scholarly journals The development of national indicators for the surveillance of osteoporosis in Canada

2012 ◽  
Vol 32 (2) ◽  
pp. 101-107 ◽  
Author(s):  
J. LeMessurier ◽  
S. O’Donnell ◽  
P. Walsh ◽  
L. McRae ◽  
C. Bancej ◽  
...  
Keyword(s):  
Public Health ◽  
Majority Vote ◽  
Health Agency ◽  
Public Health Importance ◽  
Public Health Perspective ◽  
Public Health Action ◽  
Face To Face ◽  
The Public ◽  
Core Set ◽  
The Face

Introduction The Public Health Agency of Canada, in collaboration with bone health and osteoporosis experts from across Canada (n = 12), selected a core set of indicators for the public health surveillance of osteoporosis using a formal consensus process. Methods A literature review identified candidate indicators that were subsequently categorized into an osteoporosis-specific indicator framework. A survey was then administered to obtain expert opinion on the indicators’ public health importance. Indicators that scored less than 3 on a Likert scale of 1 (low) to 5 (high) were excluded from further consideration. Subsequently, a majority vote on the remaining indicators’ level of public health importance was sought during a face-to-face meeting. Results The literature yielded 111 indicators, and 88 were selected for further consideration via the survey. At the face-to-face meeting, more than half the experts considered 39 indicators to be important from the public health perspective. Conclusion This core set of indicators will serve to inform the development of new data sources and the integration, analysis and interpretation of existing data into surveillance products for the purpose of public health action.

scholarly journals Reconciling Epidemiology’s Aspirations and Capabilities

2020 ◽  
Author(s):  
David A Savitz
Keyword(s):  
Public Health ◽  
Epidemiologic Studies ◽  
Public Health Importance ◽  
Public Health Action ◽  
Action Current ◽  
Current Trends ◽  
The Face ◽  
Health Action ◽  
New Challenges ◽  
Health Applications

Abstract Interpreting the results of epidemiologic studies calls for objectivity and rigorous scrutiny, acknowledging the limitations that temper the applicability of the findings to public health action. Current trends have posed new challenges to balancing goal of scientific objectivity and validity with public health applications. The ongoing tension between epidemiology’s aspirations and capability has several sources: the need to overpromise in research proposals, compromising methodologic rigor because of public health importance, defending findings in the face of hostile critics, and appealing to core constituencies who have specific expectations from the research.

scholarly journals Associations of Meeting 24-hour Movement Guidelines with Stress and Self-rated Health among Adults: Is Meeting more Guidelines Associated with Greater Benefits?

2021 ◽  
Author(s):  
Kaja KASTELIC ◽  
Željko PEDIŠIĆ ◽  
Dean LIPOVAC ◽  
Nika KASTELIC ◽  
Si-Tong CHEN ◽  
...  
Keyword(s):  
Public Health ◽  
Odds Ratio ◽  
Regression Models ◽  
Linear Trend ◽  
Movement Behaviour ◽  
Public Health Importance ◽  
Public Health Perspective ◽  
Logistic Regression Models ◽  
The Public ◽  
Self Rated Health

Abstract Background: Several countries have recently issued 24-hour movement guidelines for adults. From a public health perspective, it is important to explore the health benefits of meeting the 24-hour movement guidelines. This study, therefore, aimed to explore the associations of meeting the 24-hour movement guidelines with stress and self-rated health among adults, and whether the likelihood of favourable outcomes increases with the number of movement guidelines met.Methods: A total of 2476 adults participated in our survey. The participants were categorised depending on whether they met the combined 24-hour movement guidelines, any combination of two individual guidelines, or any individual guideline. The associations of meeting the movement guidelines with stress and self-rated health were analysed using ordinal logistic regression models.Results: Significantly lower odds of reporting higher frequency of stress were found for those who met the combined 24-hour movement guidelines (adjusted odds ratio [OR] = 0.45; 95% confidence interval [CI]: 0.32, 0.63; p < 0.001), any combination of two guidelines (OR range: 0.48 – 0.63; p < 0.05 for all), and sleep guideline only (OR = 0.51; 95% CI: 0.35, 0.75; p = 0.001). Significantly higher odds of reporting better self-rated health were found for those who met the combined 24-hour movement guidelines (OR = 2.94; 95% CI: 2.07, 4.19; p < 0.001), combination of MVPA and SB guidelines (OR = 2.33; 95% CI: 1.57, 3.44; p < 0.001), combination of MVPA and sleep guidelines (OR = 1.78; 95% CI: 1.23, 2.59; p = 0.002), and MVPA guideline only (OR = 2.24; 95% CI: 1.50, 3.36; p < 0.001). Meeting more guidelines was associated with greater odds of favourable outcomes (p for linear trend < 0.001). Conclusion: Adults who meet the sleep guideline, any combination of two guidelines, or all three guidelines experience stress less frequently. Meeting the MVPA guideline alone or in combination with any other movement behaviour guideline was associated with better self-rated health. The likelihood of less frequent stress and better self-rated health increases with the number of guidelines met. These findings highlight the public health importance of encouraging adults to meet as many movement behaviour guidelines as possible.

scholarly journals Stroke in the21stCentury: A Snapshot of the Burden, Epidemiology, and Quality of Life

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Eric S. Donkor
Keyword(s):  
Public Health ◽  
Social Consequences ◽  
High Morbidity ◽  
Public Health Importance ◽  
Public Health Perspective ◽  
Public Health Burden ◽  
Demographic Transitions ◽  
The Public ◽  
Annual Mortality

Stroke is ranked as the second leading cause of death worldwide with an annual mortality rate of about 5.5 million. Not only does the burden of stroke lie in the high mortality but the high morbidity also results in up to 50% of survivors being chronically disabled. Thus stroke is a disease of immense public health importance with serious economic and social consequences. The public health burden of stroke is set to rise over future decades because of demographic transitions of populations, particularly in developing countries. This paper provides an overview of stroke in the21stcentury from a public health perspective.

Developmental Disorders in Canada

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Sarah Palmeter
Keyword(s):  
Public Health ◽  
Developmental Disorders ◽  
Health Agency ◽  
The Public ◽  
Age Of Diagnosis ◽  
High Level ◽  
Project Objectives ◽  
Disability Severity ◽  
Occupational Function ◽  
Improve Health

In the completion of my practicum at the Public Health Agency of Canada (PHAC) this summer, I worked to develop a surveillance knowledge product to support the national surveillance of developmental disorders. This project used Statistics Canada’s 2017 Canadian Survey on Disability to investigate the burden of developmental disorders in Canada. Developmental disorders are conditions with onset in the developmental period. They are associated with developmental deficits and impairments of personal, social, academic, and occupational function. The project objectives are to estimate the prevalence of developmental disorders in Canadians 15 years of age or older, overall and by age and sex, as well as report on the age of diagnosis, disability severity, and disability co-occurrence in those with developmental disorders. The majority of the analysis has been completed and preliminary results completed, which cannot be released prior to PHAC publication. Although not highly prevalent, developmental disorders are associated with a high level of disability in young Canadians. Early detection and interventions have been shown to improve health and social outcomes among affected individuals. Understanding the burden of developmental disorders in Canada is essential to the development of public health policies and services.

Agents of Practice at the Public Library’s Reference Desk

2013 ◽  
Author(s):  
Mary Cavanagh
Keyword(s):  
Public Libraries ◽  
Face To Face ◽  
Professional Boundaries ◽  
The Public ◽  
Reference Librarians ◽  
Practice Perspective ◽  
The Face ◽  
Reference Et

The face to face interactions of reference librarians and reference assistants are studied from a theoretical practice perspective. Rather than reinforcing professional boundaries, the results of this analysis support reference practice in public libraries as a highly relational activity where reference “expertise” retains a significant subjectivist, relational dimension.Les interventions en personne des bibliothèques de référence et des adjoints à la référence sont étudiées du point de vue de la pratique théorique. Plutôt que de renforcer les frontières interprofessionnelles, les résultats de cette analyse appuient l'idée que les pratiques de référence en milieu public sont des activités hautement relationnelles où l'expertise de la référence conserve une dimension subjectiviste et relationnelle. 

