Friuli Venezia Giulia Research Articles

Elders’ and young adults’ perceptions and attitudes towards languages in contact in multilingual Friuli-Venezia Giulia: A comparison to inform language teaching within an intergenerational perspective

The overall research project framing the present contribution fits within studies on plurilinguals’ language attitudes, studies on language learning motivation, on lifelong language learning and on language learning in old age, its aim being to understand whether elders and young adults could be successfully involved in language learning and teaching within an intergenerational perspective. The research has been carried out in the Friulian-speaking area of Friuli-Venezia Giulia, Italy. Our main focus here is on the first phase of the wider research, which, starting from Baker (1992), consists in a quantitative survey on elders’ and young adults’ habits of use and perceptions with reference to the languages they are mainly in contact with in their everyday life (i.e., Italian, Friulian, English). The aim of this exploratory investigation is to define elders’ and young adults’ profiles and identify the most relevant similarities and differences between the two categories of subjects, with special regard to their relationship with the local minority language (Friulian) and the global international language (English). Findings from the quantitative survey will be presented, together with a preliminary discussion of possible implications for language teaching within an intergenerational perspective. [1] [1] A shorter version of this paper was presented at the XVIII International Conference on Minority Languages (ICML), March 24, Bilbao, The Basque Country. https://icml2021.eus/programa/?lang=en (last access: June 16, 2021).

A City without Territory. Trade, Tourism and the Use of the Sea: the Case of Trieste

This contribution offers a glimpse into recent developments in the administrative, economic and political history of Trieste, within the framework of the local, regional and – because of the town’s unique circumstances – international communities. In the first parts of this work, the identification of the city with Italy’s eastern border is retraced, following the historical events of the second post-war period, a phase in which Trieste was one of the sites of the confrontation, also from a commercial point of view, between Western democracies and the socialist countries of the Eastern Bloc. From the nineteen-sixties onwards, the city had to re-establish its position both within the autonomous region of which it is now the capital – Friuli Venezia Giulia – and in terms of its relationships with the neighbouring countries of Slovenia and Croatia, which are now members of the European Union alongside Italy. This new situation has highlighted the uncertain nature of Trieste’s hinterland by reason of its limited administrative and political power. As is described in the second part of this work, the city had to redefine an economic system in which critical issues such as the absence of major manufacturing industry, the reduced activity of its port, and a trading network stuck in the local dimension have led to the image of Trieste being reconsidered from the point of view of an outside observer, and to a focus on tourism, also through, and as a consequence of, a new and different use of the sea. In this way, we will see how the redevelopment and gentrification of central areas such as the Cavana district or the triangle of via Torino has progressed at the same pace as the private sporting initiative known as the Barcolana, whose economic success and its promotion of the image of Trieste have contributed to remodelling the relationship between the city and the sea, that is, between its inhabitants and the resource upon which Trieste built its fortune.

THE IMPACT OF COVID-19 PANDEMIC ON SERVICES FOR PERSONS WITH NEURODEVELOPMENTAL DISORDERS: AN ITALIAN CASE

The COVID-19 pandemic has had severe effects on social health services worldwide. Many people with neurodevelopmental disorders have lost their professional support. The interruption of supportive assistance has been devastating since it has negatively affected their continuity of care as well as their social inclusion and socialization. This paper aims to illustrate the impact of the COVID-19 on an Italian Public Social Health System Services for people with disability. It highlights and discusses the strategy that was adopted in order to ensure the continuity of care assistance provided to the service clients as the organization of emergency remote support and individual support services for independent living. An exploratory study was conducted involving the entire population of people with neurodevelopmental disorders (n=333) included in the Disability System Services of Udine (Friuli Venezia Giulia Region, North-East Italy) to analyze the main repercussions occurred on the organization of services during the pandemic period. A comparative analysis of the number of persons enrolled in the different types of support services and of individuals’ support needs, evaluated throught the Support intensity scale (SIS), pre- and post-pandemic crisis (January 2020 – January 2021) was conducted. The data shows that, despite the enormous difficulties, the adopted strategy has succeeded in limiting the risks of isolation and the negative impact on individual interventions, and opened the way to new alternative and innovative strategies for planning and implementing support.

