bluuebunny/crossref_metadata_2025_split huggingface dataset:
Screening for senile asthenia syndrome
Authors: Sabgayda T P , Edeleva A N , Zubko A V , Semyonova V G 
Published: October 2020

Abstract

Life expectancy of the Russian population lags behind countries with similar socio-economic development by several years. Significant reserve for reducing population losses is associated with measures to ensure healthy aging. In Russia, patients with high probability of senile asthenia (presence of three from seven geriatric syndromes) are identified among persons aged 75 years and older. However, with high mortality, screening for senile asthenia may need to be started at a younger age.

Purpose
to analyze the average age of occurrence and the conjugations of geriatric syndromes in outpatients of different age groups living in the same area of the city.
619 outpatients older than working age (men 60 years and older, women 55 years and older) were interviewed. Two and four geriatric syndromes are more common than three syndromes: 21.6% and 26.0% versus 11.8%, respectively (p &lt; 0.0001). The number of geriatric syndromes increases with age, however, is not strictly proportionally. In the patterns of geriatric syndromes distribution, differences are observed between groups of outpatients with two and three syndromes. Marked weight loss does not occur in people with three syndromes, while a tenth of people with two syndromes notice it. On average, sensory limitations and depressive mood appear earlier than other syndromes and their simultaneous presence greatly increases the risk of others. In women, compared with men, sarcopenia appears early. The opposite situation is observed for falls. Cognitive impairment significantly increase the likelihood of all other geriatric syndromes.
It is advisable to screen for geriatric syndromes in people aged 60 years and older in countries with high mortality. When detecting sensory impairment syndrome, the prevention of depressive syndrome and cognitive impairment should be carried out. The depressive mood of the population due to the difficult social situation is apparently one of the factors of insufficient life expectancy in Russia.

Key messages
When detecting sensory impairment syndrome, the prevention of depressive syndrome and cognitive impairment should be primarily carried out. It is advisable to screen for geriatric syndromes in people aged 60 years and older in countries with high mortality and old population.
Prevalence of hyperoxemia in hospitals of southern Tamaulipas, Mexico during the period Aug-Oct 2019
Authors: Reynaga M A R H , Castañeda E D C P , Correa L A C M , Zamarrón E I Z L 
Published: October 2020

Abstract

Background
Assisted ventilation represents high benefits for patients that cańt breathe normally or had suffered lung damage. The problem begins when there is an excessive assisted ventilation, that could lead to partial pression of the oxygen that cause hyperoxia and the result is oxygen poisoning [Hyperoxemia]. Reports have shown that cells, connective tissue, and organs can be affected by the hyperoxia. Our research consists in identifying hyperoxemia prevalence in Intensive Care Unit [ICU] at hospitals, so they can develop a better oxygen treatment.

Methods
The method we use in this investigation were: Nonexperimental, quantitative, retrospective, and transversal research, with the variable data PAO2, PCO2, SO2, age and gender. The subjects were distributed in normoxia and hyperoxemia. The population sample was of 19 patients from the Hospital A, B, and C in the south of Tamaulipas, Mexico, during the August-September 2019 period. The analytic technique used was the statistical average, which was of 137.9% in ICU.

Results
From 19 patients [100%], 15 patients with hyperoxemia [79%] and 4 patients with normoxemia [21.05%]. There was a difference between hyperoxemia: 10 male patients [52.63%] and 5 female patients [26.31%]. In the ICU, oxygen average saturation was 96.7%, and partial pressure of oxygen was 137.9%

Conclusions
We recommend performing a blood gas test in each patient with assisted ventilation, this with the purpose of regulate the administration of the oxygen inspiratory rate [FiO2]. Develop a clinic practice manual to regulate the administration of the oxygen inspiratory rate [FiO2] with assisted ventilation patients, with specifications and parameters to use it according each patient's characteristics and noted the consequences of a bad management on this. From 100% of patients [19], 79% [15] had hyperoxemia, which denotes that it is missing health surveillance to look after patient's health in the future.

Key messages
There are no beneficial effects of hyperoxemia in critical patients clearly demonstrated in clinical trials. The use of elevated FiO2 can produce a direct toxic effect on lung cells, with phenomena of cell destruction and alteration of defense mechanisms.
Gender equity in scientific publishing: Analysis of publications in the Journal of Health Monitoring
Authors: Seeling S , Rabenberg M , Saß A C , Ziese T 
Published: October 2020

Abstract

Background
The importance of gender- and sex-sensitive reporting and communication in science has been widely acknowledged in the past years. At the same time, a 'gendered system' of scientific publishing is increasingly discussed, given the underrepresentation of women as first and last authors, reviewers, on editorial boards and in editorial key positions. Against this background, the Journal of Health Monitoring (JoHM) - a scientific online journal published by the Federal Health Reporting at the Robert Koch Institute, Germany's national public health institute - took stock of the proportion of women among authors and reviewers.

Methods
Articles published in the JoHM between its founding in 2016 and the last issue in 2019 were included. Descriptive analysis was performed on the proportion of women in first and last authorship, stratified by publication format, and the proportion of peer reviews performed by women.

Results
A total of 145 articles were included in the analysis, comprising the categories Focus, Fact sheet, Concepts & Methods, Proceedings, Abstract and Editorial. The percentage of articles with first authorship by women was 66% (95/145), ranging from 53% for Focus articles (n = 16/30) to all of the Editorials (n = 6/6). 49% of last authors were female (n = 66/135). Overall, 42% of all reviews were performed by women (n = 96/233).

Conclusions
With almost two third of the publications analysed, first authorship of women in the JoHM is high. However, the proportion of female last authors and reviewers is lower in comparison. Next to professional qualification, gender should be taken into account when editors select reviewers. Overall, discussion should be stimulated on adequate representation of women in all areas of scientific publishing, given the relevance of visible merits in publishing for the building of scientific careers.

Key messages
Publications in the Journal of Health Monitoring have a high percentage of female first authors; in comparison, the percentage of last authorship and peer reviews by women is lower. An adequate representation of women in all areas of scientific publishing is essential, given the significance of publishing for merit in science and research.
“Patiently waiting”: a multivariate logistic regression analysis to understand waiting times
Authors: Rossi M , Da Re N R , Forni G , Campanelli E , Balconi R , Bergamaschi W 
Published: October 2020

Abstract

Background
Outpatient visits waiting time poses a significant challenge in countries facing rising health demands, particularly those that have universal access to public health care. In Italy, despite major improvements, many patients still experience extensive delays accessing specialist care. Our study describes waiting times for the 14 most critical specialist “first” visits provided by the national health care system in the Milan Health Protection Agency territory (3,48 million inhabitants) and investigates whether specific patient, prescription and hospital variables are associated to an increased risk of delay in waiting time.

Methods
A multivariate logistic regression analysis of the relationship between specialty, age, sex, priority class, exemption from prescription charges, hospital organization, patient region, and Hospital district was performed to investigate whether specific variables are associated to the odds ratios (OR) for having to wait more than the maximum time limit.

Results
Out of the 1,174,283 visits performed in 2019, 90% were provided within the maximum waiting time. Visits were provided beyond maximum time in 20% (median delay=2 days) of priority class 1 visits, 24% (median delay=7 days) of class 2, 22% (median delay=37 days) of class 3, and 4% (median delay=65 days) of class 4. All analysed variables were significantly correlated (p &lt; 0.001) to the OR for having to wait beyond the priority class specific limit. In particular: female sex (OR = 1.074), residing outside Lombardy (OR = 0.696), class 1 priority (OR = 4.939), exemption from prescription charges (OR = 1.107), research Hospital (private: OR = 5.937, public: OR = 5.156) and ophthalmology (OR = 8.822).

Conclusions
Our results show that most visits were provided within the time limits. However, waiting times seem to be a major issue when assessing certain specialties, hospitals, and priority classes. This data should guide health policy makers interested in tackling the waiting time issue.

