3 research outputs found
Environmental impact assessment of different strategies for the remanufacturing of user electronics
Over the years, the innovation and development of electrical and electronic equipment have been on a steep rise. Millions of electronics are being sold or discarded every year in the form of waste. Sustainable IT (Green IT or Circular Computing) is one of the most environment-friendly methods of reusing discarded or waste user electronics. The remanufacturing of a computer refers to the disassembly, repair, and upgrade of the original computer to give it a new life, along with a warranty that is as good as a new product. The goal of this work includes studying and assessing the total environmental impact of refurbishing a computer using life cycle assessment (LCA) integrated with discrete event simulation (DES), to compare two business models: (1) a case of centralized remanufacturing where the plants are in the Middle East, which is the hub for receiving waste electronics and distributing remanufactured goods; (2) a case of decentralized remanufacturing where the plants are situated in each continent for over a range of computer models. The environmental assessment was conducted using the openLCA software in combination with the WITNESS Horizon software for the DES. The results show that decentralized remanufacturing is a much more environmentally friendly option for the remanufacturing of computers, and the decentralized remanufacturing operation has a better throughput as well as efficiency, as compared to the centralized remanufacturing operation. The centralized remanufacturing scenario has a climate change impact of 1035.19 kg of CO2-Eq, as compared to the decentralized remanufacturing scenario with an impact of 816.12 kg of CO2-Eq. In terms of the impact on the marine life, decentralized remanufacturing was found to have 0.28 kg of N-Eq impact, as compared to centralized remanufacturing (0.22 kg of N-Eq). However, this does not give us a complete picture, as the environmental impact of the computer in its previous life remains unknown. Multi life cycle assessment is the assessment process that can be used to get a clearer picture of the ecological footprint of the computer during its multiple life cycles
Accelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial
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Scheuermann Kyphosis: Current Concepts and Management.
PURPOSE OF REVIEW: Scheuermanns kyphosis (SK) is a developmental deformity of the spine that affects up to 8% of children in the US. Although, the natural progression of SK is noted to be gradual over years, severe deformity can be associated with significant morbidity. Thorough clinical examination and interpretation of relevant imaging help differentiate and confirm this diagnosis. Treatment includes both operative and nonoperative approaches. The purpose of this article is to provide an updated overview of the current theories of its pathogenesis, as well as the principles of diagnosis and treatment of SK. RECENT FINDINGS: Although a definitive, unified theory continues to be elusive, numerous reports in the past decade provide insight into the pathophysiology of SK. These include alterations in mechanical stress and/or hormonal disturbances. Candidate genes have also been identified to be linked to the inheritance of SK. Updates to nonoperative treatment include the effectiveness of dedicated exercise programs, as well as the types and duration of orthotic treatment. Advances in surgical technique can be observed with a trend toward a posterior-only approach, with supporting evidence for careful evaluation of both the sagittal and coronal planes to determine fusion levels in order to avoid postoperative junctional pathologies. SK is an important cause of structural or rigid kyphosis. It can lead to significant morbidity in severe cases. Treatment is based on curve magnitude and symptoms. Nonoperative treatment consists of physical therapy in symptomatic patients, and bracing can be added for skeletally mature patients. Operative management can be considered in patients with large, progressive, and symptomatic deformity. Future studies can benefit from a focused investigation into patient-reported outcomes after undergoing appropriate treatment