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Museums are major energy consumers amongst buildings, especially if they are housed in historical constructions. Museums usually present high energy demand for the air-conditioning due to their architectonical and structural characteristics, such as the presence of large exhibition rooms and open spaces. At the same time, temperature and humidity have to be strictly controlled in order to assure proper microclimate conditions for the conservation of the housed collections and adequate thermal comfort for visitors and personnel. Moreover, despite being subjected to architectural protection that limits most structural refurbishment interventions, these buildings must be adequate from an energy point of view to allow their reuse or continuity of use according to current quality standards, while retaining their heritage significance. In this awkward context, ground source heat pump working with high temperature terminals is proposed as a viable refurbishment solution. The use of shallow geothermal systems can improve the energy efficiency of the heating ventilation air-conditioning systems and, at the same time, increases the renewable energy source exploitation without affecting the indoor environmental conditions. However, after the interventions, the expected benefits and the sought-after limitation of energy consumption/cost may not occur for different reasons. In fact, even if the installed solution is working perfectly and properly designed, every effort will be in vain if adequate attention is not paid to the management of the plants during the operational phase. This document is meant to evaluate and compare the magnitude that invasive (i.e., technical interventions) and not invasive (i.e., energy management policies) actions respectively and their combined interaction, have on a museum. Through energy simulations it has been possible to quantify the effects that different interventions and energy management strategies had on an existing museum housed in an historical building, from energy consumption, energy costs and CO2 emission standpoints.

The aim of this study was to translate the structured assessment of depression in brain-damaged individuals (SADBD) questionnaire into the Italian language, validate, and test reliability and validity of the Italian version. Consecutive patients with stroke were screened in the Department of Neurology, Avogadro University in Novara and the Department of Neurorehabilitation, Maugeri Foundation, Veruno, Italy. Thirty patients were included in the study. The internal consistency ranged between 0.78 and 0.87. The intra-rater test-retest reliability was 0.93 for BDIderived items and 0.82 for HRSD-derived items; while the inter-rater test-retest reliability was 0.94 for BDI-derived items and 0.93 for HRSD-derived items. Correlation between the SADBD diagnosis made by the physician and the nurse was 0.51; correlation between caregiver and physician diagnosis was 0.60. The Italian version of the SADBD was demonstrated to be acceptable, reliable and a valid measure of depression in patients with stroke.