Use of municipal solid waste incineration bottom ash and crop by-product for producing lightweight aggregate

Due to the growing amount of residues in Europe, it is mandatory to provide a viable alternative for managing wastes contributing to the efficient use of resources. Besides, it is also essential to move towards a low carbon economy, priority EU by 2050. Among these, it is important to highlight the development of sustainable alternatives capable of incorporating different kind of wastes in their formulations.Municipal Solid Waste Incineration (MSWI) is estimated to increase in Europe, where the accessibility of landfill is restricted. Bottom ash (BA) is the most significant by-product from MSWI as it accounts for 85-95 % of the solid product resulting from combustion. BA is a mixture of calcium-rich compounds and others silicates enriched in iron and sodium. In addition, it is categorized as non-hazardous waste which can be revalorized as secondary material in construction or civil engineering fields, previous weathering stabilization during 2-3 months. Taking into account the relative proportion of each size fraction and the corresponding material characterization, the content of glass (primary and secondary) is estimated to be around 60 wt%. Furthermore, as a renewable resource and according to waste management European policies, residual agricultural biomass has attracted attention in preparation of advanced materials for various applications, due to their low cost, abundance, and environment friendliness. Among this residual biomass, rice husk is a by-product of rice milling industry which has high content of silica and has been widely used in buildings as natural thermal insulation material.Weathered BA (WBA) with a particle size less than 30 mm was milled under 100 μm, mixed with 2.0-5.0 mm rice husk, formed into ball-shaped pellets and sintered by different thermal treatments, which remove the organic matter content generating a large porosity. Physico-chemical analysis and mechanical behavior of the manufactured lightweight aggregates were tested. The obtained results provide a suitable physico-mechanical formulation using WBA as silica source, as well as a common crop by-product

The comparative responsiveness of Hospital Universitario Princesa Index and other composite indices for assessing rheumatoid arthritis activity

Objective To evaluate the responsiveness in terms of correlation of the Hospital Universitario La Princesa Index (HUPI) comparatively to the traditional composite indices used to assess disease activity in rheumatoid arthritis (RA), and to compare the performance of HUPI-based response criteria with that of the EULAR response criteria. Methods Secondary data analysis from the following studies: ACT-RAY (clinical trial), PROAR (early RA cohort) and EMECAR (pre-biologic era long term RA cohort). Responsiveness was evaluated by: 1) comparing change from baseline (Delta) of HUPI with Delta in other scores by calculating correlation coefficients; 2) calculating standardised effect sizes. The accuracy of response by HUPI and by EULAR criteria was analyzed using linear regressions in which the dependent variable was change in global assessment by physician (Delta GDA-Phy). Results Delta HUPI correlation with change in all other indices ranged from 0.387 to 0.791); HUPI's standardized effect size was larger than those from the other indices in each database used. In ACT-RAY, depending on visit, between 65 and 80% of patients were equally classified by HUPI and EULAR response criteria. However, HUPI criteria were slightly more stringent, with higher percentage of patients classified as non-responder, especially at early visits. HUPI response criteria showed a slightly higher accuracy than EULAR response criteria when using Delta GDA-Phy as gold standard. Conclusion HUPI shows good responsiveness in terms of correlation in each studied scenario (clinical trial, early RA cohort, and established RA cohort). Response criteria by HUPI seem more stringent than EULAR''s

Use of municipal solid waste incineration bottom ash and crop by-product for producing lightweight aggregate

Due to the growing amount of residues in Europe, it is mandatory to provide a viable alternative for managing wastes contributing to the efficient use of resources. Besides, it is also essential to move towards a low carbon economy, priority EU by 2050. Among these, it is important to highlight the development of sustainable alternatives capable of incorporating different kind of wastes in their formulations.Municipal Solid Waste Incineration (MSWI) is estimated to increase in Europe, where the accessibility of landfill is restricted. Bottom ash (BA) is the most significant by-product from MSWI as it accounts for 85-95 % of the solid product resulting from combustion. BA is a mixture of calcium-rich compounds and others silicates enriched in iron and sodium. In addition, it is categorized as non-hazardous waste which can be revalorized as secondary material in construction or civil engineering fields, previous weathering stabilization during 2-3 months. Taking into account the relative proportion of each size fraction and the corresponding material characterization, the content of glass (primary and secondary) is estimated to be around 60 wt%. Furthermore, as a renewable resource and according to waste management European policies, residual agricultural biomass has attracted attention in preparation of advanced materials for various applications, due to their low cost, abundance, and environment friendliness. Among this residual biomass, rice husk is a by-product of rice milling industry which has high content of silica and has been widely used in buildings as natural thermal insulation material.Weathered BA (WBA) with a particle size less than 30 mm was milled under 100 μm, mixed with 2.0-5.0 mm rice husk, formed into ball-shaped pellets and sintered by different thermal treatments, which remove the organic matter content generating a large porosity. Physico-chemical analysis and mechanical behavior of the manufactured lightweight aggregates were tested. The obtained results provide a suitable physico-mechanical formulation using WBA as silica source, as well as a common crop by-product

The comparative responsiveness of Hospital Universitario Princesa Index and other composite indices for assessing rheumatoid arthritis activity

Objective To evaluate the responsiveness in terms of correlation of the Hospital Universitario La Princesa Index (HUPI) comparatively to the traditional composite indices used to assess disease activity in rheumatoid arthritis (RA), and to compare the performance of HUPI-based response criteria with that of the EULAR response criteria. Methods Secondary data analysis from the following studies: ACT-RAY (clinical trial), PROAR (early RA cohort) and EMECAR (pre-biologic era long term RA cohort). Responsiveness was evaluated by: 1) comparing change from baseline (Delta) of HUPI with Delta in other scores by calculating correlation coefficients; 2) calculating standardised effect sizes. The accuracy of response by HUPI and by EULAR criteria was analyzed using linear regressions in which the dependent variable was change in global assessment by physician (Delta GDA-Phy). Results Delta HUPI correlation with change in all other indices ranged from 0.387 to 0.791); HUPI's standardized effect size was larger than those from the other indices in each database used. In ACT-RAY, depending on visit, between 65 and 80% of patients were equally classified by HUPI and EULAR response criteria. However, HUPI criteria were slightly more stringent, with higher percentage of patients classified as non-responder, especially at early visits. HUPI response criteria showed a slightly higher accuracy than EULAR response criteria when using Delta GDA-Phy as gold standard. Conclusion HUPI shows good responsiveness in terms of correlation in each studied scenario (clinical trial, early RA cohort, and established RA cohort). Response criteria by HUPI seem more stringent than EULAR's