bluuebunny/crossref_metadata_2025_split huggingface dataset:
Toward a Better Living with Schizophrenia
Authors: Kovess-Masfety V 
Published: November 2019

Abstract
“Toward a Better Living with Schizophrenia” is a French three-year research program that focuses on themes that aims to improve the every day well-being of people with schizophrenic psychoses by providing new insights on their integration:
-The announcement of the diagnosis to the person herself and/or to the close ones:the positive consequences of a sound information and recommendations for a strategy.
-The search for information on the internet: persons living with Schizophrenia are using the web to gather information on their problems and on treatment ; some recommendations were listen to secure and improve web sites.
-How a short training of French health authorities staff members not involved in patients care, could decrease significantly their negative vision of such persons.
-67 people were interviewed face to face: 20 persons with schizophrenia, 20 person with bipolar disorders and 27 close ones to schizophrenic patients. A semi-structured interview concerned: the availability of staff, their feelings during the hospitalization and at discharge, the offer of psychoeducation; “The Brief Illness Perception Questionnaire” allows to measure and compare perceptions of the disease: its duration, prognostic, compliance, stigma and the beliefs about the causes of schizophrenia.
Results show less threatening perceptions of the disease for the persons themselves than for close ones. A better access to diagnosis is associated with a shorter perceived probable duration of the disease, while an easier communication with healthcare professionals is associated with the perception of a better efficiency of the treatment. Family psycho-education is associated with the perception of less frequent symptoms of the person.
These results will help to better integrate families, who seem to feel relatively isolated and shut down in the healthcare process, despite the strategic role they could play and despite the many recommendations of public health policies in that matter.
Impact of integrated care on the use of emergency care among older people in Stockholm County
Authors: Doheny M , Agerholm J , Orsini N , Schön P , Burström B 
Published: November 2019

Abstract

Background
In Sweden, health care is a regional responsibility and social care of older people is a municipal responsibility. The system is fragmented and the use of emergency care by older persons is rising. Better integration, coordination, and collaboration between health and social care providers is necessary to address the complex needs of an ageing population. Since 2006, Norrtälje municipality in Stockholm Region has integrated health and social care. This study aims to assess the impact of the integrated care system in Norrtälje on rates of emergency care visits, compared to the rest of Stockholm county.

Methods
A repeated cross-sectional study with an interrupted time series analysis compared the integrated care system in Norrtälje to a matched control from Stockholm county, using. population-based register data between 2000-2015 obtained from Stockholm Region’s administrative database of healthcare utilization and from the Longitudinal Integration database for Health Insurance and labour market studies from Statistics Sweden.

Results
There was no statistically significant difference in the post-intervention rates of emergency care visits in Norrtälje compared to the matched control. However, there was a decreasing trend in the rate of visits among females 65-79 years, those in lower income groups, those living alone and those born outside of Sweden.

Conclusions
The implementation of the integrated care system in Norrtälje had no statistically significant impact on the rate of emergency care visits among older persons compared to standard care. However, there was a reduced rate of visits among potentially vulnerable sub-groups. Further research is needed as the full implementation of the Norrtälje Model was completed as recently as 2016 and the full impact may not yet be realised.

Key messages
Bringing about change in the delivery of health and social care is complex and challenging. Thus, to observe differences in the utilisation of emergency care requires more time and resources. Innovation in the delivery of health and social care is needed to effectively manage and coordinate the ever changing needs of older persons with complex needs given the current fragmented services.
Eating habits trajectories of students using university canteens
Authors: Lorenzoni V , Triulzi I , Toncelli L , Martinucci I , De Bortoli N , Natilli M , Monreale A , Pedreschi D , Barale R , Turchetti G 
Published: November 2019

Abstract

Background
Diets among the young often do not meet recommendations thus increasing the risk of developing chronic condition in adulthood. The present study aims at evaluate dynamics of eating habits among university students using data automatically recorded by cashier transactions at canteen.

