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Globigerina bollii Cita and Premoli Silva was described from the historical Langhian-type section in Langhe, Piedmont (Italy). Due to its peculiar compact morphology, it was set apart from all the other globigerinids typical of the coeval Mediterranean fauna, and it was only reported for a short and limited stratigraphic range. The taxon became a first-order marker for the local biostratigraphy with its own Globigerina bollii Zone within the Langhian stage. However, the species was later synonymised with Globigerina falconensis Blow, ending its use in biostratigraphic schemes, and it was no longer utilised by authors working in the Mediterranean area and Paratethys. We present a reassessment of Globigerina bollii, showing for the first time a full collection of high-quality scanning electron and optical microscope images of the type series of specimens and a comparative study with Mediterranean individuals from the Langhian of the Cretaccio Section (Italy) and extra-Mediterranean individuals from Ocean Drilling Program Site 747 in the Kerguelen Plateau (Indian Ocean). The stratigraphic ranges of all the occurrences cited in the scientific literature from 1960 to the present day and all the references including images of the taxon are compiled. We compare G. bollii to other four-chambered morphospecies inhabiting the oceans during the Miocene, providing a detailed discussion of their morphological differences, which allows us to retain G. bollii as a valid taxon and to disclaim its synonymy with Globigerina falconensis. Our taxonomical observations also allow us to reassign Globigerina bollii to the genus Globoturborotalita, due to its strong affinities with other members of that genus, such as G. eolabiacrassata Spezzaferri and Coxall, and G. ouachitaensis (Howe and Wallace). We present a direct visual comparison with the other representatives of middle Miocene globoturborotaliids. An additional comparison is also discussed with Globigerina bollii lentiana Rögl, a species endemic in the Paratethys. We conclude that the presence of G. bollii in the Mediterranean Basin during such a confined stratigraphic interval (Mediterranean Subzone MMi4c–MMi4d), might be a palaeogeographical indicator of the intermittent opening of the eastern gateway with the Paratethys, affecting the Mediterranean faunas during the Langhian and their migration from oceanic realms into the Paratethys and Mediterranean.

Introduction The COVID pandemic and affiliated infodemic led to widespread health misinformation, generating confusion and distrust. Physicians must identify and address misinformation, with attention to cultural/health literacy, equity, and autonomy. Most medical students receive training in core communication techniques but are rarely taught how to combat misinformation with patients and lack opportunities for practice in diverse settings. Methods We used mixed methods to evaluate the impact of a role-play-based training curriculum on 44 third- and fourth-year medical students’ comfort and confidence applying ask-respond-tell-seek solutions (ARTS) and motivational interviewing (MI) to discuss vaccine hesitancy, using COVID-19 as an example. There were three training iterations: prior to volunteering at a community health fair, during a medicine clinical rotation, and during a pediatrics rotation. Pre- and postsession questionnaires were administered. Likert-scale questions assessed comfort and confidence using ARTS and MI. Narrative responses focused on previous experiences with vaccine hesitancy, challenges faced, and session takeaways. Results Students’ comfort, confidence with ARTS/MI, and self-reported ability to discuss COVID-19 vaccinations improved as measured by pre- and postsession surveys (p < .05). Qualitatively, students reported increased confidence delivering recommendations in plain language and exploring patients’ thought processes behind choices. Discussion Reinforcement of core communications strategies in medical school can positively impact trainees’ ability and ease addressing misinformation. We recommend this 45-minute training session to effectively increase medical students’ comfort and confidence in discussing COVID-19 vaccines with patients. It can be adapted to any health professions school with an existing communications thread.

Abstract Peripersonal space (PPS) is defined as the space that lies within reach. Previous research revealed that PPS can be dynamically reshaped with the use of tools extending the arm’s reach. Here we investigated whether PPS reshaping depends on the kind of selected tool and/or the motor routine associated with its use. Participants carried out a visuo-tactile detection task in an immersive VR environment that allowed to measure the PPS size before and after a short period of tools use. In Experiment 1, participants had to pull or push objects towards or away from themselves using a shovel. In Experiment 2, they were required to either hammer or shoot an avatar placed in the Extrapersonal space. We found, for the first time in a VR environment, that a period of pull training was effective in enlarging the PPS, a result that replicates and expands previous findings carried out in real life conditions. However, no significant change in PPS size was achieved for training with other tools and motor routines. Our results suggest that the reshaping of PPS is a complex phenomenon in which the kind of interaction between the agent, the targets and the exploited motor routines all play a critical role.