The diagnostic, therapeutic and assistance pathway for amyotrophic lateral sclerosis in a north-eastern Italian region: satisfaction of patients and their caregivers.

In order to evaluate the users' satisfaction degree for the diagnostic, therapeutic and assistance services for amyotrophic lateral sclerosis (ALS) in the Italian region Friuli-Venezia Giulia (FVG), a self-compiled anonymous multiple-choice questionnaire was administered to ALS patients and their caregivers. The questionnaire explored 41 different issues covering the following areas: (a) access to diagnostic pathway and communication among patients, families and health professionals; (b) quality of disease monitoring and effectiveness of interventions aimed at mitigating ALS symptoms; (c) easiness of access to assistive devices (e.g. wheelchair, ankle-foot-orthosis) and home assistance; (d) patient' choices sharing and health professionals empathy. The same issues were proposed both to patients and carers, appropriately adapting the questions, during the period between June and December 2019. The answers were categorised according to criticality level. Median with interquartile range of the numeric variables and percentages of the categorical variables and of the answers to questions were calculated. The mean percentage of satisfied users was 72.8%, considering all the areas. Pain treatment and easiness of access to ambulance transport were the most positive aspects (95.7% and 92.5% of satisfied respondents, respectively), while information about possible enrolment in clinical trials and about possible registration to the regional ALS association were the most critical issues (30.9% and 43.4% of satisfied users). Although the satisfaction level of ALS patients and their caregivers for the services provided resulted generally good, there were some areas that have to be improved. For this purpose, enhancement of multidisciplinary collaboration, sharing of points of view from users and different practitioners and rising awareness among healthcare professionals through clinical audits could be useful. Further research is needed to identify a wider range of users' unexplored unmet needs.

Cluster Thinning and Vineyard Site Modulate the Metabolomic Profile of Ribolla Gialla Base and Sparkling Wines.

Depending on the vineyard location, cluster thinning (CT) may represent an effective tool to obtain the desired grape composition and wine quality. The effect of 20% cluster thinning on Ribolla Gialla (Vitis vinifera L.) sparkling wine aroma, lipid compounds, and aromatic amino acid (AAA) metabolites composition was studied for three consecutive seasons in two vineyards located in the Friuli Venezia Giulia region, Italy. In the examined sparkling wines, the vintage meteorological conditions exhibited significant influences on the metabolic profile of the samples. Data were normalized by season, and the impact of the CT treatment was evaluated for each vineyard site separately. Crop removal showed a limited positive impact on aroma compounds in sparkling wines from vineyards located in the valley. Concerning the AAA compounds, their concentration was higher in the vineyard at the foot of the hills. Cluster thinning resulted in a drop in concentration, reducing the risk of atypical aging. Despite minor differences according to targeted metabolome profiling, the sensory analysis confirmed the effects of the CT treatment in the valley floor vineyard. Reducing crop in this site, where the yield was higher, promoted a moderate improvement of Ribolla Gialla sparkling wine. In contrast, for wine produced in the vineyard at the foot of the hills, the sensory analysis indicated a preference for wines from the unthinned control samples. Overall, the study indicates that cluster thinning is a viticultural technique that could potentially improve the quality of Ribolla Gialla sparkling wines, but only in situations of excessive grape production.

