bluuebunny/crossref_metadata_2025_split huggingface dataset:
Association of diverse musical experiences and well-being
Authors: Kyaw K 
Published: October 2020

Abstract

Background
Health is a state of complete physical, mental, and social well- being and not merely the absence of disease or infirmity as per the World Health Organization (WHO). Well-being is a subject aspect in one of the WHO “Health 2020: the European policy for health and well-being,” goals. Listening to music activates the neuronal cells in the frontotemporal lobe of the brain where memory, aggression, and emotions are regulated. Various types of musical exposures may help in dysregulating emotions and stress levels from mental and physical health. Advancing well-being is one of the public health issues to achieve a better quality of life and health and longevity. This study aims to identify an association between well-being and diverse musical experiences to explains public policy developments for advancing well-being.

Methods
This retrospective longitudinal study includes individuals age 24 and above from the English Longitudinal Study of Ageing (2008 to 2016). The outcome is subjective health. The predictor is a diverse musical experience (concert, opera, theater). Covariates are gender, age, marital status, objective health, and mental health. Bivariate, univariate, multiple logistic regression analysis was carried out in SAS software version 9.4, p-value (p) &lt;0.05.

Results
This study shows that well-being is significantly associated (p &lt; 0.0001) with musical experience at the yearly interval (OR: 2.34, 95% CI: 2.06, 2.79) and musical experience at the monthly interval (OR: 3.44, 95% CI: 2.85, 4.15). With adjustment for covariates, well-being is significantly associated (p &lt; 0.0001) with musical experience, yearly interval (OR: 2.22, 95 % CI: 1.89, 2.60), and musical experience at the monthly interval (OR: 2.13, 95 % CI: 2.58, 3.80).

Conclusions
This study explains that well-being is associated with the diverse nature of musical experiences. Developing policy in the area of various types of musical programs in the community would achieve advancing well-being.

Key messages
Increase awareness of the importance of well-being and the impact of different musical experiences on wellbeing. Prioritize in developing public policy for well-bing with an option of various music programs in the community and conduct more research in the field of well-being with musical experiences.
Glyphosate: quantities a hundred times above the safe limit for human consumption in Brazil
Authors: Ribeiro Bizuti M , Inácio Andrioli A , Eneida de Almeida M , Roberto Barbato P , Savi Geremia D 
Published: October 2020

Abstract
Brazil is experiencing a situation never before seen in terms of environmental destruction. The expansion of monocultures has increasingly destroyed nature and this also has an impact on the increase in land concentration, rural exodus, poverty and hunger in the countryside. Transgenics allowed the expansion of areas to regions previously not suitable for monoculture production, requiring less labor and more pesticides. Just to produce 68.1 million tons of soybeans, exported last year, it required a quantity of water that could supply 2.03 billion people worldwide. This is the deficit of Brazilian agribusiness that cannot be calculated. If we calculate the expenditures of the public health system as a result of the use of pesticides, this will prove to be increasingly unsustainable. Recently, researchers found amounts of glyphosate a hundred times above the safe limit for human consumption in a stock of wheat stored in a silo in southern Brazil. The official speech of the Ministry of Agriculture, Livestock and Supply (MAPA) of Brazil is that the record release of pesticides is necessary due to the country's tropical climate. Universities and public research institutes have an important responsibility at this time: to investigate this type of problem and to allow its results to be available to an increasingly critical publicity. Brazil is experiencing a context of clear attacks on public institutions by the current federal government, either with cuts in the transfer of economic resources, or with the scrapping and attempts to destroy its image before public opinion. It is necessary to promote the training of citizen scientists in the field of Environmental Health, in order to be committed to the information to be produced and to the process of critical reflection on social development.

Key messages
To present an emerging issue in Brazil, related to Glyphosate, when researchers found amounts of glyphosate a hundred times above the safe limit for human consumption in southern Brazil. To present the concern in promoting the training of citizen scientists in the field of Environmental Health, as well as promoting the process of critical reflection and social development.
Social integration and its relationship with functional limitations in Chilean older adults
Authors: de Albuquerque Araújo L , Icaza Noguera G , Albala Brevis C 
Published: October 2020

Abstract
We are experiencing the highest levels of life expectancy and it poses challenges in the maintenance of the functional capacity in old age. This study seeks to determine the relation between social integration and functional limitation in Chilean older adults. Cross-sectional study with baseline of two cohort studies: the SABE cohort (born before 1940) and the Alexandros cohort (born between 1940 and 1948 from Primary Health Care centers), from Santiago. Were considered 1733 elderly. Performance variables were studied in seven Instrumental Activity of Daily Living (IADL): preparing food, managing money, leaving home alone, making purchases, making or receiving calls, doing light housework, organizing and taking medications, and six basic Activities of Daily Living (ADL): bathing, dressing, use of the bathroom, transfer, continence of urine and feeding. Having difficulties or inability to perform at least one activity was classified as having functional limitations. Social integration variables were: participation in community groups, clubs or organizations and in recreational activities. Adjustment variables were: sex, age, educational level, household income, depression, cognitive impairment and multimorbidity. Robust Poisson Regression was performed and prevalence ratios (PR) of functional limitation in ADL and IADL were reported. The level of significance was ≤0.5. Prevalence of functional limitations in ADL was 73.3% and in AIVD was 37.1%. Who participated in recreational activities have a lower prevalence of functional limitation in ADL (PR 0.85; 95%CI 0.80-0.90) and in IADL (PR 0.74; 95% CI0.63-0.86). Participation in community groups, clubs or organizations was associated with a lower prevalence of limitation in ADL (RP 0.78; 95%CI 0.71-0.87), although it was not significantly related to performance in IADL. Greater social integration in adulthood is a protective factor for limitation in ADL and IADL and should be the subject of public policies in Chile.

Key messages
Social integration seems to be a protective factor for functional limitation in Chilean older adults. Society and public policies should give greater opportunity for the elderly to participate in recreational activities and community groups.
Adaptation of HLS-EU-Q47 for the Russian population
Authors: Lopatina M V , Popovich M V , Kontsevaya A V , Drapkina O M 
Published: October 2020

Abstract

Background
Health literacy (HL) is recognized as one of the major determinants of health. International population HL surveys in Europe and Asia using a unified measurement of European Health Literacy Survey Questionnaire (HLS-EU-Q) demonstrated similar results of approximately 50% of population having poor or problematic health literacy level. In the present study the HLS-EU Q47 was adapted for the Russian population for the first time. Russian language is spoken widely beyond the Russian Federation (RF). Among international migrants, more than 25 million are from the RF or former Soviet Union, typically speak Russian and have a common historical and cultural background.

Methods
Adaptation of the questionnaire was based on the HLS-EU methodology and included 5 stages: translation from English into Russian, back translation by two independent translators, focus group (n = 12), online expert opinion (n = 12), field-testing (n = 90). For the focus group, the purposeful sampling was used, stratified by gender, age, education level and place of living (urban/rural). The field-testing was conducted by personal interviews in households, using a random stratified sampling based on gender and age.

Results
The translations analysis identified discrepancies on the use of plain language, and allowed to simplify the wording in 10 questions (13%). The focus group and expert opinion qualitative analysis allowed identifying and adapting cultural and linguistic peculiarities, so 24 questions (31%) were adapted. The field-testing showed 86% feasibility of the questionnaire in real settings.

Conclusions
Despite that the instrument was translated into Russian and used in some countries for the Russian-speaking population, a substantial adaptation of the questionnaire is necessary, taking into account the cultural and linguistic characteristics and background of the studied population. The instrument can contribute for measurement of HL in Russian population living in different countries.

