cometadata/datacite-titles-descriptions-related-identifiers huggingface dataset:
DOI: 10.6084/m9.figshare.8259821
title: Hidden hospital mortality in patients with sepsis discharged from the intensive care unit

description: ABSTRACT Objective: To evaluate the impact of the presence of sepsis on in-hospital mortality after intensive care unit discharge. Methods: Retrospective, observational, single-center study. All consecutive patients discharged alive from the intensive care unit of Hospital Vila Franca de Xira (Portugal) from January 1 to December 31, 2015 (N = 473) were included and followed until death or hospital discharge. In-hospital mortality after intensive care unit discharge was calculated for septic and non-septic patients. Results: A total of 61 patients (12.9%) died in the hospital after being discharged alive from the intensive care unit. This rate was higher among the patients with sepsis on admission, 21.4%, whereas the in-hospital, post-intensive care unit mortality rate for the remaining patients was nearly half that, 9.3% (p &lt; 0.001). Other patient characteristics associated with mortality were advanced age (p = 0.02), male sex (p &lt; 0.001), lower body mass index (p = 0.02), end-stage renal disease (p = 0.04) and high Simplified Acute Physiology Score II (SAPS II) at intensive care unit admission (p &lt; 0.001), the presence of shock (p &lt; 0.001) and medical admission (p &lt; 0.001). We developed a logistic regression model and identified the independent predictors of in-hospital mortality after intensive care unit discharge. Conclusion: Admission to the intensive care unit with a sepsis diagnosis is associated with an increased risk of dying in the hospital, not only in the intensive care unit but also after resolution of the acute process and discharge from the intensive care unit.
DOI: 10.6084/m9.figshare.8259824
title: Implementation of a rapid response team in a large nonprofit Brazilian hospital: improving the quality of emergency care through Plan-Do-Study-Act

description: ABSTRACT Objective: To describe the implementation of a rapid response team in a large nonprofit hospital, indicating relevant issues for other initiatives in similar contexts, particularly in Latin America. Methods: In general terms, the intervention consisted of three major components: (1) a tool to detect aggravation of clinical conditions in general wards; (2) the structuring of a rapid response team to attend to all patients at risk; and (3) the monitoring of indicators regarding the intervention. This work employed four half-year Plan-Do-Study-Act cycles to test and adjust the intervention from January 2013 to December 2014. Results: Between 2013 and 2014, the rapid response team attended to 2,296 patients. This study showed a nonsignificant reduction in mortality from 8.3% in cycle 1 to 5.0% in cycle 4; however, death rates remained stable in cycles 3 and 4, with frequencies of 5.2% and 5.0%, respectively. Regarding patient flow and continuum of critical care, which is a premise of the rapid response system, there was a reduction in waiting time for intensive care unit beds with a decrease from 45.9% to 19.0% in the frequency of inpatients who could not be admitted immediately after indication (p &lt; 0.001), representing improved patient flow in the hospital. In addition, an increase in the recognition of palliative care patients from 2.8% to 10.3% was noted (p = 0.005). Conclusion: Implementing a rapid response team in contexts where there are structural restrictions, such as lack of intensive care unit beds, may be very beneficial, but a strategy of adjustment is needed.
DOI: 10.6084/m9.figshare.8259824.v1
title: Implementation of a rapid response team in a large nonprofit Brazilian hospital: improving the quality of emergency care through Plan-Do-Study-Act

description: ABSTRACT Objective: To describe the implementation of a rapid response team in a large nonprofit hospital, indicating relevant issues for other initiatives in similar contexts, particularly in Latin America. Methods: In general terms, the intervention consisted of three major components: (1) a tool to detect aggravation of clinical conditions in general wards; (2) the structuring of a rapid response team to attend to all patients at risk; and (3) the monitoring of indicators regarding the intervention. This work employed four half-year Plan-Do-Study-Act cycles to test and adjust the intervention from January 2013 to December 2014. Results: Between 2013 and 2014, the rapid response team attended to 2,296 patients. This study showed a nonsignificant reduction in mortality from 8.3% in cycle 1 to 5.0% in cycle 4; however, death rates remained stable in cycles 3 and 4, with frequencies of 5.2% and 5.0%, respectively. Regarding patient flow and continuum of critical care, which is a premise of the rapid response system, there was a reduction in waiting time for intensive care unit beds with a decrease from 45.9% to 19.0% in the frequency of inpatients who could not be admitted immediately after indication (p &lt; 0.001), representing improved patient flow in the hospital. In addition, an increase in the recognition of palliative care patients from 2.8% to 10.3% was noted (p = 0.005). Conclusion: Implementing a rapid response team in contexts where there are structural restrictions, such as lack of intensive care unit beds, may be very beneficial, but a strategy of adjustment is needed.
DOI: 10.6084/m9.figshare.8259821.v1
title: Hidden hospital mortality in patients with sepsis discharged from the intensive care unit

description: ABSTRACT Objective: To evaluate the impact of the presence of sepsis on in-hospital mortality after intensive care unit discharge. Methods: Retrospective, observational, single-center study. All consecutive patients discharged alive from the intensive care unit of Hospital Vila Franca de Xira (Portugal) from January 1 to December 31, 2015 (N = 473) were included and followed until death or hospital discharge. In-hospital mortality after intensive care unit discharge was calculated for septic and non-septic patients. Results: A total of 61 patients (12.9%) died in the hospital after being discharged alive from the intensive care unit. This rate was higher among the patients with sepsis on admission, 21.4%, whereas the in-hospital, post-intensive care unit mortality rate for the remaining patients was nearly half that, 9.3% (p &lt; 0.001). Other patient characteristics associated with mortality were advanced age (p = 0.02), male sex (p &lt; 0.001), lower body mass index (p = 0.02), end-stage renal disease (p = 0.04) and high Simplified Acute Physiology Score II (SAPS II) at intensive care unit admission (p &lt; 0.001), the presence of shock (p &lt; 0.001) and medical admission (p &lt; 0.001). We developed a logistic regression model and identified the independent predictors of in-hospital mortality after intensive care unit discharge. Conclusion: Admission to the intensive care unit with a sepsis diagnosis is associated with an increased risk of dying in the hospital, not only in the intensive care unit but also after resolution of the acute process and discharge from the intensive care unit.
DOI: 10.6084/m9.figshare.8259794
title: Effects of pre-wetting aggregate on the properties of mortars made with recycled concrete and lightweight aggregates

description: ABSTRACT This paper examines the suitability of partially replacing natural aggregate, sand, (NA) with recycled concrete aggregate (RCA) or lightweight aggregate (LWA) in mortars, under the hypothesis that pre-wetting aggregates would produce improvement in mortar properties. Fresh mortar properties such as density, entrained air content, consistency and heat of hydration, as well as hardened mortar properties such as dry density, compressive and flexural strength, and dimensional instability at 0% and 100% saturation were determined. The results show that mortars made with natural aggregate (75%) and recycled concrete aggregate (25%) have similar properties to mortars made with only natural aggregate (100%) and that pre-wetting the aggregates does not influence the properties of mortars significantly. Therefore, partial replacement with recycled concrete aggregate is a viable alternative for producing mortar.
DOI: 10.6084/m9.figshare.8259788
title: Bio-based additives for thermoplastics

description: Abstract Presently, there are significant research efforts being undertaken to produce bio-based chemicals in a cost-effective way. The polymer chemists and engineers are no exception to this. Additives for polymers correspond to a large section of the plastics market and bio-based products can substitute many of them. The scientific literature has a large number of publications focusing on the preparation and testing of bio-based polymer additives; however, the small number of products that reach the market, which are bio-based, does not reflect this. In terms of the global market, the environmentally friendly appeal of bio-based additives alone is not sufficient; the bio-based product must have similar or better performance than the oil-based and be comparable or lower in cost than the existing products. In this review, we focus on bio-based polymer additives that have already reached the market or have a real possibility of reaching the market in a cost-effective way.
DOI: 10.6084/m9.figshare.8259791
title: Ultra-high performance pastes under pressure curing

description: Abstract Compaction pressure has positive effects on the development of the microstructure and mechanical properties of hardened cementitious mixtures. However, the benefits have been studied at high-pressure levels or combined with thermal curing. This article is part of a research project that proposed an alternative equipment to promote both pressure and thermal curing, in conditions that are easy to reproduce. The paper reports the results obtained from the study of the isolated effect of the pressure applied in the first hours of hydration, with loads of 0,1 MPa, 5 MPa and 10 MPa. The relationship between pressure increments and mechanical performance was checked by means of density, modulus of dynamic elasticity and compressive strength tests. Scanning electron microscopy, porosimetry and thermogravimetry analyses were carried out. They showed the influence of pressurizing on the development of a compact and homogeneous matrix, but with an increase in microporosity and a decrease in the amount of hydration products formed. The results indicate that a satisfactory mechanical performance does not depend exclusively on the degree of hydration of the cement, but on the synergy between hydration products and changes in the pore structure.
DOI: 10.6084/m9.figshare.8259794.v1
title: Effects of pre-wetting aggregate on the properties of mortars made with recycled concrete and lightweight aggregates

description: ABSTRACT This paper examines the suitability of partially replacing natural aggregate, sand, (NA) with recycled concrete aggregate (RCA) or lightweight aggregate (LWA) in mortars, under the hypothesis that pre-wetting aggregates would produce improvement in mortar properties. Fresh mortar properties such as density, entrained air content, consistency and heat of hydration, as well as hardened mortar properties such as dry density, compressive and flexural strength, and dimensional instability at 0% and 100% saturation were determined. The results show that mortars made with natural aggregate (75%) and recycled concrete aggregate (25%) have similar properties to mortars made with only natural aggregate (100%) and that pre-wetting the aggregates does not influence the properties of mortars significantly. Therefore, partial replacement with recycled concrete aggregate is a viable alternative for producing mortar.
DOI: 10.6084/m9.figshare.8259785
title: Analysis of physical and mechanical properties of pressed concrete blocks without structural purposes with additions of recycled PET

description: ABSTRACT This work shows the analysis of a no conventional element for building sealing system: a pressed concrete block incorporating recycled PET. For this it was made an experimental analysis replacing, in volume, fine aggregate (fine crushed stone) by fractions of crushed PET in contents of 15%, 30% and 45%. Were determined geometrical, physical and mechanical characteristics indexes of produced blocks. Results allow to conclude that the content that showed the best results was 15% of PET because its compressive strength showed a value greater than the others, highlighting even lower absorption, resulting from its higher homogeneity and better wrapping of the obtained composite.
DOI: 10.6084/m9.figshare.8259788.v1
title: Bio-based additives for thermoplastics

description: Abstract Presently, there are significant research efforts being undertaken to produce bio-based chemicals in a cost-effective way. The polymer chemists and engineers are no exception to this. Additives for polymers correspond to a large section of the plastics market and bio-based products can substitute many of them. The scientific literature has a large number of publications focusing on the preparation and testing of bio-based polymer additives; however, the small number of products that reach the market, which are bio-based, does not reflect this. In terms of the global market, the environmentally friendly appeal of bio-based additives alone is not sufficient; the bio-based product must have similar or better performance than the oil-based and be comparable or lower in cost than the existing products. In this review, we focus on bio-based polymer additives that have already reached the market or have a real possibility of reaching the market in a cost-effective way.
DOI: 10.6084/m9.figshare.8259791.v1
title: Ultra-high performance pastes under pressure curing

description: Abstract Compaction pressure has positive effects on the development of the microstructure and mechanical properties of hardened cementitious mixtures. However, the benefits have been studied at high-pressure levels or combined with thermal curing. This article is part of a research project that proposed an alternative equipment to promote both pressure and thermal curing, in conditions that are easy to reproduce. The paper reports the results obtained from the study of the isolated effect of the pressure applied in the first hours of hydration, with loads of 0,1 MPa, 5 MPa and 10 MPa. The relationship between pressure increments and mechanical performance was checked by means of density, modulus of dynamic elasticity and compressive strength tests. Scanning electron microscopy, porosimetry and thermogravimetry analyses were carried out. They showed the influence of pressurizing on the development of a compact and homogeneous matrix, but with an increase in microporosity and a decrease in the amount of hydration products formed. The results indicate that a satisfactory mechanical performance does not depend exclusively on the degree of hydration of the cement, but on the synergy between hydration products and changes in the pore structure.
DOI: 10.6084/m9.figshare.8259779
title: Quality analysis of galvanized pipes applied to natural gas installations in civil construction

description: ABSTRACT Some natural gas distributors for residential and commercial buildings in Brazil use galvanized steel tubes and fittings manufactured by the hot-dip zinc process that are supported by the specifications contained in the Brazilian Standards. Zinc coating is one of the most widely used methods to provide protection against corrosion. It is therefore essential that national and international tube manufacturers and installation and maintenance companies in civil construction also meet the defined national and international standards, especially when the tubes and fittings are used for natural gas in residential buildings. This two-way communication could eliminate most issues that delay or prevent superior galvanizing quality. Low standards lead to the deterioration of the zinc coating and the metal base of the pipes, which may lead to leaks, such as fluids, flammable gases, and other toxic products, and potentially jeopardise residential and commercial buildings. Here the importance of ensuring the quality of zinc-coated pipes is demonstrated through a series of analyses on natural gas pipe corrosion used in civil construction in Brazil. Based on Brazilian standards, the zinc mass determination per square meter, uniformity tests (Preece test) and metallographic evaluation of the deposited zinc layer were carried out on samples of galvanized tubes for natural gas. An experiment was also developed to reproduce the same conditions of subfloors (mortar beds) where there is penetration of water and humidity reaching the galvanized pipes. Metallographic analysis showed that samples of galvanized tubes by the hot-dip zinc galvanizing can have discontinuities and defects in zinc layer. Such defects associated with penetration and/or permeation of the water and humidity in the subfloor favor the corrosive process and consequently can cause gas leaks and probable accidents in residential buildings.
DOI: 10.6084/m9.figshare.8259782
title: Enzymatically and/or thermally treated Macroalgae biomass as feedstock for fermentative H2 production

description: ABSTRACT Due to its high carbohydrate content, algae biomass can be employed as feedstock to produce hydrogen (H2) by fermentation. However, to make the carbohydrates entrapped within the cell wall more bioavailable, algae biomass must be treated before fermentation. We submitted Kappaphyccus alvarezzi macroalgae biomass to autoclave (at 120 °C and 1 atm for 6 h) treatment and/or enzymatic (Celluclast® and/or a recombinant β-glucosidase) hydrolysis, to break down complex carbohydrates into available sugars that were used to produce H2 by fermentation. Macroalgae biomass treated with Celluclast®+β-glucosidase and with combined thermal treatment and enzymatic hydrolysis reached very similar TRS productivities, 0.24 and 0.22 g of TRS/L.h, respectively. The enzymatically treated biomass was employed as feedstock to produce H2 by Clostridium beijerinckii Br21, which afforded high yield: 21.3 mmol of H2/g of dry algae biomass. Hence, treatment with Celluclast® and recombinant β-glucosidase provided macroalgae biomass for enhanced bioconversion to H2 by C. beijerinckii Br21.
DOI: 10.6084/m9.figshare.8259785.v1
title: Analysis of physical and mechanical properties of pressed concrete blocks without structural purposes with additions of recycled PET

description: ABSTRACT This work shows the analysis of a no conventional element for building sealing system: a pressed concrete block incorporating recycled PET. For this it was made an experimental analysis replacing, in volume, fine aggregate (fine crushed stone) by fractions of crushed PET in contents of 15%, 30% and 45%. Were determined geometrical, physical and mechanical characteristics indexes of produced blocks. Results allow to conclude that the content that showed the best results was 15% of PET because its compressive strength showed a value greater than the others, highlighting even lower absorption, resulting from its higher homogeneity and better wrapping of the obtained composite.
DOI: 10.6084/m9.figshare.8259782.v1
title: Enzymatically and/or thermally treated Macroalgae biomass as feedstock for fermentative H2 production

