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Sample records for danish worksite canteens

  1. Effectiveness of offering healthy labelled meals in improving the nutritional quality of lunch meals eaten in a worksite canteen.

    PubMed

    Lassen, A D; Beck, A; Leedo, E; Andersen, E W; Christensen, T; Mejborn, H; Thorsen, A V; Tetens, I

    2014-04-01

    Healthier meal selections at restaurants and canteens are often limited and not actively promoted. In this Danish study the effectiveness of a healthy labelling certification program in improving dietary intake and influencing edible plate waste was evaluated in a quasi-experimental study design. Employees from an intervention worksite canteen and a matched control canteen were included in the study at baseline (February 2012), after completing the certification process (end-point) and six month from end-point (follow-up) (total n=270). In order to estimate nutrient composition of the consumed lunch meals and plate waste a validated digital photographic method was used combining estimation of food intake with food nutrient composition data. Food satisfaction was rated by participants using a questionnaire. Several significant positive nutritional effects were observed at the intervention canteen including a mean decrease in energy density in the consumed meals from 561kJ/100g at baseline to 368 and 407kJ/100g at end-point and follow-up, respectively (P<0.001). No significant changes were seen with regard to food satisfaction and plate waste. In the control canteen no positive nutritional effects were observed. The results of the study highlight the potential of using healthy labelling certification programs as a possible driver for increasing both the availability and awareness of healthy meal choices, thereby improving dietary intake when eating out. PMID:24373732

  2. Salt content in canteen and fast food meals in Denmark

    PubMed Central

    Rasmussen, Lone Banke; Lassen, Anne Dahl; Hansen, Kirsten; Knuthsen, Pia; Saxholt, Erling; Fagt, Sisse

    2010-01-01

    Background A high salt (=NaCl) intake is associated with high blood pressure, and knowledge of salt content in food and meals is important, if the salt intake has to be decreased in the general population. Objective To determine the salt content in worksite canteen meals and fast food. Design For the first part of this study, 180 canteen meals were collected from a total of 15 worksites with in-house catering facilities. Duplicate portions of a lunch meal were collected from 12 randomly selected employees at each canteen on two non-consecutive days. For the second part of the study, a total of 250 fast food samples were collected from 52 retail places representing both city (Aarhus) and provincial towns. The canteen meals and fast food samples were analyzed for chloride by potentiometric titration with silver nitrate solution, and the salt content was estimated. Results The salt content in lunch meals in worksite canteens were 3.8±1.8 g per meal and 14.7±5.1 g per 10 MJ for men (n=109), and 2.8±1.2 g per meal and 14.4±6.2 g per 10 MJ for women (n=71). Salt content in fast food ranged from 11.8±2.5 g per 10 MJ (burgers) to 16.3±4.4 g per 10 MJ (sausages) with a mean content of 13.8±3.8 g per 10 MJ. Conclusion Salt content in both fast food and in worksite canteen meals is high and should be decreased. PMID:20305749

  3. Worksite Wellness Media Report Research Update 1988. Worksite Wellness Series.

    ERIC Educational Resources Information Center

    Behrens, Ruth; Weiss, Joanne

    This report is the 15th in a series of updates on worksite health promotion activities in the United States. The first section summarizes the results of three recent surveys: a study of the extent of worksite wellness activities in the United States (funded by the Office of Disease Prevention and Health Promotion); a 1986 Harris poll of Americans…

  4. 20 CFR 632.260 - Worksite standards.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Worksite standards. 632.260 Section 632.260 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR INDIAN AND NATIVE AMERICAN EMPLOYMENT AND TRAINING PROGRAMS Summer Youth Employment and Training Programs § 632.260 Worksite...

  5. 20 CFR 632.260 - Worksite standards.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Worksite standards. 632.260 Section 632.260 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR INDIAN AND NATIVE AMERICAN EMPLOYMENT AND TRAINING PROGRAMS Summer Youth Employment and Training Programs § 632.260 Worksite...

  6. 20 CFR 632.260 - Worksite standards.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Worksite standards. 632.260 Section 632.260 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR INDIAN AND NATIVE AMERICAN EMPLOYMENT AND TRAINING PROGRAMS Summer Youth Employment and Training Programs § 632.260 Worksite...

  7. Primary care at the worksite: policy issues.

    PubMed

    Burgel, B J

    1996-05-01

    1. Primary care delivery at the worksite is a feasible reality. It is most feasible, however, for those large employers already assuming financial responsibility for providing employee health care benefits. 2. Ethical and legal questions arise with the delivery of worksite primary care services: how best to safeguard personal health information; and how best to manage the potential malpractice liability risks in a client-provider relationship at the worksite. 3. Primary care at the worksite requires primary care providers (a nurse practitioner and/or a physician) with generalist preparation in adult or family practice, in addition to specialty expertise in occupational health and safety. 4. Occupational health and safety must be a priority at all times, with the key goal to prevent work related injury and illness through engineering, administrative, and personal protective controls. PMID:8788399

  8. Results of the 2004 National Worksite Health Promotion Survey

    PubMed Central

    Linnan, Laura; Bowling, Mike; Childress, Jennifer; Lindsay, Garry; Blakey, Carter; Pronk, Stephanie; Wieker, Sharon; Royall, Penelope

    2008-01-01

    Objectives. We examined worksite health promotion programs, policies, and services to monitor the achievement of the Healthy People 2010 worksite-related goal of 75% of worksites offering a comprehensive worksite health promotion program. Methods. We conducted a nationally representative, cross-sectional telephone survey of worksite health promotion programs stratified by worksite size and industry type. Techniques appropriate for analyzing complex surveys were used to compute point estimates, confidence intervals, and multivariate statistics. Results. Worksites with more than 750 employees consistently offered more programs, policies, and services than did smaller worksites. Only 6.9% of responding worksites offered a comprehensive worksite health promotion program. Sites with a staff person dedicated to and responsible for health promotion were significantly more likely to offer a comprehensive program, and sites in the agriculture and mining or financial services sector were significantly less likely than those in other industry sectors to offer such a program. Conclusions. Increasing the number, quality, and types of health promotion programs at worksites, especially smaller worksites, remains an important public health goal. PMID:18048790

  9. First law regulating school canteens in Brazil: evaluation after seven years of implementation.

    PubMed

    Gabriel, Cristine Garcia; Vasconcelos, Francisco de Assis Guedes de; Andrade, Dalton Francisco de; Schmitz, Bethsái de Abreu Soares

    2009-06-01

    The high prevalence of overweight and obesity among schoolchildren in Brazil and worldwide has shown that strategies to promote healthy eating habits are needed. Santa Catarina was the first Brazilian State to promulgate specific legislation to regulate the food commercialized in schools (Law n 12.061/2001). The objective was to assess the functioning of school canteens in eight key municipalities of Santa Catarina, investigating whether the foods sold were in accordance with the Law. A questionnaire was completed by the principals and those responsible for the canteens. Item Response Theory was used to examine the levels of compliance with the Law. In all 345 schools took part. Of these, 156 (45%) had a canteen. The presence of a canteen was significantly higher in the private sector (p < 0.001). The majority of the canteens (n=105; 68.2%) did not sell fried snacks, soft drinks, industrialised popcorn, hard candies, lollipops and chewing gum and industrialised packaged snacks. The items which were least likely to comply with the Law were juices and the daily availability of fruits. The notice board on diet was present in only 7.1% of the establishments. Many canteens offered items of low nutritional value. The inspection of these establishments is necessary, together with educational actions targeting the proprietors of the canteens as well as the schools themselves. Training for the canteen's proprietors may constitute a strategy that will guarantee the economic viability of these establishments and the possibility of them being transforming into places of health promotion. PMID:19719008

  10. Worksite Health Promotion. Special Reference Briefs.

    ERIC Educational Resources Information Center

    Ostby, Jan M.

    This bibliography is a selection of citations dealing with various aspects of worksite health promotion. The first section contains general interest publications found in popular newspapers and magazines. The second section contains citations and abstracts taken from the Food and Nutrition Information Center. This section includes reference…

  11. Primary school compliance with school canteen guidelines in Fiji and its association with student obesity

    PubMed Central

    Bullen, C.; Tayler-Smith, K.; Van Den Bergh, R.; Khogali, M.

    2013-01-01

    Setting: Childhood obesity is of growing public health concern in Fiji. The study setting was primary schools in Fiji’s Western Division. Objective: 1) To assess primary schools’ compliance with national school canteen guidelines, 2) to understand reasons for non-compliance, and 3) to assess the relationship between compliance with the guidelines and students’ body mass index (BMI). Design: Cross-sectional analysis of data collected in 2010 by public health dieticians of the Ministry of Health on annual visits to primary schools. Results: Among 230 schools, 33 (14%) had no canteen data. Of the 197 schools with data, only 31 (16%) were fully compliant with national school canteen guidelines, while the remaining 166 (84%) did not fully comply with the guidelines. This was irrespective of school location or whether the canteen was school or commercially operated. In a random sample (n = 44 schools), overweight and obesity were more common among children in non-compliant schools than in fully compliant schools (40% vs. 32%, P < 0.001). Conclusion: Most primary schools in Fiji’s Western Division did not comply with school canteen guidelines, which is worrying given the increasing rates of overweight children. Given the association between non-compliance and student overweight/obesity, further action is needed to ensure that these guidelines are implemented. PMID:26393002

  12. High salt meals in staff canteens of salt policy makers: observational study

    PubMed Central

    Berentzen, C A; van Montfrans, G A

    2011-01-01

    Objective To assess the salt content of hot meals served at the institutions of salt policy makers in the Netherlands. Design Observational study. Setting 18 canteens at the Department of Health, the Health Council, the Food and Consumer Product Safety Authority, university hospitals, and affiliated non-university hospitals. Intervention A standard hot meal collected from the institutional staff canteens on three random days. Main outcome measure Salt content of the meals measured with an ion selective electrode assay. Results The mean salt content of the meals (7.1 g, SE 0.2 g) exceeded the total daily recommended salt intake of 6 g and was high at all locations: 6.9 g (0.4 g) at the Department of Health and National Health Council; 6.0 g (0.9 g) at the Food and Consumer Product Safety Authority; 7.4 g (0.5 g) at university hospital staff canteens; and 7.0 g (0.3 g) at non-university hospital staff canteens. With data from a national food consumption survey, the estimated total mean daily salt intake in people who ate these meals was 15.4 g. This translates into a 23-36% increase in premature cardiovascular mortality compared with people who adhere to the recommended levels of salt intake. Conclusion If salt policy makers eat at their institutional canteens they might consume too much salt, which could put their health at risk. PMID:22187322

  13. 5 CFR 531.605 - Determining an employee's official worksite.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... official worksite. (See 41 CFR 302-1.1.) (c) For an employee whose assignment to a new worksite is followed... of special rates under 5 CFR part 530, subpart C, the reference to a locality pay area is deemed to... telework agreement, the following rules apply: (1) If the employee is scheduled to work at least twice...

  14. 5 CFR 531.605 - Determining an employee's official worksite.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Determining an employee's official worksite. 531.605 Section 531.605 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PAY UNDER THE GENERAL SCHEDULE Locality-Based Comparability Payments § 531.605 Determining an employee's official worksite. (a)(1) Except...

  15. Worksite Health Promotion Activities. 1992 National Survey. Summary Report.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD. Office of Disease Prevention and Health Promotion.

    The survey reported in this document examined worksite health promotion and disease prevention activities in 1,507 private worksites in the United States. Specificlly, the survey assessed policies, practices, services, facilities, information, and activities sponsored by employers to improve the health of their employees, and assessed health…

  16. Nutrition Programs in the Workplace. WBGH Worksite Wellness Series.

    ERIC Educational Resources Information Center

    Glanz, Karen

    As is the case with other worksite wellness programs, company-sponsored nutrition programs have been expanding both in numbers and in depth. Besides offering a convenient health-enhancing benefit to employees, worksite nutrition programs benefit business by preventing several costly nutrition-related health problems, enhancing employees' overall…

  17. Personal Perspective: A Worksite Health Promotion Model for Public Schools.

    ERIC Educational Resources Information Center

    Eddy, James M.; And Others

    1996-01-01

    Proposes an approach to school health education that implements key features of the worksite health promotion model, summarizing the general program characteristics for school health education and worksite health promotion, explaining the school-based health promotion model, discussing social marketing, and examining program and educational…

  18. 75 FR 60139 - Compass Group USA, Inc. Canteen: Webster City, Iowa; Notice of Affirmative Determination...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-29

    ... in the Federal Register on June 16, 2010 (75 FR 34175). The initial investigation resulted in a... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF LABOR Employment and Training Administration Compass Group USA, Inc. Canteen: Webster City, Iowa; Notice...

  19. 75 FR 67775 - Compass Group USA, Inc., Canteen, Webster City, Iowa; Notice of Negative Determination on...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-03

    ... subject firm. The notice was published in the Federal Register on September 29, 2010 (75 FR 60139). The... Employment and Training Administration Compass Group USA, Inc., Canteen, Webster City, Iowa; Notice of..., 2009). The petitioner went on to assert that the situation of the Compass Group workers was the same...

  20. Implementation of Mandatory Nutritional Guidelines in South Australian Primary School Canteens: A Qualitative Study

    ERIC Educational Resources Information Center

    Abery, Elizabeth; Drummond, Claire

    2014-01-01

    Primary schools are identified as being in a primary position to offer nutrition education. Moreover, primary schools can offer an environment which is conducive to the promotion of healthy eating while influencing eating behaviours of children to benefit their health, well-being and academic development and performance. School canteens are one…

  1. Employees as Leaders/Decision-Makers in Worksite Wellness Programs. WBGH Worksite Wellness Series.

    ERIC Educational Resources Information Center

    Yenney, Sharon L.

    Companies are promoting employee leadership and decision making in their worksite wellness programs for the following reasons: to make the best use of limited resources, to increase programs' chances for success by fostering employee ownership of program plans, to help integrate positive health and safety features into workplace policies and…

  2. Choice of commuting mode among employees: Do home neighborhood environment, worksite neighborhood environment, and worksite policy and supports matter?

    PubMed Central

    Yang, Lin; Hipp, J. Aaron; Adlakha, Deepti; Marx, Christine M.; Tabak, Rachel G.; Brownson, Ross C.

    2015-01-01

    Background Promoting the use of public transit and active transport (walking and cycling) instead of car driving is an appealing strategy to increase overall physical activity. Purpose To quantify the combined associations between self-reported home and worksite neighborhood environments, worksite support and policies, and employees’ commuting modes. Method Between 2012 and 2013, participants residing in four Missouri metropolitan areas were interviewed via telephone (n = 1,338) and provided information on socio-demographic characteristics, home and worksite neighborhoods, and worksite support and policies. Commuting mode was self-reported and categorized into car driving, public transit, and active commuting. Commuting distance was calculated using geographic information systems. Commuters providing completed data were included in the analysis. Multivariate logistic regression models were used to examine the correlates of using public transit and active commuting. Result The majority of participants reported commuting by driving (88.9%); only 4.9% used public transit and 6.2% used active modes. After multivariate adjustment, having transit stops within 10-15 minutes walking distance from home (p=0.05) and using worksite incentive for public transit (p<0.001) were associated with commuting by public transit. Commuting distance (p<0.001) was negatively associated with active commuting. Having free or low cost recreation facilities around the worksite (p=0.04) and using bike facilities to lock bikes at the worksite (p<0.001) were associated with active commuting. Conclusion Both environment features and worksite supports and policies are associated with the choice of commuting mode. Future studies should use longitudinal designs to investigate the potential of promoting alternative commuting modes through worksite efforts that support sustainable commuting behaviors as well as the potential of built environment improvements. PMID:26085979

  3. 24 CFR 35.1345 - Occupant protection and worksite preparation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... described in 29 CFR 1926.62(m), except that it shall be posted irrespective of employees' lead exposure and... areas, and bathroom and kitchen facilities. (3) The dwelling unit and the worksite shall be...

  4. 24 CFR 35.1345 - Occupant protection and worksite preparation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... described in 29 CFR 1926.62(m), except that it shall be posted irrespective of employees' lead exposure and... areas, and bathroom and kitchen facilities. (3) The dwelling unit and the worksite shall be...

  5. Worksite wellness: increasing adoption of workplace health promotion programs.

    PubMed

    Michaels, Carol Noel; Greene, Amanda Marie

    2013-07-01

    Worksite wellness programs are important interventions to protect and promote employee health. They help reduce direct and indirect health care costs, absenteeism, and presenteeism; avoid illness or injury; and improve the quality of work life and morale. This Tool introduces key concepts and strategic tips for planning workplace-based wellness programs rather than individual health promotion events, while highlighting organizational change and development theories central to introducing and implementing effective proactive worksite wellness programs. PMID:23545334

  6. Worksite health and wellness programs in India.

    PubMed

    Babu, Abraham Samuel; Madan, Kushal; Veluswamy, Sundar Kumar; Mehra, Rahul; Maiya, Arun G

    2014-01-01

    Worksite health and wellness (WH&W) are gaining popularity in targeting cardiovascular (CV) risk factors among various industries. India is a large country with a larger workforce in the unorganized sector than the organized sector. This imbalance creates numerous challenges and barriers to implementation of WH&W programs in India. Large scale surveys have identified various CV risk factors across various industries. However, there is scarcity of published studies focusing on the effects of WH&W programs in India. This paper will highlight: 1) the current trend of CV risk factors across the industrial community, 2) the existing models of delivery for WH&W in India and their barriers, and 3) a concise evidence based review of various WH&W interventions in India. PMID:24607014

  7. Worksite health promotion programs in college settings.

    PubMed

    Hill-Mey, Patricia E; Kumpfer, Karol L; Merrill, Ray M; Reel, Justine; Hyatt-Neville, Beverly; Richardson, Glenn E

    2015-01-01

    The purpose of this paper is to describe the multifaceted nature and benefits of worksite health promotion programs (WHPPs), with emphasis on the college setting. An assessment of the peer-reviewed literature was conducted of articles published since 2000. Several search engines were accessed and selected key words were used. Most studies examining WHPPs have focused on return on investment and productivity. Research that targets the softer side-benefits of health promotion programs in the workplace is less available. Although the college setting offers some advantages for implementing health promotion programs. They may also have unique challenges due to their large and diverse employee population. There is little research to show the effectiveness and unique challenges of college-based health promotion programs. PMID:25861657

  8. Worksite health promotion programs in college settings

    PubMed Central

    Hill-Mey, Patricia E.; Kumpfer, Karol L.; Merrill, Ray M.; Reel, Justine; Hyatt-Neville, Beverly; Richardson, Glenn E.

    2015-01-01

    The purpose of this paper is to describe the multifaceted nature and benefits of worksite health promotion programs (WHPPs), with emphasis on the college setting. An assessment of the peer-reviewed literature was conducted of articles published since 2000. Several search engines were accessed and selected key words were used. Most studies examining WHPPs have focused on return on investment and productivity. Research that targets the softer side-benefits of health promotion programs in the workplace is less available. Although the college setting offers some advantages for implementing health promotion programs. They may also have unique challenges due to their large and diverse employee population. There is little research to show the effectiveness and unique challenges of college-based health promotion programs. PMID:25861657

  9. Can organizations benefit from worksite health promotion?

    PubMed Central

    Leviton, L C

    1989-01-01

    A decision-analytic model was developed to project the future effects of selected worksite health promotion activities on employees' likelihood of chronic disease and injury and on employer costs due to illness. The model employed a conservative set of assumptions and a limited five-year time frame. Under these assumptions, hypertension control and seat belt campaigns prevent a substantial amount of illness, injury, and death. Sensitivity analysis indicates that these two programs pay for themselves and under some conditions show a modest savings to the employer. Under some conditions, smoking cessation programs pay for themselves, preventing a modest amount of illness and death. Cholesterol reduction by behavioral means does not pay for itself under these assumptions. These findings imply priorities in prevention for employer and employee alike. PMID:2499556

  10. Vending Assessment and Program Implementation in Four Iowa Worksites.

    PubMed

    Lillehoj, Catherine J; Nothwehr, Faryle; Shipley, Kala; Voss, Carol

    2015-11-01

    The worksite food environment, including vending options, has been explored as an important contributor to dietary decisions made every day. The current study describes the vending environment, and efforts to change it, in four Iowa worksites using a series of case studies. Data were gathered by local coordinators as part of the Iowa Community Transformation Grant project. Data were collected from three sources. First, the Nutrition Environment Measures Survey-Vending was used to assess healthy vending options in worksite machines before and after the intervention. Second, employee vending behavior was evaluated with a pre-, post-intervention survey. Items assessed attitudes and behaviors regarding vending, plus awareness and reaction to intervention activities. Third, program coordinators documented vending machine intervention strategies used, such as social marketing materials and product labels. The Nutrition Environment Measures Survey-Vending documented that the majority of vending options did not meet criteria for healthfulness. The vending survey found that employees were generally satisfied with the healthier items offered. Some differences were noted over time at the four worksites related to employee behavior and attitudes concerning healthy options. There were also differences in intervention implementation and the extent of changes made by vending companies. Overall, findings demonstrate that a large percentage of employees are constrained in their ability to access healthy foods due to limited worksite vending options. There also remain challenges to making changes in this environment. Findings have implications for public health practitioners to consider when designing healthy vending interventions in worksites. PMID:26220278

  11. Cost-effectiveness of a worksite hypertension treatment program.

    PubMed

    Logan, A G; Milne, B J; Achber, C; Campbell, W P; Haynes, R B

    1981-01-01

    The cost-effectiveness of treating hypertension at the patient's place of work was compared in a randomized controlled trial with care delivered in a community. The average total cost per patient for worksite care in this 12-month study was not significantly different from that for regular care ($242.86 +/- 6.94 vs $211.34 +/- 18.66, mean +/- SEM). The worksite health system cost was significantly more expensive ($197.36 +/- 4.99 vs $129.33 +/- 13.34, p less than 0.001) but the patient cost was significantly less ($45.40 +/- 3.23 vs $82.00 +/- 6.20, p less than 0.01). The mean reduction in diastolic blood pressure (BP) at the year-end assessment was significantly greater in the worksite group (12.1 +/- 0.6 vs 6.5 +/- 0.6 mm Hg, p less than 0.001). The incremental cost-effectiveness ratio of $5.63 per mm Hg for worksite care was less than the base cost-effectiveness ratio of $32.51 per mm Hg for regular care, indicating that the worksite program was substantially more cost-effective. Our findings support health policies that favor allocating resources to work-based hypertension treatment programs for the target group identified in this study. PMID:6783519

  12. Worksite Physical Activity Intervention for Ambulatory Clinic Nursing Staff.

    PubMed

    Tucker, Sharon; Farrington, Michele; Lanningham-Foster, Lorraine M; Clark, M Kathleen; Dawson, Cindy; Quinn, Geralyn J; Laffoon, Trudy; Perkhounkova, Yelena

    2016-07-01

    Health behaviors, including physical activity (PA), of registered nurses (RNs) and medical assistants (MAs) are suboptimal but may improve with worksite programs. Using a repeated-measures crossover design, the authors explored if integrating a 6-month worksite non-exercise activity thermogenesis (NEAT) intervention, with and without personalized health coaching via text messaging into workflow could positively affect sedentary time, PA, and body composition of nursing staff without jeopardizing work productivity. Two ambulatory clinics were randomly assigned to an environmental NEAT intervention plus a mobile text message coaching for either the first 3 months (early texting group, n = 27) or the last 3 months (delayed texting group, n = 13), with baseline 3-month and 6-month measurements. Sedentary and PA levels, fat mass, and weight improved for both groups, significantly only for the early text group. Productivity did not decline for either group. This worksite intervention is feasible and may benefit nursing staff. PMID:27143144

  13. The Healthy School Canteen programme: a promising intervention to make the school food environment healthier.

    PubMed

    Mensink, Fréderike; Schwinghammer, Saskia Antoinette; Smeets, Astrid

    2012-01-01

    The environment can exert a strong influence on people's food decisions. In order to facilitate students to make more healthy food choices and to develop healthy eating habits, it is important that the school food environment is healthy. The Healthy School Canteen programme of The Netherlands Nutrition Centre is an intervention that helps schools to make their cafeteria's offering healthier. A descriptive study was conducted by an independent research agency to survey the perceptions, experiences, and opinions of users of the programme (school directors, parents, students, and health professionals). Results show that directors and students of participating schools perceive their cafeteria's offering to be healthier after implementing the programme than prior to implementation. Next, further important results of the study are highlighted and relations with other projects, caveats, and practical recommendations are discussed. It is concluded that the Healthy School Canteen programme is a promising intervention to change the school food environment but that further research is needed to ultimately establish its effectiveness. Also, it will be a challenge to motivate all schools to enroll in the programme in order to achieve the goal of the Dutch Government of all Dutch school cafeterias being healthy by 2015. PMID:22690228

  14. A Descriptive Study on the Barriers and Facilitators to Implementation of the NSW (Australia) Healthy School Canteen Strategy

    ERIC Educational Resources Information Center

    Ardzejewska, K.; Tadros, R.; Baxter, D.

    2013-01-01

    Objective: The study investigated the barriers and facilitators to, and the extent of the implementation of, the New South Wales (Australia) "Healthy School Canteen Strategy". Design: A purposeful sample was used and data were collected using a mixed method approach. Setting: Two primary and two secondary government schools from a low…

  15. Adolescents' Views about a Proposed Rewards Intervention to Promote Healthy Food Choice in Secondary School Canteens

    ERIC Educational Resources Information Center

    McEvoy, C. T.; Lawton, J.; Kee, F.; Young, I. S.; Woodside, J. V.; McBratney, J.; McKinley, M. C.

    2014-01-01

    Using rewards may be an effective method to positively influence adolescent eating behaviour, but evidence regarding this approach is limited. The aim of this study was to explore young adolescent views about a proposed reward intervention associated with food choice in school canteens. Focus groups were held in 10 schools located in lower…

  16. CAFÉ: a multicomponent audit and feedback intervention to improve implementation of healthy food policy in primary school canteens: protocol of a randomised controlled trial

    PubMed Central

    Williams, Christopher M; Nathan, Nicole; Delaney, Tessa; Yoong, Sze Lin; Wiggers, John; Preece, Sarah; Lubans, Nicole; Sutherland, Rachel; Pinfold, Jessica; Smith, Kay; Small, Tameka; Reilly, Kathryn L; Butler, Peter; Wyse, Rebecca J; Wolfenden, Luke

    2015-01-01

    Introduction A number of jurisdictions internationally have policies requiring schools to implement healthy canteens. However, many schools have not implemented such policies. One reason for this is that current support interventions cannot feasibly be delivered to large numbers of schools. A promising solution to support population-wide implementation of healthy canteen practices is audit and feedback. The effectiveness of this strategy has, however, not previously been assessed in school canteens. This study aims to assess the effectiveness and cost-effectiveness of an audit and feedback intervention, delivered by telephone and email, in increasing the number of school canteens that have menus complying with a government healthy-canteen policy. Methods and analysis Seventy-two schools, across the Hunter New England Local Health District in New South Wales Australia, will be randomised to receive the multicomponent audit and feedback implementation intervention or usual support. The intervention will consist of between two and four canteen menu audits over 12 months. Each menu audit will be followed by two modes of feedback: a written feedback report and a verbal feedback/support via telephone. Primary outcomes, assessed by dieticians blind to group status and as recommended by the Fresh Tastes @ School policy, are: (1) the proportion of schools with a canteen menu containing foods or beverages restricted for sale, and; (2) the proportion of schools that have a menu which contains more than 50% of foods classified as healthy canteen items. Secondary outcomes are: the proportion of menu items in each category (‘red’, ‘amber’ and ‘green’), canteen profitability and cost-effectiveness. Ethics and dissemination Ethical approval has been obtained by from the Hunter New England Human Research Ethics Committee and the University of Newcastle Human Research Ethics Committee. The findings will be disseminated in usual forums, including peer

  17. Update on Validity of Required Competencies for Worksite Health Professionals

    ERIC Educational Resources Information Center

    Becker, Craig; Rager, Robin C.; Wright, Fred Egbert

    2013-01-01

    Background: To improve global health, the workforce capacity of health promotion professionals must be strengthened through the provision of competencies necessary to deliver effective programs. Purpose: This study provides an updated analysis of the validity of the worksite health promotion (WHP) professional competencies developed in 2000 by the…

  18. Measuring participatory strategies: instrument development for worksite populations.

    PubMed

    Linnan, L A; Fava, J L; Thompson, B; Emmons, K; Basen-Engquist, K; Probart, C; Hunt, M K; Heimendinger, J

    1999-06-01

    A participatory strategies approach which involves employees in the planning and delivery of worksite health promotion programs was utilized in the 55 experimental worksites included in the national, NCI-funded Working Well Trial. According to study protocol, Employee Advisory Boards (EABs) were organized in each experimental worksite. This paper describes two substudies designed to develop and measure participatory strategies associated with the EABs in the Working Well Trial. Study 1 determined characteristics of the EABs, developed subscales and assessed the internal consistency of the scales. Study 2 used a confirmatory factor analysis to examine the structure of the developed questionnaire. The four subscales include: Autonomy/Independence, Management Involvement, Institutionalization/Commitment and Others Involvement. Results from Study 1 indicate that the four subscales of the 24-item instrument demonstrated strong internal consistency and three were sensitive enough to register differences by Study Center at the baseline. Study 2 results found that the EAB subscales again demonstrated good internal consistency, structural stability and acceptable sensitivity. An initial validity analysis was performed and yielded results which supported some but not all of the hypothesized associations. Implications for further refinement and application of this new instrument in worksite settings are explored. PMID:10539228

  19. A worksite-based weight loss intervention for obesity prevention

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Worksites are increasingly being used as locations for implementing healthy diet and weight loss interventions. Hence, there is an urgent need to identify programs that are both successful and sustainable. We conducted a 6-month pilot randomized controlled trial in overweight and obese employees a...

  20. Meta-Evaluation of Worksite Health Promotion Economic Return Studies.

    ERIC Educational Resources Information Center

    Chapman, Larry S.

    2003-01-01

    This meta-evaluation provides a standardized look at the quality of the economic evaluation literature for multi-component worksite health promotion programs. Analysis of 42 studies suggests that the evidence is very strong for average reductions in sick leave, health plan costs, and workers' compensation and disability costs of slightly more than…

  1. Can weight management programs in worksites reduce the obesity epidemic?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Worksites can potentially be important locations for weight management programs that contribute to curbing the national obesity epidemic. In published studies, weight loss programs targeting overweight and obese employees have been relatively more effective for weight loss than programs for preventi...

  2. The association between worksite physical environment and employee nutrition, and physical activity behavior and weight status

    PubMed Central

    Almeida, Fabio A.; Wall, Sarah S.; You, Wen; Harden, Samantha M.; Hill, Jennie L.; Krippendorf, Blake E.; Estabrooks, Paul A.

    2014-01-01

    Objective Explore the relationship between worksite physical environment and employee dietary intake, physical activity behavior, and weight status. Methods Two trained research assistants completed audits (Checklist of Health Promotion Environments at Worksites) at each worksite (n = 28). Employees (n = 6,261) completed a brief health survey prior to participation in a weight loss program. Results Employees’ access to outdoor areas was directly associated with lower BMI, while access to workout facilities within a worksite was associated with higher BMI. The presence of a cafeteria and fewer vending machines were directly associated with better eating habits. Better eating habits and meeting physical activity recommendations were both related to lower BMI. Conclusions Selected environmental factors in worksites were significantly associated with employee behaviors and weight status; providing additional intervention targets to change the worksite environment and promote employee weight loss. PMID:24988105

  3. Diffusion of innovations theory and work-site AIDS programs.

    PubMed

    Backer, T E; Rogers, E M

    1998-01-01

    Four case studies of the adoption of work-site AIDS programs are investigated, two of which were modifications of the Centers for Disease Control and Prevention's Business Responds to AIDS (BRTA) program. AIDS work-site programs were mainly initiated by the four study companies as a result of the efforts of a champion (defined as an individual who gains attention and resources for an issue in a system) or the occurrence of a tragic event, such as a company employee contracting AIDS. The BRTA program is an innovation that has not yet reached critical mass, which is the point after which further rates of adoption occur rapidly in a self-sustaining process. PMID:10947372

  4. Congruency between Student Interns and Worksite Supervisors Regarding Critical Elements of an Internship Experience.

    ERIC Educational Resources Information Center

    Henry, Janice S.; Rehwaldt, Susan S.; Vineyard, George M.

    2001-01-01

    Comparison was made of 39 student interns' and 30 worksite supervisors' identification of the importance of 15 academic elements and 9 worksite elements to all interns and to their own recent internship experiences. Different rankings of general and particular elements among students, among employers, and between the groups can help identify…

  5. Extension Newsletters and Individual Counseling: Equally Effective in Changing Worksite Wellness Participants Dietary Intakes

    ERIC Educational Resources Information Center

    Chipman, Kristi; Litchfield, Ruth

    2012-01-01

    The Affordable Care Act provides impetus for Extension efforts in worksite wellness. The study reported here examined the influence of two worksite wellness interventions, newsletters and individual counseling. Surveys examined dietary and physical activity behaviors of participants pre- and post-intervention (N = 157). Descriptive statistics,…

  6. Demographic factors and weight change in a worksite weight loss intervention

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Worksites are increasingly being considered as locations for weight loss programs. We examined predictors of weight loss in employees participating in a 6 month randomized study of a weight loss intervention versus wait-listed control at 4 worksites (2 for-profit and 2 non-profit). Measures included...

  7. Online Health Information (OHI) Utilization among Selected Worksite Employees in Taiwan

    ERIC Educational Resources Information Center

    Hou, Su-I; Hsiao, Tun-Jen; Hou, Peng-Hsi

    2012-01-01

    Purpose: This study compared Internet and online health information (OHI) utilization among selected employees age 40-49 and 50-64 years, and examined the influence of age, gender, education, and worksite. Methods: A questionnaire was administered to participants from two worksites in Taiwan. Results: A total of 527 employees completed the survey…

  8. Exemplary Worksite Learning Programs: Preparing Students for the 21st Century.

    ERIC Educational Resources Information Center

    Cooper, Kippy; Souders, Amy

    This report provides information on three Exemplary Worksite Learning Award winning programs in which students learn by participating in hands-on classroom activities and by taking part in worksite experiences. Three sections provide a brief description of each winner. The first provides information on the Breithaupt Career and Technical Center…

  9. Partially Testing a Process Model for Understanding Victim Responses to an Anticipated Worksite Closure

    ERIC Educational Resources Information Center

    Blau, Gary

    2007-01-01

    This study partially tested a recent process model for understanding victim responses to worksite/function closure (W/FC) proposed by Blau [Blau, G. (2006). A process model for understanding victim responses to worksite/function closure. "Human Resource Management Review," 16, 12-28], in a pharmaceutical manufacturing site. Central to the model…

  10. Worksite Neighborhood and Obesogenic Behaviors: Findings Among Employees in the Promoting Activity and Changes in Eating (PACE) Trial

    PubMed Central

    Barrington, Wendy E.; Beresford, Shirley A. A.; Koepsell, Thomas D.; Duncan, Glen E.; Moudon, Anne Vernez

    2015-01-01

    Background Understanding mechanisms linking neighborhood context to health behaviors may provide targets for increasing lifestyle intervention effectiveness. Although associations between home neighborhood and obesogenic behaviors have been studied, less is known about the role of worksite neighborhood. Purpose To evaluate associations between worksite neighborhood context at baseline (2006) and change in obesogenic behaviors of adult employees at follow-up (2007–2009) in a worksite randomized trial to prevent weight gain. Methods Worksite property values were used as an indicator of worksite neighborhood socioeconomic status (NSES). Worksite neighborhood built environment attributes associated with walkability were evaluated as explanatory factors in relationships among worksite NSES, diet, and physical activity behaviors of employees. Behavioral data were collected at baseline (2005–2007) and follow-up (2007–2009). Multilevel linear and logistic models were constructed adjusting for covariates and accounting for clustering within worksites. Product-of-coefficients methods were used to assess mediation. Analyses were performed after study completion (2011–2012). Results Higher worksite NSES was associated with more walking (OR=1.16, 95% CI=1.03, 1.30, p=0.01). Higher density of residential units surrounding worksites was associated with more walking and eating ≥five daily servings of fruits and vegetables, independent of worksite NSES. Residential density partially explained relationships among worksite NSES, fruit and vegetable consumption, and walking. Conclusions Worksite neighborhood context may influence employees’ obesogenic behaviors. Furthermore, residential density around worksites could be an indicator of access to dietary and physical activity–related infrastructure in urban areas. This may be important given the popularity of worksites as venues for obesity prevention efforts. PMID:25442234

  11. Bioluminescence ATP Monitoring for the Routine Assessment of Food Contact Surface Cleanliness in a University Canteen

    PubMed Central

    Osimani, Andrea; Garofalo, Cristiana; Clementi, Francesca; Tavoletti, Stefano; Aquilanti, Lucia

    2014-01-01

    ATP bioluminescence monitoring and traditional microbiological analyses (viable counting of total mesophilic aerobes, coliforms and Escherichia coli) were used to evaluate the effectiveness of Sanitation Standard Operating Procedures (SSOP) at a university canteen which uses a HACCP-based approach. To that end, 10 cleaning control points (CPs), including food contact surfaces at risk of contamination from product residues or microbial growth, were analysed during an 8-month monitoring period. Arbitrary acceptability limits were set for both microbial loads and ATP bioluminescence readings. A highly significant correlation (r = 0.99) between the means of ATP bioluminescence readings and the viable counts of total mesophilic aerobes was seen, thus revealing a strong association of these parameters with the level of surface contamination. Among CPs, the raw meat and multi-purpose chopping boards showed the highest criticalities. Although ATP bioluminescence technology cannot substitute traditional microbiological analyses for the determination of microbial load on food contact surfaces, it has proved to be a powerful tool for the real time monitoring of surface cleanliness at mass catering plants, for verify the correct application of SSOP, and hence for their implementation/revision in the case of poor hygiene. PMID:25329534

  12. Bioluminescence ATP monitoring for the routine assessment of food contact surface cleanliness in a university canteen.

    PubMed

    Osimani, Andrea; Garofalo, Cristiana; Clementi, Francesca; Tavoletti, Stefano; Aquilanti, Lucia

    2014-01-01

    ATP bioluminescence monitoring and traditional microbiological analyses (viable counting of total mesophilic aerobes, coliforms and Escherichia coli) were used to evaluate the effectiveness of Sanitation Standard Operating Procedures (SSOP) at a university canteen which uses a HACCP-based approach. To that end, 10 cleaning control points (CPs), including food contact surfaces at risk of contamination from product residues or microbial growth, were analysed during an 8-month monitoring period. Arbitrary acceptability limits were set for both microbial loads and ATP bioluminescence readings. A highly significant correlation (r = 0.99) between the means of ATP bioluminescence readings and the viable counts of total mesophilic aerobes was seen, thus revealing a strong association of these parameters with the level of surface contamination. Among CPs, the raw meat and multi-purpose chopping boards showed the highest criticalities. Although ATP bioluminescence technology cannot substitute traditional microbiological analyses for the determination of microbial load on food contact surfaces, it has proved to be a powerful tool for the real time monitoring of surface cleanliness at mass catering plants, for verify the correct application of SSOP, and hence for their implementation/revision in the case of poor hygiene. PMID:25329534

  13. Review of Measures of Worksite Environmental and Policy Supports for Physical Activity and Healthy Eating

    PubMed Central

    Reeds, Dominic N.; van Bakergem, Margaret A.; Marx, Christine M.; Brownson, Ross C.; Pamulapati, Surya C.; Hoehner, Christine M.

    2015-01-01

    Introduction Obesity prevention strategies are needed that target multiple settings, including the worksite. The objective of this study was to assess the state of science concerning available measures of worksite environmental and policy supports for physical activity (PA) and healthy eating (HE). Methods We searched multiple databases for instruments used to assess worksite environments and policies. Two commonly cited instruments developed by state public health departments were also included. Studies that were published from 1991 through 2013 in peer-reviewed publications and gray literature that discussed the development or use of these instruments were analyzed. Instrument administration mode and measurement properties were documented. Items were classified by general health topic, 5 domains of general worksite strategy, and 19 subdomains of worksite strategy specific to PA or HE. Characteristics of worksite measures were described including measurement properties, length, and administration mode, as well as frequencies of items by domain and subdomain. Results Seventeen instruments met inclusion criteria (9 employee surveys, 5 manager surveys, 1 observational assessment, and 2 studies that used multiple administration modes). Fourteen instruments included reliability testing. More items were related to PA than HE. Most instruments (n = 10) lacked items in the internal social environment domain. The most common PA subdomains were exercise facilities and lockers/showers; the most common HE subdomain was healthy options/vending. Conclusion This review highlights gaps in measurement of the worksite social environment. The findings provide a useful resource for researchers and practitioners and should inform future instrument development. PMID:25950572

  14. [Worksite health promotion and occupational physicians: interventional effects of exercises].

    PubMed

    Ohta, Masanori; Yamato, Hiroshi

    2013-10-01

    Results of annual health checkups at workplaces revealed a steady increase in the incidence of cardiovascular risk factors such as dyslipidemia and hypertension in Japan. With the aging of the workforce, the incidence is expected to increase further. These risk factors are modifiable through a lifestyle modification program including mild exercise and nutritional guidance. In 1988, the Japanese government revised the Industrial Safety and Health Law to promote health in the workplace and implemented the Total Health Promotion Plan (THP). However, only 5.0% of workplaces were implementing THP programs according to a survey conducted in 2007. Therefore, we have recommended some measures for worksite health promotion, such as collaboration between community health and occupational health for implementing health promotion activities especially in small and medium scale enterprises, environmental improvement to promote occupational health, and an approach to increase physical activity that includes walking to work and using the stairs. Worksite health promotion should be considered an important company initiative in terms of work-related outcomes such as job satisfaction, work ability, and absenteeism in addition to cardiovascular risk factors. PMID:24107347

  15. A worksite smoking cessation intervention involving the media and incentives.

    PubMed

    Jason, L A; Lesowitz, T; Michaels, M; Blitz, C; Victors, L; Dean, L; Yeager, E; Kimball, P

    1989-12-01

    This study evaluated an attempt at 38 workplaces to help employees stop or reduce their levels of smoking. In past research, worksite support groups, in combination with a media smoking cessation program and self-help manuals, were found to be effective in helping employees quit smoking. Unfortunately, recidivism was found at the follow-up evaluations. The present study replicated the results of the previous worksite smoking cessation program with support groups, a television intervention, and self-help manuals. At this postpoint, 42% of employees provided groups plus incentives were abstinent compared to only 15% who were only provided self-help materials. An important difference in this study was that there were also monthly follow-up support groups and incentives. Work settings can be a source of stress and conflict, which can precipitate relapse. At a 12-month follow-up, 26% of those participants who were provided support and incentives were abstinent compared to 16% who were only provided the self-help materials. PMID:2636539

  16. Comparing School Lunch and Canteen Foods Consumption of Children in Kayseri, Turkey

    PubMed Central

    Ongan, Dilek; Inanc, Neriman; Cicek, Betül

    2014-01-01

    Objective: School Nutrition Programs (SNPs) may have positive effects on children’s food choices through high nutritional quality meals. This cross-sectional & descriptive study was conducted to determine nutritional quality of school lunch and to compare lunch consumption of students who participated in SNP and who did not, at the first governmental school serving school lunch in Kayseri, Turkey. Methods: One hundred and sixteen students aged 9-14 years were divided into two groups after being matched according to gender, age, grade; 58 participants (school lunch group; SL-G) and 58 nonparticipants (school canteen group; SC-G) were recruited. Energy-nutrient content of 5-day school lunch was determined by recipes. Socio-demographic data and lunch consumption on 5 consecutive weekdays with weighed left overs were obtained. Lunch energy-nutrient intakes and anthropometric measurements were compared. Results: School lunch was adequate for vitamins (E & C), fibre, iron, inadequate for energy, carbohydrate, folate, calcium. Contribution of fat (36.6±6.8%) and saturated fat (12.2±3.5%) to energy and sodium content was high (1001 mg) in school lunch. SL-G consumed significantly higher protein, vitamin C, thiamine, vitamin B6, potassium, magnesium, iron, zinc (p<0.001 for each) than SC-G. Energy (p<0.001), carbohydrate (p<0.001), fat (p<0.05), vitamin E (p<0.001) intakes of SC-G were significantly higher than SL-G. Body weights, height, body mass index of groups were similar. Conclusions: Foodservice at school should be revised with collaboration of school management, catering firm, dietetic professionals. Policy should focus on reducing fat, saturated fat, sodium content and meeting energy-nutrient requirements of school aged children. PMID:24948977

  17. Working on wellness (WOW): A worksite health promotion intervention programme

    PubMed Central

    2012-01-01

    Background Insufficient PA has been shown to cluster with other CVD risk factors including insufficient fruit and vegetable intake, overweight, increased serum cholesterol concentrations and elevated blood pressure. This paper describes the development of Working on Wellness (WOW), a worksite intervention program incorporating motivational interviewing by wellness specialists, targeting employees at risk. In addition, we describe the evaluation the effectiveness of the intervention among employees at increased risk for cardiovascular disease. Methods The intervention mapping (IM) protocol was used in the planning and design of WOW. Focus group discussions and interviews with employees and managers identified the importance of addressing risk factors for CVD at the worksite. Based on the employees’ preference for individual counselling, and previous evidence of the effectiveness of this approach in the worksite setting, we decided to use motivational interviewing as part of the intervention strategy. Thus, as a cluster-randomised, controlled control trial, employees at increased risk for CVD (N = 928) will be assigned to a control or an intervention group, based on company random allocation. The sessions will include motivational interviewing techniques, comprised of two face-to-face and four telephonic sessions, with the primary aim to increase habitual levels of PA. Measures will take place at baseline, 6 and 12 months. Secondary outcomes include changes in nutritional habits, serum cholesterol and glucose concentrations, blood pressure and BMI. In addition, healthcare expenditure and absenteeism will be measured for the economic evaluation. Analysis of variance will be performed to determine whether there were significant changes in physical activity habits in the intervention and control groups at 6 and 12 months. Discussion The formative work on which this intervention is based suggests that the strategy of targeting employees at increased risk for

  18. EVA Design, Verification, and On-Orbit Operations Support Using Worksite Analysis

    NASA Technical Reports Server (NTRS)

    Hagale, Thomas J.; Price, Larry R.

    2000-01-01

    The International Space Station (ISS) design is a very large and complex orbiting structure with thousands of Extravehicular Activity (EVA) worksites. These worksites are used to assemble and maintain the ISS. The challenge facing EVA designers was how to design, verify, and operationally support such a large number of worksites within cost and schedule. This has been solved through the practical use of computer aided design (CAD) graphical techniques that have been developed and used with a high degree of success over the past decade. The EVA design process allows analysts to work concurrently with hardware designers so that EVA equipment can be incorporated and structures configured to allow for EVA access and manipulation. Compliance with EVA requirements is strictly enforced during the design process. These techniques and procedures, coupled with neutral buoyancy underwater testing, have proven most valuable in the development, verification, and on-orbit support of planned or contingency EVA worksites.

  19. A lifestyle intervention reduces body weight and improves cardiometabolic risk factors in worksites

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Worksites are potentially effective locations for obesity control because they provide opportunities for group intervention and social support. Studies are needed to identify effective interventions in these settings. We examined the effects of a multicomponent lifestyle intervention on weight loss ...

  20. Evaluation of the HACCP system in a university canteen: microbiological monitoring and internal auditing as verification tools.

    PubMed

    Osimani, Andrea; Aquilanti, Lucia; Tavoletti, Stefano; Clementi, Francesca

    2013-04-01

    Food safety is essential in mass catering. In Europe, Regulation (EC) No. 852/2004 requires food business operators to put in place, implement and maintain permanent procedures based on Hazard Analysis and Critical Control Point (HACCP) principles. Each HACCP plan is specifically implemented for the processing plant and processing methods and requires a systematic collection of data on the incidence, elimination, prevention, and reduction of risks. In this five-year-study, the effectiveness of the HACCP plan of a University canteen was verified through periodic internal auditing and microbiological monitoring of meals, small equipment, cooking tools, working surfaces, as well as hands and white coats of the canteen staff. The data obtained revealed no safety risks for the consumers, since Escherichia coli, Salmonella spp. and Listeria monocytogenes were never detected; however, a quite discontinuous microbiological quality of meals was revealed. The fluctuations in the microbial loads of mesophilic aerobes, coliforms, Staphylococcus aureus, Bacillus cereus, and sulphite-reducing clostridia were mainly ascribed to inadequate handling or processing procedures, thus suggesting the need for an enhancement of staff training activities and for a reorganization of tasks. Due to the wide variety of the fields covered by internal auditing, the full conformance to all the requirements was never achieved, though high scores, determined by assigning one point to each answer which matched with the requirements, were achieved in all the years. PMID:23594937

  1. Evaluation of the HACCP System in a University Canteen: Microbiological Monitoring and Internal Auditing as Verification Tools

    PubMed Central

    Osimani, Andrea; Aquilanti, Lucia; Tavoletti, Stefano; Clementi, Francesca

    2013-01-01

    Food safety is essential in mass catering. In Europe, Regulation (EC) No. 852/2004 requires food business operators to put in place, implement and maintain permanent procedures based on Hazard Analysis and Critical Control Point (HACCP) principles. Each HACCP plan is specifically implemented for the processing plant and processing methods and requires a systematic collection of data on the incidence, elimination, prevention, and reduction of risks. In this five-year-study, the effectiveness of the HACCP plan of a University canteen was verified through periodic internal auditing and microbiological monitoring of meals, small equipment, cooking tools, working surfaces, as well as hands and white coats of the canteen staff. The data obtained revealed no safety risks for the consumers, since Escherichia coli, Salmonella spp. and Listeria monocytogenes were never detected; however, a quite discontinuous microbiological quality of meals was revealed. The fluctuations in the microbial loads of mesophilic aerobes, coliforms, Staphylococcus aureus, Bacillus cereus, and sulphite-reducing clostridia were mainly ascribed to inadequate handling or processing procedures, thus suggesting the need for an enhancement of staff training activities and for a reorganization of tasks. Due to the wide variety of the fields covered by internal auditing, the full conformance to all the requirements was never achieved, though high scores, determined by assigning one point to each answer which matched with the requirements, were achieved in all the years. PMID:23594937

  2. Engaging Participants in Design of a Native Hawaiian Worksite Wellness Program

    PubMed Central

    Leslie, Jodi Haunani; Hughes, Claire Ku‘uleilani; Braun, Kathryn L.

    2010-01-01

    Background Native Hawaiians today face a disproportionately high rate of obesity. The Designing Healthy Worksites (DHW) project investigated existing administrative policies and supports for healthy eating and physical activity at eight Native Hawaiian-serving organizations in Hawai‘i, along with employee preferences for worksite wellness programming. Objectives We describe the process by which Native Hawaiian researchers and community members worked together to gather formative data to design future worksite wellness programs. Methods A Native Hawaiian doctoral student (JHL) and a Native Hawaiian activist (CKH) spearheaded the project, mentored by a Caucasian professor (KLB) who has worked in Hawaii communities for 30 years. Advisors from the worksites supported the use of environmental assessments (n = 36), administrative interviews (n = 33), focus groups (n = 9), and an employee survey (n = 437) to collect data. We used an interactive process of data collection, sharing, and interpretation to assure mutual agreement on conclusions and future directions. Results Worksites were at different stages of readiness for worksite wellness programming, suggesting that a toolkit be developed from which agencies could create a program that fit. Activities preferred by large proportions of employees included support groups, experiential nutrition education (e.g., cooking demonstrations and field trips for smart food shopping), food buying clubs, and administrative policies supporting healthy lifestyles. High participation in data collection and interpretation suggest that our methods fostered enthusiasm for worksite wellness programming and for Native Hawaiians as researchers. The team continues to work together to develop and test interventions to promote worksite wellness. Conclusion Native-directed research that engages administrators and employees in designing programs heightens program acceptability and applicability. PMID:20543487

  3. Recruitment for a Diabetes Prevention Program Translation Effort in a Worksite Setting

    PubMed Central

    Taradash, J; Kramer, M; Molenaar, D; Arena, V; Vanderwood, K; Kriska, Andrea M

    2015-01-01

    Background The success of the Diabetes Prevention Program (DPP) lifestyle intervention has led to community-based translation efforts in a variety of settings. One community setting which holds promise for delivery of prevention intervention is the worksite; however, information regarding recruitment in this setting is limited. The current effort describes the initial processes surrounding provision of an adapted DPP lifestyle intervention at a corporate worksite. Methods Investigators and key management at the worksite collaborated to develop and implement a recruitment plan for the intervention focusing on 1) in-person onsite activities and 2) implementation of a variety of media recruitment tools and methods. Results Adult, non-diabetic overweight/obese employees and family members with pre-diabetes and/or the metabolic syndrome were eligible for the study. Telephone pre-screening was completed for 176 individuals resulting in 171 eligible for onsite screening. Of that number, 160 completed onsite screening, 107 met eligibility criteria, and 89 enrolled in the study. Support from worksite leadership, an invested worksite planning team and a solid recruitment plan consisting of multiple strategies were identified as crucial elements of this effective workplace recruitment effort. Conclusion A worksite team successfully developed and implemented a recruitment plan using existing mechanisms appropriate to that worksite in order to identify and enroll eligible individuals. The results of this effort indicate that employee recruitment in a worksite setting is feasible as the first step in offering onsite behavioral lifestyle intervention programs as part of a widespread dissemination plan to prevent diabetes and lower risk for cardiovascular disease. PMID:25633207

  4. Implementation of a Worksite Wellness Program Targeting Small Businesses

    PubMed Central

    Stinson, Kaylan E.; Metcalf, Dianne; Fang, Hai; Brockbank, Claire vS.; Jinnett, Kimberly; Reynolds, Stephen; Trotter, Margo; Witter, Roxana; Tenney, Liliana; Atherly, Adam; Goetzel, Ron Z.

    2015-01-01

    Objective: To assess small business adoption and need for a worksite wellness program in a longitudinal study of health risks, productivity, workers' compensation rates, and claims costs. Methods: Health risk assessment data from 6507 employees in 260 companies were examined. Employer and employee data are reported as frequencies, with means and standard deviations reported when applicable. Results: Of the 260 companies enrolled in the health risk management program, 71% continued more than 1 year, with 97% reporting that worker wellness improves worker safety. Of 6507 participating employees, 34.3% were overweight and 25.6% obese. Approximately one in five participants reported depression. Potentially modifiable conditions affecting 15% or more of enrollees include chronic fatigue, sleeping problems, headaches, arthritis, hypercholesterolemia, and hypertension. Conclusions: Small businesses are a suitable target for the introduction of health promotion programs. PMID:25563536

  5. EMPLOYER CHOICES IN EAP DESIGN AND WORKSITE SERVICES

    PubMed Central

    McCann, Bernard; Azzone, Vanessa; Merrick, Elizabeth L.; Hiatt, Deirdre; Hodgkin, Dominic; Horgan, Constance M.

    2011-01-01

    SUMMARY In today’s complex private healthcare market, employers have varied preferences for particular features of behavioral health products such as Employee Assistance Programs (EAPs). Factors which may influence these preferences include: establishment size, type of organization, industry, workplace substance abuse regulations, and structure of health insurance benefits. This study of 103 large employer purchasers from a single managed behavioral healthcare organization investigated the impact of such variables on the EAP features that employers select to provide to workers and their families. Our findings indicate that for this group of employers, preferences for the type and delivery mode of EAP counseling services are fairly universal, while number of sessions provided and choices for EAP-provided worksite activities are much more varied, and may be more reflective of the diverse characteristics, organizational missions and workplace culture found among larger employers in the US. PMID:22768017

  6. Using organization theory to understand the determinants of effective implementation of worksite health promotion programs.

    PubMed

    Weiner, Bryan J; Lewis, Megan A; Linnan, Laura A

    2009-04-01

    The field of worksite health promotion has moved toward the development and testing of comprehensive programs that target health behaviors with interventions operating at multiple levels of influence. Yet, observational and process evaluation studies indicate that such programs are challenging for worksites to implement effectively. Research has identified several organizational factors that promote or inhibit effective implementation of comprehensive worksite health promotion programs. However, no integrated theory of implementation has emerged from this research. This article describes a theory of the organizational determinants of effective implementation of comprehensive worksite health promotion programs. The model is adapted from theory and research on the implementation of complex innovations in manufacturing, education and health care settings. The article uses the Working Well Trial to illustrate the model's theoretical constructs. Although the article focuses on comprehensive worksite health promotion programs, the conceptual model may also apply to other types of complex health promotion programs. An organization-level theory of the determinants of effective implementation of worksite health promotion programs. PMID:18469319

  7. Experiences Recruiting Indian Worksites for an Integrated Health Protection and Health Promotion Randomized Control Trial in Maharashtra, India

    ERIC Educational Resources Information Center

    Shulman Cordeira, L.; Pednekar, M. S.; Nagler, E. M.; Gautam, J.; Wallace, L.; Stoddard, A. M.; Gupta, P. C.; Sorensen, G. C.

    2015-01-01

    This article provides an overview of the recruitment strategies utilized in the Mumbai Worksites Tobacco Control Study, a cluster randomized trial testing the effectiveness of an integrated tobacco control and occupational safety and health program in Indian manufacturing worksites. From June 2012 to June 2013, 20 companies were recruited.…

  8. Effect of Fresh Fruit Availability at Worksites on the Fruit and Vegetable Consumption of Low-Wage Employees

    ERIC Educational Resources Information Center

    Backman, Desiree; Gonzaga, Gian; Sugerman, Sharon; Francis, Dona; Cook, Sara

    2011-01-01

    Objective: To examine the impact of fresh fruit availability at worksites on the fruit and vegetable consumption and related psychosocial determinants of low-wage employees. Design: A prospective, randomized block experimental design. Setting: Seven apparel manufacturing and 2 food processing worksites. Participants: A convenience sample of 391…

  9. Evaluation of a Work-Site Health-Promotion Program Emphasizing Leisure Awareness within a Navy Command. Executive Summary.

    ERIC Educational Resources Information Center

    Holser, Mary Ann

    The Life Enhancement Afloat-Ashore Program (LEAAP) was a comprehensive worksite health program implemented on five U.S. Navy commands. It addressed substance abuse, fitness, life enhancement skills and behaviors, and recreation awareness and opportunity. The program included videotape education sessions at the worksite; command-sponsored health,…

  10. Relationship of cravings with weight loss and hunger: results from a 6 month worksite weight loss intervention

    Technology Transfer Automated Retrieval System (TEKTRAN)

    We examined the association of food cravings with weight loss and eating behaviors in a 6 month worksite lifestyle weight loss program. This randomized controlled trial of the intervention versus a wait-listed control was conducted at 4 worksites, and 95 participants completed outcome assessments ...

  11. Metabolic syndrome in a screened worksite sample: prevalence and predictors.

    PubMed

    Godefroi, Robert; Klementowicz, Peter; Pepler, Catherine; Lewis, Barbara; McDonough, Kenneth; Goldberg, Robert J

    2005-01-01

    Relatively limited contemporary information is available about the magnitude of, and factors associated with, the metabolic syndrome in adult men and women. The purpose of our observational study was to describe the prevalence and predictors of the metabolic syndrome in a sample of employed adults attending a worksite cardiovascular screening program. The study sample consisted of 871 men and women between the ages of 21 and 77 years from 6 locations of the parent company. These individuals attended an employer-sponsored cardiovascular screening and wellness program during 2003. A standardized questionnaire was administered to all study participants and a number of different coronary risk factors were measured. Approximately 27% of the study sample was classified as having the metabolic syndrome. Men, persons with a history of hypertension, heart disease, or stroke, sedentary individuals, and those with an increased heart rate and higher levels of C-reactive protein were associated with presence of the metabolic syndrome. A relatively similar risk factor profile was noted in persons without a self-reported history of prior cardiovascular disease. The results of our cross-sectional observational study suggest that the prevalence of the metabolic syndrome is considerable. A number of demographic, comorbid, and other factors are associated with this syndrome. Increased attention to the metabolic syndrome, and modification of predisposing factors, remains of considerable public health and clinical importance. PMID:15665535

  12. Adult supervision and pediatric injuries in the agricultural worksite.

    PubMed

    Morrongiello, Barbara A; Pickett, William; Berg, Richard L; Linneman, James G; Brison, Robert J; Marlenga, Barbara

    2008-05-01

    Appropriate supervision is recommended as a strategy to prevent pediatric farm injuries, yet virtually nothing is known about the quality of adult supervision on farms. We therefore explored the nature of adult supervision among pediatric farm injury cases using three theoretically relevant dimensions of supervision: (1) attention, (2) proximity, and (3) continuity. We examined a retrospective case series of 334 pediatric farm injury cases from Canada and the United States that resulted in death or required hospitalization. Patterns of supervision were coded according to the three dimensions. Approximately two-thirds of the injured children (231/334; 69%) had an adult supervisor available (attention). The supervisor was in close proximity of the child in only about half the cases (169/334; 51%) and it was even less common for the supervision to be continuous (37%). Thus, many injuries occurred when children were inadequately supervised. However, approximately one-third of the injured children (112/334; 34%) had what in other circumstances would be considered adequate adult supervision at the time of their injury event, defined theoretically as having supervision available, proximal, and continuous. Yet, children on farms were injured even in the presence of adequate adult supervision. These findings, along with a growing body of literature examining pediatric farm injuries, suggest a need to develop a new definition of adequate adult supervision within the context of the agricultural work environment, or to consider restricting the access of children, especially the very young, to this hazardous worksite. PMID:18460383

  13. Evaluation of a Worksite Diabetes Education Program at a Large Urban Medical Center.

    PubMed

    Renda, Susan; Baernholdt, Marianne; Becker, Kathleen

    2016-01-01

    Evidence suggests that diabetes education can be delivered at the worksite to better support employees' diabetes self-management and improve productivity and health care costs. This study was conducted to address the feasibility of a diabetes worksite education program for employees at a large urban academic health care institution. The diabetes education program was delivered in the diabetes center at the institution, a resource that was previously underutilized by employees. Through collaboration with groups in the institution, 20 employees of diverse ethnicity participated in the worksite diabetes education program with positive outcomes: improved glycemic control measured (HbA1c), attainment of self-management goals, and satisfaction with the program. Work absences trended downward, but numbers of hospitalizations and emergency department visits were unchanged in the 3 months following education. Recommendations include replication of the study with more employee participation and program evaluation over a longer period of time to continue assessment of employees' educational needs. PMID:26458409

  14. A worksite smoking intervention: a 2 year assessment of groups, incentives and self-help.

    PubMed

    Jason, L A; Salina, D; McMahon, S D; Hedeker, D; Stockton, M

    1997-03-01

    Sixty-three companies in the Chicago area were recruited to participate in a worksite smoking cessation program. Participants in each worksite received a television program and newspaper supplement (part of a community-wide media campaign), and one of three conditions: (1) self-help manuals alone (M), (2) self-help manuals and incentives for 6 months (IM) or (3) maintenance manuals, incentives and cognitive-behavioral support groups for 6 months (GIM). Results at the 2 year assessment are examined using a random-effects regression model. In addition, various definitions of quit-rate commonly used in smoking cessation research are explored and the advantages of using a public health approach in the worksite are examined. PMID:10166900

  15. Cardiovascular disease prevention and implications for worksite health promotion programs in Brazil.

    PubMed

    Cipriano, Gerson; Neves, Laura Maria Tomazi; Cipriano, Graziella França Bernardelli; Chiappa, Gaspar R; Borghi-Silva, Audrey

    2014-01-01

    Economic growth, an aging population, and changes in lifestyle patterns have contributed to the rise in cardiovascular disease (CVD) in Brazil. Worksite health and wellness programs are viewed as a potentially viable means to address the increase in disease burden in Brazil. The purpose of the present review is to investigate actions proposed by the Brazilian Government for CVD prevention and the current state of worksite health promotion. Our review of literature found that the Brazilian Government has been showing a growing interest in developing and promoting CVD preventive strategies, primarily through better control of known risk factors (i.e. smoking, obesity, physical inactivity, high cholesterol, high blood pressure, and high blood glucose). Current initiatives are considered positive steps toward better CVD prevention in Brazil. With respect to worksite health and wellness, additional work is needed to determine optimal program delivery models, financial implications and individual/population compliance with healthier lifestyle choices. PMID:24607013

  16. An eight-year report on the implementation of HACCP in a university canteen: impact on the microbiological quality of meals.

