bluuebunny/crossref_metadata_2025_split huggingface dataset:
Universal neonatal hearing screening in a public hospital in Brazil: parents participation
Authors: Gonçalves C , Crispin L , Luders D , Bellia C 
Published: October 2020

Abstract

Background
The National Policy for Hearing Health Care in Brazil proposes that all newborns in the country undergo hearing screening in the first month of life.The Universal Neonatal Hearing Screening Program being extremely important for the early intervention of deafness. However, many parents/guardians do not return to the auditory retest, interrupting the neonatal protocol and making early auditory diagnosis impossible. Objective:To analyze the reasons for the non-attendance to retest of the Hearing Screening of a hospital in Curitiba.

Methods
This study was carried out in a Public Hospital, with live births from August 2017-May 2018. All the born were considered for the variables gender, risk for hearing loss, age at birth, results of Hearing Screening. Failed babies were analyzed, including the active search of those who did not attend the retest, through contact with parents/guardians to collect the reasons for faults.

Results
2,531 infants were born, male had a prevalence of 1,275 (50.38%), term born 1,734(68.51%) and ICU stay as the most common risk indicator - 118(79.73%). 2,261(89.33%) infant passed on both ear; among those who failed only 94(40.0%) attended the retest. An active search was performed by phone, and 78(55.31%) could not establish contact, totaling 47(54.02%) mothers contacting. These motherś age was 19 to 24 years, 56.92% of whom had high school. The majority of those in charge are aware of the result of the test of the ear of their son (82.97%), was directed to test again (87.23%), were not able to answer the reason for not attending (27.65%) or had forgotten about this commitment (19.14%).

Conclusions
The data analyzed showed the lack of information that parents / guardians of the newborns give to the Hearing Screening, which compromises the integrality of health actions in newborns, making it necessary to seek other ways to ensure family adherence to the Program.

Key messages
Babies at risk of deafness need constant monitoring. Without parental participation, there is no success in health programs.
The effects of a local dairy food supplement on pregnancy outcomes in Indonesia: A feasibility trial
Authors: Soltani H , Fair F , Marvin-Dowle K , Lipoeto N I 
Published: October 2020

Abstract

Introduction
Approximately 20.1% of Indonesian pregnant women are underweight (BMI&lt;18.5kg/m²) and over 50% of women have inadequate gestational weight gain (GWG) [1]. Maternal nutrition is a modifiable factor influencing child health. This project aims to assess the feasibility of a randomised controlled trial (RCT) using a traditional Indonesian yogurt from buffalo milk (Dadih), to improve outcomes for pregnant mothers and their babies.

Methods
This is a two armed feasibility RCT (1:1) in which 200 women with body mass index&lt;27.5kg/m² (Asian BMI classifications) were planned to randomly be allocated to routine care or the intervention group, who will be supplemented with four weekly servings of Dadih.

Results
A total of 107 women were recruited to the trial in the first wave from Dec 2018-March 2019 (recruitment rate of ∼25/month). Of these 81 have been followed up to delivery and will be followed up to 6 months postpartum. Local Dadih production reached its full capacity in one region and recruitment had to be extended to other regions. Comparative trends on study outcomes including GWG, mode of birth, postpartum depression, postpartum haemorrhage, maternal nutritional status, anaemia, birthweight, gestational age, admission to neonatal care unit, breastfeeding, neonatal health status will be reported.

Conclusions
Early results show that the supplementation is acceptable to women and protocol implementation is feasible. In order for this feasibility project to be developed to a full scale RCT, improvements to the infrastructure of supply are required. Such projects may have positive economic impact and provide sustainable solutions to local maternal and neonatal health challenges.
Reference
1. Soltani H, Lipoeto NI, Fair FJ, Kilner K, Yusrawati Y. (2017) Pre-pregnancy body mass index and gestational weight gain and their effects on pregnancy and birth outcomes: a cohort study in West Sumatra, Indonesia. BMC Women's Health.

