Sample records for geda koronaarse sndroomiga

  1. GEDAE-LaB: A Free Software to Calculate the Energy System Contributions during Exercise. (United States)

    Bertuzzi, Rômulo; Melegati, Jorge; Bueno, Salomão; Ghiarone, Thaysa; Pasqua, Leonardo A; Gáspari, Arthur Fernandes; Lima-Silva, Adriano E; Goldman, Alfredo


    The aim of the current study is to describe the functionality of free software developed for energy system contributions and energy expenditure calculation during exercise, namely GEDAE-LaB. Eleven participants performed the following tests: 1) a maximal cycling incremental test to measure the ventilatory threshold and maximal oxygen uptake (V̇O2max); 2) a cycling workload constant test at moderate domain (90% ventilatory threshold); 3) a cycling workload constant test at severe domain (110% V̇O2max). Oxygen uptake and plasma lactate were measured during the tests. The contributions of the aerobic (AMET), anaerobic lactic (LAMET), and anaerobic alactic (ALMET) systems were calculated based on the oxygen uptake during exercise, the oxygen energy equivalents provided by lactate accumulation, and the fast component of excess post-exercise oxygen consumption, respectively. In order to assess the intra-investigator variation, four different investigators performed the analyses independently using GEDAE-LaB. A direct comparison with commercial software was also provided. All subjects completed 10 min of exercise at moderate domain, while the time to exhaustion at severe domain was 144 ± 65 s. The AMET, LAMET, and ALMET contributions during moderate domain were about 93, 2, and 5%, respectively. The AMET, LAMET, and ALMET contributions during severe domain were about 66, 21, and 13%, respectively. No statistical differences were found between the energy system contributions and energy expenditure obtained by GEDAE-LaB and commercial software for both moderate and severe domains (P > 0.05). The ICC revealed that these estimates were highly reliable among the four investigators for both moderate and severe domains (all ICC ≥ 0.94). These findings suggest that GEDAE-LaB is a free software easily comprehended by users minimally familiarized with adopted procedures for calculations of energetic profile using oxygen uptake and lactate accumulation during exercise. By

  2. [Health literacy of adults in Germany: Findings from the German Health Update (GEDA) study]. (United States)

    Jordan, Susanne; Hoebel, Jens


    In today's information society, health literacy (HL) is considered important for health maintenance and disease management. In this context, dealing with health information is fundamental and requires different cognitive and social skills. The aim of this study was to investigate the distribution of HL levels in the adult population of Germany, and to identify associations with health behaviours and health status. The analyses were based on data from the German Health Update (GEDA) study, a cross-sectional survey of the German-speaking adult population of Germany, which was conducted from October 2013 to June 2014. Health literacy was assessed with the short form of the European Health Literacy Questionnaire (HLS EU-Q16), along with questions about socio-demographics, health behaviours, and health status. The HLS-EU-Q16 index could be calculated for 4845 respondents. According to the criteria of the HLS-EU-Q16, more than half of the adults had "adequate" HL (55.8 %). Every third person (31.9 %) had "problematic" and almost every eighth person (12.3 %) had "inadequate" HL. We found significant differences in HL by educational level, but no differences in HL by sex and age group. Certain health behaviours were positively associated with health literacy. A low HL level was associated with poorer physical and mental health. The results point to a need for action to improve HL in the adult population. The strengthening of health literacy should not solely aim at the promotion of individual skills, but also give high priority to the development of health-literate settings.

  3. Environmental Noise Annoyance and Mental Health in Adults: Findings from the Cross-Sectional German Health Update (GEDA Study 2012

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    Friederike Hammersen


    Full Text Available The health implications of environmental noise, especially cardiovascular effects, have been studied intensively. Research on associations between noise and mental health, however, has shown contradictory results. The present study examined associations between individual levels of noise annoyance due to noise from various sources in the living environment and mental health of adults in Germany. It evaluated whether these associations persisted after adjusting for potential covariates. Data were obtained from the cross-sectional “German Health Update” study 2012 (GEDA 2012, a national health interview survey among adults in Germany conducted by the Robert Koch Institute (n = 19,294. Noise annoyance questions referred to overall noise and that from road traffic, neighbours, and air traffic. Mental health was measured with the five-item Mental Health Inventory. Bivariate analysis showed associations between high levels of noise annoyance and impaired mental health for all noise sources except air traffic. After adjusting for covariates (sociodemographic factors, chronic disease, and social support, both men and women who reported high overall noise annoyance showed more than doubled odds of impaired mental health compared to those who were not annoyed. The odds of impaired mental health in the highest noise annoyance category from road traffic and neighbours were also significantly increased. These findings indicate that high noise annoyance is associated with impaired mental health and that this association can vary with the source of environmental noise. Further research on covariates of this association is necessary. Particularly, longitudinal data are required to establish the direction of associations and to address questions of causality.

  4. Typical patterns of modifiable health risk factors (MHRFs) in elderly women in Germany: results from the cross-sectional German Health Update (GEDA) study, 2009 and 2010. (United States)

    Jentsch, Franziska; Allen, Jennifer; Fuchs, Judith; von der Lippe, Elena


    Modifiable health risk factors (MHRFs) significantly affect morbidity and mortality rates and frequently occur in specific combinations or risk clusters. Using five MHRFs (smoking, high-risk alcohol consumption, physical inactivity, low intake of fruits and vegetables, and obesity) this study investigates the extent to which risk clusters are observed in a representative sample of women aged 65 and older in Germany. Additionally, the structural composition of the clusters is systematically compared with data and findings from other countries. A pooled data set of Germany's representative cross-sectional surveys GEDA09 and GEDA10 was used. The cohort comprised 4,617 women aged 65 and older. Specific risk clusters based on five MHRFs are identified, using hierarchical cluster analysis. The MHRFs were defined as current smoking (daily or occasionally), risk alcohol consumption (according to the Alcohol Use Disorders Identification Test, a sum score of 4 or more points), physical inactivity (less active than 5 days per week for at least 30 min and lack of sports-related activity in the last three months), low intake of fruits and vegetables (less than one serving of fruits and one of vegetables per day), and obesity (a body mass index equal to or greater than 30). A total of 4,292 cases with full information on these factors are included in the cluster analysis. Extended analyses were also performed to include the number of chronic diseases by age and socioeconomic status of group members. A total of seven risk clusters were identified. In a comparison with data from international studies, the seven risk clusters were found to be stable with a high degree of structural equivalency. Evidence of the stability of risk clusters across various study populations provides a useful starting point for long-term targeted health interventions. The structural clusters provide information through which various MHRFs can be evaluated simultaneously.

  5. [Potentials in the regionalization of health indicators using small-area estimation methods : Exemplary results based on the 2009, 2010 and 2012 GEDA studies]. (United States)

    Kroll, Lars Eric; Schumann, Maria; Müters, Stephan; Lampert, Thomas


    Nationwide health surveys can be used to estimate regional differences in health. Using traditional estimation techniques, the spatial depth for these estimates is limited due to the constrained sample size. So far - without special refreshment samples - results have only been available for larger populated federal states of Germany. An alternative is regression-based small-area estimation techniques. These models can generate smaller-scale data, but are also subject to greater statistical uncertainties because of the model assumptions. In the present article, exemplary regionalized results based on the studies "Gesundheit in Deutschland aktuell" (GEDA studies) 2009, 2010 and 2012, are compared to the self-rated health status of the respondents. The aim of the article is to analyze the range of regional estimates in order to assess the usefulness of the techniques for health reporting more adequately. The results show that the estimated prevalence is relatively stable when using different samples. Important determinants of the variation of the estimates are the achieved sample size on the district level and the type of the district (cities vs. rural regions). Overall, the present study shows that small-area modeling of prevalence is associated with additional uncertainties compared to conventional estimates, which should be taken into account when interpreting the corresponding findings.

  6. Asthma management practices in adults--findings from the German Health Update (GEDA) 2010 and the German National Health Interview and Examination Survey (DEGS1) 2008-2011. (United States)

    Steppuhn, Henriette; Langen, Ute; Mueters, Stephan; Dahm, Stefan; Knopf, Hildtraud; Keil, Thomas; Scheidt-Nave, Christa


