bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluating the feasibility of an Adapted Physical Activity intervention among breast cancer patients
Authors: Hasnaoui S , Van Hoye A , Soudant M , Rotonda C , Carvalho de Freitas A , Yacoubou Omorou A , Poussel M 
Published: October 2024

Abstract

Adapted physical activity (PA) programs have shown promising results to reduce physical, psychological and social side effects associated with breast cancer (BC), but the extent to which they can be effectively adopted, implemented and maintained is unclear. The aim of this study is to use the RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance) framework to evaluate RIPOSTE (Reconstruction, Image de soi, Posture, Oncologie, Santé, Thérapie, Escrime), an innovative intervention focused on improving the quality of life (QoL) of BC surgery patients through fencing. A convergent mixed-methods pilot study was conducted to evaluate the RE-AIM dimensions of RIPOSTE. 24 participants who have just undergone surgery for invasive BC were randomly allocated either in the “RIPOSTE” group (starting immediately after their inclusion), or the “Delayed RIPOSTE” group (starting at 3 months following their inclusion). They answered to questionnaires at inclusion and at the end of the program on QoL, shoulder functional capacity, fatigue, anxiety-depression and PA. Interviews were conducted with 10 participants, 3 sports physicians and 1 fencing master. RIPOSTE program was able to reach mainly young and dynamic participants, attracted by the originality of fencing and keen to improve their physical condition. Regarding effectiveness, our results suggest a trend to the improvement of health indicators, even without any significant differences between the two groups. The cooperation, exchanges and cohesion within the group greatly facilitated the adoption of the program, whereas interruptions during vacations were the main barriers. Maintenance analyses showed that most participants continued to practice PA after the program. RIPOSTE is an acceptable and effective program for involving BC survivors in PA, that needs to be tested at larger scale to investigate its effectiveness, but has the potential to be transferred and scaled up worldwide.

Key messages
• These results would help to enrich the literature on how to best intervene to enhance treatment and recovery among patients and facilitate transfer from a research program to a field daily practice.
• By highlighting complexities of RIPOSTE effectiveness and implementation, this study could lead to a more complete program that addresses issues related to improving external and internal validity.
Colorectal screening program implementation in primary health care, in Loures-Odivelas, Portugal
Authors: Gomes F , Sousa C , Marques R 
Published: October 2024

Abstract

Problem
In 2020, Portugal had the highest cumulative incidence of colorectal cancer (CRC) in the European Union (103 new cases/100,000 inhabitants). The Colorectal Cancer Screening Program (CRCS) is based on fecal occult blood testing (FOBT) as the primary screening method. With the delivery of the stool sample collection device; instruction on its use is provided by the Primary Health Care team. The sample is processed at the Clinical Pathology laboratory of the Hospital Center (HC). In case of a positive result, the general practitioner communicates the result and refers the individual to the Follow-up and Treatment Center.

Description
The general objective of this project was to implement the CRCS in the 19 Family Health Units (FHU) of Loures-Odivelas Health Center Group, between September 2022 and April 2023. The following activities were carried out: 1. Sessions to present the patient pathway, record platform, and stool sample collection device; 2. Application of a checklist of essential points for the start of screening; 3. Preparation and dissemination of monitoring reports to the FHU; 4. Follow-up visits to clarify doubts.

Results
By March 2023, CRCS had been implemented in 15 of the 19 FHU (79%). Between September 2022 and March 2023, 1,430 devices were delivered and 959 FOBT samples were received (67%). Among the devices received with biological samples, it was not possible to issue a result for 5%.

Lessons
The activities carried out allowed for the initiation of CRCS in most FHU. The involvement of professionals in these activities contributes to increased patient adherence and proper collection technique, reducing inconclusive FOBT results. It is necessary to continue this strategy of personalized support for the FHU to consolidate the implementation of CRCS in LO HCG. Ensuring that the necessary materials are available and that result issuance and referral deadlines are met are important factors for maintaining professional motivation.

Key messages
• The objective was to implement the Colorectal Cancer Screening Program (CRCS) in 19 Family Health Units (FHU) in Loures-Odivelas. By March 2023, CRCS had been implemented in 15 of 19 FHU (79%).
• It is important to continue these activities in order to put into operation the CRCS in all FHU and to tackle the problem of colorectal cancer.
Same term, but unequal understanding: differences in digital public health intervention features
Authors: Maaß L , Angoumis K , Freye M , Pan C-C 
Published: October 2024

