Applying of No-fines concretes as a porous concrete in different construction application

Recently, the demands on the concretes with no fines aggregate has been increased as a results of the industry revolution. Many researchers are trying to recycle the concretes and rubble. In addition, the increase in noise in the surrounding environment as a result of the growing population and cars has generated an urgent need to produce concretes characterized by good sound insulation. No-fines concretes is considered as a kind of porous lightweight concretes, gained by removing the sand from the ordinary concrete mixture. The aim of this study is replacing the coarse aggregate by waste ceramics in order to reduce the wastes as well as investigate strengths against compression s, density and porosity of No-fines concretes before and after substitution the coarse aggregate by waste ceramics. The methodology of this research paper has been mainly depending on strengths against compression s test and the measured ultrasonic pulse velocity as well as the density. The investigational research has been implemented by 54 samples cast by six various blending proportion consisting of (cement, coarse aggregate, water) utilizing ceramic wastes (CWs) as a substation ratio of coarse aggregates in making concretes free of fine aggregate, so that the proportions of ceramic residues are (0, 10%, 20, 30, 40, 50) as a partial substation of the coarse aggregates and examined at the ages of (7, 28 and 90) days. The mechanism of failure has been detected and categorized beside the concrete's density and void percentage have been collected. The results show that, the increasing the substitution ratio for waste ceramic within the no-fine mixtures cause a decrease in the density with increasing the strengths against compression s for the specimens

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified