bluuebunny/crossref_metadata_2025_split huggingface dataset:
Google Trends and forecasting of influenza epidemics in Lithuania
Authors: Austys D , Burneikaitė M 
Published: November 2019

Abstract

Background
Influenza epidemics are a major public health concern, causing hundreds of thousands of deaths worldwide each year. Studies suggest a possible beneficial use of online activity monitoring in influenza epidemics surveillance and forecasting. Until the present time Google search user activity has not been assessed for forecasting of influenza epidemics in Lithuania. Though this country has 2.8 million residents and mother language of majority of them is Lithuanian. Thus, we assessed a possible use of Google Trends for forecasting of influenza epidemics in Lithuania.

Methods
We translated Google queries most commonly analyzed for forecasting of influenza epidemics by other researchers to Lithuanian language and used Google Trends to retrieve data about frequency of their usage in Google Search during the period of last 5 years. We assessed cross-correlation between usage frequency of each query with an incidence rate of acute upper respiratory tract infections (AURTI) and influenza. Providing data available 2 weeks before the first announcement of influenza epidemic, for the query with the strongest correlation we constructed the autoregressive integrated moving average (ARIMA) model and used it to make a forecast for upcoming 9 weeks. Then we assessed the cross-correlation between the forecast and incidence rate of AURTI and influenza.

Results
We found the strongest correlation with an incidence rate of AURTI and influenza for a keyword ‘gripas’ (correlation coefficients were 0.805 and 0.803 for lags of 0 and 1, respectively, p = 0.001). 75% true values of the query usage frequency fell into 95% confidence interval of the forecast by ARIMA(1,0,0)(0,1,0)[52] model. Incidence rate of AURTI and influenza correlated with the forecast having coefficients of 0.902 and 0.733 for lags of 0 and 1, respectively (p = 0.007).

Conclusions
Query ‘gripas’ demonstrated the possible beneficial use in forecasting influenza epidemics 2 weeks before their onset.

Key messages
Google Trends has a potential to be used for forecasting influenza epidemics in Lithuania. Google Search query ‘gripas’ proved the most beneficial for forecasting incidence rate of upper respiratory tract infections and influenza in Lithuania.
Antonovsky meets Honneth or: The sense of coherence and intersubjective forms of recognition
Authors: Rosenlechner-Urbanek D , Garstenauer U 
Published: November 2019

Abstract

Persons who flee their home country are confronted with innumerous stressors. The action research project PAGES (Participation and Health Literacy of Asylum Seekers and Recognised Refugees in Salzburg) asked how their subjective health can be supported - despite experiences of uncertainty and inactivity in the asylum process. In the two yearlong accompanying qualitative research the project investigated into the role of participation, consistency and un-der/overload balance - as defined by (Antonovsky 1979, 1987) - for the well-being of 20 refugees from Syria, Iran, Iraq, Afghanistan, Pakistan, Somalia and Venezuela, aged between 17 and 58 (two thirds thereof were women). The analysis of empirical data showed that the subject-oriented dimensions (Antonovsky 1979, 1987) need to be complemented by intersubjective forms of recognition. First, findings stress the importance of support by “legitimate others” (e.g. social workers) in order to develop a sense of manageability, only briefly mentioned by Antonovsky (1987). Second, the experience of emotional closeness (Shagy/Antonovsky 2000, sphere of love in Honneth 1995) is essential for a person’s well-being, which is often hindered by isolation in refugee camps, relationships under distress or denied family reunification. A third crucial intersubjective dimension is legal recognition and the protection of one’s human dignity (Honneth 1995), which is often violated by racism and other forms of discrimination. Fourth, refugees seek the opportunity to rally for social esteem for their capacities and particularities (Honneth 1995), which is - at least in Austria - hindered by the denial of access to educational institutions and gainful work.
According to these findings, health promotion for refugees in welcoming countries needs to enable positive life experiences regarding participation, comprehensibility, manageability/support by “legitimate others” and emotional closeness, legal recognition and social esteem.

Key messages
For a deeper understanding of salutogenesis, the subject-oriented elements of the sense of coherence (Antonovsky 1987) need to be complemented by intersubjective forms of recognition (Honneth 1995). Health promotion means enabling experiences of participation, comprehensibility, manageability as well as support by “legitimate others”, emotional closeness, legal recognition and social esteem.
Workshop: Population attributable fraction: methodologies, utilization and translations into public health messages
Authors:   Organised by: International Agency for Research on Cancer (IARC), INCa, France Chair persons: Julie Gaillot - France
Published: November 2019

Abstract
The aim of this session is to give an overview of the methodology, applications, and translations of studies where population attributable fraction is estimated. This session will go through the methodologies of basic population attributable fractions and also further utilization of its method beyond common application today. It will therefore go through best practices and also show case how such estimates can support assessment of prevention programs and also setting up public health messages.
Dietary patterns and gestational weight gain: evidence from the “Mamma & Bambino” cohort
Authors: Maugeri A , Barchitta M , Favara G , Rosa MC La , Mastra C La , Magnano San Lio R , Agodi A 
Published: November 2019

Abstract

Background
In 2009, the Institute of Medicine (IoM) revised the guidelines on recommended gestational weight gain (GWG), taking into account pre-pregnancy body mass index (BMI) independent of age and ethnicity. However, more than half of mothers does not meet these guidelines with adverse outcomes for themselves and for newborns. Here, we used data of 232 women from the “Mamma & Bambino” cohort (Catania, Italy) to investigate the association between maternal dietary patterns, pre-pregnancy BMI and GWG.

Methods
Pregnant women were enrolled during the prenatal genetic counselling, at 4-20 gestational week. Dietary patterns were derived by food frequency questionnaire and principal component analysis. Self-reported pre-pregnancy BMI and GWG was calculated according World Health Organization and IoM guidelines, respectively.

Results
Adherence to the “western” dietary pattern - characterized by high intake of red meat, fries, dipping sauces, salty snacks and alcoholic drinks - was associated with increased GWG (β = 1.217; SE = 0.487; p = 0.013), especially among obese women (β = 7.363; SE = 1.808; p = 0.005). In contrast, adherence to the “prudent” dietary pattern - characterized by high intake of potatoes, cooked vegetables, legumes, rice and soup - was associated with reduced pre-pregnancy BMI (β=-0.651; SE = 0.308; p-trend=0.035). Interestingly, the adherence to this pattern was positively associated with GWG among underweight (β = 4.127; SE = 1.722; p = 0.048), and negatively among overweight and obese (β=-4.209; SE = 1.635; p = 0.016 and β=-7.356; SE = 2.304; p = 0.031, respectively).

Conclusions
Our findings encourage further studies to evaluate potential preventive strategies against inadequate weight gain, including the promotion of healthy dietary habits even during the periconceptional period.

Key messages
Adherence to diet rich in red meat, fries, dipping sauces, salty snacks and alcoholic drinks increases GWG, especially among obese women. Adherence to diet rich in potatoes, vegetables, legumes, rice and soup was associated with lower pre-pregnancy BMI, increased GWG among underweight, and decreased GWG among overweight/obese women.
Trends of diabetes-delated preventable hospitalizations in an italian region from 2006 to 2015
Authors: Cedrone F , Di Giovanni P , Di Martino G , Meo F , Scampoli P , Staniscia T 
Published: November 2019

Abstract

Background
Diabetes-related preventable hospitalizations (DRPHs) are indicators of primary care effective services. The aim of this study is to compute the trends of DRPHs, and to assess the risk factors for increased in-hospital length of stay (LOS) and costs in an Italian region.

Methods
DRPHs were computed following the AHRQ definitions, which include four types: short-term complications (PQI-1), long-term complications (PQI-3), uncontrolled diabetes (PQI-14), lower-extremity amputations (PQI-16). Trends were direct standardized on in-habitants in 2006. Negative binomial regression model was used.

Results
In the study period PQI-1 increased +426.9 %, PQI-3 +175.5%, PQI-14 +231.7% and PQI-16 decreased -26.2%. Prolonged LOS was related to type 2 diabetes (p &lt; 0.001), peripheral vascular disease (p = 0.045), uncomplicated hypertension (p &lt; 0.001), liver disease (p &lt; 0.001) for PQI-1; type 2 diabetes (p &lt; 0.001), uncomplicated hypertension (p &lt; 0.001), complicated hypertension (p &lt; 0.001) for PQI-3; type 2 diabetes (p &lt; 0.001 ), complicated hypertension (p = 0.001), metastasis (p = 0.042) for PQI-14; female gender (p = 0.001), congestive heart failure (CHF) (p = 0.001), valvulopathy (p = 0.024), BPCO (p = 0.028), renal failure (p &lt; 0.001), liver disease (p = 0.015) for PQI-16.Considerable factors affecting the costs were female gender (p = 0.005), peripheral vascular disease (p = 0.006), renal failure (p = 0.050) for PQI-1; type 2 diabetes (p = 0.002), arrhythmia (p = 0.002), peripheral vascular disease (p &lt; 0.001), BPCO (p &lt; 0.001), renal failure (p &lt; 0.001) for PQI-3; peripheral vascular disease (p = 0.004), uncomplicated hypertension (p = 0.005), BPCO (p = 0.011), renal failure (p = 0.009), liver disease (p &lt; 0.001), psychosis (p = 0.027) for PQI-14; CHF (p = 0.014), arrhythmia (p = 0.001 ), uncomplicated hypertension (p = 0.003), renal failure (p = 0.008), deficiency anemia (p = 0.032) for PQI-16.

Conclusions
DRPHs has been increasing and some comorbidities need to be better managed in outpatient setting to reduce LOS and costs.

Key messages
This study addresses the effect of multimorbidity on the burden of diabetes-related preventable hospitalizations using administrative data from an entire italian region over 10 years period. This study uses Prevention Quality Indicators to measure their burden on regional public health and produces useful evidences for the improvement of diabetes management in outpatient setting.
Prevalence of hypertension and diabetes in Finland by different data sources
Authors: Koponen P , Reinikainen J , Tolonen H , Laatikainen T , Jousilahti P , Koskinen S 
Published: November 2019

Abstract

Background
Population level information on the prevalence of hypertension and diabetes is needed to support planning and evaluation of preventive activities and care. Population based health examination surveys (HES) can provide valid information, but they are time consuming and expensive. Administrative registers on hospitalizations and out-patient visits could provide information faster and at less cost.
The aim of this study is to estimate how comparable prevalence estimates of type 2 diabetes (T2D), hypertension and their combination are based on data from the Finnish national health examination survey (FinHealth 2017) and data from administrative hospital and primary care registers in Finland.

Methods
Survey data were linked to care registers using personal identity codes. Survey based hypertension was defined as SBP≥140 mmHg or DBP≥90 mmHg or self-reported use of antihypertensive medications; and T2D as HbA1c ≥48 mmol/mol or self-reported us of diabetes medications. Corresponding indicators from care registers were: hypertension and T2D as a reason for care or visit or having received prescription for diabetes medication (using ICD-10, ICPC and ATC codes).

Results
For hypertension, survey data provided the prevalence of 43 % while only 12 % of individuals were identified as hypertensives in the register data. The prevalence of T2D was 9 % in both data sources. The prevalence of having both hypertension and T2D was 7 % based on survey data and 3 % based on register data. Agreement between survey and register data was lower for hypertension (Cohen’s kappa 0.23) than for T2D (0.84).

Conclusions
Register data provided lower prevalence for hypertension than the survey data. For diabetes, similar prevalences were observed. As there are limitations in the coverage of register data more reliable population level information can be obtained from HES.