    PubMed

    Osimani, Andrea; Aquilanti, Lucia; Babini, Valentina; Tavoletti, Stefano; Clementi, Francesca

    2011-04-01

    An investigation aimed at assessing the microbiological quality of meals consumed at a university canteen after implementation of the HACCP system and personnel training was carried out. Cooked and warm-served products (74 samples), cooked and cold-served products (92 samples) and cold gastronomy products (63 samples) sampled from 2000 to 2007 underwent microbiological analyses. All the samples were tested for: Samonella spp., Listeria monocytogenes, total mesophilic aerobes, coliforms, Escherichia coli, Staphylococcus aureus, Bacillus cereus, and sulphite-reducing clostridia. The microbiological contamination of work surfaces (tables, tablewares, cutters, ladles, slicing machines, wash-basins, etc.), hands and white coats of members of the canteen staff was also assessed. The microbiological results clearly demonstrated the success of the HACCP plan implementation, through a general improvement of the hygiene conditions of both meals and work surfaces. PMID:21424969

  17. Evaluation of a worksite wellness program designed to reduce cardiovascular risks.

    PubMed

    Roblin, Douglas W; Robinson, Brandi E; Benjamin, Stacey A

    2013-01-01

    We evaluated a multifactorial worksite wellness program designed to improve lifestyle and reduce cardiovascular risks at a small professional services company. Program participation (N = 60 employees) consisted of an enrollment session, a 6-month period of wellness program activities, and a disenrollment session. Lifestyle and biometric measures were obtained at enrollment and disenrollment. Over 6-months, percentage of dietary fat intake decreased (P < .01); daily fruit and vegetable servings and fiber intake increased (P = .02); systolic and diastolic blood pressure decreased (P = .04 and 0.01, respectively), and high-density lipoprotein increased (P < .01). This worksite wellness program achieved meaningful improvements in dietary intake and reduction in cardiovascular risks. PMID:24402067

  18. Effectiveness of Financial Incentives in a Worksite Diabetes Prevention Program

    PubMed Central

    Faghri, Pouran D.; Li, Rui

    2016-01-01

    Purpose To evaluate the effect of financial incentive in a diabetes prevention weight loss program at worksites. Design Group-level randomized intervention study. Setting Four long-term care facilities, randomly assigned to “incentive-IG” or “non incentive-NIG” groups. Participants Ninety-nine employees, all overweight or obese (BMI= mean 34.8±7.4 kg/m2) and at risk for type 2 diabetes. Intervention A 16 week weight loss program (diabetes prevention program) with a 3 month follow up. IG could either choose a "standard incentive" to receive cash award when achieving the projected weight loss or to participate in a "standard plus deposit incentive" to get additional money matched with their deposit for projected weight loss. All of the participants received a one-hour consultation for a healthy weight loss at the beginning. Measures Weight-loss, diabetes risk score (DRS), and cardiovascular risk outcomes. Analyses Linear and logistic regressions for completed cases with adjustments for clustering effect at group level. Results IG lost on average more pounds (p=0.027), reduced BMI (p=0.04), and reduced in DRS (p=0.011) compared to NIG at week 16. At the 12-week follow-up period, those in IG plus deposit subgroup had twice the odds (OR=2.2, p=0.042) and those in the standard IG had three times the odds of achieving weight loss goals than NIG; those in the IG plus deposit group reduced DRS by 0.4 (p=0.045). Conclusion Monetary incentives appear to be effective in reducing weight and diabetes risk.

  19. Barriers to participation in a worksite wellness program

    PubMed Central

    Person, Ashley Lynne; Bulova, Jessica Ann; Eubanks, Janie Whitehurst

    2010-01-01

    The purpose of this research was to determine barriers that prevent participation in an employee wellness program, Wellness Wednesdays: "Eat & Meet" About Healthy Living, conducted at East Carolina University (ECU) in Greenville, North Carolina. All ECU ARAMARK employees (n = 481) over the age of 18 were eligible to participate in the wellness program. Weekly 30 minute classes, taught by a Registered Dietitian, on various nutrition- and health-related topics were conducted for 10-weeks. Five question knowledge quizzes were administered to participants at the end of each class to determine the comprehension of material presented. Qualitative interviews (n = 19) were conducted with employees (participants and non-participants) and the program organizer after the completion of the 10-week program to identify barriers to program participation. A total of 50 (10.4% of the total number of potential participants) ECU ARAMARK employees, managers, and leadership team directors attended Wellness Wednesdays at least once during the 10-week program. Employees, on average, scored 71-100% on the weekly knowledge quizzes administered at the end of each class. The most common barriers to participation reported included (most often to least often reported): insufficient incentives, inconvenient locations, time limitations, not interested in topics presented, undefined reasons, schedule, marketing, health beliefs, and not interested in the program. Results showed that employee wellness programs can be effective in increasing knowledge of employees on nutrition- and health-related topics. However, program planning that addresses identified barriers including insufficient incentives, inconvenient locations, and time limitations may facilitate higher participation in future worksite wellness opportunities. PMID:20461204

  20. Examining incentive design strategies for worksite wellness program engagement.

    PubMed

    Norman, Gregory J; Heltemes, Kevin J; Drew, Joseph

    2014-12-01

    The objective was to examine employee engagement in worksite wellness activities at 2 large US companies that differed in engagement strategy and incentive plan. Inclusion criteria were US employees aged 18 to 65 who were eligible to receive wellness benefits throughout 2012. Company B's incentive was twice the dollar value of Company A's and produced higher engagement rates for the health assessment (HA; 26.1% vs. 24.4%, P<.001), and biometric screening (32.8% vs. 25.4%, P<.001). Among the subgroup of employees who completed the HA and the biometric screening, 44.6% (N=2,309) at Company A engaged in at least 1 coaching session compared to 8.9% (N=594) at Company B. Fewer employees at Company A with high-risk cholesterol engaged in coaching compared to Company B (44.6% vs. 54.9%, P=.009). However, more Company A employees with high-risk blood pressure engaged in coaching compared to Company B (41.3% vs. 34.8%, P=.053). Company A engaged more obese employees compared to Company B (43.7% vs. 13.9%, P<.001), although obesity was not directly targeted at either company. Predictors of enrolling in coaching included being female, older age, higher education, and those not at high risk for stress, diet, and tobacco for Company A, and older age, and high risk for blood pressure, cholesterol, and obesity for Company B. A population approach to incentive design for program engagement engaged high-risk employees in coaching, and engaged a high proportion of employees not at high risk, but who can still be at risk for chronic diseases. PMID:24865388

  1. Worksite environment physical activity and healthy food choices: measurement of the worksite food and physical activity environment at four metropolitan bus garages

    PubMed Central

    Shimotsu, Scott T; French, Simone A; Gerlach, Anne F; Hannan, Peter J

    2007-01-01

    Background The present research describes a measure of the worksite environment for food, physical activity and weight management. The worksite environment measure (WEM instrument) was developed for the Route H Study, a worksite environmental intervention for weight gain prevention in four metro transit bus garages in Minneapolis-St. Paul. Methods Two trained raters visited each of the four bus garages and independently completed the WEM. Food, physical activity and weight management-related items were observed and recorded on a structured form. Inter-rater reliability was computed at the item level using a simple percentage agreement. Results The WEM showed high inter-rater reliability for the number and presence of food-related items. All garages had vending machines, microwaves and refrigerators. Assessment of the physical activity environment yielded similar reliability for the number and presence/absence of fitness items. Each garage had a fitness room (average of 4.3 items of fitness equipment). All garages had at least one stationary bike and treadmill. Three garages had at least one weighing scale available. There were no designated walking areas inside or outside. There were on average < 1 food stores or restaurants within sight of each garage. Few vending machine food and beverage items met criteria for healthful choices (15% of the vending machine foods; 26% of the vending machine beverages). The garage environment was perceived to be not supportive of healthy food choices, physical activity and weight management; 52% reported that it was hard to get fruits and vegetables in the garages, and 62% agreed that it was hard to be physically active in the garages. Conclusion The WEM is a reliable measure of the worksite nutrition, physical activity, and weight management environment that can be used to assess changes in the work environment. PMID:17498308

  2. Effects of Worksite Closure on Children's Academic and Psychological Adjustment. Final Report.

    ERIC Educational Resources Information Center

    Hawaii Univ., Manoa. Center on the Family.

    This project examined children's academic performance and psychological well-being in rural communities affected by mass layoffs. In one study (Study A), school level data were compared from similar communities where worksite closing had or had not occurred. Study B explored risk and resiliency processes in a sample of 55 rural Asian Pacific…

  3. Computerized Smoking Cessation Program for the Worksite: Treatment Outcome and Feasibility.

    ERIC Educational Resources Information Center

    Burling, Thomas A.; And Others

    1989-01-01

    Demonstrated effectiveness of computer-delivered smoking cessation program for worksite. Veterans Administration Medical Center employees (N=58) were assigned to computer group or contest-only group. Computer group showed nonsignificantly higher abstinence rates across follow-up, had marginally lower carbon monoxide levels at 3- and 6- month…

  4. Participation in Worksite Health Promotion: A Critique of the Literature and Recommendations for Future Practice.

    ERIC Educational Resources Information Center

    Glasgow, Russell E.; And Others

    1993-01-01

    A literature review found that definitions of participation and participation rates in worksite health promotion programs vary dramatically. Men and blue-collar workers were less likely to participate. To improve participation, programs should involve management and labor representatives, use multiple communication channels, and target subgroups…

  5. Randomized Trial Testing a Worksite Sun Protection Program in an Outdoor Recreation Industry

    ERIC Educational Resources Information Center

    Buller, David B.; Andersen, Peter A.; Walkosz, Barbara J.; Scott, Michael D.; Cutter, Gary R.; Dignan, Mark B.; Zarlengo, Elizabeth M.; Voeks, Jenifer H.; Giese, Aimee J.

    2005-01-01

    Health communication campaigns intended to reduce chronic and severe exposure to ultraviolet radiation in sunlight and prevent skin cancer are a national priority. Outdoor workers represent an unaddressed, high-risk population. Go Sun Smart (GSS), a worksite sun safety program largely based on the diffusion-of-innovations theory, was evaluated in…

  6. An Evaluation of a Worksite Exercise Intervention Using the Social Cognitive Theory: A Pilot Study

    ERIC Educational Resources Information Center

    Amaya, Megan; Petosa, R. L.

    2012-01-01

    Purpose: To increase exercise adherence among insufficiently active adult employees. Design: A quasi-experimental separate samples pre-test-post-test group design was used to compare treatment and comparison group. Setting: The worksite. Subjects: Employees (n = 127) who did not meet current American College of Sports Medicine (ACSM)…

  7. Worksite Stress Management for Medical Care Personnel: Results from a Pilot Program.

    ERIC Educational Resources Information Center

    Norvell, Nancy; And Others

    1987-01-01

    Pilot program on stress management, consisting of eight weekly group sessions, was implemented with 12 respiratory therapists. Findings support view that variety of stress management techniques can be effective in enhancing emotional functioning. Discusses practical problems and recommendations for stress management in a group worksite program.…

  8. New Technologies in Screening for Disease Risk: Implications for the Worksite and for Health Education.

    ERIC Educational Resources Information Center

    McLeroy, Kenneth R.

    The screening of workers for health problems has been ubiquitous in the worksite for many years. These screening procedures may have ethical and policy implications. Three common types of screening in use include pre-employment, early identification of health problems, and employee monitoring. Pre-employment screening may be used to screen out…

  9. Checklist of Health Promotion Environments at Worksites (CHEW): Development and Measurement Characteristics.

    ERIC Educational Resources Information Center

    Oldenburg, Brian; Sallis, James F.; Harris, David; Owen, Neville

    2002-01-01

    Describes the development and administration of the Checklist of Health Promotion Environments at Worksites (CHEW), which measures health-promoting characteristics of the workplace environment by direct observation (physical characteristics, information environment, and immediate neighborhood). Findings illustrate the type of data on environmental…

  10. The costs and effects of a nutritional education program following work-site cholesterol screening.

    PubMed Central

    Byers, T; Mullis, R; Anderson, J; Dusenbury, L; Gorsky, R; Kimber, C; Krueger, K; Kuester, S; Mokdad, A; Perry, G

    1995-01-01

    OBJECTIVES. The purpose of this study was to assess the costs and impact of a nutrition education program following a cholesterol screening. METHODS. Forty work-sites were randomly assigned to one of two educational interventions: a "usual" intervention of 5 minutes of counseling, or a "special" intervention of 2 hours of behaviorally based education on dietary changes to lower serum cholesterol. Costs were monitored, and cholesterol levels were retested 6 and 12 months later. RESULTS. The total per-person cost for screening and the educational intervention was about $50. Cholesterol levels differed little between the two intervention groups 6 months after screening, but after 12 months those in the special intervention worksites showed a 6.5% drop in cholesterol, whereas those at the usual intervention worksites showed a drop of only 3.0%. Hence a 3.5% cholesterol reduction was attributable to the special intervention. CONCLUSIONS. A behaviorally based nutrition education program following cholesterol screening can have a meaningful impact on long-term cholesterol levels at a low cost. Nutrition education in work-sites may therefore be a useful way to lower the risk of heart disease in communities. PMID:7733424

  11. Applying the Participatory Action Research Model to the Study of Social Inclusion at Worksites.

    ERIC Educational Resources Information Center

    Park, Hyun-Sook; Gonsier-Gerdin, Jean; Hoffman, Stacey; Whaley, Susan; Yount, Michael

    1998-01-01

    A study used participatory action research (PAR) to explore social inclusion/relationships at worksites of 10 students (ages 17-21). The participatory intervention process assisted teachers and job coaches in making constructive changes in transition work experience programs to provide social opportunities for students and help them become part of…

  12. Eating behaviors as predictors of weight loss in a 6 month worksite weight loss intervention

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The eating behaviors restraint and disinhibition have been suggested to predict weight loss (WL) but there is no information on whether these predictors are valid in worksite WL programs, which are increasingly being recommended for reducing the obesity epidemic. This study examined associations bet...

  13. Ethical considerations of worksite health promotion: an exploration of stakeholders’ views

    PubMed Central

    2014-01-01

    Background Developing, implementing and evaluating worksite health promotion requires dealing with all stakeholders involved, such as employers, employees, occupational physicians, insurance companies, providers, labour unions and research and knowledge institutes. Although worksite health promotion is becoming more common, empirical research on ethical considerations of worksite health promotion is scarce. Methods We explored the views of stakeholders involved in worksite health promotion in focus group discussions and we described the ethical considerations that result from differences between these views. The focus group discussions were organised per stakeholder group. Data were analysed according to the constant comparison method. Results Our analyses show that although the definition of occupational health is the same for all stakeholders, namely ‘being able to perform your job’, there seem to be important differences in the views on what constitutes a risk factor to occupational health. According to the employees, risk factors to occupational health are prevailingly job-related. Labour unions agree with them, but other stakeholders, including the employer, particularly see employee-related issues such as lifestyle behaviour as risk factors to occupational health. The difference in definition of occupational health risk factors translates into the same categorisation of worksite health promotion; employee-related activities and work-related activities. The difference in conceptualisation of occupational health risk factors and worksite health promotion resonates in the way stakeholders understand ‘responsibility’ for lifestyle behaviour. Even though all stakeholders agree on whose responsibility lifestyle behaviour is, namely that of the employee, the meaning of ‘responsibility’ differs between employees, and employers. For employees, responsibility means autonomy, while for employers and other stakeholders, responsibility equals duty. This

  14. Experiences recruiting Indian worksites for an integrated health protection and health promotion randomized control trial in Maharashtra, India.

    PubMed

    Cordeira, L Shulman; Pednekar, M S; Nagler, E M; Gautam, J; Wallace, L; Stoddard, A M; Gupta, P C; Sorensen, G C

    2015-06-01

    This article provides an overview of the recruitment strategies utilized in the Mumbai Worksites Tobacco Control Study, a cluster randomized trial testing the effectiveness of an integrated tobacco control and occupational safety and health program in Indian manufacturing worksites. From June 2012 to June 2013, 20 companies were recruited. Companies were identified using association lists, referrals, internet searches and visits to industrial areas. Four hundred eighty companies were contacted to validate information, introduce the study and seek an in-person meeting with a company representative. Eighty-three company representatives agreed to meet. Of those 83 companies, 55 agreed to a formal 'pitch meeting' with key decision makers at the company. Seventy-seven recruitment 'pitches' were given, including multiple meetings in the same companies. If the company was interested, we obtained a letter of participation and employee roster. Based on this experience, recommendations are made that can help inform future researchers and practitioners wishing to recruit Indian worksites. When compared with recruitment of US manufacturing worksites, recruitment of Indian worksites lacked current industrial lists of companies to serve as a sampling frame, and required more in-person visits, incentives for control companies and more assurances around confidentiality to allow occupational safety and health experts into their worksite. PMID:25796269

  15. Danish auroral science history

    NASA Astrophysics Data System (ADS)

    Stauning, P.

    2011-01-01

    Danish auroral science history begins with the early auroral observations made by the Danish astronomer Tycho Brahe during the years from 1582 to 1601 preceding the Maunder minimum in solar activity. Included are also the brilliant observations made by another astronomer, Ole Rømer, from Copenhagen in 1707, as well as the early auroral observations made from Greenland by missionaries during the 18th and 19th centuries. The relations between auroras and geomagnetic variations were analysed by H. C. Ørsted, who also played a vital role in the development of Danish meteorology that came to include comprehensive auroral observations from Denmark, Iceland and Greenland as well as auroral and geomagnetic research. The very important auroral investigations made by Sophus Tromholt are outlined. His analysis from 1880 of auroral observations from Greenland prepared for the significant contributions from the Danish Meteorological Institute, DMI, (founded in 1872) to the first International Polar Year 1882/83, where an expedition headed by Adam Paulsen was sent to Greenland to conduct auroral and geomagnetic observations. Paulsen's analyses of the collected data gave many important results but also raised many new questions that gave rise to auroral expeditions to Iceland in 1899 to 1900 and to Finland in 1900 to 1901. Among the results from these expeditions were 26 unique paintings of the auroras made by the artist painter, Harald Moltke. The expedition to Finland was headed by Dan la Cour, who later as director of the DMI came to be in charge of the comprehensive international geomagnetic and auroral observations made during the Second International Polar Year in 1932/33. Finally, the article describes the important investigations made by Knud Lassen during, among others, the International Geophysical Year 1957/58 and during the International Quiet Sun Year (IQSY) in 1964/65. With his leadership the auroral and geomagnetic research at DMI reached a high international

  16. Assessing Management Support for Worksite Health Promotion: Psychometric Analysis of the Leading by Example (LBE) Instrument

    PubMed Central

    Della, Lindsay J.; DeJoy, David M.; Goetzel, Ron Z.; Ozminkowski, Ronald J.; Wilson, Mark G.

    2009-01-01

    Objective This paper describes the development of the Leading by Example (LBE) instrument. Methods Exploratory factor analysis was used to obtain an initial factor structure. Factor validity was evaluated using confirmatory factor analysis methods. Cronbach’s alpha and item-total correlations provided information on the reliability of the factor subscales. Results Four subscales were identified: business alignment with health promotion objectives; awareness of the health-productivity link; worksite support for health promotion; leadership support for health promotion. Factor by group comparisons revealed that the initial factor structure is effective in detecting differences in organizational support for health promotion across different employee groups Conclusions Management support for health promotion can be assessed using the LBE, a brief, self-report questionnaire. Researchers can use the LBE to diagnose, track, and evaluate worksite health promotion programs. PMID:18517097

  17. Employee stress levels and the intention to participate in a worksite smoking cessation program.

    PubMed

    Chan, W F; Heaney, C A

    1997-08-01

    This study examines the nature and extent of the relationship between stress levels and intentions to participate in a worksite smoking cessation program among male current smokers (n = 220) employed in an automobile manufacturing plant. A plantwide survey was conducted which measured job stress, nonjob stress, smoking behavior, and intent to participate. The results of polychotomous logistic regressions suggest that among the current smokers in this plant, job and nonjob stress were positively associated with workers' intentions to participate in a worksite smoking cessation program. Thus, contrary to the popular notion that stress diminishes the motivation to quit, employees under high levels of stress may be most receptive to educational interventions intended to persuade smokers to commit to quitting. PMID:9298434

  18. The impact of a worksite weight management program on obesity: a retrospective analysis.

    PubMed

    Davis, Jeff; Clark, Bobby; Lewis, Geraint; Duncan, Ian

    2014-10-01

    The objective of this study was to examine the efficacy of a worksite weight management program on the reduction of weight and lipid levels in employees and their dependents. This retrospective study examined the impact of a one-on-one worksite weight management program. Patients with a body mass index (BMI)>30, or a BMI>25 and 2 or more risk factors were eligible for inclusion. Laboratory and biometric readings at study end were compared to those at baseline. In addition, the percentage change of patients reaching recommended guideline levels was reported. Of the 310 employees enrolled, 157 completed the program (50.6%) with an average weight loss of 5.6%. Improvement was realized for pre-post weight (-6.0 lbs.; P≤.0001), BMI (-0.9; P≤.0001), blood pressure (systolic: -2.6; P≤.0001; diastolic: -1.9; P≤.0001), total cholesterol (-5.9; P=.0485), low-density lipoprotein cholesterol (LDL; -4.7; P=.0004), and triglycerides (-7.6; P=.0060). The proportion moving to within guideline levels increased for the following metrics: normal BMI category (2.6%; P=.0060),<30 BMI (10%; P≤.0001), systolic and diastolic blood pressure readings (7.7%; P=.0011 and 6.1; P=.0056, respectively), total cholesterol (6.5%; P=.0020), LDL (3.9%; P=.0396), and triglycerides (4.8; P=.0137). Retention in the worksite program was almost twice that seen in some commercial weight loss programs and significant improvements in laboratory and biometric readings were achieved. This study suggests that employer worksite-based programs may have an important role in improving the health of an employee population, which is of particular interest given the high prevalence of obesity and its attendant costs. PMID:24735259

  19. Talking parents, healthy teens: a worksite-based program for parents to promote adolescent sexual health.

    PubMed

    Eastman, Karen L; Corona, Rosalie; Schuster, Mark A

    2006-10-01

    Parents play an important role in the sexual health of their adolescent children. Based on previous research, formative research, and theories of behavioral change, we developed Talking Parents, Healthy Teens, an intervention designed to help parents improve communication with their adolescent children, promote healthy adolescent sexual development, and reduce adolescent sexual risk behaviors. We conduct the parenting program at worksites to facilitate recruitment and retention of participants. The program consists of 8 weekly 1-hour sessions during the lunch hour. In this article, we review the literature that identifies parental influences on adolescent sexual behavior, summarize our formative research, present the theoretical framework we used to develop Talking Parents, Healthy Teens, describe the program's components and intervention strategies, and offer recommendations based on our experiences developing the program. By targeting parents at their worksites, this program represents an innovative approach to promoting adolescent sexual health. This article is intended to be helpful to health educators and clinicians designing programs for parents, employers implementing health-related programs, and researchers who may consider designing and evaluating such worksite-based programs. PMID:16978501

  20. Worksite health promotion program participation: a study to examine the determinants of participation.

    PubMed

    Hall, Michael Edward; Bergman, Randall J; Nivens, Samantha

    2014-09-01

    This study explores the relationship between organizational health climate and worksite health promotion program participation, specifically engaging individuals who are unlikely to make positive health behavior choices on their own. Participants consisted of employees at three separate furniture-manufacturing facilities completing a voluntary survey. Using responses (n = 349) from the health climate instrument, which is a measure of the collective attitudes, beliefs, and readiness to change a health behavior, this study identified two factors that were significant contributors to worksite health promotion program participation. Health norms, the collective attitudes regarding healthy lifestyle, as measured by the subscales-health scale and intention to make a behavior change-and "optimistic bias," the overassessment of one's personal health, were found to be predictors of participation. Additionally, significant (p < .05) predictors of self-assessed health, included perceived control to initiate, competence to carry out, and the organizational support of the health behavior change. The findings suggest that the organization's health norms and self-assessed health are associated with the worker's motivation to become involved with health promotion interventions. Offering worksite health screenings and advanced programming and creating a culture of health at work can help address program participation. PMID:24231632

  1. Implementation of an Internet Weight Loss Program in a Worksite Setting

    PubMed Central

    Ross, Kathryn M.; Wing, Rena R.

    2016-01-01

    Background. Worksite wellness programs typically produce modest weight losses. We examined whether an efficacious Internet behavioral weight loss program could be successfully implemented in a worksite setting. Methods. Participants were 75 overweight or obese employees/dependents of a large healthcare system who were given access to a 12-week Internet-based, multicomponent behavioral weight loss program. Assessments occurred at baseline, Month 3 (end of intervention), and Month 6 (follow-up). Results. Retention was excellent (93% at Month 3 and 89% at Month 6). Intent-to-treat analyses demonstrated that participants lost an average (±SE) of −5.8 ± .60 kg from baseline to Month 3 and regained 1.1 ± .31 kg from Month 3 to Month 6; overall, weight loss from baseline to Month 6 was −4.7 ± .71 kg, p < .001. Men lost more weight than women, p = .022, and individuals who had a college degree or higher lost more weight than those with less education, p = .005. Adherence to viewing lessons (8 of 12) and self-monitoring (83% of days) was excellent and significantly associated with weight loss, ps < .05. Conclusions. An Internet-based behavioral weight management intervention can be successfully implemented in a worksite setting and can lead to clinically significant weight losses. Given the low costs of offering this program, it could easily be widely disseminated. PMID:26942006

  2. Process evaluation of an environmental walking and healthy eating pilot in small rural worksites.

    PubMed

    Devine, Carol M; Maley, Mary; Farrell, Tracy J; Warren, Barbour; Sadigov, Shamil; Carroll, Johanna

    2012-02-01

    Small Steps are Easier Together (SS) was a pilot environmental intervention in small rural worksites in Upstate New York in collaboration with Extension educators. Worksite leaders teamed with co-workers to select and implement environmental changes to increase walking steps over individual baseline and to choose healthy eating options over 10 weeks. Participants were 226 primarily white, women employees in 5 sites. A mixed methods process evaluation, conducted to identify determinants of intervention effectiveness and to explain differences in outcomes across worksites, included surveys, self-reports of walking and eating, interviews, focus groups, and an intervention log. The evaluation assessed reach, characteristics of recruited participants, dose delivered, dose received, and context and compared sites on walking and eating outcomes. Emergent elements of participant-reported dose received included: active leadership, visible environmental changes, critical mass of participants, public display of accomplishments, accountability to co-workers, and group decision making. Participants at sites with high reach and dose were significantly more likely than sites with low reach and dose to achieve intervention goals. Although this small pilot needs replication, these findings describe how these evaluation methods can be applied and analyzed in an environmental intervention and provide information on trends in the data. PMID:22054528

  3. Applying RE-AIM to the evaluation of FUEL Your Life : a worksite translation of DPP.

    PubMed

    Brace, Andrea M; Padilla, Heather M; DeJoy, David M; Wilson, Mark G; Vandenberg, Robert J; Davis, Marsha

    2015-01-01

    Weight management programs are becoming increasingly common in workplace settings; however, few target middle-aged men. The purpose of this article is to describe the process evaluation of a worksite translation of the Diabetes Prevention Program in a predominantly middle-aged male population. The translated program, FUEL Your Life, was largely self-directed, with support from peer health coaches and occupational health nurses. The RE-AIM (Reach Effectiveness Adoption Implementation Maintenance) framework was used to examine the factors that influenced program implementation using data from an environmental assessment, participant surveys, peer health coach surveys, and occupational health nurse interviews. An overwhelming majority of the employees who enrolled in the study were overweight or obese (92%). Overall, the program was effective for weight maintenance; those with higher levels of participation and engagement had better weight loss outcomes. The peer health coach and family elements of the intervention were underused. The program was successful in reaching the intended population; however, the program had limited success in engaging this population. Not surprisingly, weight loss was a function of participant engagement and participation. Increasing participant engagement and participation is important to the success of weight management interventions translated to the worksite setting. Garnering buy-in and support from management can serve to increase the perceived importance of weight management in worksites. With management support, weight management protocols could be integrated as a component of the mandatory safety and health assessments already in place, fostering promotion of healthy weight in the workforce. PMID:24942749

  4. Sociocultural factors associated with cigarette smoking among women in Brazilian worksites: a qualitative study.

    PubMed

    Scarinci, Isabel C; Silveira, Andréa F; dos Santos, Daniele Figueiredo; Beech, Bettina M

    2007-06-01

    This study examined the contextual factors associated with smoking initiation and cessation among women in Brazilian worksites (Curitiba, Paraná, Brazil). A total of 22 focus groups were conducted among 108 women in private and public worksites. The most frequently endorsed negative factors that contributed to smoking initiation included exposure to smoking-prompting behaviors through family members, peer pressure, media and easy access/low cost of cigarettes. Positive factors that served as protective mechanisms against initiation included smoking-related health effects and strong influence from parents and family members. The most salient negative factors associated with smoking cessation included stress/anxiety-relieving benefits, weight control, access/low cost of cigarettes, being around smokers and risk-exempting beliefs. Positive factors included smoking restrictions at home and workplace and concerns about appearance. Current and former smokers reported that they had never received any assistance from their physicians to quit smoking, nor did they rely on smoking cessation programs or aids or believe in their effectiveness. There are specific contextual factors that contribute to smoking initiation/cessation among women in Brazilian worksites which have important clinical, research and policy implications. PMID:17491118

  5. Efficacy of a brief worksite intervention to reduce smoking: the roles of behavioral and implementation intentions.

    PubMed

    Armitage, Christopher J

    2007-10-01

    The effectiveness of worksite interventions to reduce smoking needs to be enhanced because randomized controlled trials to date have produced mixed findings. The present study tested the ability of social-cognitive variables to mediate the past behavior-future behavior relationship and the effectiveness of implementation intentions to break the past behavior-future behavior relationship in a brief theory-based worksite intervention designed to reduce smoking. Smoking behavior and psychosocial orientation to quit (operationalized by theory of planned behavior variables and temptations) were measured at baseline; participants (N = 90) randomized to the experimental condition were also asked to form an implementation intention in their place of work. Identical measures taken 2 months postbaseline revealed that intention was a potent mediator of the past behavior-future behavior relationship. More important, significantly more people quit smoking in the experimental condition than in the control condition. Decomposition of these effects showed that implementation intentions worked best for individuals who were more motivated to quit at baseline and suggest that harnessing both motivational and volitional processes might enhance the effectiveness of worksite smoking cessation programs. PMID:17953496

  6. Determinants of participation in worksite health promotion programmes: a systematic review

    PubMed Central

    Robroek, Suzan JW; van Lenthe, Frank J; van Empelen, Pepijn; Burdorf, Alex

    2009-01-01

    Background The workplace has been identified as a promising setting for health promotion, and many worksite health promotion programmes have been implemented in the past years. Research has mainly focused on the effectiveness of these interventions. For implementation of interventions at a large scale however, information about (determinants of) participation in these programmes is essential. This systematic review investigates initial participation in worksite health promotion programmes, the underlying determinants of participation, and programme characteristics influencing participation levels. Methods Studies on characteristics of participants and non-participants in worksite health promotion programmes aimed at physical activity and/or nutrition published from 1988 to 2007 were identified through a structured search in PubMed and Web of Science. Studies were included if a primary preventive worksite health promotion programme on PA and/or nutrition was described, and if quantitative information was present on determinants of participation. Results In total, 23 studies were included with 10 studies on educational or counselling programmes, 6 fitness centre interventions, and 7 studies examining determinants of participation in multi-component programmes. Participation levels varied from 10% to 64%, with a median of 33% (95% CI 25–42%). In general, female workers had a higher participation than men (OR = 1.67; 95% CI 1.25–2.27]), but this difference was not observed for interventions consisting of access to fitness centre programmes. For the other demographic, health- and work-related characteristics no consistent effect on participation was found. Pooling of studies showed a higher participation level when an incentive was offered, when the programme consisted of multiple components, or when the programme was aimed at multiple behaviours. Conclusion In this systematic review, participation levels in health promotion interventions at the workplace were

  7. Worksite Tobacco Prevention: A Randomized, Controlled Trial of Adoption, Dissemination Strategies, and Aggregated Health-Related Outcomes across Companies

    PubMed Central

    Friedrich, Verena; Brügger, Adrian; Bauer, Georg F.

    2015-01-01

    Evidence based public health requires knowledge about successful dissemination of public health measures. This study analyses (a) the changes in worksite tobacco prevention (TP) in the Canton of Zurich, Switzerland, between 2007 and 2009; (b1) the results of a multistep versus a “brochure only” dissemination strategy; (b2) the results of a monothematic versus a comprehensive dissemination strategy that aim to get companies to adopt TP measures; and (c) whether worksite TP is associated with health-related outcomes. A longitudinal design with randomized control groups was applied. Data on worksite TP and health-related outcomes were gathered by a written questionnaire (baseline n = 1627; follow-up n = 1452) and analysed using descriptive statistics, nonparametric procedures, and ordinal regression models. TP measures at worksites improved slightly between 2007 and 2009. The multistep dissemination was superior to the “brochure only” condition. No significant differences between the monothematic and the comprehensive dissemination strategies were observed. However, improvements in TP measures at worksites were associated with improvements in health-related outcomes. Although dissemination was approached at a mass scale, little change in the advocated adoption of TP measures was observed, suggesting the need for even more aggressive outreach or an acceptance that these channels do not seem to be sufficiently effective. PMID:26504778

  8. The SUCCESS Project: The Effect of Program Format and Incentives on Participation and Cessation in Worksite Smoking Cessation Programs

    PubMed Central

    Hennrikus, Deborah J.; Jeffery, Robert W.; Lando, Harry A.; Murray, David M.; Brelje, Kerrin; Davidann, Beth; Baxter, Judith S.; Thai, Dzung; Vessey, John; Liu, Jane

    2002-01-01

    Objectives. This study examined the effect of program format and incentives on participation and cessation in worksite smoking cessation programs. Methods. Twenty-four worksites were randomized to 6 conditions that differed in cessation program format and the use of incentives. Programs were offered for 18 months in each worksite. A total of 2402 cigarette smokers identified at baseline were surveyed 12 and 24 months later to assess participation in programs and cessation. Results. A total of 407 (16.9%) of the smoker cohort registered for programs; on the 12- and 24-month surveys, 15.4% and 19.4% of the cohort, respectively, reported that they had not smoked in the previous 7 days. Registration for programs in incentive sites was almost double that of no-incentive sites (22.4% vs 11.9%), but increased registration did not translate into significantly greater cessation rates. Program type did not affect registration or cessation rates. Conclusions. Although incentives increase rates of registration in worksite smoking cessation programs, they do not appear to increase cessation rates. Phone counseling seems to be at least as effective as group programs for promoting smoking cessation in worksites. PMID:11818305

  9. Worksite Tobacco Prevention: A Randomized, Controlled Trial of Adoption, Dissemination Strategies, and Aggregated Health-Related Outcomes across Companies.

    PubMed

    Friedrich, Verena; Brügger, Adrian; Bauer, Georg F

    2015-01-01

    Evidence based public health requires knowledge about successful dissemination of public health measures. This study analyses (a) the changes in worksite tobacco prevention (TP) in the Canton of Zurich, Switzerland, between 2007 and 2009; (b1) the results of a multistep versus a "brochure only" dissemination strategy; (b2) the results of a monothematic versus a comprehensive dissemination strategy that aim to get companies to adopt TP measures; and (c) whether worksite TP is associated with health-related outcomes. A longitudinal design with randomized control groups was applied. Data on worksite TP and health-related outcomes were gathered by a written questionnaire (baseline n = 1627; follow-up n = 1452) and analysed using descriptive statistics, nonparametric procedures, and ordinal regression models. TP measures at worksites improved slightly between 2007 and 2009. The multistep dissemination was superior to the "brochure only" condition. No significant differences between the monothematic and the comprehensive dissemination strategies were observed. However, improvements in TP measures at worksites were associated with improvements in health-related outcomes. Although dissemination was approached at a mass scale, little change in the advocated adoption of TP measures was observed, suggesting the need for even more aggressive outreach or an acceptance that these channels do not seem to be sufficiently effective. PMID:26504778

  10. Is Baseline Physical Activity a Determinant of Participation in Worksite Walking Clubs? Data From the HealthWorks Trial

    PubMed Central

    VanWormer, Jeffrey J.; Linde, Jennifer A.; Harnack, Lisa J.; Stovitz, Steven D.; Jeffery, Robert W.

    2012-01-01

    Background Some evidence suggests that physical activity programs mainly attract employees who are already active. This study examined the degree to which baseline physical activity was associated with enrollment in worksite walking clubs. Methods All variables were measured at baseline. Walking club participation was measured over 2 years. There were 642 individuals from 3 worksites with complete data available for logistic regression analyses. Results Baseline physical activity [OR (95% CI) = 1.00 (0.99, 1.01)] was not a significant predictor of walking club participation. Participants who were older [OR = 1.03 (1.01, 1.04)] or indicated more social support for physical activity [OR = 1.13 (1.02, 1.25)] had significantly higher odds of participation relative to those who were younger or indicated less social support, respectively. In addition, men [OR = −0.25 (0.18, 0.36)] and employees from the second worksite [OR = −0.41 (0.25, 0.67)] had significantly lower odds of participation relative to women and employees from the first or third worksites, respectively. Sensitivity analyses arrived at similar conclusions. Conclusions Worksite walking clubs were appealing across varying levels of physical activity. Future research should improve marketing and program design to engage harder-to-reach segments of the workforce, particularly young men and those with limited social support. PMID:21952267

  11. Making Healthy Behaviors the Easy Choice for Employees: A Review of the Literature on Environmental and Policy Changes in Worksite Health Promotion

    ERIC Educational Resources Information Center

    Kahn-Marshall, Jennifer L.; Gallant, Mary P.

    2012-01-01

    As employers look for ways to reduce rising health care costs, worksite health promotion interventions are increasingly being used to improve employee health behaviors. An alternative approach to traditional worksite health promotion programs is the implementation of environmental and/or policy changes to encourage employees to adopt healthier…

  12. Results of an Academic, Health Care Worksite Weight Loss Contest for Southeastern Americans: Scale Back Alabama 2011-2013.

    PubMed

    Breaux-Shropshire, Tonya L; Whitt, Lauren; Oster, Robert A; Lewis, Dwight; Shropshire, Toneyell S; Calhoun, David A

    2015-04-01

    Few studies have assessed the effectiveness of competitive incentivized worksite weight loss programs. Scale Back Alabama (SBA) is a free, state-supported program designed to promote weight loss among overweight and obese citizens. The purpose of this manuscript is to describe the design and preliminary findings of SBA as a worksite intervention among employees at a collegiate institution and university hospital. In teams of 4 employees, SBA participants volunteered to engage in a 10-week competitive weight loss contest; both teams and individuals who lost significant weight were eligible for randomly drawn cash incentives. Trained staff objectively measured participants' weight before and at the conclusion of the contest. Preliminary analyses suggest that SBA as a worksite program can promote weight loss among employees, but future analyses are warranted to understand the context of these findings and determine if current results are confounded by unmeasured factors. PMID:26081473

  13. HealthWorks: results of a multi-component group-randomized worksite environmental intervention trial for weight gain prevention

    PubMed Central

    2012-01-01

    Background U.S. adults are at unprecedented risk of becoming overweight or obese, and most scientists believe the primary cause is an obesogenic environment. Worksites provide an opportunity to shape the environments of adults to reduce obesity risk. The goal of this group-randomized trial was to implement a four-component environmental intervention at the worksite level to positively influence weight gain among employees over a two-year period. Environmental components focused on food availability and price, physical activity promotion, scale access, and media enhancements. Methods Six worksites in a U.S. metropolitan area were recruited and randomized in pairs at the worksite level to either a two-year intervention or a no-contact control. Evaluations at baseline and two years included: 1) measured height and weight; 2) online surveys of individual dietary intake and physical activity behaviors; and 3) detailed worksite environment assessment. Results Mean participant age was 42.9 years (range 18-75), 62.6% were women, 68.5% were married or cohabiting, 88.6% were white, 2.1% Hispanic. Mean baseline BMI was 28.5 kg/m2 (range 16.9-61.2 kg/m2). A majority of intervention components were successfully implemented. However, there were no differences between sites in the key outcome of weight change over the two-year study period (p = .36). Conclusions Body mass was not significantly affected by environmental changes implemented for the trial. Results raise questions about whether environmental change at worksites is sufficient for population weight gain prevention. Trial Registration ClinicalTrials.gov: NCT00708461 PMID:22340088

  14. Children's exposures to farm worksite hazards on management-intensive grazing operations.

    PubMed

    Fisher, Regina M; Berg, Richard L; Marlenga, Barbara

    2009-01-01

    Agricultural injuries continue to be an important source of childhood mortality and morbidity. There is an agreement within the injury prevention community that environmental modification is the most effective strategy for injury prevention. A growing trend among dairy farmers in the upper Midwest and Northeast regions of the United States is the adoption of management-intensive grazing (MIG) as a new technique for dairy management that actually encompasses environmental modification, decreasing the reliance on and use of tractors and machinery (major sources of fatal and nonfatal injuries to children). The purpose of this study was to explore how restructuring the work and the work environment through the use of MIG may affect children's exposure to farm worksite hazards. The study specifically focused on the most hazardous farm worksite exposures for children based on injury surveillance data (tractors, machinery, large animals, heights, and water sources). An online survey was sent to 68 Wisconsin agricultural extension agents knowledgeable about dairy operations in their counties to collect data regarding their perceptions of potential childhood farm safety hazards on MIG operations. A total of 31 surveys were returned using the online survey system, resulting in a 46% response rate. Survey results suggest that children on MIG operations do in fact have decreased exposure to farm machinery. However, there was a perceived increase in children's overall worksite exposure, in addition to specific increases in exposure to all-terrain vehicles and animals. Adoption of a MIG system clearly involves changes in exposures for children, and understanding the full impact of these changes will require further study of the effects of these exposure tradeoffs on the risks for injuries of varying nature and severity. PMID:19437277

  15. Consumer attitudes, barriers, and meal satisfaction associated with sodium-reduced meal intake at worksite cafeterias

    PubMed Central

    Park, Sohyun

    2015-01-01

    BACKGROUND/OBJECTIVES Targeting consumers who consume lunches at their worksite cafeterias would be a valuable approach to reduce sodium intake in South Korea. To assess the relationships between socio-demographic factors, consumer satisfaction, attitudes, barriers and the frequency of sodium-reduced meal intake. SUBJECTS/METHODS We implemented a cross-sectional research, analyzing data from 738 consumers aged 18 years or older (327 males and 411 females) at 17 worksite cafeterias in South Korea. We used the ordinary least squares regression analysis to determine the factors related to overall satisfaction with sodium-reduced meal. General linear models with LSD tests were employed to examine the variables that differed by the frequency of sodium-reduced meal intake. RESULTS Most subjects always or usually consumed the sodium-reduced meal (49%), followed by sometimes (34%) and rarely or never (18%). Diverse menus, taste and belief in the helpfulness of the sodium-reduced meal significantly increased overall satisfaction with the sodium-reduced diet (P < 0.05). We found importance of needs in the following order: 1) 'menu diversity' (4.01 points), 2) 'active promotion' (3.97 points), 3) 'display of nutrition labels in a visible location' (3.96 points), 4) 'improvement of taste' (3.88 points), and 5) 'education of sodium-reduction self-care behaviors' (3.82 points). CONCLUSION Dietitians could lead consumers to choose sodium-reduced meals by improving their taste and providing diverse menus for the sodium-reduced meals at worksite cafeterias. PMID:26634054

  16. Nursing assistants' response to participation in the pilot worksite heart health improvement project (WHHIP): a qualitative study.

    PubMed

    Flannery, Kelly; Resnick, Barbara

    2014-01-01

    Despite nursing assistants' high risk for cardiovascular disease, few studies have aimed to reduce their cardiovascular disease risk. The purpose of this article is to explore factors that facilitated and hindered nursing assistants' participation in a pilot physical-activity- and diet-focused worksite health promotion program that aimed to reduce cardiovascular disease risk. Three focus groups were conducted with 12 (67%) participants of the program. Four themes emerged: motivation to participate in a worksite health promotion program, program participation facilitators, barriers to program participation, and suggestions for future programs. This data can aid future program development. PMID:24528123

  17. A heart health survey at the worksite: the first step to effective programming.

    PubMed

    Bailey, P H; Rukholm, E E; Vanderlee, R; Hyland, J

    1994-01-01

    1. Cardiovascular disease is the number one killer in Canada, accounting for 42% of all deaths. 2. Workplace policy and health promotion programs can have a significant impact on modifiable risk factors associated with the development of heart disease. 3. This article describes the results of a worksite cardiovascular risk behavior screening of 652 mining employees in Sudbury, Ontario. 4. The theoretical framework for this study is based on the PRECEDE-PROCEED model: to reach the ultimate outcome, improved quality of life changes must be made at both the individual as well as the environmental (workplace) level (Green, 1991). PMID:8147987

  18. A Community-Based Participatory Worksite Intervention to Reduce Pesticide Exposures to Farmworkers and Their Families

    PubMed Central

    Salvatore, Alicia L.; Chevrier, Jonathan; Bradman, Asa; Camacho, José; López, Jesús; Kavanagh-Baird, Geri; Minkler, Meredith

    2009-01-01

    We evaluated a community-based participatory research worksite intervention intended to improve farmworkers' behaviors at work and after work to reduce occupational and take-home pesticide exposures. The workers received warm water and soap for hand washing, gloves, coveralls, and education. Self-reported assessments before and after the intervention revealed that glove use, wearing clean work clothes, and hand washing at the midday break and before going home improved significantly. Some behaviors, such as hand washing before eating and many targeted after-work behaviors, did not improve, indicating a need for additional intervention. PMID:19890160

  19. Cardiorespiratory fitness, cardiovascular workload and risk factors among cleaners; a cluster randomized worksite intervention

    PubMed Central

    2012-01-01

    Background Prevalence of cardiovascular risk factors is unevenly distributed among occupational groups. The working environment, as well as lifestyle and socioeconomic status contribute to the disparity and variation in prevalence of these risk factors. High physical work demands have been shown to increase the risk for cardiovascular disease and mortality, contrary to leisure time physical activity. High physical work demands in combination with a low cardiorespiratory fitness infer a high relative workload and an excessive risk for cardiovascular mortality. Therefore, the aim of this study is to examine whether a worksite aerobic exercise intervention will reduce the relative workload and cardiovascular risk factors by an increased cardiorespiratory fitness. Methods/design A cluster-randomized controlled trial is performed to evaluate the effect of the worksite aerobic exercise intervention on cardiorespiratory fitness and cardiovascular risk factors among cleaners. Cleaners are eligible if they are employed ≥ 20 hours/week, at one of the enrolled companies. In the randomization, strata are formed according to the manager the participant reports to. The clusters will be balanced on the following criteria: Geographical work location, gender, age and seniority. Cleaners are randomized to either I) a reference group, receiving lectures concerning healthy living, or II) an intervention group, performing worksite aerobic exercise “60 min per week”. Data collection will be conducted at baseline, four months and 12 months after baseline, at the worksite during working hours. The data collection will consist of a questionnaire-based interview, physiological testing of health and capacity-related measures, and objective diurnal measures of heart rate, physical activity and blood pressure. Primary outcome is cardiorespiratory fitness. Discussion Information is lacking about whether an improved cardiorespiratory fitness will affect the cardiovascular health

  20. The Danish vaccination register.

    PubMed

    Grove Krause, T; Jakobsen, S; Haarh, M; Mølbak, K

    2012-01-01

    Immunisation information systems (IIS) are valuable tools for monitoring vaccination coverage and for estimating vaccine effectiveness and safety. Since 2009, an advanced IIS has been developed in Denmark and will be implemented during 2012–14. This IIS is based on a database existing since 2000. The reporting of all administered vaccinations including vaccinations outside the national programme will become mandatory. Citizens will get access to data about their own vaccinations and healthcare personnel will get access to information on the vaccinations of their patients. A national concept of identification, a national solution combining a personal code and a card with codes, ensures easy and secure access to the register. From the outset, the IIS will include data on childhood vaccinations administered from 1996 and onwards. All Danish citizens have a unique identifier, a so called civil registration number, which allows the linking of information on vaccinations coming from different electronic data sources. The main challenge will be to integrate the IIS with the different electronic patient record systems currently existing at general practitioner, vaccination clinic and hospital level thereby avoiding double-entry. A need has been identified for an updated international classification of vaccine products on the market. Such a classification would also be useful for the future exchange of data on immunisations from IIS between countries. PMID:22551494

  1. A critical analysis of work-site fitness programs and their postulated economic benefits.

    PubMed

    Shephard, R J

    1992-03-01

    Many early work-site exercise programs had a unique fitness focus. More recently, modular programs have addressed many facets of lifestyle. Their stated objective has often been to boost corporate morale or employee health rather than to have direct economic benefits, and evaluation has frequently been in terms of process rather than a cost-benefit or a cost-effectiveness analysis. Nevertheless, a growing number of authors have claimed fiscal dividends from such programs. A full economic evaluation must consider such issues as the transfer of benefits between various sectors of the economy, opportunity costs to participants, marginal costs and benefits, inflation, discounting, and the choice between cost-benefit and cost-effectiveness analyses. Suggested benefits include an improvement of corporate image, a decrease of employee turnover, gains of productivity, reduced absenteeism and medical costs, an improved employee lifestyle, and a decrease of industrial injuries. In practice, the corporate impact of a program is greatly attenuated, depending on prevalence of need, participation rate, program response of recruits, and continued employment of such individuals within a company. Costs to the corporation include promotion, facilities, equipment, and professional leadership. However, such items are often small relative to the opportunity costs incurred by the participant. For this reason, activities that can be built into the normal day of the employee (for example, walking or cycling to and from work) may prove more acceptable and more cost-effective than formal work-site classes. PMID:1549031

  2. The integration of studio cycling into a worksite stress management programme.

    PubMed

    Clark, Matthew M; Soyring, Jason E; Jenkins, Sarah M; Daniels, Denise C; Berkland, Bridget E; Werneburg, Brooke L; Hagen, Philip T; Lopez-Jimenez, Francisco; Warren, Beth A; Olsen, Kerry D

    2014-04-01

    High stress is a prevalent problem in the worksite. To reduce stress, improve productivity, reduce absenteeism, and lower healthcare costs, many companies offer exercise classes or stress management programmes. Although physical activity is an important component of stress management, few worksites have integrated physical activity into their comprehensive stress reduction programmes. The purpose of this single-arm pilot project was to examine the potential effectiveness of an integrated exercise (studio cycling) and cognitive-behavioural stress management programme. Eighty-four adults, 75% female, mostly aged 40+ years, participated in an integrated 12-week cycling studio and cognitive-behavioural stress management programme. Participants experienced a significant and clinically meaningful reduction on the Perceived Stress Scale (p < 0.01), rating of current stress level and confidence to manage stress at the programme's end and at a 1-month follow-up. Participants also reported having significantly improved overall health, improved nutritional habits, higher physical activity level, greater confidence in their ability to follow a healthy diet, higher spiritual well-being, improved sleep, receiving more support for maintaining healthy living and improved quality of life at the completion of the 12-week programme and 1-month follow-up. These findings provide further support for an integrated exercise and stress management programme. PMID:23897838

  3. Modified Universal Design Survey: Enhancing Operability of Launch Vehicle Ground Crew Worksites

    NASA Technical Reports Server (NTRS)

    Blume, Jennifer L.

    2010-01-01

    Operability is a driving requirement for next generation space launch vehicles. Launch site ground operations include numerous operator tasks to prepare the vehicle for launch or to perform preflight maintenance. Ensuring that components requiring operator interaction at the launch site are designed for optimal human use is a high priority for operability. To promote operability, a Design Quality Evaluation Survey based on Universal Design framework was developed to support Human Factors Engineering (HFE) evaluation for NASA s launch vehicles. Universal Design per se is not a priority for launch vehicle processing however; applying principles of Universal Design will increase the probability of an error free and efficient design which promotes operability. The Design Quality Evaluation Survey incorporates and tailors the seven Universal Design Principles and adds new measures for Safety and Efficiency. Adapting an approach proven to measure Universal Design Performance in Product, each principle is associated with multiple performance measures which are rated with the degree to which the statement is true. The Design Quality Evaluation Survey was employed for several launch vehicle ground processing worksite analyses. The tool was found to be most useful for comparative judgments as opposed to an assessment of a single design option. It provided a useful piece of additional data when assessing possible operator interfaces or worksites for operability.

  4. A pilot program at the worksite to reduce adverse self-medication behaviors

    PubMed Central

    Neafsey, Patricia J; Lutkus, Gregory; Newcomb, Jessica; Anderson, Elizabeth

    2009-01-01

    A Next Generation Personal Education Program (PEP-NG) that captures self-reported medication behaviors and delivers a tailored educational intervention on a touchscreen interface was piloted with 11 adults with hypertension, aged 45–60 years, in a worksite setting. A time series design with multiple institution of treatment (four visits over three months) was employed. Blood pressure (BP), self-medication behaviors, self-efficacy, and knowledge for avoiding adverse self-medication behaviors were assessed at each of four visits. Satisfaction was assessed once at visit 4. Measures pre-PEP (visit 1) to visit 4 were compared with paired t-tests. The adverse self-medication behavior risk score decreased significantly from visit 1 to visit 4 (p < 0.05) with a medium effect size. Both knowledge and self-efficacy for avoiding adverse self-medication behaviors increased significantly (p < 0.05) with large effect sizes. All six participants not at BP goal (<140/90 mmHg) on visit 1 were at goal by visit 4. User satisfaction was high as assessed by both quantitative measures and qualitative interviews. These positive results suggest the PEP could play a central role in worksite wellness programs aimed at workers with hypertension. PMID:19936171

  5. Field experiment of a very brief worksite intervention to improve nutrition among health care workers.

    PubMed

    Armitage, Christopher J

    2015-08-01

    Despite the potential of worksite interventions to boost productivity and save insurance costs, they tend to be costly and tested in nonrandomized trials. The aim of the present study was to test the ability of a very brief worksite intervention based on implementation intentions to improve nutrition among health care workers. Seventy-nine health care workers were randomly allocated to a control condition or to form implementation intentions using standard instructions or with a supporting tool. Fruit intake and metacognitive processing (operationalized as awareness of standards, self-monitoring and self-regulatory effort) were measured at baseline and follow-up. Participants who formed implementation intentions ate significantly more fruit and engaged in significantly more metacognitive processing at follow-up than did participants in the control condition (ds > .70). The findings support the efficacy of implementation intentions for increasing fruit intake in health care workers and preliminary support for the utility of a tool to support implementation intention formation. PMID:25822117

  6. The Healthy Worker Project: a work-site intervention for weight control and smoking cessation.

    PubMed Central

    Jeffery, R W; Forster, J L; French, S A; Kelder, S H; Lando, H A; McGovern, P G; Jacobs, D R; Baxter, J E

    1993-01-01

    OBJECTIVES. A randomized trial was conducted to evaluate the effectiveness of a work-site health promotion program in reducing obesity and the prevalence of cigarette smoking. METHODS. Thirty-two work sites were randomized to treatment or no treatment for 2 years. Treatment consisted of health education classes combined with a payroll-based incentive system. Evaluation was based on cohort and cross-sectional surveys. RESULTS. Of 10,000 total employees in treatment work sites, 2041 and 270 participated in weight control and smoking cessation programs, respectively. Weight losses averaged 4.8 lbs, and 43% of smoking participants quit. Net 2-year reductions in smoking prevalence in treatment vs control work sites were 4.0% and 2.1% in cross-sectional and cohort surveys, respectively. No treatment effect was found for weight. Treatment effects for smoking prevalence and weight were both positively correlated with participation rates in the intervention programs (r = .45 for smoking and r = .55 for weight). CONCLUSIONS. This work-site health promotion program was effective in reducing smoking prevalence at a cost that is believed to make the investment worthwhile. PMID:8438979

  7. Participation and cardiovascular risk reduction in a voluntary worksite nutrition and physical activity program

    PubMed Central

    Thorndike, Anne N.; Healey, Erica; Sonnenberg, Lillian; Regan, Susan

    2010-01-01

    Objective In a cohort of employees participating in a worksite nutrition and physical activity program, we compared program completion and changes in cardiovascular risk factors by baseline body mass index. Methods In 2007, 774 employees enrolled in a 10 week program at a hospital in Boston, MA. Program completion and change in weight, cholesterol, and blood pressure were compared between obese (BMI≥30), overweight (BMI=25–29.9), and normal weight (BMI<25) participants. Results At baseline, 63% were obese or overweight and had higher blood pressure and cholesterol compared to normal weight participants. Program completion was 82% and did not differ by BMI. Mean weight loss was 1.9 kg at end of program (p<0.001) and 0.4 kg at 1 year (p=0.002). At end of program, participants with BMI≥30 lost 3.0% body weight vs. 2.7% for BMI=25–29.9 and 1.7% for BMI<25 (p<0.001), but weight loss at 1 year did not differ by BMI. Mean cholesterol and blood pressure were lower at end of program and 1 year (p all <0.005) but did not differ by BMI. Conclusions Worksite programs can successfully initiate cardiovascular risk reduction among employees, but more intensive interventions are needed to make significant improvements in the health of higher risk obese employees. PMID:21130804

  8. Co-worker social support in a worksite smoking control program.

    PubMed Central

    Malott, J M; Glasgow, R E; O'Neill, H K; Klesges, R C

    1984-01-01

    We evaluated the effects of adding a social support component to a worksite controlled smoking treatment program. Twenty-four participants were randomly assigned to either a controlled smoking or a controlled smoking plus partner support condition. Within a multiple baseline across behaviors design, smokers in both conditions made efforts to achieve sequential 50% reductions in: nicotine content of brand smoked, number of cigarettes smoked per day, and percentage of each cigarette smoked. Self-monitoring records, laboratory analyses of spent cigarette butts, and carbon monoxide determinations indicated that both conditions were effective in producing significant reductions in each of the three target behaviors and in carbon monoxide levels. All participants who quit smoking during the program maintained their abstinence at a 6-month follow-up, and those who did not quit were smoking less at follow-up than they had at pretest on all dependent variables. However, few differences were observed between controlled smoking and controlled smoking plus partner support conditions either during treatment or at the 6-month follow-up. Results are discussed with regard to previous worksite studies, future directions for research on social support, and variables that may have mediated treatment outcome. PMID:6441794

  9. Effects of a Worksite Weight-Control Programme in Obese Male Workers: A Randomized Controlled Crossover Trial

    ERIC Educational Resources Information Center

    Iriyama, Yae; Murayama, Nobuko

    2014-01-01

    Objective: We conducted a randomized controlled crossover trial to evaluate the effects of a new worksite weight-control programme designed for men with or at risk of obesity using a combination of nutrition education and nutrition environmental interventions. Subjects and methods: Male workers with or at risk of obesity were recruited for this…

  10. Factors Associated with Participation in Work-Site Wellness Programs: Implications for Increasing Willingness among Rural Service Employees

    ERIC Educational Resources Information Center

    Middlestadt, Susan E.; Sheats, Jylana L.; Geshnizjani, Alireza; Sullivan, Margaret R.; Arvin, Christopher S.

    2011-01-01

    The purpose of this study was to identify factors underlying decisions to participate in work-site wellness programs. A sample of 279 full-time workers from a service division of a rural Midwestern university completed a survey assessing demographic and job characteristics, health status and health behaviors, and Reasoned Action Approach (RAA)…

  11. The Obesogenic Environment of Commercial Trucking: A Worksite Environmental Audit and Implications for Systems-Based Interventions

    ERIC Educational Resources Information Center

    Apostolopoulos, Yorghos; Lemke, Michael; Sönmez, Sevil; Hege, Adam

    2016-01-01

    Background: Commercial trucker health is a vital public health concern. Enhanced understanding of the multiplicity, diversity, interdependence, and complexity of policies, resources, and stakeholders relevant to healthful living in trucking worksites can guide future interventions. Purpose: This article examines how the environmental attributes of…

  12. Does Successful Weight Loss in an Internet-Based Worksite Weight Loss Program Improve Employee Presenteeism and Absenteeism?

    ERIC Educational Resources Information Center

    Harden, Samantha M.; You, Wen; Almeida, Fabio A.; Hill, Jennie L.; Linnan, Laura A.; Allen, Kacie C.; Estabrooks, Paul A.

    2015-01-01

    Certain risk factors associated with overweight and obesity may lead to reduced productivity in the workforce (i.e., increased absenteeism and presenteeism). Participants in a large, Internet-based worksite weight loss intervention, who were present at follow-up (N = 1,030), completed a self-reported productivity measure (World Health…

  13. Intervention fidelity and effectiveness of a UK worksite physical activity intervention funded by the BUPA Foundation, UK.

    PubMed

    Lawton, Rebecca; Mceachan, Rosie; Jackson, Cath; West, Robert; Conner, Mark

    2015-03-01

    The main aim of this study was to test whether the effectiveness of a worksite physical activity intervention delivered in five work organizations varied as a function of intervention fidelity. We conducted a fidelity analysis as part of a large matched-pair cluster randomized controlled trial of a worksite physical activity intervention (AME for Activity). Participants (N = 1260) were employees from five organizations in the UK. The primary trial outcome was physical activity at 9 months post intervention. Adherence, exposure, quality of delivery and participant responsiveness/engagement were measured to assess fidelity. Qualitative data about the context in which the intervention was delivered were collected via focus groups, interviews and field notes. Multi-level modelling was used to provide a comparison of the effect of the intervention on increases in physical activity for worksites where intervention fidelity was good, compared with those where intervention fidelity was poor or moderate. Intervention fidelity was poor in two organizations, moderate in two organizations and good in one organization (local council). Re-analysis of the trial data comparing employees in the local council (N = 443) with employees in all other worksites (N = 611) revealed a significant effect of the intervention on physical activity levels among council employees only. These findings suggest that the measurement of fidelity and the testing of the effects of intervention fidelity on outcomes, as part of the evaluation of complex interventions, are essential to understand the context and conditions in which interventions are most effective. PMID:25296727

  14. Environmental Modifications and 2-Year Measured and Self-reported Stair-Use: A Worksite Randomized Trial

    PubMed Central

    Linde, Jennifer A.; Cousins, Julie M.; Jeffery, Robert W.

    2014-01-01

    Environmental modifications have been shown to increase short-term stair use, longer-term success is unclear. This study assessed the 2-year effectiveness of an environmental intervention promoting worksite stair use. We assessed stair use at work by means of self-reports and infrared beam counters (which send a safe and invisible beam of infrared light from one side of a stairwell to a reflector on the other side; when an individual uses the stairs, the infrared beam is disrupted and an instance of stair use is recorded) at six worksites (three intervention, three control) in a group randomized, controlled worksite weight-gain prevention trial in Minneapolis/St. Paul, MN. Intervention modifications were signs encouraging stair use, music, and art posters in stairwells. We collected data before environmental modifications (2006–2007) and at the end of the 2-year intervention (2008–2009). The intervention had a significant positive effect on stair use measured both objectively and via self-report, with greatest increases reported among those participants who used the stairs least at baseline. Following 2-years of continuously-maintained stairwell modifications, increases in both objectively-measured and self-reported stair use were significantly larger at intervention than control worksites. Study findings suggest that the positive impact of environmental modifications on stair use persist over a longer time period than has been previously demonstrated. Results also indicate that infrequent stair users may be most amenable to the behavior changes encouraged by these environmental enhancements. PMID:23979097

  15. Cost of Talking Parents, Healthy Teens: a Worksite-based Intervention to Promote Parent-Adolescent Sexual Health Communication

    PubMed Central

    Ladapo, Joseph A.; Elliott, Marc N.; Bogart, Laura M.; Kanouse, David E.; Vestal, Katherine D.; Klein, David J.; Ratner, Jessica A.; Schuster, Mark A.

