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BACKGROUND: This study aimed to examine the relationship between hand-grip force and maximum inspiratory pressure (P Imax ) in healthy young and middle-age individuals. METHODS: All individuals underwent assessment of inspiratory muscle strength by maximum inspiratory pressure using a U-type water manometer and evaluation of hand-grip force by a hydraulic hand dynamometer. RESULTS: The correlation of P Imax and hand-grip force was strong (r ‫؍‬ 0.76). A multilinear regression model was built to investigate the ability of various parameters, such as hand-grip force, sex, and body mass index measurements, to predict P Imax . P Imax can be accurately predicted by 80% (r ‫؍‬ 0.76) with a simple equation of easily evaluable factors, such as hand-grip force, body mass index, and sex. CONCLUSION: The results showed significant correlation between hand flexors' force and strength of inspiratory muscles in healthy individuals. This appears to be an easy way to evaluate the results indirectly and can help to assess the relationship between hand flexor and inspiratory muscle capacity, especially the diaphragm. Our study should be viewed as a hypothesis-generating one, and further studies are required in the population of critically ill or difficult-to-wean patients. (ClinicalTrials.gov registration NCT02423616.) Key words: hand grip; strength; maximum inspiratory pressure; respiratory assessment; healthy subjects. [Respir Care 2016;61(7):925-929.

The EU Waste Framework Directive 2008/98/EC states that all member states should take all necessary measures in order to achieve at least 70% re-use, recycling or other recovery of nonhazardous Construction and Demolition Waste (CDW) by 2020. In response, the Horizon 2020 RE 4 project consortium (REuse and REcycling of CDW materials and structures in energy efficient pREfabricated elements for building REfurbishment and construction) consisting of 12 research and industrial partners across Europe, plus a research partner from Taiwan, was set up. For its success, the approach of the Project was manifold, developing sorting technologies to first improve the quality of CDW-derived aggregate. Simultaneously, CDW streams were assessed for quality and novel applications developed for aggregate, timber and plastic waste in a variety of products including structural and non-structural elements. With all products considered, innovative building concepts have been designed in a bid to improve future reuse and recycling of the products by promoting prefabricated construction methods and modular design to ease future recycling and increase value of the construction industry. The developed technologies and products have been put to the test in different test sites in building a twostorey house containing at least 65% of CDW.

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The overall success and long-term durability of a patch repair is significantly influenced by the bond developed at the interface between the concrete substrate and the repair material. In turn, the bond strength is influenced by the topography (roughness) of the substrate surface after removal of the defective concrete. However, different removal methods of defective concrete produce substrate surfaces with different topographies. Hence, the ability to measure and characterise the topography of substrate surfaces is of great importance for evaluating the effectiveness of different removal methods. In this paper, the effect of two removal methods: electric chipping hammers and Remote Robotic Hydro-erosion (RRH) on the surface roughness is investigated through the use of a prototype non-contact (optical) laser interferometry measuring device. Laboratory results show that the above equipment can be used to characterise substrate roughness and confirm the ability of RRH to create rougher surfaces as opposed to chipping hammers.

The bond strength between a concrete substrate and repair patch is critical to its durability. This paper investigates the effect of microwave curing the freshly applied repair, for 45 min at 132 Watts, on the 28 day bond strength between substrate concrete and different commercial repair materials. The repairs were applied at different ambient temperatures of 20, 10, 2 and -5°C. Tensile split tests on repaired cube specimens were performed to determine the interfacial bond strength. The ability of microwave curing to prevent the detrimental effects of freezing at early age on the bond and compressive strength of repair patches is investigated. Experimental results show that microwave curing prevents loss of long term (28 day) repair/substrate bond strength of repair materials applied at freezing temperatures (-5°C), relative to the repairs applied at higher temperatures (2-20°C), except one lightweight repair formulation. In comparison, the control samples (non-microwave cured) of repairs applied at -5°C suffered severe loss of bond strength and compressive strength due to early age freezing. In addition, no adverse effects on the bond strength and a small reduction of 6.75% in the 28 day compressive strength are observed in the early age microwave cured repairs applied at ambient temperatures of 2-20°C. The repair/substrate bond strength is independent of the compressive strength of the repair material at all temperatures of repair application. Microwave curing can accelerate the concrete repair process and facilitate construction activity in cold weather.

Microwave curing of repair patches provides an energy efficient technique for rapid concrete repair. It has serious economic potential due to time and energy saving especially for repairs in cold weather which can cause work stoppages. However, the high temperatures resulting from the combination of microwave exposure and accelerated hydration of cementitious repair materials need to be investigated to prevent potential durability problems in concrete patch repairs. This paper investigates the time and magnitude of the peak hydration temperature during microwave curing (MC) of six cement based concrete repair materials and a CEM II mortar. Repair material specimens were microwave cured to a surface temperature of 40-45 °C while their internal and surface temperatures were monitored. Their internal temperature was further monitored up to 24 hours in order to determine the effect of microwave curing on the heat of hydration. The results show that a short period of early age microwave curing increases the hydration temperature and brings forward the peak heat of hydration time relative to the control specimens which are continuously exposed to ambient conditions (20 °C, 60% RH). The peak heat of hydration of normal density, rapid hardening Portland cement based repair materials with either pfa or polymer addition almost merges with the end of microwave curing period. Similarly, lightweight polymer modified repair materials also develop heat of hydration rapidly which almost merges with the end of microwave curing period. The peak heat of hydration of normal density ordinary Portland cement based repair materials, with and without polymer addition, occurs during the post microwave curing period. The sum of the microwave curing and heat of hydration temperatures can easily exceed the limit of about 70 °C in some materials at very early age, which can cause durability problems.

Background The association between peripheral striated muscle strength and respiratory muscle strength has been confirmed in a number of disorders. However, this association is unknown in intensive care unit patients with tracheostomies. Objective To examine correlations between handgrip force, maximum inspiratory pressure (MIP), and maximum expiratory pressure (MEP) in intensive care unit patients with tracheostomies. Methods Twenty patients (7 women, 13 men) with tracheostomies, in the intensive care unit longer than 11 days, in stable condition, with functional limbs, and with Glasgow Coma Scale scores of 15 were recruited. Both MIP and MEP were measured with a membrane manometer; handgrip force was measured with a hydraulic hand dynamometer. Results Handgrip force was significantly correlated with MIP (r = 0.45, P = .04) and MEP (r = 0.78, P = .001). Handgrip force was significantly predicted by MIP and MEP when the effect of sex was controlled for (P < .05). However, when MIP and MEP were included as predictors in a regression model, MEP was the only significant predictor (R = 0.80, R2 = 0.63, adjusted R2 = 0.57). Conclusions Strength of the hand flexors and strength of the expiratory muscles (abdominal) were significantly correlated in intensive care unit patients. Handgrip strength appears to be an easy, fast way to evaluate expiratory muscle strength by using a simple handhold command without special equipment. A strong handhold may also correspond to strong expiratory muscles. ClinicalTrials.gov: NCT03457376