161 results on '"monitoring and surveillance"'
Search Results
2. 24-hour Movement Questionnaire (QMov24h) for adults: development process and measurement properties.
- Author
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Rodrigues, Bruno, Júdice, Pedro B., Marques, Adilson, Carraça, Eliana V., Lopes, Luís, Sousa-Sá, Eduarda, Encantado, Jorge, Videira-Silva, António, Cliff, Dylan P., Mendes, Romeu, Santos, Rute, Silva, Analiza M., Palmeira, António L., Machado-Rodrigues, Aristides M., Sampaio, Arnaldina, Moreira, Carla, Agostinis-Sobrinho, César, Lima, Diogo, Biscoito, Filipe, and Rocha, João
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MEDICAL protocols , *PUBLIC health surveillance , *DATA analysis , *QUESTIONNAIRES , *SEDENTARY lifestyles , *RESEARCH methodology evaluation , *ACCELEROMETRY , *DESCRIPTIVE statistics , *EXPERIMENTAL design , *RESEARCH methodology , *SLEEP , *HEALTH behavior , *TEST validity , *DIARY (Literary form) , *STATISTICAL reliability , *AEROBIC exercises , *PSYCHOMETRICS , *STATISTICS , *INTRACLASS correlation , *CONFIDENCE intervals , *DATA analysis software , *PHYSICAL activity , *NONPARAMETRIC statistics , *SENSITIVITY & specificity (Statistics) ,RESEARCH evaluation - Abstract
Background: Sleep, sedentary behaviour, and physical activity are essential components within the 24-hour time frame. Existing questionnaires used to measure these behaviours have insufficient measurement properties and are unsuitable for assessing compliance with the WHO Physical Activity and 24-hour Movement Guidelines. To describe the development process of the 24-hour Movement Questionnaire (QMov24h) and its testing. The QMov24h was developed to gather detailed information on sleep, sedentary behaviour, and physical activity. Methods: The sample comprised 117 participants (58% women), aged 30.95 ± 13.56 years. The development process of the QMov24h followed the COSMIN guidelines: (i) Construction of items; (ii) Face validity with end-users; (iii) Content validity with experts; (iv) Criterion validity against accelerometry and convergent validity against diary assessments; and (v) 7-day test-retest reliability. Results: The QMov24h presented adequate content and face validity. The QMov24h showed moderate criterion validity for sleep (rho=0.343;p<0.001), light physical activity (rho=0.31;p=0.002) and total aerobic physical activity (rho=0.343;p<0.001), as well as strong criterion validity for sedentary behaviour (rho=0.428;p<0.001) and aerobic moderate-to-vigorous physical activity (rho=0.534;p<0.001). Reliability varied from poor to excellent (ICC from 0.38 to 0.962;p<0.001) for all questionnaire variables. Regarding compliance of the 24-hour movement guidelines, the questionnaire also showed a strong to almost perfect percentage of agreement with accelerometry (from 69% to 94.3%), and minimal to strong reliability (k from 0.38 to 0.87) between the first and second administrations of the QMov24h. Conclusions: The QMov24h questionnaire is a valid and reliable tool for assessing levels of movement behaviours and compliance with guidelines in adults. Its measurement properties are comparable to, or even better than, those of existing questionnaires, while posing a similar burden to participants. The QMov24h is useful for research, clinical practice, and public health surveillance. The QMov24h has strong psychometric properties, making it suitable for translation, cultural adaptation, and testing in diverse populations for broader international use. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
3. 24-hour Movement Questionnaire (QMov24h) for adults: development process and measurement properties
- Author
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Bruno Rodrigues, Pedro B. Júdice, Adilson Marques, Eliana V. Carraça, Luís Lopes, Eduarda Sousa-Sá, Jorge Encantado, António Videira-Silva, Dylan P. Cliff, Romeu Mendes, Rute Santos, and on behalf of the QMov24h working group
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Movement behaviours ,Questionnaires ,Monitoring and surveillance ,Validation ,Adults ,Nutritional diseases. Deficiency diseases ,RC620-627 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Sleep, sedentary behaviour, and physical activity are essential components within the 24-hour time frame. Existing questionnaires used to measure these behaviours have insufficient measurement properties and are unsuitable for assessing compliance with the WHO Physical Activity and 24-hour Movement Guidelines. To describe the development process of the 24-hour Movement Questionnaire (QMov24h) and its testing. The QMov24h was developed to gather detailed information on sleep, sedentary behaviour, and physical activity. Methods The sample comprised 117 participants (58% women), aged 30.95 ± 13.56 years. The development process of the QMov24h followed the COSMIN guidelines: (i) Construction of items; (ii) Face validity with end-users; (iii) Content validity with experts; (iv) Criterion validity against accelerometry and convergent validity against diary assessments; and (v) 7-day test-retest reliability. Results The QMov24h presented adequate content and face validity. The QMov24h showed moderate criterion validity for sleep (rho=0.343;p
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- 2024
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- View/download PDF
4. Questionnaires Measuring 24-Hour Movement Behaviors in Childhood and Adolescence: Content Description and Measurement Properties—A Systematic Review.
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Rodrigues, Bruno, Encantado, Jorge, Carraça, Eliana, Martins, João, Marques, Adilson, Lopes, Luís, Sousa-Sá, Eduarda, Cliff, Dylan, Mendes, Romeu, and Santos, Rute
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CHILD behavior ,MEASUREMENT errors ,STATISTICAL reliability ,TEST validity ,ADOLESCENCE - Abstract
Background: We aim to systematically review the literature on measurement properties of self- and proxy-reported questionnaires measuring 24-hour movement behaviors in children and adolescents. Methods: PubMed, PsycINFO, SPORTDiscus, and EMBASE were searched until June 2021. Studies were included if the sample size for validity studies had 50 participants (minimum) and included, at least, both validity and test–retest reliability results of questionnaires. The review followed an adaptation of the Consensus-based Standards for the selection of health Measurement INstruments guidelines, to evaluate the quality of measurements properties of the questionnaires (content, convergent and criterion validity, reliability, measurement error, and responsiveness), as well as the risk of bias of each measurement property. Results: This review included 29 studies, describing 37 questionnaires. Sixty-eight percent showed "adequate" content validity. None of the questionnaires showed overall "adequate" criterion validity, and the risk of bias was "very low" for 92%. One questionnaire showed "adequate" convergent validity, and 73% of the studies were classified with a "high risk of bias." Seven questionnaires showed "adequate" reliability, and 27.3% of the studies were rated with a "very low risk of bias." None of the questionnaires showed "adequate" criterion validity and reliability, simultaneously. Conclusions: Existing questionnaires have insufficient measurement properties, and none considered the 24-hour movement behavior paradigm. These results highlight the need for better questionnaires of movement behavior combinations, to improve the monitoring and surveillance systems of 24-hour movement behaviors in this population. [ABSTRACT FROM AUTHOR]
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- 2023
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5. Editorial: Antimicrobial resistance in zoonotic bacteria
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Guyue Cheng, Liang-xing Fang, Jie Feng, Xunde Li, and Zuowei Wu
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antimicrobial resistance (AMR) ,antimicrobial resistance (AMR) genes ,zoonotic pathogens ,intervention strategies ,monitoring and surveillance ,Microbiology ,QR1-502 - Published
- 2024
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6. An In-House ELISA for Treponema Antibodies in Bulk Milk as Part of a Monitoring Tool for Claw Health in Dairy Herds.
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Holzhauer, Menno, Mars, Jet, Holstege, Manon, and van der Heijden, Harold
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ANIMAL herds ,DAIRY cattle ,LAMENESS in cattle ,HEALTH of cattle ,DAIRY farm management ,CLAWS ,IMMUNOGLOBULINS ,FOOT - Abstract
Simple Summary: Digital dermatitis (DD) is a painful infection of the skin at the coronary band of the claws, a major cause of lameness in dairy cattle and associated with several Treponema species (spp.). Clinical inspection of the feet is the common way to diagnose the disease, but is laborious. There are no simple diagnostic tools, which makes it difficult to monitor DD prevalence in a herd. Therefore, we developed, validated and implemented a Treponema antibody detecting ELISA for use in bulk tank milk. A weak relation between clinical scores of claws with the results of ELISA in individual milk samples was found. When using bulk milk, a clear increase in the ELISA response was observed when mean clinical scores of the claws in the herd were higher. Using the results of the Treponema ELISA in bulk milk, herds with a low or high number of cattle with DD could be distinguished. This ELISA is now being used in a claw health monitoring program for dairy cattle in the Netherlands. This helps farmers to obtain insight into the level of DD in their herd and is helpful to improve claw health in dairy cattle. Digital dermatitis (DD) is a painful inflammation at the coronary band of the claws, a major cause of lameness in cattle and associated with infections with several Treponema spp. Clinical inspection of the feet is the best way to diagnose DD, but this is laborious and stressful for cattle. A simple diagnostic tool was developed to monitor DD prevalence at the herd level. An antibody ELISA based on antigens from four different Treponema spp. has been developed and validated in two field studies. In one study, bulk milk and individual milk samples of seven dairy herds, of which clinical claw scores were obtained, were tested. In the second study, bulk milk was tested from 110 herds of which clinical scores were obtained. A weak correlation between clinical scores of cows and the ELISA results in individual milk samples was observed. The ELISA response in bulk milk was higher in herds with higher mean clinical scores. Using the ELISA results in bulk milk, herds with a low or high proportion of cattle with DD lesions could be distinguished. This ELISA is useful to obtain insight into the DD status at the herd level, and is nowadays being used in a claw health monitoring program for dairy cattle in the Netherlands. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Usability evaluation of the Computer-Based Health Evaluation System (CHES) eDiary for patients with faecal incontinence: a pilot study
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Jens Lehmann, Isabel Schreyer, David Riedl, Michael Tschuggnall, Johannes M. Giesinger, Marjiana Ninkovic, Marcus Huth, Irmgard Kronberger, Gerhard Rumpold, and Bernhard Holzner
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Ecological momentary assessment ,Mobile applications ,Patient reported outcome measures ,Testing and evaluation ,Monitoring and surveillance ,Telemedicine and telehealth ,Computer applications to medicine. Medical informatics ,R858-859.7 - Abstract
Abstract Background Faecal incontinence (FI) is prevalent in 15–20% of elderly individuals and is frequently monitored in clinical trials and practice. Bowel diaries are the most common way to document FI, but, in clinical practice, are mainly used as paper-based versions. Electronic diaries (eDiaries) offer many potential benefits over paper-based diaries. The aim of this study was to develop and test an eDiary to document FI. Methods We migrated a paper FI diary to an eDiary app based on the Computer-based Health Evaluation System (CHES). To assess usability, we conducted functionality and usability tests at two time points in a sample of patients with FI. In the first assessment, the eDiary functionalities were tested, patients completed the System Usability Scale (SUS, range 0–100) and compared the paper diary with the eDiary. We set a threshold for minimum acceptable average usability at 70 points. Patients were then instructed to use the eDiary for 2 days at home and contacted to report on their usage and completed the SUS a second time. Results We recruited a sample of N = 14 patients to use the eDiary. All patients were able to use all functionalities of the eDiary and only a few patients with lower technological literacy or access to devices (n = 3) needed initial assistance. The mean usability rating given at the first time point was high with 88 points (SD 18, 95% CI 78.2–96.8) and most patients (n = 10) reported they would prefer the eDiary over the paper-based version. Nine patients (n = 9) participated in the follow-up assessment and the mean SUS rating at the second time point was 97 points (SD 7, 95% CI 92.8–100). Conclusion The eDiary showed excellent usability scores for the assessment of FI at both assessments. Generally, patients preferred the eDiary over the paper-based version. We recommend the eDiary for usage with patients who own and use a smartphone and discuss potential solutions for patients with lower technological literacy or access.
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- 2022
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8. An In-House ELISA for Treponema Antibodies in Bulk Milk as Part of a Monitoring Tool for Claw Health in Dairy Herds
- Author
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Menno Holzhauer, Jet Mars, Manon Holstege, and Harold van der Heijden
- Subjects
EAVLD ,diagnostics ,veterinary microbiology ,monitoring and surveillance ,Veterinary medicine ,SF600-1100 - Abstract
Digital dermatitis (DD) is a painful inflammation at the coronary band of the claws, a major cause of lameness in cattle and associated with infections with several Treponema spp. Clinical inspection of the feet is the best way to diagnose DD, but this is laborious and stressful for cattle. A simple diagnostic tool was developed to monitor DD prevalence at the herd level. An antibody ELISA based on antigens from four different Treponema spp. has been developed and validated in two field studies. In one study, bulk milk and individual milk samples of seven dairy herds, of which clinical claw scores were obtained, were tested. In the second study, bulk milk was tested from 110 herds of which clinical scores were obtained. A weak correlation between clinical scores of cows and the ELISA results in individual milk samples was observed. The ELISA response in bulk milk was higher in herds with higher mean clinical scores. Using the ELISA results in bulk milk, herds with a low or high proportion of cattle with DD lesions could be distinguished. This ELISA is useful to obtain insight into the DD status at the herd level, and is nowadays being used in a claw health monitoring program for dairy cattle in the Netherlands.
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- 2023
- Full Text
- View/download PDF
9. Managing IoT and Cloud-Based Healthcare Record System Using Unique Identification Number to Promote Integrated Healthcare Delivery System: A Perspective from India
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Dutta, Ritam, Chowdhury, Subhadip, Singh, Krishna Kant, Pisello, Anna Laura, Editorial Board Member, Hawkes, Dean, Editorial Board Member, Bougdah, Hocine, Editorial Board Member, Rosso, Federica, Editorial Board Member, Abdalla, Hassan, Editorial Board Member, Boemi, Sofia-Natalia, Editorial Board Member, Mohareb, Nabil, Editorial Board Member, Mesbah Elkaffas, Saleh, Editorial Board Member, Bozonnet, Emmanuel, Editorial Board Member, Pignatta, Gloria, Editorial Board Member, Mahgoub, Yasser, Editorial Board Member, De Bonis, Luciano, Editorial Board Member, Kostopoulou, Stella, Editorial Board Member, Pradhan, Biswajeet, Editorial Board Member, Abdul Mannan, Md., Editorial Board Member, Alalouch, Chaham, Editorial Board Member, O. Gawad, Iman, Editorial Board Member, Nayyar, Anand, Editorial Board Member, Amer, Mourad, Series Editor, Singh, Krishna Kant, editor, Tanwar, Sudeep, editor, and Abouhawwash, Mohamed, editor
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- 2021
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10. Usability evaluation of the Computer-Based Health Evaluation System (CHES) eDiary for patients with faecal incontinence: a pilot study.
- Author
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Lehmann, Jens, Schreyer, Isabel, Riedl, David, Tschuggnall, Michael, Giesinger, Johannes M., Ninkovic, Marjiana, Huth, Marcus, Kronberger, Irmgard, Rumpold, Gerhard, and Holzner, Bernhard
- Abstract
Background: Faecal incontinence (FI) is prevalent in 15-20% of elderly individuals and is frequently monitored in clinical trials and practice. Bowel diaries are the most common way to document FI, but, in clinical practice, are mainly used as paper-based versions. Electronic diaries (eDiaries) offer many potential benefits over paper-based diaries. The aim of this study was to develop and test an eDiary to document FI.Methods: We migrated a paper FI diary to an eDiary app based on the Computer-based Health Evaluation System (CHES). To assess usability, we conducted functionality and usability tests at two time points in a sample of patients with FI. In the first assessment, the eDiary functionalities were tested, patients completed the System Usability Scale (SUS, range 0-100) and compared the paper diary with the eDiary. We set a threshold for minimum acceptable average usability at 70 points. Patients were then instructed to use the eDiary for 2 days at home and contacted to report on their usage and completed the SUS a second time.Results: We recruited a sample of N = 14 patients to use the eDiary. All patients were able to use all functionalities of the eDiary and only a few patients with lower technological literacy or access to devices (n = 3) needed initial assistance. The mean usability rating given at the first time point was high with 88 points (SD 18, 95% CI 78.2-96.8) and most patients (n = 10) reported they would prefer the eDiary over the paper-based version. Nine patients (n = 9) participated in the follow-up assessment and the mean SUS rating at the second time point was 97 points (SD 7, 95% CI 92.8-100).Conclusion: The eDiary showed excellent usability scores for the assessment of FI at both assessments. Generally, patients preferred the eDiary over the paper-based version. We recommend the eDiary for usage with patients who own and use a smartphone and discuss potential solutions for patients with lower technological literacy or access. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
11. Extraction, Segmentation and Recognition of Vehicle’s License Plate Numbers
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Chai, Douglas, Zuo, Yangfan, Kacprzyk, Janusz, Series Editor, Pal, Nikhil R., Advisory Editor, Bello Perez, Rafael, Advisory Editor, Corchado, Emilio S., Advisory Editor, Hagras, Hani, Advisory Editor, Kóczy, László T., Advisory Editor, Kreinovich, Vladik, Advisory Editor, Lin, Chin-Teng, Advisory Editor, Lu, Jie, Advisory Editor, Melin, Patricia, Advisory Editor, Nedjah, Nadia, Advisory Editor, Nguyen, Ngoc Thanh, Advisory Editor, Wang, Jun, Advisory Editor, Arai, Kohei, editor, Kapoor, Supriya, editor, and Bhatia, Rahul, editor
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- 2019
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12. The Sound of Communication in Underwater Acoustic Sensor Networks : (Position Paper)
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Barbeau, Michel, Garcia-Alfaro, Joaquin, Kranakis, Evangelos, Porretta, Steven, Akan, Ozgur, Series editor, Bellavista, Paolo, Series editor, Cao, Jiannong, Series editor, Coulson, Geoffrey, Series editor, Dressler, Falko, Series editor, Ferrari, Domenico, Series editor, Gerla, Mario, Series editor, Kobayashi, Hisashi, Series editor, Palazzo, Sergio, Series editor, Sahni, Sartaj, Series editor, Shen, Xuemin Sherman, Series editor, Stan, Mircea, Series editor, Xiaohua, Jia, Series editor, Zomaya, Albert Y., Series editor, Zhou, Yifeng, editor, and Kunz, Thomas, editor
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- 2018
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13. Game bird consumption in Dene communities of the Northwest Territories, Canada.
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Ratelle, Mylène, Haig, Laurie, Laird, Brian D, and Skinner, Kelly
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GAME & game-birds , *FOOD consumption , *CANADA goose , *NUTRITIONAL status , *INDIGENOUS children , *INDIGENOUS peoples , *COMMUNITIES , *BIRDS , *RESEARCH , *ANIMAL experimentation , *RESEARCH methodology , *DIET , *MEDICAL cooperation , *EVALUATION research , *COMPARATIVE studies , *QUESTIONNAIRES - Abstract
Objective: Game bird consumption is an important part of the diet of Indigenous populations in Canada and, as part of country food consumption, is associated with improved nutritional status. The objective of this project was to document the consumption of game birds for Dene First Nations in the Northwest Territories (NWT), Canada.Design: Participants were invited to complete a FFQ using an iPad to document the types of country foods consumed, as well as consumption frequency and preparation methods, including thirteen types of game birds.Setting: The project was implemented in nine communities in the Dehcho and Sahtú regions of the NWT, Canada.Participants: A total of 237 children and adult participants from Dene First Nations in the Mackenzie Valley region of the NWT took part in the current study.Results: FFQ findings indicated that game birds were frequently consumed in both Dehcho and Sahtú communities. Canada goose and mallard were found to be consumed by the largest number of participants. Five different species (including Canada goose and mallard) were found to be consumed by at least 25 % of participants over the last year. When consuming game birds, most participants reported consuming the meat as well as most, if not all, other parts of the bird.Conclusions: Differences were observed since the last country food assessment in the 1990s in the same regions. These findings increase knowledge of the current Dene diet patterns and support the understanding of diet transition. [ABSTRACT FROM AUTHOR]- Published
- 2021
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14. Obesity monitoring in schools
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McHardy, Karina Mariya and Foster, Charles
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362.1 ,Medical Sciences ,Childhood obesity ,monitoring and surveillance ,measurement ,weight status ,public health - Abstract
Background: Population level child measurement is an established international practice. However, there is limited clarity around the protocol and roles of school-based child measurement programmes (CMPs). Furthermore, questions remain about the positive and adverse outcomes associated with CMPs, as well as their longer-term sustainability. This research contributes new information by addressing these key unanswered questions. Methods: This thesis describes a three-part, mixed methods research project incorporating: a systematic literature review of existing CMPs; an in-depth case study of England’s National Child Measurement Programme; and the development, pilot implementation and evaluation of a CMP in Guernsey. This research was conducted sequentially; individual components informed and guided subsequent work. Results: Routine child measurement is a popular, complex and adaptive practice and offers significant epidemiological value. The principal roles of CMPs are delivery of local prevalence data and assessment of longitudinal trends. However, CMPs are often tasked with additional, diverse and changing roles that do not translate to acknowledged outcomes. Specifically, feedback of individual results represents an unproven programme element. Programme roles can evolve according to political, logistical, or other influences, without consideration of available evidence or wider-reaching implications. There is no evidence of short-term harm from CMPs. Evaluation of the pilot CMP in Guernsey demonstrated that these programmes are perceived to be feasible, acceptable and sustainable. Conclusions: To maximise the broader utility of CMPs, there should be clarity and consistency around their aims, roles and outcomes. Overall, surveillance reflects the preferred programme type. All CMPs should incorporate a standardised, rigorously applied protocol and routine evaluation. These features are essential to ensure the accuracy and comparability of resultant data, as well as programme credibility. Population level CMPs should not function in isolation; instead, they should be integrated into comprehensive strategies for obesity management. This research has important implications for CMP stakeholders and the wider public health arena.
- Published
- 2012
15. Single‐item measure of food insecurity used in the National Health Survey may underestimate prevalence in Australia
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Rebecca McKechnie, Gavin Turrell, Katrina Giskes, and Danielle Gallegos
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food security ,measurement ,monitoring and surveillance ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Objectives: To compare prevalence estimates of food insecurity using a single‐item measure, with three adaptations of the United States Department of Agriculture Food Security Survey Module (USDA‐FSSM). Methods: Data were collected by postal survey, from individuals aged ≥18 years from disadvantaged suburbs of Brisbane, Australia (n= 505, 53% response). Food security status was ascertained by the Australian single‐item measure, and the 6‐, 10‐ and 18‐item versions of the USDA‐FSSM. Prevalence estimates of food insecurity and different levels of severity of food insecurity estimated by each tool were determined. Data were analysed using McNemar's test, polychoric correlation and Rasch analyses. Results: The prevalence of food insecurity was 19.5% using the single‐item measure; significantly less than the 24.4%, 22.8% and 21.1% identified using the 18‐item, 10‐item and 6‐item versions of the USDA‐FSSM, respectively. Rasch analyses revealed that overall the USDA‐FSSM may be a valid tool for the measurement of food insecurity within the current sample. Conclusion: The measure of food insecurity employed in national surveys in Australia may underestimate its prevalence and public health significance. Implications for public health: Future monitoring and surveillance efforts should seek to employ a more accurate measure as the first step in recognising the right to food for all Australians.
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- 2018
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16. A Method for Optimized Deployment of a Network of Surveillance Aerial Drones.
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Savkin, Andrey V. and Huang, Hailong
- Abstract
This letter considers the deployment problem for a network of aerial drones to maximize the coverage of an area for surveillance and monitoring. A distributed optimization model is proposed and a coverage maximizing algorithm is developed. It is proved that the proposed algorithm converges to a local maximum in a finite number of steps. Simulations with a real dataset demonstrate the effectiveness of the algorithm. [ABSTRACT FROM AUTHOR]
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- 2019
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17. Successful Eradication of Porcine Epidemic Diarrhea in an Enzootically Infected Farm: A Two-Year Follow-Up Study
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Guehwan Jang, Jonghyun Park, and Changhee Lee
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biosecurity ,endemic infection ,eradication ,herd immunity ,monitoring and surveillance ,prime-boost vaccination ,Medicine - Abstract
Porcine epidemic diarrhea virus (PEDV) has negatively affected the welfare of animals and their productivity in South Korea for three decades. A shortage of effective control measures has led to the virus becoming endemic in domestic pig populations. This study aimed to describe how our intervention measures were implemented for PEDV elimination in an enzootically infected farm. We operated a risk assessment model of PEDV recurrence to obtain information about the virus itself, herd immunity, virus circulation, and biosecurity at the farm. Next, we conducted a four-pillar-based two-track strategy to heighten sow immunity and eradicate the virus, with longitudinal monitoring of immunity and virus circulation, involving strict biosecurity, prime-boost pre-farrow L/K/K immunization, all-in-all-out and disinfection practices in farrowing houses, and disinfection and gilt management in wean-to-finish barns. In particular, we observed a high prevalence and long-term survival of PEDV in slurries, posing a critical challenge to PED eradication and highlighting the necessity for consecutive testing of barn slurry samples and for the management of infected manure to control PEDV. Genetic analysis of PEDVs in this farm indicated that genetic drift continued in the spike gene, with a substitution rate of 1.683 × 10−4 substitutions/site/year. Our study underlines the need for active monitoring and surveillance of PEDV in herds and their environments, along with the coordinated means, to eliminate the virus and maintain a negative herd. The tools described in this study will serve as a framework for regional and national PED eradication programs.
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- 2021
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18. Significant decline in lymphatic filariasis associated with nationwide scale-up of insecticide-treated nets in Zambia
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M. Nsakashalo-Senkwe, E. Mwase, E. Chizema-Kawesha, V. Mukonka, P. Songolo, F. Masaninga, M.P. Rebollo, B. Thomas, M.J. Bockarie, H. Betts, J.R. Stothard, and L.A. Kelly-Hope
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Zambia ,Lymphatic filariasis ,LF ,Elephantiasis ,Wuchereria bancrofti ,Malaria ,Bed nets ,ITNs ,LLINs ,National control programme ,Vector control ,Monitoring and surveillance ,Infectious and parasitic diseases ,RC109-216 - Abstract
Lymphatic filariasis (LF) is a mosquito-borne disease, broadly endemic in Zambia, and is targeted for elimination by mass drug administration (MDA) of albendazole and diethylcarbamazine citrate (DEC) to at-risk populations. Anopheline mosquitoes are primary vectors of LF in Africa, and it is possible that the significant scale-up of malaria vector control over the past decade may have also impacted LF transmission, and contributed to a decrease in prevalence in Zambia. We therefore aimed to examine the putative association between decreasing LF prevalence and increasing coverage of insecticide-treated mosquito nets (ITNs) for malaria vector control, by comparing LF mapping data collected between 2003–2005 and 2009–2011 to LF sentinel site prevalence data collected between 2012 and 2014, before any anti-LF MDA was started. The coverage of ITNs for malaria was quantified and compared for each site in relation to the dynamics of LF. We found a significant decrease in LF prevalence from the years 2003–2005 (11.5% CI95 6.6; 16.4) to 2012–2014 (0.6% CI95 0.03; 1.1); at the same time, there was a significant scale-up of ITNs across the country from 0.2% (CI95 0.0; 0.3) to 76.1% (CI95 71.4; 80.7) respectively. The creation and comparison of two linear models demonstrated that the geographical and temporal variation in ITN coverage was a better predictor of LF prevalence than year alone. Whilst a causal relationship between LF prevalence and ITN coverage cannot be proved, we propose that the scale-up of ITNs has helped to control Anopheles mosquito populations, which have in turn impacted on LF transmission significantly before the scale-up of MDA. This putative synergy with vector control has helped to put Zambia on track to meet national and global goals of LF elimination by 2020.
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- 2017
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19. Editorial: Antimicrobial resistance in zoonotic bacteria.
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Cheng G, Fang LX, Feng J, Li X, and Wu Z
- Abstract
Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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- 2024
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20. Oil pollution in the North Sea: the impact of governance measures on oil pollution over several decades.
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Carpenter, Angela
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OIL spills , *MARINE pollution , *DRILLING platforms , *OFFSHORE oil & gas industry , *WASTE disposal in the ocean , *OFFSHORE gas well drilling - Abstract
Oil pollution entering the marine environment has been an issue of concern for many decades. It can come from riverine or land-based sources, accidental and intentional discharges from ships, or as a by-product of offshore oil extraction. Growing awareness of the impact of oil pollution on the marine environment has led, since the late 1960s, to the introduction of measures to reduce or eliminate pollution from shipping and the offshore oil industry. A framework for environmental protection of the North Sea has developed over many decades through international agreements, regional cooperation, and national measures, while education has also played an important role with modern-day sailors being given due training to understand that dumping waste at sea is illegal in many areas, and is harmful to the marine environment. This paper presents data on trends in pollution from ships and oil installations. While significant reductions in oil pollution have been identified over more than two decades, there remain some areas where action is needed to reduce inputs still further, especially from oil and gas platforms. This paper illustrates that international cooperation can result in a reduction in marine pollution leading to a cleaner environment. [ABSTRACT FROM AUTHOR]
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- 2019
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21. Assessing the effect of the Expanding Maternal and Neonatal Survival program on improving stabilization and referral for maternal and newborn complications in Indonesia.
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Pedrana, Alisa, Qomariyah, Siti Nurul, Tholandi, Maya, Wijayanto, Bambang, Gandawidjaja, Trisnawaty, Amelia, Dwirani, Apriatni, Mandri, Sudirman, Sudirman, Zazri, Ali, Sethi, Reena, Emerson, Mark, and Ahmed, Saifuddin
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POISSON regression , *HEALTH facilities , *CONFIDENCE intervals , *MATERNAL health , *PREPAREDNESS - Abstract
Objective: To determine if the Expanding Maternal and Neonatal Survival (EMAS) program was associated with improved effectiveness of the referral system in Indonesia to facilitate timely and effective management of complications experienced by women and newborns.Methods: Poisson regression using longitudinal monitoring data was used to assess the impact of the EMAS program on stabilization practices prior to referral. Data from a nonrandomized quasi-experimental pre-post evaluation study were used to assess the impact of the EMAS program along the referral pathway using χ2 analysis.Results: Monitoring data demonstrated improvements in intervention areas for stabilization of pre-eclampsia/eclampsia (24% vs 61%, incidence rate ratio [IRR] 2.4; 95% confidence interval [CI], 2.3-2.6) and treatment of newborns with suspected severe infection (30% vs 54%, IRR 2.0; 95% CI, 1.6-2.4) prior to referral. The EMAS program was associated with significantly higher levels of communication, advanced notification, back referral, and hospital emergency readiness and staff preparedness compared with the comparison arm.Conclusion: The EMAS program contributed to improvements in the management of obstetric and newborn complications, including communication, transportation, and preparation of pregnant mothers in need of referral and hospital emergency readiness and staff preparedness. [ABSTRACT FROM AUTHOR]- Published
- 2019
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22. Monitoring and surveillance for multiple micronutrient supplements in pregnancy.
- Author
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Mei, Zuguo, Jefferds, Maria Elena, Namaste, Sorrel, Suchdev, Parminder S., and Flores‐Ayala, Rafael C.
- Subjects
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CHILD health services , *DIETARY supplements , *FOLIC acid , *HEALTH services accessibility , *IRON , *EVALUATION of medical care , *NUTRITION policy , *PRENATAL care , *MICRONUTRIENTS , *ACQUISITION of data , *EVALUATION of human services programs , *NUTRITIONAL status , *PREGNANCY - Abstract
The World Health Organization (WHO) recommends iron–folic acid (IFA) supplementation during pregnancy to improve maternal and infant health outcomes. Multiple micronutrient (MMN) supplementation in pregnancy has been implemented in select countries and emerging evidence suggests that MMN supplementation in pregnancy may provide additional benefits compared to IFA alone. In 2015, WHO, the United Nations Children's Fund (UNICEF), and the Micronutrient Initiative held a "Technical Consultation on MMN supplements in pregnancy: implementation considerations for successful incorporation into existing programmemes," which included a call for indicators needed for monitoring, evaluation, and surveillance of MMN supplementation programmes. Currently, global surveillance and monitoring data show that overall IFA supplementation programmes suffer from low coverage and intake adherence, despite inclusion in national policies. Common barriers that limit the effectiveness of IFA—which also apply to MMN programmes—include weak supply chains, low access to antenatal care services, low‐quality behaviour change interventions to support and motivate women, and weak or non‐existent monitoring systems used for programme improvement. The causes of these barriers in a given country need careful review to resolve them. As countries heighten their focus on supplementation during pregnancy, or if they decide to initiate or transition into MMN supplementation, a priority is to identify key monitoring indicators to address these issues and support effective programmes. National and global monitoring and surveillance data on IFA supplementation during pregnancy are primarily derived from cross‐sectional surveys and, on a more routine basis, through health and logistics management information systems. Indicators for IFA supplementation exist; however, the new indicators for MMN supplementation need to be incorporated. We reviewed practice‐based evidence, guided by the WHO/Centers for Disease Control and Prevention logic model for vitamin and mineral interventions in public health programmes, and used existing manuals, published literature, country reports, and the opinion of experts, to identify monitoring, evaluation, and surveillance indicators for MMN supplementation programmes. We also considered cross‐cutting indicators that could be used across programme settings, as well as those specific to common delivery models, such as antenatal care services. We then described mechanisms for collecting these data, including integration within existing government monitoring systems, as well as other existing or proposed systems. Monitoring data needs at all stages of the programme lifecycle were considered, as well as the feasibility and cost of data collection. We also propose revisions to global‐, national‐, and subnational‐surveillance indicators based on these reviews. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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23. Spatial distribution and temporal dynamics of invasive and native mosquitoes in a large Mediterranean city.
- Author
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Ferraguti, M., Martínez-de la Puente, J., Brugueras, S., Millet, J.P., Rius, C., Valsecchi, A., Figuerola, J., and Montalvo, T.
- Published
- 2023
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24. Spatial distribution and temporal dynamics of invasive and native mosquitoes in a large Mediterranean city
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Ferraguti, Martina, Brugueras, S., Millet, J.P., Rius, C., Valsecchi, A., Figerola, Jordi, Montalvo, Tomás, and Martínez de la Puente, Josué
- Subjects
Bacillus thuringiensis israelensis ,Culicidae ,Larvae control ,Culex pipiens ,Aedes albopictus ,Monitoring and surveillance ,Mosquito-borne diseases ,Vector control - Abstract
Mosquitoes, including invasive species like the Asian tiger mosquito Aedes albopictus, alongside native species Culex pipiens s.l., pose a significant nuisance to humans and serve as vectors for mosquito-borne diseases in urban areas. Under- standing the impact of water infrastructure characteristics, climatic conditions, and management strategies on mosquito oc- currence and effectiveness of control measures to assess their implications on mosquito occurrence is crucial for effective vector control. In this study, we examined data collected during the local vector control program in Barcelona, Spain, focusing on 234,225 visits to 31,334 different sewers, as well as 1817 visits to 152 fountains between 2015 and 2019. We investigated both the colonization and recolonization processes of mosquito larvae within these water infrastructures. Our findings re- vealed higher larval presence in sandbox-sewers compared to siphonic or direct sewers, and the presence of vegetation and the use of naturalized water positively influenced larval occurrence in fountains. The application of larvicidal treatment significantly reduced larvae presence; however, recolonization rates were negatively affected by the time elapsed since treat- ment. Climatic conditions played a critical role in the colonization and recolonization of sewers and urban fountains, with mosquito occurrence exhibiting non-linear patterns and, generally, increasing at intermediate temperatures and accumulated rainfall levels. This study emphasizes the importance of considering sewers and fountains characteristics and climatic condi- tions when implementing vector control programs to optimize resources and effectively reduce mosquito populations.
- Published
- 2023
25. Currently Available Monitoring and Surveillance Systems for Taenia spp., Echinococcus spp., Schistosoma spp., and Soil-Transmitted Helminths at the Control/Elimination Stage: A Systematic Review
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Ganna Saelens and Sarah Gabriël
- Subjects
neglected tropical diseases ,monitoring and surveillance ,helminth zoonoses ,taenia spp. ,echinococcus spp. ,schistosoma spp. ,soil-transmitted helminths ,Medicine - Abstract
An increasing global focus on neglected tropical diseases (NTDs) has resulted in the set up of numerous control and elimination activities worldwide. This is partly true for Taenia solium taeniasis/cysticercosis, the most important foodborne parasitic infection. Despite substantial progress, adequate monitoring and surveillance (M&S) are required to sustain a status of control/elimination. This is often lacking, especially for T. solium. Therefore, the objective was to conduct a systematic literature review of the currently available M&S systems at the control/elimination stage of the four top-ranked helminth NTDs. Specifically, Taenia spp., Echinococcus spp., Schistosoma spp., and soil-transmitted helminths (STHs) were considered to determine if there are any similarities between their M&S systems and whether certain approaches can be adopted from each other. The systematic review demonstrated that rigorous M&S systems have been designed for the control/elimination stage of both STHs and schistosomiasis, particularly in China. On the other hand, a concept of M&S for Taenia spp. and Echinococcus spp. has not been fully developed yet, due to a lack of epidemiological data and the fact that many endemic countries are far away from reaching control/elimination. Moreover, accurate diagnostic tools for all four diseases are still imperfect, which complicates proper M&S. Finally, there is an urgent need to develop and harmonize/standardize M&S activities in order to reliably determine and compare the epidemiological situation worldwide.
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- 2020
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26. Where are modern flow techniques heading to?
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Horstkotte, Burkhard, Miró, Manuel, and Solich, Petr
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AUTOMATION , *FLOW measurement , *CHEMICAL laboratories , *ROBOTICS , *PROTOTYPES - Abstract
This article aims to provide an overview on the transition from earlier laboratory automation using analytical flow approaches toward today’s applications of flow methodologies, recent developments, and future trends. The article is directed to flow practitioners while serving as a valuable reference to newcomers in the field in providing insight into flow techniques and conceptual differences in operation across the distinct flow generations. In the focus are the recently developed and complementary techniques Lab-On-Valve and Lab-In-Syringe. In the following, a brief comparison of the different application niches and contributions of flow techniques to past and modern analytical chemistry is given, including (i) the development of sample pretreatment approaches, (ii) the potential applicability for in-situ/on-site monitoring of environmental compartments or technical processes, (iii) the ability of miniaturization of laboratory chemistry, (iv) the unique advantages for implementation of kinetic assays, and finally (v) the beneficial online coupling with scanning or separation analytical techniques. We also give a critical comparison to alternative approaches for automation based on autosamplers and robotic systems. Finally, an outlook on future applications and developments including 3D prototyping and specific needs for further improvements is given.ᅟ
[ABSTRACT FROM AUTHOR]
- Published
- 2018
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27. Reusing Treated Wastewater: Consideration of the Safety Aspects Associated with Antibiotic-Resistant Bacteria and Antibiotic Resistance Genes.
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Hong, Pei-Ying, Julian, Timothy R., Pype, Marie-Laure, Jiang, Sunny C., Nelson, Kara L., Graham, David, Pruden, Amy, and Manaia, Célia M.
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WASTEWATER treatment ,ANTIBIOTIC residue measurement ,WATER management ,ENVIRONMENTAL impact analysis ,WATER reuse - Abstract
As more countries engage in water reuse, either intended or de facto, there is an urgent need to more comprehensively evaluate resulting environmental and public health concerns. While antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) are increasingly coming under the spotlight, as emerging contaminants, existing water reuse regulations and guidelines do not adequately address these concerns. This perspectives paper seeks to frame the various challenges that need to be resolved to identify meaningful and realistic target types and levels of antibiotic resistance benchmarks for water reuse. First, there is the need for standardized and agreed-upon methodologies to identify and quantify ARB and ARGs. Second, even if methodologies are available, identifying which ARB and ARGs to monitor that would best relate to the occurrence of disease burden remains unknown. Third, a framework tailored to assessing the risks associated with ARB and ARGs during reuse is urgently needed. Fourth, similar to protecting drinking water sources, strategies to prevent dissemination of ARB and ARGs via wastewater treatment and reuse are required to ensure that appropriate barriers are emplaced. Finally, current wastewater treatment technologies could benefit from modification or retrofit to more effectively remove ARB and ARGs while also producing a high quality product for water and resource recovery. This perspectives paper highlights the need to consider ARB and ARGs when evaluating the overall safety aspects of water reuse and ways by which this may be accomplished. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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28. Availability, variety and distribution of healthy and unhealthy foods and beverages sold at street food stands in Mexico City
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Meg Bruening, Megan Jehn, Jose B. Rosales Chavez, Michael F. Royer, Punam Ohri-Vachaspati, and Rebecca E. Lee
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Food availability ,Medicine (miscellaneous) ,Distribution (economics) ,Food Supply ,Beverages ,Environmental health ,Mexico city ,Vegetables ,Humans ,Neighbourhood (mathematics) ,Mexico ,Consumption (economics) ,Nutrition and Dietetics ,Street foods ,business.industry ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Commerce ,Food environment ,Geography ,Cross-Sectional Studies ,Income level ,Snacks ,business ,Street food ,Research Paper - Abstract
Objective:To examine differences in the availability, variety and distribution of foods and beverages sold at street food stands (SFS) across neighbourhood income levels in Mexico City.Design:Cross-sectional.Setting:Twenty neighbourhoods representing low-, middle- and high-income levels in Mexico City.Participants:Direct observations of SFS (n 391).Results:The availability of healthy foods such as fruits/vegetables was high in middle- and high-income neighbourhoods, whereas the availability of unhealthy foods such as processed snacks was higher in low-income neighbourhoods. However, statistically significant differences in food availability across neighbourhoods were only observed for dairy and processed snack items (P < 0·05). Similarly, differences in variety were only observed for cereal and processed snacks (P < 0·05). No statistically significant differences were seen for variety of fruits/vegetable across neighbourhood income levels (P > 0·05). No statistically significant differences across neighbourhood income levels were observed for beverage availability and variety (P > 0·05). Although street foods and beverages were often distributed near homes, public transportation centres and worksites, no differences were observed across neighbourhood income levels (P > 0·05).Conclusions:Findings suggest that SFS can be a source of both unhealthy foods and healthy foods for communities across neighbourhoods in Mexico City. Additional studies are needed to assess the relationship between street food and beverage availability, and consumption.
- Published
- 2021
29. Clinically diagnosed iron and iodine deficiencies and disorders in the entire population of US military service members from 1997 to 2015
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Emily K. Farina, Joseph J. Knapik, Harris R. Lieberman, and Victor L Fulgoni
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Male ,Pediatrics ,medicine.medical_specialty ,Race ,Iron ,Military service ,Medicine (miscellaneous) ,chemistry.chemical_element ,Health outcomes ,Iodine ,Age ,Epidemiology ,Humans ,Medicine ,Entire population ,Nutrition and Dietetics ,business.industry ,Incidence ,Incidence (epidemiology) ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Men ,medicine.disease ,Iodine deficiency ,United States ,Clinical trial ,Military Personnel ,Mineral deficiencies ,chemistry ,Sex ,Female ,business ,Research Paper - Abstract
Objective:Iron and/or iodine deficiencies can have multiple serious adverse health outcomes, but examination of incidence rates of these deficiencies has rarely been conducted in any large population. This study examined incidence rates, temporal trends and demographic factors associated with medically diagnosed iron and iodine deficiencies/disorders in US military service members (SM).Design:The Defense Medical Epidemiological Database (DMED) was queried for medical visits of active duty SM to obtain specific International Classification of Diseases, Version 9, codes involving clinically diagnosed iron and iodine deficiencies/disorders.Setting:Analysis of existing database (DMED).Participants:Entire population of US military SM from 1997 to 2015 (average n per year = 1 382 266, 15 % women).Results:Overall incidence rates for iron and iodine were 104 and 36 cases/100 000 person-years, respectively. Over the 19-year period, rates for iron disorders increased steadily (108 % for men, 177 % for women). Rates for iodine disorders also increased steadily for men (91 %), but, for women, there was an initial rise followed by a later decline. Overall, women’s rates were 12 and 10 times higher than men’s for iron and iodine, respectively. Compared with whites, blacks and those of other races had higher rates of deficiencies of both minerals. Incidence rates for iodine deficiency increased substantially with age.Conclusions:The overall incidence of clinically diagnosed iron and iodine deficiency among SM was low, but increased over the 19 years examined, and certain demographic groups were at significantly greater risk. Given the unexpected increases in incidence of these mineral disorders, increased surveillance may be appropriate.Clinical Trial Registration No. ISRCTN58987177 (http//:www.isrctn.com/ISRCTN58987177)
- Published
- 2021
30. Advice to use infant formula and free samples are common in both urban and rural areas in China: a cross-sectional survey
- Author
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Zhenyu Yang, Tuan T Nguyen, Yifan Duan, Roger Mathisen, and Jia Li
- Subjects
Rural Population ,0301 basic medicine ,China ,Cross-sectional study ,Mothers ,Medicine (miscellaneous) ,Cross-promotion ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Humans ,Medicine ,International Code of Marketing of Breastmilk Substitutes ,030212 general & internal medicine ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Monitoring and Surveillance ,Breast-feeding support ,Public Health, Environmental and Occupational Health ,Infant ,After discharge ,medicine.disease ,Infant Formula ,Breast Feeding ,Cross-Sectional Studies ,Infant formula ,Female ,Residence ,Rural area ,business ,Hospital stay ,Research Paper ,Demography - Abstract
Objective: To examine the association between the place of residence and receiving free samples and advice to feed the baby with infant formula. Design: A cross-sectional study. Setting: The current study covered twelve counties/districts in China. Participants: 5112 mothers with infants aged 0–5·9 months. Results: About 16 % of the mothers received free samples of infant formula. During pregnancy, this likelihood was higher among mothers in small and medium cities (OR: 1·96; 95 % CI 1·14, 3·38) and non-poor rural counties (OR: 4·65; 95 % CI 1·65, 13·14) compared with mothers in big cities. During the hospital stay, it was lower in big cities. After discharge, it was lower in poor rural counties (OR: 0·14; 95 % CI 0·05, 0·41). About 26 % of the mothers were advised to feed their infants with infant formula. The likelihood of receiving advice to feed the baby with infant formula from hospitals was lower in non-poor (OR: 0·37; 95 % CI 0·21, 0·66) and poor rural counties (OR: 0·35; 95 % CI 0·13, 0·91) than in big cities. Mothers in non-poor rural counties were less likely to receive advice from traditional mass media (OR: 0·17; 95 % CI 0·06, 0·48), while mothers in small and medium cities were more likely to receive advice from modern mass media (OR: 1·84; 95 % CI 1·20, 2·80) compared with mothers in big cities. Conclusions: The promotion strategy of infant formula varies from different places of residence in China. The study suggests the need to strengthen enforcement of relevant regulations, especially within health facilities and through modern mass media.
- Published
- 2021
31. Early pregnancy overweight/obesity and length of residence among immigrants in Sweden: a pooled analysis of Swedish population registers between 1992 and 2012
- Author
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Jesper Löve, Dilana López-Borbón, and Sol Pía Juárez
- Subjects
Short Communication ,Global health ,Emigrants and Immigrants ,Medicine (miscellaneous) ,030209 endocrinology & metabolism ,Overweight ,Logistic regression ,Overweight/obesity ,Odds ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Humans ,Medicine ,Obesity ,Registries ,030212 general & internal medicine ,Migration ,Sweden ,Nutrition and Dietetics ,business.industry ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Length of residence ,Odds ratio ,medicine.disease ,Confidence interval ,Observational Studies as Topic ,Cross-Sectional Studies ,Female ,Residence ,Country of origin ,Inequalities ,medicine.symptom ,business ,Demography - Abstract
Objective:To examine whether the association between women’s origin and early pregnancy overweight and obesity (OW/OB) varies by length of residence in Sweden.Design:This cross-sectional observational study used pooled Swedish population register data from 1992 to 2012. Logistic regression models were run to estimate odds ratios (OR) of early pregnancy OW/OB and 95 % confidence intervals (95 % CI), comparing Swedish-born and immigrants by length-of-residence categories while adjusting for covariates.Setting:Sweden.Participants:In total, 1 771 821 pregnant women, 315 992 of whom were immigrants.Results:With longer residence in Sweden, more immigrant women from various origins exhibited higher odds of experiencing early OW/OB compared with Swedish-born women. Findings specifically showed increased odds of early pregnancy OW/OB with increasing length of residence for women born in Latin America, Europe-27 and Southeast Asia. For example, immigrant women from Latin America residing in Sweden for < 6 years showed similar odds as Swedish-born (OR≤ 5 years 0·92, 95 % CI 0·87, 0·98), while their longer residing counterparts showed higher odds than Swedish-born women (OR6–15 years1·21, 95 % CI 1·14, 1·28 and OR≥ 16 years 1·68, 95 % CI 1·59, 1·78). Mixed results were found for other origins.Conclusions:The current study suggests that host country conditions might play an important role in explaining OW/OB among some groups of immigrant women. Although further studies are needed to disentangle the mechanisms that generate these health inequalities, policy efforts should focus on immigrant reception and early integration to prevent pregnancy-related OW/OB.
- Published
- 2020
32. Regulatory Compliance Monitoring Paradigms and the Relationship of Regulatory Compliance/Licensing with Program Quality: A Policy Commentary
- Author
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Fiene, Richard John
- Subjects
regulatory compliance, program monitoring, licensing, program quality ,monitoring and surveillance - Abstract
This policy commentary deals with two key issues within regulatory science related to the best methods for measuring regulatory compliance: Program monitoring paradigms and the relationship of regulatory compliance/licensing with program quality. Examples from program monitoring paradigms include: 1) Substantial versus Monolithic. 2) Differential Monitoring versus One size fits all monitoring. 3) “Not all standards are created equal” versus “All standards are created equal”. 4) “Do things well” versus “Do no harm”. 5) Strength based versus Deficit based. 6) Formative versus Summative. 7) Program Quality versus Program Compliance. 8) 100-0 scoring versus 100 or 0 scoring. 9) QRIS versus Licensing. 10) Non-Linear versus Linear. Examples from the relationship of regulatory compliance/licensing with program quality include: 1) “Do no harm” versus “Do good”. 2) Closed system versus Open system. 3) Rules versus Indicators. 4) Nominal versus Ordinal measurement. 5) Full versus Partial compliance. 6) Ceiling effect versus No Ceiling effect. 7) Gatekeeper versus Enabler. 8) Risk versus Performance., Journal of Regulatory Science, Vol. 10 No. 1 (2022)
- Published
- 2022
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33. State of emerging technologies for assessing aquatic condition in the Great Lakes - St. Lawrence River system.
- Author
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Twiss, Michael R. and M. Stryszowska, Kinga
- Abstract
A survey of institutions that operate emerging technologies used to monitor water quality and environmental conditions in the Great Lakes - St. Lawrence system was conducted in 2015. Data were summarized with the aim to provide insight into the current status of these aquatic environment observing systems at a time when these technologies are recognized to have great value but full implementation of observing systems is not yet in place. Fifty-three emerging technology observing platforms were described; over half of the systems were operated by institutions with multiple systems. Most emerging technology operators were from academic institutions and the largest (most expensive) emerging technology observing platforms were operated by government agencies. Physical properties were the most common water qualities measured. Lake Erie had the greatest number of emerging technology platforms making observations whereas the rivers connecting and draining the system had the least. Most observations were made in ice-free seasons. Data from these observing platforms were primarily used for sharing with other end-users. Emerging technologies can help resource managers make more informed decisions to meet the objectives of the Great Lakes Water Quality Agreement and improve dissemination of public information. Technological and non-technological innovation is necessary for successful establishment of cost-effective system-wide observatory that can support bi-national obligations to monitor ecosystem restoration and protect water quality throughout the Great Lakes system. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
34. Plant-based dietary practices in Canada: examining definitions, prevalence and correlates of animal source food exclusions using nationally representative data from the 2015 Canadian Community Health Survey–Nutrition
- Author
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Mirjana Valdes, Annalijn Conklin, Gerry Veenstra, and Jennifer L. Black
- Subjects
Canada ,Meat ,Population ,Dietary pattern ,Medicine (miscellaneous) ,Population health ,Vegetarian ,Environmental health ,Animal source foods ,Prevalence ,Animals ,Humans ,education ,education.field_of_study ,Nutrition and Dietetics ,Descriptive statistics ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Canadian studies ,Nutrition Surveys ,Educational attainment ,Plant-based diet ,Cross-Sectional Studies ,Geography ,National health survey ,Community health ,Red meat ,Public Health ,Research Paper - Abstract
Objective:While plant-based dietary practices (PBDPs) have been recommended to improve both population health and environmental sustainability outcomes, no nationally representative Canadian studies have described the prevalence or correlates of excluding animal source foods. The current study therefore: (1) created operationalised definitions of PBDPs based on animal source food exclusions to estimate the prevalence of Canadians who adhere to PBDPs and (2) examined key correlates of PBDPs.Design:Population representative, cross-sectional data were from the 2015 Canadian Community Health Survey–Nutrition. Respondents’ PBDPs were categorised as: (1) vegan (excluded red meat, poultry, fish, eggs and dairy); (2) vegetarian (excluded red meat, poultry and fish); (3) pescatarian (excluded red meat and poultry) and (4) red meat excluder (excluded red meat). Descriptive statistics and multivariable regression analyses were used to examine the prevalence and correlates of these PBDP categories.Setting:All ten provinces in Canada.Participants:Canadians aged 2 years and above (n 20 477).Results:In 2015, approximately 5 % of Canadians reported adhering to any PBDP (all categories combined) with the majority (2·8 %) categorised as a red meat excluder, 1·3 % as vegetarian, 0·7 % as pescatarian and 0·3 % as vegan. South Asian cultural identity (OR 19·70 (95 % CI 9·53, 40·69)) and higher educational attainment (OR 1·97 (95 % CI 1·02, 3·80)) were significantly associated with reporting a vegetarian/vegan PBDP.Conclusions:Despite growing public discourse around PBDPs, only 5 % of Canadians reported PBDPs in 2015. Understanding the social and cultural factors that influence PBDPs is valuable for informing future strategies to promote environmentally sustainable dietary practices.
