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  Subjects -> HEALTH AND SAFETY (Total: 1425 journals)
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    - HEALTH AND SAFETY (627 journals)
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HEALTH AND SAFETY (627 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access  
Acta Informatica Medica     Open Access   (Followers: 1)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 1)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 10)
Advances in Public Health     Open Access   (Followers: 25)
African Health Sciences     Open Access   (Followers: 3)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 2)
Ageing & Society     Hybrid Journal   (Followers: 43)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 4)
AJOB Primary Research     Partially Free   (Followers: 3)
American Journal of Family Therapy     Hybrid Journal   (Followers: 11)
American Journal of Health Economics     Full-text available via subscription   (Followers: 15)
American Journal of Health Education     Hybrid Journal   (Followers: 32)
American Journal of Health Promotion     Hybrid Journal   (Followers: 30)
American Journal of Health Sciences     Open Access   (Followers: 9)
American Journal of Health Studies     Full-text available via subscription   (Followers: 12)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 28)
American Journal of Public Health     Full-text available via subscription   (Followers: 240)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 5)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 5)
Annales des Sciences de la Santé     Open Access  
Annals of Global Health     Open Access   (Followers: 10)
Annals of Health Law     Open Access   (Followers: 3)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 13)
Applied Biosafety     Hybrid Journal  
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 3)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 10)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 4)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 9)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Atención Primaria     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 3)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 7)
Autism & Developmental Language Impairments     Open Access   (Followers: 9)
Behavioral Healthcare     Full-text available via subscription   (Followers: 7)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 22)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 10)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 18)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 11)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 11)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 2)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 23)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 1)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 23)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 1)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 3)
Conflict and Health     Open Access   (Followers: 7)
Contraception and Reproductive Medicine     Open Access   (Followers: 1)
Cuadernos de la Escuela de Salud Pública     Open Access  
Curare     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 9)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Digital Health     Open Access   (Followers: 4)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 13)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 2)
Drogues, santé et société     Open Access   (Followers: 1)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 21)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 22)
EcoHealth     Hybrid Journal   (Followers: 4)
Education for Health     Open Access   (Followers: 6)
electronic Journal of Health Informatics     Open Access   (Followers: 6)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência: Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 3)
Environmental Sciences Europe     Open Access   (Followers: 1)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 5)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 19)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 6)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 13)
Eurasian Journal of Health Technology Assessment     Open Access  
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 4)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 8)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 13)
Family Medicine and Community Health     Open Access   (Followers: 9)
Family Relations     Partially Free   (Followers: 13)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 16)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Public Health     Open Access   (Followers: 7)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Promotion     Hybrid Journal   (Followers: 15)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 13)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 8)
Global Reproductive Health     Open Access  
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 5)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 4)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 15)
Health & Justice     Open Access   (Followers: 5)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 10)
Health and Human Rights     Free   (Followers: 10)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 9)
Health and Social Work     Hybrid Journal   (Followers: 57)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 3)
Health Care Analysis     Hybrid Journal   (Followers: 15)
Health Equity     Open Access  
Health Inform     Full-text available via subscription  
Health Information Management Journal     Hybrid Journal   (Followers: 23)
Health Issues     Full-text available via subscription   (Followers: 2)
Health Notions     Open Access  
Health Policy     Hybrid Journal   (Followers: 43)
Health Policy and Technology     Hybrid Journal   (Followers: 4)
Health Professional Student Journal     Open Access   (Followers: 4)
Health Promotion International     Hybrid Journal   (Followers: 22)
Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals     Full-text available via subscription   (Followers: 8)
Health Promotion Practice     Hybrid Journal   (Followers: 16)
Health Prospect     Open Access   (Followers: 1)
Health Psychology     Full-text available via subscription   (Followers: 53)
Health Psychology Bulletin     Open Access   (Followers: 1)
Health Psychology Research     Open Access   (Followers: 20)
Health Psychology Review     Hybrid Journal   (Followers: 42)
Health Renaissance     Open Access  
Health Research Policy and Systems     Open Access   (Followers: 14)
Health SA Gesondheid     Open Access   (Followers: 2)
Health Science Reports     Open Access  
Health Sciences and Disease     Open Access   (Followers: 2)
Health Security     Hybrid Journal  
Health Services Insights     Open Access   (Followers: 1)
Health Systems     Hybrid Journal   (Followers: 4)
Health Voices     Full-text available via subscription  
Health, Culture and Society     Open Access   (Followers: 12)
Health, Risk & Society     Hybrid Journal   (Followers: 14)
Healthcare     Open Access   (Followers: 3)
Healthcare in Low-resource Settings     Open Access   (Followers: 1)
Healthcare Quarterly     Full-text available via subscription   (Followers: 8)
Healthcare Technology Letters     Open Access  
Healthy Aging Research     Open Access  
HERD : Health Environments Research & Design Journal     Full-text available via subscription  

        1 2 3 4 | Last

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Frontiers in Public Health
Number of Followers: 7  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2296-2565
Published by Frontiers Media Homepage  [70 journals]
  • 100% Fruit Juice and Dental Health: A Systematic Review of the Literature

    • Authors: DeAnn Liska, Michael Kelley, Eunice Mah
      Abstract: Background: The objective of this systematic review was to assess the scope and breadth of publicly available prospective cohort and randomized controlled trial (RCT) literature on 100% fruit juice and dental caries or tooth erosion in humans. Methods: We performed a systematic search in MEDLINE/PubMed, EMBASE, and Web of Science for studies published from inception through May 2018, and the Cochrane Library databases for reports published through January 2018. Prospective cohort studies or RCTs conducted on dental health and 100% fruit juice and published in English were selected. No restrictions were set for age, sex, geographic location, or socioeconomic status.Results: Eight publications representing five independent prospective cohort studies and nine publications on nine RCTs were included. All prospective cohort studies were in children or adolescents, and all RCTs were in adults. Prospective cohort studies on tooth erosion found no association between juice intake and tooth erosion, while those on dental caries incidence reported either no association or an inverse association between 100% fruit juice intakes and dental caries incidence. RCTs on tooth erosion showed decreased microhardness, increased surface enamel loss, increased erosion depth, greater enamel softening, and/or increased pellicle layer with 100% fruit juice, and those on dental caries showed increased demineralization of enamel slabs with 100% fruit juice. Conclusions: The existing evidence on 100% fruit juice intake and caries and tooth erosion are not conclusive. Overall, prospective cohort studies in children and adolescents found no association between 100% fruit juice intake and tooth erosion or dental caries, but, RCT data in adults suggests that 100% fruit juice could contribute to tooth erosion and dental caries. The RCT data, however, were from small, short-term studies that utilized intra-oral devices generally devoid of normal plaque or saliva action, and generally employed conditions that are not reflective of normal juice consumption.
      PubDate: 2019-07-12T00:00:00Z
  • Prevalence and Correlates of Undernutrition in Young Children Living in
           Urban Slums of Mumbai, India: A Cross Sectional Study

    • Authors: Samantha Lee Huey, Julia Leigh Finkelstein, Sudha Venkatramanan, Shobha A. Udipi, Padmini Ghugre, Varsha Thakker, Aparna Thorat, Ramesh D. Potdar, Harsha V. Chopra, Anura V. Kurpad, Jere Douglas Haas, Saurabh Mehta
      Abstract: Background: Young children living in urban slums are vulnerable to malnutrition and subsequently poor health outcomes, but data on the covariates of stunting, underweight, wasting, and anemia specifically among 10-18-month-old children in India remain limited. Objective: In this analysis, we sought to describe the prevalence of and examine covariates for different markers of undernutrition, including stunting, underweight, and anemia among 10-to-18-month-old children living in urban slums, an understudied vulnerable group.Methods: Children and their mothers (n=323) were screened for anthropometry, demographics, and complete blood counts for hemoglobin concentration between March and November 2017 ( ID: NCT02233764). Covariates included child and mother’s age, sex, birth order, birth weight, illness episodes, hemoglobin concentration, family income, maternal height, and maternal education level. Risk ratios (RR, 95% CI) for binary outcomes (stunting, underweight, wasting and anemia) and mean differences (β, 95% CI) for continuous outcomes (anthropometric Z-scores, hemoglobin concentration) were calculated using multivariate binomial regression (SAS 9.4).Results: The prevalence of stunting was 31.2%, underweight 25.1%, wasting (9.0%), and anemia (76%) among all children. Male children had a higher prevalence of poor growth indices and lower anthropometric Z-scores than females. Male sex, low birthweight, shorter maternal height, report of ≥1 episodes of illness within the past month, older maternal age, and birth order ≥2 were also associated with poor growth and anemia in multivariate models. Covariates of undernutrition were different among females and males. Female children had a 40% (20, 60%) higher risk of anemia associated with diarrhea, and male children who were firstborn had a 20% (0, 70%) lower risk of anemia. Conclusions: These results show that poor growth and anemia among young children is prevalent in urban slums of Mumbai, and that sex of the child may play an important role in designing interventions to address undernutrition.
      PubDate: 2019-07-12T00:00:00Z
  • Avoidable Cancer Mortality in Germany Since Reunification: Regional
           Variation and Sex Differences

    • Authors: Ronny Westerman, Michael Mühlichen
      Abstract: Background: Regional comparisons of cancer-related mortality in Germany are traditionally focused on disparities between East and West Germany. Recent improvements in all-cause and cancer-related mortality show a diverse regional pattern beyond the known East-West mortality divide. A generalized approach of the avoidable/amenable cancer mortality definition is applied for suitable regional comparisons of long-term trends.Methods: Standardized death rates of preventable and amenable cancer mortality for men and women were computed for the period 1990-2014 to observe sex-specific excess mortality due to specific cancers after the German reunification. For regional comparison, three German super regions were defined in Eastern, Northwestern and Southwestern Germany to account for similarities in long-term regional premature and cancer-related mortality patterns, socioeconomic characteristics and age structure.Results: Since preventable and amenable cancer mortality rates typically have driven the recent trends in premature mortality, our findings underline the current regional pattern of preventable cancer mortality for males with disadvantages for Eastern Germany, and advantages for Southwestern Germany. Among women, the preventable cancer mortality has increased in Northwestern and Southwestern Germany after the German reunification but has decreased in Eastern Germany and converged to the pattern of Southwestern Germany. Similar patterns can be observed for females in amenable cancer mortality.Conclusions: Although the “traditional” East-West gap in preventable cancer mortality was still evident in males, our study provides some hints for more regional diversity in avoidable cancer mortality in women. An establishing north-south divide in avoidable cancer mortality could alter the future trends in regional cancer-related mortality in Germany.
      PubDate: 2019-07-10T00:00:00Z
  • Physicochemical Parameters and Alarming Coliform Count of the Potable
           Water of Eastern Himalayan State Sikkim: An Indication of Severe Fecal
           Contamination and Immediate Health Risk

    • Authors: Ashish Kumar Singh, Saurav Das, Samer Singh, Nilu Pradhan, Varsha Rani Gajamer, Santosh Kumar, Yangchen D. Lepcha, Hare K. Tiwari
      Abstract: Continuous decline in the potable water sources raised serious concern over human health. Developing countries are the most affected in this regard due to lack of proper hygiene maintenance. Sikkim an Eastern Himalayan state with mountains as predominant topological features harbors several perennial natural springs. Spring water is the primary source of potable water for the population in four districts of the state viz. East, West, North and South. Recent outbreaks of water-borne diseases and the relative lack of scientific studies on its potential correlation with the water quality of the area have educed this study. Physicochemical parameters of springs, community reservoir and household water were analyzed by ICP-MS and multi probe meter. Using membrane filtration method, microbial quality of the water samples during different seasons was assessed, primarily evaluating the presence of fecal indicators viz. E. coli, total coliform and Enterococcus. The seasonal risk category of the water sources was also determined. Most of the physicochemical parameters of the spring water were within the permissible limits of WHO standards. However, water from four districts was recorded with traces of toxic heavy metals viz., like mercury (0.001-0.007mg/l), lead (0.001-0.007mg/l) and selenium (0.526-0.644mg/l), which are above the permissible limits of WHO. All the spring water samples were categorized as Mg-HCO3- type and can be predicted as shallow fresh ground water based on the piper analysis. Microbial confirmatory test indicated severe fecal contamination of water sources with high counts of total coliform (TC), Escherichia coli (EC) and Enterococcus (EN). Highest TC was recorded from West Sikkim (37.26cfu/100ml) and lowest in North Sikkim (22.13cfu/100ml). Highest contamination of Escherichia coli and Enterococcus was found in East Sikkim (EC=8.7cfu/100ml; EN=2.08cfu/100ml) followed by South Sikkim (EC=8.4cfu/100ml; EN=2.05cfu/100ml). There was a significant positive correlation between the contamination level of spring water and community reservoir tank. As far as the seasonal variation is concerned, rainy season showed highest contamination with coliform correlating with high incidence of different water-borne diseases (East=86%; West=100%; South=100%; North=80%).
      PubDate: 2019-07-10T00:00:00Z
  • Health-Related Consequences of Work-Family Conflict From a European
           Perspective: Results of a Scoping Review

