Recyclable Architecture: Prefabricated and Recyclable Typologies

Buildings are being demolished without taking into the account the waste generated, and the housing shortage problem is getting more critical as cities are growing and the demand for built space and the use of resources are increasing. Architectural projects have been using prefabrication and modular systems to solve these problems. However, there is an absence of structures that can be disassembled and reused when the structure’s life ran its course. This paper presents three building prototypes of new recyclable architectural typologies: (i) a Slab prototype designed as a shelf structure where wooden housing modules can be plugged in and out, (ii) a Tower prototype allowing for an easy change of layout and use of different floors and (iii) a Demountable prototype characterized by the entire demountability of the building. These typologies combine modularity, flexibility, and disassembling to address the increasing demands for multi-use, re-usable and resource-efficient constructions. Design, drawings, plans, and 3D models are developed, tested and analyzed as a part of the research. The results show that the implementation of the recyclable architectural concept at the first design stage is feasible and realistic, and ensures the adaptation through time, increases life span, usability and the material reusability, while avoiding demolition, which in turn reduces the construction waste and, consequently, the CO2 emissions

Contrast-induced nephropathy.

Radiological procedures utilizing intravascular iodinated contrast media are being widely applied for both diagnostic and therapeutic purposes and represent one of the main causes of contrast-induced nephropathy (CIN) and hospital-acquired renal failure. Due to the lack of any effective treatment, prevention of this iatrogenic disease, which is associated with significant in-hospital and long-term morbidity and mortality and increased costs, is the key strategy. However, prevention of CIN continues to elude clinicians and is a major concern during percutaneous coronary interventions (PCI), as patients undergoing these procedures often have multiple comorbidities. The purpose of this article is to examine the pathophysiology, risk factors, and clinical course of CIN, as well as the most recent studies dealing with its prevention and potential therapeutic interventions, especially during PCI

Recyclable Architecture: Prefabricated and Recyclable Typologies

Buildings are being demolished without taking into the account the waste generated, and the housing shortage problem is getting more critical as cities are growing and the demand for built space and the use of resources are increasing. Architectural projects have been using prefabrication and modular systems to solve these problems. However, there is an absence of structures that can be disassembled and reused when the structure’s life ran its course. This paper presents three building prototypes of new recyclable architectural typologies: (i) a Slab prototype designed as a shelf structure where wooden housing modules can be plugged in and out, (ii) a Tower prototype allowing for an easy change of layout and use of different floors and (iii) a Demountable prototype characterized by the entire demountability of the building. These typologies combine modularity, flexibility, and disassembling to address the increasing demands for multi‐use, re‐usable and resource‐efficient constructions. Design, drawings, plans, and 3D models are developed, tested and analyzed as a part of the research. The results show that the implementation of the recyclable architectural concept at the first design stage is feasible and realistic, and ensures the adaptation through time, increases life span, usability and the material reusability, while avoiding demolition, which in turn reduces the construction waste and, consequently, the CO2 emissions

BIM-Based End-of-Lifecycle Decision Making and Digital Deconstruction: Literature Review

This article is the second part of a two-part study, which explored the extent to which Building Information Modelling (BIM) is used for End-of-Lifecycle (EoL) scenario selection to minimise the Construction and Demolition Waste (CDW). The conventional literature review presented here is based on the conceptual landscape that was obtained from the bibliometric and scientometric analysis in the first part of the study. Seven main academic research directions concerning the BIM-based EoL domain were found, including social and cultural factors, BIM-based Design for Deconstruction (DfD), BIM-based deconstruction, BIM-based EoL within LCA, BIM-aided waste management, Material and Component Banks (M/C Banks), off-site construction, interoperability and Industry Foundation Classes (IFC). The analysis highlights research gaps in the path of raw materials to reusable materials, i.e., from the deconstruction to M/C banks to DfD-based designs and then again to deconstruction. BIM-based EoL is suffering from a lack of a global framework. The existing solutions are based on local waste management policies and case-specific sustainability criteria selection. Another drawback of these ad hoc but well-developed BIM-based EoL prototypes is their use of specific proprietary BIM tools to support their framework. This disconnection between BIM tools and EoL tools is reportedly hindering the BIM-based EoL, while no IFC classes support the EoL phase information exchange

Development of a BIM-Based Web Tool as a Material and Component Bank for a Sustainable Construction Industry

The construction industry consumes an enormous amount of global resources and produces more waste than any other sector. The need to move toward sustainable development in construction requires significant changes in construction and demolition (C&D) waste management. The estimation of waste, recycling materials and reusable components could be vital in waste management, achieving huge efficiency in the construction industry. Moreover, a typical building comprises of an extensive amount of materials and components with various characteristics. This study proposes a Building Information Modelling (BIM)-based system to allow the circular economy by storing information of the materials and components of buildings and by effectively managing the recycling of materials and reuse of components. A tool which serves as a Material and Component (M&C) bank was developed with PHP and MYSQL by making use of a web browser able to extract the materials and component information of a building through the BIM model. This information is vital for several uses such as quantification of C&D waste and assessing for the design for deconstruction. It can also be used to obtain the information of the reusable condition of the components and instructions for the reconstruction

Extremely large post-liquefaction deformations of saturated sand under cyclic torsional shear loading

