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  1. AU="Nachira, Lorenza"
  2. AU="Wei, Xiang"
  3. AU="Daniell, Esther"
  4. AU="Chou, Chau-Wen"
  5. AU=Kaur Supreet
  6. AU="Yun, Joho"
  7. AU="Tran, Bao G"
  8. AU="Ou Li"
  9. AU="Ting Chen" AU="Ting Chen"
  10. AU="Wilson, Jaymi"
  11. AU="Vane, Christopher H"
  12. AU="Mabbott, Donald"
  13. AU="Martín-Trejo, Jorge Alfonso"
  14. AU=Rieder Hans L

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  1. Artikel ; Online: PERSIST: a pre-post study to assess an educational methodology to enhance youth climate literacy and systems thinking ability.

    Zjalic, Doris / Perilli, Alessio / Nachira, Lorenza / Lombardi, Gaia Surya / Cadeddu, Chiara

    The Lancet. Planetary health

    2024  Band 8 Suppl 1, Seite(n) S7

    Abstract: Background: Education has a pivotal role in preparing society to address the forthcoming health impacts of the climate crisis. Education provides the tools necessary to instil both individual and collective attitudes for mitigating climate change, ... ...

    Abstract Background: Education has a pivotal role in preparing society to address the forthcoming health impacts of the climate crisis. Education provides the tools necessary to instil both individual and collective attitudes for mitigating climate change, fosters the development of adaptive skills and mindsets, and promotes a critical understanding of climate change. The aim of the PERSIST project was to assess the effectiveness of a school educational intervention to strengthen literacy on the climate crisis, pro-environmental behaviours, and systems thinking in high school students (aged 14-18 years).
    Methods: Three meetings were carried out in a scientific high school in the suburbs of Rome (Italy) between March 21, and April 12, 2023, using complex systems models, group activities, and collective discussions. Pre-intervention and post-intervention questionnaires were administered to students to record knowledge, climate-related emotions, and pro-environmental behaviours. Questionnaires that were complete were considered valid. The anonymously collected data were processed using descriptive statistics and t test.
    Findings: A total of 273 students in ten different classes attending between grades 1 and 4 took part in the project. 78 (36%) participants were female, 133 (62%) were male, and four (2%) did not disclose their gender. The mean age was 15 years. We received 211 pairs of valid pre-intervention and post-intervention questionnaires. The preliminary analysis showed an average increase of 19% in correct responses to knowledge questions, a 21·2% increase in pro-environmental behaviours, and no discernible differences in climate-related emotions between pre-intervention and post-intervention questionnaires.
    Interpretation: An interactive approach and the use of complex systems might improve students' literacy and attitudes towards the climate crisis, without increasing negative ecological emotions. This pilot project can guide similar, repeatable programmes in other schools and countries and it represents the first measure of climate-related emotions after school intervention.
    Funding: None.
    Mesh-Begriff(e) Humans ; Male ; Female ; Adolescent ; Literacy ; Pilot Projects ; Schools ; Health Education/methods ; Systems Analysis
    Sprache Englisch
    Erscheinungsdatum 2024-04-15
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ISSN 2542-5196
    ISSN (online) 2542-5196
    DOI 10.1016/S2542-5196(24)00072-X
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: [Titelangabe fehlt]

    Nachira, Lorenza / Perilli, Alessio / Zjalic, Doris / Surya Lombardi, Gaia / Cadeddu, Chiara

    Recenti progressi in medicina

    2023  Band 114, Heft 9, Seite(n) 546–547

    Titelübersetzung PERSIST: un progetto di educazione in un liceo di Roma per affrontare la crisi climatica attraverso il pensiero sistemico.
    Mesh-Begriff(e) Humans ; Rome ; Schools ; Educational Status
    Sprache Italienisch
    Erscheinungsdatum 2023-08-02
    Erscheinungsland Italy
    Dokumenttyp Journal Article
    ZDB-ID 138266-4
    ISSN 2038-1840 ; 0034-1193
    ISSN (online) 2038-1840
    ISSN 0034-1193
    DOI 10.1701/4088.40808
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: A multidisciplinary primary prevention intervention to increase adherence to the Mediterranean diet: a pilot study.

    De Marco, Silvia / Marziali, Eleonora / Nachira, Lorenza / Arcaro, Paola / Villani, Leonardo / Galasso, Valerio / Bruno, Stefania / Laurenti, Patrizia

    BMC public health

    2023  Band 23, Heft 1, Seite(n) 2051

    Abstract: Background: The role of the Mediterranean Diet (MD) in reducing cardiovascular (CV) risk is widely demonstrated and many studies have shown the effectiveness of educational interventions in primary prevention. This study aimed to evaluate the impact of ... ...

    Abstract Background: The role of the Mediterranean Diet (MD) in reducing cardiovascular (CV) risk is widely demonstrated and many studies have shown the effectiveness of educational interventions in primary prevention. This study aimed to evaluate the impact of a multidisciplinary educational intervention, that included nutritional, psychological and physical activity coaching, on adherence to MD and on CV risk.
    Methods: In a Roman neighborhood, general practitioners enrolled 41 subjects to take part in the educational intervention from November 2018 (T
    Results: The study found a significant reduction of 2.5 points in individual CV risk score, and an increase of 2.5 point in adherence to the MD. The stratification by gender showed statistically significant decreases in weight of 1.16 kg, BMI of 0.47, LDL cholesterol of 14.00 mg/dL, and individual CV risk score of 1.16 points among female participants.
    Conclusions: These results show that a multidisciplinary educational intervention model including the adoption of MD could be an effective strategy in Public Health for CV primary prevention and improvement of people's lifestyles.
    Mesh-Begriff(e) Humans ; Female ; Pilot Projects ; Diet, Mediterranean ; Cholesterol, LDL ; Heart Disease Risk Factors ; Primary Prevention/methods
    Chemische Substanzen Cholesterol, LDL
    Sprache Englisch
    Erscheinungsdatum 2023-10-19
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-16893-0
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel ; Online: Increasing urban health awareness in adolescents using an interactive approach: evidence from a school-based pre-post pilot study in Rome, Italy.

    Zjalic, Doris / Perilli, Alessio / Nachira, Lorenza / Lanza, Teresa Eleonora / Santoli, Giuseppe / Paladini, Andrea / Ricciardi, Walter / Cadeddu, Chiara

    BMC public health

    2023  Band 23, Heft 1, Seite(n) 855

    Abstract: Background: Cities contribute to and are affected by the climate crisis, determining significant health issues in urban settings. Educational institutions have a privileged position to contribute to achieving the transformations needed for a healthier ... ...

    Abstract Background: Cities contribute to and are affected by the climate crisis, determining significant health issues in urban settings. Educational institutions have a privileged position to contribute to achieving the transformations needed for a healthier future, so Urban Health education is fundamental to empowering the health of the youth living in cities. This study aims to measure and raise the awareness of Urban Health among students attending a high school in Rome (Italy).
    Methods: An interactive educational intervention, consisting of four sessions, was conducted in a Roman high school during spring 2022. Overall, 319 students aged between 13 and 18 attended the sessions and were asked to complete a 11-items questionnaire before and another after the interventions. Data was gathered anonymously and analyzed using descriptive and inferential statistics.
    Results: Fifty-eight percent of respondents improved their post-intervention questionnaire score, while 15% did not improve and 27% got worse. The mean score significantly improved after the intervention (p < 0.001; Cohen's d = 0.39).
    Conclusions: The results suggest that school-based interventions using interactive approaches on Urban Health could be effective in increasing students' awareness and promoting health especially in urban settings.
    Mesh-Begriff(e) Adolescent ; Humans ; Rome ; Pilot Projects ; Urban Health ; Italy ; Schools
    Sprache Englisch
    Erscheinungsdatum 2023-05-11
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2041338-5
    ISSN 1471-2458 ; 1471-2458
    ISSN (online) 1471-2458
    ISSN 1471-2458
    DOI 10.1186/s12889-023-15778-6
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel: Assessing the Impact of the COVID-19 Pandemic on Pregnant Women's Attitudes towards Childhood Vaccinations: A Cross-Sectional Study.

    Arcaro, Paola / Nachira, Lorenza / Pattavina, Fabio / Campo, Enrica / Mancini, Rossella / Pascucci, Domenico / Damiani, Gianfranco / Carducci, Brigida / Spadea, Antonietta / Lanzone, Antonio / Bruno, Stefania / Laurenti, Patrizia

    Vaccines

    2024  Band 12, Heft 5

    Abstract: The COVID-19 pandemic has globally disrupted immunisation practices, impacting vulnerable populations such as pregnant women (PW), who harbour concerns about future children's immunisations. This study aimed to assess the pandemic's impact on PW's ... ...

    Abstract The COVID-19 pandemic has globally disrupted immunisation practices, impacting vulnerable populations such as pregnant women (PW), who harbour concerns about future children's immunisations. This study aimed to assess the pandemic's impact on PW's attitudes towards childhood vaccinations. During three consecutive flu seasons from October 2019 to January 2022, a cross-sectional study was conducted in a large Italian teaching hospital using a questionnaire. The chi-square test was performed to compare each season. Across the 2019-2020 to 2021-2022 seasons, course attendance by PW surged from 105 to 340. Significant shifts in vaccination intentions were noted, including a 7.5% decrease in measles vaccination intent (
    Sprache Englisch
    Erscheinungsdatum 2024-04-29
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines12050473
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  6. Artikel ; Online: Hormones and Sex-Specific Medicine in Human Physiopathology.

    Tokatli, Maria Raza / Sisti, Leuconoe Grazia / Marziali, Eleonora / Nachira, Lorenza / Rossi, Maria Francesca / Amantea, Carlotta / Moscato, Umberto / Malorni, Walter

    Biomolecules

    2022  Band 12, Heft 3

    Abstract: A prodigious increment of scientific evidence in both preclinical and clinical studies is narrowing a major gap in knowledge regarding sex-specific biological responses observed in numerous branches of clinical practices. Some paradigmatic examples ... ...

    Abstract A prodigious increment of scientific evidence in both preclinical and clinical studies is narrowing a major gap in knowledge regarding sex-specific biological responses observed in numerous branches of clinical practices. Some paradigmatic examples include neurodegenerative and mental disorders, immune-related disorders such as pathogenic infections and autoimmune diseases, oncologic conditions, and cardiovascular morbidities. The male-to-female proportion in a population is expressed as sex ratio and varies eminently with respect to the pathophysiology, natural history, incidence, prevalence, and mortality rates. The factors that determine this scenario incorporate both sex-associated biological differences and gender-dependent sociocultural issues. A broad narrative review focused on the current knowledge about the role of hormone regulation in gender medicine and gender peculiarities across key clinical areas is provided. Sex differences in immune response, cardiovascular diseases, neurological disorders, cancer, and COVID-19 are some of the hints reported. Moreover, gender implications in occupational health and health policy are offered to support the need for more personalized clinical medicine and public health approaches to achieve an ameliorated quality of life of patients and better outcomes in population health.
    Mesh-Begriff(e) COVID-19/epidemiology ; Female ; Hormones ; Humans ; Male ; Precision Medicine ; Quality of Life ; Sex Characteristics
    Chemische Substanzen Hormones
    Sprache Englisch
    Erscheinungsdatum 2022-03-07
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2701262-1
    ISSN 2218-273X ; 2218-273X
    ISSN (online) 2218-273X
    ISSN 2218-273X
    DOI 10.3390/biom12030413
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  7. Artikel: Assessing Doubts, Knowledge, and Service Appreciation among Pregnant Women Who Received the COVID-19 Vaccination in an Italian Research Hospital: A Cross-Sectional Study.

    Bruno, Stefania / Nachira, Lorenza / Arcaro, Paola / Pattavina, Fabio / Campo, Enrica / Cadeddu, Chiara / Carducci, Brigida / Lanzone, Antonio / Damiani, Gianfranco / Laurenti, Patrizia / Fpg Covid-Vaccination Team Fpg-Cvt

    Vaccines

    2023  Band 11, Heft 4

    Abstract: The COVID-19 pandemic is considered one of the deadliest pandemics in history. Pregnant women are more susceptible to developing serious diseases during COVID-19 than their non-pregnant peers. Pregnant women often express doubt about accepting the ... ...

    Abstract The COVID-19 pandemic is considered one of the deadliest pandemics in history. Pregnant women are more susceptible to developing serious diseases during COVID-19 than their non-pregnant peers. Pregnant women often express doubt about accepting the vaccination, especially in regard to their security and safety. This study aims to investigate the appreciation of the vaccination offer, and if there are any determinants impacting vaccine hesitancy. A questionnaire was administered to a sample of pregnant women who had just received their immunization against COVID-19 at the vaccination service of a teaching hospital in Rome, from October 2021 to March 2022. A high appreciation of the vaccination services was found, both for the logistic organization and the healthcare personnel, with mean scores above 4 out of 5. The degree of pre-vaccinal doubt was low (41%) or medium (48%) for the largest part of the sample, while the degree of COVID-19 vaccine knowledge was high for 91% of the participants. Physicians were the most decisive information source for the vaccination choice. Our results highlighted that a supportive approach could increase appreciation and improve the setting of vaccinations. Healthcare professionals should aim for a more comprehensive and integrated role of all figures.
    Sprache Englisch
    Erscheinungsdatum 2023-04-07
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2703319-3
    ISSN 2076-393X
    ISSN 2076-393X
    DOI 10.3390/vaccines11040812
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel ; Online: Knowledge and beliefs about vaccination in pregnant women before and during the COVID-19 pandemic.

    Bruno, Stefania / Nachira, Lorenza / Villani, Leonardo / Beccia, Viria / Di Pilla, Andrea / Pascucci, Domenico / Quaranta, Gianluigi / Carducci, Brigida / Spadea, Antonietta / Damiani, Gianfranco / Lanzone, Antonio / Federico, Bruno / Laurenti, Patrizia

    Frontiers in public health

    2022  Band 10, Seite(n) 903557

    Abstract: Introduction: Vaccine hesitancy threatens the health of populations and challenges Public Health professionals. Strategies to reduce it aim to improve people's risk perception about vaccine-preventable diseases, fill knowledge gaps about vaccines and ... ...

    Abstract Introduction: Vaccine hesitancy threatens the health of populations and challenges Public Health professionals. Strategies to reduce it aim to improve people's risk perception about vaccine-preventable diseases, fill knowledge gaps about vaccines and increase trust in healthcare providers. During pregnancy, educational interventions can provide a proper knowledge about safety and efficacy of maternal and childhood vaccinations. Fighting hesitancy and clarifying doubts is fundamental during the COVID-19 pandemic, which may have affected people's knowledge and beliefs toward vaccination. This study aimed at assessing if the advent of the pandemic was associated with changes in pregnant women's knowledge and beliefs toward vaccination, and trust in healthcare services.
    Methods: A repeated cross-sectional study was conducted through self-reported questionnaires in a Roman teaching hospital, where educational classes about vaccinations are routinely held as part of a birthing preparation course. Data were collected on a sample of pregnant women before and during the pandemic. Free-of-charge flu vaccinations were offered to all course participants and adherence to flu vaccination was assessed.
    Results: The proportion of pregnant women reporting that vaccines have mild side effects and that are sufficiently tested increased from 78.6 to 92.0% (
    Conclusions: The pandemic may have positively affected pregnant women's knowledge and opinions about vaccinations and trust in HCWs, despite a possible negative impact on their perceptions about NHS operators. This should inspire Public Health professionals to rethink their role as health communicators.
    Mesh-Begriff(e) COVID-19/prevention & control ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Influenza Vaccines ; Pandemics ; Pregnancy ; Pregnant Women ; State Medicine ; Vaccination
    Chemische Substanzen Influenza Vaccines
    Sprache Englisch
    Erscheinungsdatum 2022-08-04
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2022.903557
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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