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This study investigates the activation of New Zealand pumicite (pumice powder) using sodium aluminate (NaAlO₂) solution, both alone and in combination with 10 M KOH solution, at various weight ratios of 1, 3, and 5, to produce alkali-activated cement. Compressive strength tests and microstructural analyses were conducted to assess the effects of activator/precursor ratios, activator type, aging time, and curing temperature (65°C for 72 hours or room temperature). The internal porosity of the pumicite played a key role in aluminosilicate phase dissolution and mobility, resulting in similar compressive strengths across different ratios. NaAlO₂ alone achieved compressive strengths of 60 MPa and 67 MPa after 4 and 65 days, respectively, while the binary solutions showed reduced strength with increased aging. Room temperature curing required almost three times the aging period to match the 28-day compressive strengths achieved after curing at 65°C for 72 hours. Microstructural analyses revealed that NaAlO₂ solution adjusted the Si/Al ratio, forming high-Al and high-Si gels as well as zeolite-A, underscoring its benefits. This study demonstrates the potential of using locally sourced New Zealand pumicite as a precursor in alkali-activated cement, particularly in regions lacking traditional industrial by-products.

Abstract Previous studies have associated COVID-19 symptoms severity with levels of physical activity. We therefore investigated longitudinal trajectories of COVID-19 symptoms in a cohort of healthcare workers (HCWs) with non-hospitalised COVID-19 and their real-world physical activity. 121 HCWs with a history of COVID-19 infection who had symptoms monitored through at least two research clinic visits, and via smartphone were examined. HCWs with a compatible smartphone were provided with an Apple Watch Series 4 and were asked to install the MyHeart Counts Study App to collect COVID-19 symptom data and multiple physical activity parameters. Unsupervised classification analysis of symptoms identified two trajectory patterns of long and short symptom duration. The prevalence for longitudinal persistence of any COVID-19 symptom was 36% with fatigue and loss of smell being the two most prevalent individual symptom trajectories (24.8% and 21.5%, respectively). 8 physical activity features obtained via the MyHeart Counts App identified two groups of trajectories for high and low activity. Of these 8 parameters only ‘distance moved walking or running’ was associated with COVID-19 symptom trajectories. We report a high prevalence of long-term symptoms of COVID-19 in a non-hospitalised cohort of HCWs, a method to identify physical activity trends, and investigate their association. These data highlight the importance of tracking symptoms from onset to recovery even in non-hospitalised COVID-19 individuals. The increasing ease in collecting real-world physical activity data non-invasively from wearable devices provides opportunity to investigate the association of physical activity to symptoms of COVID-19 and other cardio-respiratory diseases.

A case is presented for the value of archiving air quality filters to allow for retrospective analysis of emerging contaminants, that is filter constituents not considered to be harmful (and thus not identified or quantified specifically) at the time of collection but subsequently considered to be of interest. As an example, filters from a 20-year historical archive consisting of 16,000 filters from three sites across Auckland are re-examined for the presence of elongated mineral fibres known to be present in rock across the city. Originally collected for the purpose of the source apportionment of particulate matter, 10 filters from each of the three sites were chosen for reanalysis based on their high silica and aluminium content, and thus considered more likely to contain fibre-like particles (FLP). These filters were analysed using various microscopic methods, including phase contrast microscopy (PCM), scanning electron microscopy (SEM) and energy-dispersive x-ray spectroscopy (EDS). The results show that although the commonly used fibrous polytetrafluoroethylene (PTFE) material of the filters may hamper the visual identification of any fibre-like particles under a certain length, their key components are able to be identified using a combination of PCM and SEM when they are of a suitable dimension and have settled in a certain orientation on the filter. In this case, the use of EDS confirmed the silicon content of the fibres and also revealed elemental spectra. Although the exact identification of the mineral fibre is uncertain, the EDS scan is consistent with hazardous zeolites such as erionite, known to be present in the rock found in Auckland. This study highlights the value in maintaining filter archives for the purpose of investigating the historical evolution of emerging atmospheric pollutants.

