Campus: “lab” and “window” for Distributed Renewable Energy applied as Sustainable Product-Service System

This paper intends to promote the hypothesis to consider the University Campus as win-win locus for the design, implementation and dissemination of Distributed Renewable Energy (DRE), seen as a key leverage for a sustainable development. In particular, by applying to them a Sustainable Product-Service System (S.PSS) offer model, a promising solution applicable even to low and middle-income contexts. A presentation, description and justification of the following new research knowledge achievements, it is given at the beginning: the design and implementation of S.PSS applied to DRE is a win-win strategy to diffuse Sustainable Energy for All. This is the main knowledge-based outcomes of the LeNSes, the Learning Network on Sustainable energy system EU funded project (Edulink programme II). It is then described and proposed the research hypothesis of making University Campuses as community “labs” and “windows” to design, implement and promote radical innovation for sustainability, i.e. Distributed Renewable Energy systems, seen as a paradigm shift form centralised and fossil fuel-based energy plants and a key leverage for the transition towards a sustainable for all society. In fact, the paper proposes that (design) Higher Education Institution may have a challenging role to play in a transition towards a Sustainable Energy for All society, by going further the diffusion of System Design for Sustainable Energy for All knowledge-base and know-how (in fact the main aim of the LeNses project), towards a new role of university campuses as optimum “lab” for socio-technical innovations test as well as “windows”, i.e. show-cases for the design, testing and dissemination of sustainable energy for all solutions. The paper aims at opening a debate on the reinforcement and amplification of the existing LeNS network, in the sense of real design, prototyping and testing of DRE&S.PSS-based pilot projects within the university’s campus

Water-based Public Transport Accessibility. A Case Study in the Internal Waters of Northern Italy

Accessibility to public transport systems is a key factor for the social inclusion and quality of life of people with disabilities. This paper presents an analysis of the accessibility of the water public transport service run by Navigazione Laghi on lakes Maggiore, Como and Garda in Northern Italy. The study is focused on ‘water buses’, namely small ferries operating on short, scheduled routes, with one or two decks, that do not transport vehicles and that are not equipped with bed cabins. In particular, as a case study, this paper examines a ferry of the series Airone, 24 m passenger-only units built in 2008‒2011. These units are relevant because they represent about 10% of the whole fleet of Navigazione Laghi

Sailing as Stroke Rehabilitation Strategy

Stroke (brain attack), is a serious global public health problem and the main cause of many forms of disability. The majority of stroke survivors are mostly left with motor (muscle movement or mobility) impairments. Although remarkable developments have been made in drug treatment, post-stroke care continues to rely on rehabilitation interventions mostly. On the other hand, the presence of post-stroke depression has been associated with decreases in functional recovery, social activity and cognition. Therefore, this project aims to improve the quality of people’s lives after a stroke by introducing sailing as outdoor mobility rehabilitation. It is intended to increase the patients’ motivation and engagement in the rehabilitation process by a more enjoyable and relaxing intervention than the existing ones especially for long term periods. The project, based on a haptic system installed on the deck of NYTEC 28 sailing boat, aim to monitoring rehab process development in post-stroke during normal sailing activity

Systematic review of irreversible electroporation role in management of locally advanced pancreatic cancer

Background: Ablative techniques provide in patients with locally advanced pancreatic cancer (LAPC) symptomatic relief, survival benefit and potential downsizing. Irreversible Electroporation (IRE) represents potentially an ideal solution as no thermal tissue damage occurs. The purpose of this review is to present an overview on safety, feasibility, oncological results, survival and quality of life improvement obtained by IRE. Methods: A systematic search was performed in PubMed, regarding the use of IRE on PC in humans for studies published in English up to March 2019. Results: 15 original studies embodying 691 patients with unresectable LAPC who underwent IRE were included. As emerged, IRE works better on tumour sizes between 3–4 cm. Oncological results are promising: median OS from diagnosis or treatment up to 27 months. Two groups investigated borderline resectable tumours treated with IRE before resection with margin attenuation, whereas IRE has proved to be effective in pain control. Conclusions: Electroporation is bringing new hopes in LAPC management. The first aim of IRE is to offer a palliative treatment. Further efforts are needed for patient selection, as well as the use of IRE for ‘margin accentuation’ during surgical resection. Even if promising, IRE needs to be validated in large, randomized, prospective series

A Metachronous splenic metastases from esophageal cancer: a case report

The spleen is an infrequent site for metastatic lesions, and solitary splenic metastases from squamous cell carcinoma of the esophagus are very rare: only 4 cases have been reported thus far. These lesions are whitish nodules that are macroscopically and radiologically similar to primary splenic lymphomas. We report a case of metachronous splenic metastases from esophageal cancer and multiple splenic abscesses, which developed nine months after apparently curative esophagectomy without adjuvant chemotherapy. The patient underwent splenectomy dissection followed by adjuvant chemotherapy, but liver and skin metastases developed, and the patient died 9 months later

The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS)

Objective: To develop and update evidence-based and consensus-based guidelines on laparoscopic and robotic pancreatic surgery. Summary Background Data: Minimally invasive pancreatic surgery (MIPS), including laparoscopic and robotic surgery, is complex and technically demanding. Minimizing the risk for patients requires stringent, evidence-based guidelines. Since the International Miami Guidelines on MIPS in 2019, new developments and key publications have been reported, necessitating an update. Methods: Evidence-based guidelines on 22 topics in 8 domains were proposed: terminology, indications, patients, procedures, surgical techniques and instrumentation, assessment tools, implementation and training, and artificial intelligence. The Brescia Internationally Validated European Guidelines on Minimally Invasive Pancreatic Surgery (EGUMIPS, September 2022) used the Scottish Intercollegiate Guidelines Network (SIGN) methodology to assess the evidence and develop guideline recommendations, the Delphi method to establish consensus on the recommendations among the Expert Committee, and the AGREE II-GRS tool for guideline quality assessment and external validation by a Validation Committee. Results: Overall, 27 European experts, 6 international experts, 22 international Validation Committee members, 11 Jury Committee members, 18 Research Committee members, and 121 registered attendees of the 2-day meeting were involved in the development and validation of the guidelines. In total, 98 recommendations were developed, including 33 on laparoscopic, 34 on robotic, and 31 on general MIPS, covering 22 topics in 8 domains. Out of 98 recommendations, 97 reached at least 80% consensus among the experts and congress attendees, and all recommendations were externally validated by the Validation Committee. Conclusions: The EGUMIPS evidence-based guidelines on laparoscopic and robotic MIPS can be applied in current clinical practice to provide guidance to patients, surgeons, policy-makers, and medical societies.</p

Toccare la terra con leggerezza. Evoluzione dei materiali, trasferimento tecnologico, nuove tipologie

Evoluzione dei materiali, trasferimento tecnologico, nuove tipologi

La costruzione di barche a remi sul Lago di Como

tradizione costruttiva delle barche a rem