Detection and typization of HPV genotypes in subjects with oral and upper respiratory tract lesions, Milan, Italy

BACKGROUND

Oral human papillomavirus (HPV) is common among healthy individuals but causes and implications of persistent infections are under evaluation in the pathogenesis of head and neck neoplasms.

METHODS

This was a retrospective study evaluating the prevalence of high-risk (HR), probable HR and low-risk (LR) HPV types in patients reporting signs/symptoms of oral and upper respiratory tract lesions. Individuals attending between 2019 and 2022 a University Hospital in Milan, Italy, with risk factors for HPV (unprotected oral sex and/or previous documentation of HPV infection in oral and upper respiratory tract and/or another anatomical site) were included.

RESULTS

Fourteen out of 110 (12.7%) individuals tested positive for HPV DNA. The prevalence of HR-HPV and LR-HPV was 3.6% (4/110) and 9.1% (10/110), respectively. No probable/possible HR-HPV was detected. Specifically, 10/110 (9.1%) were diagnosed with 1 LR-HPV genotype, 3/110 (2.7%) were infected with 1 HR-HPV and 1/110 had 3 concomitant HR-HPV types. HPV 16 (2.7%, 3/110) and 6 (4.5%, 5/110) were the most common HR and LR types, respectively. One patient positive for HPV 16, 33 and 35 was diagnosed with cancer at the base of the tongue. Two individuals among those who tested positive for HPV DNA reported previous HPV vaccination.

CONCLUSIONS

Our data, in line with observations from previous prevalence studies, support the potential role of HPV in head and neck neoplasms. HPV DNA testing should be performed in patients presenting lesions in oral/respiratory tracts and risk factors for HPV. Improvement in HPV vaccination coverage is warranted.

What is hiding behind the rainbow plot? The gender ideology and LGBTQ+ lobby conspiracies (GILC) scale

Previous literature on conspiracy beliefs has an important gap, as it has almost completely excluded conspiracy beliefs relating to LGBTQ+ people. The purpose of the present research was to develop and validate a specific tool to measure the Gender Ideology and LGBTQ+ Lobby Conspiracies Beliefs: the GILC scale. Two independent data collections (Ntot  = 1.908) were run involving both heterosexual and gay, lesbian and bisexual people. We expected a mono-factorial structure of the tool, with high levels of internal reliability, invariant by respondents' gender, sexual orientation and previous knowledge or hearsay of gender ideology. Furthermore, we expected that GILC scale manages to measure a differentiated construct: (a) compared to other specific and general conspiracy contents; (b) compared to a generic disposition to engage in conspiratorial mentality; (c) compared to existing measures of sexual prejudice, stereotypes and negative attitudes towards sexual minority people. In relation to criterion validity, we expected that several psychosocial and socio-political ideology variables (i.e. RWA and SDO), would associate with high levels in GILC scale. The results confirmed our expectations, showing that GILC scale is a short tool which include nine items with a mono-factorial structure and with excellent psychometric properties. Limitations and further research directions are discussed.

Gay, Lesbian, and Bisexual (LGB) peoples' leadership self-effectiveness: The roles of internalized sexual stigma, LGB positive identity, and traditional masculinity

Grounded in the theoretical frameworks of the minority stress model and the model of positive identity in sexual minority people, the current research contributes to fill a gap in the previous literature, investigating the relationships among leadership self-effectiveness, internalized sexual stigma, positive identity, and adherence to traditional masculinity of gay, lesbian, and bisexual (LGB) individuals. Through a correlational study (N = 449), we collected data from 229 gay/bisexual men (51%) and 220 lesbian/bisexual women (49%). We hypothesized that lower internalized sexual stigma, higher LGB positive identity, and higher adherence to traditional masculinity were associated to higher self-perceived effectiveness. The interactive relationships among the variables, including participants' gender, were investigated from an exploratory perspective. The hypotheses were tested through two moderated regression models and the results confirmed that participants with lower internalized sexual stigma and higher LGB positive identity were more likely to perceive themselves as potential effective leaders. Also, the results showed a significant interaction between participants' gender and traditional masculinity score suggesting that high adherence to traditional masculinity was a significant predictor of self-perceived effectiveness only for gay/bisexual men, but not for lesbian/bisexual women. This research contributes to provide both confirmation and novel insights into the key role of relevant factors impacting on LGB people's leadership self-effectiveness, which might contribute to preserve the gay glass ceiling effect. The presence of antidiscrimination policies in organizations not only might reduce reports of discrimination but also enhance LGB employees' positive sense of self, which is a critical aspect to emerge as a leader.

Masculinity and Leadership Effectiveness (Self-)Perceptions: The Case of Lesbian Leaders

In line with the gay glass ceiling effect, sexual minorities are often target of discrimination within work-related contexts, thus potentially undermining their wellbeing at work. For gay men, discrimination may partially be attributed to gay men's stereotypical feminine perception, which does not fit with the stereotypically masculine traits required for leadership positions. Yet, when considering lesbian women, the masculine stereotypical view associated with them may come to represent an advantage in work-related contexts, especially when compared to heterosexual women. In Study 1, N = 303 heterosexual participants rated a lesbian vs. a heterosexual woman as a job candidate on stereotypical gender (masculine vs. feminine) traits as well as leadership effectiveness. Results showed that being lesbian was associated with higher levels of masculinity (but not femininity), which in turn was related to high leadership effectiveness. In Study 2, N = 268 lesbian and heterosexual women rated themselves on the same measures. Results showed that both groups associated masculine traits with enhanced leadership effectiveness. These studies provide a better comprehension regarding how lesbian women may be perceived in work-related contexts and shed light on the role played by gender stereotypical perceptions in shaping both heterosexual and lesbian perceptions of leadership effectiveness.

Expectations about the “Natural Order of Things” and Conspiracy Beliefs about COVID-19

The COVID-19 pandemic represents an event that unsettled the social and economic life of many people. When individuals are faced with shocking events, they may need to find plausible explanations for such events to restore control and make sense of reality. The adoption of conspiracy beliefs may represent a functional strategy for this purpose. The present study investigated whether the endorsement of conspiracy beliefs may be associated with the degree to which an upsetting event (i.e., the COVID-19 pandemic) is perceived as incoherent with individuals’ general set of expectations about the world functioning (i.e., the natural order of things). Analyzing data from a community sample of 565 Italian participants, a path analysis model highlighted a mediation pattern where the natural order of things was negatively related to the adoption of conspiracy beliefs and, thus, was indirectly and positively related to support for the norms aimed at containing the spread of COVID-19, feelings of guilt about neglecting such norms, and intentions to be compliant with COVID-19 vaccination. Moreover, the natural order of things was indirectly and negatively related to attitudes focused on economic issues rather than public health and to negative attitudes towards COVID-19 vaccines through reduced beliefs in conspiracies.

Together to Welcome, Together to Exclude

Abstract. This preregistered study examined whether positive and negative intergroup contact with migrants relates to collective action supporting and opposing migrants as well as to interpersonal exclusion toward them via the key processes identified in the Social Identity Model of Collective Action. Structural equation models conducted on cross-sectional data from 506 Italian and English participants showed that positive (negative) contact related to higher (lower) collective inclusion and lower (higher) collective and interpersonal exclusion of migrants via group anger, identification, and efficacy. Considering positive and negative contact, collective action pro and against migrants and interpersonal behaviors simultaneously, this study provided a nuanced picture of the antecedents and processes underlying the advantaged group members’ behaviors toward migrants.

