ACTIVE HOUSE PROTOCOL APPLICATION IN MEDITERRANEAN CLIMATE : an energy-efficient kindergarden in Coppito

La U.E. intende raggiungere la neutralità climatica entro il 2050. Questo articolo mira a colmare il divario nella scelta di soluzioni migliorative delle condizioni di vita negli assetti territoriali (SDG n.11) per il raggiungimento delle prestazioni energetiche attese (SDG n.7) e diffondere l’adozione di nuovi approcci e misure per la progettazione sostenibile (SDG n.13). Tali obiettivi sono stati conseguiti mediante l’applicazione di un processo di reverse engineering all’asilo Ape Tau, L’Aquila, località Coppito, dopo il sisma del 2009. Le soluzioni progettuali impiegate nell’edificio sono state analizzate secondo livelli quantitativi suggeriti dall’approccio olistico del protocollo Active House, che fornisce la metodologia per verificare le prestazioni dell’edificio secondo criteri di comfort, energia e ambiente. I risultati evidenziano elevate prestazioni dell’edificio costruito con tecnologia stratificata a secco e l’efficacia del metodo basato su analisi process- oriented a utente, ambiente e territorio. L’articolo propone un paradigma innovativo per la riqualificazione degli edifici, replicabile in numerosi contesti e differenti condizioni climaticheThe E.U. aims to achieve climate neutrality by 2050. This article aims to fill the gap in the selection of solutions to improve living conditions in territorial assets (SDG n.11) to achieve the expected energy performance (SDG n.7) and disseminate the adoption of new approaches and measures for sustainable design (SDG n.13). These objectives were met through the application of a reverse engineering process to the Ape Tau kindergarten in L'Aquila, Coppito area, after the 2009 earthquake. The building's design solutions were investigated according to quantitative levels suggested by the holistic approach of the Active House protocol, which provides the methodology to verify the building's performance according to comfort, energy and environmental criteria. The results highlight the high performance of the building constructed with multilayer dry technology and the method's effectiveness based on process-oriented analysis to user, environment and territory. The article proposes an innovative paradigm for building requalification replicable in numerous contexts and different climatic conditions

ACTIVE HOUSE PROTOCOL APPLICATION IN MEDITERRANEAN CLIMATE An energy-efficient kindergarten in Coppito

The E.U. aims to achieve climate neutrality by 2050. This article aims to fill the gap in the selection of solutions to improve living conditions in territorial assets (SDG n.11) to achieve the expected energy performance (SDG n.7) and disseminate the adoption of new approaches and measures for sustainable design (SDG n.13). These objectives were met through the application of a reverse engineering process to the Ape Tau kindergarten in L'Aquila, Coppito area, after the 2009 earthquake. The building's design solutions were investigated according to quantitative levels suggested by the holistic approach of the Active House protocol, which provides the methodology to verify the building's performance according to comfort, energy and environmental criteria. The results highlight the high performance of the building constructed with multilayer dry technology and the method's effectiveness based on process-oriented analysis to user, environment and territory. The article proposes an innovative paradigm for building requalification replicable in numerous contexts and different climatic conditions

Implant replacement and anaplastic large cell lymphoma associated with breast implants: a quantitative analysis

Breast implant-associated anaplastic large-cell lymphoma (BIAALCL) is a rare form of non-Hodgkin T-cell lymphoma associated with breast reconstruction post-mastectomy or cosmetic-additive mammoplasty. The increasing use of implants for cosmetic purposes is expected to lead to an increase in BIA-ALCL cases. This study investigated the main characteristics of the disease and the factors predicting BIA-ALCL onset in patients with and without an implant replacement

Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

: The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI