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Epidemiologia, Volume 6, Issue 3

2025 September - 28 articles

Cover Story: This nationwide survey explores how sociodemographic, maternal, and lifestyle factors influence children's adherence to the Mediterranean diet. Outcomes of this study involving 4851 children aged 6–9 revealed that maternal education, breastfeeding, and physical activity promote healthier eating, while cesarean delivery and higher birth weight are linked to lower adherence. Notably, better diet quality correlates with fewer depressive and anxiety symptoms, underscoring the Mediterranean diet’s potential role in childhood mental health. View this paper
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Articles (28)

  • Systematic Review
  • Open Access
2,870 Views
37 Pages

Social Determinants of Health in Pediatric Asthma and Allergic Diseases: A Systematic Review

  • Despoina Koumpagioti,
  • Dafni Moriki,
  • Barbara Boutopoulou,
  • Pantelis Perdikaris and
  • Konstantinos Douros

Objectives: This study aimed to synthesize evidence of the influence of multilevel social determinants of health (SDOHs) on asthma and allergic disease outcomes and healthcare utilization in children and adolescents, with a specific focus on how thes...

  • Article
  • Open Access
2,120 Views
12 Pages

Background: Sacubitril/Valsartan is a first-line treatment for heart failure with reduced ejection fraction (HFrEF) according to international guidelines. However, achieving the target doses of guideline-directed medical therapy (GDMT) remains a chal...

  • Article
  • Open Access
1,205 Views
15 Pages

Background/Objectives: Discrimination has wide-ranging implications, affecting patients’ trust in healthcare professionals and their intentions to seek care. It can cause barriers that can affect access to care, especially among racial and ethn...

  • Article
  • Open Access
1 Citations
1,319 Views
19 Pages

The Relationship Between Socio-Demographic and Behavioral Characteristics and Adherence to the Mediterranean Diet: The UniFoodWaste Study Among University Students in Italy

  • Antonio Pinto,
  • Daniele Nucci,
  • Flavia Pennisi,
  • Lorenzo Stacchini,
  • Nicola Veronese,
  • Stefania Maggi,
  • Carlo Signorelli,
  • Vincenzo Baldo and
  • Vincenza Gianfredi

Background: Adherence to the Mediterranean diet (MD) is associated with improved health outcomes, however limited evidence exists on the socio-demographic and behavioral determinants of MD adherence among university students, a population at risk of...

  • Article
  • Open Access
1,798 Views
12 Pages

The Prevalence of Various Autoimmune Comorbidities in Patients with Inflammatory Bowel Disease

  • Bipneet Singh,
  • Shivam Kalra,
  • Tejasvini Khanna,
  • Isha Kohli,
  • Vikash Kumar,
  • Aalam Sohal and
  • Divyesh Sejpal

Introduction: Patients with inflammatory bowel disease (IBD) are at increased risk of developing other autoimmune disorders due to possible shared genetic, environmental, and immunological mechanisms. While autoimmune diseases are frequently observed...

  • Review
  • Open Access
2 Citations
1,392 Views
11 Pages

Background: Vaccine hesitancy is a major threat to public health. As part of efforts to increase vaccine uptake, the focus is on optimizing the quality of communication among healthcare workers. Physician shortages and workloads create time constrain...

  • Article
  • Open Access
1,250 Views
11 Pages

An Outbreak of Pulmonary Tularemia in Slovenia in Summer 2024

  • Irena Grmek Košnik,
  • Kristina Orožen,
  • Monika Ribnikar,
  • Eva Grilc,
  • Barbara Bitežnik,
  • Miša Korva,
  • Irena Zdovc,
  • Jana Avberšek,
  • Gorazd Vengušt and
  • Maja Sočan

Background: Tularemia is a rarely identified disease in Slovenia. In summer 2024, we detected a tularemia outbreak in the Kranjsko-Sorško polje, located in North-Western part of Slovenia. Aim: To describe the epidemiological investigations and...

