The University of Bologna career guidance project: bridging secondary schools and university with the e-learning experience

The University of Bologna has started the Career Guidance Project developing several initiatives: self evaluation questionnaires for Secondary Schools students, training courses for admission tests, and an e-learning platform with online modules in order to explain and show the cultural and professional environment of the University. It will be explained the genesis of the Project, the choice of the Learning Management System, the authoring tool advantages and the practical modules implementation. Special attention will be devoted to the analysis of the relationship with Professors and Authors during the modules preparation: the course deployment has been an opportunity not only to explain which are the basic aspects of e-learning effectiveness, but also to stress the importance of pedagogical aspects of a well structured course. The modules have been offered to several Secondary Schools in a pilot edition in Spring 2007. Now there are ten modules available: Industrial Chemistry, Economics, Engineering, Medicine and Nursing, Foreign Languages, Arts and Humanities, Psychology, Statistics, Law, Sciences. A new development of the Project will offer to the Erasmus students the possibility to use the e-learning modules to approach the University of Bologna and the preferred Faculty

Schools and healthcare in some post-Soviet hybrid democracies have improved. How?

After the end of the Cold War some ex-communist countries embraced full democracy, some became hybrid regimes while others backslid to authoritarianism. Andrea Cassani, Francesca Luppi, and Gabriele Natalizia examined the quality of education and healthcare in these states. They found that while the more democratic a country the better its public services, some hybrid regimes have also managed to improve living standards. While this is good for ordinary people’s social needs, it can also dampen down dissent and ensure the ruling hegemony stays in place

There is no evidence of a COVID-19 baby boom in Europe – but there is of a bust

Francesca Luppi, Bruno Arpino,and Alessandro Rosina find that the effect of the pandemic on fertility intentions is negative across Europe. Such consequences only exacerbate the effects of the Great Recession, as both crises have affected the fertility plans of the same generation

Cohousing for people living with dementia: The Modena experience

AbstractBackgroundSocial isolation, caregiving burden and costs, loss of quality of life related to increasing disability, loss of agency and personhood, are some of the main unmet needs for people with dementia (PwD) and their caregivers. Objective: In order to support people with dementia and their caregivers we implemented a cohousing model. 5 PwD were encouraged to live together. Caregivers were supported in the care according to person centred approach.MethodParticipation in the project (supported by Modena City Council and local Alzheimer association, had been on a voluntary basis. The only exclusion criteria for PwD had been bedridden .Each PwD has his own bedroom with personal belongings and furniture, while the dining and living room are furnished according to prosthetic environment principles. Caregivers turn up in order to both maintain familial environment and reduce global care burden, while formal caregivers, provided by social service and employed by relatives, contribute to PwD care. According to carers expressed needs, voluntaries and an occupational therapist have been engaged to weekly involve PwD in leisure activities and psychosocial intervention. A granted psychologist is available to support Caregivers. A cost analysis, PwD and caregiver quality of life evaluation and caregiving burden were checked. Two control groups of PwD living at home with relatives or family assistant were considered in order to evaluated this cohousing model effectiveness. The first control group was supported by local dementia association. PwD were follow by a memory clinic in cohousing group and in both control groups.ResultA significant cost reduction was found in cohousing group (1879 €/month vs 2502€/month and 2662€/month in control groups). Moreover caregiving burden reduction and an improved PwD and caregivers quality of life were found in cohousing group.ConclusionThis is the first cohousing experience for PwD, in our Country. Relatives improved caregiving experience, reduced financial burden, isolation and time spent for assistance. PwD reduced the risk of institutionalization and improved their quality of life. According to this study results another cohousing experience was open 6 month ago by our community social services

Words hurt: common and distinct neural substrates underlying nociceptive and semantic pain

