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International conservation approaches recognise architectural heritage as crucial in promoting sustainable development and enhancing human well-being. This has been highlighted by the recent New European Bauhaus (NEB) movement. As for the reuse of architectural heritage, this debate has led to the formulation of new guidelines that aim to maximise the tangible and intangible values of the assets from a long-term and circular economy perspective. In turning theory into operational practice, it is essential to reuse heritage structures while keeping these principles in mind and remaining within the boundaries of conservation objectives. To achieve this, evaluation tools that can aid in the decision-making process need to be identified. This research presents a novel model of indicators that can monitor and evaluate the quality of architectural heritage reuse projects, proposing a perspective that considers both the concept of well-being and the NEB principles. The proposed model is tested on Turin’s IPIM (Provincial Institute for Childhood and Maternity). This structure has been transformed from an uncomfortable heritage into a cultural centre for contemporary art called Flashback Habitat. The case study tests the model’s practical applicability and demonstrates its effectiveness in identifying the most challenging principles to apply in practice.

In the 1930s, the construction of psychiatric hospitals in Italy was rooted in a well-established design tradition, yet it introduced formal and technological experimentations that marked an opening towards modernity. The Piedmontese context offers significant examples in the complexes of Racconigi and Vercelli. At Racconigi, the new service pavilions adopted innovative solutions compared to earlier buildings, while at Vercelli Luigi Martini, from the Gardella-Martini practice, designed a layout combining typological continuity with updated construction methods, employing materials consistent with contemporary modern experimentations. Archival research, including the Gardella Archive, has brought to light new documents on the genesis and realisation of these complexes. Today, this heritage – marked by fragility and the absence of reuse strategies – calls for a reflection on intervention criteria for twentieth-century heritage, to be framed within the broader debate on the conservation of psychiatric hospital complexes.

In the 1930s, the construction of psychiatric hospitals in Italy was rooted in a well-established design tradition, yet it introduced formal and technological experimentations that marked an opening towards modernity. The Piedmontese context offers significant examples in the complexes of Racconigi and Vercelli. At Racconigi, the new service pavilions adopted innovative solutions compared to earlier buildings, while at Vercelli Luigi Martini, from the Gardella-Martini practice, designed a layout combining typological continuity with updated construction methods, employing materials consistent with contemporary modern experimentations. Archival research, including the Gardella Archive, has brought to light new documents on the genesis and realisation of these complexes. Today, this heritage – marked by fragility and the absence of reuse strategies – calls for a reflection on intervention criteria for twentieth-century heritage, to be framed within the broader debate on the conservation of psychiatric hospital complexes.

By promoting the use of monuments in functions useful to society, the Venice Charter assigns reuse a fundamental role in guaranteeing the conservation of the architectural heritage; at the same time, the document places limits on the transformations that new uses imply, legitimising interventions based on the compatibility of the new functions with the physical characteristics of the buildings. At the end of the 20th century, the evolution of scientific debate led to the definition of new strategies for reuse, in the light of the concept of sustainable development and a vision of the architectural heritage as a catalyst of multidimensional value. This implies the need to evaluate the quality of the project according to parameters that are not exclusively related to material respect. The theoretical statements formulated find expression in the projects developed by the Third Sector, which today assume great relevance thanks to programme agreements and funding. This paper therefore intends to carry out an examination of the reuse projects promoted by non-profit organisations. Through a comparison with the principles expressed by the Venice Charter, it questions the criticalities that emerge from initiatives that see the participation of the Third Sector as proponent. Keywords Social reuse, Third sector, Process.

In the 1930s, the construction of psychiatric hospitals in Italy was rooted in a well-established design tradition, yet it introduced formal and technological experimentations that marked an opening towards modernity. The Piedmontese context offers significant examples in the complexes of Racconigi and Vercelli. At Racconigi, the new service pavilions adopted innovative solutions compared to earlier buildings, while at Vercelli Luigi Martini, from the Gardella-Martini practice, designed a layout combining typological continuity with updated construction methods, employing materials consistent with contemporary modern experimentations. Archival research, including the Gardella Archive, has brought to light new documents on the genesis and realisation of these complexes. Today, this heritage – marked by fragility and the absence of reuse strategies – calls for a reflection on intervention criteria for twentieth-century heritage, to be framed within the broader debate on the conservation of psychiatric hospital complexes.

