bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Knowledge and Behaviours of the Healthcare Staff Regarding Vaccine Rejection
Authors: Gokce A , Ozdemir A T , Boz G , Aslan M , Ozer A 
Published: October 2020

Abstract

Background
Vaccination is a cost-effective method to protect individuals from diseases and complications that might emerge due to diseases. The healthcare staff in primary healthcare services, as the primary body concerned with vaccines, are notably more likely to encounter families who reject vaccines in childhood. This study aimed to investigate the knowledge, attitudes and behaviours of the healthcare staff in primary healthcare services regarding vaccine rejection in childhood.

Methods
Conducted between July and August 2019, this study adopted a descriptive cross-sectional design. The population of the study comprised 392 healthcare staff working in primary healthcare services in Malatya City Centre. The sample size was calculated as 193, considering a 95% confidence interval and 80% power. The survey form used in the study included questions concerning sociodemographic characteristics of individuals, their views on vaccination and the views of parents regarding vaccine rejection according to the perspectives of the healthcare staff. Chi-square test was used in statistical analyses, and the significance level was set as p &lt; 0.05.

Results
In the study group, 25.4% of the healthcare staff stated that they were hesitant about vaccines in childhood. Also, 18.2% of the individuals indicated that they were hesitant about vaccines due to the chemicals in vaccines, 14.4% were hesitant due to the pharmaceutical industry and the relationships based on self-interest and 10.5% were hesitant due to the side effects. The hesitancy level was significantly higher among those whose source of information regarding vaccines in childhood was the internet (37.0%) compared with those whose source was not the internet (21.6%) (p = 0.004).

Conclusions
One-fourth of the healthcare staff, who are supposed to be the most informed group about vaccines, were hesitant about them. Moreover, the inaccurate information acquired from the internet and social media could be increasing the hesitancy level.

Key messages
Vaccination hesitancy is high among the healthcare staff in primary healthcare services. The source of information regarding vaccination influences the hesitancy levels of individuals.
Investigating the Knowledge, Attitudes and Behaviours of Parents Regarding Vaccine Rejection
Authors: Gokce A , Yigit E , Gungor A , Aslan M , Ozer A 
Published: October 2020

Abstract

Background
With an escalating prevalence, vaccine rejection is one of the ten threats to global health as identified by the World Health Organization in 2019. Vaccine rejection and hesitancy can be defined as the hesitancy of individuals to get vaccinated against diseases that can be prevented by vaccination. This study aimed to investigate the knowledge, attitudes and behaviours of parents who use primary healthcare services.

Methods
Conducted between August and September 2019, this study adopted a descriptive cross-sectional design. The sample size of the study was calculated to be 378, considering a 95% confidence interval and 80% power. The survey form, the data collection tool of the study, included questions concerning sociodemographic characteristics of individuals and their knowledge, attitudes and behaviours regarding vaccination. The data were analysed on SPSS 22.0. Chi-square test was used in statistical analyses, and the significance level was set as p &lt; 0.05.

Results
In the study group, 15.5% of the parents stated that they were hesitant about vaccines in childhood, 81.3% stated that their source of information on vaccines was healthcare staff and 28% stated that it was the internet. The hesitancy level was significantly high among those who believed that vaccines led to autism and infertility and those who did not trust pharmaceutical companies (p &lt; 0.05). The hesitancy level regarding vaccines was significantly lower among those whose source of information was healthcare staff, whereas it was significantly higher among those whose source of information was the internet (p &lt; 0.05).

Conclusions
Parents' beliefs that vaccines led to autism and infertility increased their hesitancy levels. The inaccurate information on the internet and social media increased their hesitancy levels. Hesitancy levels were lower among the parents who received information from healthcare staff.

Key messages
Healthcare staff should organise public trainings on vaccines to reduce the hesitancy levels of parents. Anti-vaccination statements on the internet and social media influence individuals’ vaccination behaviours.
#CoveringClimateNow: A social journalism project profiling climate and health
Authors: Williams M , Sweet M , McInerney M , Finlay S 
Published: October 2020

Abstract
Concerns about poor quality media reporting of climate change has led to many initiatives seeking to influence coverage. In 2019/2020, a global media collaboration was established with the aim of generating a sustained media focus on key climate-related events. This paper reports an analysis of an Australian health media organisation's contribution to the collaboration, and the opportunities this provided for public health advocates, Aboriginal and Torres Strait Islander researchers and communities, and the wider community. It presents key reflections from Croakey Health Media's contribution to the global #CoveringClimateNow collaboration, with the aim of providing practical advice to enable further such collaborations and activities in other countries. This project was run on a very small budget, and this presentation is likely to be particularly relevant for low-budget organisations and contexts.

Key messages
Poor quality media coverage of climate change has stimulated innovation. Collaboration locally and globally can convey solutions to climate change.
Urbanization and increased cases of scorpionism in Brazilian cities
Authors: Zanetta S , Germino C , Rodrigues I , Waragaia A 
Published: October 2020

Abstract

Introduction
Scorpionism is a growing problem in Brazil; the hot climate in most of the country makes it suitable for the proliferation in urban and domestic regions alike. The temperatures, low levels of basic sanitation and disorganized urbanization result in an perfect environment for scorpionic accidents.

Objectives
Analyze the urbanization of scorpion accidents in the State of São Paulo - SSP as a public health problem.

Methods
Observational and descriptive study with data from the National System of Notifiable Diseases - SINAN of the Department of Health of Brazil, with direct risk calculation, from the analysis of the incidence of accidents with scorpions in urban areas of SSP, in the period from 1975 to 2019.

Results
In SSP, accidents with scorpions increased 642% between the years 1975 and 2019 in the most densely urbanized nuclei: the cities of São Paulo, Guarulhos, Campinas, São Bernardo do Campo and Santo André. These cases are associated with increased mortality in children and the elderly and corresponded to 56.63% of the total accidents with venomous animals in the SSP. This increase in the occurrence of scorpionic accidents is associated with the behavior of the animal, which finds conditions for its proliferation in the urban environment facilitated by the absence of predators and becomes a relevant public health problem.

Conclusions
Urban areas have become a propitious environment to scorpions' proliferation. Urban dynamics, garbage and other urban waste displacement, human habitation, combined with deficiencies in infrastructure and basic sanitation, created the conditions for the emergence of accidents with scorpions in urban areas as a relevant public health problem with significant mortality numbers, especially vulnerable groups of elderly people and children, in the large urban centers of SSP, Brazil.

Key messages
Discuss the synanthropy and proliferation of venomous animals in urban centers. New public health challenges with the change of accidents with venomous animals from rural to urban areas.
Distribution of breast cancer and the relationship with contaminated areas in Brazil
Authors: Montanha D , Martins L , Braga A 
Published: October 2020

Abstract

Introduction
Breast cancer is a worldwide public health issue. The distribution of the disease presents different behavior depending on the region. In Brazil, for the triennium 2020/2022, approximately 66.28 per 100,000 new cases are expected each year, with the highest incidence in the southeast region 81.06 per 100,000. The region of this study has high mortality rates from the disease and several environmental contaminants classified as carcinogenic.

Methodology
A spatial and temporal ecological study of the breast cancer distribution in the municipalities of the Baixada Santista with secondary data from 2000 to 2011, in women 20 years or older. The cancer data of 3,233 cases were provided by the Oncocentro Foundation of São Paulo, of the contaminated areas were provided by the Technology of Environmental Sanitation Company, and the population at risk were provided by the State Data Analysis System. Standardized coefficients of annual breast cancer rates for each municipality, to characterize exposure, an indicator of contamination per municipality was constructed. Pearson's correlation was used to analyze breast cancer rates and environmental contamination rates. Cartographic sequencing to analyze the distribution and spatiotemporal evolution of outcome and exposure. Trend analysis used linear regression.

