, using different self-compactiblity parameters. The mineralogical phases of all the SCM tested were identified once hardened by means of X-ray diffraction technique, thermogravimetric and differential thermal analysis. In addition, the mechanical properties, water absorption capacity, dry bulk density and accessible porosity of water of hardened mortars at 28 days of curing were analysed. The effect of replacing limestone filler by Acanthocardia tuberculata filler resulted in a decrease in compressive strength of 29.43, 16.84 and 2.29%, respectively. The results indicate that it is possible to completely replace natural limestone filler with Acanthocardia tuberculata shell filler without significantly affecting the mechanical properties of SCM.

Ternary Blends for Self-Compacting Mortars Production Composed by Electric Arc Furnace Dust and Other Industrial by-Products.

This study is framed within the circular economy model through the valorisation of industrial by-products. This research shows the results of producing self-compacting mortars (SCMs) with electric arc furnace dust (EAFD) and other industrial by-products such as fly ash, conforming (FA) or not conforming (NcFA), from coal-fired power plants, or recovery filler (RF) from hot-mix asphalt plants. Three batches of SCMs, each with one industrial-by product (FA, NcFA, or RF), and three levels of EAFD ratio incorporation (0%, 10%, 20%), were tested. An extra batch with a greater amount of FA was manufactured. When the incorporation ratio of EAFD rose, the mechanical strength decreased, due to the presence of a calcium zinc hydroxide dihydrate phase; nevertheless, this decrease diminished over time. All SCM mixes, except the 40C 40FA 20 EAFD mix, were above 20 MPa at 28 days. All mixes named 70C and 40C reached 40 and 30 MPa, respectively, at 90 days. Mixes with EAFD showed less capillarity and no difference in water absorption by immersion with respect to mixes without EAFD after 91 days. The SCMs designed proved to be stable in terms of leaching of the heavy metals contained in EAFD, where all the hardened SCMs were classified as inert.

Use of Carbonated Water as Kneading in Mortars Made with Recycled Aggregates.

The increased concern about climate change is revolutionising the building materials sector, making sustainability and environmental friendliness increasingly important. This study evaluates the feasibility of incorporating recycled masonry aggregate (construction and demolition waste) in porous cement-based materials using carbonated water in mixing followed (or not) by curing in a CO2 atmosphere. The use of carbonated water can be very revolutionary in cement-based materials, as it allows hydration and carbonation to occur simultaneously. Calcite and portlandite in the recycled masonry aggregate and act as a buffer for the low-pH carbonated water. Carbonated water produced better mechanical properties and increased accessible water porosity and dry bulk density. The same behaviour was observed with natural aggregates. Carbonated water results in an interlaced shape of carbonate ettringite (needles) and fills the microcracks in the recycled masonry aggregate. Curing in CO2 together with the use of carbonated water (concomitantly) is not beneficial. This study provides innovative solutions for a circular economy in the construction sector using carbonated water in mixing (adsorbing CO2), which is very revolutionary as it allows carbonation to be applied to in-situ products.

Performance of Sustainable Mortars Made with Filler from Different Construction By-Products.

One way to contribute to sustainability in the construction sector is through the incorporation of construction by-products from their own activities. This work intends to extend the possibilities for enhancement of these by-products through the incorporation of four different ones, as fillers, in mortar production. The influence of these incorporations in mortar production was compared with a reference mortar with siliceous filler in its fresh state; workability, entrained air content and fresh density, and in its hardened state; capillary water absorption, water vapour permeability and shrinkage (up to 91 days); and adhesive, compressive, and flexural strength; the last two were studied over time (up to 180 days). Despite the reduction in compressive strength, both in the short and long term, there was a gain in adhesive strength when the construction by-products were incorporated. Regarding the physical properties and durability studied, no relevant differences were found with respect to the reference mortar. According to the European Specifications, these mortars could be used as regular or coloured rendering and plastering mortars, and masonry mortars, and these findings promote the circular economy in the construction sector.

The Performance of Concrete Made with Secondary Products-Recycled Coarse Aggregates, Recycled Cement Mortar, and Fly Ash-Slag Mix.

