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UniTS study: in out-of-hospital cardiopulmonary resuscitation, speed matters more than who performs it

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When it comes to cardiac arrest, every second counts, and it is the speed with which cardiopulmonary resuscitation is started that makes the real difference, not so much who performs it. This is what emerges from an important study presented at the ESC Acute CardioVascular Care 2025 congress.

The research is the result of the work of a team coordinated by Prof. Aneta Aleksova, cardiologist and lecturer at the Department of Medical Sciences of the University of Trieste and the local health authority (ASUGI). The study group is an integral part of the Department of Cardiology, headed by Prof. Gianfranco Sinagra, and included the contribution of Dr Alessandra Lucia Fluca, research assistant at the Department of Medicine of the University of Trieste, and Dr Andrea Perkan, interventional cardiologist at the Department of Cardiology.

The study analysed 21 years of data (from 2003 to 2024) on 3,315 patients who had suffered a ST-elevation myocardial infarction (STEMI), a particularly serious form of heart attack in which a major coronary artery is completely blocked, preventing blood flow to part of the heart. Among these patients, 172 suffered out-of-hospital cardiac arrest (OHCA) and 44 of them received cardiopulmonary resuscitation (CPR) from bystanders.

Urgent response is crucial 

The results are clear: every 5 minutes of delay in the return of spontaneous circulation (ROSC) increases the risk of death in hospital by 38%. Even a slight reduction in left ventricular ejection fraction (an indicator of heart function) or increased age is associated with a significant increase in mortality.

'We observed that, regardless of whether cardiopulmonary resuscitation was performed by a professional rescuer or a bystander, the determining factor was the speed with which resuscitation was started,' explains Prof. Aleksova, emphasising the value of active prevention. ‘It is essential to raise awareness among the population and promote CPR and defibrillator training courses. Even imperfect intervention, if timely, can save a life. It is better to act immediately than to wait for help without doing anything.’

A positive trend, but still insufficient

The study shows a clear improvement over time: the percentage of CPR performed by bystanders rose from 26% in the period 2003-2007 to 69% in the four-year period 2020-2024. However, considering that about 80% of cardiac arrests occur at home, public involvement remains crucial.

Although the average ROSC times are longer for interventions by bystanders (20 minutes compared to 5 minutes in cases handled by healthcare professionals), the chances of long-term survival do not differ. This suggests that even intervention by ordinary people, provided it is timely, can have a life-saving impact comparable to that of professionals.

A call for public training

The survey also reports that those who receive CPR from bystanders are more frequently subjected to endotracheal intubation (91% versus 65%), indicating more intensive clinical management. But the key factor remains time. All other factors being equal, prompt intervention can mean the difference between life and death.

The study relaunches a simple but urgent message: training more people in basic life support (BLS) techniques is a public health priority. Because every minute counts. And anyone, with the right training, can make a difference.

Abstract
Led by Prof. Aneta Aleksova (DSM) and published on World Restart a Heart (WRAH) Day, the study highlights the importance of training in life-saving techniques
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UniTS visits HHLA PLT Italy

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Rector Donata Vianelli, together with a delegation comprising Professors Giorgio Sulligoi, Giovanni Longo, Alberto Bartoli, Guido Bortoluzzi and Erik Vesselli, visited HHLA PLT Italy, the southernmost strategic hub of Hamburger Hafen und Logistik AG (HHLA).

HHLA PLT is one of Europe’s leading logistics and transport operators, headquartered in Hamburg.

The meeting highlighted the growing collaboration between the academic and port sectors, united by a common goal: to promote technology transfer, digital innovation and sustainable logistics.

The delegation explored the operations and infrastructure of the HHLA PLT terminal, while also discussing future development prospects linked to the Molo VIII project - a strategic site within the Port of Trieste and a key intermodal hub connecting maritime, rail and road networks across Europe.

“Building bridges between research and operations is essential to foster innovation and competitiveness in the port sector,” said Antonio Barbara, CEO of HHLA PLT Italy.

“UniTS is interested in partnerships that allow the development, together with major industrial players, of research projects and activities capable of making a concrete contribution to the growth of the region,” added Vianelli.

