Search

The tourist sector, despite the present severe constraints imposed by the sanitary emergence, can be considered as an important component of almost all countries' economies. In Italy agriturism, in particular, has been experiences a continuously rising trend in recent years. Clearly, such great interest towards these businesses also calls for a deep attention by an energy point of view, in sight of an energy efficiency improvement, hence a lowering of the pressure that such facilities exert to the natural environment. On the other hand, the European Union has been engaged, for a long time, in awarding the tourist accommodations environmental excellence brands, like the EU Ecolabel. Unfortunately, the achievement of such excellence brands requires the capability of managing complex energy and environmental data, which is often not the prerogative of people running such facilities. In order of contributing to overcome this difficulty, and with the aim of helping the addressing of agritourism towards a Nearly Zero Energy path, we propose here a simple approach that does not require the modelling and simulation of the energy behaviour of an agritourism, being essentially based on the application of easy-to-use ARERA (Italian Regulatory Authority for Energy Networks and Environment) datasheets scheme. On purpose, an application of the method, involving two typical Sicilian agritourism, is presented. The obtained results showed the viability of the proposed methodology, although the need of an update and/or replacement of some technical datasheets arose.

Climate change and energy consumption increasingly call for a better use of energy sources. Renewable sources are still growing in the power production of many countries, so leading to the reduction of CO2 emissions. Further restrictions will be applied to the use of fossil fuels with a lot of consequences; for example, some German cities are all contemplating bans related to diesel pollution, and on the other hand some of the biggest car producers are planning to stop the diesel engines production in a few years. At the same time, some restrictions are applied also to many refrigerating fluids, in order of limiting the ODP and GWP values. This restriction leads to research new fluids and/or to enhance the use of natural refrigerants. In this scenario, Energy Designers are called to conjugate energy needs with the environment safety. Main guidelines concern energy clean production basically obtained by means of renewables and energy saving. In this article authors consider a CCHP for a typical Mediterranean end user such as a large hotel, composed by an ORC linked to a refrigerator. Several working fluids, particularly natural fluids, which operate both in the ORC and in the refrigerator, are investigated.

Background: Although diverticular disease is a common condition, its effective treatment is challenging in clinical practice. Objective: The objective of this article is to assess pharmacological management in different clinical settings of diverticular disease and factors associated with treatment using the Italian registry Registro Malattia Diverticolare (REMAD). Methods: At study enrolment, patients were categorised into subgroups: diverticulosis, symptomatic uncomplicated diverticular disease and previous diverticulitis. We registered demographic, clinical and lifestyle factors, quality of life and the use of treatments for diverticular disease in the last year. Logistic regression analysis assessed the association between clinical factors and treatment consumption. Results: A total of 500 of the 1206 individuals included had had at least one treatment for diverticular disease in the last year: 23.6% (166/702) of patients with diverticulosis, 55.9% (165/295) of patients with symptomatic diverticular disease, and 80.9% (169/209) of patients with previous diverticulitis (p < 0.001). In multivariate analysis, the following factors were significantly associated with treatment use: female gender, family history of colonic diverticula, organic digestive comorbidity and impaired physical quality of life components. Conclusion: Individuals with diverticular disease take medications based on the different clinical settings of disease. We identified different features associated with treatment use in the distinct clinical entities of diverticular disease. ClinicalTrial.gov Identifier: NCT03325829.

Background Indoor allergens are risk factors for asthma: Thus, the characterization of indoor air quality is important for studying environment–health relationships in children. In particular, Dermatophagoides pteronyssinus is the dominant allergen for asthma. We cross-sectionally investigated the relationships among respiratory symptoms and function, airway inflammation, allergen sensitization, and indoor allergen concentration. Methods One hundred and thirty-two children aging 10-14 years and living in a Southern Mediterranean area were evaluated by parental questionnaires. Spirometry, exhaled nitric oxide (FeNO), skin prick tests, total, and specific serum IgE analyses were performed along with the evaluation of home dust samples for the content in Der p 1 allergen. Three clusters were created on the basis of the presence/absence of wheeze in the last 12 months (Wh12m) and Der p 1-specific IgE level. Results Cluster 1 (Wh12m+/high Der p 1 IgE) presented higher FeNO and poorer pulmonary function (lower FEV1 and FEF25%-75%), while its symptom score was not different from Cluster 2 (Wh12m+/low Der p 1 IgE). Cluster 3 (Wh12m−/low IgE) showed the lowest FeNO values and pulmonary function similar to Cluster 2. Within Cluster 1, both Der p 1-specific IgE and FeNO were positively correlated with dust Der p 1. Conclusions Similar asthma phenotypes may occur in children despite differences in their atopic state. In atopic children, sensitizing allergens in the indoor environment may increase airway inflammation worsening pulmonary function. Moreover, environmental exposures may contribute to the development of asthma-like symptoms also in the absence of atopic sensitization, thus contributing to asthma overdiagnosis.

