bluuebunny/crossref_metadata_2025_split huggingface dataset:
Preliminary data on physical well-being of children and adolescents during the SARS-CoV-2 pandemic
Authors: Salussolia A , Montalti M , Marini S , Rallo F , Masini A , Paternò M , Agosta M , Guaraldi F , Dallolio L , Gori D 
Published: October 2021

Abstract

Background
The COVID-19 outbreak has forcibly overshadowed the physical well-being of children and adolescents, of which we will see the consequences in near future. The programs to contain the spread of Sars-CoV-2 resulted in prolonged lockdown periods, discontinuity of educational services and a possible decrease in physical activities (PA) among the youngest. In the local reality of the Metropolitan City of Bologna children and adolescents underwent a radical change in habits and lifestyle, overall predisposing sedentariness and unhealthy behaviors. Our project, “Come te la passi?”, aims to acknowledge lifestyle variations (concerning diet, PA, sleep behavior/quality) to design, in second-phase interventions, individualized school-based educational programs.

Methods
This ongoing study is being conducted using an on-line anonymous questionnaire targeting parents/guardian of children and adolescents aged 6-17 recruited from 26th to 28th of April in Bologna, a city in Northern Italy.

Results
Preliminary data suggested that among adolescents (n = 124) 91.2% used to do PA 2 or more times a week before lockdown, while during lockdown this percentage decreased, reaching 41.1%. In children (n = 38) we observed an even more pronounced difference, with PA decreasing from 89.5% to 26.3%. In children 29% of the participants also reported a weight gain, while 65.8% did not report any variation and only 5.2% reported a weight loss. For the majority of both children's and adolescents' parents (n = 162), the strategies to address the reduction in PA were predominantly having school time dedicated only to PA (53.1%) and being more educated about simple physical exercises (14.5%).

Conclusions
Our preliminary findings suggest that the current pandemic had a strong impact on the well-being of children and adolescents; “Come te la passi?” second-phase interventions could be crucial in addressing the youngest' needs, to educate and promote healthier lifestyles through school-based programs.

Key messages
Children’s and adolescents’ lifestyle behaviors were strongly affected by the current pandemic, with physical activity frequency more than halved. “Come te la passi?” objectives are to frame the major critical issues detected and to shape educational school programs based on identified needs.
Change in the perception of cancer risk factors in the general population during a 10-year follow-up of more than 10,000 people: results and perspectives for the European Code against Cancer (ECAC)
Authors: Foucaud J 
Published: October 2021

Abstract
The seven main cancer risk factors are at the heart of the ECAC. This raises the question of the perceptions of these factors in the general population and their changes over time, which are revealed by the Cancer Barometer Survey. Socio-demographic variables and items on health and these risk factors were submitted to representative samples of the French population aged 16 to 75 years, in telephone surveys administered during four periods between 2005 and 2020. Chi-square tests were performed to compare differences in proportions regarding perceptions of risk factors, and odds ratios were calculated to measure the effect of socio-demographic and behavioural variables. In total, just over 10,000 people responded to the survey [2005, n = 3,736; 2010, n = 3,392, 2015 n = 3,817]. The responses show that almost the entire sample considers that tobacco smoking and unprotected exposure to the sun can cause cancer. A greater recognition of alcohol, diet and excess weight as risk factors for cancer (p &lt; 0.001) is observed. Environmental factors show the largest increase, with some increasing by almost 25 points between 2005 and 2015 (p &lt; 0.001), although others remain poorly understood. The perception of these factors appears to be more pronounced in certain sub-samples. Finally, there is a lack of relativity between the risk factors. This survey enables the identification of the risk factors for which efforts need to be made to raise the population's awareness, and the sub-samples to be targeted because their responses differ most from these perceptions. It is a tool for developing a differentiated communication strategy and interventional research in this field.
The EU-funded Joint Action ImpleMENTAL: an overview
Authors: Konte V , Papageorgiou Ch C , Peppou L E , Stamou M , Papachristou S 
Published: October 2021

Abstract

The Joint Action (JA) on Implementation of Best Practices in the Area of Mental Health -JA ImpleMENTAL prioritizes cooperation across EU and other European countries in order to improve citizens' mental health, especially amid the COVID-19 pandemic. Specifically, it aims to:
Support participating countries to improve mental health via innovative and sustainable (mental) health system change and the establishment of networks for knowledge sharing and peer learning; Reinforce capacity to address system transformation to support citizen-centered and integrated approaches; Improve the mental health of children, adolescents and adults, by facilitating their access to care, as well as promoting and improving the continuity, quality and coherence of preventive, promotive, curative and rehabilitative mental health services adapted to their individual needs and provided in their local and social environment; Work across disciplines and increase integration of mental health in primary care thus contributing towards developing health-care services providing more person-centred, coordinated care to people with (often comorbid) mental and physical health conditions; Through transfer of best practices with the highest priority ranking, which also require a strong involvement of governmental actors to enable such practices to be embedded in health systems.

