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Preprint ARTICLE | doi:10.20944/preprints202404.1141.v1

From Mind to Plate to Pillow: Examining the Interplay of Mental Health, Eating Disorders, and Sleep Quality

Efstratios Christodoulou, Verra Markopoulou, Antonios E. Koutelidakis

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Sleep quality; insomnia; mental health; eating disorders; well-being

Online: 17 April 2024 (12:03:28 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202404.0860.v1

Completeness of the COVID-19 Vaccination Schedule among Persons Experiencing Homelessness in Brazil

Juliana Soares Tenório de Araújo, Thaís Zamboni Berra, Letícia Perticarrara Ferezin, Heriederson Sávio Dias Moura, Yan Mathias Alves, Rander Junior Rosa, Ariela Fehr Tártaro, Antônio Carlos Vieira Ramos, Murilo César do Nascimento, Regina Célia Fiorati, Giselle Lima de Freitas, Débora de Almeida Soares, Ricardo Alexandre Arcêncio

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; vaccines; vulnerable populations

Online: 14 April 2024 (17:12:22 CEST)

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Almost four years after COVID-19 was declared a global health emergency, equitable distribution of the vaccine remains a challenge, especially among homeless people, the fastest growing population in Brazil. Therefore, we sought to identify the factors associated with completion of the COVID-19 vaccination schedule among homeless people in Brazil. Materials and Methods: We carried out a cross-sectional study in the capital cities of Brazil's Federative Units, considering people living on the streets as the target population. We used a sequential inclusion approach, with individual interviews conducted by trained professionals, using a validated questionnaire. We used descriptive statistics to analyze the data and a binary logistic regression model to identify factors associated with homeless individuals who completed the COVID-19 vaccination schedule. Results: It was identified that the highest density of homeless people and indicators related to COVID-19 is located in the Northeast, Southeast and South regions of Brazil. The primary data sample consisted of 1,392 participants, predominantly male (n: 961; 69.0%), with an average age of 38.3±15.2 years, belonging to the black/brown race/color (n: 1,097; 78.8%), with an elementary school education (n: 1,060; 76.1%). The factors associated with completing the vaccination schedule were: receiving government aid (OR: 1.58; 95%CI: 1.09 - 2.30), visits from Health Agents from the Street Clinic (OR: 3.19; 95%CI: 1.95 - 5.36), history of COVID-19 (OR: 5.77; 95%CI: 3.17 - 11.15), support for mandatory vaccination against COVID-19 (OR: 3.76; 95%CI: 2.48 - 5.76), trust in the efficacy of vaccines (OR: 3.92; 95%CI: 2.63 - 5.89), seeking information from NGOs, street clinics, community leaders (OR: 1.91; 95%CI: 1.01 - 3.88) and trust in the Federal Government's statements on vaccines (OR: 1.57; 95%CI: 1.06 - 2.31).Conclusion: The study advances knowledge by highlighting the completeness of the COVID-19 vaccination schedule among the homeless population. The source of information proved to be one of the determinants of completeness, and the Unified Health System played a leading role in raising awareness among homeless people, notably through its strategy of street clinics, when available. The evidence points to the importance of affirmative and inclusive actions that guarantee access to the vaccine for homeless people.

Preprint REVIEW | doi:10.20944/preprints202404.0788.v1

The Lipid-Heart Hypothesis and the Keys Equation Defined the Dietary Guidelines but Ignored the Impact of Trans-fat and High Linoleic Acid Consumption

Academic Editor: Mary T Newport, Fabian M Dayrit

Subject: Public Health And Healthcare, Health Policy And Services Keywords: lipid-heart hypothesis; Ancel Keys; saturated fat; trans-fat; polyunsaturated fat; cholesterol; heart disease; dietary guidelines

Online: 11 April 2024 (10:20:34 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202404.0688.v1

Representing Contemporary Paramedic Practice in Canada: Development of the National Competency Framework for Paramedics

Alan Batt, Jennifer Bolster, Meghan Lysko, Pierre Poirier, Derek Cassista, Michael Austin, Cheryl Cameron, Elizabeth Donnelly, Becky Donelon, Noël Dunn, William Johnston, Chelsea Lanos, Matthew Leyenaar, Tyne Lunn, Paige Mason, Mary Osinga, Dugg Steary, Sean Teed, Charlene Vacon, Walter Tavares

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Paramedic, competency, competency framework, professional, competencies

Online: 10 April 2024 (09:16:04 CEST)

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IntroductionParamedicine is a domain of practice and health profession that specialises in the provision of health and social care across a range of settings including, but not limited to, emergency and primary care. Paramedics work in a variety of clinical settings such as paramedics services, hospitals, and clinics, in the community as well as non-clinical roles, such as education, leadership, policy work, public health and research. A previous competency framework for paramedics in Canada had become increasingly poorly aligned with contemporary practice. We sought to develop a competency framework that represents contemporary paramedic practice in Canada. MethodsThis project was guided by a conceptual framework informed by systems thinking and used a six-step model for developing competency frameworks. We engaged paramedics from across Canada in working groups to explore various contexts of paramedic practice. We gathered data using multiple methods and coded this data into activity statements. We grouped these statements and developed or expanded corresponding professional activities through five drafts of the framework from 2022 to 2024. A technical committee reviewed and edited the draft framework throughout the process, culminating in a public review period from January to March 2024, and a subsequent final version of the National Competency Framework for Paramedics (NCFP). ResultsThe National Competency Framework for Paramedics reflects contemporary paramedic practice in Canada. It describes the professional activities of paramedics organised under five domains - Person-Centred Care; Collaborative Care; Safe Care; Self-Care; and Professional Care. Paramedics perform these activities across multiple contexts of practice by enacting a variety of roles depending on the event. Discussion and conclusion By exploring the variety of practice contexts and the expectations of paramedics across Canada, the NCFP provides a holistic, contemporary description of paramedic practice in Canada, providing a foundation for professional practice in a variety of settings. The five domains provide a comprehensive representation of paramedic practice helping to ensure care is ultimately and sufficiently aligned with the needs of the community and settings in which paramedics can practice. The NCFP can be used to inform education programs to better prepare paramedics for complex, interprofessional health and social care practice now and as practice continues to evolve.

Preprint REVIEW | doi:10.20944/preprints202404.0068.v1

Creating Family-Centred Support for Preschoolers with Developmental Disabilities in Low-Income Countries: A Rapid Review to Guide Practitioners

Roy McConkey

Subject: Public Health And Healthcare, Health Policy And Services Keywords: disability; preschool; children; family-centred; community-based; low income; inclusion; healthcare; education

Online: 2 April 2024 (10:06:27 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202403.1504.v1

Impact of the COVID-19 Pandemic on Sleep, Drowsiness, and Stress in Dental Students: A Longitudinal Study

Adriana Santos Malheiros, Meire Coelho Ferreira, Nuria Esteve Nascimento, Etevaldo Matos Maia Filho, Nicole Anália Borges Rocha, Palena Pinto Araújo, Daniela Bassi Dibai, Rudys Rodolfo Tavarez, Paulo César Simamoto Júnior

Subject: Public Health And Healthcare, Health Policy And Services Keywords: sleep; drowsiness; stress; COVID-19

Online: 26 March 2024 (13:00:38 CET)

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Preprint ESSAY | doi:10.20944/preprints202403.1503.v1

Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

Alan M Batt, Meghan Lysko, Jennifer L Bolster, Pierre Poirier, Derek Cassista, Michael Austin, Cheryl Cameron, Elizabeth A. Donnelly, Becky Donelon, Noel Dunn, William Johnston, Chelsea Lanos, Tyne M Lunn, Paige Mason, Sean Teed, Charlene Vacon, Walter Tavares

Subject: Public Health And Healthcare, Health Policy And Services Keywords: systems thinking; paramedicine; Canada; paramedic practice; competency

Online: 26 March 2024 (12:57:57 CET)

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Introduction Paramedic practice is highly variable, occurs in diverse contexts, and involves the assessment and management of a range of presentations of varying acuity across the lifespan. As a result, attempts to define paramedic practice have been challenging and incomplete. This has led to inaccurate or under-representations of practice that can ultimately affect education, assessment, and the delivery of care. In this study, we outline our efforts to better identify, explore, and represent professional practice when revising a national competency framework for paramedics in Canada. Methods We used a systems thinking approach to identify the settings, contexts, features, and influences on paramedic practice in Canada. This approach makes use of the role and influence of system features at the microsystem, mesosystem, exosystem, macrosystem, supra-macro system, and chronosystem levels in ways that can provide new insights. We used methods such as rich pictures, diagramming, and systems mapping to explore relationships between these contexts and features. Findings When we examine the system of practice in paramedicine, multiple layers become evident and within them we start to see details of features that ought to be considered in any future competency development work. Our exploration of the system highlights that paramedic practice considers the person-receiving care, caregivers, and paramedics. It involves collaboration within co-located and dispersed teams that are composed of other health and social care professionals, public safety personnel, and others. Practice is enacted across varying geographical, cultural, social, and technical contexts, and is subject to multiple levels of policy, regulatory, and legislative influence. Conclusion Using a systems thinking approach, we developed a detailed systems map of paramedic practice in Canada. This map can be used to inform the initial stages of a more representative, comprehensive, and contemporary national competency framework for paramedics in Canada.