Abstract Anthropogenic underwater noise is an emergent pollutant. Despite several worldwide monitoring programs, only few data are available for the Mediterranean Sea, one of the global biodiversity hotspots. The results of the first continuous acoustic programme run at a transnational basin scale in the Mediterranean Sea are here presented. Recordings were done from March 2020 to June 2021, including the COVID-19 lockdown, at nine stations in the Northern Adriatic Sea. Spatial–temporal variations of the underwater sound are described, having one third octave band sound pressure levels (SPLs) from 10 Hz to 20 kHz as metrics. Higher and more variable SPLs, mainly related to vessel traffic, were found close to harbours, whereas Natura 2000 stations experienced lower SPLs. Lower values were recorded during the lockdown in five stations. Median yearly SPLs ranged between 64 and 95 as well as 70 and 100 dB re 1 µPa for 63 and 125 Hz bands, respectively. These values are comparable with those previously found in busy shallow EU basins but higher levels are expected during a business-as-usual period. This is a baseline assessment for a highly impacted and environmental valuable area, that needs to be managed in a new sustainable blue growth strategy.

We have previously shown that after few seconds of adaptation by finger-tapping, the perceived numerosity of spatial arrays and temporal sequences of visual objects displayed near the tapping region is increased or decreased, implying the existence of a sensorimotor numerosity system (Anobile et al., 2016). To date, this mechanism has been evidenced only by adaptation. Here, we extend our finding by leveraging on a well-established covariance technique, used to unveil and characterize ‘channels’ for basic visual features such as colour, motion, contrast, and spatial frequency. Participants were required to press rapidly a key a specific number of times, without counting. We then correlated the precision of reproduction for various target number presses between participants. The results showed high positive correlations for nearby target numbers, scaling down with numerical distance, implying tuning selectivity. Factor analysis identified two factors, one for low and the other for higher numbers. Principal component analysis revealed two bell-shaped covariance channels, peaking at different numerical values. Two control experiments ruled out the role of non-numerical strategies based on tapping frequency and response duration. These results reinforce our previous reports based on adaptation, and further suggest the existence of at least two sensorimotor number channels responsible for translating symbolic numbers into action sequences.

IntroductionMuch research has revealed the human visual system is capable to estimate numerical quantities, rapidly and reliably, in both the spatial and the temporal domain. This ability is highly susceptible to short-term plastic phenomena related to previous exposure to visual numerical information (i.e., adaptation). However, while determinants of spatial numerosity adaptation have been widely investigated, little is known about the neural underpinnings of short-term plastic phenomena related to the encoding of temporal numerical information. In the present study we investigated the electrophysiological correlates of temporal numerosity adaptation.MethodsParticipants were asked to estimate the numerosity of a test sequence of flashes after being exposed to either a high or low numerous adapting sequence. Behavioral results confirmed the expected underestimation of test stimulus when this was preceded by a high numerous sequence as compared to when preceded by a low numerous sequence.ResultsElectrophysiological data revealed that this behavior was tightly linked to the amplitude of the steady-state visual evoked (ssVEP) response elicited by the test stimulus. When preceded by a high numerous sequence, the test stimulus elicited larger ssVEP responses as compared to when preceded by a low numerous sequence with this pattern being robustly correlated with behavior. Finally, topographical maps showed that this difference was mostly evident across two antero-posterior distributed clusters of electrodes and correlated with changes in functional connectivity.DiscussionTaken together, our results suggest that visual plastic phenomena related to the encoding of temporal numerosity information reflect changes in rhythmic evoked activity that are likely related to long range communications between distinct brain regions.

Abstract Previous studies have reported that larger visual stimuli are perceived as lasting longer than smaller ones. However, this effect disappears when participants provide a qualitative judgment, by stating whether two stimuli have the “same or different” duration, instead of providing an explicit quantitative judgment (which stimulus lasts longer). Here, we extended these observations to the interaction between the numerosity of visual stimuli, i.e. clouds of dots, and their duration. With “longer vs shorter” responses, participants judged larger numerosities as lasting longer than smaller ones, both when the responses were related to the order (Experiment 1) or color (Experiment 4) of stimuli. In contrast, no similar effect was found with “same vs different” responses (Experiment 2) and in a time motor reproduction task (Experiment 3). The numerosity–time interference in Experiment 1 and Experiment 4 was not due to task difficulty, as sensory precision was equivalent to that of Experiment 2. We conclude that in humans the functional interaction between numerosity and time is not guided, in the main, by a shared bottom-up mechanism of magnitude coding. Rather, high-level and top-down processes involved in decision-making and guided by the use of “magnitude-related” response codes play a crucial role in triggering interference among different magnitude domains.

