bluuebunny/crossref_metadata_2025_split huggingface dataset:
Attendences on health to riverine population living in the banks of Amazon river, Amapa, Brazil
Authors: Bortoloti Faria Junior F F J , Vedovelli de Araujo J P A , Sabbag F Q , Rocha M P , Araujo H A , Vedovelli S , Duarte I S , D'Alexandri F L , Nava D , de Melo Cabral E R 
Published: October 2020

Abstract

Introduction
The riverine population resident at banks of Amazon river (Amapá, Brazil) has particularities related to health-disease process and socioepidemiologic demands, that represents a challenge for appointment of professionals in the unique health system. The project Mandic Borderless has a purpose to attend, in a complete and humanized way, populations without assistance in places of difficult access.

Objectives
Describe the experience and results obtained from the health care to riverine population in the region along Amazon River, Amapá, Brazil, attended during an expedition in 2020. Descriptive cross-sectional survey. The health-care staff that performed the consultations was composed of doctor, dentists, nurses and medical students, who work in a college located in the interior of the state of São Paulo.

Results
About 4,500 riverine populations were attended indirectly and other 1,775 directly by many medical specialties, such as: clinical medicine, gynecology, pediatrics, ophthalmology, dermatology, ultrasonography, nursery and odontology work for free. And also collective health education actions were carried out, addressing topics such as: oral health, scabies, pediculosis (lice), first aid, hypertension, diabetes, sexually transmitted diseases prevention and contraceptive methods. More than 300 patients received toothpaste kits and were instructed about oral health.

Conclusions
The expedition collected data about isolate population showing their necessary and provide an innovated experience in the medical teachings, considering the knowledge about the disease health process and the integrated and humanity care.

Key messages
Provide for medical students a vision about communities who lives in a geographic isolation. There are necessary of an upgrade in access a basic e essential services for the riverine population.
Do refugee women have increased risk of perinatal psychiatric dirsorders: a registered-based study?
Authors: Marti Castaner M , Norredam M , Holm Petersen J 
Published: October 2020

Abstract
Perinatal mental health (PMD) disorders affect up to 15% of women and have negative, long-lasting impact on mothers and children. This is recognized by the WHO as major public health issue. Studies show that migrant women are at increased risk of experiencing perinatal depression and anxiety compared to non-migrants. Knowledge about risk of other mental health disorders is limited and studies in Europe have not examined differences among women with different migrant status. This registered based study examines whether refugee (R) women and different groups of family-reunified (FR) migrants in Denmark have higher risk of PMD compared to native Danes (D) and, how migration related factors are associated with differences in risk of PMD among migrants.
We use data from the Danish Adult Refugee Cohort, which includes all refugee and family-reunified individuals who received residence permission in Denmark from 1998-2014 matched 1:6 to Danish born (D) individuals. We identified 274,920 women that gave birth to a live child, without prior psychiatric history and compared risk for PMD from pregnancy to 1 years postpartum between R, FR to R, FR to migrants, FR to Danes, and D women. Differences in types of diagnose (affective, psychotic, neurotic, or any other psychiatric disorder) were examined in sub-analyses. Within migrant women, we examined differences in psychiatric contact by region of origin, time since migration, refugee status, sociodemographic, and birth characteristics.
Compared to Danish born women, refugee women were more likely to have a PMD (aOR 1.23, 95% CI 1.01-1.49) and a higher burden of psychotic and neurotic-stress related disorders, while FR to migrants were less likely to have a PMD (aOR=0.37, 95% CI; 0.22-0.64) adjusting covariates. No differences in PMD emerged between FR to refugees, FR to Danes and Danes. Findings will have implications for perinatal mental health service delivery targeting certain immigrant groups and particularly refugees.

Key messages
Refugee women are at increased risk of experiencing psychiatric disorders during the perinatal period and efforts should be made to offer psychosocial support during pregnancy and after birth. Certain groups of non-refugee migrants may benefit from a ‘healthy migrant effect’ in regards to their risk of experiencing psychiatric disorders during the perinatal period.
Digital media and risks involved for the LGBT community
Authors: Sousa M A , Lima M D O , Oliveira P A 
Published: October 2020

Abstract

Background
With the increase in the use of the internet and digital media, the number of people looking to network digitally, or just to find someone to have romantic or sexual encounters, has also increased. For this, there are networks and applications that are used for the purpose of romantic and sexual encounters, such as Tinder, Happn, Badoo, Scruff, Grindr, among others. These types of networks currently allow and facilitate sexual contact, making it possible to arrange meetings only for the so-called casual sex, which can be defined as a kind of sexual experience that occurs without the need for a fixed relationship. With the possibility of the ease and practicality of being able to have a sexual relationship, attention should be paid to the vulnerability and risks that the social networks used for this purpose can place its users.

