A5046452277- Noise Effects and Management
- Air Quality and Health Impacts
- Health and Medical Studies
- Urban Transport and Accessibility
- COVID-19 and Mental Health
- Healthcare Systems and Technology
- COVID-19 and healthcare impacts
- Clinical practice guidelines implementation
- Health, psychology, and well-being
- Health disparities and outcomes
- Air Quality Monitoring and Forecasting
- Sociology and Education Studies
- Global Health Care Issues
- Long-Term Effects of COVID-19
- Patient-Provider Communication in Healthcare
- Cardiovascular Health and Risk Factors
- Nutritional Studies and Diet
- Adipokines, Inflammation, and Metabolic Diseases
- Chronic Disease Management Strategies
- Health, Environment, Cognitive Aging
- Tryptophan and brain disorders
- Climate Change and Health Impacts
- Obesity, Physical Activity, Diet
- Innovation, Technology, and Society
- Health Literacy and Information Accessibility
University Hospital Bonn
2023-2025
University of Bonn
2023-2024
University of Rostock
2018-2024
University of Groningen
2019-2023
Background: The mental burdens of general practitioners (GPs) and practice assistants (PrAs) during the COVID-19 pandemic are well investigated. Work-related conditions like overtime known to contribute perceived chronic stress burnout symptoms. However, there is limited evidence regarding specific mechanisms, which link pandemic-related overtime, This study used data from IMPROVEjob trial improve psychological well-being in personnel. Methods: prospective with 226 German GPs PrAs baseline...
Abstract Background High language complexity impairs patients’ understanding and medical outcomes. While messengers accelerate communication, the of chats between patients providers is poorly studied. This study analyses communication characteristics chat data from PIA study, which significantly improved blood pressure control after 6 to 12 months. Methods The cluster-randomised controlled enrolled 848 hypertension (412 intervention, 436 control) 64 German general practices. technology...
Exposure to fine particulate matter and black carbon is related cognitive impairment poor lung function, but less known about the routes taken by different types of air pollutants affect cognition. We tested two possible (PM2.5) (BC) in impairing cognition, evaluated their importance: a direct route over olfactory nerve or blood stream, an indirect lung. used longitudinal observational data for 49,705 people aged 18+ from 2006 2015 Dutch Lifelines cohort study. By linking current home...
The prevalence of depression increases in times economic crises. Less is known about whether people living advantaged or disadvantaged areas suffer equally from negative effects crisis.To explore the role area deprivation on short- and long-term Great Recession Europe late-life depression.Individual panel data Austria, Belgium, Denmark, France, Germany, Italy, Spain, Sweden, Switzerland SHARE (age 50+, n = 6866) between 2004 2017 were used. Late-life (LLD) was measured by EURO-D scale (4+...
Longitudinal studies on associations between changes in living environment and health are few focus movers. Next to causal effects, differences can, however, result due residential mobility. The present study explored related (changes in) physical among non-movers. Causality was reinforced by a novel design.We obtained longitudinal data both covering 4601 non-movers aged 18+ with 16 076 observations from the German Socio-Economic Panel 1999 2014. Changing stable perceived three domains...
Obesity prevalence has almost tripled in Europe since 1980, and the obesogenic (food) environment is hypothesised to be one of main drivers. Still, empirical evidence rare for Europe.This ecological study explores spatial patterns obesity adults (aged 19+) Netherlands 2016. It studies, particular, its global associations with (un)healthy food store accessibility while assessing local differences evaluating importance immediate versus wider surroundings.In our study, we used small-area...
Background Primary care research networks can generate important information in the setting where most patients are seen and treated. However, this requires a suitable IT infrastructure (ITI), which North Rhine-Westphalian general practice network is looking to implement. Objective This mixed methods study aims evaluate (study 1) requirements for an ITI 2) usability of solution already available on market, FallAkte Plus (FA+) system network, comprises 8 primary university institutes...