Decoding a complex record of anthropogenic and natural impacts in the Lake of Cavazzo sediments, NE Italy

The Lake of Cavazzo is a natural, lacustrine basin in the Friuli-Venezia Giulia region (NE Italy), which occupies a fluvio-glacial suspended valley of the Tagliamento river, at the southern front of the Alpine chain. The lake formed after the melting of major glacial tongues at the end of the Last Glacial Maximum, and has been affected in recent years by natural and anthropogenic events, with economic, cultural and environmental consequences. According to local witnesses, the lake environment has changed dramatically after the 1950s, when the basin was connected to a hydroelectric power plant collecting waters from a wider catchment area, as it served as its final discharge basin.In this work, based on a densely-spaced grid of high-resolution seismic reflection profiles complemented by sediment cores, we analysed the uppermost lake stratigraphy, highlighting major changes occurring at a decadal scale. Our main purpose is to verify whether and how the lake sediments record the transition from pristine/natural to artificial conditions, as well as the effects of multiple natural impacts including the 1976–77 Friuli earthquake sequence. The results of our analysis suggest varying environmental conditions of the lake after the 1950s indicated by changing sediment mineralogy, increased deposition of allochthonous clastic sediments, and recurrent episodes of anoxic conditions at the lake's floor, likely triggered by hyperpycnal flows derived from the hydroelectric power plant discharges. We also observe that the effects of the 1976–77 seismic sequence are recorded in the lake as resedimented levels, likely due to shaking, in situ deformation, landslides, and turbidity currents. Our results stress the importance of lacustrine environments as efficient recorders of anthropogenic and natural events.

Bambini e ragazzi accolti in comunità durante la pandemia da Covid-19. Prime riflessioni da una ricerca qualitativa in Friuli Venezia Giulia

The paper illustrates the results of a qualitative research conducted in fourteen residential care services for minors in Friuli Venezia Giulia. First of all, the survey was made in order to understand how accommodated children and adolescents and their educators have faced the Covid-19 pandemic, secondly to learn about which consequences the containment measures and isolation have had on their health, learning and relations, and finally to learn which implications have had on the service’s organisation and on the educational intervention. What has been pointed out from the interviews realised with some of the communities’ educators is an impressive adaptability among children and adolescents and a considerable flexibility and creativity from the educators and their organizations. These residential care services show that they have been able to cope with the emergency efficiently, creating an environment which was able to mitigate the possible negative consequences of the Covid-19 pandemic on these accommodated children and adolescents and eventually to promote improvement processes. Copyright © FrancoAngeli

Trend of emergency general surgery procedures during COVID-19 pandemic.

In early 2020, the novel coronavirus infection (COVID-19) spread rapidly throughout the whole world, causing a massive response in terms of health resource disposal. Moreover, lockdowns were imposed in entire countries. This study aims to assess whether there was a downward trend in emergency general surgery (EGS) procedures accomplished throughout the COVID-19 pandemic and to determine patients' and diseases' characteristics. This is a multicentric retrospective observational cohort analysis conducted on patients who underwent EGS procedures during the lockdown and the same period of the previous year in the three Third Level Hospitals of Friuli Venezia Giulia, Italy. During the study period, 138 patients underwent EGS procedures versus the 197 patients operated on in 2019, meaning a 30.0% decrease in the number of surgeries performed. The incidence rate for EGS procedures was 2.5 surgeries per day during the COVID-19 pandemic compared to 3.5 surgeries per day in 2019 (P<0.001). The characteristics of patients operated on in 2020 were comparable to those of patients who underwent EGS in 2019, except for the higher prevalence of male patients during the COVID-19 pandemic (76.8 vs. 55.8; P<0.001). No difference was recorded in disease severity between the two study periods. During the COVID-19 pandemic, a significant reduction in EGS procedures carried out was recorded. However, no clear explanation can be given to elucidate this fact.