Objective
To understand how LGBT students deal with the use and risks involved in digital media.

Methods
This is a research with a qualitative approach, based on the Theory of Social Representations. University students who declared themselves as LGBT in the city of Belo Horizonte participated in the study. Data collection took place through open and in-depth interviews, with a semi-structured script. The data were interpreted based on the Structural Analysis of the Narration, proposed by Demazière; Dubar.

Results
Two theoretical categories were listed: Ease of contact with the use of social media - this category shows the ease that research participants have to show themselves, give opinions and demonstrate their interest in a person through digital media. Risks of using social media - Risks range from personal exposure, making an appointment with an unknown person, in addition to the risks related to sexually transmitted infections.

Conclusions
Users of digital media need to interpret the risks that are involved when accessing a social network and outline ways of taking care of themselves and others.

Key messages
Knowing ways that the LGBT community exposes itself in digital media can contribute to preventive actions and to promote the health of these people in a more effective way. With the ease of exchanging images and dating for casual sex, it is necessary to discuss new approaches to health, including by digital means.
Barriers and facilitators to surveying asylum seekers: reflections of the fieldwork personnel
Authors: Ahmed A , Omar H a j i , Castaneda A E , Klemettilä K-L , Garoff F , Skogberg N 
Published: October 2020

Abstract

Background
There is scarcity of representative data on the health and service needs of asylum seekers in Europe due to numerous practical and methodological challenges in planning and implementation of studies among this population group. Yet such data is acutely needed for development of health system response to meet the needs of asylum seekers. The aim of this study was to examine barriers and facilitators for conducting a population-based study among asylum seekers in Finland.

Methods
Semi-structured face-to-face individual interviews (n = 7) were carried out with the fieldwork personnel of the Asylum Seekers Health and Well-being Survey (TERTTU). Interviews contained four themes of which two will be presented in this abstract: the recruitment of the survey participants and carrying out the interviews and health examinations of the survey. Interviews of the fieldwork personnel were recorded and transcribed in verbatim. Data were analysed qualitatively using thematic analysis.

Results
Recruitment was substantially easier in reception centers than in private accommodations. Face-to-face and written information in participant's own language reduced misunderstandings and confidentiality concerns. Certain characteristics of the fieldwork personnel (mature age, female sex, and common cultural background) were facilitators for both recruitment and carrying out the survey appointments. Family and community members' perceptions influenced participation. Reception center personnel's attitudes influenced logistics of the recruitment process and the conduct of the survey. Incentives for participation were perceived both as facilitators and barriers.

Conclusions
It is feasible to obtain a high response rate among asylum seekers through investing in planning and dissemination of information about the study. Findings of this study can be benefited by other countries planning a survey among asylum seekers.

Key messages
Challenges in data collection among asylum seekers can be solved with careful planning and flexible fieldwork protocols. Sharing good practices about data collection among asylum seekers on a European level will inform researchers intending to conduct health surveys among asylum seekers and other forced migrants.
Characteristics of migrants to Japan with TB and implications for pre-migration TB screening
Authors: Uchimura K , Hamaguchi Y , Ohkado A , Yoshiyama T 
Published: October 2020

Abstract

Background
Japan plans to introduce pre-entry tuberculosis (TB) screening for those traveling from the Philippines, China, Vietnam, Nepal, Indonesia, and Myanmar, who are intending to stay in Japan for more than 90 days, in 2020. According to its screening algorithm, migrants will be screened by chest X-ray and those with abnormal findings will be asked to undergo sputum testing. We analyzed the characteristics of foreign-born TB patients coming from the above six countries, to identify some potential issues.

Methods
Data on foreign-born patients who had been newly notified with active pulmonary TB (PTB) in 2018 and 2017, and who had entered Japan in the same year they were notified, was extracted from the Japan TB Surveillance system. We assumed that these patients approximated to those hypothetical migrants who would be detected by pre-entry TB screening, and analyzed them by basic socio-demographic characteristics, radiological findings, and bacteriological test results.

Results
In 2017 and 2018, a total of 1,915 foreign-born PTB patients were notified from the above six countries. Of them, 19.9% (n = 381) had entered Japan in the same year they were notified. Among the 381, 23.9% (n = 50) had cavitary lesion, 27.3% (n = 57) were smear positive, and 48.9% (n = 73) were culture positive. 34.4% (n = 72) were both smear and culture negative, and the diagnosis would have depended on radiographical presentation. However, among the 72, the majority i.e. 87.5%, presented with non-cavitary pulmonary involvement.

