bluuebunny/crossref_metadata_2025_split huggingface dataset:
Legal protection of the patient's right to access medical records in Indonesia
Authors: Sudra Rano Indradi , Putra Sarsintorini , Hartini Inge 
Published: May 2023

Background: Patient access rights to medical records are related to the retention period because they can only be accessed as long as they have not been destroyed. The study aims to identify the corresponding regulations to assess the legal protection of the patient's right to access her/his medical record.
Methods: Tracing and identifying primary legal sources in regulatory content related to patient rights of access. An analysis was conducted on the clarity and consistency of the contents identified.
Results: Regulations identified regarding patients' rights to access their medical records are Law number 29 of 2004, Government Regulation number 47 of 2021, and Minister of Health Regulation number 269 of 2008. The regulations governing the retention period of medical records are Law number 11 of 2008, Law number 44 of 2009, Government Regulation number 46 of 2017 and number 71 of 2019, Minister of Health Regulation number 269 of 2008, number 82 of 2013, and number 46 of 2017.
Conclusions: The condition of disharmony and inconsistency among regulations governing patient access rights and the retention period of medical records creates uncertainty for patients to access their medical records.
The role of Diabetes mellitus comorbidity on Tuberculosis treatment outcomes in Nepal: A prospective cohort study
Authors: Mahato Roshan Kumar , Laohasiriwong Wongsa , Koju Rajendra 
Published: May 2023

Aim: The Objective of this study was to assess the effect of Diabetes Mellitus (DM) on treatment outcomes of tuberculosis (TB) patients in the Central Development Region of Nepal.
Methods: A prospective cohort study was conducted in central Nepal. The study population of n=408 was consecutively recruited from treatment centers of all 19 districts of central Nepal. The TB cases (n=306) and TB with DM (n=102) cases were followed up for the estimation of blood glucose level, HbA1c level, and sputum examination on 2, 5, and 6 months after TB treatment started. The Generalized Estimating Equation (GEE) was performed to identify the risk ratio among TB and TB with DM cases on treatment outcome.
Results: Our study identified that the magnitude of treatment failure among the tuberculosis cases was 19.7% (95% CI: 17.44-21.95). The GEE analysis observed that factors associated with the treatment failure had uncontrolled DM (HbA1C ≥7 %) (adj.RR=5.24, 95% CI: 2.58-10.62, P value <0.001), aged ≥ 45 (adj.RR= 6.13, 95% CI: 2.55-14.76, P value <0.001), had inadequate financial status (adj.RR= 2.33, 95% CI: 1.07-5.06, P value 0.033) and had prior TB (adj.RR=2.33, 95% CI: 1.09-4.97, P value 0.028) respectively.
Conclusion: The prevalence of worsening TB treatment among patients with TB and DM was significantly higher than those who had TB only. Poor glycaemic control, increasing age, inadequate financial status, and previous history of tuberculosis were strong predictors of worsening tuberculosis treatment outcomes.
Effect of safety and hygiene practices on lung function among Indonesian farmers exposed to pesticides
Authors: Mahawati Eni 
Published: May 2023

Aim: This study aimed to detect lung function impairment in farmers exposed to pesticides related to safety and hygiene practices in pesticide application.
Methods: This was a cross-sectional study with respondents are 200 farmers who were exposed to pesticides in Grobogan, the main agricultural center in Central Java, Indonesia, which has 95.75% agricultural workers. Data were collected by a questionnaire-based interview, observation, and spirometry measurement. Chi-square and Multinomial Regression were used for the statistical test.
Results: The survey results of all respondents showed that 12% had restriction lung function, 32% had obstruction lung function, and 56% had normal lung function. There was a significant effect between work period, pesticide spraying hour per day, spraying against wind direction, changing clothes directly after exposure to pesticides, taking a bath directly after exposure to pesticides with "farmer's lung function" based on statistical test results.
Conclusion: The Safety and hygiene practices of farmers exposed to pesticides could affect their lung function. It is suggested that to improve management and regulation control of pesticide application, educational programs and reinforcement of "safety and hygiene practices" in the workplace as effective approaches for preventing respiratory disorders related to pesticide exposures.
Market and welfare valuation of the economic burden of diseases attributable to air pollution exposure in the Western Balkans
Authors: Panteli Maria , Delipalla Sofia 
Published: May 2023

Aim: The population in the Western Balkans is exposed to high air pollution concentrations, among the highest in Europe, causing death and disability. Research, however, on the resulting economic cost in the region is still limited. We estimate the economic cost of the adverse health effects from air pollution exposure, including fine particulate matter (ambient and household) and ambient ozone air pollution in the region.
Methods: We employ both market and welfare-oriented methods. According to the Cost-of-Illness (COI) approach, we estimate both the direct (healthcare expenditure) and indirect cost (mortality and morbidity cost). Against the shortcomings of a market-based valuation, the Willingness to Pay (WTP) approach is also used. The most recent data from the Global Burden of Disease Study 2019 are used.
Results: Under the COI approach, total economic cost is estimated at PPP$ 6.3 billion. Equivalently, it ranges from 0.8% of GDP in Croatia to 2.39% of GDP in Bosnia and Herzegovina. The WTP methodology yields a significantly higher estimate, equal to PPP$ 76.7 billion. The monetary amount associated with the disease burden of air pollution is significant.
Conclusion: Public health policies should include monitoring of the adverse health effects of air pollution. Abatement policies should aim at reducing ambient air pollution as well as the dependence on polluting household energy usage. The reduced economic cost can be accompanied by benefits associated with climate change mitigation and an overall improvement in population’s health status, an important aspect given the current COVID-19 pandemic.
Retracted: Respiratory symptoms among urban traffic policemen in Bangladesh: A cross-sectional study
Authors: Ahmed Parvez , Eaty Mahim , Alam Nazmul , Anthony Leela , Yasmin Nawzia 
Published: May 2023

This article has been retractedThis article has been retracted at the request of the Editor-in-Chief.
The authors have published the same manuscript in two journals (South Eastern European Journal of Public Health) and (Journal of public health in africa). The Ediotiral office of SEEJPH have contacted the corresponding author multiple times and failed to hear back on the explanation. As dual publication of a same manuscript is a serious academic misconduct and malpractice, as per the suggestions from the Executive editor (Prof. Genc Burazeri) and founding editor (Prof. Ulrich Laaser) of "South Eastern European Journal of Public Health (SEEJPH)", we have retracted this article from the SEEJPH website.
Self-assessment of essential public health operations in Kosovo
Authors: Berisha Merita , Ramadani Naser , Basholli Florie Miftari , Jerliu Naim , Humolli Isme , Tahirukaj Ardita , Maraokuli Maria , Martin-Moreno Jose M. 
Published: May 2023

Aim: The National Institute of Public Health of Kosovo (NIPHK) considered the challenge of assessing the availability and performance of critical public health services in Kosovo. To this end, support was requested from the World Health Organization (WHO) European Regional Office, through the WHO office in Pristina, for an action-oriented process. The systematic process of the self-assessment of public health operations aimed to generate sufficient empirical evidence to identify the strengths and weaknesses of the country’s health services and functions to provide recommendations for future public health actions in Kosovo.Methods: The NIPHK team followed the systematic self-assessment methodology of the Essential Public Health Operations (EPHO) model that the WHO’s regional office for Europe developed. The appraisal was conducted throughout 2018 and the first quarter of 2019 and involved a broad spectrum of public health actors. It also followed a participatory, interdisciplinary, and inter-sectoral approach. It was developed in three phases: preparation and collection of information, analysis and interpretation of the data, and critical recommendations for the Kosovo health authorities’ consideration.
Results: The assessment resulted in an overall score of 48% sufficiency for the set of public health operations (core and enablers). The most in need of development were EPHO 6, which is related to governance (only 20% of what is needed in this dimension as a whole), followed by EPHO 3, which considers vital aspects of health protection (35%), and EPHO 10, which is related to research capacities (40%). Based on the EPHO assessment results, the specialized teams developed a set of priority recommendations to strengthen the implementation of the EPHOs in Kosovo.Conclusion: The self-assessment revealed that, despite ongoing initiatives and measures to strengthen public health, the application of EPHOs has much room for improvement. We believe that decision-makers can use this method and the findings that it reveals to implement the most effective interventions to protect and promote the population’s health. In addition, the methodology and experience can be used for educational and training purposes.
The willingness of COVID-19 vaccination and associated factors: A systematic review
Authors: Fani Tiara , Saptorini Kriswiharsi Kun , Anggreani Aprilia Diah 
Published: May 2023

Aim: Vaccination is an effective approach to avoid infection and reduce morbidity and mortality of infectious diseases. However, in previous infectious disease vaccination programs, some people were hesitant to get vaccinated. To develop an effective vaccination program or policy, the government or public health officials need to understand the factors that influence the willingness of COVID-19 vaccination from the various studies.
Methods: Between 1-18 December 2020, articles were searched from PubMed and ScienceDirect with the following key terms: Willingness, Acceptance, Acceptability, COVID-19 vaccine, and COVID-19 vaccination. Eligibility for article inclusion criteria was determined by PRISMA.
Results: 20 studies were included in this review. All studies were conducted in the early days of the COVID-19 pandemic. The willingness of COVID-19 vaccination ranged from 60-97% among the general population, 28-63% among healthcare workers, 56-65% among parents or caregivers, and 73% among factory workers. The common factors that affected the willingness of COVID-19 vaccination: gender, age, education, individual perception about diseases and the vaccine, trust in the government, statements of public health officials and health providers.
Conclusion: Concerns about disease risk, effectiveness, and side effects are important factors associated with vaccination willingness. To avoid vaccination hesitancy in the community, public health officials need to disseminate detailed information about the vaccines like efficacy level and side effects, and continue to provide information about the risks of COVID-19 for personal health and others through various online media to avoid vaccination hesitancy.
An examination of the diversity of beer and cider products sold in Irish supermarkets in the context of health promotion advice
Authors: Houghton Frank , ’Mahony CáitlínO 
Published: May 2023

Aim: Current health promotion advice relating to the consumption of beer and cider in
Ireland is very firmly based on nominal pints and half pints of beer. This study sought to determine if the assumed alcohol strength of beer and cider available in a sample of mainstream supermarkets was appropriate. This study also sought to examine if the assumed size of containers of beer and cider was accurate.
Methods: All beer and cider products in a purposive sample of Irish mainstream supermarkets was examined. Data was input into SPSS and examined.
Results: There is a substantial level of variation in the container size and alcohol content of beer available in mainstream supermarkets in Ireland.
Discussion: Current health promotion advice in Ireland is out of date and does not enable people to easily monitor their drinking and follow healthy drinking guidelines. The obvious answer is the enactment of the Public Health (Alcohol) Act, 2018, that has already been passed requiring alcohol containers to display the number of grams of alcohol contained. However, this element of the legislation, despite being passed into law, has yet to be either enacted, or even given a date for enactment.
The COVID-19 pandemic and the right to health of people who use drugs
Authors: Eick Donata , Aubert Océane , Dempsey Kendra , Ozawa Momone , Eerd Eveline Van , Neicun Jessica 
Published: May 2023

Context: According to the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) people who inject drugs (PWID) make up a significant part of the population that needs to be looked after to eliminate infectious diseases such as those caused by HIV and HCV. This situation has been exacerbated by the COVID-19 pandemic. As COVID-19 rapidly spread across the globe, governments implemented various prevention measures which not only caused an increase in problem drug use (PDU) because of their negative impact on mental health and socioeconomic conditions but also prompted a decrease in drug services provided. Therefore, new challenges appeared, such as increased demand for drugs and diversification of clients, and new needs. Nevertheless, in clear contradiction to what was needed, the EMCDDA’s initial reports suggested that there was a decline in European drug services both in providing treatment and harm reduction interventions. COVID-19 increased the need to access drug services, healthcare, and support services creating an increased demand for opioid substitution therapy and other medication. Thus, comprehensive, and sustainable policies are needed to combat the public health threats associated with these challenges and to ensure the continuity of care.
Policy Options: The challenging circumstances brought by the COVID-19 pandemic require policymakers need to take action to build capacity and resiliency for those facing drug-related health and social problems. These should include the adoption of integrated strategies that combine drug consumption rooms, substance-specific therapies, provision of free needles and naloxone, primary healthcare, and social support.
Recommendations: The creation of an integrated drug policy framework addressed to European Union member states is necessary to create robust drug services capable of surviving a crisis. This is guided by a relevant policy design and implementation framework, alongside tangible action principles in line with low-threshold service provision.
IMPACT: Ideal Measures for Participation and Awareness of Climate Change: Stronger Together Citizen participation in achieving the European Green Deal in the Meuse-Rhine Euroregion
Authors: Alsamara Issam Moussa , Beinert Stefanie Felicitas , Jong Jeanne Catelijne de , Klapp Maaike Jeannette Barbara , Marewsk Viktoria Sirkku , Orhan Rana 
Published: May 2023

Context: The European Green Deal is a tool to make Europe the first climate-neutral continent by 2050. To reach this goal, action is needed on all organizational levels. At the same time, temperatures keep rising, and the Meuse-Rhine Euroregion (EMR) suffered from heavy floods in the summer of 2021and extreme weather events are expected to increase. This is an example of a cross-border issue and therefore shows the need for cross-border climate action. The EMR could be a showcase for climate action and collaboration for other border regions across Europe and worldwide.
Policy Options: Citizens often do not feel responsible for taking climate action; however, everyone should contribute to achieving the biggest results in tackling climate change. Therefore, three policy options are presented to increase citizen participation in climate action: local climate measurements, sustainable food consumption, less food waste, and sustainable cities through urban gardening. These policy areas deserve more attention and have room for improvement.
Recommendations:

Encourage the implementation of citizen science projects in the EMR.
Gather insights on the region's greenhouse gas emissions.
Provide more sustainable food in institutional canteens and reduce food waste.
Use social media as a tool to provide information about sustainable food.
Use urban areas for urban gardening projects.
Create community sustainability challenges.
Proposing a Code of Ethics for Public Health Professionals in Europe
Authors: Agarici Sylvia , Elabbasy Darin , Hirche Anja , Saha Royina , Witte Jente , Thomas James C. 
Published: May 2023

Context: Public health practitioners are involved in a wide array of contexts. Local and national government public health agencies; domestic and international nongovernmental organizations (NGOs); and academic institutions are just a few examples of the settings where public health practitioners work. Acting ethically and meeting ethical commitments in a practical and transdisciplinary endeavor as complicated as public health necessitates careful consideration. Ethical practice ensures that public health institutions work properly and that individual public health practitioners maintain their integrity. There is little debate about the importance of ethics in public health professional practice and, as a result, the necessity for a corresponding professional code of ethics.
Policy Options: Only an US-American code of public health ethics has been created so far. Since ethical considerations in public health are heavily dependent in contexts, the aim of this document is to initiate a discussion surrounding the establishment of a Code of Ethics for Public Health Professionals in Europe.
Recommendations:

Stimulate the discussion on a European code of public health ethics.
Make a clear distinction between public health ethics and medical ethics.
Recognize public health as a profession and not just a medical specialty.
Recognize the need for a common code of ethics among public health professionals in Europe.
Use Kotter's Model based on the Theory of Change as a roadmap when creating the European public health code of ethics.
Treat the European code of ethics as a "living document".
Encourage further research on a European code of ethics.
Level of satisfaction and socio-demographic correlates among users of primary health care services in Kosovo
Authors: Kamberi Haxhi , Tanushi Vanesa , Kadrija Muhamet , Kamberi Safete , Jerliu Naim 
Published: May 2023

Aim: The aim of this study was to assess the level and socio-demographic correlates of satisfaction with services among adult primary health care users in Kosovo.
Methods: A cross-sectional study was conducted in Kosovo during the period May-June 2022 including a representative sample of 510 adult users (238 men and 272 women) of primary health care services in Kosovo (mean age: 44.6±19.2 years). In addition to socio-demographic data, a structured 23-item questionnaire aiming at assessing the level of satisfaction with primary health care services was administered to all participants (each item ranging from 1 [high] to 5 [low]). A summary score was calculated for all 23 items related to satisfaction level ranging from 23 (the highest satisfaction level) to 115 (the lowest satisfaction level). General linear model was used to assess the association between the summary score of satisfaction level with primary health care services and socio-demographic factors of study participants.
Results: Mean summary score of the 23 items related to the satisfaction level with primary health care services was 49.8±13.0; median score was 49 (interquartile range: 41-57). In multivariable-adjusted models, the level of satisfaction with primary health care services was significantly higher among participants with a lower educational attainment, individuals with e lower income level, and ethnic Albanian participants.
Conclusion: This study identified important socio-demographic correlates of the level of satisfaction with primary health care services in the adult population of Kosovo. Findings from this study should raise the awareness of policymakers and decision-makers in Kosovo and elsewhere in order to improve the quality of primary health care services.
Overview on epidemiological and clinical manifestation of COVID-19 in Albanian adults
Authors: Çomo Najada , Meta Esmeralda , Qato Migena , Gjermeni Nevila , Kolovani Entela , Pipero Pellumb , Harxhi Arjan , Kraja Dhimiter 
Published: May 2023

On March 9, 2020 the first two cases of Sars-Cov-2 were identified and hospitalized in Albania. In this paper we present a retrospective analysis of 3000 consecutive COVID-19 confirmed cases in Albanian adults admitted at the Infectious Diseases Service which includes three tertiary care wards, part of Tirana University Hospital Center “Mother Teresa”. The period included in this analysis is from March 2020 – April 30, 2021.
The paper provides a general overview including demographic distribution, symptomatic diversity and clinical signs manifested among cases, as well as the association observed with underlying pathologies. The analysis included 1944 males and 1056 females. Overall, the age groups included range from 15 to 99 years (median 65 years; mean value 63.4±13.4 years).
There were no statistically significant age differences between males and females (mean ages were: 63.5±13.1 in females and 63.3±13.5 in males; median ages were: 64 years in females and 65 years in males; P=0.67).
There was evidence of a statistically significant difference between sexes regarding the presence of symptoms, which were more predominant in males (P<0.001). On the whole, we observed 19 cases with specific signs and symptoms, most of them (82.9%) among patients who reported the presence of such symptoms 5-14 days before hospitalization.
The comorbidities encountered were ranked according to systems and organs, classifying them in 22 categories, among which the most frequent were hypertension (52%) and diabetes mellitus (26.4%). Age was a strong risk factor for severe illness, complications, and death.
Analyzing symptom onset with total symptoms and comorbidities, it showed that some patients were affected for many days with few symptoms and few comorbidities. It seems they started as mild cases for many days unpredictably precipitating. There were also a few cases with many comorbidities, but a few symptoms upon hospital admission.