The issue of concrete carbonation has gained importance in recent years due to the increase use in supplementary cementing materials (SCMs) in concrete mixtures. While there is general agreement that concrete carbonat...The issue of concrete carbonation has gained importance in recent years due to the increase use in supplementary cementing materials (SCMs) in concrete mixtures. While there is general agreement that concrete carbonation progresses at maximum at a relative humidity of about 60%, the rate may differ in the case of cements blended with SCMs, especially with high-volume fly ash replacements. In this study, the effect of high-volume fly ash concrete exposed to low ambient relative humidity (RH) conditions (57%) and accelerated carbonation (4% CO2) is investigated. Twenty-three concrete mixtures were produced varying in cementitious contents (310, 340, 370, and 400 kg/m3), water-to-cementitious materials ratio (0.45 and 0.50), and fly ash content (0%, 15%, 30%, and 50%) using a low and high-calcium fly ash. The specimens were allowed 1 and 7 days of moist curing and monitored for their carbonation rate and depth through phenolphthalein measurements up to 105 days of exposure. The accelerated carbonation test results indicated that increasing the addition of fly ash also led to increasing the depth of carbonation. Mixtures incorporating high-calcium fly ash were also observed to be more resistant against carbonation than low-calcium fly ash due to the higher calcium oxide (CaO) content. However, mixtures incorporating high-volume additions (50%) specimens were fully carbonated regardless of the type of fly ash used. It was evident that the increase in the duration of moist curing from 1 day to 7 days had a positive effect, reducing the carbonation depth for both plain and blended fly ash concrete mixes, however, this effect was minimal in high-volume fly ash mixtures. The results demonstrated that the water-to-cementitious ratio (W/CM) had a more dramatic impact on carbonation resistance than the curing age for mixtures incorporating 30% or less fly ash replacement, whereas those mixtures incorporating 50% showed minor differences regardless of curing age or W/CM. Based on the compressive strength results, carbonation depth appeared to decrease with increase in compressive strength, but this correlation was not significant.展开更多
Two carbonation approaches are considered for studying the effects on the hardening mechanisms of slurries made of 100 wt%electric arc furnace steel slag (EAF) slag or 80 wt%EAF slag incorporating 20 wt% of Portland c...Two carbonation approaches are considered for studying the effects on the hardening mechanisms of slurries made of 100 wt%electric arc furnace steel slag (EAF) slag or 80 wt%EAF slag incorporating 20 wt% of Portland cement,which are applied during the hot-stage pretreatment with simulated gas for raw steel slag or the accelerated carbonation curing of slurry.The mechanical strengths,carbonate products,microstructures and CO_(2) uptakes were quantitatively investigated.Results manifest that accelerated carbonation curing increases the compressive strengths of steel slag slurry,from 17.1 MPa (binder of 80 wt% EAF and 20 wt%cement under standard moisture curing) to 36.0 MPa (binder of 80 wt%EAF and 20 wt%cement under accelerated carbonation curing),with a CO_(2) uptake of 52%.In contrast,hot-stage carbonation applied during the pretreatment of steel slag increases the compressive strengths to 43.7 MPa (binder of 80 wt%carbonated EAF and 20 wt%cement under accelerated carbonation curing),with a CO_(2) uptake of 67%.Hotstage carbonation of steel slag is found for particle agglomeration,minerals remodeling and calcite formed,thus causing an activated steel slag with a dense structure and more active components.Accelerated carbonation curing of steel slag slurry paste results in the newly formed amorphous CaCO_(3),calcite crystalline and silica gels that covered the pores of the matrix,facilitating microstructure densification and strength improvement.Adopting the combinative methods of the hot-stage CO_(2) pretreatment and accelerated carbonation curing creates a promising high-volume steel slag-based binder with high strengths and CO_(2) storage.展开更多
BACKGROUND Pulmonary alveolar proteinosis(PAP)often presents nonspecifically and can be easily confused with:(1)Idiopathic interstitial lung fibrosis;(2)alveolar carcinoma;(3)pulmonary tuberculosis;and(4)other lung di...BACKGROUND Pulmonary alveolar proteinosis(PAP)often presents nonspecifically and can be easily confused with:(1)Idiopathic interstitial lung fibrosis;(2)alveolar carcinoma;(3)pulmonary tuberculosis;and(4)other lung diseases such as viral pneumonia,mycoplasma pneumonia,and chlamydial pneumonia.CASE SUMMARY Diagnosis:In this case,a patient was diagnosed with PAP through transbronchial cryobiopsy(TBCB)and quantitative metagenomic next-generation sequencing,which confirmed the impairment of surfactant turnover as the underlying cause of PAP.Interventions:High-volume total lung lavage was performed for this patient.Outcomes:The patient's clinical condition had improved significantly by the 6-month follow-up,with a 92%finger oxygen saturation.A repeat chest computed tomography scan revealed scattered patchy ground-glass shadows in both lungs,which was consistent with alveolar protein deposition but with a lower density than in the radiograph from October 23,2022.CONCLUSION TBCB has unique advantages in diagnosing atypical alveolar protein deposition,particularly for enabling the early detection of PAP.This information can help patients take preventive measures to prevent or halt PAP development by avoiding dusty environments and seeking treatment with total lung lavage and inhaled granulocyte macrophage colony-stimulating factor.展开更多
Manufacturing is the application of labor, tools,machines, chemical and biological processing, to an original raw material by changing its physical and geometrical characteristics, in order to make finished products. ...Manufacturing is the application of labor, tools,machines, chemical and biological processing, to an original raw material by changing its physical and geometrical characteristics, in order to make finished products. Since the first industrial revolution, to accommodate the large-scale production,tremendous changes have happened to manufacturing through the innovations of technology, organization, management, transportation and communication. This work first reviews the highvolume low-mix process by focusing on the quantity production,transfer line and single model assembly line. Then, it reviews the high-volume high-mix process. For such a process type,mixed/multi model assembly line is usually adopted. Hence,two main decisions on them, i.e., balancing and, sequencing are reviewed. Thereafter, it discusses the low-volume high-mix process in detail. Then, technology gap and future work is discussed, and at last, conclusions are given.展开更多
This cohort study was performed to explore the influence of intensive care unit(ICU)quality on in-hospital mortality of veno-venous(V-V)extracorporeal membrane oxygenation(ECMO)-supported patients in China.The study i...This cohort study was performed to explore the influence of intensive care unit(ICU)quality on in-hospital mortality of veno-venous(V-V)extracorporeal membrane oxygenation(ECMO)-supported patients in China.The study involved all V-V ECMO-supported patients in 318 of 1700 tertiary hospitals from 2017 to 2019,using data from the National Clinical Improvement System and China National Critical Care Quality Control Center.ICU quality was assessed by quality control indicators and capacity parameters.Among the 2563 V-V ECMO-supported patients in 318 hospitals,a significant correlation was found between ECMO-related complications and prognosis.The reintubation rate within 48 hours after extubation and the total ICU mortality rate were independent risk factors for higher in-hospital mortality of V-V ECMO-supported patients(cutoff:1.5%and 7.0%;95%confidence interval:1.05–1.48 and 1.04–1.45;odds ratios:1.25 and 1.23;P=0.012 and P=0.015,respectively).Meanwhile,the V-V ECMO center volume was a protective factor(cutoff of≥50 cases within the 3-year study period;95%confidence interval:0.57–0.83,odds ratio:0.69,P=0.0001).The subgroup analysis of 864 patients in 11 high-volume centers further strengthened these findings.Thus,ICU quality may play an important role in improving the prognosis of V-V ECMO-supported patients.展开更多
The spatial concentrations, seasonal trends, profiles and congener pairs of ambient polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were investigated within a seasonally active ...The spatial concentrations, seasonal trends, profiles and congener pairs of ambient polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were investigated within a seasonally active sampling scheme during Jun 2008 and Jan 2009 in Tianjin City, northern China. The PCDD/F concentrations ranged 14.2-172 fg I-TEQ/m3 (average 69.3 fg I-TEQ/m3) in summer and (89.8-1.01) x 103 fg I-TEQ/m3 (average 509 fg I-TEQ/m3) in winter, respectively, except for the E-waste dismantling site where much higher values were observed (1.04 x 103 fg I-TEQ]m3 in summer and 7.123 x 103 fg I-TEQ/m3 in winter). The results indicated a significantly seasonal trend with higher TEQ values in winter as compared with summer, which could be related to increased emission sources and seasonal variations of the atmospheric boundary layer height. 2,3,4,7,8-PeCDF was the dominant contributor to the total PCDD/F toxic equivalents, and 2,3,7,8-TCDD was detected at almost all the sampling sites in winter. Most of the similarly substituted PCDD/F congener pairs exhibited high correlations, suggesting that they might have similar environmental fate or sources. But different seasonal and spatial distributions of PCDD/F concentrations indicated that the emission sources might be intermittent.展开更多
