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Background: Disease trajectories in leukemia are often unpredictable and recurrent, and patients’ experiences can impact their quality of life. Studies in the literature often do not explore gender-related illness experiences from an intersectional approach and throughout the illness trajectory. This comprehensive study aims to explore the full spectrum of experiences lived by women with leukemia throughout the disease trajectory, from diagnosis to treatments and post-stem cell transplant follow-up. Method: A grounded theory approach was meticulously developed to analyze semi-structured interviews with 13 women with leukemia in the post-transplant follow-up phase at a hospital in Northern Italy. The data analysis was an iterative process, conducted concurrently using a constant comparative method. Data collection concluded when data saturation was reached. Results: The core category identified is women’s inner strength during the disease trajectory, which was identified for its recurrence and cross-cutting nature, according to the women. This core category interconnects with five main categories: 1. Facing the disease: Between resistance and surrender. 2. Living for today and moving forward. 3. Unexpected elements in relationships. 4. Changes that shape women. 5. Demystifying the body and embracing ‘diminished beauty’. Conclusions: An explanatory model of the disease trajectory of women with leukemia was defined as: ‘Women with leukemia, between inner strength and fighting prejudice’. An in-depth analysis of the disease experiences revealed aspects that are not easily understood through a purely biological perspective of gender differences, often overlooking the psycho-social and relational peculiarities of women.

Since the Hellenistic period, preparatory drawings known as sinopiae were employed as guidelines for mosaicists in creating mosaics. The sinopiae served as the basis for style and content, facilitating the placement of colored tesserae in the supporting mortar. The technology of the mosaic and pigments used reflect the capacity of the mosaic workshop and its master. This work explores a polychrome sinopia that was found under a Byzantine mosaic of an Armenian Chapel in Jerusalem, by a multi-analytical characterization of mineralogical and chemical properties. The composition of the pigments in the black and red areas of the sinopia include carbon black and red ochre, respectively, utilized in the fresco technique. Since colored tesserae are placed in wet mortar, it can be deduced that mosaicists worked together with painters during the executionary steps. This has corresponding implications for historical and artistic specializations at mosaic workshops, with deeper understanding of mosaic production processes. This research also highlights the importance of studying sinopiae under floor mosaics, which is a source of information on the pigments, paintings techniques, and the people who executed the work, all embedded in mortar which is well protected below the stone tesserae.

The paper presents an augmented curvilinear virtual element method to determine homogenized in-plane shear material moduli of long-fibre reinforced composites in the framework of asymptotic homogenization method. The new virtual element combine an exact representation of the curvilinear computational geometry for complex fibre cross section shapes through an innovative two-dimensional cubature suite for NURBS-like polygonal domains. A selection of representative numerical tests supports the accuracy and efficiency of the proposed approach for both doubly periodic and random fibre arrangement with matrix domain.

Background: In this study, we hypothesized that safety footwear (SF) impacts gait patterns, potentially contributing to the podiatric symptoms reported by workers. The purpose of this work was to compare the gait analyses of workers wearing SF and sneakers using inertial sensors while also examining the occurrence of foot problems. Methods: A consecutive cohort of workers from different occupational sectors who wore SF during their work shifts were prospectively assessed through a gait analysis. The gait analysis was conducted under two conditions: first, while wearing SF, and second, while wearing sneakers. In both conditions, inertial sensors were used (Wiva® MOB). Participants also underwent a podiatric physical examination to evaluate foot problems. Results: This study shows that SF resulted in a worsening gait pattern compared to sneakers in both genders. The impact was particularly pronounced in female participants, resulting in a significant decline in walking speed and cadence. Discomfort was reported by 83.3% of participants, with a higher prevalence in females (46.6% vs. 36.6%). The SF group exhibited an elevated prevalence of foot problems, with no significant gender variations. It seems that foot problems are more likely to occur when a foot deformity, such as flat or cavus foot or hallux valgus, is present. Conclusions: This study suggests that SF may contribute to the reported podiatric symptoms among workers. Certain footwear characteristics, including weight, mis-fit, and inadequate design, may be factors associated with footwear discomfort and adverse gait patterns, potentially leading to increased foot problems among workers.

BackgroundTo understand palliative care needs and their changes perceived by health professionals (HPs) of the Infectious Diseases Unit who participated in palliative care (PC) intensive training during the pandemic and behind/during the pandemic and one year after the outbreak.MethodsA longitudinal qualitative study. Thematic analysis and meaning shift were two months after training to one year. This specific thematic approach enabled the researchers to fully understand the experiences of the HPs after they participated in the intensive PC training program during the pandemic. Participant validation meeting with the ward’s staff one year after the end of the course was performed. The two last validation meetings were used as a triangulation source to plan the new education projects.ResultsFrom March 9 to 28, 2020, the Palliative Care Services (PCS) developed intensive experiential training. Thirty-one HPs of the Infectious Diseases Unit (physicians and nurses) who were facing the COVID-19 emergency participated in the training. We conducted eight semi-structured interviews with HPs who participated in intensive training during the first wave of the pandemic (T0), two months (T1) after training and after one year (T2), during the second wave. Two validation meetings were performed as suggested by the best practices in medical education. Twenty-two infectious disease staff members participated, 8 physicians and 14 nurses. Our data show a meaning shift on five overarching themes (defined within the sub-themes): (1) Recognizing patients’ palliative care needs; (2) Responses to palliative care needs; (3) Increasing attention to intervention and care choices; (4) The suffering of health professionals; (5) Training evaluations and future expectations. At the end of Pandemic period, new training needs and acquisition have emerged. Palliative care needs changed over time: the COVID-19 themes are now far from their perception, and somehow the skills acquired during the intensive training are less present.ConclusionThe pandemic led to a rapid acquisition of competencies and changes in the professionals’ behaviors, maintenance of professionals’ knowledge and competencies at two months and one year. COVID has improved relationships and increased interactions with the infectious world but that it has not been enough. The integration between PC and Infectious world needs models of integration to implement.

Long-term monitoring of coupled environmental and biological components in upwelling ecosystems is critical for early warning under the global warming context. Temperature, salinity, nutrients, and plankton populations are promising indicators of the ecosystem state that help us to address the current status of the oceans and construct better predictions for the future. The Cabo Frio Upwelling System (CFUS) is a regionally productive wind-driven coastal upwelling ecosystem on the northern boundary of the South Brazilian Shelf sustaining diverse marine life including large stocks of fish and squid. Like other cold marine ecosystems, most of its functioning is likely threatened by ocean warming which emphasizes the need for ecological indicators. This study aimed to analyze the causal relationships between the temporal changes in the physical and chemical properties and the dominant planktonic communities leveraging long-term observations (20 years). The results suggested a link between the temporal changes in the ecosystem conditions and the composition of the plankton assemblage, notably an increasing proportion of dinoflagellates relative to diatoms and cladocerans relative to copepods. This increase in the proportional abundance of dinoflagellates and cladocerans over time suggests a regime shift in the plankton assemblages during the 2000s, highlighting some large phytoplankton and zooplankton groups as early indicators of productivity shifts in upwelling ecosystems.

RESUMO A distiquíase congênita é uma condição rara, de origem controversa, com opções terapêuticas cujos resultados nem sempre são favoráveis. Este é o relato de caso de uma criança do sexo masculino, de 7 anos, portadora de distiquíase congênita afetando as quatro pálpebras, com permanência de alguns folículos pilosos distiquiáticos mesmo tratados cirurgicamente pela técnica da divisão interlamelar, com aplicação seletiva de crioterapia e de eletrólise. O tratamento da distiquíase congênita envolveu a necessidade de associar técnicas, a fim de se obterem resultados mais efetivos.

We present an analysis of the evolution of near-bed oxygen in the next century in the northwest European continental shelf in a three-member ensemble of coupled physics–biogeochemistry models. The comparison between model results helps highlight the biogeochemical mechanisms responsible for the observed deoxygenation trends and their response to climate drivers. While all models predict a decrease in near-bed oxygen proportional to climate change intensity, the response is spatially heterogeneous, with hotspots of oxygen decline (up to −1 mg L−1) developing along the Norwegian trench in the members with the most intense change, as well as areas where compensating mechanisms mitigate change. We separate the components of oxygen change associated with the warming effect on oxygen solubility from those due to the effects of changes in transport and biological processes. We find that while warming is responsible for a mostly uniform decline throughout the shelf (−0.30 mg L−1 averaged across ensemble members), changes in transport and biological processes account for the detected heterogeneity. Hotspots of deoxygenation are associated with enhanced stratification that greatly reduces vertical transport. A major change in circulation in the North Sea is responsible for the onset of one such hotspot that develops along the Norwegian trench and adjacent areas in the members characterised by intense climate change. Conversely, relatively shallow and well-mixed coastal areas like the southern North Sea, Irish Sea and English Channel experience an increase in net primary production that partially mitigates oxygen decline in all members. This work represents the first multi-model comparison addressing deoxygenation in the northwest European shelf and contributes to characterising the possible trajectories of near-bed oxygen and the processes that drive deoxygenation in this region. As our downscaled members factor in riverine inputs and small- and medium-scale circulation, which are not usually well represented in earth system models, results are relevant for the understanding of deoxygenation in coastal and shelf systems.

We investigate the use of atmospheric oxygen (O2) and carbon dioxide (CO2) measurements for the estimation of the fossil fuel component of atmospheric CO2 in the UK. Atmospheric potential oxygen (APO) – a tracer that combines O2 and CO2, minimizing the influence of terrestrial biosphere fluxes – is simulated at three sites in the UK, two of which make APO measurements. We present a set of model experiments that estimate the sensitivity of APO simulations to key inputs: fluxes from the ocean, fossil fuel flux magnitude and distribution, the APO baseline, and the exchange ratio of O2 to CO2 fluxes from fossil fuel combustion and the terrestrial biosphere. To estimate the influence of uncertainties in ocean fluxes, we compare three ocean O2 flux estimates from the NEMO–ERSEM, the ECCO–Darwin ocean model, and the Jena CarboScope (JC) APO inversion. The sensitivity of APO to fossil fuel emission magnitudes and to terrestrial biosphere and fossil fuel exchange ratios is investigated through Monte Carlo sampling within literature uncertainty ranges and by comparing different inventory estimates. We focus our model–data analysis on the year 2015 as ocean fluxes are not available for later years. As APO measurements are only available for one UK site at this time, our analysis focuses on the Weybourne station. Model–data comparisons for two additional UK sites (Heathfield and Ridge Hill) in 2021, using ocean flux climatologies, are presented in the Supplement. Of the factors that could potentially compromise simulated APO-derived fossil fuel CO2 (ffCO2) estimates, we find that the ocean O2 flux estimate has the largest overall influence at the three sites in the UK. At times, this influence is comparable in magnitude to the contribution of simulated fossil fuel CO2 to simulated APO. We find that simulations using different ocean fluxes differ from each other substantially. No single model estimate, or a model estimate that assumed zero ocean flux, provided a significantly closer fit than any other. Furthermore, the uncertainty in the ocean contribution to APO could lead to uncertainty in defining an appropriate regional background from the data. Our findings suggest that the contribution of non-terrestrial sources needs to be better accounted for in model simulations of APO in the UK to reduce the potential influence on inferred fossil fuel CO2 using APO.