Key messages
Nutritional supplementation using a traditional Indonesian yogurt (Dadih) made from buffalo milk during pregnancy has been received positively by women. Depending on the observed comparative trends from the study outcomes, infrastructure investment is required to enable the feasibility study to be expanded to a full scale randomised controlled trial.
Development of an infant mortality risk score in Uruguay
Authors: Alegretti M , Leon I , Aleman A , Cavallieri F , Callero W 
Published: October 2020

Abstract

Background
The Ministry of Public Health of Uruguay incorporated a comprehensive home visit before 7 days of discharge to monitor children at risk of infant mortality. In this context, a precise risk stratification of newborns is needed to optimize the implementation of the home visit.

Objective
Implement a validated infant mortality risk score for Uruguay using the national electronic live birth certificate.

Methods
Electronic records of newborns from 2014 to 2017 were used to develop the score. The variables of the electronic live birth certificate were considered for the model and data of Infant mortality was obtained from the national mortality registry. A multivariate binary logistic regression model was estimated with a random sample of 80% of the cohort, the remaining 20% was the validation set. ROC curve analysis was performed. R software was used.

Results
The 2014-2017 birth cohort contains 187,388 records. 1307 children under one year died (IMR 6.97 per 1,000 births). The variables included in the final model were birth weight, APGAR score at 5 minutes, number of prenatal visits, maternal educational level and father living at home. The area under the curve (AUC) was 89%, CI 95% [87% - 91%]. Two cut-off points were defined: 0.4% and 2%. Less than 0.4% was considered low risk (IMR 1.4 per 1,000 births), between 0.4 and 2% was considered intermediate risk (IMR 7.1 per 1,000 births) and more than 2% was considered high risk (IMR 99.2 per 1,000 births).

Conclusions
The score identifies high-risk newborns at the time of entering the data in the electronic live birth certificate. This information could be used to plan and implement the home visit and other actions, according to the level of risk identified.

Key messages
In Uruguay, high-risk newborns can be identified using data collected routinely. The procedure could be applied in other countries with electronic birth certificate.
Assessment of the eating behaviour of adolescent girls from Varna, Bulgaria
Authors: Marinov D , Najdenova D , Dimitrova T 
Published: October 2020

Abstract

Background
Healthy eating behaviour of children determines their normal physical and neuropsychological status. Epidemiological data has revealed an increasing prevalence rate of disordered eating behaviour in the population for all ages and genders. It is most common in adolescent girls who often conduct extreme weight control practices, driven by a desire to achieve the “perfect” body shape.

Methods
A study was conducted among 240 adolescent girls from Varna aiming to estimate their eating behaviour. The data was collected via: • Anthropometric measurements for assessment of the nutritional status Bioelectrical impedance analysis of body composition assessmentQuestionnaires including: Food frequency questionnaire (FFQ); The Eating Attitudes Test - 26 (EAT- 26) to access the risk factors for the development of eating disorders (ED); Questionnaire for identification of risk factors contributing to early dieting.

Results
The analysis of the results shows that the eating behaviour of the female students aged from 14 to 19 years in Varna can be defined as risky. Findings demonstrate a significant percentage of subjects who are on a diet at the time of the survey. Over 36% of the participants show at least 1 symptom correlating with an increased risk for the development of ED and 22.7% are at very high risk of developing an ED in the future.

Conclusions
The findings suggest that adolescent girls tend to engage in unhealthy approaches trying to reach their “thin ideal”. Early detection of disordered eating behaviour is especially important to prevent the development of clinically expressed ED and the complications associated with them.

