Verona Area Research Articles

SARS-CoV-2 Positivity in Foreign-Born Adults: A Retrospective Study in Verona, Northeast Italy.

We compared SARS-CoV-2 positivity between the foreign-born adult working population and Italians living in the Verona area to investigate whether being a foreign-born adult could confer an increased risk of infection or lead to a diagnostic delay. The present study included 105,774 subjects, aged 18-65 years, tested for SARS-CoV-2 by nasopharyngeal swabs and analyzed at the University Hospital of Verona between January 2020 and September 2022. A logistic regression model was used, controlling for gender, age, time of sampling, and source of referral. A higher proportion of SARS-CoV-2 positivity in Italian (30.09%) than in foreign-born (25.61%) adults was reported, with a higher proportion of SARS-CoV-2 positivity in men than women in both cohorts analyzed. The difference in swab positivity among Italian and foreign-born adults was the highest in people aged 18-29 years (31.5% vs. 23.3%) and tended to disappear thereafter. Swab positivity became comparable between Italian and foreign-born adults during the vaccination campaign. Multivariable analysis confirmed the lower risk of swab positivity among foreign-born adults (OR = 0.85, 95% CI 0.82-0.89). In the Verona area, foreign-born adults showed a lower rate of SARS-CoV-2 positivity than the native population, likely because of underdiagnosis. Hence, public health should increase attention toward these particularly vulnerable populations.

The Equal Pay Act: Using EEOC v. Verona Area School District in the Classroom

AbstractThis article provides instructions for an engaging classroom activity when discussing the Equal Pay Act of 1963. Students are asked to consider how to approach pay decisions when hiring a new employee for their business. Issues arise when the new hire asks for a higher wage than a current employee of a different sex. Legal Environment of Business/Business Law, Business Communication, and Business Ethics are all tied together in a discussion of what it means to pay someone more or less money based on their sex.

New Technologies for the Preservation, Conservation and Enhancement of Verona’s UNESCO Heritage: The Walls

The Veronese fortified site, a UNESCO heritage site, has in recent years been the subject of important digital documentation, unique in the Verona area. The research was an opportunity to verify a process whose technological developments in the field of heritage documentation have offered significant opportunities for the survey of architecture both in the metric data acquisition phase and in representation and dissemination. The study is part of the research project "Verona Fortificata", born in 2015 thanks to the collaboration between the Universities of Florence and Pavia and the Municipality of Verona. The aim is to focus on what has been obtained from a sort of "resulting product" of the classical survey and the consequent possibility of its use to provide preliminary but essential data for the Municipality's assessment of the actual Buffer Zone of the UNESCO site, of the visual impact of both the monument and the extraneous elements that are nevertheless part of the context.

The Equal Pay Act: Using EEOC v. Verona Area School District in the Classroom

The Equal Pay Act: Using EEOC v. Verona Area School District in the Classroom

Insight into the carbonaceous fraction of three cultural layers of different age from the area of Verona (NE Italy)

Cultural layers are deposits resulting from settlement and human activity on natural soil in the past. Materials from past domestic activities that become buried into the soil can be used to reconstruct human impact in a specific area in the past. For instance, humans have used fire for millennia, and charcoal in soils and sediments is applied as evidence of anthropic activity. In this context, assessing the abundance and degradation level of charcoal fragments can clarify anthropic activities in cultural deposits. In European towns, cultural layers with similar characteristics, have been defined as urban “Dark Earth” (UDE) but their age, formation and composition often differ significantly across sites.This study examined three archaeological sites in Verona, Italy, where UDE layers with similar characteristics have been identified. The primary aim of this research is to understand the anthropogenic influence on the development of UDE layers, by characterizing their geochemistry and the carbonaceous materials. To pursue this goal, we provide a micromorphological description of the sites, evaluate UDE features and the abundance of charred material andcharacterize the amorphous/crystalline degreethrough µ-Raman spectroscopy. Bulk material was described in terms of amounts of total organic carbon (TOC), recalcitrant organic carbon (ROC), total inorganic carbon (TIC), and trace element concentration. Radiocarbon dating of charred and humin fractions was performed to clarify the dynamics underlying UDE origin. We investigate the relationship between the different variables analyzed in the UDE layers at each site. Results show that a diverse array of human activities including metal tool and/or ceramic manufacturing were related to the formation of UDE layers. The investigation of carbonaceous fractions highlight differences in soil organic carbon and charred material, both of which are correlated with human influence.

