Background: Declining cognitive function (CF) and physical function (PF) relate to poorer health-related quality of life (HRQoL) in older adults. As health literacy (HL) facilitates health information utilization, it may mediate links between functionality and HRQoL appraisals. This study examined HL as an intermediary between joint CF and PF contributions and HRQoL in Hong Kong older adults.
View Article and Find Full Text PDFBackground: The COVID-19 pandemic has decreased physical activity (PA) while increasing demand for electronic health resources. eHealth literacy (EHL) is expected to aid eHealth use and health promotion. EHL was raised on the grounds of health literacy (HL).
View Article and Find Full Text PDFThe World Health Organization has identified childhood obesity as one of the most serious public health problems of the 21st century. Understanding a municipality's readiness to address it is crucial to achieve successful interventions. However, the preparedness of German municipalities to address childhood obesity has not yet been investigated.
View Article and Find Full Text PDFAllogeneic hematopoietic cell transplantation (HCT) is increasingly offered to older adults with hematologic malignancies, even though nonrelapse mortality remains a major concern in older patients owing to more comorbidities and greater frailty compared with their younger counterparts. The importance of patient fitness, a well-matched donor, and disease control to the success of allogeneic HCT have been well documented; however, these factors fail to account for the impact of the complex transplantation ecosystem (TE) that older adult HCT candidates must navigate. We propose a definition of the TE modeled after the social determinants of health.
View Article and Find Full Text PDFThe Community Readiness Model (CRM) provides an approach to determine community readiness (CR), which is the degree of a community's preparedness to address a health issue. This scoping review aims to characterize internationally existing applications of the CRM for childhood obesity prevention. Therefore, a systematic literature research was conducted in PubMed, Cochrane Library, LIVIVO and Google Scholar.
View Article and Find Full Text PDFBackground: The information technology has developed rapidly with the evolution of internet environment transformed from requiring computer skills for information searching to self-managing health data and applying information. Therefore, a more diverse range of eHealth skills is required and these skills are referred as eHealth literacy. However, most eHealth literacy studies focused mainly on information searching skills.
View Article and Find Full Text PDFInterventions to promote physical activity (PA) in childcare centers have been shown to increase children's PA levels; moreover, a growing number of evidence-based best practice guidelines exist for this setting. However, there is a lack of knowledge on the facilitators of and barriers to the successful implementation of PA guidelines and interventions. We used Cooperative Planning to improve capabilities for PA in childcare centers.
View Article and Find Full Text PDFBackground: eHealth literacy (EHL) refers to a variety of capabilities that enable individuals to obtain health information from electronic resources and apply it to solve health problems. With the digitization of health care and the wide availability of health apps, a more diverse range of eHealth skills is required to properly use such health facilities. Existing EHL measurements focus mainly on the skill of obtaining health information (Web 1.
View Article and Find Full Text PDFBecause of the unique encasement of the human dental pulp in a low-compliance environment, intrapulpal tissue pressure is of paramount importance in pulpal physiology. Tissue pressure is a local phenomenon, and the pathophysiology of pulp is characterized not by a sudden strangulation at the apex but by a circumferential spread of inflammation and necrosis from a site of initial injury. It is only when gross destruction of tissue has led to a loss of structural integrity that the pulp may become an isobaric chamber in which all areas are in hydrostatic communication.
View Article and Find Full Text PDFBundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
February 2021
Background: Despite various national and international political initiatives for promoting physical activity at the population level, the development of effective interventions for physical activity promotion remains a challenge. In this context, there is a growing interest in participatory approaches that actively involve central setting actors in the development of specific measures.
Aim Of The Article: This article reports on the experience made by the Capital4Health research consortium while using a participatory approach called "cooperative planning" to increase capabilities for physical activity across different age groups.
Objectives: Characteristics of childcare centers influence the daily time spent on moderate-to-vigorous physical activity (MVPA) by children younger than 6 years. The study explores the characteristics of childcare centers and the behavior of staff that influence children's MVPA levels.
Methods: We used cross-sectional data from 8 childcare centers in the research project QueB 2.
Critical infrastructures provide society with services essential to its functioning, and extensive disruptions give rise to large societal consequences. Risk and vulnerability analyses of critical infrastructures generally focus narrowly on the infrastructure of interest and describe the consequences as nonsupplied commodities or the cost of unsupplied commodities; they rarely holistically consider the larger impact with respect to higher-order consequences for the society. From a societal perspective, this narrow focus may lead to severe underestimation of the negative effects of infrastructure disruptions.
View Article and Find Full Text PDFPublic and private actors with critical roles for ensuring societal safety need to work proactively to reduce risks and vulnerabilities. Traditionally, risk management activities have often been performed in order to ensure continuous functioning of key societal services. Recently, however, business continuity management (BCM), and its analytical subcomponent business impact assessment (BIA), has been introduced and used more extensively by both the private and public sector in order to increase the robustness and resilience of critical infrastructures and societal functions and services.
View Article and Find Full Text PDFBundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
November 2016
Background: Overweight and obesity are serious health risks for children and adolescents. Hence, various prevention projects have been initiated and implemented. Until now, a systematic overview of interventions in different settings has been lacking.
View Article and Find Full Text PDFCritical infrastructure systems must be both robust and resilient in order to ensure the functioning of society. To improve the performance of such systems, we often use risk and vulnerability analysis to find and address system weaknesses. A critical component of such analyses is the ability to accurately determine the negative consequences of various types of failures in the system.
View Article and Find Full Text PDFOne aim of the intervention study is the participatory development of a health-related counselling instrument using focus groups. The developed instrument is reduced to a limited number of health messages and easy to handle for elderly persons. A survey among General Practitioners and nursing services revealed that 73.
View Article and Find Full Text PDFObjectives: The study covers development and evaluation of an innovative counselling aid in an intervention study. The main purpose of the study was to establish whether improvements in nutrition and physical activity behaviour according to standard recommendations can be demonstrated.
Methods: OPTIMAHL 60plus is a quasi-experimental study in which participants were assigned in clusters to an intervention or control group.
Background: The prevalence of childhood obesity has increased during the past decades and is now considered an urgent public health problem. Although stabilizing trends in obesity prevalence have been identified in parts of Europe, preventive efforts in children are still needed. Using the socio-ecological approach as the underlying theoretical perspective, the IDEFICS project aimed to develop, implement and evaluate a community-based intervention for the prevention of childhood obesity in eight European countries.
View Article and Find Full Text PDFBundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
May 2011
Group and individual counseling sessions play a key role in adolescent obesity treatment. The requirements of these training sessions are defined in national guidelines, e.g.
View Article and Find Full Text PDFBundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
March 2011
The prevalence of overweight/obesity in childhood has also been rising at an alarming rate in Germany during recent years. Central components of successful intervention measures include the underpinning of the program with a theoretical model and the inclusion of several target groups as well as schools and kindergartens as whole units. Evaluation of the program is necessary for the development of evidence-based interventions.
View Article and Find Full Text PDFOptimaHl 60plus was a prevention study that included the participatory development and evaluation of an interdisciplinary counseling aid and aimed to improve the nutrition and physical activity behavior of people 60 years and older. The direct involvement of this vulnerable group in prevention programs might contribute to a reduction of inequities in health. This article describes the recruitment of the elderly, especially those with low socioeconomic or migration status, to the OptimaH1 60plus study.
View Article and Find Full Text PDFHIV-1 is a hematogenously spread virus that most likely gains entry into the brain within blood-derived macrophages. Indeed, productive viral replication selectively occurs within perivascular and parenchymal blood-derived macrophages and microglia and HIV-infected macrophages have increased potential to bind and transmigrate through the blood-brain barrier. Once inside the brain, HIV-infected macrophages secrete a variety of pro-inflammatory mediators that display neuromodulatory and neurotoxic activities in several in vitro models for HIV-1 encephalitis.
View Article and Find Full Text PDFObjective: To assess global and splanchnic blood flow and oxygen transport in patients with sepsis with and without norepinephrine treatment.
Design: Prospective, clinical study.
Setting: University hospital intensive care unit.