Upper gastrointestinal haemorrhage (UGIH) remains a common medical emergency worldwide. It is increasingly recognised that early risk assessment is an important part of management, which helps direct appropriate patie...Upper gastrointestinal haemorrhage (UGIH) remains a common medical emergency worldwide. It is increasingly recognised that early risk assessment is an important part of management, which helps direct appropriate patient care and the timing of endoscopy. Several risk scores have been developed, most of which include endoscopic findings, although a minority do not. These scores were developed to identify various end-points including mortality, rebleeding or clinical intervention in the form of transfusion, endoscopic therapy or surgery. Recent studies have reported accurate identification of a very low risk group on presentation, using scores which require simple clinical or laboratory parameters only. This group may not require admission, but could be managed with early out-patient endoscopy. This article aims to describe the existing pre- and post-endoscopy risk scores for UGIH and assess the published data comparing them in the prediction of outcome. Recent data assessing their use in clinical practice, in particular the early identification of low-risk patients, are also discussed.展开更多
Nowadays, the number of products and also of architectural projects, qualified as ＂sustainable＂, is ever more growing. Following this trend, architectural design may exploit the use of （eco） materials and componen...Nowadays, the number of products and also of architectural projects, qualified as ＂sustainable＂, is ever more growing. Following this trend, architectural design may exploit the use of （eco） materials and components to promote a project as sustainable even without considering its impact on the environment; This can be defined as architectural greenwash. This paper considers the case of green envelopes with the aim to evaluate if these can be defined as sustainable design practice. Green envelopes provide environmental advantages together with the suggestion to a green aesthetics par excellence. In fact, the integration of vegetation in urban fabric plays an important role in improving ecological and environmental conditions of （and in） cities, although systems can have a high environmental burden. This paper aims to answer the question： Is greening the building envelope a sustainable design practice？ To do so, the paper provides a literature review which includes the main research developed regarding environmental burden, benefits and LCA （life cycle assessment） calculations of green envelopes.展开更多
文摘Upper gastrointestinal haemorrhage (UGIH) remains a common medical emergency worldwide. It is increasingly recognised that early risk assessment is an important part of management, which helps direct appropriate patient care and the timing of endoscopy. Several risk scores have been developed, most of which include endoscopic findings, although a minority do not. These scores were developed to identify various end-points including mortality, rebleeding or clinical intervention in the form of transfusion, endoscopic therapy or surgery. Recent studies have reported accurate identification of a very low risk group on presentation, using scores which require simple clinical or laboratory parameters only. This group may not require admission, but could be managed with early out-patient endoscopy. This article aims to describe the existing pre- and post-endoscopy risk scores for UGIH and assess the published data comparing them in the prediction of outcome. Recent data assessing their use in clinical practice, in particular the early identification of low-risk patients, are also discussed.
文摘Nowadays, the number of products and also of architectural projects, qualified as ＂sustainable＂, is ever more growing. Following this trend, architectural design may exploit the use of （eco） materials and components to promote a project as sustainable even without considering its impact on the environment; This can be defined as architectural greenwash. This paper considers the case of green envelopes with the aim to evaluate if these can be defined as sustainable design practice. Green envelopes provide environmental advantages together with the suggestion to a green aesthetics par excellence. In fact, the integration of vegetation in urban fabric plays an important role in improving ecological and environmental conditions of （and in） cities, although systems can have a high environmental burden. This paper aims to answer the question： Is greening the building envelope a sustainable design practice？ To do so, the paper provides a literature review which includes the main research developed regarding environmental burden, benefits and LCA （life cycle assessment） calculations of green envelopes.
