51 research outputs found

    Use of rating systems in the process towards sustainable construction

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    Since the large scale industrialization occurred, the profit oriented human activity has led to a constantly growing environmental degradation. Nowadays, that the actual severity of the problem in hand is impossible to ignore and the spectrum of the future consequences emerges in its full extent, several actions towards the adaptation of sustainability principles in the most problematic sectors of human activity are undertaken. One of these sectors is building sector, incorporating the production, transport, use and replacement of building materials, the use of the building itself (energy consumption for lighting, ventilation, heating and cooling, water consumption etc), the reuse of the building or its materials, the demolition of the building and the disposal of the demolition products. The energy consumed in operating buildings serves as indication of the building sector’s contribution to the total environmental aggravation induced by human activity. According to (OECD, 2003), in the European OECD countries, the building sector consumes the highest amount of energy (40%) in comparison to the transport (22%) and industry sectors (38%). Given the fact that the afore-mentioned quantities include the energy amounts consumed only for the operation of the building, while other processes – unbreakably bonded to construction – such as manufacture and transport of building materials, are not cocalculated, an estimation regarding the impact of the building sector on the environment can be drawn.COST, European Science Foundatio

    Locking plate fixation versus antegrade intramedullary nailing for the treatment of extra-articular distal femoral fractures

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    Aktuglu, Kemal/0000-0001-8058-0364WOS: 000490237700008PubMed: 31378542Introduction: the current study aimed to retrospectively analyze locked plating (LP) and antegrade intramedullary nailing (AIN) for the treatment of extra-articular distal femoral fractures. Patients and methods: Between January 2000 and March 2015, 97 patients (49 male, 48 female) underwent surgery for extra-articular distal femoral fractures in our clinic. Patients were grouped based on their method of treatment (69 (71.1%) with locked plate (LP group) and 28 (28.9%) with antegrade intramedullary nailing (AIN group)), and the groups were analyzed with regards to fracture types, associated trauma, hospital stay, Injury Severity Score (ISS), nonunion, reoperation rate and Lysholm Functional Knee Score. Results: the LP and AIN groups had no significant differences with regards to age and gender. Sixteen patients (16.4%) experienced nonunion; all of these (5 (5.1%) in the AIN group and 11 (11.3%) in the LP group) required a secondary procedure (p = 0.773). ISS was significantly higher in the AIN group (p = 0.033). There were no significant differences between the two groups with regards to hardware failure, postoperative malreduction, reoperation rate, deep infection, and nonunion. However, the AIN group (mean 88) had a significantly higher Lysholm Functional Knee Score than the LP group (mean 75.9) (p = 0.019). Conclusion: in our study we encountered less nonunion in AIN group. Both fixation methods offer good results; however, functional outcomes in the AIN group were significantly better than those in the LP group. (C) 2019 Elsevier Ltd. All rights reserved

    Isovaleric acidaemia: Cranial CT and MRI findings

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    Isovaleric acidaemia is an inborn error of leucine metabolism due to deficiency of isovaleryl-CoA dehydrogenase, which results in accumulation of isovaleric acid in body fluids. There are acute and chronic-intermittent forms of the disease. We present the cranial CT and MRI findings of a 19-month-old girl with the chronic-intermittent form of isovaleric acidaemia. She presented with severe metabolic acidosis, hyperglycaemia, glycosuria, ketonuria and acute encephalopathy. Cranial CT revealed bilateral hypodensity of the globi pallidi. MRI showed signal changes in the globi pallidi and corticospinal tracts of the mesencephalon, which were hypointense on T1-weighted and hyperintense on T2-weighted images
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