Key messages
The HLS-EU-Q 47 was adapted for the Russian population. The adapted instrument can contribute to further health literacy measurements of the Russian population worldwide.
Implementation of Adverse event surveillance system in a Tunisian tertiary care hospital (2018-2019)
Authors: Ben Rejeb M , Ben Cheikh A , Bhiri S , Ghali H , khefacha-Aissa S , Said-Latiri H 
Published: October 2020

Abstract

Background
We found a high incidence of Adverse Events (AEs) following a survey conducted at Sahloul Hospital. Therefore, a surveillance system of AEs was implemented as a part of the implementation of the quality and risk management approach at Sahloul hospital, since April 2018. The aim of this study was to describe results of this system between May 2018 and April 2019.

Methods
It is a descriptive longitudinal study conducted at the Sahloul Hospital for a period of one year from May 1st, 2018 to April 30, 2019. Each service is provided with a data sheet that allows staff to report each adverse event they have witnessed. This does not include AEs that are part of alertness, blood exposure accidents or occupational accidents, or nosocomial infections which are assessed by specific circuits already in place.

Results
During the follow-up period, 93 AEs were reported. These AEs predominate in the sterilization unit followed by medical resuscitation and nephrology department with respective rates of 17.2%, 12.9% and 11.8%. The most frequent AEs were for maintenance (21.5%), medical device disinfection (20.5%), material resources (16.1%), and human resources (8.6%). According to criticality, the majority of AEs are tolerable under control (41.9%), unacceptable in 33.3% of cases and acceptable in 24.7% of cases.

Conclusions
In order to ensure proper functioning of the AEs surveillance and reporting system, the awareness of health professionals and their training would be essential. Quality of the information to be reported represents a challenge to be met to enable the planning, implementation and evaluation of improvement actions. Experience feedback would be with considerable benefit to improve the quality of professional practices.

Key messages
Surveillance and reporting system data analysis allow to identify mecanisms of the occurence of adverse events. Experience feedback is with considerable benefit to improve the quality of professional practices.
The use of electronic cigarettes in Thailand: a cross-sectional national survey
Authors: Baiya P , Chankeaw T , Chinwong D , Chinwong S 
Published: October 2020

Abstract

Background
An electronic cigarette (e-cigarette) is an electronic nicotine delivering system that may be widely used by smokers in Thailand for some reasons, although e-cigarette is an embargo good in Thailand and their benefits are not clear. Moreover, the behaviors of Thai e-cigarettes users remain insufficient and ambiguous. This study aimed to survey behaviors of using e-cigarettes and rationales among Thai e-cigarette users.

Methods
We conducted a cross-sectional study from December 2019 to February 2020 throughout Thailand. The participants were Thais with at least 18 years old and currently using e-cigarette, and they were invited to voluntary participate in the study using an online questionnaire posting on social media.

Results
Of 1,050 participants, most of participants were men (89.1%); the average age was 31.2±8.4 years old. They were from all regions of Thailand, but most of them (64.5%), were from the central part of Thailand. Of currently Thai e-cigarette users, 43.2%, 23.1%, and 14.9% were private employees, business owners/ freelancers, and students, respectively. Most of the users were graduated with a bachelor's degree (53.8%), and Senior high school or Vocational certificate (25.0%). E-cigarette users reported the top 3 rationales for using e-cigarette were the belief of less harmful of e-cigarette than a conventional cigarette (81.0%), using as a smoking quitting aid (80.6%), and lacking attaching normal cigarette odor (58.2%).

Conclusions
This study shows that most of the e-cigarette users were males with an average age of 31 years old. Smokers used e-cigarette because of the belief of less harmful of e-cigarette than a conventional cigarette and being a quitting aid. The public health organizations and health care providers should provide accurate information and raise awareness of users about the harm of e-cigarettes and inconclusive evidence of using e-cigarettes as a quitting aid.