The effect of static shear stress on the undrained cyclic behavior of saturated Toyoura sand was studied by conducting a series of torsional shear tests up to double amplitude shear strain of about 100%. After being isotropically consolidated, the specimens were subjected to drained monotonic torsional shear loading, and then, cyclic torsional shear stress was applied under undrained condition. The amplitude of combined static and cyclic shear stress was kept constant by correcting the measured value for the effect of membrane force. Based on these test results, it was found that the effective stress path and the stress-strain curve were affected by the initial static shear stress. Accumulation of shear strain was clearly noticed in the same direction where the static shear stress was applied. Localization of specimen deformation, which increases with the shear strain level, was observed

Developing effective strategies to optimize physical activity and cardiorespiratory fitness in the long Covid population- The need for caution and objective assessment

he Post Covid-19 Condition (commonly known as Long Covid) has been defined by the World Health Organisation as occurring in individuals with a history of probable or confirmed SARS CoV 2 infection, usually within 3 months from the onset of acute Covid-19 infection with symptoms that last for at least two months which cannot be explained by an alternative diagnosis. Long Covid is associated with over two hundred recognised symptoms and affects tens of millions of people worldwide. Widely reported reductions in quality of life(QoL) and functional status are caused by extremely sensitive and cyclical symptom profiles that are augmented following exposure to physical, emotional, orthostatic, and cognitive stimuli. This manifestation prevents millions of people from engaging in routine activities of daily living (ADLs) and has important health and well-being, social and economic impacts. Post-exertional symptom exacerbation (PESE) (also known as post-exertional malaise) is an exacerbation in the severity of fatigue and other symptoms following physical, emotional, orthostatic and cognitive tasks. Typically, this will occur 24–72 h after “over-exertion” and can persist for several days and even weeks. It is a hallmark symptom of Long Covid with a reported prevalence of 86%. The debilitating nature of PESE prevents patients from engaging in physical activity which impacts functional status and QoL. In this review, the authors present an update to the literature relating to PESE in Long Covid and make the case for evidence-based guidelines that support the design and implementation of safe rehabilitation approaches for people with Long Covid. This review also considers the role of objective monitoring to quantify a patient's response to external stimuli which can be used to support the safe management of Long Covid and inform decisions relating to engagement with any stimuli that could prompt an exacerbation of symptoms

Public park spaces as a platform to promote healthy living: introducing a HealthPark concept

The concept of Healthy Living (HL) as a primary medical intervention continues to gain traction, and rightfully so. Being physically active, consuming a nutritious diet, not smoking and maintaining an appropriate body weight constitute the HL polypill, the foundation of HL medicine (HLM). Daily use of the HL polypill, working toward optimal dosages, portends profound health benefits, substantially reducing the risk of chronic disease [i.e., cardiovascular disease (CVD), pulmonary disease, metabolic syndromes, certain cancers, etc.] and associated adverse health consequences. To be effective and proactive, our healthcare system must rethink where its primary intervention, HLM, is delivered. Waiting for individuals to come to the traditional outpatient setting is an ineffective approach as poor lifestyle habits are typically well established by the time care is initiated. Ideally, HLM should be delivered where individuals live, work and go to school, promoting immersion in a culture of health and wellness. To this end, there is a growing interest in the use of public parks as a platform to promote the adoption of HL behaviors. The current perspectives paper provides a brief literature review on the use of public parks for HL interventions and introduces a new HealthPark model being developed in Chicago

The Physiologic Benefits of Optimizing Cardiorespiratory Fitness and Physical Activity – From the Cell to Systems Level in a Post-Pandemic World

Cardiovascular (CV) disease (CVD) is a leading cause of premature death and hospitalization which places a significant strain on health services and economies around the World. Evidence from decades of empirical and observational research demonstrates clear associations between physical activity (PA) and cardiorespiratory fitness (CRF) which can offset the risk of mortality and increase life expectancy and the quality of life in patients. Whilst well documented, the narrative of increased CRF remained pertinent during the coronavirus disease 2019 (COVID-19) pandemic, where individuals with lower levels of CRF had more than double the risk of dying from COVID-19 compared to those with a moderate or high CRF. The need to better understand the mechanisms associated with COVID-19 and those that continue to be affected with persistent symptoms following infection (Long COVID), and CV health is key if we are to be able to effectively target the use of CRF and PA to improve the lives of those suffering its afflictions. Whilst there is a long way to go to optimise PA and CRF for improved health at a population level, particularly in a post-pandemic world, increasing the understanding using a cellular-to-systems approach, we hope to provide further insight into the benefits of engaging in PA

Assessing the Value of Moving More-The Integral Role of Qualified Health Professionals

Being physically active or, in a broader sense, simply moving more throughout each day is one of the most important components of an individual's health plan. In conjunction with regular exercise training, taking more steps in a day and sitting less are also important components of one's movement portfolio. Given this priority, health care professionals must develop enhanced skills for prescribing and guiding individualized movement programs for all their patients. An important component of a health care professional's ability to prescribe movement as medicine is competency in assessing an individual's risk for untoward events if physical exertion was increased. The ability to appropriately assess one's risk before advising an individual to move more is integral to clinical decision-making related to subsequent testing if needed, exercise prescription, and level of supervision with exercise training. At present, there is a lack of clarity pertaining to how a health care professional should go about assessing an individual's readiness to move more on a daily basis in a safe manner. Therefore, this perspectives article clarifies key issues related to prescribing movement as medicine and presents a new process for clinical assessment before prescribing an individualized movement program