    • Authors: Lea-Sophie Borgmann, Petra Rattay, Thomas Lampert
      Abstract: BackgroundRising percentages of working mothers and increasing numbers of dual-earner couples are putting work-family conflicts on the agenda. US-based studies have already proven a link between work-family conflict and health in parents. However, to date no comprehensive overview of the existing evidence regarding the impact of work-family conflict on health in European societies exist.MethodsA scoping review was conducted to identify and analyze knowledge gaps regarding health-related consequences of work-family conflicts in Europe. To search for relevant publications on work-family conflicts and health, a systematic prospective literature search was carried out in two international databases (PubMed and Scopus) based on four landmark publications. The search was complemented by a systematic retrospective search in Scopus and hand searches. Inclusion criteria were a focus on work-family conflict, an analysis of health-related outcomes and the presentation of empirical results. The publications were summarized in narrative style. ResultsA total of n=25 publications on work-family conflict and health in Europe were identified. The data suggests that a variety of instruments is used to measure work-family conflict. Also, work-family conflict and health are linked in Europe, although longitudinal data do not always show robust causal interrelations. Most studies focus on self-rated, mental and physical health. Results for gender-specific health outcomes remain controversial.ConclusionThe review provides an overview of existing evidence for health-related consequences of work-family conflicts in Europe. The results of the review strengthen the evidence for a link between work-family conflict and health. However, heterogeneous results regarding the direction of work-family conflict and high-risk groups are a matter for discussion. This study investigates whether differences in the results can be accounted for by diverse measurement methods and study populations. Furthermore, different family policies in the European region as well intersectional approaches should be taken into account in further research.
      PubDate: 2019-07-09T00:00:00Z
  • A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and
           Gastrointestinal Health

    • Authors: David A. Wiss
      Abstract: The opioid crisis has reached epidemic proportions in the United States with rising overdose death rates. Identifying the underlying factors that contribute to addiction vulnerability may lead to more effective prevention strategies. Supply side environmental factors are a major contributing component. Psychosocial factors such as stress, trauma, and adverse childhood experiences have been linked to emotional pain leading to self-medication. Genetic and epigenetic factors associated with brain reward pathways and impulsivity are known predictors of addiction vulnerability. This review attempts to present a biopsychosocial approach that connects various social and biological theories related to the addiction crisis. The emerging role of nutrition therapy with an emphasis on gastrointestinal health in the treatment of opioid use disorder is presented. The biopsychosocial model integrates concepts from several disciplines, emphasizing multicausality rather than a reductionist approach. Potential solutions at multiple levels are presented, considering individual as well as population health. This single cohesive framework is based on the interdependency of the entire system, identifying risk and protective factors that may influence substance-seeking behavior. Nutrition should be included as one facet of a multidisciplinary approach towards improved recovery outcomes. Cross-disciplinary collaborative efforts, new ideas, and fiscal resources will be critical to address the epidemic.
      PubDate: 2019-07-09T00:00:00Z
  • Assessing the Impact of Early Childhood Caries on the Development of First
           Permanent Molar Decays

    • Authors: Fatma Songur, Sera Simsek Derelioglu, Sinan Yilmaz, Zahide Koşan
      Abstract: ABSTRACTAim: The aim of this study was to evaluate whether the treated and untreated severe early childhood caries (ECC) in children would make any impact on the Permanent First Molar (PFM) decays.Materials and Methods: Our descriptive epidemiological study was conducted in Ataturk University, Faculty of Dentistry, Department of Pediatric Dentistry /Erzurum-Turkey, between 2011-2017. We included a total of 90 children (44 girls, 46 boys), and divided them into 3 equal groups. They were 6-9 years old with a mean age of 7.38 ± 0.89. Group 1 consisted of the patients who had previously been treated under GA, Group 2 included the patients with untreated ECC and with no previous dental treatment, and Group 3 consisted of the patients who had been periodically treated in normal clinical settings. Each patient was processed through; dmft scoring and PFM caries evaluation process in accordance with International Caries Detection and Assessment System (ICDAS), respectively. The obtained data was analyzed with SPSS v20.0. And also, we used One-way ANOVA, Kruskal-Wallis and Mann Whitney U tests. Results: In accordance with ICDAS, we found that Group 3 had the highest mean number of PFMs (2 ± 1.43) and Group 2 had the lowest (1.43 ± 1.45). In Group 2, the number of ICDAS-determined carious PFMs were significantly lower than the other groups (p˂0.05). However, ICDAS score 6 was 0 in Group 1, while it was determined higher as 4.2% in Group 2. Conclusion: In respect to our research outcomes, which revealed that regardless of treated or not severe ECC had a significant impact on the PFMs, we strongly recommend that the parent of the children experiencing ECC should be informed about the risk of future caries in PFMs. Keywords: Early childhood caries, first permanent molar teeth caries, window of infectivity, general anesthesia, ICDAS.
      PubDate: 2019-07-09T00:00:00Z
  • Learning From eHealth Implementations Through “Implementomics”: A
           Multidimensional Annotation Model Applied to eHealth Projects of the RAFT

