bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of needs and barriers to healthcare care in Arab Palestinian mothers in East Jerusalem
Authors: Karjawlly M , Agbaria N , Nubani Husseini M , Zwas D 
Published: October 2020

Abstract

Background
Arab Women in East Jerusalem often have limited education and low socioeconomic status (SES) and are therefore at risk of low health literacy. Most health literature is poorly translated into Arabic from other languages, leading to unintentional misrepresentation and content gaps. These materials are often culturally inappropriate and full of medical jargon that is incomprehensible to the layperson. Although studies have explored the needs of Arab communities in Israel, none have focused specifically on Arab women in East Jerusalem. The aim of this study is to assess the needs and barriers to health care as related to health literacy in Arab Palestinian women in East Jerusalem.

Methods
A purposive process was used to recruit mothers aged 25-50 whose children attended East Jerusalem schools. We conducted 4 focus groups (FG) in three different East Jerusalem regions. These groups were audio-recorded, transcribed, and analyzed using systematic text condensation.

Results
The Arab Palestinian women in our FGs reported difficulty communicating with doctors and understanding their instructions. Language barriers played a role, as reports were written in Hebrew or English. The women also reported an inability to interpret their blood test results and access medical information, as well as a lack of knowledge for their screening needs. They reported not knowing how to get their medical complaints addressed or what their medical rights were. They also complained of inconsistent medical staffing, which made establishing a relationship with their doctor difficult.

Conclusions
FGs provided a deeper understanding of this community's health literacy needs, including communication power dynamics and the need for culturally appropriate and effective community-based interventions. FGs also identified potential intervention methods tailored to the community and understand their barriers to HL. This study informed a pioneering community-based HL intervention for Arab women.

Key messages
To our knowledge, this is the first study assessing the specific needs and barriers to health care health literacy among Palestinian Arab mothers in East Jerusalem. This study will inform us of community-based culturally appropriate interventions for this community.
Health Communication for medical students: Progress and Challenges in Public Health
Authors: Faria de Moura Villela E 
Published: October 2020

Abstract

Introduction
Health communication has gained space in medical debates, especially in the public health, since the quality of the communication process, until the context of the patient-physician relationship. The recently inaugurated Medicine courses in Brazil recognize the importance of this interface in the training of medical professionals since the first semester.

Methods
A questionnaire prepared by professors was applied to medical students from a Brazilian Midwest public university to evaluate their prior knowledge acquired of health communication. Fourteen questions previously prepared were subdivided into three categories. The category chosen for the presentation of these data were: The importance of the study of health communication for Medicine and Public Health.

Results
Sixty students were interviewed, and 78% of participants assessed the health communication as very important for the medical sciences. 47% say that within the university, this communication is good; 30% consider regular and only 18% feel great. 96% of the students believe that education is the most important factor in determining the quality of health communication process, even when compared with age variables and internet access. The importance of the study of communication to the doctor-patient relationship was considered beneficial, and 74% classified it as essential.

Conclusions
Thus, we noted that most respondents recognize the importance of health communication in their own training and doctor's relationship with the community. However, it is detected the existence of communication failures in the Brazilian health services, which shows the need for medical training to develop innovative and effective communication strategies in public health. The importance of the study of communication to the patient-physician relationship was considered beneficial, and classified as essential, for medical formation, which reflects in the Brazilian health care system.

Key messages
Communication failures in the Brazilian health services need attention: it's necessary to develop effective communication strategies in public health. The importance of health communication is recognized in students training and doctor's relationship with the community.
New organizational model to foster good practice. Central venous access management in cancer patients
Authors: Mastrandrea G , Cangialosi F , Notarangelo P , Chetta G , Graps E A 
Published: October 2020

Abstract

Issue
Central Venous Access positioning is a common practice in cancer patients, however improper devices' management lead to complications and multiple accesses to hospital services, increasing costs. Assessment and certification of Central Venous Access insertion site at hospital so as proper dressing at home, are required; patient empowerment in management of complex technologies is desirable to improve outcomes.

Problem Description
To tackle the abovementioned issues, PICC project was drawn up in joint action between the Strategic Health and Social care Agency and the Research Institute on Cancer in Puglia. The aim is to pilot an organisational model for central venous access positioning and remote monitoring barely technology driven and based on safe storage of outcomes pictures, patient/care-givers empowerment, integrated care approach. A sistematic review of good practices for Central Venous Access management was conducted in june 2019; besides an analysis of medical devices public procurement procedures was performed at national scale; a survey was edited to probe the existence of diverse organisational models to insert and manage Central Venous Access.

Results
Very preliminary data are avalaible. Procurement analysis showed: around 15 companies of Central Venous Access and related medical devices' producers; a spread of Central Venous Access location medical devices/supply of services based on few firms (including consumables). The analysis helps to identify the “least common multiple” in technologic equipment to support Central Venous Access management to develop a standard and applicable model, not driven by a conditioning “starting choice” (catheter selection, tip location, dressings).

Lessons
A standard Central Venous Access management certification procedure can be realized regardless of potential technology driven approach. A Central Venous Access remote monitoring model based on images and empowered patients can allow daily review fostering integrated care.

Key messages
Patients’ proper training, even in complex technologies usage, can increase self awareness and empowerment and promote compliance to innovative organizational models. Collaboration among patients – caregivers and professionals, set up of a dynamic pictures store to record Central Venous Access management procedures can improve oucomes avoiding added costs.
The effect of organizational arrangements on people with type 2 diabetes and foot ulcers in Scotland
Authors: Meza-Torres B , Cunningham S , Leese G , de Lusignan S , Carinci F 
Published: October 2020

Abstract

Background
A recent meta-analysis showed that specific organizational arrangements may decrease the risk of lower extremity amputations among subjects with type 2 diabetes (T2D) affected by foot ulcers (DFU). We aim to translate these results into algorithms to extract cohorts from routine data from the Scottish Diabetes Register (SCI-Diabetes). We used models to estimate the actual effectiveness of different practices and discuss transferability of the approach to other contexts e.g. the English database of general practitioners.

Methods
A multidisciplinary team mapped the Scottish database to the outputs of meta-analysis, adopting the standard set for diabetes of the International Consortium for Health Outcomes Measurement. Algorithms extracted a standardized retrospective cohort for 2016-2019. Records up to 5 years before first entry into the cohort were used for case-mix. Proportional hazards were used for multivariate modelling. Results were expressed in terms of hazard ratios with 95% confidence intervals.

Results
In 2016-2019, a total of 275,386 adults with T2D were registered in SCI-diabetes. Among them, 1,843 (0.66%) had an amputation, of which 777(42%) had a previous DFU diagnosis. We applied the criteria derived from meta-analysis and the definitions of the diabetes standard set to calculate columns included in the case-mix for predictive modelling. The refinement of multivariate models is still in progress and all adjusted hazard ratios will be included in the revised version of this abstract to be presented at the Conference.

Conclusions
Epidemiological evidence on diabetes care can be directly translated into algorithms for extracting dynamic cohorts from high quality diabetes registers. Results can be generalised to different types of national databases, adjusting for the heterogeneous dataset structures.

Key messages
Sets of criteria and definitions adopted for the conduction of meta-analyses can be translated into algorithms to extract cohorts and test models of real-world evidence from routine national databases. The Scottish Diabetes Register was successfully used to confirm the effectiveness of organizational arrangements in diabetes in normal practice.
Design of a mechanism for access to various sources of data on health of workers
Authors: Kundurdzhiev T , Stoycheva M , Tzacheva N , Velikov S , Hristova L 
Published: October 2020

Abstract
The study is based on the National Science Program 'eHealth in Bulgaria (e-Health)', funded by the Ministry of Education and Science. Partnership Contract No. D-01-200/16.11.2018

Issue
Comprehensive occupational health records can be put into practice by linking multiple clinical applications, all of which need to be tailored to the requirements of specific conditions and specifications.

Description of the Problem
Sharing health records between distributed entities and meaningful analysis of these records requires the use of a systematic approach regarding clinical (semantic) data structures. These data should be based on a single Reference Model so that the equivalent clinical information is correctly and uniquely presented.

Results
Two reference models (Archetypes) related to occupational health record have been created, respectively one for the health of the working people and one for the working environment and working conditions. The models are based on openEHR. The freely available Archetype editor software was used to create the archetype. The model and hierarchical structure of the occupational health record are constructed using the XML standard.

Lessons
Archetypes are effective pre-coordinated combinations of hierarchies that are coordinated across the subject area to ensure semantic interoperability, consistency and data quality. The use of standardized archetypes provides an interoperable way of presenting and sharing data between different types of information systems and the specifications used.

