Smart welfare: the work of the educator at the time of Covid-19

The field of socio-educational services is focused on the value of relationships, proximity, support and intervention on site, at home or in users’ facilities, and all those elements are difficult to convert digitally. Nevertheless, during the period of the Covid-19 pandemic, smart working also became part of the everyday life of social educators. This study discusses the role of technology in the work of the educator during the pandemic period and possible future developments. The study offers an insight into the influence of Covid-19 on socio-educational services, focusing on the function of technology both in maintaining contact with the users where the service was suspended and in reshaping the assistance that continued to be provided. The research study highlights that, despite the challenges and the initial disorientation faced by educators, digital technologies can constitute important working tools to assure the continuity of the pedagogical relationship also in the socio-educational and care contexts

predictors of parenting stress during early adoptive parenthood

Parenting stress has a crucial influence on the parent-child relationship, the functioning of the family, and the development of children. Few studies have examined parenting stress in adoptive families during early parenthood, and fewer still have considered this issue in association with the quality of both couple and social relationships. The current study was intended to investigate predictors of parenting stress in a community sample of 56 adoptive parents from Italy, for a total of 112 participants. Our goals were to: 1) evaluate parenting stress among adoptive parents during the first post-adoption year, and 2) identify whether and to what extent parenting stress can be predicted by certain characteristics of the child (gender, age at adoption, years of institutionalisation, presence/absence of disease on arrival, emotional and behavioural difficulties), of parents' individual well-being (e.g., the presence of depressive symptoms), of relationships within the couple (sexual satisfaction, tenderness between partners, quarrelling) and with the social context (real and potential social support). In the analyses parents' gender effect and intercorrelations between the partners were taken into account. Results of multiple regression analysis and relative weight analysis highlighted the great importance of children's age at adoption and their emotional and behavioural difficulties in predicting both mothers' and fathers' stress, but also the contribution of the couple relationship quality as a protective factor that could reduce the level of parenting stress

Critical analysis of the integration of residual municipal solid waste incineration and selective collection in two Italian tourist areas

Municipal solid waste management is not only a contemporary problem, but also an issue at world level. In detail, the tourist areas are more difficult to be managed. The dynamics of municipal solid waste production in tourist areas is affected by the addition of a significant amount of population equivalent during a few months. Consequences are seen in terms of the amount of municipal solid waste to be managed, but also on the quality of selective collection. In this article two case studies are analyzed in order to point out some strategies useful for a correct management of this problem, also taking into account the interactions with the sector of waste-to-energy. The case studies concern a tourist area in the north of Italy and another area in the south. Peak production is clearly visible during the year. Selective collection variations demonstrate that the tourists' behavior is not adequate to get the same results as with the resident population. © The Author(s) 2014

Insulin administration: present strategies and future directions for a noninvasive (possibly more physiological) delivery

nsulin is a life-saving medication for people with type 1 diabetes, but traditional insulin replacement therapy is based on multiple daily subcutaneous injections or continuous subcutaneous pump-regulated infusion. Nonphysiologic delivery of subcutaneous insulin implies a rapid and sustained increase in systemic insulin levels due to the loss of concentration gradient between portal and systemic circulations. In fact, the liver degrades about half of the endogenous insulin secreted by the pancreas into the venous portal system. The reverse insulin distribution has short- and long-term effects on glucose metabolism. Thus, researchers have explored less-invasive administration routes based on innovative pharmaceutical formulations, which preserve hormone stability and ensure the therapeutic effectiveness. This review examines some of the recent proposals from clinical and material chemistry point of view, giving particular attention to patients' (and diabetologists') ideal requirements that organic chemistry could meet

Bullying victimization among internationally adopted adolescents: Psychosocial adjustment and moderating factors

Bullying constitutes a serious risk factor for the psychosocial adjustment of young people in both the general population and minority groups. Among minorities, international adoptees are likely to show a specific vulnerability to the experience of being bullied, moderated by specific risk and protective factors. This study aimed to investigate the association between adoptees’ experience of bullying victimization and their psychosocial adjustment, and to explore the moderating role of adoptive identity and reflected minority categorization. An online, anonymous self-report questionnaire was completed by 140 adolescents (13–17 years), who were internationally adopted by Italian families. Findings showed that being victimized was associated with higher levels of emotional and behavioral difficulties, but that the strength of this relation varied according to the levels of adoptive identity and reflected minority categorization. Specifically, victimization was found to have a more detrimental and negative impact on psychological adjustment for adoptees who were highly identified with the adoptive group, and reported to be less perceived by others as members of the minority group. Results are discussed in relation to recommendations for further research as well as for professionals working with internationally adopted adolescents.publishedVersio

