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IntroductionThis study aimed to establish normative data for the Self-Administered Tasks Uncovering Risk of Neurodegeneration (SATURN), a brief computer-based test for global cognitive assessment through accuracy and response times on tasks related to memory, attention, temporal orientation, visuo-constructional abilities, math (calculation), executive functions, and reading speed.MethodsA sample of 323 Italian individuals with Montreal Cognitive Assessment (MoCA) equivalent score ≥1 (180 females; average age: 61.33 years; average education: 11.32 years), stratified by age, education, and sex, completed SATURN using PsychoPy, and a paper-and-pencil protocol consisting of Mini-Mental State Examination (MMSE) and MoCA. Data analyses included: (i) correlations between the total accuracy scores of SATURN and those of MMSE and MoCA; (ii) multiple regressions to determine the impact of sex, age, and education, along with the computation of adjusted scores; (iii) the calculation of inner and outer tolerance limits, equivalent scores, and the development of correction grids.ResultsThe mean total time on tasks was 6.72 ± 3.24 min. Age and education significantly influence the SATURN total accuracy, while sex influences the total time on tasks. Specific sociodemographic characteristics influence subdomain accuracies and times on task differently. For the adjusted SATURN total score, the outer limit corresponds to 16.56 out of 29.00 (cut-off), while the inner limit is 18.57. SATURN significantly correlates with MMSE and MoCA.DiscussionIn conclusion, SATURN is the first open-source digital tool for initial cognitive assessment in Italy, showing potential for self-administration in primary care, and remote administration. Future studies need to assess its sensitivity and specificity in detecting pathological cognitive decline.

Mucosal enrichment of the Adherent-Invasive E. coli (AIEC) pathotype and the expansion of pathogenic IFNγ-producing Th17 (pTh17) cells have been linked to Crohn’s Disease (CD) pathogenesis. However, the molecular pathways underlying the AIEC-dependent pTh17 cell transdifferentiation in CD patients remain elusive. To this aim, we created and functionally screened a transposon AIEC mutant library of 10.058 mutants to identify the virulence determinants directly implicated in triggering IL-23 production and pTh17 cell generation. pTh17 cell transdifferentiation was assessed in functional assays by co-culturing AIEC-infected human dendritic cells (DCs) with autologous conventional Th17 (cTh17) cells isolated from blood of Healthy Donors (HD) or CD patients. AIEC triggered IL-23 hypersecretion and transdifferentiation of cTh17 into pTh17 cells selectively through the interaction with CD-derived DCs. Moreover, the chronic release of IL-23 by AIEC-colonized DCs required a continuous IL-23 neutralization to significantly reduce the AIEC-dependent pTh17 cell differentiation. The multi-step screenings of the AIEC mutant’s library revealed that deletion of ybaT or rfaP efficiently hinder the IL-23 hypersecretion and hampered the AIEC-dependent skewing of protective cTh17 into pathogenic IFNγ-producing pTh17 cells. Overall, our findings indicate that ybaT (inner membrane transport protein) and rfaP (LPS-core heptose kinase) represent novel and attractive candidate targets to prevent chronic intestinal inflammation in CD.

While aspects of indoor environmental quality, such as thermal comfort, indoor air quality (IAQ), acoustic, and visual comfort, are usually studied separately, their interactions are crucial yet often overlooked. Understanding how these factors influence each other is essential for a comprehensive perception of the indoor environment. This paper investigates the relationship between indoor air quality (IAQ) and thermal comfort using an extensive field investigation conducted in university classrooms during the heating season, collecting 712 samples of subjective responses correlated with environmental measurements. Key findings reveal significant correlations between subjective responses related to the thermal environment and those related to air quality. Perceived control over the thermal environment shows stronger correlations with IAQ responses than with thermal responses, particularly with perceived ventilation (r = 0.41), COVID-19 risk (r = 0.28), and air quality (r = 0.28). Additionally, environmental parameters demonstrate stronger correlations with thermal responses than with IAQ responses. Higher CO2 concentration is associated with increased thermal sensation and decreased thermal preference and perceived control. Conversely, IAQ responses remain relatively stable with changes in indoor operative temperature. The difference between the operative temperature to which the occupants are exposed and their expressed neutral temperature widens as CO2 concentration rises, indicating a reduced adaptive capacity of occupants which is associated with increasing CO2 levels. These insights are crucial for providing HVAC system management strategies that consider the interaction between different aspects of IEQ, aiming to improve occupants’ well-being and reduce energy consumption.

Ellenberg indicator values (EIV) are widely used in vegetation ecology, but the values for many species in Southeastern Europe are not available due to incomplete knowledge of their ecology: it is therefore of paramount importance to estimate missing values in existing databases. The entire EIV set for a single species can be missing or a single EIV can be missing for species for which other indicator values are available. Our aim here is to provide a simple method to impute missing values for species who have missing data in a single or multiple EIV. For this purpose, we adopt a multiple imputation procedure and compare a number of imputation methods on the basis of two datasets: i) “indices”, the set of 9 Ellenberg indicators taken from literature, available for 10,824 species and ii) “vegetation”, a set describing the physical and climatic characteristics (Light, Temperature, Continentality, Soil moisture, Nitrogen, Soil pH, Hemeroby index, Humidity, Organic_matter) of 29,935 relevés from Southeastern Europe where at least one tree species is present. The imputation methods we considered are: k-Nearest Neighbour, multiple linear regression (with or without collinearity correction), Reprediction Algorithm, Weighted Averaging (WA) and Weighted Averaging Partial Least Squares (WAPLS) regression. The different methods of imputation were compared by looking at the output produced and its deviation from the “true” observed values for a set of species with known EIVs. We have considered a set of species with known EIVs and proceeded to multiple imputation using the methods above; as a measure of performance we adopted the mean squared error (MSE) estimate, and expert judgement of ecological consistency. Models based on Regression and k-Nearest Neighbour seem to outperform the others. On the contrary, Reprediction algorithm in its different forms: produced less satisfactory results.Imputation of missing values is generally based on expert knowledge or on some variant of weighted averaging (also known as Hill’s method). Here we show that other methods may be more effective and should be appropriately considered by vegetation scientists, since those may allow the application of EIVs in other biogeographic regions.

Clinical, pathological, and imaging evidence in multiple sclerosis (MS) shows that inflammation starts early and progresses with age. B cells play a central role in this process, contributing to cytokine production, defective regulatory functions, and abnormal immunoglobulin production, even in the central nervous system. Anti-CD20 (aCD20) therapies, which deplete CD20+ B cells, are largely used in the treatment of both relapsing remitting (RR) and progressive (PR) forms of MS. Although effective against MS symptoms and lesions detectable by magnetic resonance imaging, aCD20 therapies can reduce the immune response to COVID-19 vaccination. By using high-parameter flow cytometry, we examined the antigen-specific (Ag+) immune response six months post-third COVID-19 mRNA vaccination in MS patients with RR and PR forms on aCD20 therapy. Despite lower Ag+ B cell responses and lower levels of anti-SARS-CoV2, both total and neutralizing antibodies, RR and PR patients developed strong Ag+ T cell responses. We observed similar percentages and numbers of Ag+ CD4+ T cells and a high proportion of Ag+ CD8+ T cells, with slight differences in T cell phenotype and functionality; this, however, suggested the presence of differences in immune responses driven by age and disease severity.

The essay aims to showcase the digitization project of the university newspaper «Ateneo», published from 1949 to 1968, describing its development and the technical solutions adopted using Omeka, chosen for its flexibility and ease of use. The article gives the opportunity to provide an overview of the history of the newspaper and its role in the student community of the University of Turin during those years, analyzing the different stages of its evolution (from a pioneering phase to a role as a platform for student activism and intellectual debate) and highlighting the challenges it faced, such as financial difficulties and political pressure. Making the newspaper available online allows to rediscover an important source for understanding the changes that occurred in the student organizations and led to the massive protests of the late ’60s.

The impact of soil fertilization with animal manure on the spread and persistence of antibiotic resistance in the environment is far from being fully understood. To add knowledge about persistence and correlations between antibiotic residues and antibiotic resistance genes (ARGs) in fertilized soil, a longitudinal soil mesocosm study was conducted. Soil samples were collected from the mesocosms immediately before spreading and then afterward at fifteen time points during a 320-day observation period. Eight ARGs (ermB, sul1, tetA, tetG, tetM, cfr, fexA, and optrA) and the class 1 integron-integrase gene, intI1, were determined in both pig slurry and soil, as well as residues of 36 antibiotics. Soil chemical and biochemical parameters were also measured. Twelve antibiotics were detected in the slurry in the range of 3 µg kg−1–3605 µg kg−1, with doxycycline, lincomycin, and tiamulin being the most abundant, whereas ermB, sul1, and tetM were the predominant ARGs. Before spreading, neither antibiotic residues nor ARGs were detectable in the soil; afterwards, their concentrations mirrored those in the slurry, with a gradual decline over the duration of the experiment. After about three months, the effect of the amendment was almost over, and no further evolution was observed.

Prefabricated temporary buildings are a promising solution for post-disaster scenarios for their modularity, sustainability and transportation advantages. However, their low thermal mass building envelope shows a fast response to heat flux excitations. This leads to the risk of not meeting the occupant comfort and HVAC energy-saving requirements. The literature shows different measures implementable in opaque surfaces, like vacuum insulation panels (VIPs), phase change materials (PCMs) and switchable coatings, and in transparent surfaces (switchable glazing) to mitigate thermal issues, like overheating, while preserving the limited available internal space. This paper investigates the energy and overheating performance of the mentioned interventions by using building performance simulation tools to assess their effectiveness. The optimization also looks at the transportation flexibility of each intervention to better support the decision maker for manufacturing innovative temporary units. The most energy-efficient measures turn to be VIPs as a better energy solution for winter and PCMs as a better thermal comfort solution for summer.

Shakespeare's first Globe Theatre (early 17th century) is considered one of the most iconic theatres in English history, despite lasting less than twenty years and having little information directly attributable to its shape and size. This building, part of a wide variety of Elizabethan theatres found in London during a fertile period in the history of entertainment, has fascinated historians and scholars for years. Interest in Globe Theatre has led to several attempts at reconstruction around the world in recent decades, very few of which are historically reliable due to a lack of accurate sources and the need to adapt a historic building, burnt down in a fire in 1613, to modern safety standards. However, with the increasing evolution of modelling systems in a virtual environment, it is now possible to analyse the theatre in a spatially and historically more consistent way with surviving data. The aim of this paper is to provide a historically and constructively valid virtual model that can reopen the debate on the shapes and dimensions of Shakespeare's first Globe Theatre. The model has been created by collecting the main hypotheses proposed by scholars. These were used to create the basic scheme, the plans, and then the whole theatre. Finally, the model was made available to encourage its use in future research and development.

Background: Urban areas are disproportionately affected by multiple pressures from overbuilding, traffic, air pollution, and heat waves that often interact and are interconnected in producing health effects. A new synthetic tool to summarize environmental and climatic vulnerability has been introduced for the city of Rome, Italy, to provide the basis for environmental and health policies. Methods: From a literature overview and based on the availability of data, several macro-dimensions were identified on 1,461 grid cells with a width of 1 km2 in Rome: land use, roads and traffic-related exposure, green space data, soil sealing, air pollution (PM2.5, PM10, NO2, C6H6, SO2), urban heat island intensity. The Geographically Weighted Principal Component Analysis (GWPCA) method was performed to produce a composite spatial indicator to describe and interpret each spatial feature by integrating all environmental dimensions. The method of natural breaks was used to define the risk classes. A bivariate map of environmental and social vulnerability was described. Results: The first three components explained most of the variation in the data structure with an average of 78.2% of the total percentage of variance (PTV) explained by the GWPCA, with air pollution and soil sealing contributing most in the first component; green space in the second component; road and traffic density and SO2 in the third component. 56% of the population lives in areas with high or very high levels of environmental and climatic vulnerability, showing a periphery-centre trend, inverse to the deprivation index. Conclusions: A new environmental and climatic vulnerability indicator for the city of Rome was able to identify the areas and population at risk in the city, and can be integrated with other vulnerability dimensions, such as social deprivation, providing the basis for risk stratification of the population and for the design of policies to address environmental, climatic and social injustice.

Background: The incidence of Amyotrophic Lateral Sclerosis (ALS) varies among different geographical areas and seems to increase over time. This study aimed to examine the epidemiologic data of ALS in the north-east Tuscany and compare the results with those of similar surveys. Methods: Data from ALS cases diagnosed in Florence and Prato Hospitals were prospectively collected from 1st June 2018 to 31st May 2021. Results: The age- and sex-adjusted incidence rate of ALS in cases per 100,000 population was 2.71 (M/F ratio: 1.21), significantly higher as compared to that reported in the 1967–1976 decade in the same geographical area (0.714). The age- and sex-adjusted incidence rate among resident strangers was similar to that of the general population (2.69). A slightly higher incidence rate (4.36) was observed in the north-east area of Florence province, which includes the Mugello valley. The mean prevalence was of 7.17/100,00. The mean age at diagnosis was 69.7 years, with a peak between 70 and 79 years among men and a smoother age curve among women. Conclusions: ALS epidemiological features in north-east Tuscany are in line with other Italian and European Centers. The dramatic increase of the local disease burden over the last decades probably reflects better ascertainment methods and health system.

In recent years, the use of techniques based on electromagnetic radiation as an investigative tool in the agri-food industry has grown considerably, and between them, the application of imaging and THz spectroscopy has gained significance in the field of food quality control. This study presents the development of an experimental setup operating in transmission mode within the frequency range of 18 to 40 GHz, which was specifically designed for assessing various quality parameters of hazelnuts. The THz measurements were conducted to distinguish between healthy and rotten hazelnut samples. Two different data analysis techniques were employed and compared: a traditional approach based on data matrix manipulation and curve fitting for parameter extrapolation, and the utilization of a Self-Organizing Map (SOM), for which we use a neural network commonly known as the Kohonen neural network, which is recognized for its efficacy in analyzing THz measurement data. The classification of hazelnuts based on their quality was performed using these techniques. The results obtained from the comparative analysis of coding efforts, analysis times, and outcomes shed light on the potential applications of each method. The findings demonstrate that THz spectroscopy is an effective technique for quality assessment in hazelnuts, and this research serves to clarify the suitability of each analysis technique.

Through an analysis of European case-law on working time, the Author points out that the adoption by the Member States of a system of objective, reliable and accessible measurement of working time (while exercising their discretion as to how the measurement system is to be implemented, taking into account, where appropriate, the specificities of the different sectors of activity)It is functional and to guarantee workers the best protection of their safety and health, even when the worker enjoys a certain flexibility in the placement of the service. This is the case, for example, of agile work, where the need to establish an objective, reliable and accessible system of measurement derives from the same methods of execution of the relationship, as regulated in our legal system; However, the possible removal of agile workers from the protection of working time will be legitimate, but only on condition that it is verified, on a case-by-case basis, their effective possibility of self-determination not only the placement but also, in its entirety(that is also in the phases of job carried out in company), the duration of the performance.

Non-pharmacological approaches, including exercise programs, have been proposed to improve cognitive function and behavioral symptoms, such as depression, agitation, or aggression, in the management of patients with Alzheimer's disease (AD). Indeed, physical inactivity is one of the main modifiable risk factors in patients with AD, as well as in the development of cardiovascular diseases and related pathologies.Although Nordic Walking (NW), a particular type of aerobic exercise, is known to benefit the health of aging populations, there is little evidence that patients with AD may benefit from this non-pharmacological treatment. In this context, we performed a pilot study in 30 patients with mild/moderate AD to evaluate whether NW influences different cognitive domains, including executive functions, visual-spatial abilities, and verbal episodic memory. To this aim, 15 patients (Control group, CG) underwent reality orientation therapy, music therapy, motor, proprioceptive and postural rehabilitation, and 15 patients (experimental group, EG) in addition to the activities performed by the CG also had the NW with a frequency of twice a week. Neuropsychological assessments and evaluations of daily activities and quality of life were performed at baseline and after 24 weeks. Twenty-two patients, including 13 in the CG and nine in the EG completed the activity program after 24 weeks. The EG showed a significant improvement in the Frontal Assessment Battery, Rey's auditory Verbal Learning Test Delayed Recall, Raven's Colored Progressive Matrices, and completion time for the Stroop Word-Color Interference test, compared to the CG. NW was able to improve cognitive domains like visual-spatial reasoning abilities, verbal episodic memory, selective attention, and processing speed in AD patients. These results, if confirmed by further studies with a larger number of patients and a longer training period, may prospect NW as a safe and likely useful strategy to slow down cognitive impairment in mild/moderate AD.

Occupants’ perception of a space depends on their experience [1–3]. Four kinds of visiting experiences were carried out inside the Natural History Museum of the University of Pisa [4]. The museum is housed, together with the National Museum of the Charterhouse [5], inside the Monumental Charterhouse of Calci, near Pisa. Four of the permanent exhibition halls of the Museum were selected for the survey: Historical Gallery, Mammal's Hall, Ungulates’ Gallery and Cetaceans’ Gallery. A total of 117 participants were divided into four groups depending on their visiting experience: real-life, or virtual based respectively on videos, photos or computer-generated photorealistic images (renders). Experiences are compared. The comparison comprehends objective data (measured illuminance levels) and subjective data (questionnaire outcomes on the perception of the space). The illuminance levels were measured using a photoradiometer: datalogger Delta Ohm HD2102.2 equipped with LP 471 PHOT probe. The probe was placed 1.20 m above floor level, and it was set to measure vertical illuminance at 10 seconds intervals. To evaluate participants’ perception of the space questionnaires were used. The presented data refer to the article: “Perception of light in museum environments: comparison between real-life and virtual visual experiences” [1]. This kind of data provides a base to assess if virtual kinds of experience can be implemented in museum environments as an alternative to the real-life experience, and to understand if such an implementation is detrimental or not in terms of participants’ perception of the space. Virtual experiences can be particularly useful for spreading culture, making it accessible even in presence of moving restrictions for people, such as those in force today due to the SARS-CoV-2 emergency.

In the recent years, there was an important improvement in the understanding of the pathogenesis of hereditary angioedema (HAE). Notwithstanding, in a large portion of patients with unknown mutation (HAE-UNK) the genetic cause remains to be identified. To identify new genetic targets associated with HAE, a large Argentine family with HAE-UNK spanning 3 generations was studied. Whole exome sequencing was performed on affected family members to identify potential genetic variants associated with HAE-UNK. In silico analyses and experimental studies were applied to assess the role of the identified gene variant. A missense variant (p.D239N) in DAB2IP was identified. The variant occurred in the C2-domain, the region interacting with vascular endothelial growth factor receptor 2 (VEGFR2). It was found to be rare, and predicted to have a detrimental effect on the functionality of DAB2IP. Protein structure modeling predicted changes in the mutant p.D239N protein structure, impacting protein stability. The p.D239N variant affected the subcellular localization of VEGFR2. Cells transfected with the DAB2IP-239N transcript exhibited an intracellular distribution, and VEGFR2 remained associated with the cell membrane. The altered localization pattern indicated reduced colocalization of the mutant protein with VEGFR2, suggesting a diminished ability of VEGFR2 binding. The study identified a novel missense variant (p.D239N) in DAB2IP in a family with HAE-UNK and highlighted the role of dysregulated VEGF-mediated signaling in altered endothelial permeability. DAB2IP loss-of-function pathogenic variants lead to the impairment of the endothelial VEGF/VEGFR2 ligand system and represent a new pathophysiologic cause of HAE-UNK. [ABSTRACT FROM AUTHOR]

Orange carotenoid protein (OCP) is a photochromic carotenoprotein involved in the photoprotection of cyanobacteria. It is activated by blue-green light to a red form OCPR capable of dissipating the excess of energy of the cyanobacterial photosynthetic light-harvesting systems. Activation to OCPR can also be achieved in the dark. In the present work, activation by pH changes of two different OCPs—containing echinenone or canthaxanthin as carotenoids—is investigated in different conditions. A particular emphasis is put on OCP encapsulated in SBA-15 mesoporous silica nanoparticles. It is known that in these hybrid systems, under appropriate conditions, OCP remains photoactive. Here, we show that when immobilised in SBA-15, the OCP visible spectrum is sensitive to pH changes, but such a colorimetric response is very different from the one observed for OCP in solution. In both cases (SBA-15 matrices and solutions), pH-induced colour changes are related either by orange-to-red OCP activation, or by carotenoid loss from the denatured protein. Of particular interest is the response of OCP in SBA-15 matrices, where a sudden change in the Vis absorption spectrum and in colour is observed for pH changing from 2 to 3 (in the case of canthaxanthin-binding OCP in SBA-15: λMAX shifts from 454 to 508 nm) and for pH changing from 3 to 4 (in the case of echinenone-binding OCP in SBA-15: λMAX shifts from 445 to 505 nm). The effect of temperature on OCP absorption spectrum and colour (in SBA-15 matrices) has also been investigated and found to be highly dependent on the properties of the used mesoporous silica matrix. Finally, we also show that simultaneous encapsulation in selected surface-functionalised SBA-15 nanoparticles of appropriate fluorophores makes it possible to develop OCP-based pH-sensitive fluorescent systems. This work therefore represents a proof of principle that OCP immobilised in mesoporous silica is a promising system in the development of colorimetric and fluorometric pH and temperature sensors.

The first Globe Theatre was one of the main outdoor playhouses in London in the early 17th century. Although it was built in 1599 and was destroyed in a fire in 1613, its history has survived to the present day as the theatre that was able to accommodate most of William Shakespeare's plays. Extensively studied during the last century, it has been attempted to be reconstructed several times in different parts of the world, although the information present does not allow for an exact reconstruction. The data presented here have been collected from the various interpretations offered in literature by the main scholars of the first Globe Theatre and re-elaborated according to criteria of coherence with vernacular building techniques and ease and feasibility of construction. What is presented is the methodology probably used by the Globe's carpenter Peter Street to draw the plan and then build the theatre. The data presented were used to provide a virtual reconstruction of the first Globe Theatre, featured in the article '' Towards reconstructing the Shakespeare's first Globe Theatre: A virtual model for research and development'', published in the Frontiers of Architectural Research by the same authors [1]. The data can be used to confirm, improve, or reconstruct the first Globe, as well as most Elizabethan theatres, similar in type and form.

The ZIP (Zrt and Irt-like proteins) protein family includes transporters responsible for the translocation of zinc and other transition metals, such as iron and cadmium, between the extracellular space (or the lumen of organelles) and the cytoplasm. This protein family is present at all the phylogenetic levels, including bacteria, fungi, plants, insects, and mammals. ZIP proteins are responsible for the homeostasis of metals essential for the cell physiology. The human ZIP family consists of fourteen members (hZIP1-hZIP14), divided into four subfamilies: LIV-1, containing nine hZIPs, the subfamily I, with only one member, the subfamily II, which includes three members and the subfamily gufA, which has only one member. Apart from the extracellular domain, typical of the LIV-1 subfamily, the highly conserved transmembrane domain, containing the binuclear metal center (BMC), and the histidine-rich intracellular loop are the common features characterizing the ZIP family. Here is presented a computational study of the structure and function of human ZIP family members. Multiple sequence alignment and structural models were obtained for the 14 hZIP members. Moreover, a full-length three-dimensional model of the hZIP4-homodimer complex was also produced. Different conformations of the representative hZIP transporters were obtained through a modified version of the AlphaFold2 algorithm. The inward and outward-facing conformations obtained suggest that the hZIP proteins function with an “elevator-type” mechanism.

The scope of this dataset is to explore the acoustic environment on the basis of spatial configurations. To fulfill this objective, two ranges of data were involved. Firstly, urban acoustic data was obtained by setting up 240 stations of measurements based on equivalent continuous A-weighted sound pressure level, across 16 urban zones in Biskra City, Algeria, during working hours. The data was analyzed using geostatistical and interpolation models on a Geographic Information System platform in order to enhance the observations and examine their distribution within the urban area. Secondly, spatial configuration data is based on two indicators: Normalized Angular Integration and Normalized Angular choice. Integration refers to the degree of accessibility ``to-movement'', whereas Choice values depict the urban route hierarchy, or the ``through-movement'' potential. The data includes different values of the global and local scale of the urban structure using several metric radii of 400m, 800m, 1200m, 1600m, 2000m, 2400m and 3200m. A correlation scheme is required in order to validate the effectiveness of this methodological approach. The dataset serves as an insightful reference for further inquiry and policymakers in dealing with sustainable concerns related to soundscape, noise pollution, and urban planning.

The school context, following an overall complexification of society, presents several situations in which it is necessary to build a transformative setting based on the suspension of educational action and the use of in-depth interpretations of divergent behaviors. Method: Two teachers with psychological training present and discuss cases studies of psychological intervention based on the analysis of demand methodology. Results: The two case studies presented concern, respectively, a difficult inclusion of a foreign pupil in the classroom and a school phobia of a student before graduating. In both cases, the classes are reconceived as clinical settings thereby giving new meaning to the psycho-social relationships of the students. The teachers promoted an overcoming of critical events: in the first case the pupil reaches school inclusion in a short time; in the second case the pupil reaches the diploma. Conclusion: The method of psychological intervention is proposed as an innovative practice of negotiation of new emotional symbolic structures in which to reproduce a coexistence in the scholastic context. It therefore appears necessary to equip schools with professional skills in the analysis of demand in order to train teachers to recognize the emotional dimensions within the class context.

BackgroundInferential statistical methods failed in identifying reliable biomarkers and risk factors for relapsing giant cell arteritis (GCA) after glucocorticoids (GCs) tapering. A ML approach allows to handle complex non-linear relationships between patient attributes that are hard to model with traditional statistical methods, merging them to output a forecast or a probability for a given outcome.ObjectiveThe objective of the study was to assess whether ML algorithms can predict GCA relapse after GCs tapering.MethodsGCA patients who underwent GCs therapy and regular follow-up visits for at least 12 months, were retrospectively analyzed and used for implementing 3 ML algorithms, namely, Logistic Regression (LR), Decision Tree (DT), and Random Forest (RF). The outcome of interest was disease relapse within 3 months during GCs tapering. After a ML variable selection method, based on a XGBoost wrapper, an attribute core set was used to train and test each algorithm using 5-fold cross-validation. The performance of each algorithm in both phases was assessed in terms of accuracy and area under receiver operating characteristic curve (AUROC).ResultsThe dataset consisted of 107 GCA patients (73 women, 68.2%) with mean age ( ± SD) 74.1 ( ± 8.5) years at presentation. GCA flare occurred in 40/107 patients (37.4%) within 3 months after GCs tapering. As a result of ML wrapper, the attribute core set with the least number of variables used for algorithm training included presence/absence of diabetes mellitus and concomitant polymyalgia rheumatica as well as erythrocyte sedimentation rate level at GCs baseline. RF showed the best performance, being significantly superior to other algorithms in accuracy (RF 71.4% vs LR 70.4% vs DT 62.9%). Consistently, RF precision (72.1%) was significantly greater than those of LR (62.6%) and DT (50.8%). Conversely, LR was superior to RF and DT in recall (RF 60% vs LR 62.5% vs DT 47.5%). Moreover, RF AUROC (0.76) was more significant compared to LR (0.73) and DT (0.65).ConclusionsRF algorithm can predict GCA relapse after GCs tapering with sufficient accuracy. To date, this is one of the most accurate predictive modelings for such outcome. This ML method represents a reproducible tool, capable of supporting clinicians in GCA patient management.

