The key role of public health in renovating Italian biomedical doctoral programs.

Background: A key renovation of doctoral programs is currently ongoing in Italy. Public health and its competencies may play a pivotal role in high-level training to scientific research, including interdisciplinary and methodological abilities. Methods: As a case study, we used the ongoing renovation of the Clinical and Experimental Medicine doctoral program at the University of Modena and Reggio Emilia. We focused on how the program is designed to meet national requirements as well as students' needs, thus improving educational standards for scientific research in the biomedical field, and on the specific contribution of public health and epidemiology in such an effort. Results: The renovation process of doctoral programs in Italy, with specific reference to the biomedical field, focuses on epidemiologic-statistical methodology, ethics, language and communication skills, and open science from an interdisciplinary and international perspective. In the specific context of the doctoral program assessed in the study and from a broader perspective, public health appears to play a key role, taking advantage of most recent methodological advancements, and contributing to the renovation of the learning process and its systematic quality monitoring. Conclusions: From a comparative assessment of this case study and Italian legislation, the key role of public health has emerged in the renovation process of doctoral programs in the biomedical field.

The Irish Public Discourse on Covid-19 at the Intersection of Legislation, Fake News and Judicial Argumentation.

This paper aims to perform a multi-level analysis of the Irish public discourse on Covid-19. Despite widespread agreement that Ireland's response was rapid and effective, the country's journey through the pandemic has been no easy ride. In order to contain the virus, the Government's emergency legislation imposed draconian measures including the detention and isolation of people deemed to be even "a potential source of infection" and a significant extension of An Garda Síochána's power of arrest. In April 2020, journalists John Waters and Gemma O'Doherty initiated judicial review proceedings before the High Court to challenge such legislation, which they defined as unconstitutional, "disproportionate" and based on "fraudulent science". The proceedings attracted widespread media coverage in what soon became a debate on the legitimacy of emergency legislation and the notion of 'fake news' itself. After a brief survey of the legislative background to Ireland's Covid response, the argumentative strategy is analysed through which the High Court eventually dismissed Mr Waters and Ms O'Doherty's challenge. Focusing on the process of justification of the judicial decision, the paper provides a descriptive account of the argument structure of the Court's decision. This sheds light on the pattern of multiple argumentation through which the Court interpreted relevant norms in the Constitution and at once re-established the primacy of "facts" informing political decision-making at a time of national emergency.

Mucosal Manifestations in the Edentulous Maxilla with Implant Supported Prostheses: Clinical Results from a Well-Maintained Patient Cohort.

BACKGROUND: Prostheses in the edentulous maxilla affect the mucosa. PURPOSE: To evaluate mucosal alterations with implant supported fixed prostheses (FDP) and overdentures (IOD). MATERIAL AND METHODS: Patients receiving prostheses during a time period of 10 years were recruited. Maxillary mucosal conditions in relation to FDPs, IODs were analyzed. Peri-implant parameters were measured and the Oral Health Impact Profile (OHIP) was administered. RESULTS: One hundred seven patients wearing 74 IODs and 33 FDPs were identified with a total of 519 implants, the mean observation time was 6.5 ± 2.7. Cumulative implant survival was 93%. Erythema and hyperplastic tissue were identified in 71% of the IOD wearers, but were mostly absent with FDPs. The peri-implant parameters demonstrated healthy peri-implant mucosa. Medication and smoking had no effect on mucosal alteration (OR = 1.065 and 1.568). The average OHIP value was 3.73 ± 4.12. A lower value (p < 0.0048) was found for FDPs and one type of IOD. CONCLUSIONS: A rigorous maintenance program did not prevent IOD mucosal alterations in IOD wearers, but the health of the peri-implant mucosa was maintained and was comparable for all types of prostheses.