Gender Felt Pressure, Affective Domains, and Mental Health Outcomes among Transgender and Gender Diverse (TGD) Children and Adolescents: A Systematic Review with Developmental and Clinical Implications

Although capable of mobilizing significant resilience factors to face stigma and discrimination, transgender and gender diverse (TGD) children and adolescents tend to suffer from more adverse mental health outcomes compared to their cisgender counterparts. The minority stressors that this population faces are mainly due to the gender-based pressure to conform to their assigned gender. This systematic review was aimed at assessing the potential mental health issues that affect the TGD population. The literature search was conducted in three databases; namely, Scopus, PubMed, and Web of Science, based on the PRISMA guidelines. The 33 articles included in the systematic review pointed out how TGD children and adolescents experience high levels of anxiety and depression, as well as other emotional and behavioral problems, such as eating disorders and substance use. Resilience factors have been also pointed out, which aid this population in facing these negative mental health outcomes. The literature review highlighted that, on the one hand, TGD individuals appear to exhibit high levels of resilience; nonetheless, health disparities exist for TGD individuals compared with the general population, which are mainly attributable to the societal gender pressure to conform to their assigned gender. Considerations for research and clinical practice are provided

La salute degli anziani LGBT dalla prospettiva del minority stress. Rassegna della letteratura e raccomandazioni di ricerca

Lesbian, gay, bisexual, and transgender (LGBT) older adults have not received proper attention by the scientific literature and gerontology research, especially in Italy. This lack represents only an aspect of a more general condition of social invisibility that weighs on this population. The present contribution aims to provide researchers and clinicians with a review of scientific works which, especially in the USA, have casted light on experiences of stigmatization, discrimination, and victimization experienced and perceived by this population. The theoretical framework is represented by the minority stress perspective which provides an overview of risk and protective factors related to physical and mental health of minority groups. In the current review, authors considered studies conducted through quantitative, qualitative, and mixed methods, starting from 2000. Following the above described perspective, results are presented in two sections: the first one is focused on the different forms of stigma which weigh on LGBT older adults and the second one on the mental and physical health outcomes and on protective factors. The application of the minority stress perspective on LGBT older adults provides researchers and social and health care system providers with a psychosocial and clinical framework through which reading the phenomenon. Finally, main research recommendations are discussed

Cancer management during COVID-19 pandemic: is immune checkpoint inhibitors-based immunotherapy harmful or beneficial?

The coronavirus disease 2019 (COVID-19) is currently representing a global health threat especially for fragile individuals, such as cancer patients. It was demonstrated that cancer patients have an increased risk of developing a worse symptomatology upon severe acute respiratory syndrome associated coronavirus-2 (SARS-CoV-2) infection, often leading to hospitalization and intensive care. The consequences of this pandemic for oncology are really heavy, as the entire healthcare system got reorganized. Both oncologists and cancer patients are experiencing rescheduling of treatments and disruptions of appointments with a concurrent surge of fear and stress. In this review all the up-to-date findings, concerning the association between COVID-19 and cancer, are reported. A remaining very debated question regards the use of an innovative class of anti-cancer molecules, the immune checkpoint inhibitors (ICIs), given their modulating effects on the immune system. For that reason, administration of ICIs to cancer patients represents a question mark during this pandemic, as its correlation with COVID-19-associated risks is still under investigation. Based on the mechanisms of action of ICIs and the current evidence, we suggest that ICIs not only can be safely administered to cancer patients, but they might even be beneficial in COVID-19-positive cancer patients, by exerting an immune-stimulating action

Heat Kernel Expansion for Semitransparent Boundaries

We study the heat kernel for an operator of Laplace type with a $\delta$-function potential concentrated on a closed surface. We derive the general form of the small $t$ asymptotics and calculate explicitly several first heat kernel coefficients.Comment: 16 page

Health of Non-binary and Genderqueer People: A Systematic Review

Background: Non-binary and genderqueer (NBGQ) people are those who do not identify within the gender binary system (male vs. female), not falling exclusively in man/male or woman/female normative categories. A higher proportion of NBGQ people is usually found within young persons. This population is marginalized and, as such, is at risk of stigmatization and of developing negative health outcomes. As literature on the health of NBGQ people is sparse, this study aims at systematically review the limited studies on this field. Methods: The research questions which guided the systematic review were: (1) What are the differences in the health levels between NBGQ and binary transgender (BT) individuals? (2) What are the differences in the health levels between NBGQ and cisgender individuals? (3) Which medical and psychological interventions are most suitable for improving NBGQ health? According to PRISMA guidelines, a systematic search was conducted in PubMed, PsycInfo, Web of Science, and Google Scholar. Results: Eleven studies met the inclusion criteria for the current systematic review. Among them, 9 were focused on the health differences between NBGQ and BT individuals, 4 of the latter and 1 individually were focused on the health differences between NBGQ and cisgender individuals, and 1 was focused on the evaluation of health outcomes related to medical procedures. No studies assessed psychological interventions aimed at improving health in NBGQ individuals. All studies were cross-sectional, did not generally recruit a large sample of NBGQ individuals, and used non-probability sample design. Results related to the difference in health between NBGQ and BT were mixed; indeed, some found a better health status while others a worse one. Results related to the differences in health between NBGQ and cisgender highlighted higher health needs in NBGQ than in BT individuals. The only study analyzing the effects of medical interventions on health found that NBGQ female-assigned at birth individuals improved their quality of life after chest surgery. Conclusions: Although scholars are starting to pay attention to the NBGQ health, research needs to be expanded both in terms of methodology and research contents. Clinical, health-related social policies, and research recommendations in this field are reported