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Strengthening collaboration between the University and the port sector
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Autumn Open Days

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Over 16,000 people have registered for the University of Trieste's prospective student events and presentations for first-level courses (bachelor's degrees and integrated master's degrees), which are taking place from today until Friday 17th October. Open Days 2025 is a prospective student event aimed at students in their final years of secondary school and is designed to support them in choosing their degree course by presenting all the courses offered by UniTS in a clear and comprehensive manner. 

The event will attract students from across the region to Piazzale Europa, but there will also be significant participation from Veneto(Venice, Treviso, Belluno, Verona). Students are also expected to attend from Trentino-Alto Adige (Trento), Lombardy (Pavia), Piedmont (Novara), Marche (Ancona, Pesaro Urbino), Emilia Romagna (Modena), Puglia (Brindisi), Sardinia (Sassari), Sicily (Ragusa) and, as usual, young people from Croatia and Slovenia will also be present, a testament to the cross-border interest in the UniTS course catalogue.

The event will begin on 15th October at 9:00 in the Main Hall of Building A in Piazzale Europa with a welcome address by the Rector, Prof. Donata Vianelli, and the Rector's Delegate for Prospective Student Policies, Prof. Elisabetta Madriz. This will be followed by a presentation of the courses offered in the Social Sciences and Humanities (4,870 enrolments). On 16th October, courses in Technology and Science (4,743 enrolments) will be presented and on 17th October, students can find out about courses in Life and Health Sciences (6,020 enrolments).

Programme and updates: https://portale.units.it/en/studiare/orientarsi/porte-aperte.

In addition to course presentations, each day will feature guided tours of the Piazzale Europa Campus and an afternoon presentation on the University's services with focus on university fees, disabilities and SLDs, UniTS study grants, international mobility (Erasmus), the Career Service. There will also be presentations by ARDiS (scholarships and student halls), the Collegio di merito “Luciano Fonda”, and the University Sports Centre (CUS).

Drop-in sessions at information desks will also be on offer in the lobbies of the Main Building (no booking required).

Each day, a classroom will be dedicated exclusively to informal peer discussions, with testimonials from UniTS students on their choices and university life as well as useful answers to the common uncertainties and questions many prospective students have.

For more info: orientamento@units.it  

Abstract
There are over 16,000 registrations for Active Orientation events and presentations of first-level courses at the University of Trieste
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ICLab in Japan: two UniTS students between innovation, research and entrepreneurship

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This year’s final trip of the Innovators Community Lab (ICLab) at the University of Trieste took participants to Japan: a training itinerary designed to strengthen skills, networks and international vision in the fields of innovation and entrepreneurship.

The initiative involved Valentina Coggiola (Master’s Degree in Marketing & Management) and Romina Doz (PhD student in Applied Data Science and AI), two students who excelled in the UniTS programme dedicated to developing business projects and promoting an entrepreneurial mindset.

The first stop was Osaka, with visits to the Innovation Hub, which hosts incubation and start-up support projects, and to the Italian Pavilion at the ongoing Expo. In Yokohama, the two UniTS students presented their projects at Yokohama Connéct, the country’s leading venture café, where they met professionals and innovators in a space that brings together digital culture and community building.

The itinerary continued in Tokyo, with meetings at UNIDO and the United Nations University, followed by a visit to the University of Tokyo in a highly innovative interdisciplinary research centre. The programme then included participation in an event organised by the Tokyo AI community, which brings together researchers, professionals and investors in artificial intelligence and machine learning. The mission concluded with a reception at the Embassy of Italy and a meeting with Franco Nori, one of the world’s most cited and influential physicists, at RIKEN, a leading Japanese research centre, where the students had the opportunity to see one of Japan’s first quantum computers.

A laboratory of culture and relationships: this is how Coggiola and Doz describe their experience, where understanding cultural codes proved almost as significant as exploring the new frontiers of technology. ‘In Japan, I realised that every professional interaction is guided by deeply rooted values such as respect, the building of trust and the determination to complete every task flawlessly,’ says Valentina Coggiola. ‘In particular,’ adds Romina Doz, ‘personal and direct contact is essential to build trust before any collaboration can begin.’