    In Germany, population-wide data on adherence to national asthma management guidelines are lacking, and performance measures (PM) for quality assurance in asthma care are systematically monitored for patients with German national asthma disease management program (DMP) enrollment only. We used national health survey data to assess variation in asthma care PM with respect to patient characteristics and care context, including DMP enrollment. Among adults 18-79 years with self-reported physician-diagnosed asthma in the past 12 months identified from a recent German National Health Interview Survey (GEDA 2010: N = 1096) and the German National Health interview and Examination Survey 2008-2011 (DEGS1: N = 333), variation in asthma care PM was analyzed using logistic regression analysis. Overall, 38.4% (95% confidence interval: 32.5-44.6%) of adults with asthma were on current inhaled corticosteroid therapy. Regarding non-drug asthma management, low coverage was observed for inhaler technique monitoring (35.2%; 31.2-39.3%) and for provision of an asthma management plan (27.3%; 24.2-30.7%), particularly among those with low education. Specific PM were more complete among persons with than without asthma DMP enrollment (adjusted odds ratios ranging up to 10.19; 5.23-19.86), even if asthma patients were regularly followed in a different care context. Guideline adherence appears to be suboptimal, particularly with respect to PM related to patient counseling. Barriers to the translation of recommendations into practice need to be identified and continuous monitoring of asthma care PM at the population level needs to be established.

  7. Area level deprivation is an independent determinant of prevalent type 2 diabetes and obesity at the national level in Germany. Results from the National Telephone Health Interview Surveys 'German Health Update' GEDA 2009 and 2010.

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    Werner Maier

    Full Text Available OBJECTIVE: There is increasing evidence that prevention programmes for type 2 diabetes mellitus (T2DM and obesity need to consider individual and regional risk factors. Our objective is to assess the independent association of area level deprivation with T2DM and obesity controlling for individual risk factors in a large study covering the whole of Germany. METHODS: We combined data from two consecutive waves of the national health interview survey 'GEDA' conducted by the Robert Koch Institute in 2009 and 2010. Data collection was based on computer-assisted telephone interviews. After exclusion of participants <30 years of age and those with missing responses, we included n=33,690 participants in our analyses. The outcome variables were the 12-month prevalence of known T2DM and the prevalence of obesity (BMI ≥ 30 kg/m(2. We also controlled for age, sex, BMI, smoking, sport, living with a partner and education. Area level deprivation of the districts was defined by the German Index of Multiple Deprivation. Logistic multilevel regression models were performed using the software SAS 9.2. RESULTS: Of all men and women living in the most deprived areas, 8.6% had T2DM and 16.9% were obese (least deprived areas: 5.8% for T2DM and 13.7% for obesity. For women, higher area level deprivation and lower educational level were both independently associated with higher T2DM and obesity prevalence [highest area level deprivation: OR 1.28 (95% CI: 1.05-1.55 for T2DM and OR 1.28 (95% CI: 1.10-1.49 for obesity]. For men, a similar association was only found for obesity [OR 1.20 (95% CI: 1.02-1.41], but not for T2DM. CONCLUSION: Area level deprivation is an independent, important determinant of T2DM and obesity prevalence in Germany. Identifying and targeting specific area-based risk factors should be considered an essential public health issue relevant to increasing the effectiveness of diabetes and obesity prevention.

  8. Factors associated with secondhand smoke exposure in different settings: Results from the German Health Update (GEDA) 2012. (United States)

    Fischer, Florian; Kraemer, Alexander


    The ubiquity of secondhand smoke (SHS) exposure at home or in private establishments, workplaces and public areas poses several challenges for the reduction of SHS exposure. This study aimed to describe the prevalence of SHS exposure in Germany and key factors associated with exposure. Results were also differentiated by place of exposure. A secondary data analysis based on the public use file of the German Health Update 2012 was conducted (n = 13,933). Only non-smokers were included in the analysis. In a multivariable logistic regression model the factors associated with SHS exposure were calculated. In addition, a further set of multivariable logistic regressions were calculated for factors associated with the place of SHS exposure (workplace, at home, bars/discotheques, restaurants, at the house of a friend). More than a quarter of non-smoking study participants were exposed to SHS. The main area of exposure was the workplace (40.9 %). The multivariable logistic regression indicated young age as the most important factor associated with SHS exposure. The odds for SHS exposure was higher in men than in women. The likelihood of SHS exposure decreased with higher education. SHS exposure and the associated factors varied between different places of exposure. Despite several actions to protect non-smokers which were implemented in Germany during the past years, SHS exposure still remains a relevant risk factor at a population level. According to the results of this study, particularly the workplace and other public places such as bars and discotheques have to be taken into account for the development of strategies to reduce SHS exposure.

  9. Die Anwesenheit des Abwesenden. Nostalgie und das kulturelle Gedächtnis böhmisch-mährischer Landjuden vor und nach der Shoah

    Czech Academy of Sciences Publication Activity Database

    Koeltzsch, Ines


    Roč. 3, č. 2 (2016), s. 37-57 E-ISSN 2408-9192 Institutional support: RVO:67985921 Keywords : Jews * Bohemian Lands * memoirs Subject RIV: AB - History

  10. Phonological-Lexical Feedback during Early Abstract Encoding: The Case of Deaf Readers.

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    Manuel Perea

    Full Text Available In the masked priming technique, physical identity between prime and target enjoys an advantage over nominal identity in nonwords (GEDA-GEDA faster than geda-GEDA. However, nominal identity overrides physical identity in words (e.g., REAL-REAL similar to real-REAL. Here we tested whether the lack of an advantage of the physical identity condition for words was due to top-down feedback from phonological-lexical information. We examined this issue with deaf readers, as their phonological representations are not as fully developed as in hearing readers. Results revealed that physical identity enjoyed a processing advantage over nominal identity not only in nonwords but also in words (GEDA-GEDA faster than geda-GEDA; REAL-REAL faster than real-REAL. This suggests the existence of fundamental differences in the early stages of visual word recognition of hearing and deaf readers, possibly related to the amount of feedback from higher levels of information.

  11. Estonskomu grazhdaninu Salo put v sibirskii less zakazan / Ljubov Semjonova

    Index Scriptorium Estoniae

    Semjonova, Ljubov


    Repressiivpoliitika uurimise komisjoni aruanne "Valge raamat" kommunistliku režiimi ajal Eestile tekitatud kahjudest. Komisjoni esimehe Vello Salo mõte nõuda kahjutasuks Novosibirski oblastis kasvavat metsa on Venemaal tekitanud ägeda resonantsi

  12. Smoking


    Lampert, Thomas


    Every year on May 31 is World No Tobacco Day (WNTD). The current issue of GBE kompakt deals with the prevalence and development of tobacco use in Germany. Data of the telephone survey "German Health Update" 2009 (GEDA) show a decrease in smoking for the last years but only for the younger age groups.

  13. Kristlased üle maailma sõdivad filmi "Da Vinci kood" vastu / Erkki Bahovski

    Index Scriptorium Estoniae

    Bahovski, Erkki, 1970-


    17. mail esilinastub Cannes'i filmifestivalil Dan Browni samanimelise menuromaani järgi valminud põnevusfilm "Da Vinci kood" (režissöör Ron Howard, produtsent Brian Greiser). Film on langenud usuorganisatsiooni Opus Dei ägeda kriitika alla. Katoliiklikud ringkonnad on üles kutsunud filmi boikoteerima

  14. Demoniškojo estetizmo pavidalai šiuolaikinėje Lietuvos kultūroje


    Jekentaitė, Leonarda


    One of the most significant trends in postmodern Lithuanian art (the painter Š. Sauka, the writers S. Parulskis, S. Geda, A. Andriuškevičius, G. Radvilavičiūtė, G. Beresnevičius, the theatre director O. Koršunovas) can be characterised using Kierkegaardian terminology as demonic aestheticism. The essence of this phenomenon are: narcissism, existential irony and "debauched" self-will, always challenging and destroying all limits and taboos. The origin of their always extremely strong expressio...

  15. An explorative cross-sectional study examining self-reported health and nutritional status of disadvantaged people using food banks in Germany. (United States)

    Depa, Julia; Hilzendegen, Carolin; Tinnemann, Peter; Stroebele-Benschop, Nanette


    Even in high-income countries some population groups depend on food banks to support their food intake. We aimed to explore and compare health and nutritional status of food bank clients (Tafel e.V.) in different cities in Germany. In a cross-sectional study, self-reported health and nutritional status of food bank clients living in three cities (Berlin - capital, Ludwigsburg- affluent city, Fulda - small town) which differ in size, available income and poverty rate, were assessed and compared to survey variables of the low socioeconomic status population of national surveys (DEGS and GEDA). Across cities, food bank clients (N = 276, response rate of 21.5 %) did not differ in main socio-demographic characteristics (age, nationality, education, professional qualification, household income). Smoking, having at least one chronic illness, estimating their own health status as moderate to poor and low consumption of fruits and vegetables were common characteristics. Comparing selected variables with the low socioeconomic status population of DEGS and GEDA, differences were found for a higher prevalence of diabetes among food bank clients and a worse self-reported health status. Considerably lower fruit consumption and lower hypertension prevalence among female and lower overweight rates among male food bank clients were found. Although people using food banks vary in socio-demographic background, no differences for main demographics across the cities were found. In addition, the study suggests that for some health- and nutrition-related variables, national surveys in Germany might underestimate socioeconomic differences.

  16. [Healthcare in One's Own Home or Outside: A Comparison of the Health Status of Family Caregivers]. (United States)

    Mußgnug, T; Korotkaia, A


    The GEDA-Survey 2012 is a representative, nationwide survey conducted by means of computer-assisted telephone interviews (CATI) between March 2012 and March 2013 by the Robert Koch Institute with 19 294 completed interviews. A total of 1 219 persons tending to the needs of a care-dependent person responded to questions about sex, age and health status. Using the statistics software "SPSS", the GEDA-data were evaluated descriptively and finally visualized with "Microsoft Office". The survey results reveal that 47,2% of family caregivers from this cohort are between 45 and 64 years old. This cohort had more female caregivers (62,8%) than males (37,2%). Comparing the frequency of information on health status in 3 age groups, our survey indicated that persons tending to an individual outside their own homes assessed their health status to be better than those caring for individuals in their own homes. © Georg Thieme Verlag KG Stuttgart · New York.

  17. Energy in India and the world: 2012-13

    International Nuclear Information System (INIS)

    Desai, B.G.


    A number of publications have been recently available from international and national agencies in the field of energy statistics. Analysis of data from these publications shows that per capita energy consumption remains low; simply because 40-50% of the population does not have access to electricity and other commercial fuels. To achieve good standard of living for everyone, consumption of electricity and other sources has to rise substantially. India is depending heavily on imported oil, coal and gas. To achieve energy security, improve balance of payment and reduce emissions, energy efficiency offers the most cost-effective solutions. Energy policy has to shift drastically from supply side to demand side management. Organizations like BEE, PCRA, GEDA, MEDA have to be given significantly large human and financial resources. Importance has to be given to residential sector and small and medium industries. Public transport and railways need heavy investment compared to private vehicles and expressways. (author)

  18. [Measuring subjective social status in health research with a German version of the MacArthur Scale]. (United States)

    Hoebel, Jens; Müters, S; Kuntz, B; Lange, C; Lampert, T


    In health research, socio-economic status (SES) is traditionally assessed using objective indicators (education, occupation, income). For a couple of years, there has been a growing body of studies that additionally assess the subjective social status (SSS) of respondents, mostly using the MacArthur Scale. The aim of this study was to examine the construct validity of a German-language version of this instrument and to investigate whether SSS is associated with health over and above objective SES. Analyses were based on data from a population-based pilot study carried out within the 'German Health Update' (GEDA) study conducted by the Robert Koch Institute (n = 1,571; age: 18-79 years). SSS was measured with the MacArthur scale asking respondents to place themselves on a 10-rung "social ladder". The strongest correlations to SSS were found with measures of similar constructs such as a multidimensional index of objective SES, income level, occupational position and educational attainment (r = 0.32-0.60; p social support, mental well-being, depressiveness, and body-mass-index (r = - 0.29-0.30; p social disadvantage may have health implications beyond the impact of objective SES.

  19. Virtual laboratory of electrical mini-grids with distributed generation

    International Nuclear Information System (INIS)

    Menezes Ramos, Vanessa; Barros Galhardo, Marcos André; Oliveira Barbosa, Claudomiro Fábio de; Tavares Pinho, João


    This paper presents a computing tool called Virtual Laboratory de Minirredes (Virtual Laboratory of Mini-grids). Using the virtual environment of the developed tool, it is possible to make remote connection/disconnection of switches and loads (resistive, inductive, capacitive and non-linear) at strategic points of the electric mini-grid with hybrid distributed generation systems (solar photovoltaic-diesel). The mini-grid has a length of about 1 km and is installed in the test area of the Grupo de Estudios e Desenvolvimento de Alternativas Exergética (GEDAE) of the Universidade Federal do Pará, located in the city of Belém, Pará, Brazil. The developed tool has communication functions with electric parameters transducers and programmable logic controllers (PLCs). This communication enables the opening and closing of contactors, resulting in different settings for the mini-grid. In addition to that, based on the proposed configuration by the user, the real-time operation status of mini-grid is presented in a graphic interface (for example, monitored electric parameters, distributed generators connected, status of disconnected switches, etc.) and the acquired data is stored. The use of the computing tool also focuses on the construction of a database, in order to obtain knowledge about the mini-grid performance under various conditions that can be set, depending on the operational strategy adopted, based on the choice of the layout, loads and power sources used in the mini-grid. (full text)

  20. GPS-derived crustal deformation in Azerbaijan (United States)

    Safarov, Rafig; Mammadov, Samir; Kadirov, Fakhraddin


    Crustal deformations of the Earth's crust in Azerbaijan were studied based on GPS measurements. The GPS velocity vectors for Azerbaijan, Iran, Georgia, and Armenia were used in order to estimate the deformation rates. It is found that compression is observable along the Greater Caucasus, in Gobustan, the Kura depression, Nakhchyvan Autonomous Republic, and adjacent areas of Iran. The axes of compression/contraction of the crust in the Greater Caucasus region are oriented in the S-NE direction. The maximum strain rate is observed in the zone of mud volcanism at the SHIK site (Shykhlar), which is marked by a sharp change in the direction of the compression axes (SW-NE). It is revealed that the deformation field also includes the zones where strain rates are very low. These zones include the Caspian-Guba and northern Gobustan areas, characterized by extensive development of mud volcanism. The extension zones are confined to the Lesser Caucasus and are revealed in the Gyadabei (GEDA) and Shusha (SHOU) areas. The analysis of GPS data for the territory of Azerbaijan and neighboring countries reveals the heterogeneous patterns of strain field in the region. This fact suggests that the block model is most adequate for describing the structure of the studied region. The increase in the number of GPS stations would promote increasing the degree of detail in the reconstructions of the deformation field and identifying the microplate boundaries.It is concluded that the predominant factor responsible for the eruption of mud volcanoes is the intensity of gasgeneration processes in the earth's interior, while deformation processes play the role of a trigger. The zone of the epicenters of strong earthquakes is correlated to the gradient zone in the crustal strain rates.

  1. [Factors Influencing Participation in Financial Incentive Programmes of Health Insurance Funds. Results of the Study 'German Health Update']. (United States)

    Jordan, S; von der Lippe, E; Starker, A; Hoebel, J; Franke, A


    The statutory health insurance can offer their insured incentive programmes that will motivate for healthy behaviour through a financial or material reward. This study will show results about what factors influence financial incentive programme participation (BPT) including all sorts of statutory health insurance funds and taking into account gender differences. For the cross-sectional analysis, data were used from 15,858 participants in the study 'Germany Health Update' (GEDA) from 2009, who were insured in the statutory health insurance. The selection of potential influencing variables for a BPT is based on the "Behavioural Model for Health Service Use" of Andersen. Accordingly, various factors were included in logistic regression models, which were calculated separately by gender: predisposing factors (age, education, social support, and health awareness), enabling factors (income, statutory health insurance fund, and family physician), and need factors (smoking, fruit and vegetable consumption, sports, body mass index, and general health status). In consideration of all factors, for both sexes, BPT is associated with age, health awareness, education, use of a family physician, smoking, and sports activities. In addition, income, body mass index, and diet are significant in women and social support and kind of statutory health insurance fund in men. It is found that predisposing, enabling and need factors are relevant. Financial incentive programmes reach population groups with greatest need less than those groups who already have a health-conscious behaviour, who receive a reward for this. In longitudinal studies, further research on financial incentive programmes should investigate the existence of deadweight effects and whether incentive programmes can contribute to the reduction of the inequity in health. © Georg Thieme Verlag KG Stuttgart · New York.

