bluuebunny/crossref_metadata_2025_split huggingface dataset:
The French implementation study PARENTHESE to improve prenatal care of immigrant women
Authors: Azria E , Eboue F , Fallon M , Khomry O , Sauvegrain P , Vasseur P , Akrich M , Joinau F 
Published: October 2020

Abstract
Numerous studies have shown that non-Western immigrant women have higher maternal and perinatal mortality and morbidity than women and children from host countries. This increased risk is partly explained by less access to quality antenatal care and more sub-optimal care.
The organisation and provision of prenatal care in France remain unchanged on a model that is not very sensitive and adaptable to the specific needs of certain groups such as non-Western migrant women.
Group prenatal care, an alternative and innovative model, can theoretically be rigorously implemented within the framework of the recommendations for prenatal care set by the French Haute Autorité de Santé and thus meet the objectives assigned to it.
This alternative method of monitoring, implemented in different US settings, seems to increase access and adherence to prenatal monitoring, as well as women's involvement in its monitoring. Some studies also suggest that this type of prenatal monitoring could also reduce maternal and perinatal risk.
Such intervention has never been tested in France and moving away from a prenatal monitoring model based on individual monitoring towards a group model requires overcoming significant cultural barriers. Before being able to test the impact of a complex intervention such as group prenatal care for migrant women and wider deployment, we set up a pilot study with the aim of precisely defining the intervention and preparing and documenting its implementation process in three different sites using qualitative and quantitative approaches. It is also to evaluate its acceptability for women who participate in these groups as well as for professionals.
In addition to presenting this pilot study at this workshop, the objective of this presentation is also to highlight the importance of contextual considerations in the design of the intervention or its implementation in the particular context of intervention aimed at improving migrant populations' health.
Motrial: An international database of public health trials
Authors: Ninot G 
Published: October 2020

Abstract

Background
Trials and intervention studies are the most reliable source of evidence on the effectiveness, safety, and cost-effectiveness of interventions aimed to prevent, care, or cure health conditions. The number of these pragmatic trials has increased exponentially since 2000 in the field of non-pharmacological interventions (NPIs) such as behavioural interventions. The methodology was improved, optimized, and standardized with the contribution of several international organisations such as CONSORT, SPIRIT, TIDieR, PRISMA, and IBTN. Meta-analyses and systematic reviews are more conclusive nowadays.
The main difficulty in carrying out systematic reviews in public health and behavioral interventions is the exhaustivity of queries. Publications are not always identified in classic biomedical databases (e.g. PubMed, Embase) or discipline databases (e.g. PsycINFO). Publishing platforms offer a new format to authors such as Open Access journals (e.g. PLOS One, Scientific Reports, Helyion, JAMA Network Open), Open Archives (e.g. ARXIV, HAL), or independent supports sourced from the academic and research community (e.g. The Conversation). Data collection for relevant study articles is more and more difficult, fastidious, and at risk of biases.

Results
The Plateforme CEPS, which has the general goal of encouraging intervention studies on NPIs, has created in 2018 a search engine that makes it easier to find relevant trials. Motrial distinguishes the main publication from secondary publications and duplicates. It indicates whether the trial has been declared to an ethics committee, registered to the competent authorities, and received funding. This academic search engine in English is free. Each request can be saved, modified, and completed.

Conclusions
The open science and collaborative meta-search engine Motrial helps researchers to find relevant articles of pragmatic studies assessing public health and behavioural interventions (www.motrial.fr).
22.E. Workshop: The planet, economic growth and ourselves: evidence from population health trends in rich countries
Authors:   Organised by: UCL (UK),   Chair persons: Eric Brunner - United Kingdom, Lucinda Hiam - UK
Published: October 2020