Key messages
The use of standardized archetypes provides an interoperable way of presenting and sharing data. Shared data is between different types of information systems and specifications used.
Threats to public interest journalism: A call to action to public health
Authors: Williams M , Sweet M , Finlay S , Mohamed J , Armstrong R , McInerney M 
Published: October 2020

Abstract
Public interest journalism is an important determinant of health, due to its roles in accountability and holding power to account, empowering communities, and contributing to health literacy. The capacity of public interest journalism to contribute to planetary health and health equity, as well as healthier people, societies, and systems of governance is under attack. Reasons include the collapse of the underpinning business model, the market power of digital platforms, neoliberalism, the rise of authoritarianism, and attacks on press freedom and safety. This paper presents an ecological analysis of the upstream determinants of a healthy and sustainable public interest journalism sector, which is informed by Aboriginal ways of knowing, being and doing, and a decolonising methodology. It also presents a case study of innovation in health-related public interest journalism in Australia, and includes clear calls to action for public health practitioners, researchers and advocates, as well as wider policy making.

Key messages
Public interest journalism is an important determinant of health. Threats to public interest journalism are a threat to public health. Collaborations strengthen public interest journalism: this presentation provides an example.
Integration of eMental health technologies into traditional community-based interventions
Authors: Turmaine K , Picot Ngo C , Le Jeannic A , Roelandt J L , Chevreul K , Dumas A 
Published: October 2020

Abstract

Background
Very little research has been conducted to appraise the merits of including municipalities and their local health providers in the promotion of digital health programmes. While more and more municipalities have locally implemented a health strategic plan and have focused on building local network of professionals, how do the latter react to the implementation of innovative e-mental health community-based programmes?

Methods
In 2018, 42 French municipalities volunteered to promote StopBlues, a digital health tool aimed at preventing mental distress and suicide. In each municipality, a local delegate was responsible for the promotion of the tool. Using observations, questionnaires and interviews with the delegates, we analysed how the promotion of StopBlues® was conducted in each setting. 2/3 of these municipalities started the promotion directly, and in 2019, a second wave of municipalities launched the promotion with a stronger support from the research team backed by the French World Health Organization Collaborating Centre for Research and Training in Mental Health (WHOCC).

Results
The use of digital technology in the implementation of a mental health programme received a mixed reception from the local health professionals because of its innovative aspect. 2/3 of the delegates declared that they were struggling to create a stronger network of local partners including private medical practioners. 63% of the respondents stated that their municipalities got involved in the programme for networking purposes.

Conclusions
Digital technologies have initiated a paradigm shift in the way community-based health programmes are set up but need to strengthen their territorial anchorage in order to be accepted and used at the local level.

Key messages
Digital technology can be a strong lever against health inequities but its effectiveness has to be studied carefully. Digital technolgy has to be implemented in local settings with the collaboration of local actors in order to be accepted and used.
Remote orthopaedic consultations for primary care patients by a large-scale telemedicine service
Authors: Silva L B , Gouvea K A A , Oliveira C R A , Percope M A , Ribeiro A L P , Oliveira J A Q , Marcolino M S 
Published: October 2020

Abstract

Backgrounds
Telemedicine was implemented in Brazil to support primary care practitioners. As orthopedic complaints are frequent in primary health care (PHC), this study aimed to analyze the profile of orthopedic teleconsultations requested by PHC health professionals.

Methods
This observational, transversal study analyzed consecutive orthopedic teleconsultations from March/17 to July/19. Teleconsultations were classified as: character (educational or assistance), focus of the doubt (diagnosis, treatment or rehabilitation) and the location of involvement (muscle, bone, joint). Sex of the patients, professional category of the professionals who requested and the ones who responded teleconsultations, and Human Development Indexes (HDI) of the cities were accessed.

Results
Throughout the study, 415 teleconsultations were accessed from 112 municipalities with an HDI average of 0.651. The professionals who requested most of the teleconsultations were nurses (47%) and physicians (35%) and the ones who answered were mostly internal medicine physicians (61%) and orthopedists (34%). Most doubts were related to assistance of a specific patient (66%). Of those, the majority were female (59%). In 68% of the teleconsultations, there was a request for assistance in patient treatment, 38% for diagnosis and 25% for rehabilitation. Doubts were more often related to bones (46%) and joints (24%). Of those who specified the complaint, 17% were about general pain,14% low back pain and 4% fracture. The main subspecialties were spine (23%), foot (19%) and knee (11%). In 9% of cases, there was an indication for referral for in-person orthopaedic consultation.

Conclusions
Teleconsultation helps to identify the most frequent doubts in PHC. Most of those were solved in PHC with no need for referral, what evidenced the great potential of using teleconsultations in clinical practice, as a useful tool to qualify the referral to the specialist.

Key messages
Importance of telehealth tools for a public health system, especially for a country where the distance is a barrier to access healthcare services. Teleconsultation have been proven to be an effective strategy to qualify the referral to the specialist.
Knowledge of heat waves and practice of protective measures against it in a rural West African
Authors: Gobir A , Aliyu A , Abubakar A , Ibrahim J , Esekhaigbe C , Joshua A , Adagba K , Muhammed S 
Published: October 2020

Abstract

Background
Heat wave has a direct linkage to global climate change and is associated with increased morbidity and mortality. Between March and May 2019, Nigeria experienced severe heat waves. Understanding heat waves provides an opportunity for individuals to proactively take measures to prevent its negative health impacts. However, illiteracy levels in rural Sub-Saharan Africa are higher than in urban areas.This study was therefore conducted to assess knowledge of heat waves and practice of protective measures against it in an affected rural community of Nigeria.

Methods
A cross-sectional, community based descriptive study conducted among household heads in Nasarawan Buhari, a rural agrarian community in Nigeria. An interviewer-administered questionnaire was used to collect data from 104 household heads, selected using systematic random sampling technique. Data was analyzed using SPSS (version 20).

Results
A majority of the respondents were males (79.8%) and most of them (89.4%) had poor knowledge of heat waves. Farming occupation was significantly associated with knowledge of heat waves (P = 0.025). Awareness of measures needed to protect against the negative health impacts of heat waves was also poor. Hence fluid intake and cold showers were the only protective measures used by majority of respondents to reduce effect of the extreme heat.

Conclusions
Both knowledge of heat waves and practice of protective measures against it were poor among respondents. A health education intervention on heat waves and how to prevent its negative health impacts was conducted in the community.

Key messages
Due to poor knowledge of heat waves and its negative health effects, practice of protective measures against it was poor among respondents. There is need for more public health response to address this rural public health challenge.
Examination of daily water consumption behaviors of individuals living in a semi-rural area
Authors: Ozyazgan A A , Deniz S , Pehlivan E 
Published: October 2020

Abstract

Background
The aim of this study is to investigate water consumption behaviors and related factors in the summer period of the population over the age of 15 who apply to family health centers in the semi-rural region.

Methods
The universe of this cross-sectional study consisted of adult patients who applied to community health centers of a region in Malatya. A questionnaire was applied to random 303 individuals about sociodemographic information and water and other fluid consumption and water use behavior.And also Chrobach alpha coefficient of 0.83, the validity adopted in Turkey Likert type consisting of 16 questions Water Consumption Behavior Scale-16 (WCBS) was used for data collection. Scale score height is considered good. In the analysis of the data; Mann Whitney-U and Kruskal-Wallis tests were used. P &lt; 0.05 was chosen as the level of error.

Results
49.8% of the participants were male and 64.4% were married. The median daily drinking water consumption of the individuals was 2000 ml (320 ml-1000 ml) and the median daily liquid consumption was 3300 ml (718ml-17001ml). There was no significant difference between age groups, marital status and education level and daily water and other fluid consumptions (p &gt; 0,05). 48.8% of individuals stated that they saved water and the most important reason for this was the high level of water consumption prices.In our study, there was no significant difference between gender, place of residence and number of households and total WCBS scale score.(p &gt; 0,05). But the married individuals' scale score were significantly higher than the single individuals (p &lt; 0,05)

Conclusions
Water and fluid consumption of individuals are at moderate levels in the region. Marital status was most important factor influencing the water consumption behaviors has been found in this study.When the most important factors in saving water are examined, the high price water bills were noteworthy.

Key messages
In order to ensure correct water consumption the society should be informed, the necessary sensitivity should be performed to behavioral change and measures should be taken. Adequate daily water consumption is required to protect the health of individuals.