Introduction: Recent studies have shown that processing semantic pain, such as words associated with physical pain, modulates pain perception and enhances activity in regions of the pain matrix. A direct comparison between activations due to noxious stimulation and processing of words conveying physical pain may clarify whether and to what extent the neural substrates of nociceptive pain are shared by semantic pain. Pain is triggered also by experiences of social exclusion, rejection or loss of significant others (the so-called social pain), therefore words expressing social pain may modulate pain perception similarly to what happens with words associated with physical pain. This event-related fMRI study aims to compare the brain activity related to perceiving nociceptive pain and that emerging from processing semantic pain, i.e., words related to either physical or social pain, in order to identify common and distinct neural substrates. Methods: Thirty-four healthy women underwent two fMRI sessions each. In the Semantic session, participants were presented with positive words, negative pain-unrelated words, physical pain-related words, and social pain-related words. In the Nociceptive session, participants received cutaneous mechanical stimulations that could be either painful or not. During both sessions, participants were asked to rate the unpleasantness of each stimulus. Linguistic stimuli were also rated in terms of valence, arousal, pain relatedness, and pain intensity, immediately after the Semantic session. Results: In the Nociceptive session, the 'nociceptive stimuli' vs. 'non-nociceptive stimuli' contrast revealed extensive activations in SI, SII, insula, cingulate cortex, thalamus, and dorsolateral prefrontal cortex. In the Semantic session, words associated with social pain, compared to negative pain-unrelated words, showed increased activity in most of the same areas, whereas words associated with physical pain, compared to negative pain-unrelated words, only activated the left supramarginal gyrus and partly the postcentral gyrus. Discussion: Our results confirm that semantic pain partly shares the neural substrates of nociceptive pain. Specifically, social pain-related words activate a wide network of regions, mostly overlapping with those pertaining to the affective-motivational aspects of nociception, whereas physical pain-related words overlap with a small cluster including regions related to the sensory-discriminative aspects of nociception. However, most regions of overlap are differentially activated in different conditions

The impact of COVID-19 on fertility plans in Italy, Germany, France, Spain, and the United Kingdom

Objective: This study offers a descriptive overview of changes in fertility plans during the COVID-19 crisis in a sample of the young population (18-34) in Italy, Germany, France, Spain, and the United Kingdom. The data were collected between 27 March and 7 April 2020. Results: Our results show that fertility plans have been negatively revised in all countries, but not in the same way. In Germany and France fertility plans changed moderately, with many people still planning or postponing their decision to have a child. In Italy, however, the proportion of abandoners is much higher than in the other countries, and the proportion of those deciding to postpone their plans is lower. Moreover, across countries the demographic characteristics of individuals appear to be associated with fertility plans in different ways. In Italy, abandoners are common among individuals younger than 30 and those without a tertiary education. In Germany, abandoners are slightly more prevalent in the regions most affected by COVID-19. In the United Kingdom, the individuals that most frequently abandoned their fertility plans are those who expect the crisis to have a dramatic negative effect on their future income. Finally, in France and Spain we do not observe a clear pattern of revision of fertility plans. Contribution: These results suggest that different mechanisms are at work, possibly due to the different economic, demographic, and policy pre-crisis background and post-crisis prospects. Low-fertility contexts in particular appear to be more at risk of a fertility loss due to the crisis

Receptive music interventions improve apathy and depression in elderly patients with dementia

Individuals with dementia and their families often experience poor quality of life due to patient's behavioral and psychological symptoms. Increasing evidence has mounted on the potential role of music in improving social, emotional and cognitive skills. In the present study we aim to investigate whether a receptive music intervention might reduce apathy and depression in elderly patients with Alzheimer's disease (AD) or vascular dementia (VaD) and improve their caregivers' burden. Among patients attending to a Memory Clinic, we have enrolled 48 AD or VaD elderly subjects. They were divided into two groups on the basis of family agreement to musictherapy. The experimental group (n=15) was asked to listen to a 80-minute audio CD, for at least 15 minutes per day, at least once a week, for three months. The overall sample was evaluated at baseline, at week 4 and at week 12 through the Mini Mental State Examination (MMSE), the Cornel- Brown Scale QoL in Dementia (CBSQoLD) and the Apathy Evaluation Scale (AES); caregiver stress was assessed using the Caregiver Burden Inventory (CBI). Apathy and depression were significantly improved among patients treated with music interventions compared to control group (treatment effect =43.667; P<0.001 and treatment effect =61.238; P<0.001 respectively). Caregiver burden was significantly reduced after three months of receptive music approach (treatment effect =15.759; P<0.001). The results of this study are consistent with the efficacy of receptive music interventions on improving apathy and depression in AD or VaD elderly patients and lowering associated caregiver's burden

Treatment of Rheumatoid Arthritis-Associated Interstitial Lung Disease: Lights and Shadows

Rheumatoid arthritis (RA) is a chronic and systemic inflammatory disease affecting 0.5-1% of the population worldwide. Interstitial lung disease (ILD) is a serious pulmonary complication of RA and it is responsible for 10-20% of mortality, with a mean survival of 5-8 years. However, nowadays there are no therapeutic recommendations for the treatment of RA-ILD. Therapeutic options for RA-ILD are complicated by the possible pulmonary toxicity of many disease modifying anti-rheumatic drugs (DMARDs) and by their unclear efficacy on pulmonary disease. Therefore, joint and lung involvement should be evaluated independently of each other for treatment purposes. On the other hand, some similarities between RA-ILD and idiopathic pulmonary fibrosis and the results of the recent INBIULD trial suggest a possible future role for antifibrotic agents. From this perspective, we review the current literature describing the pulmonary effects of drugs (immunosuppressants, conventional, biological and target synthetic DMARDs and antifibrotic agents) in patients with RA and ILD. In addition, we suggest a framework for the management of RA-ILD patients and outline a research agenda to fill the gaps in knowledge about this challenging patient cohort

A European Mixed Methods Comparative Study on NEETs and Their Perceived Environmental Responsibility

This study explores whether young people\u2019s propensity to take responsibility for the environment\u2014and, consequently, to make pro-environment consumption choices\u2014is negatively affected by living in a condition of social exclusion, such that of NEETs (i.e., Not in Education, Employment or Training). By adopting a mix of comparative methods, we used the fuzzy-set qualitative comparative analysis (fs-QCA) to compare European countries to find which configurations of types of NEET can be associated with different levels of perceived individual environmental responsibility. In addition, we implemented a mediation model by using Generalized Structural Equation Modeling (GSEM) estimation, to find whether the association between the NEET condition and the level of perceived environmental responsibility is mediated by individual happiness\u2014as a proxy of social exclusion\u2019s consequences on the individual\u2019s well-being. Fs-QCA results are integrated at the micro level to test context-related variation. Data come from the 2016 European Social Survey, the 2016 Eurofound report, and the 2018 Italian Youth Report. We found that the presence of more vulnerable NEETs is associated with lower levels of perceived environmental responsibility. At the micro level, only in some countries does the condition of NEET lead to attribute environmental responsibility to the institutions, rather than to the single individual, and it seems related to a general lower well-being

Musical hallucinations in elderly patients with visuospatial impairment: two case reports

Musical hallucinations are an uncommon type of auditory hallucinations, they widely occur in elderly. Our group analyzed medical history, pharmacological therapy, neuropsychological pattern, audiometric testing, electroencephalogram, cerebral magnetic resonance and cerebral fludeoxyglucose-positron emission tomography (FDG-PET) of two patients. FDGPET showed in both patients hypometabolism pronounced in posterior regions. In particular the medial-inferior temporal cortex and the occipital associative areas were affected. Moreover, neuropsychological pattern suggested a visuospatial-executive deficit, conformed to the occipital involvement. Our reported cases might suggest that musical hallucinations have been arisen from a combination of peripheral and central dysfunction. A further explanation might be that musical hallucinations result from multiple white matter lacunar lesions due to small vascular events. A question is whether musical hallucinations might be primarily associated with occipital areas hypometabolism and visuospatial alterations typically associated with Levy body dementia (LBD)