Abstract
Sustainable Development Goal 8 (SDG8) calls for sustainable economic growth, and this is essential for improving population health in developing countries. However, SDG8 also raises a vital and poorly addressed question for rich countries. Is it possible for population health to continue to improve rather than stagnate or even worsen over long periods of zero or low economic growth? The Preston curve, relating average income per person to life expectancy at one point in time, shows the association across countries is highly nonlinear, but does not assess the longitudinal relationship within countries.
In the past decade of low growth and austerity, long-term increasing life expectancy trends in UK and USA have stalled. The reasons for the interruption in health improvement are disputed, and include increased socioeconomic and geographic inequalities, such as early disadvantage, and deaths of despair. If the pattern of low growth and stagnant health trends was repeated across rich countries, there would be reason for concern that continuing population health improvement was incompatible with an environmentally sustainable economy.
The workshop will examine evidence from G7 countries on trends in health and health inequalities over the past 40 years. The headline health indicators are life expectancy, lifespan variation, all-cause and cause-specific mortality and self-rated health. The workshop will bring together recent findings from two distinct research networks, based in UK, Japan and Sweden. The research has been conducted independently, yet is highly complementary in respect of population health trends in the context of the SDG8 policy question: is it possible that rich countries could thrive, absent of economic growth?

Key messages
The relation between economic growth and population health is a vitally important consideration, as policy makers strive to meet climate change targets. Among G7 countries, recent trends in health and health inequalities are both adverse (USA, UK) and favourable (Japan) indicating that low growth can be compatible with improving population health.
Conceptualizing resilience in health systems: results from 30 countries
Authors: Karanikolos M , Maresso A 
Published: October 2020

Abstract
The analytical framework used in the 2019 EU Country Health Profiles defines resilience as “health systems' capacity to absorb disturbance created by changing environments, sudden shocks or crises, and to adapt and respond effectively with the provision of needed services”. These challenges can be driven by changes or shocks in supply (economic shocks, growing shortages in available resources, technological innovations) or demand (demographic changes, public health threats like the Covid-19 pandemic). The Profiles analyse relevant policy measures to assess whether countries are well prepared to face health system shocks and strains.

Methods
The framework distinguishes three dimensions of resilience: Ensuring long-term stability of resources: the capacity to protect or generate adequate financial, physical and human resources, as well as information necessary to address a variety of major challenges.Responding efficiently: the ability to manage the health system with limited resources, through achieving efficiencies, while not sacrificing key priorities, benefits, access or entitlements.Strengthening governance: the capacity to steer the system in order to adapt it quickly to new objectives and priorities and to respond to major challenges through key governance tools.
The profiles use a harmonised approach to analyse the degree of resilience in each country across these three dimensions through a range of quantitative and qualitative indicators.

Results
A matrix clusters the findings from the 30 Country Profiles in 2019 (pre Covid-19 outbreak) and identifies common resilience-related challenges and risks facing EU Member States. The matrix also captures examples of countries that are successfully deploying resilience-building policy strategies.

Conclusions
The evidence shows that resilience is a necessary condition for health systems to mitigate the impact of adversities, as well as respond effectively to both foreseen and unforeseen challenges.

Panelists
Josep Figueras, Moderator, European Observatory on Health Systems and Policies Federico Pratellesi, DG SANTE, European Commission Guillaume Dedet, Health Division, OECD, Paris, France Anna Maresso, European Observatory on Health Systems and Policies, University of Technology Berlin, Germany
Evaluation of a pilot project to increase influenza vaccine coverage in patient with chronic diseases
Authors: Pinsonneault L , Demers K , Dagenais P , Baron G 
Published: October 2020

Abstract

Background
Chronic diseases are a major risk factor for influenza morbidity and mortality. However, influenza vaccine coverage in people with chronic diseases remains low, around 43%, in Quebec, Canada. Various strategies are being tested to improve the vaccination rates for this population.
A pilot project was implemented in a rheumatology outpatient clinic during the 2018-19 season to improve vaccination access in this often-immunosuppressed group of patients. All patients having an appointment at the clinic during the vaccination period were systematically invited to see the nurse and offered vaccination if they met the program criteria, namely if they were taking immunosuppressive drugs.

