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Elena Fiabane,1,2 Marcella Ottonello,1,3 Valeria Zavan,4 Caterina Pistarini,1 Ines Giorgi5 1Department of Physical and Rehabilitation Medicine, ICS Maugeri Spa SB, Institute of Genoa Nervi, Genoa, 2Department of Brain and Behavioral Sciences, University of Pavia, Pavia, 3Department of Medicine, PhD Program in Advance Sciences and Technologies in Rehabilitation Medicine and Sport, Università di Tor Vergata, Rome, 4Alcohol Unit, Addiction Department, Alessandria, 5Psychology Unit, ICS Maugeri Spa SB, Scientific Institute of Pavia, Pavia, Italy Background: An inpatient 28-day rehabilitation program for alcohol dependence is focused on detoxification, enhancing motivation to change, and coping strategies for the management of emotional distress and temptation to drink. The aims of the present study were to investigate 1) changes over time in motivation to change, anxiety, and depression in individuals undergoing residential rehabilitation treatment for alcohol addiction, and 2) which pretreatment factors are associated with posttreatment temptation to drink.Methods: We assessed 432 patients diagnosed with alcohol dependence based on the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) consecutively recruited from seven residential rehabilitation centers in Northern Italy. Patients were assessed by means of self-report questionnaires at the beginning of rehabilitation (pretreatment) and before their hospital discharge (posttreatment) regarding motivation to change and self-efficacy (motivation assessment of change – alcoholism version), readiness to change and temptation to drink (visual analog scales), and depression and anxiety (cognitive behavioral assessment – outcome evaluation).Results: Results showed an overall improvement in motivation to change and a significant reduction over time in depression and anxiety levels for the total sample, particularly patients with low baseline level of temptation to drink. Multivariate linear regression analysis revealed that significant predictors of posttreatment temptation to drink were polysubstance dependence (p

Silvia Rossi Ferrario,1 Ines Giorgi,2 Paola Baiardi,3 Laura Giuntoli,4 Gianluigi Balestroni,1 Paola Cerutti,1 Marina Manera,2 Paola Gabanelli,2 Valentina Solara,5 Roberta Fornara,6 Michela Luisetti,1 Pierangela Omarini,1 Giovanna Omarini,1 Giulio Vidotto4 1Psychology Unit, Istituti Clinici Scientifici Maugeri SpA SB, Veruno, NO, Italy; 2Psychology Unit, 3Scientific Direction, Istituti Clinici Scientifici Maugeri SpA SB, Pavia, Italy; 4Department of General Psychology, University of Padova, Padova, Italy; 5Department of Neurology, ALS Centre, “Maggiore della Carita`” University Hospital, Novara, Italy; 6Psychology Unit, SS Trinità Hospital, Borgomanero, NO, Italy Purpose: Interest in assessing denial is still present, despite the criticisms concerning its definition and measurement. We tried to develop a questionnaire (Illness Denial Questionnaire, IDQ) assessing patients’ and caregivers’ denial in relation to their illness/disturbance. Patients and methods: After a preliminary study, a final version of 24 dichotomous items (true/false) was selected. We hypothesized a theoretical model with three dimensions: denial of negative emotions, resistance to change, and conscious avoidance, the first two composing the actual Denial and the last representing an independent component of the illness denial behavior. The IDQ was administered to 400 subjects (219 patients and 181 caregivers) together with the Anxiety–Depression Questionnaire – Reduced form (AD-R), in order to assess concurrent validity. Confirmatory factor analysis (CFA), internal consistency indices (Cronbach’s α and McDonald’s ω), and test–retest analysis were performed. Results: CFA and internal consistency indices (Cronbach’s α: 0.87–0.96) indicated a clear and meaningful three-factor structure of IDQ, for both patients and caregivers. Further analyses showed good concurrent validity, with Denial and its subscale negatively associated with anxiety and depression and avoidance positively associated with anxiety and depression. The IDQ also showed a good stability (r from 0.71 to 0.87). Conclusion: The IDQ demonstrated good psychometric properties. Denial of negative emotions and resistance to change seem to contribute to a real expression of denial, and conscious avoidance seems to constitute a further step in the process of cognitive–affective elaboration of the illness. Keywords: assessment, denial, avoidance, chronic diseases

Davide Massidda,1 Ines Giorgi,2 Giulio Vidotto,3 Salvatore Tringali,4 Marcello Imbriani,4,5 Paola Baiardi,6 Giorgio Bertolotti7 1Giunti O.S. Organizzazioni Speciali, Firenze, Italy; 2Psychology Unit, ICS Maugeri, IRCCS, Pavia, Italy; 3Department of General Psychology, University of Padova, Padova, Italy; 4ICS Maugeri, IRCCS, UOOML, Pavia, Italy; 5Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy; 6Scientific Direction, ICS Maugeri, IRCCS, Pavia, Italy; 7Psychology Unit, ICS Maugeri, IRCCS, Tradate, Italy Introduction and objectives: A multidimensional self-report questionnaire to evaluate job-related stress factors is presented. The questionnaire, called Maugeri Stress Index – reduced form (MASI-R), aims to assess the impact of job strain on a team or on a single worker by considering four domains: wellness, resilience, perception of social support, and reactions to stressful situations. Material and methods: The reliability of a first longer version (47 items) of the questionnaire was evaluated by an internal consistency analysis and a confirmatory factor analysis. An item reduction procedure was implemented to obtain a short form of the instrument, and the psychometric properties of the resulting instrument were evaluated using the Rasch measurement model. Results: A total of 14 items from the initial pool were deleted because they were not productive for measurement. The analysis of internal consistency led to the exclusion of eight items, while the analysis performed using structural equation models led to the exclusion of another six items. According to the Rasch model, item properties and the reliability of the instruments appear good, especially for the scales for wellness and resilience. In contrast, the scales for perception of social support and negative coping styles show a lower internal consistency. Conclusions: The Maugeri Stress Index – reduced form provides a reliable and valid measure, useful for early identification of stress levels in workers or in a team along the eustress–vadistress continuum. Keywords: occupational stress, stress, psychometrics, questionnaire, validation

Ines Giorgi,1 Marcella Ottonello,2,3 Giovanni Vittadini,4 Giorgio Bertolotti5 1Psychology Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Pavia, 2Department of Physical & Rehabilitation Medicine, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Genoa, 3Department of Medicine, PhD Program in Advanced Sciences and Technologies in Rehabilitation Medicine and Sport, Università di Tor Vergata, Rome, 4Alcohol Rehabilitation Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Pavia, 5Psychology Unit, Salvatore Maugeri Foundation, Clinica del Lavoro e della Riabilitazione, IRCCS, Tradate, Italy Background: Alcohol-dependent patients usually experience negative affects under the influence of alcohol, and these affective symptoms have been shown to decrease as a result of alcohol-withdrawal treatment. A recent cognitive–affective model suggests an interaction between drug motivation and affective symptoms. The aim of this multicenter study was to evaluate the psychological changes in subjects undergoing a residential rehabilitation program specifically designed for alcohol addiction, and to identify at discharge patients with greater affective symptoms and therefore more at risk of relapse.Materials and methods: The sample included 560 subjects (mean age 46.91±10.2 years) who completed 28-day rehabilitation programs for alcohol addiction, following a tailored routine characterized by short duration and high intensity of medical and psychotherapeutic treatment. The psychological clinical profiles of anxiety, depression, psychological distress, psychological well-being, and self-perception of a positive change were assessed using the Cognitive Behavioral Assessment – Outcome Evaluation questionnaire at the beginning and at the end of the program. The changes in the psychological variables of the questionnaire were identified and considered as outcome evaluation of the residential intervention. Moreover, differences in the psychological functioning between patients with different characteristics were investigated.Results: The score measured by the Cognitive Behavioral Assessment – Outcome Evaluation showed significant improvements in all the psychological characteristics assessed, and the profile at discharge was within the normal scores. Some significant differences were found in relation to specific characteristics of the sample, such as age, sex, level of education, type of intervention, and polysubstance use.Conclusion: This study shows the changes in psychological profile in subjects undergoing residential rehabilitation from alcohol and how this profile may permit identification of subjects requiring more psychosocial support after discharge. Keywords: alcohol dependence, alcohol withdrawal, outcome measure, residential rehabilitation, psychological support

Abstract Herbivorous insects alter biogeochemical cycling within forests, but the magnitude of these impacts, their global variation, and drivers of this variation remain poorly understood. To address this knowledge gap and help improve biogeochemical models, we established a global network of 74 plots within 40 mature, undisturbed broadleaved forests. We analyzed freshly senesced and green leaves for carbon, nitrogen, phosphorus and silica concentrations, foliar production and herbivory, and stand-level nutrient fluxes. We show more nutrient release by insect herbivores at non-outbreak levels in tropical forests than temperate and boreal forests, that these fluxes increase strongly with mean annual temperature, and that they exceed atmospheric deposition inputs in some localities. Thus, background levels of insect herbivory are sufficiently large to both alter ecosystem element cycling and influence terrestrial carbon cycling. Further, climate can affect interactions between natural populations of plants and herbivores with important consequences for global biogeochemical cycles across broadleaved forests.

Two nominal species of water frogs of the genus Pelophylax, P. ridibundus and P. bedriagae, are found in Central and Eastern Europe, the Middle East, Western Asia, Western Kazakhstan, and Siberia. So far, the taxonomic status of Pelophylax in most of the Caucasus has remained unknown. Sequencing of the Cytochrome Oxidase 1 mitochondrial gene attributed the frogs throughout Georgia to the P. ‘bedriagae’ lineage, bringing them very close to the specimens from Kazakhstan and Greece. Simultaneously, the current nomenclature of water frogs appears to be formally incorrect since western Kazakhstan, the type locality for P. ridibundus, has frogs genetically closer to nominal P. bedriagae, than to nominal P. ridibundus from Europe. Because there is no evidence that the frogs from Central Europe, Kazakhstan, and the Caucasus, as well as from Anatolia and Iran, are biological species with individual evolutionary pathways, we suggest a conservative approach and synonymize nominal P. bedriagae from most of West Asia with P. ridibundus.

The article examines the role of Georgian far-right illiberal populist groups in Georgian politics and their influence on Georgia’s foreign policy and the ongoing democratization process, emphasizing Euroscepticism, liberal institutional development, and the pro-Russian narrative. Using qualitative research methodology, we analyzed the programs, manifestos, and public speeches of well-known groups active in Georgian politics, such as People's Power, Georgian March, Georgian Idea, Unity, Essence, Hope (ERI), and Alliance of Patriots of Georgia. Analysis of the mentioned material, as well as various scientific studies, shows that the discourse of these groups is dominated by xenophobic, nationalist, populist, and racist rhetoric, which represents a significant challenge to Georgia’s European integration path and in the direction of democratization of its governance system. In the long term, we concluded that the existence and development of these illiberal populist actors threaten Georgia’s aspirations for European integration and democratic development. This study contributes to a broader discourse about populism and illiberal views in the Georgian reality, focusing on the influence of these ideologies on the formation of the country’s foreign policy and orientation.

Abstract Visual inspection of several embryos of the parthenogenetic lizard Darevskia armeniaca revealed the presence of an embryo with axial bifurcation (“two-headed”) on the stage of pigmented eyes and plate-like limb buds with a distinct border at the edges. This is the third recorded case of axial bifurcation in D. armeniaca, although two previous cases were mentioned without further discussion. Here the bicephalic embryo is described in detail and the potential reasons are discussed. The analysis of the literature on axial bifurcation in lacertids suggests that this type of developmental disorder may be particularly common in this parthenogenetic form. Hybridization may cause multiple developmental disorders, including incomplete separation of twin embryos; all parthenogenetic Darevskia have a hybrid origin, and this may cause the disorders rather than parthenogenetic reproduction by itself. The hypothesis needs further study with more representative samples of parthenogenetic and sexually reproducing Darevskia.