Key messages
The study has revealed that a significant percentage of adolescent girls are at high risk of developing an eating disorder. The data shows a need for an early detection program for risky eating behaviour in order to prevent the development of ED amongst adolescents.
Strategies of Health Surveillance in the construction of a support network for breastfeeding women
Authors: Garbin A , Yasuda N , Araujo D , Novaes C , Sartori L 
Published: October 2020

Abstract
In 2018 the Municipal Health Department of the city of Diadema, São Paulo, Brazil, started the implementation of strategies to promote, protect and support breastfeeding in health surveillance actions. Supervised compliance with the Brazilian Standards of Commercialization of Foods for Infants and Children of 1st Childhood, nipples, pacifiers and bottles and encouraged the installation of breast-feeding support rooms in public and private workplaces in the city, aiming to intervene in the infant mortality rates. According to the Global Strategy of the World Health Organization (WHO/UNICEF), for the Feeding of Infants and Children in the First Childhood, only 35% of children worldwide are breastfed exclusively during the first four months of life. What are the contributions of the surveillance area in encouraging the installation of breast-feeding facilities in the workplace? What are the responsibilities of the Health Surveillance to promote breastfeeding? The strategies implemented aimed to create a culture of respect and support for breastfeeding as a way to promote the health of the working woman and her baby, bringing direct benefits to society.The importance of women in promoting breastfeeding is evident, but it is essential to implement public policies. The surveillance began to integrate the municipal network of incentive to breastfeeding in search of the integrality of the attention aiming to contribute to increase the rates of breastfeeding in the city. Measures of a supervisory nature were implemented to comply with the rules that protect the practice of breastfeeding, in order to avoid early weaning and to reduce infant mortality. Intra and intersectoral strategies, permanent education and awareness-raising among professionals and the population were used. Isolated and fragmented initiatives do not contribute to structuring a breastfeeding support network in the workplace and many companies have not expressed an interest in promoting breastfeeding space.

Key messages
Dissemination of the pro-breastfeeding culture in which the workplace is a mainstay for a network of support for working women. Surveillance Area acted in the Network of Women’s and Children’s Health Care contributing to the reduction of maternal and infant mortality and healthy infant development.
The effect of sociodemographic characteristics of adolescents on E-Health literacy
Authors: Çınar S , Boztepe H , Ozcebe H 
Published: October 2020

Abstract

Background
As a result of having easy access to the internet and mobile devices, a great part of the population uses the internet in order to search for information related to health; therefore, health literacy on the internet has gained importance.

Methods
The study was conducted in three schools from different socioeconomic levels (low, middle, high) affiliated with the Provincial Directorate of Education in the capital city of Turkey, Ankara city. The sample of the study consisted of a total of 1082 adolescents in the age group of 14 and 18 years, who were studying in the 9th, 10th, 11th, and 12th grades in the selected schools. The data were collected using a data collection form consisting of questions related to the adolescents and the sociodemographic characteristics of their parents, as well as E-Health Literacy Scale in Adolescents. The predictors of e-health literacy in adolescents were analyzed through linear regression.

Results
It was found that the e-health literacy mean score of the adolescents was 26.9±7.6 in the study. There was a correlation between e-health literacy and the increase in the age of the adolescent, monthly income of the family, the status of having a computer for the child, the status of reading subjects related to health on the internet, and the status of reading subjects related to their own health on the internet among characteristics of adolescents. In the study, the e-health mean scores of adolescents having high socioeconomic levels were found to be statistically higher (F = 2.153, p &lt; 0.000).

Conclusions
The results revealed the importance of improving the e-health literacy skills of male adolescents, having low socioeconomic levels and using less internet, in order to have access to online health information effectively.

Key messages
Training programs suitable for the developmental period of the adolescents should be organized in the school to increase the e-health literacy of adolescents. The adolescents in high socioeconomic status have higher electronic health literacy than the adolescent in low and middle socioeconomic status.
Relations of self-esteem, obesity and peer bullying among middle school students in Turkey
Authors: Ercan T M F , Özcebe L H 
Published: October 2020

