On the Accelerated Failure Time Model for Current Status and Interval Censored Data

This paper introduces a novel approach to making inference about the regression parameters in the accelerated failure time (AFT) model for current status and interval censored data. The estimator is constructed by inverting a Wald type test for testing a null proportional hazards model. A numerically efficient Markov chain Monte Carlo (MCMC) based resampling method is proposed to simultaneously obtain the point estimator and a consistent estimator of its variance-covariance matrix. We illustrate our approach with interval censored data sets from two clinical studies. Extensive numerical studies are conducted to evaluate the finite sample performance of the new estimators.

Induction of Bim and Bid gene expression during accelerated apoptosis in severe sepsis

ABSTRACT: INTRODUCTION: In transgenic animal models of sepsis, members of the Bcl-2-family of proteins regulate lymphocyte apoptosis and survival of sepsis. This study investigates the gene regulation of pro- and anti-apoptotic members of the Bcl-2-family of proteins in patients with early stage severe sepsis. METHODS: In this prospective case-control study patients were recruited from three intensive care units in a university hospital. Sixteen patients were enrolled as soon as they fulfilled the criteria of severe sepsis. Ten critically ill but non-septic patients and eleven healthy volunteers served as controls. Blood samples were immediately obtained at inclusion. To confirm the presence of accelerated apoptosis in the patient groups, caspase-3 activation and phosphatidylserine (PS) externalization in CD4+, CD8+ and CD19+ lymphocyte subsets were assessed by flow cytometry. Specific mRNA's of Bcl-2 family members were quantified from whole blood by real-time polymerase chain reaction. To test for statistical significance, Kruskal-Wallis testing with Dunn's multiple comparison test for post hoc testing was performed. RESULTS: In all lymphocyte populations caspase-3 (p<0.05) was activated, which was reflected in an increased PS externalization (p<0.05). Accordingly, lymphocyte counts were decreased in early severe sepsis. In CD4+ T-cells (p<005) and in B-cells (p<0.001) the Bcl-2 protein was decreased in severe sepsis. Gene expression of the BH3-only Bim was massively upregulated as compared to critically ill patients (p<0.001) and 51.6 fold as compared to healthy controls (p<0.05). Bid was increased 12.9 fold compared to critically ill (p<0.001). In the group of the mitochondrial apoptosis-inducers, Bak was upregulated 5.6 fold, while the expression of Bax showed no significant variations. By contrast, the pro-survival members Bcl-2 and Bcl-xl were both downregulated in severe sepsis (p<0.001, p<0.05). CONCLUSIONS: In early severe sepsis a gene expression pattern with induction of the pro-apoptotic Bcl-2 family members Bim, Bid and Bak and a downregulation of the anti-apoptotic Bcl-2 and Bcl-xl was observed in peripheral blood. This constellation may affect cellular susceptibility to apoptosis and complex immune dysfunction in sepsis.

Evaluating the relationship between moisture induced expansion and horizontal stress orientation in samples from the nonesuch formation

High horizontal stresses can cause numerous ground control problems in mines and other underground structures ultimately impacting worker safety, productivity and the economics of an underground operation. Mine layout and design can be optimized when the presence and orientation of these stresses are recognized and their impact minimized. A simple technique for correlating the principal horizontal stress direction in a sedimentary rock mass with the preferential orientation of moisture induced expansion in a sample of the same rock was introduced in the 1970s and has since gone un-reported and unused. This procedure was reexamined at a locality near the original test site at White Pine, Michigan in order to validate the original research and to consider its usefulness in mining and civil engineering applications in high horizontal stress conditions. This procedure may also be useful as an economical means for characterizing regional stress fields.

Plant invasiveness is not linked to the capacity of regeneration from small fragments: an experimental test with 39 stoloniferous species

Fragmentation and vegetative regeneration from small fragments may contribute to population expansion, dispersal and establishment of new populations of introduced plants. However, no study has systematically tested whether a high capacity of vegetative regeneration is associated with a high degree of invasiveness. For small single-node fragments, the presence of internodes may increase regeneration capacity because internodes may store carbohydrates and proteins that can be used for regeneration. We conducted an experiment with 39 stoloniferous plant species to examine the regeneration capacity of small, single-node fragments with or without attached stolon internodes. We asked (1) whether the presence of stolon internodes increases regeneration from single-node fragments, (2) whether regeneration capacity differs between native and introduced species in China, and (3) whether regeneration capacity is positively associated with plant invasiveness at a regional scale (within China) and at a global scale. Most species could regenerate from single-node fragments, and the presence of internodes increased regeneration rate and subsequent growth and/or asexual reproduction. Regeneration capacity varied greatly among species, but showed no relationship to invasiveness, either in China or globally. High regeneration capacity from small fragments may contribute to performance of clonal plants in general, but it does not appear to explain differences in invasiveness among stoloniferous clonal species

Selective elevation of c-{\it myc} RNA transcripts during clonal evolution of N-methyl-N-nitrosourea induced thymic lymphomas in AKR/J mice

Untreated AKR mice develop spontaneous thymic lymphomas by 6-12 months of age. Lymphoma development is accelerated when young mice are injected with the carcinogen N-methyl-N-nitrosourea (MNU). Selected molecular and cellular events were compared during the latent period preceding "spontaneous" (retrovirally-induced) and MNU-induced thymic lymphoma development in AKR mice. These studies were undertaken to test the hypothesis that thymic lymphomas induced in the same inbred mouse strain by endogenous retroviruses and by a chemical carcinogen develop by different mechanisms.^ Immunofluorescence analysis of differentiation antigens showed that most MNU-induced lymphomas express an immature CD4-8+ profile. In contrast, spontaneous lymphomas represent each of the major lymphocyte subsets. These data suggest involvement of different target populations in MNU-induced and spontaneous lymphomas. Analyses at intervals after MNU treatment revealed selective expansion of the CD4-8+ J11d+ thymocyte subset at 8-10 weeks post-MNU in 68% of the animals examined, suggesting that these cells are targets for MNU-induced lymphomagenesis. Untreated age-matched animals showed no selective expansion of thymocyte subsets.^ Previous data have shown that both spontaneous and MNU-induced lymphomas are monoclonal or oligoclonal. Distinct rearrangement patterns of the J$\sb2$ region of the T-cell receptor $\beta$-chain showed emergence of clonal thymocyte populations beginning at 6-7 weeks after MNU treatment. However, lymphocytes from untreated animals showed no evidence of clonal expansion at the time intervals investigated.^ Activation of c-myc frequently occurs during development of B- and T- cell lymphomas. Both spontaneous and MNU-induced lymphomas showed increased c-myc transcript levels. Increased c-myc transcription was first detected at 6 weeks post-MNU, and persisted throughout the latent period. However, untreated animals showed no increases in c-myc transcripts at the time intervals examined. Another nuclear oncogene, c-fos, did not display a similar change in RNA transcription during the latent period.^ These results supports the hypothesis that MNU-induced and spontaneous tumors develop by multi-step pathways which are distinct with respect to the target cell population affected. Clonal emergence and c-myc deregulation are important steps in the development of both MNU-induced and spontaneous tumors, but the onset of these events is later in spontaneous tumor development. ^

Endovascular treatment for acute ischemic stroke patients: implications and interpretation of IMS III, MR RESCUE, and SYNTHESIS EXPANSION trials: A report from the Working Group of International Congress of Interventional Neurology

OBJECTIVE The results of Interventional Management of Stroke (IMS) III, Magnetic Resonance and REcanalization of Stroke Clots Using Embolectomy (MR RESCUE), and SYNTHESIS EXPANSION trials are expected to affect the practice of endovascular treatment for acute ischemic stroke. The purpose of this report is to review the components of the designs and methods of these trials and to describe the influence of those components on the interpretation of trial results. METHODS A critical review of trial design and conduct of IMS III, MR RESCUE, and SYNTHESIS EXPANSION is performed with emphasis on patient selection, shortcomings in procedural aspects, and methodology of data ascertainment and analysis. The influence of each component is estimated based on published literature including multicenter clinical trials reporting on endovascular treatment for acute ischemic stroke and myocardial infarction. RESULTS We critically examined the time interval between symptom onset and treatment and rates of angiographic recanalization to differentiate between "endovascular treatment" and "parameter optimized endovascular treatment" as it relates to the IMS III, MR RESCUE, and SYNTHESIS EXPANSION trials. All the three trials failed to effectively test "parameter optimized endovascular treatment" due to the delay between symptom onset and treatment and less than optimal rates of recanalization. In all the three trials, the magnitude of benefit with endovascular treatment required to reject the null hypothesis was larger than could be expected based on previous studies. The IMS III and SYNTHESIS EXPANSION trials demonstrated that rates of symptomatic intracerebral hemorrhages subsequent to treatment are similar between IV thrombolytics and endovascular treatment in matched acute ischemic stroke patients. The trials also indirectly validated the superiority/equivalence of IV thrombolytics (compared with endovascular treatment) in patients with minor neurological deficits and those without large vessel occlusion on computed tomographic/magnetic resonance angiography. CONCLUSIONS The results do not support a large magnitude benefit of endovascular treatment in subjects randomized in all the three trials. The possibility that benefits of a smaller magnitude exist in certain patient populations cannot be excluded. Large magnitude benefits can be expected with implementation of "parameter optimized endovascular treatment" in patients with ischemic stroke who are candidates for IV thrombolytics.

Bone loss after ridge expansion with or without reflection of the periosteum.

OBJECTIVE To evaluate the role of the periosteum in preserving the buccal bone after ridge splitting and expansion with simultaneous implant placement. MATERIAL AND METHODS In 12 miniature pigs, the mandibular premolars and first molars were removed together with the interdental bone septa and the buccal bone. Three months later, ridge splitting and expansion of the buccal plate was performed with simultaneous placement of two titanium implants per quadrant. Access by a mucosal flap (MF) was prepared on test sides, while a mucoperiosteal flap (MPF) with complete denudation of the buccal bone was increased on control sides. After healing periods of six and 12 weeks, the animals were sacrificed for histologic and histometric evaluation. RESULTS In the MF group, all 16 implants were osseointegrated, while in the MPF group, four of 16 implants were lost. Noticeable differences of bone levels on the implant surface and of the bone crest (BC) were found between the MF and the MPF group. Buccally after 6 weeks, the median distance between the implant shoulder (IS) and the coronal-most bone on the implant (cBIC) was for the MF group -1.42 ± 0.42 mm and for the MPF group -4.80 ± 2.72 mm (P = 0.15). The median distance between the IS and the buccal BC was -1.24 ± 0.51 mm and -2.78 ± 1.98 mm (P = 0.12) for the MF and MPF group, respectively. After 12 weeks, median IS-cBIC was -2.12 ± 0.84 mm for MF and -7.19 mm for MPF, while IS-BC was -2.08 ± 0.79 mm for MF and -5.96 mm for MPF. After 6 weeks, the median buccal bone thickness for MF and MPF was 0.01 and 0 mm (P < 0.001) at IS, 1.48 ± 0.97 mm and 0 ± 0.77 mm (P = 0.07) at 2 mm apical to IS, and 2.12 ± 1.19 mm and 1.72 ± 01.50 mm (P = 0.86) at 4 mm apical to IS, respectively. After 12 weeks, buccal bone thickness in the MF group was 0 mm at IS, 0.21 mm at 2 mm apical to IS, and 2.56 mm at 4 mm apical to IS, whereas complete loss of buccal bone was measured from IS to 4 mm apical to IS for the MPF group. CONCLUSIONS In this ridge expansion model in miniature pigs, buccal bone volume was significantly better preserved when the periosteum remained attached to the bone.

Simultaneous multi-slice readout-segmented echo planar imaging for accelerated diffusion-weighted imaging of the breast

OBJECTIVES Readout-segmented echo planar imaging (rs-EPI) significantly reduces susceptibility artifacts in diffusion-weighted imaging (DWI) of the breast compared to single-shot EPI but is limited by longer scan times. To compensate for this, we tested a new simultaneous multi-slice (SMS) acquisition for accelerated rs-EPI. MATERIALS AND METHODS After approval by the local ethics committee, eight healthy female volunteers (age, 38.9±13.1 years) underwent breast MRI at 3T. Conventional as well as two-fold (2× SMS) and three-fold (3× SMS) slice-accelerated rs-EPI sequences were acquired at b-values of 50 and 800s/mm(2). Two independent readers analyzed the apparent diffusion coefficient (ADC) in fibroglandular breast parenchyma. The signal-to-noise ratio (SNR) was estimated based on the subtraction method. ADC and SNR were compared between sequences by using the Friedman test. RESULTS The acquisition time was 4:21min for conventional rs-EPI, 2:35min for 2× SMS rs-EPI and 1:44min for 3× SMS rs-EPI. ADC values were similar in all sequences (mean values 1.62×10(-3)mm(2)/s, p=0.99). Mean SNR was 27.7-29.6, and no significant differences were found among the sequences (p=0.83). CONCLUSION SMS rs-EPI yields similar ADC values and SNR compared to conventional rs-EPI at markedly reduced scan time. Thus, SMS excitation increases the clinical applicability of rs-EPI for DWI of the breast.

Accelerated magnetic resonance diffusion tensor imaging of the median nerve using simultaneous multi-slice echo planar imaging with blipped CAIPIRINHA.

PURPOSE To investigate the feasibility of MR diffusion tensor imaging (DTI) of the median nerve using simultaneous multi-slice echo planar imaging (EPI) with blipped CAIPIRINHA. MATERIALS AND METHODS After federal ethics board approval, MR imaging of the median nerves of eight healthy volunteers (mean age, 29.4 years; range, 25-32) was performed at 3 T using a 16-channel hand/wrist coil. An EPI sequence (b-value, 1,000 s/mm(2); 20 gradient directions) was acquired without acceleration as well as with twofold and threefold slice acceleration. Fractional anisotropy (FA), mean diffusivity (MD) and quality of nerve tractography (number of tracks, average track length, track homogeneity, anatomical accuracy) were compared between the acquisitions using multivariate ANOVA and the Kruskal-Wallis test. RESULTS Acquisition time was 6:08 min for standard DTI, 3:38 min for twofold and 2:31 min for threefold acceleration. No differences were found regarding FA (standard DTI: 0.620 ± 0.058; twofold acceleration: 0.642 ± 0.058; threefold acceleration: 0.644 ± 0.061; p ≥ 0.217) and MD (standard DTI: 1.076 ± 0.080 mm(2)/s; twofold acceleration: 1.016 ± 0.123 mm(2)/s; threefold acceleration: 0.979 ± 0.153 mm(2)/s; p ≥ 0.074). Twofold acceleration yielded similar tractography quality compared to standard DTI (p > 0.05). With threefold acceleration, however, average track length and track homogeneity decreased (p = 0.004-0.021). CONCLUSION Accelerated DTI of the median nerve is feasible. Twofold acceleration yields similar results to standard DTI. KEY POINTS • Standard DTI of the median nerve is limited by its long acquisition time. • Simultaneous multi-slice acquisition is a new technique for accelerated DTI. • Accelerated DTI of the median nerve yields similar results to standard DTI.

Instrumentation for accelerated life tests of concentrator solar cells

Concentrator photovoltaic is an emergent technology that may be a good economical and efficient alternative for the generation of electricity at a competitive cost. However, the reliability of these new solar cells and systems is still an open issue due to the high-irradiation level they are subjected to as well as the electrical and thermal stresses that they are expected to endure. To evaluate the reliability in a short period of time, accelerated aging tests are essential. Thermal aging tests for concentrator photovoltaic solar cells and systems under illumination are not available because no technical solution to the problem of reaching the working concentration inside a climatic chamber has been available. This work presents an automatic instrumentation system that overcomes the aforementioned limitation. Working conditions have been simulated by forward biasing the solar cells to the current they would handle at the working concentration (in this case, 700 and 1050 times the irradiance at one standard sun). The instrumentation system has been deployed for more than 10 000 h in a thermal aging test for III-V concentrator solar cells, in which the generated power evolution at different temperatures has been monitored. As a result of this test, the acceleration factor has been calculated, thus allowing for the degradation evolution at any temperature in addition to normal working conditions to be obtained.

Diseño y test VHDL de un cambiador de formato para ver TV3D en un televisor convencional

La difusión de TV3D actual utiliza formatos como el Side-by-Side o Top-and-Bottom, en los que cada par de imágenes, correspondiente a las vistas de los ojos derecho e izquierdo, se encapsula con la mitad de la resolución espacial en una sola imagen. Estas imágenes se muestran de manera casi simultánea de forma que el ojo humano compone una imagen con profundidad que se asemeja a la visión binocular natural. Desde hace un par de años las principales plataformas de televisión han empezado a crear canales con contenido 3D. La televisión 3D (TV3D) se ha introducido en los hogares gracias a los televisores estereoscópicos. Estos televisores, que son compatibles con los formatos antes mencionados, extraen de cada imagen sus dos vistas, recuperan la resolución original y presentan cada vista alternativamente en la pantalla, generando al mismo tiempo una señal de sincronismo para las gafas activas, creando de esta forma la sensación tridimensional de las imágenes. En este PFC se pretende realizar el diseño VHDL de un cambiador de formato que genere en tiempo real la secuencia de imágenes correspondiente a los ojos derecho e izquierdo, con resolución completa, a partir de una secuencia codificada en formato tipo Top-and-Bottom y el banco de test para su prueba. Este circuito se implementará como un periférico del procesador NIOS II de Altera. El diseño podría utilizarse como parte de un sistema que permita la visualización de las actuales emisiones de televisión 3D en un televisor convencional. La tecnología de referencia que se utilizará serán las FPGAs, más concretamente la tarjeta Cyclone III FPGA Starter Kit (EP3C25 FPGA) de Altera, junto a una tarjeta de ampliación de Microtronix con entrada y salida HDMI para video y audio. Además se pretende crear la documentación necesaria para el desarrollo de futuros trabajos relacionados con la televisión 3D. ABSTRACT Current TV3D broadcasting uses formats as Side-by-Side or Top-and-Bottom, where every single pair of images, corresponding to left and right eyes views, are encapsulated with half spatial resolution in one single image. These images are almost simultaneously displayed so that the human eye forms an image with depth resembling naturally binocular vision. From a couple of years the major TV platforms have begun to create 3D content channels. 3D Television (3DTV) has been introduced in homes through stereoscopic televisions. These televisions, which are compatible with the above formats, each image is extracted from the two views, and recover the original resolution and displays alternately each view in screen, while generating a synchronization signal for active glasses, thereby creating the three-dimensional sensation of the images. The main objective in this PFC is to make the design of an exchanger VHDL format in real time to generate the image sequence corresponding to the right and left eyes, with full resolution from an encoded sequence type format Top-and-Bottom and test bench for testing. This circuit is implemented as a Altera NIOS II processor peripheral.The design could be used as part of a system enabling the display of current television broadcasts 3D on a conventional television. The reference technology that will be use are FPGAs, more specifically Cyclone III FPGA Starter Card Kit (EP3C25 FPGA) Altera, along with an expansion card Microtronix with HDMI input and output video and audio. It also aims to create documentation for the development of future works related to 3D TV.

Study of concrete cracking during accelerated corrosion tests in reinforced concrete

Cracking of reinforced concrete can occur in certain environments due to rebar corrosion. The oxide layer growing around the bars introduces a pressure which may be enough to lead to the fracture of concrete. To study such an effect, the results of accelerated corrosion tests and finite ele- ment simulations are combined in this work. In previous works, a numerical model for the expansive layer, called expansive joint element , was programmed by the authors to reproduce the effect of the oxide over the concrete. In that model, the expansion of the oxide layer in stress free conditions is simulated as an uniform expansion perpendicular to the steel surface. The cracking of concrete is simulated by means of finite elements with an embedded adaptable cohesive crack that follow the standard cohesive model. In the present work, further accelerated tests with imposed constant cur- rent have been carried out on the same type of specimens tested in previous works (with an embedded steel tube), while measuring, among other things, the main-crack mouth opening. Then, the tests have been numerically simulated using the expansive joint element and the tube as the corroding electrode (rather than a bar). As a result of the comparison of numerical and experimental results, both for the crack mouth opening and the crack pattern, new insight is gained into the behavior of the oxide layer. In particular, quantitative assessment of the oxide expansion relation is deduced from the ex- periments, and a narrower interval for the shear stiffness of the oxide layer is obtained, which could not be achieved using bars as the corroding element, because in that case the numerical results were insensitive to the shear stiffness of the oxide layer within many orders of magnitude

Estudio experimental sobre la reacción álcali-sílice en el hormigón producida por áridos de reacción lenta

La finalidad de esta investigación se enmarca dentro de los estudios sobre hormigones de presas llevados a cabo en el Laboratorio Central de Estructuras y Materiales del CEDEX. En España se han diagnosticado 18 obras afectadas tanto por la reacción álcali-sílice de tipo rápido como por la de tipo lento. Dos de de las obras, fabricadas con áridos graníticos, no presentan signos de deterioro pero en laboratorio se han hallado productos expansivos. En las 16 presas españolas restantes, el hormigón de 10 de ellas estaba fabricado con áridos graníticos, de las cuales, 7 están afectadas por la reacción de tipo lento. Sin embargo, en las clasificaciones internacionales de las rocas potencialmente reactivas se establece habitualmente que las rocas graníticas son inocuas o de reactividad muy baja. En los casos puntuales encontrados en la literatura, la reactividad de este tipo de áridos se encuentra frecuentemente asociada al cuarzo microcristalino que contienen y ocasionalmente se asocia esta reactividad también al cuarzo deformado y/o microfisurado. En la tesis doctoral de Víctor Daniel Lanza Fernández, también realizada en el CEDEX, se han tratado los áridos de reacción rápida, dando una descripción detallada de los componentes que intervienen en este tipo de reacción y presentando un ensayo eficaz para su detección en el laboratorio. La investigación desarrollada en la presente tesis doctoral se ha centrado en los áridos de reacción lenta, mucho menos estudiados. A partir del estudio bibliográfico realizado sobre este tipo de reacción se ha detectado ciertas lagunas, basadas principalmente en la falta de un método de detección en el laboratorio para los áridos de reacción lenta. No se ha encontrado un procedimiento en el estudio petrográfico que sea fiable y cuantificable para este tipo de áridos. El ensayo acelerado de barras de mortero, que para los áridos de reacción rápida supone un método rápido y fiable, falla en la detección de los áridos de reacción lenta al aplicar los límites normalizados. Si bien en publicaciones recientes se ha propuesto la posibilidad de ampliar el tiempo de tratamiento hasta los 90 días, la duración del ensayo es más larga de lo deseado. Para resolver estas lagunas, se han tomado áridos de obras reales afectadas por la reacción álcali-sílice (en algún caso también de las canteras de donde se extrajeron los áridos para la ejecución), con lo que la reactividad de estos áridos queda demostrada por su comportamiento en obra. Al objeto de aumentar la muestra de ensayo y utilizar también áridos inocuos, se han tomado muestras de canteras, tanto en uso como abandonadas. Sobre estos áridos se ha realizado una caracterización completa con los ensayos actualmente disponibles para el estudio de su reactividad con los álcalis del cemento: estudio petrográfico, ensayo acelerado de barras de mortero y Gel-Pat modificado. En la investigación se ha desarrollado una metodología de tinción de geles álcali-sílice para la cuantificación de los mismos en el interior de las barras de mortero. Se ha relacionado el volumen de gel generado en la reacción con la expansión producida, tanto para áridos lentos, como rápidos, estableciendo analogías y diferencias en el comportamiento de ambos. La cuantificación de este tipo de compuestos realizada en las barras de mortero, abre la posibilidad de estudiar la capacidad expansiva que presentan en testigos de hormigón de obras afectadas. Este dato podría ser una herramienta importante para el desarrollo de modelos matemáticos que puedan predecir el futuro comportamiento de las estructuras afectadas por la reacción álcali-sílice. La tinción ha sido asimismo utilizada para establecer un método de detección de áridos reactivos basado en el ensayo de Gel-Pat modificado. La metodología de detección propuesta para estos áridos es cuantitativa y proporciona los resultados en 14 días, suponiendo una ventaja importante sobre los métodos actuales, que permiten detectarlos en 90 días (de forma orientativa en 56 días). This research is part of the studies on durability of concrete dams carried out in the Laboratorio Central de Estructuras y Materiales of CEDEX during the last years. At the present time, 18 public works affected by alkali-silica reaction have been diagnosed in Spain. In 12 of them the concrete was mixed with granitic aggregates, 7 of which were damaged by the slow alkali-silica reaction, 3 by the rapid alkali-silica reaction and in the other 2 cases, although there was no visual evidence of the reaction in field, the laboratory tests showed the presence of expansive products inside the concrete. However, in the international classifications of potentially reactive aggregates granitic rocks are pointed out as innocuous or as low reactivity and usually their reactivity is attributed to the presence of microcrystalline quartz and occasionally with the strained and microcracked quartz. The rapid reactive aggregates were deeply studied in a previous research (Víctor Daniel Lanza’s Thesis) also carried out in CEDEX. In this research, a detailed description of the components involved in the rapid alkali-silica reaction was given. Also, a fast method to detect them in the laboratory was developed. The research of the present PhD Thesis is focused in the slow-reactive aggregates, much less studied. The state of the art has shown some gaps in the knowledge about this reaction, mainly the absence of a reliable method to detect slow-reactive aggregates. On one side, there is no systematic and quantitative petrographic test for these aggregates. On the other side, the accelerated mortar bar test has been proved to be effective to detect rapid reactive aggregates but the standard limits fail in the detection of the slowreactive aggregates. In recent investigations it has been proposed extending the test until 90 days, but this period is considered too long. In this research, aggregates taken from affected structures have been used in the test, so their reactivity has been shown in practice. With the aim of increasing the number of samples aggregates from quarries have been also used. A method to stain alkali-silica gels has been applied to mortar bars, thereby quantifying the volume of gel generated inside. This volume has been related to the expansion of the bars, both for rapid for slow reactive aggregates, establishing similarities and differences. The quantification of the gel volume, applied to concrete cores extracted from affected structures, could be an important tool in mathematical models to predict the future behaviour of the structures affected by the alkali-silica reaction. The staining method has been also used to develop a method to detect slow reactive aggregates, based on the optimised Gel-Pat test, obtaining results in 14 days. This represents a major improvement compared to the actual methods (accelerated mortar bar test) which give an indicative value of reactivity at 56 days, and a final result at 90 days.