Search Results (824)

Background: Sexuality education is essential for adolescent health and well-being, yet in Italy it is not included in a mandatory national curriculum, resulting in heterogeneous implementation across regions. Within the ESPRIT project, a multidisciplinary training-of-trainers (ToT) model was developed to prepare professionals to support school-based peer-education pathways. This study aimed to describe the training model and perform a pilot evaluation of short-term knowledge outcomes among trained participants. Methods: A pilot non-randomized controlled comparative study was conducted within the ESPRIT project framework. A multidisciplinary Training Team developed a structured ToT pathway based on WHO guidance, national recommendations, and peer-education models. Ten advanced public health residents in Hygiene and Preventive Medicine attended a three-day residential training course. One month later, a 10-item knowledge questionnaire was administered to trained participants (n = 10) and untrained advanced public health residents (n = 10). Results: Trained participants achieved higher questionnaire scores than the comparator group (median score 8 [IQR 2] vs. 3.5 [IQR 2]; p < 0.0005). Conclusions: Structured ToT programmes may represent a promising approach for strengthening professional preparation in sexuality education. Larger studies with longer follow-up are needed to evaluate sustainability and real-world implementation. Full article

Porosity-related quantities from industrial X-ray CT depend on segmentation and inference choices. When inference defaults are omitted from the report, void or phase fractions can shift by amounts comparable to slice-to-slice variability. The contribution is metrological rather than architectural: we document a reproducible nnU-Net 2D workflow on Dataset601 CTVoid from semantic labels to slice-wise void fraction, optional two-dimensional connected-component pore summaries, isotropic three-dimensional stacking at 0.058 mm spacing, and spatial axis diagnostics, with region of interest and voxel spacing stated explicitly. The main results pair a weak export policy, defined as a single forward pass per slice without multi-scale fusion or test-time augmentation, with a strong policy that enables multi-scale fusion and flip-based augmentation on the same slice exports and identical weights, on one hundred consecutive slices from one cementitious industrial stack of 1028 × 1028 pixels. In parallel we report trainer validation on eight named Dataset601 validation cases and mirroring-based test-time augmentation off versus on re-inference on those same cases; case identifiers and the cross-validation split appear in the main text. These quantities answer different questions and must not be substituted for one another or for independent full-stack ground truth. Porosity-related scalars from industrial X-ray CT depend on how segmentation and inference are configured; when defaults are omitted, void fractions can shift by amounts comparable to slice-to-slice variability. For fixed nnU-Net weights on one cementitious industrial slice stack (1028 × 1028 pixels), we benchmark weak inference (single forward pass, no multi-scale fusion or test-time augmentation) against a strong export policy (multi-scale fusion and flip-based augmentation) on 100 paired slices, and report parallel trainer validation and TTA-off versus TTA-on re-inference on eight Dataset601 hold-out cases. For the industrial dataset, mean void-class IoU between modes is 0.716 (SD 0.043), while strong inference is ~2.6× slower and predicts lower mean void area (2.37% vs. 3.04%). The full weak export gives a 3D void ratio of 2.44% and integrated void volume of 5175 mm³. On validation patches, mean void Dice/IoU against the reference are 0.835/0.728, while weak–strong void IoU reaches 0.924 under the nnU-Net-native TTA contrast—quantities that must not be interchanged across domains or definitions. The present benchmark does not include a systematic polymer dosage series, and the study does not equate semantic void with open porosity but provides a reproducible disclosure template relevant to porous and polymer-modified cementitious CT reporting. Full article

Equine sports medicine is increasingly oriented toward objective, field-based monitoring systems that support both performance optimization and welfare assessment. In this context, smartphone-based technologies have emerged as accessible tools capable of integrating data acquisition, processing, and interpretation within a single platform. This narrative review aims to examine the role of smartphones in equine sports medicine, focusing on their function as standalone sensing devices and as gateways for wearable and external sensor systems. The analysis is based on a structured synthesis of current literature addressing technological foundations, including embedded sensors, connectivity architectures, and artificial intelligence-driven data processing, as well as their clinical applications across locomotor, cardiovascular, respiratory, behavioural, and thermoregulatory domains. Evidence indicates that smartphone-based systems improve the feasibility of longitudinal monitoring and facilitate real-time decision-making in field conditions, while enhancing communication between veterinarians, trainers, and owners. However, their performance remains influenced by acquisition conditions, system variability, and algorithmic constraints, requiring careful validation and contextual interpretation. In addition, challenges related to data governance, privacy, and ethical use remain insufficiently addressed. Overall, smartphone-based technologies represent enabling tools that support a transition toward more integrated, data-driven, and welfare-oriented management of the equine athlete, while highlighting the need for standardisation and regulatory development. Full article