Methods
The study population consisted of 8,338 students enrolled in bachelor courses at Pisa University in 2010-2014 and accessing canteens at least once all over their courses duration (three year). Analyses were performed merging the administrative archive of the University of Pisa and the database of cashier transactions at university canteens. The frequency of different food-groups choice over years was evaluated using a zero- and one-inflated beta regression models, while latent class analysis (LCA) and posterior probabilities derived from that were used to evaluate the evolution of eating habits.

Results
In adjusted models, the proportion of fruit choices increased significantly in both the second (β = 0.077[0.013]) and third year of registration (β = 0.233[0.018]), similarly for vegetables (β = 0.090[0.011] and β = 0.065[0.015]). Conversely, the selection of foods commonly labelled as unhealthy decreased over registration years. LCA revealed 4 different classes each year. The 4 classes distinguished “healthy eaters” (LC1), those often choosing sweets, potatoes and legumes (LC2 “lazy eaters”), “greedy and quick eaters” (LC3) favoring the selection of fried foods, sandwiches and sweets while LC4 represented “selective eaters” composing their meals combining mainly grains and vegetables. The probability of being a “lazy” or “greedy and quick” eaters declined significantly overs registration years. “Selective eaters” almost doubled over years while the probability of belonging to the “healthy” class showed a weak increase over years.

Conclusions
During the years following enrollment students tended to limit choices towards unhealthy foods in favors of healthier dishes.

Key messages
Intervention for the promotion of healthy eating among young adults is essential as awareness of choices may raised only in adulthood. The present work outline the use of digital traces for public health research.
Macro- and micro-nutrient intake among Hungarian general and Roma adults
Authors: Llanaj E , Vincze F , Kósa Z , Ádány R 
Published: November 2019

Abstract

Background
Few studies have been conducted with reference to dietary intake among adults in Hungary and none among Roma. In this study, we assess dietary intake of both Hungarian general (HG) and Hungarian Roma (HR) adult population and provide an up-to-date preview on highly health-relevant macro- and micro-nutrient intakes and dietary profile of the HG and HR adult population.

Methods
The study population comprised 797 Hungarian adults (HG: N = 410, response rate=82% and HR: N = 387, response rate=79%), representative in terms of geographic, sex and age distribution with the general population aged 20-64 years, from the 2018 GINOP Complex Health Survey. Energy and selected nutrient intakes were calculated with NutriComp v.3.0, based on a qualitatively validated double 24 hours dietary recall, adopted for the Hungarian population.

Results
Total daily energy and selected nutrients intake among HG and HR adult subjects are reported. In spite of the presence of diluted underestimation effects, intake of nutrients with high relevance to health (i.e. sugars, sodium, saturated fats, cholesterol, etc.) remains relatively high, while consumption of fibre-rich products and beneficial nutrients appear to be low, particularly among Roma. Considering both health and environmental impact of the diet, animal-based proteins are way over the target value (i.e. 6%E) of the recent EAT-Lancet report.

Conclusions
Findings provide data on dietary patterns of HG and HR with nutrient-level estimations, highlighting the importance of establishing and integrating Roma nutrition in national surveillance and monitoring systems for key dietary risk factors. Public health strategies to modify current dietary patterns in Hungary are a great opportunity for improving nutrition, health and environmental impact of dietary choices, especially within the current framework of the UN Decade of Action on Nutrition (2016-2025).

Key messages
Our study highlights the importance of establishing and integrating Roma nutrition in national surveillance and monitoring systems for key dietary risk factors. Current findings warrant further investigations of the nutritional and dietary patterns among Hungarian General and Roma adult population and their impact on health and environment.
Taste and food preferences of the Hungarian Roma population
Authors: Diószegi J , Pikó P , Kósa Z , Sándor J , Ádány R 
Published: November 2019

Abstract

Background
Behind the unfavorable health status of the Roma population, harmful health behavior is also supposed to exist, such as unhealthy nutrition.

