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Several countermeasures are implemented in the manufacture of construction materials to avoid negative impacts on the environment. Using concrete debris in construction demolition waste as a recycled aggregate to make recycled aggregate concrete (RAC) is one of the countermeasures. Further, the use of recycled construction waste and industrial by-products, such as fly ash and ground granulated blast-furnace slag, in concrete not only promotes resource circulation and reduces CO2 emissions in the cement manufacturing process but also improves concrete performance. In this study, low-quality recycled aggregate was mixed with normal aggregate at various replacement ratios to produce RAC. Additionally, ground granulated blast-furnace slag in Portland blast-furnace slag cement and fly ash were introduced in concrete to improve concrete performance. Applying the relative quality index method for performance evaluation, it was possible to design a mix proportion of RAC that achieved the requisite performance through the application of Portland blast-furnace slagcement and fly ashas a cement substitute or as a fine aggregate substitute.

We treated a patient with neurosarcoidosis, which caused the syndrome of inappropriate secretion of antidiuretic hormone (SIADH), in whom diagnosis was performed using neuroendoscopy. The patient was a 56-year-old female who was hospitalized for hyponatremia and diagnosed with SIADH based on a detailed examination. During the course, she developed impaired consciousness due to acute hydrocephalus, which improved after ventricular drainage. Head magnetic resonance imaging (MRI) confirmed nodular lesions at the floor of the third ventricle and the cerebral aqueduct. Neuroendoscopic biopsy led to the diagnosis of neurosarcoidosis. Her hyponatremia improved after steroid therapy. Neurosarcoidosis can cause SIADH, and complication of hydrocephalus may lead to a poor prognosis. Neuroendoscopy appears to be effective for the diagnosis of neurosarcoidosis with hydrocephalus and helps in deciding the treatment modality.