  • Article
  • Open Access
1 Citations
1,456 Views
11 Pages

Mandatory First-Aid Training in the Workplace: An Epidemiological Assessment of the Use of Acetylsalicylic Acid Therapy

  • Elena Maria Ticozzi,
  • Nazzareno Fagoni,
  • Erika Kacerik,
  • Annalisa Bodina,
  • Gabriele Perotti,
  • Massimo Lombardo,
  • Fabrizio Ernesto Pregliasco and
  • Giuseppe Stirparo

Background: In Italy, workplace safety regulations require the training of first-aid officers to manage medical emergencies, including acute coronary syndromes. Although clinical guidelines recommend the early use of acetylsalicylic acid in myocardia...

  • Article
  • Open Access
1,734 Views
12 Pages

Background: Exocrine pancreatic insufficiency (EPI or PEI) often goes undiagnosed or misdiagnosed due to nonspecific symptomatology. Clinicians may focus primarily on symptoms like diarrhea and steatorrhea, potentially overlooking more prevalent symp...

  • Systematic Review
  • Open Access
2 Citations
3,620 Views
15 Pages

The Prevalence of Helicobacter pylori Infection in the Adult Population of Russia: A Systematic Review and Meta-Analysis

  • Dmitrii N. Andreev,
  • Alsu R. Khurmatullina,
  • Igor V. Maev,
  • Dmitry S. Bordin,
  • Sayar R. Abdulkhakov,
  • Yury A. Kucheryavyy,
  • Petr A. Beliy and
  • Filipp S. Sokolov

Objective: The objective of this study is to assess the dynamics of Helicobacter pylori infection prevalence among adults in Russia. Methods: A systematic search was conducted in MEDLINE/PubMed, EMBASE, Cochrane, RSCI, and Google Scholar for studies...

  • Article
  • Open Access
1 Citations
1,454 Views
15 Pages

Background/Objectives: Infections after stroke are a serious medical problem and have a significant impact on the outcome of stroke, but data regarding the Asian population are limited. This study aims to determine the bacterial and fungal profile of...

  • Article
  • Open Access
1,641 Views
17 Pages

Background/Objectives: Anxiety and depression are common among individuals with coronary heart disease (CHD) and pose significant barriers to lifestyle modifications. Evidence on sex-related differences in anxiety and depression following cardiac reh...

  • Review
  • Open Access
2 Citations
2,425 Views
19 Pages

Epidemiology, Clinical Data, and Management of Aseptic Abscess Syndrome: Review of Published Cases Outside France

  • Gerasimos Eleftheriotis,
  • Michaela Fragonikolaki,
  • Chrysi Karelaki,
  • Ergina Syrigou,
  • Spyridon Georgiadis,
  • Kyriaki Georgiadi and
  • Elias Skopelitis

Aseptic abscess syndrome is a clinical entity that is being increasingly documented. Unfortunately, apart from the French registry, there are no other studies presenting collective data. In this review, we sought to analyze clinical and laboratory da...

  • Article
  • Open Access
1 Citations
1,759 Views
16 Pages

Objectives: This study aimed to assess the knowledge, attitudes, and self-confidence of physicians and dentists in Croatia regarding the relationship between oral and systemic health, focusing on periodontal disease and oral manifestations of systemi...

  • Article
  • Open Access
877 Views
13 Pages

Adapting Ophthalmology Practices in Puerto Rico During COVID-19: A Cross-Sectional Survey Study

  • Surafuale Hailu,
  • Andrea N. Ponce,
  • Juliana Charak,
  • Hiram Jimenez and
  • Luma Al-Attar

Background/Objectives: The COVID-19 pandemic caused pronounced disorder in healthcare delivery globally, including ophthalmology. Our study explores how ophthalmologists in Puerto Rico (PR) altered their practices during the pandemic, confronting obs...

  • Article
  • Open Access
2,245 Views
25 Pages

Systemic Sclerosis with Interstitial Lung Disease: Identification of Novel Immunogenetic Markers and Ethnic Specificity in Kazakh Patients

  • Lina Zaripova,
  • Abay Baigenzhin,
  • Zhanar Zarkumova,
  • Zhanna Zhabakova,
  • Alyona Boltanova,
  • Maxim Solomadin and
  • Alexey Pak

Systemic sclerosis (SSc) is an autoimmune connective tissue disorder characterized by vascular abnormalities, immune dysfunction, and progressive fibrosis. One of the most common manifestations of SSc is interstitial lung disease (ILD), known by a pr...