Key messages
The public health organizations should provide accurate information and raise awareness of users about the harm of e-cigarettes and inconclusive evidence of using e-cigarettes as a quitting aid. Most of Thai e-cigarette users were men, at the average age of 31 years old, from the central part of Thailand, work as private company employees and bachelor’s degree graduated.
Sociodemographic and clinical factors are associate with fragility fractures in women in Portugal?
Authors: Barcelos A , Rodrigues A , Canhão H 
Published: October 2020

Abstract

Background
Osteoporosis is a public health problem worldwide responsible for fragility fractures (FF). All osteoporotic fractures, correspond to an estimated 40 000 annual osteoporotic fractures in Portugal. The social and economic burden of these fractures is enormous. Most patients die within one year after the fracture and 50% become dependent on others to perform basic self-care. The aim of this research is to study the association between sociodemographic and clinical factors that can influence the occurrence of FF in Portuguese women ≥ 50 years.

Methods
Data were collected from women ≥ 50 years participating in the prospective population-based cohort study called Epidemiology of Chronic Diseases, who self-reported to surfered FF during 2011 and 2015. Were collected sociodemographic and clinical data, and quality of life (EQ-5D). We divided this group in 2 subgroups: with and without prevalent FF. Descriptive, bivariate analysis and Odds Ratio were estimated. All statistical tests were performed using the SPSS 26, considering the significance level of 5%.

Results
A total of 3,662 women ≥ 50 years of age were included and divided into 2 subgroups with (N = 646) and without FF (N = 2,978). In the group of women with FF, rheumatic disease was the most self-reported chronic disease (62.9%), followed by hypertension (58.8%) and mental illness (30.0%). There was a significant association between the existence of FF and hypertension (OR = 0.82 (0.68-0.98); p-0.03), diabetes mellitus (OR = 0.78 (0.63-0.97); p-0.02) and mental illness (OR = 0.70 (0.57-0.85); p &lt; 0.0001), even when adjusted for age and rheumatic disease. There was no significant association between the existence of FF and education, when the OR was adjusted for age and rheumatic disease. Quality of life was reported as worse in women with FF.

Conclusions
FF are associated with non-communicable chronic diseases and this should awareness to the need to have health policies that focus on prevention.

Key messages
Osteoporosis is a public health problem worldwide responsible for fragility fractures. It is urgent address this problem as a non-communicable chronic diseases and start to work in prevention. Population aging combined with new professions and lifestyles, predict that this problem will tend to increase exponentially in the next years.
Between health needs and agenda-setting: a procedural analysis of the compositional layers of space
Authors: Winckler M , Zioni F , Ferreira P 
Published: October 2020

Abstract

Background
This study aims to offer a view of the current situation arising in the Brazilian Health System (SUS) regarding the relationship between the health needs of its users and the health policies developed by the system.

Methods
The qualitative analysis was organised in two stages: 1) Comparative analysis of the social representations of health needs in which the data were analysed by the Health Needs Taxonomy (Matsumoto, 1999), as an instrument to assess health needs, format the interview guide and organise the empirical data; the Theory of Social Representations (Jovchelovitch, 2000) to capture health needs, and Content Analysis (Bardin, 2004), as an instrument of analysis and comparison of perceived needs. 2) Analysis of the agenda-setting in which the data were obtained and analysed by the Grounded Theory (Strauss; Corbin, 1990), Narrative Analysis (Taylor, 1979), and the Procedural Analysis Model (Ferreira; Alencar; Pereira, 2011) for contextual analysis of public health policies. The fieldwork was a Brazilian municipality and 39 representatives of civil society organisations and stakeholders were interviewed.

Results
The data showed a complex social fabric made of a plot that alternates between conceptual knots and structural voids which has been sewn by many actors and has served multiple purposes. It also showed that an insufficient institutional capacity for assessing needs, professional turnover, managers' personal decision and the manipulation of actors and institutions according to the interests at stake have kept the health needs unmet.

Conclusions
A positive representation of SUS will only be achieved through both the intertwining between biomedical knowledge to the determinants of health and the strengthening of a democratic culture. Without this perspective, the health system will remain fragile, plentiful in structural knots and voids, and unable to relocate people's health needs from the fringes to the main layers of this social fabric.