- Published
- 2020
35. Food insecurity among people who inject drugs in Athens, Greece: a study in the context of ARISTOTLE programme
- Author
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Sotirios Roussos, Vassiliki Benetou, Vana Sypsa, Eleni Flounzi, and Angelos Hatzakis
- Subjects
Human immunodeficiency virus (HIV) ,Medicine (miscellaneous) ,Athens greece ,Context (language use) ,HIV Infections ,medicine.disease_cause ,Drug user ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,Health insurance ,Prevalence ,Medicine ,Humans ,030212 general & internal medicine ,ARISTOTLE programme ,030505 public health ,Nutrition and Dietetics ,Food insecurity ,Greece ,business.industry ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,HIV infection ,Confounding effect ,Cross-Sectional Studies ,Pharmaceutical Preparations ,Female ,0305 other medical science ,business ,Research Paper - Abstract
Objective:To measure the prevalence of food insecurity and explore related characteristics and behaviours among people who inject drugs (PWID).Design:Cross-sectional analysis of a community-based programme for HIV infection among PWID (ARISTOTLE programme). Food insecurity was measured by the Household Food Insecurity Access Scale. Computer-assisted interviews and blood samples were also collected.Setting:A fixed location in Athens Metropolitan Area, Greece, during 2012–2013.Participants:In total, 2834 unique participants with history of injecting drug use in the past 12 months were recruited over four respondent-driven sampling rounds (approximately 1400/round).Results:More than 50 % of PWID were severely or moderately food insecure across all rounds. PWID were more likely to be severely food insecure if they were older than 40 years [adjusted OR (aOR): 1·71, 95 % CI: 1·33–2·19], were women (aOR: 1·49, 95 % CI: 1·17–1·89), from Middle East countries (aOR v. from Greece: 1·80, 95 % CI: 1·04–3·11), had a lower educational level (primary or secondary school v. higher education; aOR: 1·54, 95 % CI: 1·29–1·84), had no current health insurance (aOR: 1·45, 95 % CI: 1·21–1·73), were homeless (aOR: 17·1, 95 % CI: 12·3–23·8) or were living with another drug user (aOR: 1·55, 95 % CI: 1·26–1·91) as compared with those living alone or with family/friends. HIV-infected PWID were more likely to be severely food insecure compared with uninfected (59·0 % v. 51·0 %, respectively, P = 0·002); however, this difference was attributed to the confounding effect of homelessness.Conclusions:Moderate/severe food insecurity was a significant problem, reaching > 50 % in this sample of PWID and closely related to socio-demographic characteristics and especially homelessness.
- Published
- 2020
36. Folate status in women of childbearing age in the Urban Metropolitan Region of Chile: results from the National Health Survey 2016–2017
- Author
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Fernanda Morales, Paula Margozzini, Alvaro Passi-Solar, Marcelo Farías, Guadalupe Echeverría, and Dolores Busso
- Subjects
Adult ,Vitamin ,Multivariate analysis ,Adolescent ,Medicine (miscellaneous) ,Reproductive age ,Plasma folate levels ,Young Adult ,chemistry.chemical_compound ,Folic Acid ,Serum folate ,Pregnancy ,Environmental health ,Humans ,Medicine ,Folic acid fortification ,Neural Tube Defects ,Chile ,National health ,Nutrition and Dietetics ,business.industry ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Middle Aged ,Health Surveys ,Cross-Sectional Studies ,chemistry ,Dietary Supplements ,Food, Fortified ,Childbearing age ,Marital status ,Female ,business ,Research Paper - Abstract
Objective:To analyse serum folate levels in women of childbearing age in the Metropolitan Region (MR) of Chile.Design:Cross-sectional design as part of the 2016–2017 National Health Survey (Encuesta Nacional de Salud, ENS 2016–2017), using a household-based multistage stratified random sample. Serum folate levels measured by electrochemiluminescence immunoassay in fasting venous blood samples were classified as deficient (20 ng/ml).Setting:The MR of Chile.Participants:Women of reproductive age (15–49 years, n 222) from the MR participated in the ENS 2016–2017.Results:The mean, median and range of serum folate were 14·2 (se 0·4), 13·9 and 2·1–32·2 ng/ml, respectively. Folate deficiency was detected in 0·9 % of women, while 7·0 % had supraphysiological levels of the vitamin. No significant effects of age, educational level, marital status, parity, smoking status or nutritional status on serum folate levels were detected by univariate or multivariate analyses. Intake of folic acid supplements showed a significant association with serum folate levels, but only 1·2 % of women used supplements.Conclusions:Folate deficiency in women of reproductive age living in the MR of Chile is almost inexistent according to the ENS 2016–2017, suggesting that the current population-wide mandatory folic acid fortification of flour is an effective and equitable measure to prevent folate deficiency. These results support the option of maintaining current folic acid fortification in Chile, particularly based on the low adherence to supplementation regimes evidenced in other populations.
- Published
- 2020
37. Ultra-processed food and beverage advertising on Brazilian television by International Network for Food and Obesity/Non-Communicable Diseases Research, Monitoring and Action Support benchmark
- Author
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Julia Soares Guimarães, Fernanda Helena Marrocos Leite, Rafael Moreira Claro, Marina Oliveira Santana, Paula Martins Horta, Ana Paula Bortoletto Martins, and Laís Amaral Mais
- Subjects
medicine.medical_specialty ,Short Communication ,Medicine (miscellaneous) ,Beverages ,Advertising ,Food choice ,medicine ,Food Industry ,Humans ,International Network for Food and Obesity/Non-Communicable Diseases Research, Monitoring and Action Support ,International network ,Surveillance ,Nutrition and Dietetics ,business.industry ,Public health ,digestive, oral, and skin physiology ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,medicine.disease ,Obesity ,Unhealthy food ,Benchmarking ,Cross-Sectional Studies ,Food ,Food processing ,Fast Foods ,Television ,Brazilian population ,Business ,Brazil - Abstract
Objective:To analyse the extent and nature of food and beverage advertising on the three major Brazilian free-to-air television (TV) channels.Design:Cross-sectional study. A protocol developed for the International Network for Food and Obesity/Non-Communicable Diseases Research, Monitoring and Action Support was applied for data collection. A total of 432 h of TV programming was recorded from 06.00 to 24.00 hours, for eight non-consecutive and randomly selected days, in April 2018. All TV advertisements (ads) were analysed, and food-related ads were classified according to the NOVA classification system. Descriptive analyses were used to describe the number and type of ads, food categories and the distribution of ads throughout the day and time of the day.Setting:The three most popular free-to-air channels on Brazilian TV.Participants:The study did not involve human subjects.Results:In total, 14·2 % (n 1156 out of 7991) of ads were food related (858 were specific food items). Approximately 91 % of food items ads included ultra-processed food (UPF) products. The top three most promoted products were soft drinks, alcoholic beverages and fast-food meals. Alcoholic beverage ads were more frequently broadcast in the evening.Conclusion:The high risk of exposure of the Brazilian population to UPF ads should be considered a public health concern given the impact of unhealthy food advertising on people’s food choices and health.
- Published
- 2020
38. Towards the Internet of Flying Robots: A Survey
- Author
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Hailong Huang and Andrey V. Savkin
- Subjects
flying robots ,target tracking ,monitoring and surveillance ,wireless sensor networks ,flying robot navigation ,collision avoidance ,path planning ,Internet of Things ,Chemical technology ,TP1-1185 - Abstract
The Internet of Flying Robots (IoFR) has received much attention in recent years thanks to the mobility and flexibility of flying robots. Although a lot of research has been done, there is a lack of a comprehensive survey on this topic. This paper analyzes several typical problems in designing IoFR for real applications, including wireless communication support, monitoring targets of interest, serving a wireless sensor network, and collaborating with ground robots. In particular, an overview of the existing publications on the coverage problem, connectivity of flying robots, energy capacity limitation, target searching, path planning, flying robot navigation with collision avoidance, etc., is presented. Beyond the discussion of these available approaches, some shortcomings of them are indicated and some promising future research directions are pointed out.
- Published
- 2018
- Full Text
- View/download PDF
39. Reusing Treated Wastewater: Consideration of the Safety Aspects Associated with Antibiotic-Resistant Bacteria and Antibiotic Resistance Genes
- Author
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Pei-Ying Hong, Timothy R. Julian, Marie-Laure Pype, Sunny C. Jiang, Kara L. Nelson, David Graham, Amy Pruden, and Célia M. Manaia
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water reuse ,wastewater treatment ,source prevention ,monitoring and surveillance ,risk assessment ,Hydraulic engineering ,TC1-978 ,Water supply for domestic and industrial purposes ,TD201-500 - Abstract
As more countries engage in water reuse, either intended or de facto, there is an urgent need to more comprehensively evaluate resulting environmental and public health concerns. While antibiotic-resistant bacteria (ARB) and antibiotic resistance genes (ARGs) are increasingly coming under the spotlight, as emerging contaminants, existing water reuse regulations and guidelines do not adequately address these concerns. This perspectives paper seeks to frame the various challenges that need to be resolved to identify meaningful and realistic target types and levels of antibiotic resistance benchmarks for water reuse. First, there is the need for standardized and agreed-upon methodologies to identify and quantify ARB and ARGs. Second, even if methodologies are available, identifying which ARB and ARGs to monitor that would best relate to the occurrence of disease burden remains unknown. Third, a framework tailored to assessing the risks associated with ARB and ARGs during reuse is urgently needed. Fourth, similar to protecting drinking water sources, strategies to prevent dissemination of ARB and ARGs via wastewater treatment and reuse are required to ensure that appropriate barriers are emplaced. Finally, current wastewater treatment technologies could benefit from modification or retrofit to more effectively remove ARB and ARGs while also producing a high quality product for water and resource recovery. This perspectives paper highlights the need to consider ARB and ARGs when evaluating the overall safety aspects of water reuse and ways by which this may be accomplished.
- Published
- 2018
- Full Text
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40. Costing 'healthy' food baskets in Australia - a systematic review of food price and affordability monitoring tools, protocols and methods.
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Lewis, Meron and Lee, Amanda
- Subjects
- *
FOOD prices , *FOOD quality , *NUTRITION surveys , *NUTRITION policy , *META-analysis , *FOOD , *BUSINESS , *SYSTEMATIC reviews , *ECONOMICS - Abstract
Objective: To undertake a systematic review to determine similarities and differences in metrics and results between recently and/or currently used tools, protocols and methods for monitoring Australian healthy food prices and affordability.Design: Electronic databases of peer-reviewed literature and online grey literature were systematically searched using the PRISMA approach for articles and reports relating to healthy food and diet price assessment tools, protocols, methods and results that utilised retail pricing.Setting: National, state, regional and local areas of Australia from 1995 to 2015.Subjects: Assessment tools, protocols and methods to measure the price of 'healthy' foods and diets.Results: The search identified fifty-nine discrete surveys of 'healthy' food pricing incorporating six major food pricing tools (those used in multiple areas and time periods) and five minor food pricing tools (those used in a single survey area or time period). Analysis demonstrated methodological differences regarding: included foods; reference households; use of availability and/or quality measures; household income sources; store sampling methods; data collection protocols; analysis methods; and results.Conclusions: 'Healthy' food price assessment methods used in Australia lack comparability across all metrics and most do not fully align with a 'healthy' diet as recommended by the current Australian Dietary Guidelines. None have been applied nationally. Assessment of the price, price differential and affordability of healthy (recommended) and current (unhealthy) diets would provide more robust and meaningful data to inform health and fiscal policy in Australia. The INFORMAS 'optimal' approach provides a potential framework for development of these methods. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF
41. Successful Eradication of Porcine Epidemic Diarrhea in an Enzootically Infected Farm: A Two-Year Follow-Up Study
- Author
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Changhee Lee, Jonghyun Park, and Guehwan Jang
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Microbiology (medical) ,Veterinary medicine ,040301 veterinary sciences ,animal diseases ,Biosecurity ,endemic infection ,Article ,Virus ,Herd immunity ,0403 veterinary science ,03 medical and health sciences ,prime-boost vaccination ,eradication ,Immunology and Allergy ,herd immunity ,Molecular Biology ,030304 developmental biology ,monitoring and surveillance ,0303 health sciences ,General Immunology and Microbiology ,biology ,PEDV ,04 agricultural and veterinary sciences ,biology.organism_classification ,Domestic pig ,Infectious Diseases ,Immunization ,Herd ,Medicine ,Porcine epidemic diarrhea virus ,Risk assessment ,biosecurity - Abstract
Porcine epidemic diarrhea virus (PEDV) has negatively affected the welfare of animals and their productivity in South Korea for three decades. A shortage of effective control measures has led to the virus becoming endemic in domestic pig populations. This study aimed to describe how our intervention measures were implemented for PEDV elimination in an enzootically infected farm. We operated a risk assessment model of PEDV recurrence to obtain information about the virus itself, herd immunity, virus circulation, and biosecurity at the farm. Next, we conducted a four-pillar-based two-track strategy to heighten sow immunity and eradicate the virus, with longitudinal monitoring of immunity and virus circulation, involving strict biosecurity, prime-boost pre-farrow L/K/K immunization, all-in-all-out and disinfection practices in farrowing houses, and disinfection and gilt management in wean-to-finish barns. In particular, we observed a high prevalence and long-term survival of PEDV in slurries, posing a critical challenge to PED eradication and highlighting the necessity for consecutive testing of barn slurry samples and for the management of infected manure to control PEDV. Genetic analysis of PEDVs in this farm indicated that genetic drift continued in the spike gene, with a substitution rate of 1.683 × 10−4 substitutions/site/year. Our study underlines the need for active monitoring and surveillance of PEDV in herds and their environments, along with the coordinated means, to eliminate the virus and maintain a negative herd. The tools described in this study will serve as a framework for regional and national PED eradication programs.
- Published
- 2021
42. Three-year trends in dietary behaviours among mothers, teenagers and children from SNAP-Ed (Supplemental Nutrition Assistance Program–Education) eligible households across California
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John Pugliese, Fred Molitor, Lauren Whetstone, and Celeste Doerr
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,Population ,Psychological intervention ,Ethnic group ,Medicine (miscellaneous) ,Mothers ,Healthy eating ,Behaviour surveillance ,Sugar-sweetened beverages ,Supplemental Nutrition Assistance Program ,California ,Nutrition Policy ,Environmental health ,Vegetables ,medicine ,Humans ,education ,Child ,Poverty ,education.field_of_study ,Family Characteristics ,Nutrition and Dietetics ,business.industry ,Public health ,Monitoring and Surveillance ,Supplemental Nutrition Assistance Program–Education ,Public Health, Environmental and Occupational Health ,Low-income population ,Population-based survey ,Feeding Behavior ,Nutrition Surveys ,Diet ,Cross-Sectional Studies ,Fruit and vegetable consumption ,Child, Preschool ,Fruit ,Fruit juice ,Female ,Food Assistance ,business ,Diet quality ,Poverty level ,Research Paper - Abstract
Objective:To examine trends from 2015 to 2017 in dietary behaviours and diet quality among low-income mothers, teenagers and children.Design:Cross-sectional telephone surveys using a validated 24 h dietary assessment.Setting:Randomly sampled households with incomes ≤185 % of the US federal poverty level across California.Participants:Survey participants were 13 247 mothers (≥18 years), 3293 teenagers (12–17 years) and 6043 children (5–11 years). Respondents were mostly Latino.Results:Over the 3-year study period, consumption of fruits and vegetables with and without 100 % fruit juice increased (P ≤ 0·05) by at least 0·3 cups/d for mothers, teenagers and children. Intake of water also increased (P ≤ 0·001) by more than 1 cup/d for mothers and children and 2 cups/d for teenagers. Sugar-sweetened beverage (SSB) consumption was unchanged over the 3 years. Overall diet quality, as assessed by the Healthy Eating Index-2015, improved (P ≤ 0·01) for mothers, teenagers and children. Covariates for the fifteen regression models (three age groups by five outcome variables) included race/ethnicity, age, education for mothers, and gender for teenagers and children.Conclusions:The observed increases in fruit and vegetable intake and improvements in overall diet quality during the 3-year period suggest that low-income Californians may have lowered their risk of preventable diseases. However, more intense or strategic SSB-reduction interventions are required. Regional- or state-level, population-based surveillance of dietary behaviours is useful for public health nutrition policy and programme decision making, and can be used to assess potential trends in future negative health outcomes and related costs associated with poor dietary behaviours within at-risk populations.
- Published
- 2019
43. Trends in total fat and fatty acid intakes and chronic health conditions in Korean adults over 2007–2015
- Author
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Jae Eun Shim, Won O. Song, and SuJin Song
- Subjects
Adult ,Male ,National Health and Nutrition Examination Survey ,Hypercholesterolemia ,Medicine (miscellaneous) ,030204 cardiovascular system & hematology ,Probability sampling ,03 medical and health sciences ,Total fat ,Young Adult ,0302 clinical medicine ,Animal science ,Age groups ,Republic of Korea ,medicine ,Prevalence ,Humans ,National level ,030212 general & internal medicine ,Obesity ,Hypercholesterolaemia ,Aged ,chemistry.chemical_classification ,Nutrition and Dietetics ,Korean adults ,business.industry ,Monitoring and Surveillance ,Fatty Acids ,Public Health, Environmental and Occupational Health ,Fatty acid ,Middle Aged ,medicine.disease ,Nutrition Surveys ,Dietary Fats ,Diet ,Cross-Sectional Studies ,chemistry ,Chronic Disease ,Female ,business ,Research Paper - Abstract
ObjectiveTo investigate trends in total fat and fatty acid intakes and chronic health conditions among Korean adults over nine years between 2007 and 2015.DesignCross-sectional, observational study using a stratified, multistage probability sampling design at a national level. Intakes of total fat and fatty acids were estimated from 24 h dietary recalls by sex and age groups. Trends of total fat and fatty acid intakes were determined by multiple linear regression after adjusting for covariates. Trends in age-standardized prevalence of obesity, hypercholesterolaemia and hypertriacylglycerolaemia were examined by sex.SettingKorea.ParticipantsPopulation data of 47749 healthy adults (aged ≥19 years) derived from the Korea National Health and Nutrition Examination Survey between 2007 and 2015.ResultsOver the survey period, daily intakes of energy and total, saturated, monounsaturated, polyunsaturated, n-3 and n-6 fats (grams and percentage of energy (%E)) increased steadily. In all sex and age groups, significant increases were seen in SFA intake from 9·9 g (4·7 %E) to 12·0 g (5·3 %E) and in MUFA intake from 9·9 g (4·6 %E) to 13·3 g (5·8 %E). The prevalence of hypercholesterolaemia increased from 10·7 to 17·9 % over the same period.ConclusionsIn Korean adults, total fat, SFA and other fatty acids have been increasing along with the prevalence of hypercholesterolaemia. This information can help set adequate macronutrient and fatty acid distribution ranges in developing population-specific preventive strategies against diet-related illness.
- Published
- 2019
44. Prevalence and correlates of food insecurity among Lebanese households with children aged 4–18 years: findings from a national cross-sectional study
- Author
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Lamis Jomaa, Samer A. Kharroubi, Nahla Hwalla, and Farah Naja
- Subjects
Male ,0301 basic medicine ,medicine.medical_specialty ,Adolescent ,Cross-sectional study ,media_common.quotation_subject ,Mothers ,Medicine (miscellaneous) ,Social Welfare ,Food Supply ,03 medical and health sciences ,0302 clinical medicine ,Environmental health ,Prevalence ,Per capita ,Humans ,Food (in)security ,Medicine ,030212 general & internal medicine ,Lebanon ,Child ,media_common ,Family Characteristics ,030109 nutrition & dietetics ,Nutrition and Dietetics ,Anthropometry ,business.industry ,Public health ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Livelihood ,Crowding ,Households ,Cross-Sectional Studies ,Unemployment ,Child, Preschool ,Educational Status ,Regression Analysis ,Correlates ,Female ,business ,Research Paper - Abstract
ObjectiveFood insecurity (FI) is a major public health problem in Lebanon, a small middle-income country with the highest refugee per capita concentration worldwide and prolonged political and economic challenges. The present study aimed to measure the prevalence and sociodemographic correlates of household FI and to explore the association of household FI with anthropometric measures of children and their mothers.DesignCross-sectional survey (2014–2015).SettingLebanon.ParticipantsNationally representative sample of Lebanese households with 4–18-year-old-children and their mothers (n1204).ResultsFI prevalence (95 % CI), measured using the Arabic-translated, validated Household Food Insecurity Access Scale, was found to be 49·3 (44·0, 54·6) % in the study sample. Mild, moderate and severe FI were found in 7·0 (5·5, 9·2) %, 23·3 (20·1, 26·8) % and 18·9 (14·9, 23·5) % of households, respectively. Multiple regression analysis showed that low maternal and paternal education, unemployment and crowding were significant correlates of household FI (PConclusionsFI exists among a remarkable proportion of Lebanese households with children. Correlates of household FI should be considered when designing social welfare policies and public health programmes to promote more sustainable, resilient and healthier livelihoods among vulnerable individuals.