Preprint REVIEW | doi:10.20944/preprints202403.1549.v1

Reducing Dietary Lipopolysaccharides to Slow Progression of Cognitive Impairment and Alzheimer’s Disease

Steven M Blake, Luciana Baroni, Catherine Peterson Blake, Tom Harding, Panida Piboolnurak, Maile Harding, William B Grant

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Alzheimer’s disease; cognitive impairment; cytokines; dairy; dementia; diet; endotoxin; inflammation; lipopolysaccharides; meat

Online: 26 March 2024 (06:52:42 CET)

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Preprint ARTICLE | doi:10.20944/preprints202403.1388.v1

Exploring End-of-Life Care for Patients with Breast Cancer, Dementia or Heart Failure: A Register-Based Study of Individual and Institutional Factors

Terje P. Hagen, Erika Zelko

Subject: Public Health And Healthcare, Health Policy And Services Keywords: End-of-life care; palliativ care; social and long-term care; Norway

Online: 22 March 2024 (16:53:35 CET)

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Preprint ARTICLE | doi:10.20944/preprints202403.1056.v1

Exploring the Potential of Community Health Workers in Type-2 Diabetes and Hypertension Management in Cambodia

SAVINA CHHAM, POR IR, Josefien van Olmen, Veerle Buffel, Ngovlily Sok, Vannith Hay, Williem van De Put, Wim Van Damme, Edwin Wouters

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Community health workers; non-communicable diseases; knowledge; attitude; practice; health system

Online: 18 March 2024 (14:29:26 CET)

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Preprint REVIEW | doi:10.20944/preprints202403.0819.v1

Evaluate the Impact of the Long-Term Care Insurance (LTCI) System on Older Adults in Japan

Chuhan Miao, Beilei Li, Jianxun He

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Long-term care insurance; Japan; Older adults; Financial burden; Population

Online: 14 March 2024 (11:11:12 CET)

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Preprint ARTICLE | doi:10.20944/preprints202403.0626.v1

Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes

Dong-min Seo, Inhae Heo, Jonghwan Moon, Junsik Kwon, Yo Huh, Byung Hee Kang, Seoyoung Song, Sora Kim, Kyoungwon Jung

Subject: Public Health And Healthcare, Health Policy And Services Keywords: severe trauma; outcomes; checklist; mortality; implementation; quality improvement

Online: 11 March 2024 (13:51:47 CET)

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Preprint ARTICLE | doi:10.20944/preprints202403.0583.v1

DiabetesCheck: A Mobile Application for Predicting the Risk of Type 2 Diabetes Mellitus in Primary Health Care

Glaucia Maria Bressan, Paulo Afonso Pereira Junior, Isabela Cristina de Jesus, Elisângela Ap. da Silva Lizzi, Heitor Costa

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Type 2 Diabetes Mellitus; mobile application; primary health care; evolution of patients

Online: 11 March 2024 (10:02:42 CET)

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Preprint ARTICLE | doi:10.20944/preprints202403.0529.v1

The collaboration of private Hospitals with the Public Health System: the case of La Rioja, Spain (1986-2019).

María Teresa Jiménez-Buñuales, Pilar León-Sanz, Paulino González-Diego, Leonor González-Menorca

Subject: Public Health And Healthcare, Health Policy And Services Keywords: National Health System; Public Hospitals; Private Hospitals; La Rioja; Spain; Twenty and twenty first centuries

Online: 8 March 2024 (11:54:09 CET)

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Preprint ARTICLE | doi:10.20944/preprints202403.0279.v1

Assessing the Impact of a Health Education Anti-smoking Program for Students: A Follow-Up Investigation

Maria Angeli, Mary Hassandra, Charalampos Krommidas, Ioannis Morres, Yannis Theodorakis

Subject: Public Health And Healthcare, Health Policy And Services Keywords: adolescents; smoking; education; intervention; prevention; Theory of Planned Behavior; life-skills

Online: 6 March 2024 (05:08:17 CET)

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Preprint ARTICLE | doi:10.20944/preprints202402.1483.v1

Emotional States and Suicidal Ideation among Adolescents

Angel Belzunegui-Eraso, Anna Sánchez Aragón, Inma Pastor-Gosálbez, Francesc Valls-Fonayet, Verónica Díaz-Moreno, Jorge De Andrés-Sánchez

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Adolescents; Suicidal ideation; Emotional distress; Self-esteem; Gender.

Online: 26 February 2024 (15:28:20 CET)

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Preprint ARTICLE | doi:10.20944/preprints202402.0831.v1

Hazard Flagging as a Risk Mitigation Strategy for Violence against Paramedics

Justin Mausz, Dan Piquette, Robert Bradford, Mandy Johnston, Alan Batt, Elizabeth A. Donnelly

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Paramedics; Emergency Medical Services; Violence; Workplace Violence; Occupational Health and Safety

Online: 15 February 2024 (05:28:24 CET)

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Preprint ARTICLE | doi:10.20944/preprints202402.0771.v1

Lexicometric and Sentiment Analysis of News in the Spanish Press regarding HIV and Prison

Enrique J. Vera-Remartínez, Jose Antonio Zafra-Agea, Julio Garcia-Guerrero, María Pilar Molés-Julio

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Procesamiento natural del lenguaje; Perió; dicos como tema; Sí; ndrome de inmunodeficiencia humana; prisiones; Españ; a

Online: 14 February 2024 (05:25:44 CET)

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Preprint ARTICLE | doi:10.20944/preprints202402.0755.v1

Paramedic Willingness to Report Violence Following the Introduction of a Novel, Point-of-Event Reporting Process in a Single Canadian Paramedic Service

Justin Mausz, Michael-Jon Braaksma, Mandy Johnston, Alan Batt, Elizabeth A. Donnelly

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Paramedics; Emergency Medical Services; Emergency Medical Technicians; Violence; Workplace Violence; Qualitative Research; Survey Research; Mixed Methods Research

Online: 13 February 2024 (15:04:04 CET)

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Preprint REVIEW | doi:10.20944/preprints202310.0999.v2

Community Paramedicine Supporting Community Needs: A Scoping Review

Tyne Lunn, Jennifer Bolster, Alan Batt

Subject: Public Health And Healthcare, Health Policy And Services Keywords: paramedic; community paramedicine; social needs; social isolation; equity

Online: 13 February 2024 (10:46:16 CET)

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Preprint ARTICLE | doi:10.20944/preprints202402.0585.v1

Nutritional Data on Selected Food Products Consumed in Oman: An Update of the Food Composition Table and Use for Future Food Consumption Surveys

Salima Almaamari, Ayoub Al-Jawaldeh, Ibtisam Al Ghammari, Saleh Al Shammakhi, Jokha Al Aamri, Jalila El Ati

Subject: Public Health And Healthcare, Health Policy And Services Keywords: laboratory values; nutrition label; ultra-processed products; NOVA system; nutrient profile; FoodEx2 system; traffic light label

Online: 9 February 2024 (11:45:11 CET)

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Preprint REVIEW | doi:10.20944/preprints202402.0576.v1

A Scoping Review of Children, Empowerment and Smartphone Technology Regarding Social Construction Theory with the Aim of Increasing Self-Direction in Democracies

Carol Nash

Subject: Public Health And Healthcare, Health Policy And Services Keywords: children; Social Construction Theory; democracies; childhood; self-direction; empowerment; smartphones

Online: 9 February 2024 (11:18:58 CET)

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Preprint ARTICLE | doi:10.20944/preprints202401.1714.v1

Online Information Provision on Meals on Wheels: A Review of Local Authority Websites in the United Kingdom

Rayne Roberts, Caitlin Paul, Ann Alonge, Callum Gutteridge, Holly Bain, Angeliki Papadaki

Subject: Public Health And Healthcare, Health Policy And Services Keywords: community meals; e-government; home-delivered meals; local authority websites; Meals on Wheels

Online: 24 January 2024 (09:45:44 CET)

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Preprint ARTICLE | doi:10.20944/preprints202401.1583.v1

Patients' Perceptions Resulting from the Contact with Emergency Departments using the Manchester Triage System Protocol

Marina Sousa, Maria Nascimento Cunha, José Salgado Rodrigues

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Triage protocol; Emergency Departments; Patient perceptions; Patient satisfaction; Phenomenography; Qualitative research

Online: 22 January 2024 (10:39:04 CET)

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Preprint ARTICLE | doi:10.20944/preprints202401.1470.v1

COVID-19 Vaccination Experiences in Social Circles Influence Preferences for COVID-19 Vaccine Mandates: An Online Survey of the United States Population

Mark Skidmore, Fernanda Alfaro

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; survey; vaccine mandate

Online: 19 January 2024 (07:57:01 CET)

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Preprint REVIEW | doi:10.20944/preprints202401.1458.v1

Rapid Review on the Concept of Positive Health and Its Implementation in Practice