The mission to the Land of the Rising Sun reflects the role of ICLab as a bridge between academic expertise and business culture: field experiences, role-modelling with scientists and managers, and connections with innovation ecosystems and international institutions. For the UniTS students, it was an opportunity to validate their projects, to understand how a profoundly different culture approaches business, and to strengthen their global perspective on AI, quantum research and technology transfer.

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Osaka, Yokohama and Tokyo were the key stages for Valentina Coggiola and Romina Doz, who shared their business ideas, visited innovation hubs and met international delegations
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Lupus: mechanism explaining increased risk of thrombosis identified

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study published in Arthritis & Rheumatology clarifies, through clinical, tissue and laboratory data, why the risk of cardiovascular events is so high in systemic lupus erythematosus (SLE). The research was carried out in collaboration between Giacomo Emmi, immunologist and Professor of Internal Medicine at the University of Trieste, and the research teams of Matteo Becatti, Claudia Fiorillo and Domenico Prisco at the University of Florence.

SLE is a systemic autoimmune disease that can affect several organs. In Italy it affects more than 60,000 people, mostly women of childbearing age. For those affected, the risk of arterial and venous thrombosis can be two to ten times higher than in the general population. The underlying cause is not limited to cholesterol or blood pressure, but primarily linked to the chronic inflammation characteristic of the disease.

At the centre of this process is oxidative stress, the imbalance between oxidising substances produced by our cells and the antioxidant defences that should neutralise them. In SLE patients, certain immune cells – neutrophils – are abnormally active and fuel this imbalance. In such an oxidative environment, fibrinogen, the protein forming the network of the blood clot, behaves differently: the fibres become denser and less permeable, and the clots harder to dissolve. This mechanism directly connects inflammation to thrombotic risk.

The study involved 144 adult SLE patients and 90 healthy controls. Blood analyses documented higher oxidative stress in patients and its correlation with disease activity. Tissue observations confirmed the picture: in renal biopsies from individuals with active lupus nephritis (inflammation of the kidneys), the same mechanism was evident precisely where inflammation was most intense, demonstrating that it is not only a circulating phenomenon but also causes damage at the organ level.

To confirm the causal link, the team reproduced the phenomenon in the laboratory. When fibrinogen was exposed to an oxidative environment, the clots became more compact and resistant; when a reference antioxidant was added, the effect disappeared. The sequence is thus clear: more inflammation → more oxidative stress → altered fibrinogen → clots harder to dissolve.

‘These results provide a deeper understanding of the connection between autoimmune disease and cardiovascular complications,’ says Professor Giacomo Emmi, who teaches at the Department of Medicine, Surgery and Health Sciences of the University of Trieste and is Head of the Clinical Medicine Unit and Scientific Coordinator of the local health authority (ASUGI).

‘Oxidative stress,’ explains Emmi, ‘emerges as a new potential therapeutic target. Alongside the management of traditional risk factors and disease activity, future therapies could aim to modulate these oxidative circuits to more effectively protect the heart and blood vessels of patients with lupus.’

Reference: ROS-induced modifications of fibrin clots connect immune responses to atherothrombosis in systemic lupus erythematosus, in Arthritis & Rheumatology. DOI: 10.1002/art.43371.

 

Abstract
Giacomo Emmi (DSM) among the coordinators of a UniTS–UniFI study: oxidative stress at the root of a risk up to ten times higher for those affected by the autoimmune disease
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AIRCampus: the 2025/26 lectures begin at UniTS

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This year again, UniTS is taking part in the AIRCampus project, dedicated to university students with the aim of raising awareness about AIRC (Italian association for research on cancer) and promoting understanding of cancer as a public health issue.

In the 2025/26 academic year, the University will host a series of lectures on topics related to the Foundation’s mission, which are also of interest to students from a variety of degree programmes.

The lectures are divided between the two semesters and will take place within degree courses with at least 40 students. Each session lasts about two hours and features both an AIRC expert (researchers, managers, nonprofit professionals, ambassadors) and a UniTS lecturer.

A unique opportunity for students to explore topics connected to their courses of study, through real-world examples and a multidisciplinary approach offered by professionals in the field.

Lecture schedule for this semester

14th October, 16:00, Room 2_A, Building D, Piazzale Europa
I’ll be brief: three plants, three molecules, three stories
Lecture by Ruggero Rollini, science communicator
Hosted by Fabio Carniel Candotto, lecturer in General Botany, bachelor’s degree in Science and Technology for the Environment and Nature

17th October, 14:30 in person; 21st November, 14:30 (tbc) online; 12th December, 14:30 (tbc) in person, Aula Magna, Via Monfort 3
Health education in primary schools: a UDA workshop with the AIRC in Schools project
Workshop by Alessandra Frittelli, Project Manager, AIRC in Schools
Hosted by Barbara Bocchi, lecturer in Teaching, bachelor’s degree in Education

29th October, 12:00, Room 1B, Building H3, Central Campus
The organisation of AIRC and its social impact
Lecture by Marco Rogledi, Human Resources Manager, AIRC
Hosted by Francesco Venier, lecturer in Business Organisation, bachelor’s degree in Business Administration and Management

13th November, 11:00, Aula Grande, Building C6, Via Valerio 8/3
New drugs in a click: strategies to accelerate molecular synthesis
Lecture by Tracey Pirali, AIRC researcher at the University of Eastern Piedmont
Hosted by Tatiana Da Ros, Stephanie Federico and Federico Berti, lecturers in Pharmaceutical Chemistry I and II, Bio-organic Chemistry, degree courses in Pharmaceutical Chemistry and Technology (CTF) and Chemistry

13th November, 15:00, room tbd
Title to be defined
Lecture by Claudia Borreani, Head of the Clinical Psychology Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan
Hosted by Barbara Penolazzi, lecturer in Basic Clinical Skills/Psychology module, bachelor’s degree in Psychology

25th November, 9:00, room tbd
Designing a health communication campaign
Lecture by Sabrina Bonomo, Senior Account, External Communication, AIRC
Hosted by Patrizia De Luca and Giovanna Pegan, lecturers in Marketing and in Communication and Branding, degree courses in Business Administration and Management, and in Marketing and Management

25th November, 16:00, Aula Venezian, Building A, Piazzale Europa
The right to be forgotten: the oncological right to be forgotten becomes law in Italy
Lecture with Giordano Beretta, oncologist, ASL Pescara and Fondazione AIOM
Hosted by Maurizio Barberis, lecturer in Philosophy of Law, integrated master’s degree in Law

11th December, 9:30, room tbd
Title to be defined
Lecture by Francesco Iorio, AIRC researcher at the Human Technopole Foundation, Milan
 Hosted by Giulio Caravagna, lecturer in Introduction to Programming and Laboratory, bachelor’s degree in Artificial Intelligence and Data Analytics

15th December, 9:00, room tbd
New strategies in the fight against cancer
 Lecture by Alessandra Raimondi, AIRC researcher at the Fondazione IRCCS Istituto Nazionale Tumori, Milan
 Hosted by Vanessa Nicolin, lecturer in Human Anatomy, degree courses in Medicine and Surgery and Dentistry

18th December, time and room tbd
DNA damage in cancer and ageing
Lecture by Fabrizio D’Adda di Fagagna, AIRC researcher at IFOM – the AIRC Institute of Molecular Oncology ETS, Milan
Hosted by Stefan Schoeftner, lecturer in Non-coding RNA Biology, degree course in Functional Genomics

All AIRCampus lectures organised in Italian universities and the updated calendar are available at the following link.

Abstract
The project aims to raise awareness among students about cancer
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World Mental Health Day: the University of Trieste lights up green for the 2025 campaign

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On 10th October, the University of Trieste joins the World Mental Health Day, promoted by the World Health Organization (WHO) and the World Federation for Mental Health (WFMH). The 2025 edition focuses on mental health in humanitarian emergencies and, in particular, on access to services for people affected by crises and disasters.

According to the latest WHO data, almost one in seven people worldwide (around 1.1 billion) live with a mental disorder. Anxiety and depression are among the most common diagnoses. Despite the existence of effective prevention and treatment interventions, many people still do not receive adequate support and face stigma and discrimination. In this context, the University of Trieste reaffirms its commitment to promoting awareness, equitable access and early prevention.

The University’s contribution
To mark the Day, on Thursday 10th October in Pordenone, the Regional Congress of the Italian Society of Psychiatry – Friuli Venezia Giulia Section (SIP) will take place, focusing on the relationship between mental illness and addiction. The University of Trieste will be represented by Umberto Albert, Associate Professor of Psychiatry, Head of the Psychiatric Clinic of the local health authority ASUGI, and regional president of SIP.

‘The frequent comorbidity between psychiatric disorders and addiction is of growing importance, particularly among young people,’ explains Albert, who teaches in the Department of Medicine, Surgery and Health Sciences. ‘The onset of psychiatric disorders, their clinical presentation and treatment outcomes can be profoundly influenced by substance use, including new psychoactive substances. For this reason, mental health and addiction professionals are called to adopt integrated and coordinated care models based on the concept of dual diagnosis, thereby overcoming the traditional separation between pathways and services.’

Abstract
Focus on vulnerability in humanitarian emergencies and access to services for people affected by disasters. UniTS conference in Pordenone addresses the relationship between mental disorders and addiction
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Italian Chemical Society: UniTS PhD Graduate Miriam Marchi Wins the 2025 Adolfo Parmaliana Award

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The Italian Chemical Society (SCI), specifically the executive board of the Interdivisional Group of Catalysis (GIC), has awarded the 2025 Adolfo Parmaliana Prize ex aequo to Miriam Marchi for the best doctoral thesis (36ᵗʰ and 37ᵗʰ cycles). Miriam obtained her PhD in Nanotechnology under the supervision of Paolo Fornasiero and Michele Melchionna from the Department of Chemical and Pharmaceutical Sciences at the University of Trieste.

Her thesis, ‘Catalysis for Sustainable Development’, explored innovative photo- and electrocatalytic approaches for organic synthesis and the activation of small molecules such as CO₂, focusing particularly on carbon-based materials as versatile alternatives to traditional catalysts.

Abstract
Her Thesis Recognised as the Best Doctoral Dissertation
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Barcolana Dragon Boat University Challenge. Once Again a Great Success in Sport, Togetherness, Fun and Fierce Competition

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A day marked by togetherness and the inclusive power of sport, in a spectacular setting and with a spirit of competition that celebrates teamwork stroke after stroke. Following the great success of 2024, the Barcolana Dragon Boat University Challenge returned this year as part of the 57ᵗʰ edition of the Barcolana, organised by CUS Trieste (UniTS sports centre) in collaboration with the University of Trieste, CUS Venezia, the Società Velica di Barcola e Grignano and with the support of the Regional Council of Friuli Venezia Giulia.

The event saw the dragon-headed and dragon-tailed boats race in the San Giusto Basin, crewed by students from the teams of CUS Trieste, CUS Bari, CUS Venezia and CUS Udine, with the latter joining the ranks of the two Venetian formations (CUS Venezia Ca’ Foscari and CUS Venezia Iuav). After the traditional Eye-Dotting Ceremony, a ritual of Chinese origin wishing good fortune to the boats, the four teams, each composed of 16 athletes, competed fiercely over the 150-metre course alongside Molo Audace.

CUS Trieste enjoyed the satisfaction of claiming victory at home, first completing the qualifying rounds unbeaten with three wins out of three, and then defeating CUS Bari once again in the much-anticipated final for first and second place. The third step of the podium went to CUS Venezia Ca’ Foscari, which won the Venetian derby against CUS Venezia Iuav in the race for third and fourth place.

The final ranking therefore saw the triumph of CUS Trieste (1ˢᵗ) ahead of CUS Bari (2ⁿᵈ), CUS Venezia Ca’ Foscari (3ʳᵈ) and CUS Venezia Iuav (4ᵗʰ).

The Rector of the University of Trieste, Donata Vianelli, underlined ‘This afternoon dedicated to fun and togetherness, once again demonstrates that our university environment is not only about research and study but also embraces sport and its values. The Barcolana Dragon Boat University Challenge, which brings together various institutions capable of joining forces and creating productive synergies, has proven once again to be a valuable opportunity to express the unifying power of sporting practice – a sport such as Dragon Boat is inclusive and offers participants a unique experience of mutual understanding and a culture of collective strength.’