Key messages
This study highlights the importance of monitoring outpatient waiting times. Strategies and policies to tackle the problem of waiting times should be made upon reliable data and transparent criteria in order to meet patients’ needs.
Diabetes: awareness and management. Data of Passi and Passi d’Argento surveillance in Lazio, Italy
Authors: Paradiso F , Agosti G , Prencipe G P , Trinito M O , Iacovacci S , Contoli B , Minardi V , Masocco M 
Published: October 2020

Abstract

Background
Diabetes is a health emergency: in Italy over 3 million people are diabetics. In Lazio region a high percentage of population is affected by diabetes. Data are collected from two Italian population surveillance systems, Passi during 2015-18 and Passi d'Argento (PdA) during 2016-2018; this trasversal study was conducted to investigate diabetes awareness and clinical management in Lazio.

Methods
Passi and PdA collect representative data providing a telephone interview with a standardized questionnaire to a representing sample (18-69 and over 65 aged respectively), randomly selected and sex-and-age stratified. In both questionnaires a diabetes section assesses diagnosis, knowledge of HbA1c, health setting and number of annual checks. Data refer to whom affirm to be diagnosed with diabetes. Results are shown by prevalence and 95% CI.

Results
Diabetes prevalence grows with age, it does not reach 1% in people under 50 years, it is 9% for the age group 50-69 years and 20% in over 75. Serious economic difficulties and low education level are related to higher prevalence. Among diabetics, 18.7% (15.42-22.46) from Passi and 24.2% (20.29- 28.61) from PdA ignore HbA1c. About clinical management, 1.5% (0.73-2.90) in Passi do not receive any care from doctor; the whole sample of PdA receives medical care. Most of the respondents in both surveillance are managed by diabetes care team (43.76% in Passi - 39.87% in PdA), reporting to receive care about three times a year on average. No significant differences are observed between economic and education levels.

Conclusions
High percentage of diabetics, not knowing HbA1c, are not aware about disease. Patient empowerment is necessary to gain control over disease and increases capacity to act on it. Health education should be improved and diagnostic and therapeutic pathways, recently introduced in Lazio Region, should be better structured. Population surveillances allow to plan and evaluate programs and interventions.

Key messages
Fight the lack of awareness with patient empowerment to gain control over diabetes. Population surveillances are valuable tools to plan and evaluate programs and interventions in Public Health.
Using market data to understand corporate behaviour
Authors: Hiscock R 
Published: October 2020

Abstract

Background
Tobacco companies sell tobacco in order to invest in the business and make profits for shareholders. One element in creating profitability is via data driven marketing. Such data are also useful for public health because an understanding of pricing and sales patterns can help with the development of effective tobacco control methods by understanding how the tobacco industry is making profits.

Methods
Study 1) Public and commercial databases which provide free or paywalled access to market data were identified. Internet searches were conducted to understand more about their ownership, mission of the owners, funding and accessibility
Study 2) University of Bath studies using such datasets to understand the tobacco industry were reviewed to synergise the ways in which corporate behaviour has undermined tobacco control policy.

Results
The United Nations provides freely accessible national level statistics on imports and exports of raw tobacco and manufactured tobacco products. Limited survey data may be available on the last product smoked. Proprietary databases are expensive, may have usage restrictions and links to the tobacco industry but can provide a detailed picture of tobacco product sales and prices. Research on such databases has illustrated how the tobacco industry kept cheap tobacco available despite tobacco taxes, used tax rises to increase their own revenue and used a standardised packaging sell through period to keep branded packs on the market for longer.

