"Safety health impacts of particulate matter from excavation work sites"

Gli studi epidemiologici hanno evidenziato una relazione lineare tra il particolato aerodisperso e gli effetti sulla salute dell'uomo. E' dunque interessante comprendere quale sia realmente il rischio a cui va incontro la popolazione esposta ad importanti sorgenti quali i cantieri di scavo in area urbana, per la costruzione di edifici ed infrastrutture finalizzate alla riqualificazione urbana. La metodologia di valutazione del rischio sanitario, definita dall'OMS nelle linee guida sulla qualità dell'aria per l'Europa, è stata applicata per valutare i possibili effetti sanitari da esposizioni al PM10 per le concentrazioni medie giornaliere ≥ di 50 µg/m3 e ≥ di 100 µg/m3 per tre giorni consecutivi e per aumenti di 10 µg/m3. La presenza del cantiere rileva, indipendentemente dal superamento dei valori limite stabiliti dalla legge, un aumento del rischio sulla salute. Non risulta peraltro individuato un valore di concentrazione di PM10, attribuibile ad una sorgente aggiuntiva (quale in cantiere) sotto il quale sicuramente non ci sia danno. Lo scopo della presente ricerca è dunque quello di stimolare il dibattito e le decisioni delle autorità pubbliche, al fine di approfondire e gestire le problematiche relative al particolato aerodispers

EV charging stations and RES-based DG: A centralized approach for smart integration in active distribution grids

Renewable Energy Sources based (RES-based) Dispersed Generation (DG) and Electrical Vehicles (EVs) charging systems diffusion is in progress in many Countries around the word. They have huge effects on the distribution grids planning and operation, particularly on MV and LV distribution grids. Many studies on their impact on the power systems are ongoing, proposing different approaches of managing. The present work deals with a real application case of integration of EVs charging stations with ES-based DG. The final task of the integration is to be able to assure the maximum utilization of the distribution grid to which both are connected, without any upgrading action, and in accordance with Distribution System Operators (DSOs) needs. The application of the proposed approach is related to an existent distribution system, owned by edistribuzione, the leading DSO in Italy. Diverse types of EVs supplying stations, with diverse diffusion scenarios, have been assumed for the case study; various Optimal Power Flow (OPF) models, based on diverse objective functions, reflecting DSO necessities, have been applied and tried. The obtained results demonstrate that a centralized management approach by the DSO, could assure the respect of operation limits of the system in the actual asset, delaying or avoiding upgrading engagements and charges

Martius' flap for recurrent perineal and rectovaginal fistulae in a patient with Crohn's disease, endometriosis and a mullerian anomaly

Background: Rectovaginal fistulas represent 5% of all anorectal fistulae and are a disastrous manifestation of Crohn's disease that negatively affects patients' social and sexual quality of life. Treatment remains challenging for colorectal surgeons, and the recurrence rate remains high despite the numerous available options. Case presentation: We describe a 31-year-old female patient with a Crohn's disease-related recurrent perineo-vaginal and recto-vaginal fistulae and a concomitant mullerian anomaly. She complained of severe dyspareunia associated with penetration difficulties. The patient's medical history was also significant for a previous abdominal laparoscopic surgery for endometriosis for the removal of macroscopic nodules and a septate uterus with cervical duplication and a longitudinal vaginal septum. The patient was successfully treated using a Martius' flap. The postoperative outcome was uneventful, and no recurrence of the fistula occurred at the last follow-up, eight months from the closure of the ileostomy. Conclusion: Martius' flap was first described in 1928, and it is considered a good option in cases of rectovaginal fistulas in patients with Crohn's disease. The patient should be referred to a colorectal centre with expertise in this disease to increase the surgical success rate