The Public Health Crisis Survival Guide

2018 ◽  
Author(s):  
Joshua M. Sharfstein
Keyword(s):  
Public Health ◽  
Police Officers ◽  
Health Agency ◽  
Health Improvement ◽  
Strong Response ◽  
Popular Imagination ◽  
Health Crisis ◽  
The Public ◽  
Public Health Crisis ◽  
Critical Skills

Firefighters fight fires. Police officers race to crime scenes, sirens blaring. And health officials? Health officials respond to crises. There are infectious disease crises, budget crises, environmental health crises, human resources crises—and many more. At such critical moments, what happens next really matters. A strong response can generate greater credibility and authority for a health agency and its leadership, while a bungled response can lead to humiliation and even resignation. Health officials must be able to manage and communicate effectively as emotions run high, communities become engaged, politicians lean in, and journalists circle. In popular imagination, leaders intuitively rise to the challenge of a crisis: Either they have what it takes or they do not. In fact, preparation is invaluable, and critical skills can be learned and practiced. Students and health officials alike can prepare not only to avoid catastrophe during crises, but to take advantage of new opportunities for health improvement. The Public Health Crisis Survival Guide provides historical perspective, managerial insight, and strategic guidance to help health officials at all levels not just survive but thrive in the most challenging of times.

Epidemic Response: How to evaluate and respond to evolving and conflicting risk information with a focus on education and clinical environments

2020 ◽  
Vol 64 (1) ◽  
pp. 1732-1735
Author(s):  
Alison G. Vredenburgh ◽  
Rodrigo J. Daly Guris ◽  
Kevin G. Welner ◽  
Sreekanth R. Cheruku
Keyword(s):  
The United States ◽  
Face To Face ◽  
The Public ◽  
Conflicting Information ◽  
The Face ◽  
Clinical Environments ◽  
Face To Face Instruction ◽  
Epidemic Response ◽  
Collaborative Implementation ◽  
Modern Era

By October, we will have learned a great deal about responding to an epidemic or pandemic that has proved to have a level of transmission unprecedented in the modern era. The possible and likely responses include many unknowns. Coordinated and collaborative implementation has been complicated by conflicting information from multiple governments and organizations in several languages. What will we learn about how the United States can improve its ability to respond? How do we develop consistent and accurate warnings and messaging to the public in order to increase compliance regarding a new, and not well understood, epidemic? What factors increase or decrease compliance? How are US education policymakers deciding about face-to-face instruction? How have physicians and hospitals adapted their workflows in the face of uncertainty and supply chain inconsistencies? This panel will include a warnings expert, an expert on education law and policy, and two physicians.

scholarly journals OP0191-PARE DEVELOPMENT OF A PUBLIC AND PATIENT INVOLVEMENT (PPI) RESEARCH NETWORK FOR PEOPLE WHO HAVE RHEUMATIC CONDITIONS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 115.2-115
Author(s):  
L. Larkin ◽  
A. Moses ◽  
T. Raad ◽  
A. Tierney ◽  
N. Kennedy ◽  
...  
Keyword(s):  
Public Health ◽  
Patient Involvement ◽  
Research Network ◽  
Ppi Network ◽  
Face To Face ◽  
The Public ◽  
World Cafe ◽  
Patient Representatives ◽  
The University ◽  
Public And Patient Involvement

Background:Public and patient involvement (PPI) improves quality and relevance of research (1). PPI is advocated by policy makers and funding bodies and is supported by EULAR (2). Arthritis Research Limerick (ARL) is a partnership between researchers at the University of Limerick and clinicians at University Hospitals Limerick. PPI representatives have been involved in ARL projects, however no formal PPI network had been established prior to 2020. The need for a formal PPI network to collaborate with ARL was identified by both ARL and patient representatives. This need arose from a joint ambition to promote meaningful involvement of the public and patients in ARL projects and to develop a platform through which researchers and PPI representatives could collaboratively set research priorities.Objectives:The aim of this project was to create a formal PPI network to engage with people living with rheumatic and musculoskeletal diseases (RMDs) and their families and to identify collaborative research opportunities between ARL and PPI representatives.Methods:A face-to-face PPI seminar was planned for October 2020. The seminar consisted of speakers from ARL providing an overview of research projects and a World Café research ideas session. Funding was obtained through a competitive, peer-review funding call from the PPI Ignite group at the University of Limerick to support the PPI seminar. The funding application was a joint application between ARL members and a PPI partner (iCAN - Irish Children’s Arthritis Network). The seminar was advertised through national patient organisations (iCAN and Arthritis Ireland), social media and ARL research networks.Results:Due to Covid-19 public health restrictions the PPI seminar was held virtually. The ARL PPI inaugural seminar was attended by N=19 researchers and people living with RMDs. The seminar speakers included ARL researchers and a PPI representative. The World Café event was modified to adapt to the virtual seminar delivery. Research ideas were noted by the seminar organiser and summarised for attendees at the end of the research ideas and priorities session. An ARL PPI mailing list was set-up post seminar as a means of communicating with seminar attendees and will serve as a formal PPI network for ARL. Research updates and opportunities will be communicated via this formal network to people living with RMDs and researchers alike.Conclusion:This was the first PPI seminar organised by ARL in collaboration with a PPI seminar, and has led to the creation of a formal PPI network. Delivery mode of the PPI seminar was changed due to Covid-19 public health restrictions. This change may also have impacted engagement and attendance at the PPI seminar, given that virtual events are not accessible to all of the RMD population. Future PPI seminars will consider a hybrid approach of face-to-face and virtual attendance, to enhance accessibility. A formal PPI communication network has been established. Future work will focus future collaborative opportunities between the PPI panel and the ARL group, including project development, co-led research funding applications and joint research dissemination.References:[1]INVOLVE. (2012). Briefing notes for researchers: Involving the public in NHS, public health and social care research. Retrieved from www.invo.org.uk 7th January 2020.[2]de Wit MPT, Berlo SE, Aanerud GJ, et al (2011). European League Against Rheumatism recommendations for the inclusion of patient representatives in scientific projects. Annals of the Rheumatic Diseases 70:722-726Disclosure of Interests:None declared

scholarly journals Existence and Implications of Women Who Have Sex with Women in Tanzania: A Public Health Perspective

2021 ◽  
Vol 3 (2) ◽  
pp. 87-92
Author(s):  
Switbert R. Kamazima ◽  
Happiness P. Saronga ◽  
Jackline V. Mbishi ◽  
Saidah M. Bakar ◽  
Saumu K. Shabani ◽  
...  
Keyword(s):  
Public Health ◽  
Urban Areas ◽  
Minority Groups ◽  
Population Group ◽  
Public Health Research ◽  
Same Sex ◽  
Public Health Importance ◽  
Public Health Perspective ◽  
Sexual Activities ◽  
Sex Behaviors

Women who engage in sexual activities with other women are known existing in all societies around the globe. However, the understanding of the size, trends and implications of female same sex behaviors and practices is generally lacking and vary within and among many countries including Tanzania. As a result, there is limited understanding of the public health importance of this group, which is often cited as the reason for not investing in work targeted at women who have sex with women and other minority groups in the country. It is from this perspective, that we conducted a formative qualitative study that aimed at, among other objectives, to establish the existence of women who have sex with women and the magnitude of female same sex behaviors and practices in Tanzania using a case study of the Dar-es-Salaam administrative region. Our findings prove that women who have sex with women exist mainly in urban areas in the country and for several reasons, their number is perceived rapidly increasing. We recommend further multidisciplinary (public health) research among women who have sex with women in the country to facilitate the availability of comprehensive and informative data on this population group.

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