The use of sheep wool as reinforcement of cement in order to produce mortar or plaster involves several advantages for environment and energy. Moreover, in several regions it is treated as a waste and, consequently, its employ is characterized by low cost. Aim of this paper is to evaluate the influence of wool fibres on thermal conductivity and mechanical properties of cement. The samples were prepared using wool fibres, obtained from a breed of Sicilian sheep, with three different length (i.e. 1 mm, 6 mm and 20 mm). Moreover, in order to evaluate the influence of fibre content, the samples were prepared by varying the fibres weight fraction up to maximum level. The thermal conductivity of samples was analyzed by using a heat flow meter, whereas the mechanical behavior was studied through compressive tests. In order to validate the thermal measurements, two theoretical models were applied. The results showed that wool fibres could be considered as a valid reinforcement in cementitious matrix to obtain mortars or plasters with both enhanced thermal insulation properties and good mechanical ones., Academic Journal of Civil Engineering, Vol 33 No 2 (2015): Special Issue - ICBBM 2015

In the last years several computer programs for thermal simulation of buildings have been quickly spread; they allow to describe the thermal behavior of buildings and to verify their energy efficiency, in order to suggest eventual improvements as from the design stage. Most of these simulation tools generally need a complete input data set and, in particular, information referring to the climatic conditions of the site where buildings will be built-up. As it is well known, among climatic issues, particularly important for the thermal energy balance is the solar radiation. In this paper authors present a short reference year of the solar radiation, more precisely the Monthly Average Day (MAD) for a town of the Southern Italy (Palermo). Moreover, authors have compared the climatic data of the Monthly Average Day (both for global and diffuse solar radiations) obtained from hourly measures for seven years, with those obtained both from geo-astronomical parameters and from the monthly average of the daily global solar radiation, which is commonly adopted on purposes. The comparison does suggest a particular caution in the choice of the method for generating reduced data sets of the solar radiation for these Mediterranean sites.

Within the assessment of the sustainability of plans and actions concerning the built environment, the transportation sector plays an increasing role, due to its importance in the economic and social life of countries. As that, the analysis of the sustainability concerning the transportation sector is now often embodied into the so called Strategic Environmental Analyses (SEA), that should provide local administrators with easy criteria for ranking the environmental suitability of designing policies, and that would seem to encounter the needed features for a correct evaluation of the urban masterplan. The urban noise forecast is very useful for local administrations, which have presently to cope with the urgent problem of assessing the environmental sustainability of policies in urban contexts. Several methods and indicators have been introduced, in order of singling out the environmental impact of the transport sector but, nevertheless, local administrators are called to manage complex set of data. In this work a software based on neural networks is proposed with the aim to forecast the levels of noise pollution. The proposed method essentially allows to link some typical urban planning data with the traffic noise, and to assess the influence of the program choices regarding the noise levels. So, it is possible to forecast new scenarios of acoustic pollution in urban contexts, and to compare the obtained data with the limits of law. To overcome the problem due to the different types of parameters which influence the acoustic pollution phenomena, a neural network has been used.