    2015-01-01

    Purpose To examine the cost and cost-effectiveness of implementing Talking Parents, Healthy Teens, a worksite-based parenting program designed to help parents address sexual health with their adolescent children. Methods We enrolled 535 parents with adolescent children at 13 worksites in southern California in a randomized trial. Time and wage data from employees involved in implementing the program were used to estimate fixed and variable costs. Cost-effectiveness was determined with nonparametric bootstrap analysis. For the intervention, parents participated in eight weekly one-hour teaching sessions at lunchtime. The program included games, discussions, role plays, and videotaped role plays to help parents learn to communicate with their children about sex-related topics, teach their children assertiveness and decision-making skills, and supervise and interact with their children more effectively. Results Implementing the program cost $543.03 (SD=$289.98) per worksite in fixed costs, and $28.05 per parent (SD=$4.08) in variable costs. At 9 months, this $28.05 investment per parent yielded improvements in number of sexual health topics discussed, condom teaching, and communication quality and openness. The cost-effectiveness was $7.42 per new topic discussed using parental responses and $9.18 using adolescent responses. Other efficacy outcomes also yielded favorable cost-effectiveness ratios. Conclusions Talking Parents, Healthy Teens demonstrated the feasibility and cost-effectiveness of a worksite-based parenting program to promote parent-adolescent communication about sexual health. Its cost is reasonable and unlikely to be a significant barrier to adoption and diffusion for most worksites considering its implementation. PMID:23406890

  16. Management of Sodium-reduced Meals at Worksite Cafeterias: Perceptions, Practices, Barriers, and Needs among Food Service Personnel

    PubMed Central

    Lee, Jounghee; Park, Sohyun

    2015-01-01

    Objectives The sodium content of meals provided at worksite cafeterias is greater than the sodium content of restaurant meals and home meals. The objective of this study was to assess the relationships between sodium-reduction practices, barriers, and perceptions among food service personnel. Methods We implemented a cross-sectional study by collecting data on perceptions, practices, barriers, and needs regarding sodium-reduced meals at 17 worksite cafeterias in South Korea. We implemented Chi-square tests and analysis of variance for statistical analysis. For post hoc testing, we used Bonferroni tests; when variances were unequal, we used Dunnett T3 tests. Results This study involved 104 individuals employed at the worksite cafeterias, comprised of 35 men and 69 women. Most of the participants had relatively high levels of perception regarding the importance of sodium reduction (very important, 51.0%; moderately important, 27.9%). Sodium reduction practices were higher, but perceived barriers appeared to be lower in participants with high-level perception of sodium-reduced meal provision. The results of the needs assessment revealed that the participants wanted to have more active education programs targeting the general population. The biggest barriers to providing sodium-reduced meals were use of processed foods and limited methods of sodium-reduced cooking in worksite cafeterias. Conclusion To make the provision of sodium-reduced meals at worksite cafeterias more successful and sustainable, we suggest implementing more active education programs targeting the general population, developing sodium-reduced cooking methods, and developing sodium-reduced processed foods. PMID:27169011

  17. Subjectless Sentences in Child Danish.

    ERIC Educational Resources Information Center

    Hamann, Cornelia; Plunkett, Kim

    1998-01-01

    Examined data for two Danish children to determine subject omission, verb usage, and sentence subjects. Found that children exhibit asymmetry in subject omission according to verb type as subjects are omitted from main verb utterances more frequently than from copula utterances. Concluded that treatment of child subject omission should involve…

  18. Nature and Nationhood: Danish Perspectives

    ERIC Educational Resources Information Center

    Schnack, Karsten

    2009-01-01

    In this paper, I shall discuss Danish perspectives on nature, showing the interdependence of conceptions of "nature" and "nationhood" in the formations of a particular cultural community. Nature, thus construed, is never innocent of culture and cannot therefore simply be "restored" to some pristine, pre-lapsarian state. On the other hand,…

  19. Guidance to employers on integrating e-cigarettes/electronic nicotine delivery systems into tobacco worksite policy.

    PubMed

    Whitsel, Laurie P; Benowitz, Neal; Bhatnagar, Aruni; Bullen, Chris; Goldstein, Fred; Matthias-Gray, Lena; Grossmeier, Jessica; Harris, John; Isaac, Fikry; Loeppke, Ron; Manley, Marc; Moseley, Karen; Niemiec, Ted; OʼBrien, Vince; Palma-Davis, LaVaughn; Pronk, Nico; Pshock, Jim; Stave, Gregg M; Terry, Paul

    2015-03-01

    In recent years, new products have entered the marketplace that complicate decisions about tobacco control policies and prevention in the workplace. These products, called electronic cigarettes (e-cigarettes) or electronic nicotine delivery systems, most often deliver nicotine as an aerosol for inhalation, without combustion of tobacco. This new mode of nicotine delivery raises several questions about the safety of the product for the user, the effects of secondhand exposure, how the public use of these products should be handled within tobacco-free and smoke-free air policies, and how their use affects tobacco cessation programs, wellness incentives, and other initiatives to prevent and control tobacco use. In this article, we provide a background on e-cigarettes and then outline key policy recommendations for employers on how the use of these new devices should be managed within worksite tobacco prevention programs and control policies. PMID:25742539

  20. A Worksite Occupational Health Clinic-Based Diabetes Mellitus Management Program.

    PubMed

    Burton, Wayne N; Chen, Chin-Yu; Li, Xingquan; Erickson, Denise; McCluskey, Maureen; Schultz, Alyssa

    2015-12-01

    This study is an analysis of a workplace diabetes management program offered to employees of a Fortune 100 financial services corporation located in the United States. The 12-month worksite-based educational program was for employees who were at risk for diabetes, had prediabetes, or were diagnosed with diabetes. This employed population, with health benefits, generally had acceptable control of their diabetes at the start of the program. They statistically improved most self-efficacy measures, but improvement in biometric tests at 6 and 12 months were not significantly different from baseline. Mean hemoglobin A1c at baseline, 6 months, and 12 months was 7.2%, 7.2%, and 7.3%, respectively. At 12 months, about 40% of preprogram survey participants completed all screenings and the post-program questionnaire. Disease management programs at the workplace can be an important component in helping employees enhance their knowledge of diabetes and maintain and improve their health. PMID:26091060

  1. Commute trip reduction in Washington: Base year worksite characteristics and programs

    SciTech Connect

    Dodds, D.

    1995-02-01

    Employers in Washington`s eight most populous counties are engaged in an effort to reduce their employees` use of single occupant automobiles for commuting. This report documents the status of those employers at the beginning of the Commute Trip Reduction (CTR) program as a basis for evaluating the impacts of the program. The first section provides a brief exploration of the Washington CTR Law and a history of the first steps in its implementation. The second section presents a summary of the characteristics of the worksites affected by the law. The CTR Law calls for reductions in single occupant vehicle (SOV) commuting and in vehicle miles traveled (VMT). The third section of this report presents baseline measurements of SOV and VMT and goals for reducing them. The fourth section provides summary information on the first year of programs employers planned to implement. The final section very briefly outlines actions the Commute Trip Reduction law calls for between 1995 and 1999.

  2. Comparison of employees' white blood cell counts in a petrochemical plant by worksite and race.

    PubMed Central

    Christian, C. L.; Werley, B.; Smith, A.; Chin, N.; Garde, D.

    1994-01-01

    To determine if employment within a petrochemical plant's quality control (QC) laboratory had any significant effect on the hematopoietic system, and in specific, the white blood cell (WBC) counts, all employees of the QC laboratory were evaluated retrospectively. Trend analysis, linear regression, and Students t tests were performed on all employees of the QC laboratory and on a simple random sample of the rest of this Caribbean petrochemical plant's male employees. Trend analyses revealed a downward trend in 82.6% of the QC laboratory workers and 76.7% in other plant workers. Linear regression and t tests revealed no statistically significant difference by worksite but a significant difference between blacks and whites. The result of the findings of the QC laboratory workers was consistent with that expected in both plant employees and the US general population. A recommendation is made that the Occupational Safety and Health Administration (OSHA) reconsider its WBC cutoff level in the benzene standard. PMID:7932841

  3. Economic Evaluation of a Worksite Obesity Prevention and Intervention Trial among Hotel Workers in Hawaii

    PubMed Central

    Meenan, Richard T.; Vogt, Thomas M.; Williams, Andrew E.; Stevens, Victor J.; Albright, Cheryl L.; Nigg, Claudio

    2010-01-01

    Objective Economic evaluation of Work, Weight, and Wellness (3W), a two-year randomized trial of a weight loss program delivered through Hawaii hotel worksites. Methods Business case analysis from hotel perspective. Program resources were micro-costed (2008 dollars). Program benefits were reduced medical costs, fewer absences, and higher productivity. Primary outcome was discounted 24-month net present value (NPV). Results Control program cost $222K to implement over 24 months ($61 per participant), intervention program cost $1.12M ($334). Including overweight participants (body mass index > 25), discounted control NPV was −$217K; −$1.1M for intervention program. Presenteeism improvement of 50% combined with baseline 10% productivity shortfall required to generate positive 24-month intervention NPV. Conclusions 3W’s positive clinical outcomes did not translate into immediate economic benefit for participating hotels, although modest cost savings were observed in the trial’s second year. PMID:20061889

  4. A psychosocial-approached health promotion program at a Japanese worksite.

    PubMed

    Shimizu, Takashi; Nagashima, Shouji; Mizoue, Tetsuya; Higashi, Toshiaki; Nagata, Shoji

    2003-03-01

    This study examined trends of sickness absence before and after a psychosocial-approached health promotion program (HPP) at a Japanese worksite. The subjects were 1029 male employees working at a manufacturing company from April 1991 to March 1999. The HPP was performed from April 1995 to decrease sickness absence through helping to improve all employees' lifestyles according to a psychosocial approach incorporating six characteristics: 1) concept based on the population strategy, 2) use of a health risk appraisal (HRA), 3) setting easy lifestyle targets, 4) praising the employees' personal lifestyle initiatives, 5) supported (sponsored) by the management, 6) award of subsidiary payments. Sickness absence was considered to be consecutive days calculated by medical certification and company records. Absences due to musculoskeletal diseases and total diseases decreased, when comparing four-year periods before and after the program's introduction. In this report we show that trends of sickness absence changed after the introduction of the psychosocial-approached health promotion program. PMID:12669625

  5. Office workers' objectively assessed total and prolonged sitting time: Individual-level correlates and worksite variations.

    PubMed

    Hadgraft, Nyssa T; Healy, Genevieve N; Owen, Neville; Winkler, Elisabeth A H; Lynch, Brigid M; Sethi, Parneet; Eakin, Elizabeth G; Moodie, Marj; LaMontagne, Anthony D; Wiesner, Glen; Willenberg, Lisa; Dunstan, David W

    2016-12-01

    Sedentary behavior is highly prevalent in office-based workplaces; however, few studies have assessed the attributes associated with this health risk factor in the workplace setting. This study aimed to identify the correlates of office workers' objectively-assessed total and prolonged (≥ 30 min bouts) workplace sitting time. Participants were 231 Australian office workers recruited from 14 sites of a single government employer in 2012-13. Potential socio-demographic, work-related, health-related and cognitive-social correlates were measured through a self-administered survey and anthropometric measurements. Associations with total and prolonged workplace sitting time (measured with the activPAL3) were tested using linear mixed models. Worksites varied significantly in total workplace sitting time (overall mean [SD]: 79% [10%] of work hours) and prolonged workplace sitting time (42% [19%]), after adjusting for socio-demographic and work-related characteristics. Organisational tenure of 3-5 years (compared to tenure > 5 years) was associated with more time spent in total and prolonged workplace sitting time, while having a BMI categorised as obese (compared to a healthy BMI) was associated with less time spent in total and prolonged workplace sitting time. Significant variations in sitting time were observed across different worksites of the same employer and the variation remained after adjusting for individual-level factors. Only BMI and organisational tenure were identified as correlates of total and prolonged workplace sitting time. Additional studies are needed to confirm the present findings across diverse organisations and occupations. PMID:27413681

  6. Current perspectives on the economics of fitness and sport with particular reference to worksite programmes.

    PubMed

    Shephard, R J

    1989-05-01

    Much of the research on the economic impact of fitness and sport programmes has been initiated with a view to cost containment, or the justification of specific exercise initiatives. Care must be taken when evaluating such reports to consider any resultant biasing of conclusions. Analyses should conform to sound scientific and economic principles, with cost-effectiveness measures generally being more appropriate than cost-benefit analyses. Critical issues of measurement include opportunity costs, marginal and intangible costs, discount and inflation rates, and programme participation rates. At the worksite, costs vary greatly with the scale of facilities and the level of programme supervision that are offered. Beyond a certain ceiling, further expenditures do not seem to enhance programme effectiveness. Likely benefits to a company include an improvement of corporate image, a recruitment of premium employees, gains in the quality and the quantity of production, a decrease of absenteeism and turnover, lower medical costs, an improvement of personal lifestyle (with a potential for future health savings), and a reduced incidence of industrial injuries. Community exercise programmes have the advantage of reaching certain target groups not serviced at the worksite, for instance the unemployed, women with young children and the elderly. Possible benefits of exercise participation arising in such groups included a reduced demand for medical services, an extended lifespan, and a reduction of disability in the final years of life. While current evidence has many limitations, it does suggest that exercise (particularly in the context of more general health promotion) is both cost-effective and cost-beneficial; the immediate return may be as much as $2 to $5 per dollar invested. PMID:2500691

  7. Worksite-based incentives and competitions to reduce tobacco use. A systematic review.

    PubMed

    Leeks, Kimberly D; Hopkins, David P; Soler, Robin E; Aten, Adam; Chattopadhyay, Sajal K

    2010-02-01

    The Guide to Community Preventive Service (Community Guide) methods for systematic reviews were used to evaluate the evidence of effectiveness of worksite-based incentives and competitions to reduce tobacco use among workers. These interventions offer a reward to individuals or to teams of individuals on the basis of participation or success in a specified smoking behavior change (such as abstaining from tobacco use for a period of time). The review team identified a total of 26 published studies, 14 of which met study design and quality of execution criteria for inclusion in the final assessment. Only one study, which did not qualify for review, evaluated the use of incentives when implemented alone. All of the 14 qualifying studies evaluated incentives and competitions when implemented in combination with a variety of additional interventions, such as client education, smoking cessation groups, and telephone cessation support. Of the qualifying studies, 13 evaluated differences in tobacco-use cessation among intervention participants, with a median follow-up period of 12 months. The median change in self-reported tobacco-use cessation was an increase of 4.4 percentage points (a median relative percentage improvement of 67%). The present evidence is insufficient to determine the effectiveness of incentives or competitions, when implemented alone, to reduce tobacco use. However, the qualifying studies provide strong evidence, according to Community Guide rules, that worksite-based incentives and competitions in combination with additional interventions are effective in increasing the number of workers who quit using tobacco. In addition, these multicomponent interventions have the potential to generate positive economic returns over investment when the averted costs of tobacco-associated illnesses are considered. A concurrent systematic review identified four studies with economic evidence. Two of these studies provided evidence of net cost savings to employers

  8. Evaluation of HACCP system implementation on the quality of mixed fresh-cut salad prepared in a university canteen: a case study.

    PubMed

    Osimani, Andrea; Aquilanti, Lucia; Clementi, Francesca

    2015-01-01

    The increasing awareness that foods can represent vehicles for health risk factors has caused scientists and public authorities to multiply their efforts to reduce these risks to within acceptable limits. Nevertheless, some challenging issues still remain unsolved and new ones have recently emerged, such as the increase in outbreaks of foodborne diseases originating from the consumption of meals at catering facilities. The study described in this article was aimed at evaluating the microbiological quality of mixed fresh-cut salads at an Italian university canteen operating in conformity with the hazard analysis and critical control point (HACCP) system. The effectiveness of the preventive and corrective measures taken was also assessed with respect to the frequency of unsatisfactory salad samples. During the investigation, E. coli, Salmonella spp., and Listeria monocytogenes were never detected. By contrast, a high number of samples exceeded the mandatory or suggested limits for food processing hygiene (in terms of mesophilic aerobes, coliforms, Staphylococcus aureus, Bacillus cereus, and sulfite-reducing clostridia counts). Despite the introduction of a series of preventive and corrective actions, the results were only partially satisfactory; this was most likely due to the impossibility of having available an adequate level of human resources that are indispensable to correctly putting the HACCP procedures into daily practice. PMID:25619040

  9. Safety management in multiemployer worksites in the manufacturing industry: opinions on co-operation and problems encountered.

    PubMed

    Nenonen, Sanna; Vasara, Juha

    2013-01-01

    Co-operation between different parties and effective safety management play an important role in ensuring safety in multiemployer worksites. This article reviews safety co-operation and factors complicating safety management in Finnish multiemployer manufacturing worksites. The paper focuses on the service providers' opinions; however, a comparison of the customers' views is also presented. The results show that safety-related co-operation between providers and customers is generally considered as successful but strongly dependent on the partner. Safety co-operation is provided through, e.g., training, orientation and risk analysis. Problems encountered include ensuring adequate communication, identifying hazards, co-ordinating work tasks and determining responsibilities. The providers and the customers encounter similar safety management problems. The results presented in this article can help companies to focus their efforts on the most problematic points of safety management and to avoid common pitfalls. PMID:23759189

  10. Improving Employee Health: Evaluation of a Worksite Lifestyle Change Program to Decrease Risk Factors for Diabetes and Cardiovascular Disease

    PubMed Central

    Kramer, M; Molenaar, D; Arena, V; Venditti, E; Meehan, R; Miller, R; Vanderwood, K; Eaglehouse, Y; Kriska, Andrea M

    2014-01-01

    Objective To determine if an evidence-based, behavioral lifestyle intervention program delivered at a worksite setting is effective in improving type 2 diabetes and CVD risk factors. Methods A randomized six-month delayed control design was utilized, with two-thirds of the participants assigned to begin intervention immediately and one-third beginning six months later. The year-long program (weekly for 3 months transitioning to monthly) focused on weight loss and increasing physical activity. Results The immediate intervention group had greater mean weight loss (−10.4 lbs., 5.1%, vs. −2.3 lbs., 1%, p=0.0001) than the delayed control group at 6 months and relatively greater improvements in activity, HbA1c and other risk factors. The delayed group experienced similar improvements after completing the intervention program. Conclusions A worksite behavioral lifestyle intervention is feasible and effective in significantly improving risk factors for diabetes and CVD. PMID:25742535

  11. Development of the Environmental Assessment Tool (EAT) to Measure Organizational Physical and Social Support for Worksite Obesity Prevention Programs

    PubMed Central

    DeJoy, David M.; Wilson, Mark G.; Goetzel, Ron Z.; Ozminkowski, Ronald J.; Wang, Shaohung; Baker, Kristin M.; Bowen, Heather M.; Tully, Karen J.

    2010-01-01

    Objective To describe the development, reliability, and validity of the Environmental Assessment Tool (EAT) for assessing worksite physical and social environmental support for obesity prevention. Methods The EAT was developed using a multi-step process. Inter-rater reliability was estimated via Kappa and other measures. Concurrent and predictive validity were estimated using site-level correlations and person-level multiple regression analyses comparing EAT scores and employee absenteeism and healthcare expenditures. Results Results show high inter-rater reliability and concurrent validity for many measures and predictive validity for absenteeism expenditures. Conclusions The primary use of the EAT is as a physical and social environment assessment tool for worksite obesity prevention efforts. It can be used as a reliable and valid means to estimate relationships between environmental interventions and absenteeism and medical expenditures, provided those expenditures are for the same year that the EAT is administered. PMID:18301169

  12. A Randomized Controlled Trial Translating the Diabetes Prevention Program to a University Worksite, Ohio, 2012–2014

    PubMed Central

    Weinhold, Kellie R.; Marrero, David G.; Nagaraja, Haikady N.; Focht, Brian C.; Gascon, Gregg M.

    2015-01-01

    Introduction Working adults spend much time at the workplace, an ideal setting for wellness programs targeting weight loss and disease prevention. Few randomized trials have evaluated the efficacy of worksite diabetes prevention programs.This study evaluated the efficacy of a worksite lifestyle intervention on metabolic and behavioral risk factors compared with usual care. Methods A pretest–posttest control group design with 3-month follow-up was used. Participants with prediabetes were recruited from a university worksite and randomized to receive a 16-week lifestyle intervention (n = 35) or usual care (n = 34). Participants were evaluated at baseline, postintervention, and 3-month follow-up. Dietary intake was measured by a food frequency questionnaire and level of physical activity by accelerometers. Repeated measures analysis of variance compared the change in outcomes between and within groups. Results Mean (standard error [SE]) weight loss was greater in the intervention (−5.5% [0.6%]) than in the control (−0.4% [0.5%]) group (P < .001) postintervention and was sustained at 3-month follow-up (P < .001). Mean (SE) reductions in fasting glucose were greater in the intervention (−8.6 [1.6] mg/dL) than in the control (−3.7 [1.6] mg/dL) group (P = .02) postintervention; both groups had significant glucose reductions at 3-month follow-up (P < .001). In the intervention group, the intake of total energy and the percentage of energy from all fats, saturated fats, and trans fats decreased, and the intake of dietary fiber increased (all P < .01) postintervention. Conclusion The worksite intervention improved metabolic and behavioral risk factors among employees with prediabetes. The long-term impact on diabetes prevention and program sustainability warrant further investigation. PMID:26605710

  13. Let's Talk!, A South African Worksite-Based HIV Prevention Parenting Program

    PubMed Central

    Bogart, Laura M.; Skinner, Donald; Thurston, Idia B.; Toefy, Yoesrie; Klein, David J.; Hu, Caroline H.; Schuster, Mark A.

    2013-01-01

    Purpose South African adolescents have high HIV risk, yet few prevention interventions are effective. Parents play a pivotal role in youths’ healthy sexual development and may be at-risk themselves. We tested whether Let’s Talk!, a worksite-based parenting program, improves parent-child communication about HIV and sexual health, and parent condom use self-efficacy and behavior. Methods We culturally adapted Let’s Talk! in two languages, drawing on formative research and community stakeholder input. We then conducted a small randomized test at a large public worksite in Cape Town. The intervention consisted of five weekly two-hour group sessions for parents of youth aged 11–15. Sixty-six parents [64% female] and their 64 adolescents [41% female] completed surveys before and 1–2 weeks post-intervention; surveys assessed comfort with talking about sex, communication about 16 HIV- and sex-related topics, and parents’ condom use self-efficacy and behavior. Thirty-four Black-African (Xhosa-language) and 32 Coloured (mixed-race; Afrikaans-language) parent-child dyads participated. Parents were randomized to intervention (n=34) and control (n=32) groups; randomization was stratified by language. Results Multivariate regressions indicated that the intervention significantly increased parents’ comfort with talking to their adolescent about sex, b(SE)=0.98(0.39), p=0.02, and the number of sex- and HIV-related topics discussed with their adolescent, b(SE)=3.26(1.12), p=0.005. Compared to control parents, intervention parents were more likely to discuss new sex- and HIV-related topics not discussed before the intervention, b(SE)=2.85(0.80), p<.001. The intervention significantly increased parents’ self-efficacy for condom use, b(SE)=0.60(0.21), p=0.007. Conclusions Let’s Talk! holds promise for improving parent-child communication, a critical first step in preventing HIV among youth. PMID:23566563

  14. Successful School Principalship in Danish Schools

    ERIC Educational Resources Information Center

    Moos, Lejf; Krejsler, John; Kofod, Klaus Kasper; Jensen, Bent Brandt

    2005-01-01

    Purpose: Aims at conceptualizing and investigating the meaning of good school principalship within the space for manoeuvring that is available within the context of Danish comprehensive schools. The paper aims to present findings from case studies of two Danish schools within the frame of reference. Design/methodology/approach: Outlines the…

  15. Healthy Hearts at work: Prince Edward Island Heart Health Program CSC worksite pilot project.

    PubMed

    Herbert, R; White, R

    1996-01-01

    Prince Edward Island experiences a higher-than-average death rate from cardiovascular disease. The Prince Edward Island Heart Health Program is a health promotion/disease prevention research project of Health Canada and the Prince Edward Island Department of Health and Social Services. This paper describes and evaluates a worksite program, based on the principles of community mobilization, that was initiated with the Civil Service Commission of the Prince Edward Island government. The building of a partnership, the risk appraisal session administered in the workplace, the establishment of an Employee Wellness Committee, and subsequent programming which has occurred in the workplace were the key components in the process. Collaboration with the partner agency and participation of employees in the planning process has resulted in the delivery of programs which could not have been achieved by one of the agencies alone, without many additional resources. It is hoped that these characteristics of collaboration and employee participation will also result in sustainability of this initiative when PEI Heart Health is no longer involved. PMID:8900810

  16. Implementation of a comprehensive cancer control program at the worksite: year one summary report.

    PubMed

    Cornfeld, Mark J; Schnoll, Robert A; Tofani, Susan Higman; Babb, James S; Miller, Suzanne M; Henigan-Peel, Teresa; Balshem, Andrew; Slater, Elyse; Ross, Eric; Siemers, Sheri; Montgomery, Susan; Malstrom, Michael; Hunt, Pamela; Boyd, Steven; Engstrom, Paul F

    2002-05-01

    The worksite is an ideal forum for cancer risk assessment. We describe here the baseline characteristics of a large cohort. Participants completed surveys that assessed a variety of risk factors and behavioral mediators. Personalized feedback letters identified cancer risks. A total of 4395 surveys were received. Cancer prevalence was 6.5% (range, 4.3% to 11.2%). The most common risk factors were lack of exercise (41%; 32% to 68%), obesity (28%; 24% to 39%), and smoking (14%; 13% to 32%). Cardiovascular risk was also common (25%; 15% to 48%). Screening was fair to good for all cancers except colon cancer. The perceived risk for cancer was less than that for cardiovascular disease (P < 0.0001). Most smokers were in the pre-contemplation phase, whereas action/maintenance phases predominated for breast and colon cancer screening. Modifiable cancer risk factors can be identified in the majority of workers. Inaccurate risk perception is an important target for future interventions. PMID:12024685

  17. Worksite cardiovascular wellness programs as a route to substance abuse prevention.

    PubMed

    Heirich, M; Sieck, C J

    2000-01-01

    This study addresses the question of worksites as an effective route to alcohol abuse prevention. Hypotheses tested include: (1) Cardiovascular disease risk reduction programs provide effective access for alcohol behavior change. (2) Proactive outreach and follow-up have more impact on health behavior change than health education classes. (3) Ongoing follow-up counseling produces the most behavior change. (4) Screening alone produces little change. The study population included 2000 employees, recruited through cardiovascular disease health screening, who were randomly assigned to individual outreach or classes interventions. Changes in the organization of work required more visible outreach, which produced demands for counseling services from many employees who were not in the original group targeted for outreach. After 3 years of intervention, rescreening results strongly supported hypotheses 1 and 2. Spill-over effects from counseling produced plant-wide improvements, so that hypotheses 3 and 4 were not confirmed. This demonstrates that highly visible outreach provides a cost-effective strategy for cardiovascular disease and alcohol prevention. PMID:10652688

  18. Depression Screening in Chronic Disease Management: A Worksite Health Promotion Initiative.

    PubMed

    Jensen, Elizabeth; Dumas, Bonnie P; Edlund, Barbara J

    2016-03-01

    This pilot project aimed to improve depression symptoms and quality-of-life measures for individuals in a worksite disease management program. Two hundred forty-three individuals were invited to participate, out of which 69 enrolled. The participants had a history of diabetes, hypertension, or hyperlipidemia, and demonstrated depression using the Patient Health Questionnaire-9 (PHQ-9). The project consisted of counseling sessions provided every 2 to 4 weeks by a family nurse practitioner. PHQ-9 scores and those of an instrument that measures quality of life, the Veteran's Rand-12 (VR-12), were compared pre-intervention and post-intervention to evaluate the effectiveness of the project. PHQ-9 and VR-12 Mental Health Component (MHC) scores improved significantly after 3 months of nurse practitioner-led individual counseling sessions. This project demonstrated that depression screening and therapeutic management, facilitated by a nurse practitioner, can improve depression and perceived quality of life in individuals with hypertension, hyperlipidemia, or type 2 diabetes. PMID:26458410

  19. Randomized controlled trial of a nonpharmacologic cholesterol reduction program at the worksite.

    PubMed

    Bruno, R; Arnold, C; Jacobson, L; Winick, M; Wynder, E

    1983-07-01

    Under experimental clinical conditions diet modification has been shown to reduce serum cholesterol levels. This paper reports such a positive response to a nonpharmacologic, behavioral education program at the worksite. Employees at the New York Telephone Company corporate headquarters were assigned randomly to treatment and control groups. Treatment consisted of an 8-week group cholesterol reduction program conducted during employee lunch hours. It comprised a multiple-treatment approach--food behavior change techniques combined with nutrition education, physical activity planning, and self-management skills. The treatment group showed substantial change compared with the control group at the program's completion. Those treated displayed a significant 6.4% reduction in total serum cholesterol (266 mg% average at baseline) as compared with control subjects with a corresponding decrease in high-density lipoprotein levels. A significant increase in nutrition knowledge and moderate weight loss were also documented for this group. The magnitudes of a participant's baseline serum cholesterol level and his/her reduction in percentage of ideal body weight were positively and independently correlated with percentage changes in serum cholesterol levels. Over the same period, decreases in high-density lipoprotein levels and no changes in serum cholesterol, weight, and nutrition knowledge were observed for the control group. Overall, participants in the treatment program successfully reduced the coronary heart disease risk factors of elevated cholesterol and weight. Directions for future study are suggested. PMID:6622436

  20. Production patterns of packaging waste categories generated at typical Mediterranean residential building worksites.

    PubMed

    González Pericot, N; Villoria Sáez, P; Del Río Merino, M; Liébana Carrasco, O

    2014-11-01

    The construction sector is responsible for around 28% of the total waste volume generated in Europe, which exceeds the amount of household waste. This has led to an increase of different research studies focusing on construction waste quantification. However, within the research studies made, packaging waste has been analyzed to a limited extent. This article focuses on the packaging waste stream generated in the construction sector. To this purpose current on-site waste packaging management has been assessed by monitoring ten Mediterranean residential building works. The findings of the experimental data collection revealed that the incentive measures implemented by the construction company to improve on-site waste sorting failed to achieve the intended purpose, showing low segregation ratios. Subsequently, through an analytical study the generation patterns for packaging waste are established, leading to the identification of the prevailing kinds of packaging and the products responsible for their generation. Results indicate that plastic waste generation maintains a constant trend throughout the whole construction process, while cardboard becomes predominant towards the end of the construction works with switches and sockets from the electricity stage. Understanding the production patterns of packaging waste will be beneficial for adapting waste management strategies to the identified patterns for the specific nature of packaging waste within the context of construction worksites. PMID:25081852

  1. Take heart: results from the initial phase of a work-site wellness program.

    PubMed Central

    Glasgow, R E; Terborg, J R; Hollis, J F; Severson, H H; Boles, S M

    1995-01-01

    OBJECTIVES. The purpose of this study was to evaluate the short-term effects of a low-intensity work-site heart disease risk reduction program using a matched pair design with work site as the unit of analysis. METHODS. Twenty-six heterogeneous work sites with between 125 and 750 employees were matched on key organization characteristics and then randomly assigned to early or delayed intervention conditions. Early intervention consisted of an 18-month multifaceted program that featured an employee steering committee and a menu approach to conducting key intervention activities tailored to each site. RESULTS. Cross-sectional and cohort analyses produced consistent results. At the conclusion of the intervention, early and delayed intervention conditions did not differ on changes in smoking rates, dietary intake, or cholesterol levels. There was considerable variability in outcomes among work sites within each condition. CONCLUSIONS. Despite documented implementation of key intervention activities and organization-level changes in terms of perceived support for health promotion, this intervention did not produce short-term improvements beyond secular trends observed in control work sites. Research is needed to understand determinants of variability between work sites. PMID:7856780

  2. Development and Implementation of Worksite Health and Wellness Programs: A Focus on Non-Communicable Disease.

    PubMed

    Cahalin, Lawrence P; Kaminsky, Leonard; Lavie, Carl J; Briggs, Paige; Cahalin, Brendan L; Myers, Jonathan; Forman, Daniel E; Patel, Mahesh J; Pinkstaff, Sherry O; Arena, Ross

    2015-01-01

    The development and implementation of worksite health and wellness programs (WHWPs) in the United States (US) hold promise as a means to improve population health and reverse current trends in non-communicable disease incidence and prevalence. However, WHWPs face organizational, economic, systematic, legal, and logistical challenges which have combined to impact program availability and expansion. Even so, there is a burgeoning body of evidence indicating WHWPs can significantly improve the health profile of participating employees in a cost effective manner. This foundation of scientific knowledge justifies further research inquiry to elucidate optimal WHWP models. It is clear that the development, implementation and operation of WHWPs require a strong commitment from organizational leadership, a pervasive culture of health and availability of necessary resources and infrastructure. Since organizations vary significantly, there is a need to have flexibility in creating a customized, effective health and wellness program. Furthermore, several key legal issues must be addressed to facilitate employer and employee needs and responsibilities; the US Affordable Care Act will play a major role moving forward. The purposes of this review are to: 1) examine currently available health and wellness program models and considerations for the future; 2) highlight key legal issues associated with WHWP development and implementation; and 3) identify challenges and solutions for the development and implementation of as well as adherence to WHWPs. PMID:25936908

  3. A qualitative investigation of Hispanic construction worker perspectives on factors impacting worksite safety and risk

    PubMed Central

    2011-01-01

    Background Hispanic workers have higher rates of injury and death on construction worksites than workers of other ethnicities. Language barriers and cultural differences have been hypothesized as reasons behind the disparate rates. Methods We conducted two series of focus groups with union and non-union Hispanic construction workers to ask them about their perceptions of the causes for the unequal rates. Spanish transcripts were translated and coded in QSR NVivo software for common themes. Results Workers reported a difficult work environment characterized by supervisor pressure, competition for jobs and intimidation with regard to raising safety concerns. Language barriers or cultural factors were not strongly represented as causative factors behind the rates. Conclusion The results of this study have informed the development of an intervention trial that seeks to prevent falls and silica dust exposure by training contractors employing Hispanic construction workers in the elements of safety leadership, including building respect for their Hispanic workers and facilitating their participation in a safety program. PMID:21962128

  4. Safety belt use and related health variables in a worksite health promotion program.

    PubMed

    Merrill, B E; Sleet, D A

    1984-01-01

    Few corporate-based health promotion programs address a major preventable killer that strikes American workers--motor vehicle crashes. The use of vehicle safety belts is a known and effective prevention measure yet few workers use them. Very little research has been done on safety belt use as a health behavior, particularly as it relates to a corporate health promotion program. Data from an Employee Health Survey on 3,947 employees at Control Data Corporation were examined in 1982-83 to determine the relationship between safety belt use and other health habits. Comparisons between participants in the Stay Well Program (a health promotion program) and nonparticipant and control groups were analyzed. Users of safety belts reported more moderate use of alcohol, better exercise habits, less smoking and were less likely to be overweight than nonusers. Among Stay Well employees completing a Health Risk Profile, higher levels of safety belt use were reported. Recommendations are made which have implications for the design of safety belt motivation programs within the context of worksite health promotion. PMID:6520000

  5. Farm to Work: Development of a Modified Community-Supported Agriculture Model at Worksites, 2007–2012

    PubMed Central

    Horton, Karissa D.; Loyo, Jennifer; Jowers, Esbelle M.; Rodgers, Lindsay Faith; Smiley, Andrew W.; Leversen, Eric; Hoelscher, Deanna M.

    2015-01-01

    Background The Farm to Work program is a modified community-supported agriculture model at worksites in Texas. Community Context The objective of the Farm to Work program is to increase fruit and vegetable intake among employees and their households by decreasing cost, improving convenience, and increasing access while also creating a new market for local farmers at worksites. The objectives of this article were to describe the development, implementation, and outcome of a 5-year participation trend analysis and to describe the community relationships that were formed to enable the successful implementation of the program. Methods The Farm to Work program began in November 2007 as a collaborative effort between the nonprofit Sustainable Food Center, the Texas Department of State Health Services, the Web development company WebChronic Consulting LLC, and Naegelin Farm. The program provides a weekly or biweekly opportunity for employees to order a basket of produce online to be delivered to the worksite by a local farmer. A 5-year participation trend analysis, including seasonal variation and sales trends, was conducted using sales data from November 2007 through December 2012. Outcome The total number of baskets delivered from November 2007 through December 2012 was 38,343; of these, 37,466 were sold and 877 were complimentary. The total value of sold and complimentary baskets was $851,035 and $21,925, respectively. Participation in the program increased over time and was highest in 2012. Interpretation The Farm to Work program increased access to locally grown fruits and vegetables for employees and created a new market for farmers. Increased program participation indicates that Farm to Work can increase employees’ fruit and vegetable consumption and thus help prevent chronic diseases in this population PMID:26491816

  6. The Worksite Health Promotion Capacity Instrument (WHPCI): development, validation and approaches for determining companies' levels of health promotion capacity

    PubMed Central

    2010-01-01

    Background The Worksite Health Promotion Capacity Instrument (WHPCI) was developed to assess two key factors for effective worksite health promotion: collective willingness and the systematic implementation of health promotion activities in companies. This study evaluates the diagnostic qualities of the WHPCI based on its subscales Health Promotion Willingness and Health Promotion Management, which can be used to place companies into four different categories based on their level of health promotion capacity. Methods Psychometric evaluation was conducted using exploratory factor and reliability analyses with data taken from a random sample of managers from n = 522 German information and communication technology (ICT) companies. Receiver operating characteristic (ROC) analyses were conducted to determine further diagnostic qualities of the instrument and to establish the cut-off scores used to determine each company's level of health promotion capacity. Results The instrument's subscales, Health Promotion Willingness and Health Promotion Management, are based on one-dimensional constructs, each with very good reliability (Cronbach's alpha = 0.83/0.91). ROC analyses demonstrated satisfactory diagnostic accuracy with an area under the curve (AUC) of 0.76 (SE = 0.021; 95% CI 0.72-0.80) for the Health Promotion Willingness scale and 0.81 (SE = 0.021; 95% CI 0.77-0.86) for the Health Promotion Management scale. A cut-off score with good sensitivity (71%/76%) and specificity (69%/75%) was determined for each scale. Both scales were found to have good predictive power and exhibited good efficiency. Conclusions Our findings indicate preliminary evidence for the validity and reliability of both subscales of the WHPCI. The goodness of each cut-off score suggests that the scales are appropriate for determining companies' levels of health promotion capacity. Support in implementing (systematic) worksite health promotion can then be tailored to each company's needs based on

  7. Production patterns of packaging waste categories generated at typical Mediterranean residential building worksites

    SciTech Connect

    González Pericot, N.; Villoria Sáez, P.; Del Río Merino, M.; Liébana Carrasco, O.

    2014-11-15

    Highlights: • On-site segregation level: 1.80%; training and motivation strategies were not effective. • 70% Cardboard waste: from switches and sockets during the building services stage. • 40% Plastic waste: generated during structures and partition works due to palletizing. • >50% Wood packaging waste, basically pallets, generated during the envelope works. - Abstract: The construction sector is responsible for around 28% of the total waste volume generated in Europe, which exceeds the amount of household waste. This has led to an increase of different research studies focusing on construction waste quantification. However, within the research studies made, packaging waste has been analyzed to a limited extent. This article focuses on the packaging waste stream generated in the construction sector. To this purpose current on-site waste packaging management has been assessed by monitoring ten Mediterranean residential building works. The findings of the experimental data collection revealed that the incentive measures implemented by the construction company to improve on-site waste sorting failed to achieve the intended purpose, showing low segregation ratios. Subsequently, through an analytical study the generation patterns for packaging waste are established, leading to the identification of the prevailing kinds of packaging and the products responsible for their generation. Results indicate that plastic waste generation maintains a constant trend throughout the whole construction process, while cardboard becomes predominant towards the end of the construction works with switches and sockets from the electricity stage. Understanding the production patterns of packaging waste will be beneficial for adapting waste management strategies to the identified patterns for the specific nature of packaging waste within the context of construction worksites.

  8. Application of a Modified Universal Design Survey for Evaluation of Ares 1 Ground Crew Worksites

    NASA Technical Reports Server (NTRS)

    Blume, Jennifer L.

    2010-01-01

    Operability is a driving requirement for NASA's Ares 1 launch vehicle. Launch site ground operations include several operator tasks to prepare the vehicle for launch or to perform maintenance. Ensuring that components requiring operator interaction at the launch site are designed for optimal human use is a high priority for operability. To support design evaluation, the Ares 1 Upper Stage (US) element Human Factors Engineering (HFE) group developed a survey based on the Universal Design approach. Universal Design is a process to create products that can be used effectively by as many people as possible. Universal Design per se is not a priority for Ares 1 because launch vehicle processing is a specialized skill and not akin to a consumer product that should be used by all people of all abilities. However, applying principles of Universal Design will increase the probability of an error free and efficient design which is a priority for Ares 1. The Design Quality Evaluation Survey centers on the following seven principles: (1) Equitable use, (2) Flexibility in use, (3) Simple and intuitive use, (4) Perceptible information, (5) Tolerance for error, (6) Low physical effort, (7) Size and space for approach and use. Each principle is associated with multiple evaluation criteria which were rated with the degree to which the statement is true. All statements are phrased in the utmost positive, or the design goal so that the degree to which judgments tend toward "completely agree" directly reflects the degree to which the design is good. The Design Quality Evaluation Survey was employed for several US analyses. The tool was found to be most useful for comparative judgments as opposed to an assessment of a single design option. It provided a useful piece of additional data when assessing possible operator interfaces or worksites for operability

  9. Prevalence of obesity and factors associated with it in a worksite setting in Malaysia.

    PubMed

    Cheong, Siew Man; Kandiah, Mirnalini; Chinna, Karuthan; Chan, Yoke Mun; Saad, Hazizi Abu

    2010-12-01

    Socio-economic status, lifestyle behaviors, and psychosocial factors have been implicated in the development of overweight and obesity. This study aims to observe the prevalence of overweight and obesity in an academic worksite and to examine the possible association between variables such as socio-economic characteristics, work factors, psychosocial factors, and weight control behaviors and obesity. In this study, the target population were full-time academic and non-academic staff. Body mass index (BMI) and waist circumference (WC) were computed to determine obesity. A pretested self-administered questionnaire was used to obtain information on socio-demographic factors, work related factors, psychosocial factors, and weight control behaviors. Data were obtained on 367 adults of whom 39.2% were males and 60.8% females. Overweight was seen in 31.9% of males and 26.5% of females while 16.1% of them were obese, irrespective of gender. Central obesity was noted in about 37% of males and 39% of females. The results showed that socio-demographic factors (age, gender, and education) and psychosocial factors (perceived health status, body weight perception, and weight-control goals) were significantly associated with BMI. Working hours were also significantly associated with BMI. However, weight control practices (diet-control practices and physical activity practices) were not significantly associated with BMI. In conclusion, this study found a higher prevalence of overweight and obesity among employees of a selected public university in comparison to the general population. Socio-demographic, psychosocial factors, and working hours were found to contribute to obesity in this sample of adults. PMID:20458526

  10. State and Local Comprehensive Smoke-Free Laws for Worksites, Restaurants, and Bars - United States, 2015.

    PubMed

    Tynan, Michael A; Holmes, Carissa Baker; Promoff, Gabbi; Hallett, Cynthia; Hopkins, Maggie; Frick, Bronson

    2016-01-01

    Exposure to secondhand smoke from burning tobacco products causes stroke, lung cancer, and coronary heart disease in adults (1,2). Children who are exposed to secondhand smoke are at increased risk for sudden infant death syndrome, acute respiratory infections, middle ear disease, more severe asthma, respiratory symptoms, and slowed lung growth (1,2). Secondhand smoke exposure contributes to approximately 41,000 deaths among nonsmoking adults and 400 deaths in infants each year (2). This report updates a previous CDC report that evaluated state smoke-free laws in effect from 2000-2010 (3), and estimates the proportion of the population protected by comprehensive smoke-free laws. The number of states, including the District of Columbia (DC), with comprehensive smoke-free laws (statutes that prohibit smoking in indoor areas of worksites, restaurants, and bars) increased from zero in 2000 to 26 in 2010 and 27 in 2015. The percentage of the U.S. population that is protected increased from 2.72% in 2000 to 47.8% in 2010 and 49.6% in 2015. Regional disparities remain in the proportions of state populations covered by state or local comprehensive smoke-free policies, as no state in the southeast has a state comprehensive law. In addition, nine of the 24 states that lack state comprehensive smoke-free laws also lack any local comprehensive smoke-free laws. Opportunities exist to accelerate the adoption of smoke-free laws in states that lack local comprehensive smoke-free laws, including those in the south, to protect nonsmokers from the harmful effects of secondhand smoke exposure. PMID:27337212

  11. Does Successful Weight Loss in an Internet-Based Worksite Weight Loss Program Improve Employee Presenteeism and Absenteeism?

    PubMed

    Harden, Samantha M; You, Wen; Almeida, Fabio A; Hill, Jennie L; Linnan, Laura A; Allen, Kacie C; Estabrooks, Paul A

    2015-12-01

    Certain risk factors associated with overweight and obesity may lead to reduced productivity in the workforce (i.e., increased absenteeism and presenteeism). Participants in a large, Internet-based worksite weight loss intervention, who were present at follow-up (N = 1,030), completed a self-reported productivity measure (World Health Organization's Health and Work Performance Questionnaire) at baseline and postintervention. Twenty-two percent of the participants lost a clinically meaningful amount of weight (≥5% weight loss). There were no statistically significant (p < .05) relationships between weight change from baseline to 12 months and change scores of absolute or relative absenteeism or for absolute or relative presenteeism. Within a modestly successful Internet-based, worksite weight loss intervention, weight loss did not improve self-reported absenteeism or presenteeism. Further studies are needed to explore the sensitivity of the World Health Organization's Health and Work Performance Questionnaire and the long-term effects of weight loss on productivity. PMID:25842385

  12. Health Habits of Employees in a Large Medical Center: Time Trends and Impact of a Worksite Wellness Facility

    PubMed Central

    Abu Dabrh, Abd Moain; Gorty, Archana; Jenkins, Sarah M.; Murad, Mohammad Hassan; Hensrud, Donald D.

    2016-01-01

    Worksite health interventions are not novel but their effect remains subject of debate. We examined employer-based wellness program to determine health habits trends, and compare prevalence estimates to national data. We conducted serial surveys (1996 and 2007–10) to employees of a large medical center that included questions measuring outcomes, including obesity, regular exercise, cardiovascular activity, and smoking status. Logistic regression models were estimated to compare data by membership across years, considering p-values ≤ 0.01 as statistically significant. 3,206 employees responded (Response rates 59–68%). Obesity prevalence increased over time in members and nonmembers of the wellness facility, consistent with national trends. Members had a lower prevalence of cigarette smoking compared to nonmembers (overall year-adjusted odds ratio 0.66, P < 0.001). Further, employees had a lower prevalence of cigarette smoking (9.7 vs. 17.3% in 2010, P < 0.001) compared with national data. Wellness facility membership was associated with increased regular exercise and cardiovascular exercise (P < 0.001) compared to nonmembers. In summary, working in a medical center was associated with a decreased prevalence of cigarette smoking, but not with lower prevalence of obesity. Worksite wellness facility membership was associated with increased exercise and decreased cigarette smoking. Employer-based interventions may be effective in improving some health behaviors. PMID:26864205

  13. The Long-Term Impact of a Four-Session Work-Site Intervention on Selected Social Cognitive Theory Variables Linked to Adult Exercise Adherence

    ERIC Educational Resources Information Center

    Hallam, Jeffrey S.; Petosa, Rick

    2004-01-01

    Many work-site physical activity interventions use theoretical variables in the design of their programs. Yet, these interventions do not document the degree of change in theoretical variables produced by the intervention. This study examined the construct validity of an intervention designed to affect social cognitive theory variables linked to…

  14. Burnout among the addiction counseling workforce: the differential roles of mindfulness and values-based processes and work-site factors.

    PubMed

    Vilardaga, Roger; Luoma, Jason B; Hayes, Steven C; Pistorello, Jacqueline; Levin, Michael E; Hildebrandt, Mikaela J; Kohlenberg, Barbara; Roget, Nancy A; Bond, Frank

    2011-06-01

    Although work-site factors have been shown to be a consistent predictor of burnout, the importance of mindfulness and values-based processes among addiction counselors has been little examined. In this study, we explored how strongly experiential avoidance, cognitive fusion, and values commitment related to burnout after controlling for well-established work-site factors (job control, coworker support, supervisor support, salary, workload, and tenure). We conducted a cross-sectional survey among 699 addiction counselors working for urban substance abuse treatment providers in six states of the United States. Results corroborated the importance of work-site factors for burnout reduction in this specific population, but we found that mindfulness and values-based processes had a stronger and more consistent relationship with burnout as compared with work-site factors. We conclude that interventions that target experiential avoidance, cognitive fusion, and values commitment may provide a possible new direction for the reduction of burnout among addiction counselors. PMID:21257281

  15. A translational worksite diabetes prevention trial improves psychosocial status, dietary intake, and step counts among employees with prediabetes: A randomized controlled trial

    PubMed Central

    Miller, Carla K.; Weinhold, Kellie R.; Marrero, David G.; Nagaraja, Haikady N.; Focht, Brian C.

    2015-01-01

    Objective Few worksite trials have examined the impact of diabetes prevention interventions on psychological and behavioral outcomes. Thus, the impact of a worksite lifestyle intervention on psychosocial outcomes, food group intake, and step counts for physical activity (PA) was evaluated. Method A randomized pretest/posttest control group design with 3-month follow-up was employed from October 2012 to May 2014 at a U.S. university worksite among employees with prediabetes. The experimental group (n = 35) received a 16-week group-based intervention while the control group received usual care (n = 33). Repeated measures analysis of variance compared the change in outcomes between groups across time. Results A significant difference occurred between groups post-intervention for self-efficacy associated with eating and PA; goal commitment and difficulty; satisfaction with weight loss and physical fitness; peer social support for healthful eating; generation of alternatives for problem solving; and intake of fruits, meat, fish, poultry, nuts, and seeds (all ps < .05). The experimental group significantly increased step counts post-intervention (p = .0279) and were significantly more likely to report completing their work at study end (p = .0231). Conclusion The worksite trial facilitated improvement in modifiable psychosocial outcomes, dietary patterns, and step counts; the long-term impact on diabetes prevention warrants further investigation. Trial Registration ClinicalTrials.gov identifier: NCT01682954 PMID:25798374

  16. Burnout among the Addiction Counseling Workforce: The Differential Roles of Mindfulness and Values-based Processes and Work-site Factors*

    PubMed Central

    Vilardaga, Roger; Luoma, Jason B.; Hayes, Steven C.; Pistorello, Jacqueline; Levin, Michael E.; Hildebrandt, Mikaela J.; Kohlenberg, Barbara; Roget, Nancy A.; Bond, Frank

    2011-01-01

    Although work-site factors have been shown to be a consistent predictor of burnout, the importance of mindfulness and values-based processes among addiction counselors has been little examined. In this study we explored how strongly experiential avoidance, cognitive fusion and values commitment related to burnout after controlling for well-established work-site factors (job control, co-worker support, supervisor support, salary, workload and tenure). We conducted a cross-sectional survey among 699 addiction counselors working for urban substance abuse treatment providers in six states of the U.S.A. Results corroborated the importance of work-site factors for burnout reduction in this specific population, but we found that mindfulness and values-based processes had a stronger and more consistent relationship with burnout as compared to work-site factors. We conclude that interventions that target experiential avoidance, cognitive fusion and values commitment may provide a possible new direction for the reduction of burnout among addiction counselors. PMID:21257281

  17. Are school employees healthy role models? Dietary intake results from the ACTION worksite wellness trial

    PubMed Central

    Hartline-Grafton, Heather L.; Johnson, Carolyn C.; Rice, Janet C.; Webber, Larry S.

    2009-01-01

    Background Little is known about the dietary intake of school employees, a key target group for improving school nutrition. Objective To investigate selected dietary variables and weight status among elementary school personnel. Design Cross-sectional, descriptive study. Subjects/setting Elementary school employees (n=373) from 22 schools in a suburban parish (county) of southeastern Louisiana were randomly selected for evaluation at baseline of ACTION, a school-based worksite wellness trial. Methods Two 24-hour dietary recalls were administered on non-consecutive days by registered dietitians using the Nutrition Data System for Research. Height and weight were measured by trained examiners and body mass index calculated as weight (kilograms)/height (meters squared). Statistical analyses performed Descriptive analyses characterized energy, macronutrient, fiber, and MyPyramid food group consumption. Inferential statistics (t-tests, analysis of variance, chi-square) were used to examine differences in intake and compliance with recommendations by demographic and weight status categories. Results Approximately 31% and 40% of the sample were overweight and obese, respectively, with higher obesity rates than state and national estimates. Mean daily energy intake among women was 1862 kilocalories (kcal) (±492) and among men was 2668 kcal (±796). Obese employees consumed more calories (+288 kcal, p<0.001) and more calories from fat (p<0.001) than those who were normal weight. Approximately 45% of the sample exceeded dietary fat recommendations. On average, only 9% had fiber intakes at or above their Adequate Intake, which is consistent with the finding that over 25% of employees did not eat fruit, 58% did not eat dark green vegetables, and 45% did not eat whole grains on the recalled days. Only 7% of employees met the MyPyramid recommendations for fruits or vegetables, and 14% of the sample met those for milk and dairy foods. Conclusions These results suggest that

  18. What is actually measured in process evaluations for worksite health promotion programs: a systematic review

    PubMed Central

    2013-01-01

    Background Numerous worksite health promotion program (WHPPs) have been implemented the past years to improve employees’ health and lifestyle (i.e., physical activity, nutrition, smoking, alcohol use and relaxation). Research primarily focused on the effectiveness of these WHPPs. Whereas process evaluations provide essential information necessary to improve large scale implementation across other settings. Therefore, this review aims to: (1) further our understanding of the quality of process evaluations alongside effect evaluations for WHPPs, (2) identify barriers/facilitators affecting implementation, and (3) explore the relationship between effectiveness and the implementation process. Methods Pubmed, EMBASE, PsycINFO, and Cochrane (controlled trials) were searched from 2000 to July 2012 for peer-reviewed (randomized) controlled trials published in English reporting on both the effectiveness and the implementation process of a WHPP focusing on physical activity, smoking cessation, alcohol use, healthy diet and/or relaxation at work, targeting employees aged 18-65 years. Results Of the 307 effect evaluations identified, twenty-two (7.2%) published an additional process evaluation and were included in this review. The results showed that eight of those studies based their process evaluation on a theoretical framework. The methodological quality of nine process evaluations was good. The most frequently reported process components were dose delivered and dose received. Over 50 different implementation barriers/facilitators were identified. The most frequently reported facilitator was strong management support. Lack of resources was the most frequently reported barrier. Seven studies examined the link between implementation and effectiveness. In general a positive association was found between fidelity, dose and the primary outcome of the program. Conclusions Process evaluations are not systematically performed alongside effectiveness studies for WHPPs. The quality

  19. Mogens Jansen: An Interview with a Danish Reading Educator.

    ERIC Educational Resources Information Center

    Engberg, Eva

    1985-01-01

    The president of the Danish Association of Reading Teachers discusses the positive effects of international cooperation on reading education, the influence of society's demands on curriculum, and the instinctive features and benefits of Danish Reading instruction. (FL)

  20. The Danish Collaborative Bacteraemia Network (DACOBAN) database

    PubMed Central

    Gradel, Kim Oren; Schønheyder, Henrik Carl; Arpi, Magnus; Knudsen, Jenny Dahl; Østergaard, Christian; Søgaard, Mette

    2014-01-01

    The Danish Collaborative Bacteraemia Network (DACOBAN) research database includes microbiological data obtained from positive blood cultures from a geographically and demographically well-defined population serviced by three clinical microbiology departments (1.7 million residents, 32% of the Danish population). The database also includes data on comorbidity from the Danish National Patient Registry, vital status from the Danish Civil Registration System, and clinical data on 31% of nonselected records in the database. Use of the unique civil registration number given to all Danish residents enables linkage to additional registries for specific research projects. The DACOBAN database is continuously updated, and it currently comprises 39,292 patients with 49,951 bacteremic episodes from 2000 through 2011. The database is part of an international network of population-based bacteremia registries from five developed countries on three continents. The main purpose of the DACOBAN database is to study surveillance, risk, and prognosis. Sex- and age-specific data on background populations enables the computation of incidence rates. In addition, the high number of patients facilitates studies of rare microorganisms. Thus far, studies on Staphylococcus aureus, enterococci, computer algorithms for the classification of bacteremic episodes, and prognosis and risk in relation to socioeconomic factors have been published. PMID:25258557

  1. The Danish Communicative Developmental Inventories: Validity and Main Developmental Trends

    ERIC Educational Resources Information Center

    Bleses, Dorthe; Vach, Werner; Slott, Malene; Wehberg, Sonja; Thomsen, Pia; Madsen, Thomas O.; Basboll, Hans

    2008-01-01

    This paper presents a large-scale cross-sectional study of Danish children's early language acquisition based on the Danish adaptation of the "MacArthur-Bates Communicative Development Inventories" (CDI). Measures of validity and reliability imply that the Danish adaptation of the American CDI has been adjusted linguistically and culturally in…

  2. Trend Analyses of Nitrate in Danish Groundwater

    NASA Astrophysics Data System (ADS)

    Hansen, B.; Thorling, L.; Dalgaard, T.; Erlandsen, M.

    2012-04-01

    This presentation assesses the long-term development in the oxic groundwater nitrate concentration and nitrogen (N) loss due to intensive farming in Denmark. Firstly, up to 20-year time-series from the national groundwater monitoring network enable a statistically systematic analysis of distribution, trends and trend reversals in the groundwater nitrate concentration. Secondly, knowledge about the N surplus in Danish agriculture since 1950 is used as an indicator of the potential loss of N. Thirdly, groundwater recharge CFC (Chlorofluorocarbon) age determination allows linking of the first two dataset. The development in the nitrate concentration of oxic groundwater clearly mirrors the development in the national agricultural N surplus, and a corresponding trend reversal is found in groundwater. Regulation and technical improvements in the intensive farming in Denmark have succeeded in decreasing the N surplus by 40% since the mid 1980s while at the same time maintaining crop yields and increasing the animal production of especially pigs. Trend analyses prove that the youngest (0-15 years old) oxic groundwater shows more pronounced significant downward nitrate trends (44%) than the oldest (25-50 years old) oxic groundwater (9%). This amounts to clear evidence of the effect of reduced nitrate leaching on groundwater nitrate concentrations in Denmark. Are the Danish groundwater monitoring strategy obtimal for detection of nitrate trends? Will the nitrate concentrations in Danish groundwater continue to decrease or are the Danish nitrate concentration levels now appropriate according to the Water Framework Directive?

  3. Escherichia vulneris in a Danish soccer wound.

    PubMed

    Jepsen, C F; Klebe, T M; Prag, J

    1997-01-01

    Escherichia vulneris was isolated from an infected soccer wound, a finding which has not apparently been described in Europe before, but by questioning Danish clinical microbiological laboratories a further 12 cases were discovered. Treatment with simple debridement and cefuroxime quickly eradicated the bacteria in our case. PMID:9255899

  4. Evaluating University Continuing Education: A Danish Case.

    ERIC Educational Resources Information Center

    Thune, Christian

    2002-01-01

    The Danish Evaluation Institute is conducting systematic assessments of three master's programs in public administration, public policy, and public management. They have found that explicit criteria have advantages and disadvantages. Development of criteria attempts to meet the following demands: uniformity, relevance of level, scope, precision,…

  5. Care and Education in the Danish Creche

    ERIC Educational Resources Information Center

    Brostrom, Stig; Hansen, Ole Henrik

    2010-01-01

    This article seeks to identify the relation between policy and lived life, for the small child in the Danish creche. To accomplish this, the article integrates demography, traditions, national curriculum and psychological, educational, and recent developments in research. It is an attempt to reveal knowledge and consequences, by conducting the…

  6. The Danish Free School Tradition under Pressure

    ERIC Educational Resources Information Center

    Olsen, Tore Vincents

    2015-01-01

    The Danish free school tradition has entailed a large degree of associational freedom for non-governmental schools, religious as well as non-religious. Until the late 1990s, the non-governmental schools were under no strict ideological or pedagogical limitations; they could recruit teachers and students according to their own value base, and were…

  7. The air quality in Danish urban areas.

    PubMed

    Jensen, F P; Fenger, J

    1994-10-01

    The Danish air pollution abatement is based by and large on emission control. Since the ratification of the international sulfur protocol of 1985, there has been a continuous tightening of the permissible sulfur content in fuels and of the maximum emissions from power plants. As a consequence, the total annual emission of sulfur dioxide (SO2) has been reduced from 450,000 tons in the seventies to 180,000 tons in 1990. This has had a pronounced effect on the SO2 levels in Danish urban areas. Thus, in Copenhagen, the yearly averages have fallen to about 25%. For nitrogen oxides emitted from the power plants, similar regulations are in force. With this legislation, the most important and crucial source of air pollution in Danish urban areas is road traffic. The contribution of nitrogen oxides from national traffic accounts for nearly half the total Danish emission and is increasing steadily; this is consistent with an observed increase of nitrogen oxides in ambient air. The permissible levels of lead in petrol has been reduced drastically. After an introduction of reduced tax on lead-free petrol, it now accounts for more than two-thirds of the total consumption. As a result, the concentration of lead in urban ambient air has been reduced to less than one-sixth. The introduction of 3-way catalytic converters from October 1990 will result in reductions in the emission of a series of pollutants, e.g., lead, volatile organic compounds, carbon monoxide, and nitrogen oxides. In 1980, a Danish air quality monitoring program was established as a cooperative effort between the authorities, the Government, the countries, the municipalities, and the Greater Copenhagen Council.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7821296

  8. Insights in public health: Promoting healthy snack and beverage choices in Hawai'i worksites: the Choose Healthy Now! pilot project.

    PubMed

    Donohoe Mather, Carolyn M; McGurk, Meghan D

    2014-11-01

    Over half of the adults in Hawai'i are overweight or obese, exposing them to increased risk for chronic diseases and resulting in higher health care expenses. Poor dietary habits and physical inactivity are important contributors to obesity and overweight. Because adults spend most of their waking hours at work, the workplace is an important setting for interventions to solve this growing problem. Changing the nutrition environment to support healthy eating is a recommended practice for worksite wellness interventions. Following this recommendation, the Hawai'i State Department of Health (DOH) launched the Choose Healthy Now! Healthy Vending Pilot Project to increase access to healthy options in worksites. Choose Healthy Now! utilized an education campaign and a traffic light nutrition coding system (green = go, yellow = slow, red = uh-oh), based on federal nutrition guidelines, to help employees identify the healthier options in their worksite snack shops. Inventory of healthy items was increased and product placement techniques were used to help make the healthy choice the easy choice. DOH partnered with the Department of Human Services' Ho'opono Vending Program to pilot the project in six government buildings on O'ahu between May and September of 2014. Vendors added new green (healthy) and yellow (intermediate) options to their snack shop and cafeteria inventories, and labeled their snacks and beverages with green and yellow point-of-decision stickers. The following article outlines background and preliminary findings from the Choose Healthy Now! pilot. PMID:25414808

  9. The PILI@Work Program: a translation of the diabetes prevention program to Native Hawaiian-serving worksites in Hawai'i.

    PubMed

    Townsend, Claire K M; Miyamoto, Robin E S; Antonio, Mapuana; Zhang, Guangxing; Paloma, Diane; Basques, DeAnna; Braun, Kathryn L; Kaholokula, Joseph Keawe'aimoku

    2016-06-01

    A previously translated Diabetes Prevention Program Lifestyle Intervention (DPP-LI) was adapted for delivery as a worksite-based intervention, called PILI@Work, to address obesity disparities in Native Hawaiians/Pacific Islanders. This study examined the effectiveness of PILI@Work and factors associated with weight loss at post-intervention. Overweight/obese employees of 15 Native Hawaiian-serving organizations received the 3-month component of PILI@Work. Assessments included weight, systolic/diastolic blood pressure, physical activity and functioning, fat intake, locus of weight control, social support, and self-efficacy. Weight, systolic/diastolic blood pressure, physical functioning, physical activity frequency, fat intake, family support, and eating self-efficacy improved from pre- to post-intervention. Regression analysis indicated that worksite type, decreased diastolic blood pressure, increased physical activity, and more internalized locus of weight control were significantly associated with 3-month weight loss. PILI@Work initiated weight loss in Native Hawaiians/Pacific Islanders. DPP-LI translated to worksite settings and tailored for specific populations can be effective for addressing obesity. PMID:27356989

  10. Effect of an office worksite-based yoga program on heart rate variability: A randomized controlled trial

    PubMed Central

    2011-01-01

    Background Chronic work-related stress is a significant and independent risk factor for cardiovascular and metabolic diseases and associated mortality, particularly when compounded by a sedentary work environment. Heart rate variability (HRV) provides an estimate of parasympathetic and sympathetic autonomic control, and can serve as a marker of physiological stress. Hatha yoga is a physically demanding practice that can help to reduce stress; however, time constraints incurred by work and family life may limit participation. The purpose of the present study is to determine if a 10-week, worksite-based yoga program delivered during lunch hour can improve resting HRV and related physical and psychological parameters in sedentary office workers. Methods and design This is a parallel-arm RCT that will compare the outcomes of participants assigned to the experimental treatment group (yoga) to those assigned to a no-treatment control group. Participants randomized to the experimental condition will engage in a 10-week yoga program delivered at their place of work. The yoga sessions will be group-based, prescribed three times per week during lunch hour, and will be led by an experienced yoga instructor. The program will involve teaching beginner students safely and progressively over 10 weeks a yoga sequence that incorporates asanas (poses and postures), vinyasa (exercises), pranayama (breathing control) and meditation. The primary outcome of this study is the high frequency (HF) spectral power component of HRV (measured in absolute units; i.e. ms2), a measure of parasympathetic autonomic control. Secondary outcomes include additional frequency and time domains of HRV, and measures of physical functioning and psychological health status. Measures will be collected prior to and following the intervention period, and at 6 months follow-up to determine the effect of intervention withdrawal. Discussion This study will determine the effect of worksite-based yoga practice on

  11. A worksite vitality intervention to improve older workers' lifestyle and vitality-related outcomes: results of a randomised controlled trial

    PubMed Central

    Strijk, Jorien E; Proper, Karin I; van Mechelen, Willem

    2012-01-01

    Objective To evaluate the effectiveness of a worksite vitality intervention on vigorous physical activity (VPA), fruit intake, aerobic capacity, mental health and need for recovery after work among older hospital workers (ie, 45 years and older). Methods The 6-month intervention was evaluated using a randomised controlled trial design. Workers who were randomised to the intervention group (n=367; control: n=363) received the Vital@Work intervention containing (1) a Vitality Exercise Program (VEP) combined with (2) three visits to Personal Vitality Coach. The VEP consisted of a weekly yoga session, a weekly workout session and weekly unsupervised aerobic exercising. Free fruit was provided at the VEP. Data on the outcome measures were collected (ie, year 2009–2010) at baseline (n=730) and 6 months of follow-up after baseline (n=575) using questionnaires, accelerometers and 2 km walk tests. Effects were analysed according to the intention-to-treat principle with complete cases (n=575) and imputed data (n=730) using linear regression analyses. Additional analyses were performed for high yoga and workout compliance (ie, >mean number of sessions). Results Effects were found for sports activities (β=40.4 min/week, 95% CI 13.0 to 67.7) and fruit intake (β=2.7 pieces/week, 95% CI 0.07 to 4.7) and were stronger for workers with high compliance to yoga (sport: β=49.6 min/week, 95% CI 13.9 to 85.2; fruit: β=3.8 pieces/week, 95% CI 1.1 to 6.4) and workout sessions (sport: β=72.9 min/week, 95% CI 36.1 to 109.8; fruit: β=4.0 pieces/week, 95% CI 1.1 to 6.4). The intervention group lowered their need for recovery, when compared to controls (β=−3.5, 95% CI −6.4 to −0.54), with stronger effects for high workout compliance (β=−5.3, 95% CI −9.3 to −1.3). No effects were found on VPA, aerobic capacity or mental health. Conclusions Implementation of worksite yoga and workout facilities and minimal fruit interventions should be considered by employers to

  12. Validation of the danish national diabetes register.

    PubMed

    Green, Anders; Sortsø, Camilla; Jensen, Peter Bjødstrup; Emneus, Martha

    2015-01-01

    The Danish National Diabetes Register (NDR) was established in 2006 and builds on data from Danish health registers. We validated the content of NDR, using full information from the Danish National Patient Register and data from the literature. Our study indicates that the completeness in NDR is ≥95% concerning ascertainment from data sources specific for diabetes, ie, prescriptions with antidiabetic drugs and diagnoses of diabetes in the National Patient Register. Since the NDR algorithm ignores diabetes-related hospital contacts terminated before 1990, the establishment of the date of inclusion is systematically delayed for ≥10% of the registrants in general and for ≥30% of the inclusions before 1997 in particular. This bias is enhanced for ascertainment by chiropody services and by frequent measurements of blood glucose because the date of reimbursement of services, rather than the date of encounter, has been taken as the date of inclusion in NDR. We also find that some 20% of the registrations in NDR may represent false positive inclusions of persons with frequent measurements of blood glucose without having diabetes. We conclude that NDR is a novel initiative to support research in the epidemiological and public health aspects of diabetes in Denmark, but we also present a list of recommended changes for improving validity, by reducing the impact of current sources of bias and misclassifications. PMID:25565889

  13. Effectiveness of progressive muscle relaxation therapy as a worksite health promotion program in the automobile assembly line.

    PubMed

    Sundram, Bala Murali; Dahlui, Maznah; Chinna, Karuthan

    2016-06-10

    The aim of this study was to examine the effectiveness of Progressive Muscle Relaxation (PMR) as part of a Worksite Health Promotion Program on self-perceived stress, anxiety and depression among male automotive assembly-line workers through a quasi-experimental trial. Two assembly plants were chosen with one receiving PMR therapy and the other Pamphlets. Intention-to-treat analysis was conducted to test the effectiveness of the relaxation therapy. Stress, Depression and Anxiety levels were measured using the shortened DASS-21 questionnaire. Data were analyzed using Chi-square, Independent sample t test and Repeated-measures analysis of variance to test the significance of the effects of intervention (time * group) for the measures of Stress, Depression and Anxiety. Significant favourable intervention effects on stress were found in the PMR group (Effect size=0.6) as compared to the Pamphlet group (Effect size=0.2). There was a significant group *time interaction effect (p<0.001) on Stress levels. Depression and Anxiety levels were minimal at baseline in both the groups with mild or no reduction in levels. The improvement in stress levels showed the potential of PMR therapy as a coping strategy at the workplace. Further research in this field is necessary to examine the beneficial effects of coping strategies in the workplace. PMID:26726829

  14. Health Behaviors and Overweight in Nursing Home Employees: Contribution of Workplace Stressors and Implications for Worksite Health Promotion

    PubMed Central

    Miranda, Helena; Gore, Rebecca J.; Boyer, Jon; Nobrega, Suzanne; Punnett, Laura

    2015-01-01

    Background. Many worksite health promotion programs ignore the potential influence of working conditions on unhealthy behaviors. Methods. A study of nursing home employees (56% nursing aides) utilized a standardized questionnaire. We analyzed the cross-sectional associations between workplace stressors and obesity, cigarette smoking, and physical inactivity. Results. Of 1506 respondents, 20% reported exposure to three or more workplace stressors (physical or organizational), such as lifting heavy loads, low decision latitude, low coworker support, regular night work, and physical assault. For each outcome, the prevalence ratio was between 1.5 and 2 for respondents with four or five job stressors. Individuals under age 40 had stronger associations between workplace stressors and smoking and obesity. Conclusions. Workplace stressors were strongly associated with smoking, obesity, and physical inactivity, even among the lowest-status workers. Current working conditions affected younger workers more than older workers. Although this study is cross-sectional, it has other strengths, including the broad range of work stressors studied. Strenuous physical work and psychosocial strain are common among low-wage workers such as nursing home aides. Workplace health promotion programs may be more effective if they include measures to reduce stressful work environment features, so that working conditions support rather than interfere with employee health. PMID:26380373

  15. A comparative approach to using the diabetes prevention program to reduce diabetes risk in a worksite setting.

    PubMed

    Dallam, George M; Foust, Carol P

    2013-03-01

    The rapidly increasing rate of non-insulin-dependent diabetes (NIDDM) among both market economy and developing countries is a worldwide health phenomenon. The number of diabetics worldwide has been projected to increase from 135 million in 1995 to 300 million in 2025. The purpose of this study was to examine the relative effectiveness of three different approaches to the implementation of the Diabetes Prevention Program, a standardized diabetes prevention curriculum, in various worksite organizations within a single community. The methods of implementation selected included an intensive one-on-one counseling approach, a support group meeting approach, and a passive transfer of information approach. The intervention was successful in creating significant mean improvements overall in the participants who completed the 26-week program as follows: (a) reduction in overall mean body weight and mean body mass index, (b) reduction in overall average mean arterial blood pressure, (c) reduction in overall mean diabetes risk score, and (d) increase in overall mean physical activity level. Although the largest proportion of these changes occurred in the one-on-one intervention group, significant changes in some factors were found in all groups. This illustrates the utility of an on-site and incentive-driven approach to diabetes risk factor modification in the workplace. PMID:22763893

  16. A Focus Group Assessment to Determine Motivations, Barriers and Effectiveness of a University-Based Worksite Wellness Program

    PubMed Central

    Hill-Mey, Patricia E.; Merrill, Ray M.; Kumpfer, Karol L.; Reel, Justine; Hyatt-Neville, Beverly

    2013-01-01

    Background: This study explores university employee perceptions and under­standing about its Worksite Health Promotion Program (WHPP). The WHPP included a Health Risk Appraisal (HRA), biometric screening, publicity for on-campus health programs and facilities, and health coaching. Methods: A qualitative design was used based on a grounded theory ap­proach. Four 90 minutes focus groups with 6-8 participants in each were conducted within a two 2 week period among employees, representing fac­ulty/participants, fac­ulty/nonparticipants, staff/participants, and staff/nonparticipants. Responses to questions about motivations, barriers, and perceived health benefits that impacted participation in the WHPP were digi­tally recorded, transcribed and coded for themes. Results: Incentives effectively motivated participation. Biometric screening had the largest impact on behavior change, followed by the information learned from the HRA. However, despite two-thirds of the employees partici­pating in the pro­gram, lack of a full understanding of WHPP benefits and services lowered partici­pation in follow-up services and supplemental pro­grams. Conclusions: Biometric screening and HRAs effectively motivate program par­ticipation. Communication of benefits and services are important when providing WHPPs. PMID:24688965

  17. Effectiveness of progressive muscle relaxation therapy as a worksite health promotion program in the automobile assembly line

    PubMed Central

    SUNDRAM, Bala Murali; DAHLUI, Maznah; CHINNA, Karuthan

    2015-01-01

    The aim of this study was to examine the effectiveness of Progressive Muscle Relaxation (PMR) as part of a Worksite Health Promotion Program on self-perceived stress, anxiety and depression among male automotive assembly-line workers through a quasi-experimental trial. Two assembly plants were chosen with one receiving PMR therapy and the other Pamphlets. Intention-to-treat analysis was conducted to test the effectiveness of the relaxation therapy. Stress, Depression and Anxiety levels were measured using the shortened DASS-21 questionnaire. Data were analyzed using Chi-square, Independent sample t test and Repeated-measures analysis of variance to test the significance of the effects of intervention (time * group) for the measures of Stress, Depression and Anxiety. Significant favourable intervention effects on stress were found in the PMR group (Effect size=0.6) as compared to the Pamphlet group (Effect size=0.2). There was a significant group *time interaction effect (p<0.001) on Stress levels. Depression and Anxiety levels were minimal at baseline in both the groups with mild or no reduction in levels. The improvement in stress levels showed the potential of PMR therapy as a coping strategy at the workplace. Further research in this field is necessary to examine the beneficial effects of coping strategies in the workplace. PMID:26726829

  18. Annoying Danish Relatives: Comprehension and Production of Relative Clauses by Danish Children with and without SLI

    ERIC Educational Resources Information Center

    Jensen De Lopez, Kristine; Olsen, Lone Sundahl; Chondrogianni, Vasiliki

    2014-01-01

    This study examines the comprehension and production of subject and object relative clauses (SRCs, ORCs) by children with Specific Language Impairment (SLI) and their typically developing (TD) peers. The purpose is to investigate whether relative clauses are problematic for Danish children with SLI and to compare errors with those produced by TD…

  19. Parenting among Wealthy Danish Families: A Concerted Civilising Process

    ERIC Educational Resources Information Center

    Bach, Dil

    2014-01-01

    This article explores the parenting practices of wealthy Danish families and offers insight into the workings of dominant parenting norms within contemporary Danish society. Based on ethnographic fieldwork conducted among 15 families living north of Copenhagen, Denmark, this article identifies the parenting strategies of people with ample…

  20. Statistical Learning in Emerging Lexicons: The Case of Danish

    ERIC Educational Resources Information Center

    Stokes, Stephanie F.; Bleses, Dorthe; Basboll, Hans; Lambertsen, Claus

    2012-01-01

    Purpose: This research explored the impact of neighborhood density (ND), word frequency (WF), and word length (WL) on the vocabulary size of Danish-speaking children. Given the particular phonological properties of Danish, the impact was expected to differ from that reported in studies on English and French. Method: The monosyllabic words in the…

  1. Educational Ambassadors in the Danish Trade Union Movement

    ERIC Educational Resources Information Center

    Keil, Michael

    2008-01-01

    The concept of Educational Ambassadors is embedded within the so-called "Danish model" of industrial relations. The Danish industrial relations system is characterised by strong collective organisations with national coverage, which conclude the collective agreements for various industries or sectors and which are mostly grouped under central…

  2. Screening for celiac disease in Danish adults

    PubMed Central

    Horwitz, Anna; Skaaby, Tea; Kårhus, Line Lund; Schwarz, Peter; Jørgensen, Torben; Rumessen, Jüri J.; Linneberg, Allan

    2015-01-01

    Abstract Objective. The prevalence of celiac disease (CD) as recorded in the Danish National Patient Registry is ∼50/100,000 persons. This is much lower than the reported prevalence of CD in other Nordic countries and underdiagnosis is suspected. Our aim was to estimate the prevalence of CD in a population-based study of Danish adults. Methods. A total of 2297 adults aged 24–76 years living in the southwestern part of Copenhagen were screened for CD by immunoglobulin (Ig)A and IgG antibodies to transglutaminases and deamidated gliadin. IgA/IgG-positive participants were invited to a clinical evaluation, including biopsies, by a gastroenterologist. Results. Of the invited 56 participants, 40 underwent a full clinical evaluation and 8 persons were diagnosed with CD; 2 of the 16 persons, who did not complete the clinical evaluation, were considered by experts to have probable CD. None of the above 56 participants had a known history of CD or a recorded diagnosis of CD in National Patient Registry. By combining cases of biopsy-proven CD (n = 8), probable CD (n = 2), and registry-recorded CD (n = 1), the prevalence of CD was estimated to be 479/100,000 (11/2297) persons (95% CI: 197–761). Conclusion. In this general adult population, the prevalence of CD as estimated by screening and clinical evaluation was 10 times higher than the registry-based prevalence of CD. Of 11 participants diagnosed with CD in our screening study, 10 were unaware of the diagnosis prior to the study. Thus, our study suggests that CD is markedly underdiagnosed in Danish adults. PMID:25687734

  3. Interpersonal violence: patterns in a Danish community.

    PubMed Central

    Hedeboe, J; Charles, A V; Nielsen, J; Grymer, F; Møller, B N; Møller-Madson, B; Jensen, S E

    1985-01-01

    We studied all cases of assault with violence (1,639) in a Danish population of 275,000 over a one-year period. Most victims were young men. The incidence rose during evenings, nights and weekends, and assaults were often seen in or around bars and restaurants. Women accounted for 64 per cent of all victims of assault in the home. Influence of alcohol was identified in 43 per cent of all cases. The fist was the most frequent agent of assault; use of firearms was a very rare act of violence but was associated with death in three out of five cases. There were 10 deaths in all. PMID:4003631

  4. Developing and Evaluating a Multimodal Course Format: Danish for Knowledge Workers--Labour Market-Related Danish

    ERIC Educational Resources Information Center

    Frederiksen, Karen-Margrete; Laursen, Katja Årosin

    2015-01-01

    This paper presents our reflections on developing the Computer-Assisted Language Learning (CALL) course "Danish for knowledge workers--labour market-related Danish." As defined by Laursen and Frederiksen (2015), knowledge workers are "highly educated people who typically work at universities, at other institutions of higher…

  5. [The effect of a health promotion program at the worksite--an approach to hyperlipoproteinemia in workers before middle age].

    PubMed

    Takata, Yasumitsu; Nakanishi, Rieko; Isoda, Chika; Niino, Mayumi; Maeda, Yuki

    2003-03-01

    A one-year educational program at the worksite was designed to reassess individual physical activities and acquire knowledge of hyperlipoproteinemia in workers aged 30, 35 and 40 who had increased serum cholesterol (CHO) or triglyceride (TG). A total of 420 subjects were selected in 8 yr. The mean percentage of attendance for the program consisting of measuring maximum oxygen uptake, a lecture on a healthy life, an eating-experience class and measuring serum lipid was 86, 59, 35 and 61%, respectively. The male subjects (214 subjects for 1 yr and 125 subjects for 5 yr) who had measured maximum oxygen uptake before the program and serum lipids before and after the program were studied. They were divided into three groups according to their lipoprotein phenotypes to compare the effect of the education on their blood lipid levels. In the type IIa group, the CHO value and low density lipoprotein (LDL)-CHO had decreased about 10 mg/dl at 1 yr (n = 117) and the latter remained decreased at 5 yr (n = 69). The CHO value had decreased in the type IIb group (n = 44) both at 1 (n = 44) and 5 yr (n = 25) although the TG value was decreased only at 1 yr. The average HDL value was significantly increased in the type IV group (n = 53) although the TG value was not improved in 5 yr (n = 32). The type IIb group showed an increase in BMI, increased % fat and decreased estimated maximum oxygen uptake value compared to those in the type IIa group. The number of smokers was the greatest in the type IV group. We observed different effects of the education on the blood lipid values and also different physique and life-habits among groups of three lipoprotein phenotypes in the workers before the middle age. It might be necessary to evaluate the effects of the educational program for ameliorating serum lipids in regard to the individual lipoprotein-phenotypes. PMID:12718096

  6. Non-smoking worksites in the residential construction sector: using an online forum to study perspectives and practices

    PubMed Central

    Bercovitz, Kim L

    2010-01-01

    Objectives Blue-collar workers are a recognised priority for tobacco control. Construction workers have very high smoking rates and are difficult to study and reach with interventions promoting smoke-free workplaces and cessation. The objectives of this study were to explore the smoking-related social climate in the North American residential construction sector and to identify potential barriers and facilitators to creating smokefree worksites. Methods The data source used was a popular internet forum on home building. Participants included a broad and unselected population of employers, employees and freelance tradespersons working in residential construction. The forum archive contained 10 years of discourse on the subjects of smoking, workplace secondhand smoke and smoking restrictions on construction sites. Qualitative data analysis methods were used to describe major and minor discussion themes relevant to workplace smoking culture and policies in this sector. Results Participants described considerable tension between smoking and non-smoking tradespersons, but there was also much interpersonal support for cessation and support for non-smokers' rights. Employers and employees described efforts to make construction sites smoke free, and a movement towards preferential hiring of non-smoking tradespersons was discussed. Board participants wanted detailed scientific evidence on secondhand smoke exposure levels and risk thresholds, particularly in open-air workplaces. Conclusions Experience with success of smoking bans in other challenging workplaces can be applied to the construction sector. Potential movement of smokers out of the workforce represents a challenge for public health systems to ensure equitable access to cessation supports and services. PMID:21118847

  7. A Multi-Worksite Analysis of the Relationships among Body Mass Index, Medical Utilization and Worker Productivity

    PubMed Central

    2010-01-01

    Background The relationships between worker health and productivity are becoming clearer. However, few large scale studies have measured the direct and indirect cost burden of overweight and obesity among employees using actual biometric values. Objective To quantify the direct medical and indirect (absence and productivity) cost burden of overweight and obesity in workers. Subjects A cross-sectional study of 10,026 employees in multiple professions and worksites across the U.S. Measures The main outcomes were five self-reported measures of workers’ annual healthcare use and productivity: doctor visits, emergency room visits, hospitalizations, absenteeism (days absent from work), and presenteeism (percent on-the-job productivity losses). Multivariate count and continuous data models (Poisson, negative binomial and zero-inflated Poisson) were estimated. Results After adjusting for covariates, obese employees had 20% higher doctor visits than normal weight employees (CI 16%, 24%, p < 0.01) and 26% higher emergency room visits (CI 11%, 42%, p < 0.01). Rates of doctor and emergency room visits for overweight employees were no different than those of normal weight employees. Compared to normal weight employees, presenteeism rates were 10% and 12% higher for overweight and obese employees, respectively (CI 5%, 15% and 5%, 19%, all p < 0.01). Taken together, compared to normal weight employees, obese and overweight workers were estimated to cost employers $644 and $201 more per employee per year, respectively. Conclusions This study provides evidence that employers face a financial burden imposed by obesity. Implementation of effective workplace programs for the prevention and management of excess weight will benefit employers and their workers. PMID:20061888

  8. Worksite Influences on Obesogenic Behaviors in Low-Wage Workers in St Louis, Missouri, 2013–2014

    PubMed Central

    Pizzorno, Galen; Kinghorn, Anna M.; Evanoff, Bradley A.

    2015-01-01

    Introduction More than one-third of US adults are obese. Workplace programs to reduce obesity and improve overall health are not available or accessible to all workers, particularly low-wage workers among whom obesity is more prevalent. The goal of the study was to identify modifiable workplace factors and behaviors associated with diet and exercise to inform future workplace interventions to improve health. Methods We distributed paper and online surveys to 2 groups of low-wage workers, hospital workers and retail sales workers, at the worksites. The surveys assessed obesity, obesogenic behaviors, workplace factors, and worker participation in workplace health programs (WHPs). Descriptive and regression analyses were conducted to examine workplace factors associated with obesogenic behaviors. Results A total of 529 surveys were completed (219 hospital workers and 310 retail workers). More than 40% of workers were obese and 27% were overweight. In general, workers had poor diets (frequent consumption of sugary and high-fat foods) and engaged in little physical activity (only 30.9% met recommended physical activity guidelines). Access to and participation in workplace health programs varied greatly between hospital and retail sales workers. We identified several modifiable workplace factors, such as food source and work schedule, that were associated with diet, exercise, or participation in workplace health programs. Conclusion This study illustrates the high prevalence of obesity and obesogenic behaviors workers in 2 low-wage groups. The differences between work groups indicated that each group had unique facilitators and barriers to healthy eating and exercise. An understanding of how socioeconomic, demographic, and work-related factors influence health will help to identify high-risk populations for intervention and to design interventions tailored and relevant to the target audiences. PMID:25950573

  9. Danish Ophthalmology - from start to 1865.

    PubMed

    Norn, Mogens

    2016-03-01

    This short paper mentioned the medical treatment using the 'holy' springs, the first 'eye doctor' in Denmark, the first picture of spectacles which was found in Viborg Cathedral of the high priest before he performs circumcisio praeputii on Jesus Christ, further cataract reclination in Denmark from around year zero and cataract extraction in 1667 in Denmark on a goose by Francisco Borri and on humans by the Danish Georg Heuermann in 1755. Epidemic military eye diseases in 1807, 1856 and 1865 are also described in this study. From 1856, a new ophthalmological period started in Denmark with the first eye hospital (lazaret only for eye diseases), and in 1864, patients with eye diseases were transported from the few beds in the surgical departments in the municipal hospital to the first civil eye department in Denmark, the eye hospital Sct. Annae in Copenhagen. The new scientific period started with Jacob Christian Bentz (ophthalmia granulosa, joint editor of the Danish Medical Journal) and Heinrich Lehmann. PMID:26899921

  10. Danish experiences on EIA of livestock projects

    SciTech Connect

    Christensen, Per . E-mail: pc@plan.aau.dk

    2006-07-15

    Since its introduction into Danish planning in 1989, Environmental Impact Assessment (EIA) has been widely discussed. At the centre of the debate has been the question of whether EIA actually offered anything new and there has been a great deal of scepticism about the efficacy of the instrument, especially when it comes to livestock projects. In an evaluation of the Danish EIA experience, we have looked more closely at how the EIA instruments function regarding livestock projects. This article addresses both the EIA process as well as the EIA screening. It is demonstrated that the EIA screening in its own right is a kind of regulatory instrument. Examining the assessments made during screening more closely, we conclude that there is still some way to go in order to make the assessment broader and more holistic in accordance with the ambitions set out in the EIA directive to contribute to a more sustainable development. Although the provisions laid down are the same the praxis related to the field has developed at a considerable speed. In order to understand this development we have closely examined how the decisions made by the Nature Protection Board of Appeal (NPBA) have been changed and conclude that these changes definitely address some of the shortcomings found in the evaluation.

  11. The physician's civil liability under Danish law.

    PubMed

    Fenger, N; Broberg, M

    1991-01-01

    The physician's liability in Danish law is based on negligence, which is assessed by the courts largely on the basis of expert opinions. Such opinions are provided primarily by the Medico-Legal Council rather than by experts selected by the parties. The evaluation of negligence is based on a "reasonable man" standard and the performance expected of a competent colleague; a hospital will be responsible for the negligence of its employees. The burden of proof generally lies with the plaintiff; negligence will not be presumed and the assessment of the evidence of negligence will be adapted to the individual situation, e.g. factors such as the degree of specialization involved, the time which the physician had at his disposal to make his decision and the resources available to him will be taken into consideration. The courts have shown themselves willing to allow for the fact that doctors differ, i.e. recognizing that there must be scope for reasonable discretion. Because the culpa principle is central, the standard applied to medical knowledge will be that which pertained at the time of the treatment. Where a non-specialist is confronted with a problem which may go beyond the knowledge of his limits and experience, he is under an obligation to refer the patient. The principle of informed consent to treatment is accepted in Danish law, but such consent will readily be considered to have been given tacitly. PMID:23511859

  12. Thyroid function in Danish greenhouse workers

    PubMed Central

    Toft, Gunnar; Flyvbjerg, Allan; Bonde, Jens Peter

    2006-01-01

    Background From animal studies it is known that currently used pesticides can disturb thyroid function. Methods In the present study we investigated the thyroid function in 122 Danish greenhouse workers, to evaluate if greenhouse workers classified as highly exposed to pesticides experiences altered thyroid levels compared to greenhouse workers with lower exposure. Serum samples from the greenhouse workers were sampled both in the spring and the fall to evaluate if differences in pesticide use between seasons resulted in altered thyroid hormone levels. Results We found a moderate reduction of free thyroxine (FT4) (10–16%) among the persons working in greenhouses with a high spraying load both in samples collected in the spring and the fall, but none of the other measured thyroid hormones differed significantly between exposure groups in the cross-sectional comparisons. However, in longitudinal analysis of the individual thyroid hormone level between the spring and the fall, more pronounced differences where found with on average 32% higher thyroid stimulating hormone (TSH) level in the spring compared to the fall and at the same time a 5–9% lower total triiodthyroxin (TT3), free triiodthyroxine (FT3) and FT4. The difference between seasons was not consistently more pronounced in the group classified as high exposure compared to the low exposure groups. Conclusion The present study indicates that pesticide exposure among Danish greenhouse workers results in only minor disturbances of thyroid hormone levels. PMID:17147831

  13. Effectiveness of an intervention at construction worksites on work engagement, social support, physical workload, and need for recovery: results from a cluster randomized controlled trial

    PubMed Central

    2012-01-01

    Background To prolong sustainable healthy working lives of construction workers, a worksite prevention program was developed which aimed to improve the health and work ability of construction workers. The aim of the current study was to investigate the effectiveness of this program on social support at work, work engagement, physical workload and need for recovery. Methods Fifteen departments from six construction companies participated in this cluster randomized controlled trial; 8 departments (n=171 workers) were randomized to an intervention group and 7 departments (n=122 workers) to a control group. The intervention consisted of two individual training sessions of a physical therapist to lower the physical workload, a Rest-Break tool to improve the balance between work and recovery, and two empowerment training sessions to increase the influence of the construction workers at the worksite. Data on work engagement, social support at work, physical workload, and need for recovery were collected at baseline, and at three, six and 12 months after the start of the intervention using questionnaires. Results No differences between the intervention and control group were found for work engagement, social support at work, and need for recovery. At 6 months follow-up, the control group reported a small but statistically significant reduction of physical workload. Conclusion The intervention neither improved social support nor work engagement, nor was it effective in reducing the physical workload and need for recovery among construction workers. Trial registration NTR1278 PMID:23171354

  14. Effectiveness of a Worksite Mindfulness-Related Multi-Component Health Promotion Intervention on Work Engagement and Mental Health: Results of a Randomized Controlled Trial

    PubMed Central

    van Berkel, Jantien; Boot, Cécile R. L.; Proper, Karin I.; Bongers, Paulien M.; van der Beek, Allard J.

    2014-01-01

    Objectives The aim of the present study was to evaluate the effectiveness of a worksite mindfulness-related multi-component health promotion intervention on work engagement, mental health, need for recovery and mindfulness. Methods In a randomized controlled trial design, 257 workers of two research institutes participated. The intervention group (n = 129) received a targeted mindfulness-related training, followed by e-coaching. The total duration of the intervention was 6 months. Data on work engagement, mental health, need for recovery and mindfulness were collected using questionnaires at baseline and after 6 and 12 months follow-up. Effects were analyzed using linear mixed effect models. Results There were no significant differences in work engagement, mental health, need for recovery and mindfulness between the intervention and control group after either 6- or 12-months follow-up. Additional analyses in mindfulness-related training compliance subgroups (high and low compliance versus the control group as a reference) and subgroups based on baseline work engagement scores showed no significant differences either. Conclusions This study did not show an effect of this worksite mindfulness-related multi-component health promotion intervention on work engagement, mental health, need for recovery and mindfulness after 6 and 12 months. Trial registration Netherlands Trial Register NTR2199 PMID:24489648

  15. A conceptual model for worksite intelligent physical exercise training - IPET - intervention for decreasing life style health risk indicators among employees: a randomized controlled trial

    PubMed Central

    2014-01-01

    Background Health promotion at the work site in terms of physical activity has proven positive effects but optimization of relevant exercise training protocols and implementation for high adherence are still scanty. Methods/Design The aim of this paper is to present a study protocol with a conceptual model for planning the optimal individually tailored physical exercise training for each worker based on individual health check, existing guidelines and state of the art sports science training recommendations in the broad categories of cardiorespiratory fitness, muscle strength in specific body parts, and functional training including balance training. The hypotheses of this research are that individually tailored worksite-based intelligent physical exercise training, IPET, among workers with inactive job categories will: 1) Improve cardiorespiratory fitness and/or individual health risk indicators, 2) Improve muscle strength and decrease musculoskeletal disorders, 3) Succeed in regular adherence to worksite and leisure physical activity training, and 3) Reduce sickness absence and productivity losses (presenteeism) in office workers. The present RCT study enrolled almost 400 employees with sedentary jobs in the private as well as public sectors. The training interventions last 2 years with measures at baseline as well as one and two years follow-up. Discussion If proven effective, the intelligent physical exercise training scheduled as well as the information for its practical implementation can provide meaningful scientifically based information for public health policy. Trial Registration ClinicalTrials.gov, number: NCT01366950. PMID:24964869

  16. Systematic review on the financial return of worksite health promotion programmes aimed at improving nutrition and/or increasing physical activity.

    PubMed

    van Dongen, J M; Proper, K I; van Wier, M F; van der Beek, A J; Bongers, P M; van Mechelen, W; van Tulder, M W

    2011-12-01

    This systematic review summarizes the current evidence on the financial return of worksite health promotion programmes aimed at improving nutrition and/or increasing physical activity. Data on study characteristics and results were extracted from 18 studies published up to 14 January 2011. Two reviewers independently assessed the risk of bias of included studies. Three metrics were (re-)calculated per study: the net benefits, benefit cost ratio (BCR) and return on investment (ROI). Metrics were averaged, and a post hoc subgroup analysis was performed to compare financial return estimates between study designs. Four randomized controlled trials (RCTs), 13 non-randomized studies (NRSs) and one modelling study were included. Average financial return estimates in terms of absenteeism benefits (NRS: ROI 325%, BCR 4.25; RCT: ROI -49%, BCR 0.51), medical benefits (NRS: ROI 95%, BCR 1.95; RCT: ROI -112%, BCR -0.12) or both (NRS: ROI 387%, BCR 4.87; RCT: ROI -92%, BCR 0.08) were positive in NRSs, but negative in RCTs. Worksite health promotion programmes aimed at improving nutrition and/or increasing physical activity generate financial savings in terms of reduced absenteeism costs, medical costs or both according to NRSs, whereas they do not according to RCTs. Since these programmes are associated with additional types of benefits, conclusions about their overall profitability cannot be made. PMID:21883870

  17. Using a low-cost, prize-drawing incentive to improve recruitment rate at a work-site smoking cessation clinic.

    PubMed

    Emont, S L; Cummings, K M

    1992-08-01

    A major obstacle in promoting smoking cessation programs through work sites is recruiting adequate numbers of smokers. We used a quasi-experimental design to evaluate the effect of a low-cost incentive (a prize drawing) for attracting participants to a smoking cessation clinic offered at multiple work sites. Sixty-eight automobile dealerships were randomized to either a "prize" or control group. Smokers employed at work sites in the prize group were offered a chance to win a dinner for two for participating in a smoking cessation clinic. In November 1986, a questionnaire assessing tobacco use habits was sent to 3432 employees of the 68 work sites. A cohort of 844 smokers was identified from a total of 1986 employees who returned surveys. All smokers received registration materials to participate, free of charge, in one of three smoking cessation programs held in June 1987. The overall employee participation rate in the smoking cessation program was 6.6% (n = 56) with an overall work-site participation rate of 37.3% (n = 25). The rate was nearly identical in the "prize" and control groups (employee rate: 6.3% versus 6.7%; work-site rate: 39.4% versus 35.3%, respectively). PMID:1506933

  18. Annoying Danish relatives: comprehension and production of relative clauses by Danish children with and without SLI.

    PubMed

    Jensen De López, Kristine; Sundahl Olsen, Lone; Chondrogianni, Vasiliki

    2014-01-01

    This study examines the comprehension and production of subject and object relative clauses (SRCs, ORCs) by children with Specific Language Impairment (SLI) and their typically developing (TD) peers. The purpose is to investigate whether relative clauses are problematic for Danish children with SLI and to compare errors with those produced by TD children. Eighteen children with SLI, eighteen TD age-matched (AM) and nine TD language-matched (LM) Danish-speaking children participated in a comprehension and in a production task. All children performed better on the comprehension compared with the production task, as well as on SRCs compared to ORCs and produced various avoidance strategies. In the ORC context, children with SLI produced more reversal errors than the AM children, who opted for passive ORCs. These results are discussed within current theories of SLI and indicate a deficiency with the assignment of thematic roles rather than with the structural make-up of RCs. PMID:23200200

  19. Evaluation of environmental management resources (ISO 14001) at civil engineering construction worksites: a case study of the community of Madrid.

    PubMed

    Rodríguez, Gracia; Alegre, Francisco Javier; Martínez, Germán

    2011-07-01

    In recent years, significant advances have been made in business organization and management. The growing demands of clients as well as the globalization of world markets are among the many factors that have led to the establishment of systems of quality control and environmental management as a competitive strategy for businesses. When compared to other professional sectors, the construction sector has been slower to respond to environmental problems and to adopt Environmental Management Systems (EMS). In the world today the ISO 14001 standard is currently the main frame of reference used by construction companies to implement this type of management system. This article presents the results of a general study regarding the evaluation of the application of the ISO 14001 standard at civil engineering construction worksites in the Community of Madrid (Spain), specifically pertaining to requirement 4.4.1, Resources, roles, responsibilities, and authority. According to requirement 4.4.1, company executives should appoint people responsible for implementing the EMS and also specify their responsibilities and functions. The personnel designated for supervising environmental work should also have sufficient authority to establish and maintain the EMS. The results obtained were the following: - EMS supervisors did not generally possess adequate training and solid experience in construction work and in the environment. Furthermore, supervisors were usually forced to combine their environmental work with other tasks, which made their job even more difficult. - Generally speaking, supervisors were not given sufficient authority and autonomy because productivity at the construction site had priority over environmental management. This was due to the fact that the company management did not have a respectful attitude toward the environment, nor was the management actively involved in the establishment of the EMS. - Insufficient resources were allocated to the Environmental

  20. Is the Danish wind energy model replicable for other countries?

    SciTech Connect

    Sovacool, Benjamin K.; Lindboe, Hans H.; Odgaard, Ole

    2008-03-15

    Though aspects of the Danish wind energy model are unique, policymakers might do well to imitate such aspects as a strong political commitment, consistent policy mechanisms, and an incremental, ''hands-on'' approach to R and D. (author)

  1. Explicit Sex--Liberation or Exploitation: Danish "Permissiveness" Revisited

    ERIC Educational Resources Information Center

    Bachy, Victor

    1976-01-01

    Reviews various Danish legislative actions leading up to the lifting of the ban on pornography, and discusses possible consequences of such liberalization by analyzing police statistics from a five year period. (MH)

  2. House dust in seven Danish offices

    NASA Astrophysics Data System (ADS)

    Mølhave, L.; Schneider, T.; Kjærgaard, S. K.; Larsen, L.; Norn, S.; Jørgensen, O.

    Floor dust from Danish offices was collected and analyzed. The dust was to be used in an exposure experiment. The dust was analyzed to show the composition of the dust which can be a source of airborne dust indoors. About 11 kg of dust from vacuum cleaner bags from seven Danish office buildings with about 1047 occupants (12 751 m 2) was processed according to a standardized procedure yielding 5.5 kg of processed bulk dust. The bulk dust contained 130.000-160.000 CFU g -1 microorganisms and 71.000-90.000 CFU g -1 microfungi. The content of culturable microfungi was 65-123 CFU 30 g -1 dust. The content of endotoxins ranged from 5.06-7.24 EU g -1 (1.45 ng g -1 to 1.01 ng g -1). Allergens (ng g -1) were from 147-159 (Mite), 395-746 (dog) and 103-330 (cat). The macro molecular organic compounds (the MOD-content) varied from 7.8-9.8 mg g -1. The threshold of release of histamine from basophil leukocytes provoked by the bulk dust was between 0.3 and 1.0 mg ml -1. The water content was 2% (WGT) and the organic fraction 33%. 6.5-5.9% (dry) was water soluble. The fiber content was less than 0.2-1.5% (WGT) and the desorbable VOCs was 176-319 μg g -1. Most of the VOC were aldehydes. However, softeners for plastic (DBP and DEHP) were present. The chemical composition includes human and animal skin fragments, paper fibers, glass wool, wood and textilefibers and inorganic and metal particles. The sizes ranged from 0.001-1 mm and the average specific density was 1.0 g m -3. The bulk dust was resuspended and injected into an exposure chamber. The airborne dust was sampled and analyzed to illustrate the exposures that can result from sedimented dirt and dust. The airborne dust resulting from the bulk dust reached concentrations ranging from 0.26-0.75 mg m -3 in average contained 300-170 CFU m -3. The organic fraction was from 55-70% and the water content about 2.5% (WGT). The content of the dust was compared to the similar results reported in the literature and its toxic potency is

  3. Effectiveness of 6 Months of Tailored Text Message Reminders for Obese Male Participants in a Worksite Weight Loss Program: Randomized Controlled Trial

    PubMed Central

    Oh, Sohee; Steinhubl, Steven; Kim, Sohye; Bae, Woo Kyung; Han, Jong Soo; Kim, Jeong-Hyun; Lee, Keehyuck; Kim, Mi Jin

    2015-01-01

    Background Worksite nutrition and physical activity interventions are important to help overweight and obese employees lose weight, but costs and insufficient sustained motivation prevent the majority of these programs from succeeding. Tailored text messaging in aiding weight management has been effective in several studies, but no studies have evaluated the effect of a tailored text message service on weight loss in a worksite health promotion program. Objective We studied the efficacy of a tailored text-messaging intervention for obese male participants in a worksite weight loss program of 6 months duration. Methods The study was an unblinded, randomized controlled trial. Men with a body mass index greater than 25 kg/m2 were recruited from the Korea District Heating Corporation, the Korea Expressway Corporation, and the Korea Gas Corporation. The participants were identified by nurse managers. Participants were randomly allocated to 1 of the following 2 groups for 24 weeks: (1) intervention group, which received tailored text message reminders every other day plus 4 offline education sessions and brief counseling with monthly weight check by nurses for weight control over 6 months and (2) control group, which received the 4 offline education sessions and brief counseling with monthly weight check by nurses about weight control over 6 months. The primary outcome was the difference in weight loss at 6 months. A mixed-model repeated-measures analysis was performed to evaluate the effect of the intervention group’s weight loss compared with the control group. Results A total of 205 obese men were randomized into either the intervention (n=104) or the control group (n=101). At the end of 6 months, the intervention group (n=63) had lost 1.71 kg (95% CI –2.53 to –0.88) and the control group (n=59) had lost 1.56 kg (95% CI –2.45 to –0.66); the difference between the 2 groups was not significant (mean difference –0.15, 95% CI –1.36 to 1.07). At the end of

  4. Long Term Effects on Risk Factors for Cardiovascular Disease after 12-Months of Aerobic Exercise Intervention - A Worksite RCT among Cleaners

    PubMed Central

    Korshøj, Mette; Lidegaard, Mark; Krustrup, Peter; Jørgensen, Marie Birk; Søgaard, Karen; Holtermann, Andreas

    2016-01-01

    Objectives Occupational groups exposed to high occupational physical activity have an increased risk for cardiovascular disease (CVD). This may be explained by the high relative aerobic workload. Enhanced cardiorespiratory fitness reduces the relative aerobic workload. Thus, the aim was to evaluate the 12-months effects of worksite aerobic exercise on risk factors for CVD among cleaners. Methods One hundred and sixteen cleaners aged 18–65 years were randomized to a group performing aerobic exercise and a reference group receiving lectures. Outcomes were collected at baseline and after 12-months. A repeated measures 2×2 multi-adjusted mixed-model design was applied to compare the between-group differences using intention-to-treat analysis. Results Between-group differences (p<0.05) were found favouring the aerobic exercise group: cardiorespiratory fitness 2.15 (SE 1.03) mlO2/min/kg, aerobic workload -2.15 (SE 1.06) %HRR, resting HR -5.31 (SE 1.61) beats/min, high sensitive C-reactive protein -0.65 (SE 0.24) μg/ml. The blood pressure was unaltered. Stratified analyses on relative aerobic workload at baseline revealed that those with relative aerobic workloads ≥30% of HRR seems to impose a notable adverse effect on resting and ambulatory blood pressure. Conclusion This long-term worksite aerobic exercise intervention among cleaners led to several beneficial effects, but also potential adverse effects among those with high relative aerobic workloads. Trial Registration Controlled-Trials.com ISRCTN86682076 PMID:27513932

  5. The promotion of physical activity in the United States population: the status of programs in medical, worksite, community, and school settings.

    PubMed Central

    Iverson, D C; Fielding, J E; Crow, R S; Christenson, G M

    1985-01-01

    While the medical care encounter is considered an ideal situation in which patients are encouraged to increase their physical activity levels, very little research has been conducted in this setting. In fact, with the exception of the physical activity components of cardiac rehabilitation programs, few formal physical activity programs are available in medical care settings. Although the workplace is currently the focus of the greatest interest by those persons who implement physical activity programs, there is little precision in defining what constitutes a worksite physical activity program. A number of researchers and authors, using program experience rather than empirical findings, have described what they believe to be the important components of successful worksites health promotion and physical education programs. The greatest variety of physical activity programs are found in community settings. They are offered by a number of nonprofit private organizations, nonprofit public agencies, and for-profit organizations. While relatively little research has been done concerning changes in the community environment, it is clear that such changes can effect community participation. Community campaigns to increase physical activity have been studied, and it appears that they clearly affect residents' interest and awareness in physical activity, but they do not have a major effect on behavioral changes in the short term. It appears that a major opportunity to influence favorable physical activity in the United States is being missed in schools. A large majority of students are enrolled in physical education classes, but the classes appear to have little effect on the current physical fitness levels of children and, furthermore, have little impact on developing life-long physical activity skills. PMID:3920720

  6. Occurrence of Ionophores in the Danish Environment

    PubMed Central

    Bak, Søren Alex; Björklund, Erland

    2014-01-01

    Antibiotics in the environment are a potential threat to environmental ecosystems as well as human health and safety. Antibiotics are designed to have a biological effect at low doses, and the low levels detected in the environment have turned focus on the need for more research on environmental occurrence and fate, to assess the risk and requirement for future regulation. This article describes the first occurrence study of the antibiotic polyether ionophores (lasalocid, monensin, narasin, and salinomycin) in the Danish environment. Various environmental matrices (river water, sediment, and soil) have been evaluated during two different sampling campaigns carried out in July 2011 and October 2012 in an agricultural area of Zealand, Denmark. Lasalocid was not detected in any of the samples. Monensin was measured at a concentration up to 20 ng·L−1 in river water and 13 µg·kg−1 dry weight in the sediment as well as being the most frequently detected ionophore in the soil samples with concentrations up to 8 µg·kg−1 dry weight. Narasin was measured in sediment samples at 2 µg·kg−1 dry weight and in soil between 1 and 18 µg·kg−1 dry weight. Salinomycin was detected in a single soil sample at a concentration of 30 µg·kg−1 dry weight.

  7. The Danish National Lymphoma Registry: Coverage and Data Quality

    PubMed Central

    Arboe, Bente; El-Galaly, Tarec Christoffer; Clausen, Michael Roost; Munksgaard, Peter Svenssen; Stoltenberg, Danny; Nygaard, Mette Kathrine; Klausen, Tobias Wirenfeldt; Christensen, Jacob Haaber; Gørløv, Jette Sønderskov; Brown, Peter de Nully

    2016-01-01

    Background The Danish National Lymphoma Register (LYFO) prospectively includes information on all lymphoma patients newly diagnosed at hematology departments in Denmark. The validity of the clinical information in the LYFO has never been systematically assessed. Aim To test the coverage and data quality of the LYFO. Methods The coverage was tested by merging data of the LYFO with the Danish Cancer Register and the Danish National Patient Register, respectively. The validity of the LYFO was assessed by crosschecking with information from medical records in subgroups of patients. A random sample of 3% (N = 364) was made from all patients in the LYFO. In addition, four subtypes of lymphomas were validated: CNS lymphomas, diffuse large B-cell lymphomas, peripheral T-cell lymphomas, and Hodgkin lymphomas. A total of 1,706 patients from the period 2000–2012 were included. The positive predictive values (PPVs) and completeness of selected variables were calculated for each subgroup and for the entire cohort of patients. Results The comparison of data from the LYFO with the Danish Cancer Register and the Danish National Patient Register revealed a high coverage. In addition, the data quality was good with high PPVs (87% to 100%), and high completeness (92% to 100%). Conclusion The LYFO is a unique, nationwide clinical database characterized by high validity, good coverage and prospective data entry. It represents a valuable resource for future lymphoma research. PMID:27336800

  8. Visual impairment in Danish children 1985.

    PubMed

    Rosenberg, T

    1987-02-01

    In 1985 150 children aged 0-18 were reported to the Danish National Register for Visually Impaired Children. Cross tabulation of the ophthalmological diagnoses by site and type of affection was performed with respect to year of birth, aetiology, visual acuity and birth weight. Finally the relations between aetiology and the presence of additional handicaps are demonstrated. The 'incidence of notification' (IN) was calculated for each birth year as the number of notified children per 100,000 within each birth year group showing variations between 46 in the 1984 birth year group and 3 in the 1970 birth year group with a mean value of 14. The figures stress the impact of congenital and neonatal visual impairment. The significance of IN is discussed with respect to other concepts of incidence. It is concluded that the presented epidemiological method is useful as a tool of analysis in the planning of preventional strategies. From the tables the following main features may be highlighted: Nearly 90% of the blinding causes anatomically are located in the posterior segment of the eye, the optic pathways or in the brain. Isolated visual handicap was notified in 34% of the children, while another 48% presented central nervous system involvement. From an aetiological point of view it is noteworthy that no specific aetiology could be encircled in 38% of the material. In conclusion, it is proposed that future lines of ophthalmological work in the prevention of visual handicap in childhood should concentrate on a higher degree of specificity in diagnostic procedures and an intensified search for specific aetiologies in every single child with visual impairment. PMID:3577699

  9. The Nature of "Udeskole": Outdoor Learning Theory and Practice in Danish Schools

    ERIC Educational Resources Information Center

    Bentsen, Peter; Jensen, Frank Sondergaard

    2012-01-01

    An increasing number of Danish teachers have started introducing school-based outdoor learning as a weekly or biweekly "outdoor school" day for school children--often called "udeskole" in Danish. Although at least 14% of Danish schools practise this form of outdoor teaching with some classes, it is not mentioned in the national curriculum and…

  10. Early Vocabulary Development in Danish and other Languages: A CDI-Based Comparison

    ERIC Educational Resources Information Center

    Bleses, Dorthe; Vach, Werner; Slott, Malene; Wehberg, Sonja; Thomsen, Pia; Madsen, Thomas O.; Basboll, Hans

    2008-01-01

    The main objective of this paper is to describe the trajectory of Danish children's early lexical development relative to other languages, by comparing a Danish study based on the Danish adaptation of "The MacArthur-Bates Communicative Development Inventories" (CDI) to 17 comparable CDI-studies. The second objective is to address the feasibility…

  11. Semantic Categorization of Placement Verbs in L1 and L2 Danish and Spanish

    ERIC Educational Resources Information Center

    Cadierno, Teresa; Ibarretxe-Antuñano, Iraide; Hijazo-Gascón, Alberto

    2016-01-01

    This study investigates semantic categorization of the meaning of placement verbs by Danish and Spanish native speakers and two groups of intermediate second language (L2) learners (Danish learners of L2 Spanish and Spanish learners of L2 Danish). Participants described 31 video clips picturing different types of placement events. Cluster analyses…

  12. Variable prospective financing in the Danish hospital sector and the development of a Danish case-mix system.

    PubMed

    Ankjaer-Jensen, Anni; Rosling, Pernille; Bilde, Lone

    2006-08-01

    This article aims to describe and assess the Danish case-mix system, the cost accounting applied in setting national tariffs and the introduction of variable, prospective payment in the Danish hospital sector. The tariffs are calculated as a national average from hospital data gathered in a national cost database. However, uncertainty, mainly resulting from the definition of cost centres at the individual hospital, implies that the cost weights may not fully reflect the hospital treatment cost. As variable prospective payment of hospitals currently only applies to 20% of a hospital's budget, the incentives and the effects on productivity, quality and equality are still limited. PMID:17016932

  13. Society and Education on St. Croix: The Danish Period.

    ERIC Educational Resources Information Center

    Bramson, Leon

    Review of the history of education on the West Indian island of St. Croix from the 18th century to 1917 can contribute insights into the impact of schooling on social change. During this 200 year period, St. Croix changed from a Danish colony dependent upon plantation slavery to a poverty stricken American protectorate peopled by emancipated…

  14. The Emergence of the "s"-Genitive in Danish

    ERIC Educational Resources Information Center

    Perridon, Harry

    2013-01-01

    The -"s" genitives of English and Swedish play an important role in grammaticalization theory, as they are often used as counterexamples to the main tenet of that theory, viz. that grammatical change is unidirectional. In this paper I look at the emergence of the -"s" genitive in Danish, hoping that it may shed some new light on the evolution of…

  15. The Irreversible Process of University "Democratization": The Danish Case.

    ERIC Educational Resources Information Center

    Pedersen, Mogens N.

    1988-01-01

    The Danish experience with university democratization suggests that the process is irreversible and that its progress is determined by how the initial change was begun two decades ago. It is also proposed that government attempts to intervene and revoke traditional institutional autonomy threaten to invalidate the progress made. (Author/MSE)

  16. Independent School Success Challenging the Danish Public School System

    ERIC Educational Resources Information Center

    Ringsmose, Charlotte

    2013-01-01

    Denmark has had a long history of placing a high priority on education and public schooling. It is a declared goal of the Danish welfare system to provide comprehensive schooling, where children from different socioeconomic backgrounds can go to school together and have the same opportunities through education. It is also a declared goal for…

  17. Morphological Effects in Auditory Word Recognition: Evidence from Danish

    ERIC Educational Resources Information Center

    Balling, Laura Winther; Baayen, R. Harald

    2008-01-01

    In this study, we investigate the processing of morphologically complex words in Danish using auditory lexical decision. We document a second critical point in auditory comprehension in addition to the Uniqueness Point (UP), namely the point at which competing morphological continuation forms of the base cease to be compatible with the input,…

  18. Outside the Box: The Danish Folkehojskole as Educational Innovator

    ERIC Educational Resources Information Center

    Collins, John

    2013-01-01

    Travelling between various Scandinavian adult educational institutions in 1978, the author, John Collins, picked up a couple of hitchhikers--Danish students returning to their school after a short vacation period. As they neared the Funen Island harbour village, which was their destination, the students invited Collins to visit their school. What…

  19. Evaluation of the Danish Leave Schemes. Summary of a Report.

    ERIC Educational Resources Information Center

    Andersen, Dines; Appeldorn, Alice; Weise, Hanne

    An evaluation examined how the Danish leave schemes, an offer to employed and unemployed persons who qualify for unemployment benefits, were functioning and to what extent the objectives have been achieved. It was found that 60 percent of those taking leave had previously been unemployed; women accounted for two-thirds of those joining the scheme;…

  20. Characterizing workers participating in a worksite wellness health screening program using blood pressure control, self-monitoring, medication adherence, depression, and exercise.

    PubMed

    Breaux-Shropshire, Tonya Lynn; Whitt, Lauren; Griffin, Russell L; Shropshire, Angele Trenese; Calhoun, David A

    2014-07-01

    Blood pressure control remains a serious public health issue because hypertension is the most common risk factor for cardiovascular disease. Effective management of hypertension often requires lifestyle modification and medication adherence. The objective of this study was to identify the prevalence of blood pressure control, medication adherence, self-monitoring of blood pressure, depression, and exercise among workers with access to health resources. Faculty and staff (N = 484) from a university and health care institution in the southeastern United States participated in biometric and questionnaire screening. The researchers used initial screening data from this worksite wellness program to describe baseline blood pressure control (< 140/90 mm Hg), self-monitoring of blood pressure, medication adherence, depression, and exercise. Overall, 63% of the workers' blood pressure was controlled; however, 23% of the sample had been prescribed antihypertensive medication to control their blood pressure. Thirty percent of the sample reported practicing blood pressure self-monitoring, 72.2% reported that they exercised, and 22% reported feeling down and depressed. More than half (64.9%) who used prescribed antihypertensive medication reported adherence to these medications. PMID:25000548

  1. CVD Prevention Through Policy: a Review of Mass Media, Food/Menu Labeling, Taxation/Subsidies, Built Environment, School Procurement, Worksite Wellness, and Marketing Standards to Improve Diet.

    PubMed

    Afshin, Ashkan; Penalvo, Jose; Del Gobbo, Liana; Kashaf, Michael; Micha, Renata; Morrish, Kurtis; Pearson-Stuttard, Jonathan; Rehm, Colin; Shangguan, Siyi; Smith, Jessica D; Mozaffarian, Dariush

    2015-11-01

    Poor diet is the leading cause of cardiovascular disease in the USA and globally. Evidence-based policies are crucial to improve diet and population health. We reviewed the effectiveness for a range of policy levers to alter diet and diet-related risk factors. We identified evidence to support benefits of focused mass media campaigns (especially for fruits, vegetables, salt), food pricing strategies (both subsidies and taxation, with stronger effects at lower income levels), school procurement policies (for increasing healthful or reducing unhealthful choices), and worksite wellness programs (especially when comprehensive and multicomponent). Evidence was inconclusive for food and menu labeling (for consumer or industry behavior) and changes in local built environment (e.g., availability or accessibility of supermarkets, fast food outlets). We found little empiric evidence evaluating marketing restrictions, although broad principles and large resources spent on marketing suggest utility. Widespread implementation and evaluation of evidence-based policy strategies, with further research on other strategies with mixed/limited evidence, are essential "population medicine" to reduce health and economic burdens and inequities of diet-related illness worldwide. PMID:26370554

  2. Shared experience in 13 local Danish EPR projects: the Danish EPR Observatory.

    PubMed

    Nøhr, C; Kristensen, M; Andersen, S K; Vingtoft, S; Lippert, S; Berstein, K; Bruun-Rasmussen, M

    2001-01-01

    In 1996 a national strategy for the development of electronic patient records (EPR) for the Danish hospitals and primary care was launched. An element in the strategy was to support a number of regional EPR development projects. The EPR-Observatory has in the two recent years collected data from the regional projects, dealing with the expectations in four areas: 1) Impact on organisational issues, 2) Benefits of EPR, 3) Integration of EPR with other information systems and 4) security aspects of EPR. Among the observations an increasing teamwork and im-proved knowledge about the patient was found. What was expected, but not found, was resistance to EPR, as a result of changes in skills and power. The most obvious benefits are increased data accessibility and improved decision ma-king. The most considerable disadvantage is an enormous growth in discontent with the systems performance and the fact, that all the projects are delayed. Many different types of integration solutions are chosen, because of a lack of a common model for integration. Generally the projects find, that EPJ yields increased security, but logistical problems arise in having the systems running 24 hours 7 days a week. Economical benefits cannot be documented. This relates to the fact, that the regional projects are stand-alone projects. The ongoing growth in discontent with the EPR-systems and the fact, that all the projects are delayed must be subject to further exploration. PMID:11604822

  3. [Early achievements of the Danish pharmaceutical industry-6 Pharmacia].

    PubMed

    Grevsen, Jørgen V; Kruse, Edith; Kruse, Poul R

    2014-01-01

    The article series provides a written and pictorial account of the Danish pharmaceutical industry's products from their introduction until about 1950. Part 6 deals with products from A/S Pharmacia. A/S Pharmacia was established in Copenhagen in 1922 as a Danish limited company by the enterprising pharmacist Edward Jacobsen. Pharmacia was not Jacobsen's first pharmaceutical company as previously he had established a pharmaceutical agency already in 1913 which in 1919 was reorganized to a limited company by the name of A/S Edward Jacobsen. This agency was later extended to include a production of generics. Jacobsen remained the co-owner and manager of Pharmacia until 1934 where he resigned and established another company, A/S Ejco, for the manufacture of generics. It is worth mentioning that already in 1911 a Swedish pharmaceutical company was established named AB Pharmacia. Today we do not know whether Edward Jacobsen knew about this Swedish company. Later on in 1936 AB Pharmacia and A/S Pharmacia made a contract concerning mutual market sharing, and a research cooperation was brought about between the two companies which resulted in an increase of turnover for A/S Pharmacia. In 1955 the cooperation between the two companies was increased as the Swedish company joined as principal shareholder with the purpose of continuing and developing the Danish company as an independent pharmaceutical company with its own research and development as well as manufacture, control and marketing. Therefore Pharmacia in Denmark was able to establish a synthesis factory in Koge and move the domicile to new premises in Hillered. In 1993 Pharmacia was presented in a printed matter as "The largest Nordic pharmaceutical company" as a result of the merger between the Swedish Kabi Pharmacia, formerly established by a merger between Kabi Vitrum and AB Pharmacia, and the Italian Farmitalia Carlo Erba. Only two years later in 1995 Pharmacia merged with the American pharmaceutical company The

  4. Recent changes in Danish law on drugs and drug offences.

    PubMed

    Jepsen, J; Laursen, L

    1998-09-01

    The article recounts changes in Danish Drug Law and Enforcement since the beginning of the 1990s and relates them to general trends in Danish criminal policy during the period. In addition to the implementation of EU directives, e.g. on money laundering and growth hormones, legislation has been passed to curb conspicuous dealing of drugs in the streets of Copenhagen. This part of the legislation is seen as a reaction to public fears and reactions to visible aliens dealing in drugs in a conspicuous way, albeit in minor quantities. The legal changes imply a considerable rise in penalties for repeated dealings in minor quantities and easier access to deportation of aliens. The latter has been criticized as potential violation of the human rights of aliens. This and other recent changes in criminal law and related legislation is seen as an indication of politicians' concerns with voters' anxieties, possibly at the edge of moral panics. PMID:9742273

  5. [Early achievements of the Danish pharmaceutical industry--3. Alfred Benzon].

    PubMed

    Grevsen, Jørgen V; Kirkegaard, Hanne; Kruse, Edith; Kruse, Poul R

    2011-01-01

    The article series provides a written and pictorial account of the Danish pharmaceutical industry's products from their introduction until about 1950. Part 3 deals with products from the company founded by Alfred Benzon in 1849. Alfred Nicolai Benzon owned the Swan Pharmacy in Copenhagen. In 1863 he started an independent company manufacturing branded pharmaceuticals, thus combining the pharmacy's activities with the wholesale business. The family owned the company until 1952, when it was converted into a foundation. After several restructuring rounds, the medicine production business continued as Benzon Pharma A/S until 1990, when Nycomed Pharma A/S bought up all the branded pharmaceuticals. As the first pharmaceutical company in Denmark, Alfred Benzon was an industrial frontrunner in the country at the time, supplying not only the domestic market but foreign markets as well. Alfred Benzon was the first Danish company to produce ether for anesthesia, and malt extract, a dietetic preparation. The high quality of both products made them valuable export articles. In the early 1890s, Alfred Benzon became the first Danish company to start the research-based production of extract of thyroid glands from slaughtered cattle. This was the beginning of a long-standing specialization in producing organotherapeutic substances from animal organs originating from Danish animal husbandry. In 1932 the company had 26 preparations of this type in its range, many of them on the market for several years. These medicine substances included iron preparations and effervescent salts followed by sulfonamides, synthetic hormones and a substance to counteract motion sickness. PMID:21879529

  6. Conceptual framework for a Danish human biomonitoring program

    PubMed Central

    Thomsen, Marianne; Knudsen, Lisbeth E; Vorkamp, Katrin; Frederiksen, Marie; Bach, Hanne; Bonefeld-Jorgensen, Eva Cecilie; Rastogi, Suresch; Fauser, Patrik; Krongaard, Teddy; Sorensen, Peter Borgen

    2008-01-01

    The aim of this paper is to present the conceptual framework for a Danish human biomonitoring (HBM) program. The EU and national science-policy interface, that is fundamental for a realization of the national and European environment and human health strategies, is discussed, including the need for a structured and integrated environmental and human health surveillance program at national level. In Denmark, the initiative to implement such activities has been taken. The proposed framework of the Danish monitoring program constitutes four scientific expert groups, i.e. i. Prioritization of the strategy for the monitoring program, ii. Collection of human samples, iii. Analysis and data management and iv. Dissemination of results produced within the program. This paper presents the overall framework for data requirements and information flow in the integrated environment and health surveillance program. The added value of an HBM program, and in this respect the objectives of national and European HBM programs supporting environmental health integrated policy-decisions and human health targeted policies, are discussed. In Denmark environmental monitoring has been prioritized by extensive surveillance systems of pollution in oceans, lakes and soil as well as ground and drinking water. Human biomonitoring has only taken place in research programs and few incidences of e.g. lead contamination. However an arctic program for HBM has been in force for decades and from the preparations of the EU-pilot project on HBM increasing political interest in a Danish program has developed. PMID:18541069

  7. A 12-week worksite health promotion program reduces cardiovascular risk factors in male workers with the apolipoprotein E2 and apolipoprotein E3 genotypes, but not in apolipoprotein E4 genotype.

    PubMed

    Cho, Sang-Woon; Kang, Ji-Yeon; Park, Yoo-Kyoung; Paek, Yun-Mi; Choi, Tae-In

    2009-08-01

    Worksite health promotion programs focusing on diet and lifestyle modification have been shown to improve health outcomes in workers. The purpose of this study was to investigate whether a 12-week worksite health promotion program shows different response of cardiovascular risk factors in subjects according to apolipoprotein E (Apo E) genotype and obesity level in 141 male Korean industrial workers. We hypothesized that the health changes of a 12-week intervention may not be the same within Apo E genotypes in nonobese and obese subjects. They received 5 face-to-face meetings based on their health profiles. In obese group carrying Apo E3 genotype, body mass index, body fat (%), waist circumference, waist-hip ratio, and systolic blood pressure were decreased, as well as intakes of energy (P = .000) and carbohydrate (P = .005). High-density lipoprotein cholesterol (P = .004) level was improved in individuals with the Apo E2 genotype. These beneficial effects were only observed in individuals with the Apo E2 or Apo E3 genotype. Multiple linear regression revealed that obesity was strongly correlated with waist circumference (P = .002), plasma total cholesterol (P = .037), and changes in dietary cholesterol intake (P = .011) in individuals with the Apo E3 genotype, whereas only changes in dietary fat intake (P = .044) was correlated in those with the Apo E4 genotype. Overall, the results of this study suggest that a health promotion program can be a useful method of improving cardiovascular risk factors and dietary intake in industrial workers with certain genotypes only. Therefore, further research is needed to develop a tailored, long-term worksite health promotion program based on genetic background. PMID:19761888

  8. Worksite safety climate, smoking, and the use of protective equipment by blue collar building workers enrolled in the MassBUILT smoking cessation trial

    PubMed Central

    Dutra, Lauren M; Kim, Seung-Sup; Williams, David R; Kawachi, Ichiro; Okechukwu, Cassandra A

    2014-01-01

    Objective In order to assess potential contributors to high injury rates and smoking prevalence among construction workers, we investigated the association of safety climate with personal protective equipment (PPE) use, and smoking behaviors. Methods Logistic regression models estimated risk ratios for PPE use and smoking using data from participants in MassBUILT smoking cessation intervention (n=1,725). Results Contractor safety climate was negatively associated with use of dust masks (RR=0.88,95%CI:0.83–0.94); respirators (RR=0.82,95%CI:0.75–0.89); general equipment (RR=0.98,95%CI:0.95–1.00); and fall protection (RR=0.94,95%CI:0.91–0.98) and positively associated with current smoking (RR=1.12,95%CI:1.01–1.25) but not smoking cessation. Coworker safety climate was negatively associated with use of dust masks (RR=0.87,95%CI:0.82–0.92); respirators (RR=0.80,95%CI:0.74–0.87); general equipment (RR=0.96,95%CI:0.94–0.98); fall (RR=0.92,95%CI:0.89–0.96) and hearing (RR=0.88,95%CI:0.83–0.93) protection but not smoking. Conclusions Worksite safety climate may be important for PPE use and smoking, but further research is needed. PMID:25285831

  9. Is Danish Difficult to Acquire? Evidence from Nordic Past-Tense Studies

    ERIC Educational Resources Information Center

    Bleses, Dorthe; Basboll, Hans; Vach, Werner

    2011-01-01

    Cross-linguistic findings have shown that Danish children's early receptive vocabulary development is slower relative to children learning other languages. In this study, we examined whether Danish children's acquisition of inflectional past-tense morphology is delayed relative to Icelandic, Norwegian, and Swedish children. Our comparison of data…

  10. Turkish and Kurdish Speaking Teachers in the Danish Folkeskole: The Ambiguous Concept of Equality.

    ERIC Educational Resources Information Center

    Moldenhawer, Bolette

    1999-01-01

    Studied the functions of Turkish- and Kurdish-speaking teachers in the Danish "folkeskole" and their positions relative to other teachers in the system. Despite their Danish teaching qualifications, most still attend to the integration of Turkish- and Kurdish-speaking minority students and occupy a subordinate position to majority teachers. (SLD)

  11. The History We Need: Strategies of Citizen Formation in the Danish History Curriculum

    ERIC Educational Resources Information Center

    Jørgensen, Simon Laumann

    2015-01-01

    Teaching history in schools can be a significant policy instrument for shaping the identities of future citizens. The Danish curriculum for teaching history of 2009 aims at strengthening a sense of "Danishness" which calls for theoretical analysis. Focusing on this particular case, the paper develops a political theoretical frame for…

  12. Towards an Understanding of "Udeskole:" Education outside the Classroom in a Danish Context

    ERIC Educational Resources Information Center

    Bentsen, Peter; Mygind, Erik; Randrup, Thomas B.

