Sostenibilità ambientale vs vivibilità della città compatta?

Il miglioramento dell’efficienza energetica e dei servizi ecosistemici, come la rivitalizzazione della città, sono obiettivi spesso in conflitto tra loro. Tuttavia, attraverso la riorganizzazione della forma o dei servizi compatibili con una elevata densità urbana esistente, si possono ottenere risultati apprezzabili sia dal punto di vista della sostenibilità che della vivibilità. Gli esempi di due città vincitrici del premio European Green Capital, evidenziano che rigenerazione urbana di successo si basa sulla ridensificazione della città - che significa da una parte riorganizzare la mobilità, il sistema degli spazi urbani e il verde su un tessuto compatto esistente (Vitoria-Gasteiz) oppure sull’attivazione di meccanismi di ridensificazione che non comportino consumo di suolo (Bristol)

Studio di fattibilità di screening neonatale della malattia di Wilson sulla popolazione sarda

Herein we report the results of mutation-based screening for Wilson disease (WD) in Sardinia. Patients and Methods: In Sardinia, a limited screening was performed for -441/-427 del in 5290 newborns using “allelic discrimination by 5’ Nuclease Assay” and “Real time PCR”. Results: In Sardinia, mutation analysis showed the presence of 6 mutations accounting for 85% of chromosomes, 1 of which (-441/-427del) is present in 61.7% of alleles. The screening for -441/-427del in 5290 newborns revealed the presence of 122 heterozygotes, which is equal to an allelic frequency of 1.15%. Assuming the same distribuition of WD mutations in the general Sardinian population, we also inferred an allelic frequency of 0.77% for mutation other than -441/-427del, which accounts for an overall frequency of any WD mutation of 1.92%. Assuming Hardy-Weinberg equilibrium, these data could be translated into a WD incidence of 1 in 2707 live births. Conclusions: These data indicate the need for health education for WD prevention in that isolated population

Lights and shadows in university classrooms

"How important are considered the light conditions and the visibility in university classrooms?" and "In relation to which of these objectives: the well-being of the users, and / or the fitness of the educational setting, and / or the proper use of the energy resources?". Furthermore, "In which way, natural lighting is supposed to contribute to these goals? These questions, seemingly rhetorical, showed up in to their relevance, during a research work on the performance evaluation of university classrooms, that is part of a wider project, called "City Studies - Sustainable Campus", aimed at increasing and improving the sustainability practices of the university campuses in Milan. This research was to detect, through a process of post occupancy evaluation, the main problems in terms of comfort and lighting, of some classrooms of the Architecture and Engineering schools, placed in one of the buildings of the first campus of the Politecnico di Milano, undergone to adaptation works over time. Therefore, a technical audit of the building layout, of the equipment and of the lighting conditions of the classrooms, as well as some observations on the way of use of the space and a users’ inquiry were carried out in subsequent stages. This method turned out to be effective, since the outcomes of the on-site analysis made it possible to get a framework of criticalities, problems and unsatisfied needs. On this basis, it could be possible to outline proposals for the building performance improvements, that are sustainably oriented, while ensure the comfort as well as meet the user’s needs, too. Despite its practical purposes, this evaluation activity allowed, in the meantime, to develop an analysis of the behaviors and of the selection criteria, both of the students –in terms of use of spaces and adaptation to places - and of the buildings managers - in the intervention programs for meeting continuously updated needs and purposes. The results of this analysis show a widespread lack of attention to the correct use of the available resources and to the opportunity of exploiting the natural light

Use of Telemedicine Healthcare Systems in Pediatric Assistance at Territorial Level: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the Syndicate of Family Pediatrician Doctors (SIMPeF)

Technological innovation can contribute to a reorganization of healthcare, particularly by supporting the shift in the focus of care from the hospital to the territory, through innovative citizen-centered models, and facilitating access to services in the territory. Health and social care delivery modalities, enabled by telemedicine, are crucial in this regard. The objective of this Consensus document, written by the main Italian Scientific Societies involved in the use of telemedicine in pediatrics, is to define a standard for its use at the territorial level in various declinations in the pediatric field; this paper also identifies priority areas for its application and the types of services that most require intervention and investment. The changes that are underway in digital transformation in all sectors are unstoppable, and for the digital transformation to take place in a productive sense, the contribution of not only all health professionals, but also of patients, is necessary. From this perspective, authors from different backgrounds were involved in the drafting of this Consensus and, in the future, other figures, primarily patients, are expected to be involved. In fact, this belongs to the vision of connected care, in which the citizen/patient actively participates in the treatment path so that they are assisted in a personalized, predictive and preventive way. The future scenario must be able to provide for the involvement of patients from the initial stages of planning any treatment path, even in the pediatric age, and increasing, where possible, the proximity of the health service to the families

