Dimension Analysis and Architectural Model of BAPNE Classroom for Pre-school and Primary Education

The aim of this article is to determine the relationship between architecture and teaching, providing functional architecture models that are capable of absorbing the teaching load for movement and, fundamentally, for the development of kinesthetic intelligence (Howard Gardner). For this, we will establish a metric range of spatial proportions, m2/student ratio, in accordance with the activities performed on the BAPNE method. This study will focus on students of Pre-school and Primary Education, providing specific standing architectural models and the minimum requirements for a classroom, as well as determining whether a space is suitable or not for the proposed activities. The method includes analyzing architecture of the basic teaching room, approaching other education systems (Dalcroze, Montessori) and determining the differences between those systems and BAPNE. This study is carried out by architects and engineers, directly noting the architectural needs that current teaching requires for user stimulation

Imported arboviral infections in Italy, July 2014-October 2015: A National Reference Laboratory report

BACKGROUND: Imported cases of infections due to Dengue (DENV) and Chikungunya (CHIKV) viruses and, more recently, Zika virus (ZIKV) are commonly reported among travelers returning from endemic regions. In areas where potentially competent vectors are present, the risk of autochthonous transmission of these vector-borne pathogens is relatively high. Laboratory surveillance is crucial to rapidly detect imported cases in order to reduce the risk of transmission. This study describes the laboratory activity performed by the National Reference Laboratory for Arboviruses (NRLA) at the Italian National Institute of Health in the period from July 2014 to October 2015. METHODS: Samples from 180 patients visited/hospitalized with a suspected DENV/CHIKV/ZIKV infection were sent to the NRLA from several Italian Hospitals and from Regional Reference Laboratories for Arboviruses, in agreement with the National Plan on human surveillance of vector-borne diseases. Both serological (ELISA IgM test and Plaque Reduction Neutralization Test-PRNT) and molecular assays (Real Time PCR tests, RT-PCR plus nested PCR and sequencing of positive samples) were performed. RESULTS: DENV infection was the most frequently diagnosed (80 confirmed/probable cases), and all four genotypes were detected. However, an increase in imported CHIKV cases (41 confirmed/probable cases) was observed, along with the detection of the first ZIKV cases (4 confirmed cases), as a consequence of the recent spread of both CHIKV and ZIKV in the Americas. CONCLUSIONS: Main diagnostic issues highlighted in our study are sensitivity limitations of molecular tests, and the importance of PRNT to confirm serological results for differential diagnosis of Arboviruses. The continuous evaluation of diagnostic strategy, and the implementation of laboratories networks involved in surveillance activities is essential to ensure correct diagnosis, and to improve the preparedness for a rapid and proper identification of viral threats

MEDLEM database, a data collection on large Elasmobranchs in the Mediterranean and Black seas

The Mediterranean Large Elasmobranchs Monitoring (MEDLEM) database contains more than 3,000 records (with more than 4,000 individuals) of large elasmobranch species from 21 different countries around the Mediterranean and Black seas, observed from 1666 to 2017. The principal species included in the archive are the devil ray (1,868 individuals), the basking shark (935 individuals), the blue shark (622 individuals), and the great white shark (342 individuals). In the last decades, other species such as the thresher shark (187 individuals), the shortfin mako (180 individuals), and the spiny butterfly ray (138) were reported with increasing frequency. This was possibly due to increased public awareness on the conservation status of sharks, and the consequent development of new monitoring programs. MEDLEM does not have homogeneous reporting coverage throughout the Mediterranean and Black seas and it should be considered as a database of observed species presence. Scientific monitoring efforts in the south-eastern Mediterranean and Black seas are generally lower than in the northern sectors and the absence of some species in our database does not imply their actual absence in these regions. However,the available data allowed us to analyse the frequency and spatial distribution of records, the size frequencies for a few selected species, the overall area coverage, and which species are involved as bycatch by different fishing gears.S

MEDLEM database, a data collection on large elasmobranchs in the Mediterranean and Black Seas