Conclusions
Governments should require the tobacco industry to provide market data in an easily publishable form

Key messages
The most detailed data on the tobacco market is proprietary. Proprietary databases are expensive, may have usage restrictions and links to the tobacco industry. Understanding of pricing and sales patterns can help with evaluating the effectiveness of tobacco control policy.
Evaluation of colistin consumption in swine and poultry of Marche region during the 2017-2019 period
Authors: Aconiti Mandolini N , Perugini G , Filippini G , Pierucci P , Baiguini A , Vaccaro A , Pelagalli G , Marinelli F , Capuccella M 
Published: October 2020

Abstract
In Italy, the National Plan against Antimicrobial Resistance (PNCAR 2017-2020) involves both human and veterinary sectors. The last one was requested to reduce colistin consumption, a first choice antibiotic for human health. Indeed, the Plan defines specific limits to reach within 2020. In Marche region, there is a project from 2017, consisting in monitoring antibiotic consumption in livestock, with particular reference to Critically Important Antimicrobials (CIAs), like colistin. The project represents an AMR stewardship, which involves regional Veterinary Services, veterinary professionals and the IZS Umbria e Marche, developing a specific training and education path ad hoc.
In this work, we have considered data coming from swine and poultry prescriptions of Marche region in the 2017-2019 period, using these for the calculation of ADDD (Animal Defined Daily Doses), a method already used in human. In practice, we have first established DDDvet values, as suggested by ESVAC, obtained from the Italian drugs containing colistin made for the considered species.
Colistin prescription in swine reduced of 97% (from 20.60 in 2017 to 0.69 DDD/1000 animals-die in 2019). In poultry, a reduction of 69% was obtained (from 5.07 in 2017 to 1.56 DDD/1000 animals-die in 2019). Then, there was an evidence of reduction more than 70% in colistin consumption, demonstrating the importance of the education and awareness program sponsored by Competent Authorities and the other stakeholders involved. The used method of calculation (ESVAC) is different from the currently applied one, as it consists of standardized unity of measures, using prescription data rather than sales ones.
Monitoring antibiotic consumption both in human and veterinary sector is essential to understand AMR, as well is important the possibility to compare the data to each other. The present work demonstrate that, also in veterinary, is possible to apply the DDD-method to evaluate antibiotic consumption, like colistin.

Key messages
Colistin consumption has reduced in swine and poultry sectors in the 2017-2019 period. A standardized method of calculation of antibiotic consumption in animals is strongly needed.
Accuracy of the need for dental prosthesis and associated factors between elderly in Recife, Brazil
Authors: Santos L F R , Carvalho E P , Oliveira S R A , Moreira R S 
Published: October 2020

Abstract

Background
The latest national oral health survey showed a high prevalence of the need for dental prostheses between the Brazilian elderly. To classify this need, normative (clinical) and subjective (self-reported) criteria must be considered since patients' self-perception takes into account social and functional issues that arise with oral health problems. Few studies investigate the agreement between these criteria, as well as its determinants. Thus, this study aimed to investigate the accuracy of the need for the use of total dental prosthesis and factors associated with the agreement between criteria.

Methods
Cross-sectional study, carried out in three municipalities in the Metropolitan Region of Recife, with a random sample of 816 elderly people from 65 to 74 years old. The dependent variable was the accuracy, calculated by the agreement between the self-reported and the normative need for a total dental prosthesis, and the independents were assembled in three blocks (socioeconomic/demographic, access to oral health services and self-perceived oral health). Hierarchical logistic models were conducted for total upper prosthesis (TUP) and total lower prosthesis (TLP).

Results
The self-perception of the need for prosthetic use presented an accuracy of 75.9% (95% CI = 72.8-78.7%) for TUP and 78.6% (95% CI = 75.6-81.3%) for TLP. In the multiple analysis, the accuracy for TUP and TLP needs holds an association with the variables: family income, age and time since the last dental appointment.

Conclusions
In conclusion, the self-perception of need for dental prosthesis demonstrates potential applicability for the elderly, presenting notable accuracy values. It suggests that studies based on patients' self-reports should be stimulated, aiming for the evaluation and validation of self-reported criteria in different contexts and cultures. Furthermore, the identification of accuracy associated factors can help to build more meaningful questions to be used in future surveys.