The properties of cement concrete using waste materials-namely, recycled cement mortar, fly ash-slag, and recycled concrete aggregate-are presented. A treatment process for waste materials is proposed. Two research experiments were conducted. In the first, concretes were made with fly ash-slag mix (FAS) and recycled cement mortar (RCM) as additions. The most favorable content of the concrete additive in the form of RCM and FAS was determined experimentally, and their influence on the physical and mechanical properties of concrete was established. For this purpose, 10 test series were carried out according to the experimental plan. In the second study, concretes containing FAS-RCM and recycled concrete aggregate (RCA) as a 30% replacement of natural aggregate (NA) were prepared. The compressive strength, frost resistance, water absorption, volume density, thermal conductivity, and microstructure were researched. The test results show that the addition of FAS-RCM and RCA can produce composites with better physical and mechanical properties compared with concrete made only of natural raw materials and cement. The detailed results show that FAS-RCM can be a valuable substitute for cement and RCA as a replacement for natural aggregates. Compared with traditional cement concretes, concretes made of FAS, RCM, and RCA are characterized by a higher compressive strength: 7% higher in the case of 30% replacement of NA by RCA with the additional use of the innovative FAS-RCM additive as 30% of the cement mass.

Women and financial literacy in spain. Does marital status matter?

This study focuses on the joint effect of gender and marital status on financial literacy. The study is based on the data of 7,456 adults who responded to the Financial Competencies Survey (2016), conducted by the Bank of Spain. The results revealed that married/couple women have a lower level of financial literacy than married/couple men, perhaps because men often make decisions regarding family finances, while women are often in charge of other homework. This may have important consequences for the financial autonomy of women of all ages, especially as they aging.

Promotion of circular economy: steelwork dusts as secondary raw material in conventional mortars.

Among the actions proposed by the European Union for the implementation of Circular Economy is the use of waste as a secondary raw material (SRM). During the fusion of the scrap, a steel dust is generated, named electric arc furnace dust (EAFD). The EAFD is composed mainly of potentially leachable heavy metals and is classified as a "hazardous" waste. Worldwide, approximately 70% of EAFD is deposited in landfills, with a previous treatment through cement-based materials to prevent the metals' mobility. However, this action is not in accordance with the Circular Economy concept. The present investigation analyses the use of EAFD as SRM in conventional mortar production for its use as a construction material. Different substitution percentages (25, 50 and 100%) were used replacing the siliceous filler by EAFD. A preceding characterisation of the waste by X-ray fluorescence, X-ray diffraction, specific surface area, bulk density, electron microscopy and particle size distribution was performed. The investigation analysed the behaviour of conventional mortars by tests of workability, compressive strength, mineralogy, water absorption by capillarity, and leaching behaviour in granular and monolithic states. The results obtained indicate a slight improvement in mechanical behaviour with the incorporation of EAFD, the reason why its use as SRM in conventional mortars would benefit the construction industry and would encourage the Circular Economy. From an environmental point of view, the mechanisms of Pb fixation should be improved in a granular state.

Dynamics of the accommodative response under artificially-induced aniseikonia.

Aniseikonia has demonstrated to deteriorate the binocular function, however its impact on the accommodative response remains unknown. The present study aimed to analyze the effects of artificially-induced aniseikonia, using afocal magnifiers, on the dynamics of the accommodative response. The magnitude and variability of the accommodative response were objectively measured in 20 young healthy subjects by a binocular open-field autorefractometer. Participants observed a static stimulus for 90 s, under seven degrees of aniseikonia (0%, 1%, 3%, 5%, 8%, 10% and 12%), and at three distances (500 cm, 40 cm and 20 cm). Complementarily, near stereoacuity, and perceived levels of fatigue and visual discomfort were assessed. The degree of induced aniseikonia was associated with the magnitude of the accommodative response (p < 0.001, ηp2 = 0.329), obtaining a statistically significant reduced accommodative lag for the induced aniseikonia conditions of 8%, 10% and 12% in comparison to the control condition at 40 cm (p-corrected = 0.019, <0.001 and 0.013, respectively) and at 20 cm (p-corrected < 0.001, <0.001 and 0.003, respectively). However, the degree of induced aniseikonia did not reveal any effect on the variability of accommodation (p > 0.05). We also found a decline in near stereoacuity and an increment of visual symptomatology when inducing aniseikonia (p < 0.05). Our data evidenced that greater degrees of induced aniseikonia cause a heightened accommodative response. These preliminary findings may be of relevance for patients undergoing cataract or refractive surgery procedures in which aniseikonia can be induced.

The Influence of Heat and Mechanical Treatment of Concrete Rubble on the Properties of Recycled Aggregate Concrete.

Concrete is a building material commonly used for ages. Therefore, in the result of repairs or demolition of building structures, large amounts of concrete rubble are created, which requires appropriate management. The aim of the realized research was to determine the influence of heat and mechanical treatment of concrete rubble on the properties of recycled aggregate concrete. The research experiment included 12 series, with three variables: X1-roasting temperature (300, 600, 900 °C), X2-time of mechanical treatment (5, 10, 15 min), X3-content of coarse recycled aggregates (20, 40, 60% by volume). Two additional series containing recycled aggregate without treatment and natural aggregate were also prepared. Established properties of individual aggregates have confirmed a positive effect of thermo-mechanical treatment. Then, based on the results of compressive strength, flexural strength, Young's modulus, volumetric density, water absorption, water permeability and capillarity, the most favourable parameters of heat and mechanical treatment of concrete were determined. The test results showed that appropriate treatment of concrete rubble allows to obtain high-quality coarse aggregate and valuable fine fraction. This was also confirmed by the macro- and microscopic observations of the aggregate and separated cement paste. Works realized on the concrete recycling method resulted in obtaining a patent PAT.229887.

Risk assessment by percolation leaching tests of extensive green roofs with fine fraction of mixed recycled aggregates from construction and demolition waste.

Extensive green roofs are urban construction systems that provide thermal regulation and sound proofing for the buildings involved, in addition to providing an urban heat island mitigation or water retention. On the other hand, policies towards reduction of energy consumption, a circular economy and sustainability are core in the European Union. Motivated by this, an experimental study was carried out to evaluate the environmental risk assessment according to release levels of polluting elements on leachates of different green roof substrate mixtures based on recycled aggregates from construction and demolition waste through (i) the performance in laboratory of two procedures: compliance and percolation tests and (ii) an upscaled experimental leaching test for long-term on-site prediction. Four plots were built on a building roof and covered with autochthonous Mediterranean plants in Córdoba, South of Spain. As growing substrate, four mixtures were used of a commercial growing substrate with different proportions of a fine mixed recycled aggregate ranging from 0 to 75% by volume. The results show that these mixtures were classified as non-hazardous materials according to legal limits of the Landfill Directive 2003/33/CE. The release levels registered in extensive green roofs were lower compared to the laboratory test data. This shows how laboratory conditions can overestimate the potential pollutant effect of these materials compared to actual conditions.

Combined Effects of Non-Conforming Fly Ash and Recycled Masonry Aggregates on Mortar Properties.

This work evaluates the effects of using non-conforming fly ash (Nc-FA) generated in a thermoelectric power plant as filler material for mortars made with natural sand (NA) and recycled sand from masonry waste (FRMA). The incorporation of powdered recycled masonry filler (R-MF) is also tested as an alternative to siliceous filler (Si-F). Three families of mortars were designed to study: the effect of replacing Si-F with Nc-FA on mortars made with NA; the effect of replacing Si-F with Nc-FA on mortars made with 50% of NA and 50% of FRMA; and the effect of replacing Si-F with R-MF on mortars made with NA and FRMA. Replacing Si-F with Nc-FA is a viable alternative that increases the mechanical strength, the workability and durability properties and decreases the shrinkage. The use of FRMA and Nc-FA improved the mechanical strength of mortars, and it slightly increased the shrinkage. The replacement of Si-F with R-MF on mortars made with FRMA is not a good alternative, because it has a negative impact on all of the properties tested. This work can help both to reduce cement and natural resources' consumption and to increase the recycling rate of Nc-FA and FRMA.

Properties of Non-Structural Concrete Made with Mixed Recycled Aggregates and Low Cement Content.

In spite of not being legally accepted in most countries, mixed recycled aggregates (MRA) could be a suitable raw material for concrete manufacturing. The aims of this research were as follows: (i) to analyze the effect of the replacement ratio of natural coarse aggregates with MRA, the amount of ceramic particles in MRA, and the amount of cement, on the mechanical and physical properties of a non-structural concrete made with a low cement content; and (ii) to verify if it is possible to achieve a low-strength concrete that replaces a greater amount of natural aggregate with MRA and that has a low cement content. Two series of concrete mixes were manufactured using 180 and 200 kg/m³ of CEM II/A-V 42.5 R type Portland cement. Each series included seven concrete mixes: one with natural aggregates; two MRA with different ceramic particle contents; and one for each coarse aggregate replacement ratio (20%, 40%, and 100%). To study their properties, compressive and splitting tensile strength, modulus of elasticity, density, porosity, water penetration, and sorptivity, tests were performed. The results confirmed that the main factors affecting the properties analyzed in this research are the amount of cement and the replacement ratio; the two MRAs used in this work presented a similar influence on the properties. A non-structural, low-strength concrete (15 MPa) with an MRA replacement ratio of up to 100% for 200 kg/m³ of cement was obtained. This type of concrete could be applied in the construction of ditches, sidewalks, and other similar civil works.

Upscaling the Use of Mixed Recycled Aggregates in Non-Structural Low Cement Concrete.

This research aims to produce non-structural concrete with mixed recycled aggregates (MRA) in upscaled applications with low-cement content. Four slabs were executed with concrete made with different ratios of coarse MRA (0%, 20%, 40% and 100%), using the mix design, the mixing procedures and the facilities from a nearby concrete production plant. The analysis of the long-term compressive and splitting tensile strengths in concrete cores, extracted from the slabs, allowed the highlighting of the long-term high strength development potential of MRA incorporation. The study of cast specimens produced in situ under the same conditions as the slabs showed, firstly, that the use of MRA has a great influence on the properties related to durability, secondly, that the loss of compressive strength for total MRA incorporation relative to control concrete increases proportionally with the class strength, and, thirdly, that the mechanical properties (including Schmidt hammer results) from the concrete slabs showed no significant differences relative to the control concrete for coarse aggregates replacements up to 40%. Therefore, this upscaled experimental study supports the application of concrete with 100% coarse MRA incorporation and low cement content in non-structural civil works such as bike lanes, gutters, ground slabs, leveling surfaces, and subgrades for foundations. To the best of the authors' knowledge, there have not been any upscaled applications of concrete with MRA and low cement content.

Increased Durability of Concrete Made with Fine Recycled Concrete Aggregates Using Superplasticizers.

This paper evaluates the influence of two superplasticizers (SP) on the durability properties of concrete made with fine recycled concrete aggregate (FRCA). For this purpose, three families of concrete were tested: concrete without SP, concrete made with a regular superplasticizer and concrete made with a high-performance superplasticizer. Five volumetric replacement ratios of natural sand by FRCA were tested: 0%, 10%, 30%, 50% and 100%. Two natural gravels were used as coarse aggregates. All mixes had the same particle size distribution, cement content and amount of superplasticizer. The w/c ratio was calibrated to obtain similar slump. The results showed that the incorporation of FRCA increased the water absorption by immersion, the water absorption by capillary action, the carbonation depth and the chloride migration coefficient, while the use of superplasticizers highly improved these properties. The incorporation of FRCA jeopardized the SP's effectiveness. This research demonstrated that, from a durability point of view, the simultaneous incorporation of FRCA and high-performance SP is a viable sustainable solution for structural concrete production.

Correlation analysis between sulphate content and leaching of sulphates in recycled aggregates from construction and demolition wastes.

In some recycled aggregates applications, such as component of new concrete or roads, the total content of soluble sulphates should be measured and controlled. Restrictions are usually motivated by the resistance or stability of the new structure, and in most cases, structural concerns can be remedied by the use of techniques such as sulphur-resistant cements. However, environmental risk assessment from recycling and reuse construction products is often forgotten. The purpose of this study is to analyse the content of soluble sulphate on eleven recycled aggregates and six samples prepared in laboratory by the addition of different gypsum percentages. As points of reference, two natural aggregates were tested. An analysis of the content of the leachable amount of heavy metals regulated by European regulation was included. As a result, the correlation between solubility and leachability data allow suggest a limiting gypsum amount of 4.4% on recycled aggregates. This limit satisfies EU Landfill Directive criteria, which is currently used as reference by public Spanish Government for recycled aggregates in construction works.

Comparison of batch leaching tests and influence of pH on the release of metals from construction and demolition wastes.

Construction and demolition wastes are suitable for use in road construction. However, leaching characterization of recycled materials is required to determine their pollutant potential and the consequence of their application in different scenarios. The motivation of this paper is derived from the increasing use of different leaching test methods. In Europe, the confusion resulting from the wide variety of tests used to evaluate environmental properties of construction materials implies that an evaluation of the current practices and the attempt to consolidate the approaches are required. Two equilibrium-based leaching tests (the Dutch test and the European standard) were conducted to assess the environmental impact of four recycled aggregates. Three natural limestone aggregates were used as controls. Both tests measure the potential release of hazardous elements under extreme conditions using different leaching parameters (L/S ratio, pH value and contact time). The results proved that pH is the most relevant factor on the assessment of the differences between leaching methods due to its strong control on the pollutant release. To classify the materials according to their environmental effects, the concentration limit values of the metals imposed by Council Decision 2003/33/EC were used as a reference. The comparison allowed the classification of the recycled aggregates as inert wastes, with the exception of the MR-2 aggregate, which was classified as non-hazardous material.