IL RUOLO DELLE SCELTE LOCALIZZATIVE NELLA PROMOZIONE DELLA SALUTE: UNO STRUMENTO DI VALUTAZIONE MULTICRITERIALE IN AMBIENTE GIS

IL RUOLO DELLE SCELTE LOCALIZZATIVE NELLA PROMOZIONE DELLA SALUTE: UNO STRUMENTO DI VALUTAZIONE MULTICRITERIALE IN AMBIENTE GI

Addressing decisions about new hospitals’ siting: a multidimensional evaluation approach

Background. Site selection for urban facilities is a crucial topic in planning decision processes for the several side effects they produce and the multiple criteria involved, especially for healthcare facilities. Nevertheless, the location problem has been ignored by most of the existing evaluation systems. Methods. Starting from a deep literature review and the analysis of hospitals in 10 European cities, the paper proposes an evaluation system divided into four macro-areas (Functional quality, Location quality, Environmental quality, Economical aspects), each in turn composed by criteria and sub-criteria. Results. The evaluation system has been applied for the site selection of “La Città della alute” in Milan, Italy. Furthermore, the ShOS (Selection hospitals’ Site) Evaluation Tool has been defined, with the aim of assessing the land suitability for new healthcare structures. Conclusion. The ShOS evaluation tool improves the transparency and robustness of the decision-making process and it could be broadly applied

Measuring the expected increase in cycling in the city of Milan and evaluating the positive effects on the population’s health status: a Community-Based Urban Planning experience

BACKGROUND: It's scientifically known that inactivity is one of the major risk factors for Non-Communicable Diseases. One of the elements affecting the choice of transport mode, regarding circulation in the city, is the cities' urban morphology, i.e. the infrastructural facilities for the slow mobility service. Cyclability, in fact, can help to increase daily physical activity level, therefore becoming a protective factor for individual health. METHODS: After a literature review about the state of the art regarding the correlation between built environment, active transport and quantification of the physical activity level, we have developed a specific questionnaire to collect information about current and forecast use of bicycle, in case of improvement and implementation of the cycling network. The questionnaire also investigated social and health aspects concerning the anamnesis of the interviewees (age, gender, health status, sport activity performed, etc) and users' opinions about existing infrastructure and planned interventions, designed to promote cycling mobility. Aim of the research was to quantify the increase of physical activity people would have realized in front of an improvement of the specific infrastructures, and the expected positive effects in terms of health. RESULTS: The collected data (343 interviewed in a district of Milan, named "Zona 7") demonstrate that through the implementation of the cycle network, there would be more cyclists to practice the 150 minutes weekly of physical activity recommended by WHO: time spent in cycling, indeed, would increases by 34.4% compared to the current level of cyclability, as detected by our survey. CONCLUSIONS: The investigation confirmed that urban interventions, especially those in small-scale, could play a key role in the promotion of healthy lifestyles, inducing therefore important positive effects on the population health. It was also carried out an application of the WHO "Health Economic Assessment Tool" to evaluate the benefits in terms of Non-Communicable Diseases' reduction, specifically a provisional quantification of deaths saved

Multicriteria Evaluation of Urban Regeneration Processes: An Application of PROMETHEE Method in Northern Italy

The paper illustrates the development of an evaluation model for supporting the decision-making process related to an urban regeneration intervention. In particular, the study proposes an original multi-methodological approach, which combines SWOT Analysis, Stakeholders Analysis and PROMETHEE method for the evaluation of alternative renewal strategies of an urban area in Northern Italy. The article also describes the work carried out within an experts' panel that has been organized for validating the structuring of the decision problem and for evaluating the criteria of the model

Decision-Making for Urban Planning and Regional Development

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The Linear Dynamics of Wave Functions in Causal Fermion Systems

The dynamics of spinorial wave functions in a causal fermion system is studied. A so-called dynamical wave equation is derived. Its solutions form a Hilbert space, whose scalar product is represented by a conserved surface layer integral. We prove under general assumptions that the initial value problem for the dynamical wave equation admits a unique global solution. Causal Green's operators are constructed and analyzed. Our findings are illustrated in the example of the regularized Minkowski vacuum.Comment: 62 pages, LaTeX, 5 figure

Causal Fermion Systems and the ETH Approach to Quantum Theory

After reviewing the theory of "causal fermion systems" (CFS theory) and the "Events, Trees, and Histories Approach" to quantum theory (ETH approach), we compare some of the mathematical structures underlying these two general frameworks and discuss similarities and differences. For causal fermion systems, we introduce future algebras based on causal relations inherent to a causal fermion system. These algebras are analogous to the algebras previously introduced in the ETH approach. We then show that the spacetime points of a causal fermion system have properties similar to those of "events", as defined in the ETH approach. Our discussion is underpinned by a survey of results on causal fermion systems describing Minkowski space that show that an operator representing a spacetime point commutes with the algebra in its causal future, up to tiny corrections that depend on a regularization length

Diagnóstico etiológico del síndrome coledociano

Se entiende por síndrome coledociano un cuadro clínico que se exterioriza por una triada sintomatológica: Ictericia — Coluria - Acolia fecalo entero acolia.Tesis digitalizada en SEDICI gracias a la Biblioteca de la Facultad de Ciencias Médicas (UNLP).Facultad de Ciencias Médica

Addressing decisions about new hospitals’ siting: a multidimensional evaluation approach

Background. Site selection for urban facilities is a crucial topic in planning decision processes for the several side effects they produce and the multiple criteria involved, especially for healthcare facilities. Nevertheless, the location problem has been ignored by most of the existing evaluation systems. Methods. Starting from a deep literature review and the analysis of hospitals in 10 European cities, the paper proposes an evaluation system divided into four macro-areas (Functional quality, Location quality, Environmental quality, Economical aspects), each in turn composed by criteria and sub-criteria. Results. The evaluation system has been applied for the site selection of “La Citta della Salute” in Milan, Italy. Furthermore, the ShOS (Selection hospitals’ Site) Evaluation Tool has been defined, with the aim of assessing the land suitability for new healthcare structures. Conclusion. The ShOS evaluation tool improves the transparency and robustness of the decision-making process and it could be broadly applie