Timber and Multi-Storey Buildings: Industry Perceptions of Adoption in Australia

The use of Engineered Wood Systems (EWS) as structural alternatives or complements of traditional materials, such as steel and concrete, is of growing interest and acceptance in the architecture, engineering, and construction industries. Gathering evidence from the Australian context, this paper proposes a roadmap for the adoption of EWS as the primary structural materials of medium-rise buildings, with the scope of increasing levels of public awareness about the potential and current shortcomings of these building technologies. A nation-wide survey with stakeholders at the forefront of adoption in structural design, construction, and property development, indicates that the demand for timber in multi-storey projects has promising prospects of growth, but faces circumstantial industry-wide hurdles in the short to medium term. Awareness of benefits and inclination towards more use of timber among designers are positive factors that provide a promising base for further adoption. The translation of positive front-end design attitudes into adoption, however, requires holistic long-term investment efforts with industry-wide education. The pathway to innovation for timber in multi-storey projects needs to grow beyond mere promotional strategies of its benefits, seeking to expand technical knowledge through education and reaching out beyond a group of already committed and knowledgeable stakeholders at the forefront of adoption

Timber and Multi-Storey Buildings: Industry Perceptions of Adoption in Australia

The use of Engineered Wood Systems (EWS) as structural alternatives or complements of traditional materials, such as steel and concrete, is of growing interest and acceptance in the architecture, engineering, and construction industries. Gathering evidence from the Australian context, this paper proposes a roadmap for the adoption of EWS as the primary structural materials of medium-rise buildings, with the scope of increasing levels of public awareness about the potential and current shortcomings of these building technologies. A nation-wide survey with stakeholders at the forefront of adoption in structural design, construction, and property development, indicates that the demand for timber in multi-storey projects has promising prospects of growth, but faces circumstantial industry-wide hurdles in the short to medium term. Awareness of benefits and inclination towards more use of timber among designers are positive factors that provide a promising base for further adoption. The translation of positive front-end design attitudes into adoption, however, requires holistic long-term investment efforts with industry-wide education. The pathway to innovation for timber in multi-storey projects needs to grow beyond mere promotional strategies of its benefits, seeking to expand technical knowledge through education and reaching out beyond a group of already committed and knowledgeable stakeholders at the forefront of adoption

Effects of α-lipoic acid therapy on sympathetic heart innervation in patients with previous experience of transient takotsubo cardiomyopathy

AbstractBackgroundTakotsubo syndrome is a stress cardiomyopathy, characterized by reversible left ventricle (LV) apical ballooning in the absence of significant angiographic coronary artery stenosis. The frequent association with emotional stress suggests in this disease an autonomic nervous system involvement. We could think that a therapeutic treatment targeting heart sympathetic dysfunction could be of crucial importance.MethodsFrom January 2010 to June 2012, 886 patients were consecutively evaluated at Cardarelli Hospital, Naples, Italy. Among these, 48 patients met takotsubo cardiomyopathy (TCM) criteria. Each patient was assessed with history and physical examination, 12-lead electrocardiogram, serum troponin, coronary arteriography, and left ventricular angiogram, perfusion myocardial scintigraphy with technetium 99m, with echocardiography and 123I-metaiodobenzylguanidine (MIBG) myocardial scintigraphy. At discharge, the surviving patients were randomly assigned to α-lipoic acid (ALA) treatment (600mg once daily) or placebo. Following discharge, after the initial TCM event, patients returned to our outpatient clinic at Internal Medicine of the Second University Naples for the follow-up evaluation quarterly until 12 months. Routine analysis, myocardial damage serum markers, oxidative stress serum markers, pro-inflammatory cytokines, and sympathetic tone activity were evaluated in all patients.ResultsALA administration improved MIBG defect size at 12 months compared to placebo.ConclusionsAdrenergic cardiac innervation dysfunction in TCM patients persists after previous experience of transient stress-induced cardiac dysfunction. ALA treatment improves the adrenergic cardiac innervation. This study evaluates whether sympatho-vagal alterations are TCM event-related