bluuebunny/crossref_metadata_2025_split huggingface dataset:
Supporting Long Covid Care: a webtool to facilitate help-seeking among people with Long Covid
Authors: Clutterbuck D , Smyth N , Begum F , Chew-Graham C , Mcgowan A , Pantelic M , Ridge D , Tran H , Williams R , Alwan N A 
Published: October 2024

Abstract

Background
Long Covid (also known as Post-COVID19 Condition or Post-COVID Syndrome) is characterised by persistent symptoms following SARSCoV2 infection not explained by other pathology. Some evidence suggests that people from marginalised communities are more likely to experience Long Covid but are less likely to be represented in post-covid care in England.

Objectives
Findings from the STIMULATE-ICP case finding and HI-COVE studies show that some people living with Long Covid struggle to get adequate healthcare and social support. Barriers to obtaining support include a lack of awareness of Long Covid and supports available, uncertainty around the cause and complexity of symptoms, as well as experiences and expectations of stigma. The new Supporting Long Covid Care (SLCC) webtool was developed based on these findings and aimed to both facilitate help-seeking for people with probable Long Covid who are not receiving care and raise awareness among professionals. Extensive engagement with people with lived experience and professionals shaped the webtool. SLCC content was then beta-tested with stakeholders.

Results
SLCC (long-covid-care.org.uk) was launched in March 2024. One of its features is the acknowledgement that Long Covid can be a stigmatising condition. SLCC includes real-life quotes to connect emotionally with users, highlights the shared experiences of people living with Long Covid and illustrates the difficulties faced when seeking recognition and support. It encourages conversations with professionals, friends, family and others who may be relied on for support and offers resources to facilitate those conversations and inform next steps. SLCC is also an informative tool for healthcare professionals around Long Covid stigma.

Conclusions
SLCC is open to use by members of the public. Real-world evaluation and translation to other languages are now needed to explore if this webtool is beneficial and contributes towards addressing health inequalities.

Key messages
• SLCC encourages people with probable Long Covid to seek help and support.
• SLCC raises awareness among healthcare professionals about the barriers and stigma people, particularly those from disadvantaged backgrounds, may face when considering reaching out for support.
‘HepGenç’: A youth festival to promote health and well-being via films, photography, music, and arts
Authors: Karadag O , Orhon E N , Karabey S 
Published: October 2024

Abstract

Background
The ‘Lifelong Health’ framework of WHO emphasizes that investing in health during young ages fosters better health and higher quality of life in later years. When working with and for youth, using innovative and participatory approaches have become more important for effective health communication, especially in an era of increased environmental stimuli, digitalization, and decreased attention span for many young people, who are less attracted with traditional/ didactic health education and communication methods.

Objectives
This paper aims to share practical experiences of a multidisciplinary team of professionals with backgrounds in public health, psychiatry, communication, music, and arts, in collaboration with young people to organize a series of youth health festivals in different cities of Turkiye to promote youth health literacy and access to health care, with a special focus on mental health and well-being.

Results
HepGenc (ForeverYoung) Festivals are organized by academics and youth from different universities in Turkiye, in collaboration with NGOs and local municipalities of cities, where the events take place. These events encourage young people to think about health and well-being, including social and environmental determinants of health via short films, photography, music, and arts. The series of festivals use creative workshops to introduce different health and well-being topics to youth, who may not always find these issues ‘attractive.’ Social and mental health, including resilience and ability to adapt are also addressed, which help young participants to build a holistic and comprehensive look on health and its determinants.

Conclusions
Organizing health-focused festivals using films, photography, music, and arts encourages young people to be creative and productive, while raising their awareness on healthy lifestyles and healthy cities, and how they can be agents of positive change.

Key messages
• Using films, music, and arts help with greater engagement of young people and facilitates their learning, as well as their creativity and productivity.
• Collaboration of health, communication, and arts professionals strengthens health communication/ education programs, with additional beneficial outcomes for all disciplines including shared learning.
Association between fitness levels and physical activity in apparently healthy Colombian men
Authors: Morales Eraso N S , Caviativa Castro Y P , Murcia Doncel M P , Rubiano Espinosa O F , Jaramillo Guzmán V 
Published: October 2024