    2009-01-01

    In the past decade, an increasing number of Danish public, private and independent schools have introduced regular compulsory education outside the classroom for children aged 7-16 as a weekly or biweekly "outdoor school" day--known in Danish as "udeskole." An analysis of this form of outdoor education, its impacts and provision has been…

  13. The Use and Productivity of Past Tense Morphology in Specific Language Impairment: An Examination of Danish

    ERIC Educational Resources Information Center

    Christensen, Rikke Vang; Hansson, Kristina

    2012-01-01

    Purpose: The authors' primary goal was to investigate the potential of past tense inflection as a clinical marker of Danish specific language impairment (SLI). They also wished to test the predictions of the extended optional infinitive (EOI) account and processing based accounts of SLI on Danish. Method: Using sentence completion and sentence…

  14. The International Space of the Danish Testing Community in the Interwar Years

    ERIC Educational Resources Information Center

    Ydesen, Christian

    2012-01-01

    The focus of this article is to draw attention to the presence and importance of travelling ideas, knowledge, and practices in Danish history of educational testing. The article introduces and employs a spatial methodological approach in relation to the connections between the international testing community and the emerging Danish practice of…

  15. Critical Perspectives on Danish Early Childhood Education and Care: Between the Technical and the Political

    ERIC Educational Resources Information Center

    Jensen, Anders Skriver; Brostrom, Stig; Hansen, Ole Henrik

    2010-01-01

    This paper discusses trends in contemporary Danish early childhood education and care (ECEC). Data are sourced from various policy documents, along with material from ongoing research projects in which the authors are involved. It is claimed that contemporary policy on Danish day care services has a tendency to emphasize narrow curriculum…

  16. Bibliotek.dk: Immediate Access to Danish Libraries--A Path To Follow.

    ERIC Educational Resources Information Center

    Hansen, Lone

    Bibliotek.dk is a development project, resulting in a World Wide Web site, that gives the Danish citizen access via the Internet to search and order material in the collections of Danish public and research libraries. The citizen decides himself or herself which library he or she wants to collect the material from. Bibliotek.dk is developed in…

  17. Codeswitching for Humour and Ethnic Identity: Written Danish-American Occasional Songs.

    ERIC Educational Resources Information Center

    Stolen, Marianne

    1992-01-01

    Individual bilingual language performance in occasional songs is examined with focus on the use of Danish and English by a female member of a Danish-American organization in both song-writing and organizational written recordkeeping. The findings confirm the hypothesis of a conditioning effect of features of genre and social role on the…

  18. Survival in familial colorectal cancer: a Danish cohort study.

    PubMed

    Lautrup, Charlotte Kvist; Mikkelsen, Ellen M; Lash, Timothy L; Katballe, Niels; Sunde, Lone

    2015-12-01

    The monogenic Lynch syndrome (LS) is associated with better survival in colorectal cancer (CRC) patients. Whether family history of CRC affects CRC prognosis in general remains unclear. We evaluated overall mortality in a Danish cohort of CRC patients comparing patients with a family history (FHpos) to those without (FHneg) with focus on patients from non-syndromic families, thus FHpos patients were further divided into a non-syndromic group (FHNS) and a HNPCC/LS group (FHHNPCC). We included CRC patients diagnosed 1995-1998. First degree relatives were identified using Danish population registries and family history was obtained by linkage to Danish medical registries. 1- and 5-year mortality were evaluated using the Kaplan-Meier method and Cox regression, with adjustment for age, sex, cancer site, cancer stage, and comorbidity. 1196 CRC patients were included in the study, 219 FHpos patients of whom 197 were FHNS patients. 1- and 5-year adjusted Mortality Rate Ratios comparing FHpos patients to FHneg patients were 0.99 (95% CI 0.69, 1.42) and 1.07 (95% CI 0.87, 1.32), respectively. For FHNS patients, the corresponding MRRs were 1.01 (95% CI 0.69, 1.47) and 1.15 (95% CI 0.93, 1.43). For the FHHNPCC patients MRRs were 0.84 (95% CI 0.29, 2.44) and 0.66 (95% CI 0.33, 1.31), respectively. In contrast to the lower mortality in LS patients, other types of familial CRC do not seem to affect the survival after CRC diagnosis. PMID:25963853

  19. Multiple myeloma among Danish women: employment history and workplace exposures.

    PubMed

    Pottern, L M; Heineman, E F; Olsen, J H; Raffn, E; Blair, A

    1992-09-01

    To investigate the role of employment history and workplace exposures as risk factors for multiple myeloma among women, a population-based case-control study using the Danish Cancer Registry data linkage system was conducted. All cases of myeloma diagnosed in Danish women between 1970 and 1984 (1,010 cases) and 4,040 age-matched women alive at the time of case-diagnosis were identified. Industrial histories from 1964 forward were obtained from the nationwide Pension Fund for 363 cases and 1,517 controls, and the most recent occupation on the tax record was available for 607 cases and 2,596 controls. Using industry/occupational-code combinations for the cases and controls who had industry employment, Danish industrial hygienists assessed the likelihood of exposure to 47 workplace substances. An increased myeloma risk (odds ratio [OR] = 1.2, 95 percent confidence interval [CI] = 1.0-1.5) was seen for women not in the Pension Fund, but who had an occupational title coded as 'Mrs/homemaker.' Nonsignificantly elevated risks of 1.3 or greater were observed for employment in: production of agricultural products; orchards/nurseries; spinning/weaving; other textile and plastics manufacturing; hotel, entertainment, and social services industries. Elevated, but nonsignificant risks were observed for possible and probable exposure to exhaust fumes, formaldehyde, wood dust, animals or animal products, and pesticides. The strongest association with myeloma was employment in the agricultural industry (OR = 1.5, CI = 0.8-2.8), however, the number of women who worked on family farms was unknown and could not be included in this risk estimate. PMID:1525323

  20. The Value of Open Geographical Data - The Danish Case

    NASA Astrophysics Data System (ADS)

    Colding, T. S.; Folner, M.; Krarup, S.; Kongsbak, J.

    2013-12-01

    Good basic data for everyone is part of the common public-sector digitization strategy for 2011 to 2015. The vision is that basic data is to be the high-quality common foundation for public sector administration; efficiently updated at one place, and used by everyone - including the private sector. Open basic data will benefit public-sector efficiency as well as innovation and value creation by Danish society in general. With basic data as a new digital raw material, commercial products can be developed and public information and services can be improved, providing for greater insight and stronger democracy. On the first of January 2013 Denmark released this digital raw material. As a general rule, all basic data is to be made freely available to all public authorities, private businesses and individuals. This makes basic data a common digital resource, which can be exploited freely for commercial as well as non-commercial purposes. A positive business case contributed in convincing Danish politicians to approve the basic data program. Once the initiatives have been fully implemented, the revenues for society are expected to be approx. DKK 800 million annually. Private-sector revenues will be up to DKK half a billion annually, and it is expected that e.g. the real estate, insurance, financial, and telecom sectors, as well as GPS (sat-nav) manufacturers, public companies and entrepreneurs will be among those to benefit hugely from the initiatives. The financial gain for the private sector of open geographical data alone is expected to be approx. 100 million DKK annually. As part of the Basic data program The Danish Geodata Agency (Ministry of the Environment) gave free access to all topographic data, cadastral maps and Digital Elevation Model on Jan. 1st, 2013. The Danish Geodata Agency has decided to measure the effect of the open geographic data in the public sector (efficiency) and in the private sector (growth). The effect will be measured by using reference

  1. Danish Integrated Antimicrobial Resistance Monitoring and Research Program

    PubMed Central

    Heuer, Ole E.; Emborg, Hanne-Dorthe; Bagger-Skjøt, Line; Jensen, Vibeke F.; Rogues, Anne-Marie; Skov, Robert L.; Agersø, Yvonne; Brandt, Christian T.; Seyfarth, Anne Mette; Muller, Arno; Hovgaard, Karin; Ajufo, Justin; Bager, Flemming; Aarestrup, Frank M.; Frimodt-Møller, Niels; Wegener, Henrik C.; Monnet, Dominique L.

    2007-01-01

    Resistance to antimicrobial agents is an emerging problem worldwide. Awareness of the undesirable consequences of its widespread occurrence has led to the initiation of antimicrobial agent resistance monitoring programs in several countries. In 1995, Denmark was the first country to establish a systematic and continuous monitoring program of antimicrobial drug consumption and antimicrobial agent resistance in animals, food, and humans, the Danish Integrated Antimicrobial Resistance Monitoring and Research Program (DANMAP). Monitoring of antimicrobial drug resistance and a range of research activities related to DANMAP have contributed to restrictions or bans of use of several antimicrobial agents in food animals in Denmark and other European Union countries. PMID:18217544

  2. Effectiveness of a Worksite Social & Physical Environment Intervention on Need for Recovery, Physical Activity and Relaxation; Results of a Randomized Controlled Trial

    PubMed Central

    Coffeng, Jennifer K.; Boot, Cécile R. L.; Duijts, Saskia F. A.; Twisk, Jos W. R.; van Mechelen, Willem; Hendriksen, Ingrid J. M.

    2014-01-01

    Objective To investigate the effectiveness of a worksite social and physical environment intervention on need for recovery (i.e., early symptoms of work-related mental and physical fatigue), physical activity and relaxation. Also, the effectiveness of the separate interventions was investigated. Methods In this 2×2 factorial design study, 412 office employees from a financial service provider participated. Participants were allocated to the combined social and physical intervention, to the social intervention only, to the physical intervention only or to the control group. The primary outcome measure was need for recovery. Secondary outcomes were work-related stress (i.e., exhaustion, detachment and relaxation), small breaks, physical activity (i.e., stair climbing, active commuting, sport activities, light/moderate/vigorous physical activity) and sedentary behavior. Outcomes were measured by questionnaires at baseline, 6 and 12 months follow-up. Multilevel analyses were performed to investigate the effects of the three interventions. Results In all intervention groups, a non-significant reduction was found in need for recovery. In the combined intervention (n = 92), exhaustion and vigorous physical activities decreased significantly, and small breaks at work and active commuting increased significantly compared to the control group. The social intervention (n = 118) showed a significant reduction in exhaustion, sedentary behavior at work and a significant increase in small breaks at work and leisure activities. In the physical intervention (n = 96), stair climbing at work and active commuting significantly increased, and sedentary behavior at work decreased significantly compared to the control group. Conclusion None of the interventions was effective in improving the need for recovery. It is recommended to implement the social and physical intervention among a population with higher baseline values of need for recovery. Furthermore, the intervention

  3. The ACTIVATE study: results from a group-randomized controlled trial comparing a traditional worksite health promotion program with an activated consumer program.

    PubMed

    Terry, Paul E; Fowles, Jinnet Briggs; Xi, Min; Harvey, Lisa

    2011-01-01

    PURPOSE. This study compares a traditional worksite-based health promotion program with an activated consumer program and a control program DESIGN. Group randomized controlled trial with 18-month intervention. SETTING. Two large Midwestern companies. SUBJECTS. Three hundred and twenty employees (51% response). INTERVENTION. The traditional health promotion intervention offered population-level campaigns on physical activity, nutrition, and stress management. The activated consumer intervention included population-level campaigns for evaluating health information, choosing a health benefits plan, and understanding the risks of not taking medications as prescribed. The personal development intervention (control group) offered information on hobbies. The interventions also offered individual-level coaching for high risk individuals in both active intervention groups. MEASURES. Health risk status, general health status, consumer activation, productivity, and the ability to evaluate health information. ANALYSIS. Multivariate analyses controlled for baseline differences among the study groups. RESULTS. At the population level, compared with baseline performance, the traditional health promotion intervention improved health risk status, consumer activation, and the ability to recognize reliable health websites. Compared with baseline performance, the activated consumer intervention improved consumer activation, productivity, and the ability to recognize reliable health websites. At the population level, however, only the activated consumer intervention improved any outcome more than the control group did; that outcome was consumer activation. At the individual level for high risk individuals, both traditional health coaching and activated consumer coaching positively affected health risk status and consumer activation. In addition, both coaching interventions improved participant ability to recognize a reliable health website. Consumer activation coaching also

  4. Integrated exploration study of Norwegian-Danish basin, northwestern Europe

    SciTech Connect

    Joergensen, N.B.; Haselton, T.M.

    1987-05-01

    The Norwegian-Danish basin (NDB) extends from offshore Norway southeast through Denmark. This study, initiated by the Danish Energy Agency to evaluate hydrocarbon potential, consists of geophysical structural and stratigraphic mapping combined with geologic source rock and reservoir analysis. Approximately 25 wells and 15,000 km of seismic data were included. Formation of the NDB resulted from uplift of the Variscan foldbelt followed by subsidence of the foreland, i.e., the NDB and the North German basin. The Ringkoebing-Fyn High, a positive feature probably established in the late Precambrian and persisting to present, separates the basins, thus constituting the southern boundary of the NDB. Northeast the basin is bounded by the Fennoscandian shield and to the west by the North Sea graben system. Following deposition of Rotliegendes eolian and fluviatile sandstones, a major Late Permian marine transgression deposited up to 2000 m of evaporites and carbonates. Early Triassic regression resulted in thick red-bed deposits. Halokinesis commencing in the Upper Triassic dominated subsequent structural development. Continued subsidence led to deposition of Early Jurassic shelf mudstones overlain by deltaic sandstones. Rising seas during Late Cretaceous allowed widespread deposition of oceanic pelagic chalk. Early Paleocene wrench movements produced inversion. Basinal downwarping during the Tertiary was accompanied by progradation from the northeast. The complex tectonic history provides numerous different structural styles and a variety of depositional environments. To date only obvious structural features have been tested. This integrated basin study demonstrates that a number of other hydrocarbon plays remain to be explored.

  5. Determinants of sunbed use in a population of Danish adolescents.

    PubMed

    Bentzen, Joan; Krarup, Anne F; Castberg, Ida-Marie; Jensen, Poul D; Philip, Anja

    2013-03-01

    In Denmark, melanoma is the most common type of cancer in individuals aged 15-34 years. Ultraviolet radiation from sunbeds is a risk factor for melanoma. Knowledge of the characteristics of sunbed users is important in the development and implementation of prevention strategies of sunbed use. The objective of this study was to examine sunbed use and its association with smoking, parental socioeconomic status (SES), friends' attitudes towards artificial tanning, and school environment among adolescents aged 14-18 years at continuation schools in Denmark. We conducted a survey among adolescents in Danish continuation schools in 2011. We examined sunbed use and its association with age, smoking, friends' attitudes towards artificial tanning, parental SES, and shared environment of the continuation school, using logistic regression. Within the past 12 months, 38% of the pupils had used a sunbed (70% girls and 28% boys). There was no difference in sunbed use according to age. Smoking and friends' positive attitudes towards, and higher use of sunbeds were associated with increased use of sunbeds. High SES of mothers' was associated with lower odds for sunbed use among girls. The association of school environment with sunbed use was modest compared with the other variables. Adolescents in continuation schools report a higher use of sunbeds than Danish adolescents as such. Educational interventions should be targeted at preteens, as sunbed use is common in 14-year-olds. Special educational tools are tested in the continuation school environment and may prove effective in this population. PMID:22895295

  6. Prevalence of clinical signs of disease in Danish finisher pigs.

    PubMed

    Petersen, H H; Nielsen, E O; Hassing, A-G; Ersbøll, A K; Nielsen, J P

    2008-03-22

    Between December 1999 and February 2001, two visits, eight weeks apart, were made to 90 herds of Danish finisher pigs. The prevalence of clinical signs was recorded by three veterinary technicians from the Danish Bacon and Meat Council according to a standardised procedure; they had been trained and their observations were monitored and validated before and during the study. A total of 154,347 finisher pigs were examined and 22,136 clinical signs were recorded. Vices accounted for 43 per cent of the signs. The highest mean prevalence was observed for ear necrosis (4.44 per cent), followed by respiratory signs (2.17 per cent), lameness (1.92 per cent), other skin diseases (1.73 per cent), tail bites (1.26 per cent), umbilical hernia (0.78 per cent), flank bites (0.52 per cent), diarrhoea (0.27 per cent), respiratory distress (0.12 per cent), atrophic rhinitis (0.10 per cent), recumbency (0.09 per cent) and central nervous disease (0.05 per cent). The prevalence of atrophic rhinitis was higher in conventional herds than in specific pathogen-free herds. The prevalence of clinical signs of atrophic rhinitis was higher among finishers weighing 51 to 75 kg than among finishers weighing up to 50 kg, and the prevalence of respiratory signs was higher among finishers weighing 51 to 75 kg then among finishers weighing 76 to 100 kg. PMID:18359931

  7. Fatal occupational accidents in Danish fishing vessels 1989-2005.

    PubMed

    Laursen, Lise H; Hansen, Henrik L; Jensen, Olaf C

    2008-06-01

    The purpose of the study was to study the circumstances and incidence rates of fatal accidents in inspection obligated and non-inspection obligated Danish fishing vessels to identify areas for prevention. Information about the fatalities came from maritime authority reports, including vessel disaster reports, post mortem reports, maritime inquiries and police reports. The person- and vessel years at risk came from the Danish Directorate of Fisheries. During the period 1989-2005, 114 fatalities occurred. Sixty-one of the fatalities occurred in 36 vessel disasters mainly caused by foundering/capsizing due to stability changes in rough weather and collisions; 39 fatal occupational accidents mainly occurred on the larger inspection obligated trawlers during fishing. In the remaining 14 other fatal accidents, the main causal factors were difficult embarking/disembarking conditions by darkness in foreign ports and alcohol intoxication. In the period 1995-2005, the overall incidence rate was 10 per 10,000 fishermen per year with no down-going trend during that period. The fatal accident rates are still too high, despite the efforts to reduce the risk. Increased focus on regular and repeated safety training for all fishermen and improved safety measures are needed, especially in the underscored areas of sea disasters concerning small vessels and occupational accidents on big vessels. Better registration of time at risk for fishermen is needed to validate the effect of the safety measures. PMID:18642168

  8. Outcome of sterilization by steam autoclaves in Danish dental offices.

    PubMed

    Scheutz, F; Reinholdt, J

    1988-04-01

    The aims of this study were to evaluate the performance of autoclaves and the use of biologic indicators for sterilization control, and to look for predictor variables for improperly functioning autoclaves in Danish dental offices. The study population comprised 314 Danish dental offices (participation rate 94%); 177 from the public Child Dental Service (CDS) and 137 from private practice. A minor questionnaire and five biologic indicators (Attest Biological Indicator for Steam Sterilization, 3M) were sent to the participants. CDS offices were found more inclined to use biologic indicators than PP offices (P less than 0.00001). Among CDS autoclaves 2.3% (95% confidence limit: 0.9-5.7%) failed to sterilize compared to 7.3% (95% confidence limit: 4.0-12.9) of the PP autoclaves. This difference is not statistically significant, but the confidence intervals indicate a possible true difference in favor of a better outcome in the CDS offices. Looking at the whole sample no other predictor variable for inadequate sterilization could be determined as differences were statistically insignificant with regard to years of professional experience, age and brand of autoclave, and use of biological control. Recommendations from an official body stating the approved types of sterilization control in dental offices would be of value. PMID:3162602

  9. Practicing physiotherapy in Danish private practice: an ethical perspective.

    PubMed

    Praestegaard, Jeanette; Gard, Gunvor; Glasdam, Stinne

    2013-08-01

    Despite an increasingly growth of professional guidelines, textbooks and research about ethics in health care, awareness about ethics in Danish physiotherapy private practice seen vague. This article explores how physiotherapists in Danish private practice, from an ethical perspective, perceive to practice physiotherapy. The empirical data consists of interviews with twenty-one physiotherapists. The interviews are analysed from a hermeneutic approach, inspired by Ricoeur's textual interpretation of distanciation. The analysis follows three phases: naïve reading, structural analysis and comprehensive analysis. Four main themes are constructed: Beneficence as the driving force; Disciplining the patient through the course of physiotherapy; Balancing between being a trustworthy professional and a businessperson; The dream of a code of practice. Private practice physiotherapy is embedded in a structural frame directed by both political and economical conditions that shape the conditions for practicing physiotherapy. It means that beneficence in practice is a balance between the patient, the physiotherapists themselves and the business. Beneficence towards the patient is expressed as an implicit demand. Physiotherapeutic practice is expressed as being an integration of professionalism and personality which implies that the physiotherapists also have to benefit themselves. Private practice seems to be driven by a paternalistic approach towards the patient, where disciplining the patient is a crucial element of practice, in order to optimise profit. Physiotherapists wish for a more beneficent practice in the future by aiming at bridging 'to be' and 'ought to be'. PMID:23160855

  10. Sharing reference data and including cows in the reference population improve genomic predictions in Danish Jersey.

    PubMed

    Su, G; Ma, P; Nielsen, U S; Aamand, G P; Wiggans, G; Guldbrandtsen, B; Lund, M S

    2016-06-01

    Small reference populations limit the accuracy of genomic prediction in numerically small breeds, such like Danish Jersey. The objective of this study was to investigate two approaches to improve genomic prediction by increasing size of reference population in Danish Jersey. The first approach was to include North American Jersey bulls in Danish Jersey reference population. The second was to genotype cows and use them as reference animals. The validation of genomic prediction was carried out on bulls and cows, respectively. In validation on bulls, about 300 Danish bulls (depending on traits) born in 2005 and later were used as validation data, and the reference populations were: (1) about 1050 Danish bulls, (2) about 1050 Danish bulls and about 1150 US bulls. In validation on cows, about 3000 Danish cows from 87 young half-sib families were used as validation data, and the reference populations were: (1) about 1250 Danish bulls, (2) about 1250 Danish bulls and about 1150 US bulls, (3) about 1250 Danish bulls and about 4800 cows, (4) about 1250 Danish bulls, 1150 US bulls and 4800 Danish cows. Genomic best linear unbiased prediction model was used to predict breeding values. De-regressed proofs were used as response variables. In the validation on bulls for eight traits, the joint DK-US bull reference population led to higher reliability of genomic prediction than the DK bull reference population for six traits, but not for fertility and longevity. Averaged over the eight traits, the gain was 3 percentage points. In the validation on cows for six traits (fertility and longevity were not available), the gain from inclusion of US bull in reference population was 6.6 percentage points in average over the six traits, and the gain from inclusion of cows was 8.2 percentage points. However, the gains from cows and US bulls were not accumulative. The total gain of including both US bulls and Danish cows was 10.5 percentage points. The results indicate that sharing reference

  11. Fine-Scale Road Stretch Forecasting along Main Danish Roads

    NASA Astrophysics Data System (ADS)

    Mahura, A.; Petersen, C.; Sattler, K.; Sass, B.

    2009-09-01

    The DMI has in collaboration with the Danish Road Directorate (DRD) for almost two decades used a Road Condition Model (RCM) system (based on a dense road observations network and the numerical weather prediction model - HIgh Resolution Limited Area Model, HIRLAM) to provide operational forecasts of main road conditions at selected road stations of the Danish road network. As of Jan 2009, there are 357 road stations (equipped in total with 456 sensors), where measurements and forecasts of road surface temperature, air and dew point temperatures are conducted. Forecasts of other important meteorological parameters such as cloud cover and precipitations as well as radar and satellite images are also distributed to the users through the web-based interface vejvejr.dk and through DMI and DRD web-pages. For icing conditions, new technology has made it easy to vary the dose of spreaded salt, making it possible to use salt only on the parts of the road network where it is really needed. In our study measurements of road surface temperature from road stations and salt spreaders have additionally been used to examine both road stations and road stretches forecasts along the main roads of the Danish Road Network (accounting almost 23 thousand points located at distances of 250 m). These results showed critical importance of availability of detailed characteristics of the roads surroundings. To make local forecasts in a specific point all possible local detailed information is needed. Since high resolution models running at faster supercomputers as well as detailed physiographic datasets now are available, it is possible to improve the modelling and parameterization of significant physical processes influencing the formation of the slippery road conditions. First of all, it is based on a new dataset available from Kort og Matrikel styrelsen, the so-called Danish Height Model (Danmarks Højdemodel) which is a very detailed set of data with horizontal resolution of a few meters

  12. Early vocabulary development in Danish and other languages: a CDI-based comparison.

    PubMed

    Bleses, Dorthe; Vach, Werner; Slott, Malene; Wehberg, Sonja; Thomsen, Pia; Madsen, Thomas O; Basbøll, Hans

    2008-08-01

    The main objective of this paper is to describe the trajectory of Danish children's early lexical development relative to other languages, by comparing a Danish study based on the Danish adaptation of The MacArthur-Bates Communicative Development Inventories (CDI) to 17 comparable CDI-studies. The second objective is to address the feasibility of cross-linguistic CDI-comparisons. The main finding is that the developmental trend of Danish children's early lexical development is similar to trends observed in other languages, yet the vocabulary comprehension score in the Danish children is the lowest across studies from age 1 ; 0 onwards. We hypothesize that the delay is related to the nature of Danish sound structure, which presents Danish children with a harder task of segmentation. We conclude that CDI-studies are an important resource for cross-language studies, but reporting of studies needs to be standardized and the availability of published data improved in order to make comparisons more straightforward. PMID:18588717

  13. New developments in the Danish Wind Energy Policy

    SciTech Connect

    Lemming, J.

    1996-12-31

    Wind energy resources in Denmark are among the best in Europe. In recent years there has been a rapid growth in number of wind turbines connected to the grid in Denmark. By the end of 1995 more than 3800 wind turbines were installed on-shore with a capacity of over 600 MW. The total production of electricity from these turbines in 1995 was more than 1200 GWh, corresponding to approximately 3.6 % of the Danish electricity consumption. For several years Denmark has pursued an energy policy with an increasing weight on environmental aspects and new and renewable energy sources like wind energy. Therefore wind energy already plays an important part as supplement to the traditional sources of fuel in the electricity production, and the share of wind energy and other renewables is expected to increase significantly in the years to come. 1 ref., 9 figs.

  14. [What do people talk about in Danish hospital elevators?].

    PubMed

    Hasman, A; Hansen, N R; Lassen, A; Rabøl, R; Holm, S

    1997-11-10

    Hospital elevators make up a part of the public space of hospitals which is used by both employees, patients, and patients' relatives. We performed an observational study to ascertain the frequency of ethically problematic conversations between employees in the elevators of three Danish hospitals. We defined a conversation as problematic if it breached confidentiality or if it could raise doubts about the professional or ethical standard of the hospital or its employees. Based on this definition we found that problematic conversations occurred in 18 out of 201 elevator-trips where more than one member of the hospital staff was present in the elevator (9%, 95% confidence limits 5-14%). The most common types of problems were breaches of confidentiality (6 cases), complaints about stressful work (4 cases), and complaints about the organisation (3 cases). PMID:9411994

  15. Prevalence of substance abuse in pregnancy among Danish women.

    PubMed

    Rausgaard, Nete L K; Ibsen, Inge O; Jørgensen, Jan S; Lamont, Ronald F; Ravn, Pernille

    2015-02-01

    There are few recent data on the prevalence of substance abuse among Danish pregnant women. During 2013, in the Region of Southern Denmark, a cross-sectional, anonymous, screening-based study was conducted among pregnant women attending for routine ultrasound scan at 12 weeks gestation. The women submitted a urine sample and completed a short questionnaire. Urine samples were tested for opiates, cannabis, benzodiazepines, cocaine, methadone, amphetamine and methamphetamine. Positive samples underwent repeat analysis for confirmation. Of 690 pregnant women, 88.1% participated. Overall, 3.6% of women had a positive urine sample confirmed by repeated analysis. The age distribution in women with positive samples did not differ from the entire cohort. Our findings indicate a larger prevalence than anticipated, and that a substantial number of pregnant women with substance abuse are not appropriately referred to the focused specialist center for such women at risk. PMID:25366294

  16. Infection with Bartonella henselae in a Danish Family

    PubMed Central

    Maggi, Ricardo G.; Balakrishnan, Nandhakumar; Bradley, Julie M.

    2015-01-01

    Bartonella species constitute emerging, vector-borne, intravascular pathogens that produce long-lasting bacteremia in reservoir-adapted (natural host or passive carrier of a microorganism) and opportunistic hosts. With the advent of more sensitive and specific diagnostic tests, there is evolving microbiological evidence supporting concurrent infection with one or more Bartonella spp. in more than one family member; however, the mode(s) of transmission to or among family members remains unclear. In this study, we provide molecular microbiological evidence of Bartonella henselae genotype San Antonio 2 (SA2) infection in four of six Danish family members, including a child who died of unknown causes at 14 months of age. PMID:25740763

  17. The Danish health care system from a British perspective.

    PubMed

    Hurst, Jeremy

    2002-02-01

    The organisation and financing of the Danish health care system was evaluated within a framework of a SWOT analysis (analysis of strengths, weakness, opportunities and threats) by a panel of five members with a background in health economics. The evaluation was based on reading an extensive amount of selected documents and literature on the Danish health care system, and a one-week visit to health care authorities, providers and key persons. The present paper includes the main findings by one of the panel members. The dominance of tax financing helps to achieve control over the level of health care expenditure, as well as securing equity in financing the services. The reliance on local government for financing and running health care has both advantages and disadvantages, and the split between county and municipal responsibility leads to problems of co-ordination. The remuneration of general practitioners by a mix of capitation payment and fee for services has the advantage of capping expenditure whilst leaving the GPs with an incentive to compete for patients by providing them with good services. The GP service is remarkably economical. The hospital sector displays much strength, but there seem to be problems with respect to: (i) perceived lack of resources and waiting lists; (ii) impersonal care, lack of continuity of care and failures in communication between patients and staff; (iii) management problems and sometimes demotivated staff. The relationship between patients and providers is facilitated by free access to GPs and absence of any charges for hospital treatment. The biggest threat is continuation of avoidable illness caused by poor health habits in the population. The biggest opportunity is to strengthen public health measures to tackle these poor health habits. PMID:11755995

  18. Suicide after deployment in UN peacekeeping missions--a Danish pilot study.

    PubMed

    Hansen-Schwartz, J; Jessen, G; Andersen, K; Jørgensen, H O

    2002-01-01

    This pilot study looks at the frequency of suicide among Danish soldiers who took part in the UN mandated forces (UNMF) during the 1990's. In a contingent of nearly 4000 Danish UN soldiers four suicides were documented, two of whom committed suicide less than one month before deployment and two who committed suicide within a year after discharge from mission. Contributing factors, prevention strategies, and implications for future research are discussed. PMID:12500889

  19. Danish heathland manipulation experiment data in Model-Data-Fusion

    NASA Astrophysics Data System (ADS)

    Thum, Tea; Peylin, Philippe; Ibrom, Andreas; Van Der Linden, Leon; Beier, Claus; Bacour, Cédric; Santaren, Diego; Ciais, Philippe

    2013-04-01

    In ecosystem manipulation experiments (EMEs) the ecosystem is artificially exposed to different environmental conditions that aim to simulate circumstances in future climate. At Danish EME site Brandbjerg the responses of a heathland to drought, warming and increased atmospheric CO2 concentration are studied. The warming manipulation is realized by passive nighttime warming. The measurements include control plots as well as replicates for each three treatment separately and in combination. The Brandbjerg heathland ecosystem is dominated by heather and wavy hairgrass. These experiments provide excellent data for validation and development of ecosystem models. In this work we used a generic vegetation model ORCHIDEE with Model-Data-Fusion (MDF) approach. ORCHIDEE model is a process-based model that describes the exchanges of carbon, water and energy between the atmosphere and the vegetation. It can be run at different spatial scales from global to site level. Different vegetation types are described in ORCHIDEE as plant functional types. In MDF we are using observations from the site to optimize the model parameters. This enables us to assess the modelling errors and the performance of the model for different manipulation treatments. This insight will inform us whether the different processes are adequately modelled or if the model is missing some important processes. We used a genetic algorithm in the MDF. The data available from the site included measurements of aboveground biomass, heterotrophic soil respiration and total ecosystem respiration from years 2006-2008. The biomass was measured six times doing this period. The respiration measurements were done with manual chamber measurements. For the soil respiration we used results from an empirical model that has been developed for the site. This enabled us to have more data for the MDF. Before the MDF we performed a sensitivity analysis of the model parameters to different data streams. Fifteen most influential

  20. [Early achievements of the Danish pharmaceutical industry--8. Lundbeck].

    PubMed

    Grevsen, Jørgen V; Kirkegaard, Hanne; Kruse, Edith; Kruse, Poul R

    2016-01-01

    The article series provides a written and pictorial account of the Danish pharmaceutical industry's products from their introduction until about 1950. Part 8 deals with products from Lundbeck. Lundbeck which today is known as a considerable international pharmaceutical company could in 2015 celebrate its 100 years' jubilee. Among the early Danish medicinal companies H. Lundbeck & Co. is in many ways an exception as the company was not originally established as a pharmaceutical company. Not until several years after the foundation the company began to import foreign ready-made medicinal products and later-on to manufacture these medicinal products in own factory and even later to do research and development of own innovative products. When Lundbeck was established in 1915 several Danish medicinal companies, not only the well-known such as Alfred Benzon and Løvens kemiske Fabrik (LEO Pharma), but also Skelskør Frugtplantage, Ferrin and Ferraton, had emerged due to the respective enterprising pharmacy owners who had expanded their traditional pharmacy business and even with commercial success. Other medicinal companies, such as C.R. Evers & Co., Leerbeck & Holms kemiske Fabriker, Chr. F. Petri, Erslevs kemiske Laboratorium, Edward Jacobsen, Th. Fallesen-Schmidt, and yet other companies which were named after the founder had all been established by pharmacists with the primary intention to manufacture and sell medicinal products. Also for the limited companies Medicinalco, Ferrosan, Pharmacia, and GEA the primary task was to manufacture and sell medicinal products, and also in these companies pharmacists were involved in the foundation. Not until 1924, fully 9 years after the foundation, Lundbeck started to be interested in medicinal products and initiated import and sale of foreign medicinal products manufactured by a.o. German and French companies which had not established their own sales companies in Denmark. Almost all contemporary Danish manufacturers of

  1. Bovine renal lipofuscinosis: Prevalence, genetics and impact on milk production and weight at slaughter in Danish cattle

    PubMed Central

    Agerholm, Jørgen S; Christensen, Knud; Nielsen, Søren Saxmose; Flagstad, Pia

    2009-01-01

    Background Bovine renal lipofuscinosis (BRL) is an incidental finding in cattle at slaughter. Condemnation of the kidneys as unfit for human consumption was until recently considered the only implication of BRL. Recent studies have indicated a negative influence on the health of affected animals. The present study investigated the prevalence, genetics and effect of BRL on milk yield and weight at slaughter. Methods BRL status of slaughter cattle was recorded at four abattoirs during a 2-year-period. Data regarding breed, age, genetic descent, milk yield and weight at slaughter were extracted from the Danish Cattle Database. The prevalence of BRL was estimated stratified by breed and age-group. Furthermore, total milk yield, milk yield in last full lactation and weight at slaughter were compared for BRL-affected and non-affected Danish Holsteins and Danish Red cattle. Results 433,759 bovines were slaughtered and 787 of these had BRL. BRL was mainly diagnosed in Danish Red, Danish Holstein and crossbreds. The age of BRL affected animals varied from 11 months to 13 years, but BRL was rarely diagnosed in cattle less than 2 years of age. The total lifelong energy corrected milk (ECM) yields were 3,136 and 4,083 kg higher for BRL affected Danish Red and Danish Holsteins, respectively. However, the median life span of affected animals was 4.9 months longer, and age-corrected total milk yield was 1,284 kg lower for BRL affected Danish Red cows. These cows produced 318 kg ECM less in their last full lactation. Weight at slaughter was not affected by BRL status. The cases occurred in patterns consistent with autosomal recessive inheritance and several family clusters of BRL were found. Analysis of segregation ratios demonstrated the expected ratio for Danish Red cattle, but not for Danish Holsteins. Conclusion The study confirmed that BRL is a common finding in Danish Holsteins and Danish Red cattle at slaughter. The disorder is associated with increased total milk yield due

  2. Ten years of structural reforms in Danish healthcare.

    PubMed

    Christiansen, Terkel

    2012-07-01

    A major structural reform of the Danish public sector took place in 2007 when the number of administrative units at the regional and municipal levels was reduced. The larger administrative units allowed for a new hospital structure with a reduced number of acute hospitals covering a population of between 200,000 and 400,000 inhabitants. The restructuring involves creation of acute hospitals with a 24-h acute service by a range of specialists. The idea was to weight quality higher than geographical closeness to the nearest hospital. Concurrently, the pre-hospital service will be expanded. The National Board of Health was given authority to approve regional plans for specialties rather than provide guidelines. The use of private hospitals was increased as a means to fulfil a waiting time guarantee of between 2 and 1 month. Increased use of private insurance also increased use of private hospitals. A new way of financing health care was intended to give municipalities incentives to invest in health prevention and health promotion. Concurrent reforms included economic incentives to increase hospital production as measured by DRGs; quality programmes to secure high quality and patient safety; and electronic patient records and increased use of IT systems. PMID:22521580

  3. Private Mitochondrial DNA Variants in Danish Patients with Hypertrophic Cardiomyopathy

    PubMed Central

    Hagen, Christian M.; Aidt, Frederik H.; Havndrup, Ole; Hedley, Paula L.; Jensen, Morten K.; Kanters, Jørgen K.; Pham, Tam T.; Bundgaard, Henning; Christiansen, Michael

    2015-01-01

    Hypertrophic cardiomyopathy (HCM) is a genetic cardiac disease primarily caused by mutations in genes coding for sarcomeric proteins. A molecular-genetic etiology can be established in ~60% of cases. Evolutionarily conserved mitochondrial DNA (mtDNA) haplogroups are susceptibility factors for HCM. Several polymorphic mtDNA variants are associated with a variety of late-onset degenerative diseases and affect mitochondrial function. We examined the role of private, non-haplogroup associated, mitochondrial variants in the etiology of HCM. In 87 Danish HCM patients, full mtDNA sequencing revealed 446 variants. After elimination of 312 (69.9%) non-coding and synonymous variants, a further 109 (24.4%) with a global prevalence > 0.1%, three (0.7%) haplogroup associated and 19 (2.0%) variants with a low predicted in silico likelihood of pathogenicity, three variants: MT-TC: m.5772G>A, MT-TF: m.644A>G, and MT-CYB: m.15024G>A, p.C93Y remained. A detailed analysis of these variants indicated that none of them are likely to cause HCM. In conclusion, private mtDNA mutations are frequent, but they are rarely, if ever, associated with HCM. PMID:25923817

  4. Molecular diversity of avian schistosomes in Danish freshwater snails.

    PubMed

    Christiansen, Anne Ø; Olsen, Annette; Buchmann, Kurt; Kania, Per W; Nejsum, Peter; Vennervald, Birgitte J

    2016-03-01

    Avian schistosomes are widespread parasites of snails and waterfowl and may cause cercarial dermatitis (swimmer's itch) in humans, a disease that is frequently reported in European countries. These parasites are known to occur in Denmark, but here, we applied a new approach using molecular tools to identify the parasites at species level. In order to do that, 499 pulmonate freshwater snails (Radix sp., Lymnaea stagnalis, Stagnicola sp. and Planorbarius corneus) were sampled from 12 lakes, ponds, and marshes in the greater Copenhagen area. Avian schistosome cercariae were identified by microscopy and subjected to molecular investigation by sequencing and phylogenetic analysis of the 5.8S and ITS2 ribosomal DNA for species identification. Additionally, snail hosts belonging to the genus Radix were identified by sequencing and phylogenetic analysis of partial ITS2 ribosomal DNA. Three out of 499 snails shed different species of Trichobilharzia cercariae: Trichobilharzia szidati was isolated from L. stagnalis, Trichobilharzia franki from Radix auricularia and Trichobilharzia regenti from Radix peregra. In the light of the public health risk represented by bird schistosomes, these findings are of concern and, particularly, the presence of the potentially neuro-pathogenic species, T. regenti, in Danish freshwaters calls for attention. PMID:26573519

  5. Food waste from Danish households: Generation and composition.

    PubMed

    Edjabou, Maklawe Essonanawe; Petersen, Claus; Scheutz, Charlotte; Astrup, Thomas Fruergaard

    2016-06-01

    Sustainable solutions for reducing food waste require a good understanding of food waste generation and composition, including avoidable and unavoidable food waste. We analysed 12tonnes of residual household waste collected from 1474 households, without source segregation of organic waste. Food waste was divided into six fractions according to avoidability, suitability for home-composting and whether or not it was cooked, prepared or had been served within the household. The results showed that the residual household waste generation rate was 434±18kg per household per year, of which 183±10kg per year was food waste. Unavoidable food waste amounted to 80±6kg per household per year, and avoidable food waste was 103±9kg per household per year. Food waste mass was influenced significantly by the number of occupants per household (household size) and the housing type. The results also indicated that avoidable food waste occurred in 97% of the households, suggesting that most Danish households could avoid or at least reduce how much they generate. Moreover, avoidable and unavoidable food waste was more likely to be found in houses containing more than one person than in households with only one occupant. PMID:27026492

  6. Quality improvement and accountability in the Danish health care system.

    PubMed

    Mainz, Jan; Kristensen, Solvejg; Bartels, Paul

    2015-12-01

    Denmark has unique opportunities for quality measurement and benchmarking since Denmark has well-developed health registries and unique patient identifier that allow all registries to include patient-level data and combine data into sophisticated quality performance monitoring. Over decades, Denmark has developed and implemented national quality and patient safety initiatives in the healthcare system in terms of national clinical guidelines, performance and outcome measurement integrated in clinical databases for important diseases and clinical conditions, measurement of patient experiences, reporting of adverse events, national handling of patient complaints, national accreditation and public disclosure of all data on the quality of care. Over the years, Denmark has worked up a progressive and transparent just culture in quality management; the different actors at the different levels of the healthcare system are mutually attentive and responsive in a coordinated effort for quality of the healthcare services. At national, regional, local and hospital level, it is mandatory to participate in the quality initiatives and to use data and results for quality management, quality improvement, transparency in health care and accountability. To further develop the Danish governance model, it is important to expand the model to the primary care sector. Furthermore, a national quality health programme 2015-18 recently launched by the government supports a new development in health care focusing upon delivering high-quality health care-high quality is defined by results of value to the patients. PMID:26443814

  7. [Early achievements of the Danish pharmaceutical industry-7].

    PubMed

    Grevsen, Jørgen V; Kirkegaard, Hanne; Kruse, Edith; Kruse, Poul R

    2014-01-01

    A/S GEA Farmaceutisk Fabrik was established as a family business in 1927 by the pharmacist Knud L. Gad Andresen who until then had been employed in the pharmaceutical industry. Gad Andresen wanted to run a company focusing on the development of generics, and he wanted this development to take place in a close cooperation with Danish physicians. This has indeed been achieved with success. In 1995 GEA was purchase'd by the American pharmaceutical company Bristol-Myers Squibb who in a press release characterized GEA as Denmark's second largest manufacturer of generics. Immediately after this takeover GEA's R&D department ceased the research in innovative products and from now on exclusively focused on the development of generics. Three years later GEA was sold to the German generic company Hexal who later on resold GEA to the Swiss generic company Sandoz. GEA changed ownership another couple of times until the last owner went bankrupt in 2011. GEA is yet again a model example of an early Danish pharmaceutical company which was established as an individual company, and which had a long commercial success with the production and marketing of generics. GEA's earliest products, the organotherapeutics, were not innovations. The innovative products were developed already in the 1890s in Denmark by Alfred Benzon, and later on copies followed a.o. from Medicinalco and from foreign companies before GEA marketed their generics. Therefore GEA had to promote their preparations as especially qualified medicinal products and to intimate that the products of the competitors were less "active'". At the end of the 1920s the Ministry of Health became aware of the fact that there might be health problems related to the none-existing control of both the or- ganotherapeutic preparations and actually also the other medicinal products of the pharmaceutical industry. Therefore the Ministry had requested the National Board of Health for a statement regarding this problem. The National Board

  8. Correlates of menstrual cycle characteristics among nulliparous Danish women

    PubMed Central

    Hahn, Kristen A; Wise, Lauren A; Riis, Anders H; Mikkelsen, Ellen M; Rothman, Kenneth J; Banholzer, Kristen; Hatch, Elizabeth E

    2013-01-01

    Objective We examined the association between lifestyle factors and menstrual cycle characteristics among nulliparous Danish women aged 18–40 years who were participating in an Internet-based prospective cohort study of pregnancy planners. Methods We used cross-sectional data collected at baseline to assess the association of age, body mass index (BMI), physical activity, alcohol and caffeine consumption, and smoking with the prevalence of irregular cycles, short (≤25 days) and long (≥33 days) cycles, and duration and amount of menstrual flow. We used log-binomial and multinomial logistic regression to estimate prevalence ratios and 95% confidence intervals. Results Low physical activity and heavy alcohol consumption were associated with an increased prevalence of irregular periods. High BMI, smoking, and caffeine and alcohol consumption were related to an increased prevalence of short menstrual cycles and heavy menstrual bleeding. Women in their mid-to-late thirties had shorter and lighter menstrual flow, but a lower prevalence of irregular cycles, compared with women 18–25 years of age. Discussion In this study, increased age, high BMI, and sedentary behavior were associated with menstrual-pattern irregularities. These factors may influence the balance and level of endogenous hormones conducive to optimal menstrual function. PMID:23983490

  9. Active and Passive Smoking and Fecundability in Danish Pregnancy Planners

    PubMed Central

    Radin, Rose G.; Hatch, Elizabeth E.; Rothman, Kenneth J.; Mikkelsen, Ellen M.; Sørensen, Henrik Toft; Riis, Anders H.; Wise, Lauren A.

    2014-01-01

    Objective To investigate the extent to which fecundability is associated with active smoking, time since smoking cessation, and passive smoking. Design Prospective cohort study. Setting Denmark, 2007–2011. Patients 3,773 female pregnancy planners aged 18–40 years. Intervention None. Main Outcome Measures Self-reported pregnancy. Fecundability ratios (FR) and 95% confidence intervals (CI) were estimated using a proportional probabilities model that adjusted for menstrual cycle at risk and potential confounders. Results Among current smokers, smoking duration ≥10 years was associated with reduced fecundability compared with never smokers (FR=0.85, 95% CI: 0.72–1.00). Former smokers who had smoked ≥10 pack-years had reduced fecundability regardless of when they quit smoking (1–1.9 years FR=0.83, 95% CI: 0.54–1.27; ≥2 years FR=0.73, 95% CI: 0.53–1.02). Among never smokers, the FRs were 1.04 (95% CI: 0.89–1.21) for passive smoking in early life and 0.92 (95% CI: 0.82–1.03) for passive smoking in adulthood. Conclusions Among Danish pregnancy planners, cumulative exposure to active cigarette smoking was associated with delayed conception among current and former smokers. Time since smoking cessation and passive smoking were not appreciably associated with fecundability. PMID:24746741

  10. Health promotion in Danish schools: local priorities, policies and practices.

    PubMed

    Simovska, Venka; Nordin, Lone Lindegaard; Madsen, Katrine Dahl

    2016-06-01

    This article discusses the findings from a study mapping out the priorities, policies and practices of local authorities concerning health promotion (HP) and health education (HE) in primary and lower secondary schools in Denmark. The aim of the study was to identify the gaps, tensions and possibilities associated with the demand to increase the quality and effectiveness of HP in schools. The recent national school reform, which emphasizes the importance of health and well-being while simultaneously increasing the focus on performance and accountability in terms of subject proficiency and narrowly defined academic attainment, provides the broader political context for the study. Data were generated through a structured online survey administered to all 98 Danish municipalities. Respondents were educational consultants or others representing the administrative units responsible for the municipality's schools. The findings were discussed within the conceptual framework of Health Promoting Schools. The study points to a potential tension between the health and education sectors, despite evidence of intersectoral collaboration. While there is a strong policy focus on health and well-being in schools, it is disconnected from the utilization of the HE curriculum by the municipal consultants. The study also points to a lack of professional development opportunities for teachers in the field of HP in schools. On the basis of these findings and theoretical perspectives used, we argue that HP in schools needs to (re)connect with the core task of the school, education, and to integrate both health and education goals in local priorities, policies and practices. PMID:25753051

  11. Decentralization of management responsibility: the case of Danish hospitals.

    PubMed

    Pallesen, T; Pedersen, L D

    1993-01-01

    This article examines a specific management reform at three hospitals in a Danish county. Management reform at the hospital level implies a decentralization of responsibility and power to the departmental level. Along with increased responsibility and power, departments get the message: keep your budgets and keep your output level. This preliminary analysis indicates that departmental budgets can be a way of containing costs in clinical departments. Non-staff expenditures especially are subjected to reductions. The system still seems to 'favour' doctors and nurses, but less than in a system with traditional budgetary institutions. The behaviour of the top-management teams shows that the output constraint is not seriously meant. Departments are allowed to reduce capacity, with declining output, with the knowledge of the top-management team. The declining output makes it easier to departments ceteris paribus to keep within their budgets. And that makes it easier for the top-management team to keep the overall hospital budget. The obligation to keep the overall hospital budget is thus an important criterion of success in the eyes of the political masters of hospitals. PMID:10134931

  12. Evaluation and validity of the Danish version of the Adult Strabismus Questionnaire AS-20

    PubMed Central

    Ali, Nafisa; Sørensen, Mette S; Sørensen, Torben L; Mortzos, Panteleimon

    2016-01-01

    Purpose Assessing health-related quality of life in patients with strabismus is important in evaluating the clinical benefits of strabismus treatment. The purpose of this study was to translate the Adult Strabismus Quality of Life Questionnaire (AS-20) into Danish and evaluate its reliability and validity in adult patients with strabismus in Denmark. Methods The AS-20 was translated into Danish in accordance with standard international adopted methods. We presented the questionnaire to 64 adults with strabismus and to 13 non-strabismic adult controls. We tested the reliability of the Danish version by reassuring test–retest reliability, estimated the internal consistency, and analyzed the validity (discriminatory power) of the questionnaire by comparing patient scores with scores from control individuals. Results The Danish AS-20 produced high level of internal consistency (Cronbach’s α values) for both subscales (psychosocial: 0.95 and functional: 0.85). We found good discriminatory power of the AS-20. The patients scored significantly lower not only on AS-20 composite score (median =63, interquartile range [IQR] =44–79) compared to healthy individuals (median =98, IQR =93–100) (P<0.0001) but also on all individual questions in both subscales (psychosocial: 1–10 and functional: 11–20). Conclusion The Danish version of AS-20 shows high reliability and validity, and in our opinion, AS-20 is therefore a suitable instrument for evaluating self-perceived psychosocial and functional influence of strabismus. PMID:26770057

  13. Predictors of iron levels in 14,737 Danish blood donors: results from the Danish Blood Donor Study

    PubMed Central

    Rigas, Andreas Stribolt; Sørensen, Cecilie Juul; Pedersen, Ole Birger; Petersen, Mikkel Steen; Thørner, Lise Wegner; Kotzé, Sebastian; Sørensen, Erik; Magnussen, Karin; Rostgaard, Klaus; Erikstrup, Christian; Ullum, Henrik

    2014-01-01

    Background Dietary studies show a relationship between the intake of iron enhancers and inhibitors and iron stores in the general population. However, the impact of dietary factors on the iron stores of blood donors, whose iron status is affected by blood donations, is incompletely understood. Study Design and Methods In the Danish Blood Donor Study, we assessed the effect of blood donation frequency, physiologic factors, lifestyle and supplemental factors, and dietary factors on ferritin levels. We used multiple linear and logistic regression analyses stratified by sex and menopausal status. Results Among high-frequency donors (more than nine donations in the past 3 years), we found iron deficiency (ferritin below 15 ng/mL) in 9, 39, and 22% of men, premenopausal women, and postmenopausal women, respectively. The strongest predictors of iron deficiency were sex, menopausal status, the number of blood donations in a 3-year period, and the time since last donation. Other significant factors included weight, age, intensity of menstruation, iron tablets, vitamin pills, and consumption of meat and wine. Conclusion The study confirms iron deficiency as an important problem, especially among menstruating women donating frequently. The risk of iron depletion was largely explained by sex, menopausal status, and donation frequency. Other factors, including dietary and supplemental iron intake, had a much weaker effect on the risk of iron depletion. PMID:24372094

  14. Infertility, infertility treatment, and congenital malformations: Danish national birth cohort

    PubMed Central

    Zhu, Jin Liang; Basso, Olga; Obel, Carsten; Bille, Camilla; Olsen, Jørn

    2006-01-01

    Objectives To examine whether infertile couples (with a time to pregnancy of > 12 months), who conceive naturally or after treatment, give birth to children with an increased prevalence of congenital malformations. Design Longitudinal study. Setting Danish national birth cohort. Participants Three groups of liveborn children and their mothers: 50 897 singletons and 1366 twins born of fertile couples (time to pregnancy ≤ 12 months), 5764 singletons and 100 twins born of infertile couples who conceived naturally (time to pregnancy > 12 months), and 4588 singletons and 1690 twins born after infertility treatment. Main outcome measures Prevalence of congenital malformations determined from hospital discharge diagnoses. Results Compared with singletons born of fertile couples, singletons born of infertile couples who conceived naturally or after treatment had a higher prevalence of congenital malformations—hazard ratios 1.20 (95% confidence interval 1.07 to 1.35) and 1.39 (1.23 to 1.57). The overall prevalence of congenital malformations increased with increasing time to pregnancy. When the analysis was restricted to singletons born of infertile couples, babies born after treatment had an increased prevalence of genital organ malformations (hazard ratio 2.32, 1.24 to 4.35) compared with babies conceived naturally. No significant differences existed in the overall prevalence of congenital malformations among twins. Conclusions Hormonal treatment for infertility may be related to the occurrence of malformations of genital organs, but our results suggest that the reported increased prevalence of congenital malformations seen in singletons born after assisted reproductive technology is partly due to the underlying infertility or its determinants. The association between untreated infertility and congenital malformations warrants further examination. PMID:16893903

  15. Emissions of biogenic sulfur gases from a danish estuary

    NASA Astrophysics Data System (ADS)

    Barker Jørgensen, Bo; Okholm-Hansen, Bolette

    The diurnal variations in sulfur emission were studied at seven sites in a Danish estuary, Norsminde Fjord. The sites comprised grass vegetation, intertidal mud flats, accretions of green algae, an exposed shore and a river outlet. Direct measurements of emission rates from soil and water were done by a dynamic flux chamber technique in connection with gas Chromatographie detection and separation of the cryogenically trapped sulfur gases. Sulfur gas concentrations in air and sea water were measured together with emission rates at 0.5-1 h intervals over 25-40 h periods. DMS was the most important sulfur gas released from grass and algae, while mostly H 2S was released from intertidal mud flats. OCS, CH 3SH and CS 2 were released from most sites at lower rates. Emission of DMS followed the daylight variations, often with a delay towards maximum emission rates in the evening. H 2S was mostly emitted at night or in short outbursts during low tides. Total sulfur emission rates were 1-10μmol Sm -2 d -1. Extreme rates of 335μmol DMSm -2 d -1 were measured over decomposing green algae ( Ulva lactuca). H 2S emission fractions were < 10 -6 to 2.10 -4. H 2S was detected, along with DMS, CH 3SH, OCS and CS 2, in the oxic seawater of the estuary at diurnal mean concentrations of 0.1-6.5nmol S/ol -1. This may indicate a more widespread occurrence of H 2S in shallow, near-shore waters at nanomolar levels.

  16. Residential radon and lung cancer incidence in a Danish cohort

    SciTech Connect

    Braeuner, Elvira V.; Andersen, Claus E.; Sorensen, Mette; Jovanovic Andersen, Zorana; Gravesen, Peter; Ulbak, Kaare; Hertel, Ole; Pedersen, Camilla; Overvad, Kim; Tjonneland, Anne; Raaschou-Nielsen, Ole

    2012-10-15

    High-level occupational radon exposure is an established risk factor for lung cancer. We assessed the long-term association between residential radon and lung cancer risk using a prospective Danish cohort using 57,053 persons recruited during 1993-1997. We followed each cohort member for cancer occurrence until 27 June 2006, identifying 589 lung cancer cases. We traced residential addresses from 1 January 1971 until 27 June 2006 and calculated radon at each of these addresses using information from central databases regarding geology and house construction. Cox proportional hazards models were used to estimate incidence rate ratios (IRR) and 95% confidence intervals (CI) for lung cancer risk associated with residential radon exposure with and without adjustment for sex, smoking variables, education, socio-economic status, occupation, body mass index, air pollution and consumption of fruit and alcohol. Potential effect modification by sex, traffic-related air pollution and environmental tobacco smoke was assessed. Median estimated radon was 35.8 Bq/m{sup 3}. The adjusted IRR for lung cancer was 1.04 (95% CI: 0.69-1.56) in association with a 100 Bq/m{sup 3} higher radon concentration and 1.67 (95% CI: 0.69-4.04) among non-smokers. We found no evidence of effect modification. We find a positive association between radon and lung cancer risk consistent with previous studies but the role of chance cannot be excluded as these associations were not statistically significant. Our results provide valuable information at the low-level radon dose range.

  17. Air pollution from ships in three Danish ports

    NASA Astrophysics Data System (ADS)

    Saxe, H.; Larsen, T.

    The operational meteorological air quality model (OML) was used to calculate the urban dispersion of air pollutants originating from ships in three Danish ports: Copenhagen, Elsinore and Køge. Oxides of nitrogen (NO x=NO+NO 2) emitted by ships in the port of Copenhagen contributed substantially to the overall NO x pollution in central Copenhagen. This would have an impact on human health if most of the NO were occasionally transformed into NO 2, for which the European Community's legal limit is defined by the 19th-highest annual hourly value being 200 μg m -3 NO 2. Emissions by the ships caused a maximum 19th hourly NO x concentration of 615 μg m -3. In a small area of housing estates and office blocks near the harbour, it exceeded 200 μg m -3 NO x, and over several square kilometres of central Copenhagen, the emission by ships in harbour similarly caused values of 50-200 μg m -3 NO x. In the port of Elsinore, ferries contributed significantly to the NO x pollution in the neighbourhood around the harbour. Emissions of particulate matter (PM) by ships in Copenhagen harbour caused neighbourhood concentrations equivalent to only 0.2-0.4% of the European Community's legal annual mass-based limit value for the protection of human health. However, ship emissions are dominated by ultrafine particles, as are diesel vehicle emissions, which adversely affect human health. Particulate emissions from ships contribute 8-15% of that of all urban road traffic to the background PM 10 levels in the harbour neighbourhoods. In Elsinore, the PM problem was less significant than in Copenhagen. Ships in both harbours will contribute insignificantly to urban pollution with sulphur dioxide (SO 2), once the anticipated regulations on sulphur content in marine fuels are implemented. In Køge, the low activity in the harbour meant that ships did not significantly affect urban air quality.

  18. Residential Radon and Brain Tumour Incidence in a Danish Cohort

    PubMed Central

    Bräuner, Elvira V.; Andersen, Zorana J.; Andersen, Claus E.; Pedersen, Camilla; Gravesen, Peter; Ulbak, Kaare; Hertel, Ole; Loft, Steffen; Raaschou-Nielsen, Ole

    2013-01-01

    Background Increased brain tumour incidence over recent decades may reflect improved diagnostic methods and clinical practice, but remain unexplained. Although estimated doses are low a relationship between radon and brain tumours may exist. Objective To investigate the long-term effect of exposure to residential radon on the risk of primary brain tumour in a prospective Danish cohort. Methods During 1993–1997 we recruited 57,053 persons. We followed each cohort member for cancer occurrence from enrolment until 31 December 2009, identifying 121 primary brain tumour cases. We traced residential addresses from 1 January 1971 until 31 December 2009 and calculated radon concentrations at each address using information from central databases regarding geology and house construction. Cox proportional hazards models were used to estimate incidence rate-ratios (IRR) and 95% confidence intervals (CI) for the risk of primary brain tumours associated with residential radon exposure with adjustment for age, sex, occupation, fruit and vegetable consumption and traffic-related air pollution. Effect modification by air pollution was assessed. Results Median estimated radon was 40.5 Bq/m3. The adjusted IRR for primary brain tumour associated with each 100 Bq/m3 increment in average residential radon levels was 1.96 (95% CI: 1.07; 3.58) and this was exposure-dependently higher over the four radon exposure quartiles. This association was not modified by air pollution. Conclusions We found significant associations and exposure-response patterns between long-term residential radon exposure radon in a general population and risk of primary brain tumours, adding new knowledge to this field. This finding could be chance and needs to be challenged in future studies. PMID:24066143

  19. Molecular heterogeneity of nonphenylketonuria hyperphenylalaninemia in 25 Danish patients

    SciTech Connect

    Guldberg, P.; Henriksen, K.F.; Guettler, F. ); Thoeny, B.; Blau, N. )

    1994-05-15

    Phenylalanine hydroxylase (PAH; EC 1.4.16.1) is a liver-specific enzyme that catalyzes the initial and rate-limiting step in the catabolism of phenylalanine. The reaction is dependent on the cofactor tetrahydrobiopterin (BH[sub 4]) and results in the formation of tyrosine. Deficiency of PAH activity can result in a wide spectrum of metabolic and clinical phenotypes, depending on the degree of PAH depression. Thirty Danish children with non-PKU HPA were detected through the national neonatal screening program in the period 1967-1992. For this study, DNA samples from 25 of these patients were available. Criteria for diagnosis of non-PKU HPA include persistently elevated phenylalanine of 150-600 [mu]M and the ability to eliminate an oral phenylalanine load test dose of 0.1 g phenylalanine/kg body wt within 24 h. All 13 exons and adjoining splice signals of the PAH gene from the non-PKU HPA probands were amplified by PCR and scanned for the presence of mutations by DGGE according to previously described procedures. All samples displaying an latered electrophoretic band pattern were subjected to direct sequencing. A point mutation with potential influence on enzyme structure and/or function was identified on 47 of 50 chromosomes, and both mutant alleles were characterized in 23 of 25 probands. For most of the identified mutations, the influence on enzyme activity has not yet been formally verified by in vitro expression. However, the fact that only two mutations were found in each patient by scanning the entire coding sequence and splice sites of the PAH gene provides substantial evidence that these mutations are indeed causative.