Methods
In the framework of a complex comparative health survey individuals, representative of the Hungarian general (n = 410) and Roma populations (n = 387) were randomly enrolled. In the questionnaire-based part of the survey, sweet, fat, salty and bitter taste preferences were ascertained by question items measuring taste and food preferences. Preference for sweet versus salty foods was also analyzed. Questions from the Hungarian version of the European Health Interview Survey were included, to characterize fruit and vegetable consumption and to determine the quantity of added sugar to consumed foods and beverages and the frequency of salting without tasting the food. The data were analyzed using STATA 9.0 statistical software.

Results
Roma reported significantly less frequent consumption of fresh fruits (OR = 1.84, 95% CI: 1.43-2.37, p &lt; 0.001) and vegetables (OR = 1.64, 95% CI: 1.27-2.11, p &lt; 0.001) than the Hungarian subjects. Roma had higher preferences for sweet (OR = 1.57, 95% CI: 1.21-2.04, p &lt; 0.001) and salty foods (OR = 1.33, 95% CI: 1.03-1.71, p = 0.029) and added higher quantities of sugar to consumed foods and beverages (OR = 1.88, 95% CI: 1.38-2.57, p &lt; 0.001) and salted the food without tasting more often (OR = 2.18, 95% CI: 1.64-2.88, p &lt; 0.001). They could be characterized by lower preferences for bitter tasting kohlrabi (OR = 0.64, 95% CI: 0.49-0.82, p = 0.001), grapefruit (OR = 0.47, 95% CI: 0.36-0.60, p &lt; 0.001), black coffee (OR = 0.48, 95% CI: 0.36-0.64, p &lt; 0.001) and bitter chocolate (OR = 0.56, 95% CI: 0.44-0.72, p &lt; 0.001) and preferred sweet snacks versus salty ones (OR = 0.56 for salty snacks, 95% CI: 0.42-0.74, p &lt; 0.001).

Conclusions
The Hungarian Roma diet may be linked to taste preferences predisposing to unhealthy nutrition. This assumption needs further studies on their nutritional behavior.

Key messages
Hungarian Roma taste preferences may predispose to unhealthy nutrition. Understanding the determinants of food choices is essential to the development of public health strategies targeting the Roma.
Do perspectives on healthy environment differ between health/social professionals and urban planners?
Authors: Mourits K , Van der Velden K , Molleman G 
Published: November 2019

Abstract

Background
In a multidisciplinary collaboration it is essential that professionals understand from each other what is meant by a healthy environment and of what aspects it consists. However, the field of health and social welfare and the field of urban planning differ in many aspects, including language. Therefore, this study examined: what is the perception of professionals in the field of health and social welfare and in the field of urban planning about a healthy living environment? And do these perceptions differ?

Methods
Using the concept mapping method, 94 professionals (government and non government) in the city of Nijmegen(NL) were asked to generate statements on healthy living environment. Next, the professionals sorted these statements and rated them on priority and opportunity within urban planning processes.

Results
In the brainstorm 45 professionals generated 136 statements. After clearing doubles, 92 statements were sorted by 32 professionals. Which, after analysis, resulted in a map of ten different clusters together indicating what professionals perceive as aspects of a healthy living environment.
There was agreement on priority and opportunity between both groups of professionals regards clusters urban quality and invited to move. The two groups professionals have different views about five clusters. Professionals of both fields agree on the three clusters with the least priority and possibilities. Interesting is the relatively limited possibilities that professionals see to stimulate healthy behavior and to improve social connectivity in urban planning.

Conclusions
There is a consistency between professionals in the field of health and social welfare and in the field of urban planning about the most and least important aspects of healthy environment in urban planning process. It is interesting to see that, although there is a lot of agreement, there are also relevant nuances between both groups on priority and possibilities at 5 out of 10 clusters.

Key messages
There is a consistency about the most and least important aspects of healthy environment in urban planning process. It depends on the aspect of a healthy living environment if understanding and collaboration between professionals easy is.
The relation between hearing loss and sustainable employability of teachers
Authors: Schriemer A G , Roelen C A M , Abma F I , van der Klink J J L , Bültmann U 
Published: November 2019

Abstract

Background
Teachers need to hear well. Hearing loss (HL) hinders their daily work. HL is associated with burn-out, depression, sick leave and disability. New retirement policies in The Netherlands encourage people to work longer. Consequently, age-related HL will be an increasing occupational health problem, especially in communicative work such as teaching. Aim of the present study was to examine the relationship between HL and sustainable employability of teachers.

Methods
We invited teachers to participate in an internet survey. Sustainable employability was measured with the reliable and valid Capability Set for Work Questionnaire. Secondary outcome measures were work ability, self-rated health and sick leave. To determine HL among teachers, we used an online speech-in-noise screening test, supplemented with 4 questions about hearing. Ordinal logistic regression analyses were conducted to examine the associations of HL with sustainable employability, work ability, self-rated health and sick leave, adjusted for age, gender, level of education, current hours at work, work content (teaching or a mix of teaching and other tasks) and working as gymnastics teacher. Odds ratios (ORs) and 95% confidence intervals (CI) were estimated.

Results
Of the participating N = 801 teachers, N = 521 had normal hearing and N = 280 had hearing loss. HL was associated with a lower capability set (OR 0.56, CI 0.42-0.73), lower work ability (OR 0.34, CI 0.26-0.46), poorer self-rated health (OR 0.41, CI 0.30-0.55) and a non-significant trend towards more sick leave (OR 1.34, CI 0.98-1.85) as compared to normal hearing.

Conclusions
Hearing loss in teachers was negatively associated with sustainable employability. This underlines the importance of assessing the hearing status of teachers, because of age-related HL especially in those aged 50+. Teachers with HL should be advised on supportive measures, e.g. hearing aids, improved acoustics in the workplace and tasks with less oral communication.

Key messages
Measuring the hearing status, e.g. in periodical health examinations, is highly advisable for sustained employability of teachers. Teachers with hearing loss should be counselled on possible interventions to support them in their work.
Work participation trajectories in 1098748 Finns: determinants and the incidence of sickness absence
Authors: Lallukka T , Kronholm E , Pekkala J , Jäppinen S , Blomgren J , Pietiläinen O , Lahelma E , Rahkonen O 
Published: November 2019

Abstract

Background
Early exit from paid employment is a notable public health and societal challenge. Previous research has largely focused on the relationships among variables instead of the relationships among individuals with different work participation history. Person-oriented methods enable to identify latent groups of individuals who are likely to follow similar development in their work participation over time. We thus aimed to identify work participation trajectories during early and midlife careers and their social determinants. A further aim was to determine the cumulative incidence of sickness absence due to key diagnostic groups, mental disorders and musculoskeletal diseases within the trajectories.

Methods
Young (25-38 years at baseline, n = 495663) and midlife (39-52 years at baseline, n = 603085) Finnish people, working in 2004, were followed up through 2013, with registers of the Social Insurance Institution, and the Statistics Finland. The registers provided data for the outcome (work participation) and its determinants and sickness absence. Latent class growth analysis was used to identify trajectories.

Results
Three distinctive trajectories were identified: temporary exit, permanent exit, and continuously employed people. As compared to the other trajectories, those belonging to the permanent exit trajectory were more likely men, manual workers and had a lower income. The cumulative incidence of sickness absence due to mental disorders was highest in the permanent exit trajectory group. For musculoskeletal diseases, the cumulative incidence of sickness absence increased in the permanent exit trajectory mainly in the older age groups.

Conclusions
Distinct group-based trajectories of early work exit can be identified in a representative cohort of initially employed people. Focusing on the determinants of premature exit and early intervention to tackle increasing sickness absence may promote work participation particularly in the most vulnerable groups.