Abstract The diffuse presence of small copper ore deposits in the Alpine area, mostly exploited since Late Medieval times, led most scholars to assume that these deposits may actually be active much earlier and that many of the circulating prehistoric metal objects found in the area were produced with local copper sources. This assumption was recently validated for the Recent Bronze Age through the use of lead isotope tracers, and well supported by the archaeometallurgical evidences found in the South-Eastern Alps. However, the scarcity of available lead isotope data for pre-Bronze Age metals precluded to date the reconstruction of the metal flow through the Late Neolithic and Eneolithic (or Copper Age). Based on 49 new analyses of important archaeological objects from the Alpine region, the Po River Valley and Central Italy, mostly axes dated from the Late Neolithic to the Late Eneolithic, here we show that the diffusion of copper in Northern Italy (approximately 4500–2200 BC) includes three major periods of metal use and/or production, each related to specific ore sources. The South Alpine copper was massively used only starting from the middle of the 3rd millennium BC, in connection or slightly earlier than the Beaker event.

Abstract A small chlorite vial, discovered among numerous artifacts looted and recovered in the Jiroft region of Kerman province, southeastern Iran, contains a deep red cosmetic preparation that is likely a lip-coloring paint or paste. Through analytical research involving XRD (X-ray diffraction), SEM–EDS (scanning electron microscopy-energy-dispersive spectroscopy), and HPLC–MS (high-performance liquid chromatography-mass spectrometry) analyses, the mineral components of the reddish substance were identified as hematite, darkened with manganite and braunite, and traces of galena and anglesite, mixed with vegetal waxes and other organic substances. The mixture, thus observed, bears a striking resemblance to the recipes of contemporary lipsticks. We also report the first radiocarbon date ever obtained from a Bronze age cosmetic in the ancient Near East: results place the pigment in the early 2nd millennium BCE, a date compatible with several mentions of the powerful eastern-iranian civilization of Marḫaši in coeval cuneiform texts of Mesopotamia, as well as with its currently emerging archaeological picture.

Abstract Background There is widespread agreement about the importance of spiritual training programs (STPs) for healthcare professionals caring for cancer patients, and that reflecting on one’s spirituality is the first step. Health professionals (HPs) working in hospitals must develop this dimension to guarantee the quality of life as well as spiritual and emotional support. In this paper, we propose a possible training format for hospital professionals and assess its implementation. Methods This is a phase 0-I study that follows the Medical Research Council (MRC) framework. The program was implemented for hospital palliative care specialists. The program included one theory lesson, three spiritual interactions, four pieces of reflective writing, and two individual follow-up sessions for each participant. The evaluation was performed quantitatively according to the MRC framework and qualitatively according to Moore’s framework with data triangulation from interviews, reflective writings, and indicators. Results The program was implemented for palliative care physicians, nurses, psychologists, and bioethicists according to the plan, and the program components were highly appreciated by the participants. The results suggest the feasibility of a training course with some corrections, regarding both the components of the training and organizational issues. The qualitative analysis confirmed a shift in the meaning of the themes we identified. The trainees went from intrapersonal spirituality to interpersonal spirituality (engagement with the other person’s spirituality, acknowledging their unique spiritual and cultural worldviews, beliefs, and practices), with colleagues, patients, and people close to them. The training had an impact on Moore’s Level 3b. Conclusions Spiritual training for hospital professionals working in palliative care is feasible. Having time dedicated to spirituality and the ongoing mentorship of spiritual care professionals were suggested as key elements. The next step is increasing awareness of spirituality from our hospital reality and creating a stable competent group (with nurses, chaplains, nuns, counselors, etc.) with the support of the management.

Abstract Purpose This retrospective radiological analysis aimed to assess the accuracy of implant positioning in patients with ankle arthritis undergoing custom‐made total ankle arthroplasty (TAA) with patient‐specific instrumentation (PSI) compared with preoperative planning. Methods Patients who underwent custom‐made TAA with PSI from January 2018 to March 2023 were retrospectively evaluated, focusing on the tibial anterior surface (TAS) angle, tibial lateral surface (TLS) angle and tibiotalar ratio (TTR). Additionally, data regarding the time from the preoperative computed tomography (CT) scan to surgery, associated procedures and complications were recorded. Results No associated procedures were performed, and only one intraoperative complication, an iatrogenic lateral malleolar fracture, was recorded. In the coronal plane, custom‐made TAA with PSI consistently achieved precise positioning of prosthetic components, even in cases with significant preoperative deformities or bone deficits. However, a statistically significant deviation from the planned values was observed in the sagittal plane (p = 0.007). A notable correlation was identified between the time elapsed from the preoperative CT scan to surgery and the deviation from the planned to the actual postoperative TAS angle (p

