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Effects of cement on redistribution of trace metals and dissolution of organics in sewage sludge and its inorganic waste-amended products.

The suitability of using cement-stabilized sludge products as artificial soils in earth works was evaluated. The sludge products investigated were cemented sludge, cement-treated clay-amended sludge (SS+MC), and cement-treated copper slag-amended sludge (SS+CS). The leachability of lead (Pb), zinc (Zn), copper (Cu), and chromium (Cr) were assessed using the sequential extraction technique, toxicity characteristic leaching procedure (TCLP), NEN 7341 availability test, and column leaching test. The results indicated that Zn leachability was reduced in all the cement-stabilized sludge products. In contrast, Cu was transferred from the organic fraction to the readily leachable phases in the cement-stabilized sludge products and therefore exhibited increased leachability. The increased Cu leachability could be attributed to dissolution of humic substances in the sludge as a result of elevated pH. Good correlation between dissolved organic carbon (DOC) and heavy metal leaching from the cement-stabilized sludge products was observed in the column leaching experiment. Even with a cement percentage as small as 12.5%, calcium silicate hydrate (C-S-H) was formed in the SS+MC and SS+CS products. Inclusion of the marine clay in the SS+MC products could reduce the leaching potentials of Zn, and this was the great advantage of the marine clay over the copper slag for sludge amendment.

Metals, Heavy↗

The strength of acrylic bone cement cured under thumb pressure.

In this investigation, the static tensile strength of bone cement was quantified after mixing it in an open bowl or in a commercially available vacuum mixer and molding it under pressures consistent with values obtained by finger/digital application, as it is used in surgery. Pressure, held for a brief time span on cement in its lower viscosity state, has been demonstrated to increase penetration of the cement into bone. Clinically, bone cement is pressurized by digital pressure, specialized instruments, or by implant design. Specimens were cured under constant pressures of up to 100kPa, which is in the range reported for thumb pressurization of plugged proximal femurs and instrumented pressurization of acetabular sockets. The results showed that application of constant pressure during the polymerization of open bowl mixed bone cement significantly improved its mechanical properties. Application of 100kPa constant pressure to the open bowl mixed bone cement while it cured increased its ultimate strength to a value similar to vacuum mixed cement. Curing under pressure showed no significant effect on the tensile properties of vacuum mixed cement. Curing under pressure did not significantly reduce the size of the largest pores in the tensile specimens.

Humans↗

Diffusion of radon through varying depths of cement.

Portland cement was mixed with different concentrations of radium chloride (1200, 2400 and 3600 Bq) to produce radioactive sources. These sources were surrounded with cement of different thickness (1, 2 and 4cm). The release of radon from these sources (before and after being surrounded) was studied. The results showed that radon release from the sources itself was less then its release from the same source after being surrounded by cement, and the release did not change with the thickness of cement. Samples were covered with a thin layer of polyethylene before being surrounded with cement. It was found that this additional layer reduced the radon exhalation. This thin layer stopped any reaction between the source and the surrounding cement during solidification of the cement layers. These reactions are thought to be the reason for the increase of radon exhalation from the sources surrounded by cement.

Algorithms↗

Analysis of chromosomal aberrations in men occupationally exposed to cement dust.

Cement industry is considered as a major pollution problem on account of dust and particulate matter emitted at various steps of cement manufacture. Cement dust consists of many toxic constituents. The workers who are employed in cement industries are exposed to cement dust for long periods. Therefore, it is mandatory to evaluate the mutagenic effects of occupational exposure to cement dust in such workers. In the present study, we analyzed the samples of 124 male workers including 59 smokers and 65 non-smokers who were employed in cement industry for a period of 1-17 years. For comparison, 106 controls (including 47 smokers and 59 non-smokers) of the same age group and socio-economic status were also studied. Controls had no exposure to cement dust or any known physical or chemical agent. A significant increase in the incidence of chromosomal aberrations was observed in the exposed group when compared to the control group. The results were analyzed separately for non-smokers and smokers. The chromosomal damage was more pronounced in the smokers when compared with the non-smokers both in control and exposed groups. A significant increase in the frequency of chromosomal aberrations was also observed with increase in age in both control and exposed subjects.

Adult↗

The origin and function of cement gland secretion in Pomphorhynchus laevis (Acanthocephala).