Work Package 1 provides technical, scientific, financial and administrative coordination and management in order to ensure the overall effective implementation of the JA. The wide coverage of the Action brings to the fore the challenging task of addressing the diversity across member states.
In the presentation, the context, objectives, the strengths and challenges, the methods used to facilitate the implementation process and ensure the effective monitoring as well as the anticipated impact, will be delineated.
Survival of colorectal cancer: the role of contextual, individual and tumour-specific characteristics
Authors: Voigtländer S , Hakimhashemi A , Grundmann N , Maier W , Gerken M , Meyer M , Müller-Nordhorn J 
Published: October 2021

Abstract

Background
Colorectal cancer (CRC) is the second most common cancer in women and the third most common cancer in men in Germany. One in two people suffering from CRC dies within five years after diagnosis. The aim of our ongoing research project is to investigate the interaction of contextual, individual and tumour-specific characteristics and their effect on CRC survival in Bavaria.

Methods
A total of 124,958 incident cases of CRC (ICD-10 C18-C20) from the Bavarian Cancer Registry are linked with data on area deprivation based on the Bavarian Index of Multiple Deprivation (BIMD). We include all years with a CRC-specific case completeness of 90% or more, i.e. 2004 to 2018. We calculate Kaplan-Meier curves as well as mixed proportional hazards models including non-linear effects. Our modelling strategy starts from a baseline model with random effects at district, municipality, and individual level, which we continuously extend to include regional (deprivation), individual (age at diagnosis, sex) as well as tumour-specific variables (tumour site, grading, cancer stage, histological subtype, diagnosis of multiple primary tumours).

Results
Preliminary results show significant random effects at district and municipality level as well as a negative impact of deprivation on CRC survival for all sites. Individual as well as tumour-specific characteristics, such as age, grading, and cancer stage, demonstrate the strongest effects on CRC survival and partly explain survival differences according to area level (districts, municipalities), and level of deprivation. The effects of individual as well as tumour-specific characteristics vary between districts and municipalities in Bavaria depending on their level of area deprivation.

Conclusions
Contextual, individual and tumour-specific characteristics have an impact on CRC survival. Future studies may also include health services characteristics in CRC survival analysis.

Key messages
CRC survival is inversely associated with area deprivation in Bavaria. The effects of individual and tumour-specific characteristics, e.g. age and cancer stage, increase with the level of deprivation.
4.H. Skills building seminar: Infographics as a tool for knowledge translation
Authors:   Organised by: COST Action CA18218–European Burden of Disease Network, EUPHA-PHMR,   Chair persons: Brecht Devleesschauwer (Belgium), Petronille Bogaert (EUPHA-PHMR)
Published: October 2021

Abstract

A picture is worth a thousand words – also in population health research. Infographics are increasingly used to disseminate research findings, amongst others driven by the popularity of social media and the increased availability of data. However, the effective use of infographics requires specific technical and communication skills, and an understanding of the broader knowledge translation framework. In this workshop, organized jointly between the European Burden of Disease Network (COST Action CA18218) and the EUPHA Section Public Health Monitoring and Reporting, we will provide insights in how infographics can be used as an effective tool for knowledge translation, including a discussion of challenges and pitfalls. The layout of the workshop is designed to cover a broad view on infographics, going beyond the researcher's perspective. We will start by introducing the basic concepts of knowledge translation and infographics, drawing attention to the need to understand how infographics are interpreted and perceived by the users. Then, we will look at infographics from a scientific point of view, discussing what works and what does not based on a series of best practices. Finally, we will bring in the policy maker's view, creating a better understanding of the needs of the typical end user. Exchange with the audience will be facilitated by using an interactive Mentimeter poll during the session, for the delegates to share their perspectives on selected questions based on the presentations.

Key messages
Infographics are an increasingly popular knowledge translation tool, but come with challenges and pitfalls. Infographics should be embedded within a broader knowledge translation strategy, and should consider the interpretations and perceptions of users.
Delivering health and social services
Authors: Webb E , Karanikolos M 
Published: October 2021

Abstract
Dual delivery of COVID-19 and non-COVID-19 services proved to be the core challenge of the service delivery response. Health systems responded by implementing strategies to manage a surge in demand for both health and social services, while continuing to provide other necessary health care services. These involved adapting or transforming patient care approaches, including the coordination of care across levels (e.g., acute vs. outpatient) and settings (e.g., PHC vs. long-term care), and coordinating response measures with social services provided outside of health system. The initial capacities and available reserves of physical infrastructure, such as hospital and intensive care unit (ICU) beds, the organization and coordination of service delivery and previous experience of responding to epidemics such as SARS or MERS or other health system shocks, influences a country's ability to anticipate and cope with surges in demand for health and social services. This presentation will provide an overview of strategies on ensuring the ability to cope with surge in demand for and managing provision of services for COVID and non-COVID patients, including social services. It will also cover strategies on increasing capacity to cope with surges of need for physical resources, such as infrastructure, equipment and medical supplies. A brief overview of key metrics to assess resilience in delivery of health and social services will also be provided.
The relevance of WHO support to member states in measuring and understanding behaviour insights during Covid-19 syndemic
Authors: Bach Habersaat K , Zaletel M , Rehberger M 
Published: October 2021

Abstract
WHO has developed approaches and activities in measuring pandemic fatigue. Member states were consulted on their needs in beginning October 2020. WHO proposed develop national action plans to measure pandemic fatigue, which should be based on the strategies and principles presented in the WHO document “Pandemic Fatigue - Reinvigorating the public to prevent COVID-19”, and on the basis of recommendations in WHO publications: “Risk communication and community engagement readiness and initial response for novel coronaviruses: interim guidance” and “Risk communication and community engagement strategy for COVID-19 template”. WHO has developed a tool for understanding behavior in COVID-19 (“WHO tool for behavioral insights on COVID-19”) in ten steps, with recommendations to countries on how to approach measuring and monitoring pandemic fatige. In doing so, WHO advises countries to establish a national response coordination mechanism involving a wide range of relevant stakeholders. Stakeholders should be involved in all ten steps of implementing the tool to understand people's behavior in relation to COVID-19. A “Survey tool and guidance: behavioural insights on COVID-19” was launched mid October 2020, supporting member states in organizing their Covid-19 fatigue linked surveying activities. Slovenia is running bi-weekly panel surveying (representative national sample of 1000 participants every 14 days) in 20 waves (dec2020/dec21), extensively exploring ineqalities linked to gender, age, socioeconimic status and others in bi-weekly reports. According to the feedback from member states, international dimension is very valuable for all member states. It is very important for them to have the venue for sharing experiences, challenges and strategies to overcome obstacles. New inequalities emerging from the Covid-19 syndemic will be presented in the next four presentations of the workshop.
4.N. Skills building seminar: Making the elevator pitch perfect: how to convince a policymaker in less than 2 minutes
Authors:   Organised by: EUPHA, EUPHAnxt,   Chair persons: Maaike Droogers (EUPHA), Monica Brinzac (EUPHAnxt)
Published: October 2021

Abstract

Since a number of years, the European Public Health Association (EUPHA), the European Public Health Conferences and other oganisations, have been working hard to translate the evidence in a such a format that policymakers take notice. For example, the WHO Regional Office for Europe works on ‘telling the public health narrative' and provides factsheets and infographics, in order to effectively communicate public health messages to policymakers. Over the years, EUPHA has organised several skills building workshops on translation of evidence in the past years. At the European Public Health Conference in Glasgow 2014, so-called pitch presentations were introduced where researchers are asked to present their work in 5 minutes with maximum 5 slides (no animations), as a way to learn to present key messages from research in just a few minutes. Since 2018, EUPHA organises this elevator pitch skills-building exercise with great success. Building forward on two successful and well-attended skills-building sessions, the current workshop will be a follow-up workshop in this series and is about perfecting the elevator pitch. Lessons learned at the previous elevator pitch workshops:
Have a clear ask (keep it simple). Appeal to the policymaker's own interests and priorities. Spell out how action will be beneficial for the policymaker. Be aware of upcoming elections. Built a relationship with the assistants of politicians. Considering the ‘policy window'. Make the comparison with the policy plan. Identifying the relevant stakeholders and groups affected by the problem.
The importance of effectively communicating the evidence to policymakers is highlighted by infodemics, e.g. last year called out by the WHO and UN in the context of the COVID-19 pandemic with the spreading of mis- and disinformation about the pandemic. In the context of physical distancing measures, the workshop will also cover virtual tactics. As in the era of teleworking (working from home), advocacy has become a whole different kind of sports. In this skills-building session, we will select a number of abstracts from young professionals/students that have been accepted by the International Scientific Committee as posters and we will invite the presenting authors to this dare: Present your work and key messages in less than 2 minutes. In order to see whether the policymaker is convinced, we are organising a small panel of policymakers and ask them to give their feedback. Are they interested? Do they remember the key message? And if all goes well, do you get an invitation to come back and present more of your work?

