bluuebunny/crossref_metadata_2025_split huggingface dataset:
314 COMMUNITY-BASED INTEGRATED CARE TEAMS EFFECTIVENESS IN PREVENTING CRISIS EMERGENCY DEPARTMENT ATTENDANCES
Authors: Bradley E , Mills D , Byrne A , Ramalingam K , Spencer M , Wheelan M , Nee R 
Published: October 2022

Abstract

Background
Community based integrated care Multi-Disciplinary Teams (MDT) are a mainstay for future management of older adults. They have evolved to meet the needs of many different sub-types of clinical cases in the community. Complex Cases, are patients over 65 who reside within the catchment area, suffer from at least 2 frailty traits, and would be at increased risk of crisis emergency department (ED) attendance. Can the crisis ED attendances be prevented by integrated care team intervention?

Methods
The study population comprised adults identified as complex cases as per integrated care team standard operating procedure. Collated data was reviewed, and electronic medical records assessed as to whether any complex cases had been admitted within 30 days, 60 days, and 1 year of community team review. The study time frame was March 2021- to March 2022. As many patients have more than one unique identifying number, all patients were double-checked with an assessment based on their name and date of birth.

Results
112 complex cases were identified within one year, and 96 individual patients were represented. Average age 83 years old. 65% female and 35% male. 11% were admitted to hospital within 30 days, a further 6% were admitted within 60 days and by one year 30% of reviewed complex cases had been admitted to hospital.

Conclusion
In one year 70% of complex cases have been successfully maintained in the community. This has been achieved based on a multidisciplinary-based, patient-centred care approach. Given that 53% of hospital inpatient bed days are occupied by those over 65. This review concurs with previous research suggesting that an increase in community based integrated care teams is justified and should the aim for a fully staffed team per 150,000 patients over 65 come to fruition more than two-thirds of even the most complicated geriatric cases could be managed in the community.
315 “I JUST GOT ON WITH IT”: EXPLORING THE PATIENT EXPERIENCE OF STROKE REHABILITATION DURING THE COVID-19 PANDEMIC
Authors: Madden R , Galvin R , Horgan F 
Published: October 2022

Abstract

Background
There are emerging studies examining the pandemic experiences for older adults and healthcare staff, however the impact of COVID-19 on stroke rehabilitation has yet to be examined. Family involvement and social support is central to adjustment during stroke rehabilitation and this was impacted by the pandemic and its restrictions. The aim of this study was to explore first-person lived experiences of stroke rehabilitation in an Irish rehabilitation hospital setting during the COVID-19 pandemic and understand how COVID-19 restrictions impacted on patients’ experiences of stroke rehabilitation.

Methods
A qualitative descriptive design was implemented with a purposive sample of stroke survivors, who had undergone stroke rehabilitation between January – December 2021 at an Irish post-acute rehabilitation hospital. Semi-structured interviews were used as the primary data collection method and were audio-recorded and transcribed verbatim. Data were analysed using Braun & Clarke’s (2018) six-step approach and external data validator was used for inter-coder reliability.

Results
Eight stroke survivors were interviewed (male n=5, female n=3). Four main themes were identified: (i) Resilience and coping, (ii) Feeling supported along the journey, (iii) The pinch of COVID-19, (iv) Adjustment and moving on. The stroke survivors’ resilience was an important recurring theme throughout the analysis. A sense of feeling supported by hospital staff and peers was also prominent. The impact of COVID-19 restrictions was felt by all participants, however, resilience, support from hospital staff and peers were the strongest recurring themes.

Conclusion
COVID-19 restrictions had an impact on the stroke rehabilitation experience, however, stroke survivors felt well-supported and showed resilience in spite of this. To the best of the researchers’ knowledge, this is the first study which examines first-person accounts of stroke survivors during the COVID-19 pandemic, thus offering a unique perspective on the experiences of this cohort, who were hospitalised during this time.
341 ROLE AND TOLERANCE OF LUMBAR PUNCTURE TESTS FOR CSF BIOMARKERS OF ALZHEIMER'S DEMENTIA IN A SPECIALIZED MEMORY CLINIC
Authors: Clancy C , Dolphin H , McHale C , Dookhy J , Fallon A , Kennelly S 
Published: October 2022

Abstract

Background
People living with mild cognitive symptoms often require clarity on the underlying aetiology of their symptoms, and with the advent of disease modifying therapies for Alzheimer’s Disease (AD), establishing diagnostic accuracy for amyloid and tau pathology in AD will become more clinically relevant. CSF biomarker analysis via Lumbar Puncture (LP) is the most accurate and cost-effective means of establishing AD pathology. This study aimed to assess memory clinic patients’ tolerance of LP as a diagnostic tool in the work-up of memory symptoms.

Methods
A consecutive sample of patients offered CSF analysis as part of their diagnostic plan in a tertiary memory service of a University Teaching Hospital were included. After clinician discussion, an LP for AD biomarker detection is offered to all patients with amnestic/non-amnestic mild cognitive impairment, or those with atypical motor-cognitive symptoms in this service.

Results
119 patients offered an LP from 2019-2020 were contacted, fifty-four (45%) of whom participated in this study. The average age was 70.1 (±7.5) years, 50% female. Forty-two (42/54, 78%) had an LP performed. More women declined an LP than men (8/12, 66%). Almost all of those who had an LP, (38/42, 90.4%) thought it yielded useful information and would recommend it for others. Side effects included mild back pain relieved with simple analgesia (11/42, 26%) and headache (3/42, 7%). There were no incidences of neurological sequelae or requirements for dural patch. Of the 12/54 (22%) who declined CSF analysis; reasons for same were pre-existing back pain (3/12, 25%), needle-phobia (3/12, 25%), and only 2/12, (16%) declined because they did not wish to know the results of the investigation.

Conclusion
This study highlights high levels of acceptance of CSF analysis when offered as part of routine care, with infrequent side effects. Most patients found the clinical information yielded was useful.
Mortality and Life Expectancy Lost in Canada Attributable to Dietary Patterns: Evidence From Canadian National Nutrition Survey Linked to Routinely Collected Health Administrative Databases
Authors: Jessri Mahsa , Hennessey Deirdre , Bader Eddeen Ana , Bennett Carol , Sanmartin Claudia , Manuel Douglas 
Published: October 2022

AbstractUsing 5 diet quality indexes, we estimated the mortality and life expectancy lost, at the national level, attributable to poor dietary patterns, which had previously been largely unknown. We used the Canadian Community Health Survey 2004, linked to vital statistics (n = 16,212 adults; representing n = 22,898,880). After a median follow-up of 7.5 years, 1,722 deaths were recorded. Population attributable fractions were calculated to estimate the mortality burden of poor dietary patterns (Dietary Guidelines for Americans Adherence Index 2015, Dietary Approaches to Stop Hypertension, Healthy Eating Index, Alternative Healthy Eating Index, and Mediterranean Style Dietary Pattern Score). Better diet quality was associated with a 32%–51% and 21%–43% reduction in all-cause mortality among adults aged 45–80 years and ≥20 years, respectively. Projected life expectancy at 45 years was longer for Canadians adhering to a healthy dietary pattern (average of 5.2–8.0 years (men) and 1.6–4.1 (women)). At the population level, 26.5%–38.9% (men) and 8.9%–22.9% (women) of deaths were attributable to poor dietary patterns. Survival benefit was greater for individuals with higher scores on all diet indexes, even with relatively small intake differences. The large attributable burden was likely from assessing overall dietary patterns instead of a limited range of foods and nutrients.
The guitar in imperial Rio de Janeiro: &#x2028;a fashion among the elite
Authors: Taborda Marcia E 
Published: October 2022

Abstract
Introduced in Brazil at the beginning of the 19th century and widely accepted by the economic and social elite of the time, the guitar was played in aristocratic venues such as the Quinta da Boa Vista palace, where the Empress Leopoldina would practice music daily. Beginning in the 1840s in the hands of foreign artists, who fostered the development of Rio de Janeiro’s 19th-century musical life, a busy agenda of musical performances allows us to become acquainted with the guitar’s repertory, which was composed of original works and, especially, transcriptions of opera arias. This information is in stark contrast with the highly negative image of the instrument in Brazilian society during the advent of the Republic, due to the guitar’s unshakeable association with the cultural practices of the urban poor.
Prevention of alcohol, drugs and tobacco during the COVID-19-pandemic – consequences and inequalities in Swedish municipalities
Authors: Owen U , Lindström E 
Published: October 2022

Abstract

Background and objectives
The COVID-19 pandemic and measures to prevent the spread of the virus challenged public health practice at the local and regional level in Sweden. The objective of this study was to follow-up how local preventive ADT prevention (alcohol, drugs, and tobacco) in Sweden was affected during 2020-2021.

Methods
All Swedish municipalities (N = 290) were included in surveys on how the pandemic affected local ADT prevention. Response rates ranged between 82 and 91 percent. Quantitative data were analysed with reference to socioeconomic and demographic conditions. Qualitative data were analysed thematically.

Results
A majority of the municipalities reported a decrease in ADT prevention, especially aimed at groups such as parents, children, and young people. There was no correlation between the decrease in municipal ADT prevention and socio-demographic conditions. A majority of the municipalities reported that activities were adapted, often with a digital approach. Adaptation of ADT prevention was less common in smaller municipalities and municipalities where residents had lower levels of education and lower incomes. An increase in activities, as a consequence of measures to prevent the spread of the virus, was more common in larger municipalities and municipalities with a greater proportion of residents with higher educational backgrounds and higher incomes.

Conclusions
ADT prevention carried out by municipalities in Sweden was initially deeply affected by the COVID-19 pandemic and by measures to prevent the spread of the virus. However, activities were adapted over time, mainly with a digital approach. The ability to adapt differed depending on the sociodemographic conditions of the municipalities. Follow-up studies on ADT prevention and the consequences of the digital approach during 2021 will be presented at the conference.
Incremental net benefit of wearable devices for home monitoring of chronically ill patients
Authors: Altamura G , Nurchis MC , Santoli G , Riccardi MT , Sapienza M , Sessa G , Damiani G 
Published: October 2022

Abstract

Background
Hospital overcrowding is a growing problem worldwide. Studies demonstrated that up to 40% to 67% of hospitalizations of residents in nursing homes may be avoidable, causing health and economic damages. Furthermore, research shows that for non-critical patients there are arguably no differences between home and hospital recovery in terms of health outcomes, with a preference for home settings in most patients. During COVID-19 pandemic, telemedicine and homecare increased its range of possible intervention, allowing efficient and cost-effective processes of care. Transdermal sensors are indeed a cheap and easy to use alternative to conventional instruments, allowing a continuously operative and ready-to-use tool to care providers. This systematic review aims to map the application fields of these technologies, demonstrating their accuracy and assessing their cost-effectiveness in chronically ill home-assisted patients.

Methods
Articles were retrieved from Scopus, Web of Science, and PubMed. The dominance ranking matrix (DRM) tool was applied to allow a qualitative synthesis of the studies. Incremental net benefits (INBs) were estimated and meta-analysis was implemented to pool INBs across studies. A comparison between wearables and conventional tools accuracy was simultaneously carried out through a literature review.

Results
The database search identified 1156 publications of which six articles were considered eligible for the meta-analysis. According to DRM, 80% of evaluated studies showed the cost-effectiveness of wearable devices. The pooled INB of wearables over conventional measurement was estimated at US$1280 (95% CI US$952 - US$2849). In 85% of evaluated wearables the accuracy resulted comparable to conventional measurement tools.

Conclusions
Wearables performances resulted as accurate as conventional methods and their application cost-effective. A continuous measurement of parameters may relate to a better process of care for chronically ill outpatients.

Key messages
• Wearables are a cheap and accurate alternative to conventional life parameters measurement tools.
• Technology evolution might soon reduce the pressure on hospitals, changing the care process of chronically ill outpatients allowing continuous evaluation of their health status.
Promoting and growing your podcasts and ensuring sustainability and consistency in your approach
Authors: Rachadell J 
Published: October 2022

Abstract
The main challenges after getting started with a podcast will be growth and sustainability. This presentation will focus on promotion tactics for digital health podcasts, including the pros and cons of different hosting platforms and the use of social and academic networks for promotion. The importance of sustainability and consistency for growth will also be discussed, including some practical tips on productivity and team management for content producers.
Depression Assessment in the German National Cohort (NAKO)
Authors: Berger K , Rietschel M , Streit F 
Published: October 2022

Abstract

Background
The mental health status of populations (public mental health) and its effect on societies has gained considerable attention in recent years, especially during the current pandemic. The measurement of depressive symptoms is at core of the assessment of mental health. The detailedness of this assessment defines the range of public mental health problems that can be answered.

Methods
Between 2014 and 2019 the German National Cohort (NAKO) recruited 205,000 participants aged 20-70 years into the baseline examination in 18 study centers. Depression and depressive symptoms were assessed by different instruments including a lifetime diagnosis of depression and current treatment, the Major Depressive Disorder (MDD) section of the Mini-International-Neuropsychiatric-Interview (M.I.N.I. 5.0) and the depression scale of the Patient Health Questionnaire (PHQ-9). These instruments include different time periods and interpretations. Associations between these depression outcomes and age, gender and education are analysed in linear and logistic regression models.

Results
A lifetime physician's diagnosis of depression was reported by 14.7% of participants with considerable regional variation and almost 50% of this group received treatment within the last 12 months. Based on PHQ-9 7.9% of the participants were classified as depressive according to the dimensional assessment (score≥10) and 3% of them as having a major depression subtype. In contrast 32.8% screened positive based on the MINI and 15.4% of those receiving the full MINI had a diagnosis MDD. Associations with important socioeconomic determinants for these different depression outcomes will be reported.

