Ultraviolet radiation intensity predicts the relative distribution of dermatomyositis and anti-Mi-2 autoantibodies in women.

OBJECTIVE: Because studies suggest that ultraviolet (UV) radiation modulates the myositis phenotype and Mi-2 autoantigen expression, we conducted a retrospective investigation to determine whether UV radiation may influence the relative prevalence of dermatomyositis and anti-Mi-2 autoantibodies in the US. METHODS: We assessed the relationship between surface UV radiation intensity in the state of residence at the time of onset with the relative prevalence of dermatomyositis and myositis autoantibodies in 380 patients with myositis from referral centers in the US. Myositis autoantibodies were detected by validated immunoprecipitation assays. Surface UV radiation intensity was estimated from UV Index data collected by the US National Weather Service. RESULTS: UV radiation intensity was associated with the relative proportion of patients with dermatomyositis (odds ratio [OR] 2.3, 95% confidence interval [95% CI] 0.9-5.8) and with the proportion of patients expressing anti-Mi-2 autoantibodies (OR 6.0, 95% CI 1.1-34.1). Modeling of these data showed that these associations were confined to women (OR 3.8, 95% CI 1.3-11.0 and OR 17.3, 95% CI 1.8-162.4, respectively) and suggests that sex influences the effects of UV radiation on autoimmune disorders. Significant associations were not observed in men, nor were UV radiation levels related to the presence of antisynthetase or anti-signal recognition particle autoantibodies. CONCLUSION: This first study of the distribution of myositis phenotypes and UV radiation exposure in the US showed that UV radiation may modulate the clinical and immunologic expression of autoimmune disease in women. Further investigation of the mechanisms by which these effects are produced may provide insights into pathogenesis and suggest therapeutic or preventative strategies.

Minimizing radiation injury and neoplastic effects during pediatric fluoroscopy: what should we know?

Radiation-induced injuries from fluoroscopic procedures in pediatric patients have occurred, and young patients are at greatest risk of many radiation-induced neoplasms. Some fluoroscopists have been injured from their use of fluoroscopy, and they are known to be at risk of radiation-induced neoplasm when radiation is not well-controlled. This article reviews the circumstances that lead to radiation injury and delineates some procedural methods to avoid injury and limit radiation exposure to both the patient and the fluoroscopist.

Amyotrophic lateral sclerosis and Parkinsonism-dementia complex of Guam: Descriptive epidemiology, secular trends, and birth cohort effects on incidence, 1950--1989

This study describes the patterns of occurrence of amyotrophic lateral sclerosis (ALS) and parkinsonism-dementia complex (PDC) of Guam during 1950-1989. Both ALS and PDC occur with high frequency among the indigenous Chamorro population, first recognized in the early 1950's. Reports in the early 1980's indicated that both ALS and PDC were disappearing, due to a purported reduction in exposure to harmful environmental factors as a result of the dramatic changes in lifestyle that took place after World War II. However, this study provides compelling evidence that ALS and PDC have not disappeared on Guam and that rates for both are higher during 1980-1989 than previously reported.^ The patterns of occurrence for both ALS and PDC overlap in most respects: (1) incidence and mortality are decreasing; (2) median age at onset is increasing; (3) males are at increased risk for developing disease; (4) risk is higher for those residing in the south compared to the non-south; and (5) age-specific incidence is decreasing over time except in the oldest age groups.^ Age-specific incidence of ALS and PDC, separately and together, is generally higher for cohorts born before 1920 than for those born after 1920. A significant birth cohort effect on the incidence of PDC for the 1906-1915 birth cohort was found, but not for ALS and for ALS and PDC together. Whether or not a cohort effect, period effect, or both are associated with incidence of ALS and PDC cannot be determined from the data currently available and will require additional follow-up of individuals born after 1920.^ The epidemiological data amassed over this 40-year period provide evidence that supports an environmental exposure model for disease occurrence as opposed to a simple genetic or infectious disease model. Whether neurodegenerative disease in this population occurs as a consequence of a single exposure or is explained by a multifactorial model such as a genetic predisposition with some environmental interaction is yet to be determined. However, descriptive studies such as this can provide clues concerning timing and location of potential adverse exposures but cannot determine etiology, underscoring the urgent need for analytic studies of ALS and PDC to further investigate existing etiologic hypotheses and to test new hypotheses. ^

Ice-Core Based Assessment of Historical Anthropogenic Heavy Metal (Cd, Cu, Sb, Zn) Emissions in the Soviet Union

