bluuebunny/crossref_metadata_2025_split huggingface dataset:
To arouse interest in health advice: a qualitative inquiry on popular health books in Turkey
Authors: Kucukali H , Yapalak AN Balci 
Published: October 2020

Abstract

Background
While some of the health advice is arousing interest in large audiences, others are neglected. It is known that the presentation of health contents affects their adoption. However, there are not enough studies on popular health books as a medium. The aim of the study is to find out how popular health books are presented to arouse interest in health advice.

Methods
Promotional descriptions of books may reveal the prominent characteristics of the presentation of health advice and sales of the books may be a proxy of public interest. Public data of 5320 books that are listed in the health category collected from the most popular online bookstore in Turkey (Alexa rank=109) via a web mining program which is developed for this study. A qualitative coding scheme is created after familiarisation with data. Two researchers independently coded promotional descriptions of best selling 95 books that appeared to constitute the 50.1% of all 780,617 sales in health category by February 2020.

Results
The 95 best selling health books have been written by 61 different authors. They were found to be mostly about advice on nutrition/ diet (33.7%), weight loss (16.8%) and traditional medicine (14.9%) with a substantial intercoder agreement (κ = 0.756). A common narrative discovered in data which usually contains the number of following components: a claim of a paradigm shift, a saviour, a path to salvation, the evil, believers and non-believers and their aftermath, a single responsible for most health problems and an easy single solution for them.

Conclusions
Best selling health books are presented in a way that its health advice were ideologies or some kind of belief systems. Even it is arguable to recommend this approach for practice, our findings may help to address contemporary challenges in health communication such as epidemics of disinformation. Further studies may consider to analyze the data from a variety of sources and also compare books from different categories.

Key messages
How the health books are presented may affect how much interest their advice can arouse. Best selling health books found to be using a narrative that present health advice like they were ideologies.
Polypharmacy in elderly migrants: perspectives of chronically ill migrants on E-Health-Applications
Authors: Tezcan-Güntekin H , Özer-Erdogdu I 
Published: October 2020

Abstract

Background
Polypharmacy occurs frequently among the elderly and is associated with an increased risk of falls and medication-related adverse events. Especially people with migration backgrounds may receive inappropriate medication due to language barriers or experiences of discrimination in healthcare. This study aimed to assess barriers to drug therapy in elderly migrants and to generate user experience data for the development of an e-health application.

Methods
10 interviews, respectively, with chronically ill individuals of Turkish descent and with family caregivers. The 20 interviews were analyzed qualitatively by means of structuring content analysis.

Results
Medication is connected to uncertainty for respondents and most are affected by polypharmacy. Medication is not always taken regularly, especially among respondents living transnationally. Adherence depends on trust and the quality of doctor-patient relationships. The number of medications required and their side effects are a source of dissatisfaction, but elderly migrants develop a variety of coping strategies. Smartphone use is common among respondents and they are open to using an application for medication prescription and intake management.

Conclusions
Interprofessional care teams are needed in order to reduce uncertainty regarding medication management, to improve health literacy and to strengthen alliances between stakeholders. Additionally, collaboration between diversity-sensitive nursing care specialists and physicians is needed to provide accessible information, thus improving continuity of intake and adherence. E-health applications have the potential to improve medication management and information exchange between all stakeholders, thus facilitating correct medication use.

Key messages
Diversity-sensitive care can improve drug therapy for elderly migrants by removing language, information and trust barriers. Elderly migrants are open to web-applications for medication management.
Assessing the Quality of skin Healthcare Mobile Apps: a systematic review and scoring using the MARS
Authors: Woo H , Kim G h , Kim Y w 
Published: October 2020

Abstract

Background
With the number of skin healthcare-related apps users increasing, the selection of high-quality apps is not a simple task. The aim of this study was to (1)describe the content of available skin healthcare apps, (2)evaluate their objective quality regarding engagement, functionality, aesthetics, information and subjective quality.

Methods
The App Store and Google Play store were systematically searched to identify skin healthcare mobile apps for general population use. Eligible apps were downloaded and independently evaluated for quality by 4 reviewers using the Mobile App Rating Scale(MARS). The MARS is the only currently available tool that provides a comprehensive, multidimensional evaluation of app quality. MARS assesses the dimensions of engagement, functionality, aesthetics, information, and subjective quality on 5-point scales. In addition, the correlation between MARS score and user score was analyzed.

Results
The overall 37 apps obtained a mean quality score of 2.77(SD.62). 'Trove skin(Android: 4.13)' received the highest score, while 'Complete Beauty Guides(Android: 1.8)' received the lowest score. User scores were found to have no significant correlation between overall quality scores through MARS and content scores(r= .240, p= .153)(r= .290, p= .081), the overall quality score through MARS and the Content Score were significant static correlation(r= .487, p= .002).