Proud to support social equality: Investigating the roles of pride, guilt, anger, and disgust in attitudes towards immigrants

Previous research has demonstrated that low social dominance orientation (social equality orientation) promotes empathy with disadvantaged group members. In three studies, we tested a model relating preference for egalitarianism to positive attitudes towards immigrants through emotional experiences (pride, guilt, moral anger/ anger, disgust). Studies 1 and 2 showed that social equality orientation was positively related to proimmigrant attitudes through increased pride in helping immigrants, controlling for participants’ gender, age, and political orientation. Such a preference for egalitarianism was unrelated to proimmigrant attitudes through guilt for not helping immigrants and moral anger concerning mistreatment of immigrants. By focusing on emotional experience concerning proimmigrant national initiatives (e.g., integrating immigrants into the labor market), Study 3 corroborated the indirect effect of social equality orientation on proimmigrant attitudes through increased pride, controlling for participants’ gender, age, political orientation, as well as competitive jungle and dangerous world beliefs. Although much weaker, we also found a positive association between social equality orientation and proimmigrant attitudes through reduced anger, while no significant association through guilt and disgust was found. Results suggest that, relative to guilt, anger, and disgust, pride is the key channel through which preference for egalitarianism is related to positive attitudes towards immigrants. Implications and future directions for research are discussed.

Punitive Reactions to Tax Evasion in Italy

Abstract. The present research investigates whether and how intentionality of (i.e., a retribution-related factor) and the difficulty to detect (i.e., a utilitarianism-related factor) tax evasion may influence people’s punitive reactions depending on individual differences in economic system justification. Results of a moderation analysis revealed (a) a positive effect of intentionality, but not difficult to detect, on punitiveness; (b) a negative effect of economic system justification on punitiveness; (c) an interactive effect between intentionality and economic system justification, suggesting that intentionality predicts punitive reactions towards tax evaders only when economic system justification is low. These results qualify the notion that people are more concerned about retribution than about utilitarianism, thereby providing support for the intuitive retributivism hypothesis. Also, they suggest that economic system justification plays a role in demotivating punishment toward tax evaders, especially in conjunction with retribution.

A Multisite Preregistered Paradigmatic Test of the Ego-Depletion Effect

We conducted a preregistered multilaboratory project (k = 36; N = 3,531) to assess the size and robustness of ego-depletion effects using a novel replication method, termed the paradigmatic replication approach. Each laboratory implemented one of two procedures that was intended to manipulate self-control and tested performance on a subsequent measure of self-control. Confirmatory tests found a nonsignificant result (d = 0.06). Confirmatory Bayesian meta-analyses using an informed-prior hypothesis (δ = 0.30, SD = 0.15) found that the data were 4 times more likely under the null than the alternative hypothesis. Hence, preregistered analyses did not find evidence for a depletion effect. Exploratory analyses on the full sample (i.e., ignoring exclusion criteria) found a statistically significant effect (d = 0.08); Bayesian analyses showed that the data were about equally likely under the null and informed-prior hypotheses. Exploratory moderator tests suggested that the depletion effect was larger for participants who reported more fatigue but was not moderated by trait self-control, willpower beliefs, or action orientation.

Being mindful in the tax context in Italy: Examining whether and how mindfulness relates with tax evasion intentions and support for tax progressivity

Two studies explored whether and how mindfulness relates with citizens’ tax evasion intentions and support for progressive tax rates. Based on theoretical and empirical grounds, in Study 1 (N = 1,175) we proposed that mindfulness would be negatively related with tax evasion intentions through decreased social dominance orientation. Drawing on Duckitt’s dual-process motivational model, in Study 2 (N = 722) we proposed that mindfulness would be positively related with support for progressive taxation through the mediation of lower competitive-jungle beliefs, and then lower social dominance orientation. Instead, we did not expect to find mediation of the link between mindfulness and support for progressive taxation through dangerous-world beliefs and right-wing authoritarianism. These studies inform about the motivational pathways through which mindfulness relates with tax evasion intentions and support for progressive taxation.

Can moral convictions against gender inequality overpower system justification effects? Examining the interaction between moral conviction and system justification

It has been shown that disadvantaged groups who endorse system-justifying beliefs tend to internalize their state of inferiority by expressing ingroup derogation and opposing collective action for change. In the present research, we recruited women - as disadvantaged group - from different countries (the United States, the United Kingdom, Italy) and examined whether their moral conviction against gender inequality, as an absolute stance that does not tolerate any violation, may interact with and overpower system-justifying beliefs. Results from three studies provided support for our hypotheses. First, when women held strong moral conviction, they expressed higher identification with their disadvantaged ingroup and, in turn, higher collective action intentions, independent of system-justifying beliefs. Second, when women held weak moral conviction, higher system-justifying beliefs reduced women's ingroup identification and, in turn, undermined their collective action intentions. This support is found across different contexts of gender inequality (the gender leadership gap, the gender pay gap, and the gender power imbalance), using different methodological approaches (online survey, online experiment, laboratory experiment). Implications, limits, and future directions are discussed.

A Multilab Replication of the Ego Depletion Effect

There is an active debate regarding whether the ego depletion effect is real. A recent preregistered experiment with the Stroop task as the depleting task and the antisaccade task as the outcome task found a medium-level effect size. In the current research, we conducted a preregistered multilab replication of that experiment. Data from 12 labs across the globe (N = 1,775) revealed a small and significant ego depletion effect, d = 0.10. After excluding participants who might have responded randomly during the outcome task, the effect size increased to d = 0.16. By adding an informative, unbiased data point to the literature, our findings contribute to clarifying the existence, size, and generality of ego depletion.

Embrace the leadership challenge: The role of Gay men's internalized sexual stigma on the evaluation of others' leadership and one's own

Grounded in the framework of the gay glass ceiling, the current research investigated the effect of gay men's internalized sexual stigma (ISS) on both the perceived effectiveness of other gay men's leadership and on their self-perceived leadership effectiveness and their intention to apply to a leadership position. In three studies (N = 402), we manipulated either the leader's sexual orientation (SO) (study 1), or his adherence to traditional gender roles (TGR) (study 2), or participants' fictitious masculinity score (study 3). Our hypotheses were as follows: the leader's SO and TGR would moderate the association of gay participants' ISS with their positive attitudes towards the leader and with his leadership effectiveness; and gay participants' masculinity threat would moderate the association of their ISS with their intention to apply to a leadership position, and with their self-perceived effectiveness as potential leaders. Moderated regression analyses showed that: participants reported a more positive attitude towards a gay man (vs. heterosexual) as leader only when they had low - and not high - ISS; participants with high (vs. low) ISS perceived the masculine gay leader as more effective than the feminine gay leader; under masculinity threat, participants with high (vs. low) ISS showed less intention to apply to a leadership position. These studies provide both confirmation and novel insights into the key role of internalized sexual stigma and traditional gender roles. Indeed, these factors can strengthen and perpetuate the gay glass ceiling effect.

Support for discriminatory behaviours against immigrants in Italy: Perceived threat and positive beliefs mediate the effect of contact with immigrants

The present study aimed at investigating whether the effects of intergroup contact on support for discriminatory behaviours against immigrants was mediated by perceived threat from immigrants and positive beliefs toward immigrants. Using data from the Italian national survey on "Discrimination by Gender, Sexual Orientation and Ethnic Origin," which followed a multi-stage stratified cluster sampling procedure, a representative sample of 5509 Italian residents (53.4% women), aged 18 to 74 years, participated. Findings showed that contact with immigrants was negatively related to perceived threat, and positively related to positive beliefs toward immigrants. Mediational analysis conducted by structural equation modelling, indicated that support for discriminatory behaviours was positively associated with perceived threat, and negatively associated with positive beliefs toward immigrants. Both variables together mediated the relationship between contact with immigrants and support for discriminatory behaviours against immigrants; individually, indirect relationships were also significant. To promote interaction between natives and immigrants by reducing the perceived threat and strengthening positive beliefs toward immigrants might lessen support for discriminatory behaviours against immigrants.

