bluuebunny/crossref_metadata_2025_split huggingface dataset:
Reliability of the telephone-administered International Physical Activity Questionnaire in an Italian pilot sample
Authors: Mannocci Alice , Bontempi Claudio , Colamesta Vittoria , Ferretti Filippo , Giraldi Guglielmo , Lombardi Annamaria , Meggiolaro Angela , Miani Anna , Miccoli Silvia , Rosso Annalisa , Saulle Rosella , Unim Brigid , Boccia Antonio , La Torre Giuseppe 
Published: April 2023

Background: the International Physical Activity Questionnaire (IPAQ) is an instrument for crossnational monitoring of physical activity and inactivity. The aim of the study was the reliability evaluation of the Italian telephone-administered IPAQ version in Rome.
Methods: the IPAQ short form (IPAQ-SF), consisting of 7 items, was administered. The responses, used to compute Metabolic Equivalent Task (MET in minutes per week), were processed to analyze the internal consistency. Standardized Cronbach’s alpha was used for reliability estimation.
Results: a total of 133 adults (51 males and 82 females) participated in the study, with a mean age of 51 years (SD=19). The mean MET was 4 130, corresponding to good physical activity levels. The standardized Cronbach’s alpha on 6 items, concerning time spent on vigorous and moderate activity and walking, was 0.614.
Conclusions: according to the findings from other countries, the Italian IPAQ-SF has acceptable measurement properties, as good as other established self-reports. The IPAQ-SF has a questionable reliability as previously reported, but the results of the present pilot study are promising and suggest that these instruments can be used to compare population estimates of physical activity.
Prenatal genetic counselling: issues and perspectives for pre-conceptional health care in Emilia Romagna (Northern Italy)
Authors: Lucci Marco , Astolfi Gianni , Bigoni Stefania , Baroncini Anna , Calabrese Olga , Ferlini Alessandra , Parmeggiani Giulia , Pompili Eva , Seri Marco , Calzolari Elisa 
Published: April 2023

Background: there are many reasons why a couple may seek specialist genetic counselling about foetal risk. The referral for prenatal genetic counselling of women with a known risk factor during pregnancy has many disadvantages. Despite this, 10-20% of women seek counselling when already pregnant.
Methods: data on 804 pregnant women out of 2 158 (37.3%) referred for genetic counselling in 2010 to three Clinical Genetic Services were retrospectively analysed. Patients referred only for advanced maternal age were analysed in a separate study.
Results: the 804 pregnant women were referred for 932 counselling issues. 325 issues (34.9%) were identified during pregnancy and 607 (65.1%) were pre-existing. 81.2% of Italians compared to 41.8% of the non-Italians (P<0.01) had access to counselling before 13 weeks of gestation for risk factors present before pregnancy. An accurate genetic diagnosis was available in 25.0% of cases. In 21.7% of the cases an elevated a priori risk of >10% for the unborn child was established.
Conclusions: genetic services provide 37.3% of counselling to pregnant women. Referral for genetic counselling during pregnancy can require considerable resources and pose significant ethical and organizational challenges. New models of pregnancy care in the community need to be developed. General practitioners and gynaecologists have an important role in the referral and in the defence of equity of access and a more structured approach to the participation of medical geneticists to primary practice should be considered.
Nutritional status among the children living in predominantly tribal block of Jhadol in district Udaipur, Rajasthan, India: A cross sectional study
Authors: Shahnawaz Md , Bir Singh Jatinder 
Published: April 2023

Background: India has achieved remarkable economic progress in last couple of decades but the fruit of progress has failed to assure the better nutritional status to our children. The child nutritional situation remains grim for most of the states, especially in the tribal region. This paper is an attempt to measure the extent of under nutrition in terms of Height/Length-for-age (stunting), Weight-for-height/Length (wasting), and Weight-for-age (underweight) for children less than five year old in predominantly tribal block Jhadol of district Udaipur, Rajasthan, India.

Methods: World Health Organization (WHO) child growth standard has been used as reference population to measure the percentage prevalence of stunting, wasting and underweight from its median. Total of 1286 children (623male and 663female) have been considered for this study. WHO Anthro software has been used for analysis and interpretation of results.
Results: The results showing the severe undernourishment among the children in this part of Rajasthan. 63% children are moderate to severely stunted (short for age), 46% has been found out to acutely malnourished and the composite index weight-for-age showing that 69% children is moderate to severely underweight. Against the popular facts that girls are more malnourished, boys of Jhadol block reported to be more undernourished.
Conclusion: The high prevalence of chronic malnourishment in this part of Rajasthan is a matter of grave concern. This paper calls for a region specific policy based on holistic approach of better healthcare, ensuring food security, access to drinking water, sanitation.
Health impact assessment of major collective events: an overview of the available experiences
Authors: Siliquini Roberta , Giacometti Marika , Scoffone Silvia , Viglianchino Cristina Angela , Bo Marco , Galis Veronica 
Published: April 2023

Background: major sporting and cultural events are a sensitive political and social issue. The aim of this study was to perform a critical review of the international literature regarding health impact assessment (HIA) studies of major events to identify all the health indicators available in the literature.
Methods: we drew up a review of available literature on HIAs pertaining to major sports and cultural events. The papers obtained were read and then assessed in relation to the inclusion criteria, and the health indicators used were listed and commented upon.
Results: we found three published HIA reports. One is a full report, and the other two are a screening report and a rapid HIA report. Through a detailed analysis, it has been possible to develop a set of indicators that can be used for future HIAs on major sporting and cultural events.
Conclusions: reports of HIAs for major events that are available online identify several health impacts. In the pre-event phase, negative effects are predominant; in the post-event period, positive impacts prevail. The characteristics of the different stakeholders involved in the events play an important role in the evaluation process.
The association between self-efficacy and sick-leave among men and women: a cross-sectional study of the general working population in Sweden
Authors: Holmgren Kristina EM , Mårdby Ann-Charlotte M 
Published: April 2023

Background: The aim of this study was to investigate if low self-efficacy was associated with increased risk for sickness absence, in a general population of employed women and men. The aim was also to analyse differences in self-efficacy concerning age, education, income, and socio-economic position.
Methods: This cross-sectional study was based on data collected in western Sweden, 2008. The study population consisted of 2,900 employed sick-listed individuals (E-SL) and 2,649 random working population individuals (R-WP). Both mailed questionnaire, including the General Self-Efficacy Scale (GSE) and register data on age, education, income and socio-economic position were used. A continuous mean score of the total GSE was calculated for each individual. A low GSE-score indicated low general self-efficacy.
Results: Lower general self-efficacy had an increased odds ratio (OR) of belonging to a sick-listed general working population among both men (OR=1.60; 95% CI 1.32–1.94) and women (OR=1.26; 95% CI 1.08–1.47). The OR remained significant after adjustments for socio-demographic variables. Yet, men in the R-WP and women in both the R-WP and E-SL with lower education, income or socio-economic position had lower general self-efficacy compared with those in each cohort with higher education, income or socio-economic position.
Conclusions: Low self-efficacy was associated with increased probability to belong to a sick-listed general working population. Although more research is needed, it seems highly relevant to take both self-efficacy and socio-economic factors into account, in preventive and rehabilitation work targeting persons on sickness absence.
Prevalence and correlates of childhood obesity in suburban area of Odisha: A cross sectional study
Authors: Pati Sanghamitra , Swain Subhashish , Akhtar Hussain Mohammad , Singh Chauhan Abhimanyu 
Published: April 2023

Introduction: In India obesity and overweight is increasing among urban adolescents. Both under and over nutrition is grappling the country at faster rate. Present study was an attempt to explore obesity and overweight prevalence among school going children in suburban areas of Cuttack city, Odisha, India and their correlates.
Methodology: A cross-sectional study was done among school children in suburban area of Cuttack city, Odisha. A predesigned and pretested questionnaire was used to interview the study participants to elicit information about their age, number of siblings, birth order of the child, working status of parents, television screen viewing time, mode of transport to school and dietary habit of the students. A total of 550 children studying in class five to ten participated in our study.
Result: Out of 550 children screened, nearly (14) 2.5% students were thin or severely thin, whereas (67)12.1% students were overweight or obese. Univariate analysis revealed that girls were almost five times at higher risk of being overweight/obesity compared to boys (OR: 4.78 95%CI: 1.35-16.93). Children who used motorized vehicles for going to school had an unadjusted Odds ratio of 10.08 [95%CI: 2.08-48.77] of being overweight or obese compared to those who walked to school. Having more than one child at home (OR= 0.15, 95%CI: 0.039-0.6) and doing physical activity for more than 30min per day (0.105, 95%CI: 0.015-0.72) were found to be protective against overweight and obesity.
Conclusion: Bearing in mind the burden of overweight and obesity among school children there is a need for periodic screening, awareness at school and parent counselling.
Using DRG to analyze hospital production: a re-classification model based on a linear tree-network topology
Authors: Lanzarini Achille , Lafranconi Alessandra , Nonis Marino , Madotto Fabiana , Grillo Paolo , Olgiati Stefano , Cesana Giancarlo 
Published: April 2023