Cement gland protein in male and inseminated female individuals of an acanthocephalan parasite of fish, Pomphorhynchus laevis (Müller, 1776), was localized by immunohistochemistry using an antibody specific for cement protein. Male P. laevis possess 3 pairs of round to oval cement glands ranging from 0.5 to 0.9 mm in length and from 0.3 to 0.7 mm in width. Each gland has an outer portion containing nuclear fragments and other cellular organelles surrounding a space for storage of gland products. Very little work has been carried out on the nature of the cement gland secretions. We have previously reported that the major component of cement is a protein with molecular weight of 23 kDa; in fresh glands it is white in colour. Immunohistochemical studies herein reported were carried out using a polyclonal antibody raised against purified P. laevis p23 cement protein (anti-p23PL). Localization of p23 cement protein at the light microscope level, by means of the anti-p23PL antibody, shows that p23 is present within the cytoplasmic layer of the gland as well as in the gland duct lumen. Interestingly, the p23 cement protein was also identifiable at the posterior ends of females retaining the cap. Positivity to anti-p23PL antibody was obtained not only in the external part of the copulatory cap, but also within the vaginal tract and at the base of the uterine duct. Thus, we report herein the first photographic evidence that the copulatory cap is not a simple gonopore lid but it is really an intravaginal plug.

Acanthocephala↗

Curing characteristics of acrylic bone cement.

Commercial acrylic bone cements are supplied as two components, a polymer powder and a liquid monomer. Mixing of the two components is followed by a progressive polymerization of the liquid monomer to yield a solid mass, a high level of heat being generated during this exothermic reaction. The exposure of bone to high temperatures has led to incidences of bone necrosis and tissue damage, ultimately resulting in failure of the prosthetic fixation. The aim of this study was to determine the thermal properties of two acrylic bone cements as they progress through their polymerization cycles. It was also felt that there was a need to quantify the variations in the curing characteristics as a function of preparing bone cement by different techniques, hand mixing and vacuum mixing. A number of parameters were calculated using the data gathered from the investigation: peak temperature, cure temperature, cure time, and the cumulative thermal necrosis damage index. The results show the temperature profile recorded during polymerization was lowest when the cement was prepared using the Howmedica Mix-Kit I system: 36 degrees C for Palacos R and 41 degrees C for CMW3 respectively. When the acrylic cements were prepared in any vacuum mixing system there was evidence of an increase in the cure temperature. The main factor that contributed to this rise in temperature was an imbalance in the polymer powder : liquid monomer ratio, there was a high incidence of unmixed powder visible in the mixing barrel of some contemporary vacuum mixing devices. Observing the thermal characteristics of the polymethyl methacrylate (PMMA) bone cements assessed, it was found that particular formulations of bone cements are suited to certain mixing methodologies. It is vital that a full investigation is conducted on a cement mixing/delivery system prior to its introduction into the orthopaedic market.

Journal Article↗

Material properties of various cements for use with vertebroplasty.

The purpose of the current study was to measure the material properties of various cements prepared per manufacturers' recommendations and of cements modified according to compositions developed by clinicians with experience performing vertebroplasty. Cement was prepared, cast to form cylindrical specimens, and tested in compression. The optical density of specimens from the various cement preparations was measured. Batches of Simplex P and Cranioplastic cement were also prepared with increased concentrations of BaSO4 (20% and 30%; and 10%, 20% and 30%, respectively) to evaluate the effect of additional BaSO4. Compressive modulus values for polymethylmethacrylate cements ranged from 2-2.7 GPa; some differences were significant (p<0.05). Compared with polymethylmethacrylate cements, Orthocomp exhibited almost twice the compressive modulus and 2-3 times the strength values. Increasing the BaSO4 concentration in Simplex P and Cranioplastic significantly (p<0.05) affected their material properties; however, it is unknown if these changes in material properties are clinically important. Optical density increased as a function of concentration of the opacifying agent added. The current study provides clinicians with information on changes in the material properties of bone cements when the compositions are altered in a manner consistent with the practice of vertebroplasty.

Journal Article↗

The static and cyclic strength of a bone-cement bond.

Four-point bending static and fatigue tests were carried out on bone-cement bonds. The effects of the pressurization and the washing of the bone joint face on the bond strength were investigated. The results are summarized as follows. When the bond surface of cancellous bone is washed prior to the application of the bone cement, both the static and fatigue strengths of the bond are increased relative to the corresponding properties of unwashed bone-cement bonds. From observations of bone-cement interfaces as well as the fracture surfaces of bone-cement specimens, it has been determined that bone cement was able to infiltrate into fine holes present in washed cancellous bone. However, such infiltration occurred to a much lesser degree in the case of unwashed cancellous bone. Increasing the molding pressure during the time of cement application to the bone from 39200 to 117600 Pa had a beneficial effect on the bending strength and fatigue properties, particularly in the case of washed bone cement specimens. An increase in molding pressure also resulted in a reduction in the amount of scatter in test results.

Journal Article↗

Composition effects on the pH of a hydraulic calcium phosphate cement.

The pH of a hydraulic calcium phosphate cement (HCPC) made of monocalcium phosphate monohydrate (Ca(H2PO4)2.H2O; MCPM), beta-tricalcium phosphate (beta-(Ca3(PO4)2; beta-TCP) and water was measured as a function of reaction time and composition at room temperature. During setting, the cement pH varies from very acidic pH values, i.e., 2.5, to almost neutral pH values, i.e., 6. The cement pH profile significantly depends on the initial cement composition. However, all profiles are characterized by a sharp initial decrease of the pH due to the dissolution of MCPM crystals and the precipitation of dicalcium phosphate dihydrate (CaHPO4. 2H2O; DCPD) crystals. With an excess of MCPM, the final pH stays low, and its value can be predicted from the initial composition of the cement and solubility data. With an excess of beta-TCP, the end pH is close to 5, which is much lower than 5.9, the value predicted by calculation. Results suggest that the difference may be due to the presence of impurities in the cement. Replacing MCPM by phosphoric acid renders the cement paste very acidic for the initial 30 s, but then the pH profile follows that obtained with MCPM. Adding pyrophosphate ions into the cement paste postpones the position of the pH minimum. The delay, which is proportional to the concentration of pyrophosphate ions, is thought to be due to the inhibiting action of pyrophosphate ions on the precipitation of DCPD crystals.

Journal Article↗

Effect of processing cement to concrete on hexavalent chromium levels.

Hexavalent chromium sensitization is known to occur from exposure to cement. Concrete is a mixture of cement, sand, rock, and water. Admixtures are compounds used to retard or accelerate concrete setting time. Some countries use ferrous sulfate to reduce hexavalent chromium in cement. We evaluated and compared hexavalent chromium levels in cement, rock (aggregate), and wet and dry concrete in samples from Singapore, Ireland, Denmark, Australia, and the United States. Cement from Denmark contains ferrous sulfate. The effect of representative admixtures on hexavalent chromium concentration in concrete was also evaluated, but technical limitations made evaluation difficult. Soluble chromium levels in cement ranged from 0.225 mg/kg in the US sample to 0.036 mg/kg in the Singapore sample. Aggregate chromium levels ranged from 0.083 mg/kg in the Denmark sample to < 0.002 mg/kg in the Ireland sample. Fresh US concrete, with 1.27 mg/kg hexavalent chromium, contained the highest level. The Denmark sample, with ferrous sulfate added, was lowest (< 0.01 mg/kg). Hardened concrete levels ranged from 0.104 mg/kg from the Ireland sample to 0.002 mg/kg from the Singapore sample. Therefore, hexavalent chromium levels do appear to be influenced by admixtures and by processing from powdered cement to dry concrete. Ferrous sulfate significantly reduced hexavalent chromium levels in fresh cement.

Carcinogens, Environmental↗

Change in cement manufacturing process, a cause for decline in chromate allergy?

Hexavalent chromate in cement is the commonest cause of allergic contact dermatitis, especially among construction workers. Over the past decades, there has been a general decline in the prevalence of chromate allergy among construction workers. We suspect that a change in the constituents of cement, resulting in the lowering of hexavalent chromate, contributed to the decline. Slag (free from hexavalent chromate) from the iron-quenched, blast furnace process has been used as a substitute for clinker (which contains high hexavalent chromate) in manufacturing cement. As a result, the slag has diluted the hexavalent chromate content of cement. Our analytical study showed that slag is free from hexavalent chromate and that the hexavalent chromate of clinker ranged from 6-17 micrograms/g. Substituting slag for clinker resulted in dilution of hexavalent chromate in the cement. The hexavalent chromate content of cement declines proportionately with increasing proportion of slag, e.g., a cement containing 5% slag has a total hexavalent chromate concentration of 17.5 micrograms/g, whereas increasing the proportion of slag to 60% reduced the hexavalent chromate content to 7.1 micrograms/gm in the same cement.

Carcinogens, Environmental↗

Interfacial gaps of resin cemented ceramic inlays.