"Keeping in mind the gender stereotype": the role of need for closure in the retrieval-induced forgetting of female managers' qualities

The present research addressed the question of whether need for closure (NFC; Kruglanski in The psychology of closed mindedness, Psychology Press, New York, 2004) biases individuals' memory of female leaders. Merging research on role congruity theory of leadership (Koenig et al. in Psychol Bull 4:616-642, 2011. https://doi.org/10.1037/a0023557 ) and research on retrieval-induced forgetting (RIF, Anderson et al. in J Exp Psychol Learn Mem Cognit 20:1063-1087, 1994. https://doi.org/10.1037/0022-3514.65.5.861 ), we hypothesized and found that high-NFC participants show (1) a higher RIF of dimensions commonly associated with the leadership prototype (agentic/masculine) ascribed to female manager targets, when selectively retrieved dimensions commonly associated with the female prototype (communal/feminine) were ascribed to the same target; and (2) a lessened RIF of female stereotypical dimensions ascribed to female manager targets, when selectively retrieved prototypical leadership dimensions were ascribed to the same target. Overall, the present findings suggest that when faced with women leaders, high NfC enhances the accessibility of gender stereotype-congruent memories and reduces the accessibility of prototypical leadership ones, thus reducing the RIF of communal/feminine memories.

Neuromuscular Electrical Stimulation for Treatment-Refractory Chronic Dysphagia in Tube-Fed Patients: A Prospective Case Series

OBJECTIVE

The aim of this study was to evaluate the role of neuromuscular electrical stimulation (NMES) in tube-fed patients with severe and chronic dysphagia refractory to traditional swallowing therapy (TT).

PATIENTS AND METHODS

A total of 11 consecutive dysphagic patients with tube-dependent nutrition and who had not responded to 6 months of TT were enrolled. Each patient received NMES for 30 min and TT for 30 min, twice a day, 5 days per week for 4 weeks. In order to evaluate the swallowing impairment, each patient underwent a fiberoptic endoscopic examination of swallowing immediately before the beginning of the treatment, after 2 weeks and after 4 weeks.

RESULTS

All enrolled patients managed to complete the swallowing treatment protocol for at least 2 weeks. After the 4-week treatment, 6 of 11 enrolled patients passed to a total oral diet with single or multiple consistencies despite specific food limitations or special preparation or compensation. Five patients, all affected by the most severe form of dysphagia, maintained tube-dependent nutrition.

CONCLUSION

NMES as adjunctive treatment to TT may offer a new possibility for the management of tube-fed patients who are refractory to TT.

Reliability and validity of the Italian nose obstruction symptom evaluation (I-NOSE) scale

The NOSE scale is a questionnaire assessing QOL related with nasal obstruction. The aim of this study was to culturally adapt the NOSE scale into Italian (I-NOSE). Prospective instrument validation study. Cross-cultural adaptation and validation were accomplished. Cronbach α was used to test internal consistency in 116 patients complaining nasal obstruction and 232 asymptomatic subjects. Pearson and ICC tests were used for test-retest reliability analysis. Normative data were gathered from the 232 asymptomatic subjects. Mann-Whitney test was used to compare the I-NOSE scores in patients and asymptomatic subjects and in 40 patients before and after septoplasty. I-NOSE scores obtained in 60 patients were correlated with rhinomanometric results and with the score of a visual analog scale (VAS) measuring the subjective sensation of nasal obstruction. Good internal consistency and good test-retest reliability were found. I-NOSE mean score of the normal cohort was 12.1 ± 13.2. Asymptomatic subjects scored lower than patients with nasal obstruction (p = 0.001). Positive correlations between I-NOSE scores and VAS and rhinomanometric results were found. The mean I-NOSE score improved from 64.4 ± 23.6 to 22.1 ± 13.5 after septoplasty (p < 0.001). The I-NOSE scale is a reliable, valid, self-administered, symptom-specific questionnaire; its application is recommended.