Abstract Aim To compare abiotic variables and fish assemblage descriptors (species composition, richness, dominance and diversity) among coastal lagoons of the Tramandaí river system, southern Brazil. Methods Water and fish samples were taken monthly from April 2009 to March 2010 in the littoral zone of six coastal lagoons, three located at the north and three at the south of the Tramandai estuary. Thirteen environmental variables were measured. The fish assemblage samples were sampled with gillnets. We used multivariate analyses to investigate spatial variation in abiotic conditions and fish diversity. Results The samples at northern lagoons (Itapeva, Quadros and Malvas) were related to greater values of the turbidity and biochemical oxygen demand, while the southern lagoons (Fortaleza, Rondinha and Barros) were related to greater values of hardness, total dissolved solids, transparency, conductivity and salinity. The fish assemblages were similar in species composition. The species richness was higher in the southern lagoons when considering the same number of specimens. In the northern lagoons the assemblages were numerically dominated by Psalidodon aff. fasciatus and Loricariichthys anus and less diverse, while in southern lagoons were more equitable and diverse. Conclusions We concluded that the coastal lakes studied differ in the patterns of variation in abiotic parameters and this reflect in the water quality. Fish richness and species composition are similar, a likely result of the common and recent biogeographic origin of these lagoons. Fish assemblages in large and turbid lagoons present more dominance while the fish assemblages in small and clear lagoons are more diverse. These results may be useful for coastal management that prioritizes fish stocks or for proposing models of fish assemblages in subtropical coastal lagoons.

Visual Abstract This is a visual representation of the abstract.

Narrative Medicine and Nursing are clinical-supporting intervention methodologies that aim to enhance professionals’ communication skills and place patients at the heart of their therapeutic path. A narrative interview (NI) is a communication tool between practitioner and patient. The role of NI is debated extensively in the literature, but no studies focus on its use by nurses responsible for first-diagnosed cancer patients.This study aimed to evaluate the feasibility and utility of NI, carried out by Nurses, in managing people recently diagnosed with cancer.A pilot mixed-methods study with before-and-after-intervention evaluation, qualitative longitudinal data analysis, and concurrent data triangulation was conducted. The Mini-Mental Adjustment to Cancer assessed disease adaptation, while the Psychological Distress Inventory investigated psychological distress. The qualitative analysis of the narrative interviews assessed the usefulness of this intervention.13 out of 14 eligible patients took voluntary part in the study. Of those, 9 (69 %) completed T1 and T2 questionnaires and NI. The following five themes emerged from thematic analysis: reaction to the disease, feelings related to the new condition of life, changes, importance of relationships and perception of care. Patients reported being highly stressed and recognized the importance of a supporting social network for better coping with the condition.The adoption of an NI approach at the time of cancer diagnosis is feasible. Due to the limited sample size, it is unclear if NI may positively impact psychological distress in this patient population. Further studies would benefit from the integration of an additional investigation tool aiming to clarify whether NI promotes disease awareness in cancer patients. Furthermore, the recruitment of a larger sample is equally recommended.

IntroductionGovernment agencies are now encouraging industries to enhance their security systems to detect and respond proactively to cybersecurity incidents. Consequently, equipping with a security operation center that combines the analytical capabilities of human experts with systems based on Machine Learning (ML) plays a critical role. In this setting, Security Information and Event Management (SIEM) platforms can effectively handle network-related events to trigger cybersecurity alerts. Furthermore, a SIEM may include a User and Entity Behavior Analytics (UEBA) engine that examines the behavior of both users and devices, or entities, within a corporate network.MethodsIn recent literature, several contributions have employed ML algorithms for UEBA, especially those based on the unsupervised learning paradigm, because anomalous behaviors are usually not known in advance. However, to shorten the gap between research advances and practice, it is necessary to comprehensively analyze the effectiveness of these methodologies. This paper proposes a thorough investigation of traditional and emerging clustering algorithms for UEBA, considering multiple application contexts, i.e., different user-entity interaction scenarios.Results and discussionOur study involves three datasets sourced from the existing literature and fifteen clustering algorithms. Among the compared techniques, HDBSCAN and DenMune showed promising performance on the state-of-the-art CERT behavior-related dataset, producing groups with a density very close to the number of users.

