77 research outputs found

    Simulation of the thermal behaviour of a building retrofitted with a green roof: optimization of energy efficiency with reference to italian climatic zones

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    Running a building energy simulation program (EnergyPlus), simulations were conducted on a 'public housing' building type, in order to evaluate the energy savings achieved by a green roof coupled with different configurations of external wall. EnergyPlus enabled the investigation of the thermal behaviour variations of the building envelope, and the possible consequences, in terms of comfort, on the temperature of the internal spaces. The variation of the energy behaviour of the building envelope type was assessed primarily through the analysis of the operative temperature T° of the elements of surface casing, the trend of the surface heat fluxes on the faces of the elements of internal and external housing, the variation of the operating temperature inside the rooms. The energy savings achieved with a green roof varies considerably in relation to the reference performance obtained without this kind of insulating structure. The main parameters, useful to define the contribution of the green roof to the reduction of the loads of cooling plants, consist of the specific climate and the thermal isolation level of the initial coverage

    Environmental Impact of Green Roofing: The Contribute of a Green Roof to the Sustainable use of Natural Resources in a Life Cycle Approach

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    AbstractEven if several studies and researches have demonstrated that green roofs significantly contribute to energy saving, indoor thermal comfort, urban heat island mitigation, rain-water management and air pollution reduction, environmental benefits of green roofs mainly depend on use of primary energy, natural resources or raw materials used in the construction.A green roof is usually a more or less complex aggregation of different layer addressing each one to a specific characteristic and performance.Results of previous LCA researches, based on a cold climate scenario, have demonstrated the highest influence that some specific layers have on the overall impact of the green roofs and to what extent the global impact changes when insulation and the substrate layers vary in density and quality.Starting from results of these similar EU researches, this study aims to evaluate the variation of the overall impact in hot climates where insulation is less strategic than heat capacity.LCA has been applied to assess and compare the environmental impacts of four different green roof solutions compared to a standard clay pitched roof, based on the functional unit of 1m2 with the same reference service life, where layers have been selected according to local practice and market. Despite a general equivalence in environmental impacts of all the roofing elements, results have highlighted a general lack in specific life cycle inventory information that leads to a potential inaccuracy of the assessment especially when recycled material are used in the growing medium or when disposal scenario includes recycle processes

    AGROALIMENTARE E SVILUPPO ECONOMICO SOSTENIBILE: ENERGIA, EFFICIENZA ENERGETICA, AMBIENTE E CIBO

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    Nell’ultimo decennio, il sistema agroalimentare nazionale nella sua accezione più ampia di agricoltura e industria alimentare, ha assunto una configurazione fortemente sistemica, aperta al contributo di diverse discipline e tecnologie. Tale evoluzione ha consentito al sistema agricolo di raggiungere posizioni ragguardevoli se consideriamo che nel complesso l’agroalimentare rappresenta per l’economia italiana un valore di 250 miliardi €, pari a circa 16% del PIL. Il mondo agricolo, nel suo complesso, costituisce ormai uno snodo fondamentale per attività che riguardano: l’energia, l’ambiente, il cibo, il territorio, il benessere dei cittadini, il sistema economico aree urbane-aree rurali. Il lavoro è focalizzato sul ruolo strategico dell’agroalimentare per gli obiettivi del Pacchetto Europeo 20-20-20 nonché per lo sviluppo economico sostenibile del sistema Paese.Agriculture and economic sustainable development: energy, energy efficiency, environment and food This article briefly examines the evolution of the agricultural sector in Italy and outlines the concept of the agro-food system that includes the agriculture and the food industry activities. The Italian agro-food system has reached a global annual value of 250 billions €, which corresponds to about 16% of the added gross value. The agricultural system is also analyzed in respect to the objectives of the European Package 20-20-20. This article outlines the impact of the agro-food system in terms of energy, energy efficiency, use of renewable resources related to the food production. The impact of the large retail groups and the key role of the agro-food system are also analyzed in respect to the development of a sustainable economy

    Sustainable greenhouse horticulture in Europe

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    The European greenhouse horticulture represents one of the most intensive energy sector in agriculture and strongly contributes to increase the energy and environmental vulnerability within regions having a large greenhouse farming systems. Specifically, the European greenhouse farming sector is facing a trend that responds to the changing consumer’s demands in a society that, globally, is increasingly affluent but more aware about some negative consequences, such as high energy-demand processes, and CO2 emissions. About 200,000 hectares of greenhouses in Spain, Italy, The Netherlands and Greece is the estimated covered surface, with not less than 3.4 MTOE of energy consumption and 9.2 MtCO2eq, and an yearly economy value of 7 billions of Euros. The installed energy power load of greenhouses in Europe depends on local climate conditions, and varies from 50-150 W/m2 (Southern regions of Europe) to 200-280 W/m2 (Northern and Central regions), while complete conditioning could even reach an energy load of 400 W/m2 (heating, lighting, cooling). Nowadays, the proportion of renewable use in the total energy consumption of greenhouse farming in Europe is very low, and there are no clear priorities set in this area, yet. Comprehensive and complete studies that evaluate the opportunities of renewable options in greenhouse sector are still not completeted. This, strongly hinders the process of setting concrete goals and legislative targets to support a wider introduction of sustainable energy technology, and appropriate legislation in greenhouse regions of Europe. This paper deals with the proposal of supporting the organization of a sustainable greenhouse agriculture, based on renewable energy sources, i.e. geothermal energy at low temperature, photovoltaic solar energy and solid biomass, in tune with the specific local assets, the local geo-climatic conditions and the protection of landscapes rather than with a careless perspective for local environment and potential societal costs

    Identifying Strategies for Energy Consumption Reduction and Energy Efficiency Improvement in Fruit and Vegetable Producing Cooperatives: A Case Study in the Frame of TESLA Project☆

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    Abstract TESLA (Transfering Energy Save Laid on Agroindustry) is a EU project pointing to the reduction of energy consumption and the improvement of energy efficiency in key agro-food sectors' cooperatives, as those processing fruit and vegetables. After a general analysis of energy consumptions during the first phase of the project, the processes responsible for the higher energy consumptions in these fruit and vegetable industries, as cold storage, have been identified. In the second phase of the project, a few case studies aimed at proposing customized solutions for reducing energy wastage and for improving energy efficiency in specific selected cooperatives have been performed. In this manuscript we report preliminary results of a case study carried out in an Italian horticulture cooperative having several production lines for fresh (1 st range) and minimally processed (4 th range) fruit and vegetable products. In this cooperative, an in-depth energy audit has been performed, and additionally a process simulation software has been applied to model, evaluate and improve the operations in this processing centre and in the supply chain from the primary production sites. Such case study may be used as an example for similar cooperatives of the fruit and vegetables sector, thus contributing in making this sector more economically and energetically sustainable

    Le coltri vegetali nel settore residenziale

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    Il verde è da tempo un elemento di progetto nell’architettura degli edifici e nel decoro urbano delle città, ma il suo utilizzo è stato prevalentemente decorativo. Oggi, le realizzazioni di coltri vegetali sugli edifici vengono considerate veri e propri componenti edilizi che mitigano il microclima delle aree urbane e il comfort interno degli edifici e risultano particolarmente efficaci durante i periodi di caldo intenso poiché le coperture verdi agiscono da strato isolante per le superfici dell’edificio. Per valutare gli effetti delle coltri vegetali, l’ENEA ha avviato la realizzazione di un edificio dimostrativo presso il Centro Ricerche Casaccia. L’attività progettuale intende definire, in termini non soltanto energetici, ma anche biologici, gli effetti microclimatici dell’uso delle coltri vegetali in vertical

    Prescription appropriateness of anti-diabetes drugs in elderly patients hospitalized in a clinical setting: evidence from the REPOSI Register

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    Diabetes is an increasing global health burden with the highest prevalence (24.0%) observed in elderly people. Older diabetic adults have a greater risk of hospitalization and several geriatric syndromes than older nondiabetic adults. For these conditions, special care is required in prescribing therapies including anti- diabetes drugs. Aim of this study was to evaluate the appropriateness and the adherence to safety recommendations in the prescriptions of glucose-lowering drugs in hospitalized elderly patients with diabetes. Data for this cross-sectional study were obtained from the REgistro POliterapie-Società Italiana Medicina Interna (REPOSI) that collected clinical information on patients aged ≥ 65 years acutely admitted to Italian internal medicine and geriatric non-intensive care units (ICU) from 2010 up to 2019. Prescription appropriateness was assessed according to the 2019 AGS Beers Criteria and anti-diabetes drug data sheets.Among 5349 patients, 1624 (30.3%) had diagnosis of type 2 diabetes. At admission, 37.7% of diabetic patients received treatment with metformin, 37.3% insulin therapy, 16.4% sulfonylureas, and 11.4% glinides. Surprisingly, only 3.1% of diabetic patients were treated with new classes of anti- diabetes drugs. According to prescription criteria, at admission 15.4% of patients treated with metformin and 2.6% with sulfonylureas received inappropriately these treatments. At discharge, the inappropriateness of metformin therapy decreased (10.2%, P < 0.0001). According to Beers criteria, the inappropriate prescriptions of sulfonylureas raised to 29% both at admission and at discharge. This study shows a poor adherence to current guidelines on diabetes management in hospitalized elderly people with a high prevalence of inappropriate use of sulfonylureas according to the Beers criteria