Marja Van Vliet, Miriam De Kleijn, Karolien Van den Brekel, Tim Huijts, Sandra van Hogen-Koster, Hans Peter Jung, Machteld Huber

Subject: Public Health And Healthcare, Health Policy And Services Keywords: positive health; health; rapid review; shared decision making; health concept; transition; sustainable healthcare

Online: 19 January 2024 (07:53:28 CET)

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Preprint ARTICLE | doi:10.20944/preprints202401.1102.v1

Economic Impact of Lean Healthcare Implantation on the Surgical Process

Marc Sales Coll, Rodolfo De Castro, Anna Ochoa de Echagüen, Vicenç Martinez Ibáñez

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Lean Healthcare; Surgical Process; Economic Impact; Lean Management

Online: 15 January 2024 (07:22:56 CET)

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Preprint ARTICLE | doi:10.20944/preprints202401.1092.v1

Behavioral Health Services Outcomes That Matter Most to Caregivers of Children, Youth, and Young Adults with Mental Health Needs

Genevieve Graaf, Katherine Kitchens, Millie Sweeney, Kathleen C Thomas

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Youth mental health; child mental health; parent support in child mental health; caregiver perspectives

Online: 15 January 2024 (06:14:38 CET)

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Preprint ARTICLE | doi:10.20944/preprints202401.0986.v1

A Low Cost Early Warning Method for Infectious Diseases with Asymptomatic Carriers

Mauro Gaspari

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; test positivity rate; early wa; health system management

Online: 12 January 2024 (09:03:59 CET)

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Preprint REVIEW | doi:10.20944/preprints202401.0722.v1

Biosafety and Biosecurity in Africa: Challenges and Future Perspectives

Abas Mahammed Abdi, Saad Ahmed Abdiweli, Hamse Sheban, Abdirasaq Abdale, Hamse Sead, Muna Hussein, Zamia Mohamed, Mohamed Dayib, Hussien Kosar

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Biosafety, Biosecurity, Challenges, Onehealth, Bioterrorism; Infectious disease, Africa

Online: 9 January 2024 (14:00:52 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.2183.v1

Is Covid-19 as Lethal as the Spanish Flu? The Australian Experience in 1919 and 2020 and the Role of Nonpharmaceutical Interventions (NPIs)

Marika Antonia Vicziany, Leon Piterman, Naiyana Tikky Wattanapenpaiboon

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Covid-19; Spanish Flu; lethality; hospital admissions; death rate; nonpharmaceutical interventions (NPIs), pandemic response; quarantine; lockdowns

Online: 28 December 2023 (11:20:39 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.0671.v2

Has COVID-19 Affected DTP3 Vaccination in the Americas?

Ines Aguinaga-Ontoso, Sara Guillén-Aguinaga, Laura Guillén-Aguinaga, Rosa Alas-Brun, Enrique Aguinaga-Ontoso, Esperanza Rayón-Valpuesta, Francisco Guillén-Grima

Subject: Public Health And Healthcare, Health Policy And Services Keywords: DTP vaccine; America; COVID-19; Vaccine coverage; Joinpoint regression; Health care system; Vaccination rates; Trends; Segmented regression

Online: 28 December 2023 (05:35:03 CET)

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Background: In America, vaccine-related deaths constitute a significant contributor to child mortality. An essential means of reducing this is through broad vaccine coverage. The COVID-19 pandemic has posed a potential disruption to vaccine coverage due to its effects on the healthcare system. Objectives: This study aims to evaluate the impact of the COVID-19 pandemic on DTP3 vaccination coverage in the Americas, investigating trends from 2012 to 2022 to identify significant changes, regional disparities, and the overall effect of the pandemic on progress towards global immunization targets. Methods: This study used the coverage data for the third dose of the Diphtheria, Tetanus, and Pertussis Vaccine (DTP3) pulled from UNICEF databases spanning 2012 to 2022. We conducted a JoinPoint regression to identify points of significant trend changes. The annual percentage change (APC) and 95% confidence intervals (95% CI) were calculated for America and its regions. We also used segmented regression analysis. Using the Chi-square test, we compared DTP3 vaccination coverage for each country between 2019 and 2022. Results: Overall, America saw a decrease in vaccine coverage during this period, with an APC of -1.4 (95% CI -1.8.; -1.0). This trend varied across regions. In North America, the decrease was negligible (-0.1% APC). South America showed the steepest decrease, with an APC of -2.5%. Central America also signif-icantly declined, with an APC of -1.3%. Our findings suggest a concerning trend of declining DTP vaccination rates in the Americas, exacerbated in certain regions, in the wake of the COVID-19 pandemic. The absolute decrease in vaccine coverage in the Americas was -4 % between 2019 and 2022, with the most significant drop observed in Central America (-7 %). However, six countries reported increased vaccination rates post-COVID-19, led by Brazil, with a 7% increase. Conversely, twenty-two countries registered a decline in DTP3 vaccine coverage, with the average decrease being -7.37%. This decline poses a significant challenge to achieving the WHO's target of 90% coverage for the third dose of DTP by 2030, as evidenced by the reduction in the number of countries meeting this target from 2019 to 2022. Conclusions: The COVID-19 pandemic has impacted vaccine coverage in America, leading to a decrease, especially across Central America.

Preprint ARTICLE | doi:10.20944/preprints202312.2081.v1

The Correlation between Policy Stringency and Compliance with Restrictions to Reduce the Spread of COVID-19

Paulo Rocha

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Big Five; Compliance; COVID-19; Personality traits; Policy-making; Policy stringency

Online: 27 December 2023 (13:04:47 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.2023.v1

Health Professionals’ Experiences with Health-Promotion Dialogues for Older Home-Dwellers in Norway – a Qualitative Study

Liza Wigaard Johansen, Hilde Lausund, Nina Jøranson

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Health-promotion dialogues, Preventive Home Visiting, home-dwellers, empowerment, focus groups, thematic analysis

Online: 26 December 2023 (22:56:05 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.1874.v1

Prevalence and Risk Factors of Human Taenia solium Cysticercosis in Mbulu District, Northern Tanzania

Vedasto Bandi, Bernard Ngowi, Emmanuel Mpolya, Andrew Martin Kilale, John-Mary Vianney

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Pork tapeworm; Anthelmintic; Cysticercosis; Deworming; Tanzania

Online: 25 December 2023 (12:25:06 CET)

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Preprint CASE REPORT | doi:10.20944/preprints202312.1774.v1

Key learnings from the development and early use of global guidance on the integration of COVID-19 vaccination into broader health systems

Ibrahim Dadari, Alba Vilajeliu, Viorica Berdaga, Shalini Rozario, Phoebe Meyer, Laura Nic Lochlainn, Dirk Horemans, Nuria Toro, Gloria Lihemo, Sanjay Bhardwaj, Peter Cowley, Diana Chang Blanc, Florence Yeanoh Conteh Nordman, Imran Mirza, Shahira Malm, Ida Marie Ameda, Ann Lindstrand

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19 vaccine, Immunization Programmes, Global guidance, Integration, Primary Health Care, integrated health services, health systems

Online: 25 December 2023 (09:17:01 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.1753.v1

Quality Assurance of Malaria Microscopy in Timor-Leste: One Step at a Time

Gregorio Rangel

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Quality assurance of malaria microscopy; system; Timor-Leste

Online: 22 December 2023 (14:03:30 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.1675.v1

Personality Traits, Machiavellianism Intelligence, Irrational Beliefs among Chronically Ill Older People and COVID-19 Outbreak

Kanwal Shahbaz, David Lim, Ayesha Shahbaz

Subject: Public Health And Healthcare, Health Policy And Services Keywords: personality characteristics; Machiavellian intelligence; irrational belief; chronically ill older people; systemic lu-pus erythematosus; complicated diabetes; glomerulonephritis and chronic heart failure; Covid-19

Online: 21 December 2023 (15:29:52 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.1092.v1

A Professional Consensus on Orthodontic Risks: Communication Approach, Quality Assurance, and Educational Strategies

Franzeska Karkazi, Maria Antoniadou, Katarína Demeterová, Dimitrios Κonstantonis, Vasileios Margaritis, Juraj Lysy

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Orthodontic risk communication; informed consent; patient-centered care; cross-cultural practices; treatment risks; orthodontist perspectives; digital tools; patient satisfaction; ethical considerations

Online: 14 December 2023 (11:04:20 CET)

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This study explores the complexities of risk communication practices in orthodontics, specifically examining the perspectives of orthodontists in Greece and Slovakia. Informed by the foundational importance of effective communication in health sciences, particularly in facilitating valid consent and shared decision-making, this research addresses gaps identified in the literature concerning the consistent communication of potential treatment risks based on demographic and cultural characteristics. The study identifies 15 potential critical risks with orthodontic treatment. These risks include root necrosis; temporary undesired changes to the occlusion; sleep difficulties; not achieving an ideal result; development of black triangles between teeth; taking additional X-rays; speech difficulties; using a protective splint during sports; duration of treatment; number of visits; transmission of infectious diseases; and swallowing orthodontic appliances. The questionnaire, distributed electronically to orthodontists in Greece (n=570) and Slovakia (n=210) from Sept. 2022 to Dec. 2022, aimed to assess risk communication practices, with consideration to country, gender, and degree-related variations. 168 valid questionnaires (91 from Slovakia and 77 from Greece) were obtained indicating significant disparities in the risks emphasized and preferred forms of consent. The Greek orthodontists focused more on the risks involved such as on relapse, root resorption, temporal occlusal changes, and failure of desired movement, while the Slovak practitioners tend to be interested more about sleeping difficulties, temporal occlusal changes and not achieving an ideal result. They also tend to obtain written or digital consent from patients or their parents/guardians more frequently than the Greek team. Male orthodontists discussed specific risks more frequently, including relapse and extractions, whereas females preferred written or digital consent. PhD-trained orthodontists prioritized certain risks, indicating the need for tailored approaches. This study underscores the dynamic nature of risk assessment in orthodontic practice, emphasizing its ethical and strategic dimensions. The findings advocate for tailored risk communication strategies, that recognize individual, contextual, and cultural factors and the need of an orthodontic informed consent protocol for tailored communication approach for patients to elevate the standard of care in European orthodontics. The reliance on digital tools reflects contemporary trends in enhancing patient understanding, thereby supporting ongoing innovation in orthodontic practices.

Preprint ARTICLE | doi:10.20944/preprints202312.0856.v1

Problems and Opportunities of a Smartphone-Based Care Management Platform: Application of the Wald Principles on a Survey-Based Analysis of Patients’ Perception in a Pilot Center

Stefano Marco Paolo Rossi, Rocco Panzera, Rudy Sangaletti, Luca Andriollo, Laura Giudice, Francesca Lecci, Francesco Benazzo

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Care management platform; myMobility; telerehabilitation; Robotic knee system; Digital ecosystem

Online: 13 December 2023 (06:24:24 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.0671.v1

Has COVID-19 Affected DTP3 Vaccination in the Americas?

Ines Aguinaga-Ontoso, Sara Guillén-Aguinaga, Laura Guillén-Aguinaga, Rosa Alas-Brun, Enrique Aguinaga-Ontoso, Esperanza Rayón-Valpuesta, Francisco Guillén-Grima

Subject: Public Health And Healthcare, Health Policy And Services Keywords: DTP vaccine; America; COVID-19; Vaccine coverage; Joinpoint regression; Health care system; Vaccination rates; Trends; Segmented regression

Online: 11 December 2023 (08:37:31 CET)

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Background: In America, vaccine-related deaths constitute a significant contributor to child mortality. An essential means of reducing this is through broad vaccine coverage. The COVID-19 pandemic has posed a potential disruption to vaccine coverage due to its effects on the healthcare system. Objectives: This study aims to evaluate the impact of the COVID-19 pandemic on DTP3 vaccination coverage in the Americas, investigating trends from 2012 to 2022 to identify significant changes, regional disparities, and the overall effect of the pandemic on progress towards global immunization targets. Methods: This study used the coverage data for the third dose of the Diphtheria, Tetanus, and Pertussis Vaccine (DTP3) pulled from UNICEF databases spanning 2012 to 2022. We conducted a JoinPoint regression to identify points of significant trend changes. The annual percentage change (APC) and 95% confidence intervals (95% CI) were calculated for America and its regions. We also used segmented regression analysis. Using the Chi-square test, we compared DTP3 vaccination coverage for each country between 2019 and 2022. Results: Overall, America saw a decrease in vaccine coverage during this period, with an APC of -1.4 (95% CI -1.8.; -1.0). This trend varied across regions. In North America, the decrease was negligible (-0.1% APC). South America showed the steepest decrease, with an APC of -2.5%. Central America also signif-icantly declined, with an APC of -1.3%. Our findings suggest a concerning trend of declining DTP vaccination rates in the Americas, exacerbated in certain regions, in the wake of the COVID-19 pandemic. The absolute decrease in vaccine coverage in the Americas was -4 % between 2019 and 2022, with the most significant drop observed in Central America (-7 %). However, six countries reported increased vaccination rates post-COVID-19, led by Brazil, with a 7% increase. Conversely, twenty-two countries registered a decline in DTP3 vaccine coverage, with the average decrease being -7.37%. This decline poses a significant challenge to achieving the WHO's target of 90% coverage for the third dose of DTP by 2030, as evidenced by the reduction in the number of countries meeting this target from 2019 to 2022. Conclusions: The COVID-19 pandemic has impacted vaccine coverage in America, leading to a decrease, especially across Central America.

Preprint ARTICLE | doi:10.20944/preprints202312.0555.v1

Mortality Trend of Severe COVID-19 in Under-Vaccinated Population Admitted to ICU in French Amazonia

Severine Matheus, Stéphanie Houcke, Guy Roger Lontsingoula, Nicolas Higel, Abesetou Ba, Fabrice Cook, Cyrille Gourjault, Flaubert Nkontcho, Magalie Demar, Mathieu Nacher, Félix Djossou, Didier Hommel, Dabor RESIERE, Jean Marc Pujo, Hatem Kallel

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; delta variant; gamma variant; mortality; French Guiana ; ;

Online: 8 December 2023 (10:21:21 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.0471.v1

Supporting Telemedicine and Community Welfare through Automated Drug Delivery Systems with UAV (Unmanned Aerial Vehicle) and IoT (Internet of Things) Technology: A Case Study in KLU Area

Alya Dwi Arianty, Eny Winaryati

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Unmanned Aerial Vehicle (UAV); Internet of Things (IoT); telemedicine; medication delivery; KLU region

Online: 7 December 2023 (04:52:13 CET)

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Preprint ARTICLE | doi:10.20944/preprints202312.0415.v1

Mortality Trends in People With Disabilities Before and During the COVID-19 Pandemic in South Korea, 2017–2022

Ye-Soon Kim¹, Ju-Hee Kim¹, Sooyoung Kwon¹, Joo-Hee Kim¹, Hyun-Ji Kim¹, Seung Hee Ho¹

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; mortality; people with disability; South Korea; infection

Online: 6 December 2023 (11:00:22 CET)

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Preprint REVIEW | doi:10.20944/preprints202311.1643.v1

Vaccinating Against a Novel Pathogen: A Critical Review of COVID-19 Vaccine Effectiveness Evidence

Bernard Black, David B Thaw

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; SARS-CoV-2; vaccine; vaccine efficacy; vaccine effectiveness, vaccine booster; BNT162b2; mRNA1273; Ad26.COV2.S; ChAdOx1-S; SARS-CoV-2 variants

Online: 28 November 2023 (01:41:16 CET)

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Preprint ARTICLE | doi:10.20944/preprints202311.1686.v1

Population Models of Epidemics with Infection Age and Vaccination Age Structure

Glenn Webb, Xinyue Zhao

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Keywords: COVID-19; data; transmission; asymptomatic

Online: 27 November 2023 (08:45:36 CET)

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Preprint ARTICLE | doi:10.20944/preprints202311.1223.v1

Physician Burnout as Reflected by Patients – the Effect of COVID-19 on Patients’ Perspective

Orna Tal, Arnon Ravid, Shlomit Bargil, Zaklin Epel, Mira Avdayev, Michal Bitan

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Physician burnout; patient's perspective; COVID-19 effect; trends

Online: 20 November 2023 (07:45:02 CET)

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Preprint ARTICLE | doi:10.20944/preprints202311.0966.v1

Disease Burden and Inpatient Management of Children with Acute Respiratory Viral Infections during the Pre-COVID Era in Germany: A Cost-of-Illness Study

Maren Alchikh, Tim O.F. Conrad, Patrick E Obermeier, Xiaolin Ma, Brunhilde Schweiger, Onya Opota, Barbara A Rath

Subject: Public Health And Healthcare, Health Policy And Services Keywords: influenza-like illness; respiratory virus; respiratory viral infection; direct medical cost; non-direct medical cost; social determinants of health

Online: 16 November 2023 (10:35:52 CET)

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Preprint ARTICLE | doi:10.20944/preprints202311.0861.v1

Development and Validation of an Assessment Tool for Evaluating Cross-sectoral Collaboration in Developing a Child-Friendly City in Makassar

Balqis Nazaruddin, Suci Rahmadani, Dian Saputra Marzuki, Arif Anwar, St Rosmanely, Mangindara Mangindara, Dian Pratiwi, Muh. Amri Arfandi, Amaliah Amriani, Nur Annisa Hamka, Afiifah Afiifah, Dian Sidik Arsyad

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Child-Friendly City; Cross-sectoral Collaboration; Confirmatory Factor Analysis; Validity; Reliability

Online: 14 November 2023 (09:05:02 CET)

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Preprint REVIEW | doi:10.20944/preprints202311.0519.v1

Unveiling the Patterns: Exploring Social and Clinical Characteristics of frequent Mental Health Visits to the Emergency Department – A Comprehensive Review

Zhonghao Zhang, Soumitra Das

Subject: Public Health And Healthcare, Health Policy And Services Keywords: emergency department; frequent presenter; frequent presentation; socio-demographic characteristics; clinical characteristics