Brickmaking process is a highly energy-intensive operation, where a considerable amount of energy is spent in the drying and firing processes of bricks. Moreover, most of the Sicilian brick industries utilise electricity, fuel oil and gas oil. On the other hand, the conservation of energy becomes important in the aim of limiting greenhouse gas emission into the atmosphere and reducing costs of materials. In this work, an experimental analysis of the energy utilised in a Sicilian brickwork for the realization of some typical bricks has been carried out. From this study, the embodied energy of the unity of product has been deduced. Finally, by means of an indirect method, the pollutants released in the atmosphere have been evaluated and the pressure exerted on the main environmental ambits has also been computed.

Following a previous work, concerning the energy audit of a nursery school belonging to the public building park of the town of Palermo, some further analyses have been conducted. These mainly refer to the environmental performances of the school that are assessed with regards to different interventions involving the envelope (the glazed part, particularly) and the surrounding spaces. The interventions are hierarchised by means of suitable indicators concerning energy, environment and economy issues. Finally a simple graph is proposed that visually summarises these indicators for each proposed action.

The level of air quality in urban centres is affected by emission of several pollutants, mainly coming from the vehicles flowing in their road networks. This is a well known phenomenon that influences the quality of life of people. Despite the deep concern of researchers and technicians, we are far from a total understanding of this phenomenon. On the contrary, the availability of reliable forecasting models would constitute an important tool for administrators in order of assessing suitable actions concerning the transportation policies, public as well private. Referring to the situation of the running fleet and the measured pollutant concentrations concerning the Italian town of Palermo, a data-deduced traffic model is here derived, its truthfulness being justified by a fuzzyfication of the phenomenon. A first validation of the model is supplied by utilising the emissions characteristics and the pollutant concentrations referring to a two years period of time. This work could represent a first attempt in defining a new approach to the problem of the pollution of the urban contexts, in order of providing administrators with a reliable and easier tool.

A levofloxacin-based triple therapy and a rifabutin-based regimen are advised as second-line and rescue therapies in the current Italian guidelines for H. pylori eradication. However, no data are available for the efficacy of these treatments in clinical practice.A total of 86 consecutive patients who failed a standard, first-line, triple therapy for H. pylori infection were treated with a 10-day triple therapy including omeprazole 20 mg, amoxycillin 1 g, and levofloxacin 250 mg or 500 mg, each given twice daily. Eradication failure patients received a 10-day rescue therapy with omeprazole 20 mg, amoxycillin 1 g, and rifabutin 150 mg, each given twice daily. A further therapeutic attempt was performed with a 14-day, high-dose dual therapy (esomeprazole 40 mg and amoxicillin 1 g, each thrice daily).Following the second-line therapy, H. pylori infection was cured in 76.4% (95% CI = 67.8-85.0) and 79.5% (95% CI = 70.8-88.2) at intention-to-treat (ITT) and per-protocol (PP) analysis, respectively. After the rescue therapy, bacterial eradication was achieved in 84.6% (95% CI = 65-100). Two patients with persistent infection were successfully cured with the high-dose dual therapy.The efficacy of levofloxacin-based second-line therapy seems to be decreasing, whilst rescue therapy with rifabutin would appear a valid third-line therapy, and a high-dose dual therapy may be used as a further rescue therapy.

In this chapter, we try to connect the urban design features with energy consumption and consequent pollution parameters. After a review of a selected set of approaches to Urban Energy Systems study with a special focus on electrical power systems, urban energy systems are proposed as networks of multi-source hybrid energy hubs, where different energy flows are collected at the same bus and can be stored, delivered or transformed as needed. Resources at the hub and infrastructures interact with each other; therefore, both definition and boundaries of such energy systems at urban level are difficult to be clearly outlined. Similarly, the possibility to generate new operational models based on existing critical urban infrastructures is also challenging. This contribution proposes a preliminary study of urban energy hubs. Operations of thermal, electrical and mobility infrastructures are considered as qualifying features of the hub, but still the interconnected operation is not taken into account. The application part shows, indeed, the analysis and optimized design of the energy system serving two different urban districts. The related optimized parametric design of power generation infrastructures is considered as a function of urban features. The results about emissions and costs provide some interesting conclusions about the linkage between energy planning and urban features at district level, thus allowing, as possible application of this work, an energy-based territorial planning for urban contexts.

Purpose Decarbonizing cities is one of today’s biggest challenges. In this regard, particular attention has been paid on improving the environmental performance of buildings. In this framework, this work consists in assessing the environmental impact of an innovative building envelope component derived from urban agriculture (UA) wastes. In fact, rooftop UA seems to be a possible solution to the rising food demand due to increasing urban demographic growth. Consequently, rooftop UA wastes need to be treated in sustainable ways. Methods This study aims to determine the carbon footprint and embodied energy of a new infill wall material, derived from UA wastes produced by a building rooftop greenhouse tomato crop, and evaluate the potential biogenic carbon that such by-product could fix temporally until its end of life. After an initial description of the manufacturing process of the new material, its carbon footprint and embodied energy have been calculated by means of the life cycle assessment (LCA) methodology according to the ISO 14044 and the ISO 14067 guidelines adapted to the analyzed context. In particular, the inventory analysis is based on data collected from the production of samples of the new material at the laboratory scale. Results and discussion The results of the LCA indicate that, when the biogenic carbon fixed in the UA wastes is considered, a negative carbon footprint of − 0.2 kg CO2 eq. per kg of material can be obtained. Hence, it can be assumed that from a life cycle perspective the material is able to fix carbon emissions instead of emitting them. Specifically, for the considered scenario, approximately 0.42 kg CO2 eq./m2 per year could be sequestered. However, the crop area required to produce enough waste to manufacture a unit of material is quite high. Therefore, future studies should focus on individuate solutions to reduce the density of the new component, and also different urban crops with higher waste production rates. Conclusions The outcomes of the study put in evidence the potential of the new proposed infill wall component in fixing carbon emissions from UA, allowing to also compensate those relating to the production and transportation stages of the component life cycle. Moreover, producing by-products with UA wastes, hence temporally storing the carbon fixed by crops, may contribute to reduce the carbon cycles speed conversely to traditional waste management solutions, other than lower new raw materials depletion.

European Union Member States are called upon to meet internationally proposed environmental goals. This study is based, in particular, on the recommendation of the European Union (EU), which encourages Member States to pursue effective policies to reduce greenhouse gas (GHGs) emissions, including through appropriate changes in the behavioral habits of citizens. In this respect, among the main sectors involved, transport and mobility should certainly be mentioned. National institutions should be adequately involved in order to achieve the objectives set; in this regard, universities must certainly be considered for their educational value. These latter, for instance, could commit to improving the environmental performance of the mobility of their commuter students (to a not insignificant extent), since commuting modes are often the cause of high CO2 emissions; indeed, they still largely involve the use of internal combustion engines based on fossil fuels. In this paper, the effectiveness of a smartphone-app-based method to encourage commuter students to adopt more sustainable transport modes is evaluated. In more detail, starting from a statistical analysis of the status quo of mobility habits of a sample of students at the University of Palermo (Italy), an improvement of current habits toward a more sustainable path is encouraged through a new application (specifically created for this purpose) installed on students’ smartphones. Then, the daily and annual distances traveled by commuters with the new mobility modes are calculated, and the resulting savings in energy and CO2 emissions are estimated. Finally, it is proposed that the reduced emissions could be converted into energy-efficiency credits that the University could use to enter the emission trading system (ETS), here contextualized within the Italian “TEE” (“Energy Efficiency Credits”) scheme, while the benefits for students participating in the program could consist of reduced fees and free access to university services. The results obtained show the feasibility of the proposal. This approach can be considered a useful model that could be adopted by any other public institutions—not only universities—to facilitate their path toward decarbonization.