A method was developed for measuring presence, location and extent of interfacial contraction gaps of resin-cemented ceramic inlays in dentin cavities. Cylindrical ceramic inlays were cemented using one of 12 commercially available resin composite cements to make a film thickness of 200-microns. Cross-sections revealed absence of marginal gaps but contraction gaps occurred at all dentin-cement interfaces at the cavity floors and ranged from 1.6 to 7.1 microns. This was equivalent to 0.8-3.5% of the cement film thickness and was 3-10 times greater than the wall-to-wall contraction in percent observed when resin composites are used as filling materials in 3-5 mm butt-joint dentin cavities. The results support the theory that contraction gaps developing adjacent to thin films of resin cements reach a size equivalent to the cement film thickness multiplied by the volumetric polymerization shrinkage of the cement.

Adhesiveness↗

Asbestos, cement, and cancer in the right part of the colon.

OBJECTIVE: The aim was to investigate associations between exposure to mineral fibres and dust, and cancer in subsites within the large bowel. DESIGN: Pooled retrospective cohort studies. SUBJECTS AND SETTINGS: Blue collar workers, employed for at least one year in different trades; asbestos cement or cement workers (n = 2507), other industrial workers (n = 3965), and fishermen (n = 8092). MAIN OUTCOME MEASURES: Standardised incidence ratios (SIRs, national reference rates) were calculated for cause specific cancer morbidity between 1958 and 1989. The observation period began 15 years after first employment. RESULTS: The asbestos cement and cement workers had a slightly increased risk of colorectal cancer (SIR 1.5; 95% confidence interval (95% CI) 1.1-2.0). This was due to an increase only in the right part of the colon (SIR 2.5; 95% CI 1.6-3.8). The ratio of right (7th revision of the International Classification of Diseases ICD-7) 1530-1531)/left (ICD-7 1532-1533) colon cancer among the asbestos cement and cement workers of 4.8 differed significantly from the ratio both among the other blue collar workers (0.4) and among the fishermen (1.5). As the sensitivity and accuracy was insufficient, mortality data did not show the excess of cancers in the right part of the colon. CONCLUSIONS: An increased incidence of cancer in the right part of the colon was evident in the asbestos cement and cement workers. The distribution of cancers within the colon was noticeably different from that in other blue collar workers, indicating that our findings cannot be explained by socioeconomic confounding factors. A detailed and appropriate disease classification, based on incidence data, is necessary in order not to obscure or underestimate effects of exposure in epidemiological studies on colorectal cancer.

Asbestos↗

Use of zinc phosphate cement as a luting agent for Denzir trade mark copings: an in vitro study.

BACKGROUND: The clinical success rate with zinc phosphate cemented Procera crowns is high. The objective with this study was to determine whether CADCAM processed and zinc phosphate cemented Denzir copings would perform as well as zinc phosphate cemented Procera copings when tested in vitro in tension. METHODS: Twelve Procera copings and twenty-four Denzir copings were made. After the copings had been made, twelve of the Denzir copings were sandblasted on their internal surfaces. All copings were then cemented with zinc phosphate cement to carbon steel dies and transferred to water or artificial saliva. Two weeks after cementation, half of the samples were tested. The remaining samples were tested after one year in the storage medium. All tests were done in tension and evaluated with an ANOVA. RESULTS: Sandblasted and un-sandblasted Denzir copings performed as well as Procera copings. Storage in water or artificial saliva up to one year did not decrease the force needed to dislodge any of the coping groups. Three copings fractured during testing and one coping developed a crack during testing. The three complete fractures occurred in Procera copings, while the partly cracked coping was a Denzir coping. CONCLUSION: No significant differences existed between the different material groups, and the retentive force increased rather than decreased with time. Fewer fractures occurred in Denzir copings, explained by the higher fracture toughness of the Denzir material. Based on good clinical results with zinc phosphate cemented Procera crowns, we foresee that zinc phosphate cement luted Denzir copings are likely to perform well clinically.

Journal Article↗

An in vivo study of exocytosis of cement proteins from barnacle Balanus improvisus (D.) cyprid larva.

Barnacles, like many marine invertebrates, cause serious biofouling to marine industrial constructions and hulls of vessels as they attach themselves to such surfaces. Precise biochemical understanding of the underwater adhesion to surfaces requires a detailed characterization of the biology of the control of barnacle cement secretion and the proteins that make up the cement. In this study, we have investigated cement secretion by cyprid larvae of Balanus improvisus (D.) and the morphology of their cement glands. We studied the cement protein organization within cement granules and categorized the granules into four different types according to their size and morphology, before and after stimulation of secretion. In addition, we followed the exocytotic process of cement secretion in vivo and discovered that granules undergo a dramatic swelling during secretion. Such swelling might be due to an increased osmotic activity of granule contents, following a process of hydration. We hypothesize that this hydration is essential for exocytotic secretion and conclude that cement protein exocytosis is a more complex process than previously thought and is similar to exocytotic secretion in vertebrate systems, such as histamine secretion from mast cells and exocrine secretion in the salivary gland and the pancreas.