Abstract
Obesity, peer bullying and self-esteem are important public health problems in adolescent age group in Turkey as well as in the world. This study aims to investigate bilateral and tripartite relations of obesity, peer bullying and self-esteem.
The universe of this cross-sectional study was middle school students in Ankara; 1955 student were reached in 42 schools determined by systematic sample method. Data was collected under observation with the questionnaire including anthropometric measurements (BMI-z-score), self-esteem scale and peer bullying. Written permission was given by the Ethical Committee at the University.
We reached 1955 students (975 girls; 877 boys). The average of age was 12.84±0.59. The prevalence of overweight was 15.0% and obesity 7.2%. The percentage of low self-esteem was found as 45.4%. Frequencies of physical bullying-bully subgroup was 36.7%, verbal 51.4% and emotional 35.2%; the percentages of bullying-victim subgroups were found as 41.9%, 49.7% and 19.5%, respectively. A strong relationship was between obesity and physical bullying-victim without grouping for self-esteem (p = 0.03). Obesity was associated with low self-esteem without physical or emotional bullying (p = 0.02; p = 0.03). Low self-esteem was related with all types of bullying (p &lt; 0.001 all subgroups). Obesity was associated with verbal bullying-bully in high self-esteem and without grouping for self-esteem (p = 0.04; p = 0.02). The relationship was between obesity and physical bullying-bully in the low and high self-esteem subgroups (p = 0.02; p = 0.009), but this relation couldn't be demonstrated without grouping for self-esteem.
Prevention of peer bullying, fighting with obesity are important topics to protect adolescent mental health, improve school health. More effective studies should be conducted in this field, intervention programs have holistic approach should be developed at countries levels and global level.

Key messages
The holistic approach always highlighted from Sustainable Development Goals to Astana has a great importance in improving physical, mental and social health of adolescent in schools. Obesity, peer bullying and self-esteem are important issues affecting physical, social and mental health in adolescence in whole world.
Factors associated with Exclusive Breastfeeding in Tunisian population
Authors: Ben Rejeb M , Agina Y , Ben Hmida H , Chelbi S 
Published: October 2020

Abstract

Background
Breastfeeding (BF) is one of the most effective ways to ensure child health and survival. WHO recommend the maintaining the exclusive breastfeeding (EB) up to six months. Unfortunately, its prevalence does not exceed 13% in our country at this age. A better understanding of factors associated with short duration of breastfeeding can allow us to identify the strategies that improve it. This study aimed to determine prevalence of EB and predominant breastfeeding (PB) during the first 2 months and identify their associated factors.

Methods
We conducted an observational prospective study in two centers of maternal and child health of Monastir (Tunisia) during April and May 2019. Data collection was performed after birth using a self-administered questionnaire and at 4th and 8th postpartum week by telephone interviews. We used the BSES-SF scale to identify self-efficacy in BF and the IIFAS-A scale to measure the mother's attitude towards BF. We used Kaplan Meier survival analysis and Cox Proportional Hazard regression to identify independent factors associated with EB and PB.

Results
During the study, 437 mothers were enrolled. Prevalence at 8th postpartum week was 6.2% with median duration of eight days and 35.6% with median duration of 21 days respectively for EB and PB. Absence of a breastfeeding experience (HR = 1.31 [1.07-1.61], p = 0.008), the first breastfeeding at beyond 12 hours (HR = 1.47 [1.05-2.07], p = 0.023), the intention of mixed breastfeeding (HR = 1.25 [1- 1.55], p = 0.043) were associated with a shorter duration of EB. Absence of breastfeeding experience (HR = 1.47 [1.05-2.07], p = 0.023), the first breastfeeding at beyond 2 hours (HR1 = 1.72 [1.08-2.73]; p = 0.007) and the non-determination of the duration of breastfeeding (HR = 1.54 [1.43-4.51], p = 0.006) were associated with a shorter duration of PB.

Conclusions
This study allowed us to identify mothers likely to stop BF early. They should be the target of specific promotion interventions.