    Beta-Blocker Use in Older Hospitalized Patients Affected by Heart Failure and Chronic Obstructive Pulmonary Disease: An Italian Survey From the REPOSI Register

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    Beta (β)-blockers (BB) are useful in reducing morbidity and mortality in patients with heart failure (HF) and concomitant chronic obstructive pulmonary disease (COPD). Nevertheless, the use of BBs could induce bronchoconstriction due to β2-blockade. For this reason, both the ESC and GOLD guidelines strongly suggest the use of selective β1-BB in patients with HF and COPD. However, low adherence to guidelines was observed in multiple clinical settings. The aim of the study was to investigate the BBs use in older patients affected by HF and COPD, recorded in the REPOSI register. Of 942 patients affected by HF, 47.1% were treated with BBs. The use of BBs was significantly lower in patients with HF and COPD than in patients affected by HF alone, both at admission and at discharge (admission, 36.9% vs. 51.3%; discharge, 38.0% vs. 51.7%). In addition, no further BB users were found at discharge. The probability to being treated with a BB was significantly lower in patients with HF also affected by COPD (adj. OR, 95% CI: 0.50, 0.37-0.67), while the diagnosis of COPD was not associated with the choice of selective β1-BB (adj. OR, 95% CI: 1.33, 0.76-2.34). Despite clear recommendations by clinical guidelines, a significant underuse of BBs was also observed after hospital discharge. In COPD affected patients, physicians unreasonably reject BBs use, rather than choosing a β1-BB. The expected improvement of the BB prescriptions after hospitalization was not observed. A multidisciplinary approach among hospital physicians, general practitioners, and pharmacologists should be carried out for better drug management and adherence to guideline recommendations

    Antidiabetic Drug Prescription Pattern in Hospitalized Older Patients with Diabetes

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    Objective: To describe the prescription pattern of antidiabetic and cardiovascular drugs in a cohort of hospitalized older patients with diabetes. Methods: Patients with diabetes aged 65 years or older hospitalized in internal medicine and/or geriatric wards throughout Italy and enrolled in the REPOSI (REgistro POliterapuie SIMI—Società Italiana di Medicina Interna) registry from 2010 to 2019 and discharged alive were included. Results: Among 1703 patients with diabetes, 1433 (84.2%) were on treatment with at least one antidiabetic drug at hospital admission, mainly prescribed as monotherapy with insulin (28.3%) or metformin (19.2%). The proportion of treated patients decreased at discharge (N = 1309, 76.9%), with a significant reduction over time. Among those prescribed, the proportion of those with insulin alone increased over time (p = 0.0066), while the proportion of those prescribed sulfonylureas decreased (p < 0.0001). Among patients receiving antidiabetic therapy at discharge, 1063 (81.2%) were also prescribed cardiovascular drugs, mainly with an antihypertensive drug alone or in combination (N = 777, 73.1%). Conclusion: The management of older patients with diabetes in a hospital setting is often sub-optimal, as shown by the increasing trend in insulin at discharge, even if an overall improvement has been highlighted by the prevalent decrease in sulfonylureas prescription

    The “Diabetes Comorbidome”: A Different Way for Health Professionals to Approach the Comorbidity Burden of Diabetes

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    (1) Background: The disease burden related to diabetes is increasing greatly, particularly in older subjects. A more comprehensive approach towards the assessment and management of diabetes’ comorbidities is necessary. The aim of this study was to implement our previous data identifying and representing the prevalence of the comorbidities, their association with mortality, and the strength of their relationship in hospitalized elderly patients with diabetes, developing, at the same time, a new graphic representation model of the comorbidome called “Diabetes Comorbidome”. (2) Methods: Data were collected from the RePoSi register. Comorbidities, socio-demographic data, severity and comorbidity indexes (Cumulative Illness rating Scale CIRS-SI and CIRS-CI), and functional status (Barthel Index), were recorded. Mortality rates were assessed in hospital and 3 and 12 months after discharge. (3) Results: Of the 4714 hospitalized elderly patients, 1378 had diabetes. The comorbidities distribution showed that arterial hypertension (57.1%), ischemic heart disease (31.4%), chronic renal failure (28.8%), atrial fibrillation (25.6%), and COPD (22.7%), were the more frequent in subjects with diabetes. The graphic comorbidome showed that the strongest predictors of death at in hospital and at the 3-month follow-up were dementia and cancer. At the 1-year follow-up, cancer was the first comorbidity independently associated with mortality. (4) Conclusions: The “Diabetes Comorbidome” represents the perfect instrument for determining the prevalence of comorbidities and the strength of their relationship with risk of death, as well as the need for an effective treatment for improving clinical outcomes
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