Abstract Background Trachoma is a notifiable disease in the state of São Paulo– Brazil. However, in Jaú, a municipality located in this state, in the last 10 years there are no records of cases. This study purpose is to assess if there are cases of inflammatory trachoma in schoolchildren aged 1 to 9 years in the municipality of Jaú as well if it is possible to detect clusters areas of the disease to establish elimination programs. Methods An epidemiological study was performed in 2018, involving a stratified random sample of schoolchildren aged 1- to 9-year-old, from public day care centers and elementary schools in the municipality of Jaú. A trachoma screening following the criteria of the World Health Organization (WHO) and the distribution of cases was assessed using geoprocessing. Results Four thousand-six hundred-nineteen children from 44 elementary schools were examined, and 126 children with active trachoma were detected, with an adjusted prevalence rate of 2.65%. The prevalence was higher (3.01%) in children aged 6- to 9-year-old compared to children aged 1-to 5-year-old (2.42%). There were clusters with a higher concentration of positive cases of the disease in three schools located in the neighborhoods with lower socioeconomic conditions. Conclusion Inflammatory trachoma still present in children aged 1- to 9-year-old in the city of Jaú. The positive cases were located mainly in areas with low socioeconomic conditions. Health promotion with active search and periodical treatment must be planned to fight this important blinding cause, that persists in our municipality.

Abstract Following the development of modern genome sequencing technologies, the investigation of museum osteological finds is increasingly informative and popular. Viable protocols to help preserve these collections from exceedingly invasive analyses, would allow greater access to the specimens for scientific research. The main aim of this work is to survey skeletal tissues, specifically petrous bones and roots of teeth, using infrared spectroscopy as a prescreening method to assess the bone quality for molecular analyses. This approach could overcome the major problem of identifying useful genetic material in archaeological bone collections without resorting to demanding, time consuming and expensive laboratory studies. A minimally invasive sampling of archaeological bones was developed and bone structural and compositional changes were examined, linking isotopic and genetic data to infrared spectra. The predictive model based on Infrared parameters is effective in determining the occurrence of ancient DNA (aDNA); however, the quality/quantity of aDNA cannot be determined because of the influence of environmental and local factors experienced by the examined bones during the burial period.

In this paper, based on Gaussian 1σ-criterion and histogram segmentation, a weighted least-squares algorithm is applied and validated on digital holographic speckle pattern interferometric data to perform phase separation on the complex interference fields. The direct structural diagnosis tool is used to investigate defects and their impact on a complex antique wall painting of Giotto. The interferometry data is acquired with a portable off-axis interferometer set-up with a phase-shifted reference beam coupled with the object beam in front of the digital photosensitive medium. A digital holographic speckle pattern interferometry (DHSPI) system is used to register digital recordings of interferogram sequences over time. The surface is monitored for as long as it deforms prior to returning to its initial reference equilibrium state prior to excitation. The attempt to separate the whole vs. local defect complex amplitudes from the interferometric data is presented. The main aim is to achieve isolation and visualization of each defect’s impact amplitude in order to obtain detailed documentation of each defect and its structural impact on the surface for structural diagnosis purposes.

