Development and application of Green Management in a Public Authority

The objective of this work is to present a model of "Green Management" applicable to service companies and public authorities, in order to help them take the path of sustainability, highlighting the new types of waste on which they should focus in order to be considered by the whole community, "green activities". In this article are presented the criteria applicable to each green waste applying to a case study in a Municipality of Veneto

Mobility Disorders in Stroke, Parkinson Disease, and Multiple Sclerosis A Multicenter Cross-Sectional Study

OBJECTIVE: The aims of the study were to compare mobility in multiple sclerosis, Parkinson disease, and stroke, and to quantify the relationship between mobility and participation restrictions. DESIGN: This is a multicenter cross-sectional study. Included were compliant subjects with Parkinson disease, multiple sclerosis, and stroke seen for rehabilitation, with no comorbidities interfering with mobility. Functional scales were applied to each subject to investigate gait speed (10-meter walking test), balance while maintaining body position (Berg Balance Scale), dynamic balance and mobility (Timed Up and Go and Dynamic Gait Index), and participation (Community Integration Questionnaire). RESULTS: Two hundred ninety-nine patients (111 multiple sclerosis, 94 Parkinson disease, and 94 stroke) were enrolled. Stroke had the slowest gait speed (mean gait speed = 0.9 m/sec) compared with Parkinson disease (1.1 m/sec), and multiple sclerosis (1.2 m/sec) (P < 0.001). Multiple sclerosis was more limited than Parkinson disease and stroke in dynamic balance both in the Timed Up and Go Test (multiple sclerosis = 16.7 secs, Parkinson disease = 11.4 secs, stroke = 14.0 secs; P < 0.001) and Dynamic Gait Index (multiple sclerosis = 11.6 points, Parkinson disease = 12.9 points, stroke = 13.6 points; P = 0.03); ability to maintain balance and body position (Berg Balance Scale) was more affected in stroke and Parkinson disease than multiple sclerosis (multiple sclerosis = 42.6 points, Parkinson disease = 39.4 points, stroke = 39.7 points; P = 0.03). Balance disorders were associated with participation restrictions but not gait speed. CONCLUSIONS: Neurological conditions have differing impacts on gait and balance, leading to different levels of participation restriction.status: publishe

Educational and Exercise Intervention to Prevent Falls and Improve Participation in Subjects With Neurological Conditions: The NEUROFALL Randomized Controlled Trial

Background: Falls, mobility impairments and lack of social support lead to participation restrictions in people with neurological conditions. The aim of this multicenter, single blinded randomized controlled trial was to test whether an educational program focusing on fall prevention and safe mobility reduces falls and increases social participation among people with neurological conditions. Methods: Ninety people with Stroke (n = 25), multiple sclerosis (n = 33) and Parkinson disease (n = 32), median age 63 (31-89), were randomized. A permuted block algorithm stratified by field center was used to allocate participants to an education group (EG, n = 42) consisting of an educational program focused on fall prevention and tailored balance exercises and a control group (CG, n = 48) receiving usual treatments. After baseline assessment, each participants was followed for 6 months with telephone contacts by blinded interviewers. Being fallers (>1 fall) and time to become a faller were used as primary outcomes. Community Integration Questionnaire (CIQ) and Instrumental Activities of Daily Living (IADL) scales assessed treatment effects on social integration and daily living activities. Results: Over a median (Interquartile Range) follow-up of 189 (182-205) days, [EG = 188 (182-202), CG = 189 (182-209)] fallers were 10 in the CG and 11 in the EG (hazard ratio 0.95, 95% confidence interval (CI) 0.45 to 2.5; P = 0.94). At follow-up the EG scored significantly better than CG on the CIQ (+1.7 points, CI: 0.1 to 3.3) and IADL (+2.2 points, CI: 0.4 to 4.0). Conclusions: This educational program did not reduce the risk of falls but it improved the ability to carry out activities of daily living and decreased participation restrictions in people with neurological conditions.status: publishe

Inscriptiones latinae liberae rei pubblicae

Si segnalano numerose iscrizioni, edite più ο meno recentemente, suscettibili di entrare a far parte del corpus delle iscrizioni latine di età repubblicana. Di altre, già incluse in CIL, si propone di correggere la datazione, la lettura ο l'interpretazione. Si aggiungono molti altri testi inediti e si indica quali iniziative siano in corso per dotare CIL, I2 di nuovi indici e per tenere aggiornata la raccolta in futuro.Panciera Silvio, Bertinetti Marina, Di Stefano Manzella Ivan, Friggeri Rosanna, Gregori Gian Luca, Ricci Cecilia, Gentili Sara, Vergantini Gloria, Caldelli Maria Letizia, Priuli Stefano, Petrucci Nadia, Sabbatini Tumolesi Patrizia, Baldarotta Donatella, Buroni Marta, Illuminati Anna, Tagliamonte Gianluca, Fora Maurizio, Lega Claudia, Chioffi Laura, Lo Giudice Cristina, Granino Cecere Maria Grazia, Salomies Olii, Solin Heikki, Kajava Mika, Cébeillac-Gervasoni Mireille, Sironen Timo, Volpe Rita, Letta Cesare, Filippi Giorgio, Segenni Simonetta, Sensi Luigi, Mennella Giovanni, Zaccaria Claudio, Krummrey Hans. Inscriptiones latinae liberae rei pubblicae. In: Epigrafia. Actes du colloque international d'épigraphie latine en mémoire de Attilio Degrassi pour le centenaire de sa naissance. Actes de colloque de Rome (27-28 mai 1988) Rome : École Française de Rome, 1991. pp. 241-491. (Publications de l'École française de Rome, 143

Inscriptiones latinae liberae rei pubblicae

Si segnalano numerose iscrizioni, edite più ο meno recentemente, suscettibili di entrare a far parte del corpus delle iscrizioni latine di età repubblicana. Di altre, già incluse in CIL, si propone di correggere la datazione, la lettura ο l'interpretazione. Si aggiungono molti altri testi inediti e si indica quali iniziative siano in corso per dotare CIL, I2 di nuovi indici e per tenere aggiornata la raccolta in futuro.Panciera Silvio, Bertinetti Marina, Di Stefano Manzella Ivan, Friggeri Rosanna, Gregori Gian Luca, Ricci Cecilia, Gentili Sara, Vergantini Gloria, Caldelli Maria Letizia, Priuli Stefano, Petrucci Nadia, Sabbatini Tumolesi Patrizia, Baldarotta Donatella, Buroni Marta, Illuminati Anna, Tagliamonte Gianluca, Fora Maurizio, Lega Claudia, Chioffi Laura, Lo Giudice Cristina, Granino Cecere Maria Grazia, Salomies Olii, Solin Heikki, Kajava Mika, Cébeillac-Gervasoni Mireille, Sironen Timo, Volpe Rita, Letta Cesare, Filippi Giorgio, Segenni Simonetta, Sensi Luigi, Mennella Giovanni, Zaccaria Claudio, Krummrey Hans. Inscriptiones latinae liberae rei pubblicae. In: Epigrafia. Actes du colloque international d'épigraphie latine en mémoire de Attilio Degrassi pour le centenaire de sa naissance. Actes de colloque de Rome (27-28 mai 1988) Rome : École Française de Rome, 1991. pp. 241-491. (Publications de l'École française de Rome, 143