文摘The issue of concrete carbonation has gained importance in recent years due to the increase use in supplementary cementing materials (SCMs) in concrete mixtures. While there is general agreement that concrete carbonation progresses at maximum at a relative humidity of about 60%, the rate may differ in the case of cements blended with SCMs, especially with high-volume fly ash replacements. In this study, the effect of high-volume fly ash concrete exposed to low ambient relative humidity (RH) conditions (57%) and accelerated carbonation (4% CO2) is investigated. Twenty-three concrete mixtures were produced varying in cementitious contents (310, 340, 370, and 400 kg/m3), water-to-cementitious materials ratio (0.45 and 0.50), and fly ash content (0%, 15%, 30%, and 50%) using a low and high-calcium fly ash. The specimens were allowed 1 and 7 days of moist curing and monitored for their carbonation rate and depth through phenolphthalein measurements up to 105 days of exposure. The accelerated carbonation test results indicated that increasing the addition of fly ash also led to increasing the depth of carbonation. Mixtures incorporating high-calcium fly ash were also observed to be more resistant against carbonation than low-calcium fly ash due to the higher calcium oxide (CaO) content. However, mixtures incorporating high-volume additions (50%) specimens were fully carbonated regardless of the type of fly ash used. It was evident that the increase in the duration of moist curing from 1 day to 7 days had a positive effect, reducing the carbonation depth for both plain and blended fly ash concrete mixes, however, this effect was minimal in high-volume fly ash mixtures. The results demonstrated that the water-to-cementitious ratio (W/CM) had a more dramatic impact on carbonation resistance than the curing age for mixtures incorporating 30% or less fly ash replacement, whereas those mixtures incorporating 50% showed minor differences regardless of curing age or W/CM. Based on the compressive strength results, carbonation depth appeared to decrease with increase in compressive strength, but this correlation was not significant.
基金Funded by the National Key Research and Development Program of China-Intergovernmental International Cooperation in Scientific and Technological Innovation MOST,China (No.2018YFE0107300)。
文摘Two carbonation approaches are considered for studying the effects on the hardening mechanisms of slurries made of 100 wt%electric arc furnace steel slag (EAF) slag or 80 wt%EAF slag incorporating 20 wt% of Portland cement,which are applied during the hot-stage pretreatment with simulated gas for raw steel slag or the accelerated carbonation curing of slurry.The mechanical strengths,carbonate products,microstructures and CO_(2) uptakes were quantitatively investigated.Results manifest that accelerated carbonation curing increases the compressive strengths of steel slag slurry,from 17.1 MPa (binder of 80 wt% EAF and 20 wt%cement under standard moisture curing) to 36.0 MPa (binder of 80 wt%EAF and 20 wt%cement under accelerated carbonation curing),with a CO_(2) uptake of 52%.In contrast,hot-stage carbonation applied during the pretreatment of steel slag increases the compressive strengths to 43.7 MPa (binder of 80 wt%carbonated EAF and 20 wt%cement under accelerated carbonation curing),with a CO_(2) uptake of 67%.Hotstage carbonation of steel slag is found for particle agglomeration,minerals remodeling and calcite formed,thus causing an activated steel slag with a dense structure and more active components.Accelerated carbonation curing of steel slag slurry paste results in the newly formed amorphous CaCO_(3),calcite crystalline and silica gels that covered the pores of the matrix,facilitating microstructure densification and strength improvement.Adopting the combinative methods of the hot-stage CO_(2) pretreatment and accelerated carbonation curing creates a promising high-volume steel slag-based binder with high strengths and CO_(2) storage.
基金Supported by the Joint Project of Chongqing Health Commission and Science and Technology Bureau,No.2022MSXM103.
文摘BACKGROUND Pulmonary alveolar proteinosis(PAP)often presents nonspecifically and can be easily confused with:(1)Idiopathic interstitial lung fibrosis;(2)alveolar carcinoma;(3)pulmonary tuberculosis;and(4)other lung diseases such as viral pneumonia,mycoplasma pneumonia,and chlamydial pneumonia.CASE SUMMARY Diagnosis:In this case,a patient was diagnosed with PAP through transbronchial cryobiopsy(TBCB)and quantitative metagenomic next-generation sequencing,which confirmed the impairment of surfactant turnover as the underlying cause of PAP.Interventions:High-volume total lung lavage was performed for this patient.Outcomes:The patient's clinical condition had improved significantly by the 6-month follow-up,with a 92%finger oxygen saturation.A repeat chest computed tomography scan revealed scattered patchy ground-glass shadows in both lungs,which was consistent with alveolar protein deposition but with a lower density than in the radiograph from October 23,2022.CONCLUSION TBCB has unique advantages in diagnosing atypical alveolar protein deposition,particularly for enabling the early detection of PAP.This information can help patients take preventive measures to prevent or halt PAP development by avoiding dusty environments and seeking treatment with total lung lavage and inhaled granulocyte macrophage colony-stimulating factor.
