La sostenibilidad en la arquitectura industrializada: cerrando el ciclo de los materiales

The condition of sustainability, from a physical point of view, can be defined as the closure of the material cycle. This is reached in determined systems, in the absence of residual flows, and in which resources are constantly recycled. Such systems can encounter serious obstacles in the productive model that characterises the majority of contemporary industry. The productive model, born during the Industrial Revolution, can be summarised by the following lineal sequence: extraction > manufacture > use > residue. In contrast, this research focuses on a productive model from the ecological industry, based on the example of the biosphere as a recycling machine. Requiring the elimination of the concept of residues, the system can be summarised by the following continuous cycle: recycling-manufacturing-use-recycling. The hypothesis posed is as follows: using technology presently available, represented by the lightweight modular construction that is commercialised by renting (making it possible to return the modules to the factory once their useful life is over, therefore recuperating resources), a management system capable to close the material cycle at least to 90% can be developed. (conventional building construction currently manages a recycling value of 10% of used resources).La condición de sostenibilidad, desde el punto de vista físico, puede ser definida como el cierre de los ciclos materiales, alcanzándose éste en un sistema determinado cuando no existen flujos de residuos sino que los recursos se reciclan constantemente. Tal condición encuentra un fuerte obstáculo en el modelo productivo que caracteriza a la mayor parte de la industria contemporánea, nacido en la revolución industrial, que puede sintetizarse en la secuencia lineal extracción > fabricación > uso > residuo. En oposición a ello, el modelo productivo en el que se centra la investigación que aquí se presenta es la ecología industrial y se basa en el ejemplo de la biosfera como máquina de reciclar. Supone la eliminación del concepto de residuo y puede resumirse en el ciclo continuo de reciclaje-fabricación-uso-reciclaje. La hipótesis planteada consiste en que, a partir de los sistemas de construcción modular ligera que se comercializan bajo el sistema de alquiler (que hace posible que los módulos regresen a la fábrica una vez cumplida su vida útil, recuperándose sus componentes) se puede desarrollar un sistema de gestión de los recursos empleados en el ciclo de vida de los edificios capaz de cerrar los ciclos materiales hasta en un 90% (en la construcción convencional se alcanza un 10%)

Rehabilitación de edificios bajo objetivos de reducción de impacto ambiental: un caso piloto de vivienda plurifamiliar en el área de Playa de Palma, Mallorca

This article presents briefly the work Pilot study to reduce environmental impact: evaluation and assessment of a sustainable refurbishment of an existing residential building in Playa de Palma carried out by the Consortium of Palma Beach. It will be explained by how the environmental impacts of the building can be reduced by 50% or more as a result of future refurbishment and subsequent management, referring to both its current situation and refurbishment standards in residential buildings. It also includes an approximated evaluation of the CO2 emission reduction achieved in the building life cycle and the projected costs for the various actions of the refurbishment model proposed by the Consortium, to be carried out in other renovation operations in Palma Beach.Este artículo resume el estudio Experiencia piloto para la reducción del impacto ambiental: evaluación y asesoramiento a la rehabilitación sostenible de un edificio de viviendas existente en Playa de Palma realizado para el Consorci de Platja de Palma. Se explica a través de qué medidas es posible reducir en un 50% o más los impactos ambientales del edificio como producto de su futura rehabilitación y posterior gestión respecto tanto de su situación actual como de los estándares de rehabilitación al uso en edificios de vivienda. Asimismo, se incluye también una aproximación a las reducciones de emisiones de CO2 que se consiguen en el ciclo de vida del edificio y a los costes previstos para las distintas actuaciones del modelo de rehabilitación que el citado consorcio propone para las operaciones de rehabilitación a llevarse adelante en Playa de Palma

Towards Zero Emissions CO2-Reduction in Mediterranean Social Housing

An in-depth study of the construction, use and deconstruction of a 60 apartment social housing complex to be built close to Barcelona revealed the importance of the application of life-cycle analysis, as the materials’ embodied energy showed to be responsible for half of the building’s life-cycle emissions. A 72% energy reduction compared to conventional housing projects is expected by implementation of centralised HVAC and DHW systems, based on ground source heat pumps and solar thermal energy, introducing an in Catalonia innovative facility management approach where energy and flow meters are installed in each flat for internet-based control of energy consumption, invoicing and supervision of the installation. A second study showed that up to 90% CO2 reduction considering the overall lifecycle is feasible at reasonable cost by giving priority to organic building materials like wood (CO2 storage effect), minimizing underground construction and increasing energy supply based on renewable energies

Cancer patients’ experiences of using an Interactive Health Communication Application (IHCA)

