Concrete Modular Pavement Structures with Optimized Thickness Based on Characteristics of High Performance Concrete Mixtures with Fibers and Silica Fume

Usually, C30/37 strength class concrete is used to construct concrete pavements on a rigid, semi-rigid or flexible base. Concrete with such a strength delivers essential design characteristics: flexural strength and tensile splitting strength are between 4.5–5.4 MPa and 2.8–3.7 MPa, respectively. Design characteristics can be significantly increased by densifying the concrete mixture, i.e., adding silica fume, steel or polypropylene macro fibers. As high-performance concrete characteristics are 20–60% higher than those for standard concrete (C30/37), new possibilities to reduce the thickness of concrete pavement slabs appear. The theoretical analysis of concrete pavement structures with high-performance concrete mixtures (C40/50, C45/55 and C50/60) showed that slab thickness could be reduced by 6–39% compared to a standard concrete pavement structure depending on the concrete properties and design method. From all those pavement structures, three concrete mixtures were determined as the most rational ones in terms of PCP thickness reduction and total pavement cost: (i) with 49.5 kg/m³ of steel fibers and 25.2 kg/m³ of silica fume; (ii) with 10.0 kg/m³ of polypropylene fibers (type A); (iii) with 49.5 kg/m³ of steel fibers.     

Current treatment strategies for patients with only peritoneal cytology positive stage IV gastric cancer

Gastric cancer (GC) is one of the most common malignancies worldwide and surgery remains the only potentially curative treatment option for it. Although a significant proportion of GC patients are found with distant metastases already at the initial diagnosis. Peritoneal dissemination is the most common site of metastases. Positive peritoneal cytology (Cy1) is associated with poor long-term outcomes; thus, these patients are considered as stage IV even if macroscopic carcinomatosis is absent. Currently, there is no clear evidence for the most optimal treatment for this distinct subpopulation of the stage IV cohort. Available strategies vary from palliative chemotherapy to upfront gastrectomy. This comprehensive review summarized current evidence of different treatment strategies for Cy1 GC including roles of surgery, systemic and intraperitoneal chemotherapy.     

What is the association between social capital and diabetes mellitus? A systematic review

Social capital has been included as an element that could influence the self-perception of health, mortality and mental diseases. We systematically reviewed papers that studied the influence of social capital in the control of diabetes mellitus (DM). We included studies published up to Feb. 16, 2017, without restriction of time or year of publication. Quantitative studies were included since they presented one well-defined parameter to evaluate DM and specifically measured social capital. We used the PRISMA and STROBE guidelines to perform this review and to evaluate the quality of papers. Only three papers met the inclusion criteria. All studies adopted cross-sectional design. The population, the instruments used to measure social capital, and the statistical analysis were different among the papers. In conclusion, although social capital seems to be related to DM, more studies are necessary to understand which dimensions are more important in this association, if the association is the same at the individual or neighborhood level, and what kind of population in terms of education, poverty and culture would be more influenced by social capital in DM control.     

Lanthanum and Manganese Co-Doping Effects on Structural,Morphological, and Magnetic Properties of Sol-Gel Derived BiFeO3

In this work, lanthanum and manganese co-substitution effects on different properties of bismuth ferrite solid solutions Bi_1-xLa_xFe_0.85Mn_0.15O₃ (x from 0 to 1) prepared by a sol-gel synthetic approach have been investigated. It was observed that the structural, morphological, and magnetic properties of obtained specimens are influenced by the amount of introduced La³⁺ ions. Surprisingly, only the compound with a composition of BiFe_0.85Mn_0.15O₃ was not monophasic, and the presence of neighboring phases was determined from X-ray diffraction analysis and Mössbauer measurements. Structural transitions from orthorhombic to cubic and back to orthorhombic were also observed depending on the La³⁺ amount. Antiferromagnetic behaviour was observed for all of the samples, with the highest magnetisation values for Bi_0.5La_0.5Fe_0.85Mn_0.15O₃. Additionally, structural attributes and morphological features were evaluated by Raman spectroscopy and scanning electron microscopy (SEM), respectively.