I am delighted to announce the exciting news that we have received just under 900 abstracts for presentation in the scientific program of the VIth World Congress on Pain in Adelaide, April l-6, 1990. This 1s about a 50% increase in the number of abstracts submitted for the 1987 Congress in Hamburg and it represents by far the greatest number of scientific papers ever offered for the an IASP Congress. This surely reflects the healthy state of IASP and is also a very encouraging indlcator of the high level of activity in basic and clinical research in the field of pain throughout the world. Based upon our previous experience with the ratio of congress delegates to scientific abstracts, the Adelaide Congresses promises to be the largest world congress on pain we have so far held.

International association for the study of pain

This study was designed to investigate the recent movement and current stage of China’s construction and demolition (C&D) waste recycling and reuse. Specifically, the research aimed to provide the big picture of recent C&D waste diversion practice in China, as well as to offer insights from Chinese field practitioners’ perceptions towards benefits, challenges, and recommendations of C&D recycling and reuse. This research was conducted based on a review of existing practice and a holistic approach by collecting feedback of professionals from multiple disciplines through a questionnaire-based survey. Totally 77 valid responses were received from 592 questionnaires sent. Both quantitative data and qualitative information implied that China was still at the early stage of recycling C&D wastes. Lack of client demands was identified as one of the main difficulties in C&D waste diversion. The study revealed that engineers and consultants had a more positive perception on promoting industrial training in C&D waste recycling, while construction management professionals held more conservative opinion on it. It was also found that gaining experience in C&D waste recycling and reuse would offer professionals more positive perception on the quality of products containing recycled contents. It was further implied that although governmental supervision had a high impact on China’s current C&D waste management practice, the economic viability should eventually dominate the C&D waste diversion.

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An empirical study of perceptions towards construction and demolition waste recycling and reuse in China

Background and Purpose—Cerebrovascular disease can complicate head and neck radiotherapy and result in transient ischemic attack and ischemic stroke. Although the incidence of radiation vasculopathy is predicted to rise with improvements in median cancer survival, the pathogenesis, natural history, and management of the disease are ill defined. Methods—We examined studies on the epidemiology, imaging, pathogenesis, and management of medium- and large-artery intra- and extra-cranial disease after head and neck radiotherapy. Controlled prospective trials and larger retrospective trials from the last 30 years were prioritized. Results—The relative risk of transient ischemic attack or ischemic stroke is at least doubled by head and neck radiotherapy. Chronic radiation vasculopathy affecting medium and large intra- and extra-cranial arteries is characterized by increasing rates of hemodynamically significant stenosis with time from radiotherapy. Disease expression is the likely consequence of the combined radi...

Ischemic Stroke and Transient Ischemic Attack After Head and Neck Radiotherapy: A Review

https://www.neurologic.theclinics.com/article/S0733-8619(02)00066-X/pdf

Cerebrovascular complications in cancer patients

OBJECT The objective of this study was to determine the clinical comparative effectiveness and adverse event rates of posterior minimally invasive surgery (MIS) compared with open transforaminal or posterior lumbar interbody fusion (TLIF/PLIF). METHODS A systematic review of the Medline, EMBASE, PubMed, Web of Science, and Cochrane databases was performed. A hand search of reference lists was conducted. Studies were reviewed by 2 independent assessors to identify randomized controlled trials (RCTs) or comparative cohort studies including at least 10 patients undergoing MIS or open TLIF/PLIF for degenerative lumbar spinal disorders and reporting at least 1 of the following: clinical outcome measure, perioperative clinical or process measure, radiographic outcome, or adverse events. Study quality was assessed using the Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) protocol. When appropriate, a meta-analysis of outcomes data was conducted. RESULTS The systematic review and referen...