Conditionally immortalized human proximal tubular epithelial cells isolated from the urine of a healthy subject express functional calcium-sensing receptor

The calcium-sensing receptor (CaSR) is a G protein-coupled receptor, which plays an essential role in regulating Ca(2+) homeostasis. Here we show that conditionally immortalized proximal tubular epithelial cell line (ciPTEC) obtained by immortalizing and subcloning cells exfoliated in the urine of a healthy subject expresses functional endogenous CaSR. Immunolocalization studies of polarized ciPTEC revealed the apical localization of the receptor. By Western blotting of ciPTEC lysates, both monomeric and dimeric forms of CaSR at 130 and ∼250 kDa, respectively, were detected. Functional studies indicated that both external calcium and the positive CaSR allosteric modulator, NPS-R568, induced a significant increase in cytosolic calcium, proving a high sensitivity of the endogenous receptor to its agonists. Calcium depletion from the endoplasmic reticulum using cyclopiazonic acid abolished the increase in cytosolic calcium elicited by NPS-R568, confirming calcium exit from intracellular stores. Activation of CaSR by NPS-R significantly reduced the increase in cAMP elicited by forskolin (FK), a direct activator of adenylate cyclase, further confirming the functional expression of the receptor in this cell line. CaSR expressed in ciPTEC was found to interact with Gq as a downstream effector, which in turn can cause release of calcium from intracellular stores via phospholipase C activation. We conclude that human proximal tubular ciPTEC express functional CaSR and respond to its activation with a release of calcium from intracellular stores. These cell lines represent a valuable tool for research into the disorder associated with gain or loss of function of the CaSR by producing cell lines from patients

Inferring relationships between pairs of individuals from locus heterozygosities

BACKGROUND: The traditional exact method for inferring relationships between individuals from genetic data is not easily applicable in all situations that may be encountered in several fields of applied genetics. This study describes an approach that gives affordable results and is easily applicable; it is based on the probabilities that two individuals share 0, 1 or both alleles at a locus identical by state. RESULTS: We show that these probabilities (z(i)) depend on locus heterozygosity (H), and are scarcely affected by variation of the distribution of allele frequencies. This allows us to obtain empirical curves relating z(i)'s to H for a series of common relationships, so that the likelihood ratio of a pair of relationships between any two individuals, given their genotypes at a locus, is a function of a single parameter, H. Application to large samples of mother-child and full-sib pairs shows that the statistical power of this method to infer the correct relationship is not much lower than the exact method. Analysis of a large database of STR data proves that locus heterozygosity does not vary significantly among Caucasian populations, apart from special cases, so that the likelihood ratio of the more common relationships between pairs of individuals may be obtained by looking at tabulated z(i )values. CONCLUSIONS: A simple method is provided, which may be used by any scientist with the help of a calculator or a spreadsheet to compute the likelihood ratios of common alternative relationships between pairs of individuals

Molecular Mechanisms of AKI in the Elderly: From Animal Models to Therapeutic Intervention

Acute kidney injury (AKI), a critical syndrome characterized by a sudden reduction of renal function, is a common disorder among elderly patients particularly in Intensive Care Unit (ICU). AKI is closely associated with both short- and long-term mortality and length of hospital stay and is considered a predictor of chronic kidney disease (CKD). Specific hemodynamic, metabolic, and molecular changes lead to increased susceptibility to injury in the aged kidney; therefore, certain causes of AKI such as the prerenal reduction in renal perfusion or vascular obstructive conditions are more common in the elderly; moreover, AKI is often multifactorial and iatrogenic. Older patients present several comorbidities (diabetes, hypertension, heart failure) and are exposed to multiple medical interventions such as the use of nephrotoxic contrasts media and medications, which can also trigger AKI. Considering the emerging relevance of this condition, prevention and treatment of AKI in the elderly should be crucial in the internist and emergency setting. This review article summarizes the incidence, the risk factors, the pathophysiology, the molecular mechanisms and the strategies of prevention and treatment of AKI in elderly patients