ObjectiveTo investigate the predictive value of the Diverticular Inflammation and Complication Assessment (DICA) classification and to develop and validate a combined endoscopic-clinical score predicting clinical outcomes of diverticulosis, named Combined Overview on Diverticular Assessment (CODA).DesignA multicentre, prospective, international cohort study.Setting43 gastroenterology and endoscopy centres located in Europe and South America.Participants2215 patients (2198 completing the study) at the first diagnosis of diverticulosis/diverticular disease were enrolled. Patients were scored according to DICA classifications.InterventionsA 3-year follow-up was performed.Main outcome measuresTo predict the acute diverticulitis and the surgery according to DICA classification. Survival methods for censored observation were used to develop and validate a novel combined endoscopic-clinical score for predicting diverticulitis and surgery (CODA score).ResultsThe 3-year cumulative probability of diverticulitis and surgery was of 3.3% (95% CI 2.5% to 4.5%) in DICA 1, 11.6% (95% CI 9.2% to 14.5%) in DICA 2 and 22.0% (95% CI 17.2% to 28.0%) in DICA 3 (p10% and >2.5% in CODA C, respectively. The CODA score showed optimal discrimination capacity in predicting the risk of surgery in the development (c-statistic: 0.829; 95% CI 0.811 to 0.846) and validation cohort (c-statistic: 0.943; 95% CI 0.905 to 0.981).ConclusionsDICA classification has a significant role in predicting the risk of diverticulitis and surgery in patients with diverticulosis, which is significantly enhanced by the CODA score.Trial registration numberNCT02758860.

Reducing energy consumption in the building tertiary sector, which accounts for a big share of the total energy use (and related CO 2 emissions) at European and Italian level, represent a strong element of safety for the EU-28. On the other hand, it is important to improve the, often overlooked, indoor comfort conditions of Italian schools since they have a significant impact on the well-being, productivity, health and safety of their occupants. Thus, it is appropriate to take into account the combination of both needs, also in light of the climate change scenario, in order to identify adequate improvement measures and justify such economic investment. This paper brings a contribution to the matter by means of a case study concerning a Sicilian school belonging to the 1930s period, representing an emblematic case of the Italian school construction panorama.

Human activities are severe sources of greenhouse gases and, particularly, of CO 2 . This trend, according with the highly demanding criteria released by the international institutions, must be suitably cut, in order of turning the pollutant emissions within limits that will guarantee a sustainable and environmentally safe development of the human species. Apart the measures that are since long time usually implemented in the technological systems, other interventions should be properly adopted in supporting the sustainability of the anthropic activities. These actions mainly apply to the so-called bioclimatic and passive measures and, particularly, could usefully refer to the plantation of proper surfaces of trees that, thanks to their metabolic mechanisms, are able to sequester relevant amounts of greenhouse gases. In this paper, after a description of a simple method for evaluating the quantities of CO 2 sequestered by trees, the availability of the main parameters on which the sequestration of CO 2 by urban trees is based will be discussed.

The effects of climate change on the built environment represents an important research challenge. Today, green roofs (GRs) represent a viable solution for enhancing energy and urban resilience in the face of climate change, as they can have a positive impact on the building's indoor thermal comfort and energy demand, as well as inducing various environmental benefits (easing urban heat island effects, improving the management of runoff water, reducing air pollution, etc.). Thus, it is important to be able to assess their effectiveness, both today and under future climate conditions, in order to evaluate whether they can also provide a valid long-term solution. In this paper, a simulation approach is proposed to evaluate the energy and indoor-comfort efficacy of GRs installed on a cluster of buildings with respect to climate change and demographic growth. To illustrate the proposed methodology, it has been applied to two European urban environments characterized by very different climatic conditions (Esch-sur-Alzette in Luxembourg and Palermo in Italy) considering their behaviour over a period of 60 years (2020, 2050, 2080). Results showed that, with respect to standard existing roofs (i.e., without the presence of green coverage), and considering the rising temperatures due to climate change, during cooling seasons GRs enabled significant energy savings (ranging from 20% to 50% for Esch-sur-Alzette and from 3% to 15% for Palermo), improvement of the indoor comfort (reduction of the average predicted mean votes − PMVs) and attenuation of the ceiling temperatures (2–5 °C for both contexts) of the buildings' top floors.

