Comunicazione urbana nelle città storiche del Sol Levante: l'esperienza di Kyoto tra tradizione e innovazione

The book collects the Papers (from Europe, Asia and Latin America) presented at the Workshop organized by the ICOMOS International Committee in Historic Towns and Villages (CIVVIH) and by ICOMOS Italy in Palazzo Coppini (branch of Fondazione Romualdo del Bianco) in Florence (March 3-4, 2016) and focus on the comparison of different propositions of digital urban signage to realize a good quality of the “visit experience” in the historical towns, not only as urban marketing, but of a authenticity genuine culture. The urban culture founded on the identity and authenticity of every historical towns and their multilayered history must be the objective of an tourism of culture for the inhabitants and the visitors. The book focused its interest on the outstanding existing urban assets in Europe, Asia and Latin America, and heritage not sufficiently promoted.

Surgical treatment of papillary thyroid carcinoma without lymph nodal involvement

Background. In the treatment of differentiated thyroid cancer (DTC), in absence of enlarged lymph nodes, the role of routine central lymph node dissection (RCLD) remains controversial. The aim of this study is to analyze data resulting from total thyroidectomy (TT) not combined with RCLD in the treatment of DTC. Methods. We retrospectively evaluated the clinical records of 80 patients treated between January 1996 and December 2003 with TT without RCLND, in absence of suspected enlarged lymph nodes at preoperative ultrasonography and intraoperatively during neck exploration. In this series, 75 patients (93.7%) underwent radioiodine (RAI) ablation, followed by Thyroid Stimulating Hormone (TSH) suppression therapy. In case of locoregional lymph nodal recurrence, a central (VI) and ipsilateral (III-IV) selective lymph node dissection was performed. Results. Incidence of permanent hypoparathyroidism (iPTH < 10 pg/ml) and unilateral temporary vocal fold paralysis were respectively 2.55% and 2.55%. Locoregional recurrence, with positive cervical lymph nodes, after a 10.3 ± 4.7 years mean follow-up was observed in 3 patients (3.75%). They were submitted to a central (VI) and ipsilateral (III-IV) selective neck dissection without significant complications. Conclusions. In our series, TT not combined with RCLD was associated to a low locoregional recurrence rate, even if the lack of a control group treated with RCLD does not allow any generalized assumption. RCLD may be indicated in high risk patients, in whom lymph nodal recurrence is more frequent. More prospective randomized studies are needed to better define the role of RCLD and postoperative radioiodine ablation.

Long-term outcomes following “presumed” total parathyroidectomy for secondary hyperparathyroidism of chronic kidney disease

Aim. The most efficacious surgical treatment for renal hyperparathyroidism is still subject of research. Considering its low incidence rate of long-term relapse, “presumed” total parathyroidectomy without autotrasplantation (TP) may be indicated for secondary hyperparathyroidism (2HPT) in patients with chronic kidney disease (CKD), not eligible for kidney transplantation. The aim of this study was to analyse the TP long-term results in 2HPT haemodialysis (HD) patients. Method. Between January 2004 and October 2009, 25 2HPT HD patients, not eligible for kidney transplantation, underwent TP of at least four parathyroid glands. Clinical status and intact parathyroid hormone (iPTH) serum levels were assessed intraoperatively and during a 36-month follow-up. Results. TP improved the typical clinical symptoms and a significant reduction of iPTH serum levels was achieved in each patient. Aparathyroidism was never observed; in case of severe postoperative hypocalcemia, hypocalcemic seizures were never reported and the long-term recurrence rate was 8%. Only one patient received a kidney transplantation. Postoperative cardiovascular events (hypertension, peripheral artery disease, arrhythmia, coronary or cerebrovascular disease) were observed in 32% of cases and mortality rate was 16%. Conclusions. Considering its low long-term relapse rate and the absence of postoperative aparathyroidism, TP may still be considered the treatment of choice in patients with aggressive forms of 2HPT or of advanced dialytic vintage, with no access to renal transplantation. In case of postoperative hypoparathyroidism, hypocalcaemia can be effectively managed by medical treatment.

The cultural policy in Italy and the innovations of the XXI century

The paper analyzes the development of the first experiences of the sixteenth century cultural policy in Italy until the beginning of the twenty-first century with the institutional reform initiated by the Minister Dario Franceschini. In the pre-unification State it has been many important contributions of several local rulers who imposed conservation policies to prevent the dispersal of works of art. After the unification of Italy (1861) the laws of protection of the national heritage have helped to initiate the first important initiatives that have developed in practice only at the end of the twentieth century. Great institutional innovations and regulatory activated in the twenty-first century and of which this paper provides some important insights and deepening.

Smart Cities @ DIITET

La presentazione oltre a illustrare le attività progettuali del Dipartimento di Ingegneria, ICT e Tecnologie per l'Energia e i Trasporti (DIITET) del Consiglio Nazionale delle Ricerche (CNR) nell'ambito delle Smart Cities, spiega che cos'è una città intelligente/sostenibile, i livelli su cui opera, perchè è importante. Si evidenziano tre esempi progettuali concreti testati anche con i cittadini su tre città italiante: Siracusa, Pisa e Bologna.

Architecture of the Landscape and Landscape of the Architecture in Japan. A dialogue between water and earth

It's very difficult in traditional Japanese culture separate the landscape from the architecture. The Japanese architectural culture has its roots in China but soon this culture has developed its own culture and an aesthetic that was the result of a long isolation from the rest of the world. Zen Buddhism and the constant relationship with nature define the main characteristics of Japanese architecture: minimalism and simplicity. The architecture is a perfect balance of harmony, proportion and purity. This paper aims to analyze the cultural roots of the relationship between architecture and landscape in Japan and where the characteristics previously defined are very important for to know the significance of the Japanese architectural thinking.

Gli scavi archeologici presso la Canonica di San Salvatore a Barzanò (Lecco)

Nel periodo compreso tra la primavera del 2007 e l'estate del 2010, presso la Canonica di San Salvatore a Barzanò, unitamente ai lavori di ristrutturazione e restauro, sono stati effettuati diversi interventi di assistenza e di scavo archeologico, inizialmente nelle aree esterne limitrofe e in un secondo tempo all'interno dell'edificio, nell’ambito di un piano di riqualificazione e di restauro del monumento commissionato dal Comune di Barzanò . La cripta e la sagrestia sono state indagate completamente, mentre all'interno dell'aula e della torre campanaria è stato effettuato uno scavo parziale fino a una quota mediamente di m -0.50 dal piano pavimentale: ciononostante, è stato possibile delineare complessivamente nove fasi archeologiche, sette delle quali definiscono le principali sequenze dell'evoluzione strutturale dell'edificio della Canonica.

Avvicinamento alla storia dell'architettura giapponese. Dal periodo Nara al periodo Meiji

The book analyzes the history of Japanese Architecture between Nara Period (710-784) and Meiji Period (1867-1912). The book is organized in two part: "The History" and "The Cultural Heritage" with a reflexion about the restoration of the Temples and Shrines. The book is the result of an international research work at the Kyoto University.