Peer-to-peer carsharing in less-densely populated areas: An empirical analysis in Friuli-Venezia Giulia (Italy)

Mobility plays a crucial role in wellbeing and quality of life. It enables access to services and resources necessary for economic and cultural development and is essential for social inclusion. Peer-to-peer carsharing (P2PCS) represents an effective solution with respect to the sustainability goals indicated by the European New Green Deal and in light of the accessibility objectives of the National Strategy for Internal Areas. For this reason, we estimated the potential supply and demand of P2PCS in Friuli-Venezia Giulia (FVG), an Italian region characterized by less-densely populated areas. We interviewed 200 individuals to test if they would rent a car and 249 car owners to test if they would rent out their car. We found that 10% of the sample would use a P2PCS service if the hourly rental rate was €7/h. The main reason preventing the service use is that the FVG residents are not aware of the platforms allowing the matching of car owners and renters. In the paper, we describe also the policies to be implemented to support both the demand and the supply side of the market and we estimate the contribution that P2PCS could make to the decarbonization of the regional transport system.

Exposure to Major Vector-Borne Diseases in Dogs Subjected to Different Preventative Regimens in Endemic Areas of Italy.

Vector-borne diseases (VBDs) are globally widespread arthropod-transmitted diseases with a significant impact on animal and human health. Many drivers have recently spurred the geographic spread of VBDs in dogs. This study has evaluated the exposure to most important VBDs in dogs under different preventative treatments in different regions of Italy, i.e., Veneto, Friuli Venezia-Giulia, Umbria, Giglio Island (Tuscany), Abruzzo and Latium. Serological analyses were performed to detect antibodies against Leishmania infantum, Babesia canis, Anaplasma phagocytophilum/Anaplasma platys, Ehrlichia canis/Ehrlichia ewingii, Borrelia burgdorferi, Rickettsia conorii and the circulating antigen of Dirofilaria immitis. Dogs were categorized according to the treatment schedule usually received, and the association between seropositivity and possible risk factors was statistically evaluated. Overall, 124/242 (51.2%) dogs tested positive for at least one pathogen, while 34 (14.0%) were exposed to two or more pathogens. The most detected seropositivity was against R. conorii, followed by Anaplasma spp., L. infantum, B. canis, and the other pathogens under study. Significant statistical associations were found according to geographical provenance, history of tick infestation, lifestyle and inadequate prophylactic treatments. Random/irregular treatments have been identified as a clear risk factor. These results show that adequate prophylactic treatment protocols are overlooked by dog owners, despite the availability of several effective products, with possible implications in veterinary medicine and on public health.

Is Acerentomon italicum Nosek, 1969 (Protura: Acerentomidae) a species complex?

Acerentomon italicumNosek, 1969 is the most abundant Protura species in Italy. Two groups of populations characterized by the different position of a pore on tergite VII were analyzed. Specimens from Austria and from the Italian provinces of Brescia and Bolzano (Lombardy and Alto Adige, respectively) possess a postero-sub-medial pore (psm); in specimens from Trento (Trentino), Veneto, Friuli-Venezia Giulia and Liguria the pore is in an antero-sub-lateral (asl) position. An integrative approach was applied to assess other characters distinguishing these populations. The lengths of body, head, foretarsus, claw of anterior leg, foretarsal sensilla a and b were measured; in addition some ratios were calculated: TR (length of foretarsus/length of its claw), BS (distance of sensillum t1 from base of foretarsus/distance of t1 from foretarsus tip), length of a/foretarsus length, length of b/foretarsus length and length of a/length of b. A geometric morphometric analysis was performed on the position of setae on tergite VII, selecting as landmarks the bases of setae A1, A2, A3, P1, P1a, P2, P2a and P3. Nucleotide sequences COI-5P and 28S-D2-D3 of both groups were compared. Significant differences in the foretarsus and anterior claw length, in the arrangement of setae on tergite VII and in the barcode sequences COI-5P between the “psm and asl populations” are shown to exist. Based on the results obtained, the two groups are different, but there is not enough support to differentiate them at the species level.

