GLORIA

GEOMAR Library Ocean Research Information Access

X

Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
  • 1
    Online Resource
    Online Resource
    Changes in socioeconomic resources and mental health after the second COVID-19 wave (2020–2021): a longitudinal study in Switzerland
    Springer Science and Business Media LLC ; 2023
    In:  International Journal for Equity in Health Vol. 22, No. 1 ( 2023-03-23)
    Details
    In: International Journal for Equity in Health, Springer Science and Business Media LLC, Vol. 22, No. 1 ( 2023-03-23)
    Abstract: During the 2020/2021 winter, the labour market was under the impact of the COVID-19 pandemic. Changes in socioeconomic resources during this period could have influenced individual mental health. This association may have been mitigated or exacerbated by subjective risk perceptions, such as perceived risk of getting infected with SARS-CoV-2 or perception of the national economic situation. Therefore, we aimed to determine if changes in financial resources and employment situation during and after the second COVID-19 wave were prospectively associated with depression, anxiety and stress, and whether perceptions of the national economic situation and of the risk of getting infected modified this association. Methods One thousand seven hundred fifty nine participants from a nation-wide population-based eCohort in Switzerland were followed between November 2020 and September 2021. Financial resources and employment status were assessed twice (Nov2020–Mar2021, May–Jul 2021). Mental health was assessed after the second measurement of financial resources and employment status, using the Depression, Anxiety and Stress Scale (DASS-21). We modelled DASS-21 scores with linear regression, adjusting for demographics, health status, social relationships and changes in workload, and tested interactions with subjective risk perceptions. Results We observed scores above thresholds for normal levels for 16% (95%CI = 15–18) of participants for depression, 8% (95%CI = 7–10) for anxiety, and 10% (95%CI = 9–12) for stress. Compared to continuously comfortable or sufficient financial resources, continuously precarious or insufficient resources were associated with worse scores for all outcomes. Increased financial resources were associated with higher anxiety. In the working-age group, shifting from full to part-time employment was associated with higher stress and anxiety. Perceiving the Swiss economic situation as worrisome was associated with higher anxiety in participants who lost financial resources or had continuously precarious or insufficient resources. Conclusion This study confirms the association of economic stressors and mental health during the COVID-19 pandemic and highlights the exacerbating role of subjective risk perception on this association.
    Type of Medium: Online Resource
    ISSN: 1475-9276
    URL: Article
    DOI: 10.1186/s12939-023-01853-2
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2092056-8
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 2
    Online Resource
    Online Resource
    Emerging Health Care Leaders: Lessons From a Novel Leadership and Community-Building Program
    Frontiers Media SA ; 2024
    In:  Public Health Reviews Vol. 45 ( 2024-4-4)
    Details
    In: Public Health Reviews, Frontiers Media SA, Vol. 45 ( 2024-4-4)
    Abstract: Although there are guidelines and ideas on how to improve public health education, translating innovative approaches into actual training programs remains challenging. In this article, we provide an overview of some initiatives that tried to put this into action in different parts of the world, and present the Emerging Health Care Leader (EHCL), a novel training program developed in Switzerland. Policy Options and Recommendations: Looking at the experience of the EHCL, we propose policymakers and other interested stakeholders who wish to help reform public health education to support these initiatives not only through funding, but by valuing them through the integration of early career healthcare leaders in projects where their developing expertise can be practically applied. Conclusion: By openly sharing the experiences, strengths, weaknesses, and lessons learned with the EHCL program, we aim to foster a transparent debate on how novel training programs in public health can be organised.
    Type of Medium: Online Resource
    ISSN: 2107-6952
    URL: Article
    DOI: 10.3389/phrs.2024.1606794
    Language: Unknown
    Publisher: Frontiers Media SA
    Publication Date: 2024
    detail.hit.zdb_id: 2653473-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 3
    Online Resource
    Online Resource
    Determinants of health-related quality of life in healthy children and adolescents during the COVID-19 pandemic: Results from a prospective longitudinal cohort study
    Springer Science and Business Media LLC ; 2024
    In:  European Journal of Pediatrics Vol. 183, No. 5 ( 2024-02-27), p. 2273-2283
    Details
    In: European Journal of Pediatrics, Springer Science and Business Media LLC, Vol. 183, No. 5 ( 2024-02-27), p. 2273-2283
    Abstract: Understanding health-related quality of life (HRQOL) in children and adolescents, during a pandemic and afterwards, aids in understanding how circumstances in their lives impact their well-being. We aimed to identify determinants of HRQOL from a broad range of biological, psychological, and social factors in a large longitudinal population-based sample. Data was taken from a longitudinal sample ( n = 1843) of children and adolescents enrolled in the prospective school-based cohort study Ciao Corona in Switzerland. The primary outcome was HRQOL, assessed using the KINDL total score and its subscales (each from 0, worst, to 100, best). Potential determinants, including biological (physical activity, screen time, sleep, etc.), psychological (sadness, anxiousness, stress), and social (nationality, parents’ education, etc.) factors, were assessed in 2020 and 2021 and HRQOL in 2022. Determinants were identified in a data-driven manner using recursive partitioning to define homogeneous subgroups, stratified by school level. Median KINDL total score in the empirically identified subgroups ranged from 68 to 83 in primary school children and from 69 to 82 in adolescents in secondary school. The psychological factors sadness, anxiousness, and stress in 2021 were identified as the most important determinants of HRQOL in both primary and secondary school children. Other factors, such as physical activity, screen time, chronic health conditions, or nationality, were determinants only in individual subscales. Conclusion : Recent mental health, more than biological, physical, or social factors, played a key role in determining HRQOL in children and adolescents during pandemic times. Public health strategies to improve mental health may therefore be effective in improving HRQOL in this age group. What is Known: • Assessing health-related quality of life (HRQOL) in children and adolescents aids in understanding how life circumstances impact their well-being. • HRQOL is a complex construct, involving biological, psychological, and social factors. Factors driving HRQOL in children and adolescents are not often studied in longitudinal population-based samples. What is New: • Mental health (stress, anxiousness, sadness) played a key role in determining HRQOL during the coronavirus pandemic, more than biological or social factors. • Public health strategies to improve mental health may be effective in improving HRQOL in children.
    Type of Medium: Online Resource
    ISSN: 1432-1076
    URL: Article
    DOI: 10.1007/s00431-024-05459-w
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2024
    detail.hit.zdb_id: 2647723-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 4
    Online Resource
    Online Resource
    Prognostic value of preoperative dynamic contrast-enhanced MRI perfusion parameters for high-grade glioma patients
    Springer Science and Business Media LLC ; 2016
    In:  Neuroradiology Vol. 58, No. 12 ( 2016-12), p. 1197-1208
    Details
    In: Neuroradiology, Springer Science and Business Media LLC, Vol. 58, No. 12 ( 2016-12), p. 1197-1208
    Type of Medium: Online Resource
    ISSN: 0028-3940 , 1432-1920
    URL: Article
    DOI: 10.1007/s00234-016-1741-7
    RVK:
    XA 10000
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2016
    detail.hit.zdb_id: 1462953-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 5
    Online Resource
    Online Resource
    Seroprevalence trends of anti-SARS-CoV-2 antibodies and associated risk factors: a population-based study
    Springer Science and Business Media LLC ; 2023
    In:  Infection Vol. 51, No. 5 ( 2023-10), p. 1453-1465
    Details
    In: Infection, Springer Science and Business Media LLC, Vol. 51, No. 5 ( 2023-10), p. 1453-1465
