Search

Background: In response to the imperative need for standardized support for adolescent Gender Dysphoria (GD), the Italian Academy of Pediatrics, in collaboration with the Italian Society of Pediatrics, the Italian Society for Pediatric Endocrinology and Diabetes, Italian Society of Adolescent Medicine and Italian Society of Child and Adolescent Neuropsychiatry is drafting a position paper. The purpose of this paper is to convey the author's opinion on the topic, offering foundational information on potential aspects of gender-affirming care and emphasizing the care and protection of children and adolescents with GD., Main Body: Recognizing that adolescents may choose interventions based on their unique needs and goals and understanding that every individual within this group has a distinct trajectory, it is crucial to ensure that each one is welcomed and supported. The approach to managing individuals with GD is a multi-stage process involving a multidisciplinary team throughout all phases. Decisions regarding treatment should be reached collaboratively by healthcare professionals and the family, while considering the unique needs and circumstances of the individual and be guided by scientific evidence rather than biases or ideologies. Politicians and high court judges should address discrimination based on gender identity in legislation and support service development that aligns with the needs of young people. It is essential to establish accredited multidisciplinary centers equipped with the requisite skills and experience to effectively manage adolescents with GD, thereby ensuring the delivery of high-quality care., Conclusion: Maintaining an evidence-based approach is essential to safeguard the well-being of transgender and gender diverse adolescents., (© 2024. The Author(s).)

Biliary tract cancers (BTCs) represent a spectrum of malignancies associated with a dismal prognosis. Recent genomic profiling studies have provided a deeper understanding of the complex and heterogenous molecular landscape of BTCs, identifying several actionable genetic alterations, and expanding treatment options. Due to the high number and complexity of genetic alterations which require testing, next-generation sequencing (NGS) is currently the preferred approach over conventional methods (i.e., immunohistochemistry, fluorescence in-situ hybridization and PCR) for molecular profiling of BTCs and should be performed upfront in all BTC patients. However, BTC sampling often yields low tumor cellularity tissue, hampering NGS analysis. Future perspectives to overcome this obstacle include liquid biopsy and optimization of biopsy protocols. In this position paper, the authors discuss the current histopathologic, molecular, and therapeutic landscape of BTCs, provide a critical overview of the available testing methods for molecular diagnostics, and propose a practical diagnostic algorithm for molecular testing of BTC samples., Competing Interests: Declaration of Competing Interest All other authors declare that they have no conflict of interest related to the present work. Conflict of interest statement MF has been involved in consulting/advisory roles in Astellas Pharma, Pierre Fabre, MSD, AstraZeneca, Janssen, GlaxoSmithKline, BMS, Incyte, Amgen, Novartis and Roche, and received research funding from Astellas Pharma, QED Therapeutics, Diaceutics and Macrophage Pharma. NN has been involved in consulting/advisory roles in MSD, Bayer, Biocartis, Illumina, Incyte, Roche, BMS, Merck, Thermofisher, AstraZeneca, Eli Lilly, Novartis; financial support to research projects (institutional grants) from Merck, Thermofisher, QIAGEN, Roche, AstraZeneca, Biocartis, Illumina, Sophia genetics; non-financial interests President of the International Quality Network for Pathology (IQN Path) and Past President of the Italian Cancer Society (SIC). GP has been involved in consulting/advisory roles in Roche, Illumina, Novartis, Lilly, AstraZeneca, Exact Sciences, ADS Biotech. GT has received honoraria from Molteni, Novartis and Pharmamar. AS has received consulting fees from Amgen, AstraZeneca, Basilea, Incyte, and Ipsen and lecture fees from Amgen, Incyte, Ipsen, Merck Serono, Roche, and Sanofi. LR has received consulting fees from AstraZeneca, Basilea, Bayer, BMS, Eisai, Exelixis, Genenta, Hengrui, Incyte, Ipsen, IQVIA, Jazz Pharmaceuticals, MSD, Nerviano Medical Sciences, Roche, Servier, Taiho Oncology, and Zymeworks; lecture fees from AstraZeneca, Bayer, BMS, Eisai, Incyte, Ipsen, Merck Serono, Roche, and Servier; travel expenses from AstraZeneca; and institutional research funding from Agios, AstraZeneca, BeiGene, Eisai, Exelixis, Fibrogen, Incyte, Ipsen, Lilly, MSD, Nerviano Medical Sciences, Roche, and Zymeworks. FG has been involved in consulting/advisory roles in MSD and GlaxoSmithKline; lecture fees from MSD, Incyte and GlaxoSmithKline., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

A growing research interest currently exists in the use of paper as a building material. This work aims to present the results of a measurement campaign developed on innovative waste paper-based building components. The research was carried out in Southern Italy and used some local by-product aggregates. Three different mixture designs were developed in the laboratory by adding three kinds of biomass to a pulp paper blend: fava bean residues (FB), sawdust powder (SP) and coffee grains (CG) extracted from exhausted chaffs. A physical characterization was carried out measuring the bulk density and bulk porosity. Scanning Electron Microscopy (SEM) analysis of the single aggregates was followed by a microstructure analysis of the final components. Bulk density evaluation showed a range between 200 and 348 kg·m−3. Furthermore, thermal performances were measured; the thermal conductivity of the experimented samples ranged from 0.071 to 0.093 W·m−1·K−1, thus it is possible to classify the tested materials as thermal insulators. Moreover, the acoustic properties were evaluated and tested. The normal incidence sound absorption coefficient was measured by the impedance tube on cylindrical specimens. In general, a different behavior was observed between the upper and lower base of each specimen due to the manufacturing process and the shrinkage caused by the different interactions occurring between the aggregates and the pulp paper waste; for example, the presence of sawdust reduced shrinkage in the final specimens, with consequent smaller physical variations among the two faces. The correlation existing between the manufacturing process and the microstructural properties was also investigated by the estimation of the non-acoustical parameters using the inverse method and taking into account the JCA (Johnson, Champoux and Allard) model as a reference. [ABSTRACT FROM AUTHOR]

