Health Professions â€ș General Health Professions

Health and Medical Studies

Description

This cluster of papers focuses on various health surveys conducted in Germany, with an emphasis on children, adolescents, and adults. The topics covered include socioeconomic status, healthcare utilization, migration background, chronic diseases, and epidemiological studies. The papers also discuss data collection methods, public health indicators, and the impact of demographic changes on healthcare needs.

Keywords

Health Surveys; Public Health; Germany; Socioeconomic Status; Children and Adolescents; Epidemiological Study; Healthcare Utilization; Migration Background; Chronic Diseases; Data Collection

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor 
 Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Abstract This paper provides up to date prevalence estimates of mental disorders in Germany derived from a national survey (German Health Interview and Examination Survey for Adults, Mental Health Module 
 Abstract This paper provides up to date prevalence estimates of mental disorders in Germany derived from a national survey (German Health Interview and Examination Survey for Adults, Mental Health Module [DEGS1‐MH]). A nationally representative sample ( N = 5318) of the adult (18–79) population was examined by clinically trained interviewers with a modified version of the Composite International Diagnostic Interview (DEGS‐CIDI) to assess symptoms, syndromes and diagnoses according to DSM‐IV‐TR (25 diagnoses covered). Of the participants 27.7% met criteria for at least one mental disorder during the past 12 months, among them 44% with more than one disorder and 22% with three or more diagnoses. Most frequent were anxiety (15.3%), mood (9.3%) and substance use disorders (5.7%). Overall rates for mental disorders were substantially higher in women (33% versus 22% in men), younger age group (18–34: 37% versus 20% in age group 65–79), when living without a partner (37% versus 26% with partnership) or with low (38%) versus high socio‐economic status (22%). High degree of urbanization (> 500,000 inhabitants versus < 20,000) was associated with elevated rates of psychotic (5.2% versus 2.5%) and mood disorders (13.9% versus 7.8%). The findings confirm that almost one third of the general population is affected by mental disorders and inform about subsets in the population who are particularly affected. Copyright © 2014 John Wiley & Sons, Ltd.
The present and future of our society are shaped by an ever-increasing proportion of old and very old people. The Berlin Aging Study is one of the largest interdisciplinary efforts 
 The present and future of our society are shaped by an ever-increasing proportion of old and very old people. The Berlin Aging Study is one of the largest interdisciplinary efforts to explore old age and aging. Unique aspects of the Berlin Aging Study are the spectrum of scientific disciplines involved, the range of discipline-specific and interdisciplinary research topics, the focus on very old age (70 to over 100 years), and the empirical reference to a representative heterogenous urban population. The study's first cross-sectional findings on intellectual abilities, self and personality, social relationships, physical health, functional capacity, medical treatment, mental disorders such as depression and dementia, socioeconomic conditions, activities, everyday competence, subjective well-being, and gender differences are reported in depth in this book. The study was carried out in the context of the Berlin-Brandenburg Academy of Sciences study group on 'Aging and Social Development'. The authors primarily conduct their research at the Berlin Max Planck Institute for Human Development, the Free University of Berlin, and the Humboldt University, Berlin.
From May 2003 to May 2006, the Robert Koch Institute conducted the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Aim of this first nationwide interview and 
 From May 2003 to May 2006, the Robert Koch Institute conducted the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Aim of this first nationwide interview and examination survey was to collect comprehensive data on the health status of children and adolescents aged 0 to 17 years. Participants were enrolled in two steps: first, 167 study locations (sample points) were chosen; second, subjects were randomly selected from the official registers of local residents. The survey involved questionnaires filled in by parents and parallel questionnaires for children aged 11 years and older, physical examinations and tests, and a computer assisted personal interview performed by study physicians. A wide range of blood and urine testing was carried out at central laboratories. A total of 17 641 children and adolescents were surveyed – 8985 boys and 8656 girls. The proportion of sample neutral drop-outs was 5.3%. The response rate was 66.6%. The response rate showed little variation between age groups and sexes, but marked variation between resident aliens and Germans, between inhabitants of cities with a population of 100 000 or more and sample points with fewer inhabitants, as well as between the old West German states and the former East German states. By analysing the short non-responder questionnaires it was proven that the collected data give comprehensive and nationally representative evidence on the health status of children and adolescents aged 0 to 17 years.
KORA (Kooperative Gesundheitsforschung in der Region Augsburg) ist eine Forschungsplattform fĂŒr bevölkerungsbasierte Gesundheitssurveys und darauf aufbauende Follow-up-Studien zu Themen der Epidemiologie, Gesundheitsökonomie und Versorgungsforschung. KORA wurde 1996 eingerichtet, um das 
 KORA (Kooperative Gesundheitsforschung in der Region Augsburg) ist eine Forschungsplattform fĂŒr bevölkerungsbasierte Gesundheitssurveys und darauf aufbauende Follow-up-Studien zu Themen der Epidemiologie, Gesundheitsökonomie und Versorgungsforschung. KORA wurde 1996 eingerichtet, um das MONICA-Projekt in Augsburg fortzusetzen und zu erweitern, einschließlich des Herzinfarktregisters. Der verfĂŒgbare Pool von Studienteilnehmern erlaubt die DurchfĂŒhrung von Kohorten-, Fall-Kontroll- und Familienstudien. Wir beschreiben die KORA-Infrastruktur sowie Aspekte des Datenmanagements und der QualitĂ€tskontrolle und stellen das zentrale Kooperationskonzept vor. Die zunehmende Nutzung der MONICA/KORA-Kohorten fĂŒr eine Vielzahl von Forschungsthemen, mit aktuellem Schwerpunkt im Bereich der genetischen Epidemiologie, belegt die AttraktivitĂ€t dieses Konzepts.
In 2005, the Working Group for the Survey and Utilisation of Secondary Data (AGENS) of the German Society for Social Medicine and Prevention (DGSMP) and the German Society for Epidemiology 
 In 2005, the Working Group for the Survey and Utilisation of Secondary Data (AGENS) of the German Society for Social Medicine and Prevention (DGSMP) and the German Society for Epidemiology (DGEpi) first published "Good Practice in Secondary Data Analysis (GPS)" formulating a standard for conducting secondary data analyses. GPS is intended as a guide for planning and conducting analyses and can provide a basis for contracts between data owners. The domain of these guidelines does not only include data routinely gathered by statutory health insurance funds and further statutory social insurance funds, but all forms of secondary data. The 11 guidelines range from ethical principles and study planning through quality assurance measures and data preparation to data privacy, contractual conditions and responsible communication of analytical results. They are complemented by explanations and practical assistance in the form of recommendations. GPS targets all persons directing their attention to secondary data, their analysis and interpretation from a scientific point of view and by employing scientific methods. This includes data owners. Furthermore, GPS is suitable to assess scientific publications regarding their quality by authors, referees and readers. In 2008, the first version of GPS was evaluated and revised by members of AGENS and the Epidemiological Methods Working Group of DGEpi, DGSMP and GMDS including other epidemiological experts and had then been accredited as implementation regulations of Good Epidemiological Practice (GEP). Since 2012, this third version of GPS is on hand and available for downloading from the DGEpi website at no charge. Especially linguistic specifications have been integrated into the current revision; its internal consistency was increased. With regards to contents, further recommendations concerning the guideline on data privacy have been added. On the basis of future developments in science and data privacy, further revisions will follow.
The German Health Interview and Examination Survey for Adults (DEGS) is part of the recently established national health monitoring conducted by the Robert Koch Institute. DEGS combines a nationally representative 
 The German Health Interview and Examination Survey for Adults (DEGS) is part of the recently established national health monitoring conducted by the Robert Koch Institute. DEGS combines a nationally representative periodic health survey and a longitudinal study based on follow-up of survey participants. Funding is provided by the German Ministry of Health and supplemented for specific research topics from other sources. The first DEGS wave of data collection (DEGS1) extended from November 2008 to December 2011. Overall, 8152 men and women participated. Of these, 3959 persons already participated in the German National Health Interview and Examination Survey 1998 (GNHIES98) at which time they were 18–79 years of age. Another 4193 persons 18–79 years of age were recruited for DEGS1 in 2008–2011 based on two-stage stratified random sampling from local population registries. Health data and context variables were collected using standardized computer assisted personal interviews, self-administered questionnaires, and standardized measurements and tests. In order to keep survey results representative for the population aged 18–79 years, results will be weighted by survey-specific weighting factors considering sampling and drop-out probabilities as well as deviations between the design-weighted net sample and German population statistics 2010. DEGS aims to establish a nationally representative data base on health of adults in Germany. This health data platform will be used for continuous health reporting and health care research. The results will help to support health policy planning and evaluation. Repeated cross-sectional surveys will permit analyses of time trends in morbidity, functional capacity levels, disability, and health risks and resources. Follow-up of study participants will provide the opportunity to study trajectories of health and disability. A special focus lies on chronic diseases including asthma, allergies, cardiovascular conditions, diabetes mellitus, and musculoskeletal diseases. Other core topics include vaccine-preventable diseases and immunization status, nutritional deficiencies, health in older age, and the association between health-related behavior and mental health.
How did the study come about?Although in the past century mortality in West Germany decreased similarly as in other Western nations, these changes were less pronounced in East Germany. 1,2After 
 How did the study come about?Although in the past century mortality in West Germany decreased similarly as in other Western nations, these changes were less pronounced in East Germany. 1,2After German reunification in 1990, there was a lack of scientifically valid data from East Germany to explain the regional differences in life expectancy and, consequently, a need for population-based research in northeast Germany.
The German National Cohort (GNC) is a joint interdisciplinary endeavour of scientists from the Helmholtz and the Leibniz Association, universities, and other research institutes. Its aim is to investigate the 
 The German National Cohort (GNC) is a joint interdisciplinary endeavour of scientists from the Helmholtz and the Leibniz Association, universities, and other research institutes. Its aim is to investigate the causes for the development of major chronic diseases, i.e. cardiovascular diseases, cancer, diabetes, neurodegenerative/-psychiatric diseases, musculoskeletal diseases, respiratory and infectious diseases, and their pre-clinical stages or functional health impairments. Across Germany, a random sample of the general population will be drawn by 18 regional study centres, including a total of 100,000 women and 100,000 men aged 20–69 years. The baseline assessments include an extensive interview and self-completion questionnaires, a wide range of medical examinations and the collection of various biomaterials. In a random subgroup of 20 % of the participants (n = 40,000) an intensified examination (“Level 2”) programme will be performed. In addition, in five of the 18 study centres a total of 30,000 study participants will take part in a magnetic resonance imaging examination programme, and all of these participants will also be offered the intensified Level 2 examinations. After 4–5 years, all participants will be invited for a re-assessment. Information about chronic disease endpoints will be collected through a combination of active follow-up (including questionnaires every 2–3 years) and record linkages. The GNC is planned for an overall duration of 25–30 years. It will provide a major, central resource for population-based epidemiology in Germany, and will help to identify new and tailored strategies for early detection, prediction, and primary prevention of major diseases.
The field of hospital hygiene in Germany has undergone some changes in recent years. In addition to the traditional focus on hygiene, epidemiological activities in the field of nosocomial infections 
 The field of hospital hygiene in Germany has undergone some changes in recent years. In addition to the traditional focus on hygiene, epidemiological activities in the field of nosocomial infections have become important for many hospitals. In order to measure these infections, a surveillance system has been established in Germany, which is known under the acronym KISS (Krankenhaus-Infektions-Surveillance-System, system for surveillance of hospital acquired infections). The system is based on the experiences and principles of the American NNIS-system (National Nosocomial Infections Surveillance), but takes into account the local circumstances and possibilities of participating hospitals in Germany. Meanwhile, hospitals can select among 6 KISS modules, which focus on the following topics or areas: intensive care units, neonatology intensive care unit, oncology, surgical patients, patients with venous or urinary catheters, as well as outpatients. KISS data may be used for quality management issues by individual hospitals and for benchmarking between hospitals. The time spent for surveillance in each hospital for one of the modules averages between two and three hours per week. The scientific literature on the subject of surveillance has convincingly shown that this kind of activity is cost-efficient. Cost-effectiveness is likely associated with surveillance activities within the KISS framework, as these activities will have a beneficial effect on nosocomial infection rates in participating hospitals.
Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor 
 Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor 
 Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA journal
<h3>Background:</h3> While physical symptoms are the leading reason for outpatient visits, a substantial proportion of physical complaints and "minor" illnesses remain poorly understood. The purpose of our study was to 
 <h3>Background:</h3> While physical symptoms are the leading reason for outpatient visits, a substantial proportion of physical complaints and "minor" illnesses remain poorly understood. The purpose of our study was to determine the prevalence, patient-attributed cause, and psychiatric comorbidity of symptoms in a general population. <h3>Methods:</h3> We analyzed data on 13 538 individuals interviewed in the Epidemiologic Catchment Area Program, a multicommunity mental health survey that used the Diagnostic Interview Schedule to determine the prevalence of psychiatric disorders. The Diagnostic Interview Schedule inquires about 38 physical symptoms and includes a probing scheme to classify symptom severity and potential cause. We focused on 26 symptoms most germane to primary care. <h3>Results:</h3> Of the 26 symptoms, 24 had been problems for more than 10% of persons at some point in their life, with the most common nonmenstrual symptoms being joint pains (36.7%), back pain (31.5%), headaches (24.9%), chest pain (24.6%), arm or leg pain (24.3%), abdominal pain (23.6%), fatigue (23.6%), and dizziness (23.2%). Most symptoms (84%) were at some point considered<i>major</i>in that they interfered with routine activities or had led individuals to take medications or visit a physician. Nearly one third of symptoms were either psychiatric or unexplained, and most symptoms were associated with at least a twofold increased lifetime risk of a common psychiatric disorder. <h3>Conclusion:</h3> Symptoms in the community are prevalent as well as bothersome. Often lacking an apparent physical explanation, such symptoms are associated with an increased likelihood of psychiatric disorders. (Arch Intern Med. 1993;153:2474-2480)
Die Medizin hat in den letzten Jahrzehnten außergewöhnliche Fortschritte gemacht. Trotzdem suchen viele Menschen ihr Heil in der sogenannten Alternativmedizin, die Wirksamkeitsnachweise fast immer schuldig bleibt. Der Autor sieht die 
 Die Medizin hat in den letzten Jahrzehnten außergewöhnliche Fortschritte gemacht. Trotzdem suchen viele Menschen ihr Heil in der sogenannten Alternativmedizin, die Wirksamkeitsnachweise fast immer schuldig bleibt. Der Autor sieht die GrĂŒnde fĂŒr die Abkehr von bewĂ€hrten medizinischen Behandlungen zum einen darin, dass es im medizinischen Alltag immer wieder versĂ€umt wird, auf den kranken Menschen mit seinen eigenen Perspektiven verstĂ€ndig einzugehen, zum anderen im von der Alternativmedizin leicht zu missbrauchenden AutonomiebedĂŒrfnis des Menschen. Wie kann das Vertrauen von Patientinnen und Patienten in wissenschaftlich erprobte Verfahren gestĂ€rkt werden? Norbert Schmacke zeigt auf, was sich im Gesundheitswesen Ă€ndern muss, damit die Fortschritte der evidenzbasierten Medizin allen Menschen zugutekommen können.
This dataset holds the observations recorded during the GEO Biodiversity Day "Raus in die Natur" in Neustadt bei Coburg This dataset holds the observations recorded during the GEO Biodiversity Day "Raus in die Natur" in Neustadt bei Coburg
An increase in dementia is expected worldwide because of the aging of the population. However, recent studies suggest that its incidence is declining. Claims data from the German statutory health 
 An increase in dementia is expected worldwide because of the aging of the population. However, recent studies suggest that its incidence is declining. Claims data from the German statutory health insurance system (covering 88% of the population) were analyzed for the years 2015 to 2022. Insurees aged 65 and older were included for whom a confirmed diagnosis of dementia was documented in at least two of four consecutive quarters. The incidence and prevalence of dementia were calculated and standardized by age and sex. The incidence of dementia declined by 26% percent (95% confidence interval: -26.2; -25.3), from 2020 per 100 000 insured individuals in 2015 to 1500 per 100 000 in 2022. Over the same period, its prevalence fell by 18% [-18.6; -18.2], from 10 380 to 8470 per 100 000 insured individuals. These trends were more pronounced in younger age groups and in women and were particularly evident in primary care practices. The number of individuals with a documented diagnosis of dementia fell from 1.56 million in 2015 to 1.43 million in 2022, corresponding to a decline by 8.4% [-8.5; -8.3]. Over the same period, the number of people with a diagnosis of mild cognitive impairment (MCI) increased by 62%, albeit from a very low initial level. Despite the aging of the population, the incidence and prevalence of diagnosed dementia in German primary care practices are declining. Further analysis is needed to determine whether this is due to a lower individual risk of dementia, changes in diagnostic behavior, or structural factors, such as a shift to specialized memory clinics.
