Rethinking the Healthcare Facilities: The Role of the Buffer Space.

OBJECTIVES: A working group conducted a survey on the use of the principle of buffer space (BS), which in case of emergencies, could benefit healthcare settings. The aim of the preliminary investigation is to define new research lines in hospitals' functional design. BACKGROUND: The global experience of the COVID-19 pandemic highlighted challenges faced by hospitals when responding promptly to emergencies, including spatial reorganization and suspension of ordinary medical activities for ensuring adequate management of the emergency surge of patients. METHODS: The group designed questionnaires to be administered to healthcare staff and healthcare designers aimed at understanding varied conceptions and features of BSs. Content across the two surveys overlapped significantly, allowing for direct comparisons of responses, while also including tailored questions in relation to the respective experience and skills of the two groups of respondents. RESULTS: 102 healthcare professionals and 56 designers took part to the survey. Analysis of the responses permitted for initial recommendations regarding BS typology including (a) proximity to the emergency department (ED), intensive care units (ICUs), and inpatient wards (IWs); (b) location within hospitals but separate from other medical areas; (c) need for independent access; (d) organizational and spatial features similar to ED, ICUs, and IWs; (e) existing as a fully flexible operational space; and (f) BS bed capacity to be approximately 12% of ED beds. CONCLUSIONS: Although the analysis is related to the Italian context, the expansion of this preliminary research to alternate healthcare facilities and geographic areas is necessary for reaching a wide consensus by different professionals on this field. It serves as a starting point for future investigations regarding the implementation of BS in hospital settings.

The effect of COVID-19 on the distribution of PM10 pollution classes of vehicles: Comparison between 2020 and 2018.

A recent study by Pini et al. (2021), focusing on year 2018, demonstrated that different strategies should be considered in different Italian cities to mitigate the effects of PM10 pollution produced by circulating cars and commercial vehicles. The current study focuses on year 2020, considering the same ten Italian cities. This new study relies on the estimation of specific indices used to assess the size of the different circulating vehicle fleets (vehicle yearly mileage, diesel-fuel car and LCV fleet dimension, etc.) and their impact on PM10 pollution (Strength of Pollution). Results for 2020, severely affected by vehicular restrictions associated with COVID-19, indicate the need to adopt PM10 pollution reduction strategies for the various cities partially different from those identified earlier. For example, Euro 4 cars is the fleet having the highest impact on PM10 pollution in Rome (emitting 3,3 times more than Euro 6 vehicles), while in Milan the most polluting vehicles are Euro 0 cars (emitting 2 times more than Euro 6 vehicles). In Naples, Euro 0 cars emit 12,5 times more than Euro 6 vehicles. A careful look into the results also reveals that, for all considered cities, the three top fleets in terms of PM10 pollution always include Euro 4 or a higher Euro category fleet and a lower Euro category fleet (Euro 0 or Euro 3). These values were validated based on the use of pollution data from ground monitoring stations, which also allowed estimating the atmospheric mixing layer height. Results from the paper suggest that different incentivization policies have to be considered for the different considered cities. For example, in Naples the allocation of incentives should be ~60% towards new vehicles and ~40% towards recent used (i.e. second-hand) non-diesel vehicles, while in Florence it should be ~90% towards ECVs and ~10% towards recent used non-diesel vehicles.

Impact of the different vehicle fleets on PM10 pollution: Comparison between the ten most populous Italian metropolitan cities for the year 2018.

The main aim of this research effort is to assess the impact of the different circulating vehicle fleets on PM10 pollution, comparing the results from the ten most populated metropolitan cities in Italy. Circulating diesel vehicles have been categorized in different groups depending on the vehicle type (car or Light Commercial Vehicle - LCV) and European emission standard. The annual mileage and the total PM10 emission for each category has been determined based on several data sources. Estimated overall annual emissions of PM10 particles have been compared with PM10 concentration measurements from distributed ground monitoring stations. A new index, named SoP (Strength of Pollution), has been defined in order to quantify the contribution of each fleet category to the overall PM10 pollution. The index has been computed for the ten most populated Italian metropolitan cities, i.e. all cities with more than 300.000 inhabits: Rome, Milan, Naples, Turin, Palermo, Genoa, Bologna, Florence, Bari and Catania. Results in terms of SoP estimates for year 2018 reveal the presence in these Italian cities of emission clusters with heterogeneous characteristics, which impose the adoption of different PM10 pollution mitigation approaches in the different cities. For example, in Naples, Catania and Palermo, Euro 0 car fleets emit a total PM10 mass which is respectively 19, 10 and 5 times the mass emitted by Euro 6 vehicles, and consequently a reduction of this fleet is desirable for pollution mitigation purposes. Conversely, in Rome, Genoa and Bari, Euro 3 and 4 car fleets emit a total PM10 mass which is 3-6 times the one emitted by Euro 6 vehicles, which calls for a reduction of these fleets. Thus, the extension to the entire national territory of the results obtained in a specific metropolitan city may be strongly misleading and produce limited effects in terms of pollution mitigation.

An identification and a prioritisation of geographic and temporal data gaps of Mediterranean marine databases.

Getting an overall view of primary data available from existing Earth Observation Systems and networks databases for the Mediterranean Sea, the main objective of this paper is to identify temporal and geographic data gaps and to elaborate a new method for providing a prioritisation of missing data useful for end-users that have to pinpoint strategies and models to fill these gaps. Existing data sources have been identified from the analysis of the main projects and information systems available. A new method to perform the data gap analysis has been developed and applied to the whole Mediterranean basin as case study area, identifying and prioritise geographical and temporal data gaps considering and integrating the biological, geological, chemical and physical branches of the total environment. The obtained results highlighted both the main geographical data gaps subdividing the whole Mediterranean Sea into 23 sub-basins and the temporal data gaps considering data gathered since 1990. Particular attention has been directed to the suitability of data in terms of completeness, accessibility and aggregation, since data and information are often aggregated and could not be used for research needs. The elaborated inventory of existing data source includes a database of 477 data rows originated from 122 data platforms analysed, able to specify for each dataset the related data typologies and its accessibility. The obtained results indicate that 76% of the data comes from ongoing platforms, while the remaining 25% are related to platforms with non-operational monitoring systems. Since the large amount of analysed records includes data gathered in inhomogeneous ways, the prioritisation values obtained for each identified data gap simplify the data comparison and analysis. Lastly, the data gaps inventory contains geographic and temporal information for any missing parameter at the whole basin scale, as well as the spatial resolution of each available data.