Simple Summary: During overwintering diapause, the gynes of paper wasps (Polistes sp.) are mainly dormant in sheltered hibernacles, protecting them against predators and adverse weather conditions but hardly against low temperatures. By measuring the temperature inside hibernacles occupied by species from both Mediterranean (Italian; P. dominula, P. gallicus) and temperate (Austrian; P. dominula) climates (mean hibernacle temperatures: 8.5 °C and 3.2 °C, respectively), we were able to calculate the energetic demand of overwintering. The cumulative energetic costs differed between the populations. Costs were lowest for the P. dominula population from the cooler Austrian winter climate and significantly higher in P. dominula and P. gallicus from the warmer Italian climate. The lower costs of the temperate species were a result of the lower winter temperature and physiological acclimation processes. Energetic calculations with an assumed temperature increase of up to 3 °C due to climate change predict a dramatic increase of up to 40% in overwintering costs in all species. Gynes of paper wasps (Polistes sp.) spend the cold season in sheltered hibernacles. These hibernacles protect against predators and adverse weather conditions but offer only limited protection against low temperatures. During overwintering diapause, wasps live on the energy they store. We investigated the hibernacles' microclimate conditions of species from the Mediterranean (Italy, P. dominula, P. gallicus) and temperate (Austria, P. dominula) climates in order to describe the environmental conditions and calculate the energetic demand of overwintering according to standard metabolic rate functions. The temperatures at the hibernacles differed significantly between the Mediterranean and temperate habitats (average in Austria: 3.2 ± 5.71 °C, in Italy: 8.5 ± 5.29 °C). In both habitats, the hibernacle temperatures showed variance, but the mean hibernacle temperature corresponded closely to the meteorological climate data. Cumulative mass-specific energetic costs over the studied period were the lowest for the temperate P. dominula population compared with both Mediterranean species. The lower costs of the temperate species were a result of the lower hibernacle temperature and acclimation to lower environmental temperatures. Model calculations with an increased mean temperature of up to 3 °C due to climate change indicate a dramatic increase of up to 40% in additional costs. [ABSTRACT FROM AUTHOR]

Cancer management has significantly evolved in recent years, focusing on a multidisciplinary team approach to provide the best possible patient care and address the various comorbidities, toxicities, and complications that may arise during the patient's treatment journey. The co-occurrence of diabetes and cancer presents a significant challenge for health care professionals worldwide. Management of these conditions requires a holistic approach to improve patients' overall health, treatment outcomes, and quality of life, preventing diabetes complications and cancer treatment side-effects. In this article, a multidisciplinary panel of experts from different Italian scientific societies provide a critical overview of the co-management of cancer and diabetes, with an increasing focus on identifying a novel specialty field, 'diabeto-oncology', and suggest new co-management models of cancer patients with diabetes to improve their care. To better support cancer patients with diabetes and ensure high levels of coordinated care between oncologists and diabetologists, 'diabeto-oncology' could represent a new specialized field that combines specific expertise, skills, and training., (Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Corticosteroids (CSs) are widely used in oncology, presenting several different indications. They are useful for induction of apoptosis in hematological neoplasms, for management of anaphylaxis and cytokine release/hypersensitivity reaction and for the symptomatic treatment of many tumour- and treatment-related complications. If the employment of CSs in the oncological setting results in several benefits for patients and satisfaction for clinicians, on the other hand, many potential adverse events (AEs), both during treatment and after withdrawal of CSs, as well as the duality of the effects of these compounds in oncology, recommend being cautious in clinical practice. To date, several gray zones remain about indications, contraindications, dose, and duration of treatment. In this article, a panel of experts provides a critical review on CSs therapy in oncology, focusing on mechanisms of action and pharmacological characteristics, current and emerging therapeutic indications/contraindications, AEs related to CSs treatment, and the impact on patient outcome., (Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.)

Nutrition in the first 1000 days of life is essential to ensure appropriate growth rates, prevent adverse short- and long-term outcomes, and allow physiologic neurocognitive development. Appropriate management of early nutritional needs is particularly crucial for preterm infants. Although the impact of early nutrition on health outcomes in preterm infants is well established, evidence-based recommendations on complementary feeding for preterm neonates and especially extremely low birth weight and extremely low gestational age neonates are still lacking. In the present position paper we performed a narrative review to summarize current evidence regarding complementary feeding in preterm neonates and draw recommendation shared by joint societies (SIP, SIN and SIGENP) for paediatricians, healthcare providers and families with the final aim to reduce the variability of attitude and timing among professionals. [ABSTRACT FROM AUTHOR]

Epidemiologic data suggest an increased prevalence of pediatric food allergies and intolerances (FAIs) during the last decades. This changing scenario has led to an increase in the overall healthcare costs, due to a growing demand for diagnostic and treatment services. There is the need to establish Evidence-based practices for diagnostic and therapeutic intervention that could be adopted in the context of public health policies for FAIs are needed. This joint position paper has been prepared by a group of experts in pediatric gastroenterology, allergy and nutrition from the Italian Society for Pediatric Gastroenterology Hepatology and Nutrition (SIGENP) and the Italian Society for Pediatric Allergy and Immunology (SIAIP). The paper is focused on the Diagnostic Therapeutic Care Pathway (DTCP) for pediatric FAIs in Italy. [ABSTRACT FROM AUTHOR]