Abstract
Digital technologies have transformed healthcare delivery and public health, with many countries integrating interventions such as online consultations, electronic health records, and telemedicine to improve population health and healthcare accessibility. Multinational assessments for benchmarking system maturity ask for the degree of implementation of such tools. However, are these interventions as comparable as they claim to be? This talk presents a qualitative analysis of 179 digital public health (DiPH) interventions described in scientific articles. We categorized interventions based on their implementation stages, public health functions, and reported and non-technical features. Telemedicine, health apps, and electronic health record interventions dominated the diverse landscape. While these technology groups already differed greatly in their functions, we identified equally significant differences in the reported intervention characteristics within the groups. For example, telemedicine was not only used in healthcare settings for patients and health professionals but also in primary prevention and research for researchers, policymakers, and healthy individuals. Different interventions reported varying functions, such as remote monitoring, self-monitoring, alarm systems, patient motivation, and user empowerment modules. So, is there one common telemedical intervention? No. Instead, all individual technologies differed to varying degrees. The analysis underscored the diversity of DiPH interventions among and within intervention groups and highlighted the importance of precise terminology for effective planning and evaluation. Instead of using broad classifications like ‘telemedicine,’ interventions should be defined and communicated based on specific technological functions, non-technical characteristics, use cases, and user groups. This approach will promote cross-disciplinary collaboration and foster international comparability across DiPH systems.
Eco-anxiety: an additional burden for university students?
Authors: Tavolacci M , Ladner J 
Published: October 2024

Abstract

Background
Eco-anxiety encompasses climate change anxiety, including global warming, as well as anxiety about a multiplicity of environmental disasters, which not be directly caused by climate change The objective is to assess eco-anxiety in healthcare and non healthcare students and investigate a relationship with health behaviour, mental health, and environmental opinion.

Methods
A cross-sectional study was conducted among voluntary university students in the Rouen University in Normandy, France. Volunteer healthcare students aged 18 years and older were included. Eco-anxiety was assessed with the Hogg Eco-Anxiety Scale (HEAS-13). Socio-demographics, health behavior, mental health and healthcare data were also collected.

Results
A total of 1,887 students were included with 74.3% of women and a mean age of 21.1 years (SD = 6.8). The HEAS-13 mean was 13.2 (SD = 2.6): affective symptoms 4.1 (SD = 2.7), eco-rumination 3.7 (SD = 2.4), behaviour 1.0 (SD = 1.5), and anxiety about one’s personal impact on the planet 4.4 (SD = 2.5). Respectively, 59.6% and 31.4% of students are moderately and very much involved in pro environmental-behaviour. 84.6% of students will consider environmental issues in their career choices. Eco-anxiety was associated with being a woman, being in curricula other than health, accommodation with roommates or in couple, use of cannabis, eating disorders, insomnia, emotional exhaustion, cynicism, depression, quality of life, and visiting a general practitioner for stress.

Conclusions
An high eco-anxiety was associated with impaired mental health and could be an additional burden for university students. Intervention options for those that do experience eco-anxiety and suffering can be as prescribing environmental action, mental health skills, and climate change resolution without imposing the burden of change solely on young people

Key messages
• A high eco-anxiety is prevalent among university.
• The eco-anxiety impaired mental health that could be an additional burden for university students.
Air Pollutants and Ovarian Reserve: A Systematic Review of the Evidence
Authors: Zupo R , Castellana F , Nawrot T , Lampignano L , Bortone I , Giannico O V , Gruszecka Kosowska A , Sardone R 
Published: October 2024

Abstract

Background
Growing evidence points to an association between ambient air pollution and decreased human reproductive potential. The aim of this study was to systematically review the association between air pollutants and female ovarian reserve.

Methods
The literature was searched in six electronic databases through August 2023. Screening of the 75 articles retrieved for inclusion criteria resulted in the selection of 12 human observational studies that evaluated the effect of environmental pollutants on markers of female ovarian reserve. The study protocol was registered on PROSPERO (registration code CRD42023474218).

Results
The study design of selected studies was found to be cross-sectional (2 of 10), retrospective cohort (7 of 10), prospective cohort (2 of 10), and case-control (1 of 10). The study population was equally distributed between Asians (60%) and Americans (50%) with an Italian minority (10%). The main findings showed a higher body of evidence for the environmental pollutants PM2.5, PM10, and NO2, while a low body of evidence for PM1, O3, SO2, and a very low body of evidence for benzene, formaldehyde, and benzo(a)pyrene, yet consistently showing significant inverse association data. The overall methodological quality of the selected studies was rated moderated across the 14 domains of the NIH toolkit.

Conclusions
Increased exposure to air pollutants seems to be associated with reduced female ovarian reserve with evidence being strongest for pollutants such as PM2.5, PM10, and NO2. More evidence is needed to draw conclusions about causality.

Key messages
• Increased exposure to air pollutants seems to be associated with reduced female ovarian reserve with evidence being strongest for pollutants such as PM2.5, PM10, and NO2.
• Global environmental policy programs are urgently needed to reduce the risks associated with reduced fertility such as reduced birth rates or the use of assisted reproductive technologies.
Impact of organisational injustice on health and wellbeing of female police: A meta-ethnography
Authors: Illias M , Riach K , Demou E 
Published: October 2024

Abstract

Background
Female police officers face more bias, discriminatory treatment, and insufficient support compared to male officers, resulting in poorer health outcomes. This meta-ethnographic review investigates beyond individual responsibilities to explore the dimensions of policing, and their effects on the health and well-being of female police officers.

Methods
The study reviewed qualitative and mixed-method studies (2000-2022) on the health and well-being of female police officers. Ten databases were searched using keywords related to health, well-being, women, police, and qualitative study. Twenty-one papers were synthesised, analysed, and interpreted using a seven-phase inductive and interpretative meta-ethnographic approach.

Results
The data analysis unveiled a distinct outcome, indicating a strong correlation and significant impact of organisational injustice on the health and well-being of women in law enforcement. Our research findings imply that organisational injustice, including procedural, relational, distributive, and gendered injustice, notably affects the health and well-being of female officers, with mental health being frequently cited, followed by effects on social, workplace, and physical health. Furthermore, the consequences of these four types of organisational injustice, alongside related cultural, systemic, and structural risk factors, reach beyond the immediate health and well-being of individual female officers. They also hinder various aspects of their professional lives, such as career advancement and maintaining a healthy work-life balance, potentially exacerbating long-term health and well-being issues.

Conclusions
This review emphasizes addressing organisational injustice and related cultural, systemic, and structural determinants in policing for healthier work environments for female officers. Policy makers must scrutinize gender-neutral policies affecting women, enabling transformative action for safer, supportive, and healthier workplaces.

Key messages
• Organisational injustice in various forms, significantly impact health and wellbeing of female police officers, necessitating policy reforms.
• Addressing organisational injustice embedded in seemingly gender-neutral policies and practices, is vital for ensuring equitable treatment and health promotion of female police officers.
Greenspace and mental health research – the question of scale
Authors: Schmid H , Freymüller J , Senkler B , Lopez Lumbi S , Hornberg C , Zerbe S , McCall T 
Published: October 2024

Abstract

Background
Greenspaces have been proven to promote mental health and wellbeing. Research is conducted in diverse fields with various methods. However, studies and theoretical concepts frequently fail to address or define the scale of the environment in question. Furthermore, the different types of greenspace at the same scale are often inconsistently or inaccurately defined. Such limitations may impede the comparability of results and interdisciplinary understanding. The aims were therefore: 1. To provide a quantitative overview of the combinations of greenspace and mental health measures used at the ecological scales; 2. To embed the results in the existing theoretical background.

Methods
A systematic search and a scoping review were conducted, applying an PEO framework. The data was charted with an extraction table and analysed with regard to the ecological scales which are: landscapes, ecosystems/land-use types, and species/natural elements.

Preliminary Results
Generally, distinct greenspace measures are used at different scales, while the mental health measures do not show such a clear pattern. The “landscape” scale is most often assessed via GIS approaches. The scales “ecosystems” and “species” are mostly investigated via interventions. Overall, the “ecosystems” scale is the most frequent in both research and theory. Qualitative mental health measures often focus on ecosystems. However, the qualitative theoretical concepts are based on landscapes, e.g. Therapeutic Landscapes. Species and natural elements are rarely directly addressed by both studies and theories.

Conclusions
We propose increased attention to the types and scales of green and nature at both the theoretical and the practical research level. Established ecological scales can provide a common basis for interdisciplinary research and improve the comparability of studies. This can elucidate the potential differences in the impact of the diverse forms and dimensions of nature on human health.

Key messages
• The methods employed to assess the relation between greenspace and mental health vary according to the ecological scale. Ecosystems are the main focus in research and theory, species the least.
• The type and scale of nature should be considered in environmental health research and theory. Established ecological scales can provide a basis for interdisciplinary comparability and understanding.
Unveiling mercury exposure sources in e-waste recycling with biomonitoring - A Portuguese case study
Authors: dos Reis Gomes L , Martins C , Fernandes M , Viegas S 
Published: October 2024

Abstract

Background
Mercury (Hg), a global pollutant, poses risks to both human and environmental health. The management and recycling of electrical and electronic waste (e-waste) is recognized as having the potential to promote workers’ exposure to this pollutant. Human biomonitoring (HBM) is a tool that can be used to evaluate exposure and monitor the health of workers. The objective of this study was to characterize exposure of workers from an e-waste recycling company and to analyze the relevance that HBM holds in the detailed characterization of exposure.

Methods
A cross-sectional observational study was conducted using data collected within the framework of the European Human Biomonitoring Initiative (HBM4EU). Data from environmental monitoring (settled dust) and biological monitoring (urine and hair) of 30 workers potentially exposed to Hg were analyzed in comparison with 12 unexposed workers from other occupational settings (controls).

