Journal of health monitoring最新文献_第5页

Incidence, prevalence and care of type 1 diabetes in children and adolescents in Germany: Time trends and regional socioeconomic situation. 德国儿童和青少年1型糖尿病的发病率、患病率和护理：时间趋势和地区社会经济状况。

Journal of health monitoring Pub Date : 2023-06-14 eCollection Date: 2023-06-01 DOI: 10.25646/11439

Maike Buchmann, Oktay Tuncer, Marie Auzanneau, Alexander J Eckert, Joachim Rosenbauer, Lukas Reitzle, Christin Heidemann, Reinhard W Holl, Roma Thamm

{"title":"Incidence, prevalence and care of type 1 diabetes in children and adolescents in Germany: Time trends and regional socioeconomic situation.","authors":"Maike Buchmann, Oktay Tuncer, Marie Auzanneau, Alexander J Eckert, Joachim Rosenbauer, Lukas Reitzle, Christin Heidemann, Reinhard W Holl, Roma Thamm","doi":"10.25646/11439","DOIUrl":"10.25646/11439","url":null,"abstract":"Background: Trends over time and possible socio-spatial inequalities in the incidence and care of type 1 diabetes mellitus (T1D) in children and adolescents are important parameters for the planning of target-specific treatment structures.Methodology: The incidence and prevalence of type 1 diabetes, diabetic ketoacidosis and severe hypoglycaemia as well as the HbA1c value are presented for under 18-year-olds based on data from the nationwide Diabetes Prospective Follow-up Registry (DPV) and the diabetes registry of North Rhine-Westphalia. Indicators were mapped by sex over time between 2014 and 2020, and stratified by sex, age and regional socioeconomic deprivation for 2020.Results: In 2020, the incidence was 29.2 per 100,000 person-years and the prevalence was 235.5 per 100,000 persons, with the figures being higher in boys than in girls in either case. The median HbA1c value was 7.5%. Ketoacidosis manifested in 3.4% of treated children and adolescents, significantly more often in regions with very high (4.5%) deprivation than in regions with very low deprivation (2.4%). The proportion of severe hypoglycaemia cases was 3.0%. Between 2014 and 2020, the incidence, prevalence and HbA1c levels changed little, while the proportions of ketoacidosis and severe hypoglycaemia decreased.Conclusions: The decrease in acute complications indicates that type 1 diabetes care has improved. Similar to previous studies, the results suggest an inequality in care by regional socioeconomic situation.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

What is the health status of girls and boys in the COVID-19 pandemic? Selected results of the KIDA study. 在COVID-19大流行期间，女孩和男孩的健康状况如何?KIDA研究的部分结果。

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11436

Julika Loss, Miriam Blume, Laura Neuperdt, Nadine Flerlage, Tim Weihrauch, Kristin Manz, Roma Thamm, Christina Poethko-Müller, Elvira Mauz, Petra Rattay, Jennifer Allen, Mira Tschorn

{"title":"What is the health status of girls and boys in the COVID-19 pandemic? Selected results of the KIDA study.","authors":"Julika Loss, Miriam Blume, Laura Neuperdt, Nadine Flerlage, Tim Weihrauch, Kristin Manz, Roma Thamm, Christina Poethko-Müller, Elvira Mauz, Petra Rattay, Jennifer Allen, Mira Tschorn","doi":"10.25646/11436","DOIUrl":"https://doi.org/10.25646/11436","url":null,"abstract":"Background: It is well known that there are gender differences in the health behaviour and physical and mental health of children. The COVID-19 pandemic influenced the health and lifestyles of children and adolescents by changing their living conditions. The present work investigates whether gender differences in selected health indicators are evident more than two years after the onset of the pandemic.Methods: In the study Kindergesundheit in Deutschland aktuell (KIDA) (German Children's Health Update), cross-sectional telephone surveys were conducted with parents of 3- to 15-year-olds (n=3,478). Parental information on the general and mental health of the child, on increased need for health care and mental health services, as well as on physical activity and utilisation of sports activities were queried in standardised manner. Gender differences were assessed using Chi2 tests.Results: A total of 91% of the girls and 92% of the boys had their general health assessed as being (very) good by their parents (difference not significant, n.s.). An increased need for care and support was indicated for 10.6% of the 3- to 15-year-olds (girls: 9%, boys: 12%, n.s.). Boys met the physical activity recommendations of the WHO significantly more often (60%) than girls (54%). Good to excellent mental health was reported for 93% of both boys and girls. When changes during the pandemic were reported, no differences were found in the responses for girls compared to boys.Conclusions: Gender differences were found for individual parameters and age groups. These differences must be assessed in the context of other social determinants of health, and need to be considered when planning preventive measures.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9794410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Antimicrobial resistance in Germany and Europe - A systematic review on the increasing threat accelerated by climate change. 德国和欧洲的抗菌素耐药性-对气候变化加速的日益严重威胁的系统回顾。