Constitutional BRCA1/BRCA2 pathogenic or likely pathogenic variants (PVs) are associated with an increased risk for developing breast and ovarian cancers. Current evidence indicates that BRCA1/2 PVs are also associated with pancreatic cancer, and that BRCA2 PVs are associated with prostate cancer risk. The identification of carriers of constitutional PVs in the BRCA1/2 genes allows the implementation of individual and family prevention pathways, through validated screening programs and risk-reducing strategies. According to the relevant and increasing therapeutic predictive implications, the inclusion of BRCA testing in the routine management of patients with breast, ovarian, pancreatic and prostate cancers represent a key requirement to optimize medical or surgical therapeutic and prevention decision-making, and access to specific anticancer therapies. Therefore, accurate patient selection, the use of standardized and harmonized procedures, and adherence to homogeneous testing criteria, are essential elements to implement BRCA testing in clinical practice. This consensus position paper has been developed and approved by a multidisciplinary Expert Panel of 64 professionals on behalf of the AIOM-AIRO-AISP-ANISC-AURO-Fondazione AIOM-SIAPEC/IAP-SIBioC-SICO-SIF-SIGE-SIGU-SIU-SIURO-UROP Italian Scientific Societies, and a patient association (aBRCAdaBRA Onlus). The working group included medical, surgical and radiation oncologists, medical and molecular geneticists, clinical molecular biologists, surgical and molecular pathologists, organ specialists such as gynecologists, gastroenterologists and urologists, and pharmacologists. The manuscript is based on the expert consensus and reports the best available evidence, according to the current eligibility criteria for BRCA testing and counseling, it also harmonizes with current Italian National Guidelines and Clinical Recommendations., Competing Interests: Disclosure LC: honoraria for presentations from Astra Zeneca, Pfizer, Novartis, MSD; support for attending meetings from AstraZeneca; advisory board of Astra Zeneca, Novartis, MSD, Gilead. UDG: consulting fees from AstraZeneca, Pfizer, MSD, BMS, Ipsen, Novartis, Astellas, Janssen, Bayer, PharmaMar, Eisai, and Clovis. MDM: grants from any entity from Tesaro, GlaxoSmithKline; consulting fees from Novartis, Roche, AstraZeneca, Merck Serono, Pfizer, Merck Sharp & Dohme, Janssen, Eisai, Takeda, Boehringer Ingelheim, and Servier; honoraria for presentations from Novartis, Roche, AstraZeneca, Pfizer, Merck Sharp & Dohme, Janssen, Astellas, Boehringer Ingelheim; serves on the advisory board of Merck Sharp & Dohme, Amgen, Janssen, and Astellas. MG: honoraria for presentations from MSD. BAJF: honoraria for presentations from Janssen, Ferring, Bayer, Roche, Astellas, Elekta, Carl Zeiss, Ipsen, Accuray, and IBA. AL: consulting fees from Astellas, Jansen, and Bayer. AR: advisory boards of Bristol, Pfizer, Bayer, Kyowa Kirin, Ambrosetti; and honoraria for presentations from Roche Diagnostic and AstraZeneca. All other authors have declared no conflicts of interest., (Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

The presence of intensely fissured soils is often found to relate to high geotechnical risks, such as landslide risk. This is especially the case of the Southern Apennines, Italy, where slopes formed of intensely fissured clays are frequently affected by landslides. The latter are generally triggered by rainfall infiltration, which takes place through the outcropping, unsaturated clayey soil cover. With the final aim of reducing landslide risk in areas covered by fissured clays, a detailed hydro-mechanical characterisation of these materials is required. While the behaviour of fully saturated fissured clays has been investigated in the last decade, only a few studies dealing with unsaturated, natural fissured clays are reported in the literature. The present paper aims to give a contribution toward filling this gap by extending an investigation campaign started a few years ago on the Paola Doce fissured clay outcropping on the Pisciolo slope (Southern Apennines, Italy). The physical properties of the material and some of its key micro- to meso-structural features are first analysed, the latter also based on Scanning Electron Microscope (SEM) micrographs of an undisturbed sample taken at 1.4 m depth on the Pisciolo slope, which is mainly formed of Paola Doce clay. Subsequently, water retention data of the soil are presented, which were obtained using both high-capacity tensiometers and the filter paper technique. These data were collected not only on undisturbed samples but also while subjecting the same material to drying paths. The results herein reported aim to make a link between the water retention behaviour of the Paola Doce clay sampled at Pisciolo and its fissured structure. [ABSTRACT FROM AUTHOR]

This article analyses Italian illustrated editions of Little Women published between 1908 and 1945. After an overview of the publishing history of the novel in Italy, the paper will examine Italian illustrations as hermeneutic tools in order to examine their ideological function in the representation of gender. The belated reception of Alcott's novel in Italy, caused by its representation of a nonconformist educational model for girls, is mirrored in the tension between the nationalistic drive and the influence of foreign models that can be pinpointed in the illustrated editions. By analyzing adaptations of American illustrations, original Italian creations, and omissions of iconic illustrations, this paper will unveil how much the visual element is embedded in the Italian historical and cultural context, as the choice (or omission) of particular images impacted the interpretation of the book. By examining the Italian editions of Little Women published in this time frame, we will also be able to retrace the links with the American illustrated history of the book and bear testimony to the powerful impact of the 1934 film version on printed editions. [ABSTRACT FROM AUTHOR]

Adequate and balanced nutrition is essential to promote optimal child growth and a long and healthy life. After breastfeeding, the second step is the introduction of complementary feeding (CF), a process that typically covers the period from 6 to 24 months of age. This process is, however, still highly controversial, as it is heavily influenced by socio-cultural choices, as well as by the availability of specific local foods, by family traditions, and pediatrician beliefs. The Società Italiana di Pediatria Preventiva e Sociale (SIPPS) together with the Federazione Italiana Medici Pediatri (FIMP), the Società Italiana per lo Sviluppo e le Origine della Salute e delle Malattie (SIDOHaD), and the Società Italiana di Nutrizione Pediatrica (SINUPE) have developed evidence-based recommendations for CF, given the importance of nutrition in the first 1000 days of life in influencing even long-term health outcomes. This paper includes 38 recommendations, all of them strictly evidence-based and overall addressed to developed countries. The recommendations in question cover several topics such as the appropriate age for the introduction of CF, the most appropriate quantitative and qualitative modalities to be chosen, and the relationship between CF and the development of Non-Communicable Diseases (NCDs) later in life.

Coronavirus disease 2019 (COVID-19) first emerged in China in November 2019. Most governments have responded to the COVID-19 pandemic by imposing a lockdown. Some evidence suggests that a period of isolation might have led to a spike in alcohol misuse, and in the case of patients with alcohol use disorder (AUD), social isolation can favour lapse and relapse. The aim of our position paper is to provide specialists in the alcohol addiction field, in psychopharmacology, gastroenterology and in internal medicine, with appropriate tools to better manage patients with AUD and COVID-19,considering some important topics: (a) the susceptibility of AUD patients to infection; (b) the pharmacological interaction between medications used to treat AUD and to treat COVID-19; (c) the reorganization of the Centre for Alcohol Addiction Treatment for the management of AUD patients in the COVID-19 era (group activities, telemedicine, outpatients treatment, alcohol-related liver disease and liver transplantation, collecting samples); (d) AUD and SARS-CoV-2 vaccination. Telemedicine/telehealth will undoubtedly be useful/practical tools even though it remains at an elementary level; the contribution of the family and of caregivers in the management of AUD patients will play a significant role; the multidisciplinary intervention involving experts in the treatment of AUD with specialists in the treatment of COVID-19 disease will need implementation. Thus, the COVID-19 pandemic is rapidly leading addiction specialists towards a new governance scenario of AUD, which necessarily needs an in-depth reconsideration, focusing attention on a safe approach in combination with the efficacy of treatment., (© 2021 The Authors. Addiction Biology published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.)

The development of innovative technologies and the advances in the genetics and genomics, have offered new opportunities for personalized treatment in oncology. Although the selection of the patient based on the molecular characteristics of the neoplasm has the potential to revolutionize the therapeutic scenario of oncology, this approach is extremely challenging. The access, homogeneity, and economic sustainability of the required genomic tests should be warranted in the clinical practice, as well as the specific scientific and clinical expertise for the choice of medical therapies. All these elements make essential the collaboration of different specialists within the Molecular Tumor Boards (MTBs). In this position paper, based on experts' opinion, the AIOM-SIAPEC/IAP-SIBioC-SIC-SIF-SIGU-SIRM Italian Scientific Societies critically discuss the available molecular profiling technologies, the proposed criteria for the selection of patients candidate for evaluation by the MTB, the criteria for the selection and analysis of biological samples, and the regulatory and pharmaco-economic issues., (Copyright © 2021. Published by Elsevier B.V.)

The personalized medicine is in a rapidly evolving scenario. The identification of actionable mutations is revolutionizing the therapeutic landscape of tumors. The morphological and histological tumor features are enriched by the extensive genomic profiling, and the first tumor-agnostic drugs have been approved regardless of tumor histology, guided by predictive and druggable genetic alterations. This new paradigm of "mutational oncology", presents a great potential to change the oncologic therapeutic scenario, but also some critical aspects need to be underlined. A process governance is mandatory to ensure the genomic testing accuracy and homogeneity, the economic sustainability, and the regulatory issues, ultimately granting the possibility of translating this model in the "real world". In this position paper, based on experts' opinion, the AIOM-SIAPEC-IAP-SIBIOC-SIF Italian Scientific Societies revised the new agnostic biomarkers, the diagnostic technologies available, the current availability of agnostic drugs and their present indication., (Copyright © 2021. Published by Elsevier B.V.)

Adverse drug reactions (ADRs) represent a significant threat to patients' safety in dentistry, necessitating proactive measures for prevention and treatment. However, identifying ADRs of dental and oral interest can be challenging, and underreporting remains a persistent issue globally. This paper illustrates a smart system to help Italian healthcare personnel, including dentists, in identifying and reporting dental and oral ADRs. This educational program is within a larger multi-regional project financed by the Italian Agency of Drugs (AIFA). The proposed system comprises a free online questionnaire on ADRs of dental interest (including specific items about awareness and attitudes), and after the free consultation of an atlas of clinical images of dental and oral ADRs linked with a digital synopsis of drugs potentially related to ADRs. This section of the project was presented in April 2023 at the 30th National Congress of the Italian College of University Professors of Dental Disciplines, and the system appears to hold tremendous potential to improve the knowledge of healthcare professionals on oral and dental ADRs. [ABSTRACT FROM AUTHOR]

