11 research outputs found

    Sulfate attack and reinforcement corrosion in concrete with recycled concrete aggregates and supplementary cementing materials

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    As strategies to contribute to the concrete industry sustainability, reinforced concrete was fabricated using recycled concrete coarse aggregate and replacing partially portland cement with supplementary cementing materials as fly ash and silica fume. On test specimens, partially immersed in 3.5% Na2SO4 aqueous solution, the effect of the recycled and supplementary materials against sulfate attack and reinforcement corrosion was evaluated. For such aim, weight loss of concrete and corrosion potentials, corrosion current density of reinforcement were determined by means of electrochemical techniques as open circuit potential and linear polarization resistance, respectivelyPostprint (published version

    Use of negative control outcomes to assess the comparability of patients initiating lipid-lowering therapies

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    Purpose: Clinical trials have demonstrated efficacy of proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9i) in reducing risk of cardiovascular disease events, but effectiveness in routine clinical care has not been well-studied. We used negative control outcomes to assess potential confounding in an observational study of PCSK9i versus ezetimibe or high-intensity statin. Methods: Using commercial claims, we identified U.S. adults initiating PCSK9i, ezetimibe, or high-intensity statin in 2015–2018, with other lipid-lowering therapy (LLT) use in the year prior (LLT cohort) or atherosclerotic cardiovascular disease (ASCVD) in the past 90 days (ASCVD cohort). We compared initiators of PCSK9i to ezetimibe and high-intensity statin by estimating one-year risks of negative control outcomes influenced by frailty or health-seeking behaviors. Inverse probability of treatment and censoring weighted estimators of risk differences (RDs) were used to evaluate residual confounding after controlling for covariates. Results: PCSK9i initiators had lower one-year risks of negative control outcomes associated with frailty, such as decubitus ulcer in the ASCVD cohort (PCSK9i vs. high-intensity statin RD = −3.5%, 95% confidence interval (CI): −4.6%, −2.5%; PCSK9i vs. ezetimibe RD = −1.3%, 95% CI: −2.1%, −0.6%), with similar but attenuated associations in the LLT cohort. Lower risks of accidents and fractures were also observed for PCSK9i, varying by cohort. Risks were similar for outcomes associated with health-seeking behaviors, although trended higher for PCSK9i in the ASCVD cohort. Conclusions: Observed associations suggest lower frailty and potentially greater health-seeking behaviors among PCSK9i initiators, particularly those with a recent ASCVD diagnosis, with the potential to bias real-world analyses of treatment effectiveness

    Functional assessment of bioprosthetic mitral valves by cardiovascular magnetic resonance: An in vitro validation and comparison to Doppler echocardiography

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    Background: A comprehensive non-invasive evaluation of bioprosthetic mitral valve (BMV) function can be challenging. We describe a novel method to assess BMV effective orifice area (EOA) based on phase contrast (PC) cardiovascular magnetic resonance (CMR) data. We compare the performance of this new method to Doppler and in vitro reference standards. Methods: Four sizes of normal BMVs (27, 29, 31, 33 mm) and 4 stenotic BMVs (27 mm and 29 mm, with mild or severe leaflet obstruction) were evaluated using a CMR- compatible flow loop. BMVs were evaluated with PC-CMR and Doppler methods under flow conditions of; 70 mL, 90 mL and 110 mL/beat (n = 24). PC-EOA was calculated as PC-CMR flow volume divided by the PC- time velocity integral (TVI). Results: PC-CMR measurements of the diastolic peak velocity and TVI correlated strongly with Doppler values (r = 0.99, P < 0.001 and r = 0.99, P < 0.001, respectively). Across all conditions tested, the Doppler and PC-CMR measurement of EOA (1.4 ± 0.5 vs 1.5 ± 0.7 cm2, respectively) correlated highly (r = 0.99, P < 0.001), with a minimum bias of 0.13 cm2, and narrow limits of agreement (- 0.2 to 0.5 cm2). Conclusion: We describe a novel method to assess BMV function based on PC measures of transvalvular flow volume and velocity integration. PC-CMR methods can be used to accurately measure EOA for both normal and stenotic BMV's and may provide an important new parameter of BMV function when Doppler methods are unobtainable or unreliable. © 2020 The Author(s)