  2. German EstSmoke: estimating adult smoking-related costs and consequences of smoking cessation for Germany. (United States)

    Sonntag, Diana; Gilbody, Simon; Winkler, Volker; Ali, Shehzad


    We compared predicted life-time health-care costs for current, never and ex-smokers in Germany under the current set of tobacco control polices. We compared these economic consequences of the current situation with an alternative in which Germany were to implement more comprehensive tobacco control policies consistent with the World Health Organization (WHO) Framework Convention for Tobacco Control (FCTC) guidelines. German EstSmoke, an adapted version of the UK EstSmoke simulation model, applies the Markov modelling approach. Transition probabilities for (re-)currence of smoking-related diseases were calculated from large German disease-specific registries and the German Health Update (GEDA 2010). Estimations of both health-care costs and effect sizes of smoking cessation policies were taken from recent German studies and discounted at 3.5%/year. Germany. German population of prevalent current, never and ex-smokers in 2009. Life-time cost and outcomes in current, never and ex-smokers. If tobacco control policies are not strengthened, the German smoking population will incur €41.56 billion life-time excess costs compared with never smokers. Implementing tobacco control policies consistent with WHO FCTC guidelines would reduce the difference of life-time costs between current smokers and ex-smokers by at least €1.7 billion. Modelling suggests that the life-time healthcare costs of people in Germany who smoke are substantially greater than those of people who have never smoked. However, more comprehensive tobacco control policies could reduce health-care expenditures for current smokers by at least 4%. © 2017 Society for the Study of Addiction.

  3. Mixing modes in a population-based interview survey: comparison of a sequential and a concurrent mixed-mode design for public health research. (United States)

    Mauz, Elvira; von der Lippe, Elena; Allen, Jennifer; Schilling, Ralph; Müters, Stephan; Hoebel, Jens; Schmich, Patrick; Wetzstein, Matthias; Kamtsiuris, Panagiotis; Lange, Cornelia


    Population-based surveys currently face the problem of decreasing response rates. Mixed-mode designs are now being implemented more often to account for this, to improve sample composition and to reduce overall costs. This study examines whether a concurrent or sequential mixed-mode design achieves better results on a number of indicators of survey quality. Data were obtained from a population-based health interview survey of adults in Germany that was conducted as a methodological pilot study as part of the German Health Update (GEDA). Participants were randomly allocated to one of two surveys; each of the surveys had a different design. In the concurrent mixed-mode design ( n  = 617) two types of self-administered questionnaires (SAQ-Web and SAQ-Paper) and computer-assisted telephone interviewing were offered simultaneously to the respondents along with the invitation to participate. In the sequential mixed-mode design ( n  = 561), SAQ-Web was initially provided, followed by SAQ-Paper, with an option for a telephone interview being sent out together with the reminders at a later date. Finally, this study compared the response rates, sample composition, health indicators, item non-response, the scope of fieldwork and the costs of both designs. No systematic differences were identified between the two mixed-mode designs in terms of response rates, the socio-demographic characteristics of the achieved samples, or the prevalence rates of the health indicators under study. The sequential design gained a higher rate of online respondents. Very few telephone interviews were conducted for either design. With regard to data quality, the sequential design (which had more online respondents) showed less item non-response. There were minor differences between the designs in terms of their costs. Postage and printing costs were lower in the concurrent design, but labour costs were lower in the sequential design. No differences in health indicators were found between

  4. Perspectives públiques i privades del futur de la comercialització de la informació cartogràfica

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    José Cebrián


    Full Text Available

    El 16 de setembre de 2005, els Estudis de Dret i Ciència Política de la UOC van organitzar la Jornada sobre la Reutilització de la Informació del Sector Públic per analitzar la normativa comunitària en la matèria i la manera de traslladar-la a l'ordenament jurídic espanyol.

    En el marc de la jornada es va desenvolupar una taula rodona sobre la comercialització de la informació cartogràfica en la qual van participar representants d'administracions públiques de diferents àmbits territorials (José Cebrián, director del Centre Nacional d'Informació Geogràfica de l'Administració General de l'Estat; Jaume Miranda, director de l'Institut Cartogràfic de Catalunya de la Generalitat de Catalunya; i Carlos Zañartu, cap de l'Oficina de Gestió Cartogràfica Local de la Diputació de Barcelona, i també representants del sector privat que treballen amb informació geogràfica (Jordi Guimet, de la Secció Catalana de l'Associació Espanyola de Sistemes d'Informació Geogràfica, i Jaume Royo, director del Departament de Territori de TAO-GEDAS.

    Els diferents membres de la taula rodona van fer una exposició breu sobre la situació actual de la comercialització de la informació geogràfica des de la seva òptica i, a continuació, es va entrar en un debat sobre les perspectives que obre el trasllat de la directiva en general i, en particular, respecte de temes com ara les llicències o les tarifes.