    • Authors: Caroline Perrin, Georges Bediang, Mirana Randriambelonoro, Antoine Geissbuhler
      Abstract: The implementation of digital health technologies increased globally, which produces substantial amounts of information and knowledge. While there are still areas in digital health that are understudied, concurrently there is an exponential increase in published articles, guidelines, methods, projects and experiences, many of which fail to reach critical mass (pilotitis). Semantically describing and documenting this implementation knowledge and effectiveness of these tools will help to avoid the duplication of efforts, to reduce preventable implementation obstacles, and to assure that investments are targeted to the most important technological innovations.The RAFT annotation model, presented in this paper, enables to semantically describe all elements of various outputs and implementation projects that were developed, are used, or are part of the RAFT network. This model was developed to annotate various implementations and outputs of the RAFT network to facilitate knowledge documentation and sharing, and to be used as a proof of concept for the Implementome. The Implementome will be an interconnected knowledge system that enables the user to navigate on multiple dimensions through metadata annotated projects, people, and information, and can serve as base for consensus building, best practices and guidelines. The RAFT annotation model can be further developed to enable the annotation of outputs, implementations, people, initiatives and projects of the digital health domain in general.
      PubDate: 2019-07-05T00:00:00Z
  • How to Measure Sedentary Behavior at Work'

    • Authors: Gil Boudet, Pierre Chausse, David Thivel, Sylvie Rousset, Martial Mermillod, Julien S. Baker, Lenise M. Parreira, Yolande Esquirol, Martine Duclos, Frédéric Dutheil
      Abstract: Prolonged sedentary behavior (SB) is associated with increased risk for chronic conditions, and due to technological advances, the working population is located in an office setting with high occupational exposure to SB. There is a new focus in assessing, understanding and reducing SB in the work setting. So, measuring accurately SB at work is a new goal. There are many subjective (questionnaires) and objective methods (monitoring with wearable devices) available to determine SB. Therefore, we aim to provide a global understanding on methods currently used for SB assessment at work. Available questionnaires are the most accessible method for large population studies with a limited budget. SB at work (time sitting) is accessible from some specific measuring devices and it is therefore possible to quantify SB in measuring PA at work. For restrictive groups, SB at work can be objectively measured with wearable devices (accelerometers, heart-rate monitors, pressure meters, goniometers, electromyography meters, gas-meters) and the results can be associated and compared with a subjective measure (questionnaire). The number of devices worn can increase the accuracy but make the analysis more complex and time consuming.
      PubDate: 2019-07-05T00:00:00Z
  • Developing an Effective Community Oral Health Workers—“Promotoras”
           Model for Early Head Start

    • Authors: Jennifer Villalta, Hamida Askaryar, Inese Verzemnieks, Janni Kinsler, Vickie Kropenske, Francisco Ramos-Gomez
      Abstract: Purpose: To determine the effectiveness of a train-the-trainer program for Community Oral Health Workers (COHWs) with the goal of reducing Early Childhood Caries (ECC). Methods: 13 Latina caregivers from a local Early Head Start program participated in an 8- hour bilingual oral health training program that provided information & hands-on experiences pertaining to prenatal and children’s oral health. Once trained, the 13 COHWs conducted a series of bilingual interactive oral health promotion workshops at local community sites. Pre/post-tests were conducted after each workshop with a total of 157 caregivers of young children. Bivariate analyses were used to assess changes in knowledge, attitudes and practices of the COHWs and caregivers regarding children’s oral health.Results: Significant positive changes (p
      PubDate: 2019-07-03T00:00:00Z
  • Disease Status of Afghan Refugees and Migrants in Pakistan

