Sauris residential building type. Analysis of typologic and constructive characters for a coherent rehabilitation intervention

3noThis research is focused on alpine building heritage in Sauris, a settlement in Carnia. Its residential building type is characterized by almost homogeneous spatial distribution and construction techniques, historically developed due to geographical isolation of this German speaking area and to availability of natural resource as wood, stone, soil and road-metal. To meet requirements for resettlement and Alpine tourism services, a methodology for rehabilitation is applied to Sauris building type. The proposed actions are compatible with original architectural characters and let a performance improvement in structural safety and energy consumption control.openopenStival, Carlo Antonio; Croatto, Giorgio; Valcovich, EdinoStival, CARLO ANTONIO; Croatto, Giorgio; Valcovich, Edin

Covid-19 and the role of smoking: the protocol of the multicentric prospective study COSMO-IT (COvid19 and SMOking in ITaly).

The emergency caused by Covid-19 pandemic raised interest in studying lifestyles and comorbidities as important determinants of poor Covid-19 prognosis. Data on tobacco smoking, alcohol consumption and obesity are still limited, while no data are available on the role of e-cigarettes and heated tobacco products (HTP). To clarify the role of tobacco smoking and other lifestyle habits on COVID-19 severity and progression, we designed a longitudinal observational study titled COvid19 and SMOking in ITaly (COSMO-IT). About 30 Italian hospitals in North, Centre and South of Italy joined the study. Its main aims are: 1) to quantify the role of tobacco smoking and smoking cessation on the severity and progression of COVID-19 in hospitalized patients; 2) to compare smoking prevalence and severity of the disease in relation to smoking in hospitalized COVID-19 patients versus patients treated at home; 3) to quantify the association between other lifestyle factors, such as e-cigarette and HTP use, alcohol and obesity and the risk of unfavourable COVID-19 outcomes. Socio-demographic, lifestyle and medical history information will be gathered for around 3000 hospitalized and 700-1000 home-isolated, laboratory-confirmed, COVID-19 patients. Given the current absence of a vaccine against SARS-COV-2 and the lack of a specific treatment for -COVID-19, prevention strategies are of extreme importance. This project, designed to highly contribute to the international scientific debate on the role of avoidable lifestyle habits on COVID-19 severity, will provide valuable epidemiological data in order to support important recommendations to prevent COVID-19 incidence, progression and mortality

Proposta per un recupero dell'abitazione saurana

La ricerca svolta indaga possibili azioni per un recupero dell'architettura vernacolare di Sauris (UD), isola linguistica tedesca della Carnia situata ad oltre 1200 m s.l.m. e caratterizzata prevalentemente da un tipo edilizio abitativo avente spazi funzionali specifici ed una tecnica costruttiva mista, derivato dal progressivo miglioramento di un tipo matrice sperimentale. L\u2019architettura di Sauris risulta di grande interesse per i caratteri tipologici propri dei singoli edifici, quali la distribuzione degli spazi interni, la tecnica costruttiva a blockbau delle strutture in elevazione, la copertura lignea con manto in scandole, a pendenza contenuta rispetto alla consuetudine delle case alpine, il ballatoio. La proposta di recupero per il tipo edilizio saurano ha individuato come fondamentali gli obiettivi di ripristino strutturale, controllo dell\u2019umidit\ue0 proveniente del terreno, miglioramento della tenuta all\u2019acqua della copertura, contenimento delle dispersioni energetiche e la dotazione di nuovi impianti idrosanitari, di scarico acque e di riscaldamento. Queste azioni sono state sviluppate con l'obiettivo di salvaguardare i caratteri peculiari dell\u2019architettura saurana, basata su criteri funzionali derivanti dall\u2019impiego al grezzo di materiali disponibili in situ

Non invasive ventilation for severe TRALI and Myocardial stunning: report and literature review

We present a case of transfusion-related acute lung injury (TRALI) treated with non invasive ventilation

Perfusion Index and Pulse Oximetry Screening for Congenital Heart Defects

Objective To evaluate the efficacy of combined pulse oximetry (POX) and perfusion index (PI) neonatal screening for severe congenital heart defects (sCHD) and assess different impacts of screening in tertiary and nontertiary hospitals. Study design A multicenter, prospective study in 10 tertiary and 6 nontertiary maternity hospitals. A total of 42\u2009169 asymptomatic newborns from among 50\u2009244 neonates were screened; exclusion criteria were antenatal sCHD diagnosis, postnatal clinically suspected sCHD, and neonatal intensive care unit admission. Eligible infants underwent pre- and postductal POX and PI screening after routine discharge examination. Targeted sCHD were anatomically defined. Positivity was defined as postductal oxygen saturation (SpO2) 6495%, prepostductal SpO2gradient >3%, or PI <0.90. Confirmed positive cases underwent echocardiography for definitive diagnosis. Missed cases were identified by consulting clinical registries at 6 regional pediatric heart centers. Main outcomes were incidence of unexpected sCHD; proportion of undetected sCHD after discharge in tertiary and nontertiary hospitals; and specificity, sensitivity, positive predictive value, and negative predictive value of combined screening. Results One hundred forty-two sCHD were detected prenatally. Prevalence of unexpected sCHD was 1 in 1115 live births, similar in tertiary and nontertiary hospitals. Screening identified 3 sCHD (low SpO2, 2; coarctation for low PI, 1). Four cases were missed. In tertiary hospitals, 95% of unsuspected sCHDs were identified clinically, whereas only 28% in nontertiary units; in nontertiary units PI-POX screening increased the detection rate to 71%. Conclusions PI-POX predischarge screening provided benefits in nontertiary units, where clinical recognition rate was low. PI can help identify coarctation cases missed by POX but requires further evaluation in populations with higher rates of missed cases

Recurrent Tracheoesophageal Fistula and Respiratory Failure: The Role of Early Airway Endoscopic Approach.

Tracheoesophageal fistulas (TEFs) represent uncommon congenital communications between esophagus and trachea and despite precocious surgical repair their recurrence still represents an important challenge for pediatric surgeons. Recurrence of the TEF occurs in ~9% of cases, most often 2 to 18 months after initial repair.[1] While respiratory symptoms have been reported frequently (22/26 cases of recurrent TEF by Bruch et al[2]), the occurrence of severe respiratory failure in association to TEF is quite uncommon. In fact, symptoms are often difficult to differentiate from tracheomalacia or gastroesophageal reflux, commonly found in infants with repaired esophageal atresia (EA)/TEF. Bronchoscopy may be used in intensive care setting both to confirm diagnosis and to treat lesions. Fistula treatment may be definitive or even transient, permitting pulmonary condition improvement and delay in surgical repair