‘The university is a fundamental pillar in the education of young people,’ commented Mitja Gialuz, President of the Società Velica di Barcola e Grignano, ‘not only on a cultural level but also in terms of personal and ethical growth. Today, the Italian Constitution recognises sport as an essential instrument of education, and I believe that universities, through the CUS network, can and must increasingly promote sport as an integral part of the academic journey. In this sense, the Barcolana Dragon Boat University Challenge represents an extraordinary example: it connects the academic world with the spirit of the sea and teamwork, bringing to the Barcolana a discipline that perfectly embodies the values of cooperation, energy and inclusion.’

‘Building on the success of the 2024 edition,’ emphasised Michele Pipan, President of CUS Trieste, ‘Dragon Boat has returned on a broader scale, proving to be a valuable tool for promoting solidarity in sporting effort, teamwork and inclusion. The 2025 edition was held in this spirit, involving participants of all levels of ability, gender and nationality. The main goal — highlighting cooperation among athletes who, each in their own way, can contribute to achieving a common objective — was fully achieved. I would like to thank the teams from CUS Bari, CUS Venezia and CUS Udine, who were keen to take part in this event.’

Abstract
Victory in the Basin of Piazza Unità for the Home Team, CUS Trieste
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Biodegradable Packaging: Launch of the Be-UP Project, UniTS the Only Italian University Involved

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The new research project Be-UP, funded with €8.5 million by the Horizon Europe Programme, has now been launched. The project aims to develop new renewable polymers for the production and use of biodegradable packaging across Europe.

Coordinated by ITENE (Spain), Be-UP brings together a consortium of 17 private and public organisations from nine countries, with the University of Trieste as the only Italian university involved. Participating companies include Novamont, Particula, Hybrid Catalysis, Isotech, Aptar Group, Imerys, Innotech (Grupo Lantero), and the laboratories Polinivo, Normec, Cebimat, FTPO and IDENER. European Bioplastics and the competitiveness cluster Polymeris will ensure the dissemination of Be-UP results, with the support of the Spanish Standardisation Association (UNE).

In detail, the Be-UP project aims to develop pioneering methods for the synthesis and industrial processing (extrusion, injection moulding and thermoforming) of polyesters derived from bio-based raw materials. Be-UP will employ biocatalysts and sustainable additives, while also integrating advanced multi-object digital modelling tools to achieve simultaneously high technical performance, sustainability and biodegradability of polymers.

The Department of Chemical and Pharmaceutical Sciences of the University of Trieste is involved in the project with a multidisciplinary team combining biocatalysis (Prof. Lucia Gardossi), computational chemistry (Prof. Emanuele Carosati) and spectroscopy (Prof. Fioretta Asaro). The research is supported by funding of approximately €330,000 over four years, enabling the activation of a research contract and a PhD scholarship. A further position will be opened in 2026.

In recent years, the UniTS team has designed and enzymatically synthesised new bio-based polyesters which, thanks to collaboration with the ecology group led by Prof. Monia Renzi in the Department of Life Sciences at UniTS, have also provided the basis for the development of rapid tests to assess the marine ecotoxicity and biodegradability of polyesters. These studies open new prospects for the rational design of environmentally sustainable polymers and demonstrate the importance of multidisciplinary collaborations in addressing the complex environmental challenges faced by science today. The results, which led to participation in the Be-UP project, were achieved thanks to two Marie Skłodowska-Curie grants (RenEcoPol and InterFACES) and to funding under the PNRR – NextGenerationEU (ICSC – National Centre for Research in High Performance Computing, Big Data and Quantum Computing, Spoke 7).

At the conclusion of Be-UP, packaging prototypes will be produced with a high level of technological maturity (TRL7) in order to validate the materials developed. Their biodegradability will be assessed in various end-of-life scenarios, including both open natural environments and controlled conditions. The UniTS team will develop computational models capable of correlating polymer structure with marine biodegradability.

This data-driven approach will help to improve the knowledge base underpinning European regulations, support industrial competitiveness and accelerate the transition towards a truly circular bioeconomy, making a direct contribution to several European action plans and strategies, including the plastics strategy, the Single-Use Plastics Directive, the Circular Economy Action Plan and the regulation on packaging and packaging waste.

 

 

Abstract
Funded by the Horizon Europe Programme with €8.5 million
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