Rural adolescents face persistent health inequities driven by limited access to preventive health education, intergenerational engagement, and resources that support lifelong wellness. This study evaluated the effectiveness of Active Aging for L.I.F.E., a school-based intergenerational health literacy program, in improving adolescents’ attitudes toward aging and health. The four-session program, delivered through a train-the-trainer model involving older adults and undergraduate students, was implemented in three rural schools during the 2024–2025 academic year. A total of 86 junior high and high school students participated, with 77 completing pre- and post-program surveys assessing attitudes toward aging, health consciousness, and intergenerational engagement. Paired t-tests and multiple regression analyses examined overall program effects and differences by sex/gender and age group. Students demonstrated significant improvements in aging attitudes, perceived relevance of aging topics, enjoyment of intergenerational interaction, and awareness of health-promoting behaviors across the lifespan. Several baseline sex/gender and age-based gaps in health-related perceptions were reduced following participation, with stronger future-oriented attitude shifts observed among younger adolescents. These findings suggest that brief, scalable intergenerational interventions embedded in rural school settings can support early prevention, health literacy, and community capacity building, offering a promising strategy for advancing rural public health outcomes across the life course. Full article

Background/Objectives: Papua New Guinea has a population of over 10 million, with its public cardiac surgical service provided by only one tertiary center. Despite the climbing burden of ischemic heart disease, no CABG operation has been performed before 2025 due to limited local surgical capacity. An international collaboration was planned in order to launch a CABG program in the country. Methods: Three cases were shortlisted after a multidisciplinary team discussion. A team-based “On-the-job” mentoring strategy was employed to facilitate skill transfer. The operation was carried out in a “twinning” fashion, with each role of the surgical team being taken up by “a pair”—the trainer (visiting team) and the learner (local team). The trainer demonstrated key skills and tips in the first case, and the “pair” switched positions in the following cases to maximize hands-on learning. The last case was performed entirely by the local team. Results: Three patients underwent CABG operations in this pilot program. A total of 2.33 grafts/case were performed on average, with no 30-day mortality. There were no major complications except for one patient developing right middle cerebral artery infarct on postoperative day 5. The patient was discharged one month later after achieving functional recovery and was started on anticoagulation therapy. Conclusions: International collaborations with strategic planning can play a critical role in starting new cardiac surgical programs in low–middle-income countries, with acceptable surgical outcomes. History has been made with the first-ever CABG operation successfully performed in Papua New Guinea. The journey ahead to sustain local cardiac surgical capacity and to provide safe and accessible cardiac surgical care for the country remains challenging. Full article

Background/Objectives: The trainer–doctor model (TDM) is a participatory paradigm in which the physician acts as a mentor and educator. Effective health communication and patient engagement are key determinants of treatment adherence and health outcomes. Based on this conceptual framework, the present study aimed to assess preferences for the Trainer–Doctor Model among dental practitioners and patients, examine the influence of demographic variables, and provide a preliminary psychometric evaluation of the TDM questionnaire in accordance with the COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) criteria. Methods: A cross-sectional survey was conducted in Romania between May 2023 and April 2024. The study included dental practitioners recruited during scientific dental conferences and patients recruited from a private dental practice in Alba Iulia, Romania. Eligible participants were adults aged 18 years or older who provided written informed consent and completed the data protection requirements. Individuals younger than 18 years of age or those who did not provide complete informed consent were excluded. Participants completed a 12-item Likert-type questionnaire assessing preferences toward the Trainer–Doctor Model. Results: Both groups showed high TDM preference (practitioners: 43.93 ± 5.56; patients: 44.77 ± 4.84; p = 0.195); 71–76% of responses were high-preference (≥4). Cronbach’s α with reverse-scored items was 0.752/0.651. EFA (KMO = 0.740; Bartlett’s p < 0.001) identified a 3-factor structure, explaining 51.3% of the variance. Patients scored significantly higher on items A (p = 0.002), B (p = 0.022), and F (p = 0.005). Conclusions: Both groups demonstrate a strong, consistent preference for TDM across demographics. The preliminary psychometric evaluation indicates acceptable internal consistency and structural validity; however, further validation, including Delphi-based content validation and confirmatory factor analysis, is required. Full article

Background: RIDInet-Reading Trainer 2 (RT-2) is a web-platform for the remote treatment of developmental dyslexia (DD) which has been shown to improve reading performance. However, no previous studies have investigated stability in reading improvement after RT-2 training and the influence of a previous diagnosis of developmental language disorder (DLD) and of participants’ age on stability. Objectives: In a sample of 52 Italian-speaking children with DD who participated in a 3-month home-based treatment with RT-2, we aimed (1) to assess the stability in reading improvement after RT-2 training at a 3-month follow-up and the potential moderating role of DLD and age; and (2) to evaluate the impact of RT-2 training in reading comprehension. Results: By implementing linear mixed model analysis, our findings confirmed reading improvement after RT-2 training in word and text reading in DD. Moreover, we observed an overall stability in single-word and text reading speed performances after three months, regardless of the diagnosis of DLD and the age of the participants. Conversely, accuracy showed an overall stability for single-word reading, while it was significantly stable only in the younger participants in text reading. The improvement was educationally relevant as it impacted reading comprehension. Conclusions: The current study supports the use of remotely delivered DD interventions among school-aged children. Full article

Background/Objectives: Assisted verticalization and supported upright activity are relevant components of rehabilitation in adults with severe acquired brain injury (sABI), although patient selection and implementation remain challenging. This retrospective observational study aimed primarily to describe the implementation feasibility and documented safety of GRILLO-based training in routine inpatient multidisciplinary rehabilitation, and secondarily to report exploratory pre–post functional changes. Methods: We reviewed clinical records of 34 adults screened or considered for GRILLO-based training at Centro Cardinal Ferrari KOS, Italy, between June 2022 and December 2024. GRILLO training was delivered as part of standard care and not as an experimental intervention. Functional outcomes included the Barthel Index (BI), Trunk Control Test (TCT), Tinetti Balance Scale, and Tinetti Gait subscale, extracted from routine documentation. Non-parametric descriptive analyses were used. Results: Of 34 screened patients, 4 did not meet diagnostic criteria for ABI, 5 interrupted training because of pain or poor tolerance to prolonged upright positioning, and 3 were not included because of poor compliance/motivation or an incomplete clinical pathway. The paired functional-analysis cohort comprised 22 patients: 20 (91%) completed 15 sessions and 2 (9%) completed 10 sessions. No serious device-related adverse events were documented in available clinical records, although minor adverse events were not systematically monitored. Among patients with paired observations, median BI increased from 16 to 22.5 (median change, +3; p = 0.008; n = 20), median TCT from 72 to 74 (median change, +12; p < 0.001; n = 21), and median Tinetti Balance Scale from 1 to 2 (median change, +1; p = 0.006; n = 22). Individual responses were heterogeneous and floor effects were evident, especially for balance and gait-related measures. Conclusions: In this retrospective real-world cohort, GRILLO-based training could be implemented in selected severely impaired inpatients, but feasibility may be overestimated if interrupted and non-completing cases are not considered. The non-completion cases may suggest that feasibility depends not only on initial clinical indication, but also on the appropriate timing of introduction, tolerance to prolonged upright physical effort, pain/discomfort, motivation, and behavioral engagement. The retrospective design, survivorship bias, non-systematic adverse-event monitoring, concurrent multidisciplinary rehabilitation, and absence of a comparator group preclude conclusions regarding device-specific safety or efficacy. Nevertheless, these preliminary findings support further prospective controlled studies. Full article

As part of the European Erasmus+ IM-PRO-IN-DE project, this article evaluates a qualification course in instructional design for digital learning, with particular attention to Universal Design for Learning (UDL), creative thinking and inclusive education. The study adopted a mixed-methods design, combining quantitative questionnaire data with qualitative open-ended responses and trainer observations. Twelve higher-education students participated in the course evaluation. The results show positive perceptions of the relevance of the training, especially regarding leadership, collaborative work, digital assessment and the pedagogical use of technologies. At the same time, several participants reported only partial gains in their understanding and application of UDL, indicating the need for more applied activities, structured case studies and sustained communities of practice. The article, therefore, contributes a project-based empirical evaluation of teacher preparation for inclusive digital learning, while acknowledging the limits of a small, single-course, self-report study. Full article

Background: The use of sports supplements among adolescents is rising globally, driven by fitness trends and social media influence, yet knowledge gaps persist. This study aimed to assess supplement usage patterns, knowledge, attitudes, information sources, and the impact of a social media educational intervention among Serbian secondary school students. Methods: A single-group pre–post educational intervention study was conducted in secondary school students (aged 14–18) in Vojvodina, Serbia. A 21-question anonymous questionnaire was distributed to 1000 students along with parental informed consent forms. Pre-intervention survey assessed sociodemographics, physical activity and social media habits, supplement use information sources, and awareness of risks and banned substances. Based on the initial findings, an educational campaign delivered 56 short videos (≈70 s each) on Instagram and TikTok covering most frequently used supplements (e.g., creatine, proteins, caffeine, energy drinks). After, the intervention survey was repeated. The data were analyzed using the McNemar–Bowker test of symmetry. Results: In this study, 65% of Serbian secondary school adolescents reported being physically active, engaging predominantly in gym workouts and team sports. The majority of participants initiate dietary supplement use independently, without consulting healthcare professionals or adults. The most commonly used supplements were vitamins and minerals, while energy drinks ranked notably high. Social media intervention had a limited impact due to its short duration; however, certain changes were detected. Conclusions: Serbian adolescents frequently use sports supplements without adequate professional guidance. Long-term TikTok/Instagram interventions could be used in the future in order to influence behaviors and improve knowledge about sport supplement use. Full article

Dog behavior problems are a common source of stress for owners, yet the psychological mechanisms underlying this distress remain poorly understood. This cross-sectional study online survey examines relationships among dog behavioral characteristics, caregiver guilt, burden, psychological outcomes, social context, veterinary communication quality, and decision-making regarding rehoming and euthanasia. Among 565 participants, 33% met criteria for probable anxiety, 20% for probable depression, and 78% for elevated caregiver burden; 53% reported feeling alone, and 40% reported feeling socially isolated. Dog behavior burden was associated with caregiver guilt, caregiver burden, and decision-making related to euthanasia and rehoming, but not with depression or life satisfaction. In contrast, caregiver guilt was consistently associated with higher anxiety, higher depression, greater caregiver burden, and lower life satisfaction. Informal and self-guided resources were widely used but perceived as less effective, and although veterinarians were commonly consulted, they were rated as less helpful than board-certified veterinary behaviorists, trainers, or prescribed medications. Findings suggest that caregiver distress may be driven less by the objective severity of behavior problems and more by how these experiences are interpreted, evaluated, and socially reinforced, highlighting the importance of addressing caregiver experiences alongside canine behavior. Full article

Operant conditioning that includes primarily positive reinforcement (R+) has been shown to be an effective and welfare-friendly method of training horses. Despite this, operant conditioning and R+ are not fully understood by many horse trainers who claim to advocate for its use. Anecdotal observations suggest that some professional trainers who claim to use R+ do not use R+ primarily, even in publicly offered educational demonstrations. To better understand readily available training materials regarding the use of R+ with horses, we reviewed a sample of 20 online trailer-training demonstrations to evaluate the extent to which R+ was used. Based on the percentage of trainer actions judged to be R+ versus negative reinforcement (R-), positive punishment (P+), or negative punishment (P-), eight of the 20 (40%) demonstrations included R+ exclusively. Three additional demonstrations included primarily R+ (> 90% of trainer actions), with the remainder R-. Seven used mostly R+ (55–80% R+ in combination with R-), and two used little R+ (16–23%), with the remainder mostly R-. The percentage of positive behavioral responses of the horse toward loading progress was strongly positively associated with the percentage of R+ trainer actions (r² = 0.90, p < 0.0001). The results of this sample confirm that not all online demonstrations of R+ accurately portray primarily R+. Full article

Background: Soccer match play induces substantial mechanical, metabolic, inflammatory, and neuromuscular stress, yet post-match monitoring in applied settings often relies on isolated markers, venous sampling, or limited time points. This observational repeated-measures study aimed to describe whether capillary-derived biomarkers, neuromuscular performance, and perceptual measures showed asynchronous recovery during the first 48 h after a standardised soccer match in elite players. Methods: Twenty-two elite male outfield soccer players completed a standardised 90 min match. Capillary blood biomarkers, countermovement jump (CMJ), 20 m sprint performance, maximal voluntary contraction (MVC), and delayed onset muscle soreness (DOMS) were assessed before the match, immediately post-match, and at 24 and 48 h post-match. Time effects were analysed using repeated-measures mixed-effects models, and associations between biochemical and functional responses were examined descriptively. Results: Match play induced clear but domain-specific disturbances. IL-6 and cortisol rose rapidly immediately post-match, whereas hsCRP, CK, LDH, myoglobin, and DOMS showed delayed peaks during early recovery. CK, LDH, myoglobin, and soreness remained above baseline at 48 h. CMJ and sprint performance were impaired after the match but largely recovered by 48 h, whereas MVC showed its greatest decrement at 24 h. Exploratory associations indicated that larger muscle damage responses tended to co-occur with greater strength and jump decrements and higher soreness, but these analyses were not causal. Conclusions: Recovery after a standardised elite soccer match was multidimensional and non-synchronous across physiological, neuromuscular, and perceptual domains. A capillary-based, multi-domain assessment strategy may provide a feasible descriptive perspective for field-based observation of post-match fatigue. Full article

This study investigates the Business Model Canvas (BMC) as a visual education tool within a training pathway aimed at enhancing human capital in inner areas. Using a qualitative case study involving 22 participants, data were collected through observations, analysis of four canvases, trainers’ reflections, and jury evaluations. Findings show that the BMC reduces cognitive load, supports distributed cognition, and fosters reflexivity, creativity, and collaborative learning. Moreover, it enables the development of entrepreneurial and strategic skills, contributing to social innovation and sustainable territorial development. Full article

This article reports an exploratory, small-cohort mixed-methods case study of how an e-learning platform and a virtual reality (VR) workshop simulator can be integrated into a traditional craft apprenticeship without displacing workshop-based learning. Drawing on the Craeft glassblowing Pilot 1 at the European Centre for Research and Training in Glassmaking (CERFAV), it reports a two-phase mixed-methods study contrasting a Traditional Augmented (TA) group, which used a Craeft e-learning platform and a VR glassblowing simulator, with a Traditional (T) control group following the standard Certificate of Professional Competence (CPC) program. Quantitative data from formative assessments and CPC examination results are combined with qualitative feedback, satisfaction surveys, self-assessment questionnaires, and interviews with apprentices and trainers. In Phase 1, where digital tools were deployed in a separate mode alongside existing instruction, the e-learning platform was perceived as pedagogically valuable, but descriptive differences in assessment outcomes were limited and uneven, with greater score dispersion in the TA group. In Phase 2, redesigned hybrid usage scenarios assigned distinct and complementary roles to the e-learning platform, VR, and workshop practice within an iterative learning cycle, and the descriptive results suggest more consistent patterns of higher scores for the TA group in cross-cutting theoretical subjects, with less variance in their scores. Qualitative analyses show that apprentices adopt a pragmatic stance towards digital tools, using the e-learning platform primarily for revision and exam preparation and VR for workshop discovery and tool recognition, while maintaining a strong attachment to material practice. The study suggests that, in small, high-stakes craft VET program, the perceived value of virtual learning environments depends less on their intrinsic properties than on their orchestration within coherent hybrid designs and on trainers’ capacity to align them with authentic tasks and assessment regimes. All findings should be interpreted as exploratory given the small sample size (n < 20), non-random group assignment, and potential self-selection biases. Full article