Opuntia cladodes as functional ingredient in durum wheat bread: rheological, sensory, and chemical characterization

Cladodes are considered by-products of Opuntia ficus-indica cultivation. Their addition as source of antioxidants to durum wheat breads could have effects on preventing cardiovascular diseases, cancers, and inflammation. The inclusion of 0-5-10-15% cladodes, harvested in three different locations, on quality and antioxidant properties of fortified durum wheat breads has been evaluated. The enrichment with 10% of cladodes resulted in an increase in the content of total phenolics (14.8 vs 2.7 mg GAE/100 g of control bread), a decrease of IC50 (3.28 vs 49.7 mg/ml of control bread), good rheological characteristics of loaves and largely positive evaluation by panel test. Fortification with 15% of cladodes caused an increase in the resistance to the mixture with a reduction of dough extensibility. In addition, the evaluation of different populations of Opuntia gave information about the valorization of the crop and could be a strategy to increase bioactive compounds in durum wheat breads

The Italian Validation of the Gender Minority Stress and Resilience Measure

Transgender and gender nonconforming (TGNC) people experience high levels of minority stress and associated risk for negative mental health outcomes. Notwithstanding, TGNC people may resist the negative effects of minority stress on health through the resilience factors. As no comprehensive measures of gender minority stress and resilience exist in Italy, this study evaluated the psychometric characteristics of an Italian language version of the Gender and Minority Stress and Resilience Measure (GMSR) in an Italian sample of 203 TGNC individuals ranged from 18 to 66 years of age (M = 30.70, SD = 10.79). The GMSR, developed in the United States in 2015, assesses distal stressors (discrimination, rejection, victimization, and nonaffirmation), proximal stressors (internalized transphobia, negative expectations, and nondisclosure), and resilience factors (pride and community connectedness). Confirmatory factor analysis showed that the original 9-factor model had adequate fit to the data obtained from the Italian sample. Criterion validity was partially confirmed, as the stress scales positively correlated with anxiety and depression, and pride negatively correlated with depression, but not anxiety. On the contrary, community connectedness did not correlate with any of the mental health measures. Instead, both convergent and discriminant validity were confirmed as both distal and proximal stressors positively correlated with perceived stress, community connectedness was positively associated with perceived support from friends, and all correlations were below .60. This study offers evidence of the reliability and validity of the GMSR in the Italian context, providing Italian clinicians and researchers with a comprehensive tool to assess gender minority stress in TGNC individuals

Immune-checkpoint inhibitors from cancer to COVID‑19: A promising avenue for the treatment of patients with COVID‑19

The severe acute respiratory syndrome associated coronavirus‑2 (SARS‑CoV‑2) poses a threat to human life worldwide. Since early March, 2020, coronavirus disease 2019 (COVID‑19), characterized by an acute and often severe form of pneumonia, has been declared a pandemic. This has led to a boom in biomedical research studies at all stages of the pipeline, from the in vitro to the clinical phase. In line with this global effort, known drugs, currently used for the treatment of other pathologies, including antivirals, immunomodulating compounds and antibodies, are currently used off‑label for the treatment of COVID‑19, in association with the supportive standard care. Yet, no effective treatments have been identified. A new hope stems from medical oncology and relies on the use of immune‑checkpoint inhibitors (ICIs). In particular, amongst the ICIs, antibodies able to block the programmed death‑1 (PD‑1)/PD ligand-1 (PD‑L1) pathway have revealed a hidden potential. In fact, patients with severe and critical COVID‑19, even prior to the appearance of acute respiratory distress syndrome, exhibit lymphocytopenia and suffer from T‑cell exhaustion, which may lead to viral sepsis and an increased mortality rate. It has been observed that cancer patients, who usually are immunocompromised, may restore their anti‑tumoral immune response when treated with ICIs. Moreover, viral-infected mice and humans, exhibit a T‑cell exhaustion, which is also observed following SARS‑CoV‑2 infection. Importantly, when treated with anti‑PD‑1 and anti‑PD‑L1 antibodies, they restore their T‑cell competence and efficiently counteract the viral infection. Based on these observations, four clinical trials are currently open, to examine the efficacy of anti‑PD‑1 antibody administration to both cancer and non‑cancer individuals affected by COVID‑19. The results may prove the hypothesis that restoring exhausted T‑cells may be a winning strategy to beat SARS‑CoV‑2 infection

Higher forage:concentrate ratio and space availability may favor positive behaviors in dairy cows

A novel livestock management system (LMS) for dairy cows mainly based on a high forage:concentrate ratio, no silage, and large outdoor paddocks, has been introduced in Italy during the last five years. It was proved that such system, further than improving the quality of milk, benefits the health status of cows. The goal of the present research was to compare the behavioral responses of a group of animals kept with the LMS and outdoor paddocks of 200 m2, and cows reared in a traditional semi-intensive manner and outdoor paddocks of 100 m2. The study was carried out on Italian Friesian cows analyzing the feeding and social behaviors and the locomotor activity. The statistical analysis of locomotor activity showed that the HFC group spent lower time lying down and standing and higher time walking; they also showed a longer rumination time and spent less time drinking. Furthermore, the HFC group displayed longer allogrooming and social rubbing times. Results suggest that the novel LMS could be the basis for an improvement of the cows' welfare