Saving energy in residential buildings: the role of energy pricing.

Unlabelled: A zero-carbon society requires dramatic change everywhere including in buildings, a large and politically sensitive sector. Technical possibilities exist but implementation is slow. Policies include many hard-to-evaluate regulations and may suffer from rebound mechanisms.

Skin-sparing mastectomy with immediate nipple reconstruction during autologous latissimus dorsi breast reconstruction: A review of patient satisfaction.

Background: Nipple-areolar complex (NAC) reconstruction following curative mastectomy is traditionally performed as a second-stage procedure several months after initial breast reconstruction. The recent literature has documented the increasing popularity of immediate nipple reconstruction carried out simultaneously during autologous reconstruction. The aim of this study was to evaluate the surgical outcomes and patient satisfaction with immediate breast and nipple reconstruction performed in a single stage after skin-sparing mastectomy.

Perceptions and satisfaction of aesthetic outcome following secondary cleft rhinoplasty: evaluation by patients versus health professionals.

Objective: To explore how improvement in facial appearance is related to patients' perception and satisfaction following cleft rhinoplasty.

Design: A cross-sectional survey.

Participants: 35 cleft rhinoplasty patients treated between 2005 and 2010.

Intraoperative findings of necrotizing fasciitis of the hand caused by Staphylococcus aureus infection.

A case of a 35-year-old male with necrotizing fasciitis of the hand is presented. Clinical manifestations of necrotizing fasciitis are discussed and intraoperative findings are highlighted to illustrate the disease process that initially affects the deep layer of the superficial fascia.

A case of deep burns, while diving The Lusitania.

We present the first documented case of severe burns, sustained by a diver as a result of auto-ignition of air-activated heat packs at high partial pressure of oxygen and high ambient pressure. Our patient was diving the shipwreck of The Lusitania off the south coast of Ireland. This is a significant wreck, lying 90 metres down on the seabed.

Epidermoid cyst post dermofasciectomy.

We report the finding of an unusual presentation of an epidermoid cyst 3 years following dermofasciectomy for Dupuytren's disease. Epidermoid cysts remain a rare entity in the palmoplanter distribution but also a very unusual finding within the confines of a full thickness skin graft.