Suchergebnisse

Recently, there has been an increasing interest in the applications of recycled mixtures with a high reclaimed asphalt pavement (RAP) content. However, many government departments are hesitant about the applications of that due to being worried about the durability of its pavement, and few findings has been reported in terms of the percentage of fine reclaimed asphalt pavement (FRAP, 0~5 mm) in recycled mixtures. In this paper, 25% or more RAP by the weight of aggregates is defined as high RAP and high FRAP refers to 10% or more FRAP by the weight of aggregates. This paper examines the laboratory performances of mixtures with high RAP (30%, 40%, and 50%) and FRAP (10%, 15%, and 20%). Performance evaluations have been conducted by conventional tests, including the low-temperature bending test, fatigue test, and the moisture susceptibility test. The results show that with the increasing RAP and FARP contents, 41% (30-R-10) to 63% (50-R-15) of virgin asphalt can be saved, both the low-temperature and fatigue performance decrease, and the moisture performance firstly increases and then decreases. The results of analysis of variance (ANOVA) in terms of low-temperature and moisture performance show that RAP contents in recycled mixtures have a significant effect on the performance, while the effect of FRAP contents on the performance of recycled mixtures is insignificant.

Abstract

Aims
Alcohol-associated liver disease represents a spectrum of histopathological changes from steatosis to advanced fibrosis and cirrhosis. The major goals of this retrospective study were to characterize the histologic features in patients with excessive alcohol use who presented with an abnormal hepatic panel and/or abnormal radiographic imaging and did not meet the clinical diagnosis of alcoholic hepatitis or cirrhosis.


Methods
We performed a retrospective study to describe hepatic histology of 62 and 83 excessive drinkers with normal and abnormal serum aspartate transaminase, respectively. The types of inflammatory cells in the liver were characterized by immunohistochemistry for CD4, CD8, CD20, CD68 and myeloperoxidase.


Results
Among 62 patients with aspartate aminotransferase (AST) ≤ 50 U/L, 37% had histological evidence of steatosis. Of these, we found evidence of hepatocyte ballooning (21%), lobular inflammation (50%), portal inflammation (52%) and fibrosis (14%). For those with AST > 50 U/L, the presence of hepatic steatosis, lobular inflammation and portal inflammation was observed in 29, 60 and 69% of patients, respectively. Fibrosis was found in 33%, four with bridging fibrosis, and one with cirrhosis. We observed the aggregation of CD68+ macrophages, rather than normally distributed with minimal neutrophilic infiltration. Lobular and portal lymphocytic infiltrations are primarily CD8+ T cells.


Conclusion
Abnormal hepatic histopathology occurs in excessive drinkers with normal transaminase activity. Future studies to determine the diagnostic modalities to detect such abnormalities and to better understand its clinical implications and long-term outcome are needed.