Properties and hydration behavior of blended clinker and portland-sediment cement pastes

In recent years, an increase of the interest in the use of secondary raw materials (sediment, sludge…) in construction has been observed.  This paper aims to contribute to the use of dredging sediments in the cement industry. Despite the literature on this subject, the available data on the aspects and phenomena related to the hydration process of such mixtures are incomplete. This paper aims to specify the calorimetric curves of hydration of mixtures made, from the sediment trapped at the site of Lyvet in the Brittany region of France. The mixtures are made ??using in one hand clinker and in the other hand Portland cement. Pastes with 8%, 16% and 33% of clinker or Portland cement substituted by sediment are used to determine the hydraulic properties of mixtures. The physico-chemical characterization of materials is made by different techniques to determine the chemical composition and physical properties. X-ray diffraction is used to determine the mineralogical compositions of samples before and after treatment. A  Tian-Calvet microcalorimeter is used to explore hydration behavior of the blended Sediment-Portland cement pastes. The addition of untreated sediment to both clinker or Portland cement increase the dormant period duration. On the contrary, this period becomes shorter when the sediment is thermally treated. The results show that 8% of treated sediment improve hydration of blended Sediment-Portland cement pastes. Mechanical properties of blended sediment-cements are also investigated. After 28 days of curing in water, the mortar containing 8% of treated sediment exhibits a compressive strength equal to 93.7% of the one of the reference mortar, maintaining it in the same cement class (52.5)

A Fresh View on Limestone Calcined Clay Cement (LC3) Pastes

In this work, the factors controlling the fresh state properties of limestone calcined clay cement (LC3) are assessed and compared to Portland and binary cements, extending the scope of previous research by combining rheological measurements with setting time determination and the evaluation of plastic shrinkage by a novel method. Yield stress and elastic modulus are considered indicators for the structural build-up/breakdown process when stress is applied to the system. On the other hand, plastic shrinkage occurs from the mixing to the setting of fresh paste and plays an important role in governing microstructural changes due to settlement and evaporation. Evaluation of the rheological properties with time was appropriate to give an overview of the influence and behavior of different added materials. The elastic modulus of all binders (clinker, LC3, clinker–limestone, and clinker–calcined clay) was increased from mixing to 60 min of curing as follows: 5.27 × 103 to 9.50 × 105 Pa, 5.94 × 103 to 9.87 × 105 Pa, 6.89 × 103 to 5.62 × 105 Pa and 7.85 × 103 to 1.27 × 106 Pa, respectively. Moreover, during the first three hours of curing, LC3 exhibited a reduction of plastic shrinkage by more than a factor of 2 compared to clinker cement. The use of calcined clay with clinker increases the elastic modulus of the system due to the flocculation effect and increased water absorption, while a dilution effect is contributed due to deflocculation and a free-water increase in the system when a high fraction of limestone is present in the binary cement. The combination of limestone and calcined clay with clinker can induce additional chemical reactions, which control the early age properties, such as plastic shrinkage. The obtained results can contribute to optimizing the fresh state properties of ternary blends of OPC, calcined clay, and limestone through a knowledge-based approac

Influence of cellulose nanofibrils on the rheology, microstructure and strength of alkali activated ground granulated blast-furnace slag: a comparison with ordinary Portland cement

This paper reports on the effect of cellulose nanofibrils (CNFs) on the fresh-state properties of alkali activated ground granulated blast-furnace slag (GGBS). Surface functionalized (oxidized) CNFs were added to alkali activated GGBS water suspensions (hydraulic pastes). The rheological behaviour of the pastes was compared with OPC and interpreted based on the CNF-mineral surface interaction, and on the CNF-water interaction and swelling. The water dispersion of CNFs with different surface functionalization degrees resulted in gels of different viscosity and yield stress, due to their different hydrophilicity and water adsorption properties. On increasing the CNFs surface oxidation degree, the viscosity of the CNF water dispersion decreases and the CNF water adsorption increases, while the viscosity of fresh pastes increases because of the reduced amount of available mixing water. In the hardened state, the hydraulic pastes show differences in mechanical strength related to the type and the amount of CNF influencing the porosity of the matrix as evidenced by the microstructural investigation performed by X-ray microtomography. The presence of higher amounts of CNFs induces the formation of porous agglomerates that may act as stress concentrators due to the swelling ability of nanofibrils

Global, regional, and national incidence, prevalence, and mortality of HIV, 1980–2017, and forecasts to 2030, for 195 countries and territories: a systematic analysis for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017

Background Understanding the patterns of HIV/AIDS epidemics is crucial to tracking and monitoring the progress of prevention and control efforts in countries. We provide a comprehensive assessment of the levels and trends of HIV/AIDS incidence, prevalence, mortality, and coverage of antiretroviral therapy (ART) for 1980–2017 and forecast these estimates to 2030 for 195 countries and territories. Methods We determined a modelling strategy for each country on the basis of the availability and quality of data. For countries and territories with data from population-based seroprevalence surveys or antenatal care clinics, we estimated prevalence and incidence using an open-source version of the Estimation and Projection Package—a natural history model originally developed by the UNAIDS Reference Group on Estimates, Modelling, and Projections. For countries with cause-specific vital registration data, we corrected data for garbage coding (ie, deaths coded to an intermediate, immediate, or poorly defined cause) and HIV misclassification. We developed a process of cohort incidence bias adjustment to use information on survival and deaths recorded in vital registration to back-calculate HIV incidence. For countries without any representative data on HIV, we produced incidence estimates by pulling information from observed bias in the geographical region. We used a re-coded version of the Spectrum model (a cohort component model that uses rates of disease progression and HIV mortality on and off ART) to produce age-sex-specific incidence, prevalence, and mortality, and treatment coverage results for all countries, and forecast these measures to 2030 using Spectrum with inputs that were extended on the basis of past trends in treatment scale-up and new infections. Findings Global HIV mortality peaked in 2006 with 1·95 million deaths (95% uncertainty interval 1·87–2·04) and has since decreased to 0·95 million deaths (0·91–1·01) in 2017. New cases of HIV globally peaked in 1999 (3·16 million, 2·79–3·67) and since then have gradually decreased to 1·94 million (1·63–2·29) in 2017. These trends, along with ART scale-up, have globally resulted in increased prevalence, with 36·8 million (34·8–39·2) people living with HIV in 2017. Prevalence of HIV was highest in southern sub-Saharan Africa in 2017, and countries in the region had ART coverage ranging from 65·7% in Lesotho to 85·7% in eSwatini. Our forecasts showed that 54 countries will meet the UNAIDS target of 81% ART coverage by 2020 and 12 countries are on track to meet 90% ART coverage by 2030. Forecasted results estimate that few countries will meet the UNAIDS 2020 and 2030 mortality and incidence targets. Interpretation Despite progress in reducing HIV-related mortality over the past decade, slow decreases in incidence, combined with the current context of stagnated funding for related interventions, mean that many countries are not on track to reach the 2020 and 2030 global targets for reduction in incidence and mortality. With a growing population of people living with HIV, it will continue to be a major threat to public health for years to come. The pace of progress needs to be hastened by continuing to expand access to ART and increasing investments in proven HIV prevention initiatives that can be scaled up to have population-level impact

Circuit Modelling of Broadband Antenna Using Vector Fitting and Foster Form Approaches for IoT Applications

Computation of the broadband antenna impedance behavior requires the wideband lumped equivalent circuit. This work aims to provide a comprehensive study of broadband antenna equivalent circuit models over broad frequency ranges for Internet of Things (IoT) applications using multiple approaches. The first approach is a Foster approximation, which is based on the antenna-simulated scattering parameters and impedance data. The second concerns a vector-fitting fitting approximation, which is based on the antenna-simulated impedance/admittance data. The studied antenna is modeled based on the radiating element’s geometry and the multifractal slots, in addition to the DGS (Defected Ground Plane) effects. Applying these techniques, wideband lumped equivalent circuits of the antenna have been computed which are in good agreement with measurement data. These models could be useful for the enhancement of the performance of a broadband antenna and its systematic design as well as offering the advantage of saving computation time for full-wave simulations and facilitating the solution of problems that have both an electromagnetic part as well as a circuit part. For further analysis, the Gaussian pulse has been generated to drive a time-domain analysis of the current and power response waveforms antenna behavior under load

Bi-allelic genetic variants in the translational GTPases GTPBP1 and GTPBP2 cause a distinct identical neurodevelopmental syndrome

