The aging population is rapidly growing across the world, with the number of people aged 65 or older projected to reach 1.6 billion by 2050. As such, it is essential to consider how to develop sustainable transport systems that are age-friendly. This perspective paper investigates how to foster an age-friendly transport system with a particular focus on public and sustainable transport options for the elderly. Existing transport systems are evaluated to determine their adherence to an effective age-friendly transport system in terms of three main requirements, namely affordability, accessibility and safety. Then, a psychological perspective is introduced by considering the psycho-physical needs and preferences of the elderly as well as individual factors affecting them. Four areas are considered: (a) independence and autonomy, (b) comfort and convenience, (c) social inclusion and ageism, (d) physical health and well-being, especially injuries due to mobility and fear connected with them. Finally, a proposal is made about psychological training programs directed to both elderly users and transport workers to overcome concerns for an age-friendly transportation system. Such programs could effectively support the age-friendly use of public transport systems simply by increasing the age-friendly skills of both users as well as transport workers.

Many multiple sclerosis (MS) prevalence studies in Italian northern and central areas, since 1980, have put Italy in a high risk zone; none concerns southern Italy. The MS registry of Salerno Center was reviewed, including the city and 16 towns at different distances (9–149 km) better connected to our Center. Population screened: 259 681 persons (Salerno = 136 678; province = 123 003). Prevalence day was December 31, 2005. Data on 186 patients were collected of which 55 were males, 131 females; crude total prevalence = 71.6263 (62.03–82.303, ranging from 50.1128 (Oliveto Citra) to 431.499 (Controne). Salerno prevalence rate is 70.9697 (57.41–86.583); standardized = 72.02. Incidence rate ranges from 2.38585 (1.6–3.39) (1991–95) to 4.31997 (3.24–5.6) (2001–05). Our data can be underestimated because some patients could have skipped the local center. This emphasizes that the results, except for Sardinia, are comparable to Italian literature data. They confirm that this territory is a high risk area for MS. There is also an indirect indication against a latitude gradient for MS.

Spatial Anxiety (SA) can be defined as the fear and apprehension experienced during tasks that require spatial thinking and may negatively impact the execution of daily actions. Although it has been explored in several research fields, limited research has explored the effects of SA on specific driving behaviours. In the current study, it was hypothesised that the severity of SA affects risky driving behaviours, and that this relationship is mediated by the driver's self-regulation abilities. Self-reported SA symptoms, driving self-regulation abilities, and risky driving behaviours (i.e., errors, violations, and lapses) were examined in 838 Italian drivers. Data were analysed through linear regressions and path analysis models, controlling for sociodemographic variables. The results showed the negative effects of SA on driving errors and lapses. As hypothesised, a driver's self-regulation abilities mediated the influence of SA on driving lapses, but not on errors nor violations. These findings suggest that the inclination to self-regulate the SA experienced while driving contribute to increase the occurrence of driving lapses. Showing specific pathways through which SA impacts risky driving, these results provide valuable insights for the development of 'driver-focused' road safety interventions.

The study aimed to determine the sociodemographic and psychological profiles of drivers with a history of motor vehicle crashes (MVCs), following the contextual-mediated model of crash involvement, and trying to define similarities and differences with drivers without MVCs. Although road trauma prevention has become a central public health issue, the study of psychological determinants of MVCs does not have consistent results due to methodological and theoretical weaknesses. Three-hundred and forty-five active drivers (20% females) completed an extensive office-based fitness-to-drive evaluation including measures of cognition, personality, self-reported driving-related behaviors, attitudes, as well as computerized measures of driving performance. The Classification and Regression Tree method (CART) was used to identify discriminant predictors. The classification identified several relevant predictors; the personality trait of Discostraint (as a distal context variable; cut-point: 50 T points) and motor speed (as a proximal context variable; cut-point: 64 percentile ranks). The global classification model increased approximately 3 times the probability of identifying people with a history of MVC involvement, starting from an estimated prevalence of being involved in an MVC in a period of five years in the population of active drivers. Consistent with the ‘contextual-mediated model of traffic accident involvement’, the results of the present study suggest that road trauma analysis should focus on both distal and proximal driver-related factors by paying attention to their association in determining MVCs. These results represent a valuable source of knowledge for researchers and practitioners for preventing road trauma.

Background: Takotsubo syndrome (TTS) is an acute and transient heart failure syndrome due to reversible myocardial dysfunction characterized by a wide spectrum of possible clinical scenarios. About one-fifth of TTS patients experience adverse in-hospital events. Thromboembolic complications, especially stroke, have been reported, albeit in a minority of patients. Case summary: A 69-year-old woman presented to our emergency department for dyspnoea after a family quarrel. Electrocardiogram revealed ST-segment elevation in anterolateral leads and laboratory exams showed a slight elevation of high-sensitivity cardiac troponin. The patient was treated according to current guidelines on ST-elevation myocardial infarction and referred to the cath lab. Urgent coronary angiography revealed normal coronary arteries. Based on the patient profile and instrumental findings, a diagnosis of TTS was hypothesized. After 6 days, the patient developed dysarthria and right hemiparesis under therapy with aspirin, whilst low molecular weight heparin had been previously withdrawn. Transthoracic echocardiography (TTE) revealed persisting apical akinesia and a subtle intraventricular thrombus. Head computed tomography and magnetic resonance imaging detected focal areas of ischaemic necrosis resembling diffuse cardioembolic lesions. Anticoagulation therapy was started and regular TTE showed complete recovery of myocardial systolic function and absence of ventricular thrombi at 1-month follow-up. The patient fully recovered speech after 5 months. Discussion: This challenging case reinforces current recommendations to administer antithrombotic therapy in TTS patients with extensive apical dysfunction up to complete or near-complete recovery of myocardial contractility, regardless of the presence of atrial fibrillation, and highlights the importance of close TTE monitoring during the acute phase.

The concept of active aging (AA) was defined as the process of optimizing opportunity for health, security, and social participation for older people. While several questionnaires were developed to measure AA, there is no universal consensus on how to measure it, underlining a lack of clarity about what aspects to consider in the evaluation. To contribute to fill this gap, the aims of these two studies were to provide a guide for aging care professionals to choose the most appropriate questionnaire(s) based on a scoping review of the specialist literature and on a content analysis of the questionnaire, that is, the University of Jyvaskyla Active Aging Scale (UJACAS). Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines were used. We found 25 records introducing questionnaires. The content validity evaluation of the most complete questionnaire (in terms of inspected content areas), i.e., UJACAS, was conducted to obtain a complete framework of evaluated aspects. Among the selected questionnaires, heterogeneity was found regarding investigated aspects and relative terms used to describe it. Only two questionnaires were found to be validated in other languages besides the original one. The content validity evaluation of UJACAS revealed its comprehensiveness in covering various aspects of AA. Specifically, five items mainly addressed one content area, while the others encompassed more than one content area. In terms of assessed aspects and translations, the UJACAS scale could be considered the most complete questionnaire for AA evaluation. Furthermore, recognizing the heterogeneity of the terms related to the aspects investigated could help professionals in selecting assessment tools with greater precision.