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11404

Annika Meinen, Sara Tomczyk, Flora Noelle Wiegand, Muna Abu Sin, Tim Eckmanns, Sebastian Haller

{"title":"Antimicrobial resistance in Germany and Europe - A systematic review on the increasing threat accelerated by climate change.","authors":"Annika Meinen, Sara Tomczyk, Flora Noelle Wiegand, Muna Abu Sin, Tim Eckmanns, Sebastian Haller","doi":"10.25646/11404","DOIUrl":"https://doi.org/10.25646/11404","url":null,"abstract":"Background: Antimicrobial Resistance (AMR) is one of the top ten global public health threats facing humanity, alongside climate change. Here, we aim to summarise the effects of climate change (i.e. raise of temperature, change in humidity or precipitation) on spread of antibiotic resistance and on infections with antibiotic-resistant bacteria in Germany.Methods: We conducted a literature search with articles published between January 2012 and July 2022. Two authors screened titles, abstracts and full texts and extracted the data systematically.Results: From originally 2,389 titles, we identified six studies, which met our inclusion criteria. These studies show that an increase in temperature may lead to higher antibiotic resistance rates and an increased risk of colonisation as well as spread of pathogens. Furthermore, the number of healthcare-associated infections increases with increased temperature. Data indicate that higher antibiotic use is present in areas with warmer mean temperature.Conclusions: European data are scarce, but all studies identified point towards an increasing AMR burden due to climate change. However, further studies are needed to draw attention to the links between climatic factors and AMR and develop targeted preventive measures.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9713056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Climate change and public health in Germany - An introduction to the German status report on climate change and health 2023. 德国的气候变化与公共健康--《2023 年德国气候变化与健康状况报告》简介。

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11400

Elke Hertig, Iris Hunger, Irena Kaspar-Ott, Andreas Matzarakis, Hildegard Niemann, Lea Schulte-Droesch, Maike Voss

引用次数: 0

Together we can counter the effects of climate change. 我们可以共同应对气候变化的影响。

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11399

Gerhard Adrian, Martin Dietrich, Birgit Esser, Andreas Hensel, Folkhard Isermeyer, Dirk Messner, Thomas C Mettenleiter, Inge Paulini, Sabine Riewenherm, Lars Schaade, Ralph Tiesler, Lothar H Wieler

引用次数: 0

Childhood and adolescent cancer in Germany - an overview. 德国儿童和青少年癌症概况。

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11438

Claudia Spix, Friederike Erdmann, Desiree Grabow, Cécile Ronckers

{"title":"Childhood and adolescent cancer in Germany - an overview.","authors":"Claudia Spix, Friederike Erdmann, Desiree Grabow, Cécile Ronckers","doi":"10.25646/11438","DOIUrl":"https://doi.org/10.25646/11438","url":null,"abstract":"Background: Childhood and adolescent cancer constitutes only a very small fraction of the cancer cases in Germany and throughout the world, but it is the most frequent cause of disease-related death in children. The diagnostic spectrum differs markedly from that of adults. More than 90% of all cases of childhood and adolescent cancer in Germany are treated according to centralised protocols or in therapy studies.Methods: The main epidemiological data for this group are collected by the German Childhood Cancer Registry (GCCR) since 1980. Based on this data, three typical diagnoses and their incidence and prognosis are described in exemplary manner: Lymphoid leukaemia (LL), astrocytoma and neuroblastoma.Results: Approximately 2,250 new cancers are diagnosed in children and adolescents under the age of 18 in Germany every year. In this age group, leukaemia and lymphoma account for almost 50% of all new cancer cases, predominately acute forms. Overall, the prognosis is considerably better than in adults.Conclusions: There is relatively little consistent evidence available on external factors as risk factors for childhood cancer, despite decades of research. For LL, the immune system and infections are assumed to play a role, as early training of the immune system appears to be protective. To an increasing degree, research is identifying genetic risk factors for many types of childhood and adolescent cancer. The therapy is sometimes very intensive and leads to a variety of late effects for at least 75% of the survivors, which may occur soon after the primary diagnosis, but also decades later.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Respiratory infections in children and adolescents in Germany during the COVID-19 pandemic. COVID-19大流行期间德国儿童和青少年的呼吸道感染

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11437

Udo Buchholz, Ann-Sophie Lehfeld, Kristin Tolksdorf, Wei Cai, Janine Reiche, Barbara Biere, Ralf Dürrwald, Silke Buda

{"title":"Respiratory infections in children and adolescents in Germany during the COVID-19 pandemic.","authors":"Udo Buchholz, Ann-Sophie Lehfeld, Kristin Tolksdorf, Wei Cai, Janine Reiche, Barbara Biere, Ralf Dürrwald, Silke Buda","doi":"10.25646/11437","DOIUrl":"https://doi.org/10.25646/11437","url":null,"abstract":"Background: Before the COVID-19 pandemic, acute respiratory infections (ARIs) in children were mainly characterised by three pathogens: respiratory syncytial viruses (RSV), influenza viruses and rhinoviruses. The impact of the COVID-19 pandemic and the measures taken in Germany (especially until the end of 2021) on the incidence of ARI in children and adolescents aged 0 to 14 years and the pathogens causing them has not yet been comprehensively analysed.Methods: The evaluation is based on data from population-based, virological and hospital-based surveillance instruments up to the end of 2022.Results: After the onset of the COVID-19 pandemic in early 2020, ARI rates remained almost consistently below prepandemic levels until autumn 2021, with only rhinoviruses continuously continuing to cause ARI. Only when the Omicron variant became predominant in 2022, there were measurable COVID-19 rates at population level in children, although COVID-19 hospitalisation rates remained comparatively low. RSV and influenza waves were initially absent and then occurred 'out of season', but were more severe than usual.Conclusions: While the measures taken were effective in inhibiting the number of respiratory infections for almost 1.5 years, moderately frequent but rather mild COVID-19 cases occurred when measures were lifted. When Omicron emerged in 2022 COVID-19 became moderately frequent but led predominantly to mild illnesses. For RSV and influenza, the measures resulted in changes in their annual timing and intensity.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

School entrance examinations as a small-scale data source for health monitoring of children using obesity as an example. 入学考试作为儿童健康监测的小规模数据源，以肥胖为例。

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11435

Charlotte Kühnelt, Anne Starker, Gianni Varnaccia, Anja Schienkiewitz

{"title":"School entrance examinations as a small-scale data source for health monitoring of children using obesity as an example.","authors":"Charlotte Kühnelt, Anne Starker, Gianni Varnaccia, Anja Schienkiewitz","doi":"10.25646/11435","DOIUrl":"https://doi.org/10.25646/11435","url":null,"abstract":"Background: In the scope of the nationwide obligatory school entrance examinations (SEE), a standardised assessment of the preparedness for school of preschool children takes place in the federal states of Germany. For this purpose, height and weight of the children are determined. These data are available in aggregated form at county level, but are not yet being regularly compiled and processed at national level for use in policy and research.Methods: In a pilot project, the indexing and merging of SEE data from 2015-2019 was tested in collaboration with six federal states. This was done using obesity prevalence at the time of the school entrance examination. In addition, prevalences were linked to small-scale indicators on settlement structure and sociodemographics from public databases, differences in obesity prevalence at county level were identified, and correlations to regional influencing factors were visualised.Results: It was feasible to merge SEE data from the federal states with little effort. The majority of the selected indicators were freely available in public databases. In an interactive, easily comprehensible and user-friendly Tableau dashboard for visualising the SEE data, it can be seen that obesity prevalences differ significantly between counties that are similar in terms of settlement structure or sociodemographics.Conclusions: Providing federal state SEE data and linking them to small-scale indicators enables region-based analyses and cross-state comparisons of similar counties and provides a data basis for continuous monitoring of the prevalence of obesity in early childhood.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10318559/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9800671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The health of children and adolescents - new data is needed! 儿童和青少年的健康——需要新的数据!

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11434

Ute Thyen

引用次数: 0

Impact of climate change on waterborne infections and intoxications. 气候变化对水传播感染和中毒的影响。

Journal of health monitoring Pub Date : 2023-06-01 DOI: 10.25646/11402

Susann Dupke, Udo Buchholz, Jutta Fastner, Christina Förster, Christina Frank, Astrid Lewin, Volker Rickerts, Hans-Christoph Selinka

{"title":"Impact of climate change on waterborne infections and intoxications.","authors":"Susann Dupke, Udo Buchholz, Jutta Fastner, Christina Förster, Christina Frank, Astrid Lewin, Volker Rickerts, Hans-Christoph Selinka","doi":"10.25646/11402","DOIUrl":"10.25646/11402","url":null,"abstract":"Progressive climate change holds the potential for increasing human health risks from waterborne infections and intoxications, e. g. through an increase in pathogen concentrations in water bodies, through the establishment of new pathogens or through possible changes in pathogen properties. This paper presents some examples of potential impacts of climate change in Germany. Non-cholera Vibrio occur naturally in seawater, but can proliferate significantly in shallow water at elevated temperatures. In the case of Legionella, climate change could lead to temporary or longer-term increased incidences of legionellosis due to the combination of warm and wet weather. Higher temperatures in piped cold water or lower temperatures in piped hot water may also create conditions conducive to higher Legionella concentrations. In nutrient-rich water bodies, increased concentrations of toxigenic cyanobacteria may occur as temperatures rise. Heavy rainfall following storms or prolonged periods of heat and drought can lead to increased levels of human pathogenic viruses being washed into water bodies. Rising temperatures also pose a potential threat to human health through pathogens causing mycoses and facultatively pathogenic micro-organisms: increased infection rates with non-tuberculous mycobacteria or fungi have been documented after extreme weather events.","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9713066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0