Interactive Health Communication Applications (IHCAs) are increasingly used in health care. Studies document that IHCAs provide patients with knowledge and social support, enhance self- efficacy and can improve behavioural and clinical outcomes. However, research exploring patients’ experiences of using IHCAs has been scarce. The aim of this study was to explore cancer patients’ perspectives and experiences related to the use of an IHCA called WebChoice in their homes. Qualitative interviews were conducted with infrequent, medium and frequent IHCA users—six women and four men with breast and prostate cancer. The interviews were transcribed and analyzed inspired by interactionistic perspectives. We found that some patients’ perceived WebChoice as a “friend,” others as a “stranger.” Access to WebChoice stimulated particularly high frequency users to position themselves as “information seeking agents,” assuming an active patient role. However, to position oneself as an “active patient” was ambiguous and emotional. Feelings of “calmness”, “normalization of symptoms”, feelings of “being part of a community”, feeling “upset” and “vulnerable”, as well as “feeling supported” were identified. Interaction with WebChoice implied for some users an increased focus on illness. Our findings indicate that the interaction between patients and an IHCA such as WebChoice occurs in a variety of ways, some of which are ambivalent or conflicting. Particularly for frequent and medium frequency users, it offers support, but may at the same time reinforce an element of uncertainty in their life. Such insights should be taken into consideration in the future development of IHCAs in healthcare in general and in particular for implementation into patients’ private sphere

Interaction with potential donors' families: The professionals' community of concern—a phenomenological study

The aim of this paper was to explore the health professionals' experiences and gain a deeper understanding of interaction with families of critically ill or traumatized patients with severe brain injuries. The methodological approach was qualitative and phenomenological. Data were collected through participant observation and in-depth interviews with nurses, physicians, and chaplains working in two ICUs in a Norwegian university hospital. A thematic analysis was used for analyzing data. Two main themes emerged from analysis: Patient oriented even when present and Family oriented even when absent. Each main theme is divided into two sub-themes. The themes appeared as phases in an interaction process. In the two first phases the interaction may be characterized as Alternating between being absent and present and Following up and withholding information and in the two last phases as Turning point and changing focus and Partly present when waiting for death. The findings are in the discussion illuminated by the phenomenological concept of concern. Concern is visible as care, and the distinction in care between “leaps in” and “leaps ahead” and “ready-to-hand” and “unready-to-hand” are topics in the discussion. Because of the complexity of caring for both patient and family, the situation demands efforts to relieve nurses in particular, during the most demanding phases of the process

Use of complementary alternative medicine for low back pain consulting in general practice: a cohort study

<p>Abstract</p> <p>Background</p> <p>Although back pain is considered one of the most frequent reasons why patients seek complementary and alternative medical (CAM) therapies little is known on the extent patients are actually using CAM for back pain.</p> <p>Methods</p> <p>This is a post hoc analysis of a longitudinal prospective cohort study embedded in a RCT. General practitioners (GPs) recruited consecutively adult patients presenting with LBP. Data on physical function, on subjective mood, and on utilization of health services was collected at the first consultation and at follow-up telephone interviews for a period of twelve months</p> <p>Results</p> <p>A total of 691 (51%) respectively 928 (69%) out of 1,342 patients received one form of CAM depending on the definition. Local heat, massage, and spinal manipulation were the forms of CAM most commonly offered. Using CAM was associated with specialist care, chronic LBP and treatment in a rehabilitation facility. Receiving spinal manipulation, acupuncture or TENS was associated with consulting a GP providing these services. Apart from chronicity disease related factors like functional capacity or pain only showed weak or no association with receiving CAM.</p> <p>Conclusion</p> <p>The frequent use of CAM for LBP demonstrates that CAM is popular in patients and doctors alike. The observed association with a treatment in a rehabilitation facility or with specialist consultations rather reflects professional preferences of the physicians than a clear medical indication. The observed dependence on providers and provider related services, as well as a significant proportion receiving CAM that did not meet the so far established selection criteria suggests some arbitrary use of CAM.</p

Modelling Vesicular Release at Hippocampal Synapses

We study local calcium dynamics leading to a vesicle fusion in a stochastic, and spatially explicit, biophysical model of the CA3-CA1 presynaptic bouton. The kinetic model for vesicle release has two calcium sensors, a sensor for fast synchronous release that lasts a few tens of milliseconds and a separate sensor for slow asynchronous release that lasts a few hundred milliseconds. A wide range of data can be accounted for consistently only when a refractory period lasting a few milliseconds between releases is included. The inclusion of a second sensor for asynchronous release with a slow unbinding site, and thereby a long memory, affects short-term plasticity by facilitating release. Our simulations also reveal a third time scale of vesicle release that is correlated with the stimulus and is distinct from the fast and the slow releases. In these detailed Monte Carlo simulations all three time scales of vesicle release are insensitive to the spatial details of the synaptic ultrastructure. Furthermore, our simulations allow us to identify features of synaptic transmission that are universal and those that are modulated by structure

Morphological docking of secretory vesicles

Calcium-dependent secretion of neurotransmitters and hormones is essential for brain function and neuroendocrine-signaling. Prior to exocytosis, neurotransmitter-containing vesicles dock to the target membrane. In electron micrographs of neurons and neuroendocrine cells, like chromaffin cells many synaptic vesicles (SVs) and large dense-core vesicles (LDCVs) are docked. For many years the molecular identity of the morphologically docked state was unknown. Recently, we resolved the minimal docking machinery in adrenal medullary chromaffin cells using embryonic mouse model systems together with electron-microscopic analyses and also found that docking is controlled by the sub-membrane filamentous (F-)actin. Currently it is unclear if the same docking machinery operates in synapses. Here, I will review our docking assay that led to the identification of the LDCV docking machinery in chromaffin cells and also discuss whether identical docking proteins are required for SV docking in synapses