Unravelling the optimization of few-layer graphene crystallinity and electrical conductivity in ceramic composites by Raman spectroscopy

Zirconia composites with few-layer graphene (FLG) were prepared by two powder processing routines -ultrasonic agitation or planetary ball milling- and spark plasma sintered at 1250 and 1300 °C. An in-depth study of the crystallinity of FLG, in terms of presence and nature of defects, was performed by Raman spectroscopy, revealing enhanced FLG crystallinity after sintering. This enhancement was more noticeable in the composites sintered at the highest temperature, with lower amount of structural defects and amorphous carbon. However, remaining amorphous carbon was detected in the composites prepared by planetary ball milling even after sintering at the highest temperature, resulting in lower electrical conductivities. Optimum results in terms of electrical conductivity were achieved for the composites prepared by ultrasonic agitation and sintered at 1300 °C, with electrical percolation limit below 2.5 vol% FLG and high electrical conductivity (678 S/m for 5 vol% FLG), as result of the enhanced FLG crystallinity after sintering.Ministerio de Ciencia, Innovación y Universidades PGC 2018- 101377-B-100Ministerio de Asuntos Económicos y Transformación Digital BES-2016- 078711Universidad de Sevilla USE-18740-

A first insight into the microstructure and crack propagation in novel boron nitride nanosheet/3YTZP composites

In this work, novel 3mol% yttria tetragonal zirconia polycristalline (3YTZP) ceramic composites with boron nitride nanosheets (BNNS) are investigated for the first time. Highly densified composites with 1 and 4vol% BNNS were obtained by spark plasma sintering (SPS) after BNNS synthesis using a solution exfoliation method and BNNS dispersion into the ceramic powder by ultrasonication. The BNNS presented homogeneous distribution throughout the ceramic matrix and preferential alignment in the plane perpendicular to the pressing axis during SPS. The BNNS incorporation had practically no effect on the Vickers hardness of the material nor on the Young's modulus. Anisotropy in crack development was found in the composite with 4%vol BNNS, together with a mechanism of extensive microcracking. Several energy-absorbing mechanisms during crack propagation, such as crack deflection, crack bridging, crack branching, BNNS pull-out and BNNS debonding, were identified in the composites by a close observation of the indentation-induced fracture paths.Ministerio de Ciencia e Innovación PGC-2018-101377-B-10

Spark Plasma Sintered Zirconia Ceramic Composites with Graphene-Based Nanostructures

The addition of graphene-based nanostructures (GBNs) can improve the inherent fragility of ceramics and provide them with improved electrical and thermal conductivities. However, both the starting material (ceramic matrix and GBNs) and the processing/sintering approach are crucial for the final composite microstructure and properties. This work focuses on the influence of the content and dimensions of the GBN filler (10 and 20 vol%; 3 and ~150 layers), the powder-processing conditions (dry versus wet), and the homogenization method (ultrasound sonication versus high-energy planetary ball milling) on GBN/tetragonal zirconia (3YTZP) composites. The microstructure and electrical properties of the spark plasma sintered (SPS) composites were quantified and analyzed. The highest microstructural homogeneity with an isotropic microstructure was achieved by composites prepared with thicker GBNs milled in dry conditions. A high content (20 vol%) of few-layered graphene as a filler maximizes the electrical conductivity of the composites, although it hinders their densification.Ministerio de Economía y Competitividad MAT2015-67889-P

Optimizing the homogenization technique for graphene nanoplatelet/yttria tetragonal zirconia composites: Influence on the microstructure and the electrical conductivity

3 mol% yttria tetragonal zirconia polycrystalline (3YTZP) ceramic composite powders with 10 vol% nominal content of graphene nanoplatelets (GNPs) were prepared using four different homogenization routines: dispersion of the powder mixture by ultrasonication in isopropyl alcohol, homogenization in a high-energy planetary ball mill in wet or dry conditions after ultrasonication, and milling of the powders in a high-energy planetary ball mill in dry conditions. A significant effect of the homogenization routine on the powders particle size distribution was revealed by laser granulometry and Raman spectroscopy. Highly densified composites were obtained after spark plasma sintering (SPS) and remarkable differences on the GNP size, shape and distribution throughout the ceramic matrix and also in the electrical conductivity were observed in the four different composites. The composite with the best performance in terms of electrical conductivity was the one prepared after planetary ball milling of the powders in dry conditions as a consequence of the reduced dimensions of the GNPs and their excellent distribution throughout the ceramic matrix.Ministerio de Economía y Competitividad MAT2015-67889-

Ageing-resistant zirconia/graphene-based nanostructures composites for use as biomaterials

This work explores the incorporation of graphene-based two-dimensional nanostructures as moisture barriers to delay hydrothermal ageing of yttria-stabilized zirconia and strengthen its use in biomedical applications. Two sets of highly dense zirconia composites incorporating multilayered graphene with very different lateral dimensions, few layer graphene and exfoliated graphene nanoplatelets, were prepared. The effect of the addition of graphene nanostructures on zirconia ageing was investigated by conducting accelerated hydrothermal degradation experiments in an autoclave. An improved resistance to low-temperature degradation and a high tolerance to damage were achieved in the composites compared to those of monolithic zirconia. The incorporation of 1 vol% multilayered graphene was very effective in restricting the hydrothermal degradation. In particular, the composite incorporating exfoliated graphene nanosheets exhibited outstanding resistance to ageing because of their fine dispersion throughout the matrix, which effectively seemed to restrict grain growth and slow the propagation of the transformation front to the ceramic bulk.Ministerio de Ciencia, Innovación y Universidades PGC 2018-101377-B-100Universidad de Sevilla 2018/0000066

