0000000000693254
AUTHOR
Giuseppe Barbato
Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: The 2015 Lancet Commission on global surgery identified surgery and anaesthesia as indispensable parts of holistic health-care systems. However, COVID-19 exposed the fragility of planned surgical services around the world, which have also been neglected in pandemic recovery planning. This study aimed to develop and validate a novel index to support local elective surgical system strengthening and address growing backlogs. Methods: First, we performed an international consultation through a four-stage consensus process to develop a multidomain index for hospital-level assess…
Indoor artificial lighting: Prediction of the circadian effects of different spectral power distributions.
The study presented in this paper aims to evaluate if and how the environment affects the circadian impact of a light source by predicting circadian stimulus (CS) resulting from the exposure to different light scenes, using equations reported in studies by Rea et al. The main findings are: (1) Above 600 lx at eye level the increase of CS is little; (2) Between 50 lx and 200 lx at the eye level an increase of only 50 lx determines a significant increase of CS; (3) Light sources with correlated colour temperatures between 2900 K and 4200 K have similar impacts on the circadian system according to the calculation method used; (4) Even an almost neutral environment affects the circadian impact…
SARS-CoV-2 infection and venous thromboembolism after surgery: an international prospective cohort study
SARS-CoV-2 has been associated with an increased rate of venous thromboembolism in critically ill patients. Since surgical patients are already at higher risk of venous thromboembolism than general populations, this study aimed to determine if patients with peri-operative or prior SARS-CoV-2 were at further increased risk of venous thromboembolism. We conducted a planned sub-study and analysis from an international, multicentre, prospective cohort study of elective and emergency patients undergoing surgery during October 2020. Patients from all surgical specialties were included. The primary outcome measure was venous thromboembolism (pulmonary embolism or deep vein thrombosis) within 30 da…
Winter and summer analysis of daylight characteristics in offices
Abstract This paper reports a comparison of the results of daylight measurements carried out in summer and winter in three offices, with different exposures and characteristics, located in Naples (Italy). The aim was to extend and enrich the findings of a previous study which reported the results of summer measurements about desk illuminances and circadian impact. The research project includes measurements carried out in other seasons and a comparison between measured and software simulated values with the final goal of developing design guidelines. This research confirmed that the spectral distributions and CCTs of the light reaching the eye of a person seated at the desk in these offices …
Lighting in educational environments: An example of a complete analysis of the effects of daylight and electric light on occupants
Abstract Light induces not only visual responses but also non-visual effects, indeed it affects performance, mood, attention and influences the synchronization of the biological clock. Duration, timing, intensity and the spectral power distribution of the light that reaches the eyes can have influence on human circadian rhythm and consequently on health. Given the important impact of the non-visual responses on people wellbeing, developing a model that allows lighting designers to predict them is a fundamental goal. In this paper a case study is reported: a series of measurements were carried out in a University classroom in order to study daylight and electric light characteristics and als…
Daylighting offices: A first step toward an analysis of photobiological effects for design practice purposes
Abstract The research presented in this paper reports an analysis of daylight in three offices with different exposures and characteristics located in Naples (Italy). The goal was to fully investigate daylight characteristics, also considering the circadian impact of daylight entering these offices, with the hope to develop guidelines to better assess daylight quality in built environments. One of the main findings of this research is that the spectral distributions and CCTs of the light reaching the eye of a person seated at the desk in these offices are similar irrespective of the offices' different characteristics (dimensions, surfaces' spectral reflectances, external obstructions, etc.)…