Use of Sentinel-2 Satellite Data for Windthrows Monitoring and Delimiting: The Case of “Vaia” Storm in Friuli Venezia Giulia Region (North-Eastern Italy)

On the 29th of October 2018, a storm named “Vaia” hit North-Eastern Italy, causing the loss of 8 million m3 of standing trees and creating serious damage to the forested areas, with many economic and ecological implications. This event brought up the necessity of a standard procedure for windthrow detection and monitoring based on satellite data as an alternative to foresters’ fieldwork. The proposed methodology was applied in Carnic Alps (Friuli Venezia Giulia, NE Italy) in natural stands dominated by Picea abies and Abies alba. We used images from the Sentinel-2 mission: 1) to test vegetation indices performance in monitoring the vegetation dynamics in the short period after the storm, and 2) to create a windthrow map for the whole Friuli Venezia Giulia region. Results showed that windthrows in forests have a significant influence on visible and short-wave infrared (SWIR) spectral bands of Sentinel-2, both in the short and the long-term timeframes. NDWI8A and NDWI were the best indices for windthrow detection (R2 = 0.80 and 0.77, respectively) and NDVI, PSRI, SAVI and GNDVI had an overall good performance in spotting wind-damaged areas (R2 = 0.60–0.76). Moreover, these indices allowed to monitor post-Vaia forest die-off and showed a dynamic recovery process in cleaned sites. The NDWI8A index, employed in the vegetation index differencing (VID) change detection technique, delimited damaged areas comparable to the estimations provided by Regional Forest System (2545 ha and 3183 ha, respectively). Damaged forests detected by NDWI8A VID ranged from 500 m to 1500 m a.s.l., mainly covering steep slopes in the south and east aspects (42% and 25%, respectively). Our results suggested that the NDWI8A VID method may be a cost-effective and accurate way to produce windthrow maps, which could limit the risks associated with fieldwork and may provide a valuable tool to plan tree removal interventions in a more efficient way.

The first Italian COVID-19 lockdown reduced births and voluntary terminations by just under a fifth.

The first Italian COVID-19 lockdown reduced births and voluntary terminations by just under a fifth.

Common Property and Local Development. Research Elements for Friuli Venezia Giulia (Italy)

A few decades ago, common land ownership was viewed as a legal institution of the past, irreconcilable with the modern capitalistic economy, that required private ownership. With this opinion, in 1927, the legislator mainly acted to get the agricultural properties free from common uses (grazing, gathering wood, etc.) and to reduce the extensions of the properties opened to a shared utilisation, by putting them at the same time under the authority of the municipalities. However, from the 1950s, law provisions for special measures in favour of mountain areas indicated the common properties (meadows, forests, farm buildings) as valuable resources for development initiatives, not only in traditional activity sectors (especially in the touristic sector). Besides, they protected the self-government of some typologies of shared ownership. Finally, in 2017, a law stated the principle of self-government of all common ownerships and the concept that these ownerships are local development elements. Nevertheless, for a role in the local development, the representatives of the common ownerships have to change their interests from the mere conservation of their assets to targets of social and economic development of the entire territory which they live in, and to overcome, if necessary, the suspiciousness of regional and municipal institutions which experiences in Friuli Venezia Giulia show.

Assessing the positional accuracy of perceptual landscape data: A study from Friuli Venezia Giulia, Italy

AbstractOnline GIS‐based applications that combine mapping and public participation to collect citizens' voices on their surrounding environment are a way to collect original spatial data that do not already figure in authoritative data sets. However, these applications, relying on non‐expert users, might produce spatial data of insufficient quality for the purpose for which they are collected. This article presents an approach for assessing the positional accuracy of vague landscape features, using the results from a map‐based survey completed by a group of volunteers in the Friuli Venezia Giulia region of Italy. The spatial section of the survey, gathering both georeferenced data and textual information on the mapping activity, allows the assessment of whether there is a correspondence between the mapped features and the intended map locations. The findings reveal a greater accuracy among participants in completing the mapping activity relating to degraded sites than to those of beauty.