Animals↗

Fatigue fracture of a forged cobalt-chromium-molybdenum femoral component inserted with cement. A report of ten cases.

Ten patients who had had a total hip replacement with a forged cobalt-chromium-molybdenum femoral prosthesis (Precoat or Precoat Plus) inserted with cement were seen with a fatigue fracture of the stem an average of fifty months (range, nineteen to seventy-four months) postoperatively. The average age of the patients was sixty-one years (range, forty-three to seventy-three years), and the average weight was ninety-six kilograms (range, seventy to 130 kilograms). Eight patients had had a primary total hip replacement, and two had had a revision; all of the acetabular components had been inserted without cement. Radiographs that had been made before the fracture were available for four of the eight hips that had had a primary replacement; all four had radiographic evidence of debonding of the cement mantle from the proximal end of the stem. This probably caused exaggerated cantilever bending stresses on the proximal aspect of the stem as the distal end of the stem was well fixed. The radiographs of both hips that had had a revision demonstrated a non-union of the greater trochanter, which had resulted in separation at the cement-bone interface at the proximal portion of the femur before the fracture. Scanning electron micrographs of five of the ten fractured prostheses demonstrated a fatigue fracture that began near the anterolateral corner of the prosthesis, through characters that had been etched on the implant with a laser. Metallurgical analysis indicated subsurface voids or inclusions, or both, immediately under the region that had been etched. This finding is consistent with thermal changes to the microstructure of the alloy that probably caused a focal reduction in the material strength. A high proportion (seven) of the ten stems had a poor cement mantle. Also, of the seven small stems that were used, six had been implanted in patients who weighed more than eighty kilograms, so there was relative undersizing of the prostheses. Early debonding of the proximal end of a Precoat femoral prosthesis from the cement mantle may occur as a result of a thin cement mantle, leading to loosening and possibly to early fatigue fracture of the stem if the distal portion of the stem remains solidly fixed in the distal portion of the cement column. On the basis of our experience, we recommend that patients who have radiographic evidence of a debonded Precoat femoral component should be informed of the risk of fatigue fracture of the stem and be followed closely even though there may be no symptoms of loosening of the femoral component.

Adult↗

[A comparative study of marginal microleakage using three different cements in ceramic crowns]

OBJECTIVE: To evaluate the marginal microleakage of IPS-Empress 2 all-ceramic crowns using three different cements. METHODS: Twenty-four IPS-Empress 2 all-ceramic crowns were built and luted onto standardly prepared human upper third molars using three different cements. All samples were thermocycled then submerged in 2% fuchsin for 24 hours. The marginal microleakage at tooth-cement and ceramic crown-cement interfaces was observed using light stereomicroscopy. RESULTS: The Panavia F adhesive luting system demonstrated the least microleakage(0.90+/-0.75, 0.46+/-0.37). Dyract compomer cement showed an intermediate level of microleakage (4.71+/-1.68, 5.28+/-1.48). Harvard zinc phosphate cement was associated with severe microleakage in all specimens( 6.99+/-0.04, 6.99+/-0.04). THe differences in microleakage among the three cements was highly significant(P<0.01). CONCLUSION: Panavia F adhesive luting system was the most effective dental cement to prevent microleakage. It can be used for IPS-Empress 2 posterior all-ceramic crowns.

Journal Article↗

Health hazards of cement dust.

Even in the 21st century, millions of people are working daily in a dusty environment. They are exposed to different types of health hazards such as fume, gases and dust, which are risk factors in developing occupational disease. Cement industry is involved in the development of structure of this advanced and modern world but generates dust during its production. Cement dust causes lung function impairment, chronic obstructive lung disease, restrictive lung disease, pneumoconiosis and carcinoma of the lungs, stomach and colon. Other studies have shown that cement dust may enter into the systemic circulation and thereby reach the essentially all the organs of body and affects the different tissues including heart, liver, spleen, bone, muscles and hairs and ultimately affecting their micro-structure and physiological performance. Most of the studies have been previously attempted to evaluate the effects of cement dust exposure on the basis of spirometry or radiology, or both. However, collective effort describing the general effects of cement dust on different organ and systems in humans or animals, or both has not been published. Therefore, the aim of this review is to gather the potential toxic effects of cement dust and to minimize the health risks in cement mill workers by providing them with information regarding the hazards of cement dust.

Air Pollutants, Occupational↗