description: ABSTRACT Due to its high carbohydrate content, algae biomass can be employed as feedstock to produce hydrogen (H2) by fermentation. However, to make the carbohydrates entrapped within the cell wall more bioavailable, algae biomass must be treated before fermentation. We submitted Kappaphyccus alvarezzi macroalgae biomass to autoclave (at 120 °C and 1 atm for 6 h) treatment and/or enzymatic (Celluclast® and/or a recombinant β-glucosidase) hydrolysis, to break down complex carbohydrates into available sugars that were used to produce H2 by fermentation. Macroalgae biomass treated with Celluclast®+β-glucosidase and with combined thermal treatment and enzymatic hydrolysis reached very similar TRS productivities, 0.24 and 0.22 g of TRS/L.h, respectively. The enzymatically treated biomass was employed as feedstock to produce H2 by Clostridium beijerinckii Br21, which afforded high yield: 21.3 mmol of H2/g of dry algae biomass. Hence, treatment with Celluclast® and recombinant β-glucosidase provided macroalgae biomass for enhanced bioconversion to H2 by C. beijerinckii Br21.
DOI: 10.6084/m9.figshare.8259773
title: Eco-efficient mortars with simultaneous incorporation of phase change material and fly ash

description: ABSTRACT Nowadays, the construction industry is the one of the main European sector responsible for the higher levels of energy consumption, raw materials extraction and waste production. Increasingly the consumption of energy from renewable sources and reusing industrial wastes is the only way to minimize this problem for the environment and society. The simultaneous incorporation of phase change materials (PCM) and fly ash (FA) in mortars allow increase the energy efficiency in buildings and decrease the amount of the raw materials extraction and waste materials landfilled. The development of mortars with incorporation of PCM and fly ash contributes to a significant improvement of the comfort parameters inside buildings and in the environment. The PCM allow regulating the temperature inside buildings using only solar energy as a resource, decreasing the air conditioning needs. The PCM has the capability to absorb and release energy for the environment. The main purpose of this study was the physical, mechanical and thermal characterization of mortars with incorporation of PCM and FA. It was concluded that the simultaneous incorporation of PCM and FA leads to homogenous and suitable mortars, with good physical and mechanical properties and an increased thermal behavior when compared to the mortars without incorporation of PCM and only with incorporation of PCM.
DOI: 10.6084/m9.figshare.8259779.v1
title: Quality analysis of galvanized pipes applied to natural gas installations in civil construction

description: ABSTRACT Some natural gas distributors for residential and commercial buildings in Brazil use galvanized steel tubes and fittings manufactured by the hot-dip zinc process that are supported by the specifications contained in the Brazilian Standards. Zinc coating is one of the most widely used methods to provide protection against corrosion. It is therefore essential that national and international tube manufacturers and installation and maintenance companies in civil construction also meet the defined national and international standards, especially when the tubes and fittings are used for natural gas in residential buildings. This two-way communication could eliminate most issues that delay or prevent superior galvanizing quality. Low standards lead to the deterioration of the zinc coating and the metal base of the pipes, which may lead to leaks, such as fluids, flammable gases, and other toxic products, and potentially jeopardise residential and commercial buildings. Here the importance of ensuring the quality of zinc-coated pipes is demonstrated through a series of analyses on natural gas pipe corrosion used in civil construction in Brazil. Based on Brazilian standards, the zinc mass determination per square meter, uniformity tests (Preece test) and metallographic evaluation of the deposited zinc layer were carried out on samples of galvanized tubes for natural gas. An experiment was also developed to reproduce the same conditions of subfloors (mortar beds) where there is penetration of water and humidity reaching the galvanized pipes. Metallographic analysis showed that samples of galvanized tubes by the hot-dip zinc galvanizing can have discontinuities and defects in zinc layer. Such defects associated with penetration and/or permeation of the water and humidity in the subfloor favor the corrosive process and consequently can cause gas leaks and probable accidents in residential buildings.