Key messages
An insufficient institutional capacity for assessing needs, managers' personal decision and the manipulation of institutions according to the interests at stake have kept the health needs unmet. A positive representation of SUS will only be achieved through both the intertwining between biomedical knowledge to the determinants of health and the strengthening of a democratic culture.
What are the perceptions of stakeholders on the utility of the nKPIs for Indigenous services?
Authors: Finlay S , Williams M , Judd J , Brown A 
Published: October 2020

Abstract

Background
The Australian Commonwealth Government has introduced national key Performance Indicators, (nKPIs), for Indigenous primary health care services, including Aboriginal Community Controlled Health Organisations (ACCHOs). The nKPIs aim to assist in the monitoring of Indigenous people's health and aid ACCHOs to monitor their service delivery. The nKPI development and its ongoing implementation have involved stakeholders including the Council of Australian Governments; national and jurisdictional ACCHO peak bodies; government departments; software developers, and researchers. While high-level information is available about the nKPIs, there is very little publicly available information about how they were developed and implemented. This presentation discusses perspectives from stakeholders on the development and implementation of the nKPIs.

Methods
Stakeholder interviews (n = 15) aimed to understand the utility and appropriateness of the nKPIs and barriers/enablers to implementation. Stakeholders with knowledge of the development, management or reporting of the nKPIs were recruited. The analysis was conducted inductively and deductively and organised using NVivo.

Results
The interviews focused on the history of the nKPIs and the context within which these are collected and managed. Several key themes and sub-themes arose from the stakeholder interviews. These themes included the nKPI purpose, development, implementation, and appropriateness. Several interviewees considered the nKPI development process to be flawed, leading to poor data quality and an increased burden on ACCHOs.

Conclusions
The ACCHO sectors' needs and perspectives were mostly ignored in the development process. Numerous research papers and government documents highlight the need for active engagement of Indigenous people to be actively engaged in the design of policies, programs, and frameworks seeking to improve the health of Indigenous people.

Key messages
The nKPI implmentation issues could have been avoided had they been developed in partnership with Indigenous organisations. Indigenous policy development needs to be developed in partnership with Indigenous people.
Tobacco control laws and smoking in Turkish movies between 1992-2016
Authors: Erik H , Çolaklar M , Yardım M , Özcebe H 
Published: October 2020

Abstract

Background
Advertisement and promotion of tobacco products were banned in 1996; sponsorships ban was in 2008. Smoking in movies are not accepted as advertisement, but they can interfere young people' beliefs about smoking. In this study, the relation between tobacco control law and tobacco scenes in movies were evaluated.
Materials and

Methods
The sampling of this descriptive research was 50 films selected two most watched Turkish movies from Turkish Cinema Studies and Box Office between 1992-2016. The movies were evaluated in three time intervals according to 1996 and 2008 Laws. The movies was watched by using the data record form including information about tobacco scenes. The content analysis method was used to evaluate the data; ethical principles were taken care of by the researchers.

Results
The selected films were watched by maximum of 7.4 M people and a minimum of 20 K people. Tobacco products were observed in 84% of the movies, the most observed was cigarettes (93%). The number of scenes with tobacco products had the range of 45 and 1; the duration is between 21.46-0.08 seconds. In tobacco images, 87% men, 78% adult age group and 40% leading actor while drinking were observed as smokers. It was found that two indicators (the average numbers of scenes; the scene duration) increased 1.6 times (p &gt; 0.05, p &gt; 0.05) between two tobacco laws. After banning sponsorship in 2008, 3.6-fold decrease in the number of scenes and a 5.3-fold decrease in the duration of the movies were observed compared with the period between two tobacco laws (p &lt; 0.01, p &lt; 0.05).

Conclusions
Stable and comprehensive tobacco control policies had an impact on reducing tobacco scenes in motion pictures in Turkey. However, the increase in watching movies on the internet today requires the development of new strategic interventions.

Key messages
Restrictions and prohibitions on the advertising, promotion and sponsorships of tobacco products should be systematically controlled in the cinema industry. A comprehensive and multidisciplinary approach is required to tackle the impact of the tobacco industry on motion pictures.