  20. Linkage between the Danish National Health Service Prescription Database, the Danish Fetal Medicine Database, and other Danish registries as a tool for the study of drug safety in pregnancy

    PubMed Central

    Pedersen, Lars H; Petersen, Olav B; Nørgaard, Mette; Ekelund, Charlotte; Pedersen, Lars; Tabor, Ann; Sørensen, Henrik T

    2016-01-01

    A linked population-based database is being created in Denmark for research on drug safety during pregnancy. It combines information from the Danish National Health Service Prescription Database (with information on all prescriptions reimbursed in Denmark since 2004), the Danish Fetal Medicine Database, the Danish National Registry of Patients, and the Medical Birth Registry. The new linked database will provide validated information on malformations diagnosed both prenatally and postnatally. The cohort from 2008 to 2014 will comprise 589,000 pregnancies with information on 424,000 pregnancies resulting in live-born children, ∼420,000 pregnancies undergoing prenatal ultrasound scans, 65,000 miscarriages, and 92,000 terminations. It will be updated yearly with information on ∼80,000 pregnancies. The cohort will enable identification of drug exposures associated with severe malformations, not only based on malformations diagnosed after birth but also including those having led to termination of pregnancy or miscarriage. Such combined data will provide a unique source of information for research on the safety of medications used during pregnancy. PMID:27274312

  1. Longitudinal Investigation into Genetics in the Conservation of Metabolic Phenotypes in Danish and Chinese Twins.

    PubMed

    Li, Shuxia; Kyvik, Kirsten Ohm; Duan, Haiping; Zhang, Dongfeng; Pang, Zengchang; Hjelmborg, Jacob; Tan, Qihua; Kruse, Torben; Dalgård, Christine

    2016-01-01

    Longitudinal twin studies on long term conservation of individual metabolic phenotypes can help to explore the genetic and environmental basis in maintaining metabolic homeostasis and metabolic health. We performed a longitudinal twin study on 12 metabolic phenotypes from Danish twins followed up for 12 years and Chinese twins traced for 7 years. The study covered a relatively large sample of 502 pairs of Danish adult twins with a mean age at intake of 38 years and a total of 181 Chinese adult twin pairs with a mean baseline age of 39.5 years. Bivariate twin models were fitted to the longitudinal measurements taken at two time points (at baseline and follow-up) to estimate the genetic and environmental contributions to phenotype variation and correlation at and between the two time points. High genetic components in the regulation of intra-individual phenotype correlation or stability over time were estimated in both Danish (h2>0.75 except fasting blood glucose) and Chinese (h2>0.72 except blood pressure) twins; moderate to high genetic contribution to phenotype variation at the two time points were also estimated except for the low genetic regulation on glucose in Danish and on blood pressure in Chinese twins. Meanwhile the bivariate twin models estimated shared environmental contributions to the variance and covariance in fasting blood glucose in Danish twins, and in systolic and diastolic blood pressure, low and high density lipoprotein cholesterol in Chinese twins. Overall, our longitudinal twin study on long-term stability of metabolic phenotypes in Danish and Chinese twins identified a common pattern of high genetic control over phenotype conservation, and at the same time revealed population-specific patterns of genetic and common environmental regulation on the variance as well as covariance of glucose and blood pressure. PMID:27618179

  2. A method for estimating age of Danish medieval sub-adults based on long bone length.

    PubMed

    Primeau, Charlotte; Friis, Laila; Sejrsen, Birgitte; Lynnerup, Niels

    2012-07-01

    The preferred method for aging archaeological sub-adult skeletons is by dental examination. In cases where no dental records are available, age estimation may be performed according to epiphyseal union, skeletal elements or diaphyseal lengths. Currently no data have been produced specifically for aging archaeological Danish sub-adults from the medieval period based on diaphyseal lengths. The problem with using data on Danish samples, which have been derived from a different population, is the possibility of skewing age estimates. In this study 58 Danish archaeological sub-adults were examined, aged from approximately six years to twenty-one years. The samples were aged according to two dental methods: Haavikko and Ubelaker. Regression formulae were constructed for aging according to their diaphyseal lengths both for individual long bones and combinations of upper and lower long bones. This study indicated that with the regression formulae developed, estimation of age can be done with reasonable results on Danish sub-adults. The Danish data were then compared to data from a different archaeological sample and a modern sample. It showed that the modern data indicated a consistently lower age compared to this sample which increased until reaching a maximum of nearly five years and six months. When comparing the archaeological data to this study, the growth profile crossed over at 12.5 years with a maximum age difference before the cross point of two years and three months lower for the archaeological data. After the cross point there was a maximum difference of three years and four months higher for the archaeological data. This study has shown the importance of using data for age estimation for archaeological material which has been developed specifically for that population. In addition it has presented a possible solution for Danish sub-adult material when dental material is not available. PMID:22928354

  3. Genetic determinants of hair and eye colours in the Scottish and Danish populations

    PubMed Central

    2009-01-01

    Background Eye and hair colour is highly variable in the European population, and is largely genetically determined. Both linkage and association studies have previously been used to identify candidate genes underlying this variation. Many of the genes found were previously known as underlying mutant mouse phenotypes or human genetic disease, but others, previously unsuspected as pigmentation genes, have also been discovered. Results We assayed the hair of a population of individuals of Scottish origin using tristimulus colorimetry, in order to produce a quantitative measure of hair colour. Cluster analysis of this data defined two groups, with overlapping borders, which corresponded to visually assessed dark versus red/light hair colour. The Danish population was assigned into categorical hair colour groups. Both cohorts were also assessed for eye colour. DNA from the Scottish group was genotyped at SNPs in 33 candidate genes, using 384 SNPs identified by HapMap as representatives of each gene. Associations found between SNPs and colorimetric hair data and eye colour categories were replicated in a cohort of the Danish population. The Danish population was also genotyped with SNPs in 4 previously described pigmentation genes. We found replicable associations of hair colour with the KITLG and OCA2 genes. MC1R variation correlated, as expected, with the red dimension of colorimetric hair colour in Scots. The Danish analysis excluded those with red hair, and no associations were found with MC1R in this group, emphasising that MC1R regulates the colour rather than the intensity of pigmentation. A previously unreported association with the HPS3 gene was seen in the Scottish population. However, although this replicated in the smaller cohort of the Danish population, no association was seen when the whole study population was analysed. Conclusions We have found novel associations with SNPs in known pigmentation genes and colorimetrically assessed hair colour in a

  4. Worksite interventions for preventing physical deterioration among employees in job-groups with high physical work demands: Background, design and conceptual model of FINALE

    PubMed Central

    2010-01-01

    Background A mismatch between individual physical capacities and physical work demands enhance the risk for musculoskeletal disorders, poor work ability and sickness absence, termed physical deterioration. However, effective intervention strategies for preventing physical deterioration in job groups with high physical demands remains to be established. This paper describes the background, design and conceptual model of the FINALE programme, a framework for health promoting interventions at 4 Danish job groups (i.e. cleaners, health-care workers, construction workers and industrial workers) characterized by high physical work demands, musculoskeletal disorders, poor work ability and sickness absence. Methods/Design A novel approach of the FINALE programme is that the interventions, i.e. 3 randomized controlled trials (RCT) and 1 exploratory case-control study are tailored to the physical work demands, physical capacities and health profile of workers in each job-group. The RCT among cleaners, characterized by repetitive work tasks and musculoskeletal disorders, aims at making the cleaners less susceptible to musculoskeletal disorders by physical coordination training or cognitive behavioral theory based training (CBTr). Because health-care workers are reported to have high prevalence of overweight and heavy lifts, the aim of the RCT is long-term weight-loss by combined physical exercise training, CBTr and diet. Construction work, characterized by heavy lifting, pushing and pulling, the RCT aims at improving physical capacity and promoting musculoskeletal and cardiovascular health. At the industrial work-place characterized by repetitive work tasks, the intervention aims at reducing physical exertion and musculoskeletal disorders by combined physical exercise training, CBTr and participatory ergonomics. The overall aim of the FINALE programme is to improve the safety margin between individual resources (i.e. physical capacities, and cognitive and behavioral skills

  5. Reproductive performance of "nurse sows" in Danish piggeries.

    PubMed

    Bruun, T S; Amdi, C; Vinther, J; Schop, M; Strathe, A B; Hansen, C F

    2016-09-01

    The use of nurse sows in Danish piggeries is common practice because of large litter sizes; however, the effect of being selected as a nurse sow on subsequent reproductive performance is unknown. Therefore, the aim of this study was to quantify a nurse sow's reproductive performance in the subsequent litter. Nurse sows were defined as sows weaning their own litter at least 18 days postpartum and thereafter nursing another litter (nurse litter) before service. Data (2012-2013) from 20 piggeries with more than 14.5 live born piglets per litter and a stable distribution of sows among parities over time were selected. Records from 79,864 litters were obtained and analyzed using mixed linear and logistic regression models. The average lactation lengths were 40.3 days for nurse sows and 27.8 days for non-nurse (normal) sows. Nurse sows weaned on average 12.4 piglets and subsequently 11.5 nurse piglets, whereas non-nurse weaned 11.7 piglets in their single weaning. There was no difference in re-service rate between nurse and non-nurse sows in the subsequent reproductive cycle. Subsequent litter size in the next reproductive cycle was higher for nurse sows than that for non-nurse sows (18.69 vs. 18.11 total born piglets; P < 0.001). Nurse sows were of a slightly lower parity than non-nurse sows (3.12 vs. 3.27, P < 0.001), and nurse sows had an increased weaning to estrus interval compared to non-nurse sows (4.23 vs. 4.19 days, P < 0.001). The results indicate that nurse sows were selected among sows nursing large litters and could therefore suggest that these sows represent the best percentile of sows in a given piggery. In conclusion, this survey indicated no negative effects of being selected as a nurse sow on the subsequent reproductive performance. On the contrary, nurse sows gave birth to more piglets compared to non-nurse sows in their subsequent litter. PMID:27129397

  6. Seismic geomorphology of the Danish Chalks, offshore, North Sea

    NASA Astrophysics Data System (ADS)

    Smit, Florian; van Buchem, Frans; Schmidt, Ingelise

    2014-05-01

    The Upper Cretaceous and Lowermost Paleocene chalk deposits of the North Sea Basin constitute a unique phase in the evolution of carbonate facies, through the rock-forming dominance of fine grained calcareous plankton, particularly coccolithophorids. These planktonic organisms were deposited over extensive areas and very often laid down as laterally extensive, regular dm-scale bedded packages, that locally may reach a thickness of up to 1250 m. In the Danish Graben, the depositional conditions for the chalk sedimentation changed dramatically during the middle of the Upper Cretaceous. At this time the basin topography was inverted, radically changing the position of the depocenters and the ocean floor morphology. In uplifted areas local erosion and long phases of non-deposition occurred, whereas in areas of subsidence thick packages of chalk accumulated. Along the newly created highs, mass waste deposition took place at the deca-kilometre scale. In this presentation we will document evidence for the tectonic inversion, and pay particular attention to the rich pallet of geomorphological features that characterise this tectonically active period. This study benefitted from a recently re-processed 3D seismic dataset (6000 km²), and a regional well-log and biostratigraphic dataset. In addition, the seismic interpretation applied advanced seismic interpretation software (PaleoScan™), which uses a patented model grid that links up seismic points and honours interpreted horizon constraints resulting in a seismic Relative Geological Time model. Standard seismic attributes, displayed upon horizons from a 3D RGT model of the chalk package, have shown to be very effective in the illustration and interpretation of complex chalk depositional features. Special attention has been focussed on mass waste deposits around inverted structures and salt diapirs. Several different mass waste complexes have been documented in 3D, illustrating a number of typical features such as

  7. Stratigraphy and paleoenvironment of the Danish Eocene Azolla event

    NASA Astrophysics Data System (ADS)

    Heilmann-Clausen, Claus; Beyer, Claus; Snowball, Ian

    2010-05-01

    Spores (massulae and megaspores) of the freshwater fern Azolla are recorded in several Danish Eocene outcrops and boreholes. The Azolla-bearing interval is 0.5 - ca. 3 m thick and occurs within the L2 Bed, a unit in the lower part of the hemipelagic, bathyal Lillebælt Clay Formation deposited in the central and eastern parts of the North Sea Basin. Intervals of organic-rich clay, usually including two distinctive, black sapropels, are present in the lower part of Bed L2, indicating a generally reduced oxygen content in the bottom waters during this time, with at least two episodes of severe, basinwide stagnation. The oxygen-deficit points to reduced circulation and/or enhanced marine productivity in the North Sea Basin. Azolla occurs in the upper part of this mainly organic-rich interval. The frequency of Azolla spores relative to marine dinoflagellate cysts fluctuates within the interval. The Azolla interval has previously been correlated to levels near the Ypresian/Lutetian transition in Belgium, based on dinoflagellate stratigraphy. Calibration of a new magnetostratigraphic study of the lower Lillebælt Clay with the dinoflagellate biostratigraphy suggests that Bed L2 spans the upper part of Chron 22r, C22n and lower part of C21r. The Azolla pulse spans the upper part of C22n and lowermost part of C21r. The combined bio-magnetostratigraphy from Denmark allows a detailed comparison with published data from the northern part of the Norwegian-Greenland Sea (ODP Hole 913B). The correlation confirms earlier assumptions, which were based on biostratigraphy alone, that the marine Azolla pulse in the two areas, and therefore probably over the whole Norwegian-Greenland Sea - North Sea region, is of the same age. An ongoing palynological study of the L2 Bed has so far revealed no indication for freshwater episodes or brackish waters in the basin during the Azolla pulse, except perhaps for Azolla itself. It is, therefore, suggested that the Azolla spores were transported

  8. Alcohol consumption and fecundability: prospective Danish cohort study

    PubMed Central

    Riis, Anders H; Wise, Lauren A; Hatch, Elizabeth E; Rothman, Kenneth J; Cueto, Heidi T; Sørensen, Henrik Toft

    2016-01-01

    Objective To investigate to what extent alcohol consumption affects female fecundability. Design Prospective cohort study. Setting Denmark, 1 June 2007 to 5 January 2016. Participants 6120 female Danish residents, aged 21-45 years, in a stable relationship with a male partner, who were trying to conceive and not receiving fertility treatment. Main outcome measures Alcohol consumption was self reported as beer (330 mL bottles), red or white wine (120 mL glasses), dessert wine (50 mL glasses), and spirits (20 mL) and categorized in standard servings per week (none, 1-3, 4-7, 8-13, and ≥14). Participants contributed menstrual cycles at risk until the report of pregnancy, start of fertility treatment, loss to follow-up, or end of observation (maximum 12 menstrual cycles). A proportional probability regression model was used to estimate fecundability ratios (cycle specific probability of conception among exposed women divided by that among unexposed women). Results 4210 (69%) participants achieved a pregnancy during follow-up. Median alcohol intake was 2.0 (interquartile range 0-3.5) servings per week. Compared with no alcohol consumption, the adjusted fecundability ratios for alcohol consumption of 1-3, 4-7, 8-13, and 14 or more servings per week were 0.97 (95% confidence interval 0.91 to 1.03), 1.01 (0.93 to 1.10), 1.01 (0.87 to 1.16) and 0.82 (0.60 to 1.12), respectively. Compared with no alcohol intake, the adjusted fecundability ratios for women who consumed only wine (≥3 servings), beer (≥3 servings), or spirits (≥2 servings) were 1.05 (0.91 to1.21), 0.92 (0.65 to 1.29), and 0.85 (0.61 to 1.17), respectively. The data did not distinguish between regular and binge drinking, which may be important if large amounts of alcohol are consumed during the fertile window. Conclusion Consumption of less than 14 servings of alcohol per week seemed to have no discernible effect on fertility. No appreciable difference in fecundability was observed by level of

  9. Sociodemographic Study of Danish Individuals Diagnosed with Transsexualism

    PubMed Central

    Simonsen, Rikke; Hald, Gert Martin; Giraldi, Annamaria; Kristensen, Ellids

    2015-01-01

    Introduction Male-to-female (MtF) and female-to-male (FtM) individuals with transsexualism (International Classification of Diseases-10) may differ in core clinical and sociodemographic variables such as age, sexual orientation, marriage and parenthood, school, educational level, and employment. Assessing and understanding the implication of such differences may be a key to developing appropriate and effective treatment and intervention strategies for this group. However, research in the area remains sparse and is often on small populations, making the generalization of results from current studies on individuals diagnosed with transsexualism difficult. Aims (i) To describe and assess key sociodemographic and treatment-related differences between MtF and FtM individuals in a Danish population of individuals diagnosed with transsexualism; (ii) to assess possible implications of such difference, if any, for clinical treatment initiatives for individuals diagnosed with transsexualism. Methods Follow-up of 108 individuals who had permission to undergo sex reassignment surgery (SRS, meaning castration and genital plastic surgery) over a 30-year period from 1978 to 2008 through the Gender Identity Unit in Copenhagen, Denmark. The individuals were identified through Social Security numbers. Clinical and sociodemographic data from medical records were collected. Results The sex ratio was 1.16:1 (MtF : FtM). Mean age at first referral was 26.9 (standard deviation [SD] 8.8) years for FtM and 30.2 (SD 9.7) for MtF individuals. Compared with MtF, FtM had a significantly lower onset age (before 12 years of age) and lower age when permission for SRS was granted. Further, FtM individuals were significantly more often gynephilic (sexually attracted to females) during research period and less likely to start self-initiated hormonal sex reassignment (SR) (treatment with cross-sex hormones). The MtF and FtM groups did not differ in years of school, educational level, employment

  10. Genome Sequences of Two Leuconostoc pseudomesenteroides Strains Isolated from Danish Dairy Starter Cultures

    PubMed Central

    Kot, W. P.; Hansen, L. H.; Sørensen, S. J.; Broadbent, J. R.; Vogensen, F. K.; Ardö, Y.

    2014-01-01

    The lactic acid bacterium Leuconostoc pseudomesenteroides can be found in mesophilic cheese starters, where it produces aromatic compounds from, e.g., citrate. Here, we present the draft genome sequences of two L. pseudomesenteroides strains isolated from traditional Danish cheese starters. PMID:24903866

  11. Using Theory of Planned Behavior to Predict Healthy Eating among Danish Adolescents

    ERIC Educational Resources Information Center

    Gronhoj, Alice; Bech-Larsen, Tino; Chan, Kara; Tsang, Lennon

    2013-01-01

    Purpose: The purpose of the study was to apply the theory of planned behavior to predict Danish adolescents' behavioral intention for healthy eating. Design/methodology/approach: A cluster sample survey of 410 students aged 11 to 16 years studying in Grade 6 to Grade 10 was conducted in Denmark. Findings: Perceived behavioral control followed by…

  12. A Lexical Comparison of Signs from Icelandic and Danish Sign Languages

    ERIC Educational Resources Information Center

    Aldersson, Russell R.; McEntee-Atalianis, Lisa J.

    2008-01-01

    This article reports on a comparison of lexical items in the vocabulary of Icelandic and Danish sign languages prompted by anecdotal reports of similarity and historical records detailing close contact between the two communities. Drawing on previous studies, including Bickford (2005), McKee and Kennedy (1998, 2000a, 2000b) and Parkhurst and…

  13. Autonomy and Control: Danish University Reform in the Context of Modern Governance

    ERIC Educational Resources Information Center

    Wright, Susan; Orberg, Jakob Williams

    2008-01-01

    In 2003 the Danish government reformed universities to "set them free" from the state. Yet ministers are actively trying to shape universities and even set research agendas. How does the government's notion of "freedom" reconcile independence with control? We identify three discourses of freedom: freedom to use academic judgement over what to…

  14. A Test of Spearman's ''Law of Diminishing Returns'' in Two Large Samples of Danish Military Draftees

    ERIC Educational Resources Information Center

    Hartmann, Peter; Teasdale, Thomas W.

    2004-01-01

    Spearman's ''Law of Diminishing Returns'' (SLODR) predicts that "g" saturation for cognitive tests will be lower at high ability levels than at low ability levels. This hypothesis was tested in two large samples of Danish military draftees (n=33,833 and n=25,020). The subjects were representative samples of the young adult male population and 95%…

  15. Social Origin and Graduation Age: A Cohort Comparison of Danish University Students

    ERIC Educational Resources Information Center

    Klausen, Trond Beldo

    2016-01-01

    This paper investigates whether social origin has an impact on graduation age among university students. A large number of social background factors are applied on a large data set of 4 successive cohorts of Danish university graduates born 1960-1975. These are cohorts for whom university attendance increased steeply. Contrary to recent findings…

  16. University Academics at a Crossroads? Continuity and Transformation in Danish University Reform

    ERIC Educational Resources Information Center

    Krejsler, John B.; Carney, Stephen

    2009-01-01

    Within an overall policy script aimed at creating fewer "world-class" institutions, Danish universities are currently being remade to better serve the world of work and employment, the demands of high-technology industry, and the needs of society, which are increasingly described and defined in terms of appeals to "relevance to the economy/working…

  17. "We Got Incredibly Drunk...It Was Damned Fun": Drinking Stories among Danish Youth

    ERIC Educational Resources Information Center

    Tutenges, Sebastien; Rod, Morten Hulvej

    2009-01-01

    Drinking stories are immensely popular among contemporary Danish youth. The stories are shared with much enthusiasm in school, at parties, over the telephone and via the Internet. But why are the young so compelled by these seemingly vulgar stories? Applying the theories of, most importantly, Bakhtin (1968), Ricoeur (1991), and Jackson (2002),…

  18. Academic Drift in Danish Professional Engineering Education. Myth or Reality? Opportunity or Threat?

    ERIC Educational Resources Information Center

    Christensen, S. H.; Erno-Kjolhede, E.

    2011-01-01

    This article examines whether and, if so, to what extent academic drift can be said to have taken place in Danish professional engineering education. If the answer is affirmative, what were the driving forces behind it and what are the consequences--if any? First, a theoretical and conceptual framework for the discussion is introduced. This is…

  19. Learning and the Changing Concept of Enlightenment: Danish Adult Education over Five Centuries.

    ERIC Educational Resources Information Center

    Korsgaard, Ove

    2000-01-01

    Based on Danish history over the past 500 years, five different traditions of enlightenment and general education are described: Christian enlightenment, civic enlightenment, popular-national enlightenment, workers' enlightenment, and personal enlightenment. Concludes with some reflections on the past 25 years, which have seen an increasing focus…

  20. Exploring the Heterogeneity of Class in Higher Education: Social and Cultural Differentiation in Danish University Programmes

    ERIC Educational Resources Information Center

    Thomsen, Jens Peter

    2012-01-01

    This paper examines the relationship between social background, choice of university programme and academic culture among Danish university students. Statistically and sociologically, university students are often treated as a homogeneous group, but the ever-increasing number of students in higher education demands a closer examination of the…

  1. Understanding the Danish Forest School Approach: Early Years Education in Practice. Understanding the... Approach

    ERIC Educational Resources Information Center

    Williams-Siegfredsen, Jane

    2011-01-01

    "Understanding the Danish Forest School Approach" is a much needed source of information for those wishing to extend and consolidate their understanding of the Forest School Approach in Denmark and how it is used in the teaching and learning of young children. It will enable the reader to analyse the essential elements of this Approach to early…

  2. Discriminative Validity of the Danish Version of the Pediatric Evaluation of Disability Inventory (PEDI)

    ERIC Educational Resources Information Center

    Stahlhut, Michelle; Gard, Gunvor; Aadahl, Mette; Christensen, Jette

    2011-01-01

    The Pediatric Evaluation of Disability Inventory (PEDI) assesses functional status in children with disabilities aged 0.5-7.5 years. The purpose of this study was to examine if the Danish version of the PEDI was able to discriminate between nondisabled children and children with cerebral palsy (CP) or juvenile idiopathic arthritis (JIA).…

  3. Europeanisation and Policy Change in the Danish Vocational Education and Training System

    ERIC Educational Resources Information Center

    Cort, Pia

    2010-01-01

    This article aims to analyse the interrelationship between the Copenhagen Process, EU vocational education and training policy, and Danish initial vocational education and training policies in order to shed light on the role of EU policies in policy and institutional change. The article points to the complexity of policy-making and the…

  4. German Minority Children in the Danish Border Region: Code-Switching and Interference.

    ERIC Educational Resources Information Center

    Pedersen, Karen Margrethe

    1987-01-01

    Children from the German minority in Denmark were studied as part of a longitudinal sociolinguistic research project. Most spoke the Jutland (a Danish) dialect and picked up German as a second language when they started preschool, resulting in code-switching and interference in some cases, which appear to be manifestations of linguistic creativity…

  5. What Do Test Score Really Mean? A Latent Class Analysis of Danish Test Score Performance

    ERIC Educational Resources Information Center

    McIntosh, James; Munk, Martin D.

    2014-01-01

    Latent class Poisson count models are used to analyse a sample of Danish test score results from a cohort of individuals born in 1954-1955, tested in 1968, and followed until 2011. The procedure takes account of unobservable effects as well as excessive zeros in the data. We show that the test scores measure manifest or measured ability as it has…

  6. Educational Testing as an Accountability Measure: Drawing on Twentieth-Century Danish History of Education Experiences

    ERIC Educational Resources Information Center

    Ydesen, Christian

    2013-01-01

    This article reveals perspectives based on experiences from twentieth-century Danish educational history by outlining contemporary, test-based accountability regime characteristics and their implications for education policy. The article introduces one such characteristic, followed by an empirical analysis of the origins and impacts of test-based…

  7. The Transnational and the Individual: A Life-History Narrative in a Danish University Context

    ERIC Educational Resources Information Center

    Fabricius, Anne H.

    2014-01-01

    This article explores linguistic and cultural border crossing and the long-term consequences of transnational mobility on a professional international academic. It provides an in-depth qualitative analysis of a research interview which investigated the internationalisation background of a Danish academic within an English-speaking context. This…

  8. The Danish large wind turbine program. [feasibility of wind power in a utility grid

    NASA Technical Reports Server (NTRS)

    Pederson, B. M.

    1979-01-01

    A brief description of the Danish wind energy program and its present status is given. Results and experiences from tests on the Gedser windmill (200 kW) are presented. The key results are presented from the preliminary design study and detailed design of two new WECS (630 kW each) is described.

  9. Information Literacy, Learning, and the Public Library: A Study of Danish High School Students

    ERIC Educational Resources Information Center

    Nielsen, Bo Gerner; Borlund, Pia

    2011-01-01

    The paper reports on a study of 12 Danish high school students' perceptions of public libraries' role in learning, user education, information literacy, and librarians' information competencies. The study is undertaken by use of literature review and interviews with a purposive select sample of public library users in Denmark. The study…

  10. A new prealbumin variant in familial amyloid cardiomyopathy of Danish origin.

    PubMed

    Nordlie, M; Sletten, K; Husby, G; Ranløv, P J

    1988-01-01

    A C-terminal fragment of a prealbumin variant was isolated from amyloid material obtained from the myocardium of a patient (Han) with familial amyloid cardiomyopathy of Danish origin. The prealbumin variant fragment was shown to have a methionine for leucine substitution in position 111. PMID:3340821

  11. Biographical Learning as Health Promotion in Physical Education. A Danish Case Study

    ERIC Educational Resources Information Center

    Christensen, Mette Krogh

    2007-01-01

    This article presents a case study concerning biographical learning as health promotion among 16-18-year-old school girls in a Danish upper-secondary school. The case study shows a conflict in the students' perception of the learning in traditional physical education (PE) compared to a four-week pilot project employing dialogue groups as a…

  12. Change Management at a Danish University: The Introduction of a Common Market for Education

    ERIC Educational Resources Information Center

    Bundgaard, Helle

    2012-01-01

    This article discusses the approach to the management of change taken by a Danish university when introducing a university-wide market for education and it explores the different positions taken by some of the central stakeholders in one of the faculties involved. I argue that neither the inadequacies of a popular management model nor insufficient…

  13. 26 CFR 521.115 - Credit against United States tax liability for Danish tax.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... foreign taxes). See §§ 29.131-1 to 29.131-10 of Regulations 111 (26 CFR 1949 ed. Supps. 29.131-1 to 29.131... (CONTINUED) REGULATIONS UNDER TAX CONVENTIONS DENMARK General Income Tax Taxation of Nonresident Aliens Who... liability for Danish tax. For the purpose of avoidance of double taxation, Article XV provides that, on...

  14. 26 CFR 521.106 - Control of a domestic enterprise by a Danish enterprise.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Regulations 111 (26 CFR 1949 ed. Supps. 29.45-1) shall, insofar as applicable, be followed in the... 26 Internal Revenue 19 2013-04-01 2010-04-01 true Control of a domestic enterprise by a Danish enterprise. 521.106 Section 521.106 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE...

  15. 26 CFR 521.106 - Control of a domestic enterprise by a Danish enterprise.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Regulations 111 (26 CFR 1949 ed. Supps. 29.45-1) shall, insofar as applicable, be followed in the... 26 Internal Revenue 19 2014-04-01 2010-04-01 true Control of a domestic enterprise by a Danish enterprise. 521.106 Section 521.106 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE...

  16. 26 CFR 521.106 - Control of a domestic enterprise by a Danish enterprise.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Regulations 111 (26 CFR 1949 ed. Supps. 29.45-1) shall, insofar as applicable, be followed in the... 26 Internal Revenue 19 2012-04-01 2010-04-01 true Control of a domestic enterprise by a Danish enterprise. 521.106 Section 521.106 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE...

  17. 26 CFR 521.106 - Control of a domestic enterprise by a Danish enterprise.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Regulations 111 (26 CFR 1949 ed. Supps. 29.45-1) shall, insofar as applicable, be followed in the... 26 Internal Revenue 19 2010-04-01 2010-04-01 false Control of a domestic enterprise by a Danish enterprise. 521.106 Section 521.106 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE...

  18. 26 CFR 521.106 - Control of a domestic enterprise by a Danish enterprise.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Regulations 111 (26 CFR 1949 ed. Supps. 29.45-1) shall, insofar as applicable, be followed in the... 26 Internal Revenue 19 2011-04-01 2010-04-01 true Control of a domestic enterprise by a Danish enterprise. 521.106 Section 521.106 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE...

  19. The Internet and Services Marketing--The Case of Danish Retail Banking.

    ERIC Educational Resources Information Center

    Mols, Niels Peter

    2000-01-01

    Examines various aspects of the motives, perceptions, and expectations connected with the introduction of Internet banking in Danish retail banking. Responses from questionnaires and results from a factor analysis and a hierarchical cluster analysis indicate a belief that Internet banking will become more important in the future. (Author/LRW)

  20. Gender Differences in the Daily Physical Activities of Danish School Children

    ERIC Educational Resources Information Center

    Nielsen, Glen; Pfister, Gertrud; Andersen, Lars Bo

    2011-01-01

    The purpose of this study was to explore the daily physical activities of Danish children with a focus on describing and explaining gender differences. Accelerometer measurements of physical activity in different contexts, as well as questionnaire data, were collected from more than 500 children at pre-school and later at third grade. The study…

  1. Cumulative risk assessment of the intake of organophosphorus and carbamate pesticides in the Danish diet.

    PubMed

    Jensen, A F; Petersen, A; Granby, K

    2003-08-01

    The aim of the study is to evaluate the potential cumulative effects of organophosphorus and carbamate pesticides that act through a common mechanism of toxicity, and to assess the long- and short-term risks for the Danish population. The intake estimates are based on dietary intake data collected in the Danish nation-wide food consumption survey in 1995. The pesticide data are based on the Danish pesticide residue-monitoring programme from 1996-2001. The amount of 35 organophosphorus pesticides and carbamates were included in the cumulative risk assessment. Processing factors, such as reduction of pesticide levels by rinsing and peeling, were applied in the exposure assessment. The "Toxicity Equivalence Factor" (TEF) approach was used to normalise the toxicity of the different organophosphorus and carbamate pesticides. Cumulative chronic exposure of organophosphorus and carbamates pesticides via fruit, vegetables and cereals is for adults 0.8-2% of the Acceptable Daily Intake (ADI) in chlorpyrifos equivalents, and 0.03-11% of the ADI in methamidophos equivalents; and for children 2-5% of the ADI in the chlorpyrifos equivalents, and 0.07-27% of the ADI in methamidophos equivalents. Neither Acute Reference Dose (ARfD) nor ADI was exceeded for any of the compounds studied. The results indicate that the Danish population is neither exposed to any cumulative chronic risk, nor at risk of acute exposure, from consumption of organophosphorus and carbamate pesticides from fruit, vegetables and cereals. PMID:13129794

  2. Waiting Time: The De-Subjectification of Children in Danish Asylum Centres

    ERIC Educational Resources Information Center

    Vitus, Kathrine

    2010-01-01

    This article analyses the relationship between time and subjectification, focusing on the temporal structures created within Danish asylum centres and politics, and on children's experiences of and reactions to open-ended waiting. Such waiting leads to existential boredom which manifests in the children as restlessness, fatigue and despair. The…

  3. Group Cohesion and Social Support in Exercise Classes: Results from a Danish Intervention Study

    ERIC Educational Resources Information Center

    Christensen, Ulla; Schmidt, Lone; Budtz-Jorgensen, Esben; Avlund, Kirsten

    2006-01-01

    This study examines the formation of group cohesion and social support in exercise classes among former sedentary adults, participating in a Danish community-based intervention. Furthermore, the aim is to analyze the impact of this process on exercise activity among the participants. A multimethod approach was used, analyzing both survey data and…

  4. The Relevance and Consequences of PISA Science in a Danish Context

    ERIC Educational Resources Information Center

    Dolin, Jens; Krogh, Lars Brian

    2010-01-01

    This article reports a case study that described and analyzed the changes in the Danish school culture induced and encouraged by the Programme for International Student Assessment (PISA) results. The educational policy and reforms that were temporally connected with the publication of the PISA 2000 results are outlined and the related…

  5. Sport or School? Dreams and Dilemmas for Talented Young Danish Football Players

    ERIC Educational Resources Information Center

    Christensen, Mette Krogh; Sorensen, Jan Kahr

    2009-01-01

    Today's young semi-professional football players are expected to continue their education while honing their talents as footballers. This means they must balance the contradictory demands that come from their education establishments and their football clubs. The present study explores how young Danish male football talents experience and describe…

  6. Oral malignant melanomas and other head and neck neoplasms in Danish dogs - data from the Danish Veterinary Cancer Registry

    PubMed Central

    2009-01-01

    Background Head and neck cancers (HNC) are relatively common and often very serious diseases in both dogs and humans. Neoplasms originating in the head and neck region are a heterogeneous group. HNC often has an unfavourable prognosis and the proximity of the tissue structures renders extirpation of tumours with sufficient margins almost incompatible with preservation of functionality. In humans oral malignant melanoma (OMM) is extremely rare, but represents a particular challenge since it is highly aggressive as is the canine counterpart, which thus may be of interest as a spontaneous animal model. Methods Canine cases entered in the Danish Veterinary Cancer Registry (DVCR) from May 15th 2005 through February 29th 2008 were included in this study. Fisher's exact test was used to compare proportions of HNC in dogs and humans as well as proportions of surgically treated cases of OMM and squamous cell carcinomas (SCC). Also the proportions of benign and malignant neoplasms of different locations in dogs were compared using Fisher's exact test. Results A total of 1768 cases of neoplasias (679 malignant, 826 benign, 263 unknown) were submitted. Of all neoplasias HNC accounted for 7.2% (n = 128). Of these, 64 (50%) were malignant and 44 (34%) benign. The most common types of malignant neoplasia were SCC (18; 28% of malignant), OMM (13; 20% of malignant), soft tissue sarcoma (11; 17% of malignant) and adenocarcinoma (5; 11% of malignant). The most common types of benign neoplasms were adenoma (7; 16% of benign), polyps (6; 14% of benign) and fibroma (5; 11% of benign). Conclusions In the current study, the proportion of neoplasia in the head and neck region in dogs in Denmark was similar to other canine studies and significantly more common than in humans with a large proportion of malignancies. Spontaneous HNC in dogs thus, may serve as a model for HNC in humans. Canine OMM is a spontaneous cancer in an outbred, immune-competent large mammal population and could be a

  7. Student Interactions at a College Canteen: A Critical Perspective

    ERIC Educational Resources Information Center

    Spiteri, Damian

    2015-01-01

    Much has been written about the style of lecturing that is adopted by lecturers in institutions of further and higher education. However, little has been written about interactions that take place in the informal settings of college and university campuses. Using an ethnographic approach, this paper presents an exploration of how students at the…

  8. Genetic and Environmental Regulation on Longitudinal Change of Metabolic Phenotypes in Danish and Chinese Adult Twins

    PubMed Central

    Li, Shuxia; Kyvik, Kirsten Ohm; Pang, Zengchang; Zhang, Dongfeng; Duan, Haiping; Tan, Qihua; Hjelmborg, Jacob; Kruse, Torben; Dalgård, Christine

    2016-01-01

    Objective The rate of change in metabolic phenotypes can be highly indicative of metabolic disorders and disorder-related modifications. We analyzed data from longitudinal twin studies on multiple metabolic phenotypes in Danish and Chinese twins representing two populations of distinct ethnic, cultural, social-economic backgrounds and geographical environments. Materials and Methods The study covered a relatively large sample of 502 pairs of Danish adult twins followed up for a long period of 12 years with a mean age at intake of 38 years (range: 18–65) and a total of 181 Chinese adult twin pairs traced for about 7 years with a mean baseline age of 39.5 years (range: 23–64). The classical twin models were fitted to the longitudinal change in each phenotype (Δphenotype) to estimate the genetic and environmental contributions to the variation in Δphenotype. Results Moderate to high contributions by the unique environment were estimated for all phenotypes in both Danish (from 0.51 for low density lipoprotein cholesterol up to 0.72 for triglycerides) and Chinese (from 0.41 for triglycerides up to 0.73 for diastolic blood pressure) twins; low to moderate genetic components were estimated for long-term change in most of the phenotypes in Danish twins except for triglycerides and hip circumference. Compared with Danish twins, the Chinese twins tended to have higher genetic control over the longitudinal changes in lipids (except high density lipoprotein cholesterol) and glucose, higher unique environmental contribution to blood pressure but no genetic contribution to longitudinal change in body mass traits. Conclusion Our results emphasize the major contribution of unique environment to the observed intra-individual variation in all metabolic phenotypes in both samples, and meanwhile reveal differential patterns of genetic and common environmental regulation on changes over time in metabolic phenotypes across the two samples. PMID:26862898

  9. Adherence to treatment: practice, education and research in Danish community pharmacy

    PubMed Central

    Haugbølle, Lotte S.; Herborg, Hanne

    2009-01-01

    Objective: To describe the practice, education and research concerning medication adherence in Danish community pharmacy. Methods: The authors supplemented their expertise in the area of medication adherence through their contacts with other educators and researchers as well as by conducting searches in the Danish Pharmacy Practice Evidence Database, which provides annually updated literature reviews on intervention research in Danish pharmacy practice. Results: Practice: Medication adherence is the focus of and/or is supported by a large number of services and initiatives used in pharmacy practice such as governmental funding, IT-supported medicine administration systems, dose-dispensing systems, theme years in pharmacies on adherence and concordance, standards for counselling at the counter, pharmacist counselling, medication reviews and inhaler technique assessment. Education: In Denmark, pharmacy and pharmaconomist students are extensively trained in the theory and practice of adherence to therapy. Pharmacy staff can choose from a variety of continuing education and post-graduate programmes which address patient adherence. Research: Nine ongoing and recently completed studies are described. Early research in Denmark comprised primarily smaller, qualitative studies centred on user perspectives, whereas later research has shifted the focus towards larger, quantitative, controlled studies and action-oriented studies focusing on patient groups with chronic diseases (such as diabetes, asthma, coronary vascular diseases). Conclusions: Our analysis has documented that Danish pharmaceutical education and research has focused strongly on adherence to treatment for more than three decades. Adherence initiatives in Danish community pharmacies have developed substantially in the past 5-10 years, and, as pharmacies have prioritised their role in health care and patient safety, this development can be expected to continue in future years. PMID:25136393

  10. The two-colour EMCCD instrument for the Danish 1.54 m telescope and SONG

    NASA Astrophysics Data System (ADS)

    Skottfelt, J.; Bramich, D. M.; Hundertmark, M.; Jørgensen, U. G.; Michaelsen, N.; Kjærgaard, P.; Southworth, J.; Sørensen, A. N.; Andersen, M. F.; Andersen, M. I.; Christensen-Dalsgaard, J.; Frandsen, S.; Grundahl, F.; Harpsøe, K. B. W.; Kjeldsen, H.; Pallé, P. L.

    2015-02-01

    We report on the implemented design of a two-colour instrument based on electron-multiplying CCD (EMCCD) detectors. This instrument is currently installed at the Danish 1.54 m telescope at ESO's La Silla Observatory in Chile, and will be available at the SONG (Stellar Observations Network Group) 1m telescope node at Tenerife and at other SONG nodes as well. We present the software system for controlling the two-colour instrument and calibrating the high frame-rate imaging data delivered by the EMCCD cameras. An analysis of the performance of the Two-Colour Instrument at the Danish telescope shows an improvement in spatial resolution of up to a factor of two when doing shift-and-add compared with conventional imaging, and the possibility of doing high-precision photometry of EMCCD data in crowded fields. The Danish telescope, which was commissioned in 1979, is limited by a triangular coma at spatial resolutions below 0.5 arcsec, and better results will thus be achieved at the near diffraction-limited optical system on the SONG telescopes, where spatial resolutions close to 0.2 arcsec have been achieved. Regular EMCCD operations have been running at the Danish telescope for several years and produced a number of scientific discoveries, including microlensing detected exoplanets, detecting previously unknown variable stars in dense globular clusters, and discovering two rings around the small asteroid-like object (10199) Chariklo. Based on data collected with the Danish 1.54m telescope at ESO's La Silla Observatory.

  11. [The Danish debate on priority setting in medicine - characteristics and results].

    PubMed

    Pornak, S; Meyer, T; Raspe, H

    2011-10-01

    Priority setting in medicine helps to achieve a fair and transparent distribution of health-care resources. The German discussion about priority setting is still in its infancy and may benefit from other countries' experiences. This paper aims to analyse the Danish priority setting debate in order to stimulate the German discussion. The methods used are a literature analysis and a document analysis as well as expert interviews. The Danish debate about priority setting in medicine began in the 1970s, when a government committee was constituted to evaluate health-care priorities at the national level. In the 1980s a broader debate arose in politics, ethics, medicine and health economy. The discussions reached a climax in the 1990s, when many local activities - always involving the public - were initiated. Some Danish counties tried to implement priority setting in the daily routine of health care. The Council of Ethics was a major player in the debate of the 1990s and published a detailed statement on priority setting in 1996. With the new century the debate about priority setting seemed to have come to an end, but in 2006 the Technology Council and the Danish Regions resumed the discussion. In 2009 the Medical Association called for a broad debate in order to achieve equity among all patients. The long lasting Danish debate on priority setting has entailed only very little practical consequences on health care. The main problems seem to have been the missing effort to bundle the various local initiatives on a national level and the lack of powerful players to put results of the discussion into practice. Nevertheless, today the attitude towards priority setting is predominantly positive and even politicians talk freely about it. PMID:21796589

  12. Re-use of SNOMED CT subset in development of the Danish national standard for home care nursing problems.

    PubMed

    Højen, Anne Randorff; Gøeg, Kirstine Rosenbeck; Elberg, Pia Britt

    2015-01-01

    SNOMED CT was chosen as reference terminology for standardisation of homecare nursing documentation to make reporting comparable across the 98 Danish municipalities. The method outlined in this paper for developing a Danish national homecare nursing SNOMED CT subsets is a pragmatic approach to build new SNOMED CT subsets drawing on existing and available SNOMED CT subsets. Combining this approach with awareness of hierarchical coherency in SNOMED CT subsets makes effective retrieval of data possible. PMID:25991118

  13. The Chronic Responsibility: A Critical Discourse Analysis of Danish Chronic Care Policies.

    PubMed

    Ravn, Iben M; Frederiksen, Kirsten; Beedholm, Kirsten

    2016-03-01

    This article reports on the results of a Fairclough-inspired critical discourse analysis aiming to clarify how chronically ill patients are presented in contemporary Danish chronic care policies. Drawing on Fairclough's three-dimensional framework for analyzing discourse, and using Dean's concepts of governmentality as an interpretative lens, we analyzed and explained six policies published by the Danish Health and Medicines Authority between 2005 and 2013. The analysis revealed that discourses within the policy vision of chronic care consider chronically ill patients' active role, lifestyle, and health behavior to be the main factors influencing susceptibility to chronic diseases. We argue that this discursive construction naturalizes a division between people who can actively manage responsible self-care and those who cannot. Such discourses may serve the interests of those patients who are already activated, while others remain subjugated to certain roles. For example, they may be labeled as "vulnerable." PMID:25662943

  14. The Norwegian Danish Basin: A key to understanding the Cenozoic in the eastern North Sea

    NASA Astrophysics Data System (ADS)

    Rasmussen, Thomas L.; Clausen, Ole R.; Andresen, Katrine J.; Goledowski, Bartosz

    2015-04-01

    The Danish part of Norwegian-Danish Basin, which constitutes the eastern part of the North Sea Basin, has been the key area for sequence stratigraphic subdivision and analysis of the Cenozoic succession since the mid 1990's. Widespread 3D seismic data, in the central parts of the North Sea Basin, as well as more scattered 3D seismic data in the Danish part of the Norwegian-Danish Basin, have given a more detailed understanding of the sequences and indicate that climate is tenable for the origin of Cenozoic sequence boundaries. The previous sequence stratigraphic interpretations have been an integrated part of an ongoing debate concerning vertical movements of the Fennoscandian shield versus the impact of climate and erosion. A newly accessed coherent regional 2D and reprocessed 3D seismic data set, in the Norwegian part of the Norwegian-Danish Basin, constitute the database for a new sequence stratigraphic analysis of the entire area. The objective of the new study is to test previous subdivisions and introduce a coherent 3D sequence stratigraphic analysis and depositional model for the entire Norwegian-Danish Basin. This analysis is necessary to get out of the stalemate with the uplift discussion. The study shows that the original subdivision by Michelsen et al. (1995, 1998) stands. However, revision of few a sequence boundaries may have to be adjusted due to new biostratigraphic information published. Furthermore, high-angle clinoforms and geomorphological transport complexes observed in the Danish North Sea Basin can be traced into the Norwegian sector. This together with the recognition of several other high-angle clinoform complexes, and their associated seismic facies distribution maps and thickness-maps, enhances the level of detail and constrains the previous published paleogeographic reconstructions of the Cenozoic. The geometry of the Cenozoic infill, in the Norwegian part of the Norwegian-Danish Basin, is here interpreted to be controlled by relative sea

  15. Against all odds? Understanding the emergence of accreditation of the Danish hospitals.

    PubMed

    Triantafillou, Peter

    2014-01-01

    Despite intense critique from various parts of the medical professions, Danish hospitals have been subjected to a mandatory accreditation system known as the Danish Quality Model (Den Danske Kvalitetsmodel, DDKM) since 2009. The notion of government assemblage is employed to understand how and why, in the face of these obstacles, DDKM was ultimately implemented. It is argued that DDKM is the result of the emergence of hospital quality management assemblage in 1980s and 1990s made up by new methods of categorizing disease treatments, computerization of such treatments, concerns over cost-effectiveness, complaint registration, the availability of international hospital quality assessment systems, the mobilization of organized medical interest groups, and a tradition of consultative policymaking procedures. This assemblage was crucial for identifying quality as a problem in need of administrative intervention and for shaping the political struggle over how best to assure the quality of hospital services. PMID:24560227

  16. Survey of di-(2-ethylhexyl)phthalate plasticizer contamination of retail Danish milks.

    PubMed

    Petersen, J H

    1991-01-01

    An investigation of residues of di-(2-ethylhexyl)-phthalate (DEHP) in retail whole milk in samples from one German and 14 Danish dairies is reported. The investigation was performed about six months after the use of DEHP-plasticized milk tubing was banned in Denmark. The results indicate a mean concentration of DEHP lower than 50 micrograms/litre in retail whole milk. Based on these data and the Tolerable Daily Intake (TDI) for DEHP of 25 micrograms/kg body weight laid down by the EEC Scientific Committee for Food, it is concluded that the intake of DEHP from milk and milk products does not, even through a whole life, constitute a danger to health for the Danish population. PMID:1812016

  17. A risky occupation? (Un)healthy lifestyle behaviors among Danish seafarers.

    PubMed

    Hjarnoe, Lulu; Leppin, Anja

    2014-12-01

    Sedentary working conditions, smoking, unhealthy eating habits and lack of exercise are some of the lifestyle risk factors that form a potentially growing problem for seafarers within certain parts of the maritime sector creating a heightened risk for chronic diseases such as diabetes and cardiovascular disease. Health promotion initiatives to combat this negative development requires as a first step identifying the magnitude of the different risk factors. A survey was conducted in 2007-08 with two Danish shipping companies on seafarers' health, wellbeing, diet, smoking and physical activity. In addition, a health profile was offered to the respondents, consisting of physiological measurements, such as fitness rating, body mass index (BMI), cholesterol measurement and blood pressure. The response rate in the questionnaire study was 57% (n = 360) of which 76% (n = 272) of the respondents received a health profile. Results (males) showed 44% daily smokers compared with 32% in the general Danish adult male population. Twenty-five percent of the seafarers were obese with a BMI > 30 compared with 12% of the Danish adult male population. Fifty-one percent of the respondents were defined as having metabolic syndrome, compared with 20% of the Danish adult male population. Seafaring is a risky occupation when looking at the seafarers' health and wellbeing. The results of this survey confirm the need for health promotion interventions such as smoking cessation courses, healthy cooking courses and physical exercise programs, etc. that can enable healthier lifestyle. The challenge will be to take into account the special seafaring conditions when implementing the interventions. PMID:23630132

  18. What Is the Essence of Spiritual Care? A Danish Hospice Perspective.

    PubMed

    Steenfeldt, Vibeke Ostergaard

    2016-01-01

    This study explored patients', relatives', and healthcare professionals' experience of life and caring practice in two Danish hospice settings. Using a phenomenological approach, four caring themes emerged from data analysis: recognized as an individual human being; caring as doing and being; caring for the whole body; and spaces of caring. Spiritual care was understood as providing whole-body experiences, respecting the patient, and involving the other person. PMID:27299946

  19. Possible Causes of a Harbour Porpoise Mass Stranding in Danish Waters in 2005

    PubMed Central

    Wright, Andrew J.; Maar, Marie; Mohn, Christian; Nabe-Nielsen, Jacob; Siebert, Ursula; Jensen, Lasse Fast; Baagøe, Hans J.; Teilmann, Jonas

    2013-01-01

    An unprecedented 85 harbour porpoises stranded freshly dead along approximately 100 km of Danish coastline from 7–15 April, 2005. This total is considerably above the mean weekly stranding rate for the whole of Denmark, both for any time of year, 1.23 animals/week (ranging from 0 to 20 during 2003–2008, excluding April 2005), and specifically in April, 0.65 animals/week (0 to 4, same period). Bycatch was established as the cause of death for most of the individuals through typical indications of fisheries interactions, including net markings in the skin and around the flippers, and loss of tail flukes. Local fishermen confirmed unusually large porpoise bycatch in nets set for lumpfish (Cyclopterus lumpus) and the strandings were attributed to an early lumpfish season. However, lumpfish catches for 2005 were not unusual in terms of season onset, peak or total catch, when compared to 2003–2008. Consequently, human activity was combined with environmental factors and the variation in Danish fisheries landings (determined through a principal component analysis) in a two-part statistical model to assess the correlation of these factors with both the presence of fresh strandings and the numbers of strandings on the Danish west coast. The final statistical model (which was forward selected using Akaike information criterion; AIC) indicated that naval presence is correlated with higher rates of porpoise strandings, particularly in combination with certain fisheries, although it is not correlated with the actual presence of strandings. Military vessels from various countries were confirmed in the area from the 7th April, en route to the largest naval exercise in Danish waters to date (Loyal Mariner 2005, 11–28 April). Although sonar usage cannot be confirmed, it is likely that ships were testing various equipment prior to the main exercise. Thus naval activity cannot be ruled out as a possible contributing factor. PMID:23460787

  20. Possible causes of a harbour porpoise mass stranding in Danish waters in 2005.

    PubMed

    Wright, Andrew J; Maar, Marie; Mohn, Christian; Nabe-Nielsen, Jacob; Siebert, Ursula; Jensen, Lasse Fast; Baagøe, Hans J; Teilmann, Jonas

    2013-01-01

    An unprecedented 85 harbour porpoises stranded freshly dead along approximately 100 km of Danish coastline from 7-15 April, 2005. This total is considerably above the mean weekly stranding rate for the whole of Denmark, both for any time of year, 1.23 animals/week (ranging from 0 to 20 during 2003-2008, excluding April 2005), and specifically in April, 0.65 animals/week (0 to 4, same period). Bycatch was established as the cause of death for most of the individuals through typical indications of fisheries interactions, including net markings in the skin and around the flippers, and loss of tail flukes. Local fishermen confirmed unusually large porpoise bycatch in nets set for lumpfish (Cyclopterus lumpus) and the strandings were attributed to an early lumpfish season. However, lumpfish catches for 2005 were not unusual in terms of season onset, peak or total catch, when compared to 2003-2008. Consequently, human activity was combined with environmental factors and the variation in Danish fisheries landings (determined through a principal component analysis) in a two-part statistical model to assess the correlation of these factors with both the presence of fresh strandings and the numbers of strandings on the Danish west coast. The final statistical model (which was forward selected using Akaike information criterion; AIC) indicated that naval presence is correlated with higher rates of porpoise strandings, particularly in combination with certain fisheries, although it is not correlated with the actual presence of strandings. Military vessels from various countries were confirmed in the area from the 7th April, en route to the largest naval exercise in Danish waters to date (Loyal Mariner 2005, 11-28 April). Although sonar usage cannot be confirmed, it is likely that ships were testing various equipment prior to the main exercise. Thus naval activity cannot be ruled out as a possible contributing factor. PMID:23460787

  1. Ruxolitinib is manageable in patients with myelofibrosis and severe thrombocytopenia: a report on 12 Danish patients.

    PubMed

    Bjørn, Mads Emil; Holmström, Morten Orebo; Hasselbalch, Hans Carl

    2016-01-01

    We report 12 Danish myelofibrosis patients who have been treated successfully with ruxolitinib despite having low platelet counts (< 50 × 10(9)/L) during their treatment-course. The majority of the patients experienced marked clinical improvement. Serious side effects were only recorded in a single patient. It is concluded that JAK-inhibition with ruxolitinib is manageable in patients with low platelet counts and should be considered in symptomatic patients who otherwise might not be candidates for treatment. PMID:25936872

  2. Lecturing Undergraduate Science in Danish and in English: A Comparison of Speaking Rate and Rhetorical Style

    ERIC Educational Resources Information Center

    Thogersen, Jacob; Airey, John

    2011-01-01

    This paper investigates the consequences of L2 use in university lectures. Data in the study stem from parallel lectures held by the same experienced lecturer in Danish (L1) and English (L2). It is found that the lecturer takes 22% longer to present the same content in L2 compared to L1, and that the lecturer speaks 23% more slowly in L2 than in…

  3. The Danish National Patient Registry: a review of content, data quality, and research potential

    PubMed Central

    Schmidt, Morten; Schmidt, Sigrun Alba Johannesdottir; Sandegaard, Jakob Lynge; Ehrenstein, Vera; Pedersen, Lars; Sørensen, Henrik Toft

    2015-01-01

    Background The Danish National Patient Registry (DNPR) is one of the world’s oldest nationwide hospital registries and is used extensively for research. Many studies have validated algorithms for identifying health events in the DNPR, but the reports are fragmented and no overview exists. Objectives To review the content, data quality, and research potential of the DNPR. Methods We examined the setting, history, aims, content, and classification systems of the DNPR. We searched PubMed and the Danish Medical Journal to create a bibliography of validation studies. We included also studies that were referenced in retrieved papers or known to us beforehand. Methodological considerations related to DNPR data were reviewed. Results During 1977–2012, the DNPR registered 8,085,603 persons, accounting for 7,268,857 inpatient, 5,953,405 outpatient, and 5,097,300 emergency department contacts. The DNPR provides nationwide longitudinal registration of detailed administrative and clinical data. It has recorded information on all patients discharged from Danish nonpsychiatric hospitals since 1977 and on psychiatric inpatients and emergency department and outpatient specialty clinic contacts since 1995. For each patient contact, one primary and optional secondary diagnoses are recorded according to the International Classification of Diseases. The DNPR provides a data source to identify diseases, examinations, certain in-hospital medical treatments, and surgical procedures. Long-term temporal trends in hospitalization and treatment rates can be studied. The positive predictive values of diseases and treatments vary widely (<15%–100%). The DNPR data are linkable at the patient level with data from other Danish administrative registries, clinical registries, randomized controlled trials, population surveys, and epidemiologic field studies – enabling researchers to reconstruct individual life and health trajectories for an entire population. Conclusion The DNPR is a valuable

  4. Risk assessment of Salmonella in Danish meatballs produced in the catering sector.

    PubMed

    Møller, Cleide O de A; Nauta, Maarten J; Schaffner, Donald W; Dalgaard, Paw; Christensen, Bjarke B; Hansen, Tina B

    2015-03-01

    A modular process risk model approach was used to assess health risks associated with Salmonella spp. after consumption of the Danish meatball product (frikadeller) produced with fresh pork in a catering unit. Meatball production and consumption were described as a series of processes (modules), starting from 1.3kg meat pieces through conversion to 70g meatballs, followed by a dose response model to assess the risk of illness from consumption of these meatballs. Changes in bacterial prevalence, concentration, and unit size were modelled within each module. The risk assessment was built using observational data and models that were specific for Salmonella spp. in meatballs produced in the catering sector. Danish meatballs are often pan-fried followed by baking in an oven before consumption, in order to reach the core temperature of 75°C recommended by the Danish Food Safety Authority. However, in practice this terminal heat treatment in the oven may be accidentally omitted. Eleven production scenarios were evaluated with the model, to test the impact of heat treatments and cooling rates at different room temperatures. The risk estimates revealed that a process comprising heat treatment of meatballs to core temperatures higher than 70°C, and subsequent holding at room temperatures lower than 20°C, for no longer than 3.5h, were very effective in Salmonella control. The current Danish Food Safety Authority recommendation of cooking to an internal temperature of 75°C is conservative, at least with respect to Salmonella risk. Survival and growth of Salmonella during cooling of meatballs not heat treated in oven had a significant impact on the risk estimates, and therefore, cooling should be considered a critical step during meatball processing. PMID:25540860

  5. Reliability and Hierarchical Structure of DSM-5 Pathological Traits in a Danish Mixed Sample.

    PubMed

    Bo, Sune; Bach, Bo; Mortensen, Erik Lykke; Simonsen, Erik

    2016-02-01

    In this study we assessed the DSM-5 trait model in a large Danish sample (n = 1,119) with respect to reliability of the applied Danish version of the Personality Inventory for DSM-5 (PID-5) self-report form by means of internal consistency and item discrimination. In addition, we tested whether the five-factor structure of the DSM-5 trait model can be replicated in a Danish independent sample using the PID-5 self-report form. Finally, we examined the hierarchical structure of DSM-5 traits. In terms of internal consistency and item discrimination, the applied PID-5 scales were generally found reliable and functional; our data resembled the five-factor structure of previous findings, and we identified a hierarchical structure from one to five factors that was conceptually reasonable and corresponded with existing findings. These results support the new DSM-5 trait model and suggest that it can be generalized to other languages and cultures. PMID:25905735

  6. Profile of Danish women undergoing reversal of sterilization, 1978-1983.

    PubMed

    Thranov, I; Hertz, J; Ryttov, N

    1987-01-01

    To help identify those women who might regret undergoing sterilization, the Danish women refertilized from 1978 to 1983 were contacted by mailed questionnaire. Eighty-three percent (120/144) responded. These women were younger at the time of sterilization than Danish women sterilized in the same period (mean age 29 years versus 34 years). Furthermore, they had more children at the time of sterilization and had their first and last child at a younger age than Danish women generally, in the same age group. Their social and educational status was lower than the background population and fewer were in gainful employment. At sterilization, most of the women were in an emotionally stressful situation (e.g., marital disharmony (78% of the married women), single parenthood (28%), unwanted pregnancy (27%], or had chronic health problems in the family. Alternative contraceptive methods had not been fully explored. Thirty-eight percent complained of late secondary effects attributable to the sterilization, but the main reason for wanting reversal of sterilization was a new partner (75%). The study suggests that the psycho-social situation and contraceptive alternatives should be carefully evaluated in women requesting sterilization, especially in those below the age of 30. PMID:3661135

  7. Existing data sources for clinical epidemiology: the Danish Patient Compensation Association database

    PubMed Central

    Tilma, Jens; Nørgaard, Mette; Mikkelsen, Kim Lyngby; Johnsen, Søren Paaske

    2015-01-01

    Any patient in the Danish health care system who experiences a treatment injury can make a compensation claim to the Danish Patient Compensation Association (DPCA) free of charge. The aim of this paper is to describe the DPCA database as a source of data for epidemiological research. Data to DPCA are collected prospectively on all claims and include information on patient factors and health records, system factors, and administrative data. Approval of claims is based on injury due to the principle of treatment below experienced specialist standard or intolerable, unexpected extensiveness of injury. Average processing time of a compensation claim is 6–8 months. Data collection is nationwide and started in 1992. The patient’s central registration system number, a unique personal identifier, allows for data linkage to other registries such as the Danish National Patient Registry. The DPCA data are accessible for research following data usage permission and make it possible to analyze all claims or specific subgroups to identify predictors, outcomes, etc. DPCA data have until now been used only in few studies but could be a useful data source in future studies of health care-related injuries. PMID:26229505

  8. Chemostratigraphy of Upper Cretaceous chalk sequences in Norwegian-Danish basin and North Sea Central Trough

    SciTech Connect

    Joergensen, N.O.

    1987-05-01

    Geochemical studies of subsurface sections and outcrops in the Upper Cretaceous chalk sequences from the Norwegian-Danish basin and the North Sea Central Trough have resulted in a detailed chemostratigraphy for these strata. The most applicable chemostratigraphic markers are based on the distribution of strontium, magnesium, manganese, the /sup 13/C//sup 12/C ratio, and the variations in the carbonate contents. It is demonstrated that the chemostratigraphic approach is valid at two levels: (1) a superior chemostratigraphy in which deep-sea cores from the Atlantic Ocean and sections from western Europe are correlated on the basis of significant geochemical anomalies and long-term variations most likely induced by oceanic geochemical cycles and sea level fluctuations; (2) a subordinate but detailed intrabasinal chemostratigraphic correlation which primarily reflects the physicochemical conditions in the depositional environment. The Upper Cretaceous chemostratigraphy established in the Danish area allows a detailed correlation between relatively continuous chalk sequences in the Norwegian-Danish basin and the rather condensed and hiati-influenced sections in the oil fields of the North Sea. The results emphasize the applicability of chemostratigraphy in the subsurface exploration for hydrocarbon reservoirs in chalk.

  9. Reproducibility of a web-based FFQ for 13- to 15-year-old Danish adolescents.

    PubMed

    Bjerregaard, Anne A; Tetens, Inge; Olsen, Sjurdur F; Halldorsson, Thorhallur I

    2016-01-01

    FFQ are widely used in large-scale studies to assess dietary intake. To aid interpretation of diet-disease associations assessment of validity must be performed. Reproducibility is one aspect of validity focusing on the stability of repeated assessment with the same method which may also reveal problems in instrument design or participant instructions. The aim of the present study was to evaluate the reproducibility of a web-based FFQ targeting Danish adolescents within the Danish National Birth Cohort (DNBC). Data for the present study were obtained from a prospective design nested within the DNBC. Adolescents aged 13 to 15 years old (n 48, 60 % girls) completed the FFQ twice 4 weeks apart. The proportion of adolescents consistently classified into the same tertile according to amount of food intake ranged from 45 % (fish) to 77 % (vegetables), whereas classification into opposite tertiles ranged from 0 % (fruit, oils and dressing) to 15 % (beverages). Overall, no significant differences were observed in intake of food groups or nutrients between the two completions of the FFQ. Mean crude Spearman correlation for all food groups was 0·56 and mean intra-class correlation for all food groups was 0·61. In conclusion, the reproducibility of the FFQ for Danish adolescents was acceptable. The study revealed that adolescents aged 13-15 years seemed capable of recalling consistently overall dietary habits and had some difficulties estimating the frequency of consumption of regularly consumed food items. PMID:26855775

  10. Use of proton-pump inhibitors among adults: a Danish nationwide drug utilization study

    PubMed Central

    Pottegård, Anton; Broe, Anne; Hallas, Jesper; de Muckadell, Ove B. Schaffalitzky; Lassen, Annmarie T.; Lødrup, Anders B.

    2016-01-01

    Background: The use of proton-pump inhibitors (PPIs) has increased over the last decade. The objective of this study was to provide detailed utilization data on PPI use over time, with special emphasis on duration of PPI use and concomitant use of ulcerogenic drugs. Methods: Using the nationwide Danish Prescription Registry, we identified all Danish adults filling a PPI between 2002 and 2014. Using descriptive statistics, we reported (i) the distribution of use between single PPI entities, (ii) the development in incidence and prevalence of use over time, (iii) measures of duration and intensity of treatment, and (iv) the prevalence of use of ulcerogenic drugs among users of PPIs. Results: We identified 1,617,614 adults using PPIs during the study period. The prevalence of PPI use increased fourfold during the study period to 7.4% of all Danish adults in 2014. PPI use showed strong age dependency, reaching more than 20% among those aged at least 80 years. The proportion of users maintaining treatment over time increased with increasing age, with less than10% of those aged 18–39 years using PPIs 2 years after their first prescription, compared with about 40% among those aged at least 80 years. The overall use of ulcerogenic drugs among PPI users increased moderately, from 35% of users of PPI in 2002 to 45% in 2014. Conclusions: The use of PPIs is extensive and increasing rapidly, especially among the elderly. PMID:27582879

  11. The Danish Disaster Victim Identification effort in the Thai tsunami: organisation and results.

    PubMed

    Schou, Mette Pagh; Knudsen, Peter Juel Thiis

    2012-06-01

    Following the December 2004 tsunami in Thailand experts from many countries, including Denmark, went to Thailand to help with identification work. The Interpol system for Disaster Victim Identification (DVI) was employed for the identification of the many casualties. This paper describes the work of the Danish teams in Thailand from the 30th December 2004 until the 6th June 2005. The investigation covers all Danes reported missing directly after the tsunami in Thailand on the 26th December 2004 and who were later found deceased, or, in one case, never recovered. The AM and PM forms were reviewed retrospectively and the relevant information compared. Forensic odontology alone was responsible for 70.3% of identifications, and in two more cases (5.4%) the identification was established using a combination of odontology and fingerprint information. Fingerprints were used to establish identity in 8 cases (21.6%). DNA-typing was only used in one identification, in combination with fingerprinting data. Only one Danish victim was not identified. This review of the 37 Danish cases confirms that odontological examination yielded the most identifications, fingerprint data much fewer, and DNA was only used to a small extent, due to organisational problems with the examination and because the initial samples were of inferior quality. PMID:22113326

  12. Identifying risk factors for poor hind limb cleanliness in Danish loose-housed dairy cows.

    PubMed

    Nielsen, B H; Thomsen, P T; Sørensen, J T

    2011-08-01

    The objective of this study was to identify possible risk factors for poor cow hind limb cleanliness in Danish loose-housed, lactating dairy cows. The study was conducted as a cross-sectional study of 1315 cows in 42 commercial Danish dairy herds with primarily Danish Holstein cows. The effect of four cow-level factors (parity, days in milk, daily lying time and lameness) and eight herd-level factors (herd size, milk production, milking system, floor type, access to pasture grazing, floor scraping frequency, hoof bathing frequency and hoof washing frequency) on the risk of having dirtier hind limbs were analysed using ordinal logistic regression fitting a proportional odds model. Cow hind limb cleanliness was scored using an ordinal score from 1 to 4: 1 being clean and 4 being covered in dirt. The odds ratios (ORs) estimated from the proportional odds model depict the effect of a risk factor on the odds of having a higher rather than a lower cleanliness score. First parity cows had an increased risk of being dirtier compared with third parity or older cows (OR=1.70). Compared with late lactation, early and mid lactation were associated with an increased risk of being dirtier (OR=2.07 and 1.33, respectively). Decreasing the daily time lying by 30 min was associated with an increased risk of being dirtier (OR=1.05). Furthermore, an increased risk of being dirtier was found in herds with no pasture access (OR=3.75). PMID:22440353

  13. [Nazi Terror against the Danish Medical Profession. The February 20, 1945 Murders in Odense].

    PubMed

    Jeune, Bernard; Hess, Søren; Skytthe, Axel; Stræde, Therkel

    2015-01-01

    On February 20, 1945, during the German occupation of Denmark, members of a notorious Nazi terror organization named the Petergroup murdered four young medical doctors at the city and regional hospital of Odense. On the 70th anniversary of the crime, a symposium was organized at the Odense University Hospital, and a monument revealed close to the site of the murders in commemoration of the four victims of the crime. The young physicians were not known to be connected with the Danish resistance, and they were shot without their murderers even knowing their identities in an attempt to revenge the growing resistance in Denmark's central, third largest city, and as a reprisal for several cases where the hospital had treated wounded resistance fighters, and prevented their being handed over to the German police. The article describes the terror action of February 20, 1945 and its perpetrators, as well as other Nazi attacks on members of the Danish medical profession. It lines out the strong protest voiced by the Danish central administration against the Odense hospital killings which were on the very same day seconded by further killings and a German campaign of blowing up important Odense buildings including two newspaper printing houses. Conclusively, the authors - by way of obituaries and material from relatives of the murdered - portray the four victims of the atrocity Christian Fabricius Møller, Jørgen Hvalkof, Henning Magnus Adelsteen Dalsgaard, and Henning Ørsberg. PMID:27086451

  14. Annual incidence, prevalence and transmission characteristics of Streptococcus agalactiae in Danish dairy herds.

    PubMed

    Mweu, Marshal M; Nielsen, Søren S; Halasa, Tariq; Toft, Nils

    2012-10-01

    Contagious mastitis pathogens continue to pose an economic threat to the dairy industry. An understanding of their frequency and transmission dynamics is central to evaluating the effectiveness of control programmes. The objectives of this study were twofold: (1) to estimate the annual herd-level incidence rates and apparent prevalences of Streptococcus agalactiae (S. agalactiae) in the population of Danish dairy cattle herds over a 10-year period from 2000 to 2009 inclusive and (2) to estimate the herd-level entry and exit rates (demographic parameters), the transmission parameter, β, and recovery rate for S. agalactiae infection. Data covering the specified period, on bacteriological culture of all bulk tank milk samples collected annually as part of the mandatory Danish S. agalactiae surveillance scheme, were extracted from the Danish Cattle Database and subsequently analysed. There was an increasing trend in both the incidence and prevalence of S. agalactiae over the study period. Per 100 herd-years the value of β was 54.1 (95% confidence interval [CI] 46.0-63.7); entry rate 0.3 (95% CI 0.2-0.4); infection-related exit rate 7.1 (95% CI 5.6-8.9); non-infection related exit rate 9.2 (95% CI 7.4-11.5) and recovery rate 40.0 (95% CI 36.8-43.5). This study demonstrates a need to tighten the current controls against S. agalactiae in order to lower its incidence. PMID:22560559

  15. How does the Danish Groundwater Monitoring Programme support statistical consistent nitrate trend analyses in groundwater?