The rock mass rating (RMR) has been used across the geotechnical industry for half a century. In contrast, the coal mine roof rating (CMRR) was specifically introduced to underground coal mines two decades ago to link geological characterization with geotechnical risk mitigation. The premise of CMRR is that strength properties of mine roof rock are influenced by defects typical of coal measures stratigraphy. The CMRR has been used in longwall pillar design, roof support methods, and evaluation of extended cuts, but is rarely evaluated. Here, the RMR and CMRR are applied to a longwall coal mine. Roof rock mass classifications were undertaken at 67 locations across the mine. Both classifications showed marked spatial variability in terms of roof conditions. Normal and reverse faulting occur across the mine, and while no clear relationships exist between rock mass character and faulting, a central graben zone showed heterogeneous rock mass properties, and divergence between CMRR and RMR. Overall, the CMRR data fell within the broad envelope of results reported for extended cuts at Australian and U.S. coal mines. The corollary is that the CMRR is useful, and should not be used in isolation, but rather as a component of a strata control programme. Keywords: Rock mass classification, Roof strength, Coal mine, CMRR, RMR, Bowen Basin

Abstract Background The diagnosis of discogenic back pain often leads to spinal fusion surgery and may partly explain the recent rapid increase in lumbar fusion operations in the United States. Little is known about how patients undergoing lumbar fusion compare in preoperative physical and psychological function to patients who have degenerative discs, but receive only non-surgical care. Methods Our group is implementing a multi-center prospective cohort study to compare patients with presumed discogenic pain who undergo lumbar fusion with those who have non-surgical care. We identify patients with predominant low back pain lasting at least six months, one or two-level disc degeneration confirmed by imaging, and a normal neurological exam. Patients are classified as surgical or non-surgical based on the treatment they receive during the six months following study enrollment. Results Three hundred patients discogenic low back pain will be followed in a prospective cohort study for two years. The primary outcome measure is the Modified Roland-Morris Disability Questionnaire at 24-months. We also evaluate several other dimensions of outcome, including pain, functional status, psychological distress, general well-being, and role disability. Conclusion The primary aim of this prospective cohort study is to better define the outcomes of lumbar fusion for discogenic back pain as it is practiced in the United States. We additionally aim to identify characteristics that result in better patient selection for surgery. Potential predictors include demographics, work and disability compensation status, initial symptom severity and duration, imaging results, functional status, and psychological distress.

Abstract Background Conservative treatment remains the standard of care for treating mild to moderate carpal tunnel syndrome despite a small number of well-controlled studies and limited objective evidence to support current treatment options. There is an increasing interest in the usefulness of wrist magnetic resonance imaging could play in predicting who will benefit for various treatments. Method and design Two hundred patients with mild to moderate symptoms will be recruited over 3 1/2 years from neurological surgery, primary care, electrodiagnostic clinics. We will exclude patients with clinical or electrodiagnostic evidence of denervation or thenar muscle atrophy. We will randomly assign patients to either a well-defined conservative care protocol or surgery. The conservative care treatment will include visits with a hand therapist, exercises, a self-care booklet, work modification/ activity restriction, B6 therapy, ultrasound and possible steroid injections. The surgical care would be left up to the surgeon (endoscopic vs. open) with usual and customary follow-up. All patients will receive a wrist MRI at baseline. Patients will be contacted at 3, 6, 9 and 12 months after randomization to complete the Carpal Tunnel Syndrome Assessment Questionnaire (CTSAQ). In addition, we will compare disability (activity and work days lost) and general well being as measured by the SF-36 version II. We will control for demographics and use psychological measures (SCL-90 somatization and depression scales) as well as EDS and MRI predictors of outcomes. Discussion We have designed a randomized controlled trial which will assess the effectiveness of surgery for patients with mild to moderate carpal tunnel syndrome. An important secondary goal is to study the ability of MRI to predict patient outcomes.