The development of strategies and policies aiming at the reduction of environmental exposure to air pollution requires the assessment of historical emissions. Although anthropogenic emissions from the extended territory of the Soviet Union (SU) considerably influenced concentrations of heavy metals in the Northern Hemisphere, Pb is the only metal with long-term historical emission estimates for this region available, whereas for selected other metals only single values exist. Here we present the first study assessing long-term Cd, Cu, Sb, and Zn emissions in the SU during the period 1935–1991 based on ice-core concentration records from Belukha glacier in the Siberian Altai and emission data from 12 regions in the SU for the year 1980. We show that Zn primarily emitted from the Zn production in Ust-Kamenogorsk (East Kazakhstan) dominated the SU heavy metal emission. Cd, Sb, Zn (Cu) emissions increased between 1935 and the 1970s (1980s) due to expanded non-ferrous metal production. Emissions of the four metals in the beginning of the 1990s were as low as in the 1950s, which we attribute to the economic downturn in industry, changes in technology for an increasing metal recovery from ores, the replacement of coal and oil by gas, and air pollution control.

Persisting abdominal symptoms after travelers' diarrhea: Is there a genetic predisposition?

Functional gastrointestinal disorders (FGIDs) are defined as ailments of the mid or lower gastrointestinal tract which are not attributable to any discernable anatomic or biochemical defects.1 FGIDs include functional bowel disorders, also known as persisting abdominal symptoms (PAS). Irritable bowel syndrome (IBS) is one of the most common illnesses classified under PAS.2,3 This is the first prospective study that looks at the etiology and pathogenesis of post-infectious PAS in the context of environmental exposure and genetic susceptibility in a cohort of US travelers to Mexico. Our objective was to identify infectious, genetic and environmental factors that predispose to post infectious PAS. ^ Methods. This is a secondary data analysis of a prospective study on a cohort of 704 healthy North American tourists to Cuernavaca, Morelos and Guadalajara, Jalisco in Mexico. The subjects at risk for Travelers' diarrhea were assessed for chronic abdominal symptoms on enrollment and six months after the return to the US. ^ Outcomes. PAS was defined as disturbances of mid and lower gastrointestinal system without any known pathological or radiological abnormalities, or infectious, or metabolic causes. It refers to functional bowel disease, category C of functional gastrointestinal diseases as defined by the Rome II criterion. PAS was sub classified into Irritable bowel syndrome (IBS) and functional abdominal disease (FAD). ^ IBS is defined as recurrent abdominal pain or discomfort present at least 25% and associated with improvement with defecation, change in frequency and form of stool. FAD encompasses other abdominal symptoms of chronic nature that do not meet the criteria for IBS. It includes functional diarrhea, functional constipation, functional bloating: and unspecified bowel symptoms. ^ Results. Among the 704 travelers studied, there were 202 cases of PAS. The PAS cases included 175 cases of FAD and 27 cases of IBS. PAS was more frequent among subjects who developed traveler's diarrhea in Mexico compared to travelers who remained healthy during the short term visit to Mexico (52 vs. 38; OR = 1.8; CI, 1.3–2.5, P < 0.001). A statistically significant difference was noted in the mean age of subjects with PAS compared to healthy controls (28 vs. 34 yrs; OR = 0.97, CI, 0.95–0.98; P < 0.001). Travelers who experienced multiple episodes, a later onset of diarrhea in Mexico and passed greater numbers of unformed stools were more likely to be identified in PAS group at six months. Participants who developed TD caused by enterotoxigenic E.coli in Mexico showed a 2.6 times higher risk of developing FAD (P = 0.003). Infection with Providencia ssp. also demonstrated a greater risk to developing PAS. Subjects who sought treatment for diarrhea while in Mexico also displayed a significantly lower frequency of IBS at six months follow up (OR = 0.30; CI, 0.10–0.80; P = 0.02). ^ Forty six SNPs belonging to 14 genes were studied. Seven SNPs were associated with PAS at 6 months. These included four SNPs from the Caspase Recruitment Domain-Containing Protein 15 gene (CARD15), two SNPs from Surfactant Pulmonary-Associated Protein D gene (SFTPD) and one from Decay-Accelerating Factor For Complement gene (CD55). A genetic risk score (GRS) was composed based on the 7 SNPs that showed significant association with PAS. A 20% greater risk for PAS was noted for every unit increase in GRS. The risk increased by 30% for IBS. The mean GRS was high for IBS (2.2) and PAS (1.1) compared to healthy controls (0.51). These data suggests a role for these genetic polymorphisms in defining the susceptibility to PAS. ^ Conclusions. The study allows us to identify individuals at risk for developing post infectious IBS (PI-IBS) and persisting abdominal symptoms after an episode of TD. The observations in this study will be of use in developing measures to prevent and treat post-infectious irritable bowel syndrome among travelers including pre-travel counseling, the use of vaccines, antibiotic prophylaxis or the initiation of early antimicrobial therapy. This study also provides insights into the pathogenesis of post infectious PAS and IBS. (Abstract shortened by UMI.)^

Industrial benzene emissions in Houston: Legal barriers to reducing a public health threat

Decades of research show that environmental exposure to the chemical benzene is associated with severe carcinogenic, hematoxic and genotoxic effects on the human body. As such, the Environmental Protection Agency (EPA) has designated the chemical as a Hazardous Air Pollutant and prescribed benzene air concentration guidelines that provide cities with an ideal ambient level to protect human health. However, in Houston, Texas, a city home to the top industrial benzene emitters in the US who undoubtedly contribute greatly to the potentially unsafe levels of ambient benzene, regulations beyond the EPA’s unenforceable guidelines are critical to protecting public health. Despite this, the EPA has failed to establish National Ambient Air Quality Standards (NAAQS) for benzene. States are thus left to regulate air benzene levels on their own; in the case of Texas, the Texas Commission on Environmental Quality (TCEQ) and state legislature have failed to proactively develop legally enforceable policies to reduce major source benzene emissions. This inaction continues to exacerbate a public health problem, which may only be solved through a legal framework that restricts preventable benzene emissions to protect human health and holds industrial companies accountable for violations of such regulations and standards. This analysis explores legal barriers that the City of Houston and other relevant agencies currently face in their attempt to demand and bring about such change. ^

ETIOLOGIC AND CLINICAL FACTORS WHICH DIFFERENTIATE PATIENTS WITH CHROMOSOMAL ABNORMALITIES FROM DIPLOID PATIENTS IN ACUTE NONLYMPHOCYTIC LEUKEMIA

Tumor-specific chromosomal abnormalities have been demonstrated in bone marrow of approximately 50% of newly diagnosed acute nonlymphocytic (ANLL) patients. This study examined two hypotheses: (1) Aneuploid (AA) patients are diagnosed later in the course of their disease than diploid (NN) patients; and (2) AA patients are more likely to have been exposed to environmental agents. Of 324 patients eligible for study, environmental exposure data were obtained for 236 (73%) of them. No evidence was found to suggest that AA patients had more advanced disease than NN patients. Aneuploid patients were more likely than NN patients to: (a) report treatment with cytotoxic drugs for a prior medical condition (odds ratio, adjusted for age, sex and other exposures (OR) = 4.25, 95% confidence intervals, 1.38 to 13.17); (b) smoke cigarettes, OR = 1.82 (1.02, 3.26) and (c) drink alcoholic beverages, OR = 1.91 (1.05, 3.48). No statistically significant associations between aneuploidy and occupational exposures were present, OR = 3.59 (0.76, 17.13). Problems in interpreting these ORs are discussed. ^

THE NATURAL AND ORTHOGONAL INTERACTION (NOIA) MODELS FOR QUANTITATIVE TRAITS (QTs) AND COMPLEX DISEASES

My dissertation focuses on developing methods for gene-gene/environment interactions and imprinting effect detections for human complex diseases and quantitative traits. It includes three sections: (1) generalizing the Natural and Orthogonal interaction (NOIA) model for the coding technique originally developed for gene-gene (GxG) interaction and also to reduced models; (2) developing a novel statistical approach that allows for modeling gene-environment (GxE) interactions influencing disease risk, and (3) developing a statistical approach for modeling genetic variants displaying parent-of-origin effects (POEs), such as imprinting. In the past decade, genetic researchers have identified a large number of causal variants for human genetic diseases and traits by single-locus analysis, and interaction has now become a hot topic in the effort to search for the complex network between multiple genes or environmental exposures contributing to the outcome. Epistasis, also known as gene-gene interaction is the departure from additive genetic effects from several genes to a trait, which means that the same alleles of one gene could display different genetic effects under different genetic backgrounds. In this study, we propose to implement the NOIA model for association studies along with interaction for human complex traits and diseases. We compare the performance of the new statistical models we developed and the usual functional model by both simulation study and real data analysis. Both simulation and real data analysis revealed higher power of the NOIA GxG interaction model for detecting both main genetic effects and interaction effects. Through application on a melanoma dataset, we confirmed the previously identified significant regions for melanoma risk at 15q13.1, 16q24.3 and 9p21.3. We also identified potential interactions with these significant regions that contribute to melanoma risk. Based on the NOIA model, we developed a novel statistical approach that allows us to model effects from a genetic factor and binary environmental exposure that are jointly influencing disease risk. Both simulation and real data analyses revealed higher power of the NOIA model for detecting both main genetic effects and interaction effects for both quantitative and binary traits. We also found that estimates of the parameters from logistic regression for binary traits are no longer statistically uncorrelated under the alternative model when there is an association. Applying our novel approach to a lung cancer dataset, we confirmed four SNPs in 5p15 and 15q25 region to be significantly associated with lung cancer risk in Caucasians population: rs2736100, rs402710, rs16969968 and rs8034191. We also validated that rs16969968 and rs8034191 in 15q25 region are significantly interacting with smoking in Caucasian population. Our approach identified the potential interactions of SNP rs2256543 in 6p21 with smoking on contributing to lung cancer risk. Genetic imprinting is the most well-known cause for parent-of-origin effect (POE) whereby a gene is differentially expressed depending on the parental origin of the same alleles. Genetic imprinting affects several human disorders, including diabetes, breast cancer, alcoholism, and obesity. This phenomenon has been shown to be important for normal embryonic development in mammals. Traditional association approaches ignore this important genetic phenomenon. In this study, we propose a NOIA framework for a single locus association study that estimates both main allelic effects and POEs. We develop statistical (Stat-POE) and functional (Func-POE) models, and demonstrate conditions for orthogonality of the Stat-POE model. We conducted simulations for both quantitative and qualitative traits to evaluate the performance of the statistical and functional models with different levels of POEs. Our results showed that the newly proposed Stat-POE model, which ensures orthogonality of variance components if Hardy-Weinberg Equilibrium (HWE) or equal minor and major allele frequencies is satisfied, had greater power for detecting the main allelic additive effect than a Func-POE model, which codes according to allelic substitutions, for both quantitative and qualitative traits. The power for detecting the POE was the same for the Stat-POE and Func-POE models under HWE for quantitative traits.

Concentrations of persistant organic pollutants in Great skua eggs (Stercorarius skua) from Shetland 1980 and 2008

Concentrations of POPs in Great skua eggs from Shetland are among the highest in North Atlantic seabirds, with up to 11,600 µg/kg (ww) DDE and up to 17,900 µg/kg ww SumPCB. Concentrations of legacy POPs were significantly lower in 2008 than 1980. Decreases were greatest for least persistent compounds. Median SumPBDEs increased from 99 µg/kg ww in 1980 to 173 µg/kg ww in 2008. There were changes in Great skua breeding season diet, with more adult Herring and Mackerel and less Sandeel. These changes increase exposure to POPs, since Herring and Mackerel accumulate more POPs than Sandeels. In both years, eggs with higher d15N had higher POP concentrations. In 1980, birds feeding more on demersal discard fish from trawl fisheries and less on Sandeels, had higher POP levels in eggs. In 2008, individuals feeding more on Herring and Mackerel, and less on discards, had higher POP levels in eggs.

Estudio de la permeabilidad y de la resistencia a tracción en hormigones precomprimidos

Entre los requisitos que deben cumplir las estructuras se debe garantizar que estas posean la durabilidad necesaria para permanecer en servicio a lo largo de todo el periodo de vida útil para el que han sido proyectadas. Para conseguir este objetivo las normativas han ido incorporando prescripciones para el diseño del hormigón, en base a distintas clases de exposición dependiendo del origen y magnitud de la agresividad exterior. En ambientes con una elevada agresividad, una de las comprobaciones que debe cumplir el hormigón es que tenga una permeabilidad inferior a los valores máximos fijados según la clase de exposición, y que en caso de considerar como ensayo de referencia el de penetración de agua, analiza el frente de penetración limitando las profundidades de penetración media y máxima. Adicionalmente a las condiciones de diseño según el tipo de ambiente, principalmente basadas en la dosificación del hormigón en términos de la relación agua/cemento y el mínimo contenido de cemento y el recubrimiento de las armaduras, durante la vida en servicio las estructuras pueden están solicitadas por distintas acciones imprevistas que pueden provocar cambios en la microestructura interna del hormigón que modifican su permeabilidad y resistencia, y por tanto pueden alterar la durabilidad inicialmente prevista. Es conocido el efecto de cansancio del hormigón cuando está solicitado por cargas de compresión mantenidas en el tiempo, provocando bajas en su resistencia debido al incremento de la microfisuración. Dada la relación entre la permeabilidad y la microfisuración del hormigón, es previsible el aumento de la permeabilidad en hormigones que han sido precomprimidos durante un periodo largo de tiempo. Los estudios de la permeabilidad en hormigones previamente comprimidos se han realizado analizando periodos de tiempo de compresión cortos que no permiten evaluar el efecto del cansancio sobre la permeabilidad. La presente tesis doctoral investiga la permeabilidad y resistencia a tracción en hormigones que previamente han sido comprimidos en carga mantenida durante distintos plazos de tiempo, al objeto de conocer su evolución en base al tiempo de precompresión. La investigación se apoya en el estudio de otras dos variables como son el tipo de hormigón de acuerdo a su dosificación según el tipo de ambiente considerando una agresividad baja, media o alta, y el grado de compresión aplicado respecto de su carga última de rotura. En los resultados del plan experimental desarrollado se ha obtenido que la permeabilidad presenta un incremento significante con el tiempo de precompresión, que dependiendo del valor inicial de la permeabilidad que tiene el hormigón puede provocar que hormigones que previamente satisfacen las limitaciones de permeabilidad pasen a incumplirlas, pudiendo afectar a su durabilidad. También se confirma la influencia del tiempo de precompresión sobre la resistencia a tracción obteniendo bajas de resistencia importantes en los casos pésimos ensayados, que deben ser tenidas en consideración en tanto afectan a la capacidad resistente del hormigón como a otros aspectos fundamentales como el anclaje de las armaduras en el hormigón armado y pretensado. One of the requirements that structures must meet is to guarantee their durability to remain in service throughout all the working life period for which they have been designed. To achieve this goal, building standards and codes have included specifications for the design of concrete structures, based on different exposure classes depending on the environmental conditions and their origin and magnitude. In severe aggressive environments, one of the specifications the concrete must meet is to have a permeability lower than the maximum values set for a certain exposure class. If this parameter is referenced to water penetration on specimens, then the average and maximum depths of front penetration are analyzed. In addition to the design conditions depending on the exposure class, which regulate the dosage of concrete in terms of the water/cement ratio, minimum samples that have been pre-compressed for a long period of time. Previous studies on permeability have been carried on pre-compressed concrete elements analyzing short periods of time. However, they have not studied the effects of compression forces on concrete in the long term. This Thesis investigates permeability and tensile strength of concrete samples that have been previously compressed under loads applied for different periods of time. The goal is to understand its evolution based on the time exposed to compression. The research variables also include the type of concrete according to the dosage used - depending on the environmental exposure it will have low, medium or high aggressiveness-, and the amount of compression applied in relation to its failure load. Results of the experimental tests showed that permeability increases significantly over the time of pre-compression. Depending on the initial value of permeability, this change could make the concrete not meet the original permeability restrictions and therefore affect its durability. These investigations also confirmed the influence of time of pre-compression in tensile strength, where some cases showed a significant decrease of resistance. These issues must be taken into consideration as they affect the bearing capacity of the material and other key features such as the anchoring of steel bars in reinforced and pre-stressed concrete. amount of cement content and the minimum concrete cover of the steel bars, during their working life structures may be subject to various unforeseen actions. As a result, the concrete’s internal microstructure might be affected, changing its permeability and resistance, and possibly altering the original specified durability. It is a known fact that when concrete is loaded in compression maintained over a long time, its resistance to compression forces is diminished due to the increase in micro-cracking. Considering the relationship between permeability and microcracking of concrete, an increase in permeability may be expected in concrete

Comportamiento frente a la durabilidad de morteros de reparación de cemento modificados con polímeros

El auge que ha surgido en los últimos años por la reparación de edificios y estructuras construidas con hormigón ha llevado al desarrollo de morteros de reparación cada vez más tecnológicos. En el desarrollo de estos morteros por parte de los fabricantes, surge la disyuntiva en el uso de los polímeros en sus formulaciones, por no encontrarse justificado en ocasiones el trinomio prestaciones/precio/aplicación. En esta tesis se ha realizado un estudio exhaustivo para la justificación de la utilización de estos morteros como morteros de reparación estructural como respuesta a la demanda actual disponiéndolo en tres partes: En la primera parte se realizó un estudio del arte de los morteros y sus constituyentes. El uso de los morteros se remonta a la antigüedad, utilizándose como componentes yeso y cal fundamentalmente. Los griegos y romanos desarrollaron el concepto de morteros de cal, introduciendo componentes como las puzolanas, cales hidraúlicas y áridos de polvo de mármol dando origen a morteros muy parecidos a los hormigones actuales. En la edad media y renacimiento se perdió la tecnología desarrollada por los romanos debido al extenso uso de la piedra en las construcciones civiles, defensivas y religiosas. Hubo que esperar hasta el siglo XIX para que J. Aspdin descubriese el actual cemento como el principal compuesto hidraúlico. Por último y ya en el siglo XX con la aparición de moléculas tales como estireno, melanina, cloruro de vinilo y poliésteres se comenzó a desarrollar la industria de los polímeros que se añadieron a los morteros dando lugar a los “composites”. El uso de polímeros en matrices cementantes dotan al mortero de propiedades tales como: adherencia, flexibilidad y trabajabilidad, como ya se tiene constancia desde los años 30 con el uso de caucho naturales. En la actualidad el uso de polímeros de síntesis (polivinialacetato, estireno-butadieno, viniacrílico y resinas epoxi) hacen que principalmente el mortero tenga mayor resistencia al ataque del agua y por lo tanto aumente su durabilidad ya que se minimizan todas las reacciones de deterioro (hielo, humedad, ataque biológico,…). En el presente estudio el polímero que se utilizó fue en estado polvo: polímero redispersable. Estos polímeros están encapsulados y cuando se ponen en contacto con el agua se liberan de la cápsula formando de nuevo el gel. En los morteros de reparación el único compuesto hidraúlico que hay es el cemento y es el principal constituyente hoy en día de los materiales de construcción. El cemento se obtiene por molienda conjunta de Clínker y yeso. El Clínker se obtiene por cocción de una mezcla de arcillas y calizas hasta una temperatura de 1450-1500º C por reacción en estado fundente. Para esta reacción se deben premachacar y homogeneizar las materias primas extraídas de la cantera. Son dosificadas en el horno con unas proporciones tales que cumplan con unas relación de óxidos tales que permitan formar las fases anhidras del Clínker C3S, C2S, C3A y C4AF. De la hidratación de las fases se obtiene el gel CSH que es el que proporciona al cemento de sus propiedades. Existe una norma (UNE-EN 197-1) que establece la composición, especificaciones y tipos de cementos que se fabrican en España. La tendencia actual en la fabricación del cemento pasa por el uso de cementos con mayores contenidos de adiciones (cal, puzolana, cenizas volantes, humo de sílice,…) con el objeto de obtener cementos más sostenibles. Otros componentes que influyen en las características de los morteros son: - Áridos. En el desarrollo de los morteros se suelen usar naturales, bien calizos o silícicos. Hacen la función de relleno y de cohesionantes de la matriz cementante. Deben ser inertes - Aditivos. Son aquellos componentes del mortero que son dosificados en una proporción menor al 5%. Los más usados son los superplastificantes por su acción de reductores de agua que revierte en una mayor durabilidad del mortero. Una vez analizada la composición de los morteros, la mejora tecnológica de los mismos está orientada al aumento de la durabilidad de su vida en obra. La durabilidad se define como la capacidad que éste tiene de resistir a la acción del ambiente, ataques químicos, físicos, biológicos o cualquier proceso que tienda a su destrucción. Estos procesos dependen de factores tales como la porosidad del hormigón y de la exposición al ambiente. En cuanto a la porosidad hay que tener en cuenta la distribución de macroporos, mesoporos y microporos de la estructura del hormigón, ya que no todos son susceptibles de que se produzca el transporte de agentes deteriorantes, provocando tensiones internas en las paredes de los mismos y destruyendo la matriz cementante Por otro lado los procesos de deterioro están relacionados con la acción del agua bien como agente directo o como vehículo de transporte del agente deteriorante. Un ambiente que resulta muy agresivo para los hormigones es el marino. En este caso los procesos de deterioro están relacionados con la presencia de cloruros y de sulfatos tanto en el agua de mar como en la atmosfera que en combinación con el CO2 y O2 forman la sal de Friedel. El deterioro de las estructuras en ambientes marinos se produce por la debilitación de la matriz cementante y posterior corrosión de las armaduras que provocan un aumento de volumen en el interior y rotura de la matriz cementante por tensiones capilares. Otras reacciones que pueden producir estos efectos son árido-álcali y difusión de iones cloruro. La durabilidad de un hormigón también depende del tipo de cemento y su composición química (cementos con altos contenidos de adición son más resistentes), relación agua/cemento y contenido de cemento. La Norma UNE-EN 1504 que consta de 10 partes, define los productos para la protección y reparación de estructuras de hormigón, el control de calidad de los productos, propiedades físico-químicas y durables que deben cumplir. En esta Norma se referencian otras 65 normas que ofrecen los métodos de ensayo para la evaluación de los sistemas de reparación. En la segunda parte de esta Tesis se hizo un diseño de experimentos con diferentes morteros poliméricos (con concentraciones de polímero entre 0 y 25%), tomando como referencia un mortero control sin polímero, y se estudiaron sus propiedades físico-químicas, mecánicas y durables. Para mortero con baja proporción de polímero se recurre a sistemas monocomponentes y para concentraciones altas bicomponentes en la que el polímero está en dispersión acuosa. Las propiedades mecánicas medidas fueron: resistencia a compresión, resistencia a flexión, módulo de elasticidad, adherencia por tracción directa y expansión-retracción, todas ellas bajo normas UNE. Como ensayos de caracterización de la durabilidad: absorción capilar, resistencia a carbonatación y adherencia a tracción después de ciclos hielo-deshielo. El objeto de este estudio es seleccionar el mortero con mejor resultado general para posteriormente hacer una comparativa entre un mortero con polímero (cantidad optimizada) y un mortero sin polímero. Para seleccionar esa cantidad óptima de polímero a usar se han tenido en cuenta los siguientes criterios: el mortero debe tener una clasificación R4 en cuanto a prestaciones mecánicas al igual que para evaluar sus propiedades durables frente a los ciclos realizados, siempre teniendo en cuenta que la adición de polímero no puede ser elevada para hacer el mortero competitivo. De este estudio se obtuvieron las siguientes conclusiones generales: - Un mortero normalizado no cumple con propiedades para ser clasificado como R3 o R4. - Sin necesidad de polímero se puede obtener un mortero que cumpliría con R4 para gran parte de las características medidas - Es necesario usar relaciones a:c< 0.5 para conseguir morteros R4, - La adición de polímero mejora siempre la adherencia, abrasión, absorción capilar y resistencia a carbonatación - Las diferentes proporciones de polímero usadas siempre suponen una mejora tecnológica en propiedades mecánicas y de durabilidad. - El polímero no influye sobre la expansión y retracción del mortero. - La adherencia se mejora notablemente con el uso del polímero. - La presencia de polímero en los morteros mejoran las propiedades relacionadas con la acción del agua, por aumento del poder cementante y por lo tanto de la cohesión. El poder cementante disminuye la porosidad. Como consecuencia final de este estudio se determinó que la cantidad óptima de polímero para la segunda parte del estudio es 2.0-3.5%. La tercera parte consistió en el estudio comparativo de dos morteros: uno sin polímero (mortero A) y otro con la cantidad optimizada de polímero, concluida en la parte anterior (mortero B). Una vez definido el porcentaje de polímeros que mejor se adapta a los resultados, se plantea un nuevo esqueleto granular mejorado, tomando una nueva dosificación de tamaños de áridos, tanto para el mortero de referencia, como para el mortero con polímeros, y se procede a realizar los ensayos para su caracterización física, microestructural y de durabilidad, realizándose, además de los ensayos de la parte 1, mediciones de las propiedades microestructurales que se estudiaron a través de las técnicas de porosimetría de mercurio y microscopia electrónica de barrido (SEM); así como propiedades del mortero en estado fresco (consistencia, contenido de aire ocluido y tiempo final de fraguado). El uso del polímero frente a la no incorporación en la formulación del mortero, proporcionó al mismo de las siguientes ventajas: - Respecto a sus propiedades en estado fresco: El mortero B presentó mayor consistencia y menor cantidad de aire ocluido lo cual hace un mortero más trabajable y más dúctil al igual que más resistente porque al endurecer dejará menos huecos en su estructura interna y aumentará su durabilidad. Al tener también mayor tiempo de fraguado, pero no excesivo permite que la manejabilidad para puesta en obra sea mayor, - Respecto a sus propiedades mecánicas: Destacar la mejora en la adherencia. Es una de las principales propiedades que confiere el polímero a los morteros. Esta mayor adherencia revierte en una mejora de la adherencia al soporte, minimización de las posibles reacciones en la interfase hormigón-mortero y por lo tanto un aumento en la durabilidad de la reparación ejecutada con el mortero y por consecuencia del hormigón. - Respecto a propiedades microestructurales: la porosidad del mortero con polímero es menor y menor tamaño de poro critico susceptible de ser atacado por agentes externos causantes de deterioro. De los datos obtenidos por SEM no se observaron grandes diferencias - En cuanto a abrasión y absorción capilar el mortero B presentó mejor comportamiento como consecuencia de su menor porosidad y su estructura microscópica. - Por último el comportamiento frente al ataque de sulfatos y agua de mar, así como al frente de carbonatación, fue más resistente en el mortero con polímero por su menor permeabilidad y su menor porosidad. Para completar el estudio de esta tesis, y debido a la gran importancia que están tomando en la actualidad factores como la sostenibilidad se ha realizado un análisis de ciclo de vida de los dos morteros objeto de estudio de la segunda parte experimental.In recent years, the extended use of repair materials for buildings and structures made the development of repair mortars more and more technical. In the development of these mortars by producers, the use of polymers in the formulations is a key point, because sometimes this use is not justified when looking to the performance/price/application as a whole. This thesis is an exhaustive study to justify the use of these mortars as a response to the current growing demand for structural repair. The thesis is classified in three parts:The first part is the study of the state of the art of mortars and their constituents.In ancient times, widely used mortars were based on lime and gypsum. The Greeks and Romans developed the concept of lime mortars, introducing components such as pozzolans, hydraulic limes and marble dust as aggregates, giving very similar concrete mortars to the ones used currently. In the middle Age and Renaissance, the technology developed by the Romans was lost, due to the extensive use of stone in the civil, religious and defensive constructions. It was not until the 19th century, when J. Aspdin discovered the current cement as the main hydraulic compound. Finally in the 20th century, with the appearance of molecules such as styrene, melanin, vinyl chloride and polyester, the industry began to develop polymers which were added to the binder to form special "composites".The use of polymers in cementitious matrixes give properties to the mortar such as adhesion, Currently, the result of the polymer synthesis (polivynilacetate, styrene-butadiene, vynilacrylic and epoxy resins) is that mortars have increased resistance to water attack and therefore, they increase their durability since all reactions of deterioration are minimised (ice, humidity, biological attack,...). In the present study the polymer used was redispersible polymer powder. These polymers are encapsulated and when in contact with water, they are released from the capsule forming a gel.In the repair mortars, the only hydraulic compound is the cement and nowadays, this is the main constituent of building materials. The current trend is centered in the use of higher contents of additions (lime, pozzolana, fly ash, silica, silica fume...) in order to obtain more sustainable cements. Once the composition of mortars is analyzed, the technological improvement is centred in increasing the durability of the working life. Durability is defined as the ability to resist the action of the environment, chemical, physical, and biological attacks or any process that tends to its destruction. These processes depend on factors such as the concrete porosity and the environmental exposure. In terms of porosity, it be considered, the distribution of Macropores and mesopores and pores of the concrete structure, since not all of them are capable of causing the transportation of damaging agents, causing internal stresses on the same walls and destroying the cementing matrix.In general, deterioration processes are related to the action of water, either as direct agent or as a transport vehicle. Concrete durability also depends on the type of cement and its chemical composition (cement with high addition amounts are more resistant), water/cement ratio and cement content. The standard UNE-EN 1504 consists of 10 parts and defines the products for the protection and repair of concrete, the quality control of products, physical-chemical properties and durability. Other 65 standards that provide the test methods for the evaluation of repair systems are referenced in this standard. In the second part of this thesis there is a design of experiments with different polymer mortars (with concentrations of polymer between 0 and 25%), taking a control mortar without polymer as a reference and its physico-chemical, mechanical and durable properties were studied. For mortars with low proportion of polymer, 1 component systems are used (powder polymer) and for high polymer concentrations, water dispersion polymers are used. The mechanical properties measured were: compressive strength, flexural strength, modulus of elasticity, adhesion by direct traction and expansion-shrinkage, all of them under standards UNE. As a characterization of the durability, following tests are carried out: capillary absorption, resistance to carbonation and pull out adhesion after freeze-thaw cycles. The target of this study is to select the best mortar to make a comparison between mortars with polymer (optimized amount) and mortars without polymer. To select the optimum amount of polymer the following criteria have been considered: the mortar must have a classification R4 in terms of mechanical performance as well as in durability properties against the performed cycles, always bearing in mind that the addition of polymer cannot be too high to make the mortar competitive in price. The following general conclusions were obtained from this study: - A standard mortar does not fulfill the properties to be classified as R3 or R4 - Without polymer, a mortar may fulfill R4 for most of the measured characteristics. - It is necessary to use relations w/c ratio < 0.5 to get R4 mortars - The addition of polymer always improves adhesion, abrasion, capillary absorption and carbonation resistance - The different proportions of polymer used always improve the mechanical properties and durability. - The polymer has no influence on the expansion and shrinkage of the mortar - Adhesion is improved significantly with the use of polymer. - The presence of polymer in mortars improves the properties related to the action of the water, by the increase of the cement power and therefore the cohesion. The cementitious properties decrease the porosity. As final result of this study, it was determined that the optimum amount of polymer for the second part of the study is 2.0 - 3.5%. The third part is the comparative study between two mortars: one without polymer (A mortar) and another with the optimized amount of polymer, completed in the previous part (mortar B). Once the percentage of polymer is defined, a new granular skeleton is defined, with a new dosing of aggregate sizes, for both the reference mortar, the mortar with polymers, and the tests for physical, microstructural characterization and durability, are performed, as well as trials of part 1, measurements of the microstructural properties that were studied by scanning electron microscopy (SEM) and mercury porosimetry techniques; as well as properties of the mortar in fresh State (consistency, content of entrained air and final setting time). The use of polymer versus non polymer mortar, provided the following advantages: - In fresh state: mortar with polymer presented higher consistency and least amount of entrained air, which makes a mortar more workable and more ductile as well as more resistant because hardening will leave fewer gaps in its internal structure and increase its durability. Also allow it allows a better workability because of the longer (not excessive) setting time. - Regarding the mechanical properties: improvement in adhesion. It is one of the main properties which give the polymer to mortars. This higher adhesion results in an improvement of adhesion to the substrate, minimization of possible reactions at the concrete-mortar interface and therefore an increase in the durability of the repair carried out with mortar and concrete. - Respect to microstructural properties: the porosity of mortar with polymer is less and with smaller pore size, critical to be attacked by external agents causing deterioration. No major differences were observed from the data obtained by SEM - In terms of abrasion and capillary absorption, polymer mortar presented better performance as a result of its lower porosity and its microscopic structure. - Finally behavior against attack by sulfates and seawater, as well as to carbonation, was better in the mortar with polymer because of its lower permeability and its lower porosity. To complete the study, due to the great importance of sustainability for future market facts, the life cycle of the two mortars studied was analysed.