many studies sustained that the clock drawing test (CDT) was not able to accurately detect people with CDR = 0.5. Other researchers have promoted the use of scoring approaches with multiple scales that rate quantitative and qualitative features of the production. Nevertheless, these scoring systems are complex and time-consuming. We propose a new brief CDT' scoring system in order to find a good measure for mild cognitive decline which is at the same time easy to administer. we enrolled 719 subjects: n. 181 with mild Alzheimer's disease (AD); n. 200 with amnesic mild cognitive impairment (MCI) and n. 338 healthy elderly subjects (C). our CDT-three-cluster scoring system demonstrated a good sensitivity and an excellent specificity to discriminate MCI subjects from normal elderly (76 and 84 %, respectively) and an excellent sensitivity and specificity to discriminate patients affected by mild Alzheimer disease (CDR: 1) from normal elderly (91 and 90 %, respectively). We found that CDT' score = 1.30 discriminate people with MCI, whereas a score = 4.38 discriminate AD patients. The three-cluster-scoring-system demonstrated a good diagnostic accuracy, taking into account those error-items more predictive of cognitive decline: omission of numbers or hands, writing numbers or hands in a wrong position and writing numbers or hands in a different code. Our CDT' scoring system is very short and easy method which can be used also by non-specialist.
The growing awareness of the danger of extreme weather phenomena highlights the inadequacy of current cities and the increase in their level of vulnerability concerning the impacts resulting from climate change. The theme of design to combat climate impacts requires the development of knowledge and process models capable of managing the complexity of the information necessary to direct a climate-proof transformation of the urban systems. The research made it possible to develop a methodology based on the exchange of data between GIS-based ICT tools and for parametric design, to analyze the microclimatic and performance behavior of recurrent types of urban open spaces in Italian cities, characterized by different climatic conditions, through generic urban patterns, homogeneous in terms of building density and morphology. The goal achieved was to define the critical aspects of urban open spaces with the performance offered in response to the phenomenon of heatwaves, to verify and measure the performance effectiveness of climate-proof intervention categories, to transfer these results in the form of database, hazard maps, and potential levels of adaptation, and to define guidelines for the climate-oriented project. The transfer of the project data took place through a decision support webGIS platform (SDSS).
The scenario that emerges from scientific research on the use of BIPV systems in architecture shows that photovoltaic technologies and systems have reached a significant development in production and installation, becoming a strategic approach in the field of energy efficiency and enabling a progressive decarbonisation of the building stock. Still, knowledge and methods of architectural integration are not fully developed, especially in Italy. The present paper reports the results of a research activity that, systematising the main criteria and indicators for assessing the integrability of BIPVs in architecture, has led to the development of BIPV Product and Case Study Catalogues that define an up-to-date state of the art on aspects of design and technological innovation using BIPV systems and components. Catalogues have been created with the objective of contributing to the growth of knowledge on the most up-to-date methods of design by implementing a ‘technology transfer’ from good practice, in which photovoltaic systems are an integral part of the design concept and construction techniques of the architecture. The analysis related to the production of BIPV systems and components and their application in architectural projects allows one to highlight the main critical factors in the diffusion throughout the country and to identify the main research demand arising from the specific national situation.
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