MAT-707: DEVELOPMENT OF ENHANCED TEST METHODS TO EVALUATE ALKALI-SILICA REACTION IN CONCRETE

The research presented in this paper studies the effect of sample geometry and temperature on expansion due to alkali-silica reaction (ASR) in concrete. Expansions of cubes and cylinders are compared to those of the standard prisms. Control samples, samples with fly ash (FA) and others with slag are investigated at two temperatures, 38°C and 60°C. At 38°C, results showed that smaller samples have higher expansion at early ages. However, larger samples such as cubes and cylinders seem to reach higher expansion compared to prisms after 32 weeks for both control and samples with fly ash. In addition, the results showed that higher temperature accelerated the expansion of the different sample geometry. However, in the case of the samples with no supplementary cementing materials (SCM), the ultimate expansions at 60°C are not higher than that of the samples tested at 38°C. Secondly, the degree of hydration and pozzolanic reaction of different SCM were studied using thermal analysis to predict their alkali binding capacity at different temperatures. The results provide a better understanding of the evolution of their hydration products. The hydration of SCM was higher at temperature higher than 23°C, especially at ages earlier than 28 days

Optimization of nanostructured/nano sized rice husk ash preparation

تم تطوير إجراء لإنتاج رماد قشر الأرز.  وقد تم دراسة تأثير العوامل المؤثرة على إنتاجية وخصائص السيليكا غير المتبلورة وهذه العوامل هى الكمية الابتدائية لقشر الأرز و ظروف الاحتراق و التقليب . تم التوصل إلى أن أفضل كمية كانت 20 غراما في الدقيقة في صحن تبخر خزفي بحجم 125 مل يحترق لمدة ساعتين عند درجة حرارة 700 درجة مئوية ، مع تبريد على ثلاث فترات أثناء الاحتراق لإنتاج السليكا عند أقل فقد عند الاشتعال وقد وجد أيضا أن  فترات التبريد تلعب دوراَ هاماَ فى تباين حجم الهيكل النانوي وتوزيع شكل الجسيمات. بالاضافة إلى أنه لم يتم العثور على مراحل بلورية في رماد قشر الأرز في جميع الحالات.The objective of the study is developing a procedure for production and characterization of rice husk ash (RHA). The effects of rice husk (RH) amount, burning/cooling conditions combined with stirring on producing of RHA with amorphous silica, highest SiO2, lowest loss on ignition (LOI), uniform particle shape distribution and nano structured size have been studied. It is concluded that the best amount is 20 g RH in 125 ml evaporating dish Porcelain with burning for 2 h at temperature 700 °C combined with cooling three times during burning to produce RHA with amorphous silica, SiO2 90.78% and LOI 1.73%. On the other hand, cooling and stirring times affect the variation of nano structured size and particle shape distribution. However, no crystalline phases were found in RHA in all cases. Results proved that the Attritor ball mill was more suitable than vibration disk mill for pulverizing nano structured RHA with 50% of particle size (D50) lower than 45 mm and 99 % of particle size (D99) lower than 144 mm to nanosized RHA with D50 lower than 36 nm and D99 lower than 57 nm by grinding time 8.16 min to every 1 g RHA without changes in morphousity of silica

Gliotoxin Targets Nuclear NOTCH2 in Human Solid Tumor Derived Cell Lines In Vitro and Inhibits Melanoma Growth in Xenograft Mouse Model

Deregulation of NOTCH2 signaling is implicated in a wide variety of human neoplasias. The current concept of targeting NOTCH is based on using gamma secretase inhibitors (GSI) to regulate the release of the active NOTCH intracellular domain. However, the clinical outcome of GSI remains unsatisfactory. Therefore we analyzed human solid tumor derived cell lines for their nuclear NOTCH activity and evaluated the therapeutic potential of the NOTCH2 transactivation inhibitor gliotoxin in comparison to the representative GSI DAPT. Electrophoretic mobility shift assays (EMSA) were used as a surrogate method for the detection of NOTCH/CSL transcription factor complexes. The effect of gliotoxin on cell viability and its clinical relevance was evaluated in vitro and in a melanoma xenograft mouse model. Cell lines derived from melanoma (518A2), hepatocellular carcinoma (SNU398, HCC-3, Hep3B), and pancreas carcinoma (PANC1) express high amounts of nuclear NOTCH2. Gliotoxin efficiently induced apoptosis in these cell lines whereas the GSI DAPT was ineffective. The specificity of gliotoxin was demonstrated in the well differentiated nuclear NOTCH negative cell line Huh7, which was resistant to gliotoxin treatment in vitro. In xenotransplanted 518A2 melanomas, a single day dosing schedule of gliotoxin was well tolerated without any study limiting side effects. Gliotoxin significantly reduced the tumor volume in early (83 mm3 vs. 115 mm3, p = 0.008) as well as in late stage (218 mm3 vs. 576 mm3, p = 0.005) tumor models. In conclusion, NOTCH2 appears to be a key target of gliotoxin in human neoplasias and gliotoxin deserves further evaluation as a potential therapeutic agent in cancer management

Overexpression of uridine diphospho glucuronosyltransferase 2B17 in high risk chronic lymphocytic leukemia