Environmental Air Pollution Is a Predictor of Poor Response to Biological Drugs in Chronic Inflammatory Arthritides.

BackgroundThere is increasing evidence that environmental air pollution is associated with the development of chronic inflammatory arthritides (CIA). The role of air pollutants on the biological treatment (biological disease‐modifying antirheumatic drugs [bDMARDs]) response of CIA is still unclear.MethodsWe retrieved longitudinal data on patients affected by CIA on biological therapies and on the daily concentration of air pollutants in the Verona area. We designed a case‐crossover study to compare the exposure to pollutants in the 60‐day period preceding a drug switch or swap due to disease progression referent to the 60‐day period preceding a visit with stable treatment for at least 6 months.ResultsA total of 1257 patients with CIA (863 with rheumatoid arthritis, 256 with psoriatic arthritis, and 138 with ankylosing spondylitis) with 5454 follow‐up visits were included in the study (median follow‐up 2.09 years [interquartile range: 0.82‐2.58 years]). A total of 282 patients were included in the case‐crossover study. We retrieved 13 636 daily air pollution records. We found that air pollutants’ concentrations were higher in the 60‐day period before a failure of bDMARD response and prior to a switch or swap compared with the period preceding a visit with stable bDMARD therapy for at least 6 months.ConclusionWe found that environmental air pollution was a determinant of poor response to bDMARDs in a cohort of patients with CIA followed over a 5‐year period. An intervention aimed at decreasing fossil combustion emissions might have beneficial effects on biologic persistence rates of patients with CIA and economic expenditures related to switches and swaps.

A New Chronological Proposal for the Early Medieval Liturgical Installations of the Church of San Lorenzo in Verona

This article analyzes for the first time the largest corpus of Early Medieval sculptures in the city of Verona, located in the church of San Lorenzo. Until now, these sculptures had never been well studied and are currently placed in a courtyard outside the church, reason why they are completely ruined. Thanks to the invaluable historical photographs that were taken at the end of the 19th century and which are now in the Avery Library in New York, it was possible for me to reconstruct the pieces and their decorative motifs. Thanks to this operation, I was able to compare the more than 30 sculptural fragments with other pieces from the Verona area and propose new chronologies for the Early Medieval liturgical installation of San Lorenzo, which includes fragments of a ciborium, fragments of pillars and parts of plutei. In my opinion, these pieces are not homogeneous, but were made at different times between the end of the 8th century and the beginning of the 9th century.

Psychological impact of Covid-19 pandemic on oncological patients: A survey in Northern Italy.

The psychological impact of the Covid 19 pandemic on cancer patients, a population at higher risk of fatal consequences if infected, has been only rarely evaluated. This study was conducted at the Departments of Oncology of four hospitals located in the Verona area in Italy to investigate the psychological consequences of the pandemic on cancer patients under active anticancer treatments. A 13-item ad hoc questionnaire to evaluate the psychological status of patients before and during the pandemic was administered to 474 consecutive subjects in the time frame between April 27th and June 7th 2020. Among the 13 questions, 7 were considered appropriate to elaborate an Emotional Vulnerability Index (EVI) that allows to separate the population in two groups (low versus high emotional vulnerability) according to observed median values. During the emergency period, the feeling of high vulnerability was found in 246 patients (53%) and was significantly associated with the following clinical variables: female gender, being under chemotherapy treatment, age ≤ 65 years. Compared to the pre-pandemic phase, the feeling of vulnerability was increased in 41 patients (9%), remained stably high in 196 (42%) and, surprisingly, was reduced in 10 patients (2%). Overall, in a population characterized by an high level of emotional vulnerability the pandemic had a marginal impact and only a small proportion of patients reported an increase of their emotional vulnerability.

Association between environmental air pollution and rheumatoid arthritis flares.

Environmental air pollution has been linked to the pathogenesis of RA. Nevertheless, evidence linking higher concentrations of air pollutants with the risk of RA reactivations is missing. The objective of the present study was to determine the association between RA flares and air pollution. We collected longitudinal data of patients affected by RA and of the daily concentration of air pollutants in the Verona area. We designed a case-crossover study. We compared the exposure to pollutants in the 30-day and 60-day periods preceding an arthritic flare referent to the 30-day and 60-day preceding a low-disease activity visit. The study included 888 patients with RA with 3396 follow-up visits; 13636 daily air pollution records were retrieved. We found an exposure-response relationship between the concentration of air pollutants and the risk of having abnormal CRP levels. Patients exposed to greater concentrations of air pollutants were at higher risk of having CRP levels ≥5 mg/l. Concentrations of CO, NO, NO2, NOx, PM10, PM2.5 and O3 were higher in the 60-day period preceding a flare. We found a striking association between air pollution and RA disease severity and reactivations in a cohort of patients followed over a 5-year period. The exposure to high levels of air pollutants was associated with increased CRP levels and a higher risk of experiencing a flare of arthritis. This excessive risk was evident at very low levels of exposure.

Alcohol-associated traffic injuries in Verona territory: A nine-year survey.

According to the World Health Organization, as many as 25% of traffic accidents are linked to alcohol abuse. This study describes the results of a nine-year study performed on injured drivers (N = 12,806) in the Verona area of Northern Italy. Blood samples were mandatorily collected on injured drivers who were admitted to the Emergency Health Care Unit of Verona Hospital between 2009 and 2017, after they had been involved in a traffic accident. Blood alcohol concentration (BAC) determination was then undertaken using a validated head space-gas chromatography-flame ionisation detector (HS-GC-FID) method. We found that 21% of drivers tested positive for alcohol (BAC ≥0.01 g/L), while 16.8% presented with BAC levels above the Italian legal limit (>0.5 g/L). Of those who had positive BACs, about 50% presented with very high BAC levels (>1.5 g/L). Daily time distribution analyses, involving 2031 alcohol-positive drivers, showed a surge between 18:00 hours and 06:00 hours (74.3%), with a specific rise during the weekend (58.9%). The percentage of alcohol-related road accidents was 20.6%, which is lower than results reported in other international studies performed over the last 20 years. However, evidence that around 50% of the positive subjects showed a BAC >1.5 g/L confirms the correlation between BAC and accident risk, which becomes even more significant at progressively increasing levels of BAC. The study highlights the need to implement further strategies to both prevent and deter the use of alcohol while driving.

Exposure to additives or multigrain flour is associated with high risk of work-related allergic symptoms among bakers

ObjectivesWheat flour exposure in bakers can elicit respiratory and skin symptoms. Scarce data are available on the prevalence of such conditions in bakers. We investigated the prevalence of work-related rhinitis,...

P163 Changes in diagnostic delay in inflammatory bowel diseases over the years: a retrospective single-centre analysis

Abstract Background Delayed diagnosis is common in inflammatory bowel diseases (IBD) and has been reported to be longer for patients with Crohn’s disease (CD) than for those with ulcerative colitis (UC). Aims of study were to assess the median time to diagnosis in IBD patients, to examine whether diagnostic delay (DD) has improved over the years and its impact on biological treatment and need for surgery. Methods A retrospective monocentric study including IBD patients living in the area of Verona (Italy), diagnosed up to 2019 and followed-up for at least 6 months at IRCCS Sacro Cuore—Don Calabria, Negrar, was carried out. DD was defined as the period (months) from symptoms onset to histological diagnosis of IBD and reported as <6 months, 6–12 months and >12 months. Results Six-hundred-six patients (255 CD; 351 UC; 308 males; 298 females) were enrolled. Median DD was 10 (IQR 2–12), 6 (IQR 1–12) and 2 (IQR 1–7) months <2000, between 2001–2010, and >2010, respectively. Median time to diagnosis was not significantly longer in CD than in UC patients (4 vs. 3 months; IQR 1- 12). No sex- or age-related differences in DD were observed. Using the Mann–Whitney test, DD was longer in patients diagnosed <2000 and between 2001–2010, than in those diagnosed >2010 (p = 0.0000 and p = 0.0004). Comparing DD <2000 and >2010, the statistical difference was reported for UC (p = 0.0000) but not for CD (p = 0.2756). Considering the use of biologics over the years, patients diagnosed between 2000–2010, and >2010 were compared (194 CD and 333 UC), reporting a significant increase in their use both for CD (30 vs. 60; p = 0.0008) and UC (28 vs. 43; p = 0.0000). DD did not influence the need for biological treatment in both diseases (p = 0.987 for CD; p = 0.433 for UC). Considering a DD <6, 6–12, and >12 percentages of patients needing biologics were respectively 53.4%, 63.6% and 56.5% for CD and 28.5%, 34.1% and 26.3% for UC. Seventy-two CD and 27 UC patients needed surgery. Analyzing the time to surgery, DD did not influence the rate of resections in CD (p = 0.6559), as well as in UC (p = 0.2792). Conclusion In our cohort, DD has significantly decreased over the last years, more for UC than CD patients. This is probably related to the increased awareness of patients on disease and of general practitioners in sending them to the specialist. Considering the published literature, UC and CD did not differ in DD; moreover age at diagnosis did not affect DD in our patients. DD did not influence the need for biological treatment or surgery rates in both diseases. These results are probably related to the difference in disease extension and severity among the patients enrolled. An analysis on targeted patients at higher risk for bowel damage is presently under way.