Results
The municipality of Santos presented the highest rates of the disease. Pearson's correlation was positive, with r = 0.7 (p = 0.036). Spatially, the most contaminated areas had the highest rates of breast cancer, except in one municipality. Trend analysis in eight of the nine municipalities in the region signaled an increased number of cases.

Conclusions
The study confirmed that environmental contamination interferes with the distribution of breast cancer and the temporal trend signaled an increase in the disease in eight of the nine municipalities in the region.

Key messages
Environmental Contamination. Breast Cancer.
The academic viewpoint on Big data and patient data ownership (as seen in the scientific literature)
Authors: Mircheva I , Mirchev M 
Published: October 2020

Abstract

Background
Ownership of patient information in the context of Big Data is a relatively new problem, apparently not yet fully understood. There are not enough publications on the subject. Since the topic is interdisciplinary, incorporating legal, ethical, medical and aspects of information and communication technologies, a slightly more sophisticated analysis of the issue is needed.

Aim
To determine how the medical academic community perceives the issue of ownership of patient information in the context of Big Data.

Methods
Literature search for full text publications, indexed in PubMed, Springer, ScienceDirect and Scopus identified only 27 appropriate articles authored by academicians and corresponding to three focus areas: problem (ownership); area (healthcare); context (Big Data). Three major aspects were studied: scientific area of publications, aspects and academicians' perception of ownership in the context of Big Data.

Results
Publications are in the period 2014 - 2019, 37% published in health and medical informatics journals, 30% in medicine and public health, 19% in law and ethics; 78% authored by American and British academicians, highly cited. The majority (63%) are in the area of scientific research - clinical studies, access and use of patient data for medical research, secondary use of medical data, ethical challenges to Big data in healthcare. The majority (70%) of the publications discuss ownership in ethical and legal aspects and 67% see ownership as a challenge mostly to medical research, access control, ethics, politics and business.

Conclusions
Ownership of medical data is seen first and foremost as a challenge. Addressing this challenge requires the combined efforts of politicians, lawyers, ethicists, computer and medical professionals, as well as academicians, sharing these efforts, experiences and suggestions. However, this issue is neglected in the scientific literature. Publishing may help in open debates and adequate policy solutions.

Key messages
Ownership of patient information in the context of Big Data is a problem that should not be marginalized but needs a comprehensive attitude, consideration and combined efforts from all stakeholders. Overcoming the challenge of ownership may help in improving healthcare services, medical and public health research and the health of the population as a whole.
Decision-making and strategic planning in a public research organisation: The case of Fiocruz
Authors: Ermida V 
Published: October 2020

Abstract
The study was drawn to investigate an unusual form of 'industrial democracy', in Fiocruz, the Brazilian public research organisation in the health field, linked to the Ministry of Health. It is a single case study research making use of two contrasting cases: Embrapa and Pasteur Institute. The former is the Brazilian public research organisation in the agriculture field, similar to Fiocruz in space; and the latter is the French public research organisation for health, similar to Fiocruz in the field. The investigation works with the triangulation of methods approach, combining the analysis of quantitative and qualitative methods aiming at an in-depth analysis of the decision-making and the strategic planning processes of these research-led organisations. For this purpose, two exclusive tools were created and applied to their management boards and key actors. The first tool, an online questionnaire, was applied to the management boards; the second tool, a face-to-face interview, was made with the key actors. The findings were examined considering the literature, whose results supported the analysis of the context of each organisation and their strategic plans. The research revealed an original approach to industrial democracy by Fiocruz, based on a concept postulated by Arouca, which underpinned the creation of SUS, the Brazilian National Unified Health System: 'Democracy is health'. It represents a paradigm shift in the way the health concept is addressed, by adding a political dimension to it, which includes the citizenship, the free self-determination, the capacity of mastering the future. This unique approach to industrial democracy underpins the decision-making and the strategic planning of Fiocruz, revealing that it is, in fact, a new type of public research organisation; thus, questioning the validity of the existing framework concerning such entities.

Key messages
Democracy is Health is an original conceptual approach postulated by Arouca, which underpinned the creation of the Brazilian National Unified Health System. Fiocruz is the Brazilian Public Research Organisation in the Health field, whose unique administration approach questions the literature in the field.
The social ecology of power in participatory research
Authors: Roura M 
Published: October 2020

Abstract

Issue
As health research funding institutions increasingly require researchers to engage with patients and the public, stakeholder involvement claims have become popular. However, there are renewed concerns that its underpinning participatory requirements are merely applied as a tick-box exercise. Widespread advocacy for the approach without due problematisation is troubling, as it may ultimately reinforce the social inequities that it originally intended to address.

Description of the Problem
Success histories avail the enormous potential of participatory research but important caveats caution against romanticizing the approach. Despite its enormous potential, there are increasing concerns that participatory research can become a risky method of social inquiry, with potential negative consequences. The “dark side” of participation speaks of the professional and personal risks for the researchers and stakeholders involved, where diverging interests and underlying power inequities are not acknowledged and adequately managed.

Results
Robust monitoring and evaluation frameworks that explicitly account for power dynamics are urgently needed to assess the distribution of both the benefits and costs derived from participatory research. We outline a socio-ecological framework to comprehensively examine micro, meso and macro level factors influencing processes and outcomes in participatory research, so power dynamics can be adequately monitored and addressed.

Lessons
If the credibility and legitimacy of participatory research is to be sustained, strategies to monitor and tackle power dynamics are urgently needed.

Key messages
Power dynamics in participatory research can operate at micro, meso and macro levels. We present a socio-ecological framework to evaluate power dynamics in participatory research.
Early detection of Pseudomonas aeruginosa and Escherichia coli. using zinc tetraphenylporphyrin
Authors: Sharma A , Kumar S , Handa S , Pandey S K , Bhondekar A P 
Published: October 2020

Abstract
The sensory characteristics of food are considerably effected by the metabolic processes of various micro-organisms in the food stored in the field or at ambient temperature. Also, this microbial contamination can pose serious health hazards to public health. Chemical analysis of the complex mixture of volatiles produced during bacterial growth and investigation methods of these microorganisms presents a big challenge. There remains major unmet need to shorten and improve detection methods. Therefore, early detection of the microorganisms will open many frontiers for quality control in the foodstuffs industry. Accordingly, the aim of this study was to assess the feasibility and performance of chemoreceptive sensors for the rapid detection of bacterial pathogens, specifically Pseudomonas aeruginosa and Escherichia coli.
In Uv/vis study, zinc tetraphenyl porphyrin solutions (in DMF) was tested with various volatile compounds, such as propanal, hexanal and heptanal which are commonly found to be released during the growth of bacteria. These sensors were used to detect the bacterial odours of two pathogenic species (E.coli and P.aeruginosa) during their growth cycle at 4 °C and ambient temperature.
Hypochromic shifts in Uv/vis and hydrogen bonding in FT-IR studies confirmed the interaction between the volatiles and porphyrin. The porphyrin used detected the presence of microorganisms after 12 hrs incubation and showed more sensitivity for volatiles released during aerobic activity P. aeruginosa as compared to E. coli at 4 °C and ambient temperature.
Zinc tetraphenyl porphyrin based chemoreceptive membranes has been proved successful for the detection of P. aeruginosa. Hence, the present study proves wide scope of improvement over current laboratory techniques for the detection of pathogens in terms of speed, ease of use, and cost.

Key messages
The developed technique allows rapid detection of spoiled food. Chemoreceptive property of porphyrin has been exploited for the early detection of bacteria.
Sodium intake among adolescents who eat inside and outside the home. Campinas-Brazil
Authors: Pita Ruiz AM , Lima M G , Luz R , Barbosa L , de Azevedo Barros M B , de Azevedo Barros Filho A 
Published: October 2020

Abstract

Background
Excessive sodium consumption (&gt;2g/day) is one of the risk factors for the development of cardiovascular diseases, which impact the world's public health systems. Rapid urbanization, busy life, the high availability of ultra-processed foods and the short time for meals, especially inside the home, are factors that interfere in the population's food choices.