There are no evidence-based recommendations for performing upper gastrointestinal endoscopy (UGIE) in patients with extra-oesophageal symptoms of gastro-oesophageal reflux disease (GORD). However, UGIEs are often performed in clinical practice in these patients. We aimed to assess the prevalence of gastro-oesophageal lesions in patients with atypical GORD symptoms.Patients complaining of at least one extra-oesophageal GORD symptom and undergoing UGIE in seven centres were prospectively enrolled. Clinically relevant lesions (Barrett's oesophagus, erosive oesophagitis, gastric precancerous conditions, peptic ulcer, cancer, andTwo hundred eleven patients were enrolled (male/female: 74/137; mean age: 55.5 ± 14.7 years). Barrett's oesophagus was detected in 4 (1.9%), erosive oesophagitis in 12 (5.7%), gastric precancerous conditions in 22 (10.4%), andClinically relevant lesions are uncommon among young (≤50 years) patients with extra-oesophageal GORD symptoms. Hiatal hernia is not more prevalent in patients with cardiologic symptoms and suspicion of GORD. The usefulness of UGIE in these patients is questionable.Não existem recomendações baseadas na evidencia para realização de endoscopia digestiva alta (EDA) em doentes com sintomas extra-esofágicos da doença de refluxo gastroesofágico (DRGE). No entanto, EDAs são frequentemente realizadas na orientação clínica destes doentes. O nosso objectivo foi a valiar a prevalência de lesões gastro-esofágicas em doentes com sintomas atípicos de DRGE.Doentes com pelo menos um sintoma extra-esofágico de DRGE e que realizaram EDA em 7 centros foram prospectivamente recrutados. Lesões clinicamente relevantes (esófago de Barrett, esofagite erosiva, condições pré-malignas gástricas, úlcera péptica, cancro e infecção H. pylori) foram estatisticamente comparadas entre os grupos tendo em conta sintomas de DRGE (atípicos vs. quer típicos e atípicos), tipo de sintomas atípicos, idade e presenta de hérnia do hiato.Duzentos e onze doentes foram recrutados (H/M: 74/137; Idade média: 55.5 ± 14.7 anos). Esófago de Barrett foi detetado em 4 (1.9%), esofagite erosiva em 12 (5.7%), condições pré-malignas gástricas em 22 (10.4%) e infeção H. pylori em 38 (18%) doentes. A prevalência de lesões clinicamente relevantes foi inferior em doentes com apenas sintomas atípicos (28.6 vs. 42,5%; p = 0.046; teste de qui-quadrado), doentes com50 anos (20 vs. 44.8%; p = 0.004; teste de qui-quadrado), e nos doentes medicados com iniciadores da bomba de protões (IBP) (21.1 vs.40.2%; p = 0.01; teste de qui-quadrado). Nenhuma lesáo clinicamente relevante foi detectada nos doentes com50 anos, sem sintomas de alarme e medicados com IBP. Hérnia do hiato foi diagnosticada apenas em 6 doentes com sintomas do tipo cardíaco e em 41 com sintomas ORLs (11.3 vs. 35.1%; p = 0.03; teste de qui-quadrado).Lesões clinicamente relevantes são incomuns em doentes jovens com sintomas extra-esofágicos de DRGE. Hérnia do hiato não é mais prevalente em doentes com sintomas do tipo cardíaco e suspeita de DRGE. A utilidade da EDA nestes doentes é discutível.

Radiative heat exchanges inside buildings remarkably affect the thermal balance of the human body in confined spaces and the related thermal comfort sensations of people. The mean radiant temperature is an important component of this balance. Unfortunately, it is usually computed by means of too simplified relationships, which significantly influence the comfort evaluations. Such simplified approaches are also accountable for a less effective design of HVAC systems which, in turn, could result in high energy consumption in the climatization of buildings. However, an accurate evaluation of the mean radiant temperature, especially when high intensity sources are present in a given internal space, depends on the angle factors between human subjects and surrounding surfaces of the enclosure. Angle factors, in turn, are direct functions of the projected area factors of the human body. Presently, there is still a certain lack in the availability of simple and reliable methods for computing angle factors of people in assigned postures, particularly in case of complex geometry and presence of heat high intensity sources, like sun. A comprehensive method is here introduced for evaluating the thermal comfort conditions of indoor spaces, avoiding the difficult singling out of several algorithms, dispersed in an inorganic way in the literature. A further contribution consists in the possibility of evaluating geometrically complex enclosures also in presence of direct solar radiation entering the room. Moreover, an analytical method for computing the projected area factors, based on experimental results, obtained by means of a photographic apparatus on purpose designed, is included in the methodology. An application of the method to a typical building situation in presence of direct solar radiation is also proposed.