The publication of updated works on the distribution, breeding and conservation status of Italian birds has stimulated an analysis of the factors that have so far guided the research. This was done through a bibliometric analysis of one of the largest scientific databases on the web. Two publication metrics were used, the total number of papers and the h-index. They express the quantity and the quality of research efforts through their impact on the scientific community. 791 articles concerning the 270 species reported in the Italian Atlas of Breeding Birds were selected and analysed by univariate statistics and negative binomial GLMs. Eight multilevel factors (origin of species, breeding phenology, main occupied habitat, population trends, degree of threat, national interest relative to population management, functional grouping and geographic range size) were used as potential predictors of species publication metrics. These 791 papers attracted 20,982 citations and had an overall h-index of 48. The publication years ranged from 1975 to 2023 with a significant increase in slope through time. The Barn Swallow leads the top ten of both publication metrics followed by the Lesser Kestrel and the Golden Eagle in the case of number of papers, while the Red-backed Shrike, and again the Lesser Kestrel follow the Barn Swallow in the first places of the h-index top ten. Main habitat, functional grouping and geographic range size are modelled as significant factors predicting a change in publication metrics, instead, the other five factors do not predict a significant change in both response variables. The lack of focus on research on species in numerical decline, threatened, or of national interest for population management reveals a main gap in Italian ornithological research. Another one is the skewed distribution of studies, with a not negligible 17% of breeding species that have never been the subject of a paper. These weaknesses are likely due to the low presence of ornithologists in local/national environmental and wildlife management bodies and to the uneven distribution of research groups among the Italian regions. Increasing the number of professional ornithologists and including them in local authorities and regional administrations is the best strategy to grow the levels of research and protection of Italian birds. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Language & Law / Revista de Llengua i Dret is the property of Revista de Llengua i Dret and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In order to make our cities more sustainable, the paper describes a research aimed at defining a new urban tool in the context of Agenda 2030. It is the 'Sustainability Charter', a tool that already exists at the international level, but here is analyses at the local level as a result of decision-making process which refers to a set of interactions between academia (the university), industry and local community. One of the priority of the Sustainability Charter is to analyse all the sustainable services that an administration has to implement in order to help citizens to have virtuous lifestyles. The authors developed a methodological approach to better define, implement and asses these sustainable actions related to different urban topics (mobility, waste m paper proposes to adopt different indicators to measure the sustainability of each action using a specific chart defined as sustainability map. The method proposed by the authors ai ms to be easily adaptable and scalable to different local administrations. To give a concrete example of the results that can be obtained from its application, the paper proposes the experience of the Sustainability Charter of Sestri Levante, a medium-sized municipality in Italy in the Ligurian Riviera. Thanks to this experience, the Municipality of Sestri Levante can improve its mobility-related sustainability services. [ABSTRACT FROM AUTHOR]

The study presents a global research scenario in the domain of quantum sensing in quantitative and qualitative terms. The study is based on an analysis of 588 global publications in the field, sourced from the Scopus database for the period 1991-2020. The study identified key countries, organizations and authors, network collaborative linkages at national, institutional, and author level. In addition, it identified broad subject areas intersecting quantum sensing research, key journals for research communications, and broad characteristics of highly-cited papers. The study finds that the USA and Germany lead the world ranking in quantum sensing research with a combined share of 50% to the global output. The USA, Germany, and Italy are the home countries to 13 of the top 15 most productive organizations, and also the home countries to 14 of the top 15 most productive authors in the subject. The top journals publishing most research publications are Physical Review A, Physical Review Letters and New Journal of Physics. However, in the most cited journals list in the subject, Agriculture & Forest Meterology, Science and Physical Review A tops the list. [ABSTRACT FROM AUTHOR]

Printed books would be about to die in front of the advantages offered by the digital world. But for 750 million illiterates over 15 worldwide, for two-thirds women (UNESCO, 2017), literature does not go through digital or printing on paper. There is also a disturbing degree of returning or functional illiteracy, significantly affecting a part of European population. Starting from an idea of literature that is above all the art of the word, the article analyzes the (in)utility of digital media compared to the emotional impact and prestige possessed by printed books; the relationship between e-books and printed books in the self-publishing sector; the importance of the human voice as an ancient and very modern means of telling stories and conveying emotions. Recent statistical data (e.g. Pepe Research, 2020) show the success of audiobooks and podcasts in Covid times, in Italy and in the "Westernworld", and for some types of disabilities. The article underlines the need to recompose the competition between digital and printed books into a fruitful collaboration. Finally, it is highlighted that the voice is, still today and everywhere - from the hi-tech world to African storytellers -an extraordinary tool to produce and promote knowledge about literature. [ABSTRACT FROM AUTHOR]

Although the relationship between religion and football has gained considerable interest during the last twenty years, scant attention has been paid to the relationship between pilgrimage and football. This paper seeks to advance the study of this relationship through an exploration of collective memory about football disasters that throws fresh light on central themes within pilgrimage studies—pilgrimage as both a journey to a sacred place and the performance of diverse rituals at such places. The paper explores, in particular, the ways in which three different tragedies involving English football clubs have been commemorated through journeys to and ritual performance at places seen as sacred to those involved in commemoration—football stadiums and urban spaces, and cathedrals and pilgrimage shrines in England, Germany and Italy. Through this analysis, we seek to show how the commemoration of football disaster is linked to pilgrimage as a process where people seek healing and reconciliation through the public performance of rituals that link the local to the global. [ABSTRACT FROM AUTHOR]

The paper aims to reflect on the training of teachers in Italian lower and upper secondary schools by presenting the training activities carried out by the Pegaso Telematic University in the provision of the training course foreseen by Ministerial Decree 180/2022. The first training activities focused on the training of the course tutors, while the second focused on the feedback given to the teachers who followed the course, following the development of the competence assessment. The aim of this paper is to reflect on the replicability of the training actions presented and the lines of research that open up. [ABSTRACT FROM AUTHOR]

Background: The translation of research into healthcare practice relies on effective communication between disciplines, however strategies to address the gap between information sharing and knowledge transfer are still under exploration. Communities of Practice (CoP) are informal networks of stakeholders with shared knowledge or endeavour and present an opportunity to address this gap beyond disciplinary boundaries. However, the evidence-base supporting their development, implementation and efficacy in health is not well described. This review explores the evidence underpinning the use of CoP in health research and translation. Methods: A scoping review was undertaken using Arksey and O'Malley's methodological framework. A comprehensive search of health databases and grey literature was performed using keywords and controlled vocabulary. Studies were not restricted by date or research method. Results: A total of 1355 potentially relevant articles were identified through the global search strategy. Following screening, six articles were retained for analysis. Included studies were published between 2002 and 2013 in the United Kingdom (n = 3), Canada (n = 2) and Italy (n = 1). Three papers reported primary research; one used a quantitative methodology, one a qualitative, and one a descriptive evaluation approach. The three remaining papers explored seminal and evolving theories of CoP in the context of knowledge transfer and translation to the health sector. Conclusions: A paucity of evidence exists regarding the development and efficacy of CoP in health research and translation. Further empirical research is required to determine if communities of practice can enhance the translation of research into clinical practice. [ABSTRACT FROM AUTHOR]