Regular physical activity (PA) is protective and reduces disease burden but remains a challenge for pregnant women (PW). According to the World Health Organization (WHO) guidelines, PW without contraindications should practice 150 min of moderate PA per week. Nonetheless, PA levels are concerningly low among PW. The aim of this study was to investigate PW’s and midwives’ perceptions regarding PA and recommended guidelines, and use this information to inform future health promotion strategies. We recruited 10 PW and 10 midwives to participate in online focus groups conducted between July 2020 and April 2021. Focus group probes and data analysis were guided by the COM–B (capability, opportunity, motivation–behaviour) framework. The majority of the sample had already practised PA, recognized the importance of PA during pregnancy, and considered the WHO guidelines reasonable. Notwithstanding, PW wanted more specific instruction on PA and desired opportunities to practice. Additional barriers reported by PW included low self-efficacy and lack of motivation. Midwives considered the lack of specific knowledge and confidence in managing PA as the main obstacles. The current findings suggest that PW and midwives need specific training in PA to overcome both psychological and physical barriers. Midwives play a vital role in educating and encouraging PA among PW.

The speech intelligibility properties of classrooms greatly influence the learning process of students. Proper acoustics can promote the inclusion of foreign students and children with learning or hearing impairments. While awareness of the topic is increasing, there is still no parameter that can describe all aspects of speech transmission inside a room. This complicates the design of classrooms and requires designers to have extensive knowledge of theory and experience. In the scientific and technical literature, there is a lack of predictive tools, easy to use by designers, which can guide the choices in the early design stages in order to move towards technical solutions able to ensure adequate levels of speech intelligibility. For this reason, in this paper, the most relevant speech intelligibility parameters found in the literature were collected and discussed. Among these, the Clarity index and Speech Transmission Index were singled out as the most effective ones, whose prediction can be made with relatively simple methods. They were then analyzed through their prediction formulas, and a tool was proposed to allow an easy estimation of the minimum total equivalent sound absorption area needed in a classroom. This tool greatly simplifies the early acoustics design stage, allowing the intelligibility of speech within a classroom to be increased without requiring much theoretical effort on the part of the designers.

Behçet's syndrome (BS) represents a challenging condition, characterized by a variable spectrum of disease profile and associated with a significant limitation of the daily activities as well as a potential negative impact on relationships and psychological status. Considering also the complexity of the therapeutic management of BS, that often includes biological off-label treatments, the participation in the therapeutic decision-making process of the BS patients is essential to ensure the integration of the care process into the life of the patient. For this reason, the empowerment of BS patients represents a crucial need and the present work is aimed at fully exploring all the potential variables implicated in the BS patient empowerment, also highlighting major points to consider and concrete actions to be planned in the immediate future in order to implement a pragmatic facilitation of the patients' empowerment.

Considering that the regulation of the time and the possible economic relevance of the phases of waiting for delivery is a field of discussion still access regarding the work of riders, the Author analyzes, in detail, how the JustEatTakeway supplementary company agreement regulates the working hours of riders. The Author illustrates the discipline contained in the CCNL Logistica,Trasporto, Merci e Spedizione and in the Protocol signed on July 18, 2018 for the same sector, to which the same company agreement in comment refers.

The comment deals with the part-time work regulation, contained, in particular, in Part II of the JustEatTakeaway supplementary company agreement. The use of this instrument is expected to be massive, considering that it is, in the parties' plans, the common form of work in the company. The author analyses the provisions contained in the collective agreement, especially in the light of the discipline contained in the CCNL Logistica, Trasporto, Merci e Spedizione and in the Protocol signed on 18 July 2018 for the same sector. The author also discusses the rules on overtime and supplementary work and the rules on intermittent work, which are also subject to specific contractual regulations.

