bluuebunny/crossref_metadata_2025_split huggingface dataset:
A Stroke Rehabilitation Educational Program for Occupational Therapy Students and Practitioners: Usability Study
Authors: Newcomer Valerie , Metzinger Megan , Vick Sydney , Robertson Caroline , Lawrence Taylor , Glass Amanda , Elliott Lauren , Williams Ansleigh 
Published: September 2022

Background
There are gaps in knowledge translation (KT) of current evidence-based practices regarding stroke assessment and rehabilitation delivered through teletherapy. A lack of this knowledge can prevent occupational therapy (OT) students and practitioners from implementing current research findings.

Objective
The aim of this pilot study was to create an educational program to translate knowledge into practice regarding the remote delivery of stroke assessment and rehabilitation to OT students and practitioners. Four areas of focus were addressed in the educational program, including KT, task-oriented training, stroke assessments, and telerehabilitation.

Methods
Two pilot studies were conducted to assess the knowledge gained via pretests and posttests of knowledge, followed by a System Usability Scale and general feedback questionnaire. Participants in study 1 were 5 OT practitioners and 1 OT assistant. Participants in study 2 were 9 current OT students. Four 1-hour modules were emailed weekly to participants over the course of 4 weeks, with each module covering a different topic (KT, task-oriented training, stroke assessments, and telerehabilitation). Preliminary results were reviewed using descriptive statistics.

Results
Statistically significant results were found with increased scores of knowledge for both students and practitioners. Most of the educational modules had an above-average score regarding value and positive feedback for the educational program as a whole from the participants.

Conclusions
Overall, the results of this pilot study indicate that a web-based educational program is a valuable, informational method of increasing the translation of knowledge in the remote delivery of stroke assessment and rehabilitation. OT students and practitioners found the information presented to be valuable and relevant to their future profession and current practice.
Audiovisual na fronteira Brasil-Paraguai
Authors: Pereira Kira Santos , Dias Rynnard Milton Alves 
Published: September 2022

No presente artigo buscaremos primeiramente problematizar uma das representações hegemônicas sobre a região da fronteira Brasil-Paraguai em Foz do Iguaçu e Ciudad del Este, presente nos noticiários televisivos locais. As complexas relações sociais entre brasileiros e paraguaios na região serão abordadas a partir de autores como Albuquerque, Rabossi, Gomes e Oliveira. Características da Universidade Federal da Integração Latino-americana (UNILA), bem como de seu curso de Cinema e Audiovisual - em especial sua missão de integração e seu multiculturalismo - serão valorizadas como elementos que possibilitam uma produção audiovisual diversa. Algumas das obras produzidas neste contexto serão analisadas, do ponto de vista temático e formal, observando como é possível promover uma percepção crítica da realidade local, capaz de disputar narrativas. Dentre estas, serão apresentadas algumas produções audiovisuais de Pereira e Dias, autores deste artigo, a partir da perspectiva de sua criação.
Cidades criativas brasileiras da gastronomia
Authors: Machado Ana Flávia , Guimarães Alice Demattos , Auarek Lorena Ferrari , Melo Gabriel Vaz de 
Published: September 2022

Este artigo busca situar a cena gastronômica das quatro cidades brasileiras que levam o título na UNESCO (Florianópolis, Belém, Paraty e Belo Horizonte) e, sobretudo, descrever as ações utilizadas para mitigar os efeitos da pandemia sobre a atividade. Por meio de entrevistas com gestores e empreendedores da área, buscou-se entender como se configura a governança estratégica da chancela e sua representação para a cidade, especialmente enquanto ponto de articulação para certos setores. Os principais resultados evidenciam que há uma percepção de gestores e empreendedores entrevistados bem favorável a efeitos da titulação. Entretanto, a falta de indicadores para acompanhar tais benefícios é um dos pontos faltantes na organização estratégica do selo.
Faktorer som påvirker kreftpasientens muligheter for å dø hjemme – en systematisk oversiktsartikkel
Authors: Nordsveen Marie , Larsen Marie Hamilton 
Published: September 2022