Economic Impacts of Forest Storms—Taking Stock of After-Vaia Situation of Local Roundwood Markets in Northeastern Italy

Large timber availability after storms can lead to a drop in timber prices that can impact local markets. The Vaia storm, which occurred in Northeastern Italy at the end of October 2018, felled large volumes of timber, particularly spruce. To estimate the loss in volume and value connected to Vaia, data of roundwood sales from four local markets (Province of Trento, Province of Bolzano, Veneto Region and Friuli Venezia Giulia Region) were collected before and after Vaia, as well as reports on the status of salvage operations. The results confirm that Vaia had a strong impact on Northeastern Italy. A large area of the forest was hit and massive volumes of wood were affected. The analysis of prices showed a negative trend in the post-Vaia period due to an increase in volume per sale, especially for stumpage sales. It also highlighted the difficulties of storing the salvaged wood and the consequent fast saturation of the market. Although it was not possible to assess long-term effects on the four local markets, the presence and use of local e-commerce platforms proved useful in making roundwood sales more organized and efficient.

Macrobenthic invertebrate energy densities and ecological status in freshwater watercourses (Friuli Venezia-Giulia, Northeast Italy)

The present study provides energy density (ED) data and models for four macrobenthic invertebrate genera inhabiting freshwater lotic environments (Baetis, Hydropsyche, Rhyacophila, and Onychogomphus). Samples were collected in the hydrological freshwater network of the Region Friuli Venezia Giulia within different watercourse types (creeks, streams, rivers channels, and ditches), and energy density was directly measured using an adiabatic bomb calorimeter. Measured ED expressed in Joule g−1 wet weight was strongly and positively correlated with percentage of dry weight (DW%) for all genera investigated (r2 > 0.9504), allowing to obtain genus-specific predictive models based on the relationship between ED and DW%. Models were validated and showed good predictive power, as 90th percentile of observed percentage errors ranged between 4.23% and 5.18% while medians ranged between 1.32% and 2.83%. ANCOVA disclosed significant differences between the models, as those for Rhyacophila and Onychogomphus differed significantly from the others. The empirical models were used to build a dataset of estimated energy density, to assess the relationship between energy density and ecological status of the monitored riverine systems, assessed in compliance with European and Italian law by the application of four different ecological indices (ICMi, RQE_IBMR, STAR_ICMi, and LIMeco). Information regarding ED levels for freshwater macrobenthic invertebrates is still neglected in biomonitoring programs, but it could be useful to interpret some ecological situations in the context of ecological status assessment, especially in relation to the trophic condition of the investigated riverine systems.

Rapid Damage Scenario Assessment for Earthquake Emergency Management

AbstractThe rapid availability of reliable damage statistics, after the occurrence of a major earthquake, is an essential mitigation strategy to drive and support emergency intervention operations. Unfortunately, the latency in collecting and organizing actual damage information has a substantial impact on the efficiency of the initial phases of the intervention framework. To speedup preliminary management operations, a quick, although, coarse prediction of the expected damage is highly desirable.For this purpose, we have developed a system for rapid damage estimation. The system, presently implemented for the Friuli Venezia Giulia region, relies on the existing seismological monitoring infrastructure of the National Institute of Oceanography and Applied Geophysics (OGS), which is responsible for delivering earthquake alerts in northeastern Italy.In case of a major earthquake event, the predicted damage is automatically computed using the OpenQuake software engine by means of ad hoc structural exposure and fragility models developed for the region. Damage calculations rely on a combination of actual observed ground motion from the stations of the OGS seismological network and empirical prediction using the ShakeMaps software developed by the U.S. Geological Survey. The resulting damage scenario, aggregated at municipality level, is finally delivered to the control room of the regional civil protection in support of early intervention activities.Although, the system is presently still under active development, a number of experimental trials have confirmed the reliability and the usefulness of the proposed approach. We are confident that the current research will contribute in mitigating the impact of possible future damaging earthquakes by (1) guiding targeted postevent emergency interventions, (2) increasing the preparedness and response capacity of emergency teams and population through preparatory training activities, and (3) supporting the decision-making process during the recovery phase, hence enhancing resilience.

