No abstract

No abstract

No abstract

Municipal solid waste incineration (MSWI) fly ash must be treated properly prior to being disposed in the security landfill due to its serious pollution toxicity. Nowadays, lots of studies have demonstrated that cement-based stabilization/solidification could reduce the toxicity pollution effectively by encapsulating the heavy metals into cement matrix, which leads to greater capacity and weight. This paper compares and discusses the MSWI fly ash treatment with the mostly used matrix materials such as Portland cement, phosphate cement, aluminate cement, and alkaline activated cement. Moreover, immobilization mechanism introduced by the interaction between the MSWI fly ash and hydrated cement matrix materials, such as the physical cementing effect, adsorption, isomorphous replacement, and complex precipitation, was explored in depth. The paper also pointed out some reasonable development directions for cement-based stabilization/solidification technology to improve the effectiveness and application of cement-based stabilization/solidification technology.

No abstract

Background Early pre-hospital initiation of blood pressure (BP) lowering could improve outcomes for patients with acute stroke, by reducing hematoma expansion in intracerebral hemorrhage (ICH), and time to reperfusion treatment and risk of intracranial hemorrhage in ischemic stroke (IS). We present the design of the fourth INTEnsive ambulance-delivered blood pressure Reduction in hyper-ACute stroke Trial (INTERACT4). Methods A multi-center, ambulance-delivered, prospective, randomized, open-label, blinded endpoint (PROBE) assessed trial of pre-hospital BP lowering in 3116 hypertensive patients with suspected acute stroke at 50+ sites in China. Patients are randomized through a mobile phone digital system to intensive BP lowering to a target systolic BP of < 140 mmHg within 30 min, or guideline-recommended BP management according to local protocols. After the collection of in-hospital clinical and management data and 7-day outcomes, trained blinded assessors conduct telephone or face-to-face assessments of physical function and health-related quality of life in participants at 90 days. The primary outcome is the physical function on the modified Rankin scale at 90 days, analyzed as an ordinal outcome with 7 categories. The sample size was estimated to provide 90% power (α = 0.05) to detect a 22% reduction in the odds of a worse functional outcome using ordinal logistic regression. Discussion INTERACT4 is a pragmatic clinical trial to provide reliable evidence on the effectiveness and safety of ambulance-delivered hyperacute BP lowering in patients with suspected acute stroke. Trial registration ClinicalTrials.gov NCT03790800. Registered on 2 January 2019; Chinese Trial Registry ChiCTR1900020534. Registered on 7 January 2019. All items can be found in this protocol paper.

No abstract

This paper presents an investigation of sustainable manufacturing indicators in both industry and academia. While the concept of Sustainable Manufacturing has been brought up for a long time, little consensus has been researched so far with respect to how to define or measure it, especially in Economic and Social dimensions. This research tries to investigate current application status of sustainable indicators within U.S. manufacturing companies, and explore various views from academia in regards to weighting Economic / Social indicators through Analytic Hierarchy Process (AHP). The paper concludes with a summary of statistical results as well as recommendations for its further development and practical application.