  • Article
  • Open Access
1,049 Views
12 Pages

A Series of Severe and Critical COVID-19 Cases in Hospitalized, Unvaccinated Children: Clinical Findings and Hospital Care

  • Vânia Chagas da Costa,
  • Ulisses Ramos Montarroyos,
  • Katiuscia Araújo de Miranda Lopes and
  • Ana Célia Oliveira dos Santos

Background/Objective: The COVID-19 pandemic profoundly transformed social life worldwide, indiscriminately affecting individuals across all age groups. Children have not been exempted from the risk of severe illness and death caused by COVID-19. Obje...

  • Article
  • Open Access
843 Views
13 Pages

A Multicentric Analysis of a Pre-Ecographic Score in Pregnancy: Time for a Dedicated Classification System

  • Gianluca Campobasso,
  • Fabio Castellana,
  • Annalisa Tempesta,
  • Alice Bottai,
  • Annachiara Scatigno,
  • Elisa Rizzo,
  • Francesca Petrillo,
  • Grazia Cappello,
  • Prisco Piscitelli and
  • Roberta Zupo

Objectives: The objectives are to evaluate the influence of different maternal characteristics on ultrasound image quality and operator satisfaction, and to assess, preliminarily, a rating scale to stratify the difficulty level of ultrasound examinat...

  • Article
  • Open Access
2,161 Views
12 Pages

Prevalence of Urinary Incontinence and Overactive Bladder Among Female University Students in Kazakhstan

  • Yerzhan Sharapatov,
  • Aluadin Nurberdiev,
  • Nurbol Keulimzhayev,
  • Aigul Botabayeva,
  • Medet Toleubayev,
  • Mariya Dmitriyeva and
  • Rano Zhankina

Background/Objectives: The aim of this research is to study the prevalence of urinary incontinence (UI) and overactive bladder (OAB) among female university students in Kazakhstan and to analyze the risk factors associated with these conditions. Meth...

  • Review
  • Open Access
2,057 Views
17 Pages

Epidemiological Surveillance of Genetically Determined Microcephaly in Latin America: A Narrative Review

  • Melissa Daniella Gonzalez-Fernandez,
  • Karina Jiménez-Gil,
  • Linda Garcés-Ramírez,
  • Alejandro Martínez-Juárez,
  • Elsa Romelia Moreno-Verduzco,
  • Juan Mario Solís-Paredes,
  • Javier Pérez-Durán,
  • Johnatan Torres-Torres and
  • Irma Eloisa Monroy-Muñoz

Background/Objectives: Congenital microcephaly is a clinical manifestation with a heterogeneous etiology, and its epidemiological surveillance relies on the systematic identification of cases and investigation of their underlying causes to inform pre...

  • Article
  • Open Access
2,758 Views
12 Pages

Implementation of Telemedicine for Patients Referred to Emergency Medical Services

  • Francesca Cortellaro,
  • Lucia Taurino,
  • Marzia Delorenzo,
  • Paolo Pausilli,
  • Valeria Ilardo,
  • Andrea Duca,
  • Giuseppe Stirparo,
  • Giorgio Costantino,
  • Filippo Galbiati and
  • Giuseppe Maria Sechi
  • + 3 authors

Background: he surge in the use of Pre-hospital Emergency Medical Systems (EMS) and Emergency Departments (ED) has become a pressing issue worldwide after the COVID-19 pandemic. To address this challenge, we developed an experimental and innovative c...

  • Systematic Review
  • Open Access
1,426 Views
16 Pages

Measuring Health Inequalities Using the Robin Hood Index: A Systematic Review with Meta-Analysis

  • Georgios Farantos,
  • Athanasios Pitis,
  • Maria Diamantopoulou and
  • Fotini Tzavella

Background/Objectives: Although the Robin Hood Index (RHI) is increasingly used to quantify geographic health inequality and guide resource redistribution, empirical evidence on whether higher physician density reduces RHI-measured inequality remains...

