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Medication adherence and blood pressure control

Exploring medication adherence and its associated factors among hypertension outpatients attending a tertiary-level cardiovascular hospital in Tanzania

Rupendehi , Nepal-general- , Nepal , Chuka , Eastern , Kenya , Wamai , Xizang , China , United-states , Brazil , Mafia-island

Frontiers | Surveillance of Domestic Violence Using Text Mining Outputs From Australian Police Records

In Australia, domestic violence reports are mostly based on data from the police, courts, hospitals, and ad hoc surveys. However, gaps exist in reporting information such as victim injuries, mental health status and abuse types. The police record details of domestic violence events as structured information (e.g., gender, postcode, ethnicity), but also in text narratives describing other details such as injuries, substance use, and mental health status. However, the voluminous nature of the narratives has prevented their use for surveillance purposes. We used a validated text mining methodology on 492,393 police-attended domestic violence event narratives from 2005 to 2016 to extract mental health mentions on persons of interest (POIs) (individuals suspected/charged with a domestic violence offence) and victims, abuse types, and victim injuries. A significant increase was observed in events that recorded an injury type (28.3% in 2005 to 35.6% in 2016). The pattern of injury and abuse types differed between male and female victims with male victims more likely to be punched and to experience cuts and bleeding and female victims more likely to be grabbed and pushed and have bruises. The four most common mental illnesses (alcohol abuse, bipolar disorder, depression schizophrenia) were the same in male and female POIs. An increase from 5.0% in 2005 to 24.3% in 2016 was observed in the proportion of events with a reported mental illness with an increase between 2005 and 2016 in depression among female victims. These findings demonstrate that extracting information from police narratives can provide novel insights into domestic violence patterns including confounding factors (e.g., mental illness) and thus enable policy responses to address this significant public health problem.

Galbally , Dungannon , United-kingdom , New-york , United-states , Australia , Sydney , New-south-wales , Geneva , Genè , Switzerland , Boston

Frontiers | Medical Facilities for Refugees in Europe: Creating a Consultation for Resettled Syrian Families

The wave of migration that has hit Europe in recent years has led to several changes in the organization of asylum systems and medical care provided to migrants. Previous studies indicate that asylum seekers and refugees face multiple barriers in accessing health care. For that reason, adapted structures are needed. In this context, a family consultation service was implemented in our medical center in Lausanne, Switzerland. It aimed at addressing the unique health care needs of recently resettled families from Syria, which has been the leading source country for refugees since 2014. This intervention, developed through collaboration between the University Center for Primary Care and Public Health (Unisanté) and the Children’s Hospital of Lausanne (HEL) involved a multidisciplinary team comprising a pediatrician, a general practitioner and a pediatric nurse. Bringing together a multidisciplinary team optimized care coordination, facilitated communication between care providers and enabled a more global vision of the family system with the aim of enhancing quality of care.

Switzerland , Syria , Italy , China , Vaud , Switzerland-general- , University-center , New-york , United-states , Germany , Sweden , Portugal

Frontiers | Analysis of the Household and Health Care System Expenditures in Bulgaria

Frontiers | Analysis of the Household and Health Care System Expenditures in Bulgaria
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Germany , Bulgaria , Latvia , United-states , Paris , France-general- , France , United-kingdom , Sloka , Jurmala , Portugal , Kosovo