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Introduction: Inguinal hernia repair (IHR) is one of the most common procedures in pediatric surgery. In children, the application of robotic surgery is limited, meaning safety and efficacy is still to be assessed. This report is the first one worldwide that describes inguinal hernia repair in children using the Senhance® Surgical System (SSS®). The aim of this matched cohort study is to assess safety and feasibility of robot-assisted IHR (RIHR) in children, compared to conventional laparoscopic IHR (LIHR). Patients and methods: This pilot study included 26 consecutive patients between 3 months and 8 years old who underwent RIHR (31 IH’s) with the SSS® between 2020 and 2024. These cases were matched based on gender, age, and unilateral or bilateral IH, with 26 patients (32 IH’s) who underwent conventional LIHR. Results: There was a significant difference in total anesthesia time, which is most likely due to the extra time needed to dock the robot in the RIHR cases. No significant difference was seen in surgical time. One recurrence (3.2%) was diagnosed in both groups. One patient in the LIHR group was readmitted on the day of discharge due to a hemorrhage. No intervention was necessary, and the patient was discharged 1 day later. Discussion: In this pilot study, the use of the robotic system was safe and feasible. More experience, further improvement of the system for use in very small children, and investigation in a larger sample size with long-term follow-up is necessary to evaluate efficacy.

A pediatric robotic pyeloplasty has been performed with the Senhance® robotic system for the first time in January 2021 on a 1.5-year-old girl with symptomatic ureteropelvic junction stenosis. A Senhance® robotic system (Asensus Surgical® Inc., Durham, NC, USA) with three arms and 5 mm instruments was used, providing infrared eye tracking of the 5 mm camera and haptic feedback for the surgeon, facilitating suturing of the anastomosis and double-J stent insertion. The robotic surgery lasted 4.5 h, was uneventful and successful, without recurrence of the ureteropelvic junction obstruction after six months, and with normal development of the patient’s growth and organ function. The use of the robotic system was shown to be safe and feasible; long term follow-up will be conducted subsequently in pediatric surgery.

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In order to determine the potential environmental impact of construction products, it is necessary to evaluate their influence on organisms exposed to them or their eluates under environmental conditions. The behavior of the white worm Enchytraeus albidus is a useful tool for assessing the potential environmental impact of construction products in contact with water and soil. This study investigates the environmental effects of eluates from two construction products, a reactive waterproofing product, and an injection resin, on the reproduction and avoidance behavior of E. albidus. The eluates were prepared according to existing guidelines. The soil used for the tests was moistened with the eluates of the construction products. The reproduction results of the worms were collected after six weeks of exposure. Offsprings were counted under the microscope and statistically analyzed. Results from the avoidance behavior were collected after 48 h of exposure, and results were compared with the reproduction results. The eluates from both construction products induced significant changes in the reproduction behavior of E. albidus. Undiluted or only slightly diluted eluates of the injection resin drastically reduced the reproduction of the worms, whereas the leaches of the reactive waterproofing product only had a minor effect. The avoidance results for the injection resin indicates that its presence in the habitat is clearly detrimental to the survival of E. albidus, while the avoidance results for the waterproofing resin showed an initial avoidance of the eluates, but no harmful effects were observed. The avoidance test is a way of rapid toxicity screening of environmental samples when time is a critical parameter to measure possible environmental effects. This study shows that ecotoxicological tests using Enchytraeids are a valuable and important tool for understanding the mode of action of eluates from construction products in the environment.

The effect of styrene-acrylate (SA) polymer latex on alkali-activated slag (AAS) was systematically studied in the aspects of hydration, hydration products, pore structure and mechanical properties through the combined analytical techniques including calorimetry, X-ray diffraction, thermogravimetric analysis, mercury intrusion porosimetry, and mechanical measurement. It was found that the addition of SA does not retard the AAS hydration, but slightly accelerates it, possibly due to the increasing ion diffusion through the loosely structured hydration products. Pore structure analysis indicates that the addition of polymer increases the cumulative pore volume and the portion of pores with size >100 nm in the hardened AAS paste. The addition of SA latex results in a continuous decrease of the compressive strength, but the flexural strength firstly increases and then decreases with the increase of polymer dosage. The polymer dosage of 2.5 wt % is optimal when applying polymer latex in the AAS system in this study.

The development of sustainable, environmentally friendly insulation materials with a reduced carbon footprint is attracting increased interest. One alternative to conventional insulation materials are foamed geopolymers. Similar to foamed concrete, the mechanical properties of geopolymer foams can also be improved by using fibers for reinforcement. This paper presents an overview of the latest research findings in the field of fiber-reinforced geopolymer foam concrete with special focus on natural fibers reinforcement. Furthermore, some basic and background information of natural fibers and geopolymer foams are reported. In most of the research, foams are produced either through chemical foaming with hydrogen peroxide or aluminum powder, or through mechanical foaming which includes a foaming agent. However, previous reviews have not sufficiently addresses the fabrication of geopolymer foams by syntactic foams. Finally, recent efforts to reduce the fiber degradation in geopolymer concrete are discussed along with challenges for natural fiber reinforced-geopolymer foam concrete.

The performance of vacuum insulation panels (VIPs) is strongly affected by several factors, such as panel thickness, design, quality of vacuum, and material type. In particular, the core materials inside VIPs significantly influence their overall performance. Despite their superior insulation performance, VIPs are limited in their widespread use as structural materials, because of their low material strength and the relatively expensive core materials. As an alternative core material that can compensate these limitations, foamed concrete, a type of lightweight concrete with very low density, can be used. In this study, two different types of foamed concrete were used as VIP core materials, with their effects on the thermal behavior of the VIPs having been evaluated using experimental and numerical methods. To confirm and generate numerical models for VIP analysis, micro-computed tomography (micro-CT) was utilized. The obtained results show that insulation effects increase effectively when panels with lightweight concrete are in a vacuum, and both foamed concrete types can be effectively used as VIP core materials.

The interaction of different charged polymers, namely anionic polycarboxylate superplasticizer (PCE) and neutral polyethylene glycol (PEG) with potassium ions, and their effect on the yield stress of highly concentrated glass bead suspension (GBS), were studied under different concentrations of potassium ions ([K+]). It was found that, compared to the neutral PEG, the negatively charged PCE can be adsorbed on glass beads (GB), and then decreases the yield stress of GBS. The increasing concentration of free polymer in the interstitial liquid phase with the increased polymer dosage leads to the higher yield stress of GBS, which may be caused by the higher depletion force. In addition, this effect is also related to the charge density of the polymer and the [K+] in the solution. Along with the increase in [K+], the yield stress of GBS increases significantly with the addition of PCE, but this cannot be observed with PEG, which indicates that potassium ions can interact with negatively charged PCE instead of the neutral PEG. At last, the interparticle forces between two single GB with adsorbed PCE in solutions containing [K+] and PCE were measured by colloidal probe atomic force microscopy to better understand the interaction of the charged polymer with counterions.

The rheological behavior of cement paste and the improvement of its flowability takes center stage in many research projects. An improved flowability can be achieved by the addition of superplasticizers (SP), such as polycarboxylate ethers (PCE). In order to be able to use these PCEs effectively and in a variety of ways and to make them resistant to changes in the environment, it is crucial to understand the influence of SPs on cement hydration. For that reason, the topic of this paper was the incompatibility of a specific SP and an ordinary Portland cement (OPC). The incompatible behavior was analyzed using rheological tests, such as the spread flow test and penetration test, and the behavior was compared by means of an ultrasound technique and explained by the phase content measured by in-situ X-ray diffraction (XRD) the heat evolution measured by calorimetry, and scanning electron microscope (SEM) images. We showed that the addition of the SP in a high dosage led to a prevention of the passivation of the most reactive and aluminum-containing clinker phases, aluminate and brownmillerite. This induced the aluminate reaction to take place in the initial period and led to an immediate stiffening of the cement paste and, therefore, to the complete loss of workability. The results showed that in addition to the ettringite, which began to form directly after water addition, hemicarbonate precipitated. The fast stiffening of the paste could be prevented by delayed addition of the SP or by additional gypsum. This fast stiffening was not desirable for SPs, but in other fields, for example, 3D printing, this undesirable interaction could be used to improve the properties of printable mortar.

In order to gain a deeper understanding of the rheological development of hydrating ordinary Portland cement (OPC) pastes at initial state, and to better understand their underlying processes, quantitative X-ray diffraction (XRD) analysis and rheological measurements were conducted and their results combined. The time-dependent relation between phase development and flow behavior of cement paste was investigated at two different temperatures (20 and 30 °C), over a period of two hours. Regarding the phase development during hydration, ettringite precipitation was identified as the dominant reaction in the first two hours. For both temperatures, the increasing ettringite content turned out to correlate very well with the loss of workability of the reacting cement paste. An exponential relationship between ettringite growth and flow behavior was observed that could be explained by applying the Krieger-Dougherty equation, which describes the influence of solid fraction on the viscosity of a suspension.

This study presents the results of an experimental investigation of the effects of nanosilica (NS) on the strength development, transport properties, thermal conductivity, air-void, and pore characteristics of lightweight aggregate concrete (LWAC), with an oven-dry density 3. Four types of concrete mixtures, containing 0 wt.%, 1 wt.%, 2 wt.%, and 4 wt.% of NS were prepared. The development of flexural and compressive strengths was determined for up to 90 days of curing. In addition, transport properties and microstructural properties were determined, with the use of RapidAir, mercury intrusion porosimetry (MIP), and scanning electron microscopy (SEM) techniques. The experimental results showed that NS has remarkable effects on the mechanical and transport properties of LWACs, even in small dosages. A significant improvement in strength and a reduction of transport properties, in specimens with an increased NS content, was observed. However, the positive effects of NS were more pronounced when a higher amount was incorporated into the mixtures (>1 wt.%). NS contributed to compaction of the LWAC matrix and a modification of the air-void system, by increasing the amount of solid content and refining the fine pore structure, which translated to a noticeable improvement in mechanical and transport properties. On the other hand, NS decreased the consistency, while increasing the viscosity of the fresh mixture. An increment of superplasticizer (SP), along with a decrement of stabilizer (ST) dosages, are thus required.

The measurement of the photocatalytic activity of building materials is quite time-consuming. Up until now, researchers have mainly used the equipment described in ISO 22197-1 to ISO 22197-4 for the determination of air purification activity, although other apparatus such as colorimeters, UV-Vis/DR spectroscopes and equipment for contact angle measurements have also been used. Usually, photocatalytic activity measurements take from one hour up to several hours. In this study, we present a very fast method for the measurement of the photocatalytic activity of gypsum. A specially designed printer with a modified bubblejet cartridge was used to apply a special ink on the surface of gypsum plates. Then the surface was irradiated by UV-A light and every 3 s a picture of the surface was taken. The results showed that the discoloration of the dye occurs after a few seconds of irradiation and the time depends on the amount of photocatalyst used as well as the number of printed ink layers. It was concluded that it is possible to use this method for a quick comparison of the photocatalytic activity of different types of modified gypsum materials.

Increasing interest is nowadays being paid to improving the thermal insulation of buildings in order to save energy and reduce ecological problems. Foamed concrete has unique characteristics and considerable potential as a promising material in construction applications. It is produced with a wide range of dry densities, between 600 and 1600 kg/m3. However, at a low density below 500 kg/m3, it tends to be unstable in its fresh state while exhibiting high drying shrinkage in its hardened state. In this study, lightweight aggregate-foamed concrete mixtures were prepared by the addition of preformed foam to a cement paste and aggregate. The focus of the research is the influence of fly ash, as well as fine lightweight aggregate addition, on the properties of foamed concrete with a density lower than 500 kg/m3. Concrete properties, including stability and consistency in the fresh state as well as thermal conductivity and mechanical properties in the hardened state, were evaluated in this study. Scanning electron microscopy (SEM) was used to study the microstructure of the foamed concrete. Several mixes with the same density were prepared and tested. The experimental results showed that under the same bulk density, incorporation of fine lightweight aggregate has a significant role on compressive strength development, depending on the characteristics of the lightweight aggregate. However, thermal conductivity is primarily related to the dry density of foamed concrete and only secondarily related to the aggregate content. In addition, the use of fine lightweight aggregate significantly reduces the drying shrinkage of foamed concrete. The results achieved in this work indicate the important role of lightweight aggregate on the stability of low-density foamed concrete, in both fresh and hardened states.

Exposure to elevated temperatures has detrimental effects on the properties of cementitious composites, leading to irreversible changes, up to total failure. Various methods have been used to suppress the deterioration of concrete under elevated temperature conditions. Recently, nanomaterials have been introduced as admixtures, which decrease the thermal degradation of cement-based composites after exposure to high temperatures. This paper presents a comprehensive review of recent developments related to the effects of nanoparticles on the thermal resistance of cementitious composites. The review provides an updated report on the effects of temperature on the properties of cement-based composites, as well as a detailed analysis of the available literature regarding the inclusion of nanomaterials and their effects on the thermal degradation of cementitious composites. The data from the studies reviewed indicate that the inclusion of nanoparticles in composites protects from strength loss, as well as contributing to a decrease in disruptive cracking, after thermal exposure. From all the nanomaterials presented, nanosilica has been studied the most extensively. However, there are other nanomaterials, such as carbon nanotubes, graphene oxide, nanoclays, nanoalumina or nano-iron oxides, that can be used to produce heat-resistant cementitious composites. Based on the data available, it can be concluded that the effects of nanomaterials have not been fully explored and that further investigations are required, so as to successfully utilize them in the production of heat-resistant cementitious composites.

Recently, the recycling of waste glass has become a worldwide issue in the reduction of waste and energy consumption. Waste glass can be utilized in construction materials, and understanding its effects on material properties is crucial in developing advanced materials. In this study, recycled crushed and expanded glasses are used as lightweight aggregates for concrete, and their relation to the material characteristics and properties is investigated using several approaches. Lightweight concrete specimens containing only crushed and expanded waste glass as fine aggregates are produced, and their pore and structural characteristics are examined using image-based methods, such as scanning electron microscopy (SEM), X-ray computed tomography (CT), and automated image analysis (RapidAir). The thermal properties of the materials are measured using both Hot Disk and ISOMET devices to enhance measurement accuracy. Mechanical properties are also evaluated, and the correlation between material characteristics and properties is evaluated. As a control group, a concrete specimen with natural fine sand is prepared, and its characteristics are compared with those of the specimens containing crushed and expanded waste glass aggregates. The obtained results support the usability of crushed and expanded waste glass aggregates as alternative lightweight aggregates.

Lightweight aggregate concrete is a material with very low density and good thermal insulation, and several types of lightweight aggregates have been used for lightweight concrete. Since the characteristics of lightweight aggregates strongly affect the properties of lightweight concrete, a proper consideration for the use of lightweight aggregate is very important for development of lightweight materials. In particular, the sizes and spatial distributions of lightweight aggregates can influence the material responses of lightweight concrete, such as compressive strength and thermal conductivity. In this study, different types of gradings of lightweight aggregates are adopted to investigate the effect of gradings on the material properties. Liaver ® , an expanded glass granulate, is used as a lightweight aggregate for the specimens. Virtual models of the lightweight specimens with different gradings are numerically generated, and both mechanical and thermal properties are evaluated using experimental and numerical approaches for more detailed investigation. The obtained results can be utilized to suggest an optimal grading that satisfies both the mechanical and thermal properties of lightweight concrete specimen.

This article presents a combined use of a retarder (d-gluconic acid) and an alkaline activator (sodium hydroxide) in a binder system based on ground granulated blast-furnace slag. The properties of the retarder are extending the dormant hydration period and suppressing the generation of strength-giving phases. Different retarder concentrations between 0.25 and 1.00 wt.% regulate the intensity and the period of the retardation and also the characteristics of the strength development. The activator concentration of 30 and 50 wt.% regulates the overcoming of the dormant period and thereby the solution of the slag and hence the formation of the hydration products. The research objective is to produce a mineral binder system based on two separate liquid components. The highest concentration of retarder and activator generates the highest compressive strength and mass of hydration products—after 90 days of hydration a compressive strength of more than 50 N/mm2. The main phases are calcium silicate hydrate and hydrotalcite. Generally, the combination of retarder and activator shows a high potential in the performance increase of the hydration process.

An effective retarded suspension of ground granulated blast-furnace slag (GGBFS) needs a strong activator to reactivate the hydration. In this research study, sodium hydroxide (NaOH) as an alkali activator in two different concentrations (30 and 50 wt.%) was used to overcome the retardation and give the hardened GGBFS the reasonable strength. The study was carried out with a mixture of GGBFS, a solution of 1.0 wt.% d-gluconic acid (C6H12O7) as a retarder in the mixing water and a methyl cellulose as a stabilizer. The reactivation was executed after seven different periods (up to 28 days) after the system was retarded. The following investigations were performed: slump test, measurement of ultrasonic (US) velocity, compressive strength and gross density, thermogravimetry (TG) and scanning electron microscopy (SEM). The analyses of the hardened samples were carried out seven, 28 and 90 days after the reactivation. The result of the study is an effective reactivation of a retarded suspension. In this case, the activator with 50 wt.% NaOH shows a very high performance. The setting time of the reactivated binders is much longer compared to the reference, but, in the longer term, the compressive strength and the progress of the hydration exceed the performance of the reference.