    Abstract: We aimed to assess the seroprevalence trends of SARS-CoV-2 antibodies in several Swiss cantons between May 2020 and September 2021 and investigate risk factors for seropositivity and their changes over time. Methods We conducted repeated population-based serological studies in different Swiss regions using a common methodology. We defined three study periods: May–October 2020 (period 1, prior to vaccination), November 2020–mid-May 2021 (period 2, first months of the vaccination campaign), and mid-May–September 2021 (period 3, a large share of the population vaccinated). We measured anti-spike IgG. Participants provided information on sociodemographic and socioeconomic characteristics, health status, and adherence to preventive measures. We estimated seroprevalence with a Bayesian logistic regression model and the association between risk factors and seropositivity with Poisson models. Results We included 13,291 participants aged 20 and older from 11 Swiss cantons. Seroprevalence was 3.7% (95% CI 2.1–4.9) in period 1, 16.2% (95% CI 14.4–17.5) in period 2, and 72.0% (95% CI 70.3–73.8) in period 3, with regional variations. In period 1, younger age (20–64) was the only factor associated with higher seropositivity. In period 3, being aged ≥ 65 years, with a high income, retired, overweight or obese or with other comorbidities, was associated with higher seropositivity. These associations disappeared after adjusting for vaccination status. Seropositivity was lower in participants with lower adherence to preventive measures, due to a lower vaccination uptake. Conclusions Seroprevalence sharply increased over time, also thanks to vaccination, with some regional variations. After the vaccination campaign, no differences between subgroups were observed.
    Type of Medium: Online Resource
    ISSN: 0300-8126 , 1439-0973
    URL: Article
    DOI: 10.1007/s15010-023-02011-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2006315-5
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 6
    Online Resource
    Online Resource
    Insights into the protective effects of influenza vaccination: More hospitalizations but lower follow-up mortality during the 2014/15 influenza season in a Swiss cohort
    Elsevier BV ; 2020
    In:  Vaccine Vol. 38, No. 33 ( 2020-07), p. 5187-5193
    Details
    In: Vaccine, Elsevier BV, Vol. 38, No. 33 ( 2020-07), p. 5187-5193
    Type of Medium: Online Resource
    ISSN: 0264-410X
    URL: Article
    DOI: 10.1016/j.vaccine.2020.06.019
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 1468474-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 7
    Online Resource
    Online Resource
    Diagnostic accuracy of dynamic contrast‐enhanced perfusion MRI in stratifying gliomas: A systematic review and meta‐analysis
    Wiley ; 2019
    In:  Cancer Medicine Vol. 8, No. 12 ( 2019-09), p. 5564-5573
    Details
    In: Cancer Medicine, Wiley, Vol. 8, No. 12 ( 2019-09), p. 5564-5573
    Abstract: T1‐weighted dynamic contrast‐enhanced (DCE) perfusion magnetic resonance imaging (MRI) has been broadly utilized in the evaluation of brain tumors. We aimed at assessing the diagnostic accuracy of DCE‐MRI in discriminating between low‐grade gliomas (LGGs) and high‐grade gliomas (HGGs), between tumor recurrence and treatment‐related changes, and between primary central nervous system lymphomas (PCNSLs) and HGGs. Methods We performed this study based on the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis of Diagnostic Test Accuracy Studies criteria. We systematically surveyed studies evaluating the diagnostic accuracy of DCE‐MRI for the aforementioned entities. Meta‐analysis was conducted with the use of a random effects model. Results Twenty‐seven studies were included after screening of 2945 possible entries. We categorized the eligible studies into three groups: those utilizing DCE‐MRI to differentiate between HGGs and LGGs (14 studies, 546 patients), between recurrence and treatment‐related changes (9 studies, 298 patients) and between PCNSLs and HGGs (5 studies, 224 patients). The pooled sensitivity, specificity, and area under the curve for differentiating HGGs from LGGs were 0.93, 0.90, and 0.96, for differentiating tumor relapse from treatment‐related changes were 0.88, 0.86, and 0.89, and for differentiating PCNSLs from HGGs were 0.78, 0.81, and 0.86, respectively. Conclusions Dynamic contrast‐enhanced‐Magnetic resonance imaging is a promising noninvasive imaging method that has moderate or high accuracy in stratifying gliomas. DCE‐MRI shows high diagnostic accuracy in discriminating between HGGs and their low‐grade counterparts, and moderate diagnostic accuracy in discriminating recurrent lesions and treatment‐related changes as well as PCNSLs and HGGs.
    Type of Medium: Online Resource
    ISSN: 2045-7634 , 2045-7634
    URL: Issue
    URL: Article
    DOI: 10.1002/cam4.v8.12
    DOI: 10.1002/cam4.2369
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 2659751-2
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 8
    Online Resource
    Online Resource
    Small Area Variation of Adherence to Clinical Recommendations: An Example from Switzerland
    SAGE Publications ; 2022
    In:  Health Services Research and Managerial Epidemiology Vol. 9 ( 2022-01), p. 233339282210977-
    Details
    In: Health Services Research and Managerial Epidemiology, SAGE Publications, Vol. 9 ( 2022-01), p. 233339282210977-
    Abstract: Unwarranted variation in healthcare utilization can only partly be explained by variation in the health care needs of the population, yet it is frequently found globally. This is the first cross-sectional study that systematically assessed geographic variation in the adherence to clinical recommendations in Switzerland. Specifically, we explored 1) the geographic variation of adherence to clinical recommendations across 24 health services at the sub-cantonal level, 2) assessed and mapped statistically significant spatial clusters, and 3) explored possible influencing factors for the observed geographic variation. Methods Exploratory spatial analysis using the Moran’s I statistic on multivariable multilevel model residuals to systematically identify small area variation of adherence to clinical recommendations across 24 health services. Results Although there was no overall spatial pattern in adherence to clinical recommendations across all health care services, we identified health services that exhibited statistically significant spatial dependence in adherence. For these, we provided evidence about the locations of local clusters. Interpretation We identified regions in Switzerland in which specific recommended or discouraged health care services are utilized less or more than elsewhere. Future studies are needed to investigate the place-based social determinants of health responsible for the sub-cantonal variation in adherence to clinical recommendations in Switzerland and elsewhere over time.
    Type of Medium: Online Resource
    ISSN: 2333-3928 , 2333-3928
    URL: Article
    DOI: 10.1177/23333928221097741
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2805732-6
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 9
    Online Resource
    Online Resource
    RADIOLOGINĖ PAMATO BRANDUOLIŲ POKYČIŲ DIFERENCINĖ DIAGNOSTIKA
    Medicinos Mintis ; 2016
    In:  Medicinos teorija ir praktika Vol. 22, No. 1 ( 2016-01-11), p. 110-118
    Details
    In: Medicinos teorija ir praktika, Medicinos Mintis, Vol. 22, No. 1 ( 2016-01-11), p. 110-118
    Abstract: Reikšminiai žodžiai: pamato branduoliai, magnetinio rezonanso tomografija, kompiuterinė tomografija, diferencinė diagnostika. Pamato branduoliai – simetriškos požievinės giliosios pilkosios medžiagos sankaupos galvos smegenyse, sudarančios ekstrapiramidinės sistemos pagrindą. Pagrindiniai pamato branduoliai yra uodeguotasis (nucleus caudatus) ir lęšinis (nucleus lentiformis), kurį sudaro kiautas (putamen) ir blyškusis kamuolys (globus pallidus). Pagrindinė pamato branduolių funkcija yra valingų judesių atlikimo (pradžios, amplitudės, greičio) kontrolė. Dėl to jų pažeidimas įprastai pasireiškia hipokinezija arba hiperkinezija. Esant dideliam pažeidimui, pastebimi ir kiti mažiau specifiški simptomai – nuo sąmonės sutrikimo iki komos. Šiame straipsnyje apžvelgiame pamato branduolių kompiuterinės tomografijos ir magnetinio rezonanso tomografijos vaizdus normos ir dažniausių, mažiau žinomų bei išskirtinių patologijų atvejais. Aprašomos patologijos ir būklės iliustruojamos pavyzdžiais iš Vilniaus universiteto ligoninės Santariškių klinikų radiologinių vaizdų archyvo. Kompiuterinės tomografijos vaizduose pamato branduoliai yra izodensiniai smegenų žievės atžvilgiu, magnetinio rezonanso tomografijos sekose – izointensiniai smegenų žievės atžvilgiu. Blyškiojo kamuolio signalo intensyvumas gali būti kiek mažesnis nei kiauto. Senyvo amžiaus žmonėms dažnas normalus radinys yra hiperintensinis pamato branduolių T1, hipointensinis T2 sekos signalas, atsirandantis dėl fiziologinės kalcifikacijos ir geležies kaupimo. Signalo pokyčius taip pat gali sukelti hipoksija (pvz., hipoksinė išeminė encefalopatija arba apsinuodijimas anglies monoksidu), metabolinės ligos (hipoglikemija, hiperbilirubinemija, Leigh ir Vilsono ligos), mielino pažeidimas (Canavan liga, Krabbe lizosominė kaupimo liga, ekstra-pontinė mielinozė) ir kitos būklės (Wernicke encefalopatija, Creutzfeldt-Jakob liga, pirminė smegenų limfoma, smegenų toksoplazmozė ir kt.). Vienpusiai pokyčiai dažniau reiškia vietinį pažeidimą – insultą, tačiau taip pat gali būti neketoninės hiperosmosinės hiperglikemijos sindromo, Rasmuseno encefalito atvejais. Gali būti ir išimčių – vienpusiu pažeidimu gali pasireikšti ir sisteminės ligos. Diferencijuoti pamato branduolių radiologinius pokyčius yra sudėtinga, tačiau įmanoma pasinaudojus klinikine informacija bei prisiminus juos pažeidžiančių ligų spektrą. Svarbu nustatyti, ar pokyčiai vienpusiai, ar abipusiai. Abipusis pažeidimas yra dažnesnis, beveik visada lemia sisteminės ligos.
    Type of Medium: Online Resource
    ISSN: 1392-1312
    URL: Article
    DOI: 10.15591/mtp.2016.016
    Language: Unknown
    Publisher: Medicinos Mintis
    Publication Date: 2016
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
  • 10
    Online Resource
    Online Resource
    Variation of preoperative chest radiography utilization in Switzerland and its influencing factors: a multilevel study with claims data
    Springer Science and Business Media LLC ; 2018
    In:  Scientific Reports Vol. 8, No. 1 ( 2018-11-30)
    Details
    In: Scientific Reports, Springer Science and Business Media LLC, Vol. 8, No. 1 ( 2018-11-30)
    Abstract: Clinical recommendations discourage routine use of preoperative chest radiography (POCR). However, there remains much uncertainty about its utilization, especially variation across small areas. We aimed to assess the variation of POCR use across small regions, and to explore its influencing factors. Patients undergoing inpatient surgery during 2013 to 2015 were identified from insurance claims data. Possible influencing factors of POCR included socio-demographics, health insurance choices, and clinical characteristics. We performed multilevel modelling with region and hospital as random effects. We calculated 80% interval odds ratios (IOR-80) to describe the effect of hospital type, and median odds ratios (MOR) to assess the degree of higher level variation. Utilization rates of POCR varied from 2.5% to 44.4% across regions. Higher age, intrathoracic pathology, and multi-morbidity were positively associated with the use of POCR. Female gender, choice of high franchise and supplementary hospital insurance showed a negative association. MOR was 1.25 and 1.69 for region and hospital levels, respectively. IOR-80s for hospital type were wide and covered the value of one. We observed substantial variation of POCR utilization across small regions in Switzerland. Even after controlling for multiple factors, variation across small regions and hospitals remained. Underlying mechanisms need to be studied further.
    Type of Medium: Online Resource
    ISSN: 2045-2322
    URL: Article
    DOI: 10.1038/s41598-018-35856-9
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 2615211-3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
    Online Resource
Close ⊗
This website uses cookies and the analysis tool Matomo. More information can be found here...