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  1. Article ; Online: Health professional access to training on perinatal death care: Still far from the recommended standards.

    Bomben, Arianna / Tambascia, Gabriella / Lazzerini, Marzia

    Journal of clinical nursing

    2023  Volume 32, Issue 13-14, Page(s) 4203–4204

    MeSH term(s) Pregnancy ; Infant, Newborn ; Child ; Female ; Humans ; Perinatal Death/prevention & control ; Perinatal Care ; Midwifery/education
    Language English
    Publishing date 2023-02-17
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.16611
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Mobile Vaccination Teams for Improving Vaccination Coverage in the Kyrgyz Republic: Results of a National Health System-Strengthening Project during the First Two Years of the COVID-19 Pandemic.

    Monolbaev, Kubanychbek / Kosbayeva, Alyia / Lazzerini, Marzia

    Children (Basel, Switzerland)

    2023  Volume 10, Issue 10

    Abstract: 1) Background: This implementation study reports on the results of the mobile vaccination teams' (MVTs) activities during the first two years of the COVID-19 pandemic in Kyrgyzstan, when other vaccination services were disrupted. (2) Methods: Through a ... ...

    Abstract (1) Background: This implementation study reports on the results of the mobile vaccination teams' (MVTs) activities during the first two years of the COVID-19 pandemic in Kyrgyzstan, when other vaccination services were disrupted. (2) Methods: Through a national health system-strengthening project under an order of the Ministry of Health, in 2020, the number of MVTs was increased, focusing on internal immigrant settlements around the cities of Bishkek and Osh and geographically remote areas. MVTs provided free vaccination services. (3) Results: MVTs vaccinated a total of 125,289 and 158,047 children in 2020 and 2021, respectively. The higher contribution of MVTs to vaccination coverage was in children under 5 years of age, with the three top vaccines being IPV (8.9%), MMR (7%), and PCV (6.6%). In 2021, 13,000 children who had not received an IPV vaccination and 8692 children who had not received the Pentavalent vaccine (DPT-HBV-Hib) were reached. The number of cases of vaccine-preventable disease reported in official statistics has reduced over time. (4) Conclusions: MVTs increased vaccination coverage in Kyrgyzstan, in particular in remote regions and migrant settlements, where it accounted for a considerable proportion of the vaccinated. This study adds to previous evidence in the literature of the role of MVTs as a strategy to improve immunization in hard-to-reach populations, particularly children.
    Language English
    Publishing date 2023-10-12
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2732685-8
    ISSN 2227-9067
    ISSN 2227-9067
    DOI 10.3390/children10101681
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Online care helped to maintain breastfeeding support during the COVID-19 pandemic in an Italian Baby Friendly Community.

    Tambascia, Gabriella / Sola, Maria Vittoria / Marocco, Sara / Lazzerini, Marzia

    Acta paediatrica (Oslo, Norway : 1992)

    2023  Volume 113, Issue 2, Page(s) 247–248

    MeSH term(s) Female ; Pregnancy ; Humans ; Breast Feeding ; Pandemics ; COVID-19 ; Postnatal Care ; Mothers ; Italy/epidemiology ; Health Promotion
    Language English
    Publishing date 2023-10-27
    Publishing country Norway
    Document type Journal Article
    ZDB-ID 203487-6
    ISSN 1651-2227 ; 0365-1436 ; 0803-5253
    ISSN (online) 1651-2227
    ISSN 0365-1436 ; 0803-5253
    DOI 10.1111/apa.17019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Oral zinc provision in acute diarrhea.

    Lazzerini, Marzia

    Current opinion in clinical nutrition and metabolic care

    2016  Volume 19, Issue 3, Page(s) 239–243

    Abstract: Purpose of review: The clinical management of acute diarrhea is based on the use of oral rehydration salts and appropriate nutrition. In addition, the WHO and The United Nations Children's Fund recommend zinc supplementation for diarrhea in children ... ...

    Abstract Purpose of review: The clinical management of acute diarrhea is based on the use of oral rehydration salts and appropriate nutrition. In addition, the WHO and The United Nations Children's Fund recommend zinc supplementation for diarrhea in children below 5 years. This article aims at reviewing recent literature on the effects of oral zinc for treating acute diarrhea in children.
    Recent findings: Recent studies confirm that zinc supplementation has a benefit in children below 5 years with acute diarrhea in countries at medium or high risk of zinc deficiency. A few small trials have reported a benefit of zinc in children at low risk of zinc deficiency, with heterogeneity in results. No recent study has explored the effects of zinc in children younger than 6 months, and in this age group previous research refuted any benefit from zinc.
    Summary: Current literature supports the use of oral zinc in treating diarrhea in children older than 6 months, especially if at risk of zinc deficiency, such as children with poor diets exposed to recurrent gastrointestinal infections. More research is needed to confirm findings in children at low risk of zinc deficiency. Currently there is no evidence that zinc benefits children younger than 6 months.
    MeSH term(s) Acute Disease ; Animals ; Child Nutritional Physiological Phenomena ; Child, Preschool ; Combined Modality Therapy/adverse effects ; Deficiency Diseases/epidemiology ; Deficiency Diseases/etiology ; Deficiency Diseases/prevention & control ; Developing Countries ; Diarrhea/diet therapy ; Diarrhea/physiopathology ; Diarrhea/therapy ; Diarrhea, Infantile/diet therapy ; Diarrhea, Infantile/physiopathology ; Diarrhea, Infantile/therapy ; Dietary Supplements/adverse effects ; Evidence-Based Medicine ; Fluid Therapy ; Global Health ; Humans ; Infant ; Infant Nutritional Physiological Phenomena ; Practice Guidelines as Topic ; Risk ; United Nations ; Zinc/adverse effects ; Zinc/deficiency ; Zinc/therapeutic use
    Chemical Substances Zinc (J41CSQ7QDS)
    Language English
    Publishing date 2016-05
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1460178-3
    ISSN 1473-6519 ; 1363-1950
    ISSN (online) 1473-6519
    ISSN 1363-1950
    DOI 10.1097/MCO.0000000000000276
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: COVID-19 in Italy: momentous decisions and many uncertainties.

    Lazzerini, Marzia / Putoto, Giovanni

    The Lancet. Global health

    2020  Volume 8, Issue 5, Page(s) e641–e642

    MeSH term(s) COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Decision Making ; Humans ; Italy/epidemiology ; Pandemics/prevention & control ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Public Health ; Uncertainty
    Keywords covid19
    Language English
    Publishing date 2020-03-18
    Publishing country England
    Document type Letter
    ZDB-ID 2723488-5
    ISSN 2214-109X ; 2214-109X
    ISSN (online) 2214-109X
    ISSN 2214-109X
    DOI 10.1016/S2214-109X(20)30110-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: COVID-19 in Italy

    Marzia Lazzerini / Giovanni Putoto

    The Lancet Global Health, Vol 8, Iss 5, Pp e641-e

    momentous decisions and many uncertainties

    2020  Volume 642

    Keywords Public aspects of medicine ; RA1-1270 ; covid19
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Parental stress, depression, anxiety and participation in care in neonatal intensive care unit: a cross-sectional study in Italy comparing mothers versus fathers.

    Bua, Jenny / Dalena, Paolo / Mariani, Ilaria / Girardelli, Martina / Ermacora, Maddalena / Manzon, Ursula / Plet, Sabrina / Travan, Laura / Lazzerini, Marzia

    BMJ paediatrics open

    2024  Volume 8, Issue Suppl 2

    Abstract: Background: This study aimed at documenting the levels of stress, depression, anxiety and participation in care among mothers versus fathers of newborns hospitalised in a third-level neonatal intensive care unit (NICU) in Northern Italy.: Methods: ... ...

    Abstract Background: This study aimed at documenting the levels of stress, depression, anxiety and participation in care among mothers versus fathers of newborns hospitalised in a third-level neonatal intensive care unit (NICU) in Northern Italy.
    Methods: Parental stress, depression and anxiety were assessed by the Parental Stressor Scale in NICU (PSS:NICU), the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI). Participation in care was evaluated with the Index of Parental Participation. Differences between mothers and fathers were assessed with the Mood's median test and z-test, respectively for continuous and discrete variables. Multivariate analyses controlling for potential confounders were performed to confirm gender differences.
    Results: 191 parents (112 mothers and 79 fathers) were enrolled. Mothers reported significantly higher median scores for stress (2.9 vs 2.2, p<0.001) and trait anxiety (37 vs 32, p=0.004) and higher depression rates (EPDS ≥12: 43.8% vs 19.0%, p<0.001). 'High stress' (PSS:NICU ≥3) was reported by 45.5% of mothers compared with 24.1% of fathers (p=0.004). The frequency of the three conditions simultaneously was significantly higher among mothers (20.0% vs 3.8%, p=0.016), with the vast majority of mothers (76.0%) suffering from at least one condition compared with less than half of fathers (45.3%, p<0.001). Participation in care was more frequent in mothers (median score: 19 vs 15, p<0.001), with the exception of activities related to advocacy (median 5 vs 4, p=0.053). In a multivariate analysis, gender differences in mental health outcomes did not change.
    Conclusions: Routine screening of mental distress among parents of infants in NICU is warranted, and gender differences need to be acknowledged in order to deliver tailored support and to promote collaboration with the family of vulnerable newborns. Knowledge and skills on how to prevent and cope with mental distress of parents should be part of the core curriculum of staff working in NICU.
    MeSH term(s) Female ; Infant ; Humans ; Infant, Newborn ; Intensive Care Units, Neonatal ; Cross-Sectional Studies ; Depression/epidemiology ; Depression/diagnosis ; Stress, Psychological/epidemiology ; Stress, Psychological/psychology ; Parents/psychology ; Anxiety/epidemiology ; Anxiety/diagnosis ; Anxiety/psychology
    Language English
    Publishing date 2024-04-08
    Publishing country England
    Document type Journal Article
    ISSN 2399-9772
    ISSN (online) 2399-9772
    DOI 10.1136/bmjpo-2023-002429
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Factors associated with exclusive breastfeeding in Israel during the COVID-19 pandemic: a subset of the IMAgiNE EURO cross-sectional study.

    Artzi-Medvedik, Rada / Mariani, Ilaria / Valente, Emanuelle Pessa / Lazzerini, Marzia / Chertok, Ilana Azulay

    International breastfeeding journal

    2023  Volume 18, Issue 1, Page(s) 30

    Abstract: Background: Evidence has shown that restrictions during the COVID-19 pandemic have negatively affected breastfeeding support and outcomes in hospitals in many countries. The aims of the study were to describe exclusive breastfeeding rates and identify ... ...