Methods
Implementation and results of the project were evaluated using mixed methods. Data on vaccination were collected from the nurses' forms and from a patient self-administered questionnaire. Data on implementation was collected through the patient questionnaire and semi-directed interviews with the clinic physicians, the clinic nurse and managers.

Results
A total of 1135 patients were evaluated by the nurses during the project and 427 completed the patient questionnaire. Total vaccination rate amongst patients seen by the nurses was 63%. Based on patient questionnaires results, vaccination was increased by 46%, as compared to the previous year (52% in 2017-18 vs 76% in 2018-19). The project was well received. Key elements of its success were integration in regular clinic activities, support for the initiative by patients and professionals and some logistic aspects such as preloaded syringes. Barriers were mostly related to excess workload and vaccine management.

Conclusions
Overall, the project improved vaccination coverage and was considered a success. Lessons learned were used to adjust and spread this initiative to more outpatient clinics using personnel dedicated for vaccination rather than using the clinic nurse. A phase II project was done and evaluated in 2019-2020.

Key messages
Increasing timely access to vaccination helps to increase influenza vaccine coverage. Managers should plan for the increased workload on clinical and clerical personnel when implementing systematic vaccination offer.
Effectiveness of influenza vaccine among health care personnel in Thailand, 2018/19 season
Authors: Eamchotchawalit T , Piyaraj P , Narongdej P , Charoensakulchai S , Chanthowong C 
Published: October 2020

Abstract

Background
Influenza vaccination is the most effective way of preventing influenza infections and it is recommended for the entire health care personnel in Thailand. However, the evidence of influenza vaccine effectiveness (VE) among health care personnel is lacking in Thailand. The objective of this study was to estimate influenza vaccine effectiveness (VE) against laboratory confirmed medically attended influenza illness for the 2018/9 season among health care personnel who at risk for influenza infection in Bangkok, the capital of Thailand.

Methods
Throat swab specimens were collected from patients with influenza-like illness (ILI) presenting to outpatient clinics and tested for influenza virus by RT-PCR, between October 2018 and September 2019. A test-negative case-control design was used to estimate influenza VE against medically-attended laboratory-confirmed influenza in outpatient settings. Cases were influenza-like illness (ILI) patients who tested positive for influenza, and controls were influenza negative patients.

Results
During the 2018/19 season 373 samples were collected; 57 (15.3%) were positive for influenza, 70.2% A un-subtyped and 29.8% B. Adjusted VE against all influenza viruses for this influenza season was -31.7% (95% confidence interval (CI): -40.2 to 66.4), against influenza A un-subtyped, it was 43.9% (95% CI: -30.6 to 75.9) and against influenza B, it was 52.0% (95% CI: (-73.9 to 86.8).

Conclusions
The seasonal influenza vaccine was moderately effective against medically attended lab-confirmed influenza infection in health care personnel in Bangkok, Thailand in the 2018-19 influenza season.

Key messages
The seasonal influenza vaccine was moderately effective against medically attended lab-confirmed influenza infection in health care personnel in Bangkok. Increasing seasonal influenza vaccination among health care personnel in Thailand may decrease medically attended influenza-associated ILI cases in this population.
Epidemiology of influenza: findings from surveillance system of 40 hospital in Thailand, 2010-2019
Authors: Eamchotchawalit T , Piyaraj P , Narongdej P , Charoensakulchai S , Chanthowong C 
Published: October 2020

Abstract

Background
Although recent efforts from some Asian countries to describe burden of influenza disease and seasonality, these data are missing for the vast majority, including the private section of Thailand. A near real-time laboratory-based influenza surveillance system, in a network of 40 hospitals was implemented aiming to determine influenza strains circulating in the private hospitals of Thailand and know characteristics, trend and burden of influenza viruses.

Methods
We obtained the data by monitoring patients with influenza-like illness (ILI) at a network of 40 private hospitals across Thailand. Throat-swab specimens in viral transport media were collected and transported within 24 h of collection using a cold-chain system. The respiratory samples were tested by rapid influenza diagnostic tests and real-time reverse transcription polymerase chain reaction.

Results
From January 2010 to November 2019, a total of 1,300,594 subjects were tested and 320,499 cases of influenza were identified. Of those positive cases, 116,317(36.3%) were influenza type B, 185,512(57.9%) were influenza A unspecified subtype, 8,833(2.7%) were influenza A(H1N1)pdm2009 and 6,371(1.9%) were seasonal influenza A(H3N2). Positive rate were 50.5 and 49.5 in female and male. Positivity rate was 41.4% in persons 15-49 years followed by 29.1% in 15-14 years, 17.6% in under five children and 11.7% in &gt; 49 years. In 2018-2019 season, the highest positivity rate observed in February and March (39.3%) followed by April (34.2%) and January (32.3%) while the lowest positivity rate was in May (18.1%).

Conclusions
In Thailand, seasonal Influenza A(H3N2), Influenza A(H1N1)pdm2009 and Influenza B viruses were circulating during 2010-2019. In last season, positivity rate and number of cases peaked in February and March.

Key messages
Influenza is one of public health problems in Thailand. The need to introduce influenza vaccine and antivirus is important to prevent and treat the disease in future.
2.H. Workshop: Vaccination challenges in developed & developing countries: where does the responsibility lie?
Authors:   Organised by: World Federation of Public Health Associations,   Chair persons: Walter Ricciardi - WFPHA, Michael Moore - Australia
Published: October 2020

Abstract
The world is facing multiple health challenges, among those the outbreaks of vaccine-preventable diseases and the rise of anti-vaccination groups. Vaccination is one of the most cost-effective ways of avoiding disease; it currently prevents 2-3 million deaths a year and a further 1.5 million could be avoided if global coverage is improved. Moreover, global immunization will contribute towards achieving broader global health goals under the UHC and SDG initiatives.
Barriers to immunization may vary according to the country and specific context ranging from hesitancy, inappropriate communication, lack of resources, access, individual belief, management of adverse events following immunization etc.
Vaccine hesitancy threatens to reverse progress made in tackling vaccine-preventable diseases and is listed by WHO in the 10 threats to global health in 2019. Access to vaccinations is sometimes difficult especially in rural areas affecting most vulnerable populations. Immunization history is not always well managed thus affecting the proper vaccination for all ages. Immunization is one of the best uses of limited public funds for health; however, financing for immunizations are often not covering in a sustainable matter the needs.
The World Federation of Public Health Associations has developed a high-level “International Immunization Policy Taskforce” on vaccination policies to engage with public health associations, international organizations and like-minded partners to sustain the development, adoption and implementations of key vaccination policies at country level. The taskforce has developed a position paper that will be launched during the workshop to debate about role and responsibilities as well effective approaches to be applied both in developed and developing. The position paper has its roots in vaccination as human right and as a key component of UHC and SGD initiatives.
Global immunization is crucial for every individual and the broader community to prevent diseases, promote health and wellbeing and protect the global population as highlighted in WFPHA Global Charter for the Public's Health. Key experts from different parts of the world will discuss strategies and synergies to create a global coordinated advocacy movement to foster engagement for equitable and effective global immunisation by governments and society at large.

Key messages
Vaccination challenges may vary from developed & developing countries. Responsibility for immunization uptake lies at different levels. Analyses, advocacy, action are key to prevent & face epidemics. Vaccination is not a personal choice rather a political choice. A strong advocacy movement by PHW is key to guarantee the best equitable and sustainable immunization worldwide.
Back pain trajectories from midlife to retirement as a predictor of old age mobility and disability
Authors: Kyrönlahti S , Nygård C H , Neupane S 
Published: October 2020

Abstract

Background
Low back pain (LBP) is a leading cause for mobility limitations and disability at older age. However, little is known about the developmental pathways of LBP and its associations with old age mobility and disability. We studied trajectories of LBP from midlife to retirement (16-years follow-up) and assessed the association after 12 years with mobility limitations and disability in activities of daily living (ADL) at old age.