基金conducted within the Delta-NTU Corporate Lab for Cyber-Physical Systems with funding support from Delta Electronics Incthe National Research Foundation(NRF)Singapore under the Corp Lab@University Scheme
文摘Manufacturing is the application of labor, tools,machines, chemical and biological processing, to an original raw material by changing its physical and geometrical characteristics, in order to make finished products. Since the first industrial revolution, to accommodate the large-scale production,tremendous changes have happened to manufacturing through the innovations of technology, organization, management, transportation and communication. This work first reviews the highvolume low-mix process by focusing on the quantity production,transfer line and single model assembly line. Then, it reviews the high-volume high-mix process. For such a process type,mixed/multi model assembly line is usually adopted. Hence,two main decisions on them, i.e., balancing and, sequencing are reviewed. Thereafter, it discusses the low-volume high-mix process in detail. Then, technology gap and future work is discussed, and at last, conclusions are given.
基金funded by the Chinese Academy of Medical Sciences(CAMS)Innovation Fund for Medical Sciences(CIFMS)from the CAMS(No.2021-I2M-1-062)the National Key R&D Program of China,Ministry of Science and Technology of the People’s Republic of China(No.2021YFC2500801)+3 种基金the Beijing Municipal Natural Science Foundation(No.M21019)the CAMS Endowment Fund(No.2021-CAMS-JZ004)the China Medical Board Open Competition Program(No.20-381)the Chinese Medical Information and Big Data Association(CHMIA)Special Fund for Emergency Project.
文摘This cohort study was performed to explore the influence of intensive care unit(ICU)quality on in-hospital mortality of veno-venous(V-V)extracorporeal membrane oxygenation(ECMO)-supported patients in China.The study involved all V-V ECMO-supported patients in 318 of 1700 tertiary hospitals from 2017 to 2019,using data from the National Clinical Improvement System and China National Critical Care Quality Control Center.ICU quality was assessed by quality control indicators and capacity parameters.Among the 2563 V-V ECMO-supported patients in 318 hospitals,a significant correlation was found between ECMO-related complications and prognosis.The reintubation rate within 48 hours after extubation and the total ICU mortality rate were independent risk factors for higher in-hospital mortality of V-V ECMO-supported patients(cutoff:1.5%and 7.0%;95%confidence interval:1.05–1.48 and 1.04–1.45;odds ratios:1.25 and 1.23;P=0.012 and P=0.015,respectively).Meanwhile,the V-V ECMO center volume was a protective factor(cutoff of≥50 cases within the 3-year study period;95%confidence interval:0.57–0.83,odds ratio:0.69,P=0.0001).The subgroup analysis of 864 patients in 11 high-volume centers further strengthened these findings.Thus,ICU quality may play an important role in improving the prognosis of V-V ECMO-supported patients.
基金supported by the Ministry of Environmental Protection of China for the Project of Toxic Substances in the Atmosphere and Their Effect to the Soilthe National Basic Research Program (973) of China(No.2009CB421600)the National Natural Science Foundation of China (No.20897011, 20907059)
文摘The spatial concentrations, seasonal trends, profiles and congener pairs of ambient polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs) were investigated within a seasonally active sampling scheme during Jun 2008 and Jan 2009 in Tianjin City, northern China. The PCDD/F concentrations ranged 14.2-172 fg I-TEQ/m3 (average 69.3 fg I-TEQ/m3) in summer and (89.8-1.01) x 103 fg I-TEQ/m3 (average 509 fg I-TEQ/m3) in winter, respectively, except for the E-waste dismantling site where much higher values were observed (1.04 x 103 fg I-TEQ]m3 in summer and 7.123 x 103 fg I-TEQ/m3 in winter). The results indicated a significantly seasonal trend with higher TEQ values in winter as compared with summer, which could be related to increased emission sources and seasonal variations of the atmospheric boundary layer height. 2,3,4,7,8-PeCDF was the dominant contributor to the total PCDD/F toxic equivalents, and 2,3,7,8-TCDD was detected at almost all the sampling sites in winter. Most of the similarly substituted PCDD/F congener pairs exhibited high correlations, suggesting that they might have similar environmental fate or sources. But different seasonal and spatial distributions of PCDD/F concentrations indicated that the emission sources might be intermittent.