    • Authors: Muhammad Suleman Malik, Muhammad Afzal, Alveena Farid, Fati Ullah Khan, Bushra Mirza, Mohammad Tahir Waheed
      Abstract: World is facing the largest refugee crisis of its time due to continuously outgoing wars, conflicts and natural disasters. One of the important aspects of refugees and migrants is health. Till date, no comprehensive data was available related to health status of Afghan refugees and internally displaced persons (IDPs) in Pakistan. Here, we present health status for Afghan refugees for last seven years and for IDPs for 2-4 years. For Afghan refugees the data was provided by Commissionerate Afghan Refugee (CAR), Pakistan, whereas data for IDPs was collected from hospitals and Basic health units (BHUs) of different districts of Khyber Pakhtunkhwa namely Peshawar, Dera Ismail Khan and Bannu. Highest number of Afghan refugee’s deaths occurred due to cardiovascular problems. Most prevalent reported infections were respiratory tract infections (48.05%). Skin diseases and Diarrhea collectively affected 21.08% of Afghan refugees. Overall, disease burden was more in females than males in Afghan refugee’s population. To the best of our knowledge, this is the first comprehensive report on health and disease status of Afghan refugees and IDPs in Pakistan.
      PubDate: 2019-07-03T00:00:00Z
  • Editorial: Intellectual Disability and Assistive Technology

    • Authors: Fleur Heleen Boot, Julia S. Louw, Hung Jen Kuo, Roy Chen
      PubDate: 2019-07-02T00:00:00Z
  • Perspectives on the Training of Chinese Primary Health Care Physicians to
           Reduce Chronic Illnesses and Their Burden

    • Authors: Wenmin Sun, Yang Li, Yiting Hu, Xin Rao, Xingzhi Xu, Colette Joy Browning, Shane Andrew Thomas
      Abstract: This paper is a commentary on the training of Chinese Primary Health Care Doctors to reduce chronic illness and its burden. First, we will consider the policy position of the Chinese government concerning the development of a competent and enlarged primary physician workforce to deliver the proposed primary health care system reforms. We then turn to a review of the drivers of the high burden of chronic illnesses especially in older people in China. We argue that the curriculum for the training of primary health care medical practitioners should match the demonstrated high prevalence chronic illnesses and their risk factors and that there needs to specific competencies in prevention and mitigation of the diseases and their risk factors.
      PubDate: 2019-07-02T00:00:00Z
  • Adolescents' Use of Digital Technologies and Preferences for Mobile Health
           Coaching in Public Mental Health Settings

    • Authors: Kelly A. Aschbrenner, John A. Naslund, Elizabeth F. Tomlinson, Allison Kinney, Sarah I. Pratt, Mary F. Brunette
      Abstract: Objective: Youth with mental illnesses often engage in unhealthy behaviors associated with early mortality from physical diseases in adulthood, but interventions to support positive health behaviors are rarely offered as part of routine mental health care for this group. Digital health technology that is desirable, accessible and affordable has the potential to address health behaviors in public mental health settings where many adolescents with severe mental health problems receive care. The aims of this study were to examine how adolescents receiving public mental health services use digital technology and social media and to explore their preferences using technology to support health and wellness.Methods: Using a convergent parallel mixed methods design, we surveyed adolescents ages 13-18 from four community mental health centers in one state and conducted focus group interviews to explore their perspectives on using digital technology and social media to receive health coaching and connect with peers to support healthy behaviors. The survey and focus group data were merged to inform the future development of a digital health intervention for adolescents receiving public mental health services.Results: Of 121 survey respondents (mean age 15.2, SD = 1.5), 92% had a cell phone,79% had a smartphone, 90% used text messaging, and 98% used social media. Focus group interviews revealed that adolescents were interested in receiving strengths-based mobile health coaching, and they preferred structured online peer-to-peer interactions in which a professional moderator promotes positive connections and adherence to privacy guidelines.Conclusions: Adolescents receiving public mental health services in this study had access to smartphones and were frequent social media users. These data suggest that digital health interventions to promote health and wellness among adolescents may be scalable in community mental health settings. Adolescent participants suggested that digital health interventions for this group should focus on strengths and online peer support for health promotion should include a professional moderator to foster and manage peer-to-peer interactions.
      PubDate: 2019-07-02T00:00:00Z
  • Chagas Disease: From Discovery to a Worldwide Health Problem

    • Authors: Kárita Cláudia Freitas Lidani, Fabiana Antunes Andrade, Lorena Bavia, Flávia Silva Damasceno, Marcia Holsbach Beltrame, Iara J. Messias-Reason, Thaisa Lucas Sandri
      Abstract: Carlos Chagas discovered American trypanosomiasis, also named Chagas disease (CD) in his honor, just over a century ago. He described the clinical aspects of the disease, characterized by its etiological agent (Trypanosoma cruzi) and identified its insect vector. Initially, CD occurred only in Latin America and was considered a silent and poorly visible disease. More recently, CD became a neglected worldwide disease with a high morbimortality rate and substantial social impact, emerging as a significant public health threat. In this context, it is crucial to better understand better the epidemiological scenarios of CD and its transmission dynamics, involving people infected and at risk of infection, diversity of the parasite, vector species and T. cruzi reservoirs. Although efforts have been made by endemic and non-endemic countries to control, treat, and interrupt disease transmission, the cure or complete eradication of CD are still topics of great concern and require global attention. Considering the current scenario of CD, also affecting non-endemic places such as Canada, USA, Europe, Australia and Japan, in this review we aim to describe the spread of CD cases worldwide since its discovery until it has become a global public health concern.
      PubDate: 2019-07-02T00:00:00Z
  • Factors Associated With Patient Satisfaction in Outpatient Department of
           Suva Sub-divisional Health Center, Fiji, 2018: A Mixed Method Study

    • Authors: Swastika Chandra, Paul Ward, Masoud Mohammadnezhad
      Abstract: Background: With evolving health care industry towards patient centered orientation, inputs from the patients’ perspective is valuable. This study was conducted to assess the current level of patient satisfaction and explore its determinants in the Suva Subdivision health centers, Fiji, 2018. Methods: This was a mixed method cross-sectional study employing both quantitative and qualitative designs. A random sample of 410 participants attending the outpatient services completed the self-administered structured questionnaire. The questionnaire focused on socio-demographic features, waiting time, doctors’ communication, and patient. Data from 375 questionnaires (response rate of 91%) was analyzed in SPSS where descriptive analysis and univariate and multivariate logistic regression was done at 0.05 level of significance and 95% confidence interval to find the determinants of trust. From these 375 participants, 20 participants were purposefully selected for audio recorded interview guided by a semi-structured questionnaire and data was analyzed using thematic analysis. Results: The majority of the patients were generally fully satisfied with their consultation (69.3%). Univariate logistic regression showed that age, gender, education level, waiting time, doctors’ communication behavior and patient trust level were significantly associated with patient satisfaction independently. After controlling for all the variables, gender, number of visits, waiting time and patient trust were significantly associated with trust. Those who had full trust in the doctors, were more likely to be fully satisfied with their consultation (aOR of 18; p=0.0001) and those who got seen within one hour, were more likely to be satisfied with their consultation (aOR of 3.3; p=0.0001). Though, the patients voiced that getting a better consultation was worth the wait. The doctors’ attitude and way of communication also made a difference to the patient’s level of satisfaction. Conclusions: This study showed that patient satisfaction is positively associated with patient trust, doctors’ interpersonal skills and communication behavior and negatively associated with waiting time. Hence, doctors upgrading their communication skills and health service managers strategizing ways to improve waiting time can contribute to better patient trust and thus lead to better patient satisfaction and health outcomes.
      PubDate: 2019-07-02T00:00:00Z
  • Pilot Evaluation of a New Urine Progesterone Test to Confirm Ovulation in
           Women Using a Fertility Monitor

    • Authors: Thomas P. Bouchard, Richard J. Fehring, Mary Schneider
      Abstract: Background: Progesterone rises approximately 24-36 hours after ovulation. Past studies using ultrasound-confirmed ovulation have shown that three consecutive tests with a threshold of 5 µg/mL of urine progesterone (pregnanediol-3-glucuronide, PDG), taken after the luteinizing hormone (LH) surge, confirmed ovulation with 100% specificity. Purpose: The purpose of this study was to a evaluate a new urine PDG self-test to retrospectively confirm ovulation in women who were monitoring ovulation using a hormonal fertility monitor.Methods: Thirteen women of reproductive age were recruited to test urine PDG while using their home hormonal fertility monitor. The monitor measured the rise in estrogen (estrone-3-glucuronide, E3G) and LH to estimate the fertile phase of the menstrual cycle. The women used an online menstrual cycle charting system to track E3G, LH and PDG levels for four menstrual cycles.Results: The participants (Mean age 33.6) produced 34 menstrual cycles of data (Mean length 28.4 days), 17 of which used a PDG test with a threshold of 7 µg/mL and 17 with a threshold of 5 µg/mL. In the cycles that used the 7µg/mL test strips, 59% had a positive confirmation of ovulation, and with the 5 µg/mL test strips, 82% of them had a positive confirmation of ovulation. Conclusion: The 5 µg/mL PDG test confirmed ovulation in 82% of cycles and could assist women in the evaluation of the luteal progesterone rise of their menstrual cycle.  
      PubDate: 2019-07-02T00:00:00Z
  • Making Hard Choices in Local Public Health Spending With a Cost-Benefit
           Analysis Approach

    • Authors: Lee Robertson, Chris Skelly, David Phillips
      Abstract: BackgroundIn 2013, public health moved into Local Authorities, but initial optimism has been overtaken by serious ongoing financial constraints and an uncertain future. Hard choices have become an everyday reality across local authorities and for their public health teams. Assessing the return-on-investment of public health interventions and possessing economic evaluation skills have become more critical than ever before.MethodsUsing the New Economy cost-benefits-analysis model developed at the Greater Manchester Combined Authority, we undertook cost benefit analyses of some of our largest areas of commissioned spend in local public health practice to better understand both the public and fiscal returns of our interventions. Results The cost-benefit analyses indicated considerable variation in the public returns-on-investment for our commissioned spend with £1.37 to £6.81 returned for every £1 spent, and a fiscal return for every £1 invested of between £0.54 and £1.37. Additionally, the fiscal benefits of these public health interventions appear to primarily flow to the NHS, which accounts for about 94% of the fiscal return.ConclusionWhile cost-benefit modelling cannot provide a complete picture of ‘value’, it does provide decision-makers with a transparent metric that facilitates a whole-of system discussion on ‘intervention value’ and prevention at scale investments. This approach will support investment strategies when implementing Sustainability and Transformation Partnerships and Integrated Care Systems. However, these tools should be used to support robust decision-making processes, not as a replacement for or a short-circuiting of existing processes.
      PubDate: 2019-06-28T00:00:00Z
  • CAM Practices and Treatment Adherence Among Key Subpopulations of HIV+
           Latinos Receiving Care in the San Diego-Tijuana Border Region: A Latent
           Class Analysis

    • Authors: Charles Marks, María Luisa Zúñiga
      Abstract: Latinos living in the United States-Mexico border region bear a disproportionate HIV/AIDS burden compared to individuals living in the interior of both nations and face a constellation of barriers that determine their ability to access and adhere to HIV care. Use of complementary and alternative medicine (CAM) may be associated with suboptimal treatment adherence. Sociodemographic factors, health practices, and social determinants of health unique to the border region may further contribute to health disparities that undermine care engagement and continuity. Improved understanding of HIV-positive Latino subgroups and their risk profiles can lead to more effective, targeted clinical and public health interventions. We undertook this study to identify and characterize distinct classes of HIV-positive Latinos in the San Diego-Tijuana border region, differentiated by HIV and border-related factors, utilizing latent class analysis. We investigated relationships between class membership and CAM utilization and self-reported antiretroviral therapy (ART) adherence. Five distinct classes were identified with unique demographic, HIV risk, and border mobility profiles. CAM was recently used by nearly half of each class, though there were significant differences in the proportion of CAM use by class ranging from 44.4% to 90.9%. As well, all classes were currently receiving ART at similarly high rates and ART adherence outcomes were not significantly different based on class. Findings highlight the significant use of CAM by all HIV-positive Latinos in the border region and imply the need for a research framework which appropriately acknowledges the heterogeneous nature of this population, such as intersectionality. Further research is recommended into understanding how patients integrate CAM into HIV treatment and the risks and benefits of incorporating CAM into HIV treatment.
      PubDate: 2019-06-28T00:00:00Z
  • Corrigendum: Facilitating Collective Psychosocial Resilience in the Public
           in Emergencies: Twelve Recommendations Based on the Social Identity

    • Authors: John Drury, Holly Carter, Chris Cocking, Evangelos Ntontis, Selin Tekin Guven, Richard Amlôt
      PubDate: 2019-06-27T00:00:00Z
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