Conclusions
The large NAKO sample size and the detailed assessment of depression symptoms and status enables the analysis of a broad range of public mental health questions. The analysis of depression frequencies and the distribution of depressive symptoms allow the establishment of population references.
Health inequalities in very old age: Continuity, accumulation or convergence?
Authors: Wenner J , Fey J , Zank S , Wagner M 
Published: October 2022

Abstract

Background
Health inequalities are well documented empirically. However, it is unclear whether health inequalities persist in very old age (continuity), whether they accumulate steadily (accumulation), or whether they even attenuate in old age (convergence) - not least because of social inequalities in life expectancy, which make it less likely for individuals with lower social status to reach old age at all. The aim of this study is to empirically test these three hypotheses.

Methods
The analyses are based on representative cross-sectional data from 1,863 very old people and panel data from 912 participants in the 1st and 2nd wave (W1, W2) living in North Rhine-Westphalia the largest federal state in Germany (NRW80+ study). Health outcomes of the analyses are subjective health, multimorbidity and need for long-term care. Indicators of socioeconomic status (SES) are education, occupational status, and net equivalent income. Regression models (linear, logistic, ordinal) are used to analyze cross-sectional and longitudinal data. Panel selectivity is also considered by means of a failure model.

Results
Cross-sectional findings show health inequalities for all SES variables: persons with low education and low income have poorer subjective health and higher need for care. Low status is associated with higher need for care. Preliminary results from longitudinal analyses show a slight increase in health inequality: low income and low status are associated with higher multimorbidity and low education with higher dependency on long-term care at W2.

Conclusions
Despite the socially conditioned unequal chances of reaching old age, health inequality is still present in very old age and even increases slightly over time. The results argue against the convergence hypothesis and in favor of the continuity or even the accumulation hypothesis. A better understanding of the mechanisms leading to the persistent inequality is needed to development targeted interventions also in old age.

Key messages
• Health inequalities persist and even increase in very old age (80+).
• It is imperative that the oldest old – an increasingly large population group – be considered when designing strategies to reduce health inequalities.
1.J. Round table: Research Methods for Public Health Oriented Health Services Research – what works where and for what?
Authors:   Organised by: EUPHA-HSR, EUPHA-HIA, EUPHA-HTA, EUPHA-EPI, EUPHA-ECO, EUPHA-PHPP, German Public Health Association Section Research, German Network Health Service Research WG IHSR, Charité Institute for General Practice WG HPSRI,   Chair persons: Lorena Dini (EUPHA-HSR), Johan Hansen (EUPHA-HSR)
Published: October 2022

Abstract

This workshop will present the different methodological approaches relevant to the field of public health. This includes approaches of health systems and health policy research, epidemiology, health technology assessment, health impact assessment, health systems performance and economic evaluations. Presentations will be hold by presidents and vice-presidents of the EUPHA Sections in the form of a panel, presenting the overview of each methodology and providing case examples. All organizers might invite special contributions from their members and students to share innovations of case examples from their counties. During the first half of the workshop the EUPHA Sections will provide input on traditional and innovative methods the following topics:
1. Health Policy and Systems Research (HPSR) applied to Primary Care.
2. The use of traditional and innovative epidemiological study designs for public health relevant inferences.
3. Overview of methods used for the quantification of health impacts, both following a risk assessment approach or an epidemiological approach.
4. Methodologies and techniques applied in Health Technology Assessment (HTA) and how their contribute to decision-making and evidence-informed policymaking.
5. Health Systems Performance Assessment (HSPA) and Economic evaluations.
6. Research methods from the public health policy and politics perspective.
In the second half of the workshop we will discuss and share examples on innovation in research methods and seek to find an answer to the question: what is being done in the countries? Input from DGPH-FO, DNVF-IHRS, Charité WG HPSRI and from all participants will be welcome. Target audience: young and old professionals interested in updating their methods skills and sharing their own experiences on innovation in methods for a stronger public health research.

Key messages
• There are no better or worse research methods; they are just a tool, that when applied properly support evidence and action for a stronger public health.
• As knowledge on research methods evolve, sharing knowledge amongst different fields is key to contribute to a stronger health system, better health policy decisions and a better health for all.

Speakers/Panellists
Lorena Dini
Charité Univesitätsmedizin Berlin, Berlin, Germany
Piedad Martin-Olmedo
Escuela Andaluza de Salud Pública, Granada, Spain
Stefania Boccia
Italian Society of Hygiene, Preventive Medicine and Public Health, Rome, Italy
Chiara de Waure
University of Perugia, Perugia, Italy
João Vasco Santos
Faculty of Medicine, University of Porto, CINTESIS, Porto, Portugal