The Mediterranean Large Elasmobranchs Monitoring (MEDLEM) database contains more than 3,000 records (with more than 4,000 individuals) of large elasmobranch species from 21 different countries around the Mediterranean and Black seas, observed from 1666 to 2017. The principal species included in the archive are the devil ray (1,868 individuals), the basking shark (935 individuals), the blue shark (622 individuals), and the great white shark (342 individuals). In the last decades, other species such as the thresher shark (187 individuals), the shortfin mako (180 individuals), and the spiny butterfly ray (138) were reported with increasing frequency. This was possibly due to increased public awareness on the conservation status of sharks, and the consequent development of new monitoring programs. MEDLEM does not have homogeneous reporting coverage throughout the Mediterranean and Black seas and it should be considered as a database of observed species presence. Scientific monitoring efforts in the south-eastern Mediterranean and Black seas are generally lower than in the northern sectors and the absence of some species in our database does not imply their actual absence in these regions. However, the available data allowed us to analyse the frequency and spatial distribution of records, the size frequencies for a few selected the available data allowed us to analyse the frequency and spatial distribution of records, the size frequencies for a few selected species, the overall area coverage, and which species are involved as bycatch by different fishing gears

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Immigrant collective civic action: Integrating group resilience into the social identity model of collective action

Based on the social identity model of collective action (SIMCA), this study examined factors associated with immigrant collective civic action, while also testing the role of group resilience. A convenience sample of 226 first-generation immigrants (58.6% female) of different nationalities completed a self-report questionnaire. Partial least squares path modelling was used to test a model assessing the relationship between national and ethnic identity and collective civic action, mediated by collective efficacy, perceptions of collective unfair treatment, and group resilience. Results confirmed the identity–efficacy pathway to collective civic action for both national and ethnic identity, but not the ethnic identity–injustice or the ethnic identity–group resilience pathways. Implications for research and practice are discussed

Dai territori marginali alla città. Esercizi per trasformare esperienze virtuose in possibilità di pianificazione

Riconoscendo la potenzialità trasformativa delle pratiche che ‘fanno città’ dal basso (Cellamare, 2019), come tradurre il fermento dal basso in un metodo strategico «per creare e guidare (una gamma di) futuri migliori per un luogo sulla base di valori condivisi»? (Albrechts e Balducci, 2013).Il contributo proposto, prendendo le mosse dallo studio di caso del Quarticciolo, borgata di edilizia pubblica romana, porta alla luce una forma virtuosa di rigenerazione urbana dal basso. Il processo, costruito con pratiche quotidiane di riappropriazione di spazi in disuso, mutualismo e capacitazione politica, si sta ora sperimentando nella costruzione di nuove, difficili interlocuzioni con alcune istituzioni di prossimità.La riflessione intende interrogare criticamente alcuni aspetti del processo in corso, a partire dall’analisi di alcuni strumenti di traduzione e mediazione tra ‘alto’ e ‘basso’ proposti e messi alla prova in questo contesto: un Manuale di futuro e un Polo civico.Se per un verso l’esperienza sollecita una riflessione sul ruolo che urbanistз e policy makers assumono in questa fase storica, disegnando processi e facendosi portatori di istanze ‘verso l’alto’, essa evidenzia anche un’importante debolezza di questo ambito di operazioni: come si creano le condizioni per innescare processi di innovazione trasformativa in ambiti dove l’energia sociale non ha trovato spazio, forma, voce? Come i processi locali possono informare strategie strutturate di scala vasta, come quella metropolitana, che ambisca a favorire un cambiamento sistemico e sul lungo periodo nelle modalità di riduzione dei divari territoriali

Isochemotopic response: the first case on a scar

A 65-year-old male patient affected by adenocarcinoma of the lung received systemic chemotherapy. The regimen chosen by the oncologists was an association of both classic chemoterapeutic drugs and target therapy, specifically cisplatin, paclitaxel and pembrolizumab. Fifty-three years prior, the patient had underwent surgery for a non-specified thyroid carcinoma and, as a consequence of this, had a scar in the anterior region of the neck. The patient’s history was also positive for type 2 diabetes, in treatment with metformin, and a precedent cholecystectomy. During the third infusion of the expected chemotherapeutic protocol, the patient developed an acute inflammatory reaction upon the scar area. Upon clinical examination, it appeared erythematous, edematous and there was a mild temperature increase and an increased stiffness detectable upon palpation. The patient also complained of mild discomfort and referred that the last therapeutic cycle had been associated with weakness, diarrhea and fever that had resolved spontaneously within 24 hours from the infusion. Routine blood analysis were normal. Considering the history, there was a clear link between the therapy and the reaction. We defined this as “isochemotopic”