Conclusions
Considering that approximately a third of TB patients who would may detected by the pre-entry screening are likely to be bacteriologically negative, Japan must ensure that the clinics conducting the pre-entry TB screening have access to high-quality radiography with expert interpretations, such as teleradiology and computer-assisted reading.

Key messages
A third of TB patients who would may detected by the pre-entry screening are likely to be bacteriologically negative. It is critical that clinics conducting screening have access to high-quality radiography with expert interpretations, such as teleradiology and computer-assisted reading.
Vaccination knowledge, attitudes and practices in patients with HIV: a cross-sectional survey
Authors: Rousset S , Voglino G , Boietti E , Corradi A , Gualano M R , Orofino G , Bert F , Farenga M , Siliquini R 
Published: October 2020

Abstract

Background
Infectious diseases are more common and severe in patients with HIV, which show different response to vaccines and a diminished protection. It is therefore very important to assess knowledge and attitudes towards vaccination in people with HIV, since precise vaccination coverage and vaccine hesitancy are not well established in this subgroup of patients.

Methods
A sample of 119 patients with HIV completed a cross-sectional survey. Patients were recruited during their routine medical examination at the infectious diseases clinic in Turin. The survey explored these main areas: demographics and history of HIV infection, vaccination history, attitudes towards vaccination, confidence in the public health system, contagion risk and disease seriousness perception. In this preliminary phase descriptive analysis were conducted.

Results
Preliminary data show that mean age of the participants was 49.51 years, 80% were males. The median of HIV infection duration was 10 years, while the median of the lymphocyte count was 762.50 cells/mm3. The disease with the highest vaccination coverage was tetanus (88.7%), considered a serious or very serious disease by 85.6% of the participants, despite low or very low contagion risk perception (84.1%). The disease with the lowest vaccination coverage was Herpes Zoster (7.3%), despite high or very high seriousness perception (70%). Furthermore, 99.1% of the participants showed high or very high confidence toward public health system professionals, and the majority of them (59.5%) stated that vaccines are more useful for the community than for the single person.

Conclusions
Vaccination coverage is still not fully satisfactory regarding diseases considered infrequent or mild. Considering the high level of confidence toward the public health system that has emerged, it is necessary to implement informative and operative strategies about vaccination for European HIV patients, which are particularly at risk regarding infectious diseases.

Key messages
Vaccination coverage and risk perception in HIV patients is not satisfactory for many diseases and an effort to implement informative strategies in Europe is needed. The role of vaccination in preventing infectious diseases in HIV patients should be recognized and strengthened by relying on the high level of confidence toward European public health systems.
Tuberculosis among immigrants: risk factors associated with a delayed diagnosis in Portugal
Authors: Moniz M , Soares P , Nunes C 
Published: October 2020

Abstract

Background
A timely diagnosis is a key factor to TB control, since delayed diagnosis increases transmission, severity and mortality rates. However, immigrants have a higher risk of delay due to difficulties in the access to the healthcare services. Hence, the aim of this study is to identify risk factors associated with delays in immigrants and compare the results with the national population.

Methods
We carried out a retrospective study to analyse all pulmonary TB cases notified in Portugal having a passive case finding, between 2008 and 2017. Global delay was defined as the number of days between symptoms onset and diagnosis date and divided into patient delay (time between symptoms onset and first appointment date) and healthcare services delay (time between first appointment date and diagnosis date). A descriptive analysis was performed, and factors associated with each delay were identified using a Cox regression. Analyses were stratified by country of origin: immigrants (born outside of Portugal) and nationals (Portuguese population).

Results
Our results were consistent with previous studies and showed that the immigrant population was younger, had a higher proportion of HIV infection and had a smaller proportion of alcoholics, drug addicts, inmates, homeless and individuals living in community residencies compared to nationals. Immigrants had higher patient delay (44 vs. 36 days) compared to nationals. Different risk factors were associated with the delay in immigrants and nationals. Alcohol addiction was the only significant variable in both populations and was associated with lower delay in health services.

Conclusions
Immigrants have higher global delay, attributable to a higher patient delay. The risk factors related to TB diagnosis delay have an heterogeneous association in immigrant and nationals. Hence, tailored interventions should be implemented to decrease the delay among immigrants.