Objective
To estimate sodium intake according to the place of meal consumption and its association with demographic, socioeconomic and salt-related variables.

Methods
Cross-sectional population-based study, carried out with 901 adolescents aged 10 to 19 years, who answered the Food Consumption and Nutritional Status Survey, ISACamp-Nutri 2015. The mean sodium intake was estimated by the 24-hour recall and the association with the independent variables, using linear regression.

Results
Sodium consumption among adolescents was 3.52 g/day (95% CI 3.42-3.63). Those who consumed at least one meal away from home had an excess of 0.19 g/day (P = 0.012) of sodium, which corresponded to a 6.1% increase compared to adolescents who had eaten exclusively at home. Of the total meals eaten by adolescents, 15.9% are taken outside the home, with 6.6% eating at school and 9.3% in different places. There was a significant increase in sodium consumption among adolescents who had breakfast CR = 0.16g (p = 0.032), afternoon snack CR = 0.09g (p = 0.002) and dinner CR = 0.30g (p = 0.029) outside the home.

Conclusions
sodium consumption by adolescents exceeded the WHO recommendation. Eating at least one meal away from home was associated with a higher sodium intake among these individuals. Regulatory measures in the food industry and strategies for food and nutrition education are relevant to reduce sodium consumption in this age group.

Key messages
High sodium consumption among adolescents, exceeding WHO recommendations. Eating outside the home was associated with a higher sodium intake.
Salt facts: public awareness, attitudes and practices in Sri Lanka
Authors: Jayatilleke A U , Gunawardena N , de Silva A , Wickramasinghe C , Gamlath L , Siriwardena T , Wickramasinghe A , Thalagala I , Vidanapathirana J , Pendse R 
Published: October 2020

Abstract
Recent national surveys have estimated that Sri Lankans are consuming much higher salt than the recommended 5 g/day. However, population-level knowledge, attitudes, and practices regarding dietary salts have not been assessed. This study was conducted with the objective of assessing the knowledge, attitude and practices related to salt consumption among adolescents aged 15-18 years and adults in Sri Lanka.
We conducted a countrywide cross-sectional descriptive household survey among a nationally representative sample of 1016 adult and 505 adolescents aged 15-18 years selected from 10 of 25 districts, using a multi-stage cluster sampling method. We used an electronic, interviewer-administered multicomponent questionnaire for data collection.
Of all respondents (n = 1521), only 40% were aware of the recommended limit of 5g/day or less. Importantly, 90% of adults and 86% of adolescents knew the adverse health effects of high salt intake. Discretionary salt was a major contributor to intake, with half the survey population (50%) adding salt when cooking rice, the staple food. Although the household monthly purchase of salt indicated the per-person consumption is double the recommended amount, 48% of adults and 46% of adolescents believed that they consume the correct amount of salt. A majority (72% of adults; 69% of adolescents) were of the view that it would be easy to reduce their salt intake. Most preferred (adults - 72%, adolescents - 69%) media source for health-related information was television.
The majority of Sri Lankan adults and adolescents are not aware of the recommended limits for salt intake. The average salt consumption is double the recommended amount. Although the belief that 'the respondents consume the correct amount of salt' was common, it was encouraging to note that a majority had positive attitudes towards reducing their salt consumption'. Raising public awareness to reduce daily salt intake should use preferred media sources.

Key messages
Sri Lankan adolescents and adults are not well aware of the recommended limits for salt consumption and consumed high amounts of dietary salt, mainly discretionary salt. Majority of the participant had positive attitudes, believing that they can easily reduce salt consumption, indicating opportunities for behavioral changes.