Laboratori verso la resilienza

Partendo dalle agende urbane per la sostenibilità, il Rapporto sulle Città cerca di tratteggiare un percorso con il quale i centri urbani possano proporsi quali luoghi privilegiati per l’avvio di una non più procrastinabile transizione verso nuovi modelli di sviluppo economico e rinnovate forme di convivenza e cittadinanza

Midterm results of proximal aneurysm sealing with the ovation stent-graft according to On-vs off-label use

Purpose: To compare the use of the Ovation stent-graft according to the â\u89¥7-mm neck length specified by the original instructions for use (IFU) vs those treated off-label (OL) for necks 2 mm). Results: At 3 years, there was no aneurysm-related death, rupture, stent-graft migration, or neck enlargement. There were no differences in terms of freedom from type Ia endoleak (98.2% IFU vs 96.8% OL, p=0.6; hazard ratio [HR] 0.55, 95% CI 0.02 to 9.71 or freedom from any device-related reintervention (92.8% IFU vs 96.4% OL, p=0.4; HR 2.42, 95% CI 0.34 to 12.99). In the sealing zone, the mean change in diameters was-0.05±0.8 mm in the IFU group and -0.1±0.5 mm in the OL group. Conclusion: Use of the Ovation stent-graft in patients with neck length <7 mm achieved midterm outcomes similar to patients with â\u89¥7-mm-long necks. These midterm data show that the use of the Ovation system for the treatment of infrarenal abdominal aortic aneurysm is not restricted by the conventional measurement of aortic neck length, affirming the recent Food and Drug Administration-approved changes to the IFU

Advanced endovascular procedures for complex aortic diseases

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Decoding and managing cities: toward a complex and dynamic system approach

Book of proceedings: Annual AESOP Congress, Spaces of Dialog for Places of Dignity, Lisbon, 11-14th July, 2017Due to the rapid growth of cities and their social, cultural, economic and technological evolution, the policies and legislative instruments need to adapt to this change. By 2050, United-Nations estimate 6.4 billion people1 are expected to be living in cities (Riffat et al., 2016), with relevant consequences on resources, emissions and services2. In spite of this, the development of Europe‟s cities and the relations among them constitute one of the most important driving force for the future of Europe (Rotmans and Van Asselt, 2000). The complexity of the urban phenomena needs to be investigated in an integrated manner, through the management of the systems and processes making up the city. Indeed, the city is recognised in literature as a complex, open and adaptive system, that evolves in time and space (Portugali et al., 2012), (Healy, 2006). Its components (i.e. buildings, infrastructures, human agents etc.), with own lifecycle, interact among them and are not predictable linearly, not even separable, but are based on the principle, attributedto Aristotle, that "the whole is greater than the sum of the parts". Furthermore, the cities, as "systems within systems of cities", should take into account the interdependencies with their territories. Each city should study both the relationships within itself but also with the urban boundaries, urban region, in an inter-scalar vision.Published versio

Editorial

The Volume introduced by this editorial is the first issue of "URBANA. International Journal of Urban Policies and Studies," an open-access peer-reviewed international journal that aims to publish innovative and original papers on the processes and values of socio-spatial complexity of urban policies and practices. URBANA aims to prioritize reflection on the operationalization of public policies for cities and territories; in this perspective, this Volume is peculiarly keen on the role of Italian university institutions and cities, called to deal in various ways with the new challenges of contemporaneity to enable a faster turn toward sustainability and a more potent synergy between the actors involved. The first Volume takes up and amplifies the issues discussed in December 2022 during the Conference "LE UNIVERSITÀ PER LE CITTÀ E I TERRITORI. Proposte per l’integrazione tra politiche universitarie e politiche urbane" organized in Bari by urban@it, with the sponsorship of the Puglia Region, ADISU Puglia, RUS, and Polytechnic University of Bari, in collaboration with the ArCoD Department of Polytechnic University of Bari

Il ruolo dell’università nella lotta ai cambiamenti climatici

Non è più possibile procrastinare le sfide dei cambiamenti climatici e della sostenibilità nelle città. Questo emerge chiaramente nella nuova programmazione europea H2020, negli obiettivi di Sviluppo Sostenibile delle Nazioni Unite e nei risultati del vertice internazionale COP21. Per rispondere a queste sfide, la pianificazione di strumenti, occasioni e azioni di resilienza potrebbe partire dalle Università, considerate obiettivi strategici (per strutture e comunità), per garantire nuovi modelli di sviluppo sostenibile dei sistemi socio-ecologici multilivello. Il concetto di sostenibilità modifica il ruolo attribuito all’istruzione superiore per lo sviluppo urbano e regionale: non più solo tradizionale istituzione deputata alla ricerca, ma volano per l’innovazione in partnership con gli stakeholder pubblici e privati. Esempi concreti sono gli interventi di sostenibilità attivati dalle Università italiane, partecipanti alla neonata rete RUS (Rete delle Università per la Sostenibilità) e le nuove prospettive di questa rete. A partire da questi assunti, la presente ricerca intende fornire una visione degli interventi di sostenibilità messi in opera nelle università pugliesi, con particolare attenzione agli interventi di smart mobility universitaria e di efficientamento energetico. Obiettivo principale, sarà quello di promuovere, partendo da casi reali analizzati, l'Università come organo propulsore di opportunità nella lotta ai cambiamenti climatici per la creazione di comunità sostenibili, intelligenti e apprendenti, promuovendo ecosistemi che integrino alle tecnologie strategie formative ed educative

Outcome Measures of In-Office Endovenous Radiofrequency Treatment of Varicose Vein Feasibility

RFA is a relatively new treatment, approved by the FDA in 1999 and is a minimally invasive intervention that has become one of the most common alternatives due to its many advantages, including decreased pain, less morbidity, shorter hospital stay and faster return to work. We retrospectively analyzed a total of 503 limbs submitted for surgical interventions for VVs using the RFA, combined or not with surgical phlebectomies and sclerotherapy, in our institution between April 2012 and December 2020. The technical success was 99.8%, as in one case the RFA catheter arrested at the first third of the thigh due to the tortuosity of the vessel. On the first post-operative day, the mean VAS scale was 0.32 ± 0.56 (0–2). Perioperative complications occurred in 77 cases (15.3%): intraoperative pain in 24 cases, in nine cases associated with vagal syndrome, superficial hematoma in 30 cases, EHIT in seven cases, phlebitis in 14 cases and paresthesia in two cases. RFA procedures had been shown to be cost-effective therapeutic options in adult patients requiring treatment due to the incompetence of the GSV. In our study, we highlighted that this technique is feasible as an ambulatory procedure; it improves quality of life and symptoms in the majority of patients with varicose veins, with a rapid return to normal life and work activities

Ultra low-profile polymer-filled stent graft for abdominal aortic aneurysms

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