| MTZ - Motortechnische Zeitschrift
| DMW - Deutsche Medizinische Wochenschrift
Abdo Khoury , Youri Yordanov , Anthony Chauvin +1 more | European Journal of Emergency Medicine
Hospital at home (HaH) is an internationally evaluated and widely established model of care in many countries. HaH is an acute clinical service that provides personnel, equipment, technology, medications, and 
 Hospital at home (HaH) is an internationally evaluated and widely established model of care in many countries. HaH is an acute clinical service that provides personnel, equipment, technology, medications, and skills that are typically available in hospitals, and delivers hospital-level care for selected individuals in their own homes or in nursing facilities. An interprofessional team consisting of nurses, therapists, and physicians treats patients-who would otherwise be cared for in a conventional hospital bed-in their own beds at home. Patients receive needs-based nursing and medical visits several times a day, and the team is available 24 h a day, 7 days a week. The average duration of treatment is similar to that of a conventional inpatient stay, ranging from 3-9 days. In current pilot projects in Switzerland, patients with internal medicine or palliative acute conditions are predominantly being treated. A Cochrane review based on 20 randomized studies on HaH shows high patient safety, lower complication rates compared to the traditional inpatient setting, lower treatment costs, and high patient satisfaction.
<si:p>In einer Gelegenheitsstichprobe wurden im FrĂŒhjahr 2021 263 Jugendliche und junge Erwachsene im Alter von 14 bis 25 Jahren anonym und online zu psychischen Beschwerden, Inanspruchnahme von gesundheitsbezogenen Versorgungsangeboten sowie 
 <si:p>In einer Gelegenheitsstichprobe wurden im FrĂŒhjahr 2021 263 Jugendliche und junge Erwachsene im Alter von 14 bis 25 Jahren anonym und online zu psychischen Beschwerden, Inanspruchnahme von gesundheitsbezogenen Versorgungsangeboten sowie individuellen und strukturellen Barrieren fĂŒr das Hilfesuchen befragt. Mit zunehmender Symptomlast wurden hĂ€ufiger formelle (als informelle) Hilfen aufgesucht. Im Vergleich zu Jugendlichen im Alter von 14 bis 17 Jahren nahmen junge Erwachsene im Alter von 18 bis 25 Jahren mehr informelle Hilfen (z.B. durch nahestehende Personen) in Anspruch, zugleich nahmen junge Erwachsene marginal mehr formelle Hilfen in Anspruch. Junge Erwachsene nannten signifikant mehr strukturelle Barrieren bei der Inanspruchnahme als Jugendliche. Die Ergebnisse liefern erste Hinweise zu den Besonderheiten des Hilfesuchverhaltens im Übergang vom Jugend- zum jungen Erwachsenenalter und können dazu beitragen, Maßnahmen zur Verbesserung der Inanspruchnahme von Versorgungsangeboten zu gestalten. Sie bedĂŒrfen jedoch einer umfassenderen PrĂŒfung in grĂ¶ĂŸeren, diverseren Stichproben und unter BerĂŒcksichtigung weiterer potenzieller Einflussfaktoren auf das Hilfesuchverhalten.</si:p>
Urinary tract infections (UTIs) are common, representing a frequent cause of antibiotic prescription in primary care worldwide. Selection of antibiotics for antimicrobial susceptibility testing and the reporting of test results 
 Urinary tract infections (UTIs) are common, representing a frequent cause of antibiotic prescription in primary care worldwide. Selection of antibiotics for antimicrobial susceptibility testing and the reporting of test results by laboratories can directly impact antibiotic prescribing and guideline adherence. To assess the current practice of susceptibility testing by laboratories for outpatient UTIs in Germany. A cross-sectional study was conducted including all laboratories identified by searching for specialists in laboratory medicine and microbiology on the websites of the 17 German associations of statutory health insurance physicians. Between January - April 2024, a survey using a standardised questionnaire was conducted across identified laboratories. Of the 396 laboratories identified, 65.2% (n=258) replied. Of these, 106 laboratories performed susceptibility testing and on average tested for 13.1 (SD 3.6) different antibiotics in a urine culture positive for E. coli. The most commonly tested antibiotics were ciprofloxacin (98.1%), cotrimoxazole (97.2%), cefuroxime and nitrofurantoin (both 91.5%). On average, laboratories tested 3.8 of the five antibiotics recommended in the German guidelines on uncomplicated UTI, with 26.4% testing for all five. Laboratories received clinical information on previous treatments and comorbidities in an estimated one-fifth (on average 21.3% and 21.5%, respectively) of the urine samples, and information on the type of the urine sample in an estimated three-fifths (63.7%) of samples. Laboratories should test and report as many first-line antibiotics as possible. Further, a more detailed and standardised transfer of clinical information to laboratories could enhance the quality of antibiotic prescribing.
<pe:p>Ergebnisse einer Fragebogenerhebung zur heilpĂ€dagogischen FrĂŒhförderung in Baden-WĂŒrttemberg verdeutlichen, welche Aspekte von Bewegung durch die von HeilpĂ€dagog:innen genutzten standardisierten Instrumente erfasst werden und in welchen Bereichen weiterer Bedarf besteht. Im 
 <pe:p>Ergebnisse einer Fragebogenerhebung zur heilpĂ€dagogischen FrĂŒhförderung in Baden-WĂŒrttemberg verdeutlichen, welche Aspekte von Bewegung durch die von HeilpĂ€dagog:innen genutzten standardisierten Instrumente erfasst werden und in welchen Bereichen weiterer Bedarf besteht. Im vorliegenden Beitrag wird zunĂ€chst die Bewegungsdiagnostik in der HeilpĂ€dagogik und FrĂŒhförderung skizziert und die zentralen Ergebnisse der Erhebung werden vorgestellt. Darauf aufbauend erfolgt eine Diskussion der Befunde mit Blick auf deren Relevanz fĂŒr die Psychomotorik und HeilpĂ€dagogik und mögliche weiterfĂŒhrende Fragestellungen.</pe:p>
Martina Wernli | transcript Verlag eBooks
| RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren
To develop outcome indicators for the implementation of comprehensive interventions targeting the multimorbidity of myopia and obesity in children and adolescents, providing a basis for the co-prevention of multimorbidity and 
 To develop outcome indicators for the implementation of comprehensive interventions targeting the multimorbidity of myopia and obesity in children and adolescents, providing a basis for the co-prevention of multimorbidity and the outcome measurement of implementation research in children and adolescents. Based on the RE-AIM framework, a preliminary set of indicators was constructed. The Delphi method was employed, with experts scoring and providing feedback on the proposed indicators via questionnaires. After each round of consultation, expert enthusiasm index, authority coefficient, coordination degree, and consensus level were calculated. Expert opinions were collected and analyzed to modify, delete, or add indicators based on consultation results and screening criteria. Two Delphi rounds were conducted until consensus was achieved. A total of 28 experts participated actually in both rounds. The Kendall' s W coefficients for the two rounds of expert consultation were 0.352 (χ2=413.952, P < 0.001) and 0.499 (χ2=405.044, P < 0.001), both statistically significant. The final outcome indicators for implementation research on comprehensive interventions for myopia and obesity comorbidity in children and adolescents included five primary dimensions with 13 secondary and 20 tertiary indicators. The dimension of reach included the number of children and adolescents involved, participant representativeness, and full-course participation representativeness. The dimension of effectiveness included multimorbidity incidence, myopia incidence, spherical equivalent, body mass index (BMI), overweight and obesity prevalence, waist-to-height ratio, comprehensive health knowledge score, and comprehensive health behavior score. The dimension of adoption covered school representativeness and representativeness of school nurses and teachers involved in implementation. The dimension of implementation included fidelity, content modification, and cost. The dimension of maintenance included individual health outcomes and organizational sustainment. This study developed implementation outcome indicators for comprehensive interventions targeting multimorbidity of myopia and obesity among the children and adolescents based on the RE-AIM framework. These indicators can serve as a reference for optimizing intervention research strategies related to common multimorbidity among children and adolescents in China.
Typologies of urban form facilitate the understanding of and communication on complex spatial issues in the context of spatial planning, research and policy. Currently, in Germany they are primarily available 
 Typologies of urban form facilitate the understanding of and communication on complex spatial issues in the context of spatial planning, research and policy. Currently, in Germany they are primarily available at federal and regional level, while small-scale typologies of urban form of comparable generalizability are scarce which complicates communication about spatial and space-related issues. Residential environments are an important context of everyday activity spaces and therefore, a typology of residential environments helps improve the understanding of the nexus between space and society. This paper aims to derive a typology of residential environments based on a high number of randomly generated locations in North Rhine-Westphalia and open access data on urban form. By linking the typology to the BBSR-“Stadt- und Gemeindetypen” and the RegioStaR typologies, this paper shows how the typology of residential environments may be linked to large-scale typologies. The paper further demonstrates its applicability in two very different subject areas by performing exemplary comparisons of the contextual factors of children’s mobility in Dortmund and political voting behaviour in Aachen, Germany. The typology is made freely available for further use in other studies.
| Verlag Barbara Budrich eBooks
Abstract Background Telemental health services effectively address major challenges in mental health care delivery. To maximize the potential of the services, it is essential to facilitate patient use and reduce 
 Abstract Background Telemental health services effectively address major challenges in mental health care delivery. To maximize the potential of the services, it is essential to facilitate patient use and reduce use disparities. Nevertheless, determinants of patient use of telemental health services have been scarcely investigated thus far. Objective We aimed to identify determinants of patient use of telemental health services since the onset of the COVID-19 pandemic and in the last 4 weeks. Methods In December 2023, we conducted a cross-sectional, quota-based (gender and age group) online survey. The sample comprised individuals aged 18 to 74 years, who had been using mental health services since March 2020 (n=2082). Telemental health service use was assessed using items that inquired whether individuals had used the services since March 2020 or currently (in the last 4 weeks). Logistic regressions were computed to test the associations of socioeconomic, access, health, COVID-19–related, psychosocial, and service factors, as well as personality and provider characteristics with patient use. Results Younger age, a more positive patient attitude toward telemental health services, a more positive provider attitude toward using the services, and higher provider skills for using the services were positively associated with patient use of telemental health services since the onset of the COVID-19 pandemic. When exclusively looking at current use, positive associations with full-time employment, lower neuroticism, a more positive provider attitude toward the services, and use of the services to avoid stigmatization, long waiting times, or inconvenient scheduling were observed. Access, health, and COVID-19–related factors were not associated with patient use (since the onset of the COVID-19 pandemic and currently). Conclusions Beyond socioeconomic factors, personality, and a positive patient attitude toward the services, patient use of telemental health services was associated with a positive provider attitude toward using the services and higher provider skills for using the services, which underscores the need for provider support and training in telemental health care. Furthermore, avoiding stigmatization and higher convenience of the services were associated with patient use, which highlights the substantial potential of the services to address current mental health care challenges.
<gg:p>Es gibt kaum partizipative Studien zum Zusammenspiel von Stadtraum und Wohlbefinden von Kindern und Jugendlichen (KiJu). Hier setzt das transdisziplinĂ€re Projekt SURe21 an. Das Nordbahnhofviertel steht durch Stuttgart 21 vor 
 <gg:p>Es gibt kaum partizipative Studien zum Zusammenspiel von Stadtraum und Wohlbefinden von Kindern und Jugendlichen (KiJu). Hier setzt das transdisziplinĂ€re Projekt SURe21 an. Das Nordbahnhofviertel steht durch Stuttgart 21 vor stĂ€dtebaulichen und gesellschaftlichen Herausforderungen: Wie können Bestands- und Neubaugebiet gemeinsam nachhaltig mit Fokus auf menschlichem Wohlbefinden entwickelt werden? Eine Quartiersanalyse im Mixed-Methods-Ansatz (Online-Umfrage, Magnettafelspiel, Interview, Fokusgruppen) erfasste die WĂŒnsche junger Menschen fĂŒr eine klimagerechte Stadtentwicklung.</gg:p>