Key messages
Health examination surveys cover persons with undiagnosed problems and conditions omitted in national registers. Hypertension and T2D should be monitored with both register and survey data.
Increasing HPV vaccination uptake among adolescents: A Systematic Review
Authors: Acampora A , Grossi A , Barbara A , Colamesta V , Causio F A , Calabrò G E , Boccia S , De Waure C 
Published: November 2019

Abstract

Background
Human Papillomavirus (HPV) is responsible for the development of several pathologies besides the cervical cancer and HPV vaccination is a key strategy for primary prevention. The aim of this research was to identify strategies adopted to increase HPV vaccination coverage among the adolescents.

Methods
A systematic review was carried-out by searching electronic databases (Pubmed, Scopus, and Web of Science) using selected keywords as “papillomavirus vaccine”, “vaccination strategy” and “efficacy”. Articles conducted in high-income countries and evaluating the impact of one or more strategies on vaccination coverage (initiation e/o completion) in adolescents were included.

Results
Out of 3571 single citations screened, 42 papers (2011-2018) were included. Study size ranged from 50 to 325229 individuals. The major part of the studies was from the United States (n = 35; 83,3%) and conducted with an experimental design (n = 17; 40,5%). The evaluated outcomes included first dose uptake, schedule completion, vaccination timeliness and the number of administered doses. Identified strategies included reminds (9), education activities (9), multicomponent strategies (22) and others (2) and were focused on adolescents/parents and/or healthcare providers. Significant positive results were reported in seven studies (77,8%) evaluating the impact of reminds, four studies (44,4%) on education strategies, and in 12 studies (54,5%) on multicomponent strategies. Offering vaccination in “bundle” or during any medical visit was also reported as significantly effective.

Conclusions
Increasing the vaccination coverage is essential to achieve HPV-related diseases control. Several types of strategies are available and showed a positive impact on vaccination uptake, in particular those relied on reminds. Nonetheless, the heterogeneity of interventions suggests the importance to adapt such initiatives to the specific context in order to maximize the improvement in vaccination uptake.

Key messages
Several types of strategies to increase vaccination uptake are available at international level and showed a positive impact among adolescents. These interventions are heterogeneous suggesting the importance of their adaptation to the specific context in order to gain the maximum improvement in vaccination uptake.
Combined healthy lifestyle factors and risk of all-cause and cardiovascular first hospitalization
Authors: Bonaccio M , Di Castelnuovo A , Costanzo S , Persichillo M , De Curtis A , Cerletti C , Donati M D , de Gaetano G , Iacoviello L 
Published: November 2019

Abstract

Background
We aimed to explore the association of combined healthy lifestyles with risk of first hospitalization for all-cause, cardiovascular disease (CVD), ischemic heart disease (IHD) and stroke in a southern Italian population-based cohort. We also investigated several biological mechanisms possibly on the pathway between lifestyles and health outcomes.

Methods
Longitudinal analysis on 23,161 men and women (aged≥35 y) recruited in the Moli-sani Study (2005-2010). We defined 4 healthy lifestyle factors as abstention from smoking; high adherence to Mediterranean diet; physical activity; absence of abdominal obesity. First hospital admissions for any and CVD-related causes were recorded by direct linkage with hospital discharge form registry. Hazard ratios (HR) with 95% confidence interval (95%CI) were calculated by multivariable Cox-regression.

Results
Over a median follow up of 7.2 y, we ascertained a total of 9,482 hospitalizations, 3,556 CVD, 939 IHD and 589 stroke-related hospital admissions.
Adherence to all four healthy lifestyles, compared with none or 1, was associated with lower risk of hospitalization for any cause (HR = 0.82; 0.74-0.90), CVD (HR = 0.81;0.69-0.95) and IHD (HR = 0.63; 0.44-0.90) and, to a less extent, with stroke hospitalizations. Inflammatory biomarkers (e.g. C-reactive protein) were likely to partly explain the association between lifestyles and all-cause (14%) or CVD (15%) hospitalizations, while inflammation played a leading role towards risk of IHD (30%) and stroke-related hospital admissions (21%).