    Abstract Background: Evidence has shown that restrictions during the COVID-19 pandemic have negatively affected breastfeeding support and outcomes in hospitals in many countries. The aims of the study were to describe exclusive breastfeeding rates and identify factors associated with exclusive breastfeeding at hospital discharge among women who gave birth during the COVID-19 pandemic in Israel.
    Methods: A cross-sectional online anonymous survey based on WHO standards for improving quality of maternal and newborn care in health facilities was conducted among a sample of women who gave birth to a healthy singleton infant in Israel during the pandemic (between March 2020 and April 2022). The socio-ecological approach was employed to examine intrapersonal, interpersonal, organizational, and community/society factors associated with exclusive breastfeeding at hospital discharge according to women perspectives.
    Results: Among the 235 Israeli participants, 68.1% exclusively breastfed, 27.7% partially breastfed, and 4.2% did not breastfeed at discharge. Results of the adjusted logistic regression model showed that factors significantly associated with exclusive breastfeeding were the intrapersonal factor of multiparity (adjusted OR 2.09; 95% Confidence Interval 1.01,4.35) and the organizational factors of early breastfeeding in the first hour (aOR 2.17; 95% CI 1.06,4.45), and rooming-in (aOR 2.68; 95% CI 1.41,5.07).
    Conclusions: Facilitating early breastfeeding initiation and supporting rooming-in are critical to promoting exclusive breastfeeding. These factors, reflecting hospital policies and practices, along with parity, are significantly associated with breastfeeding outcomes and highlight the influential role of the maternity environment during the COVID-19 pandemic. Maternity care in hospitals should follow evidence-based breastfeeding recommendations also during the pandemic, promoting early exclusive breastfeeding and rooming-in among all women, with particular attention to providing lactation support to primiparous women.
    Trial registration: Clinical Trials NCT04847336.
    MeSH term(s) Female ; Humans ; Infant, Newborn ; Pregnancy ; Breast Feeding ; COVID-19/epidemiology ; Cross-Sectional Studies ; Israel/epidemiology ; Maternal Health Services ; Pandemics
    Language English
    Publishing date 2023-06-09
    Publishing country England
    Document type Clinical Study ; Journal Article
    ZDB-ID 2227239-2
    ISSN 1746-4358 ; 1746-4358
    ISSN (online) 1746-4358
    ISSN 1746-4358
    DOI 10.1186/s13006-023-00568-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Women's suggestions on how to improve the quality of maternal and newborn care during the COVID-19 pandemic in Italy: A co-occurrence network analysis.

    Geremia, Sara / Valente, Emanuelle Pessa / Mariani, Ilaria / Dalena, Paolo / Lazzerini, Marzia

    Journal of global health

    2023  Volume 13, Page(s) 6013

    Abstract: Background: Recent evidence revealed significant gaps in the quality of maternal and newborn care in the World Health Organization (WHO) European Region (EUR) countries. Collecting and analyzing women's views on their needs and priorities is crucial for ...

    Abstract Background: Recent evidence revealed significant gaps in the quality of maternal and newborn care in the World Health Organization (WHO) European Region (EUR) countries. Collecting and analyzing women's views on their needs and priorities is crucial for developing actions to improve the quality of maternal and newborn care. With this study from the IMAgiNE EURO Project, we aimed to add to previous quantitative studies by analysing emerging themes from women's suggestions on how to improve the quality of maternal and newborn care during facility-based birth in Italy during the COVID-19 pandemic.
    Methods: We collected data from mothers giving birth during the coronavirus 2019 (COVID-19) pandemic using a validated online anonymous WHO standard-based questionnaire consisting of open-ended questions. Using a word co-occurrence network (WCON), we analysed responses in Italian from women who gave birth between March 2020 and March 2022. This approach entails a graphical representation of word pairings that frequently co-occur across sentences and compose clusters.
    Results: The texts, produced by 2010 women participating in the study, consisted of 79 204 words and 3833 sentences. Eight clusters emerged with WCON, the three largest of which were related to companionship during childbirth, breastfeeding support, and physical resources. The term "swab", associated with other terms in the COVID-19 domain, had the highest degree of centrality, thus representing a core topic.
    Conclusions: The key emerging themes from women's suggestions can be used to shape policies to improve the quality of care for mothers and newborns. Our WCON analysis offers a valid approach to quickly screen large textual data on quality of care, providing a first set of major themes identified by clusters. As such, it could be used to improve documentation of service users' suggestions promoting the engagement of both researchers and policymakers.
    Registration: ClinicalTrials.gov: NCT04847336.
    MeSH term(s) Pregnancy ; Female ; Infant, Newborn ; Humans ; Pandemics ; COVID-19/epidemiology ; Delivery, Obstetric ; Mothers ; Breast Feeding
    Language English
    Publishing date 2023-05-05
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 2741629-X
    ISSN 2047-2986 ; 2047-2986
    ISSN (online) 2047-2986
    ISSN 2047-2986
    DOI 10.7189/jogh.13.06013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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