Pedestrian fatalities in road accidents represent one of the biggest causes of death in the world despite the great efforts that have been made to decrease the involvement of vulnerable road users in road accidents. Literature analysis revealed the presence of several studies aimed at investigating the phenomenon and proposing strategies to improve pedestrian safety, but this is still not enough to considerably reduce the number of pedestrians killed on the road.In this context, with the aim to take a step forward in the topic, this paper describes a naturalistic driving assessment carried out in Firenze aimed at evaluating the effect of different pedestrian crossing configurations on the drivers' behavior, especially concerning the reduction of the speeding phenomenon approaching a pedestrian crossing. The experiment was conducted on a section of an urban collector road within the Firenze suburban area. Crucially, over the past few years, different traffic calming interventions have been implemented along this street. Among the different traffic calming countermeasures, both the presence of a traffic light and trapezoidal deflection have been considered to assess their effect on drivers' behavior, also with reference to specific aspects related to the drivers’ perception. During the experiment, thirty-six users drove their own vehicles along the street, encountering different pedestrian crossing configurations. During the driving speed, deceleration and ocular fixation were recorded.This study shows the difference in drivers' behavior in response to different traffic calming countermeasures. It demonstrates also that the raised pedestrian crossing caused a significant effect on reducing the speed approaching a pedestrian crossing. Moreover, it is observed that, when perceptive countermeasures are present, the drivers’ behavior changes only if the pedestrian crossing configuration is perceived in foveal vision; suggesting that the correct identification of the configuration is crucial to implement a congruent and safe driving behavior.

Marie Cavuoto Petrizzo,1 Doreen M Olvet,2 Roya Samuels,3 Aleena Paul,4 Janice T John,5 Melissa Pawelczak,1 Shara D Steiner6 1Departments of Science Education and Pediatrics, Zucker School of Medicine, Hempstead, NY, USA; 2Department of Science Education, Zucker School of Medicine, Hempstead, NY, USA; 3Department of Pediatrics, Zucker School of Medicine, Hempstead, NY, USA; 4Departments of Pediatrics and Family and Community Medicine, New York Medical College, Valhalla, NY, USA; 5Department of Pediatrics, Albert Einstein College of Medicine, Bronx, NY, USA; 6Specialized Programs in Education, Zucker School of Medicine, Hempstead, NY, USACorrespondence: Marie Cavuoto Petrizzo, Departments of Science Education and Pediatrics, Zucker School of Medicine, 500 Hofstra University, W227, Hempstead, NY, 11549, USA, Tel +1 516 463-7476, Fax +1 516.463.5631, Email Marie.C.Petrizzo@hofstra.eduPurpose: Effective teaching and assessment of otologic examinations are challenging. Current methods of teaching otoscopy using traditional otoscopes have significant limitations. We hypothesized that use of all-in-one video otoscopes provides students with an opportunity for real-time faculty feedback and re-practicing of skills, increasing self-reported confidence.Methods: An otoscopy microskills competency checklist was provided to third-year medical students during their pediatric clerkship to self-assess otoscopy technique during patient examinations, and to clinical preceptors to assess and provide feedback during exams. Over the course of two years, we collected data from students randomly assigned to train on a video otoscope or a traditional otoscope during the clerkship. Pre- and post-clerkship surveys measured confidence in performing otoscopy microskills, making a diagnosis and documentation of findings. For those students who trained on the video otoscope, we solicited post-clerkship feedback on the experience of using a video otoscope.Results: Pre-clerkship confidence did not differ between the groups, but the video otoscope trained group had significantly higher scores than the traditional otoscope trained group on all self-reported technical and diagnostic microskills confidence questions items post-clerkship. Students trained on video otoscopes had a significant increase in confidence with all microskills items (p-values< 0.001), however confidence in the traditional otoscope trained group did not change over time (p-values> 0.10). Qualitative feedback from the video otoscope trained group reflected positive experiences regarding “technique/positioning” and “feedback from preceptors.”.Conclusion: Teaching otoscopy skills to pediatric clerkship medical students using a video otoscope significantly enhanced confidence compared to those training on a traditional otoscope by 1. enabling preceptors and students to simultaneously visualize otoscopy findings 2. allowing preceptors to provide real-time feedback and 3. providing opportunity for deliberate practice of microskills. We encourage the use of video otoscopes to augment student confidence and self-efficacy when training in otoscopy.Keywords: medical students, technology, physical diagnosis, otoscopy