The homologous genes GTPBP1 and GTPBP2 encode GTP-binding proteins 1 and 2, which are involved in ribosomal homeostasis. Pathogenic variants in GTPBP2 were recently shown to be an ultra-rare cause of neurodegenerative or neurodevelopmental disorders (NDDs). Until now, no human phenotype has been linked to GTPBP1. Here, we describe individuals carrying bi-allelic GTPBP1 variants that display an identical phenotype with GTPBP2 and characterize the overall spectrum of GTP-binding protein (1/2)-related disorders. In this study, 20 individuals from 16 families with distinct NDDs and syndromic facial features were investigated by whole-exome (WES) or whole-genome (WGS) sequencing. To assess the functional impact of the identified genetic variants, semi-quantitative PCR, western blot, and ribosome profiling assays were performed in fibroblasts from affected individuals. We also investigated the effect of reducing expression of CG2017, an ortholog of human GTPBP1/2, in the fruit fly Drosophila melanogaster. Individuals with bi-allelic GTPBP1 or GTPBP2 variants presented with microcephaly, profound neurodevelopmental impairment, pathognomonic craniofacial features, and ectodermal defects. Abnormal vision and/or hearing, progressive spasticity, choreoathetoid movements, refractory epilepsy, and brain atrophy were part of the core phenotype of this syndrome. Cell line studies identified a loss-of-function (LoF) impact of the disease-associated variants but no significant abnormalities on ribosome profiling. Reduced expression of CG2017 isoforms was associated with locomotor impairment in Drosophila. In conclusion, bi-allelic GTPBP1 and GTPBP2 LoF variants cause an identical, distinct neurodevelopmental syndrome. Mutant CG2017 knockout flies display motor impairment, highlighting the conserved role for GTP-binding proteins in CNS development across species

Mortality, morbidity, and hospitalisations due to influenza lower respiratory tract infections, 2017: an analysis for the Global Burden of Disease Study 2017

Background Although the burden of influenza is often discussed in the context of historical pandemics and the threat of future pandemics, every year a substantial burden of lower respiratory tract infections (LRTIs) and other respiratory conditions (like chronic obstructive pulmonary disease) are attributable to seasonal influenza. The Global Burden of Disease Study (GBD) 2017 is a systematic scientific effort to quantify the health loss associated with a comprehensive set of diseases and disabilities. In this Article, we focus on LRTIs that can be attributed to influenza.Methods We modelled the LRTI incidence, hospitalisations, and mortality attributable to influenza for every country and selected subnational locations by age and year from 1990 to 2017 as part of GBD 2017. We used a counterfactual approach that first estimated the LRTI incidence, hospitalisations, and mortality and then attributed a fraction of those outcomes to influenza.Findings Influenza LRTI was responsible for an estimated 145 000 (95% uncertainty interval [UI] 99 000–200 000) deaths among all ages in 2017. The influenza LRTI mortality rate was highest among adults older than 70 years (16·4 deaths per 100 000 [95% UI 11·6–21·9]), and the highest rate among all ages was in eastern Europe (5·2 per 100 000 population [95% UI 3·5–7·2]). We estimated that influenza LRTIs accounted for 9 459 000 (95% UI 3 709 000–22 935 000) hospitalisations due to LRTIs and 81 536 000 hospital days (24 330 000–259 851 000). We estimated that 11·5% (95% UI 10·0–12·9) of LRTI episodes were attributable to influenza, corresponding to 54 481 000 (38 465 000–73 864 000) episodes and 8 172 000 severe episodes (5 000 000–13 296 000).Interpretation This comprehensive assessment of the burden of influenza LRTIs shows the substantial annual effect of influenza on global health. Although preparedness planning will be important for potential pandemics, health loss due to seasonal influenza LRTIs should not be overlooked, and vaccine use should be considered. Efforts to improve influenza prevention measures are neede

Pooled analysis of who surgical safety checklist use and mortality after emergency laparotomy

Background: The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods: In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results: Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89⋅6 per cent) compared with that in countries with a middle (753 of 1242, 60⋅6 per cent; odds ratio (OR) 0⋅17, 95 per cent c.i. 0⋅14 to 0⋅21, P < 0⋅001) or low (363 of 860, 42⋅2 percent; OR 0⋅08, 0⋅07 to 0⋅10, P < 0⋅001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference −9⋅4 (95 per cent c.i. −11⋅9 to −6⋅9) per cent; P < 0⋅001), but the relationship was reversed in low-HDI countries (+12⋅1 (+7⋅0 to +17⋅3) per cent; P < 0⋅001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0⋅60, 0⋅50 to 0⋅73; P < 0⋅001). The greatest absolute benefit was seen for emergency surgery in low-and middle-HDI countries. Conclusion: Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p<0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p<0·001). Interpretation Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication. Funding DFID-MRC-Wellcome Trust Joint Global Health Trial Development Grant, National Institute of Health Research Global Health Research Unit Grant