Key messages
Different risk factors were identified for the patient and healthcare services delay among immigrants and nationals, which highlight the importance to analyse each component of TB diagnosis delay. Immigrants have higher patient delay compared to nationals, hence tailored interventions should be implemented to facilitate access to healthcare services in this population.
Survival of people living with AIDS with or without tuberculosis in Sao Paulo, Brazil
Authors: Tancredi M V , Sakabe S , Domingues C S B , Pereira² G F M , Waldman E A 
Published: October 2020

Abstract

Background
To estimate median survival time of AIDS patients, with and without tuberculosis (TB), in a cohort in Sao Paulo, Brazil, and to investigate survival predictors.

Methods
Retrospective cohort study of AIDS patients above 12 years old, registered at the Ministry of Health AIDS surveillance system between 2003-2007, and followed until 2014. Survival analysis used the Kaplan-Meier method and Cox proportional hazards model to estimate hazard ratios (HR), with respective 95% confidence intervals (CI = 95%).

Results
35,515 patients were included, being 4,581 (12.9%) co-infected with TB. Among the latter, probability of survival 12 years after AIDS diagnosis was 95.2%, 82.9%, and 21.9%, respectively for patients receiving at least one third line ARV (HAART2), receiving triple therapy (HAART1) and the last one not on ARV. In the same period, the probability of survival for patients without TB, in the same order as for the therapeutic regimens, was 95.2%, 90.5%, and 40.9%, respectively. The main factors associated with survival, adjusted for the year of diagnosis, were: Living in the city of Sao Paulo (HR = 1,16;IC95% 1,01-1,32), living away from the capital city (HR = 1.43; 95%CI 1.25-1.62); or on the coast (HR = 1.49; 95%CI 1.21-1.82); having TB (HR = 1.70; 95%CI 1.49-1.87); above 49 years old (HR = 1.35; 95%CI 1.18-1.54); black (HR = 1.27; 95%CI 1.12-1.45); IV drug use (HR = 1.73; 95%CI 1.49-2.02); CD4+ below 200 cell/mm³ at AIDS diagnosis (HR = 2.31; 95%CI 1.97-2.72); viral load above 500 copies at AIDS diagnosis (HR = 1.99; 95%CI 1.72-2.30); HAART1 scheme (HR = 1.94; 95%CI 1.47-2.55); no ARV (HR = 8.22; 95%CI 2.95-22.87).

Conclusions
A large proportion of patients did not receive ARVs or were late diagnosed with AIDS, especially those with TB, whose survival was shorter. Survival is heterogeneous in the state, being lower in regions with higher TB rates. The results point to the need for specific strategies for patients with TB-HIV co-infection.

Key messages
Tuberculosis is the main cause of death among HIV-infected people, being responsible for one third of deaths in this group and causing a great impact on the survival of this population. The Brazilian policy of universal access to ARV and treatment for TB has increased the survival of AIDS-TB from 22% to 95% and in patients without TB from 50% to 95% up to 12 years after diagnosis.
Machine Learning to predict tuberculosis in cattle from the state of Sao Paulo, Brazil
Authors: Pereira L E C , Ferraudo A S , Panosso A R , Carvalho A A B , Mathias L A , Saches A C , Hellwig K S , Ancêncio R A 
Published: October 2020

Abstract
Tuberculosis is a well-known and worldwide spread zoonosis. In Brazil 1.594.787 cases were confirmed cases since 2001, where, in Sao Paulo state, 8.226 deaths were reported. This study aims to present steps related to the use of machine learning algorithms for predictive analysis for bovine tuberculosis. For this, an application was made based on data from farms in state of São Paulo, Brazil, of an epidemiological survey, using a specific questionnaire, carried out on farms (n = 1,743). Response variable was presented by apparent prevalence of positive properties for disease, and predictors by (k = 77) predictors related to type of farm, type of lactation, number of animals on property. Application was organized according to following steps: division of data in training (75%) and testing (25%), pre-processing of predictors, learning and model evaluation. In the learning step, algorithm for adjusting gradient boosted trees models was used. The hyperparameters of algorithms were optimized by 10-fold cross-validation, to select those corresponding to best models. Models showed an accuracy of 88.07%, with an error in learning process equal to 3%. In the test / model validation procedure (n = 436), an error in 12% estimate was observed. Five important predictors were daily milk production, number of cows, type of farm, bovine breed and slaughter of adult animals. Proportion of false positives among all individuals whose response of interest was observed was 2.06%, and proportion of false negatives among those with a response of absent interest was 9.86%. It is hoped that, with increase in trained surveillance to detect the disease and availability of data, it will be possible to develop predictive models of machine learning with potential to efficiently assist professionals in disease control and assist in education program in animal health

Key messages
Predictive analyzes in health: application for tuberculosis in cattle from the state of Sao Paulo, Brazil. An infectious disease and zoonosis important to the world that needs support to develop means to control and consequently eradicate it.