Abstract

Physical condition (PC) such as strength and endurance favor functional independence and disease prevention (Melo, 2014). Objective: To characterize the levels of Physical Activity (PA) and CP in apparently healthy men who practice PA in different settings in Bogotá-Colombia. This study is observational cross-sectional, 485 Men (M) participated, mean age 42±17.8 years. To measure the levels PA the IPAQ (International Physical Activity Questionnaires) was applied. The Confidence Interval (CI) and Standard Error (SE) were taken into account. For PA levels, data were analyzed with Rstudio v2022.12.0, with empirical distribution tests, Kolmogorov-Smirnov normality and independence with Chi-Square (χ²), in addition, mean (X¯), percentage (%) and standard deviation (±). 90.6% of the H met the overall PA recommendations (Leisure Time+Active Transportation) with 95% CI (88.0-93.0) and SE (0.012). The PC variables such as; Body Mass Index (BMI), Body Adiposity Index (BAI), Abdominal Circumference (AC), Grip Strength (GS) and Maximal Oxygen Consumption (Vo2max). The results showed that 35.6% (26.9±1.48) of H were Overweight (Ow) and 10.6% (32.7±2.39) were Obese (Ob), 39.7% (98.4±6.8) with Cardiovascular Risk (Rcv) by AC and 24.3% (29.7±3.45) with risk by BAI. As for GS 41.5% (27.1±6.39) is weak and 32.3% (33.3±6.3) is low Vo2max. According to independence tests with χ² there is association between the G and BMI (χ²=1452.1, df = 1427, p-value=0. 315), G and AC (χ²=394.9, df = 382, p-value=0. 313), G and Vo2max (χ²=155.5, df = 6, p-value&lt;2.2e-16), G and BAI (χ²=2970.3, df = 1502, p-value&lt;2.2e-16), G and GS (χ²=6015.5, df = 1502, p-value&lt;2.2e-16). This project was approved by the bioethics committee.

Conclusions
149 men corresponding to 30.7% of the sample present an increased possibility of Rcv, despite compliance with global PA recommendations. It is recommended that PA programs reinforce the improvement and promotion of PC to prevent possible Rcv.

Key messages
• The capacities that define physical fitness (FC) such as strength and endurance favor functional independence and disease prevention (Melo, 2014).
• Apparently healthy men in Colombia present a higher possibility of Cardiovascular Risk due to low levels of physical fitness, despite compliance with global BP recommendations.
Training for migrant live-in care workers in Austria: results from an online survey
Authors: Wojczewski S , Adler V , Bagheri R , Ernst A , Durisova S 
Published: October 2024

Abstract

Background
In Austria, almost 60.000 migrant “24-hour” live-in caregivers work in two- or four-week shifts, travelling between Austria and their countries of origin (mostly Romania, Slovakia, Croatia, Hungary and more) to care for frail older people at home. As opposed to other social and healthcare professions, live-in care workers do not require any formal training at all to be able to work in Austria.

Methods
With the aim of gaining an in-depth insight into the working conditions of live-in caregivers and with the aim of recording their problems and needs, an online survey including 40 questions was conducted from 15 July to 15 September 2023 in four languages (Slovak, Romanian, Bulgarian and German). The study is part of the MigraCare project which focuses on improving working and living conditions for migrant live in care workers.

Results
Results show that many live-in caregivers are not fully aware of their job profile: what are nursing and medical tasks they are only allowed to do when delegated by professional healthcare staff? Most respondents have to take on tasks that are outside their job profile. Many state that it is difficult to care for people with dementia. In addition, some caregivers report physical and psychological violence and sexual harassment. Most wish for training possibilities regarding topics like dementia, communication with client and family, legal framework regarding their job in the long-term care sector and others.

Conclusions
Live-in care workers wish for continuous education activities and for a better relationship with the family relatives and the care recipient. Based on the results of the survey short multilingual training videos have been developed easily accessible on a video platform for live-in care workers. Also, a connection to community nurses has been established in order to improve communication between care recipient, family members and live-in care workers.

Key messages
• Results from an online survey show that live-in care workers face challenges at work which are partly due to an unclear job profile as well as communication problems with the care recipient.
• Results of an online survey show that live-in care workers wish for education and training opportunities (mother tongues) in the field of dementia care, communication with family or legal framework.
Virtual Children’s Hospital for Learning Pediatric Nursing
Authors: Nicolaou C , Kolokotroni O , Menikou J , Middleton N , Asi M , Matikainen P , Vesanen K , Treiman-Kiveste A , Läänelaid S , Toivonen M 
Published: October 2024

Abstract

Background
In the context of a funded Erasmus+ program, a platform of a Virtual Children’s Hospital for Learning Pediatric Nursing - VLPN is being developed. The education of nurses working with children, adolescents and families, needs to include specialized knowledge, skills, attitudes and behaviors that will empower them to provide optimal and high-quality care. The virtual platform enables the improvement of pediatric nursing competences of the nursing students through interactive and self-paced activities and content.

Objectives
1. To develop an immersive and interactive virtual reality learning environment (VRLE), a virtual children’s hospital and new teaching and learning methods and practices, utilizing virtual reality and simulation in teaching. 2. To promote the international collaboration of students and lecturers through the VRLE

Results
The results are preliminary. 1. The VRLE includes educational materials developed to be integrated in the pediatric nursing studies, easy to access and use by the students and teachers with innovative self-pace learning material i.e. videos, 3D-models, interactive tests. Digital patients can react to the provided care with speech, movement, facial expressions and gestures, something that is not possible with the manikins in the Labs. 2. Nursing students and lecturers from different countries can participate in joint remote seminars or workshops in the VRLE, sharing and comparing their country and culture-specific differences and similarities in the nursing practices. VRLE and digital materials enables synchronous and asynchronous learning.

Conclusions
VRLE is highly conducive to clinical and procedure-focused training by enabling simulation. VR methods offer nursing students the opportunity to practice skills in a safe and risk-free environment in an immersive way. It can be accessed by multiple students, teachers or nurses at the same time from different locations in different countries.

Key messages
• New innovative VRLE enhances nursing students’ knowledge and skills that are needed when working with sick children and their families.
• International collaboration, interaction and mobilization are enabled by using a virtual platform instead of traveling, thus strengthening the co-operation in European higher educational institutes.
Leadership opportunities to mitigate challenges and barriers of precision health
Authors: Osti T , Porru F , Russo L , Rodriguez-Ayllon M , Corona V F , Valz Gris A , Terzikhan N , Bramer W M , Pastorino R , Boccia S 
Published: October 2024

Abstract

Background
Precision health, encompassing personalized and proactive health solutions, aims to address this gap by integrating genetic, behavioral, and environmental factors. However, challenges persist in its integration, necessitating new healthcare competencies, particularly in leadership, to expedite the transition. Our goal is to identify barriers and solutions for the implementation of precision health and build a core curriculum of leadership competencies to mitigate challenges and barriers for the implementation of precision health.

Methods
A systematic literature review of qualitative primary studies on barriers and facilitators to precision health implementation was conducted. Data extracted from included articles were analyzed thematically, adapting leadership competencies outlined in the CanMEDS Physician Competency Framework. This approach identified key leadership traits crucial for precision health implementation.

Results
51 articles meeting inclusion criteria yielded 985 barriers and facilitators. Thematic analysis identified 9 primary leadership competencies essential for precision health implementation: application of quality improvement science (30%); fostering a culture of patient safety in data use (10%); advocacy for innovative data management (4%); resource allocation advocacy (9%); evidence-based cost management (4%); driving practice change (8%); prioritization and time management (11%); and optimization of healthcare workforce practices (14%).

Discussion
The synthesized leadership competencies provide a useful framework for addressing barriers and fostering precision health implementation among healthcare professionals. The high representation of competency related to quality improvement science is emblematic of how cultural elements specific to leadership and management in medicine could represent a strategic asset to foster the implementation of innovative solutions, like precision health, in healthcare.

Key messages
• Leadership skills are a crucial element in the curriculum of health professionals to support the implementation of precision health in clinical practice.
• Incorporating elements of ‘quality improvement science’ in the healthcare professionals education emerged as essential to foster precision health implementation.
Indicators of primary health care workforce equity for attaining health equity
Authors: Šantrić Milićević M , Scotter CDP , Bruno-Tome A , Scheerens C , Ellington K 
Published: October 2024

Abstract

Background
Healthcare workforce crises are often the result of inequities faced by healthcare workers. This study aims to discuss the primary policy questions related to health equity regarding the primary healthcare (PHC) workforce indicators.

Methods
Following the purposive review of published literature on HWF equity in PHC services, we applied an intersectional analysis of the compendiums of HWF indicators (e.g., supply, flows, skill mix, working conditions, promotion, training, funding, governance, etc.) to strategically link them to PHC policy issues for health equity and categorized qualitatively under each policy pillar against HWF crises.

Results
The proposed indicators address the measurement of multiple dimensions of health workforce equity. These include financial and non-financial incentives to monitor worker attrition reduction, gender pay gap, fairness in employment arrangements, remuneration, and working conditions. By monitoring the minimum wage for financially vulnerable health workforce groups, we can identify the need for potential increases to support well-being, reduce turnover, and increase productivity. Equally important is monitoring equity in health workforce education, planning, and management, which is crucial for achieving population health equity. By implementing indicators of health workforce diversity to address rural and underrepresented communities, primary healthcare managers can effectively plan the reduction of their unmet needs and minimize avoidable referrals.

Conclusions
To ensure equitable access to primary healthcare, we must measure workforce equity and its impact on population health. Monitoring the indicators of equitable health workforce policies and evaluating the improvement in retention and recruitment processes can more effectively address workforce crises.

Key messages
• Health workforce crises often stem from healthcare workforce inequities.
• Health workforce equitable policies require a clear set of indicators.
Hospital employees’ perceived racism, ethnically offensive behavior, and patient violence
Authors: Inchi L , Gur A 
Published: October 2024

Abstract

Background
Hospitals are sensitive environments with complex interactions between employees and patients. Israeli society is ethnically diverse, and Israeli hospitals reflect this diversity and may create opportunities for rapprochement between different ethnic groups or might raise conflicts between them. In radical situations, such encounters might lead to violence. The phenomenon of physical or verbal violence towards caregivers and hospital employees exists. However, the uniqueness of this study is in examining whether the origin of the violence stems from racist reactions and how offensive behavior on an ethnic background could develop into actual violence.

Methods
Data were collected through an online close-ended survey among 370 hospital employees. 83% were Jewish, 68% were female, and 38 years old on average, with a mean hospital tenure of 6.5 years. The survey explored respondents’ perceived racism toward them, their exposure to offensive patient behavior based on ethnicity, and their exposure to general violence. Data were analyzed by SPSS 28.

Results
Preliminary results suggest positive correlations between study variables (r=.42-.52, p&lt; .001). Regression analysis revealed that perceived racism contributed to general violence (β=.43, p&lt; .001; R²=.19). Next, ethnic-based offensive behavior was added to the model (β=.36, p&lt; .001). The analysis shows that general violence can be explained by these variables [F(2, 359)= 70.42, p&lt; .001; R²=.28]. The R² of the general model increased significantly by 9.6%. The weight of perceived racism dropped yet is still significant (β=.24, p&lt; .001). These results indicate that patients’ ethnic-based offensive behavior partially mediates the relationship between employees’ perceived racism and general violence.

Conclusions
The results suggest that employees who suffer from racism experience patients’ offensive behaviors based on ethnicity, which finally results in higher exposure to general violence in the workplace.

Key messages
• Understanding the phenomenon of violence in hospitals and examining the relationship between it and racism may amend policy and improve the quality of care and working conditions in the health sector.
• The hospital environment involves diverse groups of society. Hence, the awareness of offensive behavior on an ethnic background is a condition to reduce racism and violence proactively.
Elective placements for medical students in a regional Public Health Department in Ireland
Authors: Kelly C , Gorman I , Carroll C , Fallon U , McCarthy N , Cooney F 
Published: October 2024

Abstract

Exposure to different specialties during medical school influences the subsequent career choice of students. We describe the development of elective student placements in Public Health in a regional Public Health Department (PHD) in Ireland which serves a population of just over one million. In September 2023, a collaboration to oversee the electives was established between our PHD (HSE Dublin and Midlands) and an academic institution (Trinity College Dublin (TCD)). An Elective Working Group (WG) was formed which developed learning objectives and an elective plan. The electives were scheduled for October and November 2023. The key learning objectives were for students to: • Develop an understanding of the role of Public Health across all domains, in our regional PHD and in Ireland; • Develop an understanding of the career pathway in Public Health Medicine in Ireland; • Contribute to a public health project within the PHD. The elective plan included approximately 15 1:1 tutorials across the public health domains, attendance at PHD meetings and a literature review-based project. Between October and November 2023, two students (one per month) were attached to the PHD. At the end of each elective, students presented project findings to the WG for discussion. Debrief sessions gathered feedback from the students, the WG and the TCD partner. Student feedback was overwhelmingly positive. Feedback suggested taking pairs of students at the same time may increase efficiency and capacity for future electives in our PHD. A collaborative approach to planning and coordinating the electives was crucial to its success. We are building on this experience to expand the electives with an increased number of students being facilitated by our PHD in 2024, providing students with greater opportunity to gain exposure to Public Health Medicine during medical training. Application and evaluation materials were refined which can be shared.

Key messages
• The success of the Public Health electives in our regional Public Health Department was underpinned by a collaborative academic partnership and a structured, coordinated approach.
• Availability of Public Health electives during medical school training can support students to gain exposure to this specialty in a time when they are considering future career choices.