Search Results (682)

Background/Objectives: Eating disorders (EDs) are among the most severe psychiatric conditions affecting young people, with increasing prevalence in the post-pandemic period. This study assessed the prevalence of ED risk and dysfunctional eating behaviors among Italian university students, a population poorly characterized with respect to ED risk, and examined associations with key socio-demographic and anthropometric variables. Methods: A cross-sectional online screening study was conducted between August 2023 and February 2026 with 401 Italian university students (306 women and 95 men). Participants completed the validated Italian versions of the Eating Attitudes Test-26 (EAT-26) and the Eating Disorder Examination Questionnaire 6.0 (EDE-Q 6.0), alongside self-reported anthropometric data. Multiple linear regression analyses were performed to identify predictors of ED risk scores. Results: A total of 37.9% of participants had BMI outside the normal range (19.7% underweight; 18.2% overweight or obese). EAT-26 scores exceeded the clinical cut-off in 28.4% of participants (women: 35.6%; men: 5.3%). EDE-Q 6.0 global scores exceeded the clinical cut-off in 21.0% (women: 25.8%; men: 5.3%). Only 45.4% showed no anthropometric or questionnaire-based screening risk indicators (i.e., scores above the clinical cut-off on the EAT-26 or EDE-Q 6.0). BMI was negatively associated with EAT-26 scores in the total sample and in women, while a positive association between BMI and EDE-Q 6.0 scores was observed in men. Conclusions: A substantial proportion of Italian university students, particularly women, presented screening-based indicators of ED risk. The combined use of anthropometric and questionnaire-based screening tools provides a more comprehensive risk assessment than either measure alone, highlighting the need for multidimensional screening programs. Full article

Universities serve as catalysts for knowledge creation across territories, promoting innovation and economic development through different channels. This paper investigates the role of university graduates as a location determinant of new green-tech-based firms (NGTBFs) across Italian NUTS-3 regions over the period 2011–2017. We examine whether universities, as providers of high-skilled human capital, affect the spatial distribution of new green ventures. Adopting a patent-based definition of NGTBFs and an econometric framework accounting for regional heterogeneity, we analyse the impact of university graduates on green firm creation. The results show that higher education fosters green entrepreneurship primarily through the channel of producing doctoral and STEM-oriented graduates, who serve as key drivers of NGTBF formation. Interestingly, the analysis reveals marked spatial heterogeneity across Italy’s North–South divide, with stronger associations of PhD and STEM graduates in Southern regions, where specialised human capital appears to compensate for weaker innovation systems. These findings deliver clear policy implications, suggesting that strategies aimed at promoting green entrepreneurship should prioritise advanced, STEM-oriented human capital and explicitly account for regional contexts, rather than relying on uniform higher education expansion approaches. Full article

Introduction: Streptococcus pneumoniae severely affects adults over 65, especially those with comorbidities. Since vaccination coverage among healthcare workers (HCWs) is unknown despite free availability, this study evaluates knowledge, behaviours, hesitancy and accessibility among employees of an Italian hospital. Methods: A prospective cross-sectional survey was administered via “SurveyMonkey.” From February 22 to June 15, 2024, healthcare and administrative staff aged ≥ 18 at the Fondazione Policlinico Universitario Gemelli were recruited by email. Descriptive and inferential analyses used Stata 16.1. Results: Among HCWs, 72% are women, with an average age of 48. Pneumococcal vaccination coverage is 20%, with 82.7% vaccinated in-hospital. Preferred information sources include courses, webinars, and institutional websites. For management staff, vaccine safety and effectiveness were significant determinants. Among administrative employees, 65% are women (average age 51); 19% are vaccinated, 24% are unsure, and 43% prefer in-hospital vaccination. Physicians cited trust in vaccines (25.3%) and self-protection (23.2%) as key motivators, compared with 12.4% among nursing, technical and rehabilitative staff. Recommendation to family members was higher among medical and specialist professionals (90%) than in other groups (77% in nursing/technical/rehabilitative; <50% in assistants and auxiliary staff). About half of the groups rated their knowledge at level 2 (scale 1–4). Multivariable regression analysis showed that medical professionals and specialists exhibited a higher perception of the importance and safety of vaccines compared with other categories. Conclusions: HCWs showed greater knowledge of pneumococcal vaccination, while administrative staff had lower awareness and more hesitancy. Both groups preferred in-hospital vaccination and expressed interest in structured educational initiatives. Full article

Italian “Agricultural Engineering”, while evolving toward the broader, interdisciplinary field of “Biosystems Engineering” (which also includes the study of biomasses/biomaterials, field and forest mechanization in difficult contexts and advanced post-harvest agri-food technologies), suffers from a structural critical issue due to its historical academic placement within the Agricultural rather than the Engineering departments. This positioning limits the depth of the technical subjects proposed to the students and does not facilitate the necessary collaboration with core engineering disciplines in research and didactics activities, thereby potentially slowing innovation in crucial fields like agro-bio-energies, precision agriculture and field robotics. To address this misalignment and foster inter-departmental synergy, this study proposes adopting the Contamination Lab (C-Lab) model as the archetype of a possible framework of academic and professional networking involving and centered on Agricultural Engineering. C-Labs (transdisciplinary platforms proposed by the Italian Ministry of University and Research) function as experiential laboratories, gathering students from Engineering, Agronomy, Computer Science, and Economics to collaboratively develop solutions to real-world challenges posed by industry stakeholders. The integration of a permanent, thematic C-Lab focused on agri-forestry and food machinery, supported by methodologies for enhancing creativity in technical fields, such as design thinking, represents an effective (and necessary) strategy to give Agricultural Engineering greater visibility in the Italian (and international) scenario and, prospectively, relocate it to the center of any research involving the technological and technical aspects of agriculture, forestry and food production. It is concluded that this initiative can serve as an institutional bridge for hybrid training, which is essential for aligning academic competencies with the growing demands for innovation and multidisciplinary professionalism in the national agri-food tech sector. Full article

This paper offers a theoretical-interpretive contribution to the sociology of lifelong learning (LLL), exploring a sociological reframing of lifelong learning through the concept of social love as an analytical framework for reading the institutional practices of universities in the domain of LLL. Drawing on classical and contemporary sociological traditions (including recognition theory, French pragmatic sociology, and relational sociology), the paper develops the argument that lifelong learning, when understood as a relational and generative practice, can be interpreted through the four dimensions of social love: overabundance, care, recognition, and universalism. The paper proposes what can be interpreted as a theoretical and educational transposition of the World Love Index (WLI) framework: a shift in scale, from the nation-state to the university, and in domain, from general social policy to educational practice, that preserves the core logic of the WLI while adapting it to the context of higher education. This transposition responds to a gap explicitly identified within the WLI research program and contributes to the debate on the civic and relational dimensions of higher education. Empirically, the paper draws on a national survey conducted within the Italian University Network for Lifelong Learning (RUIAP), which mapped lifelong learning services across 27 universities between 2022 and 2023. The survey data are used not as a basis for hypothesis testing but as exploratory empirical material through which to illustrate and develop the proposed framework, following a logic of theory elaboration. The findings reveal a heterogeneous and evolving system, characterized by uneven levels of institutionalization across the four dimensions: recognition practices are most widely present, though concentrated on formal pathways; care emerges in dedicated services for vulnerable and non-traditional populations; universalism remains largely unrealized in terms of territorial outreach; and overabundance (institutional investment exceeding regulatory compliance) is present in limited but analytically significant cases. The study concludes that understanding LLL as a practice of social love offers new insights into the civic mission of universities and their contribution to fostering social cohesion and democratic participation. It further proposes the need for observatories of institutional social love in higher education (such as RUIAP) and identifies directions for future research and policy oriented toward the generation of relational goods and the common good within university systems. Full article

University professors’ emotional competencies are increasingly discussed as relevant dimensions of teaching professionalism that may shape students’ academic engagement, motivation, and psychological well-being. This qualitative study explores how university students perceive professors’ emotional and relational practices and how students perceived these practices as shaping their academic experience. Twenty-one semi-structured interviews were conducted with undergraduate and master’s students at an Italian university and analyzed through thematic analysis. Five interconnected themes were identified: (1) empathy and the humanization of the professor–student relationship; (2) relational and communicative styles shaping classroom climate and motivation; (3) emotional regulation in high-stress academic situations, particularly examinations; (4) perceived differences across teaching modalities and disciplinary contexts; (5) students’ expectations regarding balanced emotional openness and faculty development. Students described empathetic, approachable, and emotionally regulated professors as helping to reduce stress, strengthen academic confidence, foster engagement, and support a sense of belonging. Conversely, rigid, distant, or humiliating interactions were associated with anxiety, withdrawal, and disengagement. Rather than treating emotional competence as an individual disposition, the study proposes that it should be understood as a professional and institutional dimension of university teaching. It further develops the notion of student-perceived academic psychological safety as a relational mechanism through which professors’ emotional competencies may influence students’ well-being and participation. The findings highlight the need for faculty development initiatives and institutional policies that recognize the emotional and relational dimensions of teaching as integral to higher education quality. Full article

Background and Objectives: The COVID-19 pandemic was associated with major disruptions, not only at the environmental, social, and economic levels but also in the public health systems and, therefore, emergency care utilisation. Prior to the pandemic, one of the most significant issues in the ED was overcrowding, with a consequent percentage of people leaving the ED without being seen (LWBS). The aim of this study was to assess the association between the 2020 COVID-19 pandemic and the number of LWBS, compared with the rates recorded during the same period in 2019 and 2021. Materials and Methods: A retrospective comparative observational study of ED admissions was conducted in two university hospitals in Ancona (Italy) between 9 March and 3 May 2020 and in Gran Canaria (Spain) between 14 March and 10 May 2020, corresponding to the lockdown in the two countries, respectively. ED visits were assessed during the defined periods, separately for the Italian and Spanish contexts and between groups, comparing the two contexts for each year. Results: In Italy, during the 2019 timeframe, 597 (7.0%) of 8568 patients who arrived in the ED left before being seen; during the same period in 2020, 100 (3.2%) of 3100; and in 2021, 334 (6.0%) of 5555. In Spain, patients leaving the ED prior to medical consult in 2019 were 567 (4.0%) out of 14,034 visits; in 2020, they amounted to 185 (2.6%) out of 7208; and in 2021, they were 528 (4.0%) out of 13,214. The results of the logistic regression analysis for Italy and Spain showed that male sex [odds ratio (OR), 95% confidence interval (CI): 1.38 (1.24–1.53)], age group between 17 and 43 years compared to those subjects older than 74 years old [OR (95%CI): 4.04 (3.34–4.88)] and a lower priority code at triage were significantly associated with a higher odds of LWBS. Conclusions: The findings suggest that the COVID-19 pandemic was associated with changes in only some characteristics of the profiles and types of patients leaving the ED, while it had a strong impact on the number of patients who left the ED before medical examination. The observed decrease in ED visits and LWBS rates in 2020 suggests that the COVID-19 pandemic has changed the population’s use of the ED, highlighting the potential need for improved public and professional awareness of appropriate care pathways and the role of health professionals in them. Full article

Acute gastroenteritis (AGE) remains a leading cause of pediatric mortality and morbidity, with rotavirus as the leading cause of severe disease. Post-vaccine surveillance is essential to monitor circulating pathogens and assess vaccination impact. Sicily was the first Italian region to implement universal rotavirus vaccination in 2012. We retrospectively studied 693 children hospitalized for suspected viral AGE at the Children’s Hospital of Palermo (March 2017–February 2020), testing stool samples for viral and bacterial enteric pathogens. Rotavirus remained the most common agent (13.3%), followed by norovirus (12.1%), adenovirus (11.3%), Salmonella spp. (4.6%) and astrovirus (3.2%). The study population was categorized as rotavirus-associated AGE (RV-AGE) or other-cause AGE (O-AGE). Epidemiological, clinical and virological features were compared with the pre-vaccine period (2011–2012). At least one pathogen was detected in 47.5% of samples. RV-AGE cases were older than those with O-AGE (median 32.6 vs. 30.5 months; p < 0.01) and had greater clinical severity, with higher frequency of vomiting, fever and dehydration. Rotavirus infection was significantly associated with unvaccinated status. Compared with the pre-vaccine era, rotavirus prevalence declined (32.6% vs. 13.3%), seasonal patterns were attenuated and genotype distribution shifted toward G2P[4], G9P[8] and equine-like G3P[8] strains. Despite the decline in RV-AGE following vaccine introduction, rotavirus remains a relevant cause of pediatric AGE, underscoring the need for high vaccination coverage and continued surveillance. Full article

Research on relative clause (RC) attachment ambiguity has shown that parsing preferences vary cross-linguistically, and that bilingual exposure can influence both the L2 and the L1. However, few studies have examined parsing preferences in both languages of the same bilingual populations, and the English–Italian pairing remains underexplored. This study addressed these gaps by investigating RC attachment resolution in 112 participants across four groups: British university students learning Italian in UK classrooms (n = 27; age of L2 acquisition: M = 17.6, SD = 1.3), British long-term residents in Italy (n = 27; age of L2 acquisition: M = 24.0, SD = 7.7; length of residence: M = 20.4, SD = 14.1), and English (n = 31) and Italian (n = 27) monolingual controls. Using self-paced reading tasks, we measured attachment preferences and reading times in both languages. In Italian ambiguous trials, controls showed a significant high-attachment preference while neither bilingual group showed a significant preference in the same direction. The model revealed a significant overall group difference driven by a contrast between Italian controls and students, though not specific to ambiguous trials. Both bilingual groups were also overall slower to parse RCs than Italian controls after controlling for proficiency or age differences. In English, all groups performed at chance level with no significant differences in preferences or reading times. These exploratory findings suggest that L1 influence on L2 RC attachment may persist even in proficient immersed bilinguals. No clear evidence of L1 attrition emerged, contrasting with previous Spanish–English findings and with anaphora resolution results in the same sample. Methodological limitations constrain interpretation and should be addressed in future research. Full article

The use of artificial intelligence (AI) in the radiological field has been extensively investigated from the radiologists’ perspective. Existing studies have primarily focused on AI’s contribution to diagnostic processes and on how its introduction has transformed—and continues to transform—radiologists’ professional practice. The perspectives of radiographers remain underrepresented in the literature, despite their central role in image acquisition and their position as the primary “on-the-ground” operators and managers of imaging technologies. The objective of this study was to analyze the perceptions, attitudes, and expectations of Italian radiographers regarding the introduction of AI, and to provide insights to inform professional training and organizational strategies within healthcare systems. A cross-sectional survey study with qualitative enhancement was adopted as the study design. A survey was administered to a convenience sample, comprising 222 respondents. The findings reveal a high level of familiarity with AI in everyday life, accompanied by an almost complete absence of cultural resistance, suggesting a workforce that is both receptive and ready to evolve. Nevertheless, this individual readiness is contrasted with a substantial institutional and operational gap, characterized by the lack of standardized protocols, regulatory uncertainty, and an uneven distribution of technological resources. The effective integration of AI therefore requires a comprehensive and coordinated approach. Educational reform is necessary to integrate AI and radiomics into university curricula and continuing professional development programs, encompassing not only technical competencies but also ethical, deontological and communication skills. Finally, national and European regulatory frameworks must evolve to clearly define radiographers’ responsibilities within AI-assisted workflows, to establish robust guidelines for data governance and the management of algorithmic outputs. Full article

Recent research highlights the importance of effective teaching methodologies to enhance scientific learning from the earliest years of schooling. The present study investigates the effects of the Spaced Learning (SL) methodology in science education in Italian primary schools, with particular attention to scientific knowledge and students’ scientific reasoning skills. The study involved 401 third- and fourth-grade pupils (aged 8–11) from three primary schools in Palermo, Italy, during the 2024/2025 school year. A quasi-experimental design was adopted, with classes assigned to an experimental group that adopted SL or to a control group that followed traditional teaching. The intervention lasted seven months and was supported by continuous teacher training and collaboration with university researchers. The data were collected through a pre-test/post-test questionnaire developed and validated by experts in physics education. The tool assessed the students’ general scientific reasoning skills through multiple-choice items inserted in everyday life contexts. Descriptive statistics were calculated and between-group comparisons were made by Student’s t-test or Welch’s t-test when the assumption of homogeneity of variances was not met. The results indicate that students exposed to the SL methodology achieved higher post-test scores than those who received traditional education, suggesting a positive effect of time-distributed, movement-integrated learning on science learning outcomes. Such results support the effectiveness of SL as a promising teaching approach to promote meaningful and lasting scientific learning in primary school. Full article

Background: Dental caries remain a major public health issue among Italian children, with prevalence exceeding 60% in specific subgroups and marked socioeconomic gradients. Objectives: This multicenter study aimed to describe baseline caries experience, malocclusions, and oral hygiene status in pediatric populations residing in three Italian regions and to develop and preliminarily evaluate the feasibility of an integrated care pathway for the prevention and management of caries and malocclusions. Materials and Methods: Within the CCM 2024 program (ID 10), a cross-sectional baseline assessment was conducted on 795 children aged 6–11 years, examined in school settings and via mobile dental units. Caries experience was assessed using the dmft/DMFT indices and International Caries Detection and Assessment System (ICDAS) criteria. Malocclusions were evaluated using the Index of Orthodontic Treatment Need (IOTN). Oral hygiene was assessed through standardized clinical indices. The proposed care pathway comprises three tiers: (1) universal, school-based oral health education; (2) targeted clinical preventive and interceptive interventions; and (3) telemedicine/AI-supported follow-up for high-risk children. Descriptive and multivariable statistical analyses were performed. Results: At baseline, overall caries burden was low. No statistically significant differences in dmft/DMFT were observed between males and females. A non-significant trend toward higher caries indices was found among children with a positive breastfeeding history. By contrast, oral hygiene level was strongly associated with caries indices: children with insufficient hygiene had the highest dmft/DMFT, those with moderate hygiene showed intermediate values, and those with optimal hygiene presented the lowest caries experience. In multivariable models, oral hygiene emerged as the main independent predictor of dmft/DMFT. Conclusions: In this low-caries cohort, oral hygiene was confirmed as the principal modifiable determinant of caries risk. A tiered, school- and community-based care pathway focused on hygiene promotion, early screening, and minimally invasive clinical interventions appears feasible at baseline and may be scalable, with the aim of reducing the burden of caries and malocclusions and improving equity in pediatric oral health. Full article

Background: Serum concentrations of 25-hydroxyvitamin D [25(OH)D] are associated with the risk of several chronic and acute diseases. However, updated data on vitamin D status in Mediterranean countries, including Italy, remain limited, hindering effective public health strategies. Objective: To assess serum 25(OH)D levels and their seasonal variation in healthy blood donors aged 18–65 years living in Northern Italy and not taking vitamin D supplements. Given the latitude and the high levels of environmental pollution, cutaneous vitamin D synthesis may be impaired in this population. Recent Italian guidelines on supplementation emphasize the need for updated data on the prevalence of hypovitaminosis D and seasonal variation in endogenous vitamin D synthesis. Methods: In this exploratory retrospective cross-sectional study, 534 blood donors (268 men and 266 women) attending the Transfusion Medicine Unit of the Verona University Hospital were enrolled between April 2016 and May 2018. Serum 25(OH)D concentrations were analyzed by season. Clinical, lifestyle, pharmacological and dietary characteristics were also collected. Results: Among healthy, normal-weight individuals, the prevalence of vitamin D insufficiency (25(OH)D < 50 nmol/L) was low and limited to one-two months per year. Overweight and obesity significantly reduced the likelihood of achieving adequate 25(OH)D levels through cutaneous synthesis for several months. Mean 25(OH)D concentrations were higher than those previously reported in the same area, while seasonal variation remained preserved. Conclusions: In a relatively small non-supplemented population of blood donors living in a high polluted urban area of Northern Italy, seasonal vitamin D synthesis seems to be preserved. These updated data show higher 25(OH)D levels compared to past findings. Although these data certainly warrant further validation through a national survey involving other regions of Italy and in not selected population, they appear to be in line with the SIOMMMS recommendations against indiscriminate serum 25(OH)D testing and against routine supplementation for healthy normal-weight individuals under 70 years. Full article

Background/Objectives: To assess the prevalence of eating disorder (ED) risk in a sample of Italian university students and to examine its independent associations with mental health indicators, self-rated health, body mass index (BMI), lifestyle behaviours, and engagement with digital food-related applications. Methods: Of the 2779 Italian university students who accessed the survey, 2691 completed and were included in the analysis. ED risk was assessed with the validated 5-item SCOFF questionnaire. Exposure included socio-demographics, BMI, depressive symptoms (PHQ-9), self-rated health, adherence to the Mediterranean diet (Medi-Lite), smoking, alcohol use (AUDIT-C), and use of food delivery and food waste apps. Multivariable logistic regression models, stratified by sex, and adjusted by age and education, estimated associations with ED risk. Results: Overall, 34.6% of participants screened positive for ED risk (women 39.5%, men 21.8%). Smoking and use of food delivery apps and food waste apps were independently associated with ED risk. Clinically relevant depressive symptoms (PHQ-9 ≥ 10) (aOR 3.37, 95% CI 2.82–4.02) and poor/fair self-rated health (aOR 2.45, 95% CI 1.93–3.11) showed the strongest association. Overweight (aOR 1.47, 95% CI 1.06–2.03) and obesity (aOR 2.48, 95% CI 1.53–4.01) increased the likelihood of ED risk. Risky alcohol use was also associated (aOR 1.42, 95% CI 1.15–1.75). Conclusions: More than one in three Italian university students is at risk for an ED, highlighting a substantial public health concern. Strong links with depression, perceived poor health, digital food app use, and unhealthy behaviours underscore the need for early screening and integrated mental health and nutrition interventions within university settings. Full article

Control–value theory (CVT) is a robust framework for understanding the antecedents of achievement emotions. However, few studies examined the interaction between control and value appraisals across a broad range of emotions. The aim of this study was to explore the interactive role of control and value in predicting 10 achievement emotions—three positive activating emotions (enjoyment, pride, and hope), two positive deactivating emotions (relief and relaxation), three negative activating emotions (anxiety, anger, and shame), and two negative deactivating emotions (hopelessness and boredom)—felt in relation to the academic setting of studying. We recruited 166 and 126 Italian university students attending two consecutive psychological modules (General Psychology and Developmental and Educational Psychology) within the same degree programme. Data were collected via self-report questionnaires, with partial overlap between samples, as a substantial proportion of students participated in both modules. Through regression analyses, control and value showed the expected pattern of associations, being positively related to positive emotions and negatively related to negative emotions. Evidence for interaction effects was limited across emotions and modules: significant interactions emerged for anger and shame in the first module and for enjoyment and relaxation in the second, although these effects were generally small in magnitude. Overall, the findings provide partial support for CVT assumptions, suggesting that value may moderate the relation between control and achievement emotions in specific contexts, but not in a consistent or uniform way across emotional outcomes. Full article