Bakgrunn: Det er skrevet mye om palliativ omsorg og hjemmedød. Allikevel er det mindre litteratur om hjemmedød relatert til pasienter med kreft, spesielt relatert til behov for tverrfaglig kompetanse og avansert behandling i hjemmet.
Hensikt: Å frambringe oppsummerende kunnskap om faktorer som er av betydning for mulighet for å dø hjemme for palliative pasienter med kreft.
Metode: Det ble gjennomført et systematisk litteratursøk i følgende databaser AMED, CINAHL, EMBASE, MEDLINE og SweMed+. Søket var begrenset til studier med kvantitativt design publisert fra januar 2010 til desember 2020. To forfattere screenet uavhengig av hverandre artiklenes titler og sammendrag. Fulltekst til inkluderte referanser ble innhentet, før endelig inklusjon eller eksklusjon ble vurdert, og relevant informasjon fra inkluderte studier innhentet. Metodisk kvalitet og evaluering av risiko for systematiske skjevheter ble uavhengig vurdert av to forfattere, før uenighet ble løst i felleskap. Det ble gjort en tematisk innholdsanalyse ved hjelp av det elektroniske verktøyet NVivo, og funnene presenteres i en narrativ syntese.
Resultat: 19 artikler ble inkludert. Det var generelt stor heterogenitet i fokus, metodevalg og utfallsmål som ble benyttet i studiene. Grunnet denne heterogeniteten ble metaanalyse eller andre metoder for å summere resultater statistisk vurdert som uegnet. Kontinuerlig palliativ omsorg hjemme fra helsepersonell med kompetanse om palliasjon og avansert behandling i hjemmet, tillit til omsorgspersoner, samt tverrfaglige palliative team er fremmende faktorer for hjemmedød. En annen fremmende forutsetning er pasientens og pårørendes ønske om å gjennomføre dette. Pårørende og deres omsorgsstøtte virker også å være en viktig fremmende faktor, mens det å bo alene er en sentral hemmende faktor.
Konklusjon: Funnene i denne studien synliggjør viktigheten av kompetanse og tverrfaglige palliative team for å kunne tilby pasienter hjemmedød.
Using Health data to analyse repeat victimisation in Scotland.
Authors: Morales Ana , McVie Susan 
Published: September 2022

ObjectiveThe aim of this project is to analyse temporal patterns of repeat violent victimisation (RVV) in Scotland using administrative data and explore the extent to which these patterns are associated with underlying health vulnerabilities (related to mental health and problematic alcohol and/or drug use) and vary by individual socio-demographic characteristics.
ApproachViolence in Scotland, and especially RVV, is a ‘key public health priority’. However, very little is known about the link between violence and other health vulnerabilities at an individual level, which may be useful in informing prevention approaches. This paper uses data on violence-related ambulance call-outs linked to hospital records containing information on wider health vulnerabilities. We use survival mixture models to identify and characterise population sub-groups, based on time to repeated violent episodes and explore how different health-related factors are associated with RVV and how this varies across sub-populations.
ResultsWe identify two classes of RVV with two distinct survival trajectories: a ‘low vulnerability’ class and a ‘high vulnerability’ class. People in the high vulnerability class experienced RVV more quickly and were more likely to have underlying mental health conditions and/or problematic drug or alcohol use than those in the low vulnerability class. The association between socio-demographic characteristics and RVV differed across the two classes, with significant inequality in RVV for high-risk individuals between those in the most and the least affluent communities. The findings suggest that the first 6 months after the index event is a critical period of RVV for people in the high-risk group, but there may be different exposure mechanisms for different types of victims.
ConclusionBetter use of administrative data from health sources could help improve our understanding and identification of repeat victims of violence. The ability to identify whether victims are likely to be ‘high-risk’ or ‘low-risk’ could inform the design of focused strategic approaches and interventions aimed at reducing repeat violent victimization.
The validity of routine individuated programmatic data in HIV surveillance assessed over a 10-year period.
Authors: Jacob Nisha , Rice Brian , Boulle Andrew 
Published: September 2022

ObjectivesIn the Western Cape, South Africa, public-sector individual-level routine data are consolidated from multiple non-EMR sources through the Provincial Health Data Centre (PHDC). This enables the description of temporal changes in population-wide antenatal HIV sero-prevalence. We evaluated the validity of these data compared to aggregated program data and sentinel surveys.
ApproachWe conducted a retrospective cohort analysis of all pregnancies consolidated in the PHDC from January 2011 to December 2020. Evidence of antenatal and HIV care from electronic platforms (each with its own multi-source phenotype algorithm) were linked using a unique patient identifier. HIV prevalence estimates were triangulated with available sentinel national and provincial antenatal survey estimates as well as aggregated programmatic data from registers as recorded in the District Health Information System. Provincial, district-level and age-group HIV prevalence estimates were compared between data systems using correlation coefficients, absolute differences and trend analysis.
ResultsIn total, 982,914 pregnancies were ascertained with a median maternal age of 26.9 years. Between 2011–2013, PHDC HIV prevalence estimates were widely disparate from aggregate and survey data (due to incomplete electronic data) whereas, from 2014 onwards, estimates were more closely correlated to aggregate data estimates (r=0.83; p=0.02) with an average absolute prevalence difference of 0.97%. In keeping with survey and aggregate data trends, PHDC data show a relatively stable provincial HIV prevalence from 17.0 (95%CI 16.8%–17.2%) in 2015 to 18.9% (95%CI 18.7–19.1%) in 2020. The highest HIV prevalence was in the Cape Metro district (20.6%; 95%CI 20.4%–20.9%). Prevalence estimates by age group were comparable between sentinel surveys and PHDC from 2014 onwards with an average absolute prevalence difference of 1.6%.
ConclusionThis study is the first to compare sentinel sero-prevalence surveys with both register-based aggregate data and consolidated individuated administrative data. We show that in this setting linked individuated data may be reliably used for HIV surveillance and provide more granular estimates with greater efficiency.
The same, only different: Using physician billing data from four provincial payment systems to describe family physician practice patterns in Canada.
Authors: Lavergne Ruth , Peterson Sandra , Rudoler David , Stock David , Marshall Emily 
Published: September 2022

ObjectivesIn Canada physician payment systems and associated billing data vary across provinces. We used linked billing data to develop comparable measures of family physician (FP) service volume, continuity, and comprehensiveness in each of four provinces, with the goal of describing changing patterns over time, relevant to workforce planning policy.
ApproachWe accessed linked population and physician registry data, vital statistics, physician billing data, hospital and emergency department records, and (where available) laboratory and prescription drug records in four Canadian provinces from 1996/7 to 2017/8. We tracked changes in primary care physician service volume (patient visits), continuity, and comprehensiveness over two decades, and explored the impacts of career stage and graduation cohort on patterns observed. We also quantified changes in the volume of services that required FP coordination, review, administration, and/or follow-up, reporting changes in service volume per-capita, per community-based family physician and per physician visit.
ResultsVisit volume and continuity per provider fell over time in the four provinces examined. Visits increased with years in practice until mid-to-late-career and declined into end-of-career. We found no relationship between graduation cohort and practice volume, continuity, or comprehensiveness of care. Over this time period, the number of FPs per-capita has grown, but the number in comprehensive, community-based practice has remained constant. While primary care visits have declined, the number of prescriptions, lab tests, emergency department visits, and specialist visits per capita have all increased. When expressed per community-based FP, and particularly per community-based FP patient visit, the increases in workload range from 36.1% for lab tests to 55.0% for ED follow-up. Increases in service volume are greatest among patients ages 80 and older, a rapidly-growing population segment.
ConclusionLinked data capturing changes in practice patterns and workload suggest that even with an increasing per-capita supply of family physicians, additional resources will be needed to ensure all patients can access comprehensive primary care. Information on the various roles family physicians fill and demographic change will strengthen workforce planning.
AD|ARC (Administrative Data Agri-Research Collection): Linking Individual, Household and Farm Business Data for Agricultural Research.
Authors: Caskie Paul , Morrison-Rees Sian 
Published: September 2022

ObjectivesTo create an anonymised data resource of farm households in the UK to generate evidence to support policy development, implementation and evaluation; improve understanding of farm family socio-economic characteristics; and assist all stakeholders interested in understanding about the health and well-being, resilience and prosperity and spatial properties of farming communities.
ApproachThe AD|ARC resource is being created in each UK country. The core dataset comprises of linking together existing agricultural datasets (farm business activity data, Rural Payments data) the Inter Departmental Business Register and the Population Census. This hub dataset is linked to the health and education data available in each country. The research is being conducted in a separate but coordinated way across the UK, harmonising the data to allow aggregation to a UK level where possible.
Our research objectives are in four broad categories of Socio-Demographics, Health and Well-being, Prosperity and Resilience and Environment and Place.
ResultsThe presentation will report on initial findings from the socio-demographic research theme where researchers have investigated the composition and characteristics of farming households both in terms of the farm business (e.g. farm type, turnover, active farm diversification) and individual characteristics (e.g. age, educational attainment, off-farm income streams). From this analysis it will be possible to determine the degree of homogeneity that exists within the farming population for key indicators, the degree of homogeneity that exists amongst the broader group of farm households members for key indicators, and the extent to which farmers and farm household members conform to the socio-economic characteristics of the non-farming rural population. Results will be assessed for policy relevance and areas of ongoing investigation will be highlighted.
ConclusionAgriculture is currently facing a range of challenges with little known about the impact on farmers and farming households. AD|ARC introduces a new, powerful and versatile resource that will inform debate and policy decision-makers, potentially leading to better outcomes on a range of issues relevant to farmers and farming communities.
Evaluation of low acuity patients discharged from a virtual emergency department at a major urban academic health sciences centre in Toronto, Canada.
Authors: Borgundvaag Emily , Plumptre Lesley , Paterson Michael , An Diana , McLeod Shelley , Tarride Jean-Eric , Atzema Clare , Schull Michael , Verma Aikta , Hall Justin 
Published: September 2022

ObjectiveIn response to the COVID-19 pandemic, Sunnybrook Health Sciences Centre launched the first virtual emergency department (VED) in Toronto, Ontario. The objective of this pilot project was to leverage linked administrative data to describe the healthcare utilization of VED patients compared to matched patients who attended an ED in person.
ApproachEvaluation of the VED program was supported by the ICES Applied Health Research Question Program, which is funded by the Ontario Ministry of Health to answer questions directly related to Ontario healthcare policy, planning, or practice. VED visit records from December 2020 to May 2021 were linked with Ontario administrative data. VED patients with low acuity complaints were matched 1:1 with in-person ED comparators according to visit date, presenting complaint, and a propensity score that incorporated age, sex, comorbidities, and other important potential confounders. The primary outcomes were healthcare utilization within 7 days and all-cause mortality within 30 days.
ResultsOf the 609 eligible patients discharged from the VED, 600 (98.5%) were successfully matched to a comparator. Mean (SD) age was 43.0 (21.1) and 64.1% were female. In-person ED revisits and hospitalizations were similar for VED and comparator patients at 72 hours (ED: 12.1% vs. 11.3%; Δ 0.8%, 95%: -2.8, 4.5%; hospitalization: 1.2% vs. 1.5%; Δ 0.3%, 95%: -0.7, 1.4%,) and 7 days (ED: 16.1% vs. 14.4%; Δ 1.7, 95%: -2.4, 5.7%; hospitalization: 1.7% vs. 1.8%; Δ 0.2%, 95%: -0.1, 1.4%) following the index visit. The number of patients visiting a primary care provider within 7 days was also similar between groups (36.7% vs. 32.4%; Δ 4.3, 95%: -1.1, 9.8%). No patients died within 30 days.
Conclusion/ImplicationsVED patients and their matched comparators had similar healthcare utilization in the 7 days following their index ED visit. Methodology from this study will inform a province-wide evaluation of VED programs across Ontario.
Longitudinal study of diabetes prevalence and hospitalisations among care experienced and general population children in Scotland: evidence of an end of care “cliff edge”?
Authors: Allik Mirjam , Leyland Alastair , Henderson Marion 
Published: September 2022

ObjectivesCare experienced people have poorer health in UK and internationally, but the direction of causation is debated. Using longitudinal cross-sectoral data linkage we explore if inequalities in diabetes prevalence and hospitalisation are present before entering care or develop during or after leaving care.
ApproachHealth and social care data were linked for 13,830 care experienced children (CEC) and together with 649,771 general population children (GPC) their prescriptions and hospitalisations were followed from birth between 1990-2004 to study end in 2016. Diabetes prevalence was estimated as at least one prescription or inpatient hospitalisation for diabetes. We compared hospitalisation percentages and rates in the two cohorts by age and gender. Results from multivariable models adjusted for socioeconomic status, age, gender, care type/length, local authority, and comorbidities will be presented at conference.
ResultsDiabetes prevalence was similar in both cohorts and higher in females. However, CEC had twice as many hospitalisations as GPC. Mean hospitalisations were highest among care experienced males (6 compared to 3.6 in females and 2 in GPC). 24% of CEC were hospitalised 3-9 times and 13% 10+ times, for GPC these were 19% and 3% respectively. Hospitalisation rates increase with age in both cohorts, as do differences between cohorts. At ages 0-4 hospitalisation rates are similar, by ages 12-15 CEC have twice as high and at ages 18-27 4-times higher hospitalisation rates. Among CEC, across all ages hospitalisation rates are lower while the child is in care, with the lowest rates in foster care. Hospitalisation rates are highest before entering and after leaving care.
ConclusionResults for diabetes hospitalisations suggest that being in care can be good for children’s health. However, a sudden withdrawal of support can create a “cliff edge” and health may deteriorate after leaving care. Data linkage has significant potential to inform policy and practice, including supporting CEC after leaving care.
Evaluation of a Sore throat Test and tReat servicE in community Pharmacies (STREP).
Authors: Turner Samantha , Ahmed Haroon , Akbari Ashley , Bethel Jackie , Cannings-John Rebecca , Evans Andrew , Mantzourani Efi 
Published: September 2022

ObjectivesA Sore Throat Test and Treat (STTT) service was introduced in selected community pharmacies to screen against Streptococcus A and appropriately treat infections, relieving pressure on General Practices (GP). The long-term impact on patient and NHS outcomes is unclear. A robust evaluation is required to inform future policy and roll-out.
ApproachA matched cohort study comparing patients who received an STTT consultation in community pharmacy (exposed) compared to consultation with GP (unexposed). Individual-level data from participating STTT pharmacies were extracted from the Choose Pharmacy IT platform, anonymised and acquired into the Secure Anonymised Information Linkage (SAIL) Databank. Both cohorts were linked to other longitudinal health and administrative data within SAIL to create study outcomes (e.g. antibiotic prescribing, re-consultation, attendance/admission at Emergency Department/hospital). The impact of the STTT service was evaluated by modelling the outcomes using logistic regression to calculate odds ratios.
Results7553 patients exposed to the STTT service (8,313 consultations) in community pharmacies in Cwm Taf Morgannwg and Betsi Cadwaladr University Health Boards between 1st November 2018 and 28th February 2020, were successfully anonymised and acquired into the SAIL Databank (97.16%). 99.5% of these individuals were then linked to the Welsh Demographic Service Dataset (WDSD), enabling demographics to be generated. 6,665 distinct consultations remained in the exposed group after exclusion criteria were applied. A matched unexposed cohort will be created, and odds ratios will be presented to compare the risk of each outcome for those exposed to the STTT service compared to usual care.
ConclusionThis innovative study is the first to link national pharmacy service data to individual-level population-scale longitudinal health and administrative data in the SAIL Databank. Our findings will inform clear and actionable recommendations regarding the service design and future roll-out of STTT services across the UK and internationally.