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Sample records for european youth heart

  1. Muscle strength in youth and cardiovascular risk in young adulthood (the European Youth Heart Study)

    DEFF Research Database (Denmark)

    Grøntved, Anders; Ried-Larsen, Mathias; Møller, Niels Christian

    2015-01-01

    from the Danish European Youth Heart Study; a population-based prospective cohort study among boys and girls (n=332) followed for up to 12 years. In youth maximal voluntary contractions during isometric back extension and abdominal flexion were determined using a strain-gauge dynamometer...... strength in youth (0.17 N/kg) was inversely associated with body mass index (BMI; -0.60 kg/m(2), 95% CI -0.97 to -0.22), triglyceride (-0.09 mmol/l, 95% CI -0.16 to -0.02), diastolic blood pressure (BP) (-1.22 mm Hg, 95% CI -2.15 to -0.29) and a composite cardiovascular risk factor score (-0.61 SD, 95% CI...

  2. Independent and combined association of muscle strength and cardiorespiratory fitness in youth with insulin resistance and β-cell function in young adulthood: the European Youth Heart Study.

    Science.gov (United States)

    Grøntved, Anders; Ried-Larsen, Mathias; Ekelund, Ulf; Froberg, Karsten; Brage, Søren; Andersen, Lars B

    2013-09-01

    To examine the independent and combined association of isometric muscle strength of the abdomen and back and cardiorespiratory fitness (CRF) in youth with indices of glucose metabolism in young adulthood among boys and girls from the European Youth Heart Study. We used data from a population-based prospective cohort study among youth followed up for up to 12 years (n = 317). In youth, maximal voluntary contractions during isometric back extension and abdominal flexion were determined using a strain-gauge dynamometer and CRF was obtained from a maximal cycle ergometer test. Insulin resistance (homeostasis model assessment of insulin resistance [HOMA-IR]) and β-cell function (homeostasis model assessment of β-cell function [HOMA-B]) were estimated from fasting serum insulin and glucose that were obtained in youth and at follow-up in young adulthood. For each 1-SD difference in isometric muscle strength (0.16 N/kg) in youth, fasting insulin, HOMA-IR, and HOMA-B in young adulthood changed by -11.3% (95% CI -17.0 to -5.2), -12.2% (-18.2 to -5.7), and -8.9% (-14.4 to -3.0), respectively, in young adulthood after adjustment for CRF and personal lifestyle and demographic factors. Results for CRF were very similar in magnitude, and the magnitude of associations for both exposures was unchanged with additional adjustment for general or abdominal adiposity in youth. Combined associations of muscle strength and CRF with fasting insulin, HOMA-IR, and HOMA-B were additive, and adolescents in the highest sex-specific tertile for both isometric muscle strength and CRF had the lowest levels of these glucose metabolism outcomes. Increasing muscle strength and CRF should be targets in youth primordial prevention strategies of insulin resistance and β-cell dysfunction.

  3. Do physical activity and aerobic fitness moderate the association between birth weight and metabolic risk in youth? The European Youth Heart Study

    DEFF Research Database (Denmark)

    Ridgway, Charlotte L; Brage, Soren; Anderssen, Sigmund A

    2011-01-01

    AbstractObjective: Lower birth weight has been associated with greater risk of metabolic diseases. This study aimed to examine whether physical activity and aerobic fitness may modify associations between birth weigh and metabolic risk. Research Design and Methods: The European Youth Heart Study...... is a population based study of 9 and 15 year olds (n=1,254). Birth weight was maternally reported. Skin fold measures were used to calculate body fat and Fat Mass Index (FMI=fat mass(kg)/height(2)). Insulin was measured using fasting blood samples. Physical activity was measured using a hip worn accelerometer...

  4. Lack of association between PCK1 polymorphisms and obesity, physical activity, and fitness in European Youth Heart Study (EYHS)

    DEFF Research Database (Denmark)

    Vimaleswaran, Karani S; Franks, Paul W; Brage, Soren

    2010-01-01

    Phosphoenolpyruvate carboxykinase-1 (PCK1) is the rate-limiting enzyme in the hepatic gluconeogenic pathway. Studies have shown that overexpression of Pck1 in mice results in obesity-related traits and higher levels of physical activity (PA). Therefore, our aims were to investigate whether common...... genetic variation in the PCK1 gene influences obesity-related traits, PA, and fitness, and to examine whether PA and fitness attenuate the influence of the PCK1 polymorphisms on obesity in children. Analyses were undertaken on data from Danish and Estonian children (958 boys and 1,104 girls) from...... the European Youth Heart Study (EYHS), a school-based, cross-sectional study of children (mean ± s.d. age: 9.6 ± 0.4 years) and adolescents (15.5 ± 0.5 years). We genotyped eight polymorphisms that captured the common genetic variations in the PCK1 gene. The association between the PCK1 polymorphisms and BMI...

  5. Absence of association between the INSIG2 gene polymorphism (rs7566605) and obesity in the European Youth Heart Study (EYHS)

    DEFF Research Database (Denmark)

    Vimaleswaran, Karani S; Franks, Paul W; Brage, Soren

    2009-01-01

    of this polymorphism with obesity traits. This polymorphism has been hypothesized to alter INSIG2 expression leading to inhibition of fatty acid and cholesterol synthesis. Hence, we investigated the association of the INSIG2 rs7566605 polymorphism with obesity- and lipid-related traits in Danish and Estonian children...... (930 boys and 1,073 girls) from the European Youth Heart Study (EYHS), a school-based, cross-sectional study of pre- and early pubertal children. The association between the polymorphism and obesity traits was tested using additive and recessive models adjusted for age, age-group, gender, maturity......, the polymorphism was not associated with overweight (P = 0.87) or obesity (P = 0.34). We also did not find association with waist circumference (WC), sum of four skinfolds, or with total cholesterol, triglycerides, low-density lipoprotein, or high-density lipoprotein. There were no gender-specific (P = 0.55), age...

  6. The tracking of dietary intakes of children and adolescents in Sweden over six years: the European Youth Heart Study

    Directory of Open Access Journals (Sweden)

    Wärnberg Julia

    2009-12-01

    Full Text Available Abstract Background The stability of dietary habits through various life-stages is not well understood. A better understanding of the tracking of diet over time could have implications for health promotion as well as for the planning of nutritional epidemiology studies. We examined the stability of dietary intakes of children and adolescents over six years. Methods As part of the European Youth Heart Study, in 1998-9, a 24-h dietary recall was performed on over one thousand 9- and 15-year-olds in Sweden. In 2004-5, 40% returned to the follow-up study. These 452 subjects (273 15- and 179 21-year-olds were assigned to age- and gender-specific tertiles of intakes of food groups, energy, selected nutrients and energy density (low, mid and high at each time point. The agreement between the classification of subjects into tertiles at both time points was examined using Cohen's weighted κ and other stability coefficients. We included a dropout analysis and considered the effect that energy mis-reporting might have on our results. Results Fair tracking was seen between childhood and adolescence for the milk, fil and yoghurt food group (κ = 0.30, and between adolescence and young adulthood for fruit (κ = 0.24. Slight tracking was observed for most other food groups and fair to slight tracking for all nutrients studied. Only membership of the high milk, fil and yoghurt tertile could be predicted from membership at baseline, in children. Excluding potential energy mis-reporters did not affect the results. Conclusions Despite the long time between data collections, and the method of dietary data collection used, evidence for slight tracking was observed for most food groups and nutrients over these six years.

  7. Changes in cardiorespiratory fitness predict changes in body composition from childhood to adolescence: findings from the European Youth Heart Study.

    Science.gov (United States)

    Ornelas, Rui T; Silva, Analiza M; Minderico, Cláudia S; Sardinha, Luís B

    2011-05-01

    Several variables, such as waist circumference (WC) and trunk skinfolds (TS), are indicators of body fat. There is interest in evaluating the effect of cardiorespiratory fitness (CRF) measures on changes in these markers from childhood to adolescence. To examine CRF as a potential predictor of changes in body fat over an 8-year follow-up period in a pediatric population. A cohort study of 86 children (44 girls, 42 boys) with a mean age of 9.8 ± 0.3 years who participated in the Portuguese arm of the European Youth Heart Study in 2000 completed a follow-up evaluation in 2008 at a mean age of 17.0 ± 0.4 years. Cardiorespiratory fitness, expressed as maximal oxygen consumption (VO2 max) (mL·kg(-1)·min(-1)), was assessed during an incremental multistage bicycle test to exhaustion. Physical activity (PA) was objectively measured by accelerometry at both periods of evaluation. Fat mass (FM) was assessed using anthropometric models, sum of TS, and WC. Changes were expressed as a percentage of the baseline value. Comparison of means and linear regression analysis were used for data analysis. While CRF significantly increased among boys (P < 0.05) and decreased in girls (P < 0.01), the percentage of body fat decreased over time in boys (P < 0.01) and increased among girls. Alone, CRF explained 39%, 26%, and 25% of the total variance in WC, FM, and TS, respectively (P < 0.01). Adjusting for PA, sex, and maturation changes, CRF remained a significant predictor of WC (β = -0.335; P < 0.01), FM (β = -2.084; P < 0.01), and TS (β = -1.500; P < 0.01). Changes in CRF are a significant predictor of changes in body fat percentage from childhood to adolescence. School-based PA interventions are encouraged to maintain or improve CRF from childhood and throughout adolescence to prevent increased percentages of body fat, particularly in the abdominal region.

  8. Correlates of objectively assessed physical activity and sedentary time in children: a cross-sectional study (The European Youth Heart Study

    Directory of Open Access Journals (Sweden)

    Sardinha Luis B

    2009-09-01

    Full Text Available Abstract Background Identifying leisure time activities performed before and after school that influence time in physical activity (PA and/or time spent sedentary can provide useful information when designing interventions aimed to promote an active lifestyle in young people. The purpose of this study was to examine associations between mode of transportation to school, outdoor play after school, participation in exercise in clubs, and TV viewing with objectively assessed PA and sedentary behaviour in children. Methods A total of 1327 nine- and 15-year-old children from three European countries (Norway, Estonia, Portugal participated as part of the European Youth Heart Study. PA was measured during two weekdays and two weekend days using the MTI accelerometer, and average percent of time in moderate-to-vigorous PA (MVPA and time spent sedentary were derived. Potential correlates were assessed by self-report. Independent associations between self-reported correlates with percent time in MVPA and percent time sedentary were analysed by general linear models, adjusted by age, gender, country, measurement period, monitored days and parental socio-economic status. Results In 9-year-olds, playing outdoors after school was associated with higher percent time in MVPA (P Conclusion Frequency of outdoor play after school is a significant correlate for daily time in MVPA in 9-year-olds, while this correlate is attenuated in favour of participation in sport and exercise in clubs in 15-year-olds. Targeting walking to school or reduced TV viewing time in order to increase time in daily MVPA in children is unlikely to be sufficient. Correlates related to time spent sedentary need further examination.

  9. Moderate-and-vigorous physical activity from adolescence to adulthood and subclinical atherosclerosis in adulthood: prospective observations from the European Youth Heart Study.

    Science.gov (United States)

    Ried-Larsen, Mathias; Grøntved, Anders; Kristensen, Peter Lund; Froberg, Karsten; Andersen, Lars Bo

    2015-01-01

    To investigate the independent associations between mean exposure to or the change in moderate-and-vigorous physical activity (PA) from adolescence to adulthood and subclinical atherosclerosis in adulthood. This was a prospective cohort study among Danish boys and girls (N=277) followed for up to 12 years (age 15.7 (0.4) at baseline) enrolled in the European Youth Heart Study. PA intensity was objectively measured at baseline and follow-up, and ultrasonography was performed on the Carotid arteries at follow-up. Data on carotid intima-media thickness (cIMT), Carotid Compliance and Young's Elastic Modules were used as outcome measures. In the multivariable analyses (adjusted for personal-lifestyle and demographic factors) the mean exposure to moderate-and-vigorous PA from adolescence to adulthood was negatively associated with Young's Elastic Modules (β=-0.001×10(3) kPa (95% CI -0.0015 to -0.0002), p=0.02) and positively associated with Carotid Compliance (β=0.004 mm(2) kPa(-1) (95% CI 0.002 to 0.008), p=0.003) and cIMT (β=0.0003 mm (95% CI 0.00001 to 0.0007), p=0.013). Increases in moderate-and-vigorous PA from adolescence to adulthood were negatively associated with Young's Elastic Modules in adulthood (β=-0.00007×10(3) kPa (95% CI -0.0012 to -0.0001), p=0.01). Furthermore, participants with the largest decline in moderate-and-vigorous PA from adolescence to adulthood displayed significantly less compliant arteries compared with the remaining sample (padulthood. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  10. Intake of total dietary sugar and fibre is associated with insulin resistance among Danish 8-10- and 14-16-year-old girls but not boys. European Youth Heart Studies I and II

    DEFF Research Database (Denmark)

    Kynde, Iben; Johnsen, NF; Wedderkopp, Niels

    2010-01-01

    associations between carbohydrate components and insulin resistance separately in girls and boys. Diet was assessed by a single 24 h recall interview and insulin resistance was calculated using the homoestasis model assessment (HOMA). SETTING: The Danish part of the European Youth Heart Studies (EYHS) I and II....... SUBJECTS: Girls and boys at 8-10 and 14-16 years from EYHS I (n 651) and 8-10-year-olds from baseline followed up 6 years later in EYHS II (n 233). RESULTS: Among girls, a difference in dietary total sugar of 43 g/MJ was associated with a 1 sd difference of HOMA and a difference in dietary fibre of -8 g...

  11. Putting youth employment at the heart of growth

    International Development Research Centre (IDRC) Digital Library (Canada)

    Making labour markets work for youth. □ Helping young migrant job seekers. □ Building new foundations for. Arab youth. Inside: Youth employment is vital for Africa's growth and development as over two-thirds of its population is under the age of 30. INSIGHT | INCLUSIVE GROWTH. Putting youth employment at the heart ...

  12. What Matters? Changes in European Youth Participation

    Directory of Open Access Journals (Sweden)

    Simona Gozzo

    2017-01-01

    Full Text Available During the twentieth century, theoretical and empirical studies aimed to analyse changes in individual participation and in social and political dynamics. A great emphasis was attributed to the process of individualization. Young people were described as a generation with a limited political involvement, especially considering traditional forms of political participation, but more and more likely to search an “individualized” way towards the participation. Furlong and Cartmel bring back the youth identity to the thesis about the reflexive rebuilding of identity, according to which the individualization is a process due to some structural characteristics of post-industrial society. Employing data from European Values Study researches, we test if and how structural variables and contextual dynamics affect political involvement and its changes, with particular attention on youth involvement. Actually, participation takes the form of a multifaceted reality and youth individual profiles are heterogeneous. The process of individualization has, in this sense, different effects and various consequences on participation’s profiles. According to these considerations, this analysis shows the incidence of structural, contextual and cognitive dimensions on individual choices to participate, focusing on longitudinal plan and cohorts. A second step compares the causal importance of structural and cognitive dimension on different typologies of involvement.

  13. Unemployment, drugs and attitudes among European youth.

    Science.gov (United States)

    Ayllón, Sara; Ferreira-Batista, Natalia N

    2017-08-26

    This paper studies changes in the patterns of drug consumption and attitudes towards drugs in relation to sky-high (youth) unemployment rates brought about by the Great Recession. Our analysis is based on data for 28 European countries that refer to young people. We find that the consumption of cannabis and 'new substances' is positively related to increasing unemployment rates. An increase of 1% in the regional unemployment rate is associated with an increase of 0.7 percentage points in the ratio of young people who state that they have consumed cannabis at some point in time. Our findings also indicate that higher unemployment may be associated with more young people perceiving that access to drugs has become more difficult, particularly access to ecstasy, cocaine and heroin. According to young Europeans, when the economy worsens, anti-drug policies should focus on the reduction of poverty and unemployment, and not on implementing tougher measures against users. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

  14. Hemodynamic variables during exercise in childhood and resting systolic blood pressure levels 6 years later in adolescence: the European Youth Heart Study

    DEFF Research Database (Denmark)

    Grøntved, Anders; Andresen, Brage Storstein; Møller, N C

    2011-01-01

    The aim of this study was to analyze whether systolic blood pressure (SBP), heart rate (HR) and rate pressure product (RPP) during exercise in childhood can predict resting SBP levels in adolescence independent of resting SBP and conventional cardiovascular risk factors. We studied this in a sample...... the prediction of future SBP levels during rest in adolescence independent of resting SBP and conventional cardiovascular risk factors.Journal of Human Hypertension advance online publication, 11 November 2010; doi:10.1038/jhh.2010.103....

  15. Correlates of objectively assessed physical activity and sedentary time in children: a cross-sectional study (The European Youth Heart Study)

    DEFF Research Database (Denmark)

    Nilsson, Andreas; Andersen, Lars Bo; Ommundsen, Yngvar

    2009-01-01

    BACKGROUND: Identifying leisure time activities performed before and after school that influence time in physical activity (PA) and/or time spent sedentary can provide useful information when designing interventions aimed to promote an active lifestyle in young people. The purpose of this study...... was to examine associations between mode of transportation to school, outdoor play after school, participation in exercise in clubs, and TV viewing with objectively assessed PA and sedentary behaviour in children. METHODS: A total of 1327 nine- and 15-year-old children from three European countries (Norway...

  16. Migration aspirations of European youth in times of crisis

    NARCIS (Netherlands)

    Van Mol, C.

    2016-01-01

    In recent years, the European Union (EU) passed through a significant economic crisis. All across Europe, European young people are among the groups which are hit hardest, with youth unemployment rates rising to over 50% in member states such as Greece and Spain. In the classical migration

  17. Peer Effects and Youth Smoking in the European Global Youth Tobacco Survey

    Directory of Open Access Journals (Sweden)

    Nikaj Silda

    2017-09-01

    Full Text Available This paper investigates the effect of peer smoking on individual smoking among youths in 10 countries that participated in the European Global Youth Tobacco Survey (GYTS. I control for endogeneity in school selection and unobserved school-level characteristics through the use of school fixed-effects. I use instrumental variables to address the simultaneity in peer and individual behaviours. Identification arises by comparing students in different classes within the same school. On average, an increase in the share of classmates who smoke by 10 percentage points increases the probability that an individual in that class will smoke by 3 to 6.9 percentage points. The results imply that any policy intervention such as anti-smoking messages, smoking bans, or higher cigarette prices will be even more cost-effective because of the social multiplier effect of peers – policies affecting some individuals in a group will generate spillovers to others through the peer effect.

  18. The year 2012 in the European Heart Journal-Cardiovascular Imaging. Part II.

    Science.gov (United States)

    Plein, Sven; Knuuti, Juhani; Edvardsen, Thor; Saraste, Antti; Piérard, Luc A; Maurer, Gerald; Lancellotti, Patrizio

    2013-07-01

    The part II of the best of the European Heart Journal - Cardiovascular Imaging in 2012 specifically focuses on studies of valvular heart diseases, heart failure, cardiomyopathies, and congenital heart diseases.

  19. Inadequate control of heart rate in patients with stable angina: results from the European heart survey.

    NARCIS (Netherlands)

    Daly, C.A.; Clemens, F.; Sendon, J.L.; Tavazzi, L.; Boersma, E.; Danchin, N.; Delahaye, F.; Gitt, A.; Julian, D.; Mulcahy, D.; Ruzyllo, W.; Thygesen, K.; Verheugt, F.W.A.; Fox, K.M.

    2010-01-01

    AIMS: To examine resting heart rate (HR) in a population presenting with stable angina in relation to prior and subsequent pharmacological treatment, comorbid conditions and clinical outcome. METHODS AND RESULTS: The European Heart Survey was a prospective, observational, cohort study of 3779

  20. Child Depressive Symptoms, Spanking, and Emotional Support: Differences between African American and European American Youth

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    Christie-Mizell, C. Andre; Pryor, Erin M.; Grossman, Elizabeth R. B.

    2008-01-01

    Using data from the National Longitudinal Survey of Youth-Mother and Child samples, we explored the relationships among child and adolescent depressive symptoms, spanking, and emotional support offered to youth. We present cross-sectional and change models for both African Americans and European Americans. Findings showed that regardless of race,…

  1. EXPLORING THE PERCEPTIONS OF THE VOLUNTEERS FOR THE 2011 EUROPEAN YOUTH OLYMPICS THROUGH METAPHORS

    OpenAIRE

    YILMAZ, İdris; İbrahim YILDIRAN,; Gamze BEYAZOĞLU,; Fatih BEKTAŞ,

    2013-01-01

    This research stemmed from the need to determine the volunteers’ points of view on the Olympics before Trabzon 2011 European Youth Olympics. The overall objective of the study was to explore the perceptions of volunteers who participated in the Olympic Games, by studying the metaphors they used. 480 participants randomly selected among volunteers of the European Youth Olympics held in Trabzon in 2011 took part in this study. Metaphors, used in relation to the concept of Olympics, were examine...

  2. Heart Failure Association of the European Society of Cardiology Specialist Heart Failure Curriculum

    DEFF Research Database (Denmark)

    McDonagh, Theresa A; Gardner, Roy S; Lainscak, Mitja

    2014-01-01

    It is well established that organized care of heart failure patients, including specialist management by cardiologists, improves patient outcomes. In response to this, other national training bodies (the UK and the USA) have developed heart failure subspecialty curricula within their Cardiology...... Training Curricula. In addition, European Society of Cardiology (ESC) subspecialty curricula exist for Interventional Cardiology and Heart Rhythm Management. The purpose of this heart failure curriculum is to provide a framework which can be used as a blueprint for training across Europe. This blueprint...... mirrors other ESC curricula. Each section has three components: the knowledge required, the skills which are necessary, and the professionalism (attitudes and behaviours) which should be attained. The programme is designed to last 2 years. The first year is devoted to the specialist heart failure module...

  3. Tracing the Interface Between Numerical Flexibility and Income Security for European Youth during the Economic Crisis

    DEFF Research Database (Denmark)

    Leschke, Janine; Finn, Mairéad

    duration than adults. In a majority of EU countries youth are also disadvantaged with regard to unemployment benefits. Eligibility criteria require a certain minimum period in employment before unemployment insurance benefits can be accessed; and means-testing applies to unemployment and social assistance...... youth and access by youth to unemployment benefits as well as participation in short-time working. This is complemented by an institutional analysis charting changes in unemployment benefit criteria during the crisis. To frame this analysis, we employ a more dynamic version of the flexicurity matrix......This paper traces convergences in terms of flexibility and security with a focus on younger and older youth in European countries. Youth were one of the groups hardest hit by the economic crisis. Young people in most European countries are more likely to work on temporary contracts of limited...

  4. Interpretations of parental control by Asian immigrant and European American youth.

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    Chao, Ruth K; Aque, Christine

    2009-06-01

    Although studies have reported ethnic and cultural differences in the effects of parenting on adolescent well-being, rarely have they included specific examinations of the cultural processes underlying these differences. This study examined adolescents' affective interpretations of parents' control (i.e., feelings of anger toward control) and how these interpretations may moderate the relationship between control and adolescents' behavioral adjustment. The study comprised 1,085 immigrant youth of Chinese, Korean, and Filipino descent, and also European American youth from high schools in the greater Los Angeles area. Differences were found between European American and Asian immigrant youth in the effects of both behavioral control and psychological control. Furthermore, among European Americans only, as adolescents' feelings of anger increased, the beneficial consequences of behavioral control decreased, whereas the negative effects of psychological control on behavior problems decreased. The results suggest that feeling anger toward parents' use of psychological control may serve a protective function for European American youth but not for Asian immigrant youth. In contrast, feeling angry about behavioral control seems to reduce the beneficial consequences of control among European Americans but not Asian immigrants. Copyright 2009 APA, all rights reserved.

  5. ENTREPRENEURSHIP, A SOLUTION TO IMPROVE YOUTH EMPLOYMENT IN THE EUROPEAN UNION

    Directory of Open Access Journals (Sweden)

    Mariana-Cristina, GANESCU

    2014-11-01

    Full Text Available The high level of unemployment among young people in EU countries reflects the difficulties young people face in finding a job. On the premise that entrepreneurship is a solution to youth unemployment in the European Union, the present study uses the entrepreneurial ecosystem assessment methodology proposed by the Global Entrepreneurship and Development Institute. Panel data analysis reveals a negative correlation between the level of development of the entrepreneurial ecosystem and the level of youth unemployment. The paper is of interest because it emphasizes the idea that a high level of development of the entrepreneurial ecosystem may reduce the level of youth unemployment.

  6. Aspects of youth competencies in the 21st century in the European Union

    Directory of Open Access Journals (Sweden)

    Pribac Loredana

    2017-12-01

    Full Text Available The aim of this article is to present the youth unemployment problem that the European Union countries are facing nowadays. To this end, we investigate the competencies and skills considered necessary in the 21 Century. We do this by presenting the competencies considered important by European employers versus Romanian employers. Not least, we reveal future directions in terms of skills required by employers.

  7. Sports injuries and illnesses during the European Youth Olympic Festival 2013

    NARCIS (Netherlands)

    Beijsterveldt, A.M.C. van; Thijs, K.M.; Backx, F.J.G.; Steffen, K.; Brozicevic, V.; Stubbe, J.H.

    2015-01-01

    Background The European Youth Olympic Festival (EYOF) is a biennial sporting event of nine Olympic Summer Sports for talented athletes, aged 13–18 years, from all over Europe. Objective To analyse the injuries and illnesses that occurred during the multisport event (14–19 July 2013), with the

  8. Evaluation of the european heart failure self-care behaviour scale in a united kingdom population

    NARCIS (Netherlands)

    Shuldham, Caroline; Theaker, Chris; Jaarsma, Tiny; Cowie, Martin R.

    2007-01-01

    Title. Evaluation of the European Heart Failure Self-care Behaviour Scale in a United Kingdom population Aim. This paper is a report of a study to test the internal consistency, reliability and validity of the 12-item European Heart Failure Self-care Behaviour Scale in an English-speaking sample in

  9. The Associations between Parents' References to Their Own Past Substance Use and Youth's Substance-Use Beliefs and Behaviors: A Comparison of Latino and European American Youth

    Science.gov (United States)

    Kam, Jennifer A.; Middleton, Ashley V.

    2013-01-01

    Using primary socialization theory and theory of planned behavior, this study examined how targeted parent-child communication against substance use and parents' references to the negative consequences of their own past substance use (from the youth's perspective) directly and indirectly relate to Latino and European American youth's external…

  10. Physical Activity and Sport Participation in Youth with Congenital Heart Disease: Perceptions of Children and Parents

    Science.gov (United States)

    Moola, Fiona; Faulkner, Guy E. J.; Kirsh, Joel A.; Kilburn, Jennifer

    2008-01-01

    This study explored perceptions toward physical activity and sport in the lives of youth with congenital heart disease. Thirteen cardiac participants were interviewed in the presence of their parents, and a process of inductive analysis was conducted. Sport was not considered a valued pursuit despite the belief that it is essential for the…

  11. Putting science at the heart of European policy

    CERN Multimedia

    2015-01-01

    One year ago, the incoming European Commission President Jean-Claude Juncker shocked the scientific world by scrapping the post of Chief Scientific Advisor. This week, the Commission made amends by launching a well-considered Scientific Advisory Mechanism (SAM) that not only puts science back at the heart of policy, but does so in a much more structured and robust way than conferring such responsibility on a single individual.     The SAM has two independent strands: an advisory group of seven scientists, and funding through the Horizon 2020 programme for national academies and learned societies to network and collaborate on policy issues. Both are backed up by a secretariat at Commission headquarters in Brussels. When Mr Juncker scrapped the role of Chief Scientific Advisor, it was against a backdrop of sometimes vitriolic attacks on the incumbent, Anne Glover, due to her outspoken views on GMOs. Mr Juncker’s move was seen by some as simply giving in to a powerful lob...

  12. Health economics and the European Heart Rhythm Association.

    Science.gov (United States)

    Vardas, Panos; Boriani, Giuseppe

    2011-05-01

    The management of healthcare is becoming extremely complex in developed countries, as a result of increasing age of the population and increasing costs of care, coupled with diminishing resources due to global financial crisis. This situation threatens access to appropriate care, and a more or less explicit rationing of some types of treatment may occur in 'real world' clinical practice. This is particularly true for those treatments or interventions with a relatively high up-front cost, such as cardioverter defibrillators, devices for cardiac resynchronization therapy or ablation procedures for atrial fibrillation. The European Heart Rhythm Association (EHRA) is strongly convinced that the skills of electrophysiologists and cardiologists responsible for the management of rhythm disorders have to evolve, also embracing the knowledge of health economics, clinical epidemiology, health-care management and outcome research. These disciplines do not belong to what is considered as the conventional cultural background of physicians, but knowledge of comparative cost effectiveness and of other economic approaches nowadays appears fundamental for a dialogue with a series of stakeholders, such as policy makers, politicians, and administrators, involved in budgeting the activity of hospitals and health-care services, as well as in approaching health technology assessment.

  13. The Relationship between Youth Unemployment and Economic Growth in Central and Eastern European Countries: An Empirical Analysis

    OpenAIRE

    Erdal, Leman; İsmet GÖÇER

    2015-01-01

    The study has analyzed the relationship between youth unemployment and economic growth, in the context of Okun law, by using new generation panel data analysis and cointegration tests. In this study, 18 Central and Eastern European country have been selected as subject matter whose youth unemployment rate is above the EU-28 average (25 %) for the period 2006-2012. The results show that, if youth unemployment is quite severe; even an exclusive economic growth will not be enough to reduce the y...

  14. The year 2013 in the European Heart Journal--Cardiovascular Imaging: Part II.

    Science.gov (United States)

    Plein, Sven; Edvardsen, Thor; Pierard, Luc A; Saraste, Antti; Knuuti, Juhani; Maurer, Gerald; Lancellotti, Patrizio

    2014-08-01

    The new multi-modality cardiovascular imaging journal, European Heart Journal - Cardiovascular Imaging, was created in 2012. Here we summarize the most important studies from the journal's second year in two articles. Part I of the review has summarized studies in myocardial function, myocardial ischaemia, and emerging techniques in cardiovascular imaging. Part II is focussed on valvular heart diseases, heart failure, cardiomyopathies, and congenital heart diseases. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

  15. The year 2014 in the European Heart Journal--Cardiovascular Imaging: part II.

    Science.gov (United States)

    Gerber, Bernhard L; Edvardsen, Thor; Pierard, Luc A; Saraste, Antti; Knuuti, Juhani; Maurer, Gerald; Habib, Gilbert; Lancellotti, Patrizio

    2015-11-01

    The European Heart Journal-Cardiovascular Imaging, created in 2012, has become a reference for publishing multimodality cardiovascular imaging scientific and review papers. The impressive 2014 impact factor of 4.105 confirms the important position of our journal. In this part, we summarize the most important studies from the journal's third year, with specific emphasis on cardiomyopathies, congenital heart diseases, valvular heart diseases, and heart failure. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  16. ENTREPRENEURSHIP, A SOLUTION TO IMPROVE YOUTH EMPLOYMENT IN THE EUROPEAN UNION

    OpenAIRE

    Mariana-Cristina, GANESCU

    2014-01-01

    The high level of unemployment among young people in EU countries reflects the difficulties young people face in finding a job. On the premise that entrepreneurship is a solution to youth unemployment in the European Union, the present study uses the entrepreneurial ecosystem assessment methodology proposed by the Global Entrepreneurship and Development Institute. Panel data analysis reveals a negative correlation between the level of development of the entrepreneurial ecosystem and the level...

  17. Contextual factors and anxiety in minority and European American youth presenting for treatment across two urban university clinics.

    Science.gov (United States)

    Beidas, Rinad S; Suarez, Liza; Simpson, David; Read, Kendra; Wei, Chiaying; Connolly, Sucheta; Kendall, Philip

    2012-05-01

    The current study compared ethnic minority and European American clinically-referred anxious youth (N=686; 2-19 years) on internalizing symptoms (i.e., primary anxiety and comorbid depression) and neighborhood context. Data were provided from multiple informants including youth, parents, and teachers. Internalizing symptoms were measured by the Multidimensional Anxiety Scale for Children, Child Depression Inventory, Child Behavior Checklist and Teacher Report Form. Diagnoses were based on the Anxiety Disorders Interview Schedule for Children. Neighborhood context was measured using Census tract data (i.e., owner-occupied housing, education level, poverty level, and median home value). Ethnic minority and European American youth showed differential patterns of diagnosis and severity of anxiety disorders. Further, ethnic minority youth lived in more disadvantaged neighborhoods. Ethnicity and neighborhood context appear to have an additive influence on internalizing symptoms in clinically-referred anxious youth. Implications for evidence-based treatments are discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. Socioeconomic status and ischaemic heart disease mortality in 10 western European populations during the 1990s

    NARCIS (Netherlands)

    Avendano, M.; Kunst, A. E.; Huisman, M.; Lenthe, F. V.; Bopp, M.; Regidor, E.; Glickman, M.; Costa, G.; Spadea, T.; Deboosere, P.; Borrell, C.; Valkonen, T.; Gisser, R.; Borgan, J.-K.; Gadeyne, S.; Mackenbach, J. P.

    2006-01-01

    OBJECTIVE: To assess the association between socioeconomic status and ischaemic heart disease (IHD) mortality in 10 western European populations during the 1990s. DESIGN: Longitudinal study. SETTING: 10 European populations (95,009,822 person years). METHODS: Longitudinal data on IHD mortality by

  19. "What I Wish You Knew": Social Barriers toward Physical Activity in Youth with Congenital Heart Disease (CHD)

    Science.gov (United States)

    Moola, Fiona; Fusco, Caroline; Kirsh, Joel A.

    2011-01-01

    Despite the benefits of physical activity for youth with congenital heart disease (CHD), most patients are inactive. Although literature has addressed medical and psychological barriers to participation, little is known about the social barriers that youth encounter. This qualitative study explored sociocultural barriers to physical activity from…

  20. Is European Union at the Heart of Citizens' Identity?

    Directory of Open Access Journals (Sweden)

    Mihaela CĂRĂUŞAN

    2011-03-01

    Full Text Available The departure point of many discussions on European identity is the idea that a political community needs a common set of values and references to ensure its coherence, to guide his actions and to endow these with legitimacy and meaning. The motto “unity in diversity” is generally seen as best describing the aims of the European Union; opinions differ widely as to ho understood. That is why we will try to identify those values which brought the European countries together almost 60 years ago. And we will continue to see, based on the Eurobarometers results, which are the European citizens’ values and what European Union represents for them, in terms of values. For that we will put together the items obtained in the last five years and we will see in the end to which value European Union should pay more attention in the future. Even the surveys show that European Union citizens continue to identify first of all with their own countries and we consider it important to find an answer to the following question: Is European Union a community of shared values?

  1. Characteristics of event tourism marketing. Case study: the European youth Olympic festival, Brasov 2013

    Directory of Open Access Journals (Sweden)

    Herţanu, A.

    2011-01-01

    Full Text Available Event tourism is a very important branch of tourism, not only from the economic point of view, but also as the cultural and social development of a tourism destination. Organizing sporting events is considered, by the managers of tourism destinations, as an improvement strategy regarding the destination image, and as a competitive advantage. This article brings forward the features of event tourism concerning the marketing mix policies and the importance of events in the development of an area. The chosen study case is Brasov County area, which will host, in 201,3 the winter edition of the European Youth Olympic Festival.

  2. Hydration Status and Fluid Balance of Elite European Youth Soccer Players during Consecutive Training Sessions.

    Science.gov (United States)

    Phillips, Saun M; Sykes, Dave; Gibson, Neil

    2014-12-01

    The objective of the study was to investigate the hydration status and fluid balance of elite European youth soccer players during three consecutive training sessions. Fourteen males (age 16.9 ± 0.8 years, height 1.79 ± 0.06 m, body mass (BM) 70.6 ± 5.0 kg) had their hydration status assessed from first morning urine samples (baseline) and pre- and post-training using urine specific gravity (USG) measures, and their fluid balance calculated from pre- to post-training BM change, corrected for fluid intake and urine output. Most participants were hypohydrated upon waking (USG >1.020; 77% on days 1 and 3, and 62% on day 2). There was no significant difference between first morning and pre-training USG (p = 0.11) and no influence of training session (p = 0.34) or time (pre- vs. post-training; p = 0.16) on USG. Significant BM loss occurred in sessions 1-3 (0.69 ± 0.22, 0.42 ± 0.25, and 0.38 ± 0.30 kg respectively, p fluid intake in sessions 1-3 was 425 ± 185, 355 ± 161, and 247 ± 157 ml, respectively (p fluid losses across the three sessions. Body mass loss, fluid intake, and USG measures showed large inter-individual variation. Elite young European soccer players likely wake and present for training hypohydrated, when a USG threshold of 1.020 is applied. When training in a cool environment with ad libitum access to fluid, replacing ~71% of sweat losses results in minimal hypohydration (fluid ad libitum throughout training appears to prevent excessive (≥2% BM) dehydration, as advised by current fluid intake guidelines. Current fluid intake guidelines appear applicable for elite European youth soccer players training in a cool environment. Key PointsThe paper demonstrates a notable inter-participant variation in first morning, pre- and post-training hydration status and fluid balance of elite young European soccer players.On average, elite young European soccer players are hypohydrated upon waking and remain hypohydrated before and after training.Elite young

  3. The Relationship between Youth Unemployment and Economic Growth in Central and Eastern European Countries: An Empirical Analysis

    Directory of Open Access Journals (Sweden)

    Leman ERDAL

    2015-06-01

    Full Text Available The study has analyzed the relationship between youth unemployment and economic growth, in the context of Okun law, by using new generation panel data analysis and cointegration tests. In this study, 18 Central and Eastern European country have been selected as subject matter whose youth unemployment rate is above the EU-28 average (25 % for the period 2006-2012. The results show that, if youth unemployment is quite severe; even an exclusive economic growth will not be enough to reduce the youth unemployment rate in the country. It is recommended that the global and country-specific policies which are effective, result-driven on youth (Un employment and labour market issues, should be developed. This study is expected to make a significant contribution to the literature on unemployment and social conflict.

  4. Patient-reported causes of heart failure in a large European sample

    DEFF Research Database (Denmark)

    Timmermans, Ivy; Denollet, Johan; Pedersen, Susanne S

    2018-01-01

    BACKGROUND: Patients diagnosed with chronic diseases develop perceptions about their disease and its causes, which may influence health behavior and emotional well-being. This is the first study to examine patient-reported causes and their correlates in patients with heart failure. METHODS......: European heart failure patients (N = 595) completed questionnaires, including the Brief Illness Perceptions Questionnaire. Using deductive thematic analysis, patient-reported causes were categorized into physical, natural, behavioral, psychosocial, supernatural and other. Clinical data were collected from...... distress (OR = 1.54, 95% CI = 0.94-2.51, p = 0.09), and behavioral causes and a less threatening view of heart failure (OR = 0.64, 95% CI = 0.40-1.01, p = 0.06). CONCLUSION: European patients most frequently reported comorbidities, smoking, stress, and heredity as heart failure causes, but their causal...

  5. [Indication and timing of heart valve surgery - summery of the European guidelines].

    Science.gov (United States)

    Sündermann, Simon H; Reser, Diana; Czerny, Martin; Falk, Volkmar

    2014-04-09

    Most common heart valve diseases in western industrialized nations are the aortic valve stenosis and the mitral valve regurgitation. More seldom are a regurgitation of the aortic valve and mitral valve stenosis. Even more seldom are heart valve diseases of the Tricuspid and the pulmonary valve. The only curative therapy in severe heart valve disease is a surgical intervention. The timing is crucial for the outcome. Especially in asymptomatic patients it's difficult to find the right point of time for intervention due to missing realization of the health status. In 2013, the European Association for Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC) published guidelines according to the therapy in heart valve disease. Here we want to summarize the recommendations of these guidelines in regards of timing of the surgical intervention.

  6. Changing attitudes to the management of hypoplastic left heart syndrome: a European perspective.

    Science.gov (United States)

    Murtuza, Bari; Elliott, Martin J

    2011-12-01

    Several years ago, one of us described the difference in attitude to patients with hypoplastic left heart syndrome in the United States of America and Europe as similar to that between Mars and Venus. Uncertainty remains with regard to the long-term prognosis for patients with hypoplastic left heart syndrome. This prognosis may be considered in terms of survival, functional performance, including exercise capacity and neurodevelopment, as well as psychosocial effects on the patient, family, and siblings. Counselling parents where either an antenatal or postnatal diagnosis of hypoplastic left heart syndrome has been made requires practitioners to give information on these prognostic aspects. We wanted to see how attitudes among European surgeons have changed over the last few years. We performed a review of recent European data for hypoplastic left heart syndrome and conducted a survey among surgeons in major European centres to ascertain key aspects of their attitudes to the management of patients with hypoplastic left heart syndrome and how they counsel parents. As of January, 2011, 2392 citations in the PubMed database were available for the search string "hypoplastic left heart". The majority of these were from the centres from the United States of America and Europe. The European Association for Cardio-Thoracic Surgery Congenital Heart Surgery Database shows an annual increase in the number of Norwood (Stage I) operations for hypoplastic left heart syndrome from 2003 to 2009, with a corresponding reduction in mortality. European rates of antenatal detection vary widely between centres, as do the rates of termination for a prenatal diagnosis of hypoplastic left heart syndrome. We observed a wide variation in the estimates of surgeons for survival and quality of life for surgical palliation of hypoplastic left heart syndrome, as well as in their estimates for actual rates of termination of pregnancy in their centres. Further, there was marked inconsistency in the

  7. The relevance of comorbidities for heart failure treatment in primary care : A European survey

    NARCIS (Netherlands)

    Sturm, HB; Haaijer-Ruskamp, FM; Veeger, NJ; Balje-Volkers, CP; Swedberg, K; van Gilst, WH

    Aim: To assess the impact of comorbidities on chronic heart failure (CHF) therapy. Methods: The IMPROVEMENT-HF survey included 11,062 patients from 100 primary care practices in 14 European countries. The influence of patient characteristics on drug regimes was assessed with multinomial logistical

  8. Hydration Status and Fluid Balance of Elite European Youth Soccer Players during Consecutive Training Sessions

    Directory of Open Access Journals (Sweden)

    Shaun M. Phillips

    2014-12-01

    Full Text Available The objective of the study was to investigate the hydration status and fluid balance of elite European youth soccer players during three consecutive training sessions. Fourteen males (age 16.9 ± 0.8 years, height 1.79 ± 0.06 m, body mass (BM 70.6 ± 5.0 kg had their hydration status assessed from first morning urine samples (baseline and pre- and post-training using urine specific gravity (USG measures, and their fluid balance calculated from pre- to post-training BM change, corrected for fluid intake and urine output. Most participants were hypohydrated upon waking (USG >1.020; 77% on days 1 and 3, and 62% on day 2. There was no significant difference between first morning and pre-training USG (p = 0.11 and no influence of training session (p = 0.34 or time (pre- vs. post-training; p = 0.16 on USG. Significant BM loss occurred in sessions 1-3 (0.69 ± 0.22, 0.42 ± 0.25, and 0.38 ± 0.30 kg respectively, p < 0.05. Mean fluid intake in sessions 1-3 was 425 ± 185, 355 ± 161, and 247 ± 157 ml, respectively (p < 0.05. Participants replaced on average 71.3 ± 64.1% (range 0-363.6% of fluid losses across the three sessions. Body mass loss, fluid intake, and USG measures showed large inter-individual variation. Elite young European soccer players likely wake and present for training hypohydrated, when a USG threshold of 1.020 is applied. When training in a cool environment with ad libitum access to fluid, replacing ~71% of sweat losses results in minimal hypohydration (<1% BM. Consumption of fluid ad libitum throughout training appears to prevent excessive (≥2% BM dehydration, as advised by current fluid intake guidelines. Current fluid intake guidelines appear applicable for elite European youth soccer players training in a cool environment.

  9. Organization of heart failure management in European Society of Cardiology member countries: survey of the Heart Failure Association of the European Society of Cardiology in collaboration with the Heart Failure National Societies/Working Groups.

    Science.gov (United States)

    Seferovic, Petar M; Stoerk, Stefan; Filippatos, Gerasimos; Mareev, Viacheslav; Kavoliuniene, Ausra; Ristic, Arsen D; Ponikowski, Piotr; McMurray, John; Maggioni, Aldo; Ruschitzka, Frank; van Veldhuisen, Dirk J; Coats, Andrew; Piepoli, Massimo; McDonagh, Theresa; Riley, Jillian; Hoes, Arno; Pieske, Burkert; Dobric, Milan; Papp, Zoltan; Mebazaa, Alexandre; Parissis, John; Ben Gal, Tuvia; Vinereanu, Dragos; Brito, Dulce; Altenberger, Johann; Gatzov, Plamen; Milinkovic, Ivan; Hradec, Jaromír; Trochu, Jean-Noel; Amir, Offer; Moura, Brenda; Lainscak, Mitja; Comin, Josep; Wikström, Gerhard; Anker, Stefan

    2013-09-01

    The aim of this document was to obtain a real-life contemporary analysis of the demographics and heart failure (HF) statistics, as well as the organization and major activities of the Heart Failure National Societies (HFNS) in European Society of Cardiology (ESC) member countries. Data from 33 countries were collected from HFNS presidents/representatives during the first Heart Failure Association HFNS Summit (Belgrade, Serbia, 29 October 2011). Data on incidence and/or prevalence of HF were available for 22 countries, and the prevalence of HF ranged between 1% and 3%. In five European and one non-European ESC country, heart transplantation was reported as not available. Natriuretic peptides and echocardiography are routinely applied in the management of acute HF in the median of 80% and 90% of centres, respectively. Eastern European and Mediterranean countries have lower availability of natriuretic peptide testing for acute HF patients, compared with other European countries. Almost all countries have organizations dealing specifically with HF. HFNS societies for HF patients exist in only 12, while in 16 countries HF patient education programmes are active. Most HFNS reported that no national HF registry exists in their country. Fifteen HFNS produced national HF guidelines, while 19 have translated the ESC HF guidelines. Most HFNS (n = 23) participated in the organization of the European HF Awareness Day. This document demonstrated significant heterogeneity in the organization of HF management, and activities of the national HF working groups/associations. High availability of natriuretic peptide and echocardiographic measurements was revealed, with differences between developed countries and countries in transition.

  10. Cryoablation for treatment of cardiac arrhythmias: results of the European Heart Rhythm Association survey.

    Science.gov (United States)

    Chen, Jian; Lenarczyk, Radoslaw; Boveda, Serge; Richard Tilz, Roland; Hernandez-Madrid, Antonio; Ptaszynski, Pawel; Pudulis, Janis; Dagres, Nikolaos

    2017-02-01

    The purpose of this survey was to assess the current practice in Europe regarding cryoablation for treatment of different cardiac arrhythmias. The data are based on an electronic questionnaire sent to members of the European Heart Rhythm Association Research Network. Responses were received from 49 centres in 18 countries. The results show that cryoablation for supraventricular tachycardia in European centres is an alternative to radiofrequency ablation, which is in accordance with guidelines. There is reasonable consensus regarding clinical results and complications of cryoablation procedure. Some inter-centre variability with respect to patient selection and ablation strategy in cryoablation of atrial fibrillation was demonstrated, underscoring the need for further research.

  11. European Society of Cardiology Heart Failure Association Standards for delivering heart failure care

    NARCIS (Netherlands)

    McDonagh, Theresa A.; Blue, Lynda; Clark, Andrew L.; Dahlstroem, Ulf; Ekman, Inger; Lainscak, Mitja; McDonald, Kenneth; Ryder, Mary; Stroemberg, Anna; Jaarsma, Tiny

    The management of heart failure (HF) is complex. As a consequence, most cardiology society guidelines now state that HF care should be delivered in a multiprofessional manner. The evidence base for this approach now means that the establishment of HF management programmes is a priority. This

  12. The Great Recession, Adolescent Smoking, and Smoking Inequalities: What Role Does Youth Unemployment Play in 24 European Countries?

    Science.gov (United States)

    Rathmann, Katharina; Pförtner, Timo-Kolja; Elgar, Frank J; Hurrelmann, Klaus; Richter, Matthias

    2017-11-01

    Conflicting evidence has been reported on smoking behavior among adults during times of economic downturn. No study has yet investigated young people's smoking and inequalities in smoking during economic recessions. This study examines the association between country-level youth unemployment due to the economic recession and adolescent smoking and smoking inequalities in Europe. The WHO collaborative "Health Behaviour in School-aged Children" study in 2009/2010 included 15-year-old adolescents from 24 European countries (N = 43 093). Socioeconomic position (SEP) was measured by the Family Affluence Scale. Logistic multilevel models were conducted. The absolute rate of youth unemployment in 2010 (during the recession) and the relative change rate in youth unemployment (2005/2006-2009/2010) were regressed on smoking and SEP inequalities in smoking in 2010, respectively. Youth unemployment rates were not significantly associated with overall smoking in adolescents. A higher absolute youth unemployment rate in 2010 related to lower likelihoods of smoking among middle (OR: 0.99; 95% CI: 0.98-0.99) and low affluent adolescents (OR: 0.99; 95% CI: 0.98-0.99) compared to high affluent adolescents. In contrast, an increase in youth unemployment (2005/2006-2009/2010) was not associated with overall likelihoods of smoking and inequalities in smoking. Our findings indicate that an increase in youth unemployment was not related to smoking and smoking inequalities. However, higher absolute levels of youth unemployment are related to lower likelihoods of smoking in lower SEP adolescents. Thus, smoking among vulnerable groups is more linked to the overall insecure circumstances and the affordability of cigarettes rather than to the economic recession itself. Economic recessions have often led to increases in adult and youth unemployment rates. Conflicting evidence has been reported on smoking behavior among adults during times of economic downturn. This study examines for the first

  13. Symptom recognition of heart attack and stroke in nine European countries: a representative survey.

    Science.gov (United States)

    Mata, Jutta; Frank, Ronald; Gigerenzer, Gerd

    2014-06-01

    Cardiovascular diseases are the number one cause of death and a source of chronic disability. To assess recognition of and reaction to symptoms of heart attack and stroke, and how recognition is related to the frequency of consulting physicians and other information sources. Face-to-face computer-assisted personal interviews. Representative sample of 10,228 persons in Austria, France, Germany, Italy, the Netherlands, Poland, Russia, Spain and UK, aged 14-98. Recognition of heart attack and stroke symptoms and proper reaction to symptoms. Chest pain was the only heart attack symptom recognized by more than 50% of participants. Eight percent knew no symptoms. Of 14 stroke symptoms, none was recognized by more than 50% of participants; 19% could not identify any symptom. For both heart attack and stroke, Germans and Austrians recognized the largest number of symptoms. Persons in Italy, Poland, Russia and Spain knew only about half as many symptoms as in Germany or Austria. Only 51% of Europeans would call an ambulance when someone suffers a stroke, the fewest (33 and 34%) in Germany and Austria. In most countries, people who consulted their physician more frequently had no better recognition of heart attack or stroke symptoms. The majority of persons in nine European countries recognize few heart attack and stroke symptoms; many do not know how to react. This low level of knowledge constitutes a major health risk and likely leads to delay in treatment, contributing to the high mortality and morbidity from these diseases. © 2012 John Wiley & Sons Ltd.

  14. Pharmacodynamics of beta-blockers in heart failure: lessons from the carvedilol or metoprolol European trial.

    Science.gov (United States)

    Bauman, Jerry L; Talbert, Robert L

    2004-06-01

    Heart failure is a growing public health problem in the United States, and the approach to the treatment of heart failure has undergone a radical transformation in the past decade. The use of beta-blocker therapy in heart failure patients is now widely recommended, based on evidence from large-scale clinical trials demonstrating that bisoprolol, carvedilol, and extended-release metoprolol succinate significantly reduce morbidity and mortality in patients with heart failure. Although these agents appear to provide similar benefits, the question remains whether pharmacologic differences among them could translate to differences in clinical outcomes. The Carvedilol Or Metoprolol European Trial (COMET) compared nonselective blockade of the beta1-/beta2-/alpha1-adrenergic receptors with carvedilol versus selective beta1-blockade with immediate-release metoprolol tartrate in patients with chronic heart failure. The trial found that carvedilol significantly reduced all-cause mortality compared with immediate-release metoprolol tartrate, although there were no differences in hospitalizations. Herein we review the pharmacokinetics and pharmacodynamics of metoprolol and carvedilol. In doing so, several issues regarding the design of COMET are identified that could alter the interpretation of the results of this trial. These include the choice of dose and dosage regimen of immediate-release metoprolol tartrate, a dosage form that has never been shown to reduce mortality in patients with heart failure. Additional studies are needed to fully understand whether there are any advantages of selective versus nonselective adrenergic blockade and whether there are any clinically meaningful differences in effectiveness between beta-blockers with proven benefit in the management of chronic heart failure. The results of COMET demonstrate that all beta-blockers and dosage forms are not interchangeable when prescribed for heart failure. Clinicians should choose only those agents (and

  15. Measurement Invariance Testing of a Three-Factor Model of Parental Warmth, Psychological Control, and Knowledge across European and Asian/Pacific Islander American Youth

    OpenAIRE

    Luk, Jeremy W.; King, Kevin M.; McCarty, Carolyn A.; Stoep, Ann Vander; McCauley, Elizabeth

    2016-01-01

    While the interpretation and effects of parenting on developmental outcomes may be different across European and Asian/Pacific Islander (API) American youth, measurement invariance of parenting constructs has rarely been examined. Utilizing multiple-group confirmatory factor analysis, we examined whether the latent structure of parenting measures are equivalent or different across European and API American youth. Perceived parental warmth, psychological control, and knowledge were reported by...

  16. A competing risk approach for the European Heart SCORE model based on cause-specific and all-cause mortality

    DEFF Research Database (Denmark)

    Stovring, H.; Harmsen, C. G.; Wisloff, T.

    2013-01-01

    Background: The European Heart SCORE model constitutes the basis for national guidelines for primary prevention and treatment of cardiovascular disease (CVD) in several European countries. The model estimates individuals' 10-year CVD mortality risks from age, sex, smoking status, systolic blood p...

  17. Enteral Feeding Practices in Infants With Congenital Heart Disease Across European PICUs: A European Society of Pediatric and Neonatal Intensive Care Survey.

    Science.gov (United States)

    Tume, Lyvonne N; Balmaks, Reinis; da Cruz, Eduardo; Latten, Lynne; Verbruggen, Sascha; Valla, Frédéric V

    2018-02-01

    To describe enteral feeding practices in pre and postoperative infants with congenital heart disease in European PICUs. Cross-sectional electronic survey. European PICUs that admit infants with congenital heart disease pre- and postoperatively. One senior PICU physician or designated person per unit. None. Fifty-nine PICUs from 18 European countries responded to the survey. PICU physicians were involved in the nutritional care of children with congenital heart disease in most (76%) PICUs, but less than 60% of units had a dedicated dietician. Infants with congenital heart disease were routinely fed preoperatively in only 63% of the PICUs, due to ongoing concerns around prostaglandin E1 infusion, the presence of umbilical venous and/or arterial catheters, and the use of vasoactive drugs. In three quarters of the PICUs (76%), infants were routinely fed during the first 24 hours postoperatively. Units cited, the most common feeding method, both pre and postoperatively, was intermittent bolus feeds via the gastric route. Importantly, 69% of European PICUs still did not have written guidelines for feeding, but this varied for pre and postoperative patients. Wide variations in practices exist in the nutritional care between European PICUs, which reflects the absence of local protocols and scientific society-endorsed guidelines. This is likely to contribute to suboptimal energy delivery in this particularly vulnerable group.

  18. Preparing Teachers for Diversity: The Role of Initial Teacher Education. Annex 1 to the Final Report to DG Education, Youth, Sport and Culture of the European Commission

    Science.gov (United States)

    European Commission, 2017

    2017-01-01

    This document, "Annex 1 to the Final Report to DG Education, Youth, Sport and Culture of the European Commission" is intended as a companion piece to European Commission report "Preparing Teachers for Diversity: The Role of Initial Teacher Education. Final Report". It contains country fiches which are overviews of available…

  19. Outcome of patients with right heart thrombi: the Right Heart Thrombi European Registry.

    Science.gov (United States)

    Koć, Marcin; Kostrubiec, Maciej; Elikowski, Waldemar; Meneveau, Nicolas; Lankeit, Mareike; Grifoni, Stefano; Kuch-Wocial, Agnieszka; Petris, Antoniu; Zaborska, Beata; Stefanović, Branislav S; Hugues, Thomas; Torbicki, Adam; Konstantinides, Stavros; Pruszczyk, Piotr

    2016-03-01

    Our aim was the assessment of the prognostic significance of right heart thrombi (RiHT) and their characteristics in pulmonary embolism in relation to established prognostic factors.138 patients (69 females) aged (mean±sd) 62±19 years with RiHT were included into a multicenter registry. A control group of 276 patients without RiHT was created by propensity scoring from a cohort of 963 contemporary patients. The primary end-point was 30-day pulmonary embolism-related mortality; the secondary end-point included 30-day all-cause mortality. In RiHT patients, pulmonary embolism mortality was higher in 31 patients with systolic blood pressure <90 mmHg than in 107 normotensives (42% versus 12%, p=0.0002) and was higher in the 83 normotensives with right ventricular dysfunction (RVD) than in the 24 normotensives without RVD (16% versus 0%, p=0.038). In multivariable analysis the simplified Pulmonary Embolism Severity Index predicted mortality (hazard ratio 2.43, 95% CI 1.58-3.73; p<0.0001), while RiHT characteristics did not. Patients with RiHT had higher pulmonary embolism mortality than controls (19% versus 8%, p=0.003), especially normotensive patients with RVD (16% versus 7%, p=0.02).30-day mortality in patients with RiHT is related to haemodynamic consequences of pulmonary embolism and not to RiHT characteristics. However, patients with RiHT and pulmonary embolism resulting in RVD seem to have worse prognosis than propensity score-matched controls. Copyright ©ERS 2016.

  20. Clinical trials update from the European Society of Cardiology-Heart Failure meeting 2015: AUGMENT-HF, TITRATION, STOP-HF, HARMONIZE, LION HEART, MOOD-HF, and renin-angiotensin inhibitors in patients with heart and renal failure.

    Science.gov (United States)

    Pellicori, Pierpaolo; Clark, Andrew L

    2015-09-01

    This article provides an overview on the key trials relevant to the pathophysiology, prevention, and treatment of heart failure (HF) presented at the Heart Failure Association (HFA) of the European Society of Cardiology (ESC) annual meeting held in Seville, Spain in May 2015. Trials reported include AUGMENT-AF (myocardial injections of calcium-alginate hydrogel), a propensity score-matched study of renin-angiotensin system antagonists in patients with HF and severe renal dysfunction, HARMONIZE (sodium zirconium cyclosilicate used to bind potassium), TITRATION, comparing two regimes for introducing LCZ696, STOP-HF, a trial of intramyocardial stromal cell-derived factor-1, MOOD-HF (escitalopram for patients with heart failure and depression), and LION HEART, a trial of intermittent levosimendan therapy. Unpublished reports should be considered as preliminary, since analyses may change in the final publication. © 2015 The Authors European Journal of Heart Failure © 2015 European Society of Cardiology.

  1. Hard times and European youth. The effect of economic insecurity on human values, social attitudes and well-being.

    Science.gov (United States)

    Reeskens, Tim; Vandecasteele, Leen

    2017-02-01

    While economic downturns have adverse effects on young people's life chances, empirical studies examining whether and to what extent human values, social attitudes and well-being indicators respond to sudden economic shocks are scarce. To assess the claim that human values are less affected by economic shocks than social attitudes and well-being, two distinct yet related studies based on the European Social Survey (ESS) are conducted. The first employs a fixed effects pseudo-panel analysis of the 2008-2014 ESS-waves to detect whether changes over time in the socio-demographic group's unemployment risk and national youth unemployment affect individual dispositions to varying degrees. The second study captures micro- and cross-national effects in the 2010 ESS cross-section. Unique for this set-up is that we can test whether the findings hold for over-time changes in youth unemployment within countries (pseudo-panel), as well as for cross-country differences in youth unemployment (multilevel). Both studies indicate that political trust, satisfaction with the economy and subjective well-being are lowered by economic risk and hardship, while social trust and self-rated health are less affected by changes in youth unemployment. Secondly, human values are immune to economic risk, underscoring that values transcend specific situations and are therefore resistant against sudden economic shocks. © 2016 The Authors. International Journal of Psychology published by John Wiley & Sons Ltd on behalf of International Union of Psychological Science.

  2. Teenage pregnancies in the European Union in the context of legislation and youth sexual and reproductive health services.

    Science.gov (United States)

    Part, Kai; Moreau, Caroline; Donati, Serena; Gissler, Mika; Fronteira, Inês; Karro, Helle

    2013-12-01

    To study cross-country and regional variations and trends in reported teenage pregnancies in the context of legislation and youth sexual and reproductive health (SRH) services in Europe. Data were collected on teenage live births and induced abortions, abortion legislation and youth SRH services. Population-based statistics from the European Union (EU) member states. Fifteen- to nineteen-year-old female teenagers. Detailed statistical information for each member state about teenage live births, induced abortions, abortion legislation and youth SRH services were compiled relying on national and international data sources. The annual reported pregnancies per 1000 women aged 15-19 years. Teenage pregnancy rates have declined since 2001, although progress has been uneven across regions and countries. Eastern Europe has a higher average teenage pregnancy rate (41.7/1000) than Northern (30.7/1000), Western (18.2/1000) and Southern Europe (17.6/1000). While data on teenage live births are available across Europe, data on teenage abortions are unavailable or incomplete in more than one-third of EU countries. Reported teenage pregnancy rates are generally lower for countries where parental consent for abortion is not required, youth SRH services are available in all areas and contraceptives are subsidized for all minors, compared with countries where these conditions are not met. The collection of standardized teenage pregnancy statistics is critically needed in the EU. The remarkable variability in teenage pregnancy rates across the EU is likely to be explained, among other factors, by varying access to abortion and youth SRH services. © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

  3. Effects of the Sports Level, Format of the Game and Task Condition on Heart Rate Responses, Technical and Tactical Performance of Youth Basketball Players

    Directory of Open Access Journals (Sweden)

    Clemente Filipe Manuel

    2017-08-01

    increased the heart rate, volume of play, efficiency index and collective density during attacking plays. The SSCG with attacking content statistically increased the heart rate, efficiency index and performance score. Therefore, this study revealed that different SSCGs with tactical content influenced the physiological responses of youth players.

  4. Joint statement of the European Association for the Study of Obesity and the European Society of Hypertension: obesity and heart failure.

    Science.gov (United States)

    Jordan, Jens; Toplak, Hermann; Grassi, Guido; Yumuk, Volkan; Kotsis, Vasilios; Engeli, Stefan; Cuspidi, Cesare; Nilsson, Peter M; Finer, Nick; Doehner, Wolfram

    2016-09-01

    Obese individuals are more likely to develop heart failure. Yet, once heart failure is established, the impact of overweight and obesity on prognosis and survival is unclear. The purpose of this joint scientific statement of the European Association for the Study of Obesity and the European Society of Hypertension is to provide an overview on the current scientific literature on obesity and heart failure in terms of prognosis, mechanisms, and clinical management implications. Moreover, the document identifies open questions that ought to be addressed. The need for more tailored weight management recommendations in heart failure will be emphasized and, in line with the emerging evidence, aims to distinguish between primary disease and secondary outcome prevention. In the primary prevention of heart failure, it appears prudent advising obese individuals to lose or achieve a healthy body weight, especially in those with risk factors such as hypertension or type 2 diabetes. However, there is no evidence from clinical trials to guide weight management in overweight or obese patients with established heart failure. Prospective clinical trials are strongly encouraged.

  5. Effects of cumulative trauma load on perceptions of health, blood pressure, and resting heart rate in urban African American youth.

    Science.gov (United States)

    Conner-Warren, Rhonda

    2014-04-01

    This study examined relationships between cumulative trauma (CT) and urban African American (AA) adolescents' blood pressure (BP), heart rate (HR), and perceptions of health. A correlational design using secondary data analysis studied effects of CT, health outcomes, and perceptions of health. Participants were 175 urban AA youth (11-16 years) who completed structured surveys and physiological measures of HR and BP before and after exercise. AA youth were experiencing high levels of CT. Negative correlations were obtained between AA females' perceptions of their health and systolic BP with levels of trauma. No gender differences were found in HR or BP. AA females with high CT may perceive themselves as less healthy and can be at risk for health problems. © 2014, Wiley Periodicals, Inc.

  6. Effect of game format on heart rate, activity profile, and player involvement in elite and recreational youth players

    DEFF Research Database (Denmark)

    Randers, Morten Bredsgaard; Andersen, T B; Rasmussen, L S

    2014-01-01

    The purpose of this study was to evaluate activity profile, aerobic load, and player involvement in two game formats of recreational and elite youth football for two age groups. A total of 152 youth players participated, with 45 U10 players playing 5v5 and 8v8 games, and 41 U13 players playing 8v8...... and 11v11 (20 min) games. Activity profile, heart rate (HR), and technical actions were measured during all games using 10 Hz GPS, video filming, and HR monitors. For U10, no difference was found in total distance covered (1754 ± 237 vs 1771 ± 314 m, P = 0.650, d = 0.06), whereas mean HR (174 ± 10 vs 168...... game format. Playing with fewer players on smaller pitches results...

  7. Measurement Invariance Testing of a Three-Factor Model of Parental Warmth, Psychological Control, and Knowledge across European and Asian/Pacific Islander American Youth.

    Science.gov (United States)

    Luk, Jeremy W; King, Kevin M; McCarty, Carolyn A; Stoep, Ann Vander; McCauley, Elizabeth

    2016-06-01

    While the interpretation and effects of parenting on developmental outcomes may be different across European and Asian/Pacific Islander (API) American youth, measurement invariance of parenting constructs has rarely been examined. Utilizing multiple-group confirmatory factor analysis, we examined whether the latent structure of parenting measures are equivalent or different across European and API American youth. Perceived parental warmth, psychological control, and knowledge were reported by a community sample of 325 adolescents (242 Europeans and 83 APIs). Results indicated that one item did not load on mother psychological control for API American youth. After removing this item, we found metric invariance for all parenting dimensions, providing support for cross-cultural consistency in the interpretation of parenting items. Scalar invariance was found for father parenting, whereas three mother parenting items were non-invariant across groups at the scalar level. After taking into account several minor forms of measurement non-invariance, non-invariant factor means suggested that API Americans perceived lower parental warmth and knowledge but higher parental psychological control than European Americans. Overall, the degree of measurement non-invariance was not extensive and was primarily driven by a few parenting items. All but one parenting item included in this study may be used for future studies across European and API American youth.

  8. Interpretability of the European Heart Failure Self-care Behaviour scale

    Directory of Open Access Journals (Sweden)

    Wagenaar KP

    2017-10-01

    Full Text Available Kim P Wagenaar,1 Berna DL Broekhuizen,1 Frans H Rutten,1 Anna Strömberg,2 Henk F van Stel,1 Arno W Hoes,1 Tiny Jaarsma2 1Julius Center for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, the Netherlands; 2Department of Social and Welfare Studies, Linköping University, Linköping, Sweden Objective: The European Heart Failure Self-care Behaviour scale (EHFScBs is a valid patient-reported questionnaire to measure self-care behavior of heart failure (HF patients. We assessed the interpretability of the EHFScBs.Methods: We used data of 1,023 HF patients. Interpretability refers to the clinical meaning of the score and its changes over time. We operationalized interpretability by evaluating distributions of EHFScBs scores across relevant HF subgroups by eyeballing, by testing the risk on hospitalizations and mortality of a plausible threshold, and by determining a clinically relevant minimal important change (MIC. The scale score ranged from 0 to 100, with a higher score meaning better self-care. A threshold of ≥70 was defined as adequate and <70 as inadequate self-care.Results: The EHFScBs scores were similarly normally distributed among the subgroups with a mean between 57.8 (SD 19.4 and 72.0 (SD 18.0. The 464 HF patients with adequate self-care had significantly less all-cause hospitalizations than the 559 patients with inadequate self-care.Conclusion: The degree of self-care showed to be independent of relevant HF subgroups. A single threshold of 70 accurately discriminated between patients with adequate and inadequate self-care.Practice implications: The threshold of 70 can be used in designing studies and informing health policy makers. Keywords: heart failure, self-care, interpretability, patient-reported outcome, threshold and minimal important change

  9. Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management. Position statement on behalf of the Heart Failure Association of the European Society of Cardiology.

    Science.gov (United States)

    Gorter, Thomas M; van Veldhuisen, Dirk J; Bauersachs, Johann; Borlaug, Barry A; Celutkiene, Jelena; Coats, Andrew J S; Crespo-Leiro, Marisa G; Guazzi, Marco; Harjola, Veli-Pekka; Heymans, Stephane; Hill, Loreena; Lainscak, Mitja; Lam, Carolyn S P; Lund, Lars H; Lyon, Alexander R; Mebazaa, Alexandre; Mueller, Christian; Paulus, Walter J; Pieske, Burkert; Piepoli, Massimo F; Ruschitzka, Frank; Rutten, Frans H; Seferovic, Petar M; Solomon, Scott D; Shah, Sanjiv J; Triposkiadis, Filippos; Wachter, Rolf; Tschöpe, Carsten; de Boer, Rudolf A

    2017-10-16

    There is an unmet need for effective treatment strategies to reduce morbidity and mortality in patients with heart failure with preserved ejection fraction (HFpEF). Until recently, attention in patients with HFpEF was almost exclusively focused on the left side. However, it is now increasingly recognized that right heart dysfunction is common and contributes importantly to poor prognosis in HFpEF. More insights into the development of right heart dysfunction in HFpEF may aid to our knowledge about this complex disease and may eventually lead to better treatments to improve outcomes in these patients. In this position paper from the Heart Failure Association of the European Society of Cardiology, the Committee on Heart Failure with Preserved Ejection Fraction reviews the prevalence, diagnosis, and pathophysiology of right heart dysfunction and failure in patients with HFpEF. Finally, potential treatment strategies, important knowledge gaps and future directions regarding the right side in HFpEF are discussed. © 2017 The Authors. European Journal of Heart Failure © 2017 European Society of Cardiology.

  10. Highlights of the 2011 scientific sessions of the Congress of the Heart Failure Association of the European Society of Cardiology.

    Science.gov (United States)

    Rutten, Frans H

    2011-11-01

    The Annual Scientific Sessions of the Heart Failure Association of the European Society of Cardiology was held in Gothenburg, Sweden, 21-24 May 2011. Over 700 abstracts, along with many invited programs and several satellite programs were presented. Some of the late-breaking clinical trials are summarized here.

  11. How sea ice could be the cold beating heart of European weather

    Science.gov (United States)

    Margrethe Ringgaard, Ida; Yang, Shuting; Hesselbjerg Christensen, Jens; Kaas, Eigil

    2017-04-01

    The possibility that the ongoing rapid demise of Arctic sea ice may instigate abrupt changes is, however, not tackled by current research in general. Ice cores from the Greenland Ice Sheet (GIS) show clear evidence of past abrupt warm events with up to 15 degrees warming in less than a decade, most likely triggered by rapid disappearance of Nordic Seas sea ice. At present, both Arctic Sea ice and the GIS are in strong transformation: Arctic sea-ice cover has been retreating during most of the satellite era and in recent years, Arctic sea ice experienced a dramatic reduction and the summer extent was in 2012 and 2016 only half of the 1979-2000 average. With such dramatic change in the current sea ice coverage as a point of departure, several studies have linked reduction in wintertime sea ice in the Barents-Kara seas to cold weather anomalies over Europe and through large scale tele-connections to regional warming elsewhere. Here we aim to investigate if, and how, Arctic sea ice impacts European weather, i.e. if the Arctic sea ice works as the 'cold heart' of European weather. To understand the effects of the sea ice reduction on the full climate system, a fully-coupled global climate model, EC-Earth, is used. A new energy-conserving method for assimilating sea ice using the sensible heat flux is implemented in the coupled climate model and compared to the traditional, non-conserving, method of assimilating sea ice. Using this new method, experiments are performed with reduced sea ice cover in the Barents-Kara seas under both warm and cold conditions in Europe. These experiments are used to evaluate how the Arctic sea ice modulates European winter weather under present climate conditions with a view towards favouring both relatively cold and warm conditions.

  12. European Citizenship and Youth in Bulgaria: A Qualitative Comparative Analysis between Bulgarians and Bulgarian Turks

    Directory of Open Access Journals (Sweden)

    Gianfranco Brusaporci

    2015-05-01

    Full Text Available European citizenship is a new concept, which has evolved with the process of European integration. Starting from the younger generations, the EU seeks to establish a modern and innovative view of citizenship through three fundamental elements - rights, identity and participation - that could lead to new ways of conceiving the relationship of institutions-citizens and citizenscitizens. The idea of European citizenship tends to overcome the historical idea of national states and national identity. It does this by reinforcing its supranational nature and developing an attitude of tolerance towards diversity and human/minority rights. Thus, to verify the impact European citizenship has on the younger generation in Bulgaria, this research is based on an inter-ethnic sample of 30 interviews (16 Bulgarians, 14 Bulgarian Turks and applies a qualitative comparative analysis method. This research seeks to answer these two main questions: 1 How do young Bulgarians perceive the concept of EU citizenship? 2 How do young Bulgarians perceive the new European citizenship in regard to the inter-ethnic relations in their own country? The study suggests that the EU’s attempt to promote European citizenship is underachieving. On the one hand, young Bulgarian people tend to be well exposed to European citizenship, irrespective of their ethnic belonging. On the other hand, the majority of them are sceptical of the tangible value of European citizenship for the reinforcement of a more encompassing and shared notion of diversity and minority rights.

  13. 'Down the rabbit hole': enhancing the transition process for youth with cystic fibrosis and congenital heart disease by re-imagining the future and time.

    Science.gov (United States)

    Moola, F J; Norman, M E

    2011-11-01

    Although the transition from paediatric to adult clinical care is an important one, the process is far from seamless. Little is known about the transition experiences of youth with cystic fibrosis (CF) and congenital heart disease (CHD). Informed by the new social studies of childhood, this qualitative study adopted a thematic analytical approach in order to explore how 50 youth and 28 parents affected by CF and CHD at a large children's hospital in Canada negotiate constructions of 'normal developmental time'--in both anticipating and dealing with the transition from adolescence to adulthood. Illness appeared to render the future as an uncertain terrain for youth living with CF and CHD. Concerns related to deteriorating health and occupational restrictions in the future were paramount for these youth. For young women with CF and CHD, the loss of 'normal' gendered roles--such as motherhood--was also a distressing future concern. For youth living with CF and their parents in particular, time was thought to be stolen and the future was abbreviated. Despite these seemingly anxiety-inducing experiences, youth and their parents demonstrated considerable creativity as they devised strategies to deal with the future and stolen time. In addition to challenging ideological assumptions about developmental time which may alienate youth with chronic illnesses, the results from this study suggest that attending to youth's temporal anxieties and future concerns may ultimately enhance the transition process for youth with CF and CHD. © 2011 Blackwell Publishing Ltd.

  14. Adherence of heart failure patients to exercise: barriers and possible solutions A position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology

    OpenAIRE

    Conraads, Viviane M.; Deaton, Christi; Piotrowicz, Ewa; Santaularia, Nuria; Tierney, Stephanie; Piepoli, Massimo F.; Pieske, Burkert; Schmid, Jean-Paul; Dickstein, Kenneth; Ponikowski, Piotr P; Jaarsma, Tiny

    2012-01-01

    The practical management of heart failure remains a challenge. Not only are heart failure patients expected to adhere to a complicated pharmacological regimen, they are also asked to follow salt and fluid restriction, and to cope with various procedures and devices. Furthermore, physical training, whose benefits have been demonstrated, is highly recommended by the recent guidelines issued by the European Society of Cardiology, but it is still severely underutilized in this particular patient ...

  15. Executive Summary: European Heart Rhythm Association Consensus Document on the Management of Supraventricular Arrhythmias: Endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardiaca y Electrofisiologia (SOLAECE).

    Science.gov (United States)

    Katritsis, Demosthenes G; Boriani, Giuseppe; Cosio, Francisco G; Jais, Pierre; Hindricks, Gerhard; Josephson, Mark E; Keegan, Roberto; Knight, Bradley P; Kuck, Karl-Heinz; Lane, Deirdre A; Lip, Gregory Yh; Malmborg, Helena; Oral, Hakan; Pappone, Carlo; Themistoclakis, Sakis; Wood, Kathryn A; Young-Hoon, Kim; Lundqvist, Carina Blomström

    2016-01-01

    This paper is an executive summary of the full European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, published in Europace . It summarises developments in the field and provides recommendations for patient management, with particular emphasis on new advances since the previous European Society of Cardiology guidelines. The EHRA consensus document is available to read in full at http://europace.oxfordjournals.org.

  16. Effect of game format on heart rate, activity profile, and player involvement in elite and recreational youth players.

    Science.gov (United States)

    Randers, M B; Andersen, T B; Rasmussen, L S; Larsen, M N; Krustrup, P

    2014-08-01

    The purpose of this study was to evaluate activity profile, aerobic load, and player involvement in two game formats of recreational and elite youth football for two age groups. A total of 152 youth players participated, with 45 U10 players playing 5v5 and 8v8 games, and 41 U13 players playing 8v8 and 11v11 (20 min) games. Activity profile, heart rate (HR), and technical actions were measured during all games using 10 Hz GPS, video filming, and HR monitors. For U10, no difference was found in total distance covered (1754 ± 237 vs 1771 ± 314 m, P = 0.650, d = 0.06), whereas mean HR (174 ± 10 vs 168 ± 12 bpm, P = 0.001, d = 0.59) and number of technical actions (65.1 ± 24.0 vs 36.9 ± 20.4, P    0.001, d = 1.27) were higher in 5v5 than in 8v8. For U13, lower total distance covered (1821 ± 325 vs 2038 ± 328 m, P game format. Playing with fewer players on smaller pitches results in minor changes to the physical loading but elevates the technical involvement of youth players both at elite level and recreational level. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  17. Infant feeding and components of the metabolic syndrome: findings from the European Youth Heart Study

    DEFF Research Database (Denmark)

    Lawlor, D.A.; Riddoch, C.J.; Page, A.S.

    2005-01-01

    -response in this association with decreasing mean systolic blood pressure across categories from never exclusively breast fed to breast fed for more than six months. Exclusive breast feeding was not associated with other components of the metabolic syndrome. Results were similar when examined separately in each country....... Conclusions: The magnitude of the association, its independence of important confounding factors, and the dose-response suggest that exclusive breast feeding is causally associated with reduced systolic blood pressure. The magnitude of the effect we found with blood pressure is comparable to the published......Aims: To assess the associations of type and duration of infant feeding with components of the metabolic syndrome in children aged 9 and 15. Methods: A total of 2192 randomly selected schoolchildren aged 9 and 15 years from Estonia (n = 1174) and Denmark (n = 1018) were studied. Insulin resistance...

  18. NOS3 Variants, Physical Activity, and Blood Pressure in the European Youth Heart Study

    DEFF Research Database (Denmark)

    Grøntved, Anders; Andersen, Lars Bo; Franks, Paul W

    2011-01-01

    habitual PA and NOS3 variants on BP.MethodsA cross-sectional, random sample of 8-10-year old children (n = 1,214) and 14-16-year old adolescents (n = 1,141) from Denmark and Estonia were genotyped for four NOS3 tagging polymorphisms (rs1800783, rs1799983 (Glu298Asp), rs3918227, rs743507). PA was measured.......d. (95% confidence interval (CI): 0.06; 0.13, P = 0.004) higher diastolic BP (DBP) and 0.25 s.d. (95% CI: 0.05; 0.46, P = 0.015) higher systolic BP (SBP), compared to Glu298 allele carriers. None of the three other single-nucleotide polymorphisms (SNPs) were associated with BP in adolescents. In children...... in inactive individuals. However, none of the interactions persisted after correcting for multiple testing.ConclusionsThe NOS3 Glu298Asp variant may associate with resting BP in adolescence but not in childhood, an effect that could be modified by PA.American Journal of Hypertension (2011). doi:10.1038/ajh...

  19. Associations of Adiponectin with Individual European Ancestry in African Americans: the Jackson Heart Study

    Directory of Open Access Journals (Sweden)

    Aurelian eBidulescu

    2014-02-01

    Full Text Available Background: Compared with European Americans, African Americans (AA exhibit lower levels of the cardio-metabolically protective adiponectin even after accounting for adiposity measures. Because few studies have examined in AA the association between adiponectin and genetic admixture, a dense panel of ancestry informative markers (AIMs was used to estimate the individual proportions of European ancestry (PEA for the African Americans enrolled in a large community-based cohort, the Jackson Heart Study (JHS. We tested the hypothesis that plasma adiponectin and PEA are directly associated and assessed the interaction with a series of cardio-metabolic risk factors.Methods: Plasma specimens from 1,439 JHS participants were analyzed by ELISA for adiponectin levels. Using pseudo-ancestral population genotype data from the HapMap Consortium, PEA was estimated with a panel of up to 1,447 genome-wide preselected AIMs by a maximum likelihood approach. Interaction assessment, stepwise linear and cubic multivariable-adjusted regression models were used to analyze the cross-sectional association between adiponectin and PEA.Results: Among the study participants (62% women; mean age 48 ± 12 years, the median (interquartile range of PEA was 15.8 (9.3%. Body mass index (p = 0.04 and insulin resistance (p = 0.0001 modified the association between adiponectin and PEA. Adiponectin was directly and linearly associated with PEA (β = 0.62 ± 0.28, p = 0.03 among non-obese (n = 673 and insulin sensitive participants (n = 1,141; β = 0.74 ± 0.23, p = 0.001, but not among those obese or with insulin resistance. No threshold effect was detected for non-obese participants.Conclusions: In a large African American population, the individual proportion of European ancestry was linearly and directly associated with plasma adiponectin among non-obese and non insulin-resistant participants, pointing to the interaction of genetic and metabolic factors influencing adiponectin

  20. Statistics on the use of cardiac electronic devices and electrophysiological procedures in the European Society of Cardiology countries: 2014 report from the European Heart Rhythm Association.

    Science.gov (United States)

    Raatikainen, M J Pekka; Arnar, David O; Zeppenfeld, Katja; Merino, Jose Luis; Levya, Francisco; Hindriks, Gerhardt; Kuck, Karl-Heinz

    2015-01-01

    There has been large variations in the use of invasive electrophysiological therapies in the member countries of the European Society of Cardiology (ESC). The aim of this analysis was to provide comprehensive information on cardiac implantable electronic device (CIED) and catheter ablation therapy trends in the ESC countries over the last five years. The European Heart Rhythm Association (EHRA) has collected data on CIED and catheter ablation therapy since 2008. Last year 49 of the 56 ESC member countries provided data for the EHRA White Book. This analysis is based on the current and previous editions of the EHRA White Book. Data on procedure rates together with information on economic aspects, local reimbursement systems and training activities are presented for each ESC country and the five geographical ESC regions. In 2013, the electrophysiological procedure rates per million population were highest in Western Europe followed by the Southern and Northern European countries. The CIED implantation and catheter ablation rate was lowest in the Eastern European and in the non-European ESC countries, respectively. However, in some Eastern European countries with relative low gross domestic product procedure rates exceeded those of some wealthier Western countries, suggesting that economic resources are not the only driver for utilization of arrhythmia therapies. These statistics indicate that despite significant improvements, there still is considerable heterogeneity in the availability of arrhythmia therapies across the ESC area. Hopefully, these data will help identify areas for improvement and guide future activities in cardiac arrhythmia management. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  1. Locomotor, Heart-Rate, and Metabolic Power Characteristics of Youth Women's Field Hockey: Female Athletes in Motion (FAiM) Study

    Science.gov (United States)

    Vescovi, Jason D.

    2016-01-01

    Purpose: The purpose of this study was to quantify the locomotor, heart-rate, and metabolic power characteristics of high-level youth female field hockey matches. Method: Players from the U21 and U17 Canadian women's national teams were monitored during a 4-match test series using Global Positioning System technology. Position (forward,…

  2. Antithrombotic therapy in atrial fibrillation associated with valvular heart disease: a joint consensus document from the European Heart Rhythm Association (EHRA) and European Society of Cardiology Working Group on Thrombosis, endorsed by the ESC Working Group on Valvular Heart Disease, Cardiac Arrhythmia Society of Southern Africa (CASSA), Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), South African Heart (SA Heart) Association and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE).

    Science.gov (United States)

    Lip, Gregory Y H; Collet, Jean Philippe; Caterina, Raffaele de; Fauchier, Laurent; Lane, Deirdre A; Larsen, Torben B; Marin, Francisco; Morais, Joao; Narasimhan, Calambur; Olshansky, Brian; Pierard, Luc; Potpara, Tatjana; Sarrafzadegan, Nizal; Sliwa, Karen; Varela, Gonzalo; Vilahur, Gemma; Weiss, Thomas; Boriani, Giuseppe; Rocca, Bianca

    2017-11-01

    Atrial fibrillation (AF) is a major worldwide public health problem, and AF in association with valvular heart disease (VHD) is also common. However, management strategies for this group of patients have been less informed by randomized trials, which have largely focused on 'non-valvular AF' patients. Thrombo-embolic risk also varies according to valve lesion and may also be associated with CHA2DS2VASc score risk factor components, rather than only the valve disease being causal. Given marked heterogeneity in the definition of valvular and non-valvular AF and variable management strategies, including non-vitamin K antagonist oral anticoagulants (NOACs) in patients with VHD other than prosthetic heart valves or haemodynamically significant mitral valve disease, there is a need to provide expert recommendations for professionals participating in the care of patients presenting with AF and associated VHD. To address this topic, a Task Force was convened by the European Heart Rhythm Association (EHRA) and European Society of Cardiology (ESC) Working Group on Thrombosis, with representation from the ESC Working Group on Valvular Heart Disease, Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), South African Heart (SA Heart) Association and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE) with the remit to comprehensively review the published evidence, and to publish a joint consensus document on the management of patients with AF and associated VHD, with up-to-date consensus recommendations for clinical practice for different forms of VHD. This consensus document proposes that the term 'valvular AF' is outdated and given that any definition ultimately relates to the evaluated practical use of oral anticoagulation (OAC) type, we propose a functional Evaluated Heartvalves, Rheumatic or Artificial (EHRA) categorization in relation to the type of OAC use in patients with AF, as follows: (i) EHRA Type 1 VHD, which refers

  3. The Ideas of the Students of Education Faculty about the European Union Education and Youth Programs

    Science.gov (United States)

    Ergün, Muammer; Kamer, S. Tunay

    2009-01-01

    The most important issue that Turkey has been dealing with since the beginning of 2000s is the entrance to the European Union and the preparatory activities for this period. No what how it is evaluated, as an opportunity or a threat to which will break us off our cultural values, EU is a reality that our country faces. The programs such as FORCE,…

  4. AMERICAN COLLEGE OF CARDIOLOGY, AMERICAN HEART ASSOCIATION AND EUROPEAN SOCIETY OF CARDIOLOGY GUIDELINES (2006 FOR THE MANAGEMENT OF PATIENTS WITH ATRIAL FIBRILLATION (ENDING

    Directory of Open Access Journals (Sweden)

    V. Fuster

    2015-12-01

    Full Text Available A report of the American College of Cardiology, American Heart Association Task Force on practice guidelines and the European Society of Cardiology Committee for practice guidelines.

  5. AMERICAN COLLEGE OF CARDIOLOGY, AMERICAN HEART ASSOCIATION AND EUROPEAN SOCIETY OF CARDIOLOGY GUIDELINES (2006 FOR THE MANAGEMENT OF PATIENTS WITH ATRIAL FIBRILLATION (ENDING

    Directory of Open Access Journals (Sweden)

    V. Fuster

    2007-01-01

    Full Text Available A report of the American College of Cardiology, American Heart Association Task Force on practice guidelines and the European Society of Cardiology Committee for practice guidelines.

  6. Co-morbidities in patients with heart failure : an analysis of the European Heart Failure Pilot Survey

    NARCIS (Netherlands)

    van Deursen, Vincent M.; Urso, Renato; Laroche, Cecile; Damman, Kevin; Dahlstrom, Ulf; Tavazzi, Luigi; Maggioni, Aldo P.; Voors, Adriaan A.

    Aims Co-morbidities frequently accompany heart failure (HF), contributing to increased morbidity and mortality, and an impairment of quality of life. We assessed the prevalence, determinants, regional variation, and prognostic implications of co-morbidities in patients with chronic HF in Europe.

  7. Clinical outcome endpoints in heart failure trials : a European Society of Cardiology Heart Failure Association consensus document

    NARCIS (Netherlands)

    Zannad, Faiez; Garcia, Angeles Alonso; Anker, Stefan D.; Armstrong, Paul W.; Calvo, Gonzalo; Cleland, John G. F.; Cohn, Jay N.; Dickstein, Kenneth; Domanski, Michael J.; Ekman, Inger; Filippatos, Gerasimos S.; Gheorghiade, Mihai; Hernandez, Adrian F.; Jaarsma, Tiny; Koglin, Joerg; Konstam, Marvin; Kupfer, Stuart; Maggioni, Aldo P.; Mebazaa, Alexandre; Metra, Marco; Nowack, Christina; Pieske, Burkert; Pina, Ileana L.; Pocock, Stuart J.; Ponikowski, Piotr; Rosano, Giuseppe; Ruilope, Luis M.; Ruschitzka, Frank; Severin, Thomas; Solomon, Scott; Stein, Kenneth; Stockbridge, Norman L.; Stough, Wendy Gattis; Swedberg, Karl; Tavazzi, Luigi; Voors, Adriaan A.; Wasserman, ScottM.; Woehrle, Holger; Zalewski, Andrew; McMurray, John J. V.

    2013-01-01

    Endpoint selection is a critically important step in clinical trial design. It poses major challenges for investigators, regulators, and study sponsors, and it also has important clinical and practical implications for physicians and patients. Clinical outcomes of interest in heart failure trials

  8. The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9) : a reliable and valid international instrument

    NARCIS (Netherlands)

    Jaarsma, Tiny; Arestedt, Kristofer Franzen; Martensson, Jan; Dracup, Kathleen; Stromberg, Anna

    Aims Improved self-care is the goat of many heart failure (HF) management programmes. The 12-item European Heart Failure Self-Care Behaviour Scale (EHFScB scale) was developed and tested to measure patient self-care behaviours. It is now available in 14 languages. The aim of this study was to

  9. Acculturation and School Adjustment of Immigrant Youth in Six European Countries: Findings from the Programme for International Student Assessment (PISA

    Directory of Open Access Journals (Sweden)

    Maja K. Schachner

    2017-05-01

    Full Text Available School adjustment determines long-term adjustment in society. Yet, immigrant youth do better in some countries than in others. Drawing on acculturation research (Berry, 1997; Ward, 2001 and self-determination theory (Ryan and Deci, 2000, we investigated indirect effects of adolescent immigrants’ acculturation orientations on school adjustment (school-related attitudes, truancy, and mathematics achievement through school belonging. Analyses were based on data from the Programme for International Student Assessment from six European countries, which were combined into three clusters based on their migrant integration and multicultural policies: Those with the most supportive policies (Belgium and Finland, those with moderately supportive policies (Italy and Portugal, and those with the most unsupportive policies (Denmark and Slovenia. In a multigroup path model, we confirmed most associations. As expected, mainstream orientation predicted higher belonging and better outcomes in all clusters, whereas the added value of students’ ethnic orientation was only observed in some clusters. Results are discussed in terms of differences in acculturative climate and policies between countries of settlement.

  10. Acculturation and School Adjustment of Immigrant Youth in Six European Countries: Findings from the Programme for International Student Assessment (PISA).

    Science.gov (United States)

    Schachner, Maja K; He, Jia; Heizmann, Boris; Van de Vijver, Fons J R

    2017-01-01

    School adjustment determines long-term adjustment in society. Yet, immigrant youth do better in some countries than in others. Drawing on acculturation research (Berry, 1997; Ward, 2001) and self-determination theory (Ryan and Deci, 2000), we investigated indirect effects of adolescent immigrants' acculturation orientations on school adjustment (school-related attitudes, truancy, and mathematics achievement) through school belonging. Analyses were based on data from the Programme for International Student Assessment from six European countries, which were combined into three clusters based on their migrant integration and multicultural policies: Those with the most supportive policies (Belgium and Finland), those with moderately supportive policies (Italy and Portugal), and those with the most unsupportive policies (Denmark and Slovenia). In a multigroup path model, we confirmed most associations. As expected, mainstream orientation predicted higher belonging and better outcomes in all clusters, whereas the added value of students' ethnic orientation was only observed in some clusters. Results are discussed in terms of differences in acculturative climate and policies between countries of settlement.

  11. Acculturation and School Adjustment of Immigrant Youth in Six European Countries: Findings from the Programme for International Student Assessment (PISA)

    Science.gov (United States)

    Schachner, Maja K.; He, Jia; Heizmann, Boris; Van de Vijver, Fons J. R.

    2017-01-01

    School adjustment determines long-term adjustment in society. Yet, immigrant youth do better in some countries than in others. Drawing on acculturation research (Berry, 1997; Ward, 2001) and self-determination theory (Ryan and Deci, 2000), we investigated indirect effects of adolescent immigrants’ acculturation orientations on school adjustment (school-related attitudes, truancy, and mathematics achievement) through school belonging. Analyses were based on data from the Programme for International Student Assessment from six European countries, which were combined into three clusters based on their migrant integration and multicultural policies: Those with the most supportive policies (Belgium and Finland), those with moderately supportive policies (Italy and Portugal), and those with the most unsupportive policies (Denmark and Slovenia). In a multigroup path model, we confirmed most associations. As expected, mainstream orientation predicted higher belonging and better outcomes in all clusters, whereas the added value of students’ ethnic orientation was only observed in some clusters. Results are discussed in terms of differences in acculturative climate and policies between countries of settlement. PMID:28522980

  12. Getting to the Heart of Emotion Regulation in Youth: The Role of Interoceptive Sensitivity, Heart Rate Variability, and Parental Psychopathology.

    Directory of Open Access Journals (Sweden)

    Nele A J De Witte

    Full Text Available Emotion regulation and associated autonomic activation develop throughout childhood and adolescence under the influence of the family environment. Specifically, physiological indicators of autonomic nervous system activity such as interoceptive sensitivity and vagally mediated heart rate variability (HRV can inform on emotion regulation. Although the effect of parental emotion socialization on emotion regulation appears to be influenced by autonomic processes, research on physiological regulation and the influence of parental factors remains scarce. This study investigated the relationship between self-reported habitual emotion regulation strategies and HRV at rest as well as interoceptive sensitivity in forty-six youngsters (27 female; age: M = 13.00, SD = 2.13. Secondly, the association between these autonomic correlates and parental psychopathology was also studied. Whereas better interoceptive sensitivity was related to reduced maladaptive emotion regulation, specifically rumination, high HRV was related to more use of external emotion regulation strategies (i.e., support seeking. In addition, increased HRV and decreased interoceptive sensitivity were associated with maternal internalizing and there was evidence for a possible mediation effect of HRV in the relationship between maternal internalizing and child external emotion regulation. This study elucidates the link between cognitive emotion regulation strategies and underlying physiological regulation in adolescents but also indicates a putative influence of maternal internalizing symptoms on emotion regulation in their offspring.

  13. Getting to the Heart of Emotion Regulation in Youth: The Role of Interoceptive Sensitivity, Heart Rate Variability, and Parental Psychopathology

    Science.gov (United States)

    Sütterlin, Stefan; Braet, Caroline; Mueller, Sven C.

    2016-01-01

    Emotion regulation and associated autonomic activation develop throughout childhood and adolescence under the influence of the family environment. Specifically, physiological indicators of autonomic nervous system activity such as interoceptive sensitivity and vagally mediated heart rate variability (HRV) can inform on emotion regulation. Although the effect of parental emotion socialization on emotion regulation appears to be influenced by autonomic processes, research on physiological regulation and the influence of parental factors remains scarce. This study investigated the relationship between self-reported habitual emotion regulation strategies and HRV at rest as well as interoceptive sensitivity in forty-six youngsters (27 female; age: M = 13.00, SD = 2.13). Secondly, the association between these autonomic correlates and parental psychopathology was also studied. Whereas better interoceptive sensitivity was related to reduced maladaptive emotion regulation, specifically rumination, high HRV was related to more use of external emotion regulation strategies (i.e., support seeking). In addition, increased HRV and decreased interoceptive sensitivity were associated with maternal internalizing and there was evidence for a possible mediation effect of HRV in the relationship between maternal internalizing and child external emotion regulation. This study elucidates the link between cognitive emotion regulation strategies and underlying physiological regulation in adolescents but also indicates a putative influence of maternal internalizing symptoms on emotion regulation in their offspring. PMID:27741261

  14. Precarious Voices? Types of “Political Citizens” and Repertoires of Action among European Youth

    Directory of Open Access Journals (Sweden)

    Lara Monticelli

    2017-01-01

    Full Text Available This article’s goal is to explore the existence of ‘political citizens’ profiles across three European cities (Turin, Cologne and Lyon and to ascertain the role of an unstable occupational status on the repertoires of action deployed. For this purpose, a technique called latent class cluster analysis (LCCA is applied to a large sample, including young precarious and regular workers (deployed as a reference group. This technique allowed us to derive five descriptive probabilistic profiles of ‘political citizens’ and their repertoires of action in each city. The empirical findings underline the emergence of hybrid repertoires of action together with ‘single-issue’ or ‘cause-oriented’ forms of political participation. This study represents an attempt to encourage the dialogue between two strands of research in social sciences, namely sociology of work and political participation and to foster the formation of an innovative research agenda crossing these two fields.

  15. Remote Lifestyle Counseling Influences Cardiovascular Health Outcomes in Youth with Overweight or Obesity and Congenital Heart Disease.

    Science.gov (United States)

    Altamirano-Diaz, Luis; Rombeek, Meghan; De Jesus, Stefanie; Welisch, Eva; Prapavessis, Harry; Dempsey, Adam A; Fraser, Douglas; Miller, Michael R; Norozi, Kambiz

    2017-01-01

    Children with overweight/obesity and congenital heart disease (CHD) are at increased cardiovascular risk. A lifestyle intervention may help reduce these risks. We sought to determine the feasibility of a smartphone-based lifestyle intervention to improve cardiovascular health outcomes in children with overweight/obesity and CHD. We examined the effect of bi-weekly nutrition and fitness counseling delivered via smartphone over 12 months. Thirty-four youth, previously diagnosed with CHD and with overweight or obesity, participated in the intervention. They were divided into two groups depending on whether the heart disease required surgical correction (operated, n = 19) or not (non-operated, n = 15). Anthropometry, body composition cardiorespiratory exercise capacity, and cardio-metabolic risk factors were assessed at baseline, 6 months, and 12 months. Statistically significant decreases in waist circumference (WC), body mass index z-score, WC z-score, and waist to height ratio z-score were observed at 6 and 12 months in the operated group. A significant linear increase in lean body mass was observed in both groups. The study also had a high retention rate and a low attrition rate. The observed changes in anthropometry were positive with significant improvement to some cardiovascular and metabolic risk indicators. However, this was only observed in the operated group suggesting that other factors, such as perception of condition and self-efficacy, may influence lifestyle behaviors. The results from this pilot study clearly demonstrate the feasibility to perform a larger controlled study on remote lifestyle intervention in children with congenital heart defects and overweight or obesity.

  16. Remote Lifestyle Counseling Influences Cardiovascular Health Outcomes in Youth with Overweight or Obesity and Congenital Heart Disease

    Directory of Open Access Journals (Sweden)

    Luis Altamirano-Diaz

    2017-12-01

    Full Text Available BackgroundChildren with overweight/obesity and congenital heart disease (CHD are at increased cardiovascular risk. A lifestyle intervention may help reduce these risks. We sought to determine the feasibility of a smartphone-based lifestyle intervention to improve cardiovascular health outcomes in children with overweight/obesity and CHD.MethodsWe examined the effect of bi-weekly nutrition and fitness counseling delivered via smartphone over 12 months. Thirty-four youth, previously diagnosed with CHD and with overweight or obesity, participated in the intervention. They were divided into two groups depending on whether the heart disease required surgical correction (operated, n = 19 or not (non-operated, n = 15. Anthropometry, body composition cardiorespiratory exercise capacity, and cardio-metabolic risk factors were assessed at baseline, 6 months, and 12 months.ResultsStatistically significant decreases in waist circumference (WC, body mass index z-score, WC z-score, and waist to height ratio z-score were observed at 6 and 12 months in the operated group. A significant linear increase in lean body mass was observed in both groups. The study also had a high retention rate and a low attrition rate.ConclusionThe observed changes in anthropometry were positive with significant improvement to some cardiovascular and metabolic risk indicators. However, this was only observed in the operated group suggesting that other factors, such as perception of condition and self-efficacy, may influence lifestyle behaviors. The results from this pilot study clearly demonstrate the feasibility to perform a larger controlled study on remote lifestyle intervention in children with congenital heart defects and overweight or obesity.

  17. A youth-led social marketing intervention to encourage healthy lifestyles, the EYTO (European Youth Tackling Obesity) project: a cluster randomised controlled0 trial in Catalonia, Spain.

    Science.gov (United States)

    Llauradó, Elisabet; Aceves-Martins, Magaly; Tarro, Lucia; Papell-Garcia, Ignasi; Puiggròs, Francesc; Arola, Lluís; Prades-Tena, Jordi; Montagut, Marta; Moragas-Fernández, Carlota M; Solà, Rosa; Giralt, Montse

    2015-07-03

    The encouragement of healthy lifestyles for obesity prevention in young people is a public health priority. The European Youth Tackling Obesity (EYTO) project is a multicentric intervention project with participation from the United Kingdom, Portugal, the Czech Republic and Spain. The general aim of the EYTO project is to improve lifestyles, including nutritional habits and physical activity practice, and to prevent obesity in socioeconomically disadvantaged and vulnerable adolescents. The EYTO project works through a peer-led social marketing intervention that is designed and implemented by the adolescents of each participating country. Each country involved in the project acts independently. This paper describes the "Som la Pera" intervention Spanish study that is part of the EYTO project. In Spain, the research team performed a cluster randomised controlled intervention over 2 academic years (2013-2015) in which 2 high-schools were designated as the control group and 2 high-schools were designated as the intervention group, with a minimum of 121 schoolchildren per group. From the intervention group, 5 adolescents with leadership characteristics, called "Adolescent Challenge Creators" (ACCs), were recruited. These 5 ACCs received an initial 4 h training session about social marketing principles and healthy lifestyle theory, followed by 24 sessions (1.30 h/session) divided in two academic years to design and implement activities presented as challenges to encourage healthy lifestyles among their peers, the approximately 180-200 high-school students in the intervention group. During the design of the intervention, it was essential that the ACCs used the 8 social marketing criteria (customer orientation, behaviour, theory, insight, exchange, competition, segmentation and methods mix). The expected primary outcomes from the Spanish intervention will be as follows: increases in the consumption of fruits and vegetables and physical activity practice along with

  18. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology.

    Science.gov (United States)

    Conraads, Viviane M; Deaton, Christi; Piotrowicz, Ewa; Santaularia, Nuria; Tierney, Stephanie; Piepoli, Massimo F; Pieske, Burkert; Schmid, Jean-Paul; Dickstein, Kenneth; Ponikowski, Piotr P; Jaarsma, Tiny

    2012-05-01

    The practical management of heart failure remains a challenge. Not only are heart failure patients expected to adhere to a complicated pharmacological regimen, they are also asked to follow salt and fluid restriction, and to cope with various procedures and devices. Furthermore, physical training, whose benefits have been demonstrated, is highly recommended by the recent guidelines issued by the European Society of Cardiology, but it is still severely underutilized in this particular patient population. This position paper addresses the problem of non-adherence, currently recognized as a main obstacle to a wide implementation of physical training. Since the management of chronic heart failure and, even more, of training programmes is a multidisciplinary effort, the current manuscript intends to reach cardiologists, nurses, physiotherapists, as well as psychologists working in the field.

  19. Differences in drug treatment of chronic heart failure between European countries

    NARCIS (Netherlands)

    van Veldhuisen, DJ; Charlesworth, A; Crijns, HJGM; Lie, KI; Hampton, [No Value

    Aims A large number of drugs are currently used for the treatment of chronic heart failure. Treatment for other cardiovascular disorders has been shown to differ between countries. In this study we examined whether this would also be true in heart failure. Methods and Results We studied patients

  20. European Regional activation towards Brussels: From the heart to the Ultra-periphery of Europe. Walloon and Canary Islands’ strategies

    Directory of Open Access Journals (Sweden)

    Jorge Tuñón

    2008-06-01

    Full Text Available Wallonia and the Canary Islands are both regions with legislative capacities within the European Union (EU. They have traditionally shared serious socio-economic deficits. Therefore, while a new European Regional policy was being designed, they both built regional strategies in order to extract as much as they can from the EU. How far are these Sub-State activations towards Brussels linked to regional gains (outputs from the EU? How different are both mobilisations? How can the higher degree of success of the Canary Islands be explained, taking into account that the Archipelago is far away from the heart of Europe and Wallonia is within it? The research, based on a qualitative analysis method, will be carried out through findings about the regional mechanisms developed to influence the European institutions: the participation (direct and non direct within the Council of Ministers, the Committee of the Regions, the regional interaction with the European Commission, the establishment of representative bodies in Brussels and the participation within interregional associations.

  1. The European Union and the Kosovan Youth – A Wide Range of Solutions to a Single Problem

    Directory of Open Access Journals (Sweden)

    Anna Szolucha

    2009-07-01

    Full Text Available This article explores the ways in which the European Union fosters the development of civil society in Kosovo. In particular, it focuses on how the EU shapes the role of students and young people as well as the extent to which it contributes to their position in the “bottom-up” capacity building processes in this country. The Union has mainly concentrated its efforts on encouraging student mobility, acknowledging the value of students’ experiences gained abroad that could be translated into genuine reform, and enhancing diverse institutional capacities of Kosovan administrations. At the same time, however, it has continuously reaffirmed a broader objective of the European involvement in Kosovo, namely that education of young people ought to help foster social cohesion and aspire to a genuine reflection of the diversity of Kosovan population in the student body (EUA’s Contribution to the Bologna Ministerial Meeting, 2007. The rationale behind this article is to account for the current role that the EU plays in fostering the development of civil society in the context of the failure of Kosovo’s authorities to produce any satisfying results approaching the achievement of this broader objective.
    This article identifies opportunities that the Union provides in the area of youth education and empowerment in the context of civil society development. Significantly, it assesses the relevance of these opportunities for current situation and needs of civil society development in Kosovo. The analysis also highlights the most important barriers that are hindering student involvement at various levels of the decision-making process.
    The broadest question this project addresses is the EU’s practical ability to foster the “bottom-up” capacity building in self-government and civil society developments. The reason why the role and the position of students and young people in civil society development is absolutely crucial is that they

  2. Occupational class and ischemic heart disease mortality in the United States and 11 European countries

    NARCIS (Netherlands)

    A.E. Kunst (Anton); F. Pagnanelli; G. Costa (Giuseppe); G. Desplanques; H. Filakti; B. Nolan (Brian); D. Vagero; R. Giraldes Mdo; F. Faggiano (Fabrizio); J.P. Mackenbach (Johan); C. Minder; S. Harding (Seeromanie); P. Martikainen (Pekka); E. Regidor (Enrique); C. Junker; F. Groenhof (Feikje); O. Andersen (Otto); T. Valkonen (Tapani); J.K. Borgan

    1999-01-01

    textabstractOBJECTIVES: Twelve countries were compared with respect to occupational class differences in ischemic heart disease mortality in order to identify factors that are associated with smaller or larger mortality differences. METHODS: Data on mortality by

  3. Organ dysfunction, injury and failure in acute heart failure: from pathophysiology to diagnosis and management. A review on behalf of the Acute Heart Failure Committee of the Heart Failure Association (HFA) of the European Society of Cardiology (ESC).

    Science.gov (United States)

    Harjola, Veli-Pekka; Mullens, Wilfried; Banaszewski, Marek; Bauersachs, Johann; Brunner-La Rocca, Hans-Peter; Chioncel, Ovidiu; Collins, Sean P; Doehner, Wolfram; Filippatos, Gerasimos S; Flammer, Andreas J; Fuhrmann, Valentin; Lainscak, Mitja; Lassus, Johan; Legrand, Matthieu; Masip, Josep; Mueller, Christian; Papp, Zoltán; Parissis, John; Platz, Elke; Rudiger, Alain; Ruschitzka, Frank; Schäfer, Andreas; Seferovic, Petar M; Skouri, Hadi; Yilmaz, Mehmet Birhan; Mebazaa, Alexandre

    2017-07-01

    Organ injury and impairment are commonly observed in patients with acute heart failure (AHF), and congestion is an essential pathophysiological mechanism of impaired organ function. Congestion is the predominant clinical profile in most patients with AHF; a smaller proportion presents with peripheral hypoperfusion or cardiogenic shock. Hypoperfusion further deteriorates organ function. The injury and dysfunction of target organs (i.e. heart, lungs, kidneys, liver, intestine, brain) in the setting of AHF are associated with increased risk for mortality. Improvement in organ function after decongestive therapies has been associated with a lower risk for post-discharge mortality. Thus, the prevention and correction of organ dysfunction represent a therapeutic target of interest in AHF and should be evaluated in clinical trials. Treatment strategies that specifically prevent, reduce or reverse organ dysfunction remain to be identified and evaluated to determine if such interventions impact mortality, morbidity and patient-centred outcomes. This paper reflects current understanding among experts of the presentation and management of organ impairment in AHF and suggests priorities for future research to advance the field. © 2017 The Authors. European Journal of Heart Failure © 2017 European Society of Cardiology.