Results
Exposed workers did not exhibit significantly higher concentrations of Hg in urine when compared to control workers. We found a significantly positive correlation between the concentration of Hg in urine (ρ = 0.688; p ≤ 0.001) and hair (ρ = 0.470; p ≤ 0.01) and the consumption of fish and shellfish.

Conclusions
Diet appears to be the most significant source of Hg in this context. These results suggest the importance of information and dietary habits to prevent mercury exposure. HBM stands out as an essential tool for identifying the most relevant exposure sources and risk management measures for workers and the general population.

Key messages
• Diet appears to be the most significant Hg source in workers from a Portuguese e-waste company.
• HBM stands out as essential for identifying the most relevant exposure sources and risk management.
Adapting the Place Standard Tool for Border Regions: The Euregional Approach
Authors: Van Der Zanden B , Mekel O , Struß M 
Published: October 2024

Abstract

The Place Standard Tool (PST) is a well-established tool that helps policymakers and communities discuss which aspects of a place - like buildings and transportation or the the way people are involved in decision making concerning their surroundings - need attention in order to improve public health. Even though the PST is widely used in many countries, it primarily focuses on a national level, overlooking the fact that 35% of EU citizens live in border regions. Many people living in these areas cross national borders for work, school, or social activities, so their everyday lives span more than one country. Using this tool to develop policies may ignore the real needs of border residents or even exclude their views, which can have a significant impact on their lives. To address this, the euPrevent Active Citizenship Participation (ACP) project adjusted the tool for a cross-border setting in the Euregio Meuse-Rhine (EMR). In this project, the German version of the StadtRaumMonitor, which is based on the PST, was modified to include questions that reach beyond national borders. This adaptation encourages people to respond to questions not just from a national perspective, but also to reflect on their experiences in neighboring countries. It was further translated into the four languages: French, German, Dutch and English, and made available online across the entire border region, which is home to nearly 4 million people. Moreover, the Euregional PST was effectively tested with local and cross-border citizen panels, and it’s set to become a key element in creating a sustainable framework for citizen participation within the EMR. And although this Euregional PST was initially developed for the border regions of the EMR, the modifications are such that the tool can be applied in no matter which European border region. Thereby, the Euregional PST offers a way to create policies that truly reflect the diverse needs and realities of border citizens, all over Europe.

Key messages
• The Cross-border Place Standard Tool EMR is easy to apply for a broad spectrum of stakeholders in border regions and applicable to all border regions in Europe.
• The tool helps preventing policy issues by considering the entire context of people living in border areas.
Occupational exposure to nickel or hexavalent chromium and the risk of lung cancer (SYNERGY)
Authors: Behrens T , Ge C , Vermeulen R , Kendzia B , Olsson A , Kromhout H , Peters S , Siemiatycki J , Straif K , Brüning T 
Published: October 2024

Abstract

Background
Hexavalent chromium (Cr(VI)) and nickel (Ni) are known occupational carcinogens, with frequent exposures, for example, in welding-related activities. However, limited evidence exists on the exposure-response relationship of Cr(VI) or Ni with lung-cancer risk. We estimated lung-cancer risks based on quantitative indices of occupational exposure to each metal, and their interaction with smoking habits.

Methods
Fourteen case-control studies from Europe and Canada (16,901 cases, 20,965 control subjects) were pooled. A measurement-based job-exposure matrix was used to estimate year- and region-specific exposure levels for Cr(VI) and Ni, which were linked to the study subjects’ occupational histories. Odds ratios (OR) and 95% confidence intervals (CI) were calculated, adjusting for study, age group, smoking, and exposure to other occupational lung carcinogens.

Results
The OR for the highest quartile (&gt;99.5 μg/m3-years) of cumulative exposure to Cr(VI) in men was 1.32 (95% CI 1.19-1.47) and for nickel (highest quartile &gt;78.1 μg/m3-years) OR = 1.29 (95% CI 1.15-1.45). Corresponding effect estimates in women were slightly lower. The joint effects of Cr(VI) and nickel with smoking were generally greater than additive.

Conclusions
We observed positive exposure-response relationships in the low-dose range of Cr(VI) and Ni exposures, based on a large study population including detailed information on smoking habits and a measurement-based job-exposure matrix. Although, we cannot rule out a combined classical measurement and Berkson error structure that may have caused bias in our risk estimates, our results provide empirical evidence to further specify preventive measures at the workplace in order to protect workers from hazardous substances.

Key messages
• Relatively low cumulative levels of occupational exposure to Cr(VI) and Ni were associated with increased ORs for lung cancer, particularly in men.
• Important empirical insights for the prevention of cancer at the workplace can be drawn from the results.