Individuals who reside in a country without regular authorisation generally find it difficult to access public medical services beyond emergency treatment. Even in countries with universal healthcare, there is often a gap between rights on paper and their implementation. Civil society organisations (CSOs) fill this gap by providing medical services to vulnerable populations, including irregular migrants. What, if any, are the ethical dilemmas that arise for CSO staff when delivering such services in countries with universal healthcare? Under what conditions do these dilemmas arise? And what strategies do CSO staff use to mitigate them? We answer these questions using 40 semi-structured interviews with CSO staff working in two European countries with high levels of irregularity, universal healthcare provisions on paper, and significant differences in approaches and availability of public services for irregular migrants: Italy and Spain. We show that CSO staff providing medical services to irregular migrants in places with universal healthcare coverage face a fundamental dilemma between humanitarianism and equity. CSO staff respond to the humanitarian belief in the value of taking all possible steps to prevent or alleviate human suffering, thus promoting a decent quality of life that includes access to both emergency and non-emergency care. In doing so, however, they run the risk of substituting rather than complementing public provisions, thereby preventing governments from assuming responsibility for these services in the long term. Individuals who acknowledge the existence of this dilemma generally oppose the creation of parallel structures; that is, services specifically developed for irregular migrants outside the public system; while those who ignore it essentially subscribe to a tiered system, giving up on considerations of equity. We argue that CSOs involved in the provision of healthcare to irregular migrants do not simply provide services; they also play an inherently political role. [ABSTRACT FROM AUTHOR]

The paper aimed to investigate the influence, on the assessment of the structural safety level of an existing r.c building, of the different choices that the technician in charge of a structural evaluation (the "analyst") can make regarding the structural elements to be tested to obtain a prescribed level of knowledge. To this end, the case study of a reinforced concrete framed structure built in the 1960s in Italy was investigated by means of numerical analyses. The probability distribution of the estimated safety levels was evaluated in the paper by means of a Monte Carlo approach, considering the alternative selections of elements done by a large number of analysts, and the probability of unsuccessful safety estimations is discussed for the knowledge levels considered in the Italian technical codes and the Eurocodes. [ABSTRACT FROM AUTHOR]

Background: Potentially inappropriate polypharmacy (PIP) is among the major factors leading to adverse drug reactions, increased healthcare costs, reduced medication adherence, and worsened patient conditions. This study aims to identify existing interventions implemented to monitor and manage polypharmacy in the Italian setting. Methods: A systematic literature review (PROSPERO: CRD42023457049) was carried out according to the PRISMA statement guidelines. PubMed, Embase, ProQuest, and Web of Science were queried without temporal constraints, encompassing all published papers until October 2023. Inclusion criteria followed the PICO model: patients with polypharmacy; interventions to monitor/manage polypharmacy regimen versus no/any intervention; outcomes in terms of intervention effectiveness and cost variation. Results: After duplicate deletion, 153 potentially relevant publications were extracted. Following abstract and full-text screenings, nine articles met the inclusion criteria. Overall, 78% (n = 7) were observational studies, 11% (n = 1) were experimental studies, and 11% (n = 1) were two-phase studies. A total of 44% (n = 4) of the studies involved patients aged ≥ 65 years, while 56% (n = 5) were disease-specific. Monitoring was the most prevalent choice of intervention (67%; n = 6). Outcomes were mainly related to levels of polypharmacy (29%; n = 6) and comorbidities (29%; n = 6), effectiveness rates (14%; n = 3), and avoidable costs (9%; n = 2). Conclusions: This review outlines that Italy is still lacking in interventions to monitor/manage PIP, addressing an unmet need in developing patient-tailored strategies for reducing health-system burden. [ABSTRACT FROM AUTHOR]

This article analyses the ongoing processes in the organisational field of Italian schools in light of the innovations induced by digital education policies. Specifically, it focuses on the relationship between actors and digital policies concerning the experience of distance learning (DL) that characterised the period of the COVID-19 pandemic. The paper reflects on DL outcomes regarding the three expectations that have often characterised the rhetoric associated with the promotion of digital educational policies, namely: the raising of learning levels, the development of digital competences and the increase in school inclusion. Through an analysis of a series of empirical studies exploring the point of view of the paper, this paper highlights what progress has been made in the digital schooling in Italy and what are still its main limitations. The results of the study show both the limits of the effectiveness of educational policies constructed with a top-down approach and highlight the potential for policy recalibration offered by a reorganisation of the decision-making process through the active involvement of all the actors in the educational system. [ABSTRACT FROM AUTHOR]

Social innovation has been associated with contributing to 'valuable' rural development; however, usually, the impact of social innovation has been identified in the aftermath of its development or implementation. This might be too narrow an approach, as an ongoing social innovation process in itself may already lead to effects that contribute to regional and social changes in a local community and beyond. This paper argues that collaborative valuation processes are embedded in social innovation processes, generating effects that contribute to rural development. Focusing on a case study that exemplifies social innovation processes in agriculture and food production carried out by a rural collaborative community in southern Italy, we demonstrate how three valuation phases, such as contestations and negotiations of norms, symbolic capital accumulation and recognition of actions, as well as re-definitions of values, impact community development through joint sense-making, empowerment and societal change. Our empirical results suggest the close intertwining of both social innovation and valuation processes. The empirical results demonstrate how collective valuation processes have micro-effects on the agro-economic system, on local socio-cultural processes, and on place-making activities. Methodologically, this paper builds on ethnographic methods, including participatory observations, semi-structured interviews, oral histories, and socio-spatial analysis investigating moments of valuation embedded in daily collaborative practices. [ABSTRACT FROM AUTHOR]

Introduction: This paper describes the peculiarities of the plasma-derived medicinal product (PDMP) market and illustrates the results of a review of the literature on policies aimed at counteracting the shortage of PDMPs. Characteristics of PDMPs: Plasma is primarily used for the industrial production of blood products (80%). The demand for PDMPs, particularly immunoglobulins (IGs), is increasing. However, the production of PDMPs is complex, long (7-12 months), and expensive, accounting, according to US estimates, for 57% of the total costs of PDMPs compared to 14% for small molecules. PDMP market: Unexpected increases in clinical need cannot be addressed in the short term. Once the demand for some diseases is satisfied, the collection and fractionation of plasma will only be used to supply some specific patients. Hence, the full weight of the marginal costs, which remain constant, are borne by a few products. According to last liter economics, the industry stops producing when the marginal revenue equals the marginal cost, thereby reducing the convenience of producing the most commonly used PDMPs (albumin and IG). The imbalance between the demand and supply of PDMPs was exacerbated by the COVID-19 pandemic, which further increased the cost of plasma collection. Shortage issue and possible solutions: Policies to counteract this imbalance have also been discussed. If the demand is inappropriate, it should be reduced. If the demand is appropriate and supply cannot be increased, the demand should be prioritized for patients for whom PDMPs are the only available treatment. If the shortage depends on insufficient supply and technical and allocative efficiency, both production and supply should be improved, together with incentives for all stakeholders involved in the PDMP market to increase the sustainability of production/supply. The paper is focused on this second issue, that is supply-driven unbalance. [ABSTRACT FROM AUTHOR]

Background: Particularly at the beginning of the pandemic, adults aged 65 and older were portrayed as a homogeneously vulnerable population due to the elevated health risks associated with contracting the COVID-19 disease. This portrayal, combined with travel restrictions, closures of economic sectors, country-wide lockdowns, and suggestions by governmental authorities to limit social contact, had important implications for the wellbeing of older individuals. However, older adults are a heterogeneous population who relies on different resources to cope with stressful periods, like the COVID-19 pandemic. Simultaneously, countries also employed differentmeasures to contain the virus. Research thus far has focused on the short-termconsequences of the pandemic, but studies have yet to address its long-term consequences. Objectives: We explore older adults' lived experiences nearly 2 years after the pandemic onset. Moreover, we focus on the bordering countries of Switzerland and Italy, who employed contrasting containmentmeasures. This paper analyzes (1) Howthe COVID-19 pandemic impacted the experiences of wellbeing of older adults in these regions and (2) How older adults coped with the stressors brought about by the pandemic, in particular social distancing. Methods: The paper draws on 31 semi-structured interviews with 11 Swiss natives residing in Switzerland, 10 Italian migrants residing in Switzerland, and 10 Italian natives residing in Italy. Interviews were conducted from December 2021 to March 2022. Results: Coping mechanisms of the three groups related to acceptance, hobbies, cognitive reframing, telephone use, vaccine use and social distancing. However, results show heterogeneous experiences of wellbeing, with Swiss natives sharing more positive narratives than the other two groups. Moreover, Italian migrants and Italian natives expressed the long-term negative consequences of the pandemic on their experienced wellbeing. [ABSTRACT FROM AUTHOR]

The accurate prediction of heavy precipitation in convective environments is crucial because such events, often occurring in Italy during the summer and fall seasons, can be a threat for people and properties. In this paper, we analyse the impact of satellite-derived surface-rainfall-rate data assimilation on the Weather Research and Forecasting (WRF) model's precipitation prediction, considering 15 days in summer 2022 and 17 days in fall 2022, where moderate to intense precipitation was observed over Italy. A 3DVar realised at CNR-ISAC (National Research Council of Italy, Institute of Atmospheric Sciences and Climate) is used to assimilate two different satellite-derived rain rate products, both exploiting geostationary (GEO), infrared (IR), and low-Earth-orbit (LEO) microwave (MW) measurements: One is based on an artificial neural network (NN), and the other one is the operational P-IN-SEVIRI-PMW product (H60), delivered in near-real time by the EUMETSAT HSAF (Satellite Application Facility in Support of Operational Hydrology and Water Management). The forecast is verified in two periods: the hours from 1 to 4 (1–4 h phase) and the hours from 3 to 6 (3–6 h phase) after the assimilation. The results show that the rain rate assimilation improves the precipitation forecast in both seasons and for both forecast phases, even if the improvement in the 3–6 h phase is found mainly in summer. The assimilation of H60 produces a high number of false alarms, which has a negative impact on the forecast, especially for intense events (30 mm/3 h). The assimilation of the NN rain rate gives more balanced predictions, improving the control forecast without significantly increasing false alarms. [ABSTRACT FROM AUTHOR]

Radionuclide contamination is a serious health issue caused by nuclear experiments and plant accidents, as seen for the Chernobyl and Fukushima nuclear plants. Italy has been especially interested in northwestern alpine regions, as have several other nations. The aim of this work was to indagate 134Cs and 137Cs contamination in wild boars, which were considered bioindicators sampled in the Chisone/Germanasca Valley and the Pellice Valley districts (Piedmont, Italy) in two hunting seasons (2014 and 2016). In the 2014 season, only the livers of the animals (n = 48) were sampled, whereas in 2016, five different anatomical sampling sites were sampled for each animal (n = 16). The analyses were conducted in an accredited laboratory (Agenzia Regionale per la Protezione dell'Ambiente–ARPA) by the aid of an HPGe detector (Ortec) with a relative efficiency of 50%. In general, the contamination levels registered in 2014 were under the detection limit for 134Cs and low for 137Cs (Chisone/Germanasca valley: min: 0.0, max: 23.9 median 11.0 Bq/kg vs Pellice valley: min 0, max: 31.7, median: 9.6 Bq/kg) and no health concern can be supposed. In the first-year samples, the liver showed a negative correlation between age and contamination level. In the second year of sampling, low levels were confirmed (min: 3.1 Bq/kg, max: 113.3; median 17.7 Bq/kg). Multiple sampling from the same animal showed that the diaphragm (median = 27.7 Bq/kg) kidney (27.4) and tongue (27.6) were more contaminated than the liver (17.7) and spleen (15.3). Moreover, a linear mixed model revealed a negative organ-by-age interaction, meaning that interorgan differences in contamination level were greater in younger (5–11 months) than in older (18–36 months) animals. Different feeding habits can be the explanation. Our paper shows that muscle sites (diaphragm and tongue) can be useful for radionuclide pollution surveillance in wild boar populations and that younger animals show more interorgan variability in contamination levels than older animals. More investigations are needed to confirm this correlation and to fulfill the request for more data to achieve better risk assessment. [ABSTRACT FROM AUTHOR]

