Influence of porosity on artificial deterioration of marble and limestone by heating

Testing of stone consolidants to be used on-site, as well as research on new consolidating products, requires suitable stone samples, with deteriorated but still uniform and controllable characteristics. Therefore, a new methodology to artificially deteriorate stone samples by heating, exploiting the anisotropic thermal deformation of calcite crystals, has recently been proposed. In this study, the heating effects on a variety of lithotypes was evaluated and the influence of porosity in determining the actual heating effectiveness was specifically investigated. One marble and four limestones, having comparable calcite amounts but very different porosity, were heated at 400 \ub0C for 1 hour. A systematic comparison between porosity, pore size distribution, water absorption, sorptivity and ultrasonic pulse velocity of unheated and heated samples was performed. The results of the study show that the initial stone porosity plays a very important role, as the modifications in microstructural, physical and mechanical properties are way less pronounced for increasing porosity. Heating was thus confirmed as a very promising artificial deterioration method, whose effectiveness in producing alterations that suitably resemble those actually experienced in the field depends on the initial porosity of the stone to be treated

Practice patterns and outcomes after stroke across countries at different economic levels (INTERSTROKE):an international observational study

Background: Stroke disproportionately affects people in low-income and middle-income countries. Although improvements in stroke care and outcomes have been reported in high-income countries, little is known about practice and outcomes in low and middle-income countries. We aimed to compare patterns of care available and their association with patient outcomes across countries at different economic levels. Methods: We studied the patterns and effect of practice variations (ie, treatments used and access to services) among participants in the INTERSTROKE study, an international observational study that enrolled 13 447 stroke patients from 142 clinical sites in 32 countries between Jan 11, 2007, and Aug 8, 2015. We supplemented patient data with a questionnaire about health-care and stroke service facilities at all participating hospitals. Using univariate and multivariate regression analyses to account for patient casemix and service clustering, we estimated the association between services available, treatments given, and patient outcomes (death or dependency) at 1 month. Findings: We obtained full information for 12 342 (92%) of 13 447 INTERSTROKE patients, from 108 hospitals in 28 countries; 2576 from 38 hospitals in ten high-income countries and 9766 from 70 hospitals in 18 low and middle-income countries. Patients in low-income and middle-income countries more often had severe strokes, intracerebral haemorrhage, poorer access to services, and used fewer investigations and treatments (p<0·0001) than those in high-income countries, although only differences in patient characteristics explained the poorer clinical outcomes in low and middle-income countries. However across all countries, irrespective of economic level, access to a stroke unit was associated with improved use of investigations and treatments, access to other rehabilitation services, and improved survival without severe dependency (odds ratio [OR] 1·29; 95% CI 1·14–1·44; all p<0·0001), which was independent of patient casemix characteristics and other measures of care. Use of acute antiplatelet treatment was associated with improved survival (1·39; 1·12–1·72) irrespective of other patient and service characteristics. Interpretation: Evidence-based treatments, diagnostics, and stroke units were less commonly available or used in low and middle-income countries. Access to stroke units and appropriate use of antiplatelet treatment were associated with improved recovery. Improved care and facilities in low-income and middle-income countries are essential to improve outcomes