  • Article
  • Open Access
3 Citations
1,468 Views
12 Pages

Predictors of Recent Alcohol and Substance Use Among Adolescent Girls and Young Women in Namibia

  • Enos Moyo,
  • Hadrian Mangwana,
  • Endalkachew Melese,
  • Simon Takawira,
  • Bernadette Harases,
  • Rosalia Indongo,
  • Perseverance Moyo,
  • Kopano Robert and
  • Tafadzwa Dzinamarira

Background: Adolescent girls and young women (AGYW) who engage in alcohol and substance abuse face more significant health and social consequences compared to the general population. This study evaluated the prevalence and associated factors of alcoh...

  • Article
  • Open Access
1 Citations
1,950 Views
26 Pages

Systematic Comparison of Different Compartmental Models for Predicting COVID-19 Progression

  • Marwan Shams Eddin,
  • Hussein El Hajj,
  • Ramez Zayyat and
  • Gayeon Lee

Background/Objectives: The COVID-19 pandemic highlighted the critical need for accurate predictive models to guide public health interventions and optimize healthcare resource allocation. This study evaluates how the complexity of compartmental infec...

  • Article
  • Open Access
3 Citations
1,818 Views
17 Pages

Sociodemographic, Mental, and Lifestyle Correlates of Mediterranean Diet Adherence in Children Aged 6–9 Years: Findings from a Large National Survey in Greece

  • Georgia-Eirini Deligiannidou,
  • Konstantinos Papadimitriou,
  • Aikaterini Louka,
  • Sousana K. Papadopoulou,
  • Maria Mentzelou,
  • Maria G. Grammatikopoulou,
  • Evmorfia Psara,
  • Christos Kontogiorgis,
  • Olga Alexatou and
  • Constantinos Giaginis

Background/Objectives: The Mediterranean diet (MD) is well-studied for its health-promoting effects, while the factors influencing adherence in children remain an important research focus. This study examines the sociodemographic, maternal, perinatal...

  • Article
  • Open Access
1,820 Views
12 Pages

The Frequent Use of Emergency Departments Among the Pediatric Population: A Retrospective Analysis in Rome, Italy

  • Giuseppe Furia,
  • Fabio Ingravalle,
  • Antonio Vinci,
  • Paolo Papini,
  • Andrea Barbara,
  • Patrizia Chierchini,
  • Gianfranco Damiani,
  • Massimo Maurici and
  • Corrado De Vito

Background/Objectives: Inappropriate use of emergency department (ED) services is widely acknowledged to have a negative impact on health systems as a whole. A minor portion of Frequent User (FU) patients are often responsible for the disproportionat...

  • Article
  • Open Access
1 Citations
3,353 Views
14 Pages

Psychological Burden and Coping Strategies Among Pakistani Adults: A Cross-Sectional Survey Study

  • Madeeha Malik,
  • Humaira Rehman,
  • Azhar Hussain,
  • Ayisha Hashmi,
  • Khalid Ahmad Al-Sunaidar,
  • Georgina Balogh,
  • Márió Gajdács and
  • Shazia Jamshed

Background/Objectives: Mental health conditions represent a growing global health concern, disproportionately impacting populations in low- and middle-income countries like Pakistan. Limited epidemiological data, coupled with recent socioeconomic and...

  • Article
  • Open Access
1,120 Views
16 Pages

Herd Immunity to SARS-CoV-2 Among the Armenian Population in the Second Half of 2022

  • Anna Yuryevna Popova,
  • Vyacheslav Sergeevich Smirnov,
  • Svetlana Alexandrovna Egorova,
  • Gayane Gurgenovna Melik-Andreasyan,
  • Stepan Armenovich Atoyan,
  • Angelika Marsovna Milichkina,
  • Irina Viktorovna Drozd,
  • Gennady Hovsepovich Palozyan,
  • Valery Andreevich Ivanov and
  • Areg Artemovich Totolian
  • + 9 authors

Aim. This study aimed to assess the SARS-CoV-2 herd immunity in the Republic of Armenia (RA) by late 2022. Materials and Methods. A randomized study was conducted from 28 November to 2 December (2022) by the Saint Petersburg Pasteur Institute (Russia...

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Epidemiologia - ISSN 2673-3986