Introduction: This study examines the emergency department (ED) waiting room (WR) population’s knowledge about the ED process and hospital function and explores the types of educational materials that might appeal to patients and their companions in an ED waiting room. Our goal was to identify potential high-impact opportunities for patient education.Methods: A 32-question survey about demographics, usage of primary care physicians (PCP), understanding of the ED and triage process, desire to know about delays, health education and understanding of teaching hospitals was offered to all qualified individuals.Results: Five hundred and forty-four surveys were returned. Fifty-five percent reported having a PCP, of which 53% (29% of all WR patients) called a PCP prior to coming to the ED. It was found that 51.2% can define triage; 51% as an acuity assessment and 17% as a vital signs check. Sixty-nine percent knew why patients were seen according to triage priority. Seventy-two percent wanted to know about delays, yet only 25% wanted to know others’ wait times. People wanted updates every 41 minutes and only three percent wanted a physician to do this. Forty-one percent wanted information on how the ED functions, 60% via handouts and 43% via video. Information on updates and common medical emergencies is significantly more important than material on common illnesses, finding a PCP, or ED function (p

Abstract Background Cobalamin metabolism disorders are rare, inherited diseases which cause megaloblastic anaemia and other clinical manifestations. Early diagnosis of these conditions is essential, in order to allow appropriate treatment as early as possible. Case presentation Here we report the case of a patient who was apparently healthy until the age of 20, when she presented with impaired renal function and normocytic anaemia. At the age of 34, when her first pregnancy resulted in an intrauterine death of a morphologically normal growth-restricted foetus, she was diagnosed with homocystinuria and methylmalonic aciduria due to cyanocobalamin C (cblC) defect, which was confirmed by molecular investigation. Consequently, hydroxocobalamin was administered to correct homocysteine plasma levels. This treatment was efficacious in lowering homocysteine plasma levels and restored anaemia and renal function. During a second pregnancy, the patient was also administered a prophylactic dose of low molecular -weight heparin. The pregnancy concluded with a full-term delivery of a healthy male. Conclusions This case emphasises the importance of awareness and appropriate management of rare metabolic diseases during pregnancy. We suggest that women with late-onset cblC defect can have a positive pregnancy outcome if this metabolic disease is treated adequately.

Nella società contemporanea le sale di ristorazione diventano luoghi di convivialità e comunicazione. In tale ambito risulta di significativo interesse lo studio del fenomeno acustico denominato cocktail party effect. Nel presente lavoro sono stati valutati l'indice di trasmissione del parlato e la differenza di livello sonoro con metodi analitici e simulazioni software al fine di ricercare, nelle sale di ristorazione, correlazioni tra tali indicatori acustici e il cocktail party effect. - In contemporary society restaurant dining rooms become places of conviviality and communication. In this context the study of the acoustical phenomenon called cocktail party effect is a major issue. In the present work the speech transmission index and the sound level difference have been assessed through analytical methods and software simulations in order to find, in restaurants, correlations between these acoustic indicators and the cocktail party effect.

Within a project co-funded by the Italian Ministry of Foreign Affairs, the final aim of which is to develop a WSN for smart monitoring of pesticides on agricultural land, the Italian and Serbian researchers have developed a hardware section of an electronic nose for pesticides. Since there are no specialized sensors which can smell the presence or absence of pesticides in the air, the electronic nose has been designed starting from an array of commercial gas sensors developed for other environmental applications. These sensors have a great advantage as they are COTS components. A measurement bench for testing the performance of the system has also been developed. Experimental tests have been conducted and the results have demonstrated the appropriateness of the idea. A test for calibration has been designed, as well, and it will be performed in the near future.

Staphylococcus epidermidis is an opportunistic pathogen and a frequent cause of nosocomial infections. In this work, we show that, among 51 S. epidermidis isolates from an Italian hospital, only a minority displayed biofilm formation, regardless of their isolation source (peripheral blood, catheter, or skin wounds); however, among the biofilm-producing isolates, those from catheters were the most efficient in biofilm formation. Interestingly, most isolates including strong biofilm producers displayed production levels of PIA (polysaccharide intercellular adhesin), the main S. epidermidis extracellular polysaccharide, similar to reference S. epidermidis strains classified as non-biofilm formers, and much lower than those classified as intermediate or high biofilm formers, possibly suggesting that high levels of PIA production do not confer a particular advantage for clinical isolates. Finally, while for the reference S. epidermidis strains the biofilm production clearly correlated with the decreased sensitivity to antibiotics, in particular, protein synthesis inhibitors, in our clinical isolates, such positive correlation was limited to tetracycline. In contrast, we observed an inverse correlation between biofilm formation and the minimal inhibitory concentrations for levofloxacin and teicoplanin. In addition, in growth conditions favoring PIA production, the biofilm-forming isolates showed increased sensitivity to daptomycin, clindamycin, and erythromycin, with increased tolerance to the trimethoprim/sulfamethoxazole association. The lack of direct correlation between the biofilm production and increased tolerance to antibiotics in S. epidermidis isolates from a clinical setting would suggest, at least for some antimicrobials, the possible existence of a trade-off between the production of biofilm determinants and antibiotic resistance.