bluuebunny/crossref_metadata_2025_split huggingface dataset:
The perception of the professionalism of the doctor by the population Veracruz-boca del rio, Mexico
Authors: Lopez Santiago NL , Villegas Dominguez JE , Perez Juarez M , Marin Leal A 
Published: October 2021

Abstract

Introduction
Medical professionalism not only encompasses the face-to-face aspect where the doctor-patient relationship is maintained in a care manner, it goes beyond the doctor's office. During the COVID19 pandemic in Mexico, many doctors were attacked indicating their lack of vocation and professionalism, even though the patient had not dealt with the doctor at any time.

Objective
To analyze the perception of the professionalism of doctors by the population of the Veracruz-Boca del Río

Material and methods
A quantitative study was carried out with a non-experimental, observational, analytical and cross-sectional research design We include men and women between the ages of 20 and 70, residents of Veracruz, Mexico. A virtual survey was carried out to identify the attitudes that patients consider to be unprofessional in doctors, however, all the attitudes evaluated were actions that the doctor performs outside of his working hours or that he registers in his personal social networks.

Results
1339 subjects were included, with an average age of 33.6 (± 12.7). The use of vulgar language (30.9%), publication in social networks against feminism (36.2%) or sexual content (73.3%) is perceived as unprofessional for both sexes. Regarding female doctors, 34.5% of patients indicate as unprofessional the publication of alcohol on social networks (34.5%), being at an informal party (29.6%) or smoking tobacco (34.2%), while for a male doctor the publication in social networks of drinking alcohol (40%) or being in an informal party (36.1%) consider it unprofessional. Less than 20% of those surveyed consider their position on cannabis use, feminism or abortion, type of clothing, sedentary lifestyle, religion, age, tobacco or alcohol consumption unprofessional in their daily life.

Conclusions
The patient perceives the professionalism of the doctor from social networks in actions that are not directly related to how professional he can be when performing his work as a doctor.

Key messages
The patient perceives the professionalism of the doctor from social networks. The patient perceives the professionalism of the doctor from social networks in actions that are not directly related to how professional he can be when performing his work as a doctor.
The impact of Covid-19 on behavioural attitudes in Malta: A year into the pandemic
Authors: Cuschieri S 
Published: October 2021

Abstract

Background
The Covid-19 pandemic has affected everyone's life as the viral spread dominated the globe, and a number of restrictive measures were instituted. Behavioural attitudes are expected to have been impacted by such measures including the lockdowns. The aim was to explore any behavioural changes since the onset of the pandemic among the adult population of Malta.

Methods
An observational study was conducted through the dissemination of an anonymous survey by using Google Forms on social media (between 1st to 26th of February), targeting the adult residents of Malta. The survey's questions assessed for the increase in smoking and alcohol habits, decrease in physical activity and changes in body weight since the onset of the pandemic. Qualitative and quantitative analyses were performed.

Results
The majority of the participants (n = 1034) did not recall an increase in their smoking (91.30% CI95%: 89.41-92.87) and alcohol (88.68% CI95%:86.60-90.48) habits since the onset of Covid-19. However, 49.32% (CI 95%: 46.21-52.37) reported a decrease in physical activity with a common consensus of: “I used to go to the gym more frequently. But now I go less frequently to avoid people” and “More online meetings at home so my physical activity has decreased”. Indeed, 43.23% (CI 95%: 40.24 - 46.27) recalled an increase in their body weight as: “My food intake increased drastically” and “My eating habits have deteriorated as I now tend to turn to comfort eating”.

Conclusions
The pandemic appears to have had negative effects on risk-associated behaviours. There is an enhanced risk for the development of obesity, a disease that is already highly prevalent within Malta. It is recommended that public health advice and promotion for healthy eating and physical activity, even if under lockdown, is strengthened to prevent the development of prospective health diseases and complications.

Key messages
There is a high risk of an enhanced obesity epidemic with increased sedentary lifestyle since the onset of Covid-19. Action strategies to encourage healthy eating and physical activity are recommended.
Experience Report: A Community Approach During The Covid-19 Pandemic
Authors: Schettino R , Lopes K , Lacerda S , Takeshita I 
Published: October 2021

Abstract

Introduction
The slum areas present precariousness in terms of habitation, high populational concentration, lack of sanitary infrastructure, violence, and lack of water supply. This scenario makes it difficult the caring to prevent COVID-19 contamination. Belo Horizonte, like other Brazilian capital cities, presents this scenario, which calls society's attention.

Objective
Experience report made by Nursing academics who took basic food baskets to a slum during the COVID-19 pandemic.

Methods
Social action by three Nursing students who collected and delivered basic food baskets to a community in Belo Horizonte. It became an opportunity to social assistance and to the understanding of how these slum dwellers face COVID-19. A local leader prepared a list of families facing vulnerable situation. These families received the baskets. At the time of the deliveries, there was an opportunity to answer some doubts about COVID-19 and health.

Results
The dwellers moved around on the streets without masks, maybe because of lack of resources. The dwellings did not favor social distancing and hygiene care. There were small rooms, excess of people, little ventilation, and deficient sanitation conditions. The people who were infected with the virus suffered retaliation because the other people were afraid of COVID-19 transmission. The infected people became cloistered at home to avoid the community retaliation. Everyone thanked the delivery of basic food baskets saying that this delivery would be a relief during the pandemic.

Conclusions
By observation and contact with the dwellers, it was possible to notice the scarcity of resources and the need of financial and informational help about COVID-19 and other health topics. The basic food basket donation was relevant to the families, but the number of donations did not supply the local necessity. Other social and governmental actions are needed to promote local health.

Key messages
Financial aid from the government must be implemented so that people on the street can have the basics to survive. Government support and an example model is important for the population to follow as a reference. Our current government has not been a good example, leading to chaos in public and private health.
Systematic review of health workforce surge capacity during COVID-19 and other viral pandemics
Authors: Gupta N , Balcom SA , Gulliver A , Witherspoon RL 
Published: October 2021

Abstract

Background
Healthcare decision-makers need comprehensive evidence to mitigate surges in the demand for human resources for health (HRH) during infectious disease outbreaks, in terms of both short- and longer-term impacts. This study aimed to assess the state of the evidence to address HRH surge capacity during COVID-19 and other outbreaks of global significance in the 21st century.

Methods
We systematically searched eight bibliographic databases to extract primary research articles published between 01/2000-06/2020, capturing temporal changes in HRH requirements and responses surrounding viral respiratory infection pandemics. A systems approach was used, considering providers in hospitals, out-of-hospital systems, emergency medical services, and public health. We narratively synthesized the evidence following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) standard.

Results
Of the 1,155 retrieved records, 16 studies met our inclusion criteria; of these, 5 focused on COVID-19, 3 on H1N1, and 8 on a hypothetical pandemic. Different training, mobilization, and redeployment options to address pandemic-time health system capacity were assessed. Few governance scenarios drew on observational HRH data allowing for comparability across contexts. Notable evidence gaps included occupational and psychosocial factors affecting healthcare workers' absenteeism and risk of burnout, gendered considerations of HRH capacity, evaluations in low- and lower-middle income countries, and policy-actionable assessments to inform post-pandemic recovery and sustainability of services for noncommunicable disease management.

Conclusions
This research emphasized the critical need for timely, internationally comparable, and equity-informative HRH data and research to enhance preparedness, response, and recovery policies for this and future pandemics. Full paper is available at: https://doi.org/10.1002/hpm.3137

Key messages
The COVID-19 pandemic has highlighted the critical need for enhanced health workforce data and research, including better tracking of demographics, exposures, infections and deaths of health workers. Although women comprise 70% of the health workforce in many countries, gender-blindness persists in the global literature on health workforce research and governance in public health emergencies./bodyt
Anxiety and depression among individuals in mandatory institutional quarantine in Tunisia
Authors: Cherif I , Kharroubi G , Haj Amor S , Zribi M , Ouali U , Bettaieb J 
Published: October 2021

Abstract

Background
The COVID-19 pandemic is a challenging public health issue that have impacted people's health and livelihoods worldwide. Restrictive measures, such as quarantine, have been implemented in many countries in order to limit the spread of the virus. We aimed in this study to assess the impact of institutional mandatory quarantine on mental health in Tunisia and to determine factors associated with the occurrence of anxiety and or depression.

Methods
A cross sectional phone survey was conducted in Tunisia from April to November 2020 among people who were placed in mandatory institutional quarantine. Generalized anxiety disorder and depression were assessed using the Generalized anxiety disorder scale (GAD-7) and the Centre for Epidemiological Studies Depression Scale (CES-D-10). Bivariate and multivariate analyses were used to determine factors associated with the occurrence of depression and or anxiety symptoms.

Results
In the present study, 506 participants were enrolled with an age ranging from 18 to 83 years and a sex ratio equal to 1.9. More than third of participants (38.3%) had experienced anxiety and/or depressive symptoms. Being a woman, younger age, being a student, spending longer time on COVID-19 news, fear of infection in the quarantine facility, having experienced stigma, financial struggle due to the COVID-19 pandemic and dissatisfaction by the accommodations conditions of the quarantine facility were independently associated with occurrence of depression and or anxiety symptoms.

Conclusions
A high percentage of participants have experienced anxiety or depressive symptoms during the quarantine period. Providing mental health support and updated and relevant information to quarantined individuals is necessary. Improving the accommodation conditions in the quarantine facilities is also needed.

Key messages
More than third of participants had experienced anxiety and/or depressive symptoms. Good quality communication and mental health support are necessary in quarantine facilities.
COVID-19 aftermath: Safe return to the office during the pandemic
Authors: Chrysikou E , Savvopoulou E , Hernandez Garcia E 
Published: October 2021

Abstract

Issue/problem
COVID-19 has affected almost all aspects of our human activity globally. Changing our working norm is one of them. This project explored strategies and control measures that could be adopted in different countries for preventing or limiting the transmission of the SARS-CoV-2 virus in indoor office workplaces, focusing on space and the well-being of workers.

Description of the problem
Research took place in May-July 2020. Methods used comprised both systematic and narrative literature reviews as well as stakeholder consultations with executives involved in the office supply chain. Suggestions were split in: a) top-down suggestions, i.e. governmental and NGO guidance and b) bottom-up guidance, generated by industry. Surface contaminated? Protocols to reduce the psychological stress of employees returning to work, ventilation and virus transmission were indicative the questions along with a broader series of aspects involving employee wellbeing.

Results
Results were organised under four themes: a) advice on surface interactions and virus viability; b) behavioural advice focusing on the return-to-work effects on the psychological state of workers along with control measures; c) suggestions on preparing buildings to return-to-work during the pandemic and study of indoor environment parameters and their effect on office workers and d) advice on thermal and ventilation conditions and virus transmission.

Lessons
The public health effect of COVID-19 on workspace is more relevant than ever globally as people return to work. This review demonstrated the complexity of decision making and the series of conflicting priorities that arose, especially infection control vs employee mental health or increased business costs for modifications during economic recession. The necessity of future studies focusing on interdisciplinary knowledge arose.

Key messages
Focusing not only on practical steps preparing office buildings but on the mental health of office workers and how this transition back to work in such a stressful period can be easier. Lessons learned from medical architecture and it’s applicability on office spaces.
Changes in sleep quality during COVID-19: Results of the Russian online survey on spring 2020
Authors: Antsiferova A , Kontsevaya A , Mukaneeva D , Drapkina O 
Published: October 2021

Abstract

Introduction
The Russian Federation reported one of the largest number of COVID-19 infections. Major restrictions (social distancing, travel bans, event cancellation, changes to work practices) were introduced on the 28th March 2020 with the level of restrictions varied depending on the epidemiology of the virus from region to region. Purpose is to estimate the impact of COVID-19 on sleep among adults in Russia.

