bluuebunny/crossref_metadata_2025_split huggingface dataset:
Survey-based experiential learning - means of raising professional awareness in developing countries
Authors: Hodza-Beganovic R , Berggren P , Hugelius K , Edelbring S 
Published: November 2019

Abstract

Background
Healthcare in post-war Balkans is still under development. Healthcare changes towards more complex clinical scenarios that need different competencies around patients. This study reports on survey based learning to increasing professional awareness for developing sustainable healthcare settings using an experiential learning approach.

Methods
In this study, researchers and educators identified non-technical skills concepts on individual, team, and organizational levels. These concepts were contextualized into the local setting through interactive workshops. Two pediatric surgery clinics in Kosovo and Bosnia and Herzegovina participated who were part of an international clinical skills training project. The tools and surveys were: Johari window, Kolb’s learning style questionnaire, team members exchange quality scale, the IPEC framework for interprofessional competence, Team STEPPS observation tool and organizational models.

Results
A model is developed for contextualizing core concepts on professional awareness into a local developing healthcare setting. It entails three steps conducted in consecutive workshops:
Identifying research-based concepts on professional competence on individual, team and organizational levels. Facilitating local contextualization of these concepts by using surveys in interactive workshops. Agreeing on indicators to maintain high professional awareness.

Conclusions
Capacity-building in public health can be conducted through increasing professional awareness. Professional awareness can be approached in individual, team and organizational dimensions. Established core concepts of non-technical skills can be contextualized in other cultures through a survey-based experiential learning approach.

Key messages
Professional individual, team and organizational awareness is a vital part of conducting efficient healthcare. The professional awareness can be enhanced through processing core concepts in a local context through facilitated workshops.
Benefits from a tabletop exercise in a Heat-Health Action Plan in Amadora, Portugal
Authors: Cabral M , Leite A , Freire Rodrigues E , Vaz D , Calé E , Silva A 
Published: November 2019

Abstract

Issue
National guidelines for Heat-Health Action Plans (HHAP) in Portugal exist since 2004. These guidelines are further developed and implemented at Local Public Health Units (LPHU) together with local partners. Tabletop exercises are a useful tool to improve preparedness. Despite the long experience with HHAP there has not been any tabletop exercise in Amadora.

Description
Amadora’s LPHU organized a tabletop exercise with local partners to improve HHAP preparedness (12th July 2018). It included: LPHU, city hall, civil protection services, local social services, primary healthcare services, local public hospital, and firefighters. The exercise hypothesized a scenario of an unprecedented increase of temperature for an extended period of time, activating the highest level of warning (red) and action in the HHAP.

Results
During the exercise several issues were identified. Some partners were not clear about the pathway established for red warnings and partners were not aware of relevant HHAP activities. Also, from the 8 sites listed as climate shelters, only 2 were deemed as adequate for using in this scenario, even though they have been listed for several HHAP. Due to the exercise, it was possible to conduct an inspection of said shelters, which hadn’t took place yet due to the lack of resources. It was possible to find out that only one shelter was fit for purpose. Additional private facilities were identified as desirable shelter locations during the exercise. A few weeks later, a red warning was issued and clarification arising from the tabletop exercise was useful to properly implement measures.

Lessons
Despite the perceived frequent and good communication among partners of the HHAP, several issues - mainly regarding the adequacy of shelters - were identified with a tabletop exercise. It also improved preparedness for the following HHAP warning. As such, tabletop exercises should be promoted within HHAP.

Key messages
Despite developing heat-health action plans for several years, with the involvement of community partners, unidentified constraints existed in Amadora, Portugal. Tabletop exercises should be used more frequently, as we were able to identify and solve constraints within our heat-health action plan using one.
Development and preliminary psychometric properties of Mental Health Promotion Scale
Authors: Kadioglu H , Karaca S , Eren N , Yurt S 
Published: November 2019

Abstract

Background
There is no valid and reliable scale for assessing mental health promotion ability for adults in Turkish language. The purpose of this study was to develop a scale to mental health promotion ability for adults and to test the validity and reliablity of this scale.

Methods
This methodological study was conducted in Istanbul over the period October 2016- May 2018. The three rounds of the Delphi study were cunducted to develop the items of the scale and to determine the content validity. Thirty- three experts were participated in the Delphi study. A convenience sample of 452 adult people was recruited. The scale was tested for construct validity with Exploratory Factor Analysis (EFA), after which the scale’s reliability was evaluated for item-total correlations using Pearson’s correlation analysis and for internal consistency with Cronbach’s Alpha.

Results
At the end of the first Delphi round, 160 items were compiled. Experts reached consensus on 93 items of scale at the end of the third Delphi round. In the first EFA, twenty two factors with eigenvalues greater than 1 explained 65.2% of the total variance. Items with factor loadings of less than .30 and those that appeared in more than one factor with differences of less than %10 were removed from the scale one by one and the analysis was repeated. In the last EFA of the 47-item scale, twelve factor was found with an eigenvalue greater than 1 that explained 64.3% of total variance. The scale’s item-total correlations ranged between .36 - .62 and Cronbach’s coefficient alpha was calculated to be .93.

Conclusions
This scale was found to be valid and reliable. It can be used to assess the mental health promotion ability of adults who native Turkish speaker.

Key messages
The Mental Health Promotion Scale has been found to be valid and reliable. The Mental Health Promotion Scale can be used to assess of mental health promotion ability for adults.
Antidepressant use in over-indebted individuals compared to the general population in Germany
Authors: Warth J , Beckmann N , Puth M-T , Tillmann J , Porz J , Zier U , Weckbecker K , Weltermann B , Münster E 
Published: November 2019

Abstract

Background
About ten percent of European households across all socioeconomic groups are considered over-indebted due to ongoing difficulties meeting financial commitments and living expenses. Studies found an association between over-indebtedness and physical and mental health such as depression independent of standard socioeconomic status measures. However, antidepressant use in the over-indebted population has been understudied. In view of the substantial economic and social burden of mental illness in Europe, the aim of this study was to examine the association between over-indebtedness and antidepressant use in Germany to advance the understanding of socioeconomic inequalities in mental health.

Methods
We conducted a cross-sectional survey among clients of 70 debt advice agencies in North Rhine-Westphalia, Germany, in 2017 (OID), and merged data with the first wave of the German Health Interview and Examination Survey (DEGS1) representative of the general population. We used descriptive statistics and multiple logistic regression analysis to examine antidepressant use in the previous 7 days (OID: n = 699; DEGS1: n = 7115).

Results
Antidepressant use was more frequent in the over-indebted (12.3%) compared to the general population sample (5.0%). After adjustment for age, sex, education, employment, marital status and chronic disease, over-indebted respondents were more likely to use antidepressants than the general population sample (aOR 1.83; 95% CI 1.35-2.48).

Conclusions
Prevalence of antidepressant use was higher in the over-indebted compared to the general population. The association between over-indebtedness and antidepressant use cannot be fully explained by standard socioeconomic measures. Over-indebtedness reflects a relevant public health issue that needs to be addressed in health care, social policy and research. There is an urgent need to develop public health activities that specifically target those at risk of mental illness and over-indebtedness.

Key messages
Over-indebtedness is associated with antidepressant use. Public health interventions are needed to prevent adverse health effects of over-indebtedness and safeguard access to care according to need.
The Good Behavior Game: when the classroom becomes the playground for life skills (Toulon area)
Authors: Sondey J , Taurel N , Khem C , Negre L , Birocchi S , Reynaud-Maurupt C 
Published: November 2019

Abstract

Children presenting disruptive and antisocial behavior are more at risk of developping health and life complications. The “Good Behavior Game” (GBG) is an American classroom behaviour management program implemented by trained teachers. Its effectiveness in public health has been shown by several scientific studies. The program was recently adapted for France by the GRVS, Nice. During 2017-2018, four schools - 1,400 children- benefitted from the GBG program, conducted in the Toulon area by the CODES 83 under the supervision of the GRVS. During their bi-monthly visits to the 29 teachers in training, coaches collected data reports on the past games, and observed a live GBG session. They discussed then with the teacher to build the best classroom management strategy.
Does the GBG help pupils improve their peer relationships? What can the program realistically bring in terms of classroom wellbeing? Those questions are crucial to assess, children’s quick benefits, as well as the development of life skills as protective factors for healthy living.
Based on the coaches’ observations and feedbacks with the teachers, preliminary results tend to demonstrate that the GBG help pupils improve their peer relationships, notably by evoking cooperation and inclusive behaviors. Pupils present a more positive state-of-mind whether to give a personal opinion, to share speaking time, learn patience, to make collective decisions, to be aware of one’s need, to peacefully deal with disagreement, to explain instructions to one another, to ask for another point of view. More active and peaceful approaches to conflict resolution have been noticed. The program seems to enhance wellbeing at class including positive peer interactions and self-appreciation.
Regarding the experiment in the Toulon area, GBG has a strong potential to develop social and life skills of children. GBG seems to work towards better self-esteem, a key lever for peer-pressure resistance and for making healthy choices.

Key messages
The “Good Behavior Game” (GBG) creates a positive environment in the classroom, leading children towards positive peer interactions. GBG enhances protective factors against peer-pressure an important determinant of risky behavior.
Identifying People with Dementia in Electronic Primary Care Records in the UK
Authors: Kang S , Lewis S , Gladman J , Wardt V , Gibson J 
Published: November 2019

Abstract

Background
Many epidemiological questions need to be answered regarding dementia, including the causes, prognosis, comorbidities, and treatment of the condition and complications. A routine electronic primary care dataset provides a way of investigating some of the complicated factors with rich information. However, there has been concern regarding whether dementia is recorded well enough.

Methods
This study has therefore explored this by conducting a systematic review to understand how dementia has been identified previously in primary care databases in the UK, and added to this by exploring additional terms and symptoms, and medications that might be helpful in identifying people with dementia. The study estimated the prevalence and incidence rates of dementia in The Health Improvement Network (THIN) database and compared with other longitudinal studies using the comprehensive list of diagnostic codes.

Results
The estimated incidence rates per 1,000 person-years for the 60+ age group who had any of the first diagnosis among the Quality Outcomes Framework (QOF) defined codes, Other diagnoses, Dementia symptoms and Prescribed medications were 2.5, 4.7, and 15.9 in 1995, 2004, and 2015 respectively. The estimated prevalence were 2.8, 3.2, and 10.2 in 1995, 2004, and 2015 respectively.

Conclusions
The codes related to dementia symptoms (represented by mini-mental state examination, the six item cognitive impairment test, referral to memory clinic and behaviour assessment) seem to cover a broad definition of dementia or pre-existing dementia population in the UK primary care records. At least, using of the Other diagnoses (represented by dementia annual review, senile/presenile dementia and dementia monitoring) in addition to the QOF defined codes, and Prescribed medications were evidenced that will not missing out a number of people with dementia.

Key messages
The codes related to dementia symptoms seem to cover a broad definition of dementia or pre-existing dementia population in electronic primary care records in the UK. Nevertheless, the codes about non-specific or temporary symptoms may need to be used carefully as it is possible for memory or cognitive function to be impaired temporarily due to other factors.
Child protection in medicine - closing gaps in continuing education through e-learning
Authors: Maier A , Hoffmann U , Fegert J M 
Published: November 2019

Abstract

Background
Child abuse is a major problem across Europe. The consequences are often serious and long-lasting disorders which, in addition to the individual burden, are extremely costly for the national health system. It is important to prevent or recognize child abuse at an early stage and to provide adequate help to those affected. Health professionals are privileged first contact persons for the victims. However, the WHO assumes that about 90% of cases of child abuse in medical institutions remain unknown. It is therefore important to train health professionals in this field. For this reason, in Germany an E-Learning course on child protection in medicine is currently being developed and evaluated. This article is intended to present the results of the accompanying evaluation of the E-Learning course.

Methods
The accompanying evaluation collected and analyzed the graduates’ opinion on the course, its contents and the topic of child protection in medicine in general. Knowledge and competence levels were surveyed before and after the course and evaluated with a t-test for related samples.

Results
The evaluation of the course showed a high relevance of the topic of child protection in medicine and the rather low attention paid to the topic in the medical field. The course was, however, assessed very positively and the majority of graduates were already able to apply what they had learnt in their daily work. The pre-post design showed a significant increase in knowledge and skills as a result of the course.

Conclusions
It turned out that the E-Learning course on child protection in medicine closes an existing gap in the continuing medical education system. The evaluation also shows a success of the program and thus a reduction of uncertainties in child protection procedures among health professionals. A corresponding E-Learning offer for other European countries should be considered in order to address the comprehensive problem of child abuse across the whole of Europe.

Key messages
Too little attention is paid to child protection in the medical field. E-Learning can effectively train health professionals in child protection, has a wide reach and is flexible in use.
Evaluation of Cyber Bullying and Self-Esteem in High School Students
Authors: Aydoğan S , Ünsal A , Arslantaş D , Atay E , Öztürk Emiral G 
Published: November 2019

Abstract

Background
Cyber bullying (CB) is a repetitive use of information and communication technologies to harm other individuals. In recent years, CB has become more common among adolescents with the increase in availability of technological devices and technological developments. CB may harm the emotional, social and psychological development of the individuals of developmental age and social relations. CB is reported to be higher in people with low self-esteem. The aim of this study is to determine the frequency of CB among high school students, to examine some variables which may be related and to evaluate self-esteem.

Methods
This is a cross-sectional study conducted between 1 May-30 June 2018 among high school students in Sivrihisar. The study group consisted of 712 students which 60.1% were female, 39.9% were male and the mean of ages was 16.3±1.2 years (ranged 13-20). CB was evaluated with 2nd Revision of the Revised Cyber Bullying Inventory (RCBI-II) and self-esteem was evaluated with Rosenberg Self-Esteem Scale (RSES). Chi-square, logistic regression and Spearman correlation analyses were used to analyze the data.

