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  1. Article ; Online: Management of infodemics in outbreaks or health crises: a systematic review.

    Abuhaloob, Lamis / Purnat, Tina D / Tabche, Celine / Atwan, Zeenah / Dubois, Elizabeth / Rawaf, Salman

    Frontiers in public health

    2024  Volume 12, Page(s) 1343902

    Abstract: Introduction: The World Health Organization (WHO) defined an infodemic as an overabundance of information, accurate or not, in the digital and physical space, accompanying an acute health event such as an outbreak or epidemic. It can impact people's ... ...

    Abstract Introduction: The World Health Organization (WHO) defined an infodemic as an overabundance of information, accurate or not, in the digital and physical space, accompanying an acute health event such as an outbreak or epidemic. It can impact people's risk perceptions, trust, and confidence in the health system, and health workers. As an immediate response, the WHO developed the infodemic management (IM) frameworks, research agenda, intervention frameworks, competencies, and processes for reference by health authorities.
    Objective: This systematic review explored the response to and during acute health events by health authorities and other organizations operating in health. It also assessed the effectiveness of the current interventions.
    Methods: On 26 June 2023, an online database search included Medline (Ovid), Embase, Cochrane Library, Scopus, Epistemonikos, and the WHO website. It included English-only, peer-reviewed studies or reports covering IM processes applied by health organizations that reported their effectiveness. There was no restriction on publication dates. Two independent reviewers conducted all screening, inclusion, and quality assessments, and a third reviewer arbitrated any disagreement between the two reviewers.
    Results: Reviewers identified 945 records. After a final assessment, 29 studies were included in the review and were published between 2021 and 2023. Some countries (Pakistan, Yemen, Spain, Italy, Hong Kong, Japan, South Korea, Singapore, United Kingdom, United States, New Zealand, Finland, South Korea, and Russia) applied different methods of IM to people's behaviors. These included but were not limited to launching media and TV conservations, using web and scientific database searches, posting science-based COVID-19 information, implementing online surveys, and creating an innovative ecosystem of digital tools, and an Early AI-supported response with Social Listening (EARS) platform. Most of the interventions were effective in containing the harmful effects of COVID-19 infodemic. However, the quality of the evidence was not robust.
    Discussion: Most of the infodemic interventions applied during COVID-19 fall within the recommended actions of the WHO IM ecosystem. As a result, the study suggests that more research is needed into the challenges facing health systems in different operational environments and country contexts in relation to designing, implementing, and evaluating IM interventions, strategies, policies, and systems.
    MeSH term(s) Humans ; COVID-19/epidemiology ; Disease Outbreaks/prevention & control ; Epidemics ; Infodemic
    Language English
    Publishing date 2024-03-15
    Publishing country Switzerland
    Document type Journal Article ; Systematic Review
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2024.1343902
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Primary care integration of sexual and reproductive health services for chlamydia testing across WHO-Europe: a systematic review.

    Quezada-Yamamoto, Harumi / Dubois, Elizabeth / Mastellos, Nikolaos / Rawaf, Salman

    BMJ open

    2019  Volume 9, Issue 10, Page(s) e031644

    Abstract: Objective: To identify current uptake of chlamydia testing (UCT) as a sexual and reproductive health service (SRHS) integrated in primary care settings of the WHO European region, with the aim to shape policy and quality of care.: Design: Systematic ... ...

    Abstract Objective: To identify current uptake of chlamydia testing (UCT) as a sexual and reproductive health service (SRHS) integrated in primary care settings of the WHO European region, with the aim to shape policy and quality of care.
    Design: Systematic review for studies published from January 2001 to May 2018 in any European language.
    Data sources: OVID Medline, EMBASE, Maternal and Infant Care and Global Health.
    Eligibility criteria: Published studies, which involved women or men, adolescents or adults, reporting a UCT indicator in a primary care within a WHO European region country. Study designs considered were: randomised control trials (RCTs), quasi-experimental, observational (eg, cohort, case-control, cross-sectional) and mixed-methods studies as well as case reports.
    Data extraction and synthesis: Two independent reviewers screened the sources and validated the selection process. The BRIGGS Critical Appraisal Checklist for Analytical Cross-Sectional Studies, the Mixed Methods Appraisal Tool 2011 and Critical Appraisal Skills Programme (CASP) checklists were considered for quality and risk of bias assessment.
    Results: 24 studies were finally included, of which 15 were cross-sectional, 4 cohort, 2 RCTs, 2 case-control studies and 1 mixed-methods study. A majority of the evidence cites the UK model, followed by the Netherlands, Denmark, Norway and Belgium only. Acceptability if offered test in primary healthcare (PHC) ranged from 55% to 81.4% in women and from 9.5% to 70.6% when both genders were reported together. Men may have a lower UCT compared with women. When both genders were reported together, the lowest acceptability was 9.5% in the Netherlands. Denmark presented the highest percentage of eligible people who tested in a PHC setting (87.3%).
    Conclusions: Different health systems may influence UCT in PHC. The regional use of a common testing rate indicator is suggested to homogenise reporting. There is very little evidence on integration of SRHS such as chlamydia testing in PHC and there are gaps between European countries.
    MeSH term(s) Adolescent ; Adult ; Chlamydia/isolation & purification ; Chlamydia Infections/diagnosis ; Delivery of Health Care, Integrated/organization & administration ; Europe ; Female ; Humans ; Male ; Patient Acceptance of Health Care/statistics & numerical data ; Primary Health Care ; Randomized Controlled Trials as Topic ; Reproductive Health Services
    Language English
    Publishing date 2019-10-17
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2019-031644
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Improving patient safety in Libya: insights from a British health system perspective.

    Elmontsri, Mustafa / Almashrafi, Ahmed / Dubois, Elizabeth / Banarsee, Ricky / Majeed, Azeem

    International journal of health care quality assurance

    2018  Volume 31, Issue 3, Page(s) 237–248

    Abstract: Purpose Patient safety programmes aim to make healthcare safe for both patients and health professionals. The purpose of this paper is to explore the UK's patient safety improvement programmes over the past 15 years and explore what lessons can be learnt ...

    Abstract Purpose Patient safety programmes aim to make healthcare safe for both patients and health professionals. The purpose of this paper is to explore the UK's patient safety improvement programmes over the past 15 years and explore what lessons can be learnt to improve Libyan healthcare patient safety. Design/methodology/approach Publications focusing on UK patient safety were searched in academic databases and content analysed. Findings Several initiatives have been undertaken over the past 15 years to improve British healthcare patient safety. Many stakeholders are involved, including regulatory and professional bodies, educational providers and non-governmental organisations. Lessons can be learnt from the British journey. Practical implications Developing a national patient safety strategy for Libya, which reflects context and needs is paramount. Above all, Libyan patient safety programmes should reference internationally approved guidelines, evidence, policy and learning from Britain's unique experience. Originality/value This review examines patient safety improvement strategies adopted in Britain to help developing country managers to progress local strategies based on lessons learnt from Britain's unique experience.
    MeSH term(s) Humans ; Inservice Training/organization & administration ; Libya ; Organizational Culture ; Patient Participation/methods ; Patient Safety/legislation & jurisprudence ; Patient Safety/standards ; Quality Improvement/organization & administration ; Safety Management/legislation & jurisprudence ; Safety Management/organization & administration ; Safety Management/standards ; United Kingdom
    Language English
    Publishing date 2018-04-23
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 645125-1
    ISSN 0952-6862 ; 1366-0756
    ISSN 0952-6862 ; 1366-0756
    DOI 10.1108/IJHCQA-09-2016-0133
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: The Multiple Facets of Influence

    Dubois, Elizabeth / Gaffney, Devin

    American behavioral scientist. , v. 58, no. 10

    Identifying Political Influentials and Opinion Leaders on Twitter

    2014  

    Abstract: This study compares six metrics commonly used to identify influential players in two of Canada’s largest political Twitter communities based on the users, and ranking order of users, identified by each metric. All tweets containing the hashtag #CPC, ... ...

    Abstract This study compares six metrics commonly used to identify influential players in two of Canada’s largest political Twitter communities based on the users, and ranking order of users, identified by each metric. All tweets containing the hashtag #CPC, representing the Conservative Party of Canada (government), and #NDP, representing the New Democratic Party of Canada (official opposition), were collected over a 2-week period in March 2013 and a follower network graph was created. Social network analysis and content analysis were employed to identify influentials. Kendall’s τ was the primary quantitative measure for comparison. Categorization of Twitter profiles of users found within the top 20 most influential lists, according to each metric of influence, made up the qualitative portion of analysis. The authors find that measures of centrality—indegree and eigenvector centrality—identify the traditional political elite (media outlets, journalists, politicians) as influential, whereas measures considering the quality of messages and interactions provide a different group of influencers, including political commentators and bloggers. Finally, the authors investigate the possibility of using the local clustering coefficient of nodes to identify those who are both aware of the traditional elite and embedded in tightly knit communities, similar to the “opinion leader,” described in the Two-Step Flow Hypothesis.
    Keywords journalists ; politics ; social networks ; Canada
    Language English
    Dates of publication 2014-09
    Size p. 1260-1277.
    Publishing place SAGE Publications
    Document type Article
    ISSN 1552-3381
    DOI 10.1177/0002764214527088
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Chloroquine and hydroxychloroquine effectiveness in human subjects during coronavirus: a systematic review

    Rawaf, Salman / Al-Saffar, Mohammed / Quezada-Yamamoto, Harumi / Alshaikh, Mashael / Pelly, Michael / Rawaf, David / Dubois, Elizabeth / Majeed, Azeem

    medRxiv

    Abstract: In a search to find effective treatments for COVID-19, chloroquine and hydroxychloroquine have gained attention. We aim to provide evidence to support clinical decision-making regarding medication for the treatment of COVID-19 by carrying out a ... ...

    Abstract In a search to find effective treatments for COVID-19, chloroquine and hydroxychloroquine have gained attention. We aim to provide evidence to support clinical decision-making regarding medication for the treatment of COVID-19 by carrying out a systematic review of the literature. The electronic databases MEDLINE, EMBASE, Global Health, and HMIC were searched up to April 2020. Eligible study outcomes included: extubation or patient recovery. Relevant data were extracted and analysed by narrative synthesis. Our results included six studies in the review of which four studies were of good or fair quality. All eligible studies included were for coronavirus involving the use of either chloroquine or hydroxychloroquine to treat common symptoms such as fever, cough, shortness of breath and fatigue. Outcomes most commonly reported were improved lung function, viral clearance, and hospital discharge. Strong evidence to support the use of chloroquine and hydroxychloroquine in the treatment of COVID-19 is lacking. Fast track trials are riddled with bias and may not conform to rigorous guidelines which may lead to inadequate data being reported. The use of these drugs in combination with other medications may be useful but without knowing which groups they are suited for and when they may cause more harm than good.
    Keywords covid19
    Language English
    Publishing date 2020-05-11
    Publisher Cold Spring Harbor Laboratory Press
    Document type Article ; Online
    DOI 10.1101/2020.05.07.20094326
    Database COVID19

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  6. Article ; Online: Evaluation of community provision of a preventive cardiovascular programme - the National Health Service Health Check in reaching the under-served groups by primary care in England: cross sectional observational study.

    Woringer, Maria / Cecil, Elizabeth / Watt, Hillary / Chang, Kiara / Hamid, Fozia / Khunti, Kamlesh / Dubois, Elizabeth / Evason, Julie / Majeed, Azeem / Soljak, Michael

    BMC health services research

    2017  Volume 17, Issue 1, Page(s) 405

    Abstract: Background: Cardiovascular disease (CVD) is the leading cause of premature mortality and a major contributor of health inequalities in England. Compared to more affluent and white counterparts, deprived people and ethnic minorities tend to die younger ... ...

    Abstract Background: Cardiovascular disease (CVD) is the leading cause of premature mortality and a major contributor of health inequalities in England. Compared to more affluent and white counterparts, deprived people and ethnic minorities tend to die younger due to preventable CVD associated with lifestyle. In addition, deprived, ethnic minorities and younger people are less likely to be served by CVD prevention services. This study assessed the effectiveness of community-based outreach providers in delivering England's National Health Services (NHS) Health Check programme, a CVD preventive programme to under-served groups.
    Methods: Between January 2008 and October 2013, community outreach providers delivered a preventive CVD programme to 50,573 individuals, in their local communities, in a single consultation without prescheduled appointments. Community outreach providers operated on evenings and weekends as well as during regular business hours in venues accessible to the general public. After exclusion criteria, we analysed and compared socio-demographic data of 43,177 Health Check attendees with the general population across 38 local authorities (LAs). We assessed variation between local authorities in terms of age, sex, deprivation and ethnicity structures using two sample t-tests and within local authority variation in terms of ethnicity and deprivation using Chi squared tests and two sample t-tests respectively.
    Results: Using Index of Multiple Deprivation, the mean deprivation score of the population reached by community outreach providers was 6.01 higher (p < 0.05) than the general population. Screened populations in 29 of 38 LAs were significantly more deprived (p < 0.05). No statistically significant difference among ethnic minority groups was observed between LAs. Nonetheless some LAs - namely Leicester, Thurrock, Sutton, South Tyneside, Portsmouth and Gateshead were very successful in recruiting ethnic minority groups. The mean proportion of men screened was 11.39% lower (p < 0.001) and mean proportion of 40-49 and 50-59 year olds was 9.98% and 3.58% higher (p < 0.0001 and p < 0.01 respectively) than the general population across 38 LAs.
    Conclusions: Community-based outreach providers effectively reach under-served groups by delivering preventive CVD services to younger, more deprived populations, and a representative proportion of ethnic minority groups. If the programme is successful in motivating the under-served groups to improve lifestyle, it may reduce health inequalities therein.
    MeSH term(s) Adult ; Cardiovascular Diseases/prevention & control ; Community Health Services ; Community-Institutional Relations ; Cross-Sectional Studies ; Ethnicity ; Female ; Health Status Disparities ; Healthcare Disparities ; Humans ; Male ; Middle Aged ; Minority Groups ; Primary Health Care ; Referral and Consultation ; Social Class ; State Medicine ; United Kingdom
    Language English
    Publishing date 2017-06-14
    Publishing country England
    Document type Journal Article ; Observational Study
    ZDB-ID 2050434-2
    ISSN 1472-6963 ; 1472-6963
    ISSN (online) 1472-6963
    ISSN 1472-6963
    DOI 10.1186/s12913-017-2346-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Lernen im Schlaf

    Hennevin-Dubois, Elizabeth

    Spektrum der Wissenschaft

    2002  Volume -, Issue Spezial1, Page(s) 64

    Language German
    Document type Article
    ZDB-ID 795128-0
    ISSN 0170-2971
    Database Current Contents Medicine

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  8. Article ; Online: Cancer prevention and control in Eastern Mediterranean region.

    Rawaf, Salman / Dubois, Elizabeth / Khatib, Oussama M N / Omar, Sherif

    BMJ (Clinical research ed.)

    2006  Volume 333, Issue 7573, Page(s) 860–861

    MeSH term(s) Attitude to Health ; Health Policy ; Humans ; Incidence ; Middle East/epidemiology ; Neoplasms/epidemiology ; Neoplasms/prevention & control
    Language English
    Publishing date 2006-10-21
    Publishing country England
    Document type Letter
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.333.7573.860-a
    Database MEDical Literature Analysis and Retrieval System OnLINE

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