SEISMIC VULNERABILITY ASSESSMENT OF FES MEDINA IN MOROCCO

Abstract. The assessment of seismic vulnerability in the Maghreb area is not yet fully investigated, especially considering the important connection between the vulnerability and traditional housing or construction local types. This paper proposes a methodology for the assessment of seismic vulnerability at territorial scale that is calibrated on the specific characteristics of historical settlements in the North of Morocco, mostly made of patio buildings in aggregate. The proposed methodology is structured to be extended and replicated in other similar contexts and is based on the Vulnerability Index approach proposed by the National Group for Earthquake Defence (Gruppo Nazionale per la Difesa dai Terremoti, GNDT). This method was applied to the Medina of Fes, UNESCO World Heritage site, which has suffered severe damages from historical earthquakes. The study allowed the realization of vulnerability and fragility curves, damage scenarios for different seismic intensity and loss scenarios. The proposed methodology was applied a second time to the case study after a simulated structural retrofitting intervention. The results of this second application allowed to validate the guidelines and the reinforcement strategies calibrated on local construction culture. The results of the vulnerability assessment are also presented through maps in the Geographic Information System (GIS) environment

THE DESERT ROSE DOMES OF THE SOUF REGION (ALGERIA). PRELIMINARY EVALUATIONS ON THE VULNERABILITY OF A UNIQUE VERNACULAR HERITAGE

Abstract. The vernacular architecture of the Souf region in Algeria, a desert environment where wood is rare, presents multiple heritage values due to the way in which local materials (especially the desert rose stone) are exploited to build houses and erect distinctive domes. Unfortunately, extensive damage and abandonment compromise the stability of these buildings and accelerate their disappearance, which would negatively affect the urban landscape and the identity of the region. In order to safeguard this unique vernacular heritage, the study focuses on the definition of the typical typology of building, its structural and geometric characteristics, explaining the constructive technique used. Recurrent damage and pathologies that threaten this building culture are also highlighted. Then, estimation of mechanical parameters of the desert rose stone masonry is carried out defining typical characteristics according to the evaluation of the respect of "the rule of the art". Results are then used to perform numerical simulations of the structural behaviour of a typical building, through the finite element method with linear and nonlinear approaches. In particular, the structural behaviour of the dome has been investigated, being the most vulnerable element of the system

The Italian multiple sclerosis register

The past decade has seen extraordinary increase in worldwide availability of and access to several large multiple sclerosis (MS) databases and registries. MS registries represent powerful tools to provide meaningful information on the burden, natural history, and long-term safety and effectiveness of treatments. Moreover, patients, physicians, industry, and policy makers have an active interest in real-world observational studies based on register data, as they have the potential to answer the questions that are most relevant to daily treatment decision-making. In 2014, the Italian MS Foundation, in collaboration with the Italian MS clinical centers, promoted and funded the creation of the Italian MS Register, a project in continuity with the existing Italian MS Database Network set up from 2001. Main objective of the Italian MS Register is to create an organized multicenter structure to collect data of all MS patients for better defining the disease epidemiology, improving quality of care, and promoting research projects in high-priority areas. The aim of this article is to present the current framework and network of the Italian MS register, including the methodology used to improve the quality of data collection and to facilitate the exchange of data and the collaboration among national and international groups

The Italian multiple sclerosis register

The past decade has seen extraordinary increase in worldwide availability of and access to several large multiple sclerosis (MS) databases and registries. MS registries represent powerful tools to provide meaningful information on the burden, natural history, and long-term safety and effectiveness of treatments. Moreover, patients, physicians, industry, and policy makers have an active interest in real-world observational studies based on register data, as they have the potential to answer the questions that are most relevant to daily treatment decision-making. In 2014, the Italian MS Foundation, in collaboration with the Italian MS clinical centers, promoted and funded the creation of the Italian MS Register, a project in continuity with the existing Italian MS Database Network set up from 2001. Main objective of the Italian MS Register is to create an organized multicenter structure to collect data of all MS patients for better defining the disease epidemiology, improving quality of care, and promoting research projects in high-priority areas. The aim of this article is to present the current framework and network of the Italian MS register, including the methodology used to improve the quality of data collection and to facilitate the exchange of data and the collaboration among national and international groups

Disease-Modifying Therapies and Coronavirus Disease 2019 Severity in Multiple Sclerosis

Objective: This study was undertaken to assess the impact of immunosuppressive and immunomodulatory therapies on the severity of coronavirus disease 2019 (COVID-19) in people with multiple sclerosis (PwMS). Methods: We retrospectively collected data of PwMS with suspected or confirmed COVID-19. All the patients had complete follow-up to death or recovery. Severe COVID-19 was defined by a 3-level variable: mild disease not requiring hospitalization versus pneumonia or hospitalization versus intensive care unit (ICU) admission or death. We evaluated baseline characteristics and MS therapies associated with severe COVID-19 by multivariate and propensity score (PS)-weighted ordinal logistic models. Sensitivity analyses were run to confirm the results. Results: Of 844 PwMS with suspected (n = 565) or confirmed (n = 279) COVID-19, 13 (1.54%) died; 11 of them were in a progressive MS phase, and 8 were without any therapy. Thirty-eight (4.5%) were admitted to an ICU; 99 (11.7%) had radiologically documented pneumonia; 96 (11.4%) were hospitalized. After adjusting for region, age, sex, progressive MS course, Expanded Disability Status Scale, disease duration, body mass index, comorbidities, and recent methylprednisolone use, therapy with an anti-CD20 agent (ocrelizumab or rituximab) was significantly associated (odds ratio [OR] = 2.37, 95% confidence interval [CI] = 1.18\u20134.74, p = 0.015) with increased risk of severe COVID-19. Recent use (<1 month) of methylprednisolone was also associated with a worse outcome (OR = 5.24, 95% CI = 2.20\u201312.53, p = 0.001). Results were confirmed by the PS-weighted analysis and by all the sensitivity analyses. Interpretation: This study showed an acceptable level of safety of therapies with a broad array of mechanisms of action. However, some specific elements of risk emerged. These will need to be considered while the COVID-19 pandemic persists. ANN NEUROL 2021;89:780\u2013789