Methods
The NMRC TPM conducted a national online-survey ‘Study of the impact of restrictions on physical activity of the population in self-isolation due to COVID-19'. Data were collected during the period of tightest restriction through the country between 26 April 2020 and 6 June 2020. A link on the online survey was distributed through the regional center of public health. Sleep quality was assessed by comparing the period before the COVID-19 and the last 7 days.

Results
In spring 2020, 2432 completed questionnaires from 62 regions of Russia were received. There was a predominance of female respondents (86.6%), the average age was 33.6±14.9 years and 38.2±13.1 years for men and women, respectively. The majority of completed questionnaires were received from the Republic of Tatarstan (n = 804), Irkutsk (n = 474), Sakhalin (n = 225) and Tver regions (n = 152). Compare pre-COVID to during COVID there was a significant decline in the number of days per week participants reported not getting enough sleep (3.21±2.44 to 2.86±2.57; p &lt; 0.001) and participants also reported an increase in the number of days per week they had trouble falling asleep (1.70±2.24 to 2.13±2.48; P &lt; 0.001). The number of days participants waking up earlier than wanted before and during the pandemic has not changed (2,6 Đ, 2,59 (p &lt; 0,5)).

Conclusions
Effective health promotion strategies directed at adopting or maintain positive health related behaviors such as targeted social media messaging and balanced media reporting, should be used to maintain healthy sleep during these unprecedented times.

Key messages
Changes in sleep quality during COVID-19 identified as a result of the online-survey ‘Study of the impact of restrictions on physical activity of the population in self-isolation due to COVID-19'. Effective health promotion strategies directed at adopting or maintain positive health related behaviors should be used to maintain healthy sleep during COVID-19 pandemic.
Forecasting the economic consequences of COVID-19 on longstanding illnesses in Wales
Authors: Kadel R , Allen J , Dyakova M , Bellis M 
Published: October 2021

Abstract

Introduction
The unemployment rate following the COVID-19 pandemic in Wales is increasing and there is a positive link between unemployment and longstanding illnesses. This study aimed to project the percentage of adults with longstanding illnesses and chronic health conditions following COVID-19 associated with the economic consequences.

Methods
We retrieved historical data on the unemployment rates and status of longstanding illnesses among adults from the Office for National Statistics (ONS) and National Survey for Wales (NSW), and used time-series models to project the unemployment rates and percentage of adults with longstanding illnesses and chronic health conditions over a three year period (2020/21 - 2022/23).

Results
Without reparative interventions, the unemployment rate is expected to increase sharply from 3.8% in 2019 to about 7% in 2020 following COVID-19 and then gradually increase over the projected period. With increased unemployment, longstanding illness (LSI) would be expected to increase gradually following COVID-19, with an estimated increase of around or exceeding 4% over three years depending on the LSI measure. There would be a higher increment in the percentage of adults with limiting LSI compared with adults with any LSI, suggesting implications for wider health and social care services. With current unemployment predictions, the percentage of adults with chronic health conditions is projected to increase following the COVID-19 pandemic over the projected period, with a higher increment for mental health and endocrine/metabolic conditions

Conclusions
The longstanding illnesses and chronic health conditions are expected to increase in the coming years following COVID-19 pandemic. Therefore, preventative measures for longstanding illnesses and chronic health conditions should be a priority for a sustainable recovery from the COVID-19.

Key messages
Without reparative interventions, the unemployment rate is expected to increase following the COVID-19 pandemic. The projected prevalence of limiting longstanding illness in adults following COVID-19 suggests implications for wider health and social care services.
COVID-19 - pandemic effect in the organized breast cancer screening program in Croatia
Authors: Kovačević J , Sovic S , Musil V , Kosic Bibic N , Zombori D , Juresa V 
Published: October 2021

Abstract

Background
COVID-19 pandemic effected preventive health services. The implementation of the breast cancer screening program (BSCP) in Croatia was paused for one and a half month in 2020. The aim of this research was to compare the results of BCSP rollout during and before pandemic.

Methods
Data of fourth, fifth and sixth BCSP round of women (about 700,000 women per round): invited in BCSP, responded to invitation and response rate were analysed.

Results
Of all women included in sixth round, 93.0% were invited (92.7% in fifth and 89.3% in fourth). Response rate (53.3%), including woman screened in BCSP and on the doctor's referral, was 5.7% lower compared to fifth and 5.4% lower compared to fourth round. Response rate on invitation letter was 44.9% in sixth, 42.3% in fifth and 40.1% in fourth round. There was 24,768 mammography check-ups in sixth, 41,040 in fifth and 80,846 in fourth round. There was 11.8% less mammography examinations in sixth round compared to fifth and 0.3% less compared to fourth round.

Conclusions
Lower response rate in the sixth BCSP invitation round was observed with similar invitation coverage. There was 11.8% less mammography examinations done in relation to the 5th and 0.3% less than in the 4th invitation round. Response rate to the invitation letter was higher in the sixth in relation to the previous rounds. Explanations for the observed differences could be lower number of mammography examinations done on the doctor's referral, less available terms in mammography units and consequently less second invitation letters sent because of the epidemiological measures. Intensive public health campaign and more mammography unit terms, including mobile mammography units, are needed in order to return the invitation and response rates to the pre-pandemic values.

Key messages
COVID-19 pandemic caused 5.7% lower response rate and 11.8% less mammography examinations in BCSP. In order to close the observed gap in the BCSP response rate, more mammography unit terms are needed to be available followed by the intensive public health campaign.
Reluctance and acceptability of Covid-19 vaccination among healthcare professionals
Authors: Baklouti M , Ben Ayed H , Ben lassoued F , Ketata N , Maamr H , Abdelmoula M , Feki H , Dammak J 
Published: October 2021

Abstract

Background
The COVID-19 pandemic continues to spread throughout the world causing serious morbidity and mortality. healthcare professionals (HCP) are on the front line in the face of this pandemic and are identified as priorities for COVID-19 vaccination. The aim of this study was to evaluate the acceptability rate of the COVID-19 vaccination among HCP and to identify their predisposing factors.

Methods
This was a cross-sectional study using an anonymous self-administered questionnaire including a randomized sample of (HCP) at the university hospitals of Southern Tunisia on April 2021.

Results
Overall, 223 cases were females (74.4%). The average age was 29.5 years ±8.26. In total, 178 HCP were doctors (59.3%), 147 HCP (49%) were working in medical services and 58 HCP (19.3%) were in intensive care units. The vaccination acceptance rate was 65.3% (196), while 73 cases (24.3%) were reluctant. Factors statistically associated with vaccine acceptability were female gender (Odds ratio (OR)=2.9;p=0.001), advanced age (30.23±8.27 vs 28.09±8.12;p=0.034), urbanity of residence (OR = 4.5;p&lt;0.01) and direct contact with positive COVID-19 patients (OR = 1.9;p=0.007). Compared to paramedical staff, doctors were more willing to be vaccinated (OR = 4;p&lt;0.01). Belief in the efficacy of the vaccine as effective with few adverse effects (OR = 2.04;p&lt;0.01), as protective against the virus (OR = 4.5;p&lt;0.01) as well as the only solution to stop the pandemic (OR = 2.6;p&lt;0.01) and to decrease serious complications of the disease (OR = 28;p&lt;0.01) were statistically associated with vaccination acceptance.

Conclusions
This original study revealed a relatively reasonable acceptance rate for vaccination against covid-19. Socio-demographic, cultural and professional factors predisposing to the willingness to be vaccinated were highlighted. Thus, planning vaccination campaigns to raise awareness of the efficacy and the safety of vaccine is strongly recommended to promote vaccination in the general population.

Key messages
This original study revealed a relatively reasonable acceptance rate for vaccination against covid-19. Socio-demographic, cultural and professional factors predisposing to the willingness to be vaccinated were highlighted.