Among the research discourse concerning cultural heritage in the post-COVID-19phase, a greater awareness of the social value of heritage and its repercussions on collective well-being has emerged. This attention requires overcoming the top-down approach of public policies in favour of public–private partnership tools that are more effective at capturing the multidimensional components of value generated by cultural heritage. However, it is necessary to refine the tools used to evaluate and guide actions towards a perspective capable of integrating the conservation needs of the asset with collective well-being. This contribution investigates the calls for funding and public notices on the architectural heritage in Italy in the period from 2014–2020. In this field, the Third Sector is assuming a crucial role, showing specific attention to the issue of well-being consistent with its social goals. The calls were collected and structured in a database, with a specific focus on the calls aimed at adaptive heritage reuse that were categorised and analysed. Finally, the research proposed an assessment method based on a dashboard model of indicators to evaluate the quality of reuse interventions. The selected indicators consider both the production of plus-value in terms of improving well-being, and the need to bring the interventions on the existing architecture to a procedural circularity in line with the theoretical orientations of restoration.

Historic sites are important components of every city’s cultural history because they preserve rich historical knowledge and distinctive values passed down from previous generations to the present. Due to the progress of urbanization and modernization, many historic sites face pressure from damage and transformation. In this paper, a method for assessing cultural heritage damage was developed to measure the extent of spatial damage in historic sites. Using sample data obtained in Xiyang, Qi, and Xiaoyi, all historic cities in Shanxi Province, Mainland China, and combined weights were estimated using the Delphi technique and the CRITIC weight method. Following this, the Spatial Damage Degree Model (SDDM) based on K-means cluster analysis and K-nearest neighbor (KNN) classification was developed. The findings show that the model efficiently solves the problem of assessing spatial damage levels in historic sites. Through multiple linear regression analysis, it was shown that the damage to historic sites was predominantly caused by three factors: natural erosion, construction damage, and planning and policy. SDDM was used to calculate the spatial damage levels of historic sites, allowing conservators to fully comprehend the features and concerns related to historic sites. As a result, more scientific and rational preservation approaches can be developed, improving the efficiency of historic site restoration and conservation, and encouraging the sustainable development of urban and rural heritage.

Background: Peripherally Inserted Central Catheters (PICCs) and midline catheters are crucial for chemotherapy and supportive care in cancer patients. Their use requires ongoing monitoring to prevent late complications such as infections, dislodgements, and replacements. The COVID-19 pandemic challenged healthcare systems, potentially increasing these complications due to reduced outpatient services and limited specialized personnel. Objectives: This study compared the incidence of late complications associated with PICCs and midline catheters in cancer patients during and after the COVID-19 pandemic. Methods: A retrospective observational study was conducted at a Cancer Center in Italy from March 2020 to April 2024. Catheter-related complications were divided into two cohorts: during the pandemic (March 2020–March 2022) and post-pandemic (April 2022–April 2024). The primary outcome was the incidence of late complications requiring device removal, categorized as infections, dislodgements, and replacements. Statistical analyses included the Chi-squared test for categorical variables and the Kruskal–Wallis test for continuous variables. Results: Of 4104 PICC and midline catheter placements, 2291 removals were recorded, with 550 (24%) due to late complications—404 during the pandemic and 146 post-pandemic (p < 0.001). Suspected infections were the most frequent complication, significantly higher during the pandemic (p < 0.001). Dislodgements and replacements also decreased markedly post-pandemic. Limited outpatient services and disrupted healthcare workflows likely contributed to higher complication rates during the pandemic. Conclusions: The COVID-19 pandemic negatively impacted catheter management in cancer patients, increasing late complications. The post-pandemic decline highlights the importance of consistent care, infection prevention, remote monitoring, and stronger healthcare resilience to reduce risks in future crises.