Purpose The coronavirus lockdown in Italy ended, but the postlockdown phase may be even more challenging than the outbreak itself if the impact on mental health is considered. To date, little evidence is available about the effect of lockdown release in terms of adolescent health from the perspective of an emergency department (ED). Methods We reviewed data on ED arrivals of adolescents and young adults (aged 13–24 years) in the weeks immediately before and after the Italian lockdown release in 2020, and in the same periods in 2019, with a focus on cases of severe alcohol abuse, psychomotor agitation, and other mental issues. Results The relative frequency of severe alcohol intoxications increased from .88% during the last part of the lockdown to 11.3% after lockdown release. When comparing these data with the same period in 2019, a highly significant difference emerged, with severe alcohol intoxications accounting for 11.31% of ED visits versus 2.96%, respectively. The relative frequency of ED arrivals related to psychomotor agitation or other mental health issues was not significantly increased after lockdown release. Conclusions This report suggests that emergency services should be prepared for a possible peak of alcohol intoxication-related emergencies in adolescents and young adults. The connection between alcohol abuse and mental health should not be overlooked.

No abstract

No abstract

The objective of the study is to investigate pain and distress experienced by a group of adolescents and children during peripheral intravenous cannulation in a paediatric emergency department. This cross-sectional study was performed between November 2019 and June 2020 at the paediatric emergency department of the Institute for Maternal and Child Health of Trieste, Italy. Eligible subjects were patients between 4 and 17 years old undergoing intravenous cannulation, split into three groups based on their age: adolescents (13–17 years), older children (8–12 years), and younger children (4–7 years). Procedural distress and pain scores were recorded through validated scales. Data on the use of topical anaesthesia, distraction techniques, and physical or verbal comfort during procedures were also collected. We recruited 136 patients: 63 adolescents, 48 older children, and 25 younger children. There was no statistically significant difference in the median self-reported procedural pain found in adolescents (4; IQR = 2–6) versus older and younger children (5; IQR = 2–8 and 6; IQR = 2–8, respectively). Furthermore, no significant difference was observed in the rate of distress between adolescents (79.4%), older (89.6%), and younger (92.0%) children. Adolescents received significantly fewer pain relief techniques.Conclusion: This study shows that adolescents experience similar pain and pre-procedural distress as younger children during peripheral intravenous cannulation. What is Known:• Topical and local anaesthesia, physical and verbal comfort, and distraction are useful interventions for pain and anxiety management during intravenous cannulation in paediatric settings. • No data is available on pain and distress experienced by adolescents in the specific setting of the emergency department. What is New:• Adolescents experienced high levels of pre-procedural distress in most cases and similar levels of pain and distress when compared to younger patients• The number of pain relief techniques employed during procedures was inversely proportional to patient’s age, topical or local anaesthesia were rarely used

The city evolves and overwrites itself and this overwriting creates an overlap of the various plots that bring out unplanned parts of it. The contemporary city is therefore the result of design and incidental actions that have radically transformed it, leaving around it a “kind of space” of difficult interpretation because of the peculiarity that characterizes them. They are ambiguous, undetermined spaces, often resulting from the informal action of man or the result of stratifications within the urban dimension.  This type of space is called “interstitial” because it is located between things. They can be elements in urban spaces, entire buildings, or only portions within their sphere. The aim of the present text is on the one hand to construct a definition of what an interstitial space is inside the contemporary city. On the other hand, thanks to the help of case studies, we can understand the most suitable functions for the reactivation and enhancement of these areas in the city. The need to reactivate existing city spaces has increased following the climate crisis and pandemic. It’s appropriate to recognize the empty spaces of the city as a “new opportunities” ready to host new functions. Therefore, flexible strategies of action are necessary, which find in the void space of primary importance to realize adaptive devices capable of increasing “urban resilience” and that act as relief valves during extraordinary events. The picture that emerges from studies and research related to the European and Italian panorama of sports infrastructure allows us to identify interesting and innovative trends that show, also in this sector, an increasing attention to issues of urban resilience, architectural and social. Based on this premise, the contribution aims to analyze the recent evolution of public space design modalities in sports practices as a field where resilience policies are applied.