Temporal association between the introduction of public health programs and interest in oral cancers on the internet in the European Union. (Preprint)

BACKGROUND Background: Tobacco and alcohol are the main risk factors for oral cancers, whose low survival rate is a public health problem. Health policies on a European scale (prevention campaign, modification of tobacco packaging) have therefore been launched to prevent and dissuade the population from the consequences of their consumption. Due to the increase in smoking among women and changes in sexual practices, the incidence of this disease is still too high. The evaluation of the research data of the population on the internet could make it possible to measure the impact and better guide these preventive measures. OBJECTIVE Objective: The objective of our study was to analyse the data on interest shown in oral cancers from several online databases, and to cross check that with the data on the introduction of public healthcare programmes in the EU. METHODS Methods: Search data collected from Google©, Wikipedia© and Twitter© users relating to oral cancers in the 28 countries of the EU between January 1st, 2004 and September 30th, 2018. Data on articles published in the press and the bibliometric analysis of scientific articles during the same period was analysed. The link between these results and the introduction of public health programmes in the EU over the same period was studied. RESULTS Results: Shock images and health warnings on cigarette packets have led to a significant increase in interest shown in oral cancers on the internet in 7 countries. The European Make Sense Campaign did not have any influence on internet searches, in contrast to campaigns on a national level. There was an asymmetry in the interest shown in oral cancers on the internet between those seeking to raise awareness (press, scientific community) and the general population (Wikipedia©, Twitter©) which was more likely to follow the news than look for precise medical information. CONCLUSIONS Conclusion: Our work highlights 7 areas of work around which oral cancer awareness in Europe should be refocused. INTERNATIONAL REGISTERED REPORT RR2-17243

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Temporal association between the introduction of public health programs and interest in oral cancers on the internet in the European Union : Infodemiology study (Preprint)

10.2196/preprints.17243 ◽

2019 ◽

Author(s):

Mehdi Hadj-Said ◽

Jean-Hugues Catherine ◽

Cyrille Chossegros ◽

Fabrice Campana ◽

Jean-Noel Vergnes ◽

...

Keyword(s):

Public Health ◽

National Level ◽

Public Health Problem ◽

Temporal Association ◽

The Internet ◽

Public Healthcare ◽

Oral Cancers ◽

Prevention Campaign ◽

The Impact ◽

The Eu

BACKGROUND Tobacco and alcohol are the main risk factors for oral cancers, whose low survival rate is a public health problem. Health policies on a European scale (prevention campaign, modification of tobacco packaging) have therefore been launched to prevent and dissuade the population from the consequences of their consumption. Due to the increase in smoking among women and changes in sexual practices, the incidence of this disease is still too high. The evaluation of the research data of the population on the internet could make it possible to measure the impact and better guide these preventive measures. OBJECTIVE The objective of our study was to analyse the data on interest shown in oral cancers from several online databases, and to cross check that with the data on the introduction of public healthcare programmes in the EU. METHODS Search data collected from Google©, Wikipedia© and Twitter© users relating to oral cancers in the 28 countries of the EU between January 1st, 2004 and September 30th, 2018. Data on articles published in the press and the bibliometric analysis of scientific articles during the same period was analysed. The link between these results and the introduction of public health programmes in the EU over the same period was studied. RESULTS Shock images and health warnings on cigarette packets have led to a significant increase in interest shown in oral cancers on the internet in 7 countries. The European Make Sense Campaign did not have any influence on internet searches, in contrast to campaigns on a national level. There was an asymmetry in the interest shown in oral cancers on the internet between those seeking to raise awareness (press, scientific community) and the general population (Wikipedia©, Twitter©) which was more likely to follow the news than look for precise medical information. CONCLUSIONS Our work highlights 7 areas of work around which oral cancer awareness in Europe should be refocused.

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Tendency of Internet Search Data of Oral Neoplasms and Impact of Public Health Programs in European Union

10.21203/rs.3.rs-471560/v1 ◽

2021 ◽

Author(s):

Romain LAN ◽

Fabrice CAMPANA ◽

Delphine TARDIVO ◽

Jean-Hugues CATHERINE ◽

Jean-Noel VERGNES ◽

...

