Structural performance of lightweight aggregate concrete reinforced by glass or basalt fiber reinforced polymer bars

Lightweight aggregate concrete (LWC) and fiber reinforced polymer (FRP) reinforcement are potentially more sustainable alternatives to traditional steel-reinforced concrete structures, offering several important benefits. To further the knowledge in this area, the physical–mechanical properties of LWC produced with 0%, 50%, and 100% expanded clay aggregate were assessed. Subsequently, the flexural behavior of LWC beams reinforced with steel reinforcement and glass and basalt FRP bars was tested. The results of the experimental program allowed quantifying of the effect of expanded clay aggregate incorporation on LWC properties. The use of FRP reinforcement was also compared to steel-reinforced concrete beam behavior. The results of this study can provide additional support for the use of innovative materials such as LWA and FRP reinforcement.The authors wish to thank the Czech Science Foundation which supports the research under project No. 21-00800S.Peer ReviewedPostprint (published version

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially