0000000000008908

AUTHOR

Chironna Maria

0000-0002-1043-1256

showing 10 related works from this author

Stress in Medical Students: PRIMES, an Italian, Multicenter Cross-Sectional Study

2022

Medical students (MSs) are healthcare workers and must also cope with education-related stressors. This study aims to assess factors associated with perceived stress in Italian MSs. A cross-sectional study was conducted in 12 Italian medical schools (MSCs) in November 2018. A questionnaire assessed socio-demographic characteristics, habits, opinions about MSC, and concerns about the future. Stress was assessed with the PSS-10. Descriptive and univariable tests were performed. A linear model was fitted to find associations of the PSS-10 score with characteristics. There were 2513 collected questionnaires. Median PSS-10 score was 18 (IQR 11). Median age was 22 (IQR 4) and 61% of the sample wa…

AdultStudents MedicalschoolHealth Toxicology and Mutagenesiscross-sectional studiesStressmedicalpsychological distrecross-sectional studies; medical; medical; psychological; psychological distress; schools; stress; studentsYoung Adultpsychological distressstreSurveys and QuestionnairesAdaptation Psychologicalcross-sectional studies; medical; psychological; psychological distress; schools; stress; students; Adaptation Psychological; Adult; Cross-Sectional Studies; Female; Humans; Schools Medical; Stress Psychological; Surveys and Questionnaires; Young Adult; Students MedicalHumansAdaptationSchools MedicalSchoolsstudentscross-sectional studies medical psychological psychological distress schools stress studentsPublic Health Environmental and Occupational Healthpsychological distress; stress; psychological; schools; medical; students; medical; cross-sectional studiescross-sectional studiePsychologicalFemaleStress PsychologicalInternational Journal of Environmental Research and Public Health
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Identification of the novel Kawasaki 2014 GII.17 human norovirus strain in Italy, 2015

2015

Surveillance of noroviruses in Italy identified the novel GII.17 human norovirus strain, Kawasaki 2014, in February 2015. This novel strain emerged as a major cause of gastroenteritis in Asia during 2014/15, replacing the pandemic GII.4 norovirus strain Sydney 2012, but being reported only sporadically elsewhere. This novel strain is undergoing fast diversification and continuous monitoring is important to understand the evolution of noroviruses and to implement the future strategies on norovirus vaccines.

Settore MED/07 - Microbiologia E Microbiologia ClinicaGenotypeEpidemiologyvirusesBiologymedicine.disease_causeCommunicable Diseases EmergingMicrobiologyDisease OutbreaksEpidemiology; Public Health Environmental and Occupational Health; Virologyfluids and secretionsVirologyPandemicmedicineHumansPhylogenyCaliciviridae InfectionsMolecular EpidemiologyMolecular epidemiologyStrain (biology)NorovirusPublic Health Environmental and Occupational Healthvirus diseasesGenetic VariationDNA-Directed RNA PolymerasesVirologydigestive system diseasesGastroenteritisCaliciviridae InfectionsItalyPopulation SurveillanceNorovirusFemaleSeasonsSequence Analysis
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Cocirculation of Hajj and non-Hajj strains among serogroup W meningococci in Italy, 2000 to 2016

2019

In Italy, B and C are the predominant serogroups among meningococci causing invasive diseases. Nevertheless, in the period from 2013 to 2016, an increase in serogroup W Neisseria meningitidis (MenW) was observed. This study intends to define the main characteristics of 63 MenW isolates responsible of invasive meningococcal disease (IMD) in Italy from 2000 to 2016. We performed whole genome sequencing on bacterial isolates or single gene sequencing on culture-negative samples to evaluate molecular heterogeneity. Our main finding was the cocirculation of the Hajj and the South American sublineages belonging to MenW/clonal complex (cc)11, which gradually surpassed the MenW/cc22 in Italy. All M…

0301 basic medicineSerotypeMaleCefotaximeinvasive bacterial infectionsEpidemiologymolecular methodsNeisseria meningitidismedicine.disease_causeDisease Outbreaks0302 clinical medicineGenotypemolecular method030212 general & internal medicinenational surveillance systemChildPhylogenyAged 80 and overSurveillanceNeisseria meningitidisitaly; neisseria meningitidis; capsular serogroup w; clonal complex 11; invasive bacterial infections; invasive meningococcal disease; molecular methods; national surveillance systeminvasive bacterial infectionMiddle Aged3. Good healthItalyChild PreschoolPopulation SurveillanceFemalePublic Healthmedicine.drugAdultAdolescentAntibiotic sensitivity030106 microbiologyBiologySerogroup03 medical and health sciencesYoung AdultNeisseria meningitidis Serogroup W-135VirologymedicineNeisseria meningitidiHumanscapsular serogroup WAgedWhole Genome Sequencinginvasive meningococcal diseaseEnvironmental and Occupational HealthPublic Health Environmental and Occupational HealthInfant NewbornInfantSequence Analysis DNAVirologyPenicillinMeningococcal Infectionsclonal complex 11capsular serogroup W; clonal complex 11; invasive bacterial infections; invasive meningococcal disease; Italy; molecular methods; national surveillance system; Neisseria meningitidis; Epidemiology; Public Health Environmental and Occupational Health; VirologyHajjRifampicin
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Sentinel hospital-based surveillance for norovirus infection in children with gastroenteritis between 2015 and 2016 in Italy

2018

Noroviruses are one of the leading causes of gastro-enteric diseases worldwide in all age groups. Novel epidemic noroviruses with GII.P16 polymerase and GII.2 or GII.4 capsid type have emerged worldwide in late 2015 and in 2016. We performed a molecular epidemiological study of the noroviruses circulating in Italy to investigate the emergence of new norovirus strains. Sentinel hospital-based surveillance, in three different Italian regions, revealed increased prevalence of norovirus infection in children (<15 years) in 2016 (14.4% versus 9.8% in 2015) and the emergence of GII.P16 strains in late 2016, which accounted for 23.0% of norovirus infections. The majority of the strains with a GII.…

0301 basic medicineRNA virusesEuropean PeopleSettore MED/07 - Microbiologia E Microbiologia Clinicavirusesmedicine.disease_causePathology and Laboratory MedicinePediatricsGeographical locationsfluids and secretionsEpidemiologyGenotypePrevalenceMedicine and Health SciencesEthnicitiesChildCaliciviridae InfectionsMultidisciplinaryIncidence (epidemiology)Database and informatics methodsQRSequence analysisvirus diseasesGastroenteritisItalian PeopleEuropeCapsidItalyMedical MicrobiologyChild PreschoolViral PathogensVirusesMedicineRNA ViralPathogensPediatric InfectionsResearch Articlemedicine.medical_specialtyGenotypingGenotypeBioinformaticsScience030106 microbiologySequence DatabasesMicrobiologyCaliciviruses03 medical and health sciencesAge groupsmedicineHumansEuropean UnionMolecular Biology TechniquesGenotypingMicrobial PathogensMolecular BiologyBiochemistry Genetics and Molecular Biology (all)RNA sequence analysisBiology and life sciencesbusiness.industrySequence Analysis RNANorovirusOrganismsGenetic VariationRNA-Dependent RNA PolymeraseVirologydigestive system diseasesResearch and analysis methods030104 developmental biologyCaliciviridae InfectionsBiological DatabasesAgricultural and Biological Sciences (all)NorovirusCapsid ProteinsPopulation GroupingsPeople and placesbusinessSentinel Surveillance
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Epidemiological dynamics of norovirus GII.4 variant New Orleans 2009.

2015

Norovirus (NoV) is one of the major causes of diarrhoeal disease with epidemic, outbreak and sporadic patterns in humans of all ages worldwide. NoVs of genotype GII.4 cause nearly 80–90 % of all NoV infections in humans. Periodically, some GII.4 strains become predominant, generating major pandemic variants. Retrospective analysis of the GII.4 NoV strains detected in Italy between 2007 and 2013 indicated that the pandemic variant New Orleans 2009 emerged in Italy in the late 2009, became predominant in 2010–2011 and continued to circulate in a sporadic fashion until April 2013. Upon phylogenetic analysis based on the small diagnostic regions A and C, the late New Orleans 2009 NoVs circulati…

Settore MED/07 - Microbiologia E Microbiologia ClinicaGenotypeMolecular Sequence DataBiologymedicine.disease_causeGenomeFecesOpen Reading FramesPhylogeneticsVirologyPandemicGenotypemedicineHumansAmino Acid SequencePhylogenyCaliciviridae InfectionsRetrospective StudiesGeneticsnorovirus GII.4 variant New Orleans 2009 epidemiologyPhylogenetic treeNorovirusOutbreakNew OrleansVirologyGastroenteritisCaliciviridae InfectionsItalyNorovirusCapsid ProteinsSequence AlignmentThe Journal of general virology
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Rotavirus Genotypes in Sewage Treatment Plants and in Children Hospitalized with Acute Diarrhea in Italy in 2010 and 2011

2014

ABSTRACT Although the molecular surveillance network RotaNet-Italy provides useful nationwide data on rotaviruses causing severe acute gastroenteritis in children in Italy, scarce information is available on rotavirus circulation in the general Italian population, including adults with mild or asymptomatic infection. We investigated the genotypes of rotaviruses present in urban wastewaters and compared them with those of viral strains from clinical pediatric cases. During 2010 and 2011, 285 sewage samples from 4 Italian cities were tested by reverse transcription-PCRs (RT-PCRs) specific for rotavirus VP7 and VP4 genes. Rotavirus was detected in 172 (60.4%) samples, 26 of which contained mul…

DiarrheaRotavirusSettore MED/07 - Microbiologia E Microbiologia ClinicaAcute diarrheaGenotypevirusesPopulationMolecular Sequence DataSewageBiologyRotavirus genotypes sewage treatment plants Italymedicine.disease_causeApplied Microbiology and BiotechnologyAsymptomaticRotavirus InfectionsFecesfluids and secretionsRotavirusGenotypemedicineHumansCitieseducationChildAntigens ViralRotavirus InfectionFeceseducation.field_of_studyEcologySewagebusiness.industryPublic and Environmental Health MicrobiologyReverse Transcriptase Polymerase Chain Reactionvirus diseasesSequence Analysis DNARotaviruCapsid ProteinVirologyCitieDiarrheaItalyRNA ViralFeceCapsid Proteinsmedicine.symptombusinessHumanFood ScienceBiotechnology
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Norovirus GII.17 as Major Epidemic Strain in Italy, Winter 2015–16

2017

In winter 2015-16, norovirus GII.17 Kawasaki 2014 emerged as a cause of sporadic gastroenteritis in children in Italy. Median patient age was higher for those with GII.17 than GII.4 infection (55 vs. 24 months), suggesting limited cross-protection for older children.

0301 basic medicineSettore MED/07 - Microbiologia E Microbiologia ClinicaEpidemiologyviruseslcsh:Medicinemedicine.disease_causeDisease Outbreaksfluids and secretionsEpidemiologyChildEpidemic strainCaliciviridae InfectionsNorovirus GIIvirus diseasesInfectious DiseasesItalyChild PreschoolPopulation SurveillanceSeasonsgastroenteritigastroenteritisNorovirus GII.17 as Major Epidemic Strain in Italy Winter 2015–16Microbiology (medical)medicine.medical_specialtyAdolescentGenotype030106 microbiologyenteric infectionHistory 21st Centurylcsh:Infectious and parasitic diseasesOpen Reading Frames03 medical and health sciencesPatient ageResearch LettermedicineHumansviruseslcsh:RC109-216Noroviruvirusebusiness.industryenteric infectionsNoroviruslcsh:RInfant NewbornInfantGII.17 Kawasaki 2014Virology030104 developmental biologyNorovirusbusinessEmerging Infectious Diseases
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Health communication in covid-19 era: Experiences from the italian vaccinarsì network websites

2021

In 2013, in a bid to combat Vaccine Hesitancy (VH) and provide information on vaccines by communicating with the general public and the health community (e.g., healthcare workers and public health operators), the Italian Society of Hygiene and Preventive Medicine (S.It.I.) published the national website “VaccinarSì”. The project was subsequently extended to ten Italian Regions. This led to the creation of the VaccinarSì Network, whose websites are publicly owned. The aim of this work was to present the framework of the websites of the VaccinarSì Network and to analyse user behaviour in the pre-COVID-19-era (dating from each website’s publication until 31 January 2020) and in the COVID-19-er…

020205 medical informaticsHealth Toxicology and MutagenesisInternet privacy02 engineering and technologyOrganic searchArticleSession (web analytics)03 medical and health sciences0302 clinical medicineHealth care0202 electrical engineering electronic engineering information engineeringHumans030212 general & internal medicineHealth communicationVaccine hesitancyVaccinesE-healthbusiness.industryVaccinarSì networkSARS-CoV-2CommunicationRPublic Health Environmental and Occupational HealthCOVID-19Bounce ratePage viewItalyHealth CommunicationInformation and Communications TechnologyAnalyticsMedicinewebsitebusinessPsychologyHuman
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Analysis of GII.P7 and GII.6 noroviruses circulating in Italy during 2011-2016 reveals a replacement of lineages and complex recombination history.

2019

Noroviruses are important human enteric pathogens and monitoring their genetic diversity is important for epidemiological surveillance, vaccine development, and understanding of RNA viruses evolution. Epidemiological investigations have revealed that genogroup II, genotype 6 noroviruses (GII.6) are common agents of gastroenteritis. Upon sequencing of the ORF2 (encoding the viral capsid), GII.6 viruses have been distinguished into three variants. Sentinel hospital-based surveillance in Italy revealed that GII.6 noroviruses were the second most common capsid genotype in 2015, mostly in association with a GII.P7 ORF1 (encoding the viral polymerase). Upon molecular characterization of the ORF1 …

0301 basic medicineMicrobiology (medical)Settore MED/07 - Microbiologia E Microbiologia ClinicaGenotypeviruses030106 microbiologyBiologymedicine.disease_causeMicrobiologyEvolution Molecular03 medical and health sciencesCapsidfluids and secretionsGenotypeGeneticsmedicineHumansMolecular BiologyEcology Evolution Behavior and SystematicsPolymerasePhylogenyCaliciviridae InfectionsGeneticsNoroviruGenetic diversityPhylogenetic treeSequence Analysis RNANorovirusvirus diseasesRNAGenetic VariationGastroenteritisMolecular TypingGII.P7030104 developmental biologyInfectious DiseasesCapsidItalyPopulation Surveillancebiology.proteinNorovirusCapsid ProteinsGII.6PolymeraseRecombinationInfection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases
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Prevalence of depressive symptoms among Italian medical students: The multicentre cross-sectional "PRIMES" study.

2020

Background Four percent of the world’s population suffers from depression, which is a major public health issue. Medical students are at risk, as their depressive symptoms (DS) prevalence is reported to be approximately 27% worldwide. Since few data on Italian medical students exist, this study aimed to estimate their DS prevalence and assess risk and protective factors. Methods The PRIMES was a multicentre cross-sectional study performed in 12 Italian medical schools. Questionnaires were self-reported and included 30 sociodemographic items and the Beck Depression Inventory-II (BDI-II). The primary outcome was the presence of DS (BDI-II score≥14). The main analyses were chi-squared tests an…

MaleEuropean PeopleStudents Medical020205 medical informaticsEconomicsphysiciansCross-sectional studySocial SciencesSex Factor02 engineering and technologyLogistic regressionmedicalSeverity of Illness IndexGeographical locations0302 clinical medicineSociologyRisk FactorsSurveys and QuestionnairesMedicine and Health Sciences0202 electrical engineering electronic engineering information engineeringEconomic StatusEthnicitiesSurveys and QuestionnaireMedicineAge Factor030212 general & internal medicineYoung adultSchools MedicalDepression (differential diagnoses)education.field_of_studySchoolsMultidisciplinaryCareersstudentsDepressionQAge FactorsREconomic StatuSports ScienceItalian PeopleEuropeItalyMedicineFemalephysician burnoutResearch ArticleHumanEmploymentAdultmedicine.medical_specialtyLogistic ModelSexual BehaviorSciencePopulationeducationAdult; Age Factors; Cross-Sectional Studies; Depression; Economic Status; Female; Humans; Italy; Logistic Models; Male; Risk Factors; Schools Medical; Self Report; Severity of Illness Index; Sex Factors; Sexual Behavior; Students Medical; Surveys and Questionnaires; Young AdultEducationYoung Adult03 medical and health sciencesSex FactorsMental Health and PsychiatrySeverity of illnessHumansEuropean UnionSports and Exercise MedicineeducationSocioeconomic statusAdult Age Factors Cross-Sectional Studies Depression Economic Status Female Humans Italy Logistic Models Male Risk Factors Schools Medical Self Report Severity of Illness Index Sex Factors Sexual Behavior Students Medical Surveys and Questionnaires Young AdultCross-Sectional StudieMood Disordersbusiness.industryRisk FactorPublic healthBiology and Life SciencesCross-Sectional StudiesLogistic ModelsMedical EducationLabor EconomicsFamily medicinePopulation Groupingsphysicians; students; medical; physician burnoutSelf ReportPeople and placesbusinessMedical HumanitiesPLoS ONE
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