Keyword(s):

Public Health ◽

Oral Cancer ◽

Strong Association ◽

Public Health Problem ◽

Internet Research ◽

Health Programs ◽

Public Health Programs ◽

Prevention Campaign ◽

The Impact ◽

Tobacco Packaging

Abstract Background: Tobacco and alcohol are the main risk factors for oral squamous cell carcinoma, the low survival rate of which is a public health problem. European-wide health policies (prevention campaign, tobacco packaging) have been put in place to inform the population of the risks associated with their consumption. Due to the increase in smoking among women and changes in sexual practices, the incidence of this disease is still too high. The identification of data from internet research on the population could make it possible to measure the impact and better orient these preventive measures.The objective was to analyse the data on interest shown in oral cancers from several online databases, and to cross-reference them with the data on the introduction of European public health programs.Methods: A search of data from Google ©, Wikipedia © and Twitter © users in 28 European countries relating to oral cancer between 2004 and 2019 was carried out. Bibliometric analysis of press and scientific articles over the same period was also analysed. The association between these data and the introduction of public health programs in Europe has been studied.Results: Changes in tobacco packaging correlated with a significant increase in internet research on oral cancer in 7 countries. Unlike national policies and campaigns, the European awareness program Make Sense has had no influence on internet research. There was an asymmetric correlation in internet searches between publications on oral cancer from scientific articles or "traditional" media (weak association) and those from internet media such as Twitter © or Wikipedia © (strong association).Conclusion: Our work highlights 7 areas of work around which oral cancer awareness in Europe could be refocused.

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CAREGIVING SURVEILLANCE AT THE CDC: PAST, PRESENT, AND FUTURE

Innovation in Aging ◽

10.1093/geroni/igz038.672 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S188-S188

Author(s):

Valerie J Edwards ◽

C Grace Whiting

Keyword(s):

Public Health ◽

Surveillance System ◽

Healthy Aging ◽

National Level ◽

Public Health Problem ◽

Population Based ◽

Surveillance Data ◽

Public Health Issue ◽

Behavioral Risk ◽

The Impact

Abstract As the U.S. population ages, caregiving has emerged as an important public health issue affecting an increasing proportion of American families. In 2015, an estimated 17.7 million people provided assistance to family members and friends. Although caregiving can have positive aspects, many studies have found that caregivers report more health difficulties than non-caregivers. The importance of population-based information is central to public health’s ability to respond effectively to this growing public health problem. The Alzheimer’s Disease and Healthy Aging Program at the Centers for Disease Control and Prevention (CDC) has made surveillance of caregivers a priority area. To this end, the development and use of a caregiving module for the Behavioral Risk Factor Surveillance System (BRFSS) was undertaken. The BRFSS is one of the largest telephone-based health surveillance system in the world, and collects information from the public across a broad range of health topics. This platform therefore provides a unique opportunity to capture health status data from caregivers as well as the option of comparing caregivers to non-caregivers. The Caregiver Module consists of 9 questions that address the characteristics of care and the type of assistance provided. The objective of this symposium is to describe the development of the current caregiving module (Dr. Bouldin), present relevant findings from the previous three years of surveillance data (Drs. Edwards and Taylor), and to discuss future directions for caregiver surveillance and CDC-developed resources to facilitate date utilization (Dr. McGuire). The discussant will describe the impact and status of national-level surveillance data

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Temporal association between the introduction of public health programs and interest in oral cancers on the internet in the European Union

Oral Oncology ◽

10.1016/j.oraloncology.2021.105250 ◽

2021 ◽

pp. 105250

Author(s):

Romain Lan ◽

Jean-Hugues Catherine ◽

Cyrille Chossegros ◽

Fabrice Campana ◽

Jean-Noel Vergnes ◽

...

Keyword(s):

Public Health ◽

European Union ◽

Health Programs ◽

Temporal Association ◽

The Internet ◽

The European Union ◽

Public Health Programs ◽

Oral Cancers

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Modernisation of Higher Education – Willful Action or Wishful Thinking? The Case of Bulgaria

Педагогически форум ◽

10.15547/pf.2020.018 ◽

2020 ◽

Vol 8 (3) ◽

pp. 3-17

Author(s):

Elena Blagoeva

Keyword(s):

Higher Education ◽

Economic Crisis ◽

Negative Impact ◽

National Level ◽

Sustainable Growth ◽

Research Approach ◽

Case Study Methodology ◽

The Impact ◽

The Eu

The impact of the last global economic crisis (2008) on the European economy put a strain on higher education (HE), yet it also pushed the sector towards intensive reforms and improvements. This paper focuses on the “Strategy for the Development of Higher Education in the Republic of Bulgaria 2014-2020”. With a case study methodology, we explore the strategic endeavours of the Bulgarian government to comply with the European directions and to secure sustainable growth for the HE sector. Our research question is ‘How capable is the Bulgarian HE Strategy to overcome the economic and systemic restraints of Bulgarian higher education?’. Because the development of strategies for HE within the EU is highly contextual, a single qualitative case study was chosen as the research approach. HE institutions are not ivory towers, but subjects to a variety of external and internal forces. Within the EU, this is obviated by the fact that Universities obtain their funds from institutions such as governments, students and their families, donors, as well as EU-level programmes. Therefore, to explore how these pressures interact to affect strategic action on national level, the case method is well suited as it enabled us to study the phenomena thoroughly and deeply. The paper suggests the actions proposed within the Strategy have the potential to overcome the delay, the regional isolation and the negative impact of the economic crisis on the country. Nevertheless, the key elements on which the success or failure of this Strategy hinges are the control mechanisms and the approach to implementation. Shortcomings in these two aspects of strategic actions in HE seem to mark the difference between gaining long-term benefits and merely saving face in front of international institutions.

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Prevalence of Overweight and Obesity in Children and Adolescents from the Age Range of 2 to 19 Years Old in Brazil

International Journal of Pediatrics ◽

10.1155/2014/583207 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 28

Author(s):

Janaina R. Niehues ◽

Ana Inês Gonzales ◽

Robson R. Lemos ◽

Poliana Penasso Bezerra ◽

Patrícia Haas

Keyword(s):

Public Health ◽

Children And Adolescents ◽

National Level ◽

Public Health Problem ◽

Overweight And Obesity ◽

Obese Children ◽

Cross Sectional ◽

Juvenile Obesity ◽

Age Range ◽

Obesity In Children

Introduction. Infant juvenile obesity is currently a worldwide public health problem and it is increasing at alarming rate in the Brazilian population, showing its relevance in terms of public health.Objectives. Determine the prevalence of overweight and obesity in children and adolescents between 2 and 19 years old in different regions of Brazil.Methods. The following electronic databases were searched (from September through November 2013): Medline (PubMed), LILACS, and SciELO, using the descriptors and Boolean operators (obesity) and (overweight) and (child) and (prevalence) and (Brazil). Prospective and/or cross-sectional designs studies were found regarding the prevalence of overweight and obese children and adolescents in the five regions of Brazil.Results. A total of 191 scientific articles were found of which 17 met all inclusion criteria. A higher prevalence of overweight was found in the south (25.7%) and north (28.8%) of the country, and obesity in the southeast (15.4%) and south (10.4%).Conclusions. The scope of the studies was mostly based on municipal coverage, which resulted in limitations for conclusive analysis, showing the need for further studies of prevalence at the national level, with emphasis on public health in obese children and adolescents throughout the Brazilian territory.

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The EU as an “enforcement patchwork”: the impact of national enforcement for compliance with EU water law in Spain and Britain

Journal of Public Policy ◽

10.1017/s0143814x13000238 ◽

2013 ◽

Vol 34 (2) ◽

pp. 331-353 ◽

Cited By ~ 3

Author(s):

Mónica García Quesada

Keyword(s):

Waste Water Treatment ◽

National Level ◽

State Level ◽

Detailed Examination ◽

Deterrent Effect ◽

Eu Law ◽

Wide Range ◽

The Uk ◽

The Impact ◽

The Eu

AbstractFailures of compliance with European Union (EU) directives have revealed the EU as a political system capable of enacting laws in a wide range of different policy areas, but facing difficulties to ensure their actual implementation. Although the EU relies on national enforcement agencies to ensure compliance with the EU legislation, there is scarce analysis of the differential deterrent effect of national enforcement in EU law compliance. This article examines the enforcement of an EU water directive, the Urban Waste Water Treatment Directive, in Spain and the UK. It focuses on the existing national sanctions for disciplining actors in charge of complying with EU requirements, and on the actual use of punitive sanctions. The analysis shows that a more comprehensive and active disciplinary regime at the national level contributes to explain a higher degree of compliance with EU law. The article calls for a detailed examination of the national administrative and criminal sanction system for a more comprehensive understanding of the incentives and disincentives to comply with EU law at the national state level.

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Neonatal malformations: organization of information flows in the S. Anna Hospital of Torino

European Journal of Public Health ◽

10.1093/eurpub/ckab165.526 ◽

2021 ◽

Vol 31 (Supplement_3) ◽

Author(s):

V Bordino ◽

A Musso ◽

F Bert ◽

R Siliquini

Keyword(s):

Public Health ◽

Congenital Malformations ◽

Maternal Age ◽

Health Planning ◽

Public Health Problem ◽

Quality Of Data ◽

Live Births ◽

Regional Health Planning ◽

Set Up ◽

The Impact

Abstract Background Congenital malformations (CMs) represent a serious public health problem, both in terms of size (3% newborns/year) and severity of outcomes. The surveillance activity carried out by the Registers is an important tool for monitoring the frequency of events, to evaluate etiology, support research and public health actions. The aim is to evaluate the organization and the information network related to the diagnosis of malformation in the S. Anna presidium. Methods the retrospective study analyzed all newborns with one or more CM and all cases of TOPFA (Termination of Pregnancy for Fetal Anomaly) for CMs in the period 01/2020 - 01/2021. A forward-looking pilot study was then set up to assess the impact on the quality of data collection through the introduction of a MC sheet. Results 510 cases of CMs were found in live births, 180 in TOPFA for CMs and 4 in stillbirths. The duration of hospitalizations averaged 14.5 days (σ 36.56), with a median of 4 days. In the CMs group, an average maternal age of 33.40 years (σ 9.32), a median of 33 years and a mode of 33 years were calculated, in the TOPFA group an average maternal age of 34 years (σ 6.34), a median of 34 years and a mode of 32 years. In the live births group, 701 maternal diagnoses were detected, categorized and compared with the various national reports. The MC Sheet was compiled for 60 patients, 16 (4.30%) patients before the introduction of the sheet (01/2020 - 09/2020) and 44 (30.43%) after its introduction (10/2020 - 01/2021). Regarding the assessment of the proper use of ICD9CM an adequacy of 78% was observed in the first group vs one of 100% in the second. Conclusions Our preliminary data assess the need for a Regional registry, for a comparison with the main national and regional sources available (also with a view to possible participation in the EUROCAT and ICBDSR registers) and for regional health planning. Key messages The study underlines the need for a Regional Registry of congenital malformations. The clinical file is not always a complete source for analysing data on congenital malformations.

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The Impact of the COVID-19 Pandemic on Antibiotic Prescribing Trends in Outpatient Care: A Nationwide, Quasi-Experimental Approach

Antibiotics ◽

10.3390/antibiotics10091040 ◽

2021 ◽

Vol 10 (9) ◽

pp. 1040

Author(s):

Tânia Magalhães Silva ◽

Marta Estrela ◽

Eva Rebelo Gomes ◽

Maria Piñeiro-Lamas ◽

Adolfo Figueiras ◽

...

Keyword(s):

Public Health ◽

Outpatient Care ◽

Experimental Approach ◽

National Level ◽

Series Data ◽

Antibiotic Prescribing ◽

Prescribing Trends ◽

Quasi Experimental ◽

The Impact

Coronavirus disease 2019 (COVID-19) has spread globally and is currently having a damaging impact on nearly all countries in the world. The implementation of stringent measures to stop COVID-19 dissemination had an influence on healthcare services and associated procedures, possibly causing antibiotic consumption fluctuations. This paper aims to evaluate the immediate and long-term impact of the COVID-19 pandemic on antibiotic prescribing trends in outpatient care of the Portuguese public health sector, including in primary healthcare centers and hospitals, as well as on specific antibiotic groups known to be closely associated with increased resistance. Segmented regression analysis with interrupted time series data was used to analyze whether the COVID-19 pandemic had an impact in antibiotic prescribing tendencies at a national level. The outcomes from this quasi-experimental approach demonstrate that, at the beginning of the pandemic, a significant, immediate decrease in the overall antibiotic prescribing trends was noticed in the context of outpatient care in Portugal, followed by a statistically non-significant fall over the long term. The data also showed a significant reduction in the prescription of particular antibiotic classes (antibiotics from the Watch group, 3rd-generation cephalosporins, fluoroquinolones, and clarithromycin) upon COVID-19 emergence. These findings revealed an important disruption in antibiotics prescribing caused by the current public health emergency.

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