Design of the first Italian roundabout with jointed plain concrete pavement

This work presents the results of the overall design of the first Italian roundabout with jointed plain concrete pavement. The examined case study complies with current international standards and practices for geometry of roundabouts and road pavements. The construction of a concrete pavement in an urban roundabout will better manage and slow down fast vehicular flows, and increase traffic fluidity in an important junction, trafficked by heavy vehicles, where maintenance works should be reduced to avoid queues. The design of the roundabout involved several competences for: defining the geometry of the four-arm junction, designing the thickness of the jointed plain concrete pavement both on the circular crown and the arms, studying the mix design of a high resistance concrete. As regard to the pavement, the result of the study was an un-dowelled concrete pavement composed of square slabs laid on a cement concrete subbase and a granular layer. The shape of the slabs has been designed to optimize the structural performance of their material, which is a high strength concrete mix derived from an extensive laboratory test work. In general, the results summarized approaches typical of different design conditions: urban ones for traffic flow and safety needs; high-traffic ones for the chosen pavement type; airport ones for the absence of dowel and tie bars at the joints. Indeed, the article has highlighted that the design process of a concrete roundabout requires multiple analyses to consider various features and correctly re-design anexistingurbanjunction. Its geometrical design,the structural design of the concrete pavement and the theoretical and experimental design of the concrete mix were the main phases of this process and they needed different competences to conduct comprehensive and appropriate analyses

Eight Traffic Calming “Easy Pieces” to Shape the Everyday Pedestrian Realm

The need for safe pedestrian movement implies subtracting and modifying space dedicated to vehicles, especially in urban areas. Traffic control measures aim to reduce or modify the width of the carriageway and force the correct use of the space by pedestrians through two approaches: the former is hard and includes physical barriers and the latter is soft and induces psychological fashion effects on the drivers. This paper presents vertical and horizontal devices integrated by landscaping, planting, or other similar works to slow motor vehicle speed, narrow traffic lanes, and/or create smaller distances for pedestrian crossings. Mobility and boundary issues are considered to discuss their warrants and potential impacts. Indeed, the effects of speed or volume treatments should be investigated through a comprehensive multicriteria analysis without overlooking pedestrian level of service, access and connectivity to residents and emergency vehicles, drainage and snow issues, loss of on-street parking lots, and environmental goals in terms of noise and emissions to air reductio

Methodology and evidence from a case study in Rome to increase pedestrian safety along home-to-school routes

Home-to-school routes are very sensitive areas: they represent, for children, a learning tool for their everyday activities, but if poorly designed, maintained and equipped they can expose them to traffic risks. Sidewalks’ inappropriate level of service and poor maintenance, especially, are main factors contributing to walking unsuitability, thus to poor comfort and safety levels for young pedestrians, and more in general for all the vulnerable non-motorized road users. This paper deals with a methodology specifically developed to highlight the quality of the urban environment where the home-to-school routes are located, according to four main criteria: wellbeing, usage, appearance, and safety and security. Each criterion is associated with a checklist including the most relevant features to assess, with a focus on maintenance as a key parameter to create safe and comfortable routes to school. An application, a case study in Rome, where the lack of regular maintenance results into a network of unsafe sidewalks, is also presented, analyzing three different areas where a number of schools are located. Detours when approaching school premises were surveyed, due to the levels of distresses and linked to the poor comfort and safety levels. As the mutual influence of built environment over road safety and maintenance requirements for home-to-school paths is not largely investigated thus far, the paper’s goal is to provide advanced knowledge for studies and applications further afield

OTX Genes in Adult Tissues

OTX homeobox genes have been extensively studied for their role in development, especially in neuroectoderm formation. recently, their expression has also been reported in adult physiological and pathological tissues, including retina, mammary and pituitary glands, sinonasal mucosa, in several types of cancer, and in response to inflammatory, ischemic, and hypoxic stimuli. reactivation of OTX genes in adult tissues supports the notion of the evolutionary amplification of functions of genes by varying their temporal expression, with the selection of homeobox genes from the "toolbox" to drive or contribute to different processes at different stages of life. OTX involvement in pathologies points toward these genes as potential diagnostic and/or prognostic markers as well as possible therapeutic targets

The Silent Epidemic of Diabetic Ketoacidosis at Diagnosis of Type 1 Diabetes in Children and Adolescents in Italy During the COVID-19 Pandemic in 2020

To compare the frequency of diabetic ketoacidosis (DKA) at diagnosis of type 1 diabetes in Italy during the COVID-19 pandemic in 2020 with the frequency of DKA during 2017-2019

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice