980 resultados para Pedro de Arbués , Santo, 1441-1485


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Oggetto di questa tesi è la riqualificazione energetica e funzionale della scuola d’infanzia e primaria Clotilde Tambroni di Bologna. L'intervento progettato ha posto particolare attenzione al comfort interno, al miglioramento del benessere ambientale interno, all'abbattimento dei fabbisogni energetici e dei costi di gestione e alla riduzione delle emissioni inquinanti. In seguito ad un’analisi accurata, che ha registrato anche le opinioni degli utenti, si sono individuate criticità importanti e acuti livelli insoddisfazione. In particolare riguardo il comfort interno, l’accessibilità della struttura, la fruibilità e la qualità degli spazi, le dotazioni carenti (servizi igienici, servizi per disabili). Altre gravi criticità riguardano lo spazio esterno, quasi per nulla sfruttato e poco curato. Anche le prestazioni energetiche, valutate con il software Termolog EpiX5, sono risultate molto scarse: l’edificio si colloca in classe energetica E, con elevati livelli di consumi e conseguenti costi, dovuti soprattutto all’inefficienza del sistema di regolazione dell’impianto di riscaldamento, alla mancanza di isolamento delle pareti perimetrali e agli infissi adeguati. Sulla base di questa diagnosi, le strategie di progetto sono state definite puntando a risolvere o perlomeno migliorare tutte le criticità rilevate.

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The age of rocks found in drill cores, and consequently the depths to possible oil-bearing formations has in many localities been determined by micro-paleontologic studies during the past three decades. Of the different micro-fossils used in this work, foraminifera have been studied most, are the best described, and hence, by far the most helpful.

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OBJECTIVE There is debate on how the methodological quality of clinical trials should be assessed. We compared trials of physical therapy (PT) judged to be of adequate quality based on summary scores from the Physiotherapy Evidence Database (PEDro) scale with trials judged to be of adequate quality by Cochrane Risk of Bias criteria. DESIGN Meta-epidemiological study within Cochrane Database of Systematic Reviews. METHODS Meta-analyses of PT trials were identified in the Cochrane Database of Systematic Reviews. For each trial PeDro and Cochrane assessments were extracted from the PeDro and Cochrane databases. Adequate quality was defined as adequate generation of random sequence, concealment of allocation, and blinding of outcome assessors (Cochrane criteria) or as trials with a PEDro summary score ≥5 or ≥6 points. We combined trials of adequate quality using random-effects meta-analysis. RESULTS Forty-one Cochrane reviews and 353 PT trials were included. All meta-analyses included trials with PEDro scores ≥5, 37 (90.2%) included trials with PEDro scores ≥6 and only 22 (53.7%) meta-analyses included trials of adequate quality according to the Cochrane criteria. Agreement between PeDro and Cochrane was poor for PeDro scores of ≥5 points (kappa = 0.12; 95% CI 0.07 to 0.16) and slight for ≥6 points (kappa 0.24; 95% CI 0.16-0.32). When combining effect sizes of trials deemed to be of adequate quality according to PEDro or Cochrane criteria, we found that a substantial difference in the combined effect size (≥0.15) was evident in 9 (22%) out of the 41 meta-analyses for PEDro cutoff ≥5 and 10 (24%) for cutoff ≥6. CONCLUSIONS The PeDro and Cochrane approaches lead to different sets of trials of adequate quality, and different combined treatment estimates from meta-analyses of these trials. A consistent approach to assessing RoB in trials of physical therapy should be adopted.

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Meir Kayserling

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