    Electrochemical corrosion and electricla resistivity of reinforced recycled aggregate concrete

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    It is planned to improve the durability of reinforced concrete structures and the total or partial replacement of their components by the use of recyclable materials; as strategies to contribute to the concrete industry sustainability. The electrical resistivity and its relationship with the microstructure and electrochemical corrosion resistance in reinforced concrete manufactured with sustainable characteristics, that is, with recycled aggregates and supplementary cementitious materials; was evaluated in this study. The electrical resistivity in reinforced concretes is closely related to the microstructure of the cementitious matrix, and with the pore structure and distribution. As a consequence of the their components nature, it is assumed that the proposed sustainable concretes present different microstructure and porosity than the conventional concretes; because of this, the electrical and electrochemical response of those systems was analyzed with the help of the electrochemical impedance spectroscopy technique.Peer ReviewedPostprint (published version

    Sulfate attack and reinforcement corrosion in concrete with recycled concrete aggregates and supplementary cementing materials

    Get PDF
    As strategies to contribute to the concrete industry sustainability, reinforced concrete was fabricated using recycled concrete coarse aggregate and replacing partially portland cement with supplementary cementing materials as fly ash and silica fume. On test specimens, partially immersed in 3.5% Na2SO4 aqueous solution, the effect of the recycled and supplementary materials against sulfate attack and reinforcement corrosion was evaluated. For such aim, weight loss of concrete and corrosion potentials, corrosion current density of reinforcement were determined by means of electrochemical techniques as open circuit potential and linear polarization resistance, respectivel

    Electrochemical corrosion and electricla resistivity of reinforced recycled aggregate concrete

    No full text
    It is planned to improve the durability of reinforced concrete structures and the total or partial replacement of their components by the use of recyclable materials; as strategies to contribute to the concrete industry sustainability. The electrical resistivity and its relationship with the microstructure and electrochemical corrosion resistance in reinforced concrete manufactured with sustainable characteristics, that is, with recycled aggregates and supplementary cementitious materials; was evaluated in this study. The electrical resistivity in reinforced concretes is closely related to the microstructure of the cementitious matrix, and with the pore structure and distribution. As a consequence of the their components nature, it is assumed that the proposed sustainable concretes present different microstructure and porosity than the conventional concretes; because of this, the electrical and electrochemical response of those systems was analyzed with the help of the electrochemical impedance spectroscopy technique.Peer Reviewe

    Electrochemical corrosion and electricla resistivity of reinforced recycled aggregate concrete

    No full text
    It is planned to improve the durability of reinforced concrete structures and the total or partial replacement of their components by the use of recyclable materials; as strategies to contribute to the concrete industry sustainability. The electrical resistivity and its relationship with the microstructure and electrochemical corrosion resistance in reinforced concrete manufactured with sustainable characteristics, that is, with recycled aggregates and supplementary cementitious materials; was evaluated in this study. The electrical resistivity in reinforced concretes is closely related to the microstructure of the cementitious matrix, and with the pore structure and distribution. As a consequence of the their components nature, it is assumed that the proposed sustainable concretes present different microstructure and porosity than the conventional concretes; because of this, the electrical and electrochemical response of those systems was analyzed with the help of the electrochemical impedance spectroscopy technique.Peer Reviewe

    Sulfate attack and reinforcement corrosion in concrete with recycled concrete aggregates and supplementary cementing materials

    No full text
    As strategies to contribute to the concrete industry sustainability, reinforced concrete was fabricated using recycled concrete coarse aggregate and replacing partially portland cement with supplementary cementing materials as fly ash and silica fume. On test specimens, partially immersed in 3.5% Na2SO4 aqueous solution, the effect of the recycled and supplementary materials against sulfate attack and reinforcement corrosion was evaluated. For such aim, weight loss of concrete and corrosion potentials, corrosion current density of reinforcement were determined by means of electrochemical techniques as open circuit potential and linear polarization resistance, respectivel
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