  4. Effects of the Sports Level, Format of the Game and Task Condition on Heart Rate Responses, Technical and Tactical Performance of Youth Basketball Players

    Science.gov (United States)

    Clemente, Filipe Manuel; González-Víllora, Sixto; Delextrat, Anne; Martins, Fernando Manuel Lourenço; Vicedo, Juan Carlos Pastor

    2017-01-01

    Abstract The aim of this study was to analyze the effect of different small-sided and conditioning games (SSCG) with different tactical contents on heart rate responses, technical performance and collective organization of youth basketball players of different performance levels. Twenty male basketball players from U14 (13.7 ± 0.8 years old; 4.2 ± 1.4 years of practice) and U16 (15.3 ± 1.1 years old; 6.4 ± 2.1 years of practice) participated in this research study. The two-way MANOVA revealed that the sports level (p = 0.009; ηp2 = 0.151), format (p = 0.001; ηp2 = 0.246) and task condition (p = 0.023; ηp2 = 0.104; small effect size) had significant main effects on heart rate responses. It was also found that the format (p = 0.001; ηp2 = 0.182) had significant main effects on technical performance. A smaller format significantly increased the heart rate, volume of play, efficiency index and collective density during attacking plays. The SSCG with attacking content statistically increased the heart rate, efficiency index and performance score. Therefore, this study revealed that different SSCGs with tactical content influenced the physiological responses of youth players. PMID:28828085

  5. Effects of the Sports Level, Format of the Game and Task Condition on Heart Rate Responses, Technical and Tactical Performance of Youth Basketball Players.

    Science.gov (United States)

    Clemente, Filipe Manuel; González-Víllora, Sixto; Delextrat, Anne; Martins, Fernando Manuel Lourenço; Vicedo, Juan Carlos Pastor

    2017-09-01

    The aim of this study was to analyze the effect of different small-sided and conditioning games (SSCG) with different tactical contents on heart rate responses, technical performance and collective organization of youth basketball players of different performance levels. Twenty male basketball players from U14 (13.7 ± 0.8 years old; 4.2 ± 1.4 years of practice) and U16 (15.3 ± 1.1 years old; 6.4 ± 2.1 years of practice) participated in this research study. The two-way MANOVA revealed that the sports level (p = 0.009; [Formula: see text] = 0.151), format (p = 0.001; [Formula: see text] = 0.246) and task condition (p = 0.023; [Formula: see text] = 0.104; small effect size) had significant main effects on heart rate responses. It was also found that the format (p = 0.001; [Formula: see text] = 0.182) had significant main effects on technical performance. A smaller format significantly increased the heart rate, volume of play, efficiency index and collective density during attacking plays. The SSCG with attacking content statistically increased the heart rate, efficiency index and performance score. Therefore, this study revealed that different SSCGs with tactical content influenced the physiological responses of youth players.

  6. Current state of knowledge on Takotsubo syndrome: a Position Statement from the Taskforce on Takotsubo Syndrome of the Heart Failure Association of the European Society of Cardiology.

    Science.gov (United States)

    Lyon, Alexander R; Bossone, Eduardo; Schneider, Birke; Sechtem, Udo; Citro, Rodolfo; Underwood, S Richard; Sheppard, Mary N; Figtree, Gemma A; Parodi, Guido; Akashi, Yoshihiro J; Ruschitzka, Frank; Filippatos, Gerasimos; Mebazaa, Alexandre; Omerovic, Elmir

    2016-01-01

    Takotsubo syndrome is an acute reversible heart failure syndrome that is increasingly recognized in modern cardiology practice. This Position Statement from the European Society of Cardiology Heart Failure Association provides a comprehensive review of the various clinical and pathophysiological facets of Takotsubo syndrome, including nomenclature, definition, and diagnosis, primary and secondary clinical subtypes, anatomical variants, triggers, epidemiology, pathophysiology, clinical presentation, complications, prognosis, clinical investigations, and treatment approaches. Novel structured approaches to diagnosis, risk stratification, and management are presented, with new algorithms to aid decision-making by practising clinicians. These also cover more complex areas (e.g. uncertain diagnosis and delayed presentation) and the management of complex cases with ongoing symptoms after recovery, recurrent episodes, or spontaneous presentation. The unmet needs and future directions for research in this syndrome are also discussed. © 2015 The Authors European Journal of Heart Failure © 2015 European Society of Cardiology.

  7. Parity, breastfeeding and risk of coronary heart disease : A pan-European case-cohort study

    NARCIS (Netherlands)

    Peters, Sanne A E; Van Der Schouw, Yvonne T.; Wood, Angela M.; Sweeting, Michael J.; Moons, Karel G M; Weiderpass, Elisabete; Arriola, Larraitz; Benetou, Vassiliki; Boeing, Heiner; Bonnet, Fabrice; Butt, Salma T.; Clavel-Chapelon, Françoise; Drake, Isabel; Gavrila, Diana; Key, Timothy J.; Klinaki, Eleni; Krogh, Vittorio; Kühn, Tilman; Lassale, Camille; Masala, Giovanna; Matullo, Giuseppe; Merritt, Melissa; Molina-Portillo, Elena; Moreno-Iribas, Conchi; Nøst, Therese H.; Olsen, Anja; Onland-Moret, N. Charlotte; Overvad, Kim; Panico, Salvatore; Redondo, M. Luisa; Tjønneland, Anne; Trichopoulou, Antonia; Tumino, Rosario; Turzanski-Fortner, Renée; Tzoulaki, Ioanna; Wennberg, Patrik; Winkvist, Anna; Thompson, Simon G.; Di Angelantonio, Emanuele; Riboli, Elio; Wareham, Nicholas J.; Danesh, John; Butterworth, Adam S.

    2016-01-01

    Objective There is uncertainty about the direction and magnitude of the associations between parity, breastfeeding and the risk of coronary heart disease (CHD). We examined the separate and combined associations of parity and breastfeeding practices with the incidence of CHD later in life among

  8. Development and testing of the European Heart Failure Self-Care Behaviour Scale

    NARCIS (Netherlands)

    Jaarsma, T; Stromberg, A; Martensson, J; Dracup, K

    Background: Improvement of self-care behaviour is an aim of several non-pharmacological nurse-led management programmes for patients with heart failure. These programmes are often evaluated based on their effects on readmission, costs and quality of life. It is, however, also important to know how

  9. Genetic differences between the determinants of lipid profile phenotypes in African and European Americans: the Jackson Heart Study.

    Science.gov (United States)

    Deo, Rahul C; Reich, David; Tandon, Arti; Akylbekova, Ermeg; Patterson, Nick; Waliszewska, Alicja; Kathiresan, Sekar; Sarpong, Daniel; Taylor, Herman A; Wilson, James G

    2009-01-01

    Genome-wide association analysis in populations of European descent has recently found more than a hundred genetic variants affecting risk for common disease. An open question, however, is how relevant the variants discovered in Europeans are to other populations. To address this problem for cardiovascular phenotypes, we studied a cohort of 4,464 African Americans from the Jackson Heart Study (JHS), in whom we genotyped both a panel of 12 recently discovered genetic variants known to predict lipid profile levels in Europeans and a panel of up to 1,447 ancestry informative markers allowing us to determine the African ancestry proportion of each individual at each position in the genome. Focusing on lipid profiles -- HDL-cholesterol (HDL-C), LDL-cholesterol (LDL-C), and triglycerides (TG) -- we identified the lipoprotein lipase (LPL) locus as harboring variants that account for interethnic variation in HDL-C and TG. In particular, we identified a novel common variant within LPL that is strongly associated with TG (p = 2.7 x 10(-6)) and explains nearly 1% of the variability in this phenotype, the most of any variant in African Americans to date. Strikingly, the extensively studied "gain-of-function" S447X mutation at LPL, which has been hypothesized to be the major determinant of the LPL-TG genetic association and is in trials for human gene therapy, has a significantly diminished strength of biological effect when it is found on a background of African rather than European ancestry. These results suggest that there are other, yet undiscovered variants at the locus that are truly causal (and are in linkage disequilibrium with S447X) or that work synergistically with S447X to modulate TG levels. Finally, we find systematically lower effect sizes for the 12 risk variants discovered in European populations on the African local ancestry background in JHS, highlighting the need for caution in the use of genetic variants for risk assessment across different populations.

  10. Management of malfunctioning and recalled pacemaker and defibrillator leads: results of the European Heart Rhythm Association survey.

    Science.gov (United States)

    Grazia Bongiorni, Maria; Dagres, Nikolaos; Estner, Heidi; Pison, Laurent; Todd, Derick; Blomstrom-Lundqvist, Carina

    2014-11-01

    The aim of this survey was to describe the different strategies regarding the management of malfunctioning and recalled pacemaker and defibrillator leads across Europe. A questionnaire has been designed to assess the current practice and physician's approach to the management of leads which are faulty, unnecessary, and/or recalled. Responses to the questionnaire were received from 34 hospitals-members of the European Heart Rhythm Association (EHRA) electrophysiology (EP) research network. The survey involved both very high and low volume implanting centres, with 85% of the responding centres performing lead extraction. The survey provides a panoramic view of operator's decision making in the field of malfunctioning, recalled, and redundant leads and outlines a common point of view on lead abandonment and factors influencing the decision about lead extraction. The main factors strongly influencing the decision making were patient's age (59%), the presence of the damaged leads (44%), and the lead dwelling time (44%). Regarding the lead abandonment, the main concern (61%) was the potential greater difficulty associated with lead extraction in the future. High volume extracting centres showed a greater propensity to removing the malfunctioning or recalled leads compared with low volume or non-extracting centres. This EP Wire survey gives a snapshot of the operators' approaches and options regarding redundant, malfunctioning, and recalled lead management and may form the basis for future prospective research on this topic. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2014. For permissions please email: journals.permissions@oup.com.

  11. Surgery for complications of trans-catheter closure of atrial septal defects : a multi-institutional study from the European Congenital Heart Surgeons Association

    NARCIS (Netherlands)

    Sarris, George E.; Kirvassilis, George; Zavaropoulos, Prodromos; Belli, Emre; Berggren, Hakan; Carrel, Thierry; Comas, Juan V.; Corno, Antonio F.; Daenen, Willem; Di Carlo, Duccio; Ebels, Tjark; Fragata, Jose; Hamilton, Leslie; Hraska, Viktor; Jacobs, Jeffrey; Lazarov, Stojan; Mavroudis, Constantine; Metras, Dominique; Rubay, Jean; Schreiber, Christian; Stellin, Giovanni

    Objective: This study aims to analyse the collective experience of participating European Congenital Heart Surgeons Association centres in the surgical management of complications resulting from trans-catheter closure of atrial septal defects (ASDs). Methods: The records of all (n = 56) patients,

  12. EPIC-Heart: The cardiovascular component of a prospective study of nutritional, lifestyle and biological factors in 520,000 middle-aged participants from 10 European countries

    NARCIS (Netherlands)

    Danesh, J.; Saracci, R.; Berglund, G.; Feskens, E.J.M.; Overvad, K.; Panico, S.; Thompson, S.; Fournier, A.; Clavel-Chapelon, F.; Canonico, M.; Kaaks, R.; Linseisen, J.; Boeing, H.; Pischon, T.; Weikert, C.; Olsen, A.; Tjonneland, A.; Johnsen, S.P.; Jensen, M.K.; Quiros, J.R.; Gonzalez-Svatetz, C.A.; Sanchez-Perez, M.J.; Larranaga, N.; Navarro Sanchez, C.; Moreno Iribas, C.; Bingham, S.; Khaw, K.T.; Wareham, N.; Key, T.; Roddam, A.; Trichopoulou, A.; Benetou, V.; Trichopoulous, D.; Masala, G.; Sieri, S.; Tumino, R.; Sacerdote, C.; Mattiello, A.; Verschuren, W.M.M.; Bueno de Mesquita, H.B.; Grobbee, D.E.; Schouw, van der Y.T.; Melander, O.; Hallmans, G.; Wennberg, P.; Lund, E.; Kumle, M.; Skeie, G.; Ferrari, P.; Slimani, N.; Norat, T.; Riboli, E.

    2007-01-01

    EPIC-Heart is the cardiovascular component of the European Prospective Investigation into Cancer and Nutrition (EPIC), a multi-centre prospective cohort study investigating the relationship between nutrition and major chronic disease outcomes. Its objective is to advance understanding about the

  13. Depressed heart rate variability identifies postinfarction patients who might benefit from prophylactic treatment with amiodarone: a substudy of EMIAT (The European Myocardial Infarct Amiodarone Trial)

    NARCIS (Netherlands)

    Malik, M.; Camm, A. J.; Janse, M. J.; Julian, D. G.; Frangin, G. A.; Schwartz, P. J.

    2000-01-01

    This substudy tested a prospective hypothesis that European Myocardial Infarct Amiodarone Trial (EMIAT) patients with depressed heart rate variability (HRV) benefit from amiodarone treatment. The EMIAT randomized 1,486 survivors of acute myocardial infarction (MI) aged < or =75 years with left

  14. Updated European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist anticoagulants in patients with non-valvular atrial fibrillation

    National Research Council Canada - National Science Library

    Heidbuchel, Hein; Verhamme, Peter; Alings, Marco; Antz, Matthias; Diener, Hans-Christoph; Hacke, Werner; Oldgren, Jonas; Sinnaeve, Peter; Camm, A John; Kirchhof, Paulus

    2015-01-01

    ...[Heidbuchel H, Verhamme P, Alings M, Antz M, Hacke W, Oldgren J, et al. European Heart Rhythm Association Practical Guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation. Europace 2013;15:625-51...

  15. Loci influencing lipid levels and coronary heart disease risk in 16 European population cohorts

    DEFF Research Database (Denmark)

    Aulchenko, Yurii S; Ripatti, Samuli; Lindqvist, Ida

    2008-01-01

    Recent genome-wide association (GWA) studies of lipids have been conducted in samples ascertained for other phenotypes, particularly diabetes. Here we report the first GWA analysis of loci affecting total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) .......8% of variation in lipids and were also associated with increased intima media thickness (P = 0.001) and coronary heart disease incidence (P = 0.04). The genetic risk score improves the screening of high-risk groups of dyslipidemia over classical risk factors....

  16. The effect of prior walking on coronary heart disease risk markers in South Asian and European men.

    Science.gov (United States)

    Arjunan, Saravana Pillai; Deighton, Kevin; Bishop, Nicolette C; King, James; Reischak-Oliveira, Alvaro; Rogan, Alice; Sedgwick, Matthew; Thackray, Alice E; Webb, David; Stensel, David J

    2015-12-01

    Heart disease risk is elevated in South Asians possibly due to impaired postprandial metabolism. Running has been shown to induce greater reductions in postprandial lipaemia in South Asian than European men, but the effect of walking in South Asians is unknown. Fifteen South Asian and 14 white European men aged 19-30 years completed two, 2-day trials in a randomised crossover design. On day 1, participants rested (control) or walked for 60 min at approximately 50 % maximum oxygen uptake (exercise). On day 2, participants rested and consumed two high-fat meals over a 9-h period during which 14 venous blood samples were collected. South Asians exhibited higher postprandial triacylglycerol [geometric mean (95 % confidence interval) 2.29 (1.82 to 2.89) vs. 1.54 (1.21 to 1.96) mmol L(-1) h(-1)], glucose [5.49 (5.21 to 5.79) vs. 5.05 (4.78 to 5.33) mmol L(-1) h(-1)], insulin [32.9 (25.7 to 42.1) vs. 18.3 (14.2 to 23.7) µU mL(-1) h(-1)] and interleukin-6 [2.44 (1.61 to 3.67) vs. 1.04 (0.68 to 1.59) pg mL(-1) h(-1)] than Europeans (all ES ≥ 0.72, P ≤ 0.03). Between-group differences in triacylglycerol, glucose and insulin were not significant after controlling for age and percentage body fat. Walking reduced postprandial triacylglycerol [1.79 (1.52 to 2.12) vs. 1.97 (1.67 to 2.33) mmol L(-1) h(-1)] and insulin [21.0 (17.0 to 26.0) vs. 28.7 (23.2 to 35.4) µU mL(-1) h(-1)] (all ES ≥ 0.23. P ≤ 0.01), but group differences were not significant. Healthy South Asians exhibited impaired postprandial metabolism compared with white Europeans, but these differences were diminished after controlling for potential confounders. The small-moderate reduction in postprandial triacylglycerol and insulin after brisk walking was not different between the ethnicities.

  17. Acculturation and school adjustment of immigrant youth in six European countries : Findings from the Programme for International Student Assessment (PISA).

    NARCIS (Netherlands)

    Schachner, M.K.; He, J.; Heizmann, B.; van de Vijver, F.J.R.

    2017-01-01

    School adjustment determines long-term adjustment in society. Yet, immigrant youth do better in some countries than in others. Drawing on acculturation research (Berry, 1997; Ward, 2001) and self-determination theory (Ryan and Deci, 2000), we investigated indirect effects of adolescent immigrants’

  18. Locomotor, Heart-Rate, and Metabolic Power Characteristics of Youth Women's Field Hockey: Female Athletes in Motion (FAiM) Study.

    Science.gov (United States)

    Vescovi, Jason D

    2016-01-01

    The purpose of this study was to quantify the locomotor, heart-rate, and metabolic power characteristics of high-level youth female field hockey matches. Players from the U21 and U17 Canadian women's national teams were monitored during a 4-match test series using Global Positioning System technology. Position (forward, midfielder, defender) and age-group (U21, U17) comparisons were made using 2-way analyses of variance. Forwards played 12 min to 22 min fewer than midfielders and defenders and consequently had lower amounts of total, low-intensity, and moderate-intensity distances. Yet, forwards covered similar amounts of high-intensity running and sprinting distances despite the deficit in playing time. Only 10% to 15% of total distance was characterized by high-intensity running and sprinting, yet the majority of time was spent above 90% maximum heart rate. The distances in high, elevated, and maximal metabolic power categories were greater for U21 than U17 players. Yo-Yo Intermittent Recovery Test performance was related to high-intensity running and maximal metabolic power distance. The current findings highlight positional specificity as well as developmental gaps between age groups for youth female field hockey matches. These match characteristics should be used to assist in establishing appropriate training strategies through the developmental pathway and to assist player achievement to higher standards.

  19. Preparing Teachers for Diversity: The Role of Initial Teacher Education. Annex 2 To the Final Report to DG Education, Youth, Sport and Culture of the European Commission. Case Study Summaries

    Science.gov (United States)

    European Commission, 2017

    2017-01-01

    "Preparing Teachers for Diversity: The Role of Initial Teacher Education. Annex 2 To the Final Report to DG Education, Youth, Sport and Culture of the European Commission. Case Study Summaries" is designed as a companion document to the final report "Preparing Teachers for Diversity: The Role of Initial Teacher Education. Final…

  20. Cardiorespiratory fitness and the risk of overweight in youth: the Healthy Hearts Longitudinal Study of Cardiometabolic Health.

    Science.gov (United States)

    McGavock, Jonathan M; Torrance, Brian D; McGuire, K Ashlee; Wozny, Paul D; Lewanczuk, Richard Z

    2009-09-01

    The primary objective of this longitudinal study was to determine the association between cardiorespiratory fitness and the risk of overweight status in youth. To accomplish this aim we analyzed data from annual school-based surveys of cardiorespiratory fitness and anthropometry conducted between 2004 and 2006. The first analysis was performed on a cohort of 902 youth aged 6-15 years followed for 12 months to assess the association between cardiorespiratory fitness levels determined from a graded maximal field test and the risk of becoming overweight. The second analysis was conducted on a cohort of 222 youth followed for 2 years to assess the continuous association between annual changes fitness and weight gain. Children with low cardiorespiratory fitness were characterized by higher waist circumference and disproportionate weight gain over the 12-month follow-up period (P confidence = 2.0-6.0, P youth with low cardiorespiratory fitness, relative to fit peers. A time series mixed effects regression model revealed that reductions in cardiorespiratory fitness were significantly and independently associated with increasing BMI (r = -0.18, P youth. Accordingly, low cardiorespiratory fitness and reductions in fitness over time are significantly associated with weight gain and the risk of overweight in children 6-15 years old. An assessment of cardiorespiratory fitness using a common field test may prove useful for the identification of youth at risk of overweight and serve as a potential target for obesity prevention.

  1. Palliative care in heart failure : a position statement from the palliative care workshop of the Heart Failure Association of the European Society of Cardiology

    NARCIS (Netherlands)

    Jaarsma, Tiny; Beattie, James M.; Ryder, Mary; Rutten, Frans H.; McDonagh, Theresa; Mohacsi, Paul; Murray, Scott A.; Grodzicki, Thomas; Bergh, Ingrid; Metra, Marco; Ekman, Inger; Angermann, Christiane; Leventhal, Marcia; Pitsis, Antonis; Anker, Stefan D.; Gavazzi, Antonello; Ponikowski, Piotr; Dickstein, Kenneth; Delacretaz, Etienne; Blue, Lynda; Strasser, Florian; McMurray, John

    Heart failure is a serious condition and equivalent to malignant disease in terms of symptom burden and mortality. At this moment only a comparatively small number of heart failure patients receive specialist palliative care. Heart failure patients may have generic palliative care needs, such as

  2. FTO variant rs9939609 is associated with body mass index and waist circumference, but not with energy intake or physical activity in European- and African-American youth

    Directory of Open Access Journals (Sweden)

    Dong Yanbin

    2010-04-01

    Full Text Available Abstract Background Genome-wide association studies found common variants in the fat mass and obesity-associated (FTO gene associated with adiposity in Caucasians and Asians but the association was not confirmed in African populations. Association of FTO variants with insulin resistance and energy intake showed inconsistent results in previous studies. This study aimed to assess the influence of FTO variant rs9939609 on adiposity, insulin resistance, energy intake and physical activity in European - (EA and African-American (AA youth. Methods We conducted a cross-sectional study in EA and AA youths. One thousand, nine hundred and seventy-eight youths (48.2% EAs, 47.1% male, mean age 16.5 years had measures of anthropometry. Percent body fat (%BF was measured by dual-energy X-ray absorptiometry, visceral adipose tissue (VAT and subcutaneous abdominal adipose tissue (SAAT by magnetic resonance imaging. Energy intake and physical activity were based on self report from up to 7 24-hour recalls. Physical activity was also measured by accelerometry. Results FTO rs9939609 was significantly associated with body mass index (BMI (P = 0.01, weight (P = 0.03 and waist circumference (P = 0.04, with per-allele effects of 0.4 kg/m2, 1.3 kg and 0.8 cm, respectively. No significant association was found between rs9939609 and %BF, VAT, SAAT or insulin resistance (P > 0.05, or between rs9939609 and energy intake or vigorous physical activity (P > 0.05. No significant interactions of rs9939609 with ethnicity, gender, energy intake or physical activity were observed (P > 0.05. Conclusions The FTO variant rs9939609 is modestly associated with BMI and waist circumference, but not with energy intake or physical activity. Moreover, these effects were similar for EAs and AAs. Improved understanding of the effect of the FTO variant will offer new insights into the etiology of excess adiposity.

  3. Loci influencing lipid levels and coronary heart disease risk in 16 European population cohorts.

    Science.gov (United States)

    Aulchenko, Yurii S; Ripatti, Samuli; Lindqvist, Ida; Boomsma, Dorret; Heid, Iris M; Pramstaller, Peter P; Penninx, Brenda W J H; Janssens, A Cecile J W; Wilson, James F; Spector, Tim; Martin, Nicholas G; Pedersen, Nancy L; Kyvik, Kirsten Ohm; Kaprio, Jaakko; Hofman, Albert; Freimer, Nelson B; Jarvelin, Marjo-Riitta; Gyllensten, Ulf; Campbell, Harry; Rudan, Igor; Johansson, Asa; Marroni, Fabio; Hayward, Caroline; Vitart, Veronique; Jonasson, Inger; Pattaro, Cristian; Wright, Alan; Hastie, Nick; Pichler, Irene; Hicks, Andrew A; Falchi, Mario; Willemsen, Gonneke; Hottenga, Jouke-Jan; de Geus, Eco J C; Montgomery, Grant W; Whitfield, John; Magnusson, Patrik; Saharinen, Juha; Perola, Markus; Silander, Kaisa; Isaacs, Aaron; Sijbrands, Eric J G; Uitterlinden, Andre G; Witteman, Jacqueline C M; Oostra, Ben A; Elliott, Paul; Ruokonen, Aimo; Sabatti, Chiara; Gieger, Christian; Meitinger, Thomas; Kronenberg, Florian; Döring, Angela; Wichmann, H-Erich; Smit, Johannes H; McCarthy, Mark I; van Duijn, Cornelia M; Peltonen, Leena

    2009-01-01

    Recent genome-wide association (GWA) studies of lipids have been conducted in samples ascertained for other phenotypes, particularly diabetes. Here we report the first GWA analysis of loci affecting total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol and triglycerides sampled randomly from 16 population-based cohorts and genotyped using mainly the Illumina HumanHap300-Duo platform. Our study included a total of 17,797-22,562 persons, aged 18-104 years and from geographic regions spanning from the Nordic countries to Southern Europe. We established 22 loci associated with serum lipid levels at a genome-wide significance level (P < 5 x 10(-8)), including 16 loci that were identified by previous GWA studies. The six newly identified loci in our cohort samples are ABCG5 (TC, P = 1.5 x 10(-11); LDL, P = 2.6 x 10(-10)), TMEM57 (TC, P = 5.4 x 10(-10)), CTCF-PRMT8 region (HDL, P = 8.3 x 10(-16)), DNAH11 (LDL, P = 6.1 x 10(-9)), FADS3-FADS2 (TC, P = 1.5 x 10(-10); LDL, P = 4.4 x 10(-13)) and MADD-FOLH1 region (HDL, P = 6 x 10(-11)). For three loci, effect sizes differed significantly by sex. Genetic risk scores based on lipid loci explain up to 4.8% of variation in lipids and were also associated with increased intima media thickness (P = 0.001) and coronary heart disease incidence (P = 0.04). The genetic risk score improves the screening of high-risk groups of dyslipidemia over classical risk factors.

  4. Major Depressive Disorder and Bipolar Disorder Predispose Youth to Accelerated Atherosclerosis and Early Cardiovascular Disease: A Scientific Statement From the American Heart Association.

    Science.gov (United States)

    Goldstein, Benjamin I; Carnethon, Mercedes R; Matthews, Karen A; McIntyre, Roger S; Miller, Gregory E; Raghuveer, Geetha; Stoney, Catherine M; Wasiak, Hank; McCrindle, Brian W

    2015-09-08

    In the 2011 "Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents," several medical conditions among youth were identified that predispose to accelerated atherosclerosis and early cardiovascular disease (CVD), and risk stratification and management strategies for youth with these conditions were elaborated. Major depressive disorder (MDD) and bipolar disorder (BD) among youth satisfy the criteria set for, and therefore merit inclusion among, Expert Panel tier II moderate-risk conditions. The combined prevalence of MDD and BD among adolescents in the United States is ≈10%, at least 10 times greater than the prevalence of the existing moderate-risk conditions combined. The high prevalence of MDD and BD underscores the importance of positioning these diseases alongside other pediatric diseases previously identified as moderate risk for CVD. The overall objective of this statement is to increase awareness and recognition of MDD and BD among youth as moderate-risk conditions for early CVD. To achieve this objective, the primary specific aims of this statement are to (1) summarize evidence that MDD and BD are tier II moderate-risk conditions associated with accelerated atherosclerosis and early CVD and (2) position MDD and BD as tier II moderate-risk conditions that require the application of risk stratification and management strategies in accordance with Expert Panel recommendations. In this scientific statement, there is an integration of the various factors that putatively underlie the association of MDD and BD with CVD, including pathophysiological mechanisms, traditional CVD risk factors, behavioral and environmental factors, and psychiatric medications. © 2015 American Heart Association, Inc.

  5. Updated European Heart Rhythm Association practical guide on the use of non-vitamin-K antagonist anticoagulants in patients with non-valvular atrial fibrillation: Executive summary.

    Science.gov (United States)

    Heidbuchel, Hein; Verhamme, Peter; Alings, Marco; Antz, Matthias; Diener, Hans-Christoph; Hacke, Werner; Oldgren, Jonas; Sinnaeve, Peter; Camm, A John; Kirchhof, Paulus

    2017-07-14

    In 2013, the European Heart Rhythm Association (EHRA) published a Practical Guide on the use of non-VKA oral anticoagulants (NOACs) in patients with atrial fibrillation (AF) (Heidbuchel H, Verhamme P, Alings M, Antz M, Hacke W, Oldgren J, Sinnaeve P, Camm AJ, Kirchhof P, European Heart Rhythm A. European Heart Rhythm Association Practical Guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation. Europace 2013;15:625-651; Heidbuchel H, Verhamme P, Alings M, Antz M, Hacke W, Oldgren J, Sinnaeve P, Camm AJ, Kirchhof P. EHRA practical guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation: executive summary. Eur Heart J 2013;34:2094-2106). The document received widespread interest, not only from cardiologists but also from neurologists, geriatricians, and general practitioners, as became evident from the distribution of >350 000 copies of its pocket version (the EHRA Key Message Booklet) world-wide. Since 2013, numerous new studies have appeared on different aspects of NOAC therapy in AF patients. Therefore, EHRA updated the Practical Guide, including new information but also providing balanced guiding in the many areas where prospective data are still lacking. The outline of the original guide that addressed 15 clinical scenarios has been preserved, but all chapters have been rewritten. Main changes in the Update comprise a discussion on the definition of 'non-valvular AF' and eligibility for NOAC therapy, inclusion of finalized information on the recently approved edoxaban, tailored dosing information dependent on concomitant drugs, and/or clinical characteristics, an expanded chapter on neurologic scenarios (ischaemic stroke or intracranial haemorrhage under NOAC), an updated anticoagulation card and more specifics on start-up and follow-up issues. There are also many new flow charts, like on appropriate switching between anticoagulants (VKA to NOAC or vice versa), default scenarios for

  6. EURObservational Research Programme: a worldwide registry on peripartum cardiomyopathy (PPCM) in conjunction with the Heart Failure Association of the European Society of Cardiology Working Group on PPCM.

    Science.gov (United States)

    Sliwa, Karen; Hilfiker-Kleiner, Denise; Mebazaa, Alexandre; Petrie, Mark C; Maggioni, Aldo P; Regitz-Zagrosek, Vera; Schaufelberger, Maria; Tavazzi, Luigi; van Veldhuisen, Dirk J; Roos-Hesslink, Jolien W; Shah, Ajay J; Seferovic, Petar M; Elkayam, Uri; van Spaendonck-Zwarts, Karin; Bachelier-Walenta, Katrin; Mouquet, Frederic; Kraigher-Krainer, Elisabeth; Hall, Roger; Ponikowski, Piotr; McMurray, John J V; Pieske, Burkert

    2014-05-01

    The EURObservational Research Programme is a rolling programme of cardiovascular registries and surveys of the European Society of Cardiology (ESC). These registries will provide information on the nature of cardiovascular disease and its management. This manuscript provides an update on new literature on peripartum cardiomyopathy (PPCM), published since the 2010 Position Statement from the Heart Failure Association of the European Society of Cardiology Working Group on PPCM, and describes a new registry on this under-recognized condition. Peripartum cardiomyopathy is an idiopathic cardiomyopathy presenting with heart failure secondary to left ventricular systolic dysfunction towards the end of the pregnancy, or in the months following delivery, where no other cause for heart failure is found. The PPCM Registry aims to describe disease presentation, comorbidities, diagnostic and therapeutic management of patients with PPCM, as well as information on their offspring. Centres not only from ESC and ESC-affiliated countries, but from around the world, are encouraged to participate. A prospective registry on patients presenting with PPCM. At the time of writing, approximately 100 patients have been enrolled from 20 countries. All data entry is online via secure passwords and is supported by well-trained information technology personnel. The EURObservational Research Programme will allow a comparison of women from around the world, from different ethnic backgrounds, presenting with PPCM and will report on their 6 month and 12 month outcomes. The study aims to include 1000 patients and follow them for 1 year. New centres volunteering to participate in the study will be welcomed. © 2014 The Authors. European Journal of Heart Failure © 2014 European Society of Cardiology.

  7. Cardiovascular disease risk factors and blood pressure response during exercise in healthy children and adolescents: The European Youth Heart Study

    DEFF Research Database (Denmark)

    Møller, Niels C; Grøntved, Anders; Wedderkopp, Niels

    2010-01-01

    that physiological cardiovascular disease (CVD) risk factors would influence BP response during exercise in children and adolescents. This is a cross-sectional study of 439 Danish third-grade children and 364 ninth-grade adolescents. Systolic blood pressure (SBP) was measured with sphygmomanometer during a maximal...... was used to test the hypotheses. In boys, HOMA-IR score and BMI were positively related to SBP response during exercise (β = 1.03, P = 0.001, and β = 0.58, P = 0.017, respectively). The effects sizes of HOMA-IR score and BMI and the significance levels only changed slightly (β = 0.91, P = 0.004, and β = 0......Raised blood pressure (BP) response during exercise independently predicts future hypertension. Subjects with higher BP in childhood also have elevated BP later in life. Therefore, the factors related to the regulation of exercise BP in children needs to be well understood. We hypothesized...

  8. Fat intake and weight development from 9 to 16 years of age: the European youth heart study - a longitudinal study

    DEFF Research Database (Denmark)

    Brixval, Carina Sjöberg; Andersen, Lars Bo; Heitmann, Berit

    2009-01-01

    OBJECTIVE: The literature on associations between fat intake and weight development among both children and adults is inconsistent, even if it is generally assumed that a high dietary fat intake is a major determinant of obesity. The present study aimed at investigating the association between fat...... intake and weight development among a cohort of children aged 9-10 years at baseline and 15-16 years at follow-up, and, further, at investigating whether parents' obesity is modifying the association. METHOD: Among 384 subjects aged 9 years, data on dietary intake, BMI z-score, physical activity...

  9. Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study

    DEFF Research Database (Denmark)

    Ekelund, U; Anderssen, S A; Froberg, K

    2007-01-01

    AIMS/HYPOTHESIS: High levels of cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a favourable metabolic risk profile. However, there has been no thorough exploration of the independent contributions of cardiorespiratory fitness and subcomponents of activity (total PA...

  10. Prognostic Value of Different Allelic Polymorphism of Aldosterone Synthase Receptor in a Congestive Heart Failure European Continental Ancestry Population.

    Science.gov (United States)

    Feola, Mauro; Monteverde, Martino; Vivenza, Daniela; Testa, Marzia; Leto, Laura; Astesana, Valentina; Mussapi, Francesco; Vado, Antonello; Merlano, Marco; Lo Nigro, Cristiana

    2017-02-01

    Aldosterone synthase (CYP11B2) is as an 9-exon gene on chromosome 8q22 and exists as a common single nucleotide polymorphism C-T transition for position -344. The aim of this study was to assess the -344T/C polymorphism of the aldosterone synthase promoter in a European continental ancestry congestive heart failure (CHF) population. Patients discharged after an acute decompensation were enrolled and underwent echocardiography, determination of BNP, evaluation of non-invasive cardiac outputs and determination of -344 T/C SNP in the aldosterone synthase gene. 175 patients (137 male; age 69.9 ± 10.2 years) were enrolled. The genotype distribution of -344 T/C SNP demonstrated a TT genotype in 61 patients (34.9%), CT in 80 (45.7%) and finally CC in 34 (19.4%) CHF patients. According to presence of C allele, CHF patients were divided into C group (-CT/CC genotype, 114 subjects) and T Group (-TT genotype, 61 subjects). The two groups did not differ in term of age, non-invasive cardiac output at rest, creatinine level or end-systolic or diastolic left ventricle diameter, LVEF and BNP. In group C patients in comparison than in group T a higher degree of disability (Barthel Index p = 0.004), NYHA class (p = 0.02) and a lower cardiac index (p = 0.01) emerged. Moreover, the two groups showed a similar clinical outcome (death for any cause/hospital readmission for CHF) at 48 month follow-up (p = 0.16; log-rank 1.99). In European continental ancestry patients the C allele (CC or CT) at -344T/C SNP in the aldosterone synthase gene does not significantly influence clinical prognosis of CHF. Copyright © 2017 IMSS. Published by Elsevier Inc. All rights reserved.

  11. "The Finest 'Bunch' of Children to Be Found Anywhere": Educating European and American Youths in Korea, 1880s-1940s

    Science.gov (United States)

    Dittrich, Klaus

    2016-01-01

    This article discusses how European and American communities in Korea organised the education of their own children from the "opening" of the country to foreign residents in the 1880s until the Second World War. Education serves as a lens to investigate these dominantly bourgeois communities of missionaries, merchants, experts and…

  12. Family sociodemographic characteristics as correlates of children's breakfast habits and weight status in eight European countries. The ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project.

    Science.gov (United States)

    Manios, Yannis; Moschonis, George; Androutsos, Odysseas; Filippou, Christina; Van Lippevelde, Wendy; Vik, Froydis N; te Velde, Saskia J; Jan, Natasha; Dössegger, Alain; Bere, Elling; Molnar, Denes; Moreno, Luis A; Chinapaw, Mai J M; De Bourdeaudhuij, Ilse; Brug, Johannes

    2015-04-01

    The purpose of the present study was to investigate the associations of family sociodemographic characteristics with children's weight status and whether these potential associations are mediated by children's breakfast habits. A school-based survey among 10-12-year-old children was conducted in eight European countries. Children's weight and height were measured and breakfast habits and family sociodemographic characteristics were self-reported by 5444 children and their parents. International Obesity Task Force cut-off points were used to categorize children as overweight/obese or normal weight. Mediation analyses were used to test the potential mediating effect of children's breakfast consumption on the associations between family sociodemographic characteristics and children's overweight/obesity. Schools in eight European countries participating in the ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project. Children aged 10-12 years and their parents (n 5444). Children's reported daily breakfast consumption varied from 56 % in Slovenia to 92 % in Spain on weekdays and from 79 % in Greece to 93 % in Norway on weekends. Children of native parents, with both parents employed and with at least one parent having more than 14 years of education were more likely to consume breakfast daily and less likely to be overweight/obese. Finally, mediation analyses revealed that the association of parental nationality and parental educational status with children's overweight/obesity was partially mediated by children's daily breakfast consumption. The study shows that the lower likelihood of being overweight/obese among 10-12-year-old children of native background and higher parental educational status was partially mediated by children's daily breakfast consumption.

  13. YOUTH UNEMPLOYMENT AND ENTREPRENEURSHIP

    OpenAIRE

    Laura Južnik Rotar

    2015-01-01

    The paper deals with the problem of youth unemployment and entrepreneurship as a way out of unemployment. The battle against youth unemployment is a top European priority, since the youth unemployment rate is more than twice as high as the adult one, because the chances for a young unemployed person of finding a job are low, because their jobs tend to be less stable, because there are significant skills mismatches on the labor market. Entrepreneurship is a powerful driver of economic growth a...

  14. I Felt Like My Heart Was Staying behind: Psychological Implications of Family Separations & Reunifications for Immigrant Youth

    Science.gov (United States)

    Suarez-Orozco, Carola; Bang, Hee Jin; Kim, Ha Yeon

    2011-01-01

    Though many transnational families undergo profound transformations that are often complicated by extended periods of separation between loved ones, it is challenging to establish a sense of prevalence of family separations as well as their effects on youth. Utilizing the Longitudinal Immigrant Student Adaptation data with 282 newcomer adolescents…

  15. Technical actions, heart rate, and locomotor activity in 7v7 and 8v8 games for female youth soccer players

    DEFF Research Database (Denmark)

    Ørntoft, Christina; Nejst Larsen, Malte; Bull Andersen, Thomas

    2016-01-01

    The purpose of this study was to evaluate technical performance, heart rate (HR), and activity profile in 7v7 and 8v8 soccer games for 9[FIGURE DASH]10-year-old girls (U11). A total of 24 female youth players participated in the study, all playing 20-min 7v7 and 8v8 games with 160 and 223 m per...... adolescent female players, with no difference between formats....... player, respectively. Technical actions, HR, and activity profile were measured during the games using video filming, HR monitors, and 5-Hz GPS units. The number of technical actions was higher in 7v7 than in 8v8 games (34±19 (±SD) vs. 28±14, p=0.03, d=0.37), as was the number of successful actions (25...

  16. Access to and clinical use of cardiac implantable electronic devices and interventional electrophysiological procedures in the European Society of Cardiology Countries: 2016 Report from the European Heart Rhythm Association.

    Science.gov (United States)

    Raatikainen, M J Pekka; Arnar, David O; Merkely, Bela; Camm, A John; Hindricks, Gerhardt

    2016-08-01

    The aim of this analysis was to provide comprehensive information on the access to and use of cardiac implantable electronic device (CIED) and catheter ablation therapy in the European Society of Cardiology (ESC) area. The European Heart Rhythm Association (EHRA) has been collecting descriptive and quantitative data on invasive arrhythmia therapies since 2008. This year 50 of the 56 ESC member countries provided data for the EHRA White Book. Up-to-date information on procedure rates for the last 5 years together with information on demographics, economy, vital statistics, local healthcare systems, and training activities is presented for each country and the 5 geographical ESC regions. Our analysis indicated that considerable heterogeneity in the access to arrhythmia therapies still exists across the ESC area. In 2015, the CIED implantation rates per million population were highest in the Western followed by the Southern and Northern European countries. The catheter ablation activity was largest in the Western followed by the Northern and Southern areas. Overall, the procedure rates were 3-10 times higher in the European than in the non-European ESC countries. Economic resources were not the only driver for utilization of arrhythmia therapies as in some Eastern European countries with relative low gross domestic product the procedure rates exceeded the average values. These data will help the healthcare professionals and stakeholders to identify and to understand in more depth the trends, disparities, and gaps in cardiac arrhythmia care and thereby promote harmonization of cardiac arrhythmias therapies in the ESC area. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2016. For permissions please email: journals.permissions@oup.com.

  17. Cross-cultural adaptation and validation of the European Heart Failure Self-care Behavior Scale for Brazilian Portuguese Adaptación transcultural y validación de la European Heart Failure Self-care Behavior Scale para el Portugués de Brasil Adaptação transcultural e validação da European Heart Failure Self-care Behavior Scale para o português do Brasil

    Directory of Open Access Journals (Sweden)

    Maria Karolina Feijó

    2012-10-01

    Full Text Available OBJECTIVE: To adapt and validate a Brazilian Portuguese version of the European Heart Failure Self-Care Behavior Scale. METHODS: The cross-cultural adaptation (translation, synthesis, back-translation, expert committee review, and pretesting and validation (assessment of face validity, content validity, and internal consistency reliability were carried out in accordance with the literature. The European Heart Failure Self-Care Behavior Scale assesses key components of self-care: recognition of the signs and symptoms of decompensated heart failure (HF and decision-making when these signs and symptoms arise. It comprises 12 items (range 12-60, where lower scores indicate better self-care. RESULTS: The sample comprised 124 HF patients with a mean age of 62.3 ± 12 years. The Cronbach's Alpha internal consistency was 0.70 and the intraclass correlation coefficient for reproducibility was 0.87. CONCLUSION: Face and content validity, internal consistency and reproducibility have lended validity and reliability for the use of the instrument in Brazil.OBJETIVO: Adaptar y validar European Heart Failure Self-Care Behavior Scale para uso en lengua portuguesa de Brasil. MÉTODOS: El proceso de adaptación cultural (traducción, síntesis, retro traducción, revisión por comité de expertos y pré test, validación (validez de facie, de contenido y confiabilidad fue realizado según la literatura. La European Heart Failure Self-Care Behavior Scale evalúa los componentes-clave para el auto cuidado: reconocimiento de señales y síntomas de descompensación de insuficiencia cardiaca (IC y la decisión cuando ocurren dichos síntomas. Se compone de 12 cuestiones (que van desde 12-60, en donde las puntuaciones bajas indican peor autocuidado. RESULTADOS: Fueron inclusos 124 pacientes con IC, con edad entre 62,3 ±12 años. La consistencia interna de las cuestiones presentó un Alfa de Cronbach de 0,70 y la reproducibilidad evaluada por el coeficiente de

  18. Youth Unemployment in Southern Europe

    OpenAIRE

    João Leão; Guida Nogueira

    2013-01-01

    The youth unemployment rate in Europe increased to very high levels after the great recession of 2008, reaching 23% in European Union and 45% in southern European countries. We examine the causes of the high youth unemployment rate which is consistently bigger than the overall unemployment rate. The empirical evidence shows that the youth unemployment rate depends crucially of the level of the overall unemployment rate and on the variation of the unemployment rate.

  19. Appropriateness of Prescriptions of Recommended Treatments in Organisation for Economic Co-operation and Development Health Systems: Findings Based on the Long-Term Registry of the European Society of Cardiology on Heart Failure

    NARCIS (Netherlands)

    Maggioni, Aldo P.; van Gool, Kees; Biondi, Nelly; Urso, Renato; Klazinga, Niek; Ferrari, Roberto; Maniadakis, Nikolaos; Tavazzi, Luigi

    2015-01-01

    This observational study aimed to identify clinical variables and health system characteristics associated with incomplete guideline application in drug treatment of patients with chronic heart failure (HF) across 15 countries. Three data sets were used: European Society of Cardiology Heart Failure

  20. Inflammation as a therapeutic target in heart failure? A scientific statement from the Translational Research Committee of the Heart Failure Association of the European Society of Cardiology

    OpenAIRE

    Heymans, Stephane; Hirsch, Emilio; Anker, Stefan D.; Aukrust, Pal; Balligand, Jean-Luc; Cohen-Tervaert, Jan W.; Drexler, Helmut; Filippatos, Gerasimos; Felix, Stephan B.; Gullestad, Lars; Hilfiker-Kleiner, Denise; Janssens, Stefan; Latini, Roberto; Neubauer, Gitte; Paulus, Walter J.

    2009-01-01

    The increasing prevalence of heart failure poses enormous challenges for health care systems worldwide. Despite effective medical interventions that target neurohumoral activation, mortality and morbidity remain substantial. Evidence for inflammatory activation as an important pathway in disease progression in chronic heart failure has emerged in the last two decades. However, clinical trials of ‘anti-inflammatory’ therapies (such as anti-tumor necrosis factor-α approaches) have to date faile...

  1. The importance of values in predicting Turkish youth's opinions about the European Union in light of the Copenhagen Political Criteria.

    Science.gov (United States)

    Kuşdil, M Ersin; Simşek, Sefa

    2008-12-01

    The enlargement process of the European Union may be regarded as one of the most important social projects of human history in that it is trying to unite several nation-states under a "European identity." As a historically and culturally "distant" candidate, Turkey has been asked to meet a set of expectations referred to as the "Copenhagen Criteria," requiring a series of large-scale reforms to the infrastructure and superstructure of the country. Taking advantage of the unique opportunity to relate Turkish people's opinions on the criteria to their values, hypotheses based on Schwartz's model of values were tested. Schwartz's Personal Values Questionnaire and a questionnaire measuring opinions on the criteria and the Union were completed by 368 Turkish university students. Factor analysis of the opinion items yielded five factors: reduction of military influence in civil life, scepticism towards Europe and the European Union, improvement of human rights and liberties, improvement of minority rights, and lack of transparency in public institutions. Regression analyses showed that values and nationalism were powerful predictors of opinions whereas the effect of religiosity was limited only to the prediction of a preference for the reduction of military influence in civil life. Preference for openness to change values were successful in predicting variance in three of the five criteria: The more the participants favoured these values, the more they supported the improvement of human rights and liberties, the improvement of minority rights, and regretted the lack of transparency. Self-transcendence values were also positively related to support for the same three criteria together with a preference for reduction of military influence. As for nationalism, the results showed that this variable was related negatively to reduction of the military influence, improvement of human rights and liberties, improvement of minority rights; and positively to scepticism.

  2. The role of the Arrhythmia Team, an integrated, multidisciplinary approach to treatment of patients with cardiac arrhythmias: results of the European Heart Rhythm Association survey.

    Science.gov (United States)

    Fumagalli, Stefano; Chen, Jian; Dobreanu, Dan; Madrid, Antonio Hernandez; Tilz, Roland; Dagres, Nikolaos

    2016-04-01

    Management of patients with cardiac arrhythmias is increasingly complex because of continuous technological advance and multifaceted clinical conditions associated with ageing of the population, the presence of co-morbidities and the need for polypharmacy. The aim of this European Heart Rhythm Association Scientific Initiatives Committee survey was to provide an insight into the role of the Arrhythmia Team, an integrated, multidisciplinary approach to management of patients with cardiac arrhythmias. Forty-eight centres from 18 European countries replied to the Web-based questionnaire. The presence of an Arrhythmia Team was reported by 44% of the respondents, whereas 17% were not familiar with this term. Apart from the electrophysiologist, health professionals who should belong to such teams, according to the majority of the respondents, include a clinical cardiologist, a nurse, a cardiac surgeon, a heart failure specialist, a geneticist, and a geriatrician. Its main activity should be dedicated to the management of patients with complex clinical conditions or refractory or inherited forms of arrhythmias. When present, the Arrhythmia Team was considered helpful by 95% of respondents; the majority of centres (79%) agreed that it should be implemented. The Arrhythmia Team seems to be connected to important expectations in the management of cardiac arrhythmias. The efficacy of such an integrated and multidisciplinary approach should be encouraged and tested in clinical practice. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2016. For permissions please email: journals.permissions@oup.com.

  3. Antithrombotic Therapy in Atrial Fibrillation Associated with Valvular Heart Disease: Executive Summary of a Joint Consensus Document from the European Heart Rhythm Association (EHRA) and European Society of Cardiology Working Group on Thrombosis, Endorsed by the ESC Working Group on Valvular Heart Disease, Cardiac Arrhythmia Society of Southern Africa (CASSA), Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), South African Heart (SA Heart) Association and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE).

    Science.gov (United States)

    Lip, Gregory Y H; Collet, Jean Philippe; de Caterina, Raffaele; Fauchier, Laurent; Lane, Deirdre A; Larsen, Torben B; Marin, Francisco; Morais, Joao; Narasimhan, Calambur; Olshansky, Brian; Pierard, Luc; Potpara, Tatjana; Sarrafzadegan, Nizal; Sliwa, Karen; Varela, Gonzalo; Vilahur, Gemma; Weiss, Thomas; Boriani, Giuseppe; Rocca, Bianca

    2017-12-01

    Management strategies for patients with atrial fibrillation (AF) in association with valvular heart disease (VHD) have been less informed by randomized trials, which have largely focused on ‘non-valvular AF’ patients. Thromboembolic risk also varies according to valve lesion and may also be associated with CHA2DS2-VASc score risk factor components, rather than only the valve disease being causal. Given the need to provide expert recommendations for professionals participating in the care of patients presenting with AF and associated VHD, a task force was convened by the European Heart Rhythm Association (EHRA) and European Society of Cardiology (ESC) Working Group (WG) on Thrombosis, with representation from the ESC WG on Valvular Heart Disease, Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), South African Heart (SA Heart) Association and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE) with the remit to comprehensively review the published evidence, and to produce a consensus document on the management of patients with AF and associated VHD, with up-to-date consensus statements for clinical practice for different forms of VHD, based on the principles of evidence-based medicine. This is an executive summary of a consensus document which proposes that the term ‘valvular AF’ is outdated and given that any definition ultimately relates to the evaluated practical use of oral anticoagulation (OAC) type, we propose a functional EHRA (Evaluated Heartvalves, Rheumatic or Artificial) categorization in relation to the type of OAC use in patients with AF, as follows: (1) EHRA (Evaluated Heartvalves, Rheumatic or Artificial) type 1 VHD, which refers to AF patients with ‘VHD needing therapy with a vitamin K antagonist (VKA)’ and (2) EHRA (Evaluated Heartvalves, Rheumatic or Artificial) type 2 VHD, which refers to AF patients with ‘VHD needing therapy with a VKA or a non-VKA oral anticoagulant also taking

  4. Hypertension and cardiac arrhythmias: a consensus document from the European Heart Rhythm Association (EHRA) and ESC Council on Hypertension, endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE).

    Science.gov (United States)

    Lip, Gregory Y H; Coca, Antonio; Kahan, Thomas; Boriani, Giuseppe; Manolis, Antonis S; Olsen, Michael Hecht; Oto, Ali; Potpara, Tatjana S; Steffel, Jan; Marín, Francisco; de Oliveira Figueiredo, Márcio Jansen; de Simone, Giovanni; Tzou, Wendy S; Chiang, Chern-En; Williams, Bryan; Dan, Gheorghe-Andrei; Gorenek, Bulent; Fauchier, Laurent; Savelieva, Irina; Hatala, Robert; van Gelder, Isabelle; Brguljan-Hitij, Jana; Erdine, Serap; Lovic, Dragan; Kim, Young-Hoon; Salinas-Arce, Jorge; Field, Michael

    2017-06-01

    Hypertension is a common cardiovascular risk factor leading to heart failure (HF), coronary artery disease, stroke, peripheral artery disease and chronic renal insufficiency. Hypertensive heart disease can manifest as many cardiac arrhythmias, most commonly being atrial fibrillation (AF). Both supraventricular and ventricular arrhythmias may occur in hypertensive patients, especially in those with left ventricular hypertrophy (LVH) or HF. Also, some of the antihypertensive drugs commonly used to reduce blood pressure, such as thiazide diuretics, may result in electrolyte abnormalities (e.g. hypokalaemia, hypomagnesemia), further contributing to arrhythmias, whereas effective control of blood pressure may prevent the development of the arrhythmias such as AF. In recognizing this close relationship between hypertension and arrhythmias, the European Heart Rhythm Association (EHRA) and the European Society of Cardiology (ESC) Council on Hypertension convened a Task Force, with representation from the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE), with the remit to comprehensively review the available evidence to publish a joint consensus document on hypertension and cardiac arrhythmias, and to provide up-to-date consensus recommendations for use in clinical practice. The ultimate judgment regarding care of a particular patient must be made by the healthcare provider and the patient in light of all of the circumstances presented by that patient. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For permissions, please email: journals.permissions@oup.com.

  5. Nonselective versus selective beta-blockers in the management of chronic heart failure: clinical implications of the carvedilol or Metoprolol European Trial.

    Science.gov (United States)

    Greenberg, Barry

    2004-01-01

    The abundance of evidence supporting beta-blocker therapy has resulted in the widespread acceptance of these drugs in the treatment of heart-failure patients. However, beta-blockers are not a homogeneous class of drugs, and important differences in efficacy have been noted between different members of the class. Thus, practicing physicians are faced with a choice when selecting a particular beta-blocker for treating heart failure. One of the considerations is whether to choose a selective or a nonselective beta-blocker. The results of the Carvedilol or Metoprolol European Trial indicate that carvedilol, a third-generation, nonselective beta-blocker with additional a-blocking, antioxidant, and other properties, is clearly superior to a beta1-blocking drug, metoprolol tartrate. The choice between these drugs is therefore unambiguously in favor of carvedilol.

  6. Updated European Heart Rhythm Association Practical Guide on the use of non-vitamin K antagonist anticoagulants in patients with non-valvular atrial fibrillation.

    Science.gov (United States)

    Heidbuchel, Hein; Verhamme, Peter; Alings, Marco; Antz, Matthias; Diener, Hans-Christoph; Hacke, Werner; Oldgren, Jonas; Sinnaeve, Peter; Camm, A John; Kirchhof, Paulus

    2015-10-01

    The current manuscript is an update of the original Practical Guide, published in June 2013[Heidbuchel H, Verhamme P, Alings M, Antz M, Hacke W, Oldgren J, et al. European Heart Rhythm Association Practical Guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation. Europace 2013;15:625-51; Heidbuchel H, Verhamme P, Alings M, Antz M, Hacke W, Oldgren J, et al. EHRA practical guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation: executive summary. Eur Heart J 2013;34:2094-106]. Non-vitamin K antagonist oral anticoagulants (NOACs) are an alternative for vitamin K antagonists (VKAs) to prevent stroke in patients with non-valvular atrial fibrillation (AF). Both physicians and patients have to learn how to use these drugs effectively and safely in clinical practice. Many unresolved questions on how to optimally use these drugs in specific clinical situations remain. The European Heart Rhythm Association set out to coordinate a unified way of informing physicians on the use of the different NOACs. A writing group defined what needs to be considered as 'non-valvular AF' and listed 15 topics of concrete clinical scenarios for which practical answers were formulated, based on available evidence. The 15 topics are (i) practical start-up and follow-up scheme for patients on NOACs; (ii) how to measure the anticoagulant effect of NOACs; (iii) drug-drug interactions and pharmacokinetics of NOACs; (iv) switching between anticoagulant regimens; (v) ensuring adherence of NOAC intake; (vi) how to deal with dosing errors; (vii) patients with chronic kidney disease; (viii) what to do if there is a (suspected) overdose without bleeding, or a clotting test is indicating a risk of bleeding?; (xi) management of bleeding complications; (x) patients undergoing a planned surgical intervention or ablation; (xi) patients undergoing an urgent surgical intervention; (xii) patients with AF and coronary artery disease

  7. Self-care management of heart failure : practical recommendations from the Patient Care Committee of the Heart Failure Association of the European Society of Cardiology

    NARCIS (Netherlands)

    Lainscak, Mitja; Blue, Lynda; Clark, Andrew L.; Dahlstrom, Ulf; Dickstein, Kenneth; Ekman, Inger; McDonagh, Theresa; McMurray, John J.; Ryder, Mary; Stewart, Simon; Stromberg, Anna; Jaarsma, Tiny

    Guidelines on heart failure (HF) stress the importance of lifestyle advice, although there is little evidence that such recommendations improve symptoms or prognosis. Patients experience symptoms of different intensities which impair their daily activities and reduce the quality-of-life. To cope

  8. Genomic variation associated with mortality among adults of European and African ancestry with heart failure: The cohorts for heart and aging research in genomic epidemiology consortium

    NARCIS (Netherlands)

    A.C. Morrison (Alanna); J.F. Felix (Janine); L.A. Cupples (Adrienne); N.L. Glazer (Nicole); L.R. Loehr (Laura); A. Dehghan (Abbas); S. Demissie (Serkalem); J.C. Bis (Joshua); W.D. Rosamond (Wayne); Y.S. Aulchenko (Yurii); T. Haritunians (Talin); A.R. Folsom (Aaron); F. Rivadeneira Ramirez (Fernando); E.J. Benjamin (Emelia); T. Lumley (Thomas); D.J. Couper (David); B.H.Ch. Stricker (Bruno); K. Rice (Kenneth); T.J. Wang (Thomas); P.P. Chang (Patricia); A. Hofman (Albert); D. Levy (Daniel); J.I. Rotter (Jerome); E.R. Fox (Ervin); A.G. Uitterlinden (André); B.M. Psaty (Bruce); J.T. Willerson (James); P. Tikka-Kleemola (Päivi); E.A. Boerwinkle (Eric); J.C.M. Witteman (Jacqueline); R.S. Vasan (Ramachandran Srini); N.L. Smith (Nicholas); C.J. O'Donnell (Christopher)

    2010-01-01

    textabstractBackground-Prognosis and survival are significant concerns for individuals with heart failure (HF). To better understand the pathophysiology of HF prognosis, the association between 2 366 858 single-nucleotide polymorphisms (SNPs) and all-cause mortality was evaluated among individuals

  9. Technical Actions, Heart Rate, and Locomotor Activity in 7v7 and 8v8 Games for Female Youth Soccer Players.

    Science.gov (United States)

    Ørntoft, Christina; Larsen, Malte N; Andersen, Thomas B; Rasmussen, Lasse S; Póvoas, Susana C A; Randers, Morten B; Krustrup, Peter

    2016-12-01

    Ørntoft, C, Larsen, MN, Andersen, TB, Rasmussen, LS, Póvoas, SCA, Randers, MB, and Krustrup, P. Technical actions, heart rate, and locomotor activity in 7v7 and 8v8 games for female youth soccer players. J Strength Cond Res 30(12): 3298-3303, 2016-The purpose of this study was to evaluate technical performance, heart rate (HR), and activity profile in 7v7 and 8v8 soccer games for 9- to 10-year-old girls (U11). A total of 24 female youth players participated in the study, all playing 20-minute 7v7 and 8v8 games with 160 and 223 m per player, respectively. Technical actions, HR, and activity profile were measured during the games using video filming, HR monitors, and 5-Hz Global positioning system (GPS) units. The number of technical actions was higher in 7v7 than in 8v8 games (34 ± 19 vs. 28 ± 14; p = 0.03; d = 0.37), as was the number of successful actions (25 ± 16 vs. 20 ± 12; p = 0.01; d = 0.35), with no difference in success rate for technical actions (70 ± 13 vs. 69 ± 14%; p = 0.63; d = 0.07). No differences were found between 7v7 and 8v8 in total distance covered (1,574 ± 251 and 1,622 ± 281 m; p = 0.66; d = 0.18), peak speed (19.5 ± 2.6 and 20.7 ± 1.5 km·h; p = 0.16; d = 0.56), mean HR values (85 ± 5 and 86 ± 6%HRpeak; p = 0.85; d = 0.18), and time of >90% HRpeak (37 ± 16 and 35 ± 14% of playing time; p = 0.70; d = 0.13). Distance covered at the highest running speeds of >16 km·h was lower in 7v7 than in 8v8 games (34 ± 24 vs. 63 ± 34 m; p = 0.018; d = 0.98), as was the number of entries into this speed zone (8 ± 5 vs. 13 ± 7; p = 0.006; d = 0.82). In conclusion, more technical actions and successful actions were observed in 7v7 than in 8v8 games, but players covered more ground with high-speed running in 8v8 games. This study also revealed that HR values were high in both game formats for U11 adolescent female players, with no difference between formats.

  10. A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference.

    Science.gov (United States)

    Kirchhof, Paulus; Breithardt, Günter; Bax, Jeroen; Benninger, Gerlinde; Blomstrom-Lundqvist, Carina; Boriani, Giuseppe; Brandes, Axel; Brown, Helen; Brueckmann, Martina; Calkins, Hugh; Calvert, Melanie; Christoffels, Vincent; Crijns, Harry; Dobrev, Dobromir; Ellinor, Patrick; Fabritz, Larissa; Fetsch, Thomas; Freedman, S Ben; Gerth, Andrea; Goette, Andreas; Guasch, Eduard; Hack, Guido; Haegeli, Laurent; Hatem, Stephane; Haeusler, Karl Georg; Heidbüchel, Hein; Heinrich-Nols, Jutta; Hidden-Lucet, Francoise; Hindricks, Gerd; Juul-Möller, Steen; Kääb, Stefan; Kappenberger, Lukas; Kespohl, Stefanie; Kotecha, Dipak; Lane, Deirdre A; Leute, Angelika; Lewalter, Thorsten; Meyer, Ralf; Mont, Lluis; Münzel, Felix; Nabauer, Michael; Nielsen, Jens C; Oeff, Michael; Oldgren, Jonas; Oto, Ali; Piccini, Jonathan P; Pilmeyer, Art; Potpara, Tatjana; Ravens, Ursula; Reinecke, Holger; Rostock, Thomas; Rustige, Joerg; Savelieva, Irene; Schnabel, Renate; Schotten, Ulrich; Schwichtenberg, Lars; Sinner, Moritz F; Steinbeck, Gerhard; Stoll, Monika; Tavazzi, Luigi; Themistoclakis, Sakis; Tse, Hung Fat; Van Gelder, Isabelle C; Vardas, Panagiotis E; Varpula, Timo; Vincent, Alphons; Werring, David; Willems, Stephan; Ziegler, André; Lip, Gregory Y H; Camm, A John

    2016-01-01

    At least 30 million people worldwide carry a diagnosis of atrial fibrillation (AF), and many more suffer from undiagnosed, subclinical, or 'silent' AF. Atrial fibrillation-related cardiovascular mortality and morbidity, including cardiovascular deaths, heart failure, stroke, and hospitalizations, remain unacceptably high, even when evidence-based therapies such as anticoagulation and rate control are used. Furthermore, it is still necessary to define how best to prevent AF, largely due to a lack of clinical measures that would allow identification of treatable causes of AF in any given patient. Hence, there are important unmet clinical and research needs in the evaluation and management of AF patients. The ensuing needs and opportunities for improving the quality of AF care were discussed during the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference in Nice, France, on 22 and 23 January 2015. Here, we report the outcome of this conference, with a focus on (i) learning from our 'neighbours' to improve AF care, (ii) patient-centred approaches to AF management, (iii) structured care of AF patients, (iv) improving the quality of AF treatment, and (v) personalization of AF management. This report ends with a list of priorities for research in AF patients. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  11. Red Flags for Maltese Adults with Congenital Heart Disease: Poorer Dental Care and Less Sports Participation Compared to Other European Patients-An APPROACH-IS Substudy.

    Science.gov (United States)

    Caruana, Maryanne; Apers, Silke; Kovacs, Adrienne H; Luyckx, Koen; Thomet, Corina; Budts, Werner; Sluman, Maayke; Eriksen, Katrine; Dellborg, Mikael; Berghammer, Malin; Johansson, Bengt; Soufi, Alexandra; Callus, Edward; Moons, Philip; Grech, Victor

    2017-06-01

    Studies in recent years have explored lifestyle habits and health-risk behaviours in adult congenital heart disease (ACHD) patients when compared to controls. The aim of this study was to investigate differences in lifestyle habits between Maltese and other European ACHD patients. Data on alcohol consumption, cigarette smoking, substance misuse, dental care and physical activity collected in 2013-2015 during "Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease-International Study" (APPROACH-IS) were analysed. Responses from 119 Maltese participants were compared to those of 1616 participants from Belgium, France, Italy, Norway, Sweden, Switzerland and the Netherlands. Significantly fewer Maltese patients with simple (Maltese 84.1% vs. European 97.5%, p sport activities. Comparison by country showed Maltese patients to have significantly poorer tooth brushing and sports participation than patients from any other participating country. Alcohol consumption, cigarette smoking and substance misuse were not significantly different. This study highlights lifestyle aspects that Maltese ACHD patients need to improve on, which might not be evident upon comparing patients to non-CHD controls. These findings should also caution researchers against considering behaviours among patients in one country as necessarily representative of patients on the larger scale.

  12. Effectiveness of social marketing strategies to reduce youth obesity in European school-based interventions: a systematic review and meta-analysis.

    Science.gov (United States)

    Aceves-Martins, Magaly; Llauradó, Elisabet; Tarro, Lucia; Moreno-García, Carlos Francisco; Trujillo Escobar, Tamy Goretty; Solà, Rosa; Giralt, Montse

    2016-05-01

    The use of social marketing to modify lifestyle choices could be helpful in reducing youth obesity. Some or all of the 8 domains of the National Social Marketing Centre's social marketing benchmark criteria (SMBC) are often used but not always defined in intervention studies. The aim of this review is to assess the effectiveness of European school-based interventions to prevent obesity relative to the inclusion of SMBC domains in the intervention. The PubMed, Cochrane, and ERIC databases were used. Nonrandomized and randomized controlled trials conducted from 1990 to April 2014 in participants aged 5 to 17 years were included. After the study selection, the 8 domains of the SMBC were assessed in each included study. Thirty-eight publications were included in the systematic review. For the meta-analysis, randomized controlled trials (RCTs) reporting body mass index or prevalence of overweight and obesity were considered. Eighteen RCTs with a total of 8681 participants included at least 5 SMBC. The meta-analysis showed a small standardized mean difference in body mass index of -0.25 (95%CI, -0.45 to -0.04) and a prevalence of overweight and obesity odds ratio of 0.72 (95%CI, 0.5-0.97). Current evidence indicates that the inclusion of at least 5 SMBC domains in school-based interventions could benefit efforts to prevent obesity in young people. PROSPERO registration number: CRD42014007297. © The Author(s) 2016. Published by Oxford University Press on behalf of the International Life Sciences Institute.

  13. Determinants and clinical outcome of uptitration of ACE-inhibitors and beta-blockers in patients with heart failure: a prospective European study.

    Science.gov (United States)

    Ouwerkerk, W; Voors, A A; Anker, S D; Cleland, J G; Dickstein, K; Filippatos, G; van der Harst, P; Hillege, H L; Lang, C C; Ter Maaten, J M; Ng, L L; Ponikowski, P; Samani, N J; van Veldhuisen, D J; Zannad, F; Metra, M; Zwinderman, A H

    2017-06-21

    Despite clear guidelines recommendations, most patients with heart failure and reduced ejection-fraction (HFrEF) do not attain guideline-recommended target doses. We aimed to investigate characteristics and for treatment-indication-bias corrected clinical outcome of patients with HFrEF that did not reach recommended treatment doses of ACE-inhibitors/Angiotensin receptor blockers (ARBs) and/or beta-blockers. BIOSTAT-CHF was specifically designed to study uptitration of ACE-inhibitors/ARBs and/or beta-blockers in 2516 heart failure patients from 69 centres in 11 European countries who were selected if they were suboptimally treated while initiation or uptitration was anticipated and encouraged. Patients who died during the uptitration period (n = 151) and patients with a LVEF > 40% (n = 242) were excluded. Median follow up was 21 months. We studied 2100 HFrEF patients (76% male; mean age 68 ±12), of which 22% achieved the recommended treatment dose for ACE-inhibitor/ARB and 12% of beta-blocker. There were marked differences between European countries. Reaching ACE-inhibitor/ARB and beta-blocker dose was associated with an increased risk of death and/or heart failure hospitalization. Patients reaching 50-99% of the recommended ACE-inhibitor/ARB and/or beta-blocker dose had comparable risk of death and/or heart failure hospitalization to those reaching ≥100%. Patients not reaching recommended dose because of symptoms, side effects and non-cardiac organ dysfunction had the highest mortality rate (for ACE-inhibitor/ARB: HR 1.72; 95% CI 1.43-2.01; for beta-blocker: HR 1.70; 95% CI 1.36-2.05). Patients with HFrEF who were treated with less than 50% of recommended dose of ACE-inhibitors/ARBs and beta-blockers seemed to have a greater risk of death and/or heart failure hospitalization compared with patients reaching ≥100%.

  14. Auricular Acupressure to Improve Menstrual Pain and Menstrual Distress and Heart Rate Variability for Primary Dysmenorrhea in Youth with Stress

    Directory of Open Access Journals (Sweden)

    Yu-Jen Wang

    2013-01-01

    Full Text Available Background. Dysmenorrhea and accompanying symptoms can have a negative impact on academic achievement, physical activity and functioning, and quality of life. Unfortunately, stress increases the sensitivity and severity of pain, activating sympathetic responses while inhibiting parasympathetic responses. Objective. This study used objective, physiological measurements to evaluate the effects of auricular acupressure on menstrual pain and menstrual distress in young college students with primary dysmenorrhea across two menstrual cycles. The aim was to determine if significant differences could be detected between the intervention and follow-up phases after controlling life stress. Design. A one-group experimental research design was used, and repeated measurements and followups were done. Thirty-two women completed questionnaires and physiological parameters were measured. Results. Significant differences between the intervention and follow-up phases were found for high frequency (HF and blood pressure on day 1 and no significant differences in menstrual pain and menstrual distress, heart rate variability, low frequency (LF, LF/HF ratio, or heart rate. Conclusion. Auricular acupressure effectively increases parasympathetic activity to maintain autonomic function homeostasis in young women with primary dysmenorrhea and may have a value in alleviating menstrual pain and menstrual distress in a high-stress life. Future studies should consider stress, stimulus dose of auricular acupressure, severity of menstrual pain, and a longitudinal research design.

  15. Clinical characteristics of patients from the worldwide registry on peripartum cardiomyopathy (PPCM): EURObservational Research Programme in conjunction with the Heart Failure Association of the European Society of Cardiology Study Group on PPCM.

    Science.gov (United States)

    Sliwa, Karen; Mebazaa, Alexandre; Hilfiker-Kleiner, Denise; Petrie, Mark C; Maggioni, Aldo P; Laroche, Cecile; Regitz-Zagrosek, Vera; Schaufelberger, Maria; Tavazzi, Luigi; van der Meer, Peter; Roos-Hesselink, Jolien W; Seferovic, Petar; van Spandonck-Zwarts, Karin; Mbakwem, Amam; Böhm, Michael; Mouquet, Frederic; Pieske, Burkert; Hall, Roger; Ponikowski, Piotre; Bauersachs, Johann

    2017-09-01

    The purpose of this study is to describe disease presentation, co-morbidities, diagnosis and initial therapeutic management of patients with peripartum cardiomyopathy (PPCM) living in countries belonging to the European Society of Cardiology (ESC) vs. non-ESC countries. Out of 500 patients with PPCM entered by 31 March 2016, we report on data of the first 411 patients with completed case record forms (from 43 countries) entered into this ongoing registry. There were marked differences in socio-demographic parameters such as Human Development Index, GINI index on inequality, and Health Expenditure in PPCM patients from ESC vs. non-ESC countries (P heart failure after 1 month (92.3% vs. 81.3%, P heart failure were common within 1 month post-diagnosis and required intensive, multidisciplinary management. © 2017 The Authors. European Journal of Heart Failure © 2017 European Society of Cardiology.

  16. Dietary intakes of European, Māori, Pacific and Asian adults living in Auckland: the Diabetes, Heart and Health Study.

    Science.gov (United States)

    Metcalf, Patricia A; Scragg, Robert R K; Schaaf, David; Dyall, Lorna; Black, Peter N; Jackson, Rod

    2008-10-01

    To compare dietary intakes of European, Māori, Pacific, and Asian men and women living in Auckland. Daily nutrient intakes were calculated from a self-administered food frequency questionnaire from participants in a cross-sectional health screening study carried out between 2002 and 2003. Participants were 4,007 Māori, Pacific, Asian and European people (1,915 men, 2,092 women) aged 35 to 74 years. Compared with Europeans, Māori and Pacific men had higher total energy intakes per day, while Asians had lower intakes. A similar pattern was observed for carbohydrate and fat consumption. While protein and cholesterol consumption tended to be lower in Europeans than the other three ethnic groups, alcohol consumption and calcium intakes were highest among Europeans. Many of the differences between ethnic groups were attenuated when nutrient consumption was expressed as their percentage contribution to total energy intake suggesting that total food consumption was the major determinant of ethnic differences in nutrient intakes. There were substantial differences in dietary habits, food selections and cooking practices between European, Māori, Pacific and Asian participants. However, the observed differences were in the area of serving sizes and frequency of consumption of certain foods than to major differences in the range of foods and nutrients consumed or the percentage contribution of carbohydrate, fat or protein to total energy intake. The development of strategies to reduce serving sizes and the frequency of consumption of certain foods will be required to help address the major nutrition-related health problems in New Zealand.

  17. Youth Homelessness in Denmark?

    DEFF Research Database (Denmark)

    Børner Stax, Tobias

    Based on a literature study this chapter reflects upon the existence of youth homelessness in Denmark. The chapter contains reflections upon the juridical measures directed towards youngsters living on the margin of the Danish society and presents two concrete project directed towards young people...... living rough. The chapter is taken form an anthology discussion youth homelessness in the different member states of the European Union....

  18. Exposure to aircraft and road traffic noise and associations with heart disease and stroke in six European countries: a cross-sectional study

    Science.gov (United States)

    2013-01-01

    Background Although a number of studies have found an association between aircraft noise and hypertension, there is a lack of evidence on associations with other cardiovascular disease. For road traffic noise, more studies are available but the extent of possible confounding by air pollution has not been established. Methods This study used data from the Hypertension and Environmental Noise near Airports (HYENA) study. Cross-sectional associations between self-reported ‘heart disease and stroke’ and aircraft noise and road traffic noise were examined using data collected between 2004 and 2006 on 4712 participants (276 cases), who lived near airports in six European countries (UK, Germany, Netherlands, Sweden, Greece, Italy). Data were available to assess potential confounding by NO2 air pollution in a subsample of three countries (UK, Netherlands, Sweden). Results An association between night-time average aircraft noise and ‘heart disease and stroke’ was found after adjustment for socio-demographic confounders for participants who had lived in the same place for ≥ 20 years (odds ratio (OR): 1.25 (95% confidence interval (CI) 1.03, 1.51) per 10 dB (A)); this association was robust to adjustment for exposure to air pollution in the subsample. 24 hour average road traffic noise exposure was associated with ‘heart disease and stroke’ (OR: 1.19 (95% CI 1.00, 1.41), but adjustment for air pollution in the subsample suggested this may have been due to confounding by air pollution. Statistical assessment (correlations and variance inflation factor) suggested only modest collinearity between noise and NO2 exposures. Conclusions Exposure to aircraft noise over many years may increase risks of heart disease and stroke, although more studies are needed to establish how much the risks associated with road traffic noise may be explained by air pollution. PMID:24131577

  19. Management of tricuspid valve regurgitation: Position statement of the European Society of Cardiology Working Groups of Cardiovascular Surgery and Valvular Heart Disease.

    Science.gov (United States)

    Antunes, Manuel J; Rodríguez-Palomares, José; Prendergast, Bernard; De Bonis, Michele; Rosenhek, Raphael; Al-Attar, Nawwar; Barili, Fabio; Casselman, Filip; Folliguet, Thierry; Iung, Bernard; Lancellotti, Patrizio; Muneretto, Claudio; Obadia, Jean-François; Pierard, Luc; Suwalski, Piotr; Zamorano, Pepe

    2017-12-01

    Tricuspid regurgitation (TR) is a very frequent manifestation of valvular heart disease. It may be due to the primary involvement of the valve or secondary to pulmonary hypertension or to the left-sided heart valve disease (most commonly rheumatic and involving the mitral valve). The pathophysiology of secondary TR is complex and is intrinsically connected to the anatomy and function of the right ventricle. A systematic multimodality approach to diagnosis and assessment (based not only on the severity of the TR but also on the assessment of annular size, RV function and degree of pulmonary hypertension) is, therefore, essential. Once considered non-important, treatment of secondary TR is currently viewed as an essential concomitant procedure at the time of mitral (and, less frequently, aortic valve) surgery. Although the indications for surgical management of severe TR are now generally accepted (Class I), controversy persists concerning the role of intervention for moderate TR. However, there is a trend for intervention in this setting, especially at the time of surgery for left-sided heart valve disease and/or in patients with significant tricuspid annular dilatation (Class IIa). Currently, surgery remains the best approach for the interventional treatment of TR. Percutaneous tricuspid valve intervention (both repair and replacement) is still in its infancy but may become a reliable option in future, especially for high-risk patients with isolated primary TR or with secondary TR related to advanced left-sided heart valve disease. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  20. Long-term outcome of ablative therapy of postoperative supraventricular tachycardias in patients with univentricular heart: a European multicenter study

    NARCIS (Netherlands)

    de Groot, Natasja M. S.; Lukac, Peter; Blom, Nico A.; van Kuijk, Jan Peter; Pedersen, Anders K.; Hansen, Peter S.; Delacretaz, Etienne; Schalij, Martin J.

    2009-01-01

    BACKGROUND: Catheter ablation has evolved as a possible curative treatment modality for supraventricular tachycardias (SVT) in patients with univentricular heart. However, the long-term outcome of ablation procedures is unknown. We evaluated the procedural and long-term outcome of ablative therapy

  1. Are hospitalized or ambulatory patients with heart failure treated in accordance with European Society of Cardiology guidelines? Evidence from 12,440 patients of the ESC Heart Failure Long-Term Registry.

    Science.gov (United States)

    Maggioni, Aldo P; Anker, Stefan D; Dahlström, Ulf; Filippatos, Gerasimos; Ponikowski, Piotr; Zannad, Faiez; Amir, Offer; Chioncel, Ovidiu; Leiro, Marisa Crespo; Drozdz, Jaroslaw; Erglis, Andrejs; Fazlibegovic, Emir; Fonseca, Candida; Fruhwald, Friedrich; Gatzov, Plamen; Goncalvesova, Eva; Hassanein, Mahmoud; Hradec, Jaromir; Kavoliuniene, Ausra; Lainscak, Mitja; Logeart, Damien; Merkely, Bela; Metra, Marco; Persson, Hans; Seferovic, Petar; Temizhan, Ahmet; Tousoulis, Dimitris; Tavazzi, Luigi

    2013-10-01

    To evaluate how recommendations of European guidelines regarding pharmacological and non-pharmacological treatments for heart failure (HF) are adopted in clinical practice. The ESC-HF Long-Term Registry is a prospective, observational study conducted in 211 Cardiology Centres of 21 European and Mediterranean countries, members of the European Society of Cardiology (ESC). From May 2011 to April 2013, a total of 12,440 patients were enrolled, 40.5% with acute HF and 59.5% with chronic HF. Intravenous treatments for acute HF were heterogeneously administered, irrespective of guideline recommendations. In chronic HF, with reduced EF, renin-angiotensin system (RAS) blockers, beta-blockers, and mineralocorticoid antagonists (MRAs) were used in 92.2, 92.7, and 67.0% of patients, respectively. When reasons for non-adherence were considered, the real rate of undertreatment accounted for 3.2, 2.3, and 5.4% of the cases, respectively. About 30% of patients received the target dosage of these drugs, but a documented reason for not achieving the target dosage was reported in almost two-thirds of them. The more relevant reasons for non-implantation of a device, when clinically indicated, were related to doctor uncertainties on the indication, patient refusal, or logistical/cost issues. This pan-European registry shows that, while in patients with acute HF, a large heterogeneity of treatments exists, drug treatment of chronic HF can be considered largely adherent to recommendations of current guidelines, when the reasons for non-adherence are taken into account. Observations regarding the real possibility to adhere fully to current guidelines in daily clinical practice should be seriously considered when clinical practice guidelines have to be written.

  2. Validity of the European society of cardiology's psychosocial screening interview in patients with coronary heart disease : The THORESCI study

    NARCIS (Netherlands)

    van Montfort, E.M.J.; Denollet, J.; Widdershoven, J.W.M.G.; Kupper, N.

    2017-01-01

    Objective: The aim of the study was to examine the validity of the European Society of Cardiology (ESC) psychosocial screening instrument. Methods: A total of 508 acute (67%) or elective (33%) percutaneous coronary intervention patients (mean [standard deviation]age = 63 [10] years, 81% male)

  3. Hypertension and cardiac arrhythmias: executive summary of a consensus document from the European Heart Rhythm Association (EHRA) and ESC Council on Hypertension, endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE).

    Science.gov (United States)

    Lip, Gregory Y H; Coca, Antonio; Kahan, Thomas; Boriani, Giuseppe; Manolis, Antonis S; Olsen, Michael Hecht; Oto, Ali; Potpara, Tatjana S; Steffel, Jan; Marín, Francisco; de Oliveira Figueiredo, Márcio Jansen; de Simone, Giovanni; Tzou, Wendy S; En Chiang, Chern; Williams, Bryan

    2017-10-01

    Hypertension (HTN) is a common cardiovascular risk factor leading to heart failure (HF), coronary artery disease (CAD), stroke, peripheral artery disease and chronic renal failure. Hypertensive heart disease can manifest as many types of cardiac arrhythmias, most commonly being atrial fibrillation (AF). Both supraventricular and ventricular arrhythmias may occur in HTN patients, especially in those with left ventricular hypertrophy (LVH), CAD, or HF. In addition, high doses of thiazide diuretics commonly used to treat HTN, may result in electrolyte abnormalities (e.g. hypokalaemia, hypomagnesaemia), contributing further to arrhythmias, while effective blood pressure control may prevent the development of the arrhythmias such as AF. In recognizing this close relationship between HTN and arrhythmias, the European Heart Rhythm Association (EHRA) and the European Society of Cardiology (ESC) Council on Hypertension convened a Task Force, with representation from the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE), with the remit of comprehensively reviewing the available evidence and publishing a joint consensus document on HTN and cardiac arrhythmias, and providing up-to-date consensus recommendations for use in clinical practice. The ultimate judgment on the care of a specific patient must be made by the healthcare provider and the patient in light of all individual factors presented. This is an executive summary of the full document co-published by EHRA in EP-Europace. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For Permissions, please email: journals.permissions@oup.com.

  4. The use of smartphones to influence lifestyle changes in overweight and obese youth with congenital heart disease: a single-arm study: Pilot and feasibility study protocol: Smart Heart Trial.

    Science.gov (United States)

    Rombeek, Meghan; De Jesus, Stefanie; Altamirano-Diaz, Luis; Welisch, Eva; Prapavessis, Harry; Seabrook, Jamie A; Norozi, Kambiz

    2017-01-01

    Both obesity and congenital heart disease (CHD) are risk factors for the long-term cardiovascular health of children and adolescents. The addition of smart mobile technology to conventional lifestyle counseling for weight management offers great potential to appeal to technologically literate youth and can address a large geographical area with minimal burden to participants. This pilot study seeks to examine the influence of a 1-year lifestyle intervention on nutrition and physical activity-related health outcomes in overweight or obese children and adolescents with CHD. This is a pilot and feasibility study which utilizes a single-arm, prospective design with a goal to recruit 40 overweight and obese patients. The feasibility metrics will evaluate the integrity of the study protocol, data collection and questionnaires, recruitment and consent, and acceptability of the intervention protocol and primary outcome measures. The primary clinical outcome metrics are anthropometry, body composition, and cardiorespiratory exercise capacity. The secondary clinical metrics include quality of life, nutrition and physical activity behavior, lung and muscle function, and cardio-metabolic risk factors. Outcomes are assessed at baseline, 6 months, and 1 year. To date, a total of 36 children and youth (11 girls), aged 7-17 years (mean = 14.4 years), have commenced the intervention. Recruitment for the study was initiated in June 2012 and is currently ongoing. The information provided in this paper is intended to help researchers and health professionals with the development and evaluation of similar lifestyle intervention programs. Since the application of smartphones to pediatric cardiac health and obesity management is a novel approach, and continued research in this area is warranted, this paper may serve as a foundation for further exploration of this health frontier and inform the development of a broader strategy for obesity management in pediatric cardiology. This

  5. Implementation and reimbursement of remote monitoring for cardiac implantable electronic devices in Europe: a survey from the health economics committee of the European Heart Rhythm Association.

    Science.gov (United States)

    Mairesse, Georges H; Braunschweig, Frieder; Klersy, Katherine; Cowie, Martin R; Leyva, Francisco

    2015-05-01

    Remote monitoring (RM) of cardiac implantable electronic devices (CIEDs) permits early detection of arrhythmias, device, and lead failure and may also be useful in risk-predicting patient-related outcomes. Financial benefits for patients and healthcare organizations have also been shown. We sought to assess the implementation and funding of RM of CIEDs, including conventional pacemakers (PMs), implantable cardioverter defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices in Europe. Electronic survey from 43 centres in 15 European countries. In the study sample, RM was available in 22% of PM patients, 74% of ICD patients, and 69% of CRT patients. The most significant perceived benefits were the early detection of atrial arrhythmias in pacemaker patients, lead failure in ICD patients, and worsening heart failure in CRT patients. Remote monitoring was reported to lead a reduction of in-office follow-ups for all devices. The most important reported barrier to the implementation of RM for all CIEDs was lack of reimbursement (80% of centres). Physicians regard RM of CIEDs as a clinically useful technology that affords significant benefits for patients and healthcare organizations. Remote monitoring, however, is perceived as increasing workload. Reimbursement for RM is generally perceived as a major barrier to implementation. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  6. Heart Rate, Technical Performance, and Session-RPE in Elite Youth Soccer Small-Sided Games Played With Wildcard Players.

    Science.gov (United States)

    Sanchez-Sanchez, Javier; Hernández, Daniel; Casamichana, David; Martínez-Salazar, Cristian; Ramirez-Campillo, Rodrigo; Sampaio, Jaime

    2017-10-01

    The aim of this study was to compare heart rate (HR), rating of perceived exertion (RPE), and technical-tactical actions during small-sided games (SSGs) played without (CTR), with internal (IW), and with IW and external (IEW) wildcard players. A total of 22 young male soccer players (age 17.2 ± 0.9 years) randomly completed six 4vs4 SSG situations. The control conditions occurred with goals scored without goalkeeper (4vs4-NO) and with goalkeeper (4vs4-GK). During the experimental conditions, the situations incorporated 2 IW (4vs4+2IW-NO, 4vs4+2IW-GK) and 2 IEW (4vs4+2IW+2IEW-NO, 4vs4+2IW+2IEW-GK). Processed results did not include data from goalkeepers, IW, and IEW players. The HR was divided in intensity-zones (Z1, Z2, and Z3, for 90% of maximal HR, respectively) and the analyzed technical-tactical actions were the pass, dribbling, collective success, and pause. The effects of IW and IEW were analyzed through repeated measures analysis of variance. During 4vs4+2IW+2IEW-NO, greater time was recorded in Z1 (p ≤ 0.05) compared with 4vs4-NO and 4s4+2IW-NO. During 4vs4+2IW+2IEW-GK, greater time was recorded in Z1 and less in Z3 (p ≤ 0.05) compared with 4vs4-GK. Greater RPE was reported in 4vs4-NO (p < 0.01) and 4vs4+2IW-NO (p < 0.01) compared with 4vs4+2IW+2IEW-NO, and during 4vs4-GK (p < 0.01) than 4vs4+2IW+2IEW-GK. Greater number of dribbling situations were recorded during 4vs4-NO (p ≤ 0.05) compared with 4vs4+2IW+2IEW-NO. In conclusion, compared with the control condition of 4vs4, the incorporation of IEW reduced HR, RPE, and dribbling actions.

  7. [Comparison between European Society of Cardiology (ESC) and American College of Cardiology/American Heart Association (ACC/AHA) guidelines for initial management of ST-elevation myocardial infarction (STEMI)].

    Science.gov (United States)

    Puymirat, E; Ducrocq, G

    2013-08-01

    The European Society of Cardiology (ESC) and American College of Cardiology/American Heart Association (ACC/AHA) have recently updated guidelines for management of ST-elevation myocardial infarction (STEMI). The aim of this study is to compare the both recommendations. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  8. Approach to cardio-oncologic patients with special focus on patients with cardiac implantable electronic devices planned for radiotherapy: results of the European Heart Rhythm Association survey.

    Science.gov (United States)

    Lenarczyk, Radoslaw; Potpara, Tatjana S; Haugaa, Kristina H; Deharo, Jean-Claude; Hernandez-Madrid, Antonio; Del Carmen Exposito Pineda, Maria; Kiliszek, Marek; Dagres, Nikolaos

    2017-09-01

    The aim of this European Heart Rhythm Association (EHRA) survey was to evaluate clinical practice regarding cardio-oncologic patients, with special focus on patients with cardiac implantable electronic devices (CIEDs) planned for anticancer radiotherapy (RT), among members of the EHRA electrophysiology research network. Of the 36 responding centres, 89% managed patients who were diagnosed or treated oncologically, and this diagnosis affected 1-5% of cardiovascular patients in majority of centres (57%). The main side effects of anticancer therapy in patients treated by cardiologists were thromboembolic complications and left ventricular dysfunction (both reported as 'frequent' by 43% of the centres). The main agents associated with complications were anthracyclines, RT, and monoclonal antibodies. Echocardiography was the most common method of screening for cardiovascular complications (93%), and 10% of the centres did not routinely screen for treatment-induced cardiotoxicity. Opinions on the safe radiation dose, methods of device shielding, and risk calculation prior to RT in CIED patients differed among centres. Precaution measures in high-risk CIED patients were very heterogeneous among centres. Our survey has shown that the awareness of cardiac consequences of anticancer therapy is high, despite relatively low proportion of patients treated oncologically among all cardiovascular patients. There is a consensus of which screening methods should be used for cardiotoxicity of anticancer treatment, but the apprehension of screening necessity is low. Methods of risk assessment and safety measures in CIED patients undergoing RT are very heterogeneous among the European centres, underscoring the need for standardization of the approach to cardio-oncologic patients. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2017. For Permissions, please email: journals.permissions@oup.com.

  9. Influence of the Numbers of Players in the Heart Rate Responses of Youth Soccer Players Within 2 vs. 2, 3 vs. 3 and 4 vs. 4 Small-sided Games

    OpenAIRE

    Dellal, A; Jannault, R; Lopez-Segovia, M; Pialoux, V

    2011-01-01

    The purpose of this study was to compare heart rate (HR) responses within and between small-sided games (SSG) training methods in elite young soccer players. Twenty-seven youth soccer players (age: 16.5 ? 0.5 years, height: 174.5 ? 5.5 cm, weight: 62.9 ? 8.3, velocity at maximal aerobic speed (MAS): 15.9 ? 0.9 km.h?1) performed 3 different SSG (2 vs. 2, 3 vs. 3, 4 vs. 4 without goalkeeper). In each SSG, HR was continuously measured and expressed as a mean percentage of HR reserve (%HRreserve)...

  10. Fatty liver is associated with insulin resistance, risk of coronary heart disease, and early atherosclerosis in a large European population

    DEFF Research Database (Denmark)

    Gastaldelli, Amalia; Kozakova, Michaela; Højlund, Kurt

    2009-01-01

    ,307 nondiabetic subjects (age 30-60 years) recruited at 19 centers, we evaluated liver enzymes, lipids, insulin sensitivity (by euglycemic-hyperinsulinemic clamp), glucose tolerance (by 75 g oral glucose tolerance test), carotid atherosclerosis as intima media thickness (IMT), CHD risk by the Framingham Heart......: intermediate group (n = 465). Compared to G1, G3 included more men (70% versus 24%) and people with impaired glucose tolerance (23% versus 5%). IMT increased with FLI (G3 = 0.64 +/- 0.08 versus G1 = 0.58 +/- 0.08 mm, P ... cholesterol (r = 0.33), alanine aminotransferase (r = 0.48), aspartate aminotransferase (r = 0.25), systolic blood pressure (r = 0.39) and IMT (r = 0.30), and reduced insulin sensitivity (r = -0.43), high-density lipoprotein cholesterol (r = -0.50), adiponectin (r = -0.42), and physical activity (r = -0...

  11. Chapter 8: Youth Culture

    DEFF Research Database (Denmark)

    Stald, Gitte Bang

    2016-01-01

    . The chapter builds on findings from a Danish and a European context, but they can be expanded to think about mobile youth culture in general. Gitte Stald discusses the concepts of digital natives and digital immigrants, sharing, immediacy, and the feeling of presence (or absent presence), social coordination...

  12. Separate and combined associations of obesity and metabolic health with coronary heart disease: a pan-European case-cohort analysis.

    Science.gov (United States)

    Lassale, Camille; Tzoulaki, Ioanna; Moons, Karel G M; Sweeting, Michael; Boer, Jolanda; Johnson, Laura; Huerta, José María; Agnoli, Claudia; Freisling, Heinz; Weiderpass, Elisabete; Wennberg, Patrik; van der A, Daphne L; Arriola, Larraitz; Benetou, Vassiliki; Boeing, Heiner; Bonnet, Fabrice; Colorado-Yohar, Sandra M; Engström, Gunnar; Eriksen, Anne K; Ferrari, Pietro; Grioni, Sara; Johansson, Matthias; Kaaks, Rudolf; Katsoulis, Michail; Katzke, Verena; Key, Timothy J; Matullo, Giuseppe; Melander, Olle; Molina-Portillo, Elena; Moreno-Iribas, Concepción; Norberg, Margareta; Overvad, Kim; Panico, Salvatore; Quirós, J Ramón; Saieva, Calogero; Skeie, Guri; Steffen, Annika; Stepien, Magdalena; Tjønneland, Anne; Trichopoulou, Antonia; Tumino, Rosario; van der Schouw, Yvonne T; Verschuren, W M Monique; Langenberg, Claudia; Di Angelantonio, Emanuele; Riboli, Elio; Wareham, Nicholas J; Danesh, John; Butterworth, Adam S

    2018-02-01

    The hypothesis of 'metabolically healthy obesity' implies that, in the absence of metabolic dysfunction, individuals with excess adiposity are not at greater cardiovascular risk. We tested this hypothesis in a large pan-European prospective study. We conducted a case-cohort analysis in the 520 000-person European Prospective Investigation into Cancer and Nutrition study ('EPIC-CVD'). During a median follow-up of 12.2 years, we recorded 7637 incident coronary heart disease (CHD) cases. Using cut-offs recommended by guidelines, we defined obesity and overweight using body mass index (BMI), and metabolic dysfunction ('unhealthy') as ≥ 3 of elevated blood pressure, hypertriglyceridaemia, low HDL-cholesterol, hyperglycaemia, and elevated waist circumference. We calculated hazard ratios (HRs) and 95% confidence intervals (95% CI) within each country using Prentice-weighted Cox proportional hazard regressions, accounting for age, sex, centre, education, smoking, diet, and physical activity. Compared with metabolically healthy normal weight people (reference), HRs were 2.15 (95% CI: 1.79; 2.57) for unhealthy normal weight, 2.33 (1.97; 2.76) for unhealthy overweight, and 2.54 (2.21; 2.92) for unhealthy obese people. Compared with the reference group, HRs were 1.26 (1.14; 1.40) and 1.28 (1.03; 1.58) for metabolically healthy overweight and obese people, respectively. These results were robust to various sensitivity analyses. Irrespective of BMI, metabolically unhealthy individuals had higher CHD risk than their healthy counterparts. Conversely, irrespective of metabolic health, overweight and obese people had higher CHD risk than lean people. These findings challenge the concept of 'metabolically healthy obesity', encouraging population-wide strategies to tackle obesity.

  13. Preparing Teachers for Diversity: The Role of Initial Teacher Education. Executive Summary of the Final Report to DG Education, Youth, Sport and Culture of the European Commission

    Science.gov (United States)

    European Commission, 2017

    2017-01-01

    Although the cultural, linguistic and religious diversity found in European societies is not a new phenomenon, its nature is rapidly changing. Europe is becoming increasingly diverse due to intra-European mobility, international migration, including recently an increased influx of refugees and asylum-seekers. These societal changes create both…

  14. Youth Unemployment.

    Science.gov (United States)

    Rockefeller Foundation, New York, NY.

    In the introduction to this conference report, the problem of youth unemployment is reviewed and youth unemployment rates for 1976 are analyzed. Lester C. Thurow's study is presented as a discussion of the problem of youth unemployment. He examined the impact of economic growth, looked at the significance of the effect of unemployment on youth,…

  15. The European Heart Rhythm Association Practical Guide on the Use of New Oral Anticoagulants in Patients with Non-valvular Atrial Fibrillation – A Brief Summary

    Science.gov (United States)

    Kirchhof, Paulus

    2013-01-01

    New oral anticoagulants (NOACs) are an alternative to vitamin K antagonists (VKAs) in the prevention of stroke in patients with non-valvular atrial fibrillation (AF). The European Heart Rhythm Association (EHRA) has produced a practical guide to detail the use of NOACs in clinical practice. The guide includes a practical start-up and follow-up scheme, emphasising the importance of strict adherence to the regimen – the anticoagulant effect drops rapidly after 12–24 hours. There is also guidance on how to measure the anticoagulant effect of NOACs, switching between anticoagulant regimes and dealing with dosing errors. Physicians will have to consider the pharmacokinetic effect of drugs and co-morbidities when prescribing NOACs – plasma levels of NOACs may be affected by P-glycoprotein (P-gp) substrates, as well as cytochrome P450 (CYP3A4) inducers or inhibitors. In patients with chronic kidney disease, reduced doses of NOACs may be indicated. Guidance is also given on the management of bleeding complications, and the cessation and reinitiation of NOACs in patients undergoing surgical interventions. Finally, the use of NOACs in specific clinical situations is considered; these include patients with AF and coronary artery disease (CAD), patients presenting with acute stroke while taking NOACs and patients with cancer. PMID:26835051

  16. The European Heart Rhythm Association Practical Guide on the Use of New Oral Anticoagulants in Patients with Non-valvular Atrial Fibrillation - A Brief Summary.

    Science.gov (United States)

    Kirchhof, Paulus

    2013-11-01

    New oral anticoagulants (NOACs) are an alternative to vitamin K antagonists (VKAs) in the prevention of stroke in patients with non-valvular atrial fibrillation (AF). The European Heart Rhythm Association (EHRA) has produced a practical guide to detail the use of NOACs in clinical practice. The guide includes a practical start-up and follow-up scheme, emphasising the importance of strict adherence to the regimen - the anticoagulant effect drops rapidly after 12-24 hours. There is also guidance on how to measure the anticoagulant effect of NOACs, switching between anticoagulant regimes and dealing with dosing errors. Physicians will have to consider the pharmacokinetic effect of drugs and co-morbidities when prescribing NOACs - plasma levels of NOACs may be affected by P-glycoprotein (P-gp) substrates, as well as cytochrome P450 (CYP3A4) inducers or inhibitors. In patients with chronic kidney disease, reduced doses of NOACs may be indicated. Guidance is also given on the management of bleeding complications, and the cessation and reinitiation of NOACs in patients undergoing surgical interventions. Finally, the use of NOACs in specific clinical situations is considered; these include patients with AF and coronary artery disease (CAD), patients presenting with acute stroke while taking NOACs and patients with cancer.

  17. Derivation and Validation of a Novel Right-Sided Heart Failure Model After Implantation of Continuous Flow Left Ventricular Assist Devices:The EUROMACS (European Registry for Patients with Mechanical Circulatory Support) Right-Sided Heart Failure Risk Score.

    Science.gov (United States)

    Soliman, Osama I; Akin, Sakir; Muslem, Rahatullah; Boersma, Eric; Manintveld, Olivier C; Krabatsch, Thomas; Gummert, Jan F; de By, Theo M M H; Bogers, Ad J J C; Zijlstra, Felix; Mohacsi, Paul; Caliskan, Kadir

    2017-08-27

    Background -The aim of the study was to derive and validate a novel risk score for early right-sided heart failure (RHF) after left ventricular assist device implantation. Methods -The European Registry for Patients with Mechanical irculatory Support (EUROMACS) was used to identify adult patients undergoing continuous-flow left ventricular assist device implantation with mainstream devices. Eligible patients (n=2988) were randomly divided into derivation (n=2000) and validation (n=988) cohorts. The primary outcome was early (RHF, defined as receiving short- or long-term rightsided circulatory support, continuous inotropic support for ≥14 days, or nitric oxide ventilation for ≥48 hours. The secondary outcome was all-cause mortality and length of stay in the intensive care unit. Covariates found to be associated with RHF (exploratory univariate PRHF in the derivation cohort occurred in 433 patients (21.7%) after left ventricular assist device implantation and was associated with a lower 1-year (53% versus 71%; PRHF. RHF risk ranged from 11% (low risk score 0-2) to 43.1% (high risk score >4; PRHF, respectively (PRHF risk score outperformed (PRHF. Conclusions -This novel EUROMACS-RHF risk score outperformed currently known risk scores and clinical predictors of early postoperative RHF. This novel score may be useful for tailored risk-based clinical assessment and management of patients with advanced HF evaluated for ventricular assist device therapy.

  18. Categorization of Fetal Heart Rate Decelerations in American and European Practice: Importance and Imperative of Avoiding Framing and Confirmation Biases.

    Science.gov (United States)

    Sholapurkar, Shashikant L

    2015-09-01

    Interpretation of electronic fetal monitoring (EFM) remains controversial and unsatisfactory. Fetal heart rate (FHR) decelerations are the commonest aberrant feature on cardiotocographs and considered "center-stage" in the interpretation of EFM. A recent American study suggested that the lack of correlation of American three-tier system to neonatal acidemia may be due to the current peculiar nomenclature of FHR decelerations leading to loss of meaning. The pioneers like Hon and Caldeyro-Barcia classified decelerations based primarily on time relationship to contractions and not on etiology per se. This critical analysis debates pros and cons of significant anchoring/framing and confirmation biases in defining different types of decelerations based primarily on the shape (slope) or time of descent. It would be important to identify benign early decelerations correctly to avoid unnecessary intervention as well as to improve the positive predictive value of the other types of decelerations. Currently the vast majority of decelerations are classed as "variable". This review shows that the most common rapid decelerations during contractions with trough corresponding to peak of contraction cannot be explained by "cord-compression" hypothesis but by direct/pure (defined here as not mediated through baro-/chemoreceptors) or non-hypoxic vagal reflex. These decelerations are benign, most likely and mainly a result of head-compression and hence should be called "early" rather than "variable". Standardization is important but should be appropriate and withstand scientific scrutiny. Significant framing and confirmation biases are necessarily unscientific and the succeeding three-tier interpretation systems and structures embodying these biases would be dysfunctional and clinically unhelpful. Clinical/pathophysiological analysis and avoidance of flaws/biases suggest that a more physiological and scientific categorization of decelerations should be based on time relationship to

  19. Prospective Effects of Parenting on Substance Use and Problems Across Asian/Pacific Islander and European American Youth: Tests of Moderated Mediation.

    Science.gov (United States)

    Luk, Jeremy W; King, Kevin M; McCarty, Carolyn A; McCauley, Elizabeth; Vander Stoep, Ann

    2017-07-01

    Parental warmth and knowledge are protective factors against substance use, whereas parental psychological control is a risk factor. However, the interpretation of parenting and its effects on developmental outcomes may vary cross-culturally. This study examined direct and indirect effects of three parenting dimensions on substance use across Asian/Pacific Islander (API) and European Americans. A community sample of 97 API and 255 European Americans were followed from Grades 6 to 12. Participants reported on parenting in Grade 7, academic achievement and externalizing behaviors in Grades 7 and 8, and substance use behaviors in Grades 7, 9, and 12. Direct effects of parenting were not moderated by race. Overall, mother psychological control was a risk factor for substance use problems in Grade 9, whereas father knowledge was protective against alcohol use in Grade 9, substance use problems in Grades 9 and 12, and alcohol dependence in Grade 12. Moderated mediation analyses indicated significant mediational links among European Americans only: Mother knowledge predicted fewer externalizing problems in Grade 8, which in turn predicted fewer substance use problems in Grades 9 and 12. Father warmth predicted better academic achievement in Grade 8, which in turn predicted fewer substance use problems in Grades 9 and 12, as well as alcohol and marijuana dependence in Grade 12. Better academic achievement and fewer externalizing behaviors explain how positive parenting reduces substance use risk among European Americans. Promoting father knowledge of adolescents' whereabouts can reduce substance use risk among both European and API Americans.

  20. Novel targets and future strategies for acute cardioprotection : Position Paper of the European Society of Cardiology Working Group on Cellular Biology of the Heart

    NARCIS (Netherlands)

    J. Hausenloy, Derek; Garcia-Dorado, David; Bøtker, Hans Erik; M. Davidson, Sean; Downey, James; B. Engel, Felix; Jennings, Robert; Lecour, Sandrine; Leor, Jonathan; Madonna, Rosalinda; Ovize, Michel; Perrino, Cinzia; Prunier, Fabrice; Schulz, Rainer; Sluijter, Joost P.G.; Van Laake, Linda W.|info:eu-repo/dai/nl/304077356; Vinten-Johansen, Jakob; M. Yellon, Derek; Ytrehus, Kirsti; Heusch, Gerd; Ferdinandy, Péter

    2017-01-01

    Ischaemic heart disease and the heart failure that often results, remain the leading causes of death and disability in Europe and worldwide. As such, in order to prevent heart failure and improve clinical outcomes in patients presenting with an acute ST-segment elevation myocardial infarction and

  1. European Heart Rhythm Association Practical Guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation.

    Science.gov (United States)

    Heidbuchel, Hein; Verhamme, Peter; Alings, Marco; Antz, Matthias; Hacke, Werner; Oldgren, Jonas; Sinnaeve, Peter; Camm, A John; Kirchhof, Paulus

    2013-05-01

    New oral anticoagulants (NOACs) are an alternative for vitamin K antagonists (VKAs) to prevent stroke in patients with non-valvular atrial fibrillation (AF). Both physicians and patients will have to learn how to use these drugs effectively and safely in clinical practice. Many unresolved questions on how to optimally use these drugs in specific clinical situations remain. The European Heart Rhythm Association set out to coordinate a unified way of informing physicians on the use of the different NOACs. A writing group listed 15 topics of concrete clinical scenarios and formulated as practical answers as possible based on available evidence. The 15 topics are: (1) Practical start-up and follow-up scheme for patients on NOACs; (2) How to measure the anticoagulant effect of NOACs; (3) Drug-drug interactions and pharmacokinetics of NOACs; (4) Switching between anticoagulant regimens; (5) Ensuring compliance of NOAC intake; (6) How to deal with dosing errors; (7) Patients with chronic kidney disease; (8) What to do if there is a (suspected) overdose without bleeding, or a clotting test is indicating a risk of bleeding? (9) Management of bleeding complications; (10) Patients undergoing a planned surgical intervention or ablation; (11) Patients undergoing an urgent surgical intervention; (12) Patients with AF and coronary artery disease; (13) Cardioversion in a NOAC-treated patient; (14) Patients presenting with acute stroke while on NOACs; (15) NOACs vs. VKAs in AF patients with a malignancy. Since new information is becoming available at a rapid pace, an EHRA Web site with the latest updated information accompanies this text (www.NOACforAF.eu).

  2. Adherence to the European Society of Cardiology (ESC guidelines for chronic heart failure - A national survey of the cardiologists in Pakistan

    Directory of Open Access Journals (Sweden)

    Shoukat Sana

    2011-11-01

    Full Text Available Abstract Background The aims of this study were to evaluate the awareness of and attitudes towards the 2005 European Society of Cardiology (ESC guidelines for Heart Failure (HF of the cardiologists in Pakistan and assess barriers to adherence to guidelines. Methods A cross-sectional survey was conducted in person from March to July 2009 to all cardiologists practicing in 4 major cities in Pakistan (Karachi, Lahore, Quetta and Peshawar. A validated, semi-structured questionnaire assessing ESC 2005 Guidelines for HF was used to obtain information from cardiologists. It included questions about awareness and relevance of HF guidelines (See Additional File 1. Respondents' management choices were compared with those of an expert panel based on the guidelines for three fictitious patient cases. Cardiologists were also asked about major barriers to adherence to guidelines. Additional file 1 Questionnaire. Description: Questionnaire that was administered to participants. Click here for file Results A total of 372 cardiologists were approached; 305 consented to participate (overall response rate, 82.0%. The survey showed a very high awareness of CHF guidelines; 97.4% aware of any guideline. About 13.8% considered ESC guidelines as relevant or very relevant for guiding treatment decisions while 92.8% chose AHA guidelines in relevance. 87.2% of respondents perceived that they adhered to the HF guidelines. For the patient cases, the proportions of respondents who made recommendations that completely matched those of the guidelines were 7% (Scenario 1, 0% (Scenario 2 and 20% (Scenario 3. Respondents considered patient compliance (59% and cost/health economics (50% as major barriers to guideline implementation. Conclusion We found important self reported departures from recommended HF management guidelines among cardiologists of Pakistan.

  3. Adherence to the European Society of Cardiology (ESC) guidelines for chronic heart failure - A national survey of the cardiologists in Pakistan

    Science.gov (United States)

    2011-01-01

    Background The aims of this study were to evaluate the awareness of and attitudes towards the 2005 European Society of Cardiology (ESC) guidelines for Heart Failure (HF) of the cardiologists in Pakistan and assess barriers to adherence to guidelines. Methods A cross-sectional survey was conducted in person from March to July 2009 to all cardiologists practicing in 4 major cities in Pakistan (Karachi, Lahore, Quetta and Peshawar). A validated, semi-structured questionnaire assessing ESC 2005 Guidelines for HF was used to obtain information from cardiologists. It included questions about awareness and relevance of HF guidelines (See Additional File 1). Respondents' management choices were compared with those of an expert panel based on the guidelines for three fictitious patient cases. Cardiologists were also asked about major barriers to adherence to guidelines. Results A total of 372 cardiologists were approached; 305 consented to participate (overall response rate, 82.0%). The survey showed a very high awareness of CHF guidelines; 97.4% aware of any guideline. About 13.8% considered ESC guidelines as relevant or very relevant for guiding treatment decisions while 92.8% chose AHA guidelines in relevance. 87.2% of respondents perceived that they adhered to the HF guidelines. For the patient cases, the proportions of respondents who made recommendations that completely matched those of the guidelines were 7% (Scenario 1), 0% (Scenario 2) and 20% (Scenario 3). Respondents considered patient compliance (59%) and cost/health economics (50%) as major barriers to guideline implementation. Conclusion We found important self reported departures from recommended HF management guidelines among cardiologists of Pakistan. PMID:22093082

  4. Youth bulges and youth unemployment

    OpenAIRE

    David Lam

    2014-01-01

    The youth population bulge is often mentioned in discussions of youth unemployment and unrest in developing countries, most recently in explaining the “Arab Spring.” But the youth share of the population has fallen rapidly in recent decades in most countries, and is projected to continue to fall. Evidence on the link between youth population bulges and youth unemployment is mixed. It should not be assumed that declines in the relative size of the youth population will translate into falling y...

  5. Body Image and Obesity among Australian Adolescents from Indigenous and Anglo-European Backgrounds: Implications for Health Promotion and Obesity Prevention among Aboriginal Youth

    Science.gov (United States)

    Cinelli, Renata Leah; O'Dea, Jennifer A.

    2009-01-01

    This study examines the relationship between body image and obesity, among 4367 indigenous and Anglo-European adolescents in Australia in 2006. It shows that indigenous adolescents, male and female, were more likely than their non-indigenous counterparts to desire and pursue weight gain. Indigenous males showed the greatest tendencies to gain…

  6. Promoting financial inclusion among Latin American youth | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2017-06-26

    Jun 26, 2017 ... ... inclusion and education for youth, sharing national and international experiences on the development of products and financial services targeted towards youth, and conducting a collaborative and critical reflection of the rights and responsibilities of youth in the formal economy were topics at the heart of ...

  7. Psycho-social and environmental correlates of location-specific physical activity among 9- and 15- year-old Norwegian boys and girls: the European Youth Heart Study

    Directory of Open Access Journals (Sweden)

    Anderssen Sigmund A

    2006-09-01

    Full Text Available Abstract Objective Little is known about the existence of independent location- or context specific forms of physical activity. This study sought to identify location-specific forms of physical activity in a sample of 9 and 15 years-olds Norwegian boys and girls, and examined their associations to psycho-social and environmental factors. Methods A cross-sectional study of 9 and 15-year-olds (N = 760; 379 boys and 381 girls was conducted in which participants responded to a computer-based questionnaire (PEACH tapping potentially location specific forms of physical activity as well as psycho-social and environmental correlates. Results Exploratory factor analysis indicated that the nine and fifteen year-olds self-reported their physical activity as located in three separate and specific contexts: a school commuting, b informal games play at school and c organized sport, structured exercise and games play in leisure time. Dependent of location, psycho-social and environmental correlates explained between 15 and 55 percent of the variance in physical activity. The impact of peer support, enjoyment and perceived competence in physical activity generalized across the three locations. Enjoyment of physical education classes, parental support and teacher support, in contrast, confined to particular location-specific forms of physical activity. Generally, behavioural beliefs and environmental factors represented marginal correlates of all location-specific forms of activity. Conclusion Young peoples' physical activity was identified as taking place in multiply genuine locations, and the psychosocial correlates of their physical activity seem to some extent to be location specific. Results may inform intervention efforts suggesting that targeting specific sets of psycho-social factors may prove efficient across physical activity locations, gender and age groups. Others, in contrast may prove effective in facilitating location specific physical activity, in which age may come to moderate the efficiency of intervention efforts.

  8. Objectively measured habitual physical activity in 1997/1998 vs 2003/2004 in Danish children: the European Youth Heart Study.

    Science.gov (United States)

    Møller, N C; Kristensen, P L; Wedderkopp, N; Andersen, L B; Froberg, K

    2009-02-01

    Based on two cross-sectional studies conducted in 8-10-year-old third-grade children living in the municipality of Odense, potential differences were examined in the level of habitual physical activity (HPA) in Danish children between 1997/1998 and 2003/2004. HPA was assessed objectively by accelerometry. Primarily, overall differences were analyzed as gender and day type specific (i.e. Mon-Thu vs Fri-Sun) levels in HPA. Secondarily, differences were analyzed across socioeconomic gradients defined according to parents' occupation. Data were expressed as total counts per registered time. During the period 1997/1998-2003/2004, no significant differences were observed in the level of HPA during Mon-Thu or Fri-Sun or across socioeconomic gradients. Post hoc analyses indicated a slightly more favorable ratio between the percentages of time spent in light and moderate intensity levels during Mon-Thu in 2003/2004 when compared with 1997/1998. Gender differences in the level of HPA were found to be more distinct during Mon-Thu than during Fri-Sun. This study does not support the idea that Danish children are becoming less physically active. However, a limited statistical power should be considered when interpreting differences across socioeconomic gradients. Boys were found to be more physically active than girls, especially during the weekdays (Friday not included).

  9. The European Initiative ProYouth for the promotion of mental health and the prevention of eating disorders screening results in Hungary.

    Science.gov (United States)

    Szabó, Kornélia; Czeglédi, Edit; Babusa, Bernadett; Szumska, Irena; Túry, Ferenc; Sándor, Imola; Bauer, Stephanie

    2015-03-01

    The ProYouth programme focuses on the promotion of mental health and the prevention of eating disorders (EDs) among young people. The aim of our study was to explore whether the programme can address individuals who are at risk for developing 2EDs. This study is designed as an online cross-sectional survey (n = 664, 12.2% men, 87.8% women, mean age: 24.9 years, SD = 5.4 years, range: 18-40 years). Measures included demographic data, self-reported weight and height, the Patient Health Questionnaire for Depression and Anxiety, Short Evaluation of Eating Disorders, Weight Concerns Scale and previous/current treatment for EDs. In terms of severity of EDs, 22.9% (n = 152) of the screened participants were symptom free, 48.8% (n = 324) had considerable concerns about their weight, 11.1% (n = 74) were slightly impaired, 15.1% (n = 100) had severe impairment and 2.1% (n = 14) of participants are currently under treatment for EDs. In total, 56.3% of users (n = 374) registered in the programme. According to our results, those who had considerable concerns about their weight and individuals who were severely impaired registered with a greater odds to the programme than those who were symptom free [odds ratio (OR) = 1.64, p = .021 and OR = 1.90, p = .023, respectively]. Furthermore, those who previously received treatment for their ED registered to the programme with greater odds than those who did not (OR = 2.40, p = .017). ProYouth successfully addressed those who have elevated concerns about their weight and who also registered with greater odds to the programme than those who were symptom free regarding EDs. The screening results show that there is a greater need for specialized care targeting EDs in Hungary than what is currently available. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  10. Five Characteristics of Youth Unemployment in Europe

    DEFF Research Database (Denmark)

    O'Reilly, Jacqueline; Eichorst, Werner; Gábos, András

    2015-01-01

    Current levels of youth unemployment need to be understood in the context of increased labor market flexibility, an expansion of higher education, youth migration, and family legacies of long-term unemployment. Compared with previous recessions, European-wide policies and investments have...... significantly increased with attempts to support national policies. By mapping these developments and debates, we illustrate the different factors shaping the future of European labor markets. We argue that understanding youth unemployment requires a holistic approach that combines an analysis of changes...

  11. Comprehensive risk reduction in patients with atrial fibrillation: emerging diagnostic and therapeutic options--a report from the 3rd Atrial Fibrillation Competence NETwork/European Heart Rhythm Association consensus conference

    DEFF Research Database (Denmark)

    Kirchhof, Paulus; Lip, Gregory Y H; Van Gelder, Isabelle C

    2012-01-01

    the proceedings of the 3rd Atrial Fibrillation NETwork (AFNET)/European Heart Rhythm Association (EHRA) consensus conference that convened over 60 scientists and representatives from industry to jointly discuss emerging therapeutic and diagnostic improvements to achieve better management of AF patients. The paper...... covers four chapters: (i) risk factors and risk markers for AF; (ii) pathophysiological classification of AF; (iii) relevance of monitored AF duration for AF-related outcomes; and (iv) perspectives and needs for implementing better antithrombotic therapy. Relevant published literature for each section...

  12. EuropeaN Energy balance Research to prevent excessive weight Gain among Youth (ENERGY project: Design and methodology of the ENERGY cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Moreno Luis

    2011-01-01

    Full Text Available Abstract Background Obesity treatment is by large ineffective long term, and more emphasis on the prevention of excessive weight gain in childhood and adolescence is warranted. To inform energy balance related behaviour (EBRB change interventions, insight in the potential personal, family and school environmental correlates of these behaviours is needed. Studies on such multilevel correlates of EBRB among schoolchildren in Europe are lacking. The ENERGY survey aims to (1 provide up-to-date prevalence rates of measured overweight, obesity, self-reported engagement in EBRBs, and objective accelerometer-based assessment of physical activity and sedentary behaviour and blood-sample biomarkers of metabolic function in countries in different regions of Europe, (2 to identify personal, family and school environmental correlates of these EBRBs. This paper describes the design, methodology and protocol of the survey. Method/Design A school-based cross-sectional survey was carried out in 2010 in seven different European countries; Belgium, Greece, Hungary, the Netherlands, Norway, Slovenia, and Spain. The survey included measurements of anthropometrics, child, parent and school-staff questionnaires, and school observations to measure and assess outcomes (i.e. height, weight, and waist circumference, EBRBs and potential personal, family and school environmental correlates of these behaviours including the social-cultural, physical, political, and economic environmental factors. In addition, a selection of countries conducted accelerometer measurements to objectively assess physical activity and sedentary behaviour, and collected blood samples to assess several biomarkers of metabolic function. Discussion The ENERGY survey is a comprehensive cross-sectional study measuring anthropometrics and biomarkers as well as assessing a range of EBRBs and their potential correlates at the personal, family and school level, among 10-12 year old children in seven

  13. Heart Health - Brave Heart

    Science.gov (United States)

    ... Bar Home Current Issue Past Issues Cover Story Heart Health Brave Heart Past Issues / Winter 2009 Table of Contents For ... you can have a good life after a heart attack." Lifestyle Changes Surviving—and thriving—after such ...

  14. A roadmap to improve the quality of atrial fibrillation management : proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference

    NARCIS (Netherlands)

    Kirchhof, Paulus; Breithardt, Guenter; Bax, Jeroen; Benninger, Gerlinde; Blomstrom-Lundqvist, Carina; Boriani, Giuseppe; Brandes, Axel; Brown, Helen; Brueckmann, Martina; Calkins, Hugh; Calvert, Melanie; Christoffels, Vincent; Crijns, Harry; Dobrev, Dobromir; Ellinor, Patrick; Fabritz, Larissa; Fetsch, Thomas; Freedman, S. Ben; Gerth, Andrea; Goette, Andreas; Guasch, Eduard; Hack, Guido; Haegeli, Laurent; Hatem, Stephane; Haeusler, Karl Georg; Heidbuechel, Hein; Heinrich-Nols, Jutta; Hidden-Lucet, Francoise; Hindricks, Gerd; Juul-Moeller, Steen; Kaeaeb, Stefan; Kappenberger, Lukas; Kespohl, Stefanie; Kotecha, Dipak; Lane, Deirdre A.; Leute, Angelika; Lewalter, Thorsten; Meyer, Ralf; Mont, Lluis; Muenzel, Felix; Nabauer, Michael; Nielsen, Jens C.; Oeff, Michael; Oldgren, Jonas; Oto, Ali; Piccini, Jonathan P.; Pilmeyer, Art; Potpara, Tatjana; Ravens, Ursula; Reinecke, Holger; Rostock, Thomas; Rustige, Joerg; Savelieva, Irene; Schnabel, Renate; Schotten, Ulrich; Schwichtenberg, Lars; Sinner, Moritz F.; Steinbeck, Gerhard; Stoll, Monika; Tavazzi, Luigi; Themistoclakis, Sakis; Tse, Hung Fat; Van Gelder, Isabelle C.; Vardas, Panagiotis E.; Varpula, Timo; Vincent, Alphons; Werring, David; Willems, Stephan; Ziegler, Andre; Lip, Gregory Y. H.; Camm, A. John

    2016-01-01

    At least 30 million people worldwide carry a diagnosis of atrial fibrillation (AF), and many more suffer from undiagnosed, subclinical, or 'silent' AF. Atrial fibrillation-related cardiovascular mortality and morbidity, including cardiovascular deaths, heart failure, stroke, and hospitalizations,

  15. Youth Rights.

    Science.gov (United States)

    Hefner, Keith

    1998-01-01

    Contrasts the youth movement of the 1960s with the position of young people today, when there are no comparable mass-based movements of youth struggling for social change. Young people today exercise power as consumers and through peer networks rather than through political power. Attacks on immigrants and affirmative action may awaken young…

  16. Determinants and prevalence of e-cigarette use throughout the European Union: a secondary analysis of 26 566 youth and adults from 27 Countries.

    Science.gov (United States)

    Vardavas, Constantine I; Filippidis, Filippos T; Agaku, Israel T

    2015-09-01

    This study assessed the prevalence and determinants of e-cigarette use among persons aged ≥15 years in 27 European Union (EU) member countries during 2012. The 2012 Eurobarometer 385 (77.1) survey was analysed for n=26 566 respondents. Knowledge, perception of harm, and determinants of e-cigarettes use were assessed, while separate regression analyses among current (n=7352) and former cigarette smokers (n=5782) were performed. National estimates of the number of e-cigarette users were also extrapolated. 20.3% of current smokers, 4.7% of ex-smokers, and 1.2% of never cigarette smokers in the EU reported having ever used an e-cigarette (overall approximately 29.3 million adults). Among smokers, ever e-cigarette use was more likely among 15-24-year-olds (aOR 3.13, 95% CI 2.22 to 4.54) and 25-39-year-olds (aOR 2.00, 95% CI 1.47 to 2.78) in comparison to older smokers, and among those who smoked 6-10 cigarettes/day (aOR 1.53, 95% CI 1.10 to 2.13) or 11-20 cigarettes/day (aOR 2.07, 95% CI 1.52 to 2.81) in comparison to very light smokers (≤5 cigarettes/day). Moreover, e-cigarette use was more likely among smokers who had made a past year quit attempt (aOR 2.08, 95% CI 1.67 to 2.58). E-cigarette use among ex-smokers was associated only with the respondents' age, with younger ex-smokers being more likely to have ever used an e-cigarette. A substantial number of EU adults have ever used e-cigarettes. Ever users were more likely to be younger, current smokers, or past-year quit attempters. These findings underscore the need to evaluate the potential long term impact of e-cigarette use on consumer health, cessation and nicotine addiction and formulate a European framework for e-cigarette regulation within the revised EU Tobacco Product Directive. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  17. Race and Victim Age Matter: Sexual Behaviors and Experiences Among Confined African American and European American Youth With Sexual and Nonsexual Offenses.

    Science.gov (United States)

    Fix, Rebecca L; Falligant, John Michael; Alexander, Apryl A; Burkhart, Barry R

    2017-07-01

    Previous research has found differences in sexual behavior and types of sexual offending by offense category and racial/ethnic group. The present study examined effects of offense category, victim age, and race/ethnicity on sexual behavior. Data from 561 confined adolescents adjudicated for illegal sexual behavior (AISBs) and adolescents adjudicated for illegal nonsexual behavior (AINBs) were included in the present study. A hierarchical multinomial logistic regression was run to test whether sexual experiences and behaviors differentially predicted AINBs, AISBs with child victims, and AISBs with peer/adult victims. Results supported the utility of distinguishing AISBs by victim age. Comparisons between AISBs and AINBs indicated AISBs had more sexual abuse and were more sexually restricted, whereas AINBs reported more sexual behavior, reflecting a finding potentially mirroring sexual development, sexual experiences, and caregiver approaches to discussing sexuality. Over 60% of AINBs and 30% of AISBs reported behaviors that could be classified as distribution of child pornography. Within the group of AISBs, select racial/ethnic group differences emerged such that European American participants were more likely to have had intrafamilial sexual experiences and were far less likely to have had vaginal intercourse than African American AISBs. Future directions and implications regarding policies related to sexual education and sexting are discussed.

  18. Recommendations for physical activity, recreation sport, and exercise training in paediatric patients with congenital heart disease: a report from the Exercise, Basic & Translational Research Section of the European Association of Cardiovascular Prevention and Rehabilitation, the European Congenital Heart and Lung Exercise Group, and the Association for European Paediatric Cardiology.

    Science.gov (United States)

    Takken, T; Giardini, A; Reybrouck, T; Gewillig, M; Hövels-Gürich, H H; Longmuir, P E; McCrindle, B W; Paridon, S M; Hager, A

    2012-10-01

    All children have a natural need to move, play, and perform activities. Physical activity is necessary for optimal physical, emotional, and psychosocial development for healthy children as well as children with congenital heart disease (CHD). In this paper we provide recommendations for physical activity, recreational sport, and exercise training in children and adolescents with CHD. In general, children with CHD should be advised to comply with public health recommendations of daily participation in 60 min or more of moderate-to-vigorous physical activity that is developmentally appropriate and enjoyable and involves a variety of activities. While all patients with CHD can participate and benefit from physical activity and exercise, those with specific lesions or complications may require counselling regarding precautions and recommendations.

  19. Heart MRI

    Science.gov (United States)

    Magnetic resonance imaging - cardiac; Magnetic resonance imaging - heart; Nuclear magnetic resonance - cardiac; NMR - cardiac; MRI of the heart; Cardiomyopathy - MRI; Heart failure - MRI; Congenital heart disease - MRI

  20. European youth care sites serve different populations of adolescents with cannabis use disorder. Baseline and referral data from the INCANT trial

    Directory of Open Access Journals (Sweden)

    Rigter Renske

    2011-07-01

    Full Text Available Abstract Background MDFT (Multidimensional Family Therapy is a family based outpatient treatment programme for adolescent problem behaviour. MDFT has been found effective in the USA in adolescent samples differing in severity and treatment delivery settings. On request of five governments (Belgium, France, Germany, the Netherlands, and Switzerland, MDFT has now been tested in the joint INCANT trial (International Cannabis Need of Treatment for applicability in Western Europe. In each of the five countries, study participants were recruited from the local population of youth seeking or guided to treatment for, among other things, cannabis use disorder. There is little information in the literature if these populations are comparable between sites/countries or not. Therefore, we examined if the study samples enrolled in the five countries differed in baseline characteristics regarding demographics, clinical profile, and treatment delivery setting. Methods INCANT was a multicentre phase III(b randomized controlled trial with an open-label, parallel group design. It compared MDFT with treatment as usual (TAU at and across sites in Berlin, Brussels, Geneva, The Hague and Paris. Participants of INCANT were adolescents of either sex, from 13 through 18 years of age, with a cannabis use disorder (dependence or abuse, and at least one parent willing to take part in the treatment. In total, 450 cases/families were randomized (concealed into INCANT. Results We collected data about adolescent and family demographics (age, gender, family composition, school, work, friends, and leisure time. In addition, we gathered data about problem behaviour (substance use, alcohol and cannabis use disorders, delinquency, psychiatric co-morbidity. There were no major differences on any of these measures between the treatment conditions (MDFT and TAU for any of the sites. However, there were cross-site differences on many variables. Most of these could be explained by

  1. Appropriateness criteria for the use of cardiovascular imaging in heart valve disease in adults: A European Association of Cardiovascular Imaging report of literature review and current practice

    NARCIS (Netherlands)

    Chambers, J.B. (John B.); M. Garbi (Madalina); K. Nieman (Koen); Myerson, S. (Saul); L. Pié rard (Luc); G. Habib (Gilbert); J.L. Zamorano (Jose); H. Edvardsen (Hege); P. Lancellotti (Patrizio); V. Delgado (Victoria); J. Cosyns; E. Donal (Erwan); R. Dulgheru (Raluca); M. Galderisi (Maurizio); Lombardi, M. (Massimo); Muraru, D. (Denisa); Kauffmann, P. (Philipp); N. Cardim (Nuno); Haugaa, K. (Kristina); R. Rosenhek (Raphael)

    2017-01-01

    textabstractHeart valve disease is common and a major indication for imaging. Echocardiography is the first-line imaging technique for diagnosis, assessment, and serial surveillance. However, other modalities, notably cardiac magnetic resonance imaging and computerized tomography, are used if

  2. LGBT Youth

    Science.gov (United States)

    ... HPV Violence Prevention Adolescent and School Health NCHHSTP LGBT Youth Recommend on Facebook Tweet Share Compartir Historically, ... and Behaviors Among Sexual Minority and Heterosexual Adolescents . LGBT Health 2016; 3(2): 153-61. Huebner DM, ...

  3. EURObservational Research Programme: a worldwide registry on peripartum cardiomyopathy (PPCM) in conjunction with the Heart Failure Association of the European Society of Cardiology Working Group on PPCM

    NARCIS (Netherlands)

    Sliwa, Karen; Hilfiker-Kleiner, Denise; Mebazaa, Alexandre; Petrie, Mark C.; Maggioni, Aldo P.; Regitz-Zagrosek, Vera; Schaufelberger, Maria; Tavazzi, Luigi; van Veldhuisen, Dirk J.; Roos-Hesslink, Jolien W.; Shah, Ajay J.; Seferovic, Petar M.; Elkayam, Uri; van Spaendonck-Zwarts, Karin; Bachelier-Walenta, Katrin; Mouquet, Frederic; Kraigher-Krainer, Elisabeth; Hall, Roger; Ponikowski, Piotr; McMurray, John J. V.; Pieske, Burkert

    2014-01-01

    The EURObservational Research Programme is a rolling programme of cardiovascular registries and surveys of the European Society of Cardiology (ESC). These registries will provide information on the nature of cardiovascular disease and its management. This manuscript provides an update on new

  4. EURObservational Research Programme : a worldwide registry on peripartum cardiomyopathy (PPCM) in conjunction with the Heart Failure Association of the European Society of Cardiology Working Group on PPCM

    NARCIS (Netherlands)

    Sliwa, Karen; Hilfiker-Kleiner, Denise; Mebazaa, Alexandre; Petrie, Mark C.; Maggioni, Aldo P.; Regitz-Zagrosek, Vera; Schaufelberger, Maria; Tavazzi, Luigi; van Veldhuisen, Dirk J.; Roos-Hesslink, Jolien W.; Shah, Ajay J.; Seferovic, Petar M.; Elkayam, Uri; van Spaendonck-Zwarts, Karin; Bachelier-Walenta, Katrin; Mouquet, Frederic; Kraigher-Krainer, Elisabeth; Hall, Roger; Ponikowski, Piotr; McMurray, John J. V.; Pieske, Burkert

    Background The EURObservational Research Programme is a rolling programme of cardiovascular registries and surveys of the European Society of Cardiology (ESC). These registries will provide information on the nature of cardiovascular disease and its management. This manuscript provides an update on

  5. Youth emloyment assistance

    OpenAIRE

    Natalya S. Grakhova; Alexander S. Varyukhin

    2011-01-01

    The article places the necessity to analyze youth position in Russian job market, considers current trends, such as youth job centres, youth labour and employment agencies, youth job centres and information centres.

  6. Heart murmurs

    Science.gov (United States)

    Chest sounds - murmurs; Heart sounds - abnormal; Murmur - innocent; Innocent murmur; Systolic heart murmur; Diastolic heart murmur ... The heart has 4 chambers: Two upper chambers (atria) Two lower chambers (ventricles) The heart has valves that close ...

  7. Sino-European Transcontinental Basic and Clinical High-Tech Acupuncture Studies—Part 1: Auricular Acupuncture Increases Heart Rate Variability in Anesthetized Rats

    Directory of Open Access Journals (Sweden)

    Xin-Yan Gao

    2012-01-01

    Full Text Available Evidence-based research concerning the effects of high-tech acupuncture on autonomic function was performed by two research teams from China and Austria. This study describes the first transcontinental teleacupuncture measurements in animals. Heart rate (HR and heart rate variability (HRV recordings in 10 male Sprague-Dawley anesthetized rats were performed under stable conditions in Beijing, China, and the data analysis was completed in Graz, Austria. The electrocardiograms (ECGs were recorded by an HRV Medilog AR12 system during acupuncture of the ear and body (PC6 Neiguan, CV12 Zhongwan, ST36 Zusanli. The data were analyzed using specially adapted novel Austrian software. HR did not change significantly during any acupuncture stimulation in anesthetized rats (ear acupuncture, PC6, CV12, or ST36. Total HRV only changed significantly (P=0.025 during auricular acupuncture (acupoint heart. The low-frequency/high-frequency ratio parameter decreased significantly (P=0.03 during stimulation of ST36. This change was based on intensification of the related mechanism of blood pressure regulation that has been demonstrated in previous studies in humans. Modernization of acupuncture research performed as a collaboration between China and Austria has also been demonstrated.

  8. Hypertension and cardiac arrhythmias : A consensus document fromthe European Heart RhythmAssociation (EHRA) and ESC Council on Hypertension, endorsed by the Heart RhythmSociety (HRS), Asia-Pacific Heart RhythmSociety (APHRS) and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLEACE)

    NARCIS (Netherlands)

    Lip, Gregory Y. H.; Coca, Antonio; Kahan, Thomas; Boriani, Giuseppe; Manolis, Antonis S.; Olsen, Michael Hecht; Oto, Ali; Potpara, Tatjana S.; Steffel, Jan; Marin, Francisco; de Oliveira Figueiredo, Marcio Jansen; de Simone, Giovanni; Tzou, Wendy S.; Chiang, Chern-En; Williams, Bryan; Dan, Gheorghe-Andrei; Gorenek, Bulent; Fauchier, Laurent; Savelieva, Irina; Hatala, Robert; van Gelder, Isabelle; Brguljan-Hitij, Jana; Erdine, Serap; Lovic, Dragan; Kim, Young-Hoon; Salinas-Arce, Jorge; Field, Michael

    2017-01-01

    Hypertension is a common cardiovascular risk factor leading to heart failure (HF), coronary artery disease, stroke, peripheral artery disease and chronic renal insufficiency. Hypertensive heart disease can manifest as many cardiac arrhythmias, most commonly being atrial fibrillation (AF). Both

  9. Ethnic differences in blood lipids and dietary intake between UK children of black African, black Caribbean, South Asian, and white European origin: the Child Heart and Health Study in England (CHASE).

    Science.gov (United States)

    Donin, Angela S; Nightingale, Claire M; Owen, Christopher G; Rudnicka, Alicja R; McNamara, Mary C; Prynne, Celia J; Stephen, Alison M; Cook, Derek G; Whincup, Peter H

    2010-10-01

    Ischemic heart disease (IHD) rates are lower in UK black Africans and black Caribbeans and higher in South Asians when compared with white Europeans. Ethnic differences in lipid concentrations may play a part in these differences. The objective was to investigate blood lipid and dietary patterns in UK children from different ethnic groups. This was a cross-sectional study in 2026 UK children (including 285 black Africans, 188 black Caribbeans, 534 South Asians, and 512 white Europeans) attending primary schools in London, Birmingham, and Leicester. We measured fasting blood lipid concentrations and collected 24-h dietary recalls. In comparison with white Europeans, black African children had lower total cholesterol (-0.14 mmol/L; 95% CI: -0.25, -0.04 mmol/L), LDL-cholesterol (-0.10 mmol/L; 95% CI: -0.20, -0.01 mmol/L), and triglyceride concentrations (proportional difference: -0.11 mmol/L; 95% CI: -0.16, -0.06 mmol/L); HDL-cholesterol concentrations were similar. Lower saturated fat intakes (-1.4%; 95% CI: -1.9%, -0.9%) explained the differences between total and LDL cholesterol. Black Caribbean children had total, LDL-cholesterol, HDL-cholesterol, and triglyceride concentrations similar to those for white Europeans, with slightly lower saturated fat intakes. South Asian children had total and LDL-cholesterol concentrations similar to those for white Europeans, lower HDL-cholesterol concentrations (-0.7 mmol/L; 95% CI: -0.11, -0.03 mmol/L), and elevated triglyceride concentrations (proportional difference: 0.14 mmol/L; 95% CI: 0.09, 0.20 mmol/L); higher polyunsaturated and monounsaturated fat intakes did not explain these lipid differences. Only black African children had a blood lipid profile and associated dietary pattern likely to protect against future IHD. The loss of historically lower LDL-cholesterol concentrations among UK black Caribbeans and South Asians may have important adverse consequences for future IHD risk in these groups.

  10. Flexibilization of labour in the European Union

    NARCIS (Netherlands)

    Holman, O.; van der Pijl, K.

    2015-01-01

    Labour market flexibilization has been at the heart of the ‘extended relaunch’ of European integration (the completion of the Single Market and the introduction of the euro in 2002) from the start in the 1980s. Yet the parallel Europeanization of labour market policies, via the European Employment

  11. Independent and Combined Association of Muscle Strength and Cardiorespiratory Fitness in Youth With Insulin Resistance and β-Cell Function in Young Adulthood

    Science.gov (United States)

    Grøntved, Anders; Ried-Larsen, Mathias; Ekelund, Ulf; Froberg, Karsten; Brage, Søren; Andersen, Lars B.

    2013-01-01

    OBJECTIVE To examine the independent and combined association of isometric muscle strength of the abdomen and back and cardiorespiratory fitness (CRF) in youth with indices of glucose metabolism in young adulthood among boys and girls from the European Youth Heart Study. RESEARCH DESIGN AND METHODS We used data from a population-based prospective cohort study among youth followed up for up to 12 years (n = 317). In youth, maximal voluntary contractions during isometric back extension and abdominal flexion were determined using a strain-gauge dynamometer and CRF was obtained from a maximal cycle ergometer test. Insulin resistance (homeostasis model assessment of insulin resistance [HOMA-IR]) and β-cell function (homeostasis model assessment of β-cell function [HOMA-B]) were estimated from fasting serum insulin and glucose that were obtained in youth and at follow-up in young adulthood. RESULTS For each 1-SD difference in isometric muscle strength (0.16 N/kg) in youth, fasting insulin, HOMA-IR, and HOMA-B in young adulthood changed by −11.3% (95% CI −17.0 to −5.2), −12.2% (−18.2 to −5.7), and −8.9% (−14.4 to −3.0), respectively, in young adulthood after adjustment for CRF and personal lifestyle and demographic factors. Results for CRF were very similar in magnitude, and the magnitude of associations for both exposures was unchanged with additional adjustment for general or abdominal adiposity in youth. Combined associations of muscle strength and CRF with fasting insulin, HOMA-IR, and HOMA-B were additive, and adolescents in the highest sex-specific tertile for both isometric muscle strength and CRF had the lowest levels of these glucose metabolism outcomes. CONCLUSIONS Increasing muscle strength and CRF should be targets in youth primordial prevention strategies of insulin resistance and β-cell dysfunction. PMID:23579180

  12. Influence of the Numbers of Players in the Heart Rate Responses of Youth Soccer Players Within 2 vs. 2, 3 vs. 3 and 4 vs. 4 Small-sided Games.

    Science.gov (United States)

    Dellal, A; Jannault, R; Lopez-Segovia, M; Pialoux, V

    2011-06-01

    The purpose of this study was to compare heart rate (HR) responses within and between small-sided games (SSG) training methods in elite young soccer players. Twenty-seven youth soccer players (age: 16.5 ± 0.5 years, height: 174.5 ± 5.5 cm, weight: 62.9 ± 8.3, velocity at maximal aerobic speed (MAS): 15.9 ± 0.9 km.h(-1)) performed 3 different SSG (2 vs. 2, 3 vs. 3, 4 vs. 4 without goalkeeper). In each SSG, HR was continuously measured and expressed as a mean percentage of HR reserve (%HRreserve). The mean %HRreserve calculated during the SSG was significantly lower during 4 vs. 4 (70.6 ± 5.9 %) compared to 2 vs. 2 (80.1 ± 3.6 %, pSSG. Regardless of the time spent above 60, 65, 70, 75, 80, 85 and 90 % of HRreserve, 4 vs. 4 solicited lower percentage of time than 3 vs. 3 and 2 vs. 2. Intersubject coefficients of variation were significantly higher during 4 vs. 4 compared to 2 vs.2 and 3 vs. 3. The %HRreserve after 30s of recovery was significantly higher for 3 vs. 3 (70.6 ± 5.3 %) compared to 2 vs. 2 (65.2 ± 4.8 %, pyouth soccer players. This difference could be due to that young soccer players do not have the same technical ability and experience as adult players and thus, their activity during the 2 vs. 2 and 3 vs. 3 induces a greater physical demand due to their lack of experience. The age of the players could be linked with the physical demands within small-sided games.

  13. Application of the European Society of Cardiology, Adult Treatment Panel III and American College of Cardiology/American Heart Association guidelines for cardiovascular risk management in a French cohort of rheumatoid arthritis.

    Science.gov (United States)

    Tournadre, Anne; Tatar, Zuzana; Pereira, Bruno; Chevreau, Maxime; Gossec, Laure; Gaudin, Philippe; Soubrier, Martin; Dougados, Maxime

    2015-03-15

    Patients with rheumatoid arthritis (RA) have greater rates of cardiovascular mortality and RA is an independent cardiovascular risk factor. For the management of cholesterol, the American College of Cardiology/American Heart Association (ACC/AHA) developed new guidelines for the general population. None of the European or American guidelines are specific to RA. The European League Against Rheumatism (EULAR) recommends applying a coefficient to cardiovascular risk equations based on the characteristics of RA. Our objective was to compare the three different sets of guidelines for the eligibility of statin therapy in RA-specific population with very high risk of cardiovascular disease. We calculated the proportion of patients eligible for statins according to the guidelines of the European Society of Cardiology (ESC), the Adult Treatment Panel III (ATP-III) and the ACC/AHA in a French cohort of statin-naïve RA patients at least 40 years age. Of the 547 women and 130 men analyzed, statins would be recommended for 9.1% of the women and 26.4% of the men, 15.6% of the women and 53.1% of the men, 38.8% of the women and 78.5% of the men, according to the ESC, ATP-III and ACC/AHA guidelines respectively. In RA patients, as has been observed in the general population, discordance in risk assessment and cholesterol treatment was observed between the three sets of guidelines. The use of the new ACC/AHA guidelines would expand the eligibility for statins and may be applied to RA population a condition at very high risk of cardiovascular disease. Copyright © 2015. Published by Elsevier Ireland Ltd.

  14. "Greening" the Youth Employment-A Chance for Sustainable Development

    National Research Council Canada - National Science Library

    Mirela Ionela Aceleanu; Andreea Claudia Serban; Cristina Burghelea

    2015-01-01

      Currently, at the European Union level, there has been an increase in unemployment, especially youth unemployment, as a result of certain imbalances in the labor market, exacerbated by the current...

  15. Recommendations for cardiovascular magnetic resonance in adults with congenital heart disease from the respective working groups of the European Society of Cardiology

    Science.gov (United States)

    Kilner, Philip J.; Geva, Tal; Kaemmerer, Harald; Trindade, Pedro T.; Schwitter, Juerg; Webb, Gary D.

    2010-01-01

    This paper aims to provide information and explanations regarding the clinically relevant options, strengths, and limitations of cardiovascular magnetic resonance (CMR) in relation to adults with congenital heart disease (CHD). Cardiovascular magnetic resonance can provide assessments of anatomical connections, biventricular function, myocardial viability, measurements of flow, angiography, and more, without ionizing radiation. It should be regarded as a necessary facility in a centre specializing in the care of adults with CHD. Also, those using CMR to investigate acquired heart disease should be able to recognize and evaluate previously unsuspected CHD such as septal defects, anomalously connected pulmonary veins, or double-chambered right ventricle. To realize its full potential and to avoid pitfalls, however, CMR of CHD requires training and experience. Appropriate pathophysiological understanding is needed to evaluate cardiovascular function after surgery for tetralogy of Fallot, transposition of the great arteries, and after Fontan operations. For these and other complex CHD, CMR should be undertaken by specialists committed to long-term collaboration with the clinicians and surgeons managing the patients. We provide a table of CMR acquisition protocols in relation to CHD categories as a guide towards appropriate use of this uniquely versatile imaging modality. PMID:20067914

  16. Beringin Youth Center

    OpenAIRE

    Putra, Yogi Pratama

    2016-01-01

    Development Kualanamu International Airport will have an impact on the growth of a region. Regional growth requires improving the quality of human resources in the area. Beringin Youth Development Center in addition to a youth facility and infrastructure is also useful to improve the quality of the resource the youth, with youth activities are creative. In addition to local youth activities, Beringin Youth Center can be used to perform youth international scale, with mess facil...

  17. Combined effect of educational status and cardiovascular risk factors on the incidence of coronary heart disease and stroke in European cohorts

    DEFF Research Database (Denmark)

    Veronesi, Giovanni; Tunstall-Pedoe, Hugh; Ferrario, Marco M

    2017-01-01

    of incident acute coronary heart disease and stroke. Results Compared with more educated smokers, the less educated had an added increase in absolute risk of cardiovascular disease of 3.1% (95% confidence interval + 0.1%, +6.2%) in men and of 1.5% (-1.9%, +5.0%) in women, consistent across smoking categories...... lifestyle and blood pressure modification, hopefully reducing both their risk and also social inequality in disease.......-74 years at baseline, from 38 cohorts covering Nordic and Baltic countries, the UK and Central Europe, for a median of 12 years. Using Fine-Gray models in a competing-risks framework we estimated the effect of the interaction of education with smoking, blood pressure and body weight on the cumulative risk...

  18. Heart Disease

    Science.gov (United States)

    ... type of heart disease you have. Symptoms of heart disease in your blood vessels (atherosclerotic disease) Cardiovascular disease ... can sometimes be found early with regular evaluations. Heart disease symptoms caused by abnormal heartbeats (heart arrhythmias) A ...

  19. Stratification of complexity in congenital heart surgery: comparative study of the Risk Adjustment for Congenital Heart Surgery (RACHS-1) method, Aristotle basic score and Society of Thoracic Surgeons-European Association for Cardio- Thoracic Surgery (STS-EACTS) mortality score

    Science.gov (United States)

    Cavalcanti, Paulo Ernando Ferraz; Sá, Michel Pompeu Barros de Oliveira; dos Santos, Cecília Andrade; Esmeraldo, Isaac Melo; Chaves, Mariana Leal; Lins, Ricardo Felipe de Albuquerque; Lima, Ricardo de Carvalho

    2015-01-01

    Objective To determine whether stratification of complexity models in congenital heart surgery (RACHS-1, Aristotle basic score and STS-EACTS mortality score) fit to our center and determine the best method of discriminating hospital mortality. Methods Surgical procedures in congenital heart diseases in patients under 18 years of age were allocated to the categories proposed by the stratification of complexity methods currently available. The outcome hospital mortality was calculated for each category from the three models. Statistical analysis was performed to verify whether the categories presented different mortalities. The discriminatory ability of the models was determined by calculating the area under the ROC curve and a comparison between the curves of the three models was performed. Results 360 patients were allocated according to the three methods. There was a statistically significant difference between the mortality categories: RACHS-1 (1) - 1.3%, (2) - 11.4%, (3)-27.3%, (4) - 50 %, (P<0.001); Aristotle basic score (1) - 1.1%, (2) - 12.2%, (3) - 34%, (4) - 64.7%, (P<0.001); and STS-EACTS mortality score (1) - 5.5 %, (2) - 13.6%, (3) - 18.7%, (4) - 35.8%, (P<0.001). The three models had similar accuracy by calculating the area under the ROC curve: RACHS-1- 0.738; STS-EACTS-0.739; Aristotle- 0.766. Conclusion The three models of stratification of complexity currently available in the literature are useful with different mortalities between the proposed categories with similar discriminatory capacity for hospital mortality. PMID:26107445

  20. Euro Heart Survey 2009 Snapshot

    DEFF Research Database (Denmark)

    Puymirat, Etienne; Battler, Alex; Birkhead, John

    2013-01-01

    Detailed data on patients admitted for acute myocardial infarction (AMI) on a European-wide basis are lacking. The Euro Heart Survey 2009 Snapshot was designed to assess characteristics, management, and hospital outcomes of AMI patients throughout European Society of Cardiology (ESC) member...

  1. Appropriateness of Prescriptions of Recommended Treatments in Organisation for Economic Co-operation and Development Health Systems: Findings Based on the Long-Term Registry of the European Society of Cardiology on Heart Failure.

    Science.gov (United States)

    Maggioni, Aldo P; Van Gool, Kees; Biondi, Nelly; Urso, Renato; Klazinga, Niek; Ferrari, Roberto; Maniadakis, Nikolaos; Tavazzi, Luigi

    2015-12-01

    This observational study aimed to identify clinical variables and health system characteristics associated with incomplete guideline application in drug treatment of patients with chronic heart failure (HF) across 15 countries. Three data sets were used: European Society of Cardiology Heart Failure Registry, Organisation for Economic Co-operation and Development's Health System Characteristics Survey, and Organisation for Economic Co-operation and Development Health Statistics 2013. Patient and country variables were examined by multilevel, multiple logistic regression. The study population consisted of ambulatory patients with chronic HF and reduced ejection fraction. Inappropriateness of prescription of pharmacological treatments was defined as patients not prescribed at least one of the two recommended treatments (angiotensin-converting enzyme inhibitors/angiotensin-receptor blockers and beta-blockers) or treated with both medications but at suboptimal dosage and in absence of documented contraindication/intolerance. Of 4605 patients, 1097 (23.8%) received inappropriate drug prescriptions with a large variation within and across countries, with 18.5% of the total variability accounted for by between-country health structure characteristics. Patient-level characteristics such as having mitral regurgitation (odds ratio 1.4; 95% confidence interval 1.1-1.7) was significantly associated with inappropriate prescription of recommended drugs, whereas chronic obstructive pulmonary disease (odds ratio 0.7; 95% confidence interval 0.5-0.9) was associated with more appropriate prescriptions. Among the country-level variables, incentives or obligation to comply with guidelines increased the probability of prescription appropriateness. Combining clinical variables with health system characteristics is a promising exercise to explain the appropriateness of recommended drug prescriptions. Such an understanding can help decision makers to design more effective policies to

  2. Heart failure highlights in 2012-2013

    NARCIS (Netherlands)

    Liu, Licette C. Y.; Damman, Kevin; Lipsic, Eric; Maass, Alexander H.; Rienstra, Michiel; Westenbrink, B. Daan

    Heart failure has become the cardiovascular epidemic of the century. The European Journal of Heart Failure is dedicated to the advancement of knowledge in the field of heart failure management. In 2012 and 2013, several pioneering scientific discoveries and paradigm-shifting clinical trials have

  3. European MEDIA Programme: the role of 'language' and 'visual images' in the processes of constructing European culture and identity

    National Research Council Canada - National Science Library

    Bozić-Vrbancić, Senka; Vrbancić, Mario; Orlić, Olga

    2008-01-01

    Questions of diversity and multiculturalism are at the heart of many discussions on European supranational identity within contemporary anthropology, sociology, cultural studies, linguistics and so on...

  4. Transforming childhood and youth

    DEFF Research Database (Denmark)

    Singla, Rashmi

    Louise Seeberg** This panel focuses on the changing dynamics of integration of various categories of children and young people, be they moving across borders, or settled in cities of immigration. The papers propose to cover diverse settings in Europe primarily through empirical studies. Moving beyond...... of childhood among Polish migrants in Norway' "Elzbieta M. Gozdziak (Georgetown University, USA), 'Keleti Pályaudvar: Past and Present Child Refugee Crises in Hungary' " "Carmen Draghici University Paris 13-Sorbonne Paris Cite, France), 'Transforming childhood and youth: increasing diversity in European cities...... and Childhood: On children of migrants from the Central Asia in Russia' " "Eva Janska, Zdeněk Čermák and Andrea Svobodova (Charles University, Prague, Czechia), 'Migration to Cities: decision making process and identity changes of young Vietnamese in Czechia' " "Mari Rysst (Inland University College...

  5. Chapter 8: Youth Culture

    DEFF Research Database (Denmark)

    Stald, Gitte Bang

    2016-01-01

    Gitte Stald has been researching mobile technologies since their early days of adoption by younger audiences. In her talk, she focuses on adolescents and their mobile media use. Stald shares her findings from the longitudinal and cross-cultural studies she has been conducting over the years....... The chapter builds on findings from a Danish and a European context, but they can be expanded to think about mobile youth culture in general. Gitte Stald discusses the concepts of digital natives and digital immigrants, sharing, immediacy, and the feeling of presence (or absent presence), social coordination...... to large social movements, making it crucial for researchers to employ context-aware, collaborative and mixed-methods research to study this new technology....

  6. Combined effect of educational status and cardiovascular risk factors on the incidence of coronary heart disease and stroke in European cohorts: Implications for prevention.

    Science.gov (United States)

    Veronesi, Giovanni; Tunstall-Pedoe, Hugh; Ferrario, Marco M; Kee, Frank; Kuulasmaa, Kari; Chambless, Lloyd E; Amouyel, Philippe; Arveiler, Dominique; Bobak, Martin; Ferrieres, Jean; Giampaoli, Simona; Jørgensen, Torben; Peters, Annette; Salomaa, Veikko; Soderberg, Stefan; Tamosiunas, Abdonas; Cesana, Giancarlo

    2017-03-01

    Background The combined effect of social status and risk factors on the absolute risk of cardiovascular disease has been insufficiently investigated, but results provide guidance on who could benefit most through prevention. Methods We followed 77,918 cardiovascular disease-free individuals aged 35-74 years at baseline, from 38 cohorts covering Nordic and Baltic countries, the UK and Central Europe, for a median of 12 years. Using Fine-Gray models in a competing-risks framework we estimated the effect of the interaction of education with smoking, blood pressure and body weight on the cumulative risk of incident acute coronary heart disease and stroke. Results Compared with more educated smokers, the less educated had an added increase in absolute risk of cardiovascular disease of 3.1% (95% confidence interval + 0.1%, +6.2%) in men and of 1.5% (-1.9%, +5.0%) in women, consistent across smoking categories. Conversely, the interaction was negative for overweight: -2.6% (95% CI: -5.6%, +0.3%) and obese: -3.6% (-7.6%, +0.4%) men, suggesting that the more educated would benefit more from the same reduction in body weight. A weaker interaction was observed for body weight in women, and for blood pressure in both genders. Less educated men and women with a cluster of two or more risk factors had an added cardiovascular disease risk of 3.6% (+0.1%, +7.0%) and of 2.6% (-0.5%, +5.6%), respectively, compared with their more educated counterparts. Conclusions Socially disadvantaged subjects have more to gain from lifestyle and blood pressure modification, hopefully reducing both their risk and also social inequality in disease.

  7. [The differences between the guidelines of the European Society of Cardiology and the American College of Cardiology/ American Heart Association for oral P2Y12 inhibitor therapy in the management of patients with acute coronary syndromes].

    Science.gov (United States)

    Serebruany, V L; Pershukov, I V

    2013-01-01

    The analysis of the evidence that formed the basis for the current guidelines of the European Society of Cardiology (ESC) on oral therapy by antithrombotic drugs for acute coronary syndromes (ACS), and a comparison with the U.S. guidelines. The ESC guidelines, published during 2011-2012, declared the superiority of prasugrel and ticagrelor over clopidogrel in patients with ACS without ST elevation and myocardial infarction (MI) with ST elevation. These guidelines are based in each case on a subgroup analysis of a single study using either prasugrel (TRITON), or ticagrelor (PLATO). In contrast, the American College of Cardiology (ACC) and the American Heart Association (AHA) guidelines, published in 2012-2013, are more balanced, conservative and present evidence-based outlook, suggesting no proven extra benefit of one P2Y12 antagonist over the other(s). The ESC guidelines regarding the findings of the superiority of prasugrel or ticagrelor over clopidogrel are overly optimistic and not always evidence-based. A small frequency of clinical use of prasugrel and ticagrelor in the world in general and Europe in particular, suggests a discrepancy between the traditionally appointed treatment and published ESC guidelines.

  8. The Potential for Development of Russian Youth Social Activity

    Science.gov (United States)

    Savotina, Nataliya

    2016-01-01

    The article deals with scientific and applied topicality of studying the problem of children and youth social activity. Spheres of social activity display in European tradition, in particular, the European Charter, Great Britain, have been revealed. Comparative analysis of understanding the essence of such a phenomenon in Western theories and…

  9. Heart Failure

    Science.gov (United States)

    Heart failure is a condition in which the heart can't pump enough blood to meet the body's needs. Heart failure does not mean that your heart has stopped ... and shortness of breath Common causes of heart failure are coronary artery disease, high blood pressure and ...

  10. Youth and the Cult of Youth?

    OpenAIRE

    Smolík, Josef

    2014-01-01

    This text deals with one of the neglected topics of contemporary social pedagogy which extends to developmental psychology and sociology. This topic is so-called cult of youth which is often mentioned in the academic literature, but has not been precisely conceptualized. This text was therefore focused on the definition of basic category, i.e. youth, and then discussed the relationship to the cult of youth and the individual elements that helps to form it. The cult of youth is associate...

  11. Heart Anatomy

    Science.gov (United States)

    ... kilometers), which is far enough to circle the earth more than twice! See also on other sites: ... For the Public Heart Information Center Project Heart Women’s Heart Health Clinical Trials 6770 Bertner Avenue Houston, ...

  12. Heart Transplant

    Science.gov (United States)

    ... your transplanted heart. You should also have routine medical checkups to maintain overall health. Activity Restrictions Heart transplant recipients have no specific activity restrictions. Discuss activity ideas with your ... to some medical and dental procedures to prevent endocarditis, most heart ...

  13. Fat-free mass mediates the association between birth weight and aerobic fitness in youth

    DEFF Research Database (Denmark)

    Ridgway, C L; Andresen, Brage Storstein; Anderssen, S

    2011-01-01

    Abstract Objective. To investigate whether birth weight acts as a biological determinant of later aerobic fitness, and whether fat-free mass may mediate this association. Methods. The European Youth Heart Study (EYHS) is a population-based cohort of two age groups (9 and 15 years) from Denmark...... test. Physical activity was collected in a subset (n = 1 505) using a hip-worn accelerometer and defined as total activity counts/wear time, all children with >600 minutes/day for ≥3 days of wear were included. Results. Lower birth weight was associated with lower aerobic fitness, after adjusting...... for sex, age group, country, sexual maturity and socio-economic status (ß = 5.4; 95% CI: 3.5, 7.3 W per 1 kg increase in birth weight, p fitness was almost completely attenuated (p = 0...

  14. Youth Media and Agency

    Science.gov (United States)

    Hauge, Chelsey

    2014-01-01

    This article addresses how capacity is conceived of and understood in youth media/civic education programming, and how beliefs about agency, development, relationality and youth manifests in the discourses, programmes, and practices of organizations operating youth media programmes. Through attention to a youth media and development programme in…

  15. Heart rate awareness in patients with chronic stable heart failure. A multi-center observational study.

    LENUS (Irish Health Repository)

    Moran, D

    2014-08-23

    We assessed adherence to European Society of Cardiology heart rate guidelines (i.e. heart rates less than 70bpm) in patients with chronic stable heart failure. We also investigated the percent of patients on target doses of rate controlling drugs.

  16. European communion

    DEFF Research Database (Denmark)

    Manners, Ian James

    2013-01-01

    Political theory of European union, through an engagement between political concepts and theoretical understandings, provides a means of identifying the EU as a political object. It is argued that understanding the projects, processes and products of European union, based on ‘sharing’ or ‘communion......’, provides a better means of perceiving the EU as a political object rather than terms such as ‘integration’ or ‘co-operation’. The concept of ‘European communion’ is defined as the ‘subjective sharing of relationships’, understood as the extent to which individuals or groups believe themselves to be sharing...... relations (or not), and the consequences of these beliefs for European political projects, processes and products. By exploring European communion through an engagement with contemporary political theory, using very brief illustrations from the Treaty of Lisbon, the article also suggests that European...

  17. Independent and Combined Association of Muscle Strength and Cardiorespiratory Fitness in Youth With Insulin Resistance and β-Cell Function in Young Adulthood

    DEFF Research Database (Denmark)

    Grøntved, Anders; Ried-Larsen, Mathias; Ekelund, Ulf

    2013-01-01

    OBJECTIVETo examine the independent and combined association of isometric muscle strength of the abdomen and back and cardiorespiratory fitness (CRF) in youth with indices of glucose metabolism in young adulthood among boys and girls from the European Youth Heart Study.RESEARCH DESIGN AND METHODSWe...... ergometer test. Insulin resistance (homeostasis model assessment of insulin resistance [HOMA-IR]) and β-cell function (homeostasis model assessment of β-cell function [HOMA-B]) were estimated from fasting serum insulin and glucose that were obtained in youth and at follow-up in young adulthood.......RESULTSFor each 1-SD difference in isometric muscle strength (0.16 N/kg) in youth, fasting insulin, HOMA-IR, and HOMA-B in young adulthood changed with -11.3% (95% CI, -17.0 to -5.2), -12.2% (-18.2 to -5.7), and -8.9% (-14.4 to -3.0), respectively, in young adulthood after adjustment for CRF and personal...

  18. Bringing a community-based vision to the heart of Europe's research the European Union's new research commissioner hopes that his plans to promote science will win over critics in the EU

    CERN Multimedia

    Dickson, D

    1999-01-01

    Busquin's top priority is to create an European scientific 'espace' to bring added value to European research efforts. He is also keen to give the commission's research programmes a more human face (1 page).

  19. Youth policy and participation: An analysis of pedagogical ideals in municipal youth policy in the Netherlands

    NARCIS (Netherlands)

    Timmerman, Greetje

    Over the past two decades, in several Northern and Western European Union countries responsibility for general youth policy has been transferred from the central government to the local level of municipalities. In this transformation process the local authorities. guided by central government's

  20. Youth Unemployment

    OpenAIRE

    O'Higgins, Niall

    2015-01-01

    It's a pretty tough time to be a young European seeking to enter the labour market, but what exactly is the nature of the problem facing young people trying to find employment? It has long been recognized that unemployment is associated with a series of negative health consequences, both physical and psychological which tend to grow disproportionately with the duration of unemployment. Unemployment is also associated with unhappiness - both for those experiencing it as well as those who are e...

  1. Heart Diseases

    Science.gov (United States)

    ... you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the ... of disability. There are many different forms of heart disease. The most common cause of heart disease ...

  2. Heart Transplantation

    Science.gov (United States)

    A heart transplant removes a damaged or diseased heart and replaces it with a healthy one. The healthy heart comes from a donor who has died. It is the last resort for people with heart failure when all other treatments have failed. The ...

  3. Heart Attack

    Science.gov (United States)

    Each year almost 800,000 Americans have a heart attack. A heart attack happens when blood flow to the heart suddenly ... it's important to know the symptoms of a heart attack and call 9-1-1 if you or ...

  4. JOBS FOR YOUTH – IS THERE A LABOUR MARKET FOR YOUTH IN ROMANIA?

    Directory of Open Access Journals (Sweden)

    Cristina MOCANU

    2016-07-01

    Full Text Available Romania is one of the European countries characterized by high rates of unemployment for youth aged 15-24 (21.7% in 2015 and long transitions of graduates from school to the world of work. Several policies were developed in order to facilitate the entrance of youth on the labor market, but with limited outcomes. The present paper aims to analyze the job opportunities for youth on the Romanian labor market in order to understand the demand-side opportunities and barriers. We use the data from a national representative survey among companies carried out in 2015 and we focus the analysis on the job vacancies for youth and the skills required, as well as on employers’ satisfaction on the skills and knowledge of newly hired graduates.

  5. Challenges of Adolescent Psychology in the European Identity Context

    Science.gov (United States)

    Lannegrand-Willems, Lyda; Barbot, Baptiste

    2015-01-01

    In Europe, the question of identity and youth civic engagement constitutes a challenge both for the European Union (EU) and for research on adolescent psychology. In this article, we discuss the European historical context and the current initiatives from the EU that aim to encourage civic engagement among young people. Then, we suggest some…

  6. European Institutions?

    NARCIS (Netherlands)

    Meacham, Darian

    2016-01-01

    The aim of this article is to sketch a phenomenological theory of political institutions and to apply it to some objections and questions raised by Pierre Manent about the project of the European Union and more specifically the question of “European Construction”, i.e. what is the aim of the

  7. Selective Europeanization

    DEFF Research Database (Denmark)

    Hoch Jovanovic, Tamara; Lynggaard, Kennet

    2014-01-01

    political contexts at the European level. We further show how the “translation” of international norms to a domestic context has worked to reinforce the original institutional setup, dating back to the mid-1950s. The translation of European-level minority policy developed in the 1990s and 2000s works most...

  8. Youth in Dubrava

    Directory of Open Access Journals (Sweden)

    Melita Švob

    1998-06-01

    Full Text Available The goal of the international project ''lnternationales Lernen" is a comparative study on individual orientations and social representation among youth in five European countries: Germany, the Netherlands, Greece, Latvia and Croatia. For the purposes of the study in Croatia, youth from one part of Zagreb – Dubrava − was selected. Dubrava was selected due to many social-demographic indicators, for example a long experience of strong in-migration into that part of the city, which was especially emphasised during the last decade, and also a large mixture of both social groups and ethnic communities. In the paper the socio-demographic traits of Dubrava are presented, its development according to data on general settlement and progression of the population in the inter-census period 1981-1991. The age structure of Dubrava, with a pronounced greater percentage of people younger than 20 years of age in regard to the Zagreb average, is the result of the dynamic development of the population of Dubrava. Apart from a majority of Croats (indigenous population, new immigrants from other parts of the city and country, refugees, sections of the Croatian Diaspora, in Dubrava there also live Muslims, Serbs, Albanians, Gypsies, Czechs and others. For the purpose of the study, a pilot investigation was made on a sample of pupils in elementary and secondary schools in Dubrava. In this paper, which serves as a type of introduction to the first and later phases of the study, data pertaining to the basic characteristics of the queried pupils are presented.

  9. European Whiteness?

    DEFF Research Database (Denmark)

    Blaagaard, Bolette

    2008-01-01

    Born out of the United States’ (U.S.) history of slavery and segregation and intertwined with gender studies and feminism, the field of critical whiteness studies does not fit easily into a European setting and the particular historical context that entails. In order for a field of European...... critical whiteness studies to emerge, its relation to the U.S. theoretical framework, as well as the particularities of the European context need to be taken into account.. The article makes a call for a multi-layered approach to take over from the identity politics so often employed in the fields of U...

  10. Ten Messages About Youth Employment in South East Europe

    OpenAIRE

    World Bank Group

    2016-01-01

    Today, nearly half of youth in the six South East European countries (SEE6) are not in the labor market, and one quarter is inactive—not in employment, education, or training. These poor outcomes partly reflect a difficult recovery in SEE6 from the 2008 global financial crisis, which sent already high youth unemployment soaring to new heights. This paper presents 10 evidence-based messages...

  11. The Youth Soccer Coaches’ Visions and Thoughts of Leader Support

    Directory of Open Access Journals (Sweden)

    Hertting Krister

    2016-06-01

    Full Text Available The Objectives: The European Commission has highlighted the use of sports as an important venue for engaging citizens in health-enhancing activities, physical activity, volunteerism and active citizenship. Coaching is a central component of sports for children and youth, but there is little research on the promotion of sports coaches’ health. In the light of this gap, the aim of this paper was to elucidate youth soccer coaches’ visions and thoughts regarding leadership support from clubs and soccer associations.

  12. Music and the heart.

    Science.gov (United States)

    Koelsch, Stefan; Jäncke, Lutz

    2015-11-21

    Music can powerfully evoke and modulate emotions and moods, along with changes in heart activity, blood pressure (BP), and breathing. Although there is great heterogeneity in methods and quality among previous studies on effects of music on the heart, the following findings emerge from the literature: Heart rate (HR) and respiratory rate (RR) are higher in response to exciting music compared with tranquilizing music. During musical frissons (involving shivers and piloerection), both HR and RR increase. Moreover, HR and RR tend to increase in response to music compared with silence, and HR appears to decrease in response to unpleasant music compared with pleasant music. We found no studies that would provide evidence for entrainment of HR to musical beats. Corresponding to the increase in HR, listening to exciting music (compared with tranquilizing music) is associated with a reduction of heart rate variability (HRV), including reductions of both low-frequency and high-frequency power of the HRV. Recent findings also suggest effects of music-evoked emotions on regional activity of the heart, as reflected in electrocardiogram amplitude patterns. In patients with heart disease (similar to other patient groups), music can reduce pain and anxiety, associated with lower HR and lower BP. In general, effects of music on the heart are small, and there is great inhomogeneity among studies with regard to methods, findings, and quality. Therefore, there is urgent need for systematic high-quality research on the effects of music on the heart, and on the beneficial effects of music in clinical settings. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

  13. European Security

    DEFF Research Database (Denmark)

    Møller, Bjørn

    Theoretical chapters on "Security", "Organisations" and "Regions," Historical Chapters on "Europe and Its Distinguishing Features" and on "The United Nations," "NATO," "The CSCE/OSCE and the Council of Europe" and "The European Union"......Theoretical chapters on "Security", "Organisations" and "Regions," Historical Chapters on "Europe and Its Distinguishing Features" and on "The United Nations," "NATO," "The CSCE/OSCE and the Council of Europe" and "The European Union"...

  14. The Youth and Europe: Fears and Hopes

    Directory of Open Access Journals (Sweden)

    Nebojša Blanuša

    2007-01-01

    Full Text Available Based on a content analysis of directed associations on fears and hopes about Europe among the youth in Croatia, this paper analyses their attitude towards Croatia’s admission to the European Union. It also analyses the evaluative complexity and inner structure of this attitude. Research findings show that more than 20% of young people have no explicit attitude towards Croatia’s admission to the European Union. The explored attitude, among those who have it, is predominantly based on three hopes, i.e. expectations: economic progress, achievement of accountable governance and implementation of European values and standards in Croatia, but also on two fears: of economic colonisation and of political changes. Substantially, these hopes and fears comprise the utilitarian, value-related and political dimensions of transformation which are expected from the admission of a country to the European Union.

  15. Heart transplantation.

    Science.gov (United States)

    Cheng, Allen; Slaughter, Mark S

    2014-08-01

    Heart failure remains a major global problem with approximately 6 million individuals suffering from heart failure in the United States alone. The surgical technique of heart transplantation, popularized by Dr. Norman Shumway, has led to its success and currently remains the best treatment options for patients with end-stage. However, with the continued limitation of donor organs and the rapid development of ventricular assist device technology, the number of patients bridged to transplant with mechanical circulatory support has increased significantly. This has created some new technical challenges for heart transplantation. Therefore, it is now important to be familiar with multiple new technical challenges associated with the surgical techniques of heart transplantation with an ultimate goal in reducing donor heart ischemic time, recipient cardiopulmonary bypass time and post-operative complications. In this review, we described our technique of heart transplantation including the timing of the operation, recipient cardiectomy and donor heart implantation.

  16. Enlarged Heart

    Science.gov (United States)

    ... the valves are damaged by conditions such as rheumatic fever, a heart defect, infections (infectious endocarditis), connective tissue disorders, certain medications or radiation treatments for cancer, your heart may ...

  17. Heart Truth

    Science.gov (United States)

    ... health! Get a free badge or banner to post to your website or blog. Are you at risk for heart disease? Here's how to find out . Planning to use The Heart Truth logo? Check out our logo guidelines and downloads. ...

  18. Heart Failure

    Science.gov (United States)

    ... heart failure due to systolic dysfunction. http://www.uptodate.com/home. Accessed Sept. 26, 2014. Colucci WS. ... patient with heart failure or cardiomyopathy. http://www.uptodate.com/home. Accessed Sept. 26, 2014. Colucci WS. ...

  19. For gold, heart rate matters.

    Science.gov (United States)

    Surmely, Jean-François; Mohacsi, Paul; Schmid, Jean-Paul; Carrel, Thierry; Delacretaz, Etienne

    2005-08-01

    A 19-year-old woman presented with decreased exercise tolerance 3 years after orthotopic heart transplantation. Exercise capacity was severely reduced, with a maximal workload of 84 W, corresponding to 56% of the predicted value. After exclusion of other causes, insufficient heart rate response to exercise was considered as the major contributor to her decreased exercise tolerance. Correction of this problem with the implantation of an AAIR pacemaker dramatically improved her physical performance, allowing her to win 5 gold medals at the European Heart and Lung Transplant Games. This case report illustrates how pacemaker therapy can dramatically improve the symptoms and performance of patients with chronotropic incompetence.

  20. Summer Youth Forestry Institute

    Science.gov (United States)

    Roesch, Gabrielle E.; Neuffer, Tamara; Zobrist, Kevin

    2013-01-01

    The Summer Youth Forestry Institute (SYFI) was developed to inspire youth through experiential learning opportunities and early work experience in the field of natural resources. Declining enrollments in forestry and other natural resource careers has made it necessary to actively engage youth and provide them with exposure to careers in these…

  1. National Youth Court Guidelines.

    Science.gov (United States)

    Godwin, Tracy M.

    Youth courts provide communities with an opportunity to impose immediate consequences for first time youthful offenders, while providing a peer operated disposition mechanism that constructively allows young people to take responsibility, be held accountable, and make amends for violating the law. Dispositions hold youth accountable in part…

  2. Service Opportunities for Youths.

    Science.gov (United States)

    Heffernan, David; Tarlov, Suzanne

    The emerging youth service movement has reinforced and built on the foundation of service in traditional organizations and focuses on tapping youth talent and energy. Youth service is a concept that has roots in pre-20th century American society. Service programs today increasingly include training, education, prevention, and employment…

  3. Youth Development: Maori Styles

    Science.gov (United States)

    Ware, Felicity; Walsh-Tapiata, Wheturangi

    2010-01-01

    Despite the innovative approach of the Youth Development Strategy Aotearoa and the applicability of its Rangatahi Development Package, the diverse realities and experiences of Maori youth are still presenting unique challenges to national policy in Aotearoa New Zealand. A Maori youth research approach that utilised a combination of action research…

  4. Youth Suicidal Behavior

    Science.gov (United States)

    AAS 2011 Youth Suicidal Behavior Fact Sheet 4,822 youth age 15-24 died by suicide. i We want to change that. Su icid eRat ... death in 2011. The 2011 Youth Risk and Behavior Survey found that in the previous 12 months ...

  5. Heart Failure

    DEFF Research Database (Denmark)

    Jorsal, Anders; Wiggers, Henrik; McMurray, John J V

    2018-01-01

    This article briefly discusses the epidemiology of heart failure and diabetes and summarizes the key findings from the recent cardiovascular outcome trials in patients with type 2 diabetes, with a focus on heart failure as an endpoint.......This article briefly discusses the epidemiology of heart failure and diabetes and summarizes the key findings from the recent cardiovascular outcome trials in patients with type 2 diabetes, with a focus on heart failure as an endpoint....

  6. From Soft Skills to Hard Data: Measuring Youth Program Outcomes. Second Edition

    Science.gov (United States)

    Wilson-Ahlstrom, Alicia; Yohalem, Nicole; DuBois, David; Ji, Peter; Hillaker, Barbara; Weikart, David P.

    2014-01-01

    Everyone who runs a youth program believes in their hearts that their program helps kids, but in their heads, they know they need convincing data to prove it. This guide--updated from 2011--is here to help them get the data they need. The guide addresses a common problem throughout the youth field: Out-of-school time (OST) programs can help youth…

  7. Youth purpose and positive youth development.

    Science.gov (United States)

    Mariano, Jenni Menon; Going, Julie

    2011-01-01

    This chapter reviews research and findings on youth purpose as it relates to positive youth development (PYD) and thriving. The authors note that purpose is defined in multiple ways in the youth development literature, including one-dimensional and multi-dimensional definitions, and those that combine purpose with other constructs, like meaning. Although research on youth purpose and thriving is in its early stages, however, multiple other purpose-like constructs appear in the positive youth development literature, such as life goals, contribution, and sparks, that can tell us about how purpose and PYD may interact. Recent research suggests that purpose aligns with several positive states during adolescence and young adulthood, like life -satisfaction, coping, generosity, optimism, humility, mature identity status, and more global personality integration. Purpose may also be promoted through social support from people in young people's lives who are sensitive and responsive to their interests and concerns.

  8. Youth labour market integration across Europe: The impact of cyclical, structural, and institutional characteristics

    NARCIS (Netherlands)

    Lange, M. de; Gesthuizen, M.J.W.; Wolbers, M.H.J.

    2014-01-01

    Young people in Europe face great difficulties nowadays when entering the labour market. Unemployment and temporary employment are high among youth, although considerable differences exist between European countries. In this article, we study to what extent cyclical, structural, and institutional

  9. The relationship of age, blood pressure, serum cholesterol and smoking habits with the risk of typical and atypical coronary heart disease death in the European cohorts of the Seven Countries Study

    NARCIS (Netherlands)

    Menotti, A.; Lanti, M.; Nedeljkovic, S.; Nissinen, A.; Kafatos, A.; Kromhout, D.

    2006-01-01

    Objective: To explore whether "typical" coronary heart disease (CHD) such as fatal myocardial infarction and sudden death relate to major cardiovascular risk factors in the same way as the "atypical" CHD, such as fatal heart failure and chronic arrhythmias. Design and setting: Ten cohorts (6633

  10. Body fat distribution and risk of coronary heart disease in men and women in the European Prospective Investigation Into Cancer and Nutrition in Norfolk cohort: a population-based prospective study

    NARCIS (Netherlands)

    Canoy, Dexter; Boekholdt, S. Matthijs; Wareham, Nicholas; Luben, Robert; Welch, Ailsa; Bingham, Sheila; Buchan, Iain; Day, Nicholas; Khaw, Kay-Tee

    2007-01-01

    Body fat distribution has been cross-sectionally associated with atherosclerotic disease risk factors, but the prospective relation with coronary heart disease remains uncertain. We examined the prospective relation between fat distribution indices and coronary heart disease among 24,508 men and

  11. Initial validation of a healthcare needs scale for young people with congenital heart disease.

    Science.gov (United States)

    Chen, Chi-Wen; Ho, Ciao-Lin; Su, Wen-Jen; Wang, Jou-Kou; Chung, Hung-Tao; Lee, Pi-Chang; Lu, Chun-Wei; Hwang, Be-Tau

    2018-01-01

    To validate the initial psychometric properties of a Healthcare Needs Scale for Youth with Congenital Heart Disease. As the number of patients with congenital heart disease surviving to adulthood increases, the transitional healthcare needs for adolescents and young adults with congenital heart disease require investigation. However, few tools comprehensively identify the healthcare needs of youth with congenital heart disease. A cross-sectional study was employed to examine the psychometric properties of the Healthcare Needs Scale for Youth with Congenital Heart Disease. The sample consisted of 500 patients with congenital heart disease, aged 15-24 years, from paediatric cardiology departments and covered the period from March-August 2015. The patients completed the 25-item Healthcare Needs Scale for Youth with Congenital Heart Disease, the questionnaire on health needs for adolescents and the WHO Quality of Life-BREF. Reliability and construct, concurrent, predictive and known-group validity were examined. The Healthcare Needs Scale for Youth with Congenital Heart Disease includes three dimensions, namely health management, health policy and individual and interpersonal relationships, which consist of 25 items. It demonstrated excellent internal consistency and sound construct, concurrent, predictive and known-group validity. The Healthcare Needs Scale for Youth with Congenital Heart Disease is a psychometrically robust measure of the healthcare needs of youth with congenital heart disease. It has the potential to provide nurses with a means to assess and identify the concerns of youth with congenital heart disease and to help them achieve a successful transition to adult care. © 2017 John Wiley & Sons Ltd.

  12. A State of Health? Constructive Dialogue and the Rhythms of International Youth Theatre

    Science.gov (United States)

    Parry, Simon

    2014-01-01

    This article examines youth theatre as a mode of promoting public dialogue within situations of political tension or conflict. It reflects on the author's own experience of trying unsuccessfully to find a framework to evaluate an European Union supported theatre project, youth/art/peace/network, which took place in Austria, Israel and Palestine in…

  13. High youth access to movies that contain smoking in Europe compared with the USA

    NARCIS (Netherlands)

    Hanewinkel, R.; Sargent, J.D.; Karlsdottir, S.; Jonsson, S.H.; Mathis, F.; Faggiano, F.; Poelen, E.A.P.; Scholte, R.H.J.; Florek, E.; Sweeting, H.; Hunt, K.; Morgenstern, M.

    2013-01-01

    Background Based on evidence that exposure to smoking in movies is associated with adolescent smoking, the WHO has called on countries to assign a rating that restricts youth access to such movies. Objective To evaluate youth access to movies that portray smoking in European countries and compare

  14. Perceived Discrimination and Peer Victimization among African American and Latino Youth

    Science.gov (United States)

    Seaton, Eleanor K.; Neblett, Enrique W., Jr.; Cole, Daphne J.; Prinstein, Mitchell J.

    2013-01-01

    Perceptions of racial discrimination constitute significant risks to the psychological adjustment of minority youth. The present study examined the relationship between perceived racial discrimination and peer nominations of victimization among 173 (55% female) African American, European American and Latino youth. All respondents completed peer…

  15. HEART RETRANSPLANTATION

    Directory of Open Access Journals (Sweden)

    R. Sh. Saitgareev

    2016-01-01

    Full Text Available The number of patients with transplanted heart is continuously increasing; therefore, the number of patients requiring heart retransplantation grows. Analysis of the results of published studies focused on safety of cardiac retransplantation and risk factors for adverse events in perioperative, early and late postoperative periods is presented in our review. The results of published studies suggest that heart retransplantation is the main radical treatment option for cardiac allograft dysfunction, but the results of heart retransplantation are slightly worse than those of primary cardiac transplantation. On the other hand, the favorable long-term prognosis after heart retransplantation should be expected in carefully selected recipients. 

  16. The European Synchrotron Radiation Facility

    DEFF Research Database (Denmark)

    Buras, B.; Materlik, G.

    1986-01-01

    In recent years, X-ray synchrotron radiation became a powerful tool for studies of condensed matter, and in view of that a proposal for the construction of a European Synchrotron Radiation Facility (ESRF) was elaborated in some detail by the European Synchrotron Radiation Project. The heart...... by a great flexibility and a small emittance (7×10−9 rad m) leading to a very high brilliance (1019 photons/(s mm2 mrad2) in a relative bandwidth of 0.1% in case of a 1 Å undulator). The overview, as seen from the users point of view, gives a brief account of the storage ring, emitted radiation...

  17. European visit

    CERN Multimedia

    2006-01-01

    The European Commissioner for Science and Research, Janez Potočnik, (on the right) visited the CMS assembly hall accompanied by Jim Virdee, Deputy Spokesman of CMS (on the left), and Robert Aymar, Director-General of CERN. The European Commissioner for Science and Research, Janez Potočnik, visited CERN on Tuesday 31 January. He was welcomed by the Director-General, Robert Aymar, who described the missions and current activities of CERN to him, in particular the realisation of the LHC with its three components: accelerator, detectors, storage and processing of data. The European Commissioner then visited the CMS assembly hall, then the hall for testing the LHC magnets and the ATLAS cavern. During this first visit since his appointment at the end of 2004, Janez Potočnik appeared very interested by the operation of CERN, an example of successful scientific co-operation on a European scale. The many projects (30 on average) that CERN and the European Commission carry out jointly for the benefit of res...

  18. European Cinema

    NARCIS (Netherlands)

    Elsaesser, Thomas

    2005-01-01

    In the face of renewed competition from Hollywood since the early 1980s and the challenges posed to Europe's national cinemas by the fall of the Wall in 1989, independent filmmaking in Europe has begun to re-invent itself. European Cinema: Face to Face with Hollywood re-assesses the different

  19. Hypoplastic left heart syndrome

    Science.gov (United States)

    HLHS; Congenital heart - hypoplastic left heart; Cyanotic heart disease - hypoplastic left heart ... Hypoplastic left heart is a rare type of congenital heart disease. It is more common in males than in females. As ...

  20. Encouraging Positive Youth Development with Youth Leadership Summits

    OpenAIRE

    Lynn Schmitt-McQuitty

    2007-01-01

    This article describes the California 4-H Youth Development Program’s (4-H YDP) creation of a Youth Leadership Summit (YLS), as well as information gained from three summits held in the summers of 1999 through 2001. Previous studies (Camino, 2000; Lerner, 2000; Zeldin, 2000) suggested that youth-adult collaborations along with meaningful activities could have a positive impact on youth. Therefore, the summits emphasized the positive youth development model, employed youth-adult collaboration...

  1. The association of breakfast skipping and television viewing at breakfast with weight status among parents of 10-12-year-olds in eight European countries; the ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) cross-sectional study

    NARCIS (Netherlands)

    Bjornara, H.B.; Vik, F.N.; Brug, J.; Manios, Y.; de Bourdeaudhuij, I.; Jan, N.; Maes, L.; Moreno, L.A.; Dossegger, A.; Bere, E.

    2014-01-01

    Objective: The main objective was to assess the relationship of breakfast skipping, television (TV) viewing at breakfast and breakfast without TV with weight status among parents of 10-12-year-olds in eight European countries. Design: A cross-sectional survey assessed breakfast eating and TV viewing

  2. Military Enlistment of Hispanic Youth: Obstacles and Opportunities

    Science.gov (United States)

    2008-01-01

    arteries and blood vessels (447), including aneurysms (442), even if repaired , atherosclerosis (440), or arteritis (446). b. Hypertensive vascular...cardiomegaly. b. Coronary heart disease (410). 158 Military Enlistment of Hispanic Youth: Obstacles and Opportunities c. Symptomatic arrhythmia (or...defects (749), unless satisfactorily repaired by surgery. b. Leukoplakia (528.6). 2-25. Nose, sinuses, and larynx The causes for rejection for

  3. The Potential for Development of Russian Youth Social Activity

    Directory of Open Access Journals (Sweden)

    Savotina Nataliya

    2016-03-01

    Full Text Available The article deals with scientific and applied topicality of studying the problem of children and youth social activity. Spheres of social activity display in European tradition, in particular, the European Charter, Great Britain, have been revealed. Comparative analysis of understanding the essence of such a phenomenon in Western theories and scientific pedagogical thought in Russia has been given. The changes occurred in the context of the analysis of the notion during last decades and connected with the development of volunteering, motivation and forms of youth services have been emphasized. The most important tasks in developing social activity of Russian youth have been stated. Different scientific approaches to studying the notion of “social activity” enriching its characteristics have been analyzed. Based on the analysis of results on the organized events the drawbacks, neglects and causes of poor quality of working on the development of youth social activity have been shown. The experience in choosing activities and technologies demonstrated by teachers and pupils from different regions of Russia has been presented. Theoretical analysis of foreign and domestic experience in education has enabled to offer suggestions for the expansion of pupils and students’ social activity in the frame of different models presenting a wide scope for mastering and developing social competency of children and youth. These models have become the foundation for creating a general algorithm for the expansion of children and youth social activity. Pedagogical conditions and perspective directions for solving the problem of social activity development have been outlined in the article.

  4. Youth Education - Health / Nutrition

    OpenAIRE

    2004-01-01

    Deborah L. Angell: The Bug Stops Here! Cheryl L. Barber: Successful Snacks - Food, Fitness and Food Safety Learning Activities. Darcy Batura: At-Risk Youth and Household Hazardous Waste Education. Katherine L. Cason: Nutrition Mission – A Multimedia Educational Tool for Youth . Patsy A. Ezell: An Interactive Food and Nutrition Education Program for Youth. Rhea Lanting: Got Calcium? Sandy McCurdy: Reaching Teens through a Food Safety Education Partnership. Patricia Mulkeen: Choosing 4-H Fitnes...

  5. Learning in non-formal education: Is it "youthful" for youth in action?

    Science.gov (United States)

    Norqvist, Lars; Leffler, Eva

    2017-04-01

    This article offers insights into the practices of a non-formal education programme for youth provided by the European Union (EU). It takes a qualitative approach and is based on a case study of the European Voluntary Service (EVS). Data were collected during individual and focus group interviews with learners (the EVS volunteers), decision takers and trainers, with the aim of deriving an understanding of learning in non-formal education. The research questions concerned learning, the recognition of learning and perspectives of usefulness. The study also examined the Youthpass documentation tool as a key to understanding the recognition of learning and to determine whether the learning was useful for learners (the volunteers). The findings and analysis offer several interpretations of learning, and the recognition of learning, which take place in non-formal education. The findings also revealed that it is complicated to divide learning into formal and non- formal categories; instead, non-formal education is useful for individual learners when both formal and non-formal educational contexts are integrated. As a consequence, the division of formal and non-formal (and possibly even informal) learning creates a gap which works against the development of flexible and interconnected education with ubiquitous learning and mobility within and across formal and non-formal education. This development is not in the best interests of learners, especially when seeking useful learning and education for youth (what the authors term "youthful" for youth in action).

  6. Mungiki as Youth Movement

    DEFF Research Database (Denmark)

    Rasmussen, Jacob

    2010-01-01

    Like many other African countries, Kenya has a large and growing youth population. Some of the youths are mobilized into militant and political networks; one of these is the Mungiki movement. The article explores Mungiki’s combination of politics, religion and Kikuyu traditions. Using the examples...... of snuff tobacco, revolutionary talk and generational exclusion, it is argued that one way of understanding the connection between the various elements is to look at specific youth practices that cut across apparently separate activities. This reveals that youth in the Mungiki discourse is a highly...

  7. The Portuguese Youth Labour Market: A Critical Approach

    Science.gov (United States)

    Tome, Eduardo

    2008-01-01

    Purpose: The aim of this paper is to analyse critically the youth labour market (YLM) and the YLM policies in Portugal. The analysis covers essentially the period after 1986, when Portugal entered the European Union. Design/methodology/approach: The paper consists of three main sections. In the first the main players dealt with (government,…

  8. Antidepressant prevalence for youths: a multi-national comparison

    NARCIS (Netherlands)

    Zito, J.M.; Tobi, H.; Jong-van den Berg, de L.T.W.; Fegert, J.M.; Safer, D.J.; Janhsen, K.; Hansen, D.G.; Gardner, J.F.; Glaeske, G.

    2006-01-01

    Objective To compare antidepressant prevalence data in youths across three western European countries (Denmark, Germany, and the Netherlands) with US regional data in terms of age and gender and to show proportional subclass antidepressant (ATD) use. Method A population-based analysis of

  9. Antidepressant prevalence for youths : a multi-national comparison

    NARCIS (Netherlands)

    Zito, J.M.; Tobi, H.; de Jong-van den Berg, L.T.W.; Fegert, J.M.; Safer, D.J.; Janhsen, K.; Hansen, D.G.; Gardner, J.F.; Glaeske, G.

    2006-01-01

    Objective To compare antidepressant prevalence data in youths across three western European countries (Denmark, Germany, and the Netherlands) with US regional data in terms of age and gender and to show proportional subclass antidepressant (ATD) use. Method A population-based analysis of

  10. Heart transplant

    Science.gov (United States)

    ... check for infections Tests of your kidney and liver Tests to evaluate your heart, such as EKG , echocardiogram , and cardiac catheterization Tests to look for cancer Tissue and blood typing , to help make sure your body will not reject the donated heart Ultrasound of your neck and legs You will want ...

  11. Heart Attack

    Science.gov (United States)

    ... This substance travels to your heart. A special camera uses the substance to produce pictures. These show ... guard against certain diseases, including heart disease. New studies have shown ... If you have an acute case of angina (chest pain), your doctor will probably ...

  12. Encouraging Positive Youth Development with Youth Leadership Summits

    Directory of Open Access Journals (Sweden)

    Lynn Schmitt-McQuitty

    2007-03-01

    Full Text Available This article describes the California 4-H Youth Development Program’s (4-H YDP creation of a Youth Leadership Summit (YLS, as well as information gained from three summits held in the summers of 1999 through 2001. Previous studies (Camino, 2000; Lerner, 2000; Zeldin, 2000 suggested that youth-adult collaborations along with meaningful activities could have a positive impact on youth. Therefore, the summits emphasized the positive youth development model, employed youth-adult collaborations, and encouraged youth to become involved in their communities. In this article, we share the YLS procedures, the roles of youth and adults and the engagement of youth on community issues. The YLS model developed by the California 4-H YDP impacted the individuals and communities involved in important and positive ways and might be a useful model to follow in the establishment of similar youth programs developed by youth professionals.

  13. An Evaluation of the Intensity of Radical Islam in the Balkans and the Assessment of Its Level of Threat for European Security

    Science.gov (United States)

    2011-12-01

    Union, Transnationalism , Youth and the War on Terror, ed. Yunas Samad and Kasturi Sen (Oxford University Press 2007), 68. 3 Ibid., 69. 2 somehow...and organizations” in Islam in the European Union, Transnationalism , Youth and the War on Terror, ed. Yunas Samad and Kasturi Sen, (Oxford University...in the European Union, Transnationalism , Youth and the War on Terror, ed. Yunas Samad and Kasturi Sen, (Oxford University Press, 2007), 109. 53

  14. Simple, heart-smart substitutions

    Science.gov (United States)

    Coronary artery disease - heart smart substitutions; Atherosclerosis - heart smart substitutions; Cholesterol - heart smart substitutions; Coronary heart disease - heart smart substitutions; Healthy diet - heart ...

  15. Ethnic and gender differences in physical activity levels among 9–10-year-old children of white European, South Asian and African–Caribbean origin: the Child Heart Health Study in England (CHASE Study)

    Science.gov (United States)

    Owen, Christopher G; Nightingale, Claire M; Rudnicka, Alicja R; Cook, Derek G; Ekelund, Ulf; Whincup, Peter H

    2009-01-01

    Background Ethnic differences in physical activity in children in the UK have not been accurately assessed. We made objective measurements of physical activity in 9–10-year-old British children of South Asian, black African–Caribbean and white European origin. Methods Cross-sectional study of urban primary school children (2006–07). Actigraph-GT1M activity monitors were worn by 2071 children during waking hours on at least 1 full day. Ethnic differences in mean daily activity [counts, counts per minute of registered time (CPM) and steps] were adjusted for age, gender, day of week and month. Multilevel modelling allowed for repeated days within individual and clustering within school. Results In white Europeans, mean daily counts, CPM and mean daily steps were 394 785, 498 and 10 220, respectively. South Asian and black Caribbean children recorded more registered time per day than white Europeans (34 and 36 min, respectively). Compared with white Europeans, South Asians recorded 18 789 fewer counts [95% confidence interval (CI) 6390–31 187], 41 fewer CPM 95% CI 26–57) and 905 fewer steps (95% CI 624–1187). Black African–Caribbeans recorded 25 359 more counts (95% CI 14 273–36 445), and similar CPM, but fewer steps than white Europeans. Girls recorded less activity than boys in all ethnic groups, with 74 782 fewer counts (95% CI 66 665–82 899), 84 fewer CPM (95% CI 74–95) and 1484 fewer steps (95% CI 1301–1668). Conclusion British South Asian children have lower objectively measured physical activity levels than European whites and black African–Caribbeans. PMID:19377098

  16. Ethnic and gender differences in physical activity levels among 9-10-year-old children of white European, South Asian and African-Caribbean origin: the Child Heart Health Study in England (CHASE Study).

    Science.gov (United States)

    Owen, Christopher G; Nightingale, Claire M; Rudnicka, Alicja R; Cook, Derek G; Ekelund, Ulf; Whincup, Peter H

    2009-08-01

    Ethnic differences in physical activity in children in the UK have not been accurately assessed. We made objective measurements of physical activity in 9-10-year-old British children of South Asian, black African-Caribbean and white European origin. Cross-sectional study of urban primary school children (2006-07). Actigraph-GT1M activity monitors were worn by 2071 children during waking hours on at least 1 full day. Ethnic differences in mean daily activity [counts, counts per minute of registered time (CPM) and steps] were adjusted for age, gender, day of week and month. Multilevel modelling allowed for repeated days within individual and clustering within school. In white Europeans, mean daily counts, CPM and mean daily steps were 394,785, 498 and 10,220, respectively. South Asian and black Caribbean children recorded more registered time per day than white Europeans (34 and 36 min, respectively). Compared with white Europeans, South Asians recorded 18 789 fewer counts [95% confidence interval (CI) 6390-31 187], 41 fewer CPM 95% CI 26-57) and 905 fewer steps (95% CI 624-1187). Black African-Caribbeans recorded 25 359 more counts (95% CI 14 273-36 445), and similar CPM, but fewer steps than white Europeans. Girls recorded less activity than boys in all ethnic groups, with 74 782 fewer counts (95% CI 66 665-82 899), 84 fewer CPM (95% CI 74-95) and 1484 fewer steps (95% CI 1301-1668). British South Asian children have lower objectively measured physical activity levels than European whites and black African-Caribbeans.

  17. Patterns of body size and adiposity among UK children of South Asian, black African-Caribbean and white European origin: Child Heart And health Study in England (CHASE Study).

    Science.gov (United States)

    Nightingale, Claire M; Rudnicka, Alicja R; Owen, Chris G; Cook, Derek G; Whincup, Peter H

    2011-02-01

    The objective of this study was to examine adiposity patterns in UK South Asian, black African-Caribbean and white European children using a range of adiposity markers. A cross-sectional survey in London, Birmingham and Leicester primary schools was conducted. Weight, height, waist circumference, skinfold thickness values (biceps, triceps, subscapular and suprailiac) were measured. Fat mass was derived from bioimpedance; optimally height-standardized indices were derived for all adiposity markers. Ethnic origin was based on parental self-report. Multilevel models were used to obtain adjusted means and ethnic differences adjusted for gender, age, month, observer and school (fitted as a random effect). A total of 5887 children aged 9-10 years participated (response rate 68%), including 1345 white Europeans, 1523 South Asians and 1570 black African-Caribbeans. Compared with white Europeans, South Asians had a higher sum of all skinfolds and fat mass percentage, and their body mass index (BMI) was lower. South Asians were slightly shorter but use of optimally height-standardized indices did not materially affect these comparisons. At any given fat mass, BMI was lower in South Asians than white Europeans. In similar comparisons, black African-Caribbeans had a lower sum of all skinfolds but a higher fat mass percentage, and their BMI was higher. Black African-Caribbeans were markedly taller. Use of optimally height-standardized indices yielded markedly different findings; sum of skinfolds index was markedly lower, whereas fat mass index and weight-for-height index were similar. At any given fat mass, BMI was similar in black African-Caribbeans and white Europeans. UK South Asian children have higher adiposity levels and black African-Caribbeans have similar or lower adiposity levels when compared with white Europeans. However, these differences are not well represented by comparisons based on BMI, which systematically underestimates adiposity in South Asians, and in

  18. Patterns of body size and adiposity among UK children of South Asian, black African–Caribbean and white European origin: Child Heart And health Study in England (CHASE Study)

    Science.gov (United States)

    Nightingale, Claire M; Rudnicka, Alicja R; Owen, Chris G; Cook, Derek G; Whincup, Peter H

    2011-01-01

    Background The objective of this study was to examine adiposity patterns in UK South Asian, black African–Caribbean and white European children using a range of adiposity markers. A cross-sectional survey in London, Birmingham and Leicester primary schools was conducted. Weight, height, waist circumference, skinfold thickness values (biceps, triceps, subscapular and suprailiac) were measured. Fat mass was derived from bioimpedance; optimally height-standardized indices were derived for all adiposity markers. Ethnic origin was based on parental self-report. Multilevel models were used to obtain adjusted means and ethnic differences adjusted for gender, age, month, observer and school (fitted as a random effect). A total of 5887 children aged 9–10 years participated (response rate 68%), including 1345 white Europeans, 1523 South Asians and 1570 black African–Caribbeans. Results Compared with white Europeans, South Asians had a higher sum of all skinfolds and fat mass percentage, and their body mass index (BMI) was lower. South Asians were slightly shorter but use of optimally height-standardized indices did not materially affect these comparisons. At any given fat mass, BMI was lower in South Asians than white Europeans. In similar comparisons, black African–Caribbeans had a lower sum of all skinfolds but a higher fat mass percentage, and their BMI was higher. Black African–Caribbeans were markedly taller. Use of optimally height-standardized indices yielded markedly different findings; sum of skinfolds index was markedly lower, whereas fat mass index and weight-for-height index were similar. At any given fat mass, BMI was similar in black African–Caribbeans and white Europeans. Conclusions UK South Asian children have higher adiposity levels and black African–Caribbeans have similar or lower adiposity levels when compared with white Europeans. However, these differences are not well represented by comparisons based on BMI, which systematically

  19. Understanding Youth Violence

    Science.gov (United States)

    ... public health problems like youth violence. Step 1: Define the problem Before we can prevent youth violence, we need ... and who it affects. CDC learns about a problem by gathering and studying ... and supports research to answer this question. We can then develop ...

  20. Engage Youth, Entrench Democracy

    International Development Research Centre (IDRC) Digital Library (Canada)

    The Development Challenge: Connecting with youth. During the 1980s and 1990s, the world's news media and non-governmental organizations (NGOs) headlined the plight of. Brazil's street children. Thousands of homeless youth suffered poverty, degradation, and often, violence. The appalling circumstances of these ...

  1. Investing in Youth: Latvia

    Science.gov (United States)

    OECD Publishing, 2015

    2015-01-01

    The series Investing in Youth builds on the expertise of the Organisation for Economic Cooperation and Development (OECD) on youth employment, social support and skills. It covers both OECD countries and countries in the process of accession to the OECD, as well as some emerging economies. This report provides a detailed diagnosis of the youth…

  2. Investing in Youth: Lithuania

    Science.gov (United States)

    OECD Publishing, 2016

    2016-01-01

    The series Investing in Youth builds on the expertise of the Organisation for Economic Cooperation and Development (OECD) on youth employment, social support and skills. It covers both OECD countries and countries in the process of accession to the OECD, as well as some emerging economies. The present report on Lithuania is the fourth of a new…

  3. Queering the Youthful "Cyberflaneur"

    Science.gov (United States)

    Rasmussen, Mary Lou; Kenway, Jane

    2004-01-01

    This article explores ways of queering the youthful cyberflaneur, using the television series "Queer as Folk" as the touchstone for such explorations. The concept of the youthful cyberflaneur, as developed by Kenway and Bullen, links power, pleasure, and consumer politics to pedagogy. However, it has been criticised for its heterosexist register.…

  4. IMPACT Youth Crime Prevention.

    Science.gov (United States)

    Warrington, Georgina; Wright, Paul

    2003-01-01

    Four models of crime prevention are discussed that arise from differing views of the causes of crime: criminal justice, situational, developmental, and social development models. Two activity-based youth crime prevention projects in Queensland (Australia) use developmental and social development models and expand local youth service…

  5. Alliance in Youth Care

    NARCIS (Netherlands)

    Linda Rothman; H. Pijnenburg; Rinie van Rijsingen

    2015-01-01

    This article introduces the concept of alliance in youth care. The concept of (therapeutic) alliance originates in adult psychotherapy and related research. Alliance refers to the working relationship between youth care workers and their clients. Within this concept, personal (emotional) and task

  6. Investing in Youth: Brazil

    Science.gov (United States)

    OECD Publishing, 2014

    2014-01-01

    The series Investing in Youth builds on the expertise of the Organisation for Economic Cooperation and Development (OECD) on youth employment, social support and skills. It covers both OECD countries and countries in the process of accession to the OECD, as well as some emerging economies. This report provides a detailed diagnosis of the youth…

  7. Smoking Programs for Youth.

    Science.gov (United States)

    Ellis, Bernard H., Jr., Ed.; And Others

    The youth smoking problem is discussed and assistance is provided for teachers in developing smoking prevention and cessation programs. Four chapters serve as guides to understanding and working with the youth smoking problem. "Teenage Smoking in America" reviews trends in teenage smoking behavior and the factors that influence the initiation of…

  8. Youth Workforce Development

    Science.gov (United States)

    Jobs For the Future, 2016

    2016-01-01

    Youth unemployment has been a cause for concern in the United States for years. Youth unemployment costs society--through the loss of talent and costs of social supports and subsidies. Jobless young people are more vulnerable to a range of challenges, including the ills already plaguing their communities: high rates of unplanned pregnancy,…

  9. Raising European Citizens: Constructing European Identities in French and English Textbooks

    Directory of Open Access Journals (Sweden)

    Inari Sakki

    2016-06-01

    Full Text Available Schools play a pivotal role in the formation of identities and in the political socialization of youth. This study explores the social representations of European integration in French and English school textbooks and shows how the social representations are discursively used to construct national and European identities. By analysing the history and civics textbooks of major educational publishers, this study aims to demonstrate how European integration is understood, made familiar and concretized in the school textbooks of the two influential but different European countries. The findings suggest some shared and some diverse patterns in the way the two European countries portray and construct the political project of European integration. These representations, constructed around French Europe in French textbooks and ambivalent Europe in English textbooks, share the images of a strong European economy and a French-led political Europe. However, they position themselves differently with respect to the United States, motivation for the European unification process and the significance of common values and heritage. In both countries textbooks draw upon memories that are important for group identity. While the French textbooks make European integration meaningful in reference to a shared post-war collective memory and to a cultural memory based on a more ancient idea of Europe, shared values and heritage, the English textbooks anchor it more strongly to domestic policy.

  10. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy : a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy

    NARCIS (Netherlands)

    Sliwa, Karen; Hilfiker-Kleiner, Denise; Petrie, Mark C.; Mebazaa, Alexandre; Pieske, Burkert; Buchmann, Eckhart; Regitz-Zagrosek, Vera; Schaufelberger, Maria; Tavazzi, Luigi; van Veldhuisen, Dirk J.; Watkins, Hugh; Shah, Ajay J.; Seferovic, Petar M.; Elkayam, Uri; Pankuweit, Sabine; Papp, Zoltan; Mouquet, Frederic; McMurray, John J. V.

    Peripartum cardiomyopathy (PPCM) is a cause of pregnancy-associated heart failure. It typically develops during the last month of, and up to 6 months after, pregnancy in women without known cardiovascular disease. The present position statement offers a state-of-the-art summary of what is known

  11. The association between dietary saturated fatty acids and ischemic heart disease depends on the type and source of fatty acid in the European Prospective Investigation into Cancer and Nutrition-Netherlands cohort

    NARCIS (Netherlands)

    Praagman, Jaike|info:eu-repo/dai/nl/413970337; Beulens, Joline W J|info:eu-repo/dai/nl/304815381; Alssema, Marjan; Zock, Peter L.; Wanders, Anne J.; Sluijs, Ivonne|info:eu-repo/dai/nl/314072454; Van Der Schouw, Yvonne T.|info:eu-repo/dai/nl/073449253

    2016-01-01

    Background: The association between saturated fatty acid (SFA) intake and ischemic heart disease (IHD) risk is debated. Objective: We sought to investigate whether dietary SFAs were associated with IHD risk and whether associations depended on 1) the substituting macronutrient, 2) the carbon chain

  12. Youth Political Participation in a Transition Society

    Directory of Open Access Journals (Sweden)

    Airi-Alina Allaste

    2016-09-01

    Full Text Available This special issue of Studies of Transition States and Societies focuses on youth political participation in Estonia. The articles explore diff erent dimensions of participation, providing examples of how politics is practiced by young people in a society that has undergone a relatively recent and substantial social, economic and political transformation: the shift from being an integral part of the Soviet Union to full membership of the European Union. This transition is reflected in changing patterns of activism among Estonian youth and the nature of the issues with which they engage, with participation influenced by, one the one hand, the legacies of the communist period and, on the other, the challenge of living in contemporary Europe.

  13. 2013 update on congenital heart disease, clinical cardiology, heart failure, and heart transplant.

    Science.gov (United States)

    Subirana, M Teresa; Barón-Esquivias, Gonzalo; Manito, Nicolás; Oliver, José M; Ripoll, Tomás; Lambert, Jose Luis; Zunzunegui, José L; Bover, Ramon; García-Pinilla, José Manuel

    2014-03-01

    This article presents the most relevant developments in 2013 in 3 key areas of cardiology: congenital heart disease, clinical cardiology, and heart failure and transplant. Within the area of congenital heart disease, we reviewed contributions related to sudden death in adult congenital heart disease, the importance of specific echocardiographic parameters in assessing the systemic right ventricle, problems in patients with repaired tetralogy of Fallot and indication for pulmonary valve replacement, and confirmation of the role of specific factors in the selection of candidates for Fontan surgery. The most recent publications in clinical cardiology include a study by a European working group on correct diagnostic work-up in cardiomyopathies, studies on the cost-effectiveness of percutaneous aortic valve implantation, a consensus document on the management of type B aortic dissection, and guidelines on aortic valve and ascending aortic disease. The most noteworthy developments in heart failure and transplantation include new American guidelines on heart failure, therapeutic advances in acute heart failure (serelaxin), the management of comorbidities such as iron deficiency, risk assessment using new biomarkers, and advances in ventricular assist devices. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  14. Wine and heart health

    Science.gov (United States)

    Health and wine; Wine and heart disease; Preventing heart disease - wine; Preventing heart disease - alcohol ... more often just to lower your risk of heart disease. Heavier drinking can harm the heart and ...

  15. What Is Heart Failure?

    Science.gov (United States)

    ... Intramural Research Home / Heart Failure Heart Failure Also known as Congestive heart failure What ... diseases for many years that led to heart failure. Heart failure is a leading cause of hospital stays ...

  16. What Causes Heart Failure?

    Science.gov (United States)

    ... Intramural Research Home / Heart Failure Heart Failure Also known as Congestive heart failure What ... diseases for many years that led to heart failure. Heart failure is a leading cause of hospital stays ...

  17. Living with Heart Failure

    Science.gov (United States)

    ... Intramural Research Home / Heart Failure Heart Failure Also known as Congestive heart failure What ... diseases for many years that led to heart failure. Heart failure is a leading cause of hospital stays ...

  18. About Heart Attacks

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More About Heart Attacks Updated:Jan 27,2017 A heart attack is ... coronary artery damage leads to a heart attack . Heart Attack Questions and Answers What is a heart attack? ...

  19. Men and Heart Disease

    Science.gov (United States)

    ... Pressure Salt Cholesterol Million Hearts® WISEWOMAN Men and Heart Disease Fact Sheet Recommend on Facebook Tweet Share Compartir Source: Interactive Atlas of Heart Disease and Stroke Heart Disease Facts in Men Heart disease is the leading ...

  20. Heart Disease (For Kids)

    Science.gov (United States)

    ... System Taking Care of Your Teeth Bad Breath Heart Disease KidsHealth > For Kids > Heart Disease Print A A ... chest pain, heart attacks, and strokes . What Is Heart Disease? The heart is the center of the cardiovascular ...

  1. Heart Attack

    Science.gov (United States)

    ... pain Fatigue Heart attack Symptoms & causes Diagnosis & treatment Advertisement Mayo Clinic does not endorse companies or products. ... a Job Site Map About This Site Twitter Facebook Google YouTube Pinterest Mayo Clinic is a not- ...

  2. Heart pacemaker

    Science.gov (United States)

    ... rhythms Bleeding Punctured lung. This is rare. Infection Puncture of the heart, which can lead to bleeding ... Rinse your mouth with water if it feels dry, but be careful not to swallow. Take the ...

  3. Heart block

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/007658.htm Heart block To use the sharing features on this page, ... Date 4/16/2017 Updated by: Michael A. Chen, MD, PhD, Associate Professor of Medicine, Division of ...

  4. Heart attack

    Science.gov (United States)

    ... heart attack. A stent is a small, metal mesh tube that opens up (expands) inside a coronary ... e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718 . Anderson JL. ST segment elevation acute myocardial ...

  5. Parent-Youth Differences in Familism Values from Adolescence into Young Adulthood: Developmental Course and Links with Parent-Youth Conflict.

    Science.gov (United States)

    Padilla, Jenny; McHale, Susan M; Rovine, Michael J; Updegraff, Kimberly A; Umaña-Taylor, Adriana J

    2016-12-01

    A critical step in capturing family processes is to incorporate the perspectives and experiences of multiple family members toward characterizing how families operate as systems. Although some research has examined differences between parents' and youth's family experiences, most studies have focused on European American families, and we know little about the nature and implications of divergent parent-youth experiences in other ethnic groups. Accordingly, we focused on Mexican-origin families and assessed the links between mother-youth and father-youth differences in familism values and parent-youth conflict from early adolescence into young adulthood. Participants were mothers, fathers, and two siblings (248 female and 244 male, 51 % female; M age = 14.02 years) from 246 families who were interviewed in their homes on three occasions over 8 years. We operationalized parent-youth differences in familism values using difference scores, controlling for mean levels of familism. Multilevel models revealed that mothers' and fathers' familism values remained relatively stable over time, but youth's familism values declined until age 17, stabilized, and then increased slightly in young adulthood. Lagged models tested directions of effect by examining whether parent-youth differences in familism values predicted parent-youth conflict or vice versa. The findings revealed that parent-youth conflict predicted greater differences in parent-youth familism values, but differences in familism values did not predict conflict. Our findings align with a family systems perspective in documenting the significance of differences between family members' perspectives and highlighting that such processes are dynamic. Further, by testing bi-directional associations in longitudinal models, we were able to disentangle the temporal ordering of differences in familism values and parent-youth conflict thereby advancing understanding of parent-youth discrepancies in cultural values.

  6. Research Methodology and Youth Mentoring

    Science.gov (United States)

    DuBois, David L.; Doolittle, Fred; Yates, Brian T.; Silverthorn, Naida; Tebes, Jacob Kraemer

    2006-01-01

    Mentoring programs for youth have grown tremendously in popularity in recent years and in many important respects reflect core principles of community psychology. Mentoring of youth is a complex phenomenon, however, with a range of significant processes occurring at the levels of individual youth and their mentors, youth-mentor relationships and…

  7. A heart within a heart.

    Science.gov (United States)

    Carreras, Edward T; Barghash, Maya; Givertz, Michael M; Bhatt, Deepak L

    2017-06-01

    A 44-year-old man with a history of end-stage dilated cardiomyopathy status-post orthotopic cardiac transplant 14 years ago presented for coronary angiography in preparation for re-operative tricuspid valve replacement. Coronary angiography revealed an anomalous origin of the left coronary artery, with a common coronary trunk arising from the right coronary cusp and bifurcating into right and left main coronary arteries. Interestingly, the right and left coronary arteries coursed to form the shape of a heart, hence, a heart within a heart! © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  8. The European Federation of Clinical Chemistry and Laboratory Medicine.

    Science.gov (United States)

    Hallworth, Mike

    2010-01-01

    Laboratory medicine is at the heart of modern health care and diagnosis and effective treatment of patients is impossible without high-quality bioanalytical services. The European Federation of Clinical Chemistry and Laboratory Medicine is a professional federation working to ensure high standards across the discipline in all European countries. This article describes our work in science, education and professional development.

  9. Hilltop Youth - en karakteristik

    OpenAIRE

    Pedersen, Simone; Thomsen, Louise; Bang, Cecilie; Østergaard, Ingrid; Nielsen, Christina; Dalgas, Julie; Rasmussen, Charlotte

    2012-01-01

    In this project we investigate the Israeli movement Hilltop Youth. The purpose of the analysis is to make a characterization of the phenomena Hilltop youth, from the perspective of our informers. We will focus on Emily Carton’s description of how the movement matches these characterizations that is made to form a full image of Hilltop Youth as well. To support this we use the theory of Richard Jenkins and Lars Lundmann Jensen as a supplement of the image. To examine this we use the method of ...

  10. Percutaneous ventricular restoration (PVR) therapy using the Parachute device in 100 subjects with ischaemic dilated heart failure: one-year primary endpoint results of PARACHUTE III, a European trial.

    Science.gov (United States)

    Thomas, Martyn; Nienaber, Christoph A; Ince, Hüseyin; Erglis, Andrejs; Vukcevic, Vladan; Schäfer, Ulrich; Ferreira, Rui Cruz; Hardt, Stefan; Verheye, Stefan; Gama Ribeiro, Vasco; Sugeng, Lissa; Tamburino, Corrado

    2015-10-01

    This prospective, non-randomised, observational study conducted in Europe was designed in order to assess the long-term safety and efficacy of the Parachute device in ischaemic heart failure subjects as a result of left ventricle remodelling after anterior wall myocardial infarction. One hundred subjects with New York Heart Association Class II-IV ischaemic heart failure (HF), ejection fraction (EF) between 15% and 40%, and dilated akinetic or dyskinetic anterior-apical wall without the need to be revascularised were enrolled. The primary safety endpoint was procedural- or device-related major adverse cardiac cerebral events (MACCE). The secondary safety endpoint was the composite of mortality and morbidity. Secondary efficacy endpoints included haemodynamic measurements determined by echocardiography, LV volume indices, and assessment of functional improvement measured by a standardised six-minute walk test. Of the 100 subjects enrolled, device implantation was successful in 97 (97%) subjects. The one-year rates of the primary and secondary safety endpoints were 7% and 32.3%, respectively. The secondary endpoints, LV volume reduction (p<0.0001) and six-minute walk distance improvement (p<0.01), were achieved. The favourable outcomes observed in this high-risk population provide reassuring safety and efficacy data to support adoption of this technology as a therapeutic option for HF subjects.

  11. Comparing effects of Winter Universiade (2011) and European ...

    African Journals Online (AJOL)

    The objective of this study was to compare the views of the local spectators concerning the effects of the Winter Universiade and the European Youth Olympic Festival, two mega sport events held in Turkey in 2011. The participating group was composed of 878 local spectators who watched the games. The Mega Event ...

  12. Influence of adiposity on insulin resistance and glycemia markers among U.K. Children of South Asian, black African-Caribbean, and white European origin: child heart and health study in England.

    Science.gov (United States)

    Nightingale, Claire M; Rudnicka, Alicja R; Owen, Christopher G; Wells, Jonathan C K; Sattar, Naveed; Cook, Derek G; Whincup, Peter H

    2013-06-01

    Ethnic differences in type 2 diabetes risk between South Asians and white Europeans originate before adult life and are not fully explained by higher adiposity levels in South Asians. Although metabolic sensitivity to adiposity may differ between ethnic groups, this has been little studied in childhood. We have therefore examined the associations among adiposity, insulin resistance, and glycemia markers in children of different ethnic origins. Cross-sectional study of 4,633 9- to 10-year-old children (response rate 68%) predominantly of South Asian, black African-Caribbean, and white European origin (n = 1,266, 1,176, and 1,109, respectively) who had homeostasis model assessments of insulin resistance (HOMA-IR), glycemia markers (HbA1c and fasting glucose), and adiposity (BMI, waist circumference, skinfold thicknesses, and bioimpedance [fat mass]). All adiposity measures were positively associated with HOMA-IR in all ethnic groups, but associations were stronger among South Asians compared to black African-Caribbeans and white Europeans. For a 1-SD increase in fat mass percentage, percentage differences in HOMA-IR were 37.5% (95% CI 33.3-41.7), 29.7% (25.8-33.8), and 27.0% (22.9-31.2), respectively (P interaction Asians and black African-Caribbeans but not in white Europeans; for a 1-SD increase in fat mass percentage, percentage differences in HbA1c were 0.04% (95% CI 0.03-0.06), 0.04% (0.02-0.05), and 0.02% (-0.00 to 0.04), respectively (P interaction Asian children are more metabolically sensitive to adiposity. Early prevention or treatment of childhood obesity may be critical for type 2 diabetes prevention, especially in South Asians.

  13. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.

    Science.gov (United States)

    Perkins, Gavin D; Jacobs, Ian G; Nadkarni, Vinay M; Berg, Robert A; Bhanji, Farhan; Biarent, Dominique; Bossaert, Leo L; Brett, Stephen J; Chamberlain, Douglas; de Caen, Allan R; Deakin, Charles D; Finn, Judith C; Gräsner, Jan-Thorsten; Hazinski, Mary Fran; Iwami, Taku; Koster, Rudolph W; Lim, Swee Han; Huei-Ming Ma, Matthew; McNally, Bryan F; Morley, Peter T; Morrison, Laurie J; Monsieurs, Koenraad G; Montgomery, William; Nichol, Graham; Okada, Kazuo; Eng Hock Ong, Marcus; Travers, Andrew H; Nolan, Jerry P

    2015-09-29

    Utstein-style guidelines contribute to improved public health internationally by providing a structured framework with which to compare emergency medical services systems. Advances in resuscitation science, new insights into important predictors of outcome from out-of-hospital cardiac arrest, and lessons learned from methodological research prompted this review and update of the 2004 Utstein guidelines. Representatives of the International Liaison Committee on Resuscitation developed an updated Utstein reporting framework iteratively by meeting face to face, by teleconference, and by Web survey during 2012 through 2014. Herein are recommendations for reporting out-of-hospital cardiac arrest. Data elements were grouped by system factors, dispatch/recognition, patient variables, resuscitation/postresuscitation processes, and outcomes. Elements were classified as core or supplemental using a modified Delphi process primarily based on respondents' assessment of the evidence-based importance of capturing those elements, tempered by the challenges to collect them. New or modified elements reflected consensus on the need to account for emergency medical services system factors, increasing availability of automated external defibrillators, data collection processes, epidemiology trends, increasing use of dispatcher-assisted cardiopulmonary resuscitation, emerging field treatments, postresuscitation care, prognostication tools, and trends in organ recovery. A standard reporting template is recommended to promote standardized reporting. This template facilitates reporting of the bystander-witnessed, shockable rhythm as a measure of emergency medical services system efficacy and all emergency medical services system-treated arrests as a measure of system effectiveness. Several additional important subgroups are identified that enable an estimate of the specific contribution of rhythm and bystander actions that are key determinants of outcome. © 2014 by the American Heart

  14. TRENDS IN YOUTH EMPLOYMENT: ROMANIA CASE OF STUDY

    OpenAIRE

    Laura PATACHE

    2015-01-01

    Reducing poverty and creating employment are the twin challenges of Europe 2020 strategy. During the crisis period, relative poverty has been increased among 0-17 years of age group and in some Romanian development regions. The European Union is concerned in taking action on increasing youth employment, because: the youth unemployment rate is more than twice as high as the adult one; the chances for a young unemployed person of finding a job are low, when young people do work, their jobs tend...

  15. Marketing Youth Services.

    Science.gov (United States)

    Dimick, Barbara

    1995-01-01

    Marketing techniques in youth services are useful for designing programs, collections, and services and for determining customer needs. The marketing mix--product, place, price, and practice--provides a framework for service analysis. (AEF)

  16. Cigarette Ads and Youth.

    Science.gov (United States)

    Carol, Julia

    1988-01-01

    Points out ways the tobacco industry markets products to youth, including paid advertisements, sponsorship of sporting events, music concerts, and magazines. Relates several focal points for smoking prevention, which include deglamorization of cigarette advertisements and making smoking socially undesirable. (LS)

  17. The Delaware Youth Plan.

    Science.gov (United States)

    du Pont, Pierre S.

    1982-01-01

    A cooperative program among Delaware's public educators, local governments, businesses, labor unions, and community organizations helps to identify available jobs and place qualified high school graduates in them, in a highly successful attempt to reduce youth unemployment. (MSE)

  18. Immune mechanisms in heart failure.

    Science.gov (United States)

    Zhang, Yingying; Bauersachs, Johann; Langer, Harald F

    2017-09-11

    Elevated levels of circulating pro-inflammatory biomarkers in patients with both ischaemic and non-ischaemic heart failure (HF) correlate with disease severity and prognosis. Experimental studies have shown activation of immune response mechanisms in the heart to provoke cardiac adverse remodelling and cause left ventricular dysfunction. Consequently, most of the clinical trials targeting elements of the immune response in HF attempted to modulate the inflammatory response. Surprisingly, clinical studies targeting immune effectors were either neutral or even increased pre-specified clinical endpoints, and some studies resulted in worsening of HF. This review discusses immune mediators involved in the pathogenesis and progression of HF and potential therapeutic applications targeting inflammation in HF. Besides more obvious settings featuring immune activation such as inflammatory or ischaemic cardiomyopathy, the relevance of immune activation in acute or chronic HF of other origins, including volume overload or valvular heart disease, is highlighted. Understanding how cell-specific and molecular mechanisms of the immune response interfere with cardiac remodelling in HF may open new avenues to design biomarkers or druggable targets. © 2017 The Authors. European Journal of Heart Failure © 2017 European Society of Cardiology.

  19. Youth Who Sexual Offended

    Science.gov (United States)

    Koh, Li Lian; Zeng, Gerald; Teoh, Jennifer

    2015-01-01

    There has been an increased focus on understanding youth sexual offending in recent years, but there has been limited empirical research on the causes, pathways, and treatment of youth who have sexually offended—especially within a non-Western context. The Good Lives and Self-Regulation Models have often been used to understand and rehabilitate adult sexual offenders, but (unfortunately) there is scant research on youth who sexually offended using these models. The present study aims to describe the different primary goods that are associated with youth sexual offending behaviors in an Asian context. In addition, the study sought to explore whether the age of victim (child vs. nonchild) and nature of sexual offense (penetrative vs. nonpenetrative) influenced the youth’s engagement in offense pathways. The results suggest that pleasure, relatedness, and inner peace were the primary human goods that were most sought after by a sample of 168 youth who sexually offended in Singapore. In addition, offender classification (in relation to the age of victim and nature of sexual offense) influenced the pathways to sexual offending. Therefore, these findings have important clinical implications for assessment, management, and intervention planning for youth who sexually offended. PMID:24048701

  20. Heart failure - tests

    Science.gov (United States)

    CHF - tests; Congestive heart failure - tests; Cardiomyopathy - tests; HF - tests ... the best test to: Identify which type of heart failure (systolic, diastolic, valvular) Monitor your heart failure and ...

  1. Heart attack - discharge

    Science.gov (United States)

    ... attack Heart bypass surgery Heart bypass surgery - minimally invasive Heart pacemaker High blood cholesterol levels High blood pressure Implantable cardioverter-defibrillator Smoking - tips on how to ...

  2. Nutritional composition of the diets of South Asian, black African-Caribbean and white European children in the United Kingdom: the Child Heart and Health Study in England (CHASE).

    Science.gov (United States)

    Donin, A S; Nightingale, C M; Owen, C G; Rudnicka, A R; McNamara, M C; Prynne, C J; Stephen, A M; Cook, D G; Whincup, P H

    2010-07-01

    In the UK, South Asian adults have increased risks of CHD, type 2 diabetes and central obesity. Black African-Caribbeans, in contrast, have increased risks of type 2 diabetes and general obesity but lower CHD risk. There is growing evidence that these risk differences emerge in early life and that nutritional factors may be important. We have therefore examined the variations in nutritional composition of the diets of South Asian, black African-Caribbean and white European children, using 24 h recalls of dietary intake collected during a cross-sectional survey of cardiovascular health in eighty-five primary schools in London, Birmingham and Leicester. In all, 2209 children aged 9-10 years took part, including 558 of South Asian, 560 of black African-Caribbean and 543 of white European ethnicity. Compared with white Europeans, South Asian children reported higher mean total energy intake; their intakes of total fat, polyunsaturated fat and protein (both absolute and as proportions of total energy intake) were higher and their intakes of carbohydrate as a proportion of energy (particularly sugars), vitamin C and D, Ca and haem Fe were lower. These differences were especially marked for Bangladeshi children. Black African-Caribbean children had lower intakes of total and saturated fat (both absolute and as proportions of energy intake), NSP, vitamin D and Ca. The lower total and saturated fat intakes were particularly marked among black African children. Appreciable ethnic differences exist in the nutritional composition of children's diets, which may contribute to future differences in chronic disease risk.

  3. Heart failure in children - overview

    Science.gov (United States)

    Congestive heart failure - children; Cor pulmonale - children; Cardiomyopathy - children; CHF - children; Congenital heart defect - heart failure in children; Cyanotic heart disease - heart failure in children; Birth defect of the heart - heart ...

  4. Heart Health: The Heart Truth Campaign 2009

    Science.gov (United States)

    ... Bar Home Current Issue Past Issues Cover Story Heart Health The Heart Truth Campaign 2009 Past Issues / Winter 2009 Table ... one of the celebrities supporting this year's The Heart Truth campaign. Both R&B singer Ashanti (center) ...

  5. Heart Health - Heart Disease: Symptoms, Diagnosis, Treatment

    Science.gov (United States)

    ... Bar Home Current Issue Past Issues Cover Story Heart Health Heart Disease: Symptoms, Diagnosis, Treatment Past Issues / Winter 2009 ... of this page please turn Javascript on. Most heart attacks happen when a clot in the coronary ...

  6. Women's Heart Disease: Heart Attack Symptoms

    Science.gov (United States)

    ... this page please turn JavaScript on. Feature: Women's Heart Disease Heart Attack Symptoms Past Issues / Winter 2014 Table ... NHLBI has uncovered some of the causes of heart diseases and conditions, as well as ways to prevent ...

  7. Revealing Hearts

    DEFF Research Database (Denmark)

    Saghaug, Kristin Falck; Pattison, George; Lindgren, Peter

    2014-01-01

    Some small business owners want to balance personal values as well as economic values. “I have to follow my heart” or “it must be meaningful” some of them say. But how might they be able to know what gives meaning to the heart? The philosophical theologian Paul Tillich finds that the problem...

  8. Ivabradine, heart failure and chronic kidney disease

    Directory of Open Access Journals (Sweden)

    Luca Di Lullo

    2015-12-01

    Full Text Available The incidence and prevalence of congestive heart failure are actually increasing worldwide, especially in Western countries. In Europe and the United States, congestive heart failure represents a disabling clinical disease, accountable for increased hospitalization and health care costs. European guidelines have underlined the importance of pharmacological treatment to improve both patients’ outcomes and quality of life. The latest clinical trials to evaluate ivabradine’s efficacy have underlined its usefulness as a stand-alone medication and in combination with conventional congestive heart failure therapy, including in chronic kidney disease patients.

  9. Pathways to youth homelessness.

    Science.gov (United States)

    Martijn, Claudine; Sharpe, Louise

    2006-01-01

    Research documents high levels of psychopathology among homeless youth. Most research, however, has not distinguished between disorders that are present prior to homelessness and those that develop following homelessness. Hence whether psychological disorders are the cause or consequence of homelessness has not been established. The aim of this study is to investigate causal pathways to homelessness amongst currently homeless youth in Australia. The study uses a quasi-qualitative methodology to generate hypotheses for larger-scale research. High rates of psychological disorders were confirmed in the sample 35 homeless youth aged 14-25. The rates of psychological disorders at the point of homelessness were greater than in normative samples, but the rates of clinical disorder increased further once homeless. Further in-depth analyses were conducted to identify the temporal sequence for each individual with a view to establishing a set of causal pathways to homelessness and trajectories following homelessness that characterised the people in the sample. Five pathways to homelessness and five trajectories following homelessness were identified that accounted for the entire sample. Each pathway constituted a series of interactions between different factors similar to that described by Craig and Hodson (1998. Psychological Medicine, 28, 1379-1388) as "complex subsidiary pathways". The major findings were that (1) trauma is a common experience amongst homeless youth prior to homelessness and figured in the causal pathways to homelessness for over half of the sample; (2) once homeless, for the majority of youth there is an increase in the number of psychological diagnoses including drug and alcohol diagnoses; and (3) crime did not precede homelessness for all but one youth; however, following homelessness, involvement in criminal activity was common and became a distinguishing factor amongst youth. The implications of these findings for future research and service

  10. Heart Disease and Stroke

    Science.gov (United States)

    ... email updates Enter email Submit Heart Disease and Stroke Heart disease and stroke are important health issues ... Stroke risk factors View more Heart Disease and Stroke resources Related information Heart-healthy eating Stress and ...

  11. Heart failure - overview

    Science.gov (United States)

    ... heart failure; Right-sided heart failure - cor pulmonale; Cardiomyopathy - heart failure; HF ... Disease Section. Heart Failure as a newly approved diagnosis for cardiac rehabilitation: challenges and opportunities. J Am ...

  12. Pericarditis - after heart attack

    Science.gov (United States)

    ... include: A previous heart attack Open heart surgery Chest trauma A heart attack that has affected the thickness of your heart muscle Symptoms Symptoms include: Anxiety Chest pain from the swollen pericardium rubbing on the ...

  13. Heart attack first aid

    Science.gov (United States)

    First aid - heart attack; First aid - cardiopulmonary arrest; First aid - cardiac arrest ... A heart attack occurs when the blood flow that carries oxygen to the heart is blocked. The heart muscle ...

  14. Heart disease - risk factors

    Science.gov (United States)

    ... disease Heart bypass surgery Heart bypass surgery - minimally invasive Heart failure - overview Heart pacemaker High blood cholesterol levels High blood pressure Implantable cardioverter-defibrillator Smoking - tips on how to ...

  15. Heart Diseases and Disorders

    Science.gov (United States)

    ... Resources Heart Diseases & Disorders Back to Patient Resources Heart Diseases & Disorders Millions of people experience irregular or abnormal ... harmless and happen in healthy people free of heart disease. However, some abnormal heart rhythms can be serious ...

  16. Getting a New Heart

    Science.gov (United States)

    ... a procedure that opens clogged arteries. Repair the heart valve . This procedure can often make your heart function ... heart muscle. Ventricular assist devices (VAD) . These are mechanical pumps that surgeons insert to help the heart ...

  17. Don't trust anybody over 30: Youth unemployment and Okun's law in CEE countries

    OpenAIRE

    Hutengs, Oliver; Stadtmann, Georg

    2013-01-01

    In recent years youth unemployment rates across Europe soared, causing the European Commission to take actions through initiatives to counter this development. This article examines youth unemployment development in selected CEE countries and compares them to the EU-15. We use Okun’s law and estimate age and country specific Okun coefficients for five different age cohorts. Our results show that young people display much higher Okun coefficients than their older peers, thus confirming that yo...

  18. Turning right: A case study on contemporary political socialization of the Hungarian youth

    OpenAIRE

    Saltman, E. M.

    2014-01-01

    Young Central and Eastern Europeans are growing up in newly solidifying democratic political systems with parents raised under an entirely different regime. In order to comprehend future sociopolitical dynamics within these countries it is crucial to question how the youth are developing their political knowledge and how they are engaging in political activism. As such, political socialization provides a lens for analyzing what forms youth activism is taking and tracking the roots of current ...

  19. Adult Congenital Heart Disease with Focus on Pregnancy

    NARCIS (Netherlands)

    T.P.E. Ruys (Titia)

    2013-01-01

    textabstractThe prevalence of Congenital Heart Disease (CHD) has been described to be 8,2 per 1000 live births in European countries.(1) Congenital heart disease is a collective term for a large number of different diagnoses with different anatomical substrate, complexity and prognosis. The most

  20. COMPARATIVE ANALYSIS OF THE PRACTICES OF THE STATE YOUTH POLICY IN THE MODERN WORLD

    Directory of Open Access Journals (Sweden)

    N. A. Samohvalov

    2016-01-01

    Full Text Available In this article the author examines a number of foreign cases of practical realization of state youth policy for example the USA, Germany and the Republic of Kazakhstan. The choice of these cases is due to the fact that these countries have an extensive practice of state youth policy. The second factor in the choice of case studies is the fundamental difference between the political systems of countries and as a consequence of the institutional arrangements and the technological features of established models of state youth policy. And fi nally, the third factor is that these States represent different political and cultural traditions. These differences between the traditions have an impact on the diversity of the state youth policy (as the US are a classic example of Western «pluralist» system of youth policy; Germany – West European model of youth policy; Kazakhstan is a bright representative of an effective model of youth policy in the former Soviet Union. Special attention is given to General and specifi c features identified on the basis of comparative analysis, the study of foreign models of youth policy, as well as possible their application in the process of realization of the state youth policy of the Russian Federation.

  1. Rural Hispanic Youths' Perceptions of Positive Youth Development Experiences

    Science.gov (United States)

    Goedeken, Jill A.; Xia, Yan; Durden, Tonia; de Guzman, Maria Rosario T.

    2016-01-01

    An exploratory study examined rural Latino youths' perceptions regarding positive youth development (PYD), particularly related to aspects such as the definition of PYD, potential benefits of PYD, and motivations for participating in PYD activities. A total of 28 self-identified Hispanic youths participated in focus groups. Findings suggest that…

  2. Extension Youth Educators' Technology Use in Youth Development Programming

    Science.gov (United States)

    McClure, Carli; Buquoi, Brittany; Kotrlik, Joe W.; Machtmes, Krisanna; Bunch, J. C.

    2014-01-01

    The purpose of this descriptive-correlational study was to determine the use of technology in youth programming by Extension youth development educators in Louisiana, Mississippi, and Tennessee. Data were collected via e-mail and a SurveyMonkey© questionnaire. Extension educators are using some technology in youth development programming. More…

  3. Elements of the Modern Left-Wing European Politics into the Horizon of the European Union’s Construction

    Directory of Open Access Journals (Sweden)

    Flavia-Tania Stefan

    2014-12-01

    Full Text Available This paper is about the importance of modern left-wing European politics in the process of construction of European Union. In our paper, we have tried to discern the main elements of the contemporary European left-wing, focusing on that which may currently be considered the essence of the offer of the left-wing political parties: the European societal model. The European societal model lies at the heart of most European, but also Transatlantic, intellectual debates. It is an ongoing process, which is still quite far from the final agreement stage. The European Socialists (Social- Democrats claim the avant-garde of the construction and modernization of the European societal model. This model constitutes an important political and even ideological bet – in a global context – for the European left-wing. Political, as the left-wing desires to prove the superiority of their pan- European views in relation to the Neo-liberals and the non-Conservatives who either oppose integration or promote incoherent projects. Ideological in a global context, as the European left-wing desires to prove the superiority of the European societal model/European model of life over the North American one, symbol of the neo-liberal mundialization.

  4. TRENDS IN YOUTH EMPLOYMENT: ROMANIA CASE OF STUDY

    Directory of Open Access Journals (Sweden)

    Laura PATACHE

    2015-08-01

    Full Text Available Reducing poverty and creating employment are the twin challenges of Europe 2020 strategy. During the crisis period, relative poverty has been increased among 0-17 years of age group and in some Romanian development regions. The European Union is concerned in taking action on increasing youth employment, because: the youth unemployment rate is more than twice as high as the adult one; the chances for a young unemployed person of finding a job are low, when young people do work, their jobs tend to be less stable; early leavers from education and training are a high-risk group; resignation is an increasing concern; a significant percent of young people were neither in employment nor in education or training (NEETs; there are significant skills mismatches on Europe's labour market. This paper presents the dynamics of the Romanian youth employment in the development regions of Romania between 2008 and 2014.

  5. Identity and Youth

    Directory of Open Access Journals (Sweden)

    Fernando Yurman

    2010-06-01

    Full Text Available Youth is an abstract entity, determined by an imaginary and symbolical changing dimension. Youth and identity are linked because both of them desire simultaneously the change and establishment. This friction is essential, not only because of social history but because of life cycles. This is a field of ideals, where rules return with the possibility of restarting. Identity is indeed an avoidable reference to get close to this period, so identity forms must be distinguished. To social and cultural differences, and globalization and new places, we can add the crumbling process of youth. Probably Internet -a place with no time and no space- determines this youth as a new form of an ancient time. Digital citizen absorb all ages, and is been changed by virtuality. Each morning one should choose between look through the home window, or to the get the planet through de computer; and this divergence constitutes this citizen, his/her identity, face his/her own body and his/her alter. Links and unlinks between virtuality and reality debate on a different temporality, and ages (like youth lose their traditional limits.

  6. Pediatric heart surgery

    Science.gov (United States)

    Heart surgery - pediatric; Heart surgery for children; Acquired heart disease; Heart valve surgery - children ... There are many kinds of heart defects. Some are minor, and others are more serious. Defects can occur inside the heart or in the large blood vessels ...

  7. Current state of knowledge on aetiology, diagnosis, management, and therapy of peripartum cardiomyopathy: a position statement from the Heart Failure Association of the European Society of Cardiology Working Group on peripartum cardiomyopathy.

    Science.gov (United States)

    Sliwa, Karen; Hilfiker-Kleiner, Denise; Petrie, Mark C; Mebazaa, Alexandre; Pieske, Burkert; Buchmann, Eckhart; Regitz-Zagrosek, Vera; Schaufelberger, Maria; Tavazzi, Luigi; van Veldhuisen, Dirk J; Watkins, Hugh; Shah, Ajay J; Seferovic, Petar M; Elkayam, Uri; Pankuweit, Sabine; Papp, Zoltan; Mouquet, Frederic; McMurray, John J V

    2010-08-01

    Peripartum cardiomyopathy (PPCM) is a cause of pregnancy-associated heart failure. It typically develops during the last month of, and up to 6 months after, pregnancy in women without known cardiovascular disease. The present position statement offers a state-of-the-art summary of what is known about risk factors for potential pathophysiological mechanisms, clinical presentation of, and diagnosis and management of PPCM. A high index of suspicion is required for the diagnosis, as shortness of breath and ankle swelling are common in the peripartum period. Peripartum cardiomyopathy is a distinct form of cardiomyopathy, associated with a high morbidity and mortality, but also with the possibility of full recovery. Oxidative stress and the generation of a cardiotoxic subfragment of prolactin may play key roles in the pathophysiology of PPCM. In this regard, pharmacological blockade of prolactin offers the possibility of a disease-specific therapy.

  8. QT interval variability in body surface ECG: measurement, physiological basis, and clinical value: position statement and consensus guidance endorsed by the European Heart Rhythm Association jointly with the ESC Working Group on Cardiac Cellular Electrophysiology

    Science.gov (United States)

    Baumert, Mathias; Porta, Alberto; Vos, Marc A.; Malik, Marek; Couderc, Jean-Philippe; Laguna, Pablo; Piccirillo, Gianfranco; Smith, Godfrey L.; Tereshchenko, Larisa G.; Volders, Paul G.A.

    2016-01-01

    This consensus guideline discusses the electrocardiographic phenomenon of beat-to-beat QT interval variability (QTV) on surface electrocardiograms. The text covers measurement principles, physiological basis, and clinical value of QTV. Technical considerations include QT interval measurement and the relation between QTV and heart rate variability. Research frontiers of QTV include understanding of QTV physiology, systematic evaluation of the link between QTV and direct measures of neural activity, modelling of the QTV dependence on the variability of other physiological variables, distinction between QTV and general T wave shape variability, and assessing of the QTV utility for guiding therapy. Increased QTV appears to be a risk marker of arrhythmic and cardiovascular death. It remains to be established whether it can guide therapy alone or in combination with other risk factors. QT interval variability has a possible role in non-invasive assessment of tonic sympathetic activity. PMID:26823389

  9. High youth access to movies that contain smoking in Europe compared with the USA.

    Science.gov (United States)

    Hanewinkel, Reiner; Sargent, James D; Karlsdóttir, Sólveig; Jónsson, Stefán Hrafn; Mathis, Federica; Faggiano, Fabrizio; Poelen, Evelien A P; Scholte, Ron; Florek, Ewa; Sweeting, Helen; Hunt, Kate; Morgenstern, Matthis

    2013-07-01

    Based on evidence that exposure to smoking in movies is associated with adolescent smoking, the WHO has called on countries to assign a rating that restricts youth access to such movies. To evaluate youth access to movies that portray smoking in European countries and compare with that in the USA. The authors identified the most commercially successful movies screened in six European countries (Germany, Iceland, Italy, the Netherlands, Poland and UK) and the USA between 2004 and 2009. The authors coded the 464 movies that were screened in both Europe and the USA according to whether or not they portrayed smoking. 87% of the movies were 'youth' rated in Europe (ratings board classification as suitable for those younger than 16 years) compared to only 67% in the USA (suitable for those younger than 17 years). Smoking was portrayed in 319 (69%) movies. 85% of the movies that portrayed smoking were 'youth' rated in Europe compared with only 59% in the USA (pUSA. None of the seven countries examined followed the WHO recommendations on restricting youth access to movies that portray smoking. Compared to the USA, European youths have access to substantially more movies in general, and this gives them access to more movies that portray smoking in particular.

  10. The Use of Heart Rate Monitors in Physical Education

    Science.gov (United States)

    Nichols, Randall; Davis, Kathryn L.; McCord, Tim; Schmidt, Dave; Slezak, Alex M.

    2009-01-01

    The ever-rising rate of obesity and the need for increased physical activity for young children is well documented. Data suggests that today's youth are not participating in enough quality health-enhancing physical activity either in or outside of school. Heart rate monitors have been used by adult exercisers for many years to monitor and assess…

  11. Youth Poll Report and Crosstabulations

    Science.gov (United States)

    2004-11-01

    difficult. Unemployment for youth ages 16-19 is historically much higher than unemployment for adults. Unemployment for both youth and adults...this time period. More recently, unemployment has dropped for both youth and adults. However, perceived difficulty has not yet dropped for Whites...report visiting a place at which they want to work. Did You KNOW? Unemployment among youth ages 16-19 is substantively higher for Blacks (28.9

  12. Excess heart rate and systolic blood pressure during psychological stress in relation to metabolic demand in adolescents

    Science.gov (United States)

    Cardiovascular responses during exercise are matched to the increased metabolic demand, but this may not be the case during psychological stress. No studies to date have tested this hypothesis in youth. Fifty-four youth, ages 13-16 years completed two visits. Heart rate (HR), systolic blood pressu...

  13. Achieving Permanency for LGBTQ Youth

    Science.gov (United States)

    Jacobs, Jill; Freundlich, Madelyn

    2006-01-01

    This article brings together two significant efforts in the child welfare field: achieving permanence for youth in out-of-home care and meeting the needs of lesbian, gay, bisexual, transgender and questioning (LGBTQ) youth. During the past several years, a national movement has taken place to assure all children and youth have a permanent family…

  14. Children, Youth, and Gun Violence.

    Science.gov (United States)

    Behrman, Richard E., Ed.

    2002-01-01

    This collection of articles summarizes knowledge and research about how gun violence affects children and youth and discusses which policies hold promise for reducing youth gun violence. The papers are: (1) "Statement of Purpose" (Richard E. Behrman); "Children, Youth, and Gun Violence: Analysis and Recommendations" (Kathleen…

  15. Toward a Youth Work Profession

    Science.gov (United States)

    Emslie, Michael

    2013-01-01

    There is growing interest in the professionalization of the youth work field in Australia and the United States. In this article I draw on relevant literature from the sociology of professions to explore the appeal of professionalization for youth work. The interest in professionalism is examined along with the strategies youth work practitioners…

  16. Youth Joblessness and Career Education.

    Science.gov (United States)

    Passmore, David L.

    1981-01-01

    Data presented and research reviewed here describe the scope of youth joblessness for policy analysis and consideration in career education. Necessary next steps are (1) clarification of career education's view of youth joblessness; (2) determination of the barriers to youth employment; and (3) consideration of the consequences of youth…

  17. Transgender youth: current concepts

    Science.gov (United States)

    2016-01-01

    In many countries throughout the world, increasing numbers of gender nonconforming/transgender youth are seeking medical services to enable the development of physical characteristics consistent with their experienced gender. Such medical services include use of agents to block endogenous puberty at Tanner stage II with subsequent use of cross-sex hormones, and are based on longitudinal studies demonstrating that those individuals who were first identified as gender dysphoric in early or middle childhood and continue to meet the mental health criteria for being transgender at early puberty are likely to be transgender as adults. This review addresses terms and definitions applicable to gender nonconforming youth, studies that shed light on the biologic determinants of gender identity, current clinical practice guidelines for transgender youth, challenges to optimal care, and priorities for research. PMID:28164070

  18. Transgender youth: current concepts

    Directory of Open Access Journals (Sweden)

    Stephen M. Rosenthal

    2016-12-01

    Full Text Available In many countries throughout the world, increasing numbers of gender nonconforming/transgender youth are seeking medical services to enable the development of physical characteristics consistent with their experienced gender. Such medical services include use of agents to block endogenous puberty at Tanner stage II with subsequent use of cross-sex hormones, and are based on longitudinal studies demonstrating that those individuals who were first identified as gender dysphoric in early or middle childhood and continue to meet the mental health criteria for being transgender at early puberty are likely to be transgender as adults. This review addresses terms and definitions applicable to gender nonconforming youth, studies that shed light on the biologic determinants of gender identity, current clinical practice guidelines for transgender youth, challenges to optimal care, and priorities for research.

  19. Marginal youth transititions

    DEFF Research Database (Denmark)

    Pless, Mette

    2011-01-01

    and fragmented yoyo-transitions and ‘choice’ biographies (eg. De Bois-Reymond, Wyn&Dwyer, Beck). Drawing on two longitudinal research projects (Pless&Katznelson, 2007; Pless, 2009) based on both quantitative and qualitative data, in this paper I will focus on the factors that seemingly shape and influence young......A pivotal theme (and discussion) in youth research is that youth transitions and young people’s perceptions of education and work is changing profoundly. The view is that the notion of linear, focused ’normal’ biographies increasingly is being outpaced by unpredictable, individualised...... Danish people’s educational choices and pathways from primary school and onwards – focusing especially on ‘youth at risk’ in the educational system. The studies aim at understanding the young people’s narratives s and meaning-making in regard to education and more broadly their dreams and vision...

  20. Particularities of youth unemployment and the labour market in Romania

    Directory of Open Access Journals (Sweden)

    Gabriela RÎMBU

    2016-07-01

    Full Text Available Youth unemployment has become a priority for the European Union. The globalisation, the cyclical economic changes and the fast evolution of the labour market require new public policy and new approaches in order to stimulate integration of the young people into the labour market. This paper intends to highlight the effects and efficiency of the public policy that supports the labour market in the European Union and Romania. The conclusion is that Romania is adopting important measures for facilitating the employment of young people and decreasing unemployment, but the implemented measures and strategies have registered limited progress and more innovative solutions are needed.

  1. Forgotten Youth: Homeless LGBT Youth of Color and the Runaway and Homeless Youth Act

    National Research Council Canada - National Science Library

    Michelle Page

    2017-01-01

    .... [...]this Comment focuses on how and why this problem occurs, the effects it has on homeless LGBT youth of color, and then proposes specific revisions to the Runaway and Homeless Youth Act that would...

  2. Forgotten Youth: Homeless LGBT Youth of Color and the Runaway and Homeless Youth Act

    National Research Council Canada - National Science Library

    Michelle Page

    2017-01-01

    [...]there is presently a disproportionate percentage of youth of color, and especially LGBT youth of color, who experience homelessness in a given year compared to their overall percentage in the general population...

  3. An overview of how sports, out-of-school time, and youth well-being can and do intersect.

    Science.gov (United States)

    Le Menestrel, Suzanne; Perkins, Daniel F

    2007-01-01

    This article examines the benefits and disadvantages of participation in organized youth sports and describes a youth development approach to sports programming. The authors summarize what is known about the physical, socioemotional, and cognitive benefits of sports participation. These include health benefits (for example, a reduction in heart disease and diabetes) as well as socioemotional benefits, among them the coping skills of being able to bounce back from problems. The authors describe some of the disadvantages of participation as well. In particular, studies in this area have focused on health risk behaviors and engagement in problem behaviors. The authors present an innovative approach to youth sports and the advantages of implementing this approach using the emerging community youth development framework. Specific examples of youth sports programs are provided that use a positive youth development framework.

  4. Neighbourhood effects on youth educational achievement in the Netherlands: can effects be identified and do they vary by student background characteristics?

    NARCIS (Netherlands)

    Sykes, B.; Kuyper, H.

    2009-01-01

    Adding to the growing body of research examining neighbourhood effects in European contexts, this study investigates the associations between the educational achievement of Dutch youth and their neighbourhood conditions. We further consider whether these associations vary by student socioeconomic

  5. Neighbourhood effects on youth educational achievement in the Netherlands : can effects be identified and do they vary by student background characteristics?

    NARCIS (Netherlands)

    Sykes, Brooke; Kuyper, Hans

    2009-01-01

    Adding to the growing body of research examining neighbourhood effects in European contexts, this study investigates the associations between the educational achievement of Dutch youth and their neighbourhood conditions. We further consider whether these associations vary by student socioeconomic

  6. Marginalization of the Youth

    DEFF Research Database (Denmark)

    Jensen, Niels Rosendal

    2009-01-01

    The article is based on a key note speach in Bielefeld on the subject "welfare state and marginalized youth", focusing upon the high ambition of expanding schooling in Denmark from 9 to 12 years. The unintended effect may be a new kind of marginalization.......The article is based on a key note speach in Bielefeld on the subject "welfare state and marginalized youth", focusing upon the high ambition of expanding schooling in Denmark from 9 to 12 years. The unintended effect may be a new kind of marginalization....

  7. Parent-youth informant disagreement: Implications for youth anxiety treatment.

    Science.gov (United States)

    Becker-Haimes, Emily M; Jensen-Doss, Amanda; Birmaher, Boris; Kendall, Philip C; Ginsburg, Golda S

    2017-02-01

    Greater parent-youth disagreement on youth symptomatology is associated with a host of factors (e.g., parental psychopathology, family functioning) that might impede treatment. Parent-youth disagreement may represent an indicator of treatment prognosis. Using data from the Child/Adolescent Anxiety Multimodal Study, this study used polynomial regression and longitudinal growth modeling to examine whether parent-youth agreement prior to and throughout treatment predicted treatment outcomes (anxiety severity, youth functioning, responder status, and diagnostic remission, rated by an independent evaluator). When parents reported more symptoms than youth prior to treatment, youth were less likely to be diagnosis-free post-treatment; this was only true if the youth received cognitive-behavioral therapy (CBT) alone, not if youth received medication, combination, or placebo treatment. Increasing concordance between parents and youth over the course of treatment was associated with better treatment outcomes across all outcome measures ( ps < .001). How parents and youth "co-report" appears to be an indicator of CBT outcome. Clinical implications and future directions are discussed.

  8. EUROPEAN AUSTERITY WITHOUT GROWTH? EUROPEAN GROWTH WITHOUT EUROPEAN DEMOCRACY?

    Directory of Open Access Journals (Sweden)

    Montani Guido

    2011-07-01

    Full Text Available The European project is facing a crisis. Citizens no longer understand what the EU is about. Young people and the new ruling class have forgotten the clear message of the European project launched just after the Second World War "No wars ever again among Europeans." The founding fathers of the European Union are mentioned in history textbooks, but today Europe is felt as an irritating bureaucracy. In Europe, peace and economic stability are considered as a natural state, a gift from above. Why keep a useless EU alive? The state of the European Union is swiftly degenerating. In almost all the member states, the anti-European forces are gaining ground. Populism is not a new ideology and is not necessarily European: let's recall Peronism. In today's Europe populism is the new manifestation of nationalism. In Italy the Lega Nord is in Berlusconi's eurosceptic government. In France, the National Front is endangering UMP's hegemony. In Belgium the rows between the Flemish and the Walloons threatens the state's unity. In the Netherlands, Hungary, the Czech Republic, Austria and Finland, populist forces are either in the government or strongly influencing the government. National-populism is different from the nationalism of the past. De Gaulle's nationalism was an ideology founded on the "grandeur" of France's history and on a certain idea of Europe, which was "l'Europe de patrie", a kind of European unity accepting French leadership in world politics. Today national-populism is a form of micro-nationalism: it opposes the European project but without having a serious alternative. This is why populism is dangerous. Its real goal is not only the breaking down of the European Union but also the disintegration of the old nation states into micro-ethnic states, as what happened in former Yugoslavia.

  9. Youth Change Agents: Comparing the Sociopolitical Identities of Youth Organizers and Youth Commissioners

    Science.gov (United States)

    Conner, Jerusha O.; Cosner, Katherine

    2016-01-01

    Although youth have long been at the forefront of social change, the last two decades have seen an upsurge in the number of organizations, agencies, and governmental bodies dedicated to supporting the idea of youth voice in public policy. Drawing on in-depth individual interviews with 32 youth in one major urban center, this study compares how…

  10. Physical activity, obesity and cardiometabolic risk factors in 9- to 10-year-old UK children of white European, South Asian and black African-Caribbean origin: the Child Heart And health Study in England (CHASE).

    Science.gov (United States)

    Owen, C G; Nightingale, C M; Rudnicka, A R; Sattar, N; Cook, D G; Ekelund, U; Whincup, P H

    2010-08-01

    Physical inactivity is implicated in unfavourable patterns of obesity and cardiometabolic risk in childhood. However, few studies have quantified these associations using objective physical activity measurements in children from different ethnic groups. We examined these associations in UK children of South Asian, black African-Caribbean and white European origin. This was a cross-sectional study of 2,049 primary school children in three UK cities, who had standardised anthropometric measurements, provided fasting blood samples and wore activity monitors for up to 7 days. Data were analysed using multilevel linear regression and allowing for measurement error. Overall physical activity levels showed strong inverse graded associations with adiposity markers (particularly sum of skinfold thicknesses), fasting insulin, HOMA insulin resistance, triacylglycerol and C-reactive protein; for an increase of 100 counts of physical activity per min of registered time, levels of these factors were 12.2% (95% CI 10.2-14.1%), 10.2% (95% CI 7.5-12.8%), 10.2% (95% CI 7.5-12.8%), 5.8% (95% CI 4.0-7.5%) and 19.2% (95% CI 13.9-24.2%) lower, respectively. Similar increments in physical activity levels were associated with lower diastolic blood pressure (1.0 mmHg, 95% CI 0.6-1.5 mmHg) and LDL-cholesterol (0.04 mmol/l, 95% CI 0.01-0.07 mmol/l), and higher HDL-cholesterol (0.02 mmol/l, 95% CI 0.01-0.04 mmol/l). Moreover, associations were broadly similar in strength in all ethnic groups. All associations between physical activity and cardiometabolic risk factors were reduced (albeit variably) after adjustment for adiposity. Objectively measured physical activity correlates at least as well with obesity and cardiometabolic risk factors in South Asian and African-Caribbean children as in white European children, suggesting that efforts to increase activity levels in such groups would have equally beneficial effects.

  11. Association of High-Density Lipoprotein-Cholesterol Versus Apolipoprotein A-I With Risk of Coronary Heart Disease: The European Prospective Investigation Into Cancer-Norfolk Prospective Population Study, the Atherosclerosis Risk in Communities Study, and the Women's Health Study.

    Science.gov (United States)

    van Capelleveen, Julian C; Bochem, Andrea E; Boekholdt, S Matthijs; Mora, Samia; Hoogeveen, Ron C; Ballantyne, Christie M; Ridker, Paul M; Sun, Wensheng; Barter, Philip J; Tall, Alan R; Zwinderman, Aeilko H; Kastelein, John J P; Wareham, Nick J; Khaw, Kay-Tee; Hovingh, G Kees

    2017-08-03

    The contribution of apolipoprotein A-I (apoA-I) to coronary heart disease (CHD) risk stratification over and above high-density lipoprotein cholesterol (HDL-C) is unclear. We studied the associations between plasma levels of HDL-C and apoA-I, either alone or combined, with risk of CHD events and cardiovascular risk factors among apparently healthy men and women. HDL-C and apoA-I levels were measured among 17 661 participants of the EPIC (European Prospective Investigation into Cancer)-Norfolk prospective population study. Hazard ratios for CHD events and distributions of risk factors were calculated by quartiles of HDL-C and apoA-I. Results were validated using data from the ARIC (Atherosclerosis Risk in Communities) and WHS (Women's Health Study) cohorts, comprising 15 494 and 27 552 individuals, respectively. In EPIC-Norfolk, both HDL-C and apoA-I quartiles were strongly and inversely associated with CHD risk. Within HDL-C quartiles, higher apoA-I levels were not associated with lower CHD risk; in fact, CHD risk was higher within some HDL-C quartiles. ApoA-I levels were associated with higher levels of CHD risk factors: higher body mass index, HbA1c, non-HDL-C, triglycerides, apolipoprotein B, systolic blood pressure, and C-reactive protein, within fixed HDL-C quartiles. In contrast, HDL-C levels were consistently inversely associated with overall CHD risk and CHD risk factors within apoA-I quartiles (Prisk of CHD events, possibly because of the unexpected higher prevalence of cardiovascular risk factors in association with higher apoA-I levels. URL: https://www.clinicaltrials.gov. Unique identifier: NCT00000479. © 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

  12. Clinical trials update from Heart Rhythm 2008 and Heart Failure 2008: ATHENA, URGENT, INH study, HEART and CK-1827452.

    Science.gov (United States)

    Coletta, Alison P; Cleland, John G F; Cullington, Damien; Clark, Andrew L

    2008-09-01

    This article provides information and a commentary on trials relevant to the pathophysiology, prevention and treatment of heart failure, presented at the Heart Rhythm Society meeting in San Francisco, USA and the Heart Failure Association meeting of the European Society of Cardiology which was held in Milan, Italy in June 2008. Unpublished reports should be considered as preliminary data, as analyses may change in the final publication. The ATHENA study showed that dronedarone reduced the incidence of the composite outcome of cardiovascular hospitalisation or death, in patients with atrial fibrillation or flutter, 29% of whom had a history of heart failure, compared with placebo. The URGENT study demonstrated that treatment of acute heart failure with standard therapy, including intravenous diuretics and nitrates, leads to a rapid resolution of breathlessness in the sitting position but that orthopnoea often persists. The INH study showed that a disease management programme could reduce mortality compared to usual care but not hospitalisation rates. The HEART study failed to recruit its planned number of patients, although it is the largest randomised trial of revascularisation in heart failure reported to date. At a median follow-up of 5 years no difference in mortality was observed but the study lacked power to provide a conclusive result. The selective myosin activator CK-1827452 produced a concentration dependent increase in systolic ejection time, stroke volume and fractional shortening in patients with heart failure compared to placebo.

  13. YOUTH LABOUR MARKET. MOBILITY, CAREER DEVELOPMENT, INCOMES. CHALLENGES AND OPPORTUNITIES

    Directory of Open Access Journals (Sweden)

    Vasile Liviu

    2011-07-01

    Full Text Available This paper presents the main characteristics of the youth labour market, with a special view on mobility, career development and incomes. The paper is substantiated by and continues the researches of the authors on the topic of labour force mobility and on the one of adaptability, respectively on youths' beahviour on labour market (with particular consideration of young graduates highlighting the factors that adjust choices regarding taking up a job, career advancement, labour motivation, professional and personal satisfaction opportunities which are provided by the labour market at local level, in country and abroad. Quantitative and qualitative indicators are presented about Romanian youths' labour market within the European context during the transition period. The impact of the crisis on youths' labour market is analysed, highlighting the challenges and opportunities, the particularities of the newly created jobs and especially the knowledge, skills and competencies requirements (KSC. The authors propose both the improvement of the systems of indicators for defining the potential and presence of youth on the labour market, the economic and social impact of external mobility of young graduates and an integrated scheme of policy measures for promoting adaptability and performance integration on Romanian labour market of youth. Particular attention is paid to presenting policy instruments for halting/diminishing the brain drain and brain shopping phenomena by promoting an attractive (professionally and monetary supply for employment in Romania's local economy. The authors succeed in highlighting the functional links between the education market (labour force supply and labour market (employment demand of the business environment underpinning the requirement of integrated management of labour potential in the years preceding studies' finalization and up to the post-insertion years by multi-criteria analysis models and graduate career tracking

  14. Living with Diabetic Heart Disease

    Science.gov (United States)

    ... Home / Diabetic Heart Disease Diabetic Heart Disease What Is The term "diabetic heart ... Web page. What Heart Diseases Are Involved in Diabetic Heart Disease? DHD may include coronary heart disease ( ...

  15. Heart failure - surgeries and devices

    Science.gov (United States)

    ... surgery; HF - surgery; Intra-aortic balloon pumps - heart failure; IABP - heart failure; Catheter based assist devices - heart failure ... problem may cause heart failure or make heart failure worse. Heart valve surgery may be needed to repair or ...

  16. Democracy, Citizenship and Youth

    International Development Research Centre (IDRC) Digital Library (Canada)

    That is to say, they necessarily reflect the new global panoramas and their consequences and repercussions in the interconnected world we live in. ...... Regarding the realities of youth unemployment, the study observed what other Brazilian studies have been reporting since the 1990s: unemployment rates are higher ...

  17. Youth's Unemployment and Illiteracy

    African Journals Online (AJOL)

    DR Nneka

    2015-04-14

    Apr 14, 2015 ... Abstract. For a long time probably since late 1980s the youths of this nation have been on bondage as a result of unemployment caused by faulty institutional structures, illiteracy, corruption and poor management of resources. Though unemployment is a global phenomenon, the situation in Nigeria has ...

  18. Suicide and Youth.

    Science.gov (United States)

    Lee, Essie E.

    1978-01-01

    Suicide among young people is increasing at phenomenal rates. This article examines the problem of adolescent suicide and suicide attempts in relation to cultural factors, sex differences, and probable causes. The importance of parents, teachers, and counselors in becoming alert to conflict and stress situations in youths is delineated. (Author)

  19. Plugged in Youth

    DEFF Research Database (Denmark)

    Singla, Rashmi

    2011-01-01

    , “others” and home in these families, for the parental as well as the young generation, in which the technological processes play an increasing part for the youth generation. The chapter also depicts the young adults’ diasporic identities involving the countries of origin as well as the Scandinavian...

  20. Youth behind bars

    DEFF Research Database (Denmark)

    Torbenfeldt Bengtsson, Tea

    , actively drawing on theories of youth and crime. By applying a relational approach founded in interactional sociology, the thesis explores how apparently senseless actions and situations are constructed socially by the young people when they bring together meanings in their everyday practices. Data...

  1. Motivating Urban Youth

    Science.gov (United States)

    Curwin, Richard L.

    2010-01-01

    Television, advertising, the Internet, music, and the proliferation of chain stores have had a homogenizing effect on children. Regardless of what type of environment they live in, the style of youth's dress, the way they talk, and how they respond to a wide range of stimuli are surprisingly similar. In spite of these similarities, the challenges…

  2. Development in youth enterprises.

    Science.gov (United States)

    Hamilton, Stephen F; Hamilton, Mary Agnes

    2012-01-01

    Business enterprises run by youth can create jobs and teach the principles of free enterprise but also convey skills that can be used by employees in large companies, as well as political activists and entrepreneurs. Research is needed to test the efficacy of this approach and identify its key components. Copyright © 2012 Wiley Periodicals, Inc., A Wiley Company.

  3. Youth media lifestyles

    NARCIS (Netherlands)

    van Kruistum, Claudia; Leseman, Paul Pm; de Haan, Mariëtte

    2014-01-01

    In this article, the concept of "media lifestyles" is adopted in order to develop a comprehensive approach toward youth engagement in communication media. We explore how 503 Dutch eighth grade students with full access to new technology combine a broad range of media by focusing on their engagement

  4. Introduction: Ideologies of Youth

    African Journals Online (AJOL)

    seriane.camara

    2011-12-01

    Dec 1, 2011 ... Abstract. In a number of countries in Africa, such as Uganda and Kenya, national publics have been discussing whether citizens of age 50 or even 60 should be regarded as 'youth'. Under the current dispensation of do- nor funding, relief programmes and international aid, these discussions have made the ...

  5. Youth Bashing Gets Old

    Science.gov (United States)

    Ferguson, Christopher J.

    2008-01-01

    A perennial talking point of politicians and scientists, since the time of the Greeks, is to lament how American youth are sliding into moral decrepitude, lawlessness, and poor mental health. Indeed, to hear some observers talk, particularly in this election year, young people in the United States are being battered by a coarsened culture that…

  6. Youth and tobacco.

    Science.gov (United States)

    Tanski, S E; Prokhorov, A V; Klein, J D

    2004-12-01

    Youth around the world take up smoking and use tobacco products at high rates. Young people may not grasp the long-term consequences of tobacco use, although tobacco consumption and exposure has been shown to have significant negative health effects. Youth use a variety of tobacco products that are smoked, chewed, or sniffed, including machine-manufactured cigarettes, cigars, bidis, kreteks, sticks, and snuff. Prevention efforts have focused on countering those aspects that are believed to contribute to smoking uptake, such as tobacco industry advertising and promotion, and access to tobacco. There are many aspects of tobacco promotion through the media that have been more difficult to control, however, such as product placement within popular cinema movies. Once a youth has taken up tobacco, he or she is more likely than an adult to become addicted and should be offered treatment for tobacco cessation. Although there is not yet sufficient evidence to prove efficacy, the same treatments are suggested for youth as are recommended for adults, including nicotine replacement products. Given the severity of the tobacco epidemic worldwide and the devastating health effects on an individual and population basis, there are currently many efforts to curtail the tobacco problem, including the World Health Organization (WHO) sponsored Framework Convention on Tobacco Control. It is through comprehensive and collaborative efforts such as this that the global hazard of tobacco is most likely to be overcome.

  7. Framing Youth Violence.

    Science.gov (United States)

    McManus, John; Dorfman, Lori

    Have quality newspapers incorporated what scholars have learned over the last quarter century about making news more useful as a resource for civic participation? A year-long analysis of reporting about youth violence in three California newspapers provides a schizophrenic conclusion: After the Columbine massacre, newspapers provided rich context,…

  8. 'Youth' making us fit

    DEFF Research Database (Denmark)

    Olsson, Ulf; Petersson, Kenneth; Krejsler, John B.

    2011-01-01

    Papers, scripts or memos concerning political arenas such as youth and education policies and the Bologna process. Theoretically the article draws on insights from post-Foucauldian traditions with a focus on mentalities, subject constructions, technologies and practices operating within the ongoing...

  9. Youth Services Participation of YouthYouth Policy in Hungary (2006–2012

    Directory of Open Access Journals (Sweden)

    JANCSÁK, Csaba

    2013-12-01

    Full Text Available Hungary’s youth context changed in 2006, before the world crisis, and recession has spread since then. Youth institutions have gone through constant changes which are difficult to follow, after six years almost none of them are left. Youth resources have decreased both on the local and on the national level, due to mutually reinforcing economic and political effects. During the examined period, the proportion of youth tolerating more violent behaviour has increased, as well as those longing for strong leaders and those disillusioned with capitalism. Nowadays, apart from lobbying, demonstrations, elaborating independent political alternatives, a new, rational behaviour appears among youth, the phenomenon of leaving the country.

  10. A new era of European Integration?

    DEFF Research Database (Denmark)

    de la Porte, Caroline; Heins, Elke

    2015-01-01

    In this article we develop a typology of European Union (EU) integration to capture how, to what extent and according to which policy aims EU involvement in Member States has altered with respect to labour market and social policy and what it signifies in terms of institutional change. On this ba......In this article we develop a typology of European Union (EU) integration to capture how, to what extent and according to which policy aims EU involvement in Member States has altered with respect to labour market and social policy and what it signifies in terms of institutional change...... of the EU - Europe 2020, the Social Investment Package and the Youth Guarantee - and that these have also emerged through a process of institutional layering. However, the aims around Europe 2020 and Social Investment continue to be based on the voluntary Open Method of Coordination, with comparatively weak...

  11. Youth ministry as an agency of youth development for the vulnerable youth of the Cape Flats

    Directory of Open Access Journals (Sweden)

    Garth Aziz

    2017-01-01

    Full Text Available Religiosity has a profound role and influence on youth development within a community. Religiosity promotes risk reduction and positive moral characteristics and thus remains an avenue of opportunity for transformation in considering the lived experiences of vulnerable young people living on the Cape Flats in the Western Cape, South Africa. The Cape Flats is an area that is overwhelmed with unemployment, poverty, gang violence, chemical substance abuse and a general societal abandonment of young people. It is out of dire hopelessness that a meaningful relationship with God can be experienced by youth. The Cape Flats is, therefore, a fertile space for an intervention of religiosity. This article will research how the agency of youth ministry as a positive youth development can assist in youth development within a community in tension like that of the Cape Flats. While youth development is a broad category for consideration and research, this article will primarily focus on identity formation of young people, in particular, the vulnerable youth living on the Cape Flats.Intradisciplinary and/or interdisciplinary implications: The agency of youth ministry, in an evangelical epistemology, should seek to address the influencers on adolescent identity formation, as one�s identity has a direct bearing on faith formation. The potential outcome of the article would allow the youth ministry to take serious the impact of the lived realities of youth and adjust their programmatic designs and outcomes, in relation to youth faith formation.

  12. Types of Heart Block

    Science.gov (United States)

    ... defects. Acquired heart block is more common than congenital heart block. Damage to the heart muscle or its electrical system causes acquired heart block. Diseases, surgery, or medicines can cause this damage. The three types of heart block are first degree, second degree, ...

  13. What Causes Heart Block?

    Science.gov (United States)

    ... defects. Acquired heart block is more common than congenital heart block. Damage to the heart muscle or its electrical system causes acquired heart block. Diseases, surgery, or medicines can cause this damage. The three types of heart block are first degree, second degree, ...

  14. Living with Heart Block

    Science.gov (United States)

    ... defects. Acquired heart block is more common than congenital heart block. Damage to the heart muscle or its electrical system causes acquired heart block. Diseases, surgery, or medicines can cause this damage. The three types of heart block are first degree, second degree, ...

  15. Practical guide on home health in heart failure patients

    DEFF Research Database (Denmark)

    Jaarsma, T.; Larsen, Torben; Stromberg, A.

    2013-01-01

    Introduction: Chronic heart failure is a common condition affecting up to 15 million people in the extended Europe. Heart failure is burdensome and costly for patients in terms of decreased quality of life and poor prognosis, and it is also costly for society. Better integrated care is warranted...... in this population and specialised heart failure care can save costs and improve the quality of care. However, only a few European countries have implemented specialised home care and offered this to a larger number of patients with heart failure. Method: We developed a guide on Home Health in Heart Failure patients...... from a literature review, a survey of heart failure management programs, the opinion of researchers and practitioners, data from clinical trials and a reflection of an international expert meeting. Results: In integrated home care for heart failure patients, it is advised to consider the following...

  16. Hispanic Youth Employment: Programs and Problems.

    Science.gov (United States)

    Martinez, Douglas R.

    1979-01-01

    The Youth Employment Demonstration Projects Act created four new programs designed to employ and increase the employability of youth: the Young Adult Conservation Corps, the Youth Incentive Entitlement Pilot Projects, Youth Community Conservation and Improvement Projects, and Youth Employment and Training Programs. (NQ)

  17. Youth Court: An Alternative to Juvenile Court?

    Science.gov (United States)

    Heward, Michelle E.

    2000-01-01

    Explains that youth courts are alternatives to the juvenile justice system in which trained youth volunteers hold youthful offenders accountable for their wrongful actions. Discusses the reasons for the increased popularity of youth courts, the differences between juvenile and youth courts, and the effects the changes in juvenile courts have on…

  18. Educating in European Identity?

    National Research Council Canada - National Science Library

    Enrique Banús

    2007-01-01

    In the last decades, the claim for a "European identity" has been manifested sometimes as a solution for the citizens' distance to the European project, sometimes also as a precondition for a further...

  19. Diabetic Heart Disease

    Science.gov (United States)

    ... about other tests and procedures, go to the diagnosis sections of the Health Topics Coronary Heart Disease , Heart Failure , and Cardiomyopathy articles. Treatment Diabetic heart disease (DHD) is treated ...

  20. Classes of Heart Failure

    Science.gov (United States)

    ... second installment explains heart failure with muscle intact. Queen Latifah and her mom, Rita, share their personal ... a Heart Attack 10 Tachycardia | Fast Heart Rate *Red Dress ™ DHHS, Go Red ™ AHA ; National Wear Red ...

  1. Types of Heart Failure

    Science.gov (United States)

    ... second installment explains heart failure with muscle intact. Queen Latifah and her mom, Rita, share their personal ... a Heart Attack 10 Tachycardia | Fast Heart Rate *Red Dress ™ DHHS, Go Red ™ AHA ; National Wear Red ...

  2. Heart failure - home monitoring

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000113.htm Heart failure - home monitoring To use the sharing features on this page, please enable JavaScript. Heart failure is a condition in which the heart is ...

  3. Heart disease and depression

    Science.gov (United States)

    ... gov/ency/patientinstructions/000790.htm Heart disease and depression To use the sharing features on this page, ... a heart attack or heart surgery Signs of Depression It is pretty common to feel down or ...

  4. Who Needs Heart Surgery?

    Science.gov (United States)

    ... children, go to the Health Topics articles about congenital heart defects , holes in the heart , and tetralogy of Fallot . Overview The most common type of heart surgery for adults is coronary artery ...

  5. Left heart catheterization

    Science.gov (United States)

    Catheterization - left heart ... to help guide the catheters up into your heart and arteries. Dye (sometimes called "contrast") will be ... in the blood vessels that lead to your heart. The catheter is then moved through the aortic ...

  6. Heart Health Tests

    Science.gov (United States)

    ... is easier to treat. Blood tests and heart health tests can help find heart diseases or identify ... diseases. There are several different types of heart health tests. Your doctor will decide which test or ...

  7. Hypertensive heart disease

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/000163.htm Hypertensive heart disease To use the sharing features on this page, please enable JavaScript. Hypertensive heart disease refers to heart problems that occur because of ...

  8. Congenital Heart Information Network

    Science.gov (United States)

    ... heart defects. Important Notice The Congenital Heart Information Network website is temporarily out of service. Please join ... and Uwe Baemayr for The Congenital Heart Information Network Exempt organization under Section 501(c)3. Copyright © ...

  9. Liver disease and heart failure: Back and forth.

    Science.gov (United States)

    Correale, Michele; Tarantino, Nicola; Petrucci, Rossella; Tricarico, Lucia; Laonigro, Irma; Di Biase, Matteo; Brunetti, Natale Daniele

    2017-10-31

    In their clinical practice, physicians can face heart diseases (chronic or acute heart failure) affecting the liver and liver diseases affecting the heart. Systemic diseases can also affect both heart and liver. Therefore, it is crucial in clinical practice to identify complex interactions between heart and liver, in order to provide the best treatment for both. In this review, we sought to summarize principal evidence explaining the mechanisms and supporting the existence of this complicate cross-talk between heart and liver. Hepatic involvement after heart failure, its pathophysiology, clinical presentation (congestive and ischemic hepatopathy), laboratory and echocardiographic prognostic markers are discussed; likewise, hepatic diseases influencing cardiac function (cirrhotic cardiomyopathy). Several clinical conditions (congenital, metabolic and infectious causes) possibly affecting simultaneously liver and heart have been also discussed. Cardiovascular drug therapy may present important side effects on the liver and hepato-biliary drug therapy on heart and vessels; post-transplantation immunosuppressive drugs may show reciprocal cardio-hepatotoxicity. A heart-liver axis is drafted by inflammatory reactants from the heart and the liver, and liver acts a source of energy substrates for the heart. Copyright © 2017 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

  10. Youth Motivations for Program Participation

    Directory of Open Access Journals (Sweden)

    Jenifer K. McGuire

    2017-01-01

    Full Text Available Through their participation in youth programs, young people have access to opportunities to learn and build important skills. A total of 214 youth between the ages of 10-19 (mean 15.5 years completed an online survey about characteristics of youth programs they participated in, didn’t participate in, and had participated in but quit. We found that youth participated in activities that provided a benefit to meet personal goals or develop skills. However, our findings suggest that youth may leave activities, or never join them, based on different sets of motivations than the reasons they stay in activities. There was variability across demographic groups: Males reported more problems with past activities, sexual minority youth were more likely to endorse social problems with past and never joined activities, and ethnic minorities reported less support for personal goals and connection to adults in current activities and more logistic barriers for activities never joined.

  11. Media Representations of Youth Violence in Bulgaria

    National Research Council Canada - National Science Library

    Stanislava Stoyanova

    2012-01-01

      This paper presents a study of media representations of youth violence. The way by which media presents the young generation is a reflection of and influence on the development of identity by youth and society's attitude towards youth...

  12. Heart bypass surgery - discharge

    Science.gov (United States)

    Off-pump coronary artery bypass - discharge; OPCAB - discharge; Beating heart surgery - discharge; Bypass surgery - heart - discharge; CABG - discharge; Coronary artery bypass graft - discharge; Coronary artery ...

  13. Heart failure - medicines

    Science.gov (United States)

    CHF - medicines; Congestive heart failure - medicines; Cardiomyopathy - medicines; HF - medicines ... You will need to take most of your heart failure medicines every day. Some medicines are taken once ...

  14. Neighborhood Effects on Youth Crime

    DEFF Research Database (Denmark)

    Rotger, Gabriel Pons; Galster, George Charles

    We investigate the degree to which youth (ages 14-29) criminal offenses are influenced by neighbors, identifying causal effects with a natural experimental allocation of social housing in Copenhagen. We find that youth exposed to a one percentage point higher concentration of neighbors with drug...... mechanisms suggests youth interaction in proximate residential context with older adults with drug crime experience as the most plausible source of neighborhood effects....

  15. Youth Entrepreneurship in Indian Scenario

    OpenAIRE

    Neeta Baporikar

    2014-01-01

    Governments and local communities across the world have recognized that key to building prosperity and stimulate regional growth is fostering entrepreneurship among their people especially youth. Youth entrepreneurship has become a topic of interest for research scholars and also a subject of major concern for the Government. While youth entrepreneurship is an under-explored field, the main factor for its growing attention is the increased number of unemployed young people. Furthermore entrep...

  16. LGBT Youth and Family Acceptance

    OpenAIRE

    Katz-Wise, Sabra L.; Rosario, Margaret; Tsappis, Michael

    2016-01-01

    In this article, we address theories of attachment and parental acceptance and rejection, and their implications for lesbian, gay, bisexual, and transgender (LGBT) youths’ identity and health. We also provide two clinical cases to illustrate the process of family acceptance of a transgender youth and a gender nonconforming youth who was neither a sexual minority nor transgender. Clinical implications of family acceptance and rejection of LGBT youth are discussed.

  17. LGBT Youth and Family Acceptance

    Science.gov (United States)

    Katz-Wise, Sabra L.; Rosario, Margaret; Tsappis, Michael

    2016-01-01

    Summary In this article, we address theories of attachment and parental acceptance and rejection, and their implications for lesbian, gay, bisexual, and transgender (LGBT) youths’ identity and health. We also provide two clinical cases to illustrate the process of family acceptance of a transgender youth and a gender nonconforming youth who was neither a sexual minority nor transgender. Clinical implications of family acceptance and rejection of LGBT youth are discussed. PMID:27865331

  18. Putting youth employment at the heart of growth | IDRC ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2015-03-12

    Mar 12, 2015 ... The demographic divide is stark: while industrial nations are aging, the face of the developing world is overwhelmingly young. In Africa for example, nearly 70% of the population is under the age of 30. Tapping the potential of this emerging generation is a critical challenge. According to the International ...

  19. Policing guns and youth violence.

    Science.gov (United States)

    Fagan, Jeffrey

    2002-01-01

    To combat the epidemic of youth gun violence in the 1980s and 1990s, law enforcement agencies across the United States adopted a variety of innovative strategies. This article presents case studies of eight cities' efforts to police gun crime. Some cities emphasized police-citizen partnerships to address youth violence, whereas others focused on aggressive enforcement against youth suspected of even minor criminal activity. Still others attempted to change youth behavior through "soft" strategies built on alternatives to arrest. Finally, some cities used a combination of approaches. Key findings discussed in this article include: Law enforcement agencies that emphasized police-citizen cooperation benefited from a more positive image and sense of legitimacy in the community, which may have enhanced their efforts to fight crime. Aggressive law enforcement strategies may have contributed to a decline in youth gun violence, but they also may have cost police legitimacy in minority communities where residents felt that the tactics were unfair or racially motivated. Approaches that emphasize nonarrest alternatives and problem-solving strategies offer an intriguing but unproven vision for addressing youth gun violence. None of the initiatives presented in the case studies has been shown conclusively to reduce youth gun crime over the long term. The author suggests that policing alone cannot contain youth gun violence, but by carefully balancing enforcement with community collaboration, police departments can help shift social norms that contribute to youth gun violence.

  20. Gender nonconforming youth: current perspectives

    National Research Council Canada - National Science Library

    Ehrensaft D

    2017-01-01

    ...: Beginning with a case vignette, a discussion follows of the reformulation of theories of gender development taking into consideration the recent upsurge of gender nonconforming and transgender youth...

  1. Biomarker Guided Therapy in Chronic Heart Failure

    Science.gov (United States)

    Bektas, Sema

    2015-01-01

    This review article addresses the question of whether biomarker-guided therapy is ready for clinical implementation in chronic heart failure. The most well-known biomarkers in heart failure are natriuretic peptides, namely B-type natriuretic peptide (BNP) and N-terminal pro-BNP. They are well-established in the diagnostic process of acute heart failure and prediction of disease prognosis. They may also be helpful in screening patients at risk of developing heart failure. Although studied by 11 small- to medium-scale trials resulting in several positive meta-analyses, it is less well-established whether natriuretic peptides are also helpful for guiding chronic heart failure therapy. This uncertainty is expressed by differences in European and American guideline recommendations. In addition to reviewing the evidence surrounding the use of natriuretic peptides to guide chronic heart failure therapy, this article gives an overview of the shortcomings of the trials, how the results may be interpreted and the future directions necessary to fill the current gaps in knowledge. Therapy guidance in chronic heart failure using other biomarkers has not been prospectively tested to date. Emerging biomarkers, such as galectin-3 and soluble ST2, might be useful in this regard, as suggested by several post-hoc analyses. PMID:28785440

  2. Arab Youth in Canada: Acculturation, Enculturation, Social Support, and Life Satisfaction

    Science.gov (United States)

    Paterson, Ashley D.; Hakim-Larson, Julie

    2012-01-01

    Results from 98 Arab youth in Canada showed that having a positive Arab culture orientation was related to greater family life satisfaction with family social support as a mediator. A positive European Canadian orientation was related to greater school life satisfaction, but this relation was not mediated by friend social support. Implications for…

  3. Changing Youth? Continuities and Ruptures in Transitions into Adulthood among Catalan Young People

    Science.gov (United States)

    Serracant, Pau

    2012-01-01

    The globalisation process has an impact at the micro-level on life-course patterns: concretely, the trajectories of young people into adulthood are being sharply modified. At a European level, the extension, de-linearisation, reversibility and diversification of youth trajectories have been identified as major changes. However, the extent to which…

  4. Europeanization and transnational states

    DEFF Research Database (Denmark)

    Jacobsson, Bengt; Lægreid, Per; Pedersen, Ove K.

    This work investigates what happens to an organized political unit when it becomes part of a larger entity and, in particular, how increased European integration and the tentative moves towards a transnational state will affect the European Union's nation state. Europeanization and the transforma......This work investigates what happens to an organized political unit when it becomes part of a larger entity and, in particular, how increased European integration and the tentative moves towards a transnational state will affect the European Union's nation state. Europeanization...... in central government agencies. It concludes that the consequences of Europeanization can be described as the growth of a transnational administration where identities as well as loyalties are created in processes that transcend the borders of states....

  5. South East Europe Regular Economic Report, No. 9S, Fall 2016 : Ten Messages About Youth Employment in South East Europe

    OpenAIRE

    World Bank Group

    2016-01-01

    Today, nearly half of youth in the six South East European countries (SEE6) are not in the labor market, and one quarter is inactive—not in employment, education, or training. These poor outcomes partly reflect a difficult recovery in SEE6 from the 2008 global financial crisis, which sent already high youth unemployment soaring to new heights. This paper presents 10 evidence-based messages...

  6. Summer Camp and Positive Youth Development: Program with Romanian Youth

    Science.gov (United States)

    Feenstra, Jennifer S.

    2015-01-01

    A variety of activities are used in camps to help promote positive youth development, improving social skills and self-esteem in campers. I expanded on previous camp research in this study to address the influence camps have on trust, belief in the honesty of others, empowerment, and care for others in youth in Eastern Europe. Since 1999, New…

  7. Suitable Enemies? Governmentality of Youth: Youth as a Threat

    Science.gov (United States)

    Ostrowicka, Helena

    2012-01-01

    This article is a contribution to the discourse of politics towards (for) youth, which the author defines as the "cultural politics of risk". The article begins with scientific representations of youth as a threat, as a group inclined to engage in risky behaviours. It then focuses on theoretical approaches called the "risk…

  8. Take heart!

    CERN Document Server

    Alizée Dauvergne

    2010-01-01

    Recently, ten new semi-automatic defibrillators were installed at various locations around CERN. This is a preventive measure intended to provide cardiac arrest victims with the best possible response. The first responder could be you!   The Director-General has welcomed the initiative of the Medical Service and Fire Brigade for the installation of ten new semi-automatic defibrillators. You have probably seen them on your way to the restaurant, for example:  brand new semi-automatic defibrillators, ready for an emergency. Housed in a white wall-mounted case, the bright red defibrillators are marked with a white heart symbol crossed by a lightning bolt (see photo). The defibrillator is designed so that anyone can use it. “Anyone can use it, you don’t need to be a health professional,” says Dr Reymond from CERN's Medical Service. Together with the CERN Fire Brigade, he is behind the initiative to have these units put in place. And with good reason, as the unit...

  9. [Wine and heart].

    Science.gov (United States)

    Rayo Llerena, I; Marín Huerta, E

    1998-06-01

    reasons. The added benefits from some components of different types of wine with a high antioxidant activity on plasma lipoproteins remain only an interesting hypothesis. Meanwhile, encouraging a healthy diet, flavonoid rich and with a predominance of natural ingredients (fruit, legumes, cereals and seeds), in the general population should stop the current tendency of Southern European countries from abandoning the Mediterranean diet. Because of the multifactorial nature of coronary heart disease, it is necessary to remember that atherosclerotic risk reduction is achieved by behavior modification of multiple risk factors present in individual patients and in the general population. Therefore, guidelines regarding alcohol intake should always be linked to pertinent recommendations about other atherosclerotic risk factors.

  10. Heart bypass surgery - minimally invasive

    Science.gov (United States)

    ... and lifestyle Cholesterol - drug treatment Controlling your high blood pressure Dietary fats explained Fast food tips Heart attack - discharge Heart attack - what to ask your doctor Heart bypass surgery - minimally invasive - discharge Heart disease - risk factors Heart pacemaker - discharge ...

  11. How Is Heart Failure Treated?

    Science.gov (United States)

    ... Intramural Research Home / Heart Failure Heart Failure Also known as Congestive heart failure What ... diseases for many years that led to heart failure. Heart failure is a leading cause of hospital stays ...

  12. How Is Heart Failure Diagnosed?

    Science.gov (United States)

    ... Intramural Research Home / Heart Failure Heart Failure Also known as Congestive heart failure What ... diseases for many years that led to heart failure. Heart failure is a leading cause of hospital stays ...

  13. How Is Heart Disease Diagnosed?

    Science.gov (United States)

    ... Back To Health Topics / Heart Disease in Women Heart Disease in Women Leer en español How Does Heart ... about coronary MVD and broken heart syndrome. Coronary Heart Disease CHD is a disease in which plaque (plak) ...

  14. American Heart Association

    Science.gov (United States)

    ... Giving for Heart.org Media for Heart.org American Heart Association Check out Scientific Sessions news — translated for you. ... with the Woman of Distinction Award at the American Heart Association's top science gathering. Nearly half of U.S. adults ...

  15. Advanced Heart Failure

    Science.gov (United States)

    ... Artery Disease Venous Thromboembolism Aortic Aneurysm More Advanced Heart Failure Updated:May 9,2017 When heart failure (HF) ... Making This content was last reviewed May 2017. Heart Failure • Home • About Heart Failure • Causes and Risks for ...

  16. Congenital Heart Defects

    Science.gov (United States)

    ... of the heart. It is present at birth. Congenital heart defects are the most common type of birth defect. The defects can involve the ... and heart transplants. The treatment depends on the type of the defect, how ... and general health. NIH: National Heart, Lung, and Blood Institute

  17. What Is Heart Surgery?

    Science.gov (United States)

    ... heart surgery that is becoming more common is robotic-assisted surgery. For this surgery, a surgeon uses a computer ... surgeon always is in total control of the robotic arms; they don't move on their own. Who Needs Heart Surgery? Heart surgery is used to treat many heart ...

  18. Fostering Youth Engagement on Community Teams

    Directory of Open Access Journals (Sweden)

    Julie A. Scheve

    2006-06-01

    Full Text Available Within the youth development field a growing movement exists to establish youth member positions on community teams (e.g. organizational boards and planning committees. The involvement of youth on decision-making teams is commonly referred to as youth engagement. As a relatively new approach to youth and community development, the existing research shows the potential positive impacts youth engagement efforts may produce and encourages youth practitioners to incorporate such efforts into their programs and organizations. In doing so, successful youth engagement efforts may be sustained within teams that best adapt their organizational structure, policies, and practices to complement the developmental needs of youth. Such adaptations begin with the four team characteristics presented in this paper: adult support, a youth-friendly environment, opportunities to complete meaningful tasks, and opportunities to learn and use new skills. When these practices are woven through the work of the team, youth engagement may flourish.

  19. Socially Vulnerable Youth and Volunteering in Sports: Analyzing a Brussels Training Program for Young Soccer Coaches

    Directory of Open Access Journals (Sweden)

    Evi Buelens

    2015-06-01

    Full Text Available A considerable number of young Europeans live or risk ending up in socially vulnerable situations. Different social channels (e.g., education, on the job training, leisure exist through which youths can enhance their chances to improve their social position. There is a growing belief that sports in particular can help personal and social development of socially vulnerable youths. Nevertheless, there is little understanding of the mechanisms through which sports can foster development. In addition to participating in sports, volunteering in sports is also regarded as providing developmental opportunities for socially vulnerable youths. Today, however, there is an underrepresentation of socially vulnerable youths in volunteering and volunteer training programs. A case study in Brussels was set up within a volunteer soccer training program focused on socially vulnerable youths. A qualitative research design was used to analyze developmental experiences of participants (n = 11 and program organizers (n = 3. The study also aimed to gain more insight into the mechanisms underlying the program. Participating youths indicated development in both technical and key competences. It is concluded that a systematic approach of the volunteer training program can play an important role in the development of competences of socially vulnerable youths both as a volunteer and an individual.

  20. The Art of Youth Rebellion

    Science.gov (United States)

    Jaramillo, Nathalia E.

    2015-01-01

    In this essay, the author examines the art of rebellion in the context of the 2014 Venezuelan student uprising. Utilizing the lens of Latin American decolonial thought and examining the processes of developing popular power among youth, the author looks into the various ways that youth produce art to communicate and enforce the ideas and values…

  1. Youth Homelessness and Individualised Subjectivity

    Science.gov (United States)

    Farrugia, David

    2011-01-01

    This article aims to contribute to understandings of youth homelessness and subjectivity by analysing identity construction in terms of young people's negotiation of the structural and institutional environment of youth homelessness. I suggest that while existing literature on this topic concentrates mainly on micro-social encounters, the…

  2. Youth Homelessness: Early Intervention & Prevention.

    Science.gov (United States)

    Chamberlain, Chris; MacKenzie, David

    The issue of youth homelessness in Australia is examined in the context of relevant social and educational policies. The exploration is based on 8 years of research into the situation of homeless youth in Australia involving several studies, including a study of school students in 9 communities and field visits to 100 schools. In 1994, researchers…

  3. Youth Employability Training: Two Experiments

    Science.gov (United States)

    Brown, Travor; Hillier, Tara-Lynn; Warren, Amy M.

    2010-01-01

    Purpose: This paper aims to assess the effectiveness of verbal self-guidance (VSG) and self-management on youth employability. It seeks to access the joint effectiveness of these interventions, grounded in social cognitive and goal setting theories, for youth job seekers. Design/methodology/approach: The studies used experimental designs involving…

  4. Youth Work Experience and Employability.

    Science.gov (United States)

    Hamilton, Stephen F.; And Others

    This paper examines the effects of youth work experience on subsequent employability. The paper begins with a speculative consideration of the ways in which work experience might affect later employability. Three types of research literature are then reviewed: (1) economic studies of the relation between youth work and subsequent employment and…

  5. Youth subculture and social exclusion

    NARCIS (Netherlands)

    Terpstra, Jan

    2006-01-01

    In this article a detailed description is given of the subculture of a group of socially-excluded boys in The Netherlands. The relevance of some classical theories on youth subculture is assessed for understanding the lifestyles of today’s disadvantaged youth, especially in a developed welfare

  6. Raising Responsible and Resourceful Youth.

    Science.gov (United States)

    Juvenile Justice, 2000

    2000-01-01

    The 2000 White House Conference on Teenagers brought together parents, teenagers, educators, youth workers, researchers, policymakers, and others to examine how families and communities can teach youth sound values, promote healthy behavior, and support positive development. Presents an article by Hillary Rodham Clinton that summarizes the…

  7. Episodic Alcohol Consumption by Youths

    OpenAIRE

    Pereverzev, Vladimir Alexeevich

    2015-01-01

    AbstractThis paper presents evidence that even rare episodic alcohol consumption by young people is not harmless. Unsafe rare episodic alcohol consumption by youths (students) was reflected in the reduced attention concentration and lower academic buoyancy, compared to those who completely abstain from alcohol. Key Words: Alcohol, youth, students, attention concentration, academic buoyancy 

  8. Episodic Alcohol Consumption by Youths

    OpenAIRE

    Pereverzev, Vladimir Alexeevich

    2014-01-01

    AbstractThis paper presents evidence that even rare episodic alcohol consumption by young people is not harmless. Unsafe rare episodic alcohol consumption by youths (students) was reflected in the reduced attention concentration and lower academic buoyancy, compared to those who completely abstain from alcohol. Key Words: Alcohol, youth, students, attention concentration, academic buoyancy 

  9. Schooling in a Youth Prison

    Science.gov (United States)

    Young, Morghan Velez; Phillips, Rachel Sophia; Nasir, Na'ilah Suad

    2010-01-01

    This paper examines schooling inside a youth prison. We draw on interview and observation data from a study of a youth prison school to understand the practices and tensions of schooling in a juvenile incarceration facility. We describe the processes of schooling in the facility with an eye towards understanding both the conditions of learning and…

  10. Media violence and youth behaviour

    African Journals Online (AJOL)

    QuickSilver

    2003-05-07

    May 7, 2003 ... Media violence and youth behaviour to South Africa. The crime situation in the country attests to this and has been a cause for concern in the medical commu- nity.(8,9) Research into such behaviour amongst South African youth has shown that in a community based sample 9.6% to. 13.8% had been a ...

  11. YOUTH EMPLOYMENT AND ENTREPRENEURIAL SKILLS ...

    African Journals Online (AJOL)

    Apusigah

    training programmes that would enable them to take advantage of the existing opportunities in order to reduce youth unemployment or under-employment. It concludes that though the youth have entrepreneurial potentials, their low educational attainment has been a challenge to training. It has therefore been suggested ...

  12. Economics, Youth Unemployment & Neighborhood Revitalization.

    Science.gov (United States)

    Holzman, Michael S.

    This document consists of summaries of five separate forums relating to youth employment problems and local development. Each forum consisted of presentations by three individuals from varied backgrounds. Forum participants examined the following trends associated with the youth unemployment problem: (1) the technological structure of business and…

  13. Youth Culture: Humanity's Last Chance

    Science.gov (United States)

    Ream, Charles

    1971-01-01

    The author discusses aspects of the youth culture and concludes that counselors must reject the sanctimonious supremacy called adult chauvinism and try to communicate with the young. Youth might be looked to in order to intuit cultural adaptations that will increase chances that the human species will remain viable. (Author/BY)

  14. Youth, drugs, and biopolitics

    Directory of Open Access Journals (Sweden)

    Alcides Jose Sanches Vergara

    2011-07-01

    Full Text Available In this article, we tackle the issue of youth and drugs as something linked to biopower and biopolitics, both concepts developed by Michael Foucault. Youth and drugs are taken and analyzed in situations involving the management of crime linked to the risks and deviations from the law, abuse and dependence. The youth; irreverent, courageous, healthy, idealistic, and that wanted to change the world for the better as we have seen in the past, is now strongly related to violence, dangerous activities, moral and social risks, drug addiction, criminality, and others negative images. To deal with these young people, tolerance and small punishments of yore are not enough anymore. The young people emerge as a segment of the population subject to various actions and programs. The drugs now are seen as matters of security and public health. There is a shifting and repositioning in the discourse about the young - from minor, drugged, and criminal to lawbreaker, user and drug addict. The change is subtle, but represents a modulation in the devices of social control. Beyond the consent of the young to get rid of drugs, there is a search for the creation of a wide area of monitoring of their behavior through the activation of community protection networks. The belief that the young are more impressionable and vulnerable, and that action on the cause of the problem or risk reduction are the most efficient ways of management, taking responsibility away from personal and family sphere and transferring it to the State, contributes to the increasing control of young people nowadays.

  15. Adopted youth and sleep difficulties

    Directory of Open Access Journals (Sweden)

    Radcliff Z

    2016-12-01

    Full Text Available Zach Radcliff, Allison Baylor, Bruce Rybarczyk Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA Abstract: Sleep is a critical component of healthy development for youth, with cascading effects on youth’s biological growth, psychological well-being, and overall functioning. Increased sleep difficulties are one of many disruptions that adopted youth may face throughout the adoption process. Sleep difficulties have been frequently cited as a major concern by adoptive parents and hypothesized in the literature as a problem that may affect multiple areas of development and functioning in adopted youth. However, there is limited research exploring this relationship. Using a biopsychosocial framework, this paper reviews the extant literature to explore the development, maintenance, and impact of sleep difficulties in adopted youth. Finally, implications for future research and clinical interventions are outlined. Keywords: adoption, sleep, youth

  16. Media violence and youth.

    Science.gov (United States)

    Beresin, E V

    1999-06-01

    This column reviews the literature on violence in the media and its effects on youth. The author summarizes the findings of naturalistic, longitudinal, and population-based studies conducted over the last 30 years. The literature provides compelling evidence that exposure of media violence to children plays a major role in the etiology of aggressive behavior. Psychiatrists can facilitate primary prevention of violence in our society by discussing the problem of media violence with parents, medical students, residents, and allied health and school professionals.

  17. The Relative Importance of Mothers' and Youths' Neighborhood Perceptions for Youth Alcohol Use and Delinquency

    Science.gov (United States)

    Byrnes, Hilary F.; Chen, Meng-Jinn; Miller, Brenda A.; Maguin, Eugene

    2007-01-01

    Prior studies have examined the influence of neighborhood perceptions on youth outcomes, but few studies have examined whose report of neighborhoods, parents' or youths', are most important in predicting youth outcomes. This study addresses the relative associations of youths' and mothers' neighborhood perceptions with youth alcohol use and…

  18. 20 CFR 669.650 - How are MSFW youth funds allocated to section 167 youth grantees?

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false How are MSFW youth funds allocated to section 167 youth grantees? 669.650 Section 669.650 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION... Youth Program § 669.650 How are MSFW youth funds allocated to section 167 youth grantees? The allocation...

  19. Active Labor Market Programs for Youth : A Framework to Guide Youth Employment Interventions

    OpenAIRE

    Cunningham, Wendy; Sanchez-Puerta, Maria Laura; Wuermli, Alice

    2010-01-01

    Youth are three times more likely to be unemployed than adults, even in economies with strong economic growth. This note is a tool to provide policymakers and youth-serving organizations with a framework to better diagnose short- to medium-run constraints facing the stock of unemployed youth and to design evidence based youth employment interventions. The note only addresses youth employme...

  20. A diagnosis of the metabolic syndrome in youth that resolves by adult life is associated with a normalization of high carotid intima-media thickness and type 2 diabetes mellitus risk: the Bogalusa heart and cardiovascular risk in young Finns studies.

    Science.gov (United States)

    Magnussen, Costan G; Koskinen, Juha; Juonala, Markus; Chen, Wei; Srinivasan, Sathanur R; Sabin, Matthew A; Thomson, Russell; Schmidt, Michael D; Nguyen, Quoc Manh; Xu, Ji-Hua; Skilton, Michael R; Kähönen, Mika; Laitinen, Tomi; Taittonen, Leena; Lehtimäki, Terho; Rönnemaa, Tapani; Viikari, Jorma S A; Berenson, Gerald S; Raitakari, Olli T

    2012-10-23

    The aim of this study was to examine the effect of resolution from metabolic syndrome (MetS) between youth and adulthood on carotid artery intima-media thickness (IMT) and type 2 diabetes mellitus (T2DM). Published findings demonstrate that youth with MetS are at increased risk of cardio-metabolic outcomes in adulthood. It is not known whether this risk is attenuated in those who resolve their MetS status. Participants (n = 1,757) from 2 prospective cohort studies were examined as youth (when 9 to 18 years of age) and re-examined 14 to 27 years later. The presence of any 3 components (low high-density lipoprotein cholesterol, high triglycerides, high glucose, high blood pressure, or high body mass index) previously shown to predict adult outcomes defined youth MetS; the harmonized MetS criteria defined adulthood MetS. Participants were classified according to their MetS status at baseline and follow-up and examined for risk of high IMT and T2DM. Those with MetS in youth and adulthood were at 3.4 times the risk (95% confidence interval: 2.4 to 4.9) of high IMT and 12.2 times the risk (95% confidence interval: 6.3 to 23.9) of T2DM in adulthood compared with those that did not have MetS at either time-point, whereas those that had resolved their youth MetS status by adulthood showed similar risk to those that did not have MetS at either time-point (p > 0.20 for all comparisons). Although youth with MetS are at increased risk of adult high IMT and T2DM, these data indicate that the resolution of youth MetS by adulthood can go some way to normalize this risk to levels seen in those who have never had MetS. Copyright © 2012 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  1. Connecting youth violence prevention, positive youth development, and community mobilization.

    Science.gov (United States)

    Allison, Kevin W; Edmonds, Torey; Wilson, Karen; Pope, Michell; Farrell, Albert D

    2011-09-01

    Several disconnects serve to weaken the use of evidence based programming in community settings. Communities face the need to address the challenges of multiple risk behaviors faced by adolescents in their communities, but must also work to support successful transitions to adulthood and the broader positive development of their youth. The stronger integration of positive youth development and prevention of youth risk at the community level may offer an opportunity to support the implementation and ongoing development of evidence-based practices (EBPs). This article provides an overview of the VCU Clark-Hill Institute for Positive Youth Development Institute's community mobilization effort in Richmond, Virginia and reports preliminary findings from our integrated mobilization efforts. First, we review the role of our Community Advisory Council in their collaborative work to support positive youth development and reduce risk for youth violence. Next, we present examples of institute efforts in providing technical assistance relevant to supporting the use and development of EBPs. We then discuss the adaptation of an evidence-based program to target positive youth development. We also present overviews from qualitative investigations examining barriers and supports that inform and are relevant to the implementation of EBPs. Finally, we consider ways in which community efforts inform and shape institute efforts to develop EPBs. Taken together, these activities provide examples of how community-based mobilization efforts can integrate and inform the implementation of EBPs and the role and use of prevention science as a tool in supporting effective programming to promote positive youth development and prevent youth violence.

  2. Risk Factor Analysis and the Youth Question

    Science.gov (United States)

    France, Alan

    2008-01-01

    This paper is concerned with exploring how in late modernity the "youth question" is being addressed by public policy and what impact this is having on understandings of childhood and youth. Historically the youth question has been shaped by adult anxieties over youth delinquency and their problems of social integration. In late modernity, this is…

  3. [Youth health behavior survey].

    Science.gov (United States)

    Meboniia, N M; Sturua, L Z; Chachava, T D; Kalandadze, I L; Merabishvili, Z G

    2005-11-01

    High-risk behaviours -- smoking, drug use, alcohol use and etc. are the main risk factors of non-communicable diseases and main reasons of morbidity and mortality in many countries of the world. We conducted the "Youth Health Behaviour Survey" among the students in Tbilisi, Mtskheta and Dusheti. The survey included questioning of students (14-17 years old) by modified questionnaire. There were questioned 300 students, 100 in each region. Mtskheta is very close to Tbilisi, it's a peri-urban area; Dusheti is quite far rural area. The survey results show that teenagers both in central and peripheral areas are becoming familiar with alcohol in early ages and using alcohol is several times higher in Tbilisi. In Tbilisi as in Mtskheta and Dusheti students use wine and spirits with same frequency. Smoking is a bit high in Tbilisi and Mtskheta; regular smoking starts at age 13-14, boys are smoking more than girls. Drug use wasn't identified. Sexual intercourse had almost half of boys from Tbilisi and about one third of boys in Mtskheta and Dusheti. Safe sex methods more frequently are used in Tbilisi. Propaganda of healthy life style is essential in supporting healthy youth development. It's very important to set different interventions in different regions of Georgia, to adapt materials to real situation.

  4. [Heart arrest].

    Science.gov (United States)

    Chiarella, F; Giovannini, E; Bozzano, A; Caristo, G; Delise, P; Fedele, F; Fera, M S; Lavalle, C; Roghi, A; Valagussa, F

    2001-03-01

    Cardiac arrest is one of the leading causes of mortality in industrialized countries and is mainly due to ischemic heart disease. According to ISTAT estimates, approximately 45,000 sudden deaths occur annually in Italy whereas according to the World Health Organization, its incidence is 1 per 1000 persons. The most common cause of cardiac arrest is ventricular fibrillation due to an acute ischemic episode. During acute ischemia the onset of a ventricular tachyarrhythmia is sudden, unpredictable and often irreversible and lethal. Each minute that passes, the probability that the patient survives decreases by 10%. For this reason, the first 10 min are considered to be priceless for an efficacious first aid. The possibility of survival depends on the presence of witnesses, on the heart rhythm and on the resolution of the arrhythmia. In the majority of cases, the latter is possible by means of electrical defibrillation followed by the reestablishment of systolic function. An increase in equipment alone does not suffice for efficacious handling of cardiac arrest occurring outside the hospital premises. Above all, an adequate intervention strategy is required. Ambulance personnel must be well trained and capable of intervening rapidly, possibly within the first 5 min. The key to success lies in the diffusion and proper use of defibrillators. The availability of new generation instruments, the external automatic defibrillators, encourages their widespread use. On the territory, these emergencies are the responsibility of the 118 organization based, according to the characteristics specific to each country, on the regulated coordination between the operative command, the crews and the first-aid means. Strategies for the handling of these emergencies within hospitals have been proposed by the Conference of Bethesda and tend to guarantee an efficacious resuscitation with a maximum latency of 2 min between cardiac arrest and the first electric shock. The diffusion of external

  5. THE EVOLUTION OR INVOLUTION OF POLICIES TO COMBAT YOUTH UNEMPLOYMENT?

    Directory of Open Access Journals (Sweden)

    Ştefania Cristina GHIOCANU

    2016-06-01

    Full Text Available A current problem that Romania is facing is high unemployment among young people. Despite the implementation of policies to fight it and improve some of them, this problem is still present on the agenda of the public institutions at the national level and those of the European Union. In Romania, companies that hire inexperienced youngs in force receive from the Romanian state, through European funds between 200-300 euros / month per employee.A boost for companies to increase employability among youth. A first question that arises here is: this policy does not discriminate, directly employability among adults, creating consciously or not, unemployment among them? By the present research I wanted to provide an overview of public policies implemented in this area, showing both the negative aspects which could lead to a deeper issues that are behind it: discrimination of adults in employment and those positive could lead to a clear evolution in this area. The aim is to demonstrate whether the policies implemented in Romania to fight youth unemployment represented an evolution or involution more in this regard? Reported for purpose, targets are those that require to define the concept of young and category directly concerned by these policies, according to Union legislation, to present a concrete statistical data on youth unemployment since 2002 until now,because in 2002 was taken the first private assumption of companies, as simulation of modules for youth employment and analysis of public policies implemented in this field. A final proposed target It is to follow the results of the policies implemented in these years and demonstrate that led to an evolution or involution, including the negative aspects that stood in the way of fulfilling expectations and the proposed actions. To achieve these objectives, the method proposed for research is the analysis of legislation and documents.

  6. Pulmonary hypertension due to left heart disease.

    Science.gov (United States)

    Berthelot, Emmanuelle; Bailly, Minh Tam; Hatimi, Safwane El; Robard, Ingrid; Rezgui, Hatem; Bouchachi, Amir; Montani, David; Sitbon, Olivier; Chemla, Denis; Assayag, Patrick

    Pulmonary hypertension due to left heart disease, also known as group 2 pulmonary hypertension according to the European Society of Cardiology/European Respiratory Society classification, is the most common cause of pulmonary hypertension. In patients with left heart disease, the development of pulmonary hypertension favours right heart dysfunction, which has a major impact on disease severity and outcome. Over the past few years, this condition has been considered more frequently. However, epidemiological studies of group 2 pulmonary hypertension are less exhaustive than studies of other causes of pulmonary hypertension. In group 2 patients, pulmonary hypertension may be caused by an isolated increase in left-sided filling pressures or by a combination of this condition with increased pulmonary vascular resistance, with an abnormally high pressure gradient between arteries and pulmonary veins. A better understanding of the conditions underlying pulmonary hypertension is of key importance to establish a comprehensive diagnosis, leading to an adapted treatment to reduce heart failure morbidity and mortality. In this review, epidemiology, mechanisms and diagnostic approaches are reviewed; then, treatment options and future approaches are considered. Copyright © 2017. Published by Elsevier Masson SAS.

  7. THE EUROPEAN BUSINESS CYCLE

    Directory of Open Access Journals (Sweden)

    Ignat Ion

    2009-05-01

    Full Text Available The construction of European Monetary Union has raised several questions about the existence of a common business cycle, a European one. The lack of cyclical synchronization would complicate the monetary and fiscal policies in the Union, being a negative

  8. European Home Energy

    DEFF Research Database (Denmark)

    Tommerup, Henrik M.

    2009-01-01

    An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes......An important aim of the european energy performance of buildings directive is to improve the overall energy efficiency of new homes...

  9. European Industry, 1700 - 1870

    NARCIS (Netherlands)

    Broadberry, Stephen; Fremdling, Rainer; Solar, Peter M.

    2008-01-01

    This paper offers an overview of the development of European industry between 1700 and 1870, drawing in particular on the recent literature that has emerged following the formation of the European Historical Economics Society in 1991. The approach thus makes use of economic analysis and quantitative

  10. The European Programme Manager

    DEFF Research Database (Denmark)

    Larson, Anne; Bergman, E.; Ehlers, S.

    The publication is a result of a cooperation between organisations in six European countries with the aim to develop a common European education for programme managers. It contains of a description of the different elements of the education together with a number of case-studies from the counties...

  11. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2003-01-01

    The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies.......The theme adressed by this paper is the opportunities for European Works Councils (EWCs) of gaining influence on corporate decisions in multinational companies....

  12. European works councils

    DEFF Research Database (Denmark)

    Knudsen, Herman Lyhne

    2004-01-01

    The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies.......The theme addressed by this artcle is the opportunities for European Works Councils of gaining influence on corporate decisions in multinational companies....

  13. Introduction: European climate leadership

    NARCIS (Netherlands)

    Wurzel, R.K.W.; Liefferink, J.D.; Connelly, J.

    2017-01-01

    There is no shortage of would-be leaders in EU climate change politics. The EU institutions (e.g. European Council, Council of the EU, Commission and the European Parliament (EP)), member states and societal actors have all, though to varying degrees and at different time periods, tried to offer

  14. Europeanization : A Poststructuralist Approach

    NARCIS (Netherlands)

    Neuman-Stanivukovic, Senka

    2014-01-01

    This dissertation begins from the hypothesis that the direction and extent of Europeanization depends on domestic perception of the European Union and its norms. Accordingly, it was my empirical ambition to study how competing articulations of the EU and its norms constructed debates in EU member

  15. European media law

    NARCIS (Netherlands)

    Castendyk, O.; Dommering, E.; Scheuer, A.

    2008-01-01

    European Union legislation concerning electronic communications media is firmly established as an essential part of the law in the field in Europe. From relevant provisions of the European Convention of Human Rights and the EC Treaty to numerous directives, the most recent being the Audiovisual

  16. Heart rate index

    DEFF Research Database (Denmark)

    Haedersdal, C; Pedersen, F H; Svendsen, J H

    1992-01-01

    after the myocardial infarction. A significant correlation (Spearman's correlation coefficient rs, p less than 0.05) was found between LVEF at rest and the following variables assessed at exercise test: 1) the heart rate at rest, 2) rise in heart rate, 3) ratio between maximal heart rate and heart rate...... at rest, 4) rise in systolic blood pressure, 5) rate pressure product at rest, 6) rise in rate pressure product, 7) ratio (rHR) between maximal rate pressure product and rate pressure product at rest, 8) total exercise time. The heart rate was corrected for effects caused by age (heart index (HR...

  17. ACC/AATS/AHA/ASE/EACTS/HVS/SCA/SCAI/SCCT/SCMR/STS 2017 Appropriate Use Criteria for the Treatment of Patients With Severe Aortic Stenosis: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Valve Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons.

    Science.gov (United States)

    Bonow, Robert O; Brown, Alan S; Gillam, Linda D; Kapadia, Samir R; Kavinsky, Clifford J; Lindman, Brian R; Mack, Michael J; Thourani, Vinod H; Dehmer, Gregory J; Bonow, Robert O; Lindman, Brian R; Beaver, Thomas M; Bradley, Steven M; Carabello, Blase A; Desai, Milind Y; George, Isaac; Green, Philip; Holmes, David R; Johnston, Douglas; Leipsic, Jonathon; Mick, Stephanie L; Passeri, Jonathan J; Piana, Robert N; Reichek, Nathaniel; Ruiz, Carlos E; Taub, Cynthia C; Thomas, James D; Turi, Zoltan G; Doherty, John U; Dehmer, Gregory J; Bailey, Steven R; Bhave, Nicole M; Brown, Alan S; Daugherty, Stacie L; Dean, Larry S; Desai, Milind Y; Duvernoy, Claire S; Gillam, Linda D; Hendel, Robert C; Kramer, Christopher M; Lindsay, Bruce D; Manning, Warren J; Mehrotra, Praveen; Patel, Manesh R; Sachdeva, Ritu; Wann, L Samuel; Winchester, David E; Allen, Joseph M

    2018-02-01

    The American College of Cardiology collaborated with the American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Valve Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and Society of Thoracic Surgeons to develop and evaluate Appropriate Use Criteria (AUC) for the treatment of patients with severe aortic stenosis (AS). This is the first AUC to address the topic of AS and its treatment options, including surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR). A number of common patient scenarios experienced in daily practice were developed along with assumptions and definitions for those scenarios, which were all created using guidelines, clinical trial data, and expert opinion in the field of AS. The 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines(1) and its 2017 focused update paper (2) were used as the primary guiding references in developing these indications. The writing group identified 95 clinical scenarios based on patient symptoms and clinical presentation, and up to 6 potential treatment options for those patients. A separate, independent rating panel was asked to score each indication from 1 to 9, with 1-3 categorized as "Rarely Appropriate," 4-6 as "May Be Appropriate," and 7-9 as "Appropriate." After considering factors such as symptom status, left ventricular (LV) function, surgical risk, and the presence of concomitant coronary or other valve disease, the rating panel determined that either SAVR or TAVR is Appropriate in most patients with symptomatic AS at intermediate or high surgical risk; however, situations

  18. Engaging youth and transferring knowledge

    Energy Technology Data Exchange (ETDEWEB)

    Mantagaris, E. [Nuclear Waste Management Organization, Toronto, ON (Canada)

    2011-07-01

    Youth engagement is a key component of the work of the Nuclear Waste Management Organization (NWMO) as it collaborates with Canadians to implement Adaptive Phased Management (APM), Canada's plan for the long-term management of used nuclear fuel. Knowledge transfer is an important aspect of APM implementation, which will span several decades and will need to be flexible enough to adjust to changing societal values and new information. By engaging youth, the NWMO is putting in place mechanisms for ongoing societal learning and capacity building, so that future generations will be well-equipped to make decisions and participate in future dialogues on APM. The NWMO convened a Youth Roundtable, comprised of 18- to 25-year-olds with a diversity of backgrounds and experience, to seek advice on the best approaches to engaging youth on this topic. In May 2009, the Roundtable presented its recommendations to the NWMO and its Advisory Council, providing valuable guidance on: development of dynamic messages and communications materials that will resonate with young people; use of new technologies and social media to engage youth where they are already connecting and conversing; and a range of activities to engage youth through the educational system and in their communities. The NWMO has begun to implement many of the Youth Roundtable recommendations and is developing longer-term implementation plans, including a framework for education and outreach to youth. Through its Corporate Social Responsibility (CSR) Program, the NWMO is laying the foundation for greater science and technology literacy and enhanced community engagement among young Canadians. Additionally, the NWMO is working with Aboriginal peoples to develop strategies for further engagement of Aboriginal youth, as part of the organization's ongoing collaborative work with Aboriginal peoples that could be affected by the implementation of APM. Youth engagement will continue to be a NWMO priority moving

  19. Charting the Eccles' expectancy-value model from mothers' beliefs in childhood to youths' activities in adolescence.

    Science.gov (United States)

    Simpkins, Sandra D; Fredricks, Jennifer A; Eccles, Jacquelynne S

    2012-07-01

    The Eccles' expectancy-value model posits that a cascade of mechanisms explain associations between parents' beliefs and youths' achievement-related behaviors. Specifically, parents' beliefs predict parents' behaviors; in turn, parents' behaviors predict youths' motivational beliefs, and youths' motivational beliefs predict their behaviors. This investigation focused on testing this model with mothers in sports, music, math, and reading over a 12-year period. Data were drawn from mother, youth, and teacher questionnaires collected as part of Childhood and Beyond Study (92% European American; N = 723). Mothers' beliefs in sports, music, and math positively predicted their behaviors in these areas 1 year later, which predicted youths' self-concepts of ability and values (i.e., their motivational beliefs) in these domains 1 year later. Adolescents' motivational beliefs predicted time spent in organized sport activities, playing music, and reading after school measured 4 years later as well as the number of math courses taken in high school. Furthermore, except in reading, mothers' behaviors mediated the relations between mothers' and youths' beliefs, and youths' beliefs mediated the relations between mothers' behaviors and youths' behaviors. Although there were mean-level differences in several indicators based on child gender, in most cases the relations among these indicators did not significantly vary by child gender. This study highlights the processes by which mothers' beliefs during their children's childhood can predict children's activities in adolescence.

  20. The role of the youth worker in various youth organizations

    OpenAIRE

    Ramšak, Maja

    2016-01-01

    Under the infulence of consuming society, youngster have different alternative ways of spending quality free time in different youth organizations. The role of youth worker which tries to bring youngsters closer to un-formal education, as option of exploring and co-creating life opportunities, learning social skills, improving competence and directing in interesting, creative and socially critical spending free time. This can be very beneficial in the future during their time of adolescence. ...