Key messages
Breastfeeding is one of the most effective ways to ensure child health and survival. Information about BF, time of first BF, type and duration of planned BF and self-efficacy deserve a particular attention and constitute key axes of effective promotion interventions of EB and PB.
Breastfeeding self-efficacy and associated factors in the context of primary health care, Brazil
Authors: Souza M H N , Monteiro J S , Rodrigues E C , Peres P L P 
Published: October 2020

Abstract

Introduction
Exclusive breastfeeding is essential to reduce infant morbidity and mortality, as it meets the entire child's nutritional and immunological needs, strengthens the emotional bond between the mother-baby pair and protects against chronic and infectious diseases. Several factors interfere in this practice, among which the woman's self-efficacy stands out because such attitude represents maternal confidence in her ability to breastfeed her child.

Objectives
Evaluating self-efficacy of breastfeeding among women assisted in primary health care units and; verifying the association between socioeconomic and obstetric factors, and between the duration of exclusive breastfeeding and breastfeeding self-efficacy.

Methods
Cross-sectional study carried out with 216 mothers of children under six months, registered in four basic health units in the city of Rio de Janeiro, Brazil. The research was approved by the Ethics and Research Committees of the participating institutions. The Breastfeeding Self-Efficacy Scale - Short Form was used to measure the self-efficacy scores, and the Statistical Package for the Social Science Program was used to analyze such data.

Results
high levels of breastfeeding self-efficacy were associated with six or more prenatal consultations (OR = 0.92, 95% CI 0.84-1.01, p = 0.07), normal birth (OR = 1,25, 95% CI 1.07-1.45, p &lt; 0.001), breastfeeding in the first half hour after delivery (OR = 1,17, 95% CI 1.08 - 1.27, p &lt; 0.001) and the practice of exclusive breastfeeding for 6 months (OR = 1,86, 95% CI 1.27-2.27, p &lt; 0.001).

Conclusions
prenatal care, vaginal delivery, breastfeeding in the first half hour of life and the practice of exclusive breastfeeding were related to the high and medium level of breastfeeding self-efficacy. The knowledge of the self-efficacy degree and the determining factors for the breastfeeding enable health professionals to implement effective interventions for promoting, protecting and supporting breastfeeding

Key messages
Maternal self-efficacy contributes to prevent early weaning and, thus, to reduce infant morbidity and mortality. Awareness of the determining factors of breastfeeding enables the implementation of effective interventions to promote and support breastfeeding.
Estimating infant mortality risk in Uruguay using artificial neural networks
Authors: Alegretti M , Aleman A , Leon I , Cavallieri F , Callero W 
Published: October 2020

Abstract

Background
Uruguay has a national electronic live birth certificate that includes variables of risk factors for infant mortality. Accurate risk stratification of newborns is needed to optimize the use of resources for homes visits. Artificial neural networks are computational tools that have been used successfully in many types of prediction problems.

Objective
To develop a neural network able to estimate the risk of infant mortality using information available in the electronic live birth and mortality certificate in Uruguay.

Methods
A historical cohort of records of newborns in Uruguay from 2014 to 2017 was used. The variables of the electronic live birth certificate were considered for the model. Infant mortality was obtained from the national mortality registry. A multilayer perceptron was trained with a random sample of 70% of the cohort; the remaining 30% was the validation set. The variables included were birth weight, Apgar score at 5 minutes, number of prenatal consultations, maternal educational level, multiple pregnancy and cohabiting father. ROC curve analysis was performed.

Results
The 2014-2017 birth cohort contains 187,388 records. 1,307 children under one year died (IMR 6.97 per 1,000 births). The area under the curve (AUC) was 88.7%, 95% CI [87.6% - 89.8%]. The optimal cut-off point of pseudoprobability of infant mortality was 0.008 (78.9% of sensibility and 82.4% of specificity). The IMR in high-risk newborns identified by the neural network was 32.8 per 1,000 births.

Conclusions
The neural network identifies high-risk newborns at the time of entering the data in the electronic live birth certificate as other models have done. This information could be used to plan and implement preventive actions.

Key messages
In Uruguay, high-risk newborns can be identified by applying artificial intelligence to data collected routinely. The procedure can be applied in other countries with electronic birth certificate.