Conclusions
As the use, and introduction, of mobile apps continue to grow, it will become increasingly important for consumers to adopt high-quality apps. Understanding the effectiveness of high-quality apps compared with low-quality apps can make it easier and more accurate for consumers decisions about using related to skin healthcare apps. Furthermore, qualities of apps that ranked higher could be used to improve existing apps or help with the development of new ones.

Key messages
Consumers refer to the User Score when selecting skin healthcare-related apps. However, User Score was not correlated with MARS content quality assessment scores evaluated by experts. This study is a significant help that enables consumers to select good-quality skin healthcare apps by high-quality content information through MARS.
Use of digital tools by PHC professionals as instrument for health decision-making
Authors: David R B , Oliveira V A , Mota L G , Botelho D F , Barral-Netto M 
Published: October 2020

Abstract

Background
Investments have been made in precision public health strategies, as a way to better assess needs and evaluate the health services. Experiences point out that the computerization of health systems reduces costs and improves the quality of information. Primary Health Care (PHC) workers are key elements of this transformation, which can be enhanced with the use of digital health strategies. This paper aims to know the perception of the use of digital tools provided by the Ministry of Health by PHC workers in municipalities in the state of Ceará/Brazil.

Methods
Focus groups and field monitoring were carried out with different professional profiles. The inclusion criterion was the use of digital tools in their daily work. Questionnaires were built to conduct semi-structured interviews. The analyzes were made using content analysis method.

Results
Among the 21 participants (32-49 years old, mostly female),3 reported not having digital knowledge prior to the use of digital tools in their daily work. Mostly associated the use of digital tools with greater agility and ease in the work routine and greater accuracy of information. The challenges were mainly related to the use of the equipment(tablet),such as fear of breakage, theft and problems in the synchronization of the information system. There was a consensus that the data collected are useful, however they are underutilized for the work process in PHC.

Conclusions
The use of digital tools in the health work process is able to foster the critical view of professionals for analysis and decision making, pointing out strategies to face health issues in the territories. Pointed out as a facilitator in daily work, the use of digital tools does not exclude the use of paper sheets. Despite the greater supply of data, these are not used to their full potential, mainly due to insufficient time, given the numerous tasks for professionals.

Key messages
Carefully planned, developed and deployed digital interventions are powerful tools to improve health care system performance. The use of digital tools in the health work process is able to foster the critical view for analysis and decision making, pointing out strategies to face health issues in the territories.
Health impacts of air pollution in Bulgaria
Authors: Tsanova D , Georgieva S , Kamburova M 
Published: October 2020

Abstract

Background
Air pollution is a major cause of premature death and disease, and is the single largest environmental health risk. Heart disease and stroke are the most common reasons for premature death attributable to air pollution, followed by lung diseases and lung cancer. This report aims at investigation and comparative analysis of air pollution and mortality related indicators in Bulgaria.

Methods
Descriptive study design with content analysis is applied on data from accessible national and international databases and publications - Bulgarian National Statistical Institute and The European Environment Agency. To evaluate the health burden attributable to air pollution were used the population-weighted concentration and the estimated number of attributable premature deaths, and the Years of life lost (YLL) per 100 000 inhabitants in 2016. The Ambient Air Quality Directive defines the PM2.5 Average Exposure Indicator which reflects population exposure to PM2.5 and shows the average concentration at urban areas, calculated as a 3-year average.

Results
In 2015, the level of PM2.5 had to be below 20 µg/m3 in any country. In 2017, concentrations were still above that level in three countries - Slovakia 22, Poland and Bulgaria 24. The largest health impacts in terms of premature deaths and YLL, are observed in central and eastern Europe where the highest concentrations are also observed - Kosovo, Serbia, Bulgaria, Albania and North Macedonia.
The premature deaths attributable to PM2.5 exposure in Bulgaria are 13 100, to NO2 - 1 100 and to O3 - 280. The YLL attributable to PM2.5, NO2 and O3 exposure are respectively 1858, 151, 42. All these levels are very high in comparison with other European countries.

Conclusions
Recognition of the full health and economic cost of air pollution and the benefits of pollution reduction should spur increased use of renewable energy, energy efficiency, and clean-fuel vehicles. This is a necessary investment for Bulgaria's future.