Conclusions
The impact of combined 4 healthy lifestyles on first hospitalization risk was considerable. Inflammatory biomarkers explained a large proportion of this association.

Key messages
Improvements to lifestyle reduce the risk of hospitalizations in a general adult population. Achieving a greater number of healthy behaviours has the potential to reduce the burden of hospitalizations and the associated healthcare costs.
Skills building seminar: Innovative future meal services targeting old people in Europe
Authors:   Organised by: EUPHA (FN) Chair persons: Enni Mertanen - Finland, Lise Justesen - Denmark
Published: November 2019

Abstract

Aging without appropriate nutrition and provision of food services increases risk of malnutrition, weight loss, sarcopenia and lower functional capacity, quality of life and contribute to higher health care costs. It has been found that appetite, functional capacity and quality of life are closely related. New research and recommendations have been published, projects and rehabilitation programmes have been funded and new service models have been suggested, however there is still a need for adapting and implementing further public health tools in order to prevent costly care, this include a need for developing and implementing innovative ways of providing food services in combination with rehabilitation programmes.
The aim of the workshop is collaborative learning, knowledge building and discussion on future actions that is needed in order to improve public health, quality of life among elderly and prevent rising costs of health, care by focusing on food and nutrition services. This include the opportunity to collect new ideas and experiences from audience cross-different countries. Furthermore, the aim of the workshop is to support future collaboration and project ideas as part of EUPHA Section on Food and Nutrition’s work on nutrition for aging people.
The discussion will be based on an introduction of three innovative projects from Scandinavian.
representing different groups of elderly. This include; 1) The young old, retired, home living, in good condition, and active elderly. 2) Community-dwelling frail old people, who need health care and meal services and 3) Residents in nursing homes with a high degree of lost food related functionality.
The workshop is organized by the leaning café -method. This provides an opportunity for all participants to influence the outcome of the workshop. The topics will be:
Young old: How to keep food related functionality in new life situation after retirement? What new food and nutrition services are needed?
Frail old: How to improve food related functionality and prevent frailing? How to use meal services (Meals on Wheels) and nutrition services?
Residents in nursing homes: How to involve residents in meal activities in order to improve or maintain food related functionality in elderly home and quality of life. Which co-operational actions could be implemented.

Key messages
New innovative food and nutrition services design to address risk of malnutrition and loss of functionality among a growing aging population. Different age-groups of elderly need different food and nutrition services.
The Breakfast Club – co-creational meal practices as rehabilitation strategies in nursing homes
Authors: Justesen L , Walter U , Kristensen N H , Beck A M 
Published: November 2019

Abstract

Background
A growing aging population demands new welfare public health activities in nursing homes. Involving residents in meal activity through a co-creational approach as part of a rehabilitation strategy has been suggested as a solution, but knowledge is limited. This project explore how co-creational meal practices in a breakfast club might improve residents’ food related functionality and quality of life.

Methods
The project is designed as a three-year complex intervention study in a Danish nursing home. A breakfast club is held with 4-5 residents (16 all together) and 2-6 staff members on a weekly basis during a period of 10 month. Residents are on shift hosting the club and all members are preparing the meal together. The degree of food related functionality is assessed after each club and is analyzed through paired t-test on mean values. Semi-structured interviews in combination with Research Driven Photo-Elicitation is conducted with 16 residents and 8-10 staff members before, during and after holding the clubs in order to evaluate quality of life and potentials for implementing meal practices to everyday practices. A hermeneutic analysis strategy is applied.

Results
Preliminary results from 12 breakfast clubs finds an increase in residents food related functionality. Data will be presented in November 2019. All residents express impact on quality of life independent of physical or mental state. Improved functionality is not the main value for participation in the breakfast club. Staff became aware of utilizing residents food related functionality.

Conclusions
The study will contribute with new knowledge about whether co-creational meal activities could have a positive effect on functional abilities and improve health-related quality of life in residents in nursing homes. A meal practice based on co-creation has potential to become implemented as a public health activity in nursing homes and increase residents’ quality of life and food related functionality.