Methods
Finnish municipal employees were studied at baseline in 1981 and followed for 28 years. A total of 6257 persons aged 44-58 years, answered a questionnaire on health, work ability, and working conditions. Follow-up data on frequency of LBP (never, occasionally, consistently) was collected similarly at four waves. The study population consisted of persons who answered questions about LBP at baseline and at least in one of the follow-up waves and had information about ADL disability (n = 2787) and mobility limitations (n = 2723) at the 28-year follow-up. Latent class growth curve analysis was used to study LBP trajectories. Odds ratios (OR) with their 95% confidence intervals (CIs) for associations of LBP trajectory with ADL disability and mobility limitations were estimated using multivariable logistic regression.

Results
We identified two trajectories of LBP: high (77%) and low (23%). People in the high trajectory group had 2.35 times higher odds (95% CI 1.88- 2.97) of ADL disability and 1.86 times higher odds (95% CI 1.56-2.22) of mobility limitations as compared to the low trajectory group. Effects were attenuated by adjustment for lifestyle factors and chronic conditions but remained statistically significant for both outcomes [OR 1.74 (95% CI 1.37-2.24) and 1.44 (1.18-1.77), respectively].

Conclusions
High LBP experienced during midlife may have far reached consequences on well-being at old age. Prevention of LBP during mid-life could reduce mobility limitations and disability at old age and promote a healthy ageing.

Key messages
Our results show that low back pain experienced during midlife is associated with mobility limitations and disability in activities of daily living at old age. Our results suggest that emphasis should be put on promotion of musculoskeletal health in midlife as this may help to reduce disability and mobility limitations at old age.
The Women's Hospital: the birth of the first gender hospital in Italy
Authors: Cavazzana L , Errico M , Gimigliano A , Anniverno R , Bernardo L , Brucato A , Di Chio S , Liprandi V , Vignali M , De Filippis G 
Published: October 2020

Abstract

Issue
Many diseases show differences in incidence, symptoms, and severity between men and women, combined with a different response to therapies. There are some international experiences of health policies about Gender Medicine, but the practical realizations are few and, for the female sex, usually focused only on fertile age.

Description of the problem
A Milan hospital (ASST Fatebenefratelli Sacco) decided to dedicate one of its sites, with gynecological and pediatric vocation but also with an Internal Medicine Unit in within, entirely to women's health. The focus of this site is a holistic approach to women's health needs, both physiologic and pathologic. Realized without additional institutional funds, this project was designed between June and October 2019, started in December 2019 and is still ongoing.

Results
One of the first actions taken was to admit only women in the Internal Medicine Unit. The Unit is now entirely focused on dealing with most frequent female pathologies, in particular on autoimmune, vascular, endocrinology and nephrology conditions. The Mental Health Unit, already specialized in supporting pregnancy and new mothers, is going to activate a “Mother-Baby Unit” to support potential hospitalization issues. Among its major aims, the Occupational Medicine Unit supports female workers in managing maternity leave. New outpatient clinical paths have been planned to strengthen key moments of women's life: developmental age, fertile age, menopause, and senescence. Based on multi-professional teams, these programs are targeted toward age-specific needs and combine knowledge of disease epidemiology with sociological needs. To better face emerging issues, a path is activated for each area every month.

Conclusions
The birth of the first Italian hospital entirely dedicated to Gender Medicine allows care of women's health on a holistic perspective. This is, indeed, a key step in the general appraisal of Gender Medicine at the national and international levels.

Key messages
A gender hospital with a holistic approach to women’s health needs, both physiologic and pathologic, was borne in Milan. Integrated clinical paths have been activated to assist women in the key moments of their life (developmental age, fertile age, menopause, and senescence).