Quantitative Analysis of the Blending Degree of Virgin and RAP Binders in Recycled Asphalt Mixtures with a High RAP Content

Recycled asphalt mixtures (RAM), which are prepared by blending reclaimed asphalt pavement (RAP), virgin bitumen and mineral additives, provide a variety of advantages, including resource recycling, reductions in costs, and reduced negative environmental impacts. However, multiple agencies have expressed concerns about the utilization ratio of RAP; thus, a comprehensive understanding of the blending degree of virgin and RAP binders in RAM would be significantly helpful for promoting the application of RAP. This study aims to quantitatively analyze the blending degree of virgin and RAP binders in RAM with high RAP contents. Carboxyl-terminated butadiene acrylonitrile (CTBN) was utilized as a tracer to mark the virgin bitumen; in addition, Fourier transform infrared (FTIR) spectroscopy was used to develop the structural index of CTBN (ICTBN). By establishing the standard curve between ICTBN and the CTBN content, the blending degree of virgin and RAP binders at different locations within RAM can be determined quantitatively. The study results indicate that the RAP binder was completely blended with the virgin bitumen in the outer RAP layer. However, the blending degree decreased with an increase in the RAP depth, and the blending degree in the inner RAP layer was only approximately half that which was found in the case of complete blending

Perineural Dexmedetomidine as an Adjuvant Reduces the Median Effective Concentration of Lidocaine for Obturator Nerve Blocking: A Double-Blinded Randomized Controlled Trial.

Research suggests that the addition of dexmedetomidine to local anesthetics can prolong peripheral nerve blocks; however, it is not known whether dexmedetomidine can reduce the quantity of local anesthetic needed. We hypothesized that adding dexmedetomidine as an adjuvant to an obturator nerve block could reduce the median effective concentration of lidocaine. In this double-blinded randomized trial, 60 patients scheduled for elective transurethral resection of bladder tumors on the lateral wall were randomly divided into two groups: the control group (C group, n = 30) and the dexmedetomidine group (D group, n = 30). Two main branches of the obturator nerve (i.e., anterior and posterior) were identified using neural stimulation at the inguinal level, with only lidocaine used for the C group and 1 μg/kg dexmedetomidine combined with lidocaine used for the D group. The median effective concentration was determined by an up-and-down sequential trial. The ratio of two consecutive concentrations was 1.2. The median effective concentration (95% confidence interval) of lidocaine was 0.57% (0.54%-0.62%) in the C group and 0.29% (0.28%-0.38%) in the D group. The median effective concentration of lidocaine was significantly lower in the D group than in the C group (p < 0.05). These results indicate that dexmedetomidine (1 μg/kg) in combination with lidocaine for obturator nerve block decreases the median effective concentration of lidocaine.ClinicalTrials.gov NCT02066727

Dose-response data of consecutive patients for both groups.

<p>The sequences of positive responses (solid dots) and negative responses (hollow dots) recorded in consecutive patients (A) for the C group and (B) for the D group.</p

Trial flow chart.

<p>Trial flow chart.</p

Observed and pooled-adjacent-violators algorithm response rate.

<p>The estimator of the observed response rate (round dots, dotted line) and the PAVA-adjusted response rate (squares, solid line) at various lidocaine concentrations are plotted on the y-axis (A) for the C group and (B) for the D group. PAVA = pooled-adjacent-violators algorithm.</p

Adductor Muscle Strength Evaluation.

<p>Adductor Muscle Strength Evaluation.</p

Patient Variables.

<p>Patient Variables.</p