33 research outputs found

    AREE METROPOLITANE E SUB-AREE OMOGENEE: UN’IPOTESI DI PIANO STRUTTURALE PER IL MUNICIPIO METROPOLITANO DELLA CONURBAZIONE AVERSANA

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    In the last fifty years cities and regions have involved in extensive environmental, economic and social changes that raised important questions concerning their transformation and spatial organization. Is therefore essential to re-interpret their form and structure, especially because they are very different from those inherited from the modern movement in architecture and urbanism. These new settlement patterns made ineffective traditional spatial planning, with a consequent loss of identity of cities and territories. New rationality regulates these processes, new planning tools will be needed to meet the new demand of territory. After outlining some distinctive traits of metropolitan areas, the article proposes to identify homogeneous sub-areas within a larger metropolitan area. These subareas could be instrumental in defining a structural plan that can act as an interface between the strategies of the Metropolitan Territorial Plan and the Municipal structural and operational Plan. The case-study presented in this paper is a proposal of a Structural Land Use Plan for Metropolitan Municipality of the Aversana Conurbation located to the north of Naples, framed within the more complex planning of metropolitan areas

    Chronic constipation diagnosis and treatment evaluation: The "CHRO.CO.DI.T.E." study

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    Background: According to Rome criteria, chronic constipation (CC) includes functional constipation (FC) and irritable bowel syndrome with constipation (IBS-C). Some patients do not meet these criteria (No Rome Constipation, NRC). The aim of the study was is to evaluate the various clinical presentation and management of FC, IBS-C and NRC in Italy. Methods: During a 2-month period, 52 Italian gastroenterologists recorded clinical data of FC, IBS-C and NRC patients, using Bristol scale, PAC-SYM and PAC-QoL questionnaires. In addition, gastroenterologists were also asked to record whether the patients were clinically assessed for CC for the first time or were in follow up. Diagnostic tests and prescribed therapies were also recorded. Results: Eight hundred seventy-eight consecutive CC patients (706 F) were enrolled (FC 62.5%, IBS-C 31.3%, NRC 6.2%). PAC-SYM and PAC-QoL scores were higher in IBS-C than in FC and NRC. 49.5% were at their first gastroenterological evaluation for CC. In 48.5% CC duration was longer than 10 years. A specialist consultation was requested in 31.6%, more frequently in IBS-C than in NRC. Digital rectal examination was performed in only 56.4%. Diagnostic tests were prescribed to 80.0%. Faecal calprotectin, thyroid tests, celiac serology, breath tests were more frequently suggested in IBS-C and anorectal manometry in FC. More than 90% had at least one treatment suggested on chronic constipation, most frequently dietary changes, macrogol and fibers. Antispasmodics and psychotherapy were more frequently prescribed in IBS-C, prucalopride and pelvic floor rehabilitation in FC. Conclusions: Patients with IBS-C reported more severe symptoms and worse quality of life than FC and NRC. Digital rectal examination was often not performed but at least one diagnostic test was prescribed to most patients. Colonoscopy and blood tests were the "first line" diagnostic tools. Macrogol was the most prescribed laxative, and prucalopride and pelvic floor rehabilitation represented a "second line" approach. Diagnostic tests and prescribed therapies increased by increasing CC severity

    Le periferie urbane della citta' contemporanea europea: elementi per l'interpretazione e la riqualificazione: le periferie urbane della citta' di Napoli

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    Dottorato di ricerca in pianificazione territoriale e urbana. 8. ciclo. Tutore Guido Chelazzi. Coordinatore Federico Malusardi.Consiglio Nazionale delle Ricerche - Biblioteca Centrale - P.le Aldo Moro, 7, Rome; Biblioteca Nazionale Centrale - P.za Cavalleggeri, 1, Florence / CNR - Consiglio Nazionale delle RichercheSIGLEITItal

    Aree metropolitane e sub-aree omogenee: un'ipotesi di Piano Strutturale per il Municipio Metropolitano della Conurbazione Aversana - Metropolitan Areas and Homogeneous Sub-Areas: A Structural Land Use Plan Proposal for Aversa Conurbation Planned as a Metropolitan Municipality

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    In the last fifty years cities and regions have involved in extensive environmental, economic and social changes that raised important questions concerning their transformation and spatial organization. Is therefore essential to re-interpret their form and structure, especially because they are very different from those inherited from the modern movement in architecture and urbanism. These new settlement patterns made ineffective traditional spatial planning, with a consequent loss of identity of cities and territories. New rationality regulates these processes, new planning tools will be needed to meet the new demand of territory. After outlining some of the distinctive traits of metropolitan areas, the article proposes to identify homogeneous sub-areas within a larger metropolitan area. These sub-areas could be instrumental in defining a structural plan that can act as an interface between the strategies of the Metropolitan Territorial Plan and the Municipal structural and operational Plan. The case-study presented in this paper is a proposal of a Structural Land Use Plan for Metropolitan Municipality of the Aversana Conurbation located to the north of Naples, framed within the more complex planning of metropolitan areas
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