The environmental impact of traditional construction materials has led to increasing interest in developing more sustainable alternatives. This study addresses the development of low-carbon autoclaved aerated concrete (AAC) through the complete replacement of ordinary Portland cement (OPC) with ground granulated blast furnace slag (BFS), activated with lime and, in some formulations, supplemented with calcium carbide slag (CCS). Five different AAC mixtures were prepared and evaluated in terms of workability, foaming behavior, compressive strength, phase composition, density, thermal conductivity, and life cycle assessment (LCA). The BFS-based mixtures activated with lime exhibited good workability and foaming stability. After pre-curing, the addition of CCS significantly improved the formation of tobermorite during autoclaving. As a result, the BFS–CCS formulations achieved compressive strengths comparable to the reference OPC-based mix while maintaining low densities (420–441 kg/m³) and thermal conductivities in the range of 0.111–0.119 W/(m·K). These results confirm the technical feasibility of producing structural-grade AAC with a lower environmental footprint.

This research investigates the use of recycled diatomaceous earth (diatomite) from the wine, beer, and oil industries as supplementary cementitious materials in cement-based mixtures. This study aims to reduce embodied energy and promote circular economy practices by incorporating these industrial by-products. The research evaluates the compressive strength, durability, and pozzolanic activity of the mixtures over 7, 28, and 90 days of hydration. The results demonstrate that uncalcined diatoms from wine and oil showed lower compressive strength than natural diatomite, whereas calcination at 500 °C significantly improved performance. Beer diatoms exhibited the lowest mechanical strength because of the organic matter content in their composition. The incorporation of quicklime failed to induce pozzolanic activity in uncalcined diatoms; however, calcination at 500 °C led to improved long-term performance, highlighting the importance of heat treatment for activating diatoms’ pozzolanic properties. This study concludes that recycled diatoms, particularly when calcined, have potential as sustainable cementitious materials.

Introduction: Perioperative management of antithrombotic therapy remains a major clinical challenge, given the balance between bleeding risk and the thromboembolic risk of its interruption. This study analyzed perioperative thromboembolic complications following temporary interruption and/or delayed resumption of antithrombotic therapy, and compared the management decisions made with current recommendations. Case presentation: Five consecutive cases occurring over a five-year period were retrospectively evaluated: one acute myocardial infarction and four ischemic strokes associated with the perioperative interruption of clopidogrel, ticagrelor, acetylsalicylic acid, or apixaban before procedures with varying bleeding risk. Discussion: For low-risk procedures, such as cataract surgery or conventional dental extractions, current evidence does not support routine discontinuation of antiplatelet therapy, given the low bleeding risk and the potential increase in thromboembolic events. In procedures with higher bleeding risk, such as transurethral bladder resection or vitreoretinal surgery, the therapeutic decision should be individualized and antithrombotic therapy resumed promptly once hemostasis is ensured. In exceptional cases with both high thrombotic and bleeding risk and non-deferrable surgery, bridging therapy with intravenous antiplatelet agents may be considered. Conclusion: Three of the five complications occurred before surgery, associated with the anesthesiologist's decision to discontinue treatment. Correct application of current recommendations and multidisciplinary coordination are key to minimizing perioperative complications. A prospective observational study would have an impact on future clinical practice.

This paper presents a microstructural, mineralogical, and mechanical study of low-carbon autoclaved concrete (AC), achieved by partially or fully replacing ordinary Portland cement (OPC) with ground-granulated blast furnace slag (BFS) and substituting lime with calcium carbide slag (CCS). Fourteen mixes were produced and evaluated in the green state and after autoclaving. Quantitative X-ray diffraction (XRD) using the Rietveld method, density, compressive strength, and life cycle assessment (LCA) were conducted. Results show that mixes containing BFS achieve green strengths equal to or higher than the OPC reference, ensuring integrity during autoclaving. Using BFS with an adequate calcium supply promotes the formation of pre-autoclave portlandite, which in turn favors tobermorite development and yields post-autoclave strengths comparable to the OPC reference. Partial lime replacement with CCS (50%) maintains mineralogy and strength, whereas excessive CCS may reduce available portlandite and lower strength. Life-cycle assessment indicates that raw material supply dominates emissions and that removing OPC cuts total CO₂ by 44% without compromising mechanical performance. These findings demonstrate the feasibility of OPC-lean/OPC-free, lime-optimized autoclaved concretes with substantially lower embodied impacts.

Reducing the carbon footprint of the construction sector is a growing priority. This study explores the potential of using submerged arc welding (SAW) slag as a precursor in the development of low-carbon geopolymeric materials for 3D printing. The influence of potassium hydroxide (KOH) molarity, partial replacement of ground granulated blast furnace slag (GGBFS) with SAW slag, and water-to-binder (w/b) ratio was evaluated in terms of fresh and hardened properties. Increasing KOH molarity delayed setting times, with the longest delays at 10 M and 12 M. The highest compressive strength (48.5 MPa at 28 days) was achieved at 8 M; higher molarities led to strength losses due to excessive precursor dissolution and increased porosity. GGBFS replacement increased setting times due to its higher Al₂O₃ and MgO content, which slowed geopolymerization. The optimized formulation, containing 20% SAW slag and activated with 8 M KOH at a w/b ratio of 0.29, exhibited good workability, extrudability, and shape retention. This mixture also performed best in 3D printing trials, strong layer adhesion and no segregation, although minor edge irregularities were observed. These results suggest that SAW slag is a promising sustainable material showing for 3D-printed geopolymers, with further optimization of printing parameters needed to enhance surface quality.

The valorisation of industrial by-products as supplementary cementitious materials is a promising strategy to reduce clinker consumption and improve the sustainability of cement-based materials. In this study, the influence of submerged arc welding (SAW) slag on the hydration behaviour and microstructural evolution of cement pastes was investigated. Two SAW slags from different industrial sources were incorporated as partial replacements of ordinary Portland cement at 5%, 15%, and 30% by mass. Cement pastes were prepared with water-to-binder ratios of 0.3 and 0.4 and characterised through setting time, water demand, mercury intrusion porosimetry (MIP), differential scanning calorimetry (DSC), and X-ray diffraction (XRD). The results showed that SAW slag systematically delayed both initial and final setting times, while having only a negligible effect on water demand. Under the fixed mix conditions adopted in this study, this retardation is interpreted as the combined effect of clinker dilution and modified fresh-state conditions. MIP analysis revealed higher early-age porosity in SAW-containing pastes, particularly at high replacement levels and higher water-to-binder ratios, although mixtures with up to 15% slag approached the reference pore structure at later ages. Thermal analysis indicated lower bound water and portlandite contents at early ages, mainly due to clinker dilution, while long-term hydration development remained comparable at moderate replacement levels. At higher slag contents, some mixtures showed higher calcium carbonate contents, suggesting a tendency toward increased carbonate formation under the investigated conditions. Overall, the results indicate that SAW slag primarily affected early paste behaviour and pore structure development, with clinker dilution appearing to be the main mechanism, although weak secondary physical or chemical contributions cannot be completely excluded.