Key messages
Responsibility for, and tools to tackle, many environmental determinants of health lie outside the direct control of individuals or the health sector alone. Wider societal, intersectoral and population-based public health approach is needed.
Greenspace and depression in Japanese Older Adults considering physical activities: JAGES study
Authors: Nishigaki M , Koga C , Hanazato M , Kondo K 
Published: October 2020

Abstract

Introduction
Older adult's depression is a public health problem. In recent years, exposure to local greenspace is beneficial to mental health via increased physical activity in people. However, few studies approach the relationship between greenspace and depression while simultaneously considering the frequency, time, and the number of types of physical activity, and large-scale surveys targeting the older adults.

Methods
Cross-sectional data conducted in 2016 by the Japan Gerontological Evaluation Study was used. The analysis included older adults aged 65 and over who did not require care or assistance, and a total of 126,878 people in 881 School districts. The explanatory variable is the percentage of the greenspace of the area, and the greenspace data used is data created from satellite photographs acquired by observation satellites of the Japan Aerospace Exploration Agency. The objective variable was depression (Geriatric Depression Scale 5 points or more). The analysis method was a multi-level logistic regression analysis. Physical activity was the number of sports-related hobbies, the frequency of participation in sports meetings, and walking time in daily life. Other factors such as personal attributes, population density of residential areas, and local climate were also considered.

Results
Depression in the survey was 20.4%. The abundance of greenspace was still associated with depression, considering all physical activity. The odds ratio of depression in areas with more greenspace was 0.92 (95% CI 0.87 - 0.98) compared to areas with less greenspace.

Conclusions
It became clear that areas with many greenspace were still associated with low depression, even considering the frequency, time and number of physical activities. It is conceivable that the healing effect of seeing greenspace, the reduction of air pollution and noise, etc. are related to the lack of depression without going through physical activity.

Key messages
In Japan, older adults are less depressed when there are many local greenspace. It became clear that areas with many greenspace were still associated with low depression, even considering physical activities.
“The Green Sea Yard of Varna” – the innovative project in the focus of early child development
Authors: Valtcheva E , Dimitrova T , Moutafova E , Vladeva-Spasova S , Ivanova I , Stefanova R , Popova I , Slavova A , Dimitrova D , Dokova K 
Published: October 2020

Abstract
We present an innovative approach to early child development (ECD), designated as a priority for all societies. Traditional ECD services of the Bulgarian health system are predominantly medical or pedagogical provided by GPs and nurseries. This leaves space for interdisciplinary services based on the ideas of Françoise Dolto focused on child-parent relationships. The Green Sea Yard of Varna, Bulgaria, aims at providing accessible space for early socialization of children and preventive psychosocial services by experts in ECD.
The process oriented work combines: psychosocial accompaniment, social group & community work, psychoanalytic consultation with medical expertise. Specialists use direct observation, interviews, analysis of available information, hypothesis development. Questions to be answered: is there a recognized need for a space enhancing and stimulating the interaction between the three main subject in ECD child-parents-specialists; is there a need for a transitional space between the home and kindergarten enabling early child socialization; which are the most prevalent mental and behavioral problems and their earliest symptoms.
For 104 working days (December 2018-February 2020), 2 000 visits of 257 children have been performed, including 400 individual consultations of 51 children at risk. Smooth adaptation to nursery was experienced by 15,5% of children. The most prevalent problems are: insufficient to lacking parent-child verbal communication; delayed speech development; aggressive behavior towards peers.
The main lessons are: (1) There is a recognized by specialists, families and the community need for transitional spaces enabling children to experience first social encounters and concepts of social rules and norms; (2) the space stimulates both formal and informal quality communication between specialist and parents and mutual informal support between parents; (3) leading to a new view for the child as an autonomous person.

Key messages
The Green Sea Yard of Varna is the first innovative space for interdisciplinary approach to ECD, early socialization, care & prevention in our community fully applicable to other places and cultures. The project is in line with SDGs, contemporary scientific visions for the first 1000 days of a child's life and the WHO strategy for the prevention of child’s health in the family and in society.
Epidemiological profile of hospitalized self-harm in Chile differs from suicide profile. 2008-2017
Authors: Solorza F , Urquidi C , Ramírez V , Marró P 
Published: October 2020

Abstract

Background
Suicide is a public health problem. The highest rates occur in men of 45-60 years old, and the most common methods are hanging, ingestion of pesticides, and firearms. Self-harm with or without suicide intention is the most critical factor identified for prevention, and it requires health care services. In Chile, the central-south regions are the most vulnerable areas. We described the epidemiological profile and trends of hospitalized self-harm in Chile between the years 2008 and 2017 and identified susceptible geographical regions and subpopulations.