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Perioperative outcomes and adverse events of minimally invasive versus open posterior lumbar fusion: meta-analysis and systematic review

The proper use of natural resources is one of the fundamental pillars of sustainable development imposed on modern societies. A more effective and efficient use of natural resources, as well as the mitigation of environmental impacts induced by their extraction could be achieved if proper management and recycling policies of Construction and Demolition (C&D) wastes were implemented. The valorisation of wastes in the construction industry is needed and is a way toward sustainability. This paper provides a literature review on studies related to the valorisation of Construction and Demolition (C&D) materials in geotechnical engineering applications, with an emphasis on their use as recycled aggregates in base layers of roadway infrastructures and as filling material for geosynthetic reinforced structures. Specifications that should be followed when these materials are used in such projects are also summarised. With this review it is intended to promote the use of recycled C&D materials, showing that research carried out all over the world has demonstrated their good performance in general.

Use of recycled construction and demolition materials in geotechnical applications: A review

Object Minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) has the potential advantage of minimizing soft-tissue damage and reducing recovery time compared to open procedures. A steep learning curve has been described for the technique. The aim of the present study was to define the learning curve that describes the progress of a single surgeon performing the MI-TLIF. Methods One hundred fifty consecutive patients with degenerative lumbar disease who underwent 1- or 2-level MI-TLIF were included in the study. Operative time, corrected operative time per level, and complications were analyzed. The learning curve was assessed using a negative exponential curve-fit regression analysis. Results One hundred ten patients underwent 1-level and 18 patients underwent 2-level MI-TLIF; the remaining 22 underwent a single-level procedure plus an ancillary procedure (decompression at adjacent level, vertebral augmentation through fenestrated pedicle screws, interspinous device at adjacent level). Negat...

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Learning curve and complications of minimally invasive transforaminal lumbar interbody fusion.

Recycled Construction and Demolition Wastes as filling material for geosynthetic reinforced structures. Interface properties

In recent years environmental sustainability has demanded a progressive increase of waste recycling in general and waste value-added utilisation in the construction industry in particular. As regards the application of construction and demolition wastes (C&DW) in geotechnical works, it has been noticed that the use of recycled aggregates is found mostly in road construction. Value-added utilisation of C&DW in geosynthetic-reinforced structures is almost an unexplored field. This paper presents the results of physical, mechanical and environmental characterisation of recycled C&DW, as well as the direct shear behaviour of three recycled C&DW–geosynthetic interfaces. The C&DW material was collected from a recycling plant and came from the demolition of single-family houses and the cleaning of land with illegal deposits of C&DW. Two geogrids and one geocomposite reinforcement (high- strength geotextile) were used to assess the behaviour of C&DW–geosynthetic interfaces. The environmental characterisation of t...

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Interface shear properties of geosynthetics and construction and demolition waste from large-scale direct shear tests

Objective and importance This case report illustrates the possible occurrence of intracranial aneurysms after surgery and radiation-induced vasculopathy. Clinical presentation An internal carotid bifurcation aneurysm was diagnosed in a 19-year-old woman in a routine follow-up examination by magnetic resonance imaging 5 years after subtotal removal of a giant cystic craniopharyngioma treated by postoperative external radiotherapy. The presence of the aneurysm was confirmed by angiography. Intervention It was decided to treat the aneurysm by embolization with Guglielmi detachable coiling. However, at the beginning of the procedure, a few weeks after the diagnosis, a dramatic reduction in the carotid artery blood flow was observed, along with signs of thrombosis inside the aneurysm. In light of these findings, the procedure was aborted. Four months later, another angiographic examination confirmed the exclusion of the aneurysm and compensatory flow through the external carotid artery. Conclusion During the assessment of patients who have undergone postoperative radiotherapy, the potential for the development of aneurysms and radiation-induced vasculopathy exists and should be kept in mind. Considering the potential for spontaneous thrombosis of these aneurysms, cautious judgment is recommended before making a decision to treat them.

Paulo Pereira

Papers

Use of recycled construction and demolition materials in geotechnical applications: A review

Learning curve and complications of minimally invasive transforaminal lumbar interbody fusion.

Recycled Construction and Demolition Wastes as filling material for geosynthetic reinforced structures. Interface properties

Interface shear properties of geosynthetics and construction and demolition waste from large-scale direct shear tests

Intracranial aneurysm and vasculopathy after surgery and radiation therapy for craniopharyngioma: case report.