Effects of some chemical detergents additions on concrete

Usually, the drainage network made of concrete and which fall under the infrastructure in cities. This research aims to study the corrosion of cement concrete under the influence of Washing Detergents, as well as determine the negative influence on some properties such as weight and mechanical resistance. The results showed that sodium phosphate salts by 27-35% of the weight of the detergent has led to weaken the resistance of the pressure of the cement mortar by 5%, and sodium sulphate salts and sodium chloride led to weaken on pressure resistance and inflexion by 15%. Corrosion Index showe proposed sharp decline very resistant to detour - the pressure resistance by up to 30%. Keywords: Concrete. Detergent. Corrosion. Resistance. Mechanical resistance, Weight. Index

The environmental impacts of calcium chloride addition to cement on reinforcing steel corrosion

An alternative use of a specific type of cement for a particular purpose, usually we can change some properties of available cement by using the appropriate additions, with some negative side effects in some cases. In this research have been suggested values ??of calcium chloride(CaCl2) additions for use in concrete admixtures as an agent factor in accelerating the process of cement setting, to clarify the extent of the negative impacts that could be induced, such as alkalinity decline of solution and the impact of the chemical composition of used cement on reinforcing steel. Chloride ion present in low alumina cement mortar was detected quickly, while it needed to increase calcium chloride content to double in moderate alumina cement mortar. The results showed that the depth of carbonation when samples of different composition and with various w/c ratio treated by stream was faster in low ammonia cement mortar from moderate ammonia and faster in mortar poor than in mortar rich, In addition, depth of carbonation increased when the calcium chloride content in cement was very small. Electrical potential of steel in cement mortar inversely proportional with increasing calcium chloride content and with increasing in water/cement ratio and increasing sand content in cement mortar medium ammonia. The lowest level of steel oxidation observed in mortar consisting of cement medium ammonia and the rate of corrosion increases when samples treated by stream in all cases. Keywords: Calcium Chloride, Oxidation, Reinforcement, Stream Treatment, Carbonation, Concrete admixtures, Electric potentia

Survey of CT radiation doses and iodinated contrast medium administration: an international multicentric study

ObjectiveTo assess the relationship between intravenous iodinated contrast media (ICM) administration usage and radiation doses for contrast-enhanced (CE) CT of head, chest, and abdomen-pelvis (AP) in international, multicenter settings. MethodsOur international (n = 16 countries), multicenter (n = 43 sites), and cross-sectional (ConRad) study had two parts. Part 1: Redcap survey with questions on information related to CT and ICM manufacturer/brand and respective protocols. Part 2: Information on 3,258 patients (18-96 years; M:F 1654:1604) who underwent CECT for a routine head (n = 456), chest (n = 528), AP (n = 599), head CT angiography (n = 539), pulmonary embolism (n = 599), and liver CT examinations (n = 537) at 43 sites across five continents. The following information was recorded: hospital name, patient age, gender, body mass index [BMI], clinical indications, scan parameters (number of scan phases, kV), IV-contrast information (concentration, volume, flow rate, and delay), and dose indices (CTDIvol and DLP). ResultsMost routine chest (58.4%) and AP (68.7%) CECT exams were performed with 2-4 scan phases with fixed scan delay (chest 71.4%; AP 79.8%, liver CECT 50.7%) following ICM administration. Most sites did not change kV across different patients and scan phases; most CECT protocols were performed at 120-140 kV (83%, 1979/2685). There were no significant differences between radiation doses for non-contrast (CTDIvol 24 [16-30] mGy; DLP 633 [414-702] mGycm) and post-contrast phases (22 [19-27] mGy; 648 [392-694] mGycm) (p = 0.142). Sites that used bolus tracking for chest and AP CECT had lower CTDIvol than sites with fixed scan delays (p < 0.001). There was no correlation between BMI and CTDIvol (r2 <= - 0.1 to 0.1, p = 0.931). ConclusionOur study demonstrates up to ten-fold variability in ICM injection protocols and radiation doses across different CT protocols. The study emphasizes the need for optimizing CT scanning and contrast protocols to reduce unnecessary contrast and radiation exposure to patients. Clinical relevance statementThe wide variability and lack of standardization of ICM media and radiation doses in CT protocols suggest the need for education and optimization of contrast usage and scan factors for optimizing image quality in CECT

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Investigation of the Effect of Solar Ventilation on the Cabin Temperature of Vehicles Parked under the Sun

During hot days, the temperature inside vehicles parked under the sun is very high; according to previous studies, the vehicle cabin temperature can be more than 20 °C higher than the ambient temperature. Due to the greenhouse effect, the heating that occurs inside a vehicle while it is parked under the sun has an impact on energy crises and environmental pollution. In addition, the increase in the temperature inside the cabin will have an effect on the dashboard and plastic accessories and the leather on the seats will age rapidly. The ventilation of solar energy from the cabin of a vehicle parked under the blazing sun has received a great deal of attention. The present study was conducted to utilize a renewable energy system to operate the ventilation system through a novel portable ventilation system powered by solar energy. Experimental results were obtained for a vehicle with and without the solar ventilation system. The results indicate that the maximum daily average difference in temperature during the experimental tests between the cabin of the car and the atmospheric temperature with and without the solar ventilation system was 7.2 °C and 20.6 °C, respectively. With and without the usage of the system, the minimum average difference in temperature between the automobile’s cabin and the atmospheric temperature was 6.2 °C and 17.6 °C, respectively. The results indicate that the proposed system is effective and that the thermal comfort inside the vehicle’s cabin improved when the vehicle was parked under the hot sun. Therefore, this system helps to protect human bodies, conserve energy, protect the environment, protect the vehicle’s cabin, and provide a comfortable environment

Investigation of the Effect of Solar Ventilation on the Cabin Temperature of Vehicles Parked under the Sun

During hot days, the temperature inside vehicles parked under the sun is very high; according to previous studies, the vehicle cabin temperature can be more than 20 &deg;C higher than the ambient temperature. Due to the greenhouse effect, the heating that occurs inside a vehicle while it is parked under the sun has an impact on energy crises and environmental pollution. In addition, the increase in the temperature inside the cabin will have an effect on the dashboard and plastic accessories and the leather on the seats will age rapidly. The ventilation of solar energy from the cabin of a vehicle parked under the blazing sun has received a great deal of attention. The present study was conducted to utilize a renewable energy system to operate the ventilation system through a novel portable ventilation system powered by solar energy. Experimental results were obtained for a vehicle with and without the solar ventilation system. The results indicate that the maximum daily average difference in temperature during the experimental tests between the cabin of the car and the atmospheric temperature with and without the solar ventilation system was 7.2 &deg;C and 20.6 &deg;C, respectively. With and without the usage of the system, the minimum average difference in temperature between the automobile&rsquo;s cabin and the atmospheric temperature was 6.2 &deg;C and 17.6 &deg;C, respectively. The results indicate that the proposed system is effective and that the thermal comfort inside the vehicle&rsquo;s cabin improved when the vehicle was parked under the hot sun. Therefore, this system helps to protect human bodies, conserve energy, protect the environment, protect the vehicle&rsquo;s cabin, and provide a comfortable environment