Key messages
Being able to present your key messages anywhere, anytime is needed (including virtual tactics). Telling the public health narrative and telling a story are important skills for public health professionals to have.
Informed consent to sex ‘normalising’ treatment of intersex children: the case of Belgium
Authors: Cannoot P 
Published: October 2021

Abstract

Background
This study explores how pervasive constructs regarding sex and gender in society and law limit the human rights of intersex persons. Societal culture promulgates a binary (male/female) gender ideal which includes standards of normality for our bodies.

Problem description
People who do not easily fit these culturally constructed norms, such as intersex persons, encounter numerous difficulties. The binary legal conceptualisation of ‘sex' maintains the medicalisation of variations of sex characteristics and reinforces the focus on sex ‘normalising' treatment of children who are too young to provide informed consent. Through ‘normalising' treatment, children are brought in conformity with the sex binary, upholding society's heteronormative expectations. While not all persons affected necessarily oppose ‘normalising' treatment, many report long-term physical, psychological and sexual trauma, and structural difficulties in accessing high quality healthcare. This presentation is based on legal doctrinal analysis and a literature study, and makes use of Belgium as an illustration. Not only is comprehensive legal research concerning variations of sex characteristics absent in Belgium, but the country has also been responsive to human rights claims regarding sexual identity in recent years, as demonstrated by a recent call in Parliament to legally prohibit non-consensual and deferrable treatment on a person's sex characteristics.

Results and lessons
With regards to the sex ‘normalising' treatment of intersex persons, this study concludes that by accepting the substitution of the child's informed consent for the opinion of the legal representative in the absence of urgent medical necessity, Belgian law has failed to protect the former's right to bodily integrity and best interests. With Parliament now moving towards a legal ban on non-consensual, deferrable ‘normalising' treatment, new challenges to ensure all human rights of intersex persons present themselves.
Impact of organizational innovation in stroke care on post-acute phase health expenses in France
Authors: Kossi D , Bricard DB 
Published: October 2021

Abstract

Background
In France, the creation of neurovascular units and the specialization of follow-up and rehabilitation services in neurology care since since 2010, aimed to reduce post-stroke mortality and comorbidity. This study aims to estimate post-stroke health health expenses and to identify the impact of Neuro Vascular Unit (NVU) and the type of rehabilitation in their evolution.

Methods
The study population is a sample of 8,492 adults who experienced a first stroke in 2012. Demographics and health status data of patient and their health expenditures related to outpatient care, re-hospitalizations and rehabilitation care over 12 months before and 12 months after the onset of stroke were extracted from the French National Health Data System. A ‘pooled' panel model of health expenditures per quarter over the 12 months following discharge from initial hospitalization for stroke was performed. Two complementary models explaining the occurrence of death and of re-hospitalization were carried out. Models were performed on STATA software version 14.

Results
Post-stroke health expenses were estimated at € 17,314 (SD= €25,518) on average for the first year, including € 8,147 (47%) of rehabilitation structure care, € 5,713 (33%) of outpatient care, and € 3,454 (20%) of post-stroke re-hospitalizations. For less severe patients, expenses were reduced considerably in the first year but remained higher than the initial pre-stroke level. Initial care in neurovascular unit was associated with higher expenditure (+ 9%) but allowed the reduction of the onset of deaths (-0.7%) and re-hospitalizations (-4%).

Conclusions
Post-stroke expenditure, the first year after stroke is mainly made up of rehabilitation expenses and depends on the type and intensity of the rehabilitation. Concerning inital care in neurovascular unit, it allows for better quality of life.

Key messages
Post-stroke expenditure, the first year after stroke is mainly made up of rehabilitation expenses and depends on the type and intensity of the rehabilitation. Inital care in neurovascular unit, it allows for better quality of life.