Reducing greenhouse gas emissions is a crucial challenge in urban areas characterized by high energy consumption and reduced exposure to nature. In this context, the urban green system could play a pivotal role. In the literature, scholars have analyzed both the ability of species-specific and layout-specific green infrastructure to increase carbon sequestration and the best location sites for new green infrastructure to increase the provision of overall ecosystem services. There is a lack of studies helping green urban planners and designers choose where and which green infrastructure to implement based on vegetation species-specific performance and the local carbon emissions of city components. This paper uses tree inventory data from a medium-sized city in central Italy (Perugia) to develop a spatial analysis of urban park performance in carbon sequestration. Then, the method evaluates the carbon emission of a public city building to generate a spatialized balance between building demand and tree supply to support local decisions about the best locations for new green infrastructure and the choice between species. The paper contributes to GIS-based tools that vary the recommended location sites and species for new green infrastructure based on the demanded ecosystem service. [ABSTRACT FROM AUTHOR]

The application of Artificial Intelligence (AI) and Machine Learning (ML) models is increasingly leveraged to automate and optimize Data Centre (DC) operations. However, the interpretability and transparency of these complex models pose critical challenges. Hence, this paper explores the Shapley Additive exPlanations (SHAP) values model explainability method for addressing and enhancing the critical interpretability and transparency challenges of predictive maintenance models. This method computes and assigns Shapley values for each feature, then quantifies and assesses their impact on the model's output. By quantifying the contribution of each feature, SHAP values can assist DC operators in understanding the underlying reasoning behind the model's output in order to make proactive decisions. As DC operations are dynamically changing, we additionally investigate how SHAP can capture the temporal behaviors of feature importance in the dynamic DC environment over time. We validate our approach with selected predictive models using an actual dataset from a High-Performance Computing (HPC) DC sourced from the Enea CRESCO6 cluster in Italy. The experimental analyses are formalized using summary, waterfall, force, and dependency explanations. We delve into temporal feature importance analysis to capture the features' impact on model output over time. The results demonstrate that model explainability can improve model transparency and facilitate collaboration between DC operators and AI systems, which can enhance the operational efficiency and reliability of DCs by providing a quantitative assessment of each feature's impact on the model's output. [ABSTRACT FROM AUTHOR]

The paper illustrates the LIBMOVIT project – Libraries on the Move: Scholars, Books, Ideas Traveling in Italy in the 18th Century – whose main research focus is the European Eighteenth century socio-cultural framework in which the library as an institution acquired an historical, social, public and dynamic dimension. This context will be analysed through a study of the Eighteenth century sources connected to the learned journey experience of the Grand Tour, in particular those contained in the Angiolo Tursi collection – one of the largest travel literature collections in Italy – held at the Marciana national library in Venice. The paper presents the planned approach of the research: first, a classification and an organization of a corpus of relevant documents for the knowledge of travel literature in connection to the libraries world will be created; in particular, the sources will be identified, further bibliographical information will be added, and new sources will be integrated to the corpus and selected documents will be digitized. After that, the research will proceed through a double analysis – traditional and computational – of the texts collected in the corpus is to be developed. First, all the library and bibliographical aspects described by travellers will be studied according to the traditional approach in humanities research to collect important information about the history of libraries (location, decoration, catalogues, opening hours, access, collections, cited books and documents), the travellers and their companions (professions, nationality, reason to travel), the people met (scholars, librarians, superintendents) and the subjects and ideas discussed during the visits in the libraries. Second, the texts will be computationally analysed through several Natural Language Processing (NLP) techniques, starting from the automatic text recognition until arriving to more complex lexical and terminological analysis and Named Entity Recognition (NER). This work is meant to support the previously described qualitative study and will also allow to produce Linked open data about the domain entities (e.g. libraries, people, books) in view of their publication in the semantic web in order to ease and promote their exploration, visualisation and reuse. [ABSTRACT FROM AUTHOR]

Turnout has become increasingly unequal in many advanced democracies over the last few decades. Disadvantaged social groups are found to exhibit lower turnout compared to their better-off counterparts. According to numerous scholars, this growing gap is mainly attributed to the weakening of mass organizations that traditionally appealed to socio-economically disadvantaged social groups, particularly trade unions. However, very few studies have investigated these trends in Italy, a country that has witnessed a significant decrease in electoral turnout since the late 1970s, and where the socioeconomic causes of this decline have not been systematically explored. Against this backdrop, this paper aims to analyse, first and foremost, whether electoral participation in Italy is becoming increasingly unequal. Then, it moves to explore the extent to which the turnout gap between individuals with low and high socio-economic status (SES) could be moderated by both de-unionization and trade unions' membership. By utilizing a dataset that combines 10 waves of the Italian National Election Study (1983-2018), the paper demonstrates that the turnout gap between low and high SES individuals has substantially widened over the last decades. Furthermore, it suggests that while the overall turnout gap is at least partially affected by the strength of trade unions in the country, trade unions still seem to be able to mobilize their members, particularly among lower social groups. This finding underscores the potential of trade unions to continue playing a role in equalizing turnout. [ABSTRACT FROM AUTHOR]