Abstract The protection of marine habitats from human-generated underwater noise is an emerging challenge. Baseline information on sound levels, however, is poorly available, especially in the Mediterranean Sea. To bridge this knowledge gap, the SOUNDSCAPE project ran a basin-scale, cross-national, long-term underwater monitoring in the Northern Adriatic Sea. A network of nine monitoring stations, characterized by different natural conditions and anthropogenic pressures, ensured acoustic data collection from March 2020 to June 2021, including the full lockdown period related to the COVID-19 pandemic. Calibrated stationary recorders featured with an omnidirectional Neptune Sonar D60 Hydrophone recorded continuously 24 h a day (48 kHz sampling rate, 16 bit resolution). Data were analysed to Sound Pressure Levels (SPLs) with a specially developed and validated processing app. Here, we release the dataset composed of 20 and 60 seconds averaged SPLs (one-third octave, base 10) output files and a Python script to postprocess them. This dataset represents a benchmark for scientists and policymakers addressing the risk of noise impacts on marine fauna in the Mediterranean Sea and worldwide.

Landing kinetics and kinematics have historically been correlated with potential injury. A factor that requires more attention associated with its correlation to injury risk includes the impact of physiological fatigue. Fatigue is a multifaceted phenomenon involving central and peripheral factors resulting in a slowing or cessation of motor unit firing and a decrease in maximal force and power. Sports participation rarely results in momentary muscular failure occurring, as many sports consist of intermittent periods of activity that are interspersed with short rest periods that allow for recovery to take place. However, over the course of the competition, fatigue can still accumulate and can result in impaired performance. Current literature on the topic struggles to replicate the peripheral and central metabolic stresses required to induce a state of fatigue that would be equivalent to athletic exposure. Furthermore, the current literature fails to demonstrate consistency regarding the kinetic implications associated with fatigue, which may be secondary to the inconsistencies associated with fatigue protocols utilized. This article focuses on providing an overview of the current literature associated with fatigue’s impact on the kinetics associated with landing from a jump. The article will provide a prospective methodology utilizing repeat bouts of the Wingate Anaerobic Power Test. The proposed protocol may help further our understanding of the relationship between fatigue and lower extremity biomechanics.

IntroductionThe ability to accurately encode events’ duration is of critical importance for almost all everyday activities, yet numerous factors have been reported to robustly distort time perception. One of these is physical activity (i.e., running, walking) but, partly due to the variety of methodologies employed, a full comprehension of the role of exercise on the encoding of time has still to be achieved.MethodsHere we tackle the issue with a multifaceted approach by measuring the effect of vigorous running with a time generalization task for visual and auditory stimuli in the range of milliseconds (0.2–0.8 s) as well as seconds (1–4 s). At baseline, participants performed both the encoding and decoding at rest while in the experimental conditions the decoding was performed while running.ResultsOur results indicate that physical activity in both duration ranges (sub-second and seconds) was expanded during running regardless of the sensory modality used to present the stimuli. Despite this generalized effect of running on perceived duration, we found evidence for the existence of independent timing mechanisms: (1) the perceptual biases induced by running in the two temporal regimes were uncorrelated, (2) sensory precision levels (Weber fraction) were higher for stimuli in the seconds range, (3) sensory precision levels were higher for auditory than for visual stimuli, but only within the sub-second range.DiscussionOverall, our results support previous findings suggesting (at least partially) separate timing mechanisms for short/long durations and for visual and auditory stimuli. However, they also indicate that physical activity affects all these temporal modules, suggesting a generalized interaction—via generalized and shared resources—between the motor system and the brain time mechanisms.

IntroductionThe licensure exam in nursing has always focused on the curricula used in universities. ‘Tuning’ was the first project that sought to harmonize training purposes regarding competences and learning outcomes in Europe. The Tuning educational structures have been offered in various disciplines, including nursing with the development of the Tuning Nursing Project.The study describes which of 47 Tuning Nursing Competences were evaluated during the licensure exam in nursing degree courses, and what types of trials were used for their assessment.MethodsA multicentric observational study was conducted in 4 universities in Italy. Data were collected in academic years 2017–2019, using two grids: one for cognitive and one for psychomotor tests.ResultsThe Tuning competences were requested 7522 times. The most frequently demanded were those associated with domain number two, “Nursing practice and clinical decision making”. The level of performance most required in cognitive tests was the autonomy of judgement, and both tests concerned the fields of non-communicable diseases and the hospitalized adult patient.ConclusionsThe competences most often assessed coincided with those deemed core for the first cycle of studies at the European level. Unfortunately, it has been detected a high degree of discrepancy in the types of tests used in different schools.