Background: Hospital discharge records are widely classified through the Diagnosis Related Group (DRG) system; the version currently used in Italy counts 538 different codes, including thousands of diagnosis and procedures. These numbers reflect the considerable effort of simplification, yet the current classification system is of little use to evaluate hospital production and performance.
Methods: As the case-mix of a given Hospital Unit (HU) is driven by its physicians’ specializations, a grouping of DRGs into a specialization-driven classification system has been conceived through the analysis of HUs discharging and the ICD-9-CM codes. We propose a three-folded classification, based on the analysis of 1,670,755 Hospital Discharge Cards (HDCs) produced by Lombardy Hospitals in 2010; it consists of 32 specializations (e.g. Neurosurgery), 124 sub-specialization (e.g. skull surgery) and 337 sub-sub-specialization (e.g. craniotomy).
Results: We give a practical application of the three-layered approach, based on the production of a Neurosurgical HU; we observe synthetically the profile of production (1,305 hospital discharges for 79 different DRG codes of 16 different MDC are grouped in few groups of homogeneous DRG codes), a more informative production comparison (through process-specific comparisons, rather than crude or case-mix standardized comparisons) and a potentially more adequate production planning (considering the Neurosurgical HUs of the same city, those produce a limited quote of the whole neurosurgical production, because the same activity can be realized by non-Neurosugical HUs).
Conclusion: Our work may help to evaluate the hospital production for a rational planning of available resources, blunting information asymmetries between physicians and managers.
A systematic literature review on the policies and economic evaluation of organ transplantations in EU
Authors: Tritaki Georgia , Di Giannantonio Paolo , Boccia Stefania 
Published: April 2023

Background: transplantation of human organs and tissues saves many lives and restores essential functions in combination of high measurable quality indicators. In spite of the fact that organ transplants have saved thousands of lives and greatly improved the quality of life of thousands more, regrettably many people will not benefit from this therapeutic procedure.
Methods: this review is based on economic evaluation studies published since 2000 and reviews published since 1987 for kidney, liver, lung, heart, pancreas, and small bowel transplantations that were conducted in 2010.
Results: empirical evidence showed that the costs of organ transplantations have generally decreased over time due to improvements in medicine, while survival and quality of life have improved. This indicates that the cost-effectiveness of transplantation has also improved over this period.
Conclusions: cost effectiveness studies on organ transplantations could contribute to the efforts of policy makers in maximising societal health benefits by managing society’s scarce resources. The differences between EU country are not only associated with different legal procedures but are also associated with social, organizational and several other factors.
Screen-based sedentary behaviours in Italian school children: the ZOOM8 study
Authors: Galfo Myriam , D'Addezio Laura , Censi Laura , Roccaldo Romana , Giostra Giordano 
Published: April 2023

Background: screen-based sedentary behaviours likely have a negative impact on many aspects of youth health and development. The purpose of this study was to describe the screen-based sedentary behaviours and to examine factors associated in a sample of Italian school children.
Methods: 2129 children, aged 8-9 years, from the three main geographical areas of Italy were involved. Body weight and height were measured. Screen-based sedentary behaviours were evaluated using a parent-reported questionnaire that included items about the time spent watching television (TV) and using computer/playstation and other electronic games. Pearson’s chi-square test and logistic regression analysis were conducted to study possible associated factors.
Results: more time was spent in screen-based sedentary activities during non-school days rather than on school days. More males than females watched television more than the recommended 2 hours a day and spent the same time using computer (PC), playstation and other electronic games. The presence of a TV in the child’s bedroom was significantly associated with geographical area, and inversely associated with mother’s education. Moreover, children with a TV in the bedroom had higher odds of being overweight/obese and watching TV more than 2 hours a day than those without a TV. According to multiple logistic regression gender, mother’s age and mother’s education were predictors of the total screen time.
Conclusions: Italian children spent a significant amount of time in screen-based sedentary behaviours, exceeding media recommendations. In addition gender, mother’s age and mother’s education were predictors of the total screen time.
Delay in diagnosis of pulmonary tuberculosis: a survey in the Lazio region, Italy
Authors: Pezzotti Patrizio , Pozzato Silvia , Ferroni Eliana , Mazzocato Valentina , Altieri Alfonso M. , Gualano Gina , Loffredo Mariarosaria , Napoli Pier Angela , Perrelli Fabrizio , Girardi Enrico 
Published: April 2023

OBJECTIVE: To estimate patient and health care delays in the diagnosis of PTB and to evaluate associated factors.
METHODS: PTB incident cases ≥18 years diagnosed between September 2010 and September 2011 in the Lazio region; information on symptoms and date of onset, health professionals contacts, diagnostic exams performed, and drugs prescribed before diagnosis were collected through a standardized questionnaire. The total delay (TD) was divided into patient delay (PD: from symptoms onset to first contact with healthcare services) and health system delay (HSD: from first contact to diagnosis).
RESULTS: 278 cases were evaluated. Median PD,HSD, and TD, were 31, 15, and 77.5 days, respectively. The median PD, HSD, and TD were significantly lower in foreign born patients (26, 10.5, 63.5, vs. 45, 36, 100 days, respectively). Other factors independently associated with longer delay were: absence of fever and presence of weight loss for PD; prior unspecific treatment, absence of cough, consult with a general practitioner, visit to an outpatient clinic, and a PD <30 days for HSD.
CONCLUSIONS: In Italy, the delay in TB diagnosis is similar to that estimated in other European countries. Results indicate that actions aimed to reduce diagnostic delay should be primarily addressed to Italian patients.
Clinical Practices and Experiences about Screen Time: From the Perspective of Child and Adolescent Psychiatrists in Turkey - An Online Survey
Authors: Uzun Çakir Aylin Deniz , Çakir Burak , Bilaç Öznur , Yalin Sapmaz Şermin , Kandemir Hasan 
Published: April 2023

Abstract

Background
Both mental and physical preventable health problems related to screen time (ST) in children and adolescents are increasing. It is important that psychiatrists have awareness to prevent problems in this area.

Objective
The aim of our study was to evaluate the child psychiatrists’ awareness about ST, their interventions for ST, and to what extent the recommendations of the associations are implemented.

Method
All child and adolescent psychiatrists in the country who could be reached via smartphone were invited to participate in the study. Child and adolescent psychiatrists were included regardless of whether they had attended any ST courses/panels. Data were collected through an online questionnaire. A total of 302 physicians volunteered for the study.

Results
It was determined that very few child and adolescent psychiatrists had attended an ST course/training in the past or followed any guidelines. A statistically significant difference was found between physicians who received training/courses and those who did not in terms of informing patients and offering interventions (p<0.05). Similarly, a significant difference was found between those who followed the guidelines and those who did not.

Conclusion
Raising awareness, increasing psychiatrist participation in trainings, and following guidelines can increase the effectiveness of ST interventions, in order to achieve good results.
MENGEMBALIKAN MEMORI KAMPUNG TUGU MELALUI RUANG KEBUDAYAAN KAMPUNG TUGU, JAKARTA
Authors: Trifosa Feris Misael , Sutisna Sutarki 
Published: April 2023

Kampung Tugu area is a cultural heritage area. The Tugu Church, the Portuguese Village, the Rabo-Rabo Tradition, Mande-Mande as well as the Keroncong and Tugu dances are regional characters that are reflected in the Tugu Village. The area has undergone environmental changes, where village land use is currently mostly used as container and industrial parking lots which has caused the character of the Kampung Tugu area to slowly disappear, Kampung Tugu has become an intangible memory. Urban acupuncture is a strategy in placing cultural activity points as an effort to cure diseases in the area. Using everyday methods and typologies in the design can connect the needs of the area to the project to become a continuation of existence and revive the character of the Kampung Tugu area. Rabonde Toegoe is a new face for Kampung Tugu, a living tourism of Portuguese and Betawi culture that Tugu has. The design is carried out with adaptive reuse for the Tugu community in maintaining culture and opening up space to become an attraction for outsiders.
Keywords: acupuncture; architecture; character; city; degradation; region
Abstrak
Kawasan Kampung Tugu merupakan kawasan cagar budaya. Gereja Tugu, Kampung Portugis, Tradisi Rabo-Rabo, Mande-Mande serta Keroncong dan tarian Tugu, merupakan karakter kawasan yang tergambar dari Kampung Tugu. Kawasan mengalami perubahan secara lingkungan, dimana penggunaan lahan kampung, saat ini mayoritas digunakan sebagai lahan parkir kontainer dan industri yang menyebabkan karakter kawasan Kampung Tugu perlahan hilang, Kampung Tugu menjadi sebuah memori yang tidak berwujud. Akupunktur perkotaan menjadi sebuah strategi dalam menempatkan titik - titik aktivitas budaya sebagai upaya penyembuhan terhadap penyakit pada kawasan. Dengan menggunakan metode keseharian dan tipologi pada perancangan dapat mengkoneksikan kebutuhan kawasan terhadap proyek untuk menjadi sebuah kelanjutan dari eksistensi dan menghidupkan karakter kawasan Kampung Tugu. Rabonde Toegoe menjadi wajah baru bagi Kampung Tugu menjadi wisata hidup kebudayaan Portugis dan Betawi yang Tugu miliki. Perancangan dilakukan dengan penggunaan kembali secara adaptif bagi komunitas Tugu dalam mempertahankan kebudayaan serta membuka ruang untuk menjadi daya tarik bagi masyarakat luar.