Key messages
The use of the self-reported need for total dental prosthesis may be feasible when considering lower cost, reduced time of execution and ease of use in population epidemiological surveys. Application of self-reporting as an epidemiological tool for planning and monitoring oral health services, incorporating it in the form of indicators for oral health surveillance.
A systematic review on resource allocation in public health
Authors: Barbosa E , Gonçalves A , Guerra M , Cruz C 
Published: October 2020

Abstract

Background
Research in resource allocation is a need arising from State interference by the allocative function, which seeks to promote resource adjustments with the provision of certain goods and public services (Musgrave, 1974; Musgrave & Musgrave, 1980, Longo & Troster, 1993). In this perspective, a research question arises: how has international literature on the field of Business, Management and Accounting been approaching resource allocation in public health?

Methods
Systematic Literature Review through the Scopus Database. keywords: “public health” and “resource allocation”. The types were Article and Review. Language: English, since it is internationally accepted in scientific articles, and Portuguese, in order to include Brazilian research. Search period: from 1976 to 2017. Areas: “Business, Management and Accounting”. The performed analysis technique was qualitative meta-synthesis and by using the MAXQDA Analytics Pro 18 software.

Results
The first identified study was in 2000 Sweden, pulished in Health Care Management Science. The most recente in 2017 Brazil, published in Evaluation and Program Planning. Among the countries that presented the largest production, the United States is highlighted (4). Dispersion of publication among reviews was noted. Generally, publications are grouped in four perspectives: adequate allocation, resource management and effective cost; resource allocation for treating specific diseases; resource allocation for decision-making; and health evaluation and the need of informing resource allocation. The prevailing lack of theoretical grounding must be highlighted.

Conclusions
Can be inferred that this production is recent, that it does not possess a specific focus or outline, as there is a variety of approaches, most of them being geared towards healthcare and disease control, such as cancer, diabetes, overweight, rabies, malaria and infectious diseases.

Key messages
International literature indicates that the theme is yet unexplored in the field of Business, Management e Accounting and most studies are geared towards healthcare and disease control. Allocation in the public-health policy as a function of the role of the State in providing the necessary budget for financial availability and not cost-wise, suggests lack of research.
Early genotoxic effects from exposure to environmental pollutants young people from South Italy
Authors: Lavorgna M , Angelillo S , Gentile M , Nugnes R , Orlo E , Russo C , Isidori M 
Published: October 2020

Abstract
Children and young people are particularly sensitive to the environmental pollution which is closely related to degenerative diseases. Several studies show that a genotoxic damage during young age can increase the risk of chronic diseases in adulthood. The young people are more vulnerable than adults to the environmental pollutants because they spend more time outdoors, they have immaturity of some organs and of the mechanisms involved in the cellular repair. In the present study, the early biological effects of exposure to a particularly polluted area of Southern Italy were evaluated in 200 children (6-10 year-old) and 100 young people (18-25 year-old). This area, worldwide known as Sarno basin, is characterized by strong anthropization, many agro-food processing industries, massive use of fertilizers and pesticides in agricultural practices and a strong river pollution. The comet assay was chosen because it reflects cumulative exposure to a variety of environmental factors and it was performed on salivary leukocytes in the children selected for the survey, while in the young people the DNA damage was evaluated in human peripheral blood lymphocytes. As in previous studies were not find significant differences between salivary leukocytes and blood lymphocytes we preferred the sampling of saliva for the children to avoid bloody practices. Furthermore, before cell sampling the children's parents were interviewed using an ad hoc questionnaire designed to gather additional information about exposure sources. A questionnaire was administered also to the young people to have more information on their lifestyle and some characteristic of the area of exposure (vehicular traffic and so on). The results showed a clear damage from exposure in the children differently from young people.

Key messages
Comet assay was performed in vitro on lymphocytes of 200 children (6-10 year-old) and 100 young people (18-25 year-old) exposed to a particularly polluted area of Southern Italy. An evident DNA damage was observed in lymphocytes coming from children; no genetic material alterations were observed in young people.