A study on the cement-based decorative materials in the San Fedele Church in Milan

Cement-based materials have been used since the 19th century for different decorative purposes, and a high levels of expertise has often reached in reproducing or restoring even quite elaborated stoneworks. An important example is the application of cement-based decorative materials on the façades of the San Fedele church in Milan. The church, built in the 16th century and characterized by the presence of pinkish-yellowish Angera stone on the façades, was subjected, especially in the 20th century, to several restoration works. Damaged decorative elements of the façades as well as portions of its structural elements were replaced or covered in the last century by â\u80\u9cstone imitating renderâ\u80\u9d, made with cementitious materials which imitate the original Angera stone. In this study, several samples of cement-based decorative materials, collected from different elements of the external façades of the Church, were characterized by several analytic techniques (thermogravimetric analysis, X-ray diffraction, scanning electron microscopy and IR analysis), in order to investigate both their microstructure and composition, how the chromatic aspect of the cementitious materials were obtained and their conservation state and to provide useful information for the possible reproduction of materials with comparable appearance to be used in a further restoration project. Results showed that the cement-based materials and decorations were obtained by the application of different layers of renders; in particular, the colour and texture of finishing layer were achieved by blending the binder with fine dolomite particles, probably obtained by grinding the Angera stone. This technique not only allowed an amazing reproduction of the original stone, but also resulted in a durable protection, since the cement-based decorative materials did not show any significant degradation phenomena in the polluted environment of the centre of Milan

Cathodic protection with localised galvanic anodes in slender carbonated concrete elements

A combined experimental and numerical investigation was carried out with the aim of determining whether few localised galvanic anodes per unit length could protect the reinforcement of slender carbonated concrete elements, exposed to atmospheric conditions, which could not be repaired with traditional methods. Initially, the cathodic behaviour of steel under galvanostatic polarisation was determined on small-size specimens obtained from a real element. A correlation of potential versus applied current was obtained. The current distribution in slender elements was then determined through finite elements simulations, considering various scenarios of carbonation and humidity. Results showed that, in spite of the high electrical resistivity of carbonated concrete, anodes with spacing of 0.45 m are enough to protect corroding reinforcement in most exposure conditions, even in thin parts of element. Estimated anode durations were of the order of several years or even decades; however, it was shown that also reinforcement in dry (carbonated or alkaline) concrete, which does not need to be protected, contributes to anode consumption. Although other aspects play a role on the performance of a cathodic protection system (such as the effectiveness of anode-encasing material and of electrical connection to reinforcement), the results obtained are supportive of a repair strategy based on the use of localised galvanic anodes and can be generalised to slender elements exposed to atmospheric conditions suffering carbonation induced corrosion

Investigation on the effect of supplementary cementitious materials on the critical chloride threshold of steel in concrete

open3noThe critical chloride threshold is a key parameter in the service life design of reinforced concrete structures exposed to chloride-bearing environments. This paper investigates the role of concrete composition, and particularly the effect of supplementary cementing materials, on the chloride threshold. To simulate real exposure conditions, ponding tests were carried out on reinforced concrete specimens with bars in free corrosion conditions and corrosion initiation was detected through corrosion potential and corrosion rate measurements. After two and a half years, the ponding was followed by an ageing period and the initiation of corrosion was further detected with anodic potentiostatic polarisation tests. Results of the tests showed several limitations of the approach based on chloride penetration and monitoring of free corrosion parameters to investigate the chloride threshold. In spite of this, a possible role of natural pozzolan and coal fly ash additions in leading to higher values of the chloride threshold and ground limestone in promoting lower values of the chloride threshold could be observed.Lollini, Federica; Redaelli, Elena; Bertolini, LucaLollini, Federica; Redaelli, Elena; Bertolini, Luc

The challenge of the performance-based approach for the design of reinforced concrete structures in chloride bearing environment

The performance-based approach, published by the International Federation for Structural Concrete (fib), was applied for the design of a RC element in a marine environment, with corrosion resistant reinforcement, to analyse the potentiality of the model as well as the possible reasons which limit its use. Results showed that the fib model allows to compare different solutions and to consider the benefits connected with the use of preventative measures. However the definition of reliable values for some input parameters, as the critical chloride threshold for corrosion resistant reinforcement, is demanded to the designer and this aspect clearly limits a widespread use

Corrosion of Steel in Concrete and Its Prevention in Aggressive Chloride-Bearing Environments

This keynote paper deals with the durability of reinforced concrete (RC) structures exposed to aggressive environments characterized by high concentration of chloride ions, namely, marine environments or the use of de-icing salts. The mechanism of chloride-induced corrosion of steel in concrete is introduced, and its influence on the service life of RC structures is analyzed. Factors affecting the time to corrosion initiation are described with regard to both concrete properties and environmental exposure conditions. Design approaches available for achieving durability targets associated with the design service life are analyzed, focusing on studies carried out by the authors in recent years at the mCD Concrete Durability lab of Politecnico di Milano, which were aimed at improving the protection provided to the steel bars by the concrete cover, investigating the advantages of using corrosion-resistant stainless steel bars and developing the electrochemical technique of cathodic prevention

Effects of nanosilica on compressive strength and durability properties of concrete with different water to binder ratios

The effects of the addition of different nanosilica dosages (0.5%, 1%, and 1.5% with respect to cement) on compressive strength and durability properties of concrete with water/binder ratios 0.65, 0.55, and 0.5 were investigated. Water sorptivity, apparent chloride diffusion coefficient, electrical resistivity, and carbonation coefficient of concrete were measured. The results showed that compressive strength significantly improved in case of water/binder = 0.65, while for water/binder = 0.5 no change was found. Increasing nanosilica content, the water sorptivity decreased only for water/binder = 0.55. The addition of 0.5% nanosilica decreased the apparent chloride diffusion coefficient for water/binder = 0.65 and 0.55; however, higher nanosilica dosages did not decrease it with respect to reference value. The resistivity was elevated by 0.5% nanosilica for all water/binder ratios and by 1.5% nanosilica only for water/binder = 0.5. The carbonation coefficient was not notably affected by increasing nanosilica dosages and even adverse effect was observed for water/binder = 0.65. Further information of microstructure was also provided through characterization techniques such as X-ray diffraction, thermal gravimetric analysis, mercury intrusion porosimetry, and scanning electron microscopy. The effectiveness of a certain nanosilica dosage addition into lower strength mixes was more noticeable, while, for the higher strength mix, the effectiveness was less

Incidence and clinicopathologic features of gastrointestinal stromal tumors. A population-based study.

BACKGROUND: Although the diagnostic criteria and pathogenesis of gastrointestinal stromal tumors (GIST) have recently been elucidated, knowledge of the epidemiology of this malignancy is still limited. This study examined the incidence of GIST in the province of Modena, including pathologic features and clinical outcome. METHODS: Gastrointestinal mesenchymal tumors identified by the Modena Cancer Registry between 1991 and 2004 were analyzed with an immunohistochemical panel that included staining for CD-117 and PDGFRalpha. Size, mitotic rate, and other pathologic parameters were recorded. Each tumor was categorized into National Institutes of Health risk categories (very low, low, intermediate, and high risk). RESULTS: One hundred twenty-four cases were classified as GIST. The age-adjusted incidence rate was 6.6 per million. Seventy-five percent of patients were symptomatic; 34% had a previous or concomitant history of cancer. High-risk features were present in 47% of cases. Seventy-eight percent were submitted to radical surgery. After complete resection, the 5-year disease-free survival rates were 94%, 92%, 100%, and 40% for patients at very low, low, intermediate, and high risk, respectively. In multivariate analysis, high risk was the main predictor of recurrence. CONCLUSION: This population-based study shows that the incidence of GIST in Northern Italy is comparable to that reported in other European countries. Survival was favorable in lower risk categories and in most of the resected cases. In our study, resected patients at very low, low, and intermediate risk had a similar outcome. Our data support the need to consider high-risk patients after complete surgical resection for treatment with the best available approach

Squamous cell carcinoma "transformation" concurrent with secondary T790M mutation in resistant EGFR-mutated adenocarcinomas

