The understanding of the composition dependent properties and freezing-thawing (F-T) resistance of geopolymer materials is vital to their applications in cold regions. In this study, metakaolin-based geopolymer (MKG) mortars were fabricated by controlling the Si/Al ratio and the Na/Al ratio. The pore structure and strength were measured by mercury intrusion porosimetry and compression tests, respectively, which both showed obvious correlations with the material composition. Mass loss, strength loss, visual rate, and microscopic observation were adopted to assess the changes of the material properties and microstructure caused by F-T loads. The results showed that the strength-porosity relationship roughly followed a linear plot. Increases of the Si/Al ratio increased the capillary pore volume, but decreased the gel pore volume and the F-T resistance. Increases of the Na/Al ratio decreased the gel pore, but roughly enhanced the F-T resistance. The MKG mortar at the Na/Al ratio of 1.26 showed the lowest total pore volume and the best F-T resistance. The mechanisms of our experimental observations were that the abundantly distributed air voids connected by the capillary pores facilitated the relaxation of hydraulic pressures induced by the freezing of the pore liquid. The findings of this work help better clarify the compositional dependence of the pore structure, strength, and freezing-thawing resistance of MKG materials and provide fundamental bases for their engineering applications in cold regions.

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BackgroundSince most infants are usually discharged before age 48–72 hours, peak bilirubin levels will almost always occur after discharge. Parents may be the first to observe the onset of jaundice after discharge, but visual assessment is unreliable. The jaundice colour card (JCard) is a low-cost icterometer designed for the assessment of neonatal jaundice. The objective of this study was to evaluate parental use of JCard to detect jaundice in neonates.MethodsWe conducted a multicentre, prospective, observational cohort study in nine sites across China. A total of 1161 newborns ≥35 weeks of gestation were enrolled in the study. Measurements of total serum bilirubin (TSB) levels were based on clinical indications. The JCard measurements by parents and paediatricians were compared with the TSB.ResultsJCard values of parents and paediatricians were correlated with TSB (r=0.754 and 0.788, respectively). The parents’ and paediatricians’ JCard values 9 had sensitivities of 95.2% vs 97.6% and specificities of 84.5% vs 71.7% for identifying neonates with TSB ≥153.9 µmol/L. The parents’ and paediatricians’ JCard values 15 had sensitivities of 79.9% vs 89.0% and specificities of 66.7% vs 64.9% for identifying neonates with TSB ≥256.5 µmol/L. Areas under the receiver operating characteristic curves of parents for identifying TSB ≥119.7, ≥153.9, ≥205.2, and ≥256.5 µmol/L were 0.967, 0.960, 0.915, and 0.813, respectively, and those of paediatricians were 0.966, 0.961, 0.926 and 0.840, respectively. The intraclass correlation coefficient was 0.933 between parents and paediatricians.ConclusionThe JCard can be used to classify different levels of bilirubin, but it is less accurate with high bilirubin levels. The JCard diagnostic performance of parents was slightly lower than that of paediatricians.