Key messages
Distinct trajectories of premature exit from paid employment can be identified in a nationally representative cohort of initially employed people from Finland. Focusing on the determinants and reasons of premature long-term labor market exit may help promote work participation particularly in the most vulnerable groups.
Health care in Amazon communities for education and awareness about health in low resource settings
Authors: Olavarria G C , Ricioli I S , Greco H F , Mont’Alvão V G B , Pizzato R S , Czszacki A S , França J N M , Succi G M , Succi F M P , Freitas A R R 
Published: November 2019

Abstract

Background
Brazil has an extensive area and social differences. Indigenous peoples and other minorities still have great difficulty in accessing health. Although increase in the number of medical graduates, there has been a low number of professionals joining the jobs offered in the remote areas.
Objectives: The objective of this project is to sensitize health students to the importance of meeting the health demands of the populations in remote areas and low resource settings through practical experience in the care of the indigenous communities of the Amazon region supervised by teachers.

Results
The Mandic Health Boat team consists of about 40 to 50 members: 8-10 physicians (epidemiologist, pediatrician, general practitioner, gynecology, dermatology and ophthalmology), nurses, dental surgeons, 16 medical graduates , 6 dentistry graduates, 1 dental technician and 1 optician. The trips are 10 days long and are organized in integration with the local population and the health district so that the tasks are integrated into the routines of health actions. To date, the project has already carried out two expeditions and another is scheduled in June 2019. In the last one, 1619 medical consultations were performed and 639 dental consultations were donated 574 glasses and performed 97 surgeries for pterygium excision.

Conclusions
Through this program it was possible to put the academics in contact with the reality of the indigenous communities and to raise awareness of the difficulties of these original peoples. It was also possible to provide health education and medical and dental care, with spotlight to dental prostheses and glasses, that are particularly difficult to access because they require materials and equipment that are unavailable in the forest. This experience provides health to the original populations and favors the students’ awareness to social problems, as well as being an innovative scenario for the learning process in the health area.

Key messages
This experience provides health to the original populations and favors the students’ awareness to social problems, as well as being an innovative scenario for the learning process in the health area. The planning of the expeditions with the community leaderships and the local health authorities allow the integration of the actions realized through annual trips to the routines of the health care.
Social networks as a public health tool - “Non-smoking bars and restaurants”
Authors: Grujičić A , Mladenović Janković S , Matijević D , Tamburkovski G , Marković M 
Published: November 2019

Abstract

Issue/problem
In Serbia, 34,7% of adults are smokers. Although Framework Convention of Tobacco Control was signed in 2005, there are measures still not applied. Implementation of the existing laws on tobacco control is inconsistent. Inadequate regulation is particularly related to catering objects - restaurants and cafes, which contributes to a general tolerance towards smoking. Although 84% of the population is aware of the harmful effects of second-hand smoking, complete smoking ban in restaurants and cafes is supported by only 19% and 14%, respectively.

Description of the practice
The initial idea was to identify smoke-free catering objects, as well as those that properly obey current laws. This led to creation of a Facebook page with a map of such objects in Belgrade. Another goal was to raise awareness about the effects of second-hand smoking and encourage people to articulate their needs, but also to emphasize the significance of this topic to the media and other relevant parties.

Effects
In two years, the page reached nearly 4000 organic followers. It is daily used for sharing news and study results and for discussing tobacco control related topics. Some posts reach up to twenty thousand Facebook users. The map includes over 100 strictly non-smoking catering locations. The page has been further publicized via popular internet portals, newspapers, TV channels, specialized magazines and foreign tourist guides.

Lessons
The page has revealed the suppressed need of the majority to express the intolerance to second-hand smoke. Even though most catering owners are hesitant to declare smoke-free areas, fearing a negative business impact, others see the page as a good promotion channel. The initiative has also been recognized by different parties with an idea of future joint action.

Key messages
Social networks are a powerful tool to broadcast public health initiatives and encourage people to take actions. Social media communities have potential to create a persistent influence on stakeholders to lobby for new regulations.