Publisher Copyright: © 2016 International Association for the Study of Lung Cancer. Published by Elsevier Inc.The authors report two cases of epidermal growth factor receptor gene (EGFR)-mutant stage IV lung adenocarcinomas developing immunohistochemically proven squamous cell carcinoma (SCC) "transformation" concurrently with T790M EGFR mutation, leading to acquired resistance to EGFR inhibitors. Moreover, the histologic change of EGFR-mutant lung adenocarcinoma into SCC has been recently reported in literature. The histological transformation to SCC appears as a novel mechanism of acquired EGFR TKI resistance in EGFR-mutated adenocarcinomas and it may be challenging for treatment.publishersversionPeer reviewe

Pazopanib-Induced Heart Failure in a Metastatic Sarcoma Patient: between Reversible Side Effect and Efficacy

 Introduction: Pazopanib, a multi-target tyrosine-kinase inhibitor (TKI), is a relatively novel anticancer agent registered for advanced renal cell carcinoma recently emerged in the setting of advanced soft-tissue sarcoma (STS). In the early clinical trials pazopanib has been very marginally linked to left ventricular ejection fraction (LVEF) dysfunction as, on contrary, reported for other anti-angiogenesis TKIs, such as Sunitinib and Sorafenib. Presentation of Case: We here present a case of severe, but reversible, congestive cardiac failure in a 37-year old Caucasian man affected by soft-tissue sarcoma during an efficacious treatment with pazopanib. Conclusion: Cardiac damage from novel TKI treatments is still an underestimated phenomenon. In our patient, pazopanib was the only treatment ensuring stability of disease and its discontinuation meant disease progression. Post-approval monitoring of novel TKIs should be taken into account by clinicians including a careful monitoring of LVEF and all symptoms suggestive of cardiac dysfunction, in particular for drugs potentially capable to change the natural history of still uncurable cancer.

Adding Concomitant Chemotherapy to Postoperative Radiotherapy in Oral Cavity Carcinoma with Minor Risk Factors: Systematic Review of the Literature and Meta-Analysis

Simple Summary Oral cavity carcinoma (OCC) is the 11th most frequently diagnosed cancer; despite a multimodal treatment, locally advanced OCC, managed by surgery and adjuvant therapies, remains at high risk of recurrence, with a 5-year overall survival (OS) of 51%. The efficacy of postoperative chemotherapy in addition to radiotherapy (POCRT) in low-intermediate risk OCC is a controversial matter in the absence of high-risk features (ENE, R1). To establish the role of POCRT in a population with solely minor risk factors (perineural invasion or lymph vascular invasion; pN1 single; DOI >= 5 mm; close margin; node-positive level IV or V; pT3 or pT4; multiple lymph nodes without ENE), we performed a systematic review and meta-analyses focused on OS, disease-free survival (DFS), and local-recurrence-free survival (LRFS). Thirteen studies met the inclusion criteria and were included in the quantitative meta-analyses. Our preliminary results are in favor of POCRT in terms of OS but not conclusive for DFS and LRFS. Further analyses are suggested. When presenting with major pathological risk factors, adjuvant radio-chemotherapy for oral cavity cancers (OCC) is recommended, but the addition of chemotherapy to radiotherapy (POCRT) when only minor pathological risk factors are present is controversial. A systematic review following the PICO-PRISMA methodology (PROSPERO registration ID: CRD42021267498) was conducted using the PubMed, Embase, and Cochrane libraries. Studies assessing outcomes of POCRT in patients with solely minor risk factors (perineural invasion or lymph vascular invasion; pN1 single; DOI >= 5 mm; close margin < 2-5 mm; node-positive level IV or V; pT3 or pT4; multiple lymph nodes without ENE) were evaluated. A meta-analysis technique with a single-arm study was performed. Radiotherapy was combined with chemotherapy in all studies. One study only included patients treated with POCRT. In the other 12 studies, patients were treated with only PORT (12,883 patients) and with POCRT (10,663 patients). Among the patients treated with POCRT, the pooled 3 year OS rate was 72.9% (95%CI: 65.5-79.2%); the pooled 3 year DFS was 70.9% (95%CI: 48.8-86.2%); and the pooled LRFS was 69.8% (95%CI: 46.1-86.1%). Results are in favor of POCRT in terms of OS but not significant for DFS and LRFS, probably due to the heterogeneity of the included studies and a combination of different prognostic factors