Results
The frequency of CB was 57.6% (n = 410). The frequency of CB was higher in men (OR:1.45,CI:1.01-2.1), the group who accept the friendship request of the people they don’t know in the virtual environment (OR:1.84,CI:1.22-2.78), who had problems with anyone on internet (OR:2.27,CI:1.54-3.35), who tells about something that can’t speak in real life (OR:2.13, CI:1.48-3.06), who share the problem orginated from online communication with anyone around (OR:1.48, CI:1.03-2.15). There was a positive weak correlation between the scores of the RCBI-II and RSES.

Conclusions
CB is a common problem among high school students. There is a weak negative relationship between the level of CB and self-esteem. It may be useful to increase the awareness of students, parents and teachers on the subject and to provide psychological support to students to reduce the level of CB.

Key messages
It is remarkable that the self-esteem of cyber-bullies is low. Risky behavior on the internet is an important risk factor for cyber bullying.
An online health status report to support public health in Belgium
Authors: Scohy A , Devleesschauwer B , Renard F 
Published: November 2019

Abstract

Issue
Monitoring population health is crucial for policymakers. In Belgium, health monitoring only existed at regional level, with no integrated view at country level.

Policy/tool
The Health Status Report (HSR) project developed a tool for centralizing key health indicators. The HSR aims to support policymakers in multiple ways: as a ’warning signal’, by contributing to the planning of health policies, and as an assessment tool for those policies. Rather than being exhaustive, the HSR selects key indicators to highlight important needs. These indicators have been identified through literature and consultations with experts and stakeholders. Topics include life and health expectancies, mortality, morbidity, and lifestyles, with an important focus on socioeconomic inequalities. Good results and health gaps are underlined with international comparisons, trend analyses, and comparisons with reference values. By disaggregating the data by sex, age, geographic level or socio-economic level, specific health needs are identified.

Results
The main outcome of the project is a continuously updated website: www.healthybelgium.be. The report highlighted that, although the Belgian health status is rather good, there is room for improvement: for some indicators Belgium lags behind other European countries; regional disparities remain important, with most indicators revealing a better health status in Flanders than in Brussels and Wallonia. Socioeconomic disparities also remain very important, and for some indicators even tend to worsen. Comparing the Belgian health status to that of the EU-15 results in more severe conclusions than in international reports.

Conclusions
We developed a new tool to support public health policy in Belgium through benchmarking and trend and disparity analyses of several health indicators. The tool will be expanded in the next years, integrating for instance the results of the Belgian national burden of disease study.

Key messages
We developed an online health status monitoring tool to inform policymakers. The rather good health status hides important regional and socioeconomic disparities in Belgium.
What do patients consulting in a free STI center know about HIV transmission and prevention?
Authors: Duteil C , de La Rochebrochard E , Piron P , Segouin C , Troude P 
Published: November 2019

Abstract

Background
Despite therapeutic progress, HIV remains a public health issue with about 6400 new HIV contaminations each year in France. HIV prevention relies on health education, early screening, treatment as prevention, post and pre-exposure prophylaxis. Patients’ visits to free sexually transmitted infections (STIs) screening centers (CeGIDD) are opportunities to spread prevention messages. This study aimed to assess level of HIV knowledge in a Parisian CeGIDD to improve prevention messages.

Methods
The study included patients older than 18 who came for STIs testing between August 2017 and August 2018 and who understand written French language. Data were collected by a self-administered electronic questionnaire filled in before medical consultation. It included sociodemographic data and knowledge regarding HIV transmission and prevention.

Results
The study included 2002 patients. The median age was 27 years and 66% were men. More than 96% of patients know that HIV transmission is possible through unprotected sexual intercourse and through needle exchange. However, some misconceptions persist: 20% of patients believe that HIV transmission is possible from using public toilets and 22% by mosquito bite. Prevention measures perceived as “absolutely or rather efficient” by patients were: using condom (97%), requesting a screening test from his partners (91%), getting screening tests regularly (90%), choosing his partners correctly (62%), having sex with few different partners (50%). Half of patients heard of post-exposure prophylaxis (51%).

Conclusions
Main modes of HIV transmission are well known (unprotected intercourse and needle exchange). However, false beliefs regarding prevention may lead to risk behavior (doing screening test regularly doesn’t protect against HIV) and need to be explored. Moreover, assessment of variation in level of HIV knowledge according to patient’s profile may help to target prevention message according to specific populations.

Key messages
Main modes of HIV transmission are well known. False beliefs regarding modes of prevention need to be explored to target HIV prevention messages.