The Dante of Alessandro Torri: Between Eighteenth-Century Tradition and Modern Criticism

AbstractMy article focuses on Alessandro Torri (1780–1861), a scholar active in the area of Verona. In 1826, on account of his liberal ideals, Torri was forced into exile and settled in Pisa, where...

Prevalence and Correlates of Psychological Distress and Psychiatric Disorders in Asylum Seekers and Refugees Resettled in an Italian Catchment Area

In recent years there has been a progressive rise in the number of asylum seekers and refugees displaced from their country of origin, with significant social, economic, humanitarian and public health implications. The aim of this study is to describe the frequency and correlates of psychological distress and psychiatric disorders in asylum seekers and refugees resettled in an Italian catchment area. In the catchment area of Verona, all male asylum seekers and refugees aged 18 or above included in the Italian protection system for asylum seekers and refugees during a period of 1year were screened for psychological distress and psychiatric disorders using validated questionnaires. During the study period, 109 asylum seekers or refugees were recruited. The frequency of traumatic events experienced was very high. More than one-third of the participants (36%) showed clinically relevant psychological distress, and one-fourth (25%), met the criteria for a psychiatric diagnosis, mainly PTSD and depressive disorders. In multivariate analyses, time after departure, length of stay in the host country and number of traumatic events were independent factors associated with psychological distress and psychiatric disorders. In an unselected sample of male asylum seekers and refugees, after around 1 year of resettlement in an Italian catchment area, the frequency of psychological distress and psychiatric disorders was substantial and clinically relevant. Health care systems should include a mental health component to recognise and effectively treat mental health conditions.

Effects of reducing fertilization and irrigation on strawberry productivity and fruit quality in Verona area

Effects of reducing fertilization and irrigation on strawberry productivity and fruit quality in Verona area

Assessing the air quality impact of nitrogen oxides and benzene from road traffic and domestic heating and the associated cancer risk in an urban area of Verona (Italy)

Simulations of emission and dispersion of nitrogen oxides (NOx) are performed in an urban area of Verona (Italy), characterized by street canyons and typical sources of urban pollutants. Two dominant source categories are considered: road traffic and, as an element of novelty, domestic heaters. Also, to assess the impact of urban air pollution on human health and, in particular, the cancer risk, simulations of emission and dispersion of benzene are carried out. Emissions from road traffic are estimated by the COPERT 4 algorithm, whilst NOx emission factors from domestic heaters are retrieved by means of criteria provided in the technical literature. Then maps of the annual mean concentrations of NOx and benzene are calculated using the AUSTAL2000 dispersion model, considering both scenarios representing the current situation, and scenarios simulating the introduction of environmental strategies for air pollution mitigation. The simulations highlight potentially critical situations of human exposure that may not be detected by the conventional network of air quality monitoring stations. The proposed methodology provides a support for air quality policies, such as planning targeted measurement campaigns, re-locating monitoring stations and adopting measures in favour of better air quality in urban planning. In particular, the estimation of the induced cancer risk is an important starting point to conduct zoning analyses and to detect the areas where population is more directly exposed to potential risks for health.

Autoregressive approaches to import–export time series I: basic techniques

This work is the first part of a project dealing with an in-depth study of effective techniques used in econometrics in order to make accurate forecasts in the concrete framework of one of the major economies of the most productive Italian area, namely the province of Verona. In particular, we develop an approach mainly based on vector autoregressions, where lagged values of two or more variables are considered, Granger causality, and the stochastic trend approach useful to work with the cointegration phenomenon. Latter techniques constitute the core of the present paper, whereas in the second part of the project, we present how these approaches can be applied to economic data at our disposal in order to obtain concrete analysis of import--export behavior for the considered productive area of Verona.

Foot polydactyly and bipartite medial cuneiform: A case of co-occurrence in a Celtic skeleton from Verona (Italy)

We report a case of bilateral foot polydactyly and bipartite medial cuneiform in a male individual buried in a Celtic/Roman necropolis (3rd to 1st century BCE) in the city of Verona (Italy). During the construction of an underground garage in the main courtyard of the Bishop's Seminary at Verona between 2005 and 2010, archaeologists uncovered the remains of 174 individuals (108 non-adults and 66 adults). It is thought that these graves could belong to some of the first inhabitants of the urban area of Verona. The individual presented here (US 2807) is a middle-aged male (40–50 years) in a good state of preservation. His estimated stature is 1756mm (±32.1mm). This male presents congenital anomalies in the feet and dental agenesis. We believe this to be the only known archaeological case of bilateral postaxial polydactyly with forked (Y) shape, in which both fifth metatarsals are associated with complete bipartition of the left medial cuneiform and partial bipartition of the right one. Polydactyly is fairly common in modern clinical cases but bipartite medial cuneiform is relatively rare; neither of these congenital conditions is well documented archaeologically.

The plasticity of the grapevine berry transcriptome.

BackgroundPhenotypic plasticity refers to the range of phenotypes a single genotype can express as a function of its environment. These phenotypic variations are attributable to the effect of the environment on the expression and function of genes influencing plastic traits. We investigated phenotypic plasticity in grapevine by comparing the berry transcriptome in a single clone of the vegetatively-propagated common grapevine species Vitis vinifera cultivar Corvina through 3 consecutive growth years cultivated in 11 different vineyards in the Verona area of Italy.ResultsMost of the berry transcriptome clustered by year of growth rather than common environmental conditions or viticulture practices, and transcripts related to secondary metabolism showed high sensitivity towards different climates, as confirmed also by metabolomic data obtained from the same samples. When analyzed in 11 vineyards during 1 growth year, the environmentally-sensitive berry transcriptome comprised 5% of protein-coding genes and 18% of the transcripts modulated during berry development. Plastic genes were particularly enriched in ontology categories such as transcription factors, translation, transport, and secondary metabolism. Specific plastic transcripts were associated with groups of vineyards sharing common viticulture practices or environmental conditions, and plastic transcriptome reprogramming was more intense in the year characterized by extreme weather conditions. We also identified a set of genes that lacked plasticity, showing either constitutive expression or similar modulation in all berries.ConclusionsOur data reveal candidate genes potentially responsible for the phenotypic plasticity of grapevine and provide the first step towards the characterization of grapevine transcriptome plasticity under different agricultural systems.

ELF in international school exchanges: stepping into the role of ELF users

Abstract The presence of English in Europe is increasingly pervasive: experiences “from above” in educational contexts combine with contacts with English “from below” in the linguistic landscape at large. In educational contexts, international school partnerships create increasingly frequent opportunities for learners at different school levels to experience language use in ELF contexts. International exchanges can thus be seen as a point of intersection between bottom-up and top-down contact with English, where learners step into the role of ELF users deploying their linguistic resources to communicate in international ELF settings. This paper explores how English is used in its role of a lingua franca in a set of written and spoken data gathered within two such international projects which took place in the Verona area, Italy, in school years 2009–2011. As part of the project primary school pupils aged 9–11 interacted with peers from European countries using English as the shared lingua franca of communication. Besides the children's awareness of the presence of English and of the role of ELF in outside-school contexts, these interactions are characterised by several elements which are found in ELF communicative settings: for example, lexical innovations, code switching employed to signal cultural identity, and deployment of pragmatic strategies in oral communication. In this way these young ELF users appear to stretch their linguistic resources of self-expression and communication. Therefore, findings can bear significant potential implications in terms of teaching practices.