Methods
We analyzed the codes X60-X84 (ICD-10) for self-harm, from the hospital discharge records of the Department of Health Statistics of Chile. Chilean population data (National Statistics Institute) and standard world population information were used to adjust self-injury rates by age. Administrative shapefiles containing boundaries of standard geographic locations were obtained from the Chilean National Congress website. We analyzed data by sex, groups of age, and by administrative Region. Self-injury mechanisms were grouped into six categories.

Results
For the period 2008-2017, 31,363 cases of self-harm were hospitalized. The global self-harm rate for the period was 20.9 per 100.000 inhabitants, 29.5 for women, and 12.0 for men. For age groups 10-19, 20-64, and 65 or more, these rates were 40.4, 15.1, and 7.9, respectively. The highest self-harm rates were observed in the north and central regions (Arica:43.5, O'higgins:37.9, Valparaiso:35.4). The most common methods of self-harm were drugs/substance use (89%), sharp and blunt objects use (4.4%), and hanging/drowning (3.1%). In men, the letality rate of self-harm was 2.5% and 0.6% in women.

Conclusions
In Chile, hospitalized self-harm rates are high in women and adolescents, mainly in the north and central regions of the country.

Key messages
Prevention of suicide should be targeted in different populations than the already known epidemiological profile of suicide. Self-harm should be a public health concern, for prevention and surveillance, especially in adolescents and women.
Short-term association of air pollution and health in Poland. Results from multi-city study
Authors: Rabczenko D , Madej T , Wojtyniak B 
Published: October 2020

Abstract

Background
Although time-series studies of the impact of air pollution on mortality are numerous in the literature there is noticeable lack of the results from multi-city studies in Poland. The aim of our analysis is to fill this gap and give estimates based on the most actual data.

Methods
A multi-city ecological time series analysis was carried out. A database contained a daily number of deaths from all causes (excluding external), by sex and age groups (below 65, 65 and more), PM10 and PM2.5 levels as well as meteorological conditions in 3 agglomerations and 19 big cities in Poland. The analysis was performed using generalized additive models. The distributed lag model method was used to investigate the mortality displacement phenomenon.

Results
Two versions of time-series analysis considering the level of air pollution from the current and previous day (acute effect) as well as from the past 30 days (allowing for mortality displacement) in the total population as well as in sub-populations determined by sex and age-group were done in each localization. The pooled effect estimate was calculated based on estimates obtained in each city. The value of the relative risk of death from all causes associated with an increase of air pollution with PM10 and PM2.5 was equal to (respectively) 1.005 (1.003-1.006) and 1.004 (1.002-1.005) for acute effect and 1.016 (1.011-1.021) and 1.021 (1.015-1.026) for delayed pollution effect. Higher relative risks were obtained for females and in the older age group.

Conclusions
A statistically significant short-term effect of air pollution with both PM10 and PM2.5 on mortality was found. The relative risks for PM2.5 were higher than for PM10. Population of females and people aged 65 years and above were more at risk.

Key messages
The existence of the short-term effect of dust air pollution on mortality in Poland has been confirmed. The air pollution effect modification by sex and age was found.
Psychoactive substance use in patients with tuberculosis, treatment adherence, Brief Interventions
Authors: Abreu A , Espirito Santo S S , Portela L , Barroso T , Sousa A I , Mattos L , Brites R 
Published: October 2020

Abstract

Background
Psychoactive substance use associated with tuberculosis therapy is an urgent public health issue in the contemporary world.

Objective
To characterize the profile and psychoactive substance use of patients undergoing tuberculosis treatment and to analyze the association between health-related variables, consumption, and treatment adherence, from the perspective of Brief Interventions.

Methodology
Descriptive transversal epidemiological study, carried out in primary care units, with 114 patients undergoing tuberculosis treatment, from June 2016 to July 2017. The Self-Reporting Questionnaire (SRQ-20) and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) were used.

Results
Smokers who drank alcohol (p = 0.058) and those who reported not having chronic diseases (p = 0.024) had a need to receive brief interventions. Cannabis use was more frequent among smokers (p = 0.009). With regard to cocaine use, a significant association was found between smoking and the number of chronic diseases. In this sample, 40% of smokers, 21.1% of alcohol drinkers, 10.5% of cannabis users, and 13.7% of cocaine/crack users adhered to treatment.

Conclusions
These results demonstrated the vulnerability of this population to psychoactive substance use based on treatment adherence and the importance of using Brief Interventions for monitoring, especially in primary care settings.

Key messages
The study showed an opportunity to apply the diagnostic strategy of brief intervention in this population in primary care. It showed an impact on the change in behavior of these patients, in view of greater adherence to treatment and improvement in quality of life.