    NASA Astrophysics Data System (ADS)

    Hansen, Birgitte; Thorling, Lærke; Sørensen, Brian; Dalgaard, Tommy; Erlandsen, Mogens

    2013-04-01

    The overall aim of performing nitrate trend analyses in oxic groundwater is to document the effect of regulation of Danish agriculture on N pollution. The design of the Danish Groundwater Monitoring Programme is presented and discussed in relation to performance of statistical consistence nitrate trend analyses. Three types of data are crucial. Firstly, long and continuous time-series from the national groundwater monitoring network enable a statistically systematic analysis of distribution, trends and trend reversals in the groundwater nitrate concentration. Secondly, knowledge about the N surplus in Danish agriculture since 1950 from Denmark Statistics is used as an indicator of the potential loss of N. Thirdly, groundwater recharge age determination are performed in order to allow linking of the first two dataset. Recent results published in Hansen et al. (2011 & 2012) will be presented. Since the 1980s, regulations implemented by Danish farmers have succeeded in optimizing the N (nitrogen) management at farm level. As a result, the upward agricultural N surplus trend has been reversed, and the N surplus has reduced by 30-55% from 1980 to 2007 depending on region. The reduction in the N surplus served to reduce the losses of N from agriculture, with documented positive effects on nature and the environment in Denmark. In groundwater, the upward trend in nitrate concentrations was reversed around 1980, and a larger number of downward nitrate trends were seen in the youngest groundwater compared with the oldest groundwater. However, on average, approximately 48% of the oxic monitored groundwater has nitrate concentrations above the groundwater and drinking water standards of 50 mg/l. Furthermore, trend analyses show that 33% of all the monitored groundwater has upward nitrate trends, while only 18% of the youngest groundwater has upward nitrate trends according to data sampled from 1988-2009. A regional analysis shows a correlation between a high level of N

  16. Investigating the influence of sea level oscillations in the Danish Straits on the Baltic Sea dynamics

    NASA Astrophysics Data System (ADS)

    Tikhonova, Natalia; Gusev, Anatoly; Diansky, Nikolay; Zakharchuk, Evgeny

    2016-04-01

    In this research, we study the influence of dynamic processes in the Danish Straits on the sea surface height (SSH) oscillations in the Baltic Sea. For this purpose, we use the model of marine and oceanic circulation INMOM (Institute of Numerical Mathematics Ocean Model). The simulations were carried out for the period 2009-2010, and the coastal station data were used for verification of SSH modelling quality. Comparison of the simulated data with the ones measured in the coastal points showed us that the model does not describe SSH variability in different areas of the Baltic Sea well enough, so in the following simulation series the in situ SSH data of the coastal measurements were assimilated at the open boundary in the Danish Straits. The results of the new simulation showed us that this approach significantly increases the SSH simulation quality in all areas of the sea, where the comparison was made. In particular, the correlation coefficients between the simulated and measured SSH data increased from 0.21-0.73 to 0.81-0.90. On the basis of these results, it has been suggested that the Baltic Sea SSH variability is largely determined by the influence of the dynamic processes in the Danish Straits, which can be represented as a superposition of oscillations of different space-time scales. These oscillations can either be generated in the straits themselves, or propagate from the North Sea. For verification of this hypothesis and assessment of the oscillation propagation distance in the Baltic Sea, the following experiment was performed. At the open boundary in the Danish Straits, the six harmonics were set with the following parameters: the periods are 1.5, 3.0, 6.0, 13.5, 40.5, and 121.5 days, and the amplitude for all the harmonics is 50 cm. The results showed us that the prescribed harmonic oscillations at the open boundary propagate into all areas of the sea without changing the frequency, but with decreasing amplitude. The decrease in amplitude is not

  17. Danish dementia mice suggest that loss of function and not the amyloid cascade causes synaptic plasticity and memory deficits

    PubMed Central

    Tamayev, Robert; Matsuda, Shuji; Fà, Mauro; Arancio, Ottavio; D’Adamio, Luciano

    2010-01-01

    According to the prevailing “amyloid cascade hypothesis,” genetic dementias such as Alzheimer’s disease and familial Danish dementia (FDD) are caused by amyloid deposits that trigger tauopathy, neurodegeneration, and behavioral/cognitive alterations. To efficiently reproduce amyloid lesions, murine models of human dementias invariably use transgenic expression systems. However, recent FDD transgenic models showed that Danish amyloidosis does not cause memory defects, suggesting that other mechanisms cause Danish dementia. We studied an animal knock-in model of FDD (FDDKI/+) genetically congruous with human cases. FDDKI/+ mice present reduced Bri2 levels, impaired synaptic plasticity and severe hippocampal memory deficits. These animals show no cerebral lesions that are reputed characteristics of human dementia, such as tangles or amyloid plaques. Bri2+/− mice exhibit synaptic and memory deficits similar to FDDKI/+ mice, and memory loss of FDDKI/+ mice is prevented by expression of WT BRI2, indicating that Danish dementia is caused by loss of BRI2 function. Together, the data suggest that clinical dementia in Danish patients occurs via a loss of function mechanism and not as a result of amyloidosis and tauopathy. PMID:21098268

  18. American and Danish Police "Dropout" Rates: Denmark's Force as a Case Study in High Job Satisfaction, Low Stress, and Low Turnover.

    ERIC Educational Resources Information Center

    DeLey, Warren W.

    1984-01-01

    Compares actual turnover rates of a sample of U.S. police departments from large cities (N=87) and small cities (N=39) with that of the Danish police force. Results showed rates of early leaving to be lower for the Danish police than for the U.S. sample. (LLL)

  19. Existing data sources for clinical epidemiology: The Danish National Database of Reimbursed Prescriptions

    PubMed Central

    Johannesdottir, Sigrun Alba; Horváth-Puhó, Erzsébet; Ehrenstein, Vera; Schmidt, Morten; Pedersen, Lars; Sørensen, Henrik Toft

    2012-01-01

    The Danish health care system provides partial reimbursement of most prescription medications in Denmark. The dispensation of prescription medications is registered in administrative databases. Each time a prescription is redeemed at a pharmacy, an electronic record is generated with information related to the user, prescriber, the pharmacy, and the dispensed drug. The National Health Service gathers this information for administration of the drug reimbursement plan. Recently, this information became the basis for the establishment of a new research database, the Danish National Database of Reimbursed Prescriptions (DNDRP). In this paper, we review the content, coverage, quality, linkage, access, and research possibilities of this new database. The database encompasses the reimbursement records of all reimbursed drugs sold in community pharmacies and hospital-based outpatient pharmacies in Denmark since 2004. On average, approximately 3.5 million users are recorded in the database each year. During the coverage period, the number of annual prescription redemptions increased by 15%. Most dispensed prescriptions are in the categories “alimentary tract and metabolism”, “cardiovascular system”, “nervous system”, and “respiratory system”. Individuals are identified by the unique central personal registration (CPR) number assigned to all persons born in or immigrating to Denmark. The new database fully complies with Denmark’s Act on Processing of Personal Data, while avoiding additional restrictions imposed on data use at the Danish National Prescription Registry, administered by Statistics Denmark. Most importantly, CPR numbers are reversibly encrypted, which allows re-identification of drug users; furthermore, the data access is possible outside the servers of Statistics Denmark. These features open additional opportunities for international collaboration, validation studies, studies on adverse drug effects requiring review of medical records, studies

  20. Late Triassic uplift of southern Norway revealed by detrital zircons in the Norwegian-Danish Basin

    NASA Astrophysics Data System (ADS)

    Olivarius, Mette; Nielsen, Lars H.; Weibel, Rikke; Kristensen, Lars; Thomsen, Tonny B.

    2016-04-01

    Zircon U/Pb geochronometry is used to identify the sediment source areas of the Upper Triassic to Lower Jurassic shallow marine to paralic Gassum Formation in the Norwegian-Danish Basin. The analyses of zircon grains from geographically and stratigraphically widely distributed cores take advantage of the detailed sequence stratigraphic framework existing for the succession. The zircon ages indicate that the sediment in the lower part of the Gassum Formation in the northern and central parts of the basin was supplied solely from the Telemarkia Terrane in the southern part of southern Norway. However, age signatures from other basement terranes were added during periods of transgression presumably as a result of longshore reworking. The sediment in the eastern part of the basin has a different provenance signature that reflects supply from various sources of which some or all seemingly include older sediments. The basinwide fluvial incision that occurred during a relative sea-level fall in the Rhaetian is interpreted to be related to uplift of southern Norway since a pronounced content of zircon grains with U/Pb ages of 1.65 Ga were introduced in the Norwegian-Danish Basin at the time. This age is dominant in the upper part of the Gassum Formation and is present in all studied younger sediments in the Norwegian-Danish Basin, whereas it is missing in older sediments in the basin. Rocks with corresponding ages are presently exposed in the Jotun Nappe Complex and the Western Gneiss Complex in the central and northern parts of southern Norway. Thus, major faulting activity must have occurred in southern Norway during the Late Triassic that made such rocks available for erosion with permanent southeastwards drainage.

  1. Intake of whole grains and vegetables determines the plasma enterolactone concentration of Danish women.

    PubMed

    Johnsen, Nina F; Hausner, Helene; Olsen, Anja; Tetens, Inge; Christensen, Jane; Knudsen, Knud Erik Bach; Overvad, Kim; Tjønneland, Anne

    2004-10-01

    The mammalian lignan enterolactone (ENL), which is produced from dietary plant-lignan precursors by the intestinal microflora, may protect against breast cancer and other hormone-dependent cancers. This cross-sectional study examined which variables related to diet and lifestyle were associated with high plasma concentrations of ENL in Danish postmenopausal women. Plasma ENL was measured by time-resolved fluoroimmunoassay in 857 Danish women aged 50-64 y who participated in a prospective cohort study. Diet was assessed using a semiquantitative FFQ, and background information on lifestyle was collected using a self-administered questionnaire. Multiple analyses of covariance were completed in two steps. The median plasma ENL concentration was 27 nmol/L (range 0-455 nmol/L). In covariance analyses, positive associations were found between consumption of cereals, vegetables, and beverages and plasma ENL concentration. When analyzing subgroups of these food groups, the associations were confined to whole-grain products, cabbage, leafy vegetables, and coffee. For fat and the nondietary variables, negative associations between BMI, smoking, and frequency of bowel movements and plasma ENL concentration were observed. These data show that foods high in ENL precursors are associated with high concentrations of ENL. Furthermore, smoking, frequent bowel movements, and consumption of fat seems to have a negative affect on the ENL concentration. In conclusion, whole grains and vegetables are the most important dietary providers of plant lignans for the concentration of ENL in Danish postmenopausal women, and if ENL is found to protect against cancer or heart disease, the intake of whole grains and vegetables should be increased. PMID:15465768

  2. In-Utero Exposure to Bereavement and Offspring IQ: A Danish National Cohort Study

    PubMed Central

    Virk, Jasveer; Obel, Carsten; Li, Jiong; Olsen, Jørn

    2014-01-01

    Background Intelligence is a life-long trait that has strong influences on lifestyle, adult morbidity and life expectancy. Hence, lower cognitive abilities are therefore of public health interest. Our primary aim was to examine if prenatal bereavement measured as exposure to death of a close family member is associated with the intelligence quotient (IQ) scores at 18-years of age of adult Danish males completing a military cognitive screening examination. Methods We extracted records for the Danish military screening test and found kinship links with biological parents, siblings, and maternal grandparents using the Danish Civil Registration System (N = 167,900). The prenatal exposure period was defined as 12 months before conception until birth of the child. We categorized children as exposed in utero to severe stress (bereavement) during prenatal life if their mothers lost an elder child, husband, parent or sibling during the prenatal period; the remaining children were included in the unexposed cohort. Mean score estimates were adjusted for maternal and paternal age at birth, residence, income, maternal education, gestational age at birth and birth weight. Results When exposure was due to death of a father the offsprings' mean IQ scores were lower among men completing the military recruitment exam compared to their unexposed counterparts, adjusted difference of 6.5 standard IQ points (p-value = 0.01). We did not observe a clinically significant association between exposure to prenatal maternal bereavement caused by death of a sibling, maternal uncle/aunt or maternal grandparent even after stratifying deaths only due to traumatic events. Conclusion We found maternal bereavement to be adversely associated with IQ in male offspring, which could be related to prenatal stress exposure though more likely is due to changes in family conditions after death of the father. This finding supports other literature on maternal adversity during fetal life and cognitive

  3. Evaluating the biochemical methane potential (BMP) of low-organic waste at Danish landfills.

    PubMed

    Mou, Zishen; Scheutz, Charlotte; Kjeldsen, Peter

    2014-11-01

    The biochemical methane potential (BMP) is an essential parameter when using first order decay (FOD) landfill gas (LFG) generation models to estimate methane (CH4) generation from landfills. Different categories of waste (mixed, shredder and sludge waste) with a low-organic content and temporarily stored combustible waste were sampled from four Danish landfills. The waste was characterized in terms of physical characteristics (TS, VS, TC and TOC) and the BMP was analyzed in batch tests. The experiment was set up in triplicate, including blank and control tests. Waste samples were incubated at 55°C for more than 60 days, with continuous monitoring of the cumulative CH4 generation. Results showed that samples of mixed waste and shredder waste had similar BMP results, which was in the range of 5.4-9.1 kg CH4/ton waste (wet weight) on average. As a calculated consequence, their degradable organic carbon content (DOCC) was in the range of 0.44-0.70% of total weight (wet waste). Numeric values of both parameters were much lower than values of traditional municipal solid waste (MSW), as well as default numeric values in current FOD models. The sludge waste and temporarily stored combustible waste showed BMP values of 51.8-69.6 and 106.6-117.3 kg CH4/ton waste on average, respectively, and DOCC values of 3.84-5.12% and 7.96-8.74% of total weight. The same category of waste from different Danish landfills did not show significant variation. This research studied the BMP of Danish low-organic waste for the first time, which is important and valuable for using current FOD LFG generation models to estimate realistic CH4 emissions from modern landfills receiving low-organic waste. PMID:25106120

  4. Quantification of methane emissions from 15 Danish landfills using the mobile tracer dispersion method

    SciTech Connect

    Mønster, Jacob; Samuelsson, Jerker; Scheutz, Charlotte

    2015-01-15

    Highlights: • Quantification of whole landfill site methane emission at 15 landfills. • Multiple on-site source identification and quantification. • Quantified methane emission from shredder waste and composting. • Large difference between measured and reported methane emissions. - Abstract: Whole-site methane emissions from 15 Danish landfills were assessed using a mobile tracer dispersion method with either Fourier transform infrared spectroscopy (FTIR), using nitrous oxide as a tracer gas, or cavity ring-down spectrometry (CRDS), using acetylene as a tracer gas. The landfills were chosen to represent the different stages of the lifetime of a landfill, including open, active, and closed covered landfills, as well as those with and without gas extraction for utilisation or flaring. Measurements also included landfills with biocover for oxidizing any fugitive methane. Methane emission rates ranged from 2.6 to 60.8 kg h{sup −1}, corresponding to 0.7–13.2 g m{sup −2} d{sup −1}, with the largest emission rates per area coming from landfills with malfunctioning gas extraction systems installed, and the smallest emission rates from landfills closed decades ago and landfills with an engineered biocover installed. Landfills with gas collection and recovery systems had a recovery efficiency of 41–81%. Landfills where shredder waste was deposited showed significant methane emissions, with the largest emission from newly deposited shredder waste. The average methane emission from the landfills was 154 tons y{sup −1}. This average was obtained from a few measurement campaigns conducted at each of the 15 landfills and extrapolating to annual emissions requires more measurements. Assuming that these landfills are representative of the average Danish landfill, the total emission from Danish landfills were calculated at 20,600 tons y{sup −1}, which is significantly lower than the 33,300 tons y{sup −1} estimated for the national greenhouse gas inventory for

  5. Risk factors for Campylobacter colonization in Danish broiler flocks, 2010 to 2011.

    PubMed

    Sandberg, M; Sørensen, L L; Steenberg, B; Chowdhury, S; Ersbøll, A K; Alban, L

    2015-03-01

    The objectives of the two studies presented were to estimate the prevalence of Campylobacter-positive farms and flocks and to acquire updated knowledge about risk factors for the introduction of Campylobacter in Danish broiler flocks. In the first study, from September 2010 to September 2011, there were 25 Danish broiler farms visited, and a questionnaire was filled in by a veterinarian/consultant. In the second study, a similar questionnaire was distributed electronically to all Danish broiler farmers (n=164) that were on record with an email address in the Quality Assurance System in the Danish Broiler Production (KIK) database. House- and flock-specific data collected in the surveys were supplemented with information obtained from the KIK database. Data obtained from the two studies were analyzed separately by logistic regression analysis. In both models, the dependent variable was "Campylobacter flock status (positive/negative)," which was based on real-time PCR testing of fecal material from the floor of each broiler house that had been collected preslaughter using a pair of tube gauze "socks." This material was pooled into one sample. Of the 25 farms visited, 17 had delivered Campylobacter-positive flocks during the study period, and eight farms had no Campylobacter-positive flocks. Moreover, the flock prevalence of Campylobacter was 17% (n=418). Data obtained from the electronically distributed survey revealed that 63% (n=71) of the farms were Campylobacter-positive. Further, the flock prevalence of Campylobacter was 14% (n=1,286). The multivariable models from the two sets of data identified the following statistically significant risk factors: summer vs. winter; if the previous flock in the house was positive for Campylobacter vs. if the previous flock in the house was negative; and litter delivered into the house close to the time of arrival of new chickens vs. storing litter on the farm. Furthermore, the data showed that a vertically based ventilation

  6. Determinants of generic vs. brand drug choice: evidence from population-wide Danish data.

    PubMed

    Skipper, Niels; Vejlin, Rune

    2015-04-01

    We investigate if demand for branded prescription medications in post-patent markets is patient- or doctor driven. When drugs go off-patent the brand medication often maintains non-negligible market shares. We use population-wide Danish data including all prescriptions for seven blockbuster drugs from 1998 to 2008, which amounts to 13,415,012 prescriptions. At the outset, descriptive statistics suggest large variation in drug choice over doctors. Nonetheless, using a two-way fixed effects model we find that the primary determinants of brand drug use are unobserved patient characteristics and price effects. PMID:25706064

  7. Analysis of factors important for the occurrence of Campylobacter in Danish broiler flocks.

    PubMed

    Sommer, H M; Heuer, O E; Sørensen, A I V; Madsen, M

    2013-08-01

    For more than a decade human campylobacteriosis has been the leading zoonosis in many developed countries. Consumption of poultry or poultry products has been identified as the primary source of infection in humans. This study was conducted to identify risk factors for the occurrence of Campylobacter in Danish broiler flocks. The study was based on a large data set consisting of Campylobacter positive status for nearly 6000 broiler flocks and 43 explanatory variables. Data were obtained from the Danish Campylobacter surveillance programme in poultry and from the responses to a standardized questionnaire answered via interviews with broiler farm owners. Two hundred and forty broiler farms, comprising 539 broiler houses, were included in the study and their Campylobacter status was followed over a 2-year period (1999-2000). The large number of observations made it possible to carry out a multivariate analysis including all 43 variables. A multivariate analysis was conducted using a generalized linear model, and the correlations between the houses from the same farms were accounted for by adding a variance structure to the model. The procedures for analyses included backward elimination, forward selection and expanding of the number of observations used in the variance analysis along with the reduction of the number of parameters in the model. The unit of analysis was 'broiler house', meaning that all results from a broiler house were aggregated into one prevalence figure (number of positive flocks/total number of flocks delivered over the 2-year period). The following factors were found to be significantly associated with the occurrence of Campylobacter in the broiler flocks: old broiler houses, late introduction of whole wheat in the feed, relatively high broiler age at slaughter, improper rodent control, large number of chimneys on the broiler house, farm located in an area with a high density of cattle farms, having more than one broiler house on the farm, and

  8. Database on Danish population-based registers for public health and welfare research.

    PubMed

    Sortsø, Camilla; Thygesen, Lau Caspar; Brønnum-Hansen, Henrik

    2011-07-01

    Population-based studies with information from registers can take place in Denmark due to linkage between registers at the individual level by means of a unique personal identification number (CPR-number), which all persons with residence in Denmark have. Registers with information on health can be linked to other population registers containing information on, for example, transfer payments, education, housing, income, and socioeconomic position. This article introduces a database and search engine, which is available for public health and welfare researchers as an aid to seek information on the content of important Danish registers. PMID:21898917

  9. Levels of hydrocarbons in mussels, Mytilus edulis, and surface sediments from Danish coastal areas

    SciTech Connect

    Jensen, K.

    1981-02-01

    Until recently, most effort in oil pollution research has been spent on investigating the effects of oil spills and use of detergents. The effects of long-term low level input to the marine environment are much less elucidated. This study represents the first step in a project concerning chronic oil pollution undertaken by the Marine Pollution Laboratory, Denmark. Results from previous studies on this subject in the area concerned, which have not been internationally published, are also included. In a series of Danish coastal localities, samples of surface sediments (top cm) were taken and samples of blue mussels, Mytilus edulis, were collected by SCUBA diving.

  10. The Automatic Light Curves Generated by Danish 1.54m Telescope

    NASA Astrophysics Data System (ADS)

    Skoda, Petr

    2015-12-01

    We present the Ondřejov Southern Photometry Survey, being conducted at the Danish 1.54m telescope in remote observing mode by several groups of Czech stellar astronomers. The automatic astrometry and photometry pipelines run on every CCD frame combined with sophisticated parallelized cross-matching and clustering algorithms result in an on-the-fly generation of light curves of every single object in the field. To allow powerful querying and visualization of current database of more than half billion of measurements, the technology of Virtual Observatory is used, combining IVOA protocols and powerful visualization tools as Aladin, TOPCAT and SPLAT-VO.

  11. Farm specific risk factors for Campylobacter colonisation in Danish and Norwegian broilers.

    PubMed

    Borck Høg, B; Sommer, H M; Larsen, L S; Sørensen, A I V; David, B; Hofshagen, M; Rosenquist, H

    2016-08-01

    Campylobacteriosis has become the leading bacterial zoonosis in humans in the European Union and other developed countries. There are many sources of human Campylobacter infections, but broilers and broiler meat have been shown to be the most important. In order to implement effective interventions that reduce the probability of Campylobacter colonisation of broiler flocks, it is essential to fully understand the risk factors involved. We present a bi-national risk factor survey comprising Campylobacter data from more than 5200 Danish and Norwegian indoor, conventional broiler flocks and the responses to a standardised questionnaire, with more than 40 explanatory variables from 277 Danish and Norwegian farms. We explored several models by using different combinations of the Danish and Norwegian data, including models with single-country datasets. All models were analysed using a generalized linear model using backwards elimination and forward selection. The results show that Norwegian broiler flocks had a lower risk of being colonised than Danish flocks. Farm specific variables that increased the risk of flocks becoming colonised with Campylobacter in both countries were: broiler houses older than five years; longer downtime (no. of days between flocks), probably a consequence of longer downtimes being associated with less focus on maintaining a high biosecurity level; broiler houses without a separate ante-room or barrier; and the use of the drinker nipples with cups or bells compared with nipples without cups. Additional country specific risk factors were also identified. For Norway, the risk of colonisation increased with increasing numbers of houses on a farm and when the water used for the broilers originated from surface water or bore holes instead of mains. For Denmark, having boot dips or low stocking density increased the risk of a flock becoming Campylobacter positive. The different model approaches allowed us to explore the effect of having a large

  12. Antidepressant utilization after hospitalization with depression: a comparison between non-Western immigrants and Danish-born residents

    PubMed Central

    2014-01-01

    Background Antidepressant (AD) therapy is recommended for patients 4–12 months after remission from depression. The aim was to examine whether immigrants (refugees or family reunited immigrants) from non-Western countries are at greater risk than Danish-born residents of 1) not initiating AD therapy after discharge and 2) early AD discontinuation. Methods A cohort of immigrants from non-Western countries (n = 132) and matched Danish-born residents (n = 396) discharged after first admission with moderate to severe depression between 1 January 1996 and 31 May 2008 was followed in the Danish registries. Logistic regression models were applied to explore AD initiation within 30 days after discharge, estimating odds ratio (OR) for immigrants versus Danish-born residents. Early discontinuation was explored by logistic regression, estimating OR for no AD dispensing within 180 days after the first dispensing, and by Cox regression, estimating hazard ratio (HR) for discontinuation (maximum drug supply gap) within 180 days. Results Immigrants had higher odds for not initiating AD treatment after discharge than Danish-born residents (OR = 1.55; 95% CI: 1.01-2.38). When income was included in the model, the strength of the association was attenuated. Odds for early discontinuation was non-significantly higher among immigrants than Danish-born residents (OR = 1.80; 0.87-3.73). Immigrants also had a non-significantly higher hazard of early discontinuation (HR = 1.46; 95% CI: 0.87-2.45). Including income had only minor impact on these associations. Conclusion Immigrants seem less likely to receive the recommended AD treatment after hospitalization with depression. This may indicate a need for a better understanding of the circumstances of this vulnerable group. PMID:24636339

  13. Spitting for Science: Danish High School Students Commit to a Large-Scale Self-Reported Genetic Study

    PubMed Central

    Athanasiadis, Georgios; Jørgensen, Frank G.; Cheng, Jade Y.; Kjærgaard, Peter C.; Schierup, Mikkel H.; Mailund, Thomas

    2016-01-01

    Scientific outreach delivers science to the people. But it can also deliver people to the science. In this work, we report our experience from a large-scale public engagement project promoting genomic literacy among Danish high school students with the additional benefit of collecting data for studying the genetic makeup of the Danish population. Not only did we confirm that students have a great interest in their genetic past, but we were also gratified to see that, with the right motivation, adolescents can provide high-quality data for genetic studies. PMID:27571202

  14. Spitting for Science: Danish High School Students Commit to a Large-Scale Self-Reported Genetic Study.

    PubMed

    Athanasiadis, Georgios; Jørgensen, Frank G; Cheng, Jade Y; Kjærgaard, Peter C; Schierup, Mikkel H; Mailund, Thomas

    2016-01-01

    Scientific outreach delivers science to the people. But it can also deliver people to the science. In this work, we report our experience from a large-scale public engagement project promoting genomic literacy among Danish high school students with the additional benefit of collecting data for studying the genetic makeup of the Danish population. Not only did we confirm that students have a great interest in their genetic past, but we were also gratified to see that, with the right motivation, adolescents can provide high-quality data for genetic studies. PMID:27571202

  15. Discarding of plaice (Pleuronectes platessa) in the Danish North Sea trawl fishery

    NASA Astrophysics Data System (ADS)

    Madsen, Niels; Feekings, Jordan; Lewy, Peter

    2013-01-01

    Plaice (Pleuronectes platessa) plays an important role in the North Sea benthic ecosystem and is by weight the most important commercial flatfish species in the North Sea demersal fishery. There is a high discarding of plaice in the active demersal fisheries in the North Sea. The change in fisheries management towards a more ecosystem based approach, together with a greater focus on sustainability, has caused a severe need for action. Subsequently, the European Commission is preparing regulations to reduce or even ban discards. The trawl fisheries are commercially the most important Danish fishery targeting plaice. Here we analyse discard data collected onboard Danish vessels in the period from 1998 to 2008. We describe the general patterns in these data by dividing them into three mesh size categories: 80-99 mm, 100-119 mm and ≥ 120 mm to reflect implemented technical measures of relevance. We analyse the landed and discarded portions in these mesh size categories and link the discarding to the minimum landing size. We employed a GAM model to assess how discarding of plaice below the minimum landing size is connected to relevant factors that could be of relevance from a management perspective. We identified a statistical significant effect of mesh size category and area. We discuss the results in relation to potential mitigation measures to be implemented in future fisheries management strategies.

  16. Occurrence of Pre- and Post-Harvest Mycotoxins and Other Secondary Metabolites in Danish Maize Silage

    PubMed Central

    Storm, Ida M. L. Drejer; Rasmussen, Rie Romme; Rasmussen, Peter Have

    2014-01-01

    Maize silage is a widely used feed product for cattle worldwide, which may be contaminated with mycotoxins, pre- and post-harvest. This concerns both farmers and consumers. To assess the exposure of Danish cattle to mycotoxins from maize silage, 99 samples of whole-crop maize (ensiled and un-ensiled) were analyzed for their contents of 27 mycotoxins and other secondary fungal metabolites by liquid chromatography-tandem mass spectrometry. The method specifically targets the majority of common pre- and post-harvest fungi associated with maize silage in Denmark. Sixty-one samples contained one or more of the 27 analytes in detectable concentrations. The most common mycotoxins were zearalenone, enniatin B nivalenol and andrastin A, found in 34%, 28%, 16% and 15% of the samples, respectively. None of the samples contained mycotoxins above the EU recommended maximum concentrations for Fusarium toxins in cereal-based roughage. Thus, the present study does not indicate that Danish maize silage in general is a cause of acute single mycotoxin intoxications in cattle. However, 31 of the samples contained multiple analytes; two samples as much as seven different fungal metabolites. Feed rations with maize silage may therefore contain complex mixtures of fungal secondary metabolites with unknown biological activity. This emphasizes the need for a thorough examination of the effects of chronic exposure and possible synergistic effects. PMID:25089350

  17. Validation of the Novaco Anger Scale-Provocation Inventory (Danish) With Nonclinical, Clinical, and Offender Samples.

    PubMed

    Moeller, Stine Bjerrum; Novaco, Raymond W; Heinola-Nielsen, Vivian; Hougaard, Helle

    2016-10-01

    Anger has high prevalence in clinical and forensic settings, and it is associated with aggressive behavior and ward atmosphere on psychiatric units. Dysregulated anger is a clinical problem in Danish mental health care systems, but no anger assessment instruments have been validated in Danish. Because the Novaco Anger Scale and Provocation Inventory (NAS-PI) has been extensively validated with different clinical populations and lends itself to clinical case formulation, it was selected for translation and evaluation in the present multistudy project. Psychometric properties of the NAS-PI were investigated with samples of 477 nonclinical, 250 clinical, 167 male prisoner, and 64 male forensic participants. Anger prevalence and its relationship with other anger measures, anxiety/depression, and aggression were examined. NAS-PI was found to have high reliability, concurrent validity, and discriminant validity, and its scores discriminated the samples. High scores in the offender group demonstrated the feasibility of obtaining self-report assessments of anger with this population. Retrospective and prospective validity of the NAS were tested with the forensic patient sample regarding physically aggressive behavior in hospital. Regression analyses showed that higher scores on NAS increase the risk of having acted aggressively in the past and of acting aggressively in the future. PMID:25934160

  18. The effect of a community-based cardiovascular disease prevention project in a Danish municipality.

    PubMed

    Osler, M; Jespersen, N B

    1993-09-01

    A community-based project for the prevention of cardiovascular diseases was undertaken in 1989 in a rural Danish municipality (Slangerup) with about 8000 inhabitants. Project goals were to draw attention to project activities and improve smoking, eating and exercise behaviours. The intervention was planned using the social learning theory, a communication-behaviour change model and community organisation principle. The strategy used for intervention involved both mass communication and active involvement of the local population in group activities. The objectives of the intervention were assessed by data obtained from representative cross-section surveys in intervention and a control area at baseline (1989) and one year later. More respondents in the intervention (82%) than control (67%) area were aware of local health projects. Ten % reported that they stopped smoking within the last year, 39% ate less fat, and 28% did more exercise, with no differences between intervention and control area. Several explanations are proposed for the limited effect of the project on behaviours. One possible explanation is that the project almost ended up being a pure mass media campaign which may increase awareness, but, as experience shows, may have limited influence on adoption of new behaviour. The Danish population around 1990 is very well informed and educated in this field due to earlier nationwide interventions. No further behavioural effects are obtainable with mass media campaigns. PMID:8222768

  19. Impaired Fertility Associated with Subclinical Hypothyroidism and Thyroid Autoimmunity: The Danish General Suburban Population Study

    PubMed Central

    Feldthusen, Anne-Dorthe; Pedersen, Palle L.; Larsen, Jacob; Toft Kristensen, Tina; Ellervik, Christina; Kvetny, Jan

    2015-01-01

    Introduction. The aim of this study was to estimate the significance of TSH, thyroid peroxidase antibody (TPOAb), and mild (subclinical) hypothyroidism in women from The Danish General Suburban Population Study (GESUS) on the number of children born, the number of pregnancies, and the number of spontaneous abortions. Methods. Retrospective cross sectional study of 11254 women participating in GESUS. Data included biochemical measurements and a self-administrated questionnaire. Results. 6.7% had mild (subclinical) hypothyroidism and 9.4% prevalent hypothyroidism. In women with mild hypothyroidism TPOAb was significantly elevated and age at first child was older compared to controls. TSH and TPOAb were negatively linearly associated with the number of children born and the number of pregnancies in the full cohort in age-adjusted and multiadjusted models. TSH or TPOAb was not associated with spontaneous abortions. Mild (subclinical) hypothyroidism was associated with a risk of not having children and a risk of not getting pregnant in age-adjusted and multiadjusted models. Prevalent hypothyroidism was not associated with the number of children born, the number of pregnancies, or spontaneous abortions. Conclusion. Impaired fertility is associated with TSH, TPOAb, and mild (subclinical) hypothyroidism in a Danish population of women. PMID:26351582

  20. Rise, stagnation, and rise of Danish women’s life expectancy

    PubMed Central

    Lindahl-Jacobsen, Rune; Rau, Roland; Jeune, Bernard; Canudas-Romo, Vladimir; Lenart, Adam; Christensen, Kaare; Vaupel, James W.

    2016-01-01

    Health conditions change from year to year, with a general tendency in many countries for improvement. These conditions also change from one birth cohort to another: some generations suffer more adverse events in childhood, smoke more heavily, eat poorer diets, etc., than generations born earlier or later. Because it is difficult to disentangle period effects from cohort effects, demographers, epidemiologists, actuaries, and other population scientists often disagree about cohort effects’ relative importance. In particular, some advocate forecasts of life expectancy based on period trends; others favor forecasts that hinge on cohort differences. We use a combination of age decomposition and exchange of survival probabilities between countries to study the remarkable recent history of female life expectancy in Denmark, a saga of rising, stagnating, and now again rising lifespans. The gap between female life expectancy in Denmark vs. Sweden grew to 3.5 y in the period 1975–2000. When we assumed that Danish women born 1915–1945 had the same survival probabilities as Swedish women, the gap remained small and roughly constant. Hence, the lower Danish life expectancy is caused by these cohorts and is not attributable to period effects. PMID:27035998

  1. The process of Danish nurses' professionalization and patterns of thought in the 20th century.

    PubMed

    Beedholm, Kirsten; Frederiksen, Kirsten

    2015-06-01

    In this article, we address how the professionalization process is reflected in the way Danish nursing textbooks present 'nursing' to new members of the profession during the 20th century. The discussion is based on a discourse analysis of seven Danish textbooks on basic nursing published between 1904 and 1996. The analysis was inspired by the work of Michel Foucault, in particular the concepts of rupture and rules of formation. First, we explain how the dominating role of the human body in nursing textbooks disappears in the mid-20th century. This transformation can of course be attributed to changes in tasks and responsibilities for nurses or to the implementation of increasing amounts of knowledge and theories from other disciplines than medicine into the nurses' knowledge base. However, inspired by Foucault, we consider these historical changes to be the conditions of possibilities and not causes. The second part of the analysis shows that along with 'the disappearance of the body', a second discursive change appears: the role of doctors and medicine changes fundamentally from about mid-20th century. Finally, we argue that this discursive reorganization enabling new patterns of thought to emerge was driven by a professional interest in describing nursing as an independent profession. PMID:25238323

  2. The 20th century Danish facial cleft population--epidemiological and genetic-epidemiological studies.

    PubMed

    Christensen, K

    1999-03-01

    Since Dr. Fogh-Andersen's legendary 1942 thesis, the Danish facial cleft population has been one of the most extensively studied in terms of epidemiology and genetic-epidemiology. The etiology of cleft lip and/or palate (CLP) is still largely an enigma, and different results concerning environmental and genetic risk factors are obtained in different countries and regions. This may be due to etiological heterogeneity between settings. Therefore, an in-depth studied area with an ethnically homogeneous population, such as Denmark, has provided one of the best opportunities for progress in CLP etiological research. The present review summarizes epidemiological and genetic-epidemiological studies conducted in the 20th century Danish facial cleft population. Furthermore, analyses of sex differences, time trends and seasonality for more than 7000 CLP cases born in Denmark in the period 1936 to 1987 are presented. The review also points toward the excellent opportunities for continued etiological CLP research in Denmark in the 21st century using already established resources and an on-going prospective cohort study of 100,000 pregnant women. PMID:10213053

  3. Perceived social support in relation to work among Danish general dental practitioners in private practices.

    PubMed

    Berthelsen, Hanne; Hjalmers, Karin; Söderfeldt, Björn

    2008-04-01

    Social support is an important phenomenon in the psychosocial work environment. The aim of this study was to assess the extent to which Danish general dental practitioners perceived support from colleagues and to relate perceived support to demographic and work related background factors. A questionnaire was sent to a random sample of 300 Danish dentists. The response rate was 80% after one reminder. Factor analyses and multiple regression analyses were carried out. The results showed that clinic size was the overall most important variable explaining perceived support among dentists. Gender differences were found in perceived emotional and practical support, and women perceived more emotional support (e.g. discussing problematic patients with peers) than their male colleagues. A similar gender difference was not found for the perception of practical support, such as helping each other in the event of falling behind schedule. Dentists from small and large practices did not differ in the extent of peer contact outside the clinical environment. This study emphasized the importance of the organizational setting for a professional and personal supportive psychosocial working environment in dentistry. PMID:18353010

  4. Population dynamics of bacteria involved in enhanced biological phosphorus removal in Danish wastewater treatment plants.

    PubMed

    Mielczarek, Artur Tomasz; Nguyen, Hien Thi Thu; Nielsen, Jeppe Lund; Nielsen, Per Halkjær

    2013-03-15

    The enhanced biological phosphorus removal (EBPR) process is increasingly popular as a sustainable method for removal of phosphorus (P) from wastewater. This study consisted of a comprehensive three-year investigation of the identity and population dynamics of polyphosphate-accumulating organisms (PAOs) and glycogen-accumulating organisms (GAOs) in 28 Danish municipal wastewater treatment plants with nutrient removal. Fluorescence in situ hybridization was applied to quantify ten probe-defined populations of PAO and GAO that in total constituted a large fraction (30% on average) of the entire microbial community targeted by the EUBmix probes. Two PAO genera, Accumulibacter and Tetrasphaera, were very abundant in all EBPR plants (average of 3.7% and 27% of all bacteria, respectively), and their abundance was relatively stable in the Danish full-scale plants without clear temporal variations. GAOs were occasionally present in some plants (Competibacter in 11 plants, Defluviicoccus in 6 plants) and were consistent in only a few plants. This shows that these were not core species in the EBPR communities. The total GAO abundance was always lower than that of Accumulibacter. In plants without EBPR design, the abundance of PAO and GAO was significantly lower. Competibacter correlated in general with high fraction of industrial wastewater. In specific plants Accumulibacter correlated with high C/P ratio of the wastewater and Tetrasphaera with high organic loading. Interestingly, the relative microbial composition of the PAO/GAO species was unique to each plant over time, which gives a characteristic plant-specific "fingerprint". PMID:23317522

  5. Antimicrobial resistance among Pseudomonas spp. and the Bacillus cereus group isolated from Danish agricultural soil.

    PubMed

    Jensen, L B; Baloda, S; Boye, M; Aarestrup, F M

    2001-06-01

    From four Danish pig farms, bacteria of Pseudomonas spp. and the Bacillus cereus group were isolated from soil and susceptibility towards selected antimicrobials was tested. From each farm, soil samples representing soil just before and after spread of animal waste and undisturbed agricultural soil, when possible, were collected. Soil from a well-characterized Danish farm soil (Højbakkegaard) was collected for comparison. The Pseudomonas spp. and B. cereus were chosen as representative for Gram-negative and Gram-positive indigenous soil bacteria to test the effect of spread of animal waste on selection of resistance among soil bacteria. No variations in resistance levels were observed between farms; but when the four differently treated soils were compared, resistance was seen for carbadox, chloramphenicol, nalidixan (nalidixic acid), nitrofurantoin, streptomycin and tetracycline for Pseudomonas spp., and for bacitracin, erythromycin, penicillin and streptomycin for the B. cereus group. Variations in resistance levels were observed when soil before and after spread of animal waste was compared, indicating an effect from spread of animal waste. PMID:11485227

  6. Screening of Danish blood donors for hepatitis B surface antigen using a third generation technique.

    PubMed Central

    Wantzin, P; Nielsen, J O; Tygstrup, N; Soerensen, H; Dybkjaer, E

    1985-01-01

    The profit to be gained by testing Danish blood donors for hepatitis B surface antigen (HBsAg) with a third generation technique instead of the currently used immunoelectrophoresis was investigated by additional screening of 48 750 blood units by radioimmunoassay three weeks after donation. Twenty nine units were positive for HBsAg on radioimmunoassay (0.059%). Only six of these were found by immunoelectrophoresis (0.012%). Most of the 23 donors positive on radioimmunoassay and negative on immunoelectrophoresis were healthy carriers of HBsAg (20) or had asymptomatic chronic liver disease (two). One donor had acute hepatitis B. Fifteen of the 23 blood units were transfused. The 15 recipients were monitored biochemically and serologically for up to nine months. One recipient developed fulminant hepatitis B, three developed acute hepatitis B, and one became a healthy carrier of HBsAg. All these patients had received blood from healthy carriers of HBsAg. Two recipients were immunised against HBsAg, and in one patient no seroconversion was observed. The remaining recipients died soon after transfusion or were protected by antibodies to HBsAg that had been present before the transfusion. Testing of Danish blood donors using a third generation technique identified a substantial number of donors positive for HBsAg overlooked by immunoelectrophoresis. Most of these donors were healthy carriers of HBsAg. Blood taken from such carriers is highly infectious when transfused, probably because of the large amount of material transmitted. PMID:3929937

  7. Escape from the island: grammaticality and (reduced) acceptability of wh-island violations in Danish.

    PubMed

    Christensen, Ken Ramshøj; Kizach, Johannes; Nyvad, Anne Mette

    2013-02-01

    In the syntax literature, it is commonly assumed that a constraint on linguistic competence blocks extraction of wh-expressions (e.g. what or which book) from embedded questions, referred to as wh-islands. Furthermore, it is assumed that there is an argument/adjunct asymmetry in extraction from wh-islands. We report results from two acceptability judgment experiments on long and short wh-movement and wh-extraction from wh-islands in Danish. The results revealed four main findings: (1) No adjunct/argument asymmetry in extraction from wh-islands. (2) Long adjunct wh-movement is less acceptable than long argument wh-movement, and this difference is attributable to matrix verb compatibility and factivity, not D-linking. (3) Long movement reduces acceptability, but is more acceptable than island violations. (4) Training effects reveal that island violations, though degraded, are grammatical in Danish. Since the standard assumptions cannot account for the range of results, we argue in favor of a processing account referring to locality (processing domains) and working memory. PMID:22434560

  8. Physical Trauma and Amyotrophic Lateral Sclerosis: A Population-Based Study Using Danish National Registries.

    PubMed

    Seals, Ryan M; Hansen, Johnni; Gredal, Ole; Weisskopf, Marc G

    2016-02-15

    Prior studies have suggested that physical trauma might be associated with the development of amyotrophic lateral sclerosis (ALS). We conducted a population-based, individually matched case-control study in Denmark to assess whether hospitalization for trauma is associated with a higher risk of developing ALS. There were 3,650 incident cases of ALS in the Danish National Patient Register from 1982 to 2009. We used risk-set sampling to match each case to 100 age- and sex-matched population controls alive on the date of the case's diagnosis. Odds ratios and 95% confidence intervals were calculated using a conditional logistic regression model. History of trauma diagnosis was also obtained from the Danish Patient Register. When traumas in the 5 years prior to the index date were excluded, there was a borderline association between any trauma and ALS (odds ratio (OR) = 1.09, 95% confidence interval (CI): 0.99, 1.19). A first trauma before age 55 years was associated with ALS (OR = 1.22, 95% CI: 1.08, 1.37), whereas first traumas at older ages were not (OR = 0.97, 95% CI: 0.85, 1.10). Our data suggest that physical trauma at earlier ages is associated with ALS risk. Age at first trauma could help explain discrepancies in results of past studies of trauma and ALS. PMID:26825926

  9. On means of transport of Danish veterinarians during the last two hundred years.

    PubMed

    Katić, Ivan; Kristiansen, Johannes

    2008-01-01

    For almost 20 years the authors have been selecting and editing the material referring to the means of transport which Danish veterinarians used in the 18th, 19th and 20th century. The source material contains memoirs, advertisements from veterinary medical journals, obituaries and other sources, based on which a 210-page book in the Danish language has been published. The article presents an abridged version of this book. In Denmark, the first veterinarians rendered their services at the time when this profession had not yet established itself. They were relatively poor and very often they had to walk even 15 to 20 km per day in order to visit two or three farms, where their professional help was needed. In the first half of the 19th century, the economic situation of Danish veterinarians improved, so they could afford a horse of their own. From the second half of the 19th century, the gig, a light two-wheel vehicle drawn by one horse, was in use. At the end of the 19th century, bicycles and motor-bicycles were slowly gaining ground. The gig, however, continued to be the main means of transport, because it was cheap and safe. In the 20th century, the automobile era began, but World War I prevented the widespread use of cars due to the shortage of petrol, rubber parts and the like. After the war, automobiles came into common use both in medical and veterinary practice. Only in hard winters with much snow, horses and sledges were coming to the fore again. World War II once again created the shortage of petrol and rubber tyres, so horses and gas generators were in demand. After the war, various car models completely dominated the veterinary practice, cars with built-in shelves for medicines, instruments and other medical supplies in particular. The telephone was a great help and of service to veterinarians, because many of long trips to clients were not necessary any more, thanks to the simple communication over the phone. Veterinarians were often among the first

  10. Impact of a worksite behavioral skills intervention.

    PubMed

    Nichols, J F; Wellman, E; Caparosa, S; Sallis, J F; Calfas, K J; Rowe, R

    2000-01-01

    Sixty-four male and female sedentary employees were randomly assigned to an intervention group or control group to determine the effects of behavioral skill training on adoption and maintenance of exercise. Both received a 9-month membership at a local fitness facility. The control group received a 12-week semistructured course, which included a facility orientation and three meetings with a personal trainer. The intervention group received a 12-week behavioral skills course and were encouraged to participate in a 12-week semistructured exercise course followed by a 3-month problem-solving support intervention. Both groups improved their daily energy expenditure, the amount of moderate and vigorous activity they performed, and their strength and flexibility. The study sample was too small to show substantial differences between the intervention and control group. Changes in mediator variables were mixed. PMID:10915531

  11. School Worksite Health Promotion: An Interdependent Process.

    ERIC Educational Resources Information Center

    Ballard, Danny J.; And Others

    1991-01-01

    Examined the relationship between social support, barriers, locus of control, and involvement of school health promotion team members in school health promotion activities. Subjects perceived greater support for implementing CPR/first aid, alcohol/drug programs, and speeches on health topics and lower support for healthy snacks, advisory groups,…

  12. Worksite Training. ERIC Digest No. 109.

    ERIC Educational Resources Information Center

    Lankard, Bettina A.

    Economic, social, and technological changes highlight the value of human resources and employee training. Acquiring the knowledge and skills demanded of today's workers represents a lifelong learning experience that must be nurtured through work-related learning activities and workplace training. For the employer, training supports organizational…

  13. Sunlight Diffusing Tent for Lunar Worksite

    NASA Technical Reports Server (NTRS)

    Burleson, Blair; Clark, Todd; Deese, Todd; Gentry, Ernest; Samad, Abdul

    1990-01-01

    The purpose is to provide a solution to problems astronauts encounter with sunlight on the lunar surface. Due to the absence of an atmosphere the Moon is subjected to intense sunlight creating problems with color and contrast. This problem can be overcome by providing a way to reduce intensity and diffuse the light in a working environment. The solution to the problem utilizes an umbrella, tent-like structure covered with a diffusing material. The design takes into account structural materials, stresses, fabrics, and deployment.

  14. ADHD Medication and Social Self-Understanding: Social Practice Research with a First Grade in a Danish Primary School

    ERIC Educational Resources Information Center

    Kristensen, Karen-Lis; Mørck, Line Lerche

    2016-01-01

    This paper addresses some of the contradictions, dilemmas, and struggles in a Danish primary school practice involved in medicating children diagnosed with ADHD. It draws on a social practice research study of a 7-year-old boy diagnosed with ADHD, who was medicated against his will. It focuses on his struggles when being medicated, and…

  15. Psychometric properties of a revised Danish translation of the international outcome inventory for hearing aids (IOI-HA)

    PubMed Central

    2014-01-01

    Objective The original Danish translation of the international outcome inventory for hearing aids (IOI-HA) proved problematic as the wording of item 5 was not semantically clear, rendering the questionnaire internally inconsistent. The objective of this study was to examine data collected with a revised Danish translation of the IOI-HA in order to: (1) evaluate the effect of the revision, and (2) to examine if the psychometric properties of the revised translation of the IOI-HA are equivalent to those of previously validated translations. Design Psychometric properties were evaluated performing inter-item correlation analysis, principal component analysis, and item-total correlation. Study sample Three hundred forty-one adult hearing-impaired participants—all of whom were voluntary hearing aid testers attached to the Global Audiology Group in GN ReSound A/S on a non-payment basis — were mailed a revised Danish IOI-HA questionnaire. Results Statistical analysis revealed good internal consistency along with a clear division of items into two distinct factors. Conclusions The revised Danish translation of the IOI-HA proves internally consistent. Furthermore, it possesses psychometric properties equivalent to those reported in several corresponding studies of other translations. Data obtained from it can therefore validly be considered comparable to data obtained from previously validated translations of the IOI-HA. PMID:24475867

  16. The Cups of Blood Are Emptied: Pietism and Cultural Heritage in Two Danish Immigrant Schools on the Great Plains.

    ERIC Educational Resources Information Center

    Nielsen, John Mark

    2003-01-01

    Histories of two church-related folk schools established by Lutheran Danish immigrants to the Great Plains reveal different underlying philosophies. Influenced by pietism, one stressed disciplined reading of the scriptures, active participation in the church, and missionary work. The other emphasized the importance of the living church community…

  17. Psychosocial Development in a Danish Population of Children with Cochlear Implants and Deaf and Hard-of-Hearing Children

    ERIC Educational Resources Information Center

    Dammeyer, Jesper

    2010-01-01

    Research has shown a prevalence of psychosocial difficulties ranging from about 20% to 50% among children with hearing loss. This study evaluates the prevalence of psychosocial difficulties in a Danish population in relation to different explanatory variables. Five scales and questionnaires measuring sign language, spoken language, hearing…

  18. "Profits to the Danes, for Us--Hog Stench?" The Campaign against Danish Swine CAFOs in Rural Lithuania

    ERIC Educational Resources Information Center

    Juska, Arunas

    2010-01-01

    The paper analyzes a grass-roots campaign to limit the expansion of Danish-owned industrial hog operator Saerimner in Lithuania. The industrialization of livestock production as well as local responses to the restructuring of meat production are interpreted within the broader context of the incorporation of peripheral regions into global agro-food…

  19. Accountability Practices in the History of Danish Primary Public Education from the 1660s to the Present

    ERIC Educational Resources Information Center

    Ydesen, Christian; Andreasen, Karen E.

    2014-01-01

    This paper focuses on primary education accountability as a concept and as an organizational practice in the history of Danish public education. Contemporary studies of education policy often address questions of accountability, but the manifestations of school accountability differ significantly between different national settings. Furthermore,…

  20. Epilepsy in Individuals with a History of Asperger's Syndrome: A Danish Nationwide Register-Based Cohort Study

    ERIC Educational Resources Information Center

    Mouridsen, Svend Erik; Rich, Bente; Isager, Torben

    2013-01-01

    We performed a nationwide, register-based retrospective follow-up study of epilepsy in all people who were born between January 1, 1980 and June 29, 2006 and registered in the Danish Psychiatric Central Register with Asperger's syndrome on February 7, 2011. All 4,180 identified cases with AS (3,431 males and 749 females) were screened through the…

  1. Putting Education in Its Place: Mapping the Observations of Danish and English Architects on 1950s School Design

    ERIC Educational Resources Information Center

    Burke, Catherine

    2010-01-01

    During the years following the Second World War, there were efforts in several European countries to grasp the opportunity to re-imagine "school" created through the need to rebuild on a mass scale. This article examines in detail an episode in the exchange of knowledge between English and Danish architects and educators during a period of…

  2. "The Rotten Banana" Fires Back: The Story of a Danish Discourse of "Inclusive" Rurality in the Making

    ERIC Educational Resources Information Center

    Winther, Malene Brandt; Svendsen, Gunnar Lind Haase

    2012-01-01

    The popularity of a particular term--the Rotten Banana--has paralleled the one-sided centralisation of public services since the Danish Municipal Reform of 2007. The Rotten Banana denotes peripheral Denmark, which takes a geographically curved form that resembles a banana, and it symbolises the belief that rural areas are backward and (too)…

  3. Comparison of the organic waste management systems in the Danish-German border region using life cycle assessment (LCA).

    PubMed

    Jensen, Morten Bang; Møller, Jacob; Scheutz, Charlotte

    2016-03-01

    This study assessed the management of the organic household waste in the Danish-German border region and points out major differences between the systems and their potential effects on the environment using life cycle assessment (LCA). The treatment of organic waste from households in the Danish-German border region is very different on each side of the border; the Danish region only uses incineration for the treatment of organic household waste while the German region includes combined biogas production and composting, mechanical and biological treatment (MBT) and incineration. Data on all parts of the organic waste treatment was collected including waste composition data and data from treatment facilities and their respective energy systems. Based on that the organic waste management systems in the border region were modelled using the EASETECH waste management LCA-model. The main output is a life cycle assessment showing large differences in the environmental performance of the two different regions with the Danish region performing better in 10 out of 14 impact categories. Furthermore, the importance of the substituted district heating systems was investigated showing an impact up to 34% of the entire system for one impact category and showing large difference between each heating system substituted, e.g. in "Global Warming" the impact was from -16 to -1.1 milli person equivalent/tonne treated waste from substitution of centralised hard coal and decentralised natural gas, respectively. PMID:26856446

  4. Scaring the Students Away? Institutional Selection through Assessment Practices in the Danish Vocational and Educational Training System

    ERIC Educational Resources Information Center

    Grønborg, Lisbeth

    2013-01-01

    This paper sheds light on how competence assessment takes place in the Danish Vocational and Educational Training System. It discusses how intentions formulated by the government have unintentional effects when implemented in practice. The qualitative methods used in this study consist of participant observations from my field study of dropouts in…

  5. Fractures in Individuals with and without a History of Infantile Autism. A Danish Register Study Based on Hospital Discharge Diagnoses

    ERIC Educational Resources Information Center

    Mouridsen, Svend Erik; Rich, Bente; Isager, Torben

    2012-01-01

    We compared the prevalence and types of fractures in a clinical sample of 118 individuals diagnosed as children with infantile autism (IA) with 336 matched controls from the general population. All participants were screened through the nationwide Danish National Hospital Register. The average observation time was 30.3 years (range 27.3-30.4…

  6. Danish and British Architects at Work: A Micro-Study of Architectural Encounters after the Second World War

    ERIC Educational Resources Information Center

    de Coninck-Smith, Ning

    2010-01-01

    Invoking a statement by the cultural geographer David Livingstone--that location is essential to knowing--this paper focuses on Danish school architecture during the 1950s and 1960s and the interplay between local geography and developments and discussions on the national and international scene. Through exhibitions and study tours and…

  7. Language Ideologies in a Danish Company with English as a Corporate Language: "It Has to Be English"

    ERIC Educational Resources Information Center

    Lønsmann, Dorte

    2015-01-01

    With the spread of English as a global language, concerns have been voiced over the impact of English on local languages. This article presents results from an ethnographic study of language ideologies in a Danish workplace with a particular focus on ideologies of English in relation to the local language and to other foreign languages. In this…

  8. Patterns of Contact with Hospital for Children with an Autism Spectrum Disorder: A Danish Register-Based Study

    ERIC Educational Resources Information Center

    Atladottir, Hjordis Osk; Schendel, Diana E.; Lauritsen, Marlene B.; Henriksen, Tine Brink; Parner, Erik T.

    2012-01-01

    The aim of this study was to study patterns of contact with hospital for children with autism spectrum disorder (ASD) using Danish population based register data. We included all children born in Denmark from 1994 through 2002. We found that children diagnosed with ASD had an increased rate of contact with hospital, almost regardless of the cause…

  9. Validity of Childhood Autism in the Danish Psychiatric Central Register: Findings from a Cohort Sample Born 1990-1999

    ERIC Educational Resources Information Center

    Lauritsen, Marlene B.; Jorgensen, Meta; Madsen, Kreesten M.; Lemcke, Sanne; Toft, Susanne; Grove, Jakob; Schendel, Diana E.; Thorsen, Poul

    2010-01-01

    The purpose of this study was to assess the validity of the diagnosis of childhood autism in the Danish Psychiatric Central Register (DPCR) by reviewing medical records from 499 of 504 total children with childhood autism born 1990-1999. Based on review of abstracted behaviors recorded in case records from child psychiatric hospitals, case status…

  10. Pedagogical Transformations of "Religion" into "Culture" in Danish State Mass Schooling from the 1900s to the 1930s

    ERIC Educational Resources Information Center

    Buchardt, Mette

    2013-01-01

    Particularly after the Danish political system changed to parliamentarism in 1901, a growing interest in, and expanded meaning of, culture as a pedagogical category developed in relation to state schooling, on the road to a comprehensive school system for "the whole population". This article elaborates on the role played by theological scholars in…

  11. From Collegial Governance to Conduct of Conduct: Danish Universities Set Free in the Service of the State

    ERIC Educational Resources Information Center

    Degn, Lise; Sørensen, Mads P.