Scaffolds are widely used devices for the treatment of osteochondral lesions of the talus (OCLT), aimed at enhancing mechanical stability and fostering chondrogenic differentiation. A systematic review and meta-analysis were performed to evaluate the safety, and clinical and radiological results of scaffolds for OCLT management. On 2 January 2024, a search was performed in four databases (PubMed, Embase, Web of Science, and Scopus), according to PRISMA guidelines. The risk of bias in the included studies was also evaluated. Thirty clinical studies were included in the qualitative analysis: 12 retrospective case series, 3 retrospective comparative studies, 9 prospective case series, 1 prospective comparative study, and 1 Randomized Controlled Trial (RCT). Natural scaffolds, such as bilayer collagen (COLL)I/III and hyaluronic scaffolds, were the most employed. Only minor adverse events were observed, even if more serious complications were shown, especially after medial malleolar osteotomy. An overall clinical and radiological improvement was observed after a mean of 36.3 months of follow-up. Patient age and Body Mass Index (BMI), lesion size, and location were correlated with the clinical outcomes, while meta-analysis revealed significant improvement in clinical scores with hyaluronic scaffolds compared to microfracture alone. This study highlights the safety and positive clinical outcomes associated with the use of scaffolds for OCLT. In the few available comparative studies, scaffolds have also demonstrated superior clinical outcomes compared to microfractures alone. Nevertheless, the analysis has shown the limitations of the current literature, characterized by an overall low quality and scarcity of RCTs.

Background: This study aimed to evaluate the biological behavior of a novel implant design incorporating decompressive cervical blades. Hence, the aim of the present study was to evaluate the healing outcomes in cortical regions where decompressive protocols were implemented using implants equipped with blades and installed applying a bicortical anchorage. Materials and Methods: Blades with varying diameters were integrated into the coronal portion of the implant to prepare the cortical region of rabbit tibiae. The blade diameters differed from the implant collar by the following amounts: control group (0 µm), +50 µm, and +200 µm. Results: No marginal bone loss was detected. Instead, all implants exhibited new bone formation in the coronal region. Complete closure was observed in the CG-0 group, as well as in the TG-50 and TG-200 groups, despite the presence of marginal gaps without primary bone contact at installation. In the apical region, most implants breached the cortical layer. Nevertheless, new bone formation in this region completely closed the osteotomy, effectively isolating the internal environment of the tibia from the external. Conclusions: The use of a blade incorporated into the implant body enabled precise preparation of the cortical layer, allowing for controlled decompression in the targeted area. This technique resulted in optimal osseointegration with no loss of marginal bone, and complete restoration of marginal gaps ranging from 0 µm to 200 µm.

Background: The COVID-19 pandemic appeared as an unpredictable disruption of daily activities. This situation produced a unique mental health impact for the general population, youth, and vulnerable groups. A documented consequence has been alcohol abuse and impaired mental health. To our knowledge, no published study has yet evaluated the rates of depressive symptoms, academic frustration, and substance abuse in the Italian student population in the COVID era linking them to sociodemographic variables. Aims: To investigate the incidence of depressive symptoms, academic frustration, and substance abuse students developed in one university in Northern Italy during the first COVID-19 outbreak, using a student wellbeing framework borrowed from Allardt's and Bronfenbrenner's theories. Methods: Descriptive statistics, correlations, Wilcoxon test and factorial ANOVA were performed on data gathered through an online questionnaire sent to a convenience sample of university students. Data collection occurred between 18 May and June 21, 2020. Results: According to the framework used, Being was the dimension of sociodemographic variables, Having was economic support and Loving was social support. Students experienced academic frustration and related depressive symptoms. Male gender seemed to be less affected by the depressive syndrome. With regard to economic support and related repercussions on depressive symptoms, students who reported that they could not obtain a loan showed significantly higher depressive symptoms. Students benefiting from greater financial support showed less academic frustration. Age appeared to be a predictor of academic frustration since young students proved to be the most frustrated. The examined students’ population showed a significant decrease in alcohol and cigarettes consumption. Conclusions: Having and Being dimensions influenced depression and academic frustration. Having and Loving dimensions were related with use of substances. The study findings support the implementation of interventions to help students, at a psychological, social, financial level aiming at fostering the quality of students’ educational life.