Flexure Strength and Fracture Propagation in Zirconia Ceramic Composites with Exfoliated Graphene Nanoplatelets

In this work, the flexure strength and fracture propagation mechanisms in yttria tetragonal zirconia (3YTZP) dense composites with 1 and 5 vol.% exfoliated graphene nanoplatelets (e-GNP) were assessed. The composite powders were processed by dry planetary ball milling to exfoliate the as-received GNP, and then densified by spark plasma sintering (SPS). The hardness and Young’s modulus were measured by Vickers indentation and the impulse-echo technique, respectively. Flexural strength and modulus were estimated by four-point bending tests. Finally, cracks originated by Vickers indentations were analyzed by scanning electron microscopy (SEM). The Raman spectra and SEM observations showed a reduction in the number of graphene layers and most remarkably in the lateral size of the e-GNP, achieving a very homogeneous distribution in the ceramic matrix. The hardness, elastic modulus, and flexural strength of the 3YTZP matrix did not vary significantly with the addition of 1 vol.% e-GNP, but they decreased when the content increased to 5 vol.%. The addition of e-GNP to 3YTZP increased its reliability under bending, and the small lateral size of the e-GNP produced isotropic fracture propagation. However, the energy dissipation mechanisms conventionally attributed to the larger GNP such as fracture deflection or blocking were limited.Ministerio de Economía y Competitividad MAT 2015-67889-PMinisterio de Ciencia, Innovación y Universidades PGC 2018–101377–B-10

Microstructure, interfaces and properties of 3YTZP ceramic composites with 10 and 20 vol% different graphene-based nanostructures as fillers

The graphene family comprises not only single layer graphene but also graphene-based nanomaterials (GBN), with remarkably different number of layers, lateral dimension and price. In this work, two of these GBN, namely graphene nanoplatelets (GNP) with n~15–30 layers and few-layer graphene (FLG) with n < 3 layers have been evaluated as fillers in 3¿mol% yttria stabilized tetragonal zirconia (3YTZP) ceramic composites. Composites with 10 and 20¿vol% GNP or FLG have been fabricated by wet powder processing and spark plasma sintering (SPS) and the influence of the content and number of layers of the graphene-based filler has been assessed. For both graphene-based fillers, an intermediate zirconia oxycarbide has been detected in the grain boundaries. The lower stacking degree and much more homogeneous distribution of the FLG, revealed by transmission electron microscopy (TEM), can improve load transfer between the GBNs and the ceramic matrix. However, high FLG contents lower densification of the composites, due partly to the larger FLG interplanar spacing also estimated by TEM. The hardness (both Vickers and nanoindentation) and the elastic modulus decrease with increased GBN content and with improved graphene dispersion. The FLG greatly inhibit the crack propagation that occur perpendicular to their preferential orientation plane. The composites with thinner FLG have higher electrical conductivity than those with GNP. The highest electrical conductivity is achieved by composites with 20¿vol% FLG in the direction perpendicular to the compression axis during sintering, s¿¿=¿3400¿±¿500¿Sm-1.Peer ReviewedPostprint (published version

Microstructure, interfaces and properties of 3YTZP ceramic composites with 10 and 20 vol% different graphene-based nanostructures as fillers

The graphene family comprises not only single layer graphene but also graphene-based nanomaterials (GBN), with remarkably different number of layers, lateral dimension and price. In this work, two of these GBN, namely graphene nanoplatelets (GNP) with n∼15–30 layers and few-layer graphene (FLG) with n < 3 layers have been evaluated as fillers in 3 mol% yttria stabilized tetragonal zirconia (3YTZP) ceramic composites. Composites with 10 and 20 vol% GNP or FLG have been fabricated by wet powder processing and spark plasma sintering (SPS) and the influence of the content and number of layers of the graphene-based filler has been assessed. For both graphene-based fillers, an intermediate zirconia oxycarbide has been detected in the grain boundaries. The lower stacking degree and much more homogeneous distribution of the FLG, revealed by transmission electron microscopy (TEM), can improve load transfer between the GBNs and the ceramic matrix. However, high FLG contents lower densification of the composites, due partly to the larger FLG interplanar spacing also estimated by TEM. The hardness (both Vickers and nanoindentation) and the elastic modulus decrease with increased GBN content and with improved graphene dispersion. The FLG greatly inhibit the crack propagation that occur perpendicular to their preferential orientation plane. The composites with thinner FLG have higher electrical conductivity than those with GNP. The highest electrical conductivity is achieved by composites with 20 vol% FLG in the direction perpendicular to the compression axis during sintering, σ⊥ = 3400 ± 500 Sm-1.Ministerio de Economía y Competitividad MAT2015-67889-

Nutrição enteral domiciliaria: descrição das características clínicas dos pacientes atendidos na consulta telefônica de enfermagem

Home enteral nutrition&nbsp;(HEN) is an alternative for patients who&nbsp;are unable to feed orally because of their clinical situation and who do not need to&nbsp;be hospitalized.La nutrición enteral domiciliaria (NED) es una alternativa para&nbsp;aquellos pacientes que presentan incapacidad de alimentarse naturalmente&nbsp;a causa de su situación clínica y que no&nbsp;necesitan estar en un medio hospitalario.A nutrição enteral domiciliaria (NED) é uma alternativa para os&nbsp;pacientes que não conseguem se alimentar naturalmente, devido à sua situação&nbsp;clínica e que não precisam de estar em&nbsp;ambiente hospitalar

Healthcare workers hospitalized due to COVID-19 have no higher risk of death than general population. Data from the Spanish SEMI-COVID-19 Registry

Aim To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). Methods Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. Results As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). Conclusions Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality