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The present study examined the role of the perception of risks and benefits for the mother and her babies in deciding about the COVID-19 vaccination. In this cross-sectional study, five hypotheses were tested using data from a convenience sample of Italian pregnant and/or breastfeeding women (N = 1104, July–September 2021). A logistic regression model estimated the influence of the predictors on the reported behavior, and a beta regression model was used to evaluate which factors influenced the willingness to become vaccinated among unvaccinated women. The COVID-19 vaccination overall risks/benefits tradeoff was highly predictive of both behavior and intention. Ceteris paribus, an increase in the perception of risks for the baby weighed more against vaccination than a similar increase in the perception of risks for the mother. Additionally, pregnant women resulted in being less likely (or willing) to be vaccinated in their status than breastfeeding women, but they were equally accepting of vaccination if they were not pregnant. COVID-19 risk perception predicted intention to become vaccinated, but not behavior. In conclusion, the overall risks/benefits tradeoff is key in predicting vaccination behavior and intention, but the concerns for the baby weigh more than those for the mother in the decision, shedding light on this previously neglected aspect. [ABSTRACT FROM AUTHOR]

COVID-19 pandemic had a negative impact on the mental health and well-being (WB) of citizens. This cross-sectional study included 4 waves of data collection aimed at identifying profiles of individuals with different levels of WB. The study included a representative stratified sample of 10,013 respondents in Italy. The WHO 5-item well-being scale (WHO-5) was used for the assessment of WB. Different supervised machine learning approaches (multinomial logistic regression, partial least-square discriminant analysis—PLS-DA—, classification tree—CT—) were applied to identify individual characteristics with different WB scores, first in waves 1–2 and, subsequently, in waves 3 and 4. Forty-one percent of participants reported "Good WB", 30% "Poor WB", and 28% "Depression". Findings carried out using multinomial logistic regression show that Resilience was the most important variable able for discriminating the WB across all waves. Through the PLS-DA, Increased Unhealthy Behaviours proved to be the more important feature in the first two waves, while Financial Situation gained most relevance in the last two. COVID-19 Perceived Risk was relevant, but less than the other variables, across all waves. Interestingly, using the CT we were able to establish a cut-off for Resilience (equal to 4.5) that discriminated good WB with a probability of 65% in wave 4. Concluding, we found that COVID-19 had negative implications for WB. Governments should support evidence-based strategies considering factors that influence WB (i.e., Resilience, Perceived Risk, Healthy Behaviours, and Financial Situation). [ABSTRACT FROM AUTHOR]

Pharmacological and non-pharmacological measures will overlap for a period after the onset of the pandemic, playing a strong role in virus containment. We explored which factors influence the likelihood to adopt two different preventive measures against the COVID-19 pandemic. An online snowball sampling (May–June 2020) collected a total of 448 questionnaires in Italy. A Bayesian bivariate Gaussian regression model jointly investigated the willingness to get vaccinated against COVID-19 and to download the national contact tracing app. A mixed-effects cumulative logistic model explored which factors affected the motivation to adopt one of the two preventive measures. Despite both COVID-19 vaccines and tracing apps being indispensable tools to contain the spread of SARS-CoV-2, our results suggest that adherence to the vaccine or to the national contact tracing app is not predicted by the same factors. Therefore, public communication on these measures needs to take in consideration not only the perceived risk associated with COVID-19, but also the trust people place in politics and science, their concerns and doubts about vaccinations, and their employment status. Further, the results suggest that the motivation to comply with these measurements was predominantly to protect others rather than self-protection. [ABSTRACT FROM AUTHOR]

Plagiocephaly, from the Greek 'oblique head', is defined as an abnormal asymmetrical and flattened shape of the cranium occurring in infancy, characterised by a synostotic or deformational etiology. Deformational plagiocephaly, or positional plagiocephaly, is caused by asymmetrical external forces due to prolonged partial support of the posterior portion of the head when the child lies supine. Here we present, as a case study, a high concentration of skulls affected by positional plagiocephaly (9/15, 60%), found in two medieval collective tombs, excavated in Italy in 2015, near the small church of San Pietro di Salzan (Santa Giustina municipality, Belluno, Veneto). The two tombs represent different funerary contexts: one tomb is an ossuary containing the remains of twenty individuals (14 adults; 6 sub-adults) and a female skeleton still in anatomical connection. Thirteen skulls were recognized, among them two with severe and four with moderate plagiocephaly. The second tomb is a multi-phase burial, with a sequence of five overlying primary burials (all adults) and the remains scattered in the fills of another eight individuals (5 adults, 3 sub-adults). Only five skulls were found, one with severe and two with moderate plagiocephaly. Thanks to the relative stratigraphic sequence of six phases in the second tomb, with plagiocephaly detected in the first and the last, it is possible to recognize a common and possibly enduring behavioral aspect. This paleopathological study helps to observe pediatric behavior in the past, a kind of cultural exaptation of what is recommended even today by modern pediatricians. [ABSTRACT FROM AUTHOR]

In a new series of experiments with the picture-word interference paradigm, we replicated the grammatical gender interference effect in bare noun production in Italian: naming times are slower to picture-word noun pairs sharing the same gender. This effect is independent from the morphological transparency for gender, but responses are significantly slower when the distracters are transparent for gender. Overall, the pattern of results supports the assumption that in bare noun production grammatical gender is always selected, at least in languages like Italian. We assume that the differential effects of the nominal endings are due to the mechanisms involved in the recognition of grammatical gender of the distracter nouns which are sensitive to the morphological transparency for gender: lexical representation of transparent written words leads to a higher level of activation, thus resulting in stronger gender interference. [ABSTRACT FROM AUTHOR]

Worldwide, the use of fossil fuels covers almost 80% of the entire energy needs. In the European Union (EU), 2020 represents a watershed: for the first time, renewables were the main source of electricity. In Italy, the latest surveys demonstrate an increase in the use of alternative energy sources. European legislative framework highlights the importance of these new trends encouraging (and imposing) the use of renewables. The necessity to become more proactive in the energy production–consumption process and in the achievement of sustainability targets brings people to create Energy Communities (ECs) to manage their own energy supply chain. The authors present an overview of the main legislative framework in the EU and Italy in relation to ECs, analyzing the energy consumption, the electricity and heat energy production potentiality, and the energy balance in a portion of an Italian middle-size city in the Milan metropolitan area. Moreover, they underline the technical, regulatory, and planning possibilities to achieve energy independence, exchanging energy among the selected urban district when there is a surplus in production. Lastly, the authors underline the strengths and barriers to the development of ECs. [ABSTRACT FROM AUTHOR]

This study aimed to (1) explore the changes in conspiracy mentality across the four waves of the COVID-19 pandemic; (2) assess the relationship between conspirative mentality and psychological/behavioural variables; (3) identify the predictors of conspirative mentality; and (4) explore the effect of conspirative mentality on COVID-19 protective behaviour. This was a multiwave survey. A total of 10,013 Italian individuals, aged 18–70 years, were assessed across the four waves (from January to May 2021) through online survey. We collected information about the sociodemographic characteristics of participants, personal experiences of COVID-19 infection, trust, COVID-19 protective behaviours, COVID-19 risk perception, arousal, auto-efficacy, resilience and well-being. Conspiracy mentality was assessed with the Conspiracy Mentality Questionnaire. The statistical analyses included exploratory factorial analyses, Pearson correlations and multiple linear regressions. The conspiracy mentality score during the COVID-19 pandemic was medium–high (mean 59.0 on a 0–100 scale) and slightly increased from 58.2 to 59.9 across months, in parallel with a slight decrease in trust in health institutions and scientific informational sources. Individuals aged >35 years, poorly educated and particularly scared about their financial situation were at risk of showing higher levels of conspirative mentality. Higher levels of conspirative mentality were risk factors for low levels of COVID-19 protective behaviours. Clear and effective communication may improve trust in health institutions and informational sources, decrease conspirative theories and increase compliance with protective behaviour. [ABSTRACT FROM AUTHOR]

• An Italian representative sample (N = 1,530) took part in the survey. • We investigated people support towards a COVID-19 vaccination certificate. • We investigated support for charging medical expenses to unvaccinated people. • COVID-19 vaccine status strongly impact the support towards the two measures. • COVID-19 vaccination certificate and medical expenses are predicted almost by the same factors. In Italy, like in other countries, issues still exist regarding how to reach high vaccine coverage and several countries have considered policies to increase vaccine uptake. In the present study, we focused on people who have a favorable attitude towards vaccination. In March-April 2021, we asked a representative sample of Italian participants (N = 1,530) to assess to what extent they would support the adoption of a COVID-19 vaccination certificate, excluding unvaccinated people from participating in public and cultural events. Furthermore, as the vaccination coverage increases, severe forms of COVID-19 requiring hospitalization more likely involve unvaccinated individuals, who might be perceived as those who don't contribute to ending the pandemic and who constitute a significant health cost for society. We then asked participants to assess to what extent they would favor the idea of requiring people who refuse the vaccine to pay for their own medical expenses in case of hospitalization. We hypothesized that support for the adoption of the vaccination certificate would be predicted by the COVID-19 vaccination status (received, booked, high-, medium-, low-willingness to be vaccinated, or refused) and by the same factors that are known to affect the willingness to get vaccinated. These factors were also tested in a model aimed at investigating if a vaccinated person would favor a measure requiring the unvaccinated individuals to pay for medical expenses. Results confirmed that the support towards the vaccination certificate policy was strongly predicted by the vaccination status and by factors known to affect the willingness to get vaccinated. Interestingly (and surprisingly), a similar pattern was observed for the support of the policy about medical expenses. In conclusion, support for a COVID-19 vaccination certificate was high among the Italian population in the early phases of the vaccination rollout. The findings are discussed considering potential policies to tackle the pandemic. [ABSTRACT FROM AUTHOR]

Many countries were and are still struggling with the COVID-19 emergency. Despite efforts to limit the viral transmission, the vaccine is the only solution to ending the pandemic. However, vaccine hesitancy could reduce coverage and hinder herd immunity. People's intention to get vaccinated can be shaped by several factors, including risk perception which, in turn, is influenced by affect. The present work aimed at investigating how risk perception and some factors associated with the decision to comply with vaccination modulated vaccine acceptance for COVID-19 as compared to seasonal influenza, and how these have varied during the lockdown phases. The study followed the main phases of the emergency in Italy, investigating the intention to get vaccinated against flu and against SARS-CoV-2 (if a vaccine was available) before, during and after the first national lockdown, covering the period from the end of February to the end of June 2020. We investigated the effect of risk perception and other predictors on the decision of getting vaccinated. Compared to the pre-lockdown phase, during the lockdown more people were willing to get vaccinated for COVID-19, regardless of their beliefs about vaccines, and as risk perception increased, so did the intention to accept the vaccine. The acceptance of the flu vaccine increased after the re-opening phase. In addition, the intention to get vaccinated against COVID-19 and against flu increased if there was previous flu vaccination behavior but decreased with increasing doubts about the vaccines in general. The observation of vaccination intentions across the three main phases of the emergency allows important considerations regarding psychological, affect, and demographic determinants useful to tailor public health communication to improve public response to future epidemics. • Acceptance of a COVID-19 vaccine was assessed from February to June 2020 in Italy. • Risk perception is associated with the acceptance of a COVID-19 vaccine. • Hesitancy to vaccinate against COVID-19 decreased during the lockdown. • Acceptance of a COVID-19 vaccine might be hindered by reference to the flu vaccine. [ABSTRACT FROM AUTHOR]