Uridine diphospho glucuronosyltransferase 2B17 (UGT2B17) glucuronidates androgens and xenobiotics including certain drugs. The UGT2B17 gene shows a remarkable copy number variation (CNV), which predisposes for solid tumors and influences drug response. Here, we identify a yet undescribed UGT2B17 mRNA overexpression in poor-risk chronic lymphocytic leukemia (CLL). In total, 320 CLL patients and 449 healthy donors were analyzed. High (above median) UGT2B17 expression was associated with established CLL poor prognostic factors and resulted in shorter treatment-free and overall survival (hazard ratio ([death] 2.18; 95% CI 1.18-4.01; P = .013). The prognostic impact of mRNA expression was more significant than that of UGT2B17 CNV. UGT2B17 mRNA levels in primary CLL samples directly correlated with functional glucuronidation activity toward androgens and the anticancer drug vorinostat (R > 0.9, P < .001). After treatment with fludarabine containing regimens UGT2B17 was up-regulated particularly in poor responders (P = .030). We observed an exclusive involvement of the 2B17 isoform within the UGT protein family. Gene expression profiling of a stable UGT2B17 knockdown in the CLL cell line MEC-1 demonstrated a significant involvement in key cellular processes. These findings establish a relevant role of UGT2B17 in CLL with functional consequences and potential therapeutic implications

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10&nbsp;years; 78.2% included were male with a median age of 37&nbsp;years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

The effects of fly ash and silica fume on alkali-silica reaction in concrete

grantor: University of TorontoThe effects of silica fume and fly ash on reducing the risk of concrete damage due to alkali-silica reaction are presented in this thesis. One silica fume and twenty fly ashes of a wide range of chemical composition were investigated. The effect of the selected materials on expansion when used with high-alkali Portland cement and a siliceous limestone reactive aggregate (Spratt) was evaluated using the concrete prism and the accelerated mortar bar tests. Portland cement pastes and lime/pozzolan blends were prepared using similar combinations of materials used in the expansion tests. These samples were used to study the effects of fly ash and silica fume on the pore solution alkalinity and composition of hydration products. The study showed that the efficiency of fly ash in limiting the risk of deleterious expansion is linked to its efficiency in lowering the pore solution alkalinity. High-calcium and high-alkali fly ashes are generally less effective in this respect compared to low-calcium ash. Silica fume was found to be effective in reducing the pore solution alkalinity at early ages; however, the alkalinity was found to increase at ages later than 28 days. Combinations of moderate levels of silica fume (5%) and high-calcium fly ash (20-30%) were found to be effective in limiting the expansion even after three years. This was attributable to the high capacity of such combinations to achieve and maintain low pore solution alkalinity. The silica fume reduces the pore solution alkalinity at early ages and the fly ash maintained the low alkalinity at later ages. The study showed that, for low and moderate-alkali fly ash, the 14-day expansion in the accelerated mortar bar test could be used to predict the 2-year expansion of concrete prisms. The results from the lime/pozzolan blends confirmed that the hydration products of pozzolan play the dominant role in reducing the pore solution alkalinity of cementitious systems containing pozzolans. The two-year expansion of concrete prisms containing fly ash could be correlated reliably to the alkalis available from the ash as determined by leaching mature paste samples in leaching solution of alkali ion concentration of 0.25 moles per litre.Ph.D

S.Easa, Use of Factory-Waste Shingles and Cement Kiln Dust to Enhance the Performance of Soil used

An experimental work was conducted to study the use of factory-waste roof shingles to enhance the properties of fine-grained soil used in road works. Cement kiln dust (CKD), a cogenerated product of Portland cement manufacturing, was used as a stabilizing agent while the processed shingles were added to enhance the soil tensile strength. The effects of shingles on strength and stability were evaluated using the unconfined compressive strength, splitting tensile strength, and California Bearing Ratio (CBR) tests. The results showed that the use of CKD alone resulted in a considerable increase in the unconfined compressive strength but had a small effect on the tensile strength. The addition of shingles substantially improved the tensile strength of the stabilized soil. A significant reduction in the capillary rise and a slight decrease in the permeability were obtained as a result of shingle addition. An optimal shingle content of 10% is recommended to stabilize the soil

Use of Factory-Waste Shingles and Cement Kiln Dust to Enhance the Performance of Soil Used in Road Works

An experimental work was conducted to study the use of factory-waste roof shingles to enhance the properties of fine-grained soil used in road works. Cement kiln dust (CKD), a cogenerated product of Portland cement manufacturing, was used as a stabilizing agent while the processed shingles were added to enhance the soil tensile strength. The effects of shingles on strength and stability were evaluated using the unconfined compressive strength, splitting tensile strength, and California Bearing Ratio (CBR) tests. The results showed that the use of CKD alone resulted in a considerable increase in the unconfined compressive strength but had a small effect on the tensile strength. The addition of shingles substantially improved the tensile strength of the stabilized soil. A significant reduction in the capillary rise and a slight decrease in the permeability were obtained as a result of shingle addition. An optimal shingle content of 10% is recommended to stabilize the soil