<title>Abstract</title> Background Elevated systemic inflammation has been linked to poorer cognitive outcomes. Vigorous physical activity is associated with improved performance. This study investigates whether moderates the relationship between and cognition. Methods Using first wo waves from Dutch Lifelines cohort (N = 24,661, 50+), performance was assessed using a composite score Cogstate Brief Battery, higher scores indicating lower As biomarker of (SI), we used leukocyte count within...
Abstract INTRODUCTION Our understanding of how fine particulate matter (PM 2.5 ) impacts cognitive functioning is limited. Systemic inflammation processes may play a role in mediating this effect. METHODS This prospective cohort study used data from 66,254 participants aged 18+ between 2006 and 2015 the Dutch Lifelines Cohort Study Biobank. Causal mediation analysis was conducted to examine impact ambient PM exposure on processing time (CPT), using change white blood cell (WBC) count its...
Background: In the COVID-19 pandemic, novel regional services and communication channels emerged across all sectors of German healthcare system. To contribute to pandemic preparedness, this study aims describe newly established in response from a stakeholder perspective examine interprofessional channels, applying nationwide cross-sectional approach. Methods: A sample stakeholders comprising general practitioners, associations statutory health insurance physicians, hospital medical...
Abstract Background The German College of General Practitioners and Family Physicians (DEGAM) issued a COVID-19 guideline with eleven recommendations to support primary care services during the pandemic. Their use in general practices beyond pandemic can contribute preparedness. This study analysed practitioners’ (GPs) interest applying recommended organisational changes non-pandemic times. Methods Data from egePan GP survey ( n = 516 GPs) - multi-level clustered randomised web-based were...
We analyze 14 qualitative interviews with persons living in relative income poverty urban and rural areas of Mecklenburg-Vorpommern. The were conducted 2013/14. show how affects everyday life. Poverty is less menacing restricting opportunities for respondents who manage to be socially included (Type: adapted steady) or those whho have a perspective overcome the situation pugnatious rebellious). A precondition this availability opportunity structures such as community centers, clubs, advisory...
Not much is known on risks for reduced earning capacity pensions (RECP) patients with specific diseases. Our study focusses individuals who have completed a course of rehabilitation due to cardiovascular disease.This based scientific use file from the German statutory pension insurance that covers rehabilitations between 2006-2013. Using survival analysis, we modeled transition into RECP in general and diagnostic groups. We used Kaplan-Meier-estimates age-standardized sex-specific rates....
Abstract Background Elevated levels of systemic inflammation have been shown to be associated with poorer outcomes in cognitive performance. However, regular vigorous physical activity is improved This study analyzes if may moderate the effect on cognition. Method We used first two waves Dutch Lifelines cohort (2006‐2015) 19,985 individuals, who were 50 years or older at baseline. Cognitive performance was measured as psychomotor speed wave 2 using Cogstate Brief Battery, higher scores...
Abstract Background Higher education has been shown to be positively associated with cognitive performance. However, the pathways, through which is related performance, have not sufficiently explored. levels of glycated hemoglobin (HbA1c) can lead deterioration in Part association may operate via HbA1c level. Method To evaluate if level mediates we used longitudinal data from Dutch Lifelines Cohort study (2006‐2015). a multi‐disciplinary prospective population‐based cohort examining health...
<sec> <title>BACKGROUND</title> Primary care research networks can generate important information in the setting where most patients are seen and treated. However, this requires a suitable IT infrastructure (ITI), which North Rhine-Westphalian general practice network is looking to implement. </sec> <title>OBJECTIVE</title> This mixed methods study aims evaluate (study 1) requirements for an ITI 2) usability of solution already available on market, FallAkte Plus (FA+) system network,...
ABSTRACT Background Exposure to fine particulate matter and black carbon is related cognitive impairment poor lung function, but less known about the routes taken by different types of air pollutants affect cognition. Objectives We tested two possible (PM 2.5 ) (BC) in impairing cognition, evaluated their importance: a direct route over olfactory nerve or blood stream, an indirect lung. Methods used longitudinal observational data for 31232 people aged 18+ from 2006 2015 Dutch Lifelines...