This checklist reports 47 species of Psocoptera from 15 families and three suborders from Georgia, of which 31 species are recorded for the first time, increasing the known fauna of the country by more than 65%. Of these, 37 species have been barcoded, representing 210 Barcode Identification Numbers (BINs). An additional 14 species are expected to occur in Georgia but remain undiscovered, meaning that only ≈ 77% of the fauna is currently documented. Barcodes, comments on distributions, and images of voucher specimens are given followed by a map of the sampling sites.

First records of two species of beetles (Insecta, Coleoptera), namely Pocadius adustus Reitter, 1888 (Nitidulidae) and Byrrhus pustulatus (Forster, 1770) (Byrrhidae) are given for Georgia. In addition, an update on the occurrences of Necrobia violacea (Linnaeus, 1758) (Cleridae), Coelostoma orbiculare (Fabricius, 1775) (Hydrophilidae) and Lycoperdina succincta (Linnaeus, 1767) (Endomychidae) are also presented based on the specimens collected in Samtskhe-Javakheti region, determined by morphological and mtDNA barcoding methods.

Background Literature shows that music can reduce stress conditions. This pilot study investigated the effects of music listening on work-related stress and well-being in healthcare professionals. Method A total of 45 subjects were randomly assigned to three treatment groups: No Music, Individualized Music and Melomics-Health Listening. Music groups experienced a daily 30-min-playlist listening for 3 weeks at home. The Maugeri Stress Index-Revised (MASI-R) and the Psychological General Well-Being Index (PGWBI) were administered at baseline, after 3 weeks and after 7 weeks (follow-up). Longitudinal data were analyzed by means of a nested ANOVA model, testing the main effects of time and treatment and the interaction between them. Results MASI-R scores showed a positive trend in music groups and a worsening in the control group. Only the interaction time/treatment emerged as supporting a trend toward statistical significance (P = 0.07). PGWBI showed a stability in music groups and a clear decline in controls, without significant effects. Conclusions Results from the study support the need for a larger clinical trial: it is suggested that daily music listening could be implemented to reduce work-related stress and that the effects may be related, not only to individual musical preferences and familiarity, but also to specific music structures and parameters. [ABSTRACT FROM AUTHOR]

The terrestrial woodlice Hemilepistus (Hemilepistus) klugii (Brandt, 1833) is reported from Georgia for the first time, with a commentary on the species composition of the genus Hemilepistus Budde-Lund, 1879 in the Caucasus. A short review of the ecology of the subgenus H. (Hemilepistus) is also provided.

It is clear that 5G networks have already become integral to our present. However, a significant issue lies in the fact that current 5G communication systems are incapable of fully ensuring the required quality of service and the security of transmitted data, especially in government networks that operate in the context of the Internet of Things, hostilities, hybrid warfare, and cyberwarfare. The use of 5G extends to critical infrastructure operators and special users such as law enforcement, governments, and the military. Adapting modern cellular networks to meet the specific needs of these special users is not only feasible but also necessary. In doing so, these networks must meet additional stringent requirements for reliability, performance, and, most importantly, data security. This scientific paper is dedicated to addressing the challenges associated with ensuring cybersecurity in this context. To effectively improve or ensure a sufficient level of cybersecurity, it is essential to measure the primary indicators of the effectiveness of the security system. At the moment, there are no comprehensive lists of these key indicators that require priority monitoring. Therefore, this article first analyzed the existing similar indicators and presented a list of them, which will make it possible to continuously monitor the state of cybersecurity systems of 5G cellular networks with the aim of using them for groups of special users. Based on this list of cybersecurity KPIs, as a result, this article presents a model to identify and evaluate these indicators. To develop this model, we comprehensively analyzed potential groups of performance indicators, selected the most relevant ones, and introduced a mathematical framework for their quantitative assessment. Furthermore, as part of our research efforts, we proposed enhancements to the core of the 4G/5G network. These enhancements enable data collection and statistical analysis through specialized sensors and existing servers, contributing to improved cybersecurity within these networks. Thus, the approach proposed in the article opens up an opportunity for continuous monitoring and, accordingly, improving the performance indicators of cybersecurity systems, which in turn makes it possible to use them for the maintenance of critical infrastructure and other users whose service presents increased requirements for cybersecurity systems.