The OGS–Northeastern Italy Seismic and Deformation Network: Current Status and Outlook

Abstract In this article, we describe the infrastructure developed and managed by the Italian National Institute of Oceanography and Applied Geophysics – OGS for the seismological and geodetic monitoring of northeastern Italy. The infrastructure was constituted in response to the ML 6.4 Friuli destructive earthquake of 1976, with the main mandate of supporting civil protection emergency activities. The OGS monitoring infrastructure is presently composed of a seismometric and a strong-motion network, complemented by a number of Global Navigation Satellite Systems stations, each delivering observational data in real time, which are collected and processed by the headquarters of the Center for Seismological Research of OGS in Udine. The OGS networks operate in close cooperation with Italian and international networks from neighboring countries, within the framework of the agreements for real-time data exchange, to obtain improved rapid earthquake location and magnitude estimations. Information regarding seismic events is released to the public through a dedicated web portal and, since 2013, through social media. Aside from the standard monitoring activities (&amp;gt;30,000 events have been recorded since 1976), the OGS has progressively increased the number of services to the public and to the Civil Protection of the Friuli Venezia Giulia and Veneto regions. The high availability of good quality data has resulted in the enhancement of scientific products, including advanced seismological studies of the area, spanning broadly from seismic source characterization to engineering seismology. In the future, the OGS networks are expected to further contribute to the development of seismological research and monitoring infrastructures of the Central European region.

Integrated social and health care supported by home telemonitoring in patients with heart failure: the European SmartCare project in the Friuli Venezia Giulia Region

Home care for patients with chronic diseases and specifically with heart failure (HF) is one of the main challenges of health care for the future. Telemedicine, applied to HF, allows intensive home monitoring of the most advanced patients, improving their prognosis and quality of life. The European SmartCare project was carried out in the Friuli Venezia Giulia (FVG) region with the aim of improving integrated health and social care in patients with chronic non-communicable diseases (CNCD) through home telemonitoring (TM) and promoting self-management and patient empowerment. The SmartCare project in FVG was a prospective, randomized and controlled cohort study that enrolled, from November 2014 to February 2016, 201 patients in integrated home care ("usual care" [UC] in our study) to TM (n=100) or UC (n=101). Inclusion criteria were age >50 years, at least 1 CNCD (HF, chronic obstructive pulmonary disease, or diabetes) and 1 missing BADL. There were 19 drop-outs (9%) (12 in the TM arm; 7 in the UC arm; p=NS). All patients were followed by a multiprofessional team and stratified in the short-term pathway (3-6 months; average 4 ± 1 months; n=101), enrolled at discharge from hospitalization, or in the long-term pathway (6-12 months; mean 10 ± 3 months; n=100) for frail/chronic patients already followed in home care. The most frequent main diagnosis was HF (n=108, 54%), followed by diabetes (30%) and chronic obstructive pulmonary disease (16%). A Charlson score ≥3 was present in 75% of cases and over 60% were taking at least 7 drugs. Among the social characteristics of the enrolled population, 55% were living alone or with non-familial caregivers, 62% had primary education and 48% were non-self-sufficient. The days of hospitalization were significantly reduced only in the TM arm of the post-acute pathway (20 days of hospitalization avoided for 10 patient-months of follow-up, p=0.03) and the effect was mainly evident in patients with HF (p=0.02). A significant increase in the number of home accesses and telephone contacts were also documented in the TM group (12.7 and 13.7 more home interventions for 10 patient-months of follow-up; p=0.01 and p=0.002 in the post-acute and chronic pathway, respectively). The SmartCare-FVG project showed in patients with chronic diseases (mainly HF), in the post-acute phase of the disease, to significantly reduce the days of hospitalization with a limited and sustainable increase in the use of nursing home care resources.