bluuebunny/crossref_metadata_2025_split huggingface dataset:
Continuing Education in Health: interprofessional practices in the field of Collective Health
Authors: Fornereto A P N , Ogata M N , Santos T A , Franceschini A B C , Pinto MCRLR , Silva M V , Souza R , Souza V , Malvezzi E 
Published: October 2020

Abstract
Family Health Support Centres (NASFs, in Portuguese) aim to develop interprofessional practices anchored in the assumptions of Primary Health Care, guided by the criteria of shared care specific professional interventions, management processes, interdisciplinarity, intersectoriality, Continuing Education in Health and health promotion. This health management methodology (Matrix Support) still represents a challenge to workers and managers, as it switches the logic of clinical thought from individual-centred, ambulatory and disciplinary care to collective, territory and interdisciplinary care. This study might illustrate and allow sharing of experiences about a work management format for multidisciplinary teams in Primary Health Care. A partnership between the University and the state health department was established in order to elaborate a collaborative, educational and supportive action. We formed a group of workers in the target area (24 municipalities and 18 teams) who had a focus on Continuing Education in Health using Institutional Analysis as theoretical reference. The main goal of the action was to provide spaces to share experiences and learning in the perspective of Continuing Education in Health. How does Continuing Education in Health support interprofessional practices in the field of Collective Health? Among the main results, we list: reflection about organisation practices of multiprofessional work, reflection about care practices and clinic management in the technical-assistance and pedagogic perspectives of Matrix Support; encouragement to improve the services offered in this level of care and their relationship with other points of the network. This experience showed us the importance of three main aspects: Continuing Education in Health, as a strategy of critical analysis about work and workers; the partnership and integration between teaching and service; and interprofessional formation processes (necessary to NASF and Collective Health).

Key messages
Continuing Education in Health is a strategy to deal with challenges and possibilities of interprofessional practices in the field of Collective Health. Enabling experiences and providing spaces for health professionals to share experience and learning.
Get to know to prevent: the Local Health Authority of Cuneo takes care of visual disability
Authors: Dalmasso M , Falcone U , Gallo F , Blengio C , Di Pasquale A , Allocco N , Costa G , Puglisi M T 
Published: October 2020

Abstract
Visual impairment has an important economic weight on our society; in addition to this considerable cost, loss of vision imposes physical, financial and quality of life limitations. Preventing visual impairment is not only a social duty but also an economically convenient activity for the national health system.
On the basis of this concept, a visual impairment disability campaign was carried out in the ASL CN1 (Southern Piedmont Region) taking into account the guidelines recommended by the WHO (1968 screening guidelines but still applicable) in the most disadvantaged territories of the cross-border and rural area, where people have more difficulties to reach territorial services or hospital.
Patients who tested positive for the screening were taken over by the local network for a second-level visit and subsequent follow-up based on the pathology found. In this frame, visual screening represents a promising health policy as it can identify visual disability at an early stage. Through the health information systems (hospital discharge, access to the emergency department and exemptions for pathology), the geographical distribution and demographic characteristics of the subjects with visual disability were described in the ASL CN1 area. The level of detail has reached granularity at the single municipality and single age level.
For the year 2018 among 416.000 residents in ASL CN1, about 4.000 visual impaired subjects were identified (3.188 on the basis of the presence of an exemption for glaucoma, 542 from hospital discharge and 535 at the emergency department). Assessing mortality in this subgroup, the mean age at death is slightly higher than that of general population (82,42 vs 81,39 years respectively). This can be suggestive of an efficient handling the local population with visual disability. The developed indicators can be extended to other periods and new areas.

Key messages
Visual screening represents a promising health policy as it can identify visual disability. Through the health information systems, the geographical distribution and demographic characteristics of the subjects with visual disability were described.
Cancer control implementation experience: The case of Health in All Policy Approach
Authors: Bakker L , Kiasuwa Mbengi R 
Published: October 2020

Abstract
Health and health equity are important prerequisites to achieve most societal goals. However, governments still struggle facing lobbying and establishing a coherent policy approach to ensure health and health equity. Therefore, the WHO Health in All Policies (HiAP) Framework for Country Action has been developed to support the avoidance of harmful policies.
In the framework of the JA iPAAC, semi-structured interviews with health administrators in 28 EU countries were conducted from September 2018 until January 2020. The objective was to gather experience and examples of cancer control policies implementation, including health promotion actions. We deductively coded the interview reports based on the WHO HiAP Framework core components to see how EU MS engaged efforts on these core components.
Actions that relate to the 5 HiAP core components were found in all countries which discussed health promotion. Needs and priorities identification are reported through international commitments and risk monitoring. Frames for planned actions are mainly non-disease specific, but often risk-specific. Reported supporting structures and processes are bans, price regulation and inter-ministerial committees. To facilitate assessment and engagement of different actors, efforts were found in involving scientific communities, industry, health professionals and NGO's. Insuring policy monitoring, evaluation and reporting is experienced as challenging. Capacity building has been identified in the provision of guidance; training of policy makers, health care professionals and teachers; structural monitoring; and increase health literacy and empowerment.
The frequency of efforts identified, importantly varies among the core components. While issue specific inter-sectoral platforms are frequently reported, impact assessments and sub-national capacity building were experienced as challenging. Other challenges concern industry interference and cultural and institutional resistance to change.

Key messages
Although most core components of HiAP are reflected in health promotion policies, more engagements are required into impact assessment and insurance of equity among sub-national levels. By sharing innovative examples applying a HiAP, EU countries can learn from each other on how to ensure population health and health equity.
The evolution of an asset-based community led alcohol harm intervention in the North West England
Authors: Cook P A , Ure C , Hargreaves S C , Burns E , Coffey M , Audrey S 
Published: October 2020

Abstract

Background
Communities in Charge of Alcohol (CICA) is an Asset Based Community Development (ABCD) place-based approach to reducing alcohol harm. Local volunteers, from areas with multiple indicators of deprivation, train to become accredited 'Alcohol Health Champions' (AHCs). AHCs, supported by a local co-ordinator, provide brief opportunistic advice at an individual level and mobilise action on alcohol availability through influencing licensing decisions at a community level. CICA is the first programme we are aware of globally that has attempted to build local AHC capacity. Here we explore lessons learned from four case study areas (of the original ten) that persisted with the intervention for more than 12 months.

Methods
A case study approach to investigate the context, acceptability, facilitators and barriers to maintaining CICA. Descriptive analysis of ongoing recruitment of champions, numbers of training events and activity of champions (as reported by area coordinators). Framework analysis of interviews with AHCs and stakeholders.

Results
CICA has increased public health capacity by training 123 AHCs in its first year. The four areas that continued with CICA have trained a further 34. The different approaches in the four areas include: embedding champions in wider health champion/volunteering projects; innovative use of new technology (portable fibroscan); expansion into different geographical areas. AHCs and coordinators report significant social value from participation in CICA.

Conclusions
The likelihood of embedding CICA into a local area's activities appeared to be dependent on the energy and enthusiasm of the local area's co-ordinator, and may be dependent on that individual remaining in post. ABCD programmes may be more likely to be sustainable if capacity building is supported. CICA might be more sustainable if it was embedded in a wider programme of ABCD, since health issues are interrelated and AHCs often wish to broaden their portfolio.

Key messages
A volunteer alcohol health champions programme increased public health capacity in areas of social deprivation by utilising the assets (skills) of local people. Embedding a community alcohol health champions programme in a wider programme of asset based community development is more sustainable and allows champions to broaden their volunteering portfolio.
User involvement in developing community-based public health services: a scoping review of methods
Authors: Petersen K S , Pedersen J F , Egilstroed B , Overgaard C 
Published: October 2020

Abstract

Background
User involvement in developing community-based public health services has been on the agenda for decades. User involvement refers to the variety of ways in which service users or public citizens participate in the development of health services: from proving information on their needs to actively being involved in decisions about future services. Former studies found that user involvement is meaningful to the people involved and could have a favorable impact on the quality of services. Thus, it is timely to systematically identify and provide a comprehensive overview of user involvement methods used in public health studies. The aim of this scoping review is to provide an overview of the current body of empirical research where user involvement methods have been used to develop community public health services and identify its possible impact on the individual as well as services.

Methods
A systematic scoping review of user involvement methods aiming to develop public health services followed Arksey and O'Malley, 2005 framework. Six databases: CINAHL, Cochrane Library, Embase, PsycINFO. PubMed, Scopus and ProQuest, were searched from October till November, 2019. Search terms were: user involvement, methods and health care with corresponding synonym. All hits were double screened.

Results
6.044 studies were identified of which 38 studies lived up to the criteria. Preliminary findings from coding and synthesizing studies have identified a variety of user involvement

Methods
19 of the studies used complex, multi-facetted packages of methods aiming to identify needs, prioritize and formulate recommendations for future services. 19 studies used different kinds of group meetings and some used certain techniques to facilitate the process. Many reported the impact, and 13 evaluated the methods. The impact of using the methods varied from impact on individual, group, or service/political level. Final results will be presented at the conference.

Key messages
Studies on user involvement methods in developing community public health services and its impact are sparse. User involvement is privotal in developing sustainable public health community services.
Concordance between child’s and parents’- reported Health-related quality of life and overweight
Authors: Esposito F , Scrimaglia S , Masini S , Marini A , Gori D , Bragonzoni L , Barone G , Messina R , Gibertoni D , Dallolio L 
Published: October 2020

Abstract

Background
Health-related quality of life (HRQoL) of children is an important health outcome which has frequently been investigated regarding children's chronicle illnesses using parents proxy-reported HRQoL. Obesity is an increasingly frequent condition in children, for which the evidence about perceived quality of life is lacking. The aim of our study is to examine the concordance between child's and parents'- reported HRQoL according to children's weight status.

Methods
A cross-sectional study was conducted in 2019 among 128 children, aged 6-10, recruited in a primary school of Imola (Italy). Children were divided in Group1 (G1: normal-underweight) and Group2 (G2: overweight-obese) using the International Obesity Task Force cut points. HRQoL was assessed using the Italian version 4.0 of Paediatric Quality of Life (PedsQL) questionnaire. We obtained self-reported children's HRQoL total score and the parents' perceived children's HRQoL total score. Each score had two subscales: one for physical health and one for emotional, social and school functioning.

Results
In G1 there were 86 children and in G2 42. The correlation between the children's and parents' HRQoL scores is low in G1 (physical health: 0.24; emotional, social and school functioning: 0.15). Children in G2 and their and parents' perception of physical health are poorly correlated (r=-0.09) and those of emotional, social and school functioning are well correlated (r = 0.43).We observed that in case of discordant HRQoL results, parents usually overestimate their children's HRQoL.

Conclusions
Correlation between the children's and parents' HRQoL scores is low in G1. In G2 children's and parents' perception are concordant for emotional, social and school functioning and unrelated for physical health. It would be useful to investigate whether these results depend from lack of communication between parents and children or lack of parents' awareness of health-related problems with obesity.

Key messages
Parents and children have a discordant perception of physical health quality of life. Further studies should investigate the reasons why these results are discordant.
Aerobic capacity as a protective factor for hypertension in Bogota’s soccer players
Authors: Ramírez J , Gálvez A , Arguello Y , Castro L 
Published: October 2020

Abstract

Background
In Colombia between 1998-2011 the 23.5% of deaths that were reported were from CardioVascular Disease (CVD), 12.4% were caused by hypertensive disease; well now physical activity has been reported as a protective factor for CVD and Hypertension (HT), those people who perform high levels of physical activity have a relative decrease in developing HT by 19%, however what happens when this physical activity takes place with a duration greater than 4 hours a day, with moderate and high intensities, becoming a sports practice, the same benefits or opposite effects would be had, so the objective of the study was to determine the relationship between aerobic capacity and blood pressure in soccer players in the city of Bogotá.

Methods
Quantitative cross-sectional research; blood pressure of 64 players and the aerobic capacity was assessed using the Legger test (VO2 Max).

Results
It was evidenced that 4.6% of the players have hypotension, 50.8% normotension, 30.8% prehypertension and 12.3% stage I hypertension; As regards for VO2 max, 7.7% had an excellent capacity, 73.8% good and 12.3% favorable, there was no relationship between the variables.

Conclusions
Soccer players, although they have good levels of VO2 max, they do not present a decrease in blood pressure data, being mostly within a normal range.

Key messages
Although physical activity is a protective factor for HT. Soccer training does not show a decrease in blood pressure, possibly could be a risk factor for HT and CVD.
Integrative and Complementary Health Practices Building a New Health Paradigm
Authors: Gemeli T , Silva H , Kato M 
Published: October 2020

Abstract
This work arose from the need to broaden the therapeutic approach and offer a differentiated health intervention proposal based on the understanding that the illness process has repercussions on all integrated systems of Being. Since 2019, the Health Center for the Elderly in Blumenau (SC-Brasil), specialized multi-professional service, offering support for biopsychoenergetic transformation with the practice of Yoga and Meditation, through a holistic and comprehensive view of health. It begins with the Multidimensional Assessment of the Elderly, with a guideline in welcoming and qualified listening, which considers the subject and all subjectivity. From there, the expanded diagnosis and the Singular Therapeutic Project are built and the consultations with the team and the 'Re-Conhecer group' begin. The activity is weekly, aimed at the elderly and their family, takes place in an appropriate place and lasts two hours. Welcoming, pranayama, mantras, kriyas and meditation are made, as well as reflections on free themes. The professionals who conduct the practice are the dentist, trained in yoga, and the social worker, the welcoming process continues individually after the activity. Due to subjectivity, results are routinely collected in a qualitative way from the participants' report. There is a perception on the part of the participants, therapists and members of the multidisciplinary team that this work provides improvement in cognitive abilities, self-care, well-being, self-confidence, creativity, improved sleep, autonomy, balance, strengthening bonds, joy, vitality.

Key messages
This initiative builds new models of health care, transcending the traditional biomedical model, according to the operational guideline for comprehensiveness, universal access and equity. Provokes reflections and builds a new perspective of life with quality and participation of the elderly as subjects of their health.
Knowledge, attitudes and beliefs on organ donation among students and lecturers in Quito, Ecuador
Authors: Lima dos Santos S P , Rueda Gómez C A , Fernández M J , Vallejo J 
Published: October 2020

Abstract
Countries have reported that people's attitudes towards organ donation are influenced by knowledge, education and religion. In Ecuador, more than 800 patients are on the waiting list for an organ; likewise, the population does not recognize the importance of the donation. Although, since 2011, the Organic Law of Donation and Transplantation of Organs, Tissues and Cells states that all Ecuadorians are donors, but still, the high number of people on the waiting list is not well understood. The purpose of this study is to determine the factors towards organ donation of students and lecturers of the Pontifical Catholic University of Ecuador. This is a cross-sectional study, and the universe was the entire population; however, only 469 (students) and 321 (lecturers) answered, despite our efforts. We applied an anonymously validated questionnaire, and we sent it for five months by email. 89.8% of students and lecturers agreed with the donation; however, 10.2% of the students refused, and 14.6% of lecturers were undecided (p &lt; 0.001). The highest hesitation was found in the age group between 36-64 years (14.2%), while the most refusal was found in the young adult, 9.4%. 40.1% of them alluded to have regular knowledge, while 27.9% claimed to have low knowledge about organ donation (p = 0.016). Based on their opinion, 65.9% said that a person with brain death could not recover, although 26.9% did not know (p = 0.023). 38.9% affirmed they did not know if their religions agreed with the donation. 78.5% claimed the best methods could increase the number of donors is education. Public health in Ecuador does not have sufficient regulations through its state policies that should favour recipients. If each citizen knows that their organs save lives, the waiting list will decrease, and state expenditures will reduce. However, the populations' beliefs are still related to an abuse of authority to donate organs without the consent of relatives.

Key messages
With better strategies to increase awareness of the importance of organ donation, great results. It will increase survival rates, improve quality of life and decrease health expenses.
Barriers to exercise among participants of a bariatric surgery program from a Brazilian capital
Authors: Aguiar J , Pinto M F , Rodrigues I R C , Freitas L R N , Brito L L , CO Mota  , Santos A L B , Gurgel L A , Machado S P 
Published: October 2020

Abstract
The aim of this study was to analyze the perceived barriers to exercise and its associated factors among participants of a bariatric surgery program, in a reference hospital, from a Brazilian northeastern capital. Therefore, the Scale of Benefits and Barriers to Exercise (EBBS), which used only the domains related to the dimension of the barriers that evaluate them in four subdimensions (physical effort, environmental, time and family) was applied with 289 patients (49 men and 240 women) with a mean age of 43 years (SD 8.6), who were in the pre (n = 81) or post (n = 208) operative period. It was collected information about their sex, age, weight and height (for BMI calculation), exercise (WHO recommendations were used), and if they had already undergone bariatric surgery. To analyze the associations and estimate the prevalence ratios of the variables in relation to the barriers, Poisson Regression was used. The level of significance was set at 5%. In the general assessment of barriers, it was found that physically active patients (PR = 0.78 95% CI = 0.72-0.83 p &lt; 0.001) have less perception of barriers than inactive ones. In the physical effort and environmental subdimensions, the assets (PR = 0.82 CI95% = 0.76-0.88 p &lt; 0.001 and PR = 0.78 CI95% = 0.73-0.84 p &lt; 0.001, respectively) and those who have already undergone bariatric surgery (PR = 0.88 CI 95% 0.80-0.97 p = 0.014 and PR = 0.88 CI 95% = 0.80-0.96 p = 0.006, respectively) have lower perception of barriers. Those over 42 years of age (PR = 0.88 CI95% 0.81-0.95 p &lt; 0.001) and the active ones (PR = 0.79 CI95% = 0.73-0.85 p &lt; 0.001) have lower perception of barriers of the time sub-dimension. In the family sub-dimension, there was no association between the variables studied and the perception of barriers. It was concluded that being physically inactive, not having undergone bariatric surgery and being under 42 years old is associated with a greater perception of barriers to exercise.

Key messages
The health service can use the findings to track those most likely to use barriers to exercise. The health service can propose personalized physical activities to reduce barriers to exercise.