Sonja Feer , Bettina Sommer , Vanessa Gut +7 more | PrÀvention und Gesundheitsförderung
Zusammenfassung Hintergrund Einsamkeit und Bewegungsmangel beeintrĂ€chtigen die Gesundheit von Jung und Alt. Um niederschwellige lokale Angebote zur Förderung des sozialen Austausches und der körperlichen AktivitĂ€t zu entwickeln, bietet ein lokales, 
 Zusammenfassung Hintergrund Einsamkeit und Bewegungsmangel beeintrĂ€chtigen die Gesundheit von Jung und Alt. Um niederschwellige lokale Angebote zur Förderung des sozialen Austausches und der körperlichen AktivitĂ€t zu entwickeln, bietet ein lokales, partizipatives Vorgehen einen vielversprechenden Ansatz. Im vorliegenden Pilotprojekt wurde daher gemeinsam mit einer Wohngenossenschaft mit Ă€lteren Erwachsenen und einer KindertagesstĂ€tte ein lokales, generationenverbindendes Angebot zur Förderung von Begegnung und Bewegung entwickelt, durchgefĂŒhrt und evaluiert. Methode Das Pilotprojekt wurde partizipativ mit zwei lokalen Zielgruppen entwickelt und durchgefĂŒhrt. Die BedĂŒrfnisse der Zielgruppen wurden mit unterschiedlichen AnsĂ€tzen erhoben und flossen in die Konzeption und DurchfĂŒhrung des Angebots ein. Anschließend wurde die Zufriedenheit mit dem Angebot sowie die Art und IntensitĂ€t der Begegnung und Bewegung evaluiert. Ergebnisse Die BedĂŒrfnisanalyse zeigte, dass eine breite VariabilitĂ€t an Bewegungen gewĂŒnscht wurde. Das daraus entwickelte Angebot wurde einmal wöchentlich ĂŒber 6 Wochen durchgefĂŒhrt. 85 % der Kinder und 70 % der Erwachsenen waren mit dem Angebot zufrieden. Das Angebot förderte sowohl Begegnung als auch Bewegung der Teilnehmenden. Schlussfolgerung Die partizipative Entwicklung ermöglichte eine bedarfsgerechte Gestaltung des Angebots. Herausforderungen waren die langfristige Beteiligung der Ă€lteren Erwachsenen sowie die Anpassung der AktivitĂ€ten an die unterschiedlichen BedĂŒrfnisse beider Zielgruppen. Das Projekt zeigt, dass partizipative, generationenverbindende Angebote erfolgreich Bewegung und soziale Interaktion fördern können. ZukĂŒnftige Projekte sollten die BedĂŒrfnisse der Zielgruppen kontinuierlich einbeziehen und flexible, anpassbare AktivitĂ€ten anbieten.
Lombardy Region (RL) is organized into 8 Health Protection Agencies (ATS) and 86 Districts, which are responsible for organizing and coordinating territorial health care for reference population ranging between 80,000 
 Lombardy Region (RL) is organized into 8 Health Protection Agencies (ATS) and 86 Districts, which are responsible for organizing and coordinating territorial health care for reference population ranging between 80,000 and 120,000 inhabitants. RL has implemented the Health Profiles Portal, an advanced system that integrates health care, socio-health, and social data to provide a clear and comparable view of the population's needs at different territorial levels. To develop the portal, it was necessary to construct denominators that would ensure the accuracy and comparability of the healthcare indicators. to compare three different methods for constructing population denominators: two based on Regional Registries (NAR) and one on the Italian National Institute of Statistics (Istat) data. the first denominator (NAR_portale) used for the portal was constructed from all monthly extractions of NAR in 2023 collected by the ATSs; the second denominator (NAR_202401) was based on the assisted population as of January 2024, including those who died in 2023; the third denominator (ISTAT_202401) was based on Istat population data as of 01.01.2024. Comparisons, expressed as percentage variations (VP) relative to NAR_portale, were carried out at both the ATS and District levels, with separate analyses by gender, age, nationality, and residence in nursing homes (RSA). Results: overall, NAR_portale identified a population of 10,111,769 residents, NAR_202401 recorded 10,106,191 subjects (VP 0.05%), and ISTAT_202401 recoded 10,012,054 (VP 0.99%). Greater variability was observed at the ATS level, whereas districts within the same ATS exhibited more homogeneous trends. The largest VPs were observed in the extreme age groups (0-1 and 85+ years), among foreign citizens, and among RSA residents. the differences between denominators highlight the complexity of constructing reference populations for health monitoring. NAR_portale provides greater dynamism and completeness, but efforts are needed to standardise and ensure comparability with other sources. In the future, the integration of different data sources and the use of advanced methodologies could improve monitoring quality and support more effective healthcare planning.