Online: 8 November 2023 (06:31:25 CET)

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Preprint ARTICLE | doi:10.20944/preprints202311.0213.v1

Location Planning of Emergency Medical Facilities using the p-Dispersed-Median Modeling Approach

Changwha Oh, Yongwan Chun, Hyun Kim

Subject: Public Health And Healthcare, Health Policy And Services Keywords: dispersion-median problem; equitable service distribution; emergency medical facilities (EMS); local emergency medical institutions (LEMIs); spatial optimization

Online: 3 November 2023 (06:37:42 CET)

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Preprint ARTICLE | doi:10.20944/preprints202310.2094.v1

Effect of the Consumption of Vitamin C, D3, CA Supplements and Olive Paste Enriched with Mountain Tea on Bone Metabolism Indices in Postmenopausal Women with Increased Osteoporosis’ Risk: A Prospective Interven-Tional Study

Melina Konstantinidi, Stavroula Stoupi, Ioannis Anastasiou, Vlachos Nikolaos, George Tsakotos, Antonios E. Koutelidakis

Subject: Public Health And Healthcare, Health Policy And Services Keywords: micronutients; functional foods; olive paste; bone mineral density; bone metabolism biomarkers; postmenopausal women

Online: 31 October 2023 (12:25:22 CET)

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(1) Background : Low dietary intake of calcium, vitamin D, vitamin C and magnesium has been associated with increased risk of osteoposrosis. The purpose was to evaluate changes in biomarkers of bone metabolism, and cardiometabolic health in postmenopausal women, with high risk of osteoporosis, followed by a nutritional intervention program. (2) Method: It was a prospective randomized controlled trial. A sample of 115 apparently healthy postmenopausal women(45 -75 years of age) randomized into four groups: (I) nutritional intervention group(n=40) received daily 1000mg vitamin C, 500mg vitamin D3, 500mg calcium(Ca) and 300mg magnesium (Mg); (II) control group(n=42) received daily 500mg vitamin D3, 500mg Ca and 300mg Mg; (III) nutritional intervention group (n=18) received daily 150mg bisphosphonates, 500mg vitamin D3, 500mg Ca and 300mg Mg; and (IV) nutritional intervention group (n=15) received daily about 364 mg polyphenols via an innovative functional food (50g olive paste enriched with mountain tea extract) along with 500mg vitamin D3, 500mg Ca and 300mg Mg. Groups I -III received supplementation for a year whereas group IV for 5 months. Changes in calciregulatory hormone parathormone (PTH) were evaluated at the beginning of the study as well as at 5 and 12 months intervals. Blood levels of vitamin D, vitamin C, Ca, Mg and the lipid profile were assessed at the beginning and at the end of the study. Anthropometric indices (weight, body fat(Kg), Body Mass Index(BMI) and bone mineral density(BMD) were evaluated at the beginning and at the end of the study. Statistical analysis was performed with IBM-SPSS Statistics-21. The level of statistical significance was set at p<0.05. (3) Results: 25(OH)D3 levels were improved, in groups II, III and IV (+3,71% and +1.45% and +5.62% respectively). PTH levels were increased at the end of the intervention period, for groups I and IV. Significant positive changes recorded, in total BMD, in all four study groups. Significant beneficial changes for total cholesterol was observed in group IV (-2.07%, P<0.05) and positive changes in group I for HDL biomarker (+61.62%, P<0.05) (4) Conclusions:. Additional larger-scale clinical trials and intervention studies are considered essential, in order to fully investigate and elucidate associations between dietary components and biochemical indices of bone metabolism.

Preprint ESSAY | doi:10.20944/preprints202310.1861.v1

Economic Management in Healthcare: A Critical Issue to Understand

Chayan Munshi, Ranita Chakravorty

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Health economics; Healthcare finance; Financial system

Online: 30 October 2023 (10:27:36 CET)

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Preprint ARTICLE | doi:10.20944/preprints202310.1675.v1

Healthcare workers' Knowledge about the segregation process of Infectious Waste Management in a Hospital

Andreas Miamiliotis, Michael A. Talias

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Infectious waste management; Healthcare waste; Hospital; color coding; segregation; Public Health

Online: 26 October 2023 (03:28:53 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202310.1549.v1

Resident Impact of the Single Site Order Restricting Staff Mobility Across Long-Term Care Homes in British Columbia, Canada

Farinaz Havaei, Sabina Staempfli, Andy Ma, Joanie Sims-Gould, Thea Franke, Minjeong Park

Subject: Public Health And Healthcare, Health Policy And Services Keywords: patient supported research; COVID-19; older adult; mental health; pandemic management; policy evaluation; implementation science; staffing; quality of care; quality of life

Online: 25 October 2023 (04:12:46 CEST)

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Preprint REVIEW | doi:10.20944/preprints202310.1271.v1

When Claims of ‘Revisionism’ and ‘Misinformation’ are Themselves Misinformed: Implications for Policy Decision-Making

Ari R Joffe, Pooya Kazemi, Roy Eappen, Chris Milburn

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; Disinformation; Emergency Management; Lockdown; Misinformation; Public Health; Revisionism

Online: 19 October 2023 (12:44:28 CEST)

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Preprint ESSAY | doi:10.20944/preprints202310.1108.v1

Clinical Trial Registration and Reporting in China and the United States: Legal and Regulatory Frameworks, Compliance and Enforcement

Yixuan Chen, Janie Walters, Till Bruckner

Subject: Public Health And Healthcare, Health Policy And Services Keywords: clinical trial; transparency; legislation; regulation; policy analysis; China; United States; publication bias

Online: 18 October 2023 (18:25:50 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202310.1139.v1

How Possible Is the Elimination of Viral Hepatitis? An Analysis Based on the Global Burden of Disease from Hepatitis B and C, 1990–2019

Nelson Alvis-Guzman, Nelson J. Alvis-Zakzuk, Fernando De la Hoz Restrepo

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Hepatitis C; Elimination; Global Burden of Disease; Mortality

Online: 18 October 2023 (17:35:15 CEST)

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Preprint REVIEW | doi:10.20944/preprints202307.0709.v2

Addressing the Knowledge Deficit in Hospital Bed Planning, Defining an Optimum Region for the Number of Different Types of Hospital Beds in an Effective Health Care System

Rodney P. Jones

Subject: Public Health And Healthcare, Health Policy And Services Keywords: hospital bed numbers; optimum occupancy; bed models; deaths; international comparison; benchmarking; healthcare policy; policy-based evidence; patient flow; queuing theory; infections; surge capacity

Online: 17 October 2023 (10:59:13 CEST)

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Based upon 30-years of research by the author a new approach to hospital bed planning and international benchmarking is proposed. The number of hospital beds per 1000 population is commonly used to compare international bed numbers. This method is flawed because it does not consider population age structure or the effect of nearness-to-death on hospital utilization. Deaths are also serving as a proxy for wider bed demand arising from undetected outbreaks of 3000 species of human pathogens. To remedy this problem a new approach to bed modelling has been developed which plots beds per 1000 deaths against deaths per 1000 population. Lines of equivalence can be drawn on the plot to delineate countries with higher or lower bed supply. This method is extended to attempt to define the optimum region for bed supply in an effective health care system. England is used as an example of a health system descending into operational chaos due to too few beds and manpower. The former Soviet bloc countries represent a health system overly dependent on hospital beds. Several countries also show evidence for over-utilization of hospital beds. The new method is used to define a potential range for bed supply and manpower where the current most effective health systems currently reside. The method is applied to total curative beds, medical beds, psychiatric beds, critical care, geriatric care, etc., and can also be used to compare different types of healthcare staff, i.e., nurses, physicians, surgeons. Issues surrounding the optimum hospital size and the optimum average occupancy will also be discussed. The role of poor policy in the English NHS is used to show how the NHS has been led into a bed crisis. The method is also extended beyond international benchmarking to illustrate how it can be applied at a local or regional level in the process of long-term bed planning. Issues regarding the volatility in hospital admissions are also addressed to explain the need for surge capacity and why an adequate average bed occupancy margin is required for an optimally functioning hospital.

Preprint REVIEW | doi:10.20944/preprints202310.0999.v1

Community Paramedicine Supporting Social Needs: A Scoping Review

Tyne Lunn, Jennifer Bolster, Alan Batt

Subject: Public Health And Healthcare, Health Policy And Services Keywords: paramedic; community paramedicine; social needs; social isolation; equity

Online: 17 October 2023 (08:17:52 CEST)

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Introduction: Health and social needs exist along a dynamic continuum. Recognizing that health status is inextricably impacted by social determinants of health, there exists opportunities and a professional responsibility to better understand how community paramedicine can address social needs in effort to reduce healthcare inequities.Aim: The primary objective of this scoping review is to systematically investigate published peer reviewed and grey literature to explore how community paramedicine supports social needs along a health and social continuum.Methods: A scoping review of English language literature was conducted using the JBI Scoping Review methodology. We searched CINAHL, EMBASE, and MEDLINE and grey literature searches in Google Scholar and organisational websites. We used search terms related to community paramedicine and social needs. Results: A total of 30 peer-reviewed and 13 grey literature articles met inclusion criteria. The main findings of this scoping review describe the evolving ways community paramedicine models are addressing health and social needs. A key recommendation across the literature was the need to meaningfully engage communities early in program development to understand how best to implement and co-design an integrated service model that addresses the needs specific to each community, though there was a lack of evidence to guide this approach. There is a notable lack of evidence pertaining to how best to optimize technologies in program design and implementation. The results highlight opportunities to determine best practices for conducting holistic community needs assessments that include equitable stakeholder engagement and enhance education to prepare paramedics for expanded roles.Conclusion: Community paramedicine provides opportunities to better meet the needs of structurally marginalised communities. However, there is a social responsibility and opportunity to engage in community needs assessments to co-design service delivery, advance paramedic education, and enhance interprofessional collaboration to better support social needs and generate upstream solutions for individuals and communities.

Preprint ARTICLE | doi:10.20944/preprints202310.0963.v1

Overview of Availability, Cost, and Affordability of Antibiotics for Adults in Jordan: an AWaRe Classification Perspective

Feras Darwish Elhajji, Sahar Abuhasheesh, Ahmed Al Rusasi, Mamoon A. Aldeyab

Subject: Public Health And Healthcare, Health Policy And Services Keywords: antibiotic; AWaRe classification; affordability; cost per DDD; access; watch; reserve; MAH; Jordan

Online: 16 October 2023 (11:19:46 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202310.0668.v1

Development of a Doctor Helicopter Air Transport Training Program for Emergency Medical Workers

Mi Yeon Kim, Ji Sook Kang

Subject: Public Health And Healthcare, Health Policy And Services Keywords: airlift; job performance; doctor; helicopter; RPISD

Online: 11 October 2023 (05:05:59 CEST)

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Preprint REVIEW | doi:10.20944/preprints202310.0582.v1

Health Surveillance Actions in the Context of COVID-19 in Brazil: A Scoping Review

Larissa Araújo Borges, Pedro Henrique Brito da Silva, Cristina Rosa Soares Lavareda Baixinho, Ana Laura de Sene Amâncio Zara, Ellen Synthia Fernandes de Oliveira

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Ministry of Health; Public Health Surveillance; COVID-19; Brazil

Online: 10 October 2023 (12:15:40 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202309.2015.v1

Comparative analysis of COVID-19 response measures and their impact on mortality rate

Tomokazu Konishi

Subject: Public Health And Healthcare, Health Policy And Services Keywords: keyword logarithmic growth rates; lockdown; vaccination; containment of the pandemic; identifying and isolating patients

Online: 3 October 2023 (03:45:36 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202310.0018.v1

An Exploratory Analysis of the Association Between Hospital Quality Measures and Financial Performance

Brad M Beauvais, Diane Dolezel, Zo Ramamonjiarivelo, Cristian Lieneck, Michael Nowicki

Subject: Public Health And Healthcare, Health Policy And Services Keywords: hospital; quality; patient safety; perceptions of care; financial performance

Online: 1 October 2023 (08:35:28 CEST)

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Preprint REVIEW | doi:10.20944/preprints202309.1693.v1

Global Healthcare: Why So Difficult to Manage?

Chayan Munshi

Subject: Public Health And Healthcare, Health Policy And Services Keywords: healthcare management; healthcare challenges; healthcare advancements

Online: 26 September 2023 (04:59:57 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202309.1529.v1

Epidemiological Evolution and Economic Impact of the COVID-19 Pandemic in the European Union and Worldwide and Effects of Control Strategies on Them: A Descriptive Study

Joan A. Caylà, Josep M Bellmunt, Josep M Jansà, Andrés Marco, Joan-Pau Millet

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; SARS-CoV-2; mitigation strategy; Zero-COVID strategy; prevention; control; gross domestic product; evaluation

Online: 22 September 2023 (07:41:10 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202309.1407.v1

Women Abused: Analysis of Assistance Provided by Urgency Mobile Service

Dalton Makoto Senda, Makcileni Paranho De Souza, Maria Dalva de Barros Carvalho, Sandra Marisa Pelloso

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Violence against women; Feminicide; Pre-Hospital Emergency Care

Online: 21 September 2023 (12:07:00 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202309.1416.v1

The Incidence Trend and Management of Thyroid Cancer - What has Changed in the Last Years: Own Experience and Literature Review

Krzysztof Kaliszewski, Dorota Diakowska, Michał Miciak, Krzysztof Jurkiewicz, Michał Kisiel, Szymon Makles, Anna Dziekiewicz, Szymon Biernat, Maksymilian Ludwig, Bartłomiej Ludwig, Karolina Sutkowska-Stępień, Maciej Sebastian, Paweł Domosławski, Krzysztof Sutkowski, Beata Wojtczak

Subject: Public Health And Healthcare, Health Policy And Services Keywords: thyroid cancer management; incidence trends; NIFTP; PTC; personalized medicine; COVID-19; cancer screening activity

Online: 21 September 2023 (05:30:14 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.0590.v2

Evaluating the Financial Performances of the Publicly Held Healthcare Companies in Crisis Periods in Türkiye

Dilaver Tengilimoğlu, Tolga Tümer, Russell L. Bennett, Mustafa Z. Younis

Subject: Public Health And Healthcare, Health Policy And Services Keywords: healthcare companies; financial performance; crisis periods; economic crisis; COVID-19

Online: 8 September 2023 (04:33:25 CEST)

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Preprint BRIEF REPORT | doi:10.20944/preprints202309.0463.v1

An Assessment of Averted Mortality Modeling in the Context of COVID-19 Vaccines

Matthew Halma, Ramiz Ahmed-Man, Cristof Plothe, Amrit Šorli

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Averted mortality; mass vaccinations; public health; Covid-19; epidemiological modeling

Online: 7 September 2023 (10:16:35 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202303.0215.v2

Implementation of the Lean Healthcare System in the Emergency Room of the Hospital de Clinics of the Federal University of Uberlândia: A Case Study

Paulo Sergio de Freitas, Guilherme Silva De Mendonça, Elmiro Santos Resende

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Lean em emergências; Superlotação de pronto-socorro; Saúde magra; Gestão de serviços de saúde; gestão hospitalar

Online: 7 September 2023 (10:04:56 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202309.0411.v1

Basic Health Service Delivery to Vulnerable Populations in Post-Conflict Eastern Congo: Asset Mapping

Dieudonne Bwirire, Rik Crutzen, Rianne Letschert, Edmond Ntabe Namegabe, Nanne De Vries

Subject: Public Health And Healthcare, Health Policy And Services Keywords: community participatory asset mapping; asset-based approaches to health; health inequalities; basic healthcare services; community-based healthcare; democratic republic of congo

Online: 6 September 2023 (10:32:40 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202309.0310.v1

Accessing Meals on Wheels: A Qualitative Study Exploring the Experiences of Service Users and People Who Refer Them to the Service

Angeliki Papadaki, Mary Wakeham, Becky Ali, Miranda Armstrong, Paul Willis, Ailsa Cameron

Subject: Public Health And Healthcare, Health Policy And Services Keywords: carers; community meals; home-delivered meals; Meals on Wheels; older adults; qualitative research; referral

Online: 6 September 2023 (04:17:25 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202309.0069.v1

Trends and Patterns of Sexualised Drug Use among HIV-Positive Gay, Bisexual and Other Men Who Have Sex with Men: Insights from a Comprehensive Study in a Major European City - The U-SEX-2 GESIDA 9416 Study

Pablo Ryan, Helen Dolengevich-Segal, Luis Ramos-Ruperto, Alfonso Cabello, Matilde Sanchez-Conde, Jorge Vergas, Jorge Valencia, Guillermo Cuevas, Jose Sanz-Moreno, Javier Curto-Ramos, Javier Pérez-Bootello, Jorge Naharro-Rodriguez, Mar J.F Ollero, Lucio Garcia Fraile, Leire Pérez-Latorre, Otilia Bisbal, Sara De la Fuente, Juan Emilio Losa, Miguel Cervero, Miriam Estebanez, Inés Suarez-Garcia, Alejandra Gimeno, Ignacio Terrancle, Rafael Mican, Alicia González Baeza

Subject: Public Health And Healthcare, Health Policy And Services Keywords: MSM; trends; high-risk sexual behaviors; HIV; sexualized drug use; chemsex; sexually transmitted infections

Online: 4 September 2023 (02:43:27 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.2129.v1

The Epidemiological and Economic Impact of COVID‑19 in Kazakhstan. Agent-Based Modelling

Berik Koichubekov, Ilya Korshukov, Aliya Takuadina, Marina Sorokina, Anar Turmukhambetova

Subject: Public Health And Healthcare, Health Policy And Services Keywords: epidemiology; COVID-19; agent-based model; forecasting

Online: 31 August 2023 (09:37:07 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.2065.v1

A Mathematical Model for a Disease Outbreak Considering Waning-Immunity Class with Nonlinear Incidence and Recovery Rates

Nursanti Anggriani, Lazarus Kalvein Beay, Fatuh Inayaturohmat, Sanubari Tansah Tresna

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Epidemic model; Basic Reproduction Ratio; Waning immunity; Nonlinear incidence rate; Nonlinear Recovery rate; Lyapunov functions; Optimal control.

Online: 30 August 2023 (10:29:02 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.1870.v1

Polish Adaptation and Psychometric Validation of the PREM-C9 Questionnaire Dedicated for Patients with Chronic Obstructive Pulmonary Disease

Iwona Damps-Konstańska, Weronika Ciećko, Ewa Jassem, Tomasz Bandurski, Dominika Bosek, Marzena Olszewska-Karaban, Ewa Bandurska

Subject: Public Health And Healthcare, Health Policy And Services Keywords: chronic obstructive pulmonary disease (COPD); Patient Reported Outcome Measures; Health Care Surveys

Online: 29 August 2023 (03:31:15 CEST)

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Preprint REVIEW | doi:10.20944/preprints202308.1777.v1

A Comprehensive Analysis of the Latest Automatic Applications of Artificial Intelligence in the Diagnosis of Cardiovascular Diseases

Carlos Polanco, Rosalinda Posadas-Sánchez, Gilberto Vargas-Alarcón

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Artificial intelligence; cardiology; deep learning; diagnosis; machine learning; neural networks

Online: 28 August 2023 (10:28:41 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.1653.v1

Reducing Barriers to COVID-19 Vaccination Uptake: Community Ideas From Urban And Rural Kenya

Ahmed Asa’ad Al-Aghbari, Violet Naanyu, Stanley Luchters, Eunice Irungu, Kawthar Baalawy, Till Bärnighausen, Joy Mauti

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; Vaccine uptake; reduction of barriers to vaccination; health misinformation; vaccine hesitancy; Kenya

Online: 24 August 2023 (03:35:18 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.1610.v1

Predictors of Unmet Health Care Needs during Economic and Health Crisis in Greece

George Pierrakos, Aspasia Goula, Dimitra Latsou

Subject: Public Health And Healthcare, Health Policy And Services Keywords: healthcare; unmet healthcare needs; economic crisis; health crisis; Greece

Online: 23 August 2023 (07:07:34 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.1172.v1

Future role of Health Technology Assessment for Genomic Medicine in Oncology: A Canadian Laboratory Perspective

Don Husereau, Yvonne Bombard, Tracy Stockley, Michael Carter, Scott Davey, Diana Lemaire, Erik Nohr, Paul Park, Alan Spatz, Christine Williams, Aaron Pollett, Bryan Lo, Stephen Yip, Soufiane El Hallani, Harriet Feilotter

Subject: Public Health And Healthcare, Health Policy And Services Keywords: genomic biomarkers; clinical utility; clinical validity; analytic validity; health technology assessment)

Online: 17 August 2023 (07:36:43 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.1183.v1

Follow‐up of Non‐Palpable Incidentalomas <1CM: Does Growth Rate Allow Distinguish between Malignant and Non‐malignant Lesions?

Michele Bertolotto, Irene Campo, Simon Freeman, Francesco Lotti, Dean Y Huang, Laurence Rocher, Lucio Dell'Atti, Massimo Valentino, Jia Cheng Yuan, Gianluca Visalli, Pietro Pavlica, Paul S Sidhu, Lorenzo Derchi

Subject: Public Health And Healthcare, Health Policy And Services Keywords: testicular incidentaloma; imaging; non‐palpable testicular tumours; imaging; Testis lesion; growth rate; incidental testicular tumour; histology

Online: 16 August 2023 (10:47:25 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.0966.v1

Analysis of European Medicines Agency’s COVID-19 Vaccine Information Materials in EU and Regional Context

Indiana Castro, Marie Van Tricht, Nicole Bonaccorso, Martina Sciortino, Juan Garcia Burgos, Claudio Costantino, Rosa Gonzalez-Quevedo

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Vaccination; COVID-19; EMA; Misinformation; Hesitancy

Online: 14 August 2023 (02:56:05 CEST)

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Preprint REVIEW | doi:10.20944/preprints202308.0740.v1

Scoping Review of Handwashing and OCD During COVID-19 Concerning Increased Negative Mental Health

Carol Nash

Subject: Public Health And Healthcare, Health Policy And Services Keywords: COVID-19; fomite transmission; health directive; handwashing; OCD; mental health; scoping review

Online: 9 August 2023 (07:26:00 CEST)

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Preprint REVIEW | doi:10.20944/preprints202308.0644.v1

Healthcare Policies to Eliminate Neglected Tropical Diseases (NTDs) in India: A Roadmap

Ajay Chandra, S D Sreeganga, Nibedita Rath, Arkalgud Ramaprasad

Subject: Public Health And Healthcare, Health Policy And Services Keywords: neglected diseases; healthcare policy; India; ontology; framework; roadmap

Online: 8 August 2023 (08:55:37 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202308.0343.v1

The Correlation of Aortic Neck Angle and Length in Abdominal Aortic Aneurysm with Severe Neck Angulation for Prediction of Intraoperative Neck Complications and Postoperative Outcomes after Endovascular Aneurysm Repair

Khamin Chinsakchai, Thana Sirivech, Frans L Moll, Sasima Tongsai, Kiattisak Hongku

Subject: Public Health And Healthcare, Health Policy And Services Keywords: abdominal aortic aneurysm; severe neck angulation; aortic neck length; outcomes

Online: 4 August 2023 (03:16:36 CEST)

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Objectives: Endovascular aneurysm repair (EVAR) in hostile neck has been associated with adverse outcomes. We aimed to determine the association of infrarenal aortic neck angle and length and establish an optimal cutoff value to predict intraoperative neck complications and post-operative outcomes. Methods: This was a retrospective review of intact infrarenal abdominal aortic aneurysm (AAA) with severe neck angulation (> 60 degrees) who underwent EVAR from October 2010 to October 2018. Demographic data, aneurysm morphology, and operative details were collected. The ratio of neck angle and length was calculated the optimal cutoff value of the aortic neck angle-length index. Patients were classified into two groups using latent profile analysis. Intraoperative neck complications, adjunct neck procedures, and early and late outcomes were compared. Results: 115 patients were included. Group 1(G1), aortic neck angle-length index ≤ 4.8, had 95 patients and Group 2 (G2), aortic neck angle-length index > 4.8, had 20 patients. Demographic data and aneurysm morphology were not significantly different between groups except for neck length (P < 0.001). G2 had more intra-operative neck complications than G1 (21.1% vs 55%, P = 0.005). Adjunctive neck procedures were more common in G2 (18.9% vs 60%, P < 0.001). Thirty-day mortality rate was not statistically different. G1 patients had a 5-year proximal neck re-intervention free rate comparable to G2 patients (93.7%G1 vs 87.5%G2, P = 0.785). The 5-year overall survival rate was not statistically different (59.9%G1 vs 69.2%G2, P = 0.891). Conclusions: Patients with aortic neck angle-length index > 4.8 are at greater risk of intraoperative neck complications and adjunctive neck procedures than patients with an aortic neck angle-length index ≤ 4.8. The 5-year proximal neck re-intervention free rate and the 5-year survival rate were not statistically different. The aortic neck angle-length index is a reliable predictor of intra-operative neck complications during EVAR in AAA with severe neck angulation.

Preprint BRIEF REPORT | doi:10.20944/preprints202308.0089.v1

Intersectional Influence of Socioeconomic Status and Cooking Behavior on Dietary Habits: A Nationwide Cross-Sectional Study in Japan

Daisuke Machida

Subject: Public Health And Healthcare, Health Policy And Services Keywords: health disparity; diet; cooking; breakfast intake; balanced meal intake; cross-sectional study; Japan; adult

Online: 1 August 2023 (11:03:57 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.2007.v1

Τhe Cost and the Value of Stroke Care in Greece: Results from the SUN4P Study

Olga Ch. Siskou, Petros Galanis, Olympia Konstantakopoulou, Panagiotis Stafylas, Iliana Karagouni, Evangelos Tsampalas, Daphne Garefou, Helen Alexopoulou, Anasstasia Gamvroula, Maria Lypiridou, Ioannis Kalliotzakis, Anastasia Fragkoulaki, Aspasia Kouridaki, Argyro Tountopoulou, Ioanna Kouzi, Sofia Vassilopoulou, Efstathios Manios, Georgios Mavraganis, Anastasia Vemmou, Efstathia Karagkiozi, Christos Savopoulos, Grigorios George Dimas, Athina Myrou, Haralampos Milionis, Georgios Siopis, Xara Evaggelou, Athanase D. Protogerou, Stamatia Samara, Asteria Karapiperi, Nikolaos Kakaletsis, George Papastefanatos, Stefanos Papastefanatos, Panayota Sourtzi, George Ntaios, Konstantinos Vemmos, Eleni Korompoki, Daphne Kaitelidou

Subject: Public Health And Healthcare, Health Policy And Services Keywords: stroke; cost; burden; direct healthcare cost; loss of productivity; QALY

Online: 31 July 2023 (05:04:42 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.1902.v1

Economic Growth, Distribution, and Health Inequality: Implications Based on Panel Analysis of Organization for Economic Cooperation and Development Data

Sangik Han

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Inequality of Health; Health Disparity; National Welfare; Panel Analysis; Fixed Effect Model

Online: 28 July 2023 (02:33:43 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.1829.v1

A Lesson from a Measles Outbreak in Healthcare Workers in a Single Hospital in South Korea: The Importance of Knowing the Prevalence of Susceptibility

Sungim Choi, Jae-Woo Chung, Yun Jung Chang, Eun Jung Lim, Sun Hee Moon, Han Ho Do, Jeong Hun Lee, Sung-Min Cho, Bum Sun Kwon, Yoon-Seok Chung, Seong Yeon Park

Subject: Public Health And Healthcare, Health Policy And Services Keywords: measles; outbreak; HCWs; vaccination; immunity

Online: 26 July 2023 (13:23:15 CEST)

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Background Despite the high vaccination coverage rate, in-hospital transmission of measles continues to occur in South Korea. We present a measles outbreak in which two healthcare workers (HCWs) with presumptive evidence of measles immunity were infected by a patient with typical measles at a single hospital in South Korea. This facilitated the evaluation of measles seroprevalence in all HCWs. Methods In 2018, suspected patients and contacts exposed during a measles outbreak were investigated based on their medical histories and vaccination status. Cases were confirmed by the detection of measles-specific immunoglobulin M or RNA. After the measles outbreak, all HCWs underwent measles IgG testing for point-prevalence surveillance. In addition, we have routinely performed measles IgG tests on new HCWs since 2019. The measles vaccine was administered to HCWs who tested negative or equivocally negative for IgG antibodies. Results An index patient who returned from China with fever and rash was diagnosed with measles at a hospital in Korea. Two additional HCWs were revealed as measles cases: one was vaccinated with the 2-dose measles–mumps–rubella (MMR) vaccine, and the other, who was born in 1967, was presumed to have immunity from natural infection in South Korea. All three patients harbored the same D8 genotype. No additional measles cases were identified among the 964 contacts of secondary patients. After the measles outbreak, 2,310 HCWs underwent measles IgG tests. The average age at the time of the test was 32.6 years, and 74.3% were female. The overall seropositivity of measles was 88.9% (95% confidence interval, 87.5 –90.1). Although the birth cohorts between 1985 and 1994 were presumed to have received the measles-rubella (MR) catch-up vaccination in 2001, 175 (89.3%) HCWs were born after 1985 among the 195 seronegative cases. Conclusion Despite high population immunity, imported measles transmission occurred among HCWs, with presumed immunity. This report underscores the importance of understanding the prevalence of measles susceptibility among newly employed HCWs. This is important for policymaking regarding hospital-wide vaccinations to prevent vaccine-preventable diseases.

Preprint ARTICLE | doi:10.20944/preprints202307.1628.v1

Explaining the Process of Caregiving by Sandwich Generation

Hakime Pashazade, Masoomeh Maarefvand, Kianoush Abdi, Yadollah Abolfathi Momtaz

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Children; Family Caregiver; Older Adults; Sandwich Generation

Online: 24 July 2023 (13:34:18 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.1429.v1

A Media Analysis of the COVID-19 Tobacco Sales Ban in South Africa

Chengetai Dare, Nicole Vellios, Praveen Kumar, Radhika Nayak, Corne Van Waalbeek

Subject: Public Health And Healthcare, Health Policy And Services Keywords: content analysis; Covid-19; tobacco sales ban; lockdown; illicit trade; tax revenue

Online: 21 July 2023 (02:32:28 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.1362.v1

The Rise and Fall of Omicron BA.1 Variant as Seen in Wastewater Supports Epidemiological Model Predictions

Michal Liddor Naim, Yu Fu, Marilou Shagan, Itay Bar-Or, Robert Marks, Qun Sun, Rony Granek, Ariel Kushmaro

Subject: Public Health And Healthcare, Health Policy And Services Keywords: SARS-CoV-2; Omicron; Wastewater-based epidemiology; RT-qPCR; SIR model; SIRS model

Online: 20 July 2023 (11:44:24 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.1343.v1

Head and Neck Cancer in Pan-American Notable People: An International Survey

Josefina Martínez-Ramírez, Cristina Saldivia-Siracusa, Maria E. Pérez-de-Oliveira, Ana Gabriela Normando, Luiz Paulo Kowalski, Maria Paula Curado, Lady Paola Aristizabal Arboleda, Gisele Aparecida Fernandes, Florence Juana María Cuadra-Zelaya, Márcio Ajudarte Lopes, Marco A O Magalhaes, Vidya Sankar, Alessandro Villa, Alan R. Santos-Silva

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Head and neck cancer, oral cancer, prevention, famous people, celebrities, public awareness.

Online: 19 July 2023 (13:01:36 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.1037.v1

Prevalence and Characteristics of Violence Against Paramedics in a Single Canadian Site

Justin Mausz, Mandy Johnston, Dominique Arseneau-Bruneau, Alan Batt, Elizabeth Anne Donnelly

Subject: Public Health And Healthcare, Health Policy And Services Keywords: Paramedics; Emergency Medical Services; Violence; Occupational Health and Safety; Mental Health

Online: 17 July 2023 (02:33:59 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.0952.v1

Effect of Adolescent Health Policies on Health Outcomes in India

Sayooj Sahadevan, Maureen Dar Iang, Fekri Dureab

Subject: Public Health And Healthcare, Health Policy And Services Keywords: adolescent health; health policies; India

Online: 14 July 2023 (09:03:53 CEST)

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Adolescence is a crucial phase marked by significant physical, psychological, emotional and social changes. India having the world's largest adolescent population, understanding and addressing their health needs are vital for the nation's social, political, and economic progress. The primary aim of this study is to examine the impact of key health policies on adolescent health outcomes in India. To achieve this objective, the research adopts a mixed-method approach, combining qualitative and quantitative analysis of health policies, strategies, and programs implemented since 2005 was conducted. Additionally, data from the most recent three Demographic Health Surveys (DHS) were analyzed and compared to assess changes in adolescent health indicators after the implementation of these policies/strategies. Major adolescent health policies in India were assessed, namely the Adolescent Reproductive and Sexual Health Strategy (ARSH 2005), Rashtriya Kishor Swasthya Karyakram (RKSK 2014), and School Health Programme 2020. All the strategies and programs aim to provide a comprehensive framework for sexual and reproductive health services, expand the scope of adolescent health programming, and address various health aspects. The SWOT analysis findings, highlighted strengths in targeted interventions, monitoring, and promotion, but weaknesses in awareness, societal barriers, and healthcare worker participation. Opportunities include female-friendly clinics and education about early pregnancy, while addressing substance abuse and training volunteers remain challenges. Family planning has improved, with higher contraception usage and a decrease in unmet needs. Violence reduced, and positive health behaviors increased, such as condom use. However, challenges remain, including limited access to health services, concerns about female providers, and low health insurance coverage. Nutrition indicators show a slight increase in overweight/obesity and anemia rates. Overall, progress has been made, but certain health aspects still require attention. Therefore, conducting targeted awareness campaigns, strengthening health worker and NGOs engagement, combating the increasing prevalence of overweight and obesity among adolescents are highly recommended. Further efforts are needed to achieve universal health coverage and improve adolescent health outcomes globally.

Preprint REVIEW | doi:10.20944/preprints202307.0709.v1

Addressing the Knowledge Deficit in Hospital Bed Planning, Defining An Optimum Region for the Number of Different Types of Hospital Beds in An Effective Health Care System

Rodney P. Jones

Subject: Public Health And Healthcare, Health Policy And Services Keywords: hospital bed numbers; optimum occupancy; bed models; deaths; international comparison; benchmarking; healthcare policy; policy-based evidence; patient flow; queuing theory; infections; surge capacity

Online: 11 July 2023 (11:50:26 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.0590.v1

Evaluating the Financial Performances of the Publicly Held Healthcare Companies in Crisis Periods in Türkiye

Dilaver Tengilimoğlu, Tolga Tümer, Russell L. Bennett, Mustafa Z. Younis

Subject: Public Health And Healthcare, Health Policy And Services Keywords: healthcare companies; financial performance; crisis periods; economic crisis; COVID-19; earthquakes

Online: 10 July 2023 (11:00:42 CEST)

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Preprint ARTICLE | doi:10.20944/preprints202307.0547.v1

Knowledge, Attitudes, Practices, and Perceptions of livestock stakeholders on Antimicrobial Use in Kenya

Jack O. Omolo, Ruth Omani, Mark A. Caudell, Tabitha Kimani, Stella Kiambi, Folorunso Oludayo Fasina

Subject: Public Health And Healthcare, Health Policy And Services Keywords: antibiotics; antimicrobial resistance; knowledge; attitude; practice; animal health service provider; livestock farmer; Kenya.

Online: 10 July 2023 (08:35:53 CEST)

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Public Health and Healthcare