- Published
- 2018
45. Health information priorities for more effective implementation and monitoring of non-communicable disease programs in low- and middle-income countries: lessons from the Pacific.
- Author
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Gouda, Hebe N., Richardson, Nicola C., Beaglehole, Robert, Bonita, Ruth, and Lopez, Alan D.
- Abstract
Background: Non-communicable diseases (NCDs) place enormous burdens on individuals and health systems. While there has been significant global progress to guide the development of national NCD monitoring programs, many countries still struggle to adequately establish critical information systems to prioritise NCD control approaches. Discussion: In this paper, we use the recent experience of the Pacific as a case study to highlight four key lessons about prioritising strategies for health information system development for monitoring NCDs: first, NCD interventions must be chosen strategically, taking into account local disease burden and capacities; second, NCD monitoring efforts must align with those interventions so as to be capable of evaluating progress; third, in order to ensure efficiency and sustainability, NCD monitoring strategies must be integrated into existing health information systems; finally, countries should monitor the implementation of key policies to control food and tobacco industries. Summary: Prioritising NCD interventions to suit local needs is critical and should be accompanied by careful consideration of the most appropriate and feasible monitoring strategies to track and evaluate progress. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
46. Health information priorities for more effective implementation and monitoring of non-communicable disease programs in low- and middle-income countries: lessons from the Pacific.
- Author
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Hebe N. Gouda, Richardson, Nicola C., Beaglehole, Robert, Bonita, Ruth, Lopez, Alan D., Gouda, Hebe N, and Richards, Nicola C
- Abstract
Background: Non-communicable diseases (NCDs) place enormous burdens on individuals and health systems. While there has been significant global progress to guide the development of national NCD monitoring programs, many countries still struggle to adequately establish critical information systems to prioritise NCD control approaches.Discussion: In this paper, we use the recent experience of the Pacific as a case study to highlight four key lessons about prioritising strategies for health information system development for monitoring NCDs: first, NCD interventions must be chosen strategically, taking into account local disease burden and capacities; second, NCD monitoring efforts must align with those interventions so as to be capable of evaluating progress; third, in order to ensure efficiency and sustainability, NCD monitoring strategies must be integrated into existing health information systems; finally, countries should monitor the implementation of key policies to control food and tobacco industries. Prioritising NCD interventions to suit local needs is critical and should be accompanied by careful consideration of the most appropriate and feasible monitoring strategies to track and evaluate progress. [ABSTRACT FROM AUTHOR]- Published
- 2015
- Full Text
- View/download PDF
47. Ten years of invasion: Harmonia axyridis (Pallas) (Coleoptera: Coccinellidae) in Britain.
- Author
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ROY, HELEN E. and BROWN, PETER M. J.
- Subjects
- *
BIOLOGICAL invasions , *HARMONIA axyridis , *INSECT ecology , *BIOLOGICAL control of insects , *APHIDOPHAGOUS insects - Abstract
1. Harmonia axyridis was first recorded in Britain in 2004. Two subsequent earlier records were received from 2003. 2. The UK Ladybird Survey, a citizen science initiative involving online recording, was launched in 2005 to encourage people across Britain to track the spread of H. axyridis. Tens of thousands of people have provided records of H. axyridis and other species of ladybirds, creating an invaluable dataset for large-scale and long-term research. Declines in the distribution of seven (of eight assessed) native species of ladybird have been demonstrated, and correlated with the arrival of H. axyridis, using the records collated through the UK Ladybird Survey. 3. Experimental research and field surveys have also contributed to our understanding of the ecology of H. axyridis and particularly the process of invasion. Harmonia axyridis arrived in Britain through dispersal and introduction events from regions in which it was deliberately released as a biological control agent. The rapid spread of this species has been attributed to its high natural dispersal capability by means of both flight and anthropogenic transport. A number of factors have contributed to the successful establishment and indeed dominance of this polymorphic species within aphidophagous guilds, including high reproductive capacity, intra-guild predation, eurytopic nature, high resistance to natural enemies within the invaded range, and potentially phenotypic plasticity. 4. The global invasion by H. axyridis and subsequent research on this species has contributed to the general understanding of biological invasions. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
48. Questionnaires Measuring 24-Hour Movement Behaviors in Childhood and Adolescence: Content Description and Measurement Properties-A Systematic Review.
- Author
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Rodrigues B, Encantado J, Carraça E, Martins J, Marques A, Lopes L, Sousa-Sá E, Cliff D, Mendes R, and Santos R
- Subjects
- Child, Adolescent, Humans, Reproducibility of Results, Surveys and Questionnaires, Exercise, Movement
- Abstract
Background: We aim to systematically review the literature on measurement properties of self- and proxy-reported questionnaires measuring 24-hour movement behaviors in children and adolescents., Methods: PubMed, PsycINFO, SPORTDiscus, and EMBASE were searched until June 2021. Studies were included if the sample size for validity studies had 50 participants (minimum) and included, at least, both validity and test-retest reliability results of questionnaires. The review followed an adaptation of the Consensus-based Standards for the selection of health Measurement INstruments guidelines, to evaluate the quality of measurements properties of the questionnaires (content, convergent and criterion validity, reliability, measurement error, and responsiveness), as well as the risk of bias of each measurement property., Results: This review included 29 studies, describing 37 questionnaires. Sixty-eight percent showed "adequate" content validity. None of the questionnaires showed overall "adequate" criterion validity, and the risk of bias was "very low" for 92%. One questionnaire showed "adequate" convergent validity, and 73% of the studies were classified with a "high risk of bias." Seven questionnaires showed "adequate" reliability, and 27.3% of the studies were rated with a "very low risk of bias." None of the questionnaires showed "adequate" criterion validity and reliability, simultaneously., Conclusions: Existing questionnaires have insufficient measurement properties, and none considered the 24-hour movement behavior paradigm. These results highlight the need for better questionnaires of movement behavior combinations, to improve the monitoring and surveillance systems of 24-hour movement behaviors in this population.
- Published
- 2022
- Full Text
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49. The potential of artificial intelligence in enhancing adult weight loss: a scoping review
- Author
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Ying Lau, Han Shi Jocelyn Chew, and Wei How Darryl Ang
- Subjects
Adult ,Artificial intelligence ,Medicine (miscellaneous) ,030209 endocrinology & metabolism ,CINAHL ,PsycINFO ,Review Article ,03 medical and health sciences ,0302 clinical medicine ,Weight loss ,Weight management ,Weight Loss ,medicine ,Humans ,030212 general & internal medicine ,Obesity ,Exercise ,Nutrition and Dietetics ,business.industry ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Reproducibility of Results ,Behaviour change ,Emotional eating ,Predictive analytics ,Weight ,Diet ,Analytics ,Self-control ,Self-regulation ,Applications of artificial intelligence ,medicine.symptom ,Psychology ,business - Abstract
Objective: To present an overview of how artificial intelligence (AI) could be used to regulate eating and dietary behaviours, exercise behaviours and weight loss. Design: A scoping review of global literature published from inception to 15 December 2020 was conducted according to Arksey and O’Malley’s five-step framework. Eight databases (CINAHL, Cochrane–Central, Embase, IEEE Xplore, PsycINFO, PubMed, Scopus and Web of Science) were searched. Included studies were independently screened for eligibility by two reviewers with good interrater reliability (k = 0·96). Results: Sixty-six out of 5573 potential studies were included, representing more than 2031 participants. Three tenets of self-regulation were identified – self-monitoring (n 66, 100 %), optimisation of goal setting (n 10, 15·2 %) and self-control (n 10, 15·2 %). Articles were also categorised into three AI applications, namely machine perception (n 50), predictive analytics only (n 6) and real-time analytics with personalised micro-interventions (n 10). Machine perception focused on recognising food items, eating behaviours, physical activities and estimating energy balance. Predictive analytics focused on predicting weight loss, intervention adherence, dietary lapses and emotional eating. Studies on the last theme focused on evaluating AI-assisted weight management interventions that instantaneously collected behavioural data, optimised prediction models for behavioural lapse events and enhance behavioural self-control through adaptive and personalised nudges/prompts. Only six studies reported average weight losses (2·4–4·7 %) of which two were statistically significant. Conclusion: The use of AI for weight loss is still undeveloped. Based on the current study findings, we proposed a framework on the applicability of AI for weight loss but cautioned its contingency upon engagement and contextualisation.
- Published
- 2021
50. The extent and nature of television food advertising to children and adolescents in the Russian Federation
- Author
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Emma Boyland, João Breda, Anna Kontsevaya, A. V. Kapustina, A. E. Imaeva, E R Salakhov, Yuliya Andreevna Balanova, O. M. Drapkina, and Jo Jewell
- Subjects
Male ,Adolescent ,Persuasive Communication ,Medicine (miscellaneous) ,Adolescents ,World health ,Russia ,Beverages ,Candy ,Advertising ,Food Industry ,Humans ,Food and beverage marketing ,Television advertising ,Child ,Children ,Nutrition and Dietetics ,Monitoring and Surveillance ,Public Health, Environmental and Occupational Health ,Food advertisements ,Product type ,Unhealthy food ,Product (business) ,Cross-Sectional Studies ,Food ,Russian federation ,Female ,Television ,Dairy Products ,Psychology ,Dairy foods ,Research Paper - Abstract
Objective:To assess the frequency, healthfulness and promotional techniques of television food advertising to children and adolescents in the Russian Federation.Design:A cross-sectional study was conducted to monitor food and beverage television advertising. For the five most popular TV channels among children and adolescents, TV broadcasts were recorded for two weekdays and two weekends (320 h) during March–May 2017. Recordings were screened for advertisements. Food advertisements were categorised by food categories and as either ‘permitted’ or ‘not permitted’ for advertising to children in accordance with World Health Organization Regional Office for Europe Nutrient Profile Model (NPM), and promotional techniques in advertisements were recorded.Results:Overall, 11 678 advertisements were coded. Across all channels, food and drink (19·2 %) were the most frequently advertised product type. The most common food categories advertised were beverages (except juices, milk drinks and energy drinks) (24·1 %); yoghurts and other dairy foods (15 %); and chocolate and confectionery (12·3 %). A majority (64·2 %) of food and drink products advertised should not be permitted for advertising to children according to the NPM. The most frequently used persuasive appeals in the food advertisements were low price (15·4 %), product novelty (11·8 %) and enjoyment (10·0 %).Conclusions:Children and adolescents in the Russian Federation are likely exposed to a substantial number of unhealthy food advertisements. There is a need to consider policies to restrict children’s exposure to unhealthy food advertising on television in the Russian Federation.
- Published
- 2020
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