New Infiltration Technique in the Treatment of the Plantar Fascia Syndrome Based on Platelet-Rich Plasma.

Pain in the attachment of the plantar fascia in the calcaneus represents 10% of all sports injuries, affects 10% of foot runners, and will affect around 20% of the world population. There is no effective conservative treatment for it. This paper justifies a new definition and name for this pathology, Plantar Fascia Syndrome (PFS), presents a methodology for its diagnosis, and presents the clinical and functional effectiveness of a new conservative treatment based on platelet-rich plasma (PRP). In total, 25 patients (from an initial sample of 260) diagnosed with recalcitrant PFS lasting for more than 12 months were treated with a single infiltration of 2 mL of PRP, according to a new technic proposed. The study was approved by the ethical committee for clinical research of the reference hospital. The patients were controlled after 15, 30, 90, and 180 days, reviewing on each occasion pain, thickness of the plantar fascia, and active extension of the ankle joint. A total of 15 days after infiltration, 85% of patients had no clinical signs requiring treatment. After 90 days of infiltration, no patients showed clinical signs. This improvement in the patients' condition lasted for 180 days. All patients after treatment can fully resume normal activity with no pain.

Mechanical Optimization of Concrete with Recycled PET Fibres Based on a Statistical-Experimental Study.

Discarded polyethylene terephthalate (PET) bottles have damaged our ecosystem. Problems of marine fauna conservation and land fertility have been related to the disposal of these materials. Recycled fibre is an opportunity to reduce the levels of waste in the world and increase the mechanical performance of the concrete. PET as concrete reinforcement has demonstrated ductility and post-cracking strength. However, its performance could be optimized. This study considers a statistical-experimental analysis to evaluate recycled PET fibre reinforced concrete with various fibre dose and aspect ratio. 120 samples were experimented under workability, compressive, flexural, and splitting tensile tests. The results pointed out that the fibre dose has more influence on the responses than its fibre aspect ratio, with statistical relation on the tensional toughness, equivalent flexural strength ratio, volumetric weight, and the number of fibres. Moreover, the fibre aspect ratio has a statistical impact on the tensional toughness. In general, the data indicates that the optimal recycled PET fibre reinforced concrete generates a superior performance than control samples, with an improvement similar to those reinforced with virgin fibres.

Key aspects of building retrofitting: Strategizing sustainable cities.

Many cities are making efforts to develop an urban transformation strategy in order to transition from traditional cities to sustainable ones. Improving the energy efficiency of buildings, especially existing ones, is key to combating climate change. This paper uses a business perspective to analyze and compare three major retrofitting interventions under implementation in three different European cities, Nantes, Hamburg and Helsinki, to capture the principal needs and challenges and to identify governance recommendations for local authorities on building retrofitting replication and scale-up strategies. The authors analyze the municipal business models of residential building retrofitting interventions, which are very different from those of private companies, through two innovative business tools: the Value Creation Ecosystem (VCE) and the City Model Canvas (CMC). Sustainable development in terms of social inclusion, environmental protection and financial viability is the principal axis of the study. The bottleneck for residential building retrofitting is owner engagement, due to the high up-front cost. The analysis of the three cities' business models has shown interesting ideas for promoting this type of interventions. The development of a costumer customer interface lead by the municipality; the offering of funding schemes, the promotion of risk-sharing schemes and guaranteed saving, through the implementation of EPC, and the owners' involvement in co-creation strategies using 4 P approaches could all help city governments to increase the ratio of owners willing to participate. These results and the discussion will help public managers to prepare their cities' strategies in terms of business models when they try to implement building retrofitting projects.