Information and Training on the Use of Telemedicine in Pediatric Population: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP), and of the Syndicate of Family Pediatrician Doctors (SIMPeF)

Telemedicine has entered the daily lives of doctors, although the digital skills of healthcare professionals still remain a goal to be achieved. For the purpose of a large-scale development of telemedicine, it is necessary to create trust in the services it can offer and to favor their acceptance by healthcare professionals and patients. In this context, information for the patient regarding the use of telemedicine, the benefits that can be derived from it, and the training of healthcare professionals and patients for the use of new technologies are fundamental aspects. This consensus document is a commentary that has the aim of defining the information on and training aspects of telemedicine for pediatric patients and their caregivers, as well as pediatricians and other health professionals who deal with minors. For the present and the future of digital healthcare, there is a need for a growth in the skills of professionals and a lifelong learning approach throughout the professional life. Therefore, information and training actions are important to guarantee the necessary professionalism and knowledge of the tools, as well as a good understanding of the interactive context in which they are used. Furthermore, medical skills can also be integrated with the skills of various professionals (engineers, physicists, statisticians, and mathematicians) to birth a new category of health professionals responsible for building new semiotics, identifying criteria for predictive models to be integrated into clinical practice, standardizing clinical and research databases, and defining the boundaries of social networks and new communication technologies within health services

Use of Telemedicine Healthcare Systems in Children and Adolescents with Chronic Disease or in Transition Stages of Life: Consensus Document of the Italian Society of Telemedicine (SIT), of the Italian Society of Preventive and Social Pediatrics (SIPPS), of the Italian Society of Pediatric Primary Care (SICuPP), of the Italian Federation of Pediatric Doctors (FIMP) and of the Syndicate of Family Pediatrician Doctors (SIMPeF)

: Telemedicine is considered an excellent tool to support the daily and traditional practice of the health profession, especially when referring to the care and management of chronic patients. In a panorama in which chronic pathologies with childhood onset are constantly increasing and the improvement of treatments has allowed survival for them into adulthood, telemedicine and remote assistance are today considered effective and convenient solutions both for the chronic patient, who thus receives personalized and timely assistance, and for the doctors, who reduce the need for direct intervention, hospitalizations and consequent management costs. This Consensus document, written by the main Italian Scientific Societies involved in the use of telemedicine in pediatrics, has the objectives to propose an organizational model based on the relationships between the actors who participate in the provision of a telemedicine service aimed at minors with chronic pathologies, identifying specific project links between the areas of telemedicine in the developmental age from the first 1000 days of life to the age adult. The future scenario will have to be able to integrate digital innovation in order to offer the best care to patients and citizens. It will have to be able to provide the involvement of patients from the very beginning of the design of any care pathway, increasing where possible the proximity of the health service to citizens

Simulasi Buka-Tutup Garasi Dengan Smartphone (IoT) Memanfaatkan Arduino Uno

Tujuan penelitian ini adalah merancang dan mengimplementasikan model simulasi bukla tutup pintu garasi dengan smartphone (IoT0 menggunakan Arduino Uno. Proses pengujian, desain system yang digunakan adalah flowchart dan blok system.Hasil penelitian menunjukkan bahwa (1) Prototype system kendali buka tutup pintu garasi dengan menggunakan aplikasi blynk berhasil dirancang untuk membuka dan menutup pintu dengan servo (2) Mengimplementasikan perancangan prototype sistem kendali buka tutup pintu garasi dengan menggunakan aplikasi blynk dengan mengirim perintah ke arduino uno selanjutnya akan diproses kembali.Dengan demikian, hasil penelitian ini didapatkan bahwa sistem yang dibuat mampu membuka dan menutup pintu garasi dengan otomatis menggunakan smartphone (IoT) dan hasil pengembangan ini layak digunakan.xiv + 55 hlm.; 28,5 c