This cross-sectional study aimed at performing a risk factor analysis of on-farm housing and management factors associated with infectious and non-infectious claw disorders of intensively finished Charolais young bulls and heifers. Claws' health condition of a total of 1305 animals belonging to 88 batches finished in farms located in the Eastern Po Valley (Italy) was assessed at slaughterhouse. Batch prevalence of feet affected by sole hemorrhage (SH) and white line abscess (WLA) was calculated and foot condition was summarized by infectious lesion (ILS) and non-infectious lesion (NILS) scores according to diseases' etiology. Batch prevalence of feet with SH, WLA, and assigned to the worst score classes were the outcomes in the risk factor analysis. Information about rearing facilities and health management of the tested batches were gathered in each origin farm along with a dietary sample used for chemical and physical analyses. Five categorized factors and 30 continuous covariates were considered as independent predictors and a cluster analysis of the continuous covariates was performed to select the most representative ones. Percentage of feet/batch affected by SH was on average 57.0 ± 32.5 % (SD) and by WLA was 9.94 ± 12.7 %. Percentage of feet/batch with the worst ILS and NILS was 29.6 ± 32.8 % and 12.5 ± 14.1 %, respectively. Charolais bulls showed a higher risk of SH and WLA than heifers and an increasing dietary NDF content acted as preventive factor. Concrete slats increased the risk of SH. Animals slaughtered in winter had the highest risk of WLA and the increasing level of dietary water-soluble carbohydrates (WSC) was a further risk factor. The risk for the worst NILS was lowest in spring and in presence of ventilation systems. It increased for bulls and in those batches fed diets with higher WSC content. Batches for which the farmer reported a higher prevalence of urgently slaughtered animals during finishing showed a higher risk of WLA and infectious claw diseases. The risk for infectious claw diseases was reduced in animals slaughtered in summer, housed on deep litter and fed diet with increased NDF content. It increased in farms where diet formulation was not under the nutritionist control. As general outcomes of the study, benefits for the claw health of finishing Charolaise may come from the use of the deep litter and ventilation systems, the involvement of a nutritionist in diet formulation, and the provision of diets with reduced WSC and increased NDF contents., Competing Interests: Declaration of Competing Interest None., (Copyright © 2019. Published by Elsevier B.V.)

Background: We conducted a 10-year follow-up of the 11 712 patients with acute myocardial infarction randomized in the Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto-1 study, the first large trial assessing thrombolytic therapy., Methods and Results: Information on survival at 10 years was obtained for the 93% of all randomized patients through the census offices of their towns of residence. The difference in survival produced by streptokinase and sustained up to 1 year was still significant at 10 years (log-rank test, P=0.02), with the absolute benefit of 19 (95% CI 1 to 37) lives saved per 1000 patients treated. The time dependence of the extent of the benefit was confirmed, as the higher mortality rate reductions found in patients treated earlier were still present at 10 years. In the overall population, most of the benefit was obtained before hospital discharge (RR 0.81, 95% CI 0.72 to 0.90), since no difference in survival between thrombolyzed and control patients discharged alive was found at 10 years (RR 0.98, 95% CI 0.90 to 1.06). However, a slight albeit nonsignificant divergence of the survival curves of patients randomized within the first hour was observed [90 (95% CI 34 to 146) lives saved per 1000 at 10 years versus 72 (95% CI 37 to 107) lives saved at hospital discharge]., Conclusions: The benefits of a single intravenous infusion of 1.5 million units of streptokinase in prolonging survival of patients with acute myocardial infarction is sustained up to 10 years, with a still-evident trend in favor of the patients admitted earlier.

This report first describes the efficiency achieved by a large scale clinical trial (GISSI), which is widely recognized as having made an important contribution to the therapy of AMI, and second emphasizes how a comprehensive research project based upon an innovative clinical trial methodology can influence the attitude and the scientific productivity of a professional community operating within a national health system. To understand the methodology of GISSI, one must appreciate both the cultural and institutional setting in which the first GISSI trial took place as well as the strong economic and scientific expectation surrounding the second GISSI trial.

In the GISSI trial, 11,712 patients with acute myocardial infarction were randomized to receive either standard care or standard care with 1.5 million units streptokinase intravenously. A highly significant reduction in mortality during hospitalization in streptokinase-treated patients was observed. The mortality at 1 year was determined in 98.3% of the patients who had been originally randomized; the 1 year mortality of patients discharged alive was similar in those patients treated with streptokinase and those who were not; that is, the beneficial effects of streptokinase treatment on survival that were observed in the hospital phase of the study persisted unchanged and with comparable statistical significance for 1 year. However, a higher incidence of reinfarction occurred in the treated versus the control groups both during the hospital phase and at the 6 month follow-up. Streptokinase treatment had no detectable effect in patients with a history of previous infarction.