    2015-01-01

    State-university relations across Europe have undergone massive transformations, ranging from establishing new control institutions to reaffirming institutional autonomy. In this reform wave Denmark can in many ways be seen as an extreme case as the reforms affecting the Danish higher education system have gone further than in many of the…

  12. The impact of nonlinear exposure-risk relationships on seasonal time-series data: modelling Danish neonatal birth anthropometric data

    PubMed Central

    McGrath, John; Barnett, Adrian; Eyles, Darryl; Burne, Thomas; Pedersen, Carsten B; Mortensen, Preben Bo

    2007-01-01

    Background Birth weight and length have seasonal fluctuations. Previous analyses of birth weight by latitude effects identified seemingly contradictory results, showing both 6 and 12 monthly periodicities in weight. The aims of this paper are twofold: (a) to explore seasonal patterns in a large, Danish Medical Birth Register, and (b) to explore models based on seasonal exposures and a non-linear exposure-risk relationship. Methods Birth weight and birth lengths on over 1.5 million Danish singleton, live births were examined for seasonality. We modelled seasonal patterns based on linear, U- and J-shaped exposure-risk relationships. We then added an extra layer of complexity by modelling weighted population-based exposure patterns. Results The Danish data showed clear seasonal fluctuations for both birth weight and birth length. A bimodal model best fits the data, however the amplitude of the 6 and 12 month peaks changed over time. In the modelling exercises, U- and J-shaped exposure-risk relationships generate time series with both 6 and 12 month periodicities. Changing the weightings of the population exposure risks result in unexpected properties. A J-shaped exposure-risk relationship with a diminishing population exposure over time fitted the observed seasonal pattern in the Danish birth weight data. Conclusion In keeping with many other studies, Danish birth anthropometric data show complex and shifting seasonal patterns. We speculate that annual periodicities with non-linear exposure-risk models may underlie these findings. Understanding the nature of seasonal fluctuations can help generate candidate exposures. PMID:17937794

  13. Risk of Diabetes Mellitus in Persons with and without HIV: A Danish Nationwide Population-Based Cohort Study

    PubMed Central

    Rasmussen, Line D.; Mathiesen, Elisabeth R.; Kronborg, Gitte; Pedersen, Court; Gerstoft, Jan; Obel, Niels

    2012-01-01

    Objective In a nationwide, population-based cohort study we assessed the risk of diabetes mellitus (DM) in HIV-infected individuals compared with the general population, and evaluated the impact of risk factors for DM in HIV-infected individuals. Methods We identified 4,984 Danish-born HIV-infected individuals from the Danish HIV Cohort Study and a Danish born population-based age- and gender-matched comparison cohort of 19,936 individuals (study period: 1996–2009). Data on DM was obtained from the Danish National Hospital Registry and the Danish National Prescription Registry. Incidence rate ratios (IRR) and impact of risk factors including exposure to Highly Active Antiretroviral Therapy (HAART) and antiretroviral drugs were estimated by Poisson regression analyses. Results In the period 1996–1999 risk of DM was higher in HIV-infected individuals compared to the comparison cohort (adjusted IRR: 2.83; 95%CI: 1.57–5.09), both before (adjusted IRR: 2.40; 95%CI: 1.03–5.62) and after HAART initiation (adjusted IRR: 3.24; 95% CI: 1.42–7.39). In the period 1999–2010 the risk of DM in HIV-infected individuals did not differ from that of the comparison cohort (adjusted IRR: 0.90; 95% CI: 0.72–1.13), although the risk was decreased before HAART-initiation (adjusted IRR: 0.45; 95%CI: 0.21–0.96). Increasing age, BMI and the presence of lipoatrophy increased the risk of DM, as did exposure to indinavir, saquinavir, stavudine and didanosine. Conclusion Native HIV–infected individuals do not have an increased risk of developing DM compared to a native background population after year 1998. Some antiretroviral drugs, not used in modern antiretroviral treatment, seem to increase the risk of DM. PMID:22984529

  14. Reporting accuracy of packed lunch consumption among Danish 11-year-olds differ by gender

    PubMed Central

    Lyng, Nina; Fagt, Sisse; Davidsen, Michael; Hoppe, Camilla; Holstein, Bjørn; Tetens, Inge

    2013-01-01

    Background Packed lunch is the dominant lunch format in many countries including Denmark. School lunch is consumed unsupervised, and self-reported recalls are appropriate in the school setting. However, little is known about the accuracy of recalls in relation to packed lunch. Objective To assess the qualitative recall accuracy of self-reported consumption of packed lunch among Danish 11-year-old children in relation to gender and dietary assessment method. Design A cross-sectional dietary recall study of packed lunch consumption. Digital images (DIs) served as an objective reference method to determine food items consumed. Recalls were collected with a lunch recall questionnaire (LRQ) comprising an open-ended recall (OE-Q) and a pre-coded food group prompted recall (PC-Q). Individual interviews (INTs) were conducted successively. The number of food items was identified and accuracy was calculated as match rates (% identified by DIs and reported correctly) and intrusion rates (% not identified by DIs but reported) were determined. Setting and subjects Three Danish public schools from Copenhagen. A total of 114 Danish 11-year-old children, mean (SE) age=11.1 (0.03), and body mass index=18.2 (0.26). Results The reference (DIs) showed that girls consumed a higher number of food items than boys [mean (SE) 5.4 (0.25) vs. 4.6 (0.29) items (p=0.05)]. The number of food items recalled differed between genders with OE-Q recalls (p=0.005) only. Girls’ interview recalls were more accurate than boys’ with higher match rates (p=0.04) and lower intrusion rates (p=0.05). Match rates ranged from 67–90% and intrusion rates ranged from 13–39% with little differences between girls and boys using the OE-Q and PC-Q methods. Conclusion Dietary recall validation studies should not only consider match rates as an account of accuracy. Intrusions contribute to over-reporting in non-validation studies, and future studies should address recall accuracy and inaccuracies in relation to

  15. A register-based study of the antimicrobial usage in Danish veal calves and young bulls.

    PubMed

    Fertner, Mette; Toft, Nils; Martin, Henrik Læssøe; Boklund, Anette

    2016-09-01

    High antimicrobial usage and multidrug resistance have been reported in veal calves in Europe. This may be attributed to a high risk of disease as veal calves are often purchased from numerous dairy herds, exposed to stress related to the transport and commingling of new animals, and fed a new ration. In this study, we used national register data to characterize the use of antimicrobials registered for large Danish veal calf and young bull producing herds in 2014. A total of 325 herds with veal calf and potentially young bull production were identified from the Danish Cattle database. According to the national Danish database on drugs for veterinary use (VetStat), a total of 537,399 Animal Daily Doses (ADD200) were registered for these 325 herds during 2014. The amount of antimicrobials registered in 2014 varied throughout the year, with the highest amounts registered in autumn and winter. Antimicrobials were registered for respiratory disorders (79%), joints/limbs/CNS disorders (17%), gastrointestinal disorders (3.7%) and other disorders (0.3%). Of the registered antimicrobials, 15% were for oral and 85% for parenteral administration. Long-acting formulations with a therapeutic effect of more than 48h covered 58% of the drugs for parenteral use. Standardized at the herd-level, as ADD200/100 calves/day, antimicrobial use distributed as median [CI95%] for starter herds (n=22): 2.14 [0.19;7.58], finisher herds (n=24): 0.48 [0.00;1.48], full-line herds (n=183): 0.78 [0.05;2.20] and herds with an inconsistent pattern of movements (n=96): 0.62 [0.00;2.24]. Full-line herds are herds, which purchase calves directly from a dairy herd and raise them to slaughter. Furthermore, we performed a risk factor analysis on the 183 herds with a full-line production. Here, we investigated, whether the number of suppliers, the number of calves purchased, the frequency of purchase, the average age at introduction, the average time in the herd and vaccination influenced the amount of

  16. Adaption and validation of the Safety Attitudes Questionnaire for the Danish hospital setting

    PubMed Central

    Kristensen, Solvejg; Sabroe, Svend; Bartels, Paul; Mainz, Jan; Christensen, Karl Bang

    2015-01-01

    Purpose Measuring and developing a safe culture in health care is a focus point in creating highly reliable organizations being successful in avoiding patient safety incidents where these could normally be expected. Questionnaires can be used to capture a snapshot of an employee’s perceptions of patient safety culture. A commonly used instrument to measure safety climate is the Safety Attitudes Questionnaire (SAQ). The purpose of this study was to adapt the SAQ for use in Danish hospitals, assess its construct validity and reliability, and present benchmark data. Materials and methods The SAQ was translated and adapted for the Danish setting (SAQ-DK). The SAQ-DK was distributed to 1,263 staff members from 31 in- and outpatient units (clinical areas) across five somatic and one psychiatric hospitals through meeting administration, hand delivery, and mailing. Construct validity and reliability were tested in a cross-sectional study. Goodness-of-fit indices from confirmatory factor analysis were reported along with inter-item correlations, Cronbach’s alpha (α), and item and subscale scores. Results Participation was 73.2% (N=925) of invited health care workers. Goodness-of-fit indices from the confirmatory factor analysis showed: c2=1496.76, P<0.001, CFI 0.901, RMSEA (90% CI) 0.053 (0.050–0056), Probability RMSEA (p close)=0.057. Inter-scale correlations between the factors showed moderate-to-high correlations. The scale stress recognition had significant negative correlations with each of the other scales. Questionnaire reliability was high, (α=0.89), and scale reliability ranged from α=0.70 to α=0.86 for the six scales. Proportions of participants with a positive attitude to each of the six SAQ scales did not differ between the somatic and psychiatric health care staff. Substantial variability at the unit level in all six scale mean scores was found within the somatic and the psychiatric samples. Conclusion SAQ-DK showed good construct validity and

  17. Incidence of Otitis Media in a Contemporary Danish National Birth Cohort

    PubMed Central

    Todberg, Tanja; Koch, Anders; Andersson, Mikael; Olsen, Sjurdur F.; Lous, Jørgen; Homøe, Preben

    2014-01-01

    Objectives In recent years welfare in Denmark has increased which might be expected to reduce otitis media (OM) incidence. We examined the age-specific incidence of OM in a nation-wide cohort of children aged 0–7 years born in 1996–2003 (Danish National Birth Cohort, DNBC). Only selection was ability to understand and speak Danish. Methods Information of OM and ventilation tubes (VT) was collected through three maternal interviews at 6-month, 18-month and 7-years of age and based on this age-specific and cumulative incidence of OM was calculated. As different numbers of the total population answered the different interviews, the calculations are done with different denominators. The information in DNBC was validated against two population based registries containing information of VT insertions. Results Cumulative incidence of OM at 7 years was 60.6% (31,982/52,755). For children with OM, 16.2% (7143/44194) had their first OM episodes between 0–6 months of age, 44.3% (19579/44194) between 7–18 months, and 39.5% (17472/44194) between 19 months and 7 years. Four or more OM episodes before 7 years were reported by 39.5% (12620/31982) and by 64.0% (2482/3881) of those who had their OM debut between 0–6 months; by 48.2% (4998/10378) with debut between 7–18 months; and by 28.7% (4996/17344) with debut between 19 months and 7 years. These figures are essentially unchanged from earlier figures from Denmark. VT insertion at least once was reported by 26,1% in the 7-year interview. Assuming recordings in the Danish National Patient Registry to be gold standard, maternal self-reportings in DNBC of insertion of VT showed high sensitivity (96.4%), specificity (98.2%), and positive (94.8%) and negative predictive values (98.8%). Conclusion OM affects nearly 2/3 of preschool children in Denmark despite reduction in known OM risk factors. PMID:25545891

  18. Exploring barriers for health visitors' adaption of the Danish children's database.

    PubMed

    Pape-Haugaard, Louise; Haugaard, Karin; Carøe, Per; Høstgaard, Anna Marie

    2013-01-01

    Denmark has unique health informatics databases such as "The Children's Database" (CDB), which since 2009 has held data on all Danish children from birth until 17 years of age. In the current set-up a number of potential sources of error exist - both technical and human - which means that the data is flawed. The objective of this paper is both to clarify errors in the database and to enlighten the underlying mechanisms causing these errors. This is done through an ethnographic study using participant observations, interviews and workshops. Errors are documented through statistical analysis. The data show redundant records. This redundancy can be explained by multiple transmissions conducted by end users or systems, or a lack of validation methods in the National CDB. In our results three types of cases are presented: from health visitors at school, from health visitors visiting families and from health visitors at central health offices. PMID:23920857

  19. The Danish Twin Registry: Linking Surveys, National Registers, and Biological Information

    PubMed Central

    Skytthe, Axel; Christiansen, Lene; Kyvik, Kirsten Ohm; Bødker, Frans L.; Hvidberg, Lars; Petersen, Inge; Nielsen, Morten M. F.; Bingley, Paul; Hjelmborg, Jacob; Tan, Qihua; Holm, Niels V.; Vaupel, James W.; McGue, Matt; Christensen, Kaare

    2013-01-01

    Over the last 60 years, the resources and the research in the Danish Twin Registry (DTR) have periodically been summarized. Here, we give a short overview of the DTR and a more comprehensive description of new developments in the twenty-first century. First, we outline our experience over the last decade of combining questionnaire and survey data with national demographic, social, and health registers in Statistics Denmark. Second, we describe our most recent data collection effort, which was conducted during the period 2008–2011 and included both in-person assessments of 14,000+ twins born 1931–1969 and sampling of biological material, hereby expanding and consolidating the DTR biobank. Third, two examples of intensively studied twin cohorts are given. The new developments in the DTR in the last decade have facilitated the ongoing research and laid the groundwork for new research directions. PMID:23084092

  20. Activity Theories and the Ontology of Psychology: Learning from Danish and Russian Experiences.

    PubMed

    Mammen, Jens; Mironenko, Irina

    2015-12-01

    Psychology has permanent problems of theoretical coherence and practical, analytic and critical efficiency. It is claimed that Activity Theory (AT) with roots in a long European philosophical tradition and continued in Russian AT is a first step to remedy this. A Danish version of AT may have a key to exceed some, mostly implicit, ontological restrictions in traditional AT and free it from an embracement of functionalism and mechanicism, rooted in Renaissance Physics. The analysis goes back to Aristotle's understanding of the freely moving animal in its ecology and introduces some dualities in the encounter between subject and object which replace the dualistic dichotomies traditionally splitting Psychology in Naturwissenschaft vs. Geisteswissenshaft. This also implies a "Copernican turn" of Cartesian dualism. The perspectives are to give place for a phenomenology of meaning without cutting human psyche out of Nature and to open Psychology to its domain. PMID:26001990

  1. Salt distribution in the Norwegian-Danish Basin, Central North Sea

    NASA Astrophysics Data System (ADS)

    Sassier, Caroline; Jarsve, Erlend; Heeremans, Michel; Mansour Abdelmalak, Mohamed; Faleide, Jan Inge; Helge Gabrielsen, Roy

    2014-05-01

    Salt tectonics have extensively been studied in most parts of the Central North Sea. However, few studies have been done in the Norwegian side of the Norwegian-Danish Basin. In this contribution, we report a new regional analysis of the salt patterns across the offshore Norwegian-Danish Basin. We have mapped the regional distribution of salt structures in the Norwegian-Danish Basin using both old and recent 2D seismic reflection profiles tied to wells. The salt-thickness map shows three distinct salt structures patterns: (1) NW-SE trending salt walls in the northern part of the basin; the spacing between the walls vary between 7 to 12 km; (2) a dense and irregular distribution of salt diapirs in the southern part of the studied area; (3) an irregular pattern of sparse but big salt diapirs in the eastern part of the basin. This domain is characterized by numerous turtle structures associated with salt diapirs. Reflection seismic cross-sections show that most salt structures only pierce the Triassic sedimentary strata whereas only few salt structures reach the seabed. Rotated fault blocks indicate a gliding vergence towards the South in the eastern part of the basin and towards the SE in the western side of the Norwegian-Danish Basin. No mature or compressive salt structures, except some squeezed salt diapirs, are observed in the topographic lows of the basin. The initiation of salt tectonics started during the early Middle Triassic in the entire basin; salt tectonics reactivations were recorded during the Middle Jurassic, Paleogene, and prior to the Quaternary but are not homogeneous across the basin. Salt movements inferred from our study are in good agreement with previous studies. The trend of salt walls (domain 1) indicates a NE-SW extension which is not compatible with N-S trending pre-salt faults. Instead, the strong Triassic subsidence towards the SW has most likely controlled the formation of the salt walls. The salt was initially thicker in domain 2 that

  2. Serum-haptoglobin concentration in Danish slaughter pigs of different health status.

    PubMed

    Petersen, Henrik Hagbard; Ersbøll, Annette Kjaer; Jensen, Charlotte Sonne; Nielsen, Jens Peter

    2002-08-30

    A cross-sectional study was conducted with 617 finishing pigs aged 10-25 weeks in 11 commercial herds of different health statuses as defined by the Danish monitoring program for specific-pathogen-free (SPF) herds. A standard clinical examination was performed and a blood sample was obtained from each pig for determination of haptoglobin concentration in serum. Pigs aged 10-14, 15-19 and 20-25 weeks in conventional herds had higher haptoglobin concentrations than high-health SPF (SPF-x) pigs of the same age. There was no significant difference between SPF-x pigs of different ages. Conventional pigs aged 15-19 and 20-25 weeks had higher haptoglobin concentrations than conventional pigs aged 10-14 weeks. Herd influenced the haptoglobin concentration. Lame pigs and pigs with tail or ear bite had elevated haptoglobin concentrations. No significant effect of respiratory symptoms or umbilical hernia was found. PMID:12163249

  3. Diagnosed Anxiety Disorders and the Risk of Subsequent Anorexia Nervosa: A Danish Population Register Study.

    PubMed

    Meier, Sandra M; Bulik, Cynthia M; Thornton, Laura M; Mattheisen, Manuel; Mortensen, Preben B; Petersen, Liselotte

    2015-11-01

    Anxiety disorders and anorexia nervosa are frequently acknowledged to be highly comorbid conditions, but still, little is known about the clinical and aetiological cohesion of specific anxiety diagnoses and anorexia nervosa. Using the comprehensive Danish population registers, we aimed to determine the risk of anorexia nervosa in patients with register-detected severe anxiety disorders. We also explored whether parental psychopathology was associated with offspring's anorexia nervosa. Anxiety disorders increased the risk of subsequent anorexia nervosa, with the highest risk observed in obsessive-compulsive disorder. Especially, male anxiety patients were at an increased risk for anorexia nervosa. Furthermore, an increased risk was observed in offspring of fathers with panic disorder. A diagnosis of an anxiety disorder, specifically obsessive-compulsive disorder, constitutes a risk factor for subsequent diagnosis of anorexia nervosa. These observations support the notion that anxiety disorders and anorexia nervosa share etiological mechanisms and/or that anxiety represents one developmental pathway to anorexia nervosa. PMID:26347124

  4. WHO classification 2008 of myeloproliferative neoplasms: a workshop learning effect--the Danish experience.

    PubMed

    Madelung, Ann B; Bondo, Henrik; Stamp, Inger; Løvgreen, Preben; Nielsen, Signe L; Falensteen, Anne; Knudsen, Helle; Svendsen, Kira D; Lange, Theis; Ralfkiaer, Elisabeth; Nielsen, Karsten; Hasselbalch, Hans; Thiele, Jürgen

    2015-09-01

    We examined the learning effect of a workshop for Danish hematopathologists led by an international expert regarding histological subtyping of myeloproliferative neoplasms (MPN). Six hematopathologists evaluated 43 bone marrow (BM) biopsies according to the WHO description (2008), blinded to clinical data. All panelists then participated in the workshop. The case biopsies - mixed with 251 other MPN BM biopsies - were reviewed again. Consensus regarding the histological subtype was significantly improved; from 49% to 72% (Fleiss kappa value 0.302 pre-workshop, 0.474 post-workshop; p = 0.004). There was no significant effect on the isolated morphological characteristics. Agreement between cases with histological consensus and clinical diagnosis was 86% without significant change during workshop sessions. Our study demonstrates that experienced hematopathologists can significantly improve their diagnostic ability by a workshop led by an international expert; not by improving the evaluation of individual histological parameters but by weighting these in their conclusive diagnosis. PMID:26200697

  5. [Heroin abuse among Danish prisoners on remand. I. Prevalence related to form of administration].

    PubMed

    Andersen, H S; Sestoft, D M; Lillebaek, T; Gabrielsen, G

    1996-08-19

    Two groups of Danish prisoners on remand (in solitary confinement and not in solitary confinement) were examined by interview on reception (n = 133 & n = 95) in order to evaluate the prevalence and form of administration of opioid abuse/dependence. About 50% had abused opioids during their lifetime; one third were dependent at the time of reception. Twenty percent of opioid dependent prisoners administered opioids by smoking. More intravenous users were treated with methadone before and during imprisonment than those who were dependent on smoking opioids. Few were objectively suffering from withdrawal symptoms. The psycho-social impact of dependence on smoking heroin and intravenous heroin one month prior to imprisonment was at the same level and substantial as measured by the Global Assessment Scale. PMID:8801682

  6. White lead exposure among Danish police officers employed in fingerprint detection.

    PubMed

    Rabjerg, L; Jennum, P J; Mørck, H I

    1983-12-01

    White lead exposure among Danish police officers employed in fingerprint detection. Scand j work environ health 9 (1983) 511-513. White lead is often used by police officers employed in fingerprint detection (dactylography). On the basis of a case of mild lead intoxication in a police officer all 22 exposed police officers at the Bureau of Dactylographic Identification in Copenhagen were examined. All went through a clinical examination and blood lead determination. None of the participants showed any sign of lead intoxication. The median blood lead concentration was 0.97 mumol/l (10th-90th percentiles 0.72-1.44 mumol/l), a value definitely higher than the average of the general population matched for age and sex. A correlation between the weekly white lead exposure and blood lead concentration (r = 0.87, p less than 0.0001) was found among the participants. PMID:6673108

  7. Adjustment Costs, Firm Responses, and Micro vs. Macro Labor Supply Elasticities: Evidence from Danish Tax Records*

    PubMed Central

    Chetty, Raj; Friedman, John N.; Olsen, Tore; Pistaferri, Luigi

    2011-01-01

    We show that the effects of taxes on labor supply are shaped by interactions between adjustment costs for workers and hours constraints set by firms. We develop a model in which firms post job offers characterized by an hours requirement and workers pay search costs to find jobs. We present evidence supporting three predictions of this model by analyzing bunching at kinks using Danish tax records. First, larger kinks generate larger taxable income elasticities. Second, kinks that apply to a larger group of workers generate larger elasticities. Third, the distribution of job offers is tailored to match workers' aggregate tax preferences in equilibrium. Our results suggest that macro elasticities may be substantially larger than the estimates obtained using standard microeconometric methods. PMID:21836746

  8. Repeated isolation of Salmonella enterica Goverdhan, a very rare serovar, from Danish poultry surveillance samples.

    PubMed

    Pedersen, Karl; Sørensen, Gitte; Szabo, Istvan; Hächler, Herbert; Le Hello, Simon

    2014-12-01

    We report here the appearance of a very rare serovar of Salmonella, S. enterica subsp. enterica serovar Goverdhan, in routine Salmonella surveillance samples from Danish poultry production. S. Goverdhan was found on nine occasions: in one broiler breeder farm in October 2010, four broiler farms and one broiler breeder farm in June-September 2012, two broiler breeder flocks simultaneously in June 2013, and one layer flock in July 2013. The five isolates from 2012 and the three isolates from 2013 had identical pulsed-field gel electrophoresis profiles, whereas the profile of the isolate from 2010 deviated in a single band. It is the first time this serovar has been described in samples from poultry. The origin of the bacterium is still unknown, but it is suggested that it may have been a pseudo-outbreak caused by contaminated sampling material. PMID:25448451

  9. Novel variation and de novo mutation rates in population-wide de novo assembled Danish trios

    PubMed Central

    Besenbacher, Søren; Liu, Siyang; Izarzugaza, José M. G.; Grove, Jakob; Belling, Kirstine; Bork-Jensen, Jette; Huang, Shujia; Als, Thomas D.; Li, Shengting; Yadav, Rachita; Rubio-García, Arcadio; Lescai, Francesco; Demontis, Ditte; Rao, Junhua; Ye, Weijian; Mailund, Thomas; Friborg, Rune M.; Pedersen, Christian N. S.; Xu, Ruiqi; Sun, Jihua; Liu, Hao; Wang, Ou; Cheng, Xiaofang; Flores, David; Rydza, Emil; Rapacki, Kristoffer; Damm Sørensen, John; Chmura, Piotr; Westergaard, David; Dworzynski, Piotr; Sørensen, Thorkild I. A.; Lund, Ole; Hansen, Torben; Xu, Xun; Li, Ning; Bolund, Lars; Pedersen, Oluf; Eiberg, Hans; Krogh, Anders; Børglum, Anders D.; Brunak, Søren; Kristiansen, Karsten; Schierup, Mikkel H.; Wang, Jun; Gupta, Ramneek; Villesen, Palle; Rasmussen, Simon

    2015-01-01

    Building a population-specific catalogue of single nucleotide variants (SNVs), indels and structural variants (SVs) with frequencies, termed a national pan-genome, is critical for further advancing clinical and public health genetics in large cohorts. Here we report a Danish pan-genome obtained from sequencing 10 trios to high depth (50 × ). We report 536k novel SNVs and 283k novel short indels from mapping approaches and develop a population-wide de novo assembly approach to identify 132k novel indels larger than 10 nucleotides with low false discovery rates. We identify a higher proportion of indels and SVs than previous efforts showing the merits of high coverage and de novo assembly approaches. In addition, we use trio information to identify de novo mutations and use a probabilistic method to provide direct estimates of 1.27e−8 and 1.5e−9 per nucleotide per generation for SNVs and indels, respectively. PMID:25597990

  10. Molecular diagnosis of the transthyretin (TTR) Met111 mutation in familial amyloid cardiomyopathy of Danish origin.

    PubMed

    Nordvåg, B Y; Husby, G; Ranløv, I; el-Gewely, M R

    1992-06-01

    Familial amyloid cardiomyopathy in a Danish kindred is associated with a specific mutation (Met for Leu111) in the transthyretin (TTR) gene, causing the loss of a recognition site for the restriction enzyme DdeI in the gene. We describe a diagnostic test for the molecular detection of this mutation. A sequence of the TTR gene containing the mutation was amplified by the polymerase chain reaction from isolated genomic DNA of two affected patients and several controls. DdeI digestion of the amplified DNA from the patients revealed 3 bands by gel-electrophoresis, whereas amplified DNA of the controls showed only 2 bands, consistent with complete digestion. Thus, the assumed heterozygous TTR Met111 mutation was confirmed in the affected patients. PMID:1618497

  11. The amyloid in familial amyloid cardiomyopathy of Danish origin is related to pre-albumin.

    PubMed Central

    Husby, G; Ranløv, P J; Sletten, K; Marhaug, G

    1985-01-01

    Amyloid obtained from the myocardium of a patient (Han) with familial amyloid cardiomyopathy of Danish origin was studied. Gel filtration and electrophoresis of purified and denatured amyloid fibrils Han revealed various fractions ranging in mol. wt from 40,000 to 8,000 daltons. Amyloid Han and fractions reacted with an antiserum against amyloid Han showing a reaction of identity with each other; partial identity between Han and human pre-albumin was observed, while no reaction was seen with AA or AL proteins. Cardiac tissue sections from Han showed reactivity with antisera to amyloid Han, pre-albumin and protein AP, but not with anti-AA or anti-AL in indirect immunofluorescence. Amino acid composition and sequence studies of a protein fraction of amyloid Han with mol. wt 15,000 daltons confirmed the structural relationship with pre-albumin. Images Fig. 2 Fig. 3 PMID:3924450

  12. The amyloid in familial amyloid cardiomyopathy of Danish origin is related to pre-albumin.

    PubMed

    Husby, G; Ranløv, P J; Sletten, K; Marhaug, G

    1985-04-01

    Amyloid obtained from the myocardium of a patient (Han) with familial amyloid cardiomyopathy of Danish origin was studied. Gel filtration and electrophoresis of purified and denatured amyloid fibrils Han revealed various fractions ranging in mol. wt from 40,000 to 8,000 daltons. Amyloid Han and fractions reacted with an antiserum against amyloid Han showing a reaction of identity with each other; partial identity between Han and human pre-albumin was observed, while no reaction was seen with AA or AL proteins. Cardiac tissue sections from Han showed reactivity with antisera to amyloid Han, pre-albumin and protein AP, but not with anti-AA or anti-AL in indirect immunofluorescence. Amino acid composition and sequence studies of a protein fraction of amyloid Han with mol. wt 15,000 daltons confirmed the structural relationship with pre-albumin. PMID:3924450

  13. Danish guidelines for small-scale constructed wetland systems for onsite treatment of domestic sewage.

    PubMed

    Brix, H; Arias, C A

    2005-01-01

    The Danish Ministry of Environment and Energy has passed new legislation that requires the wastewater from single houses and dwellings in rural areas to be treated adequately before discharge into the aquatic environment. Therefore official guidelines for a number of onsite treatment solutions have been produced. These include guidelines for soakaways, biological sand filters, technical systems as well as different types of constructed wetland systems. This paper summarises briefly the guidelines for horizontal flow constructed wetlands, vertical flow constructed wetlands, and willow systems with no outflow and with soil infiltration. There is still a lack of a compact onsite solution that will fulfil the treatment classes demanding 90% removal of phosphorus. Therefore work is presently being carried out to identify simpler and robust P-removal solutions. PMID:16042237

  14. The Danish Twin Registry: linking surveys, national registers, and biological information.

    PubMed

    Skytthe, Axel; Christiansen, Lene; Kyvik, Kirsten Ohm; Bødker, Frans L; Hvidberg, Lars; Petersen, Inge; Nielsen, Morten M F; Bingley, Paul; Hjelmborg, Jacob; Tan, Qihua; Holm, Niels V; Vaupel, James W; McGue, Matt; Christensen, Kaare

    2013-02-01

    Over the last 60 years, the resources and the research in the Danish Twin Registry (DTR) have periodically been summarized. Here, we give a short overview of the DTR and a more comprehensive description of new developments in the twenty-first century. First, we outline our experience over the last decade of combining questionnaire and survey data with national demographic, social, and health registers in Statistics Denmark. Second, we describe our most recent data collection effort, which was conducted during the period 2008-2011 and included both in-person assessments of 14,000+ twins born 1931-1969 and sampling of biological material, hereby expanding and consolidating the DTR biobank. Third, two examples of intensively studied twin cohorts are given. The new developments in the DTR in the last decade have facilitated the ongoing research and laid the groundwork for new research directions. PMID:23084092

  15. Adjustment Costs, Firm Responses, and Micro vs. Macro Labor Supply Elasticities: Evidence from Danish Tax Records.

    PubMed

    Chetty, Raj; Friedman, John N; Olsen, Tore; Pistaferri, Luigi

    2011-05-01

    We show that the effects of taxes on labor supply are shaped by interactions between adjustment costs for workers and hours constraints set by firms. We develop a model in which firms post job offers characterized by an hours requirement and workers pay search costs to find jobs. We present evidence supporting three predictions of this model by analyzing bunching at kinks using Danish tax records. First, larger kinks generate larger taxable income elasticities. Second, kinks that apply to a larger group of workers generate larger elasticities. Third, the distribution of job offers is tailored to match workers' aggregate tax preferences in equilibrium. Our results suggest that macro elasticities may be substantially larger than the estimates obtained using standard microeconometric methods. PMID:21836746

  16. The citizen's preferences for financing public health care: a Danish survey.

    PubMed

    Gyrd-Hansen, Dorte; Slothuus, Ulla

    2002-03-01

    The Danish public's willingness to forego private consumption in order to obtain improved health care services was investigated using conjoint analysis. The survey was undertaken in the year 1999. 1865 respondents participated in face-to-face interviews and were presented with pair wise choices of different future health care systems. Openness towards the introduction of user charges to a smaller degree demonstrated willingness to compromise relative equity in access to health care in order to avoid a tax increase. Willingness-to-pay for quality attributes lie in the range 780-2350 DKK ($89-$267) if paid by increasing maximum user charges, and in the 0-1220 DKK ($0-$139) bracket, when financed by increased income taxes. PMID:14625906

  17. Signal analysis of cyclicity in Maastrichtian pelagic chalks from the Danish North Sea

    NASA Astrophysics Data System (ADS)

    Stage, Morten

    1999-11-01

    Low field bulk magnetic susceptibility has been determined on Maastrichtian chalk samples from a drill core from the Dan Field in the Danish North Sea. Fast Fourier Transformations (FFT) have been used to detect possible cycles in the magnetic susceptibility data. Power spectra from the complete section and from sub-sections of the magnetic susceptibility reveal two cyclicities of ca. 0.4 cycles/m and ca. 1.7 cycles/m, which are present on a 90% confidence level. Signal analysis of natural gamma-ray wire-line log data supports these findings. Sedimentation rate estimates place the cycles in the Milankovitch frequency band. Artificial time series are used to study the applicability of the FFT to identifying cyclicity in chalks. Expected geological distortions (e.g., hiati and sedimentation rate variations) are introduced into the time series to investigate the response of the frequency spectra. Different methods of handling missing data intervals are also examined.

  18. Does More Schooling Reduce Hospitalization and Delay Mortality? New Evidence Based on Danish Twins

    PubMed Central

    Kohler, Hans-Peter; Jensen, Vibeke Myrup; Pedersen, Dorthe; Petersen, Inge; Bingley, Paul; Christensen, Kaare

    2012-01-01

    Schooling generally is positively associated with better health-related outcomes—for example, less hospitalization and later mortality—but these associations do not measure whether schooling causes better health-related outcomes. Schooling may in part be a proxy for unobserved endowments—including family background and genetics—that both are correlated with schooling and have direct causal effects on these outcomes. This study addresses the schooling-health-gradient issue with twins methodology, using rich data from the Danish Twin Registry linked to population-based registries to minimize random and systematic measurement error biases. We find strong, significantly negative associations between schooling and hospitalization and mortality, but generally no causal effects of schooling. PMID:21842327

  19. Surveillance of deaths on board Danish merchant ships, 1986-93: implications for prevention.

    PubMed Central

    Hansen, H L

    1996-01-01

    OBJECTIVE: To describe and analyse the types and circumstances of all natural and non-natural deaths among seamen on board Danish merchant ships. METHODS: Data on 147 cases were obtained from maritime authorities, an insurance company, shipping companies, hospitals, death registers, and death certificates in the period from 1986-93. RESULTS: The 53 natural deaths were dominated by cardiovascular diseases and infectious diseases. Insufficient treatment on board was identified as a contributing factor for death in some cases. Medical advice was not always sought and the advice given was in some cases insufficient. 73 fatal accidents were identified. The incidence of accidents of 5.29/10,000 person-years was 11.5 times higher than the incidence of 0.46/10,000 for the Danish male workforce ashore. 23 accidents (31%) were due to maritime casualties and 26 (36%) were occupational accidents. The remaining 24 (33%) were accidents during off duty hours including six self intoxications. Rough weather, inadequate awareness of safety, lack of use of personal protection devices, and inexperience were associated with many of the fatal injuries directly related to work. Alcohol played a major part in 12 out of 18 fatal injuries occurring during off duty hours. CONCLUSIONS: The maritime workplace was identified as a high risk workplace and in many aspects differs from the conditions ashore. Acute diseases and serious injuries pose special risks to seamen because of a lack of direct access to professional medical care at sea. Primary prevention of certain diseases is needed and possible. Improved training, improved systems of work, improved safety awareness, and greater use of personal protection devices are needed to prevent fatal injuries. Medical training of ships' officers providing medical care on board and specific training of doctors giving medical advise to ships should be improved to meet the needs. PMID:8664966

  20. Prevalence and survival of Listeria monocytogenes in Danish aquatic and fish-processing environments.

    PubMed

    Hansen, Cisse Hedegaard; Vogel, Birte Fonnesbech; Gram, Lone

    2006-09-01

    Listeria monocytogenes contamination of ready-to-eat food products such as cold-smoked fish is often caused by pathogen subtypes persisting in food-processing environments. The purpose of the present study was to determine whether these L. monocytogenes subtypes can be found in the outside environment, i.e., outside food processing plants, and whether they survive better in the aquatic environment than do other strains. A total of 400 samples were collected from the outside environment, fish slaughterhouses, fish farms, and a smokehouse. L. monocytogenes was not detected in a freshwater stream, but prevalence increased with the degree of human activity: 2% in seawater fish farms, 10% in freshwater fish farms, 16% in fish slaughterhouses, and 68% in a fish smokehouse. The fish farms and slaughterhouses processed Danish rainbow trout, whereas the smokehouse was used for farm-raised Norwegian salmon. No variation with season was observed. Inside the processing plants, the pattern of randomly amplified polymorphic DNA (RAPD) types was homogeneous, but greater diversity existed among isolates from the outside environments. The RAPD type dominating the inside of the fish smokehouse was found only sporadically in outside environments. To examine survival in different environments, L. monocytogenes or Listeria innocua strains were inoculated into freshwater and saltwater microcosms. Pathogen counts decreased over time in Instant Ocean and remained constant in phosphate-buffered saline. In contrast, counts decreased rapidly in natural seawater and fresh water. The count reduction was much slower when the natural waters were autoclaved or filtered (0.2-microm pore size), indicating that the pathogen reduction in natural waters was attributable to a biological mechanism, e.g., protozoan grazing. A low prevalence of L. monocytogenes was found in the outside environment, and the bacteria did not survive well in natural environments. Therefore, L. monocytogenes in the outer

  1. Evaluating the methane generation rate constant (k value) of low-organic waste at Danish landfills.

    PubMed

    Mou, Zishen; Scheutz, Charlotte; Kjeldsen, Peter

    2015-01-01

    The methane (CH4) generation rate constant (k value, yr(-1)) is an essential parameter when using first-order decay (FOD) landfill gas (LFG) generation models to estimate CH4 generation from landfills. Four categories of waste (street cleansing, mixed bulky, shredder, and sludge waste) with a low-organic content, as well as temporarily stored combustible waste, were sampled from four Danish landfills. Anaerobic degradation experiments were set up in duplicate for all waste samples and incubated for 405 days, while the cumulative CH4 generation was continuously monitored. Applying FOD equations to the experimental results, half-life time values (t½, yr) and k values of various waste categories were determined. In general, similar waste categories obtained from different Danish landfills showed similar results. Sludge waste had the highest k values, which were in the range 0.156-0.189 yr(-1). The combustible and street cleansing waste showed k values of 0.023-0.027 yr(-1) and 0.073-0.083 yr(-1), respectively. The lowest k values were obtained for mixed bulky and shredder wastes ranging from 0.013 to 0.017 yr(-1). Most low-organic waste samples showed lower k values in comparison to the default numeric values in current FOD models (e.g., IPCC, LandGEM, and Afvalzorg). Compared with the k values reported in the literature, this research determined low-organic waste for the first time via reliable large-scale and long-term experiments. The degradation parameters provided in this study are valuable when using FOD LFG generation models to estimate CH4 generation from modern landfills that receive only low-organic waste. PMID:25453319

  2. Investigation of candidate regions influencing litter size in Danish Landrace sows.

    PubMed

    Bjerre, D; Mark, T; Sørensen, P; Proschowsky, H F; Vernersen, A; Jørgensen, C B; Fredholm, M

    2010-05-01

    Selection for increased litter size has been one of the main objectives in Danish pig breeding since 1992. This selection has led to an average increase of 0.30 piglets/litter per year for Landrace and Yorkshire sows, resulting in an average litter size of 15.3 piglets born alive in 2007, with an SD of 3.5 piglets. The objective of this study was to investigate differences in identity by state relationships and allele effects associated with litter size across 17 selected microsatellite marker positions on chromosomes 11, 13, and 15. For this purpose, 357 Danish Landrace sows with high and low EBV for litter size were genotyped. An assignment test showed that 91 and 90% of the sows could be assigned correctly to the group of sows representing high and low EBV, respectively, based on genotype information. Allele effects were estimated separately for each marker by using deregressed EBV and a linear model that include both a polygenic and an allele effect. The investigated region on chromosome 13 was found to have a greater average identity by state relationship compared with the other regions, indicating that selection has taken place in this region. This is supported by an increased average allele effect of microsatellite alleles in the region. In spite of the apparent increased historical selection pressure on chromosome 13, fairly large variation in allele effects was observed, indicating that the markers within the region may be used for marker-assisted selection. However, substantial variation in allele effects was observed for several markers on all 3 investigated chromosomes, indicating that selection should preferably be based on several markers. PMID:20118429

  3. Selenium status and risk of prostate cancer in a Danish population.

    PubMed

    Outzen, Malene; Tjønneland, Anne; Larsen, Erik H; Friis, Søren; Larsen, Signe B; Christensen, Jane; Overvad, Kim; Olsen, Anja

    2016-05-01

    Low-Se status may be associated with a higher risk of notably advanced prostate cancer. In a Danish population with a relatively low Se intake, we investigated the association between pre-diagnostic Se status and (1) the risk of total, advanced and high-grade prostate cancer and (2) all-cause and prostate cancer-specific mortality among men with prostate cancer. Within the Danish 'Diet, Cancer and Health' cohort, including 27 179 men, we identified 784 cases with incident prostate cancer through 2007. Each case was risk set-matched to one control. Two-thirds (n 525) of the cases had advanced disease at the time of diagnosis, and among these 170 had high-grade disease; 305 cases died (n 212 from prostate cancer) during follow-up through 2012. Plasma Se was not associated with total or advanced prostate cancer risk, but higher Se levels were associated with a lower risk of high-grade disease (HR 0·77; 95 % CI 0·64, 0·94; P=0·009). In survival analyses, a higher level of plasma Se was associated with a lower risk of all-cause (HR 0·92; 95 % CI 0·85, 1·00; P=0·04), but not prostate cancer-specific mortality. Higher levels of selenoprotein P were associated with a lower risk of high-grade disease (HR 0·85; 95 % CI 0·74, 0·97; P=0·01), but not with the risk of or mortality from advanced prostate cancer. In conclusion, levels of plasma Se and selenoprotein P were not associated with the risk of total and advanced prostate cancer, but higher levels of these two biomarkers were associated with a lower risk of high-grade disease. PMID:26971676

  4. Track way distance and cover as risk factors for lameness in Danish dairy cows.

    PubMed

    Burow, E; Thomsen, P T; Rousing, T; Sørensen, J T

    2014-03-01

    This study investigates the effect of length and cover of track ways between barn and pasture on lameness in Danish dairy cows. We hypothesised that short track distances would be associated with a lower lameness probability of dairy cows compared to longer distances and that track ways with prepared cover (asphalt, gravel, slag, concrete, rubber) compared to no prepared cover (sand, soil and/or grass) would be associated with a lower lameness probability of dairy cows in grazing herds. In total, 2084 dairy cows from 36 herds, grazing their dairy cows during summer, were individually assessed for their lameness status. The cows were further clinically examined for claw conformation and hock integument. Information on breed and parity per cow and size per herd was extracted from a national data base. Track way distance ranged from 0 to 700 m and was categorised as (1) <165 m or (2) ≥165 m. Cover of track way was categorised as (1) prepared (asphalt, gravel, slag, concrete, and/or rubber), (2) partly prepared or (3) not prepared (soil, sand, grass) for the surface of the majority of tracks used. The effect of track way distance and cover was evaluated for their impact on lameness using logistic analysis with a multi-level model structure. The probability for lameness did not change with track distance but increased with no (odds 4.0 times higher) or only partly prepared (odds 3.8 times higher) cover compared to prepared cover. In conclusion, we found that having a cover on the track way was associated with decreased severe lameness in Danish dairy cows. PMID:24387936

  5. Personal Metabolism (PM) coupled with Life Cycle Assessment (LCA) model: Danish Case Study.

    PubMed

    Kalbar, Pradip P; Birkved, Morten; Kabins, Simon; Nygaard, Simon Elsborg

    2016-05-01

    Sustainable and informed resource consumption is the key to make everyday living sustainable for entire populations. An intelligent and strategic way of addressing the challenges related with sustainable development of the everyday living of consumers is to identify consumption-determined hotspots in terms of environmental and health burdens, as well as resource consumptions. Analyzing consumer life styles in terms of consumption patterns in order to identify hotspots is hence the focus of this study. This is achieved by taking into account the entire value chain of the commodities consumed in the context of environmental and human health burdens, as well as resource consumptions. A systematic commodity consumption, commodity disposal, and life style survey of 1281 persons living in urbanized Danish areas was conducted. The findings of the survey showed new impact dimensions in terms of Personal Metabolism (PM) patterns of residents living in urbanized areas of Denmark. Extending the PM analysis with Life Cycle Assessment (LCA) provided a clear picture of the per capita environmental and human health burdens, as well as resource consumptions, and the exact origin hereof. A generic PM-LCA Model for all the 1281 persons was set-up in Gabi 6. The assessment results obtained applying the model on all 1281 personal consumption scenarios yielded the 1281 Personal Impact Profiles (PIPs). Consumption of food and energy (electricity and thermal energy) proved to be the primary impact sources of PM, followed by transport. The PIPs further revealed that behavioral factors (e.g. different diets, use of cars, household size) affect the profiles. Hence, behavioral changes are one means out of many that humanity will most likely have to rely on during the sustainable development process. The results of this study will help the Danish and other comparable populations to identify and prioritize the steps towards reducing their environmental, human health, and resource consumption

  6. Danish Hip Arthroscopy Registry: an epidemiologic and perioperative description of the first 2000 procedures

    PubMed Central

    Mygind-Klavsen, Bjarne; Grønbech Nielsen, Torsten; Maagaard, Niels; Kraemer, Otto; Hölmich, Per; Winge, Søren; Lund, Bent; Lind, Martin

    2016-01-01

    Danish Hip Arthroscopy Registry (DHAR) was initiated in 2012 as a web-based prospective registry. The purpose of this study was to evaluate and report the epidemiologic and perioperative data of the first 2000 procedures in a Danish hip arthroscopy population and to describe the development of DHAR. We describe the use of various Patient Related Outcome Measures related to non-arthritic hip patients. The 2000 procedures consisted of 56% females and 44% males. Mean age 37.5 years, mean surgical time was 86.5 min and mean traction time 50.5 min. The most frequently performed procedure was CAM and Pincer resection in 93.5% of the cases. Labral refixation or repair was done in 70.3% of the cases. The most common type of acetabular chondral damage was grade II lesions (36.6%). Grade III and IV changes were seen in 36.1% of the cases. The preoperative iHOT12 was 45 (mean) based on all 12 items. EQ-5D was 0.65 and HAGOS sub-scores were 51 (pain), 49 (symptoms), 53 (ADL), 35 (sport), 20 (physical activity) and 29, respectively. We conclude that patients undergoing hip arthroscopy report considerable pain, loss of function, reduced level of activity and reduced quality-of-life prior to surgery. The problems with development and maintaining a large clinical registry are described and further studies are needed to validate data completeness. We consider the development of a national clinical registry for hip arthroscopy as a successful way of developing and maintaining a valuable clinical and scientific tool. PMID:27583150

  7. Danish Hip Arthroscopy Registry: an epidemiologic and perioperative description of the first 2000 procedures.

    PubMed

    Mygind-Klavsen, Bjarne; Grønbech Nielsen, Torsten; Maagaard, Niels; Kraemer, Otto; Hölmich, Per; Winge, Søren; Lund, Bent; Lind, Martin

    2016-07-01

    Danish Hip Arthroscopy Registry (DHAR) was initiated in 2012 as a web-based prospective registry. The purpose of this study was to evaluate and report the epidemiologic and perioperative data of the first 2000 procedures in a Danish hip arthroscopy population and to describe the development of DHAR. We describe the use of various Patient Related Outcome Measures related to non-arthritic hip patients. The 2000 procedures consisted of 56% females and 44% males. Mean age 37.5 years, mean surgical time was 86.5 min and mean traction time 50.5 min. The most frequently performed procedure was CAM and Pincer resection in 93.5% of the cases. Labral refixation or repair was done in 70.3% of the cases. The most common type of acetabular chondral damage was grade II lesions (36.6%). Grade III and IV changes were seen in 36.1% of the cases. The preoperative iHOT12 was 45 (mean) based on all 12 items. EQ-5D was 0.65 and HAGOS sub-scores were 51 (pain), 49 (symptoms), 53 (ADL), 35 (sport), 20 (physical activity) and 29, respectively. We conclude that patients undergoing hip arthroscopy report considerable pain, loss of function, reduced level of activity and reduced quality-of-life prior to surgery. The problems with development and maintaining a large clinical registry are described and further studies are needed to validate data completeness. We consider the development of a national clinical registry for hip arthroscopy as a successful way of developing and maintaining a valuable clinical and scientific tool. PMID:27583150

  8. Multilocus sequence typing and biocide tolerance of Arcobacter butzleri from Danish broiler carcasses

    PubMed Central

    2013-01-01

    Background Arcobacter spp. have in recent years received increasing interest as potential emerging enteropathogens and zoonotic agents. They are associated with various animals including poultry and can be isolated from meat products. The possibilities of persistence and cross-contamination in slaughterhouses during meat processing are not well established. We have evaluated the occurrence and persistence of Arcobacter spp. in a Danish slaughterhouse and determined the sensitivity of isolates to sodium hypochlorite, a commonly used biocide. Results Arcobacter contamination was examined in a broiler slaughterhouse by selective enrichment of 235 swabs from the processing line during two production days and after sanitizing in between. In total 13.6% of samples were positive for A. butzleri with the majority (29 of 32 isolates) originating from the evisceration machine. No Arcobacter spp. was isolated after cleaning. A. butzleri isolates confirmed by PCR were typed by multilocus sequence typing (MLST) resulting in 10 new sequence types (STs). Two sequence types were isolated on both processing days. Minimum inhibitory concentration (MIC) to sodium hypochlorite was determined to 0.5% hypochlorite biocide (500 ppm chlorine) for most isolates, which allows growth of A. butzleri within the working concentration of the biocide (0.2 - 0.5%). Conclusions A. butzleri was readily isolated from a Danish broiler slaughterhouse, primarily in the evisceration machine. Typing by MLST showed high strain variability but the recurrence of two STs indicate that some persistence or cross-contamination takes place. Importantly, the isolates tolerated sodium hypochlorite, a biocide commonly employed in slaughterhouse sanitizing, at levels close to the disinfection concentration, and thus, A. butzleri may survive the disinfection process although this was not observed in our study. PMID:23941403

  9. Use of complementary and alternative medicine at Norwegian and Danish hospitals

    PubMed Central

    2011-01-01

    Background Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM). However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001. Methods A one-page questionnaire was sent to all included hospitals in both countries. The questionnaire was sent to the person responsible for the clinical activity, typically the medical director. 99 hospitals in the authority (85%) in Norway and 126 in Denmark (97%) responded. Given contact persons were interviewed. Results CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one) responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially. Conclusions The extent of CAM being offered has increased substantially in Norway during the first decade of the 21st century. This might indicate a shift in attitude regarding CAM within the conventional health care system. PMID

  10. Algorithm linking patients and general practices in Denmark using the Danish National Health Service Register

    PubMed Central

    Kjaersgaard, Maiken Ina Siegismund; Vedsted, Peter; Parner, Erik Thorlund; Bech, Bodil Hammer; Vestergaard, Mogens; Flarup, Kaare Rud; Fenger-Grøn, Morten

    2016-01-01

    Background The patient list system in Denmark assigns virtually all residents to a general practice. Nevertheless, historical information on this link between patient and general practice is not readily available for research purposes. Objectives To develop, implement, and evaluate the performance of an algorithm linking individual patients to their general practice by using information from the Danish National Health Service Register and the Danish Civil Registration System. Materials and methods The National Health Service Register contains information on all services provided by general practitioners from 1990 and onward. On the basis of these data and information on migration history and death obtained from the Civil Registration System, we developed an algorithm that allocated patients to a general practice on a monthly basis. We evaluated the performance of the algorithm between 2002 and 2007. During this time period, we had access to information on the link between patients and general practices. Agreement was assessed by the proportion of months for which the algorithm allocated patients to the correct general practice. We also assessed the proportion of all patients in the patient list system for which the algorithm was able to suggest an allocation. Results The overall agreement between algorithm and patient lists was 98.6%. We found slightly higher agreement for women (98.8%) than for men (98.4%) and lower agreement in the age group 18–34 years (97.1%) compared to all other age groups (≥98.6%). The algorithm had assigned 83% of all patients in the patient list system after 1 year of follow-up, 91% after 2 years of follow-up, and peaked at 94% during the fourth year. Conclusion We developed an algorithm that enables valid and nearly complete linkage between patients and general practices. The algorithm performs better in subgroups of patients with high health care needs. The algorithm constitutes a valuable tool for primary health care research. PMID

  11. Danish cohort of monozygotic inflammatory bowel disease twins: Clinical characteristics and inflammatory activity

    PubMed Central

    Moller, Frederik Trier; Knudsen, Lina; Harbord, Marcus; Satsangi, Jack; Gordon, Hannah; Christiansen, Lene; Christensen, Kaare; Jess, Tine; Andersen, Vibeke

    2016-01-01

    AIM: To describe the establishment of a Danish inflammatory bowel diseases (IBD) twin cohort with focus on concordance of treatment and inflammatory markers. METHODS: We identified MZ twins, likely to be discordant or concordant for IBD, by merging information from the Danish Twin Register and the National Patient Register. The twins were asked to provide biological samples, questionnaires, and data access to patient files and public registries. Biological samples were collected via a mobile laboratory, which allowed for immediate centrifugation, fractionation, and storage of samples. The mean time from collection of samples to storage in the -80 °C mobile freezer was less than one hour. The diagnoses where validated using the Copenhagen diagnostic criteria. RESULTS: We identified 159 MZ IBD twin pairs, in a total of 62 (39%) pairs both twins agreed to participate. Of the supposed 62 IBD pairs, the IBD diagnosis could be confirmed in 54 pairs. The cohort included 10 concordant pairs, whereof some were discordant for either treatment or surgery. The 10 concordant pairs, where both pairs suffered from IBD, included eight CD/CD pairs, one UC/UC pair and one UC/IBDU pair. The discordant pairs comprised 31 UC, 5 IBDU (IBD unclassified), and 8 CD discordant pairs. In the co-twins not affected by IBD, calprotectin was above 100 μg/g in 2 participants, and above 50 μg/g in a further 5 participants. CONCLUSION: The presented IBD twin cohorts are an excellent resource for bioinformatics studies with proper adjustment for disease-associated exposures including medication and inflammatory activity in the co-twins. PMID:27275097

  12. Phthalate and PAH concentrations in dust collected from Danish homes and daycare centers

    NASA Astrophysics Data System (ADS)

    Langer, Sarka; Weschler, Charles J.; Fischer, Andreas; Bekö, Gabriel; Toftum, Jørn; Clausen, Geo

    2010-06-01

    As part of the Danish Indoor Environment and Children's Health (IECH) study, dust samples were collected from 500 bedrooms and 151 daycare centers of children (ages 3 to 5) living on the island of Fyn. The present paper reports results from the analyses of these samples for five phthalate esters (diethyl phthalate (DEP), di(n-butyl) phthalate (DnBP), di(isobutyl) phthalate (DiBP), butyl benzyl phthalate (BBzP), di(2-ethylhexyl) phthalate (DEHP)) and three PAHs (pyrene, benz[a]anthracene (B[a]A) and benzo[a]pyrene (B[a]P)). The three PAHs and DEHP were detected in dust samples from all sites, while DEP, DnBP, DiBP and BBzP were detected in more than 75% of the bedrooms and more than 90% of the daycare centers. The dust mass-fractions of both phthalates and PAHs were log-normally distributed. With the exception of DEP, the mass-fractions of phthalates in dust were higher in daycare centers than homes; PAH mass-fractions in dust were similar in the two locations. There was no correlation among the different phthalates in either homes or daycare centers. In contrast, the PAH were correlated with one another - more strongly so in homes ( R2 = 0.80-0.90) than in daycare centers ( R2 = 0.28-0.45). The dust levels of several phthalates (BBzP, DnBP and DEHP) were substantially lower than those measured in a comparable study conducted 6-7 years earlier in Sweden. Although usage patterns in Denmark differ from those in Sweden, the current results may also reflect a change in the plasticizers that are used in common products including toys. PAH levels were roughly an order of magnitude lower than those measured in Berlin and Cape Cod residences, suggesting that the Danish sites are less impacted by motor vehicle emissions.

  13. Monitoring of phosphorus in Danish surface waters 1990-2012: Trends in phosphorus loading and phosphorus concentrations in streams, lakes and estuaries

    NASA Astrophysics Data System (ADS)

    Windolf, Jørgen; Kronvang, Brian; Carstensen, Jacob; Larsen, Søren E.; Bøgestrand, Jens; Trolle, Dennis

    2014-05-01

    For more than 20 years an integrated, standardized monitoring programme of Danish surface waters has provided information on status and trends in the phosphorus loading and phosphorus concentrations of Danish waters. Although the land-based phosphorus loading of Danish coastal waters has been reduced by 60For several decades the excess loading of phosphorus from diffuse sources and sewage outlets contributed significantly to the eutrophication of surface waters, and this is still the case. Measures taken to combat this eutrophication have included among others improved sewage treatment, diversion of sewage outlets from lakes and reduction of the phosphorus surplus on agricultural land. The overall effects of the measures taken to reduce the phosphorus loading and thereby improve the water quality will be presented for 15 Danish lakes and 10 estuaries and for 160 Danish streams draining catchments with varying anthropogenic impacts. The generally reduced phosphorus loading has led to a decrease in phosphorus concentrations in Danish lakes and estuaries due to the direct - long-term - link between phosphorus loading and phosphorus concentrations in lakes and estuaries. Special focus will be given to the development since 1990 in phosphorus concentrations in 31 streams draining farmed catchments with no significant sewage outlets and the potential factors influencing trends and variations. In 14 of these streams there has been a significant reduction in phosphorus concentrations since 1990, and for all the streams a general reduction of 17

  14. Epilepsy in individuals with a history of Asperger's syndrome: a Danish nationwide register-based cohort study.

    PubMed

    Mouridsen, Svend Erik; Rich, Bente; Isager, Torben

    2013-06-01

    We performed a nationwide, register-based retrospective follow-up study of epilepsy in all people who were born between January 1, 1980 and June 29, 2006 and registered in the Danish Psychiatric Central Register with Asperger's syndrome on February 7, 2011. All 4,180 identified cases with AS (3,431 males and 749 females) were screened through the nationwide Danish National Hospital Register (DNHR) with respect to epilepsy. Mean age at follow-up was 18.1 years (range 4-31 years). Of the 4,180 individuals with AS, 164 (3.9%) were registered with at least one epilepsy diagnosis in the DNHR, which is significantly increased (p < 0.0001) relative to the same age group in the general population, where an estimate is about 2.0%. PMID:23054204

  15. [The historical aspect: the first 10 years of the Danish Medicines Agency--and the 50 years that came before].

    PubMed

    Overø, Jens

    2008-01-01

    In 1997, the office for administration regarding medicines and pharmacies was separated from the Danish Board of Health and organised as the Danish Medicines Agency (Laegemiddelstyrelsen). This Agency celebrated its 10 years anniversary by publishing a book, "Staten og laegemidlerne" (The state and the medicines), describing various aspects of the official control of medicines. The book chapters focus mainly on the latest 25-50 years, because the earlier periods from the 16th century and onwards have been thoroughly described previously, whereas more recent developments are more sparsely discussed in the literature. The present article emphasises the importance of keeping knowledge of the historical development alive. Many aspects of present day regulation only make sense with knowledge of what came before. PMID:18548943

  16. Association between sexually transmitted disease and church membership. A retrospective cohort study of two Danish religious minorities

    PubMed Central

    Kørup, Alex Kappel; Thygesen, Lau Caspar; Christensen, René dePont; Johansen, Christoffer; Søndergaard, Jens; Hvidt, Niels Christian

    2016-01-01

    Objectives Studies comprising Danish Seventh-day Adventists (SDAs) and Danish Baptists found that members have a lower risk of chronic diseases including cancer. Explanations have pointed to differences in lifestyle, but detailed aetiology has only been sparsely examined. Our objective was to investigate the incidence of sexually transmitted diseases (STDs) among Danish SDAs and Baptists as a proxy for cancers related to sexual behaviour. Methods We followed the Danish Cohort of Religious Societies from 1977 to 2009, and linked it with national registers of all inpatient and outpatient care contacts using the National Patient Register. We compared the incidence of syphilis, gonorrhoea and chlamydia among members of the cohort with the general population. Results The cohort comprised 3119 SDA females, 1856 SDA males, 2056 Baptist females and 1467 Baptist males. For the entire cohort, we expected a total of 32.4 events of STD, and observed only 9. Female SDAs and Baptists aged 20–39 years had significant lower incidence of chlamydia (both p<0.001). Male SDAs and Baptists aged 20–39 years also had significant lower incidence of chlamydia (p<0.01 and p<0.05, respectively). No SDA members were diagnosed with gonorrhoea, when 3.4 events were expected, which, according to Hanley's ‘rule of three’, is a significant difference. No SDA or Baptist was diagnosed with syphilis. Conclusions The cohort shows significant lower incidence of STD, most likely including human papillomavirus, which may partly explain the lower incidence of cancers of the cervix, rectum, anus, head and neck. PMID:27016243

  17. Diffusion of an e-learning programme among Danish General Practitioners: A nation-wide prospective survey

    PubMed Central

    Waldorff, Frans Boch; Steenstrup, Annette Plesner; Nielsen, Bente; Rubak, Jens; Bro, Flemming

    2008-01-01

    Background We were unable to identify studies that have considered the diffusion of an e-learning programme among a large population of general practitioners. The aim of this study was to investigate the uptake of an e-learning programme introduced to General Practitioners as part of a nation-wide disseminated dementia guideline. Methods A prospective study among all 3632 Danish GPs. The GPs were followed from the launching of the e-learning programme in November 2006 and 6 months forward. Main outcome measures: Use of the e-learning programme. A logistic regression model (GEE) was used to identify predictors for use of the e-learning programme. Results In the study period, a total of 192 different GPs (5.3%) were identified as users, and 17% (32) had at least one re-logon. Among responders at first login most have learnt about the e-learning programme from written material (41%) or from the internet (44%). A total of 94% of the users described their ability of conducting a diagnostic evaluation as good or excellent. Most of the respondents used the e-learning programme due to general interest (90%). Predictors for using the e-learning programme were Males (OR = 1.4, 95% CI 1.1; 2.0) and members of Danish College of General Practice (OR = 2.2, 95% CI 1.5; 3.1), whereas age, experience and working place did not seem to be influential. Conclusion Only few Danish GPs used the e-learning programme in the first 6 months after the launching. Those using it were more often males and members of Danish College of General Practice. Based on this study we conclude, that an active implementation is needed, also when considering electronic formats of CME like e-learning. Trial Registration ClinicalTrials.gov Identifier: NCT00392483. PMID:18439279

  18. Gluten intake in 6-36-month-old Danish infants and children based on a national survey.

    PubMed

    Hoppe, Camilla; Trolle, Ellen; Gondolf, Ulla H; Husby, Steffen

    2013-01-01

    Coeliac disease (CD) affects about 1 % of the general population. Information concerning gluten intake in the general population is scarce. In particular, variation in gluten intake during the complementary feeding period may be an independent risk factor in CD pathogenesis. We determined the intake of gluten from wheat, barley, rye and oats in a cross-sectional National Danish Survey of Dietary Habits among Infants and Young Children (2006-2007). The study population comprised a random sample of 1743 children aged 6-36 months, recruited from the National Danish Civil Registry. The protein contents from wheat, rye, barley and oats were found in the National Danish Food Composition Table, and multiplied with the amounts in the recipes. The amounts of gluten were calculated as the amount of cereal protein × 0·80 for wheat and oats, ×0·65 for rye and ×0·50 for barley. Dietary intake was recorded daily for seven consecutive days in pre-coded food records supplemented with open-answer possibilities. Gluten intake increased with age (P < 0·0001). Oats were introduced first, rapidly outpaced by wheat, the intake of which continued to increase with age, whereas oats started to decrease at 12 months. Boys had a higher intake of energy (P ≤ 0·0001) and all types of gluten, except for barley (P ≤ 0·87). In 8-10-month-old (P < 0·0001) and 10-12-month-old (P = 0·007), but not in 6-8-month-old infants (P = 0·331), non-breast-fed infants had higher total gluten intake than partially breast-fed infants. In conclusion, this study presents representative population-based data on gluten intake in Danish infants and young children. PMID:25191593

  19. [One third of Danish doctors specializing in diagnostic radiology do not feel sufficiently equipped in terms of medical expertise].

    PubMed

    Lange, Benedicte; Carlsen, Charlotte Green; Jurik, Anne Grethe

    2014-02-01

    An internet-based survey among Danish doctors specializing in diagnostic radiology revealed differences with respect to the length of internships at regional and university hospitals as well as the educational environment. The university hospitals were generally evaluated to have the best educational facilities except within practical skills. Therefore, it seems necessary to optimize the educational environment at regional hospitals, especially within medical expertise and scientific skills which are key elements regarding continuous development and quality assurance within radiology. PMID:25347440

  20. The Incidence of Eating Disorders in a Danish Nationwide Register Study Associations with Suicide Risk and Mortality

    PubMed Central

    Zerwas, Stephanie; Larsen, Janne Tidselbak; Petersen, Liselotte; Thornton, Laura M.; Mortensen, Preben Bo; Bulik, Cynthia M.

    2015-01-01

    Our aim was to characterize the incidence rates and cumulative incidence of anorexia nervosa (AN), bulimia nervosa (BN), and eating disorder not otherwise specified (EDNOS), and examine associations among eating disorder diagnoses, suicide attempts, and mortality. Individuals born in Denmark between 1989 and 2006 were included (N=966,141, 51.3% male). Eating disorders diagnoses (AN, Broad AN, BN, EDNOS) were drawn from the Danish Psychiatric Central Research Register (PCRR) and Danish National Patient Register (NPR). Suicide attempts and deaths were captured in the NPR, the PCRR, and the Danish Civil Registration System (CRS). In females, AN had a peak hazard at approximately age 15 years, BN at 22 years, and EDNOS had an extended peak that spanned 18 years to 22 years. Eating disorder diagnoses predicted a significantly higher hazard for death and suicide attempt compared with the referent of individuals with no eating disorders. In males, peak hazard for diagnosis was earlier than in females. The present study represents one of the largest and longest studies of eating disorder incidence and suicide attempts and death in both females and males. Eating disorders are accompanied by increased hazard of suicide attempts and death even in young adults. PMID:25958083

  1. Cerebral Amyloid Angiopathy and Parenchymal Amyloid Deposition in Transgenic Mice Expressing the Danish Mutant Form of Human BRI2

    PubMed Central

    Vidal, Ruben; Barbeito, Ana G; Miravalle, Leticia; Ghetti, Bernardino

    2009-01-01

    Familial Danish dementia (FDD) is an autosomal dominant neurodegenerative disease clinically characterized by the presence of cataracts, hearing impairment, cerebellar ataxia and dementia. Neuropathologically, FDD is characterized by the presence of widespread cerebral amyloid angiopathy (CAA), parenchymal amyloid deposition and neurofibrillary tangles. FDD is caused by a 10-nucleotide duplication-insertion in the BRI2 gene that generates a larger-than-normal precursor protein, of which the Danish amyloid subunit (ADan) comprises the last 34 amino acids. Here, we describe a transgenic mouse model for FDD (Tg-FDD) in which the mouse Prnp (prion protein) promoter drives the expression of the Danish mutant form of human BRI2. The main neuropathological findings in Tg-FDD mice are the presence of widespread CAA and parenchymal deposition of ADan. In addition, we observe the presence of amyloid-associated gliosis, an inflammatory response and deposition of oligomeric ADan. As the animals aged, they showed abnormal grooming behavior, an arched back, and walked with a wide-based gait and shorter steps. This mouse model may give insights on the pathogenesis of FDD and will prove useful for the development of therapeutics. Moreover, the study of Tg-FDD mice may offer new insights into the role of amyloid in neurodegeneration in other disorders, including Alzheimer disease. PMID:18410407

  2. Revitalising the Metropolit 1953 Danish male birth cohort: background, aims and design.

    PubMed

    Osler, Merete; Andersen, Anne-Marie Nybo; Lund, Rikke; Batty, G David; Hougaard, Charlotte Ørsted; Damsgaard, Mogens Trab; Due, Pernille; Holstein, Bjørn E

    2004-09-01

    Recent research indicates that factors operating during childhood are related to adult health. Thus, longitudinal studies with information on subsequent phases may be key to understanding later health outcomes. The main objective of this paper is to describe the history and design of a Danish birth cohort, and its revitalisation. In 1965, information from birth certificates for 11 591 of a total of 12 270 males born in 1953 in the Metropolitan area of Copenhagen, Denmark were traced. These boys were the study population of a sociological investigation conducted with the aim of describing social mobility. At age 12 years, 9537 of these cohort members completed a questionnaire in school, which included cognitive measures and information on social aspirations and leisure time activities. In 1966 educational performance tests were administered for these boys and, in 1968, mothers of 2890 cohort members were interviewed regarding family social backgrounds. With the establishment of the Civil Registration System (CRS) in 1968, it was possible to identify 11 532 cohort members. In 2002 we began the process of revitalising this study with the aim of investigating the influence of early life factors on later health. We succeeded in ascertaining the vital status of all subjects in the CRS. This showed that 863 subjects had died between 1968 and 2002. Linkages to the Register of Causes of Death, the National Hospital Register, Psychiatric Central Register and Danish Cancer Registry have been completed. In total, 7969 cohort members had been hospitalised for any somatic illness and, according to the Psychiatric Central Register, 1382 men had been admitted to a psychiatric hospital or ward. In the Cancer Registry we found 363 of our study participants. Analyses exploring the influence of social conditions in early life, birth dimensions, and childhood cognition on adult health experience are at various stages of completion. A questionnaire-based postal follow-up survey is

  3. Lung cancer in HIV patients and their parents: A Danish cohort study

    PubMed Central

    2011-01-01

    Background HIV patients are known to be at increased risk of lung cancer but the risk factors behind this are unclear. Methods We estimated the cumulative incidence and relative risk of lung cancer in 1) a population of all Danish HIV patients identified from the Danish HIV Cohort Study (n = 5,053) and a cohort of population controls matched on age and gender (n = 50,530) (study period; 1995 - 2009) and 2) their parents (study period; 1969 - 2009). Mortality and relative risk of death after a diagnosis of lung cancer was estimated in both populations. Results 29 (0.6%) HIV patients vs. 183 (0.4%) population controls were diagnosed with lung cancer in the observation period. HIV patients had an increased risk of lung cancer (adjusted incidence rate ratio (IRR); 2.38 (95% CI; 1.61 - 3.53)). The IRR was considerably increased in HIV patients who were smokers or former smokers (adjusted IRR; 4.06 (95% CI; 2.66 - 6.21)), male HIV patients with heterosexual route of infection (adjusted IRR; 4.19 (2.20 - 7.96)) and HIV patients with immunosuppression (adjusted IRR; 3.25 (2.01 - 5.24)). Both fathers and mothers of HIV patients had an increased risk of lung cancer (adjusted IRR for fathers; 1.31 (95% CI: 1.09 - 1.58), adjusted IRR for mothers 1.35 (95% CI: 1.07 - 1.70)). Mortality after lung cancer diagnose was increased in HIV patients (adjusted mortality rate ratio 2.33 (95%CI; 1.51 - 3.61), but not in the parents. All HIV patients diagnosed with lung cancer were smokers or former smokers. Conclusion The risk was especially increased in HIV patients who were smokers or former smokers, heterosexually infected men or immunosuppressed. HIV appears to be a marker of behavioural or family related risk factors that affect the incidence of lung cancer in HIV patients. PMID:21702995

  4. The Relationship between Age at First Birth and Mother's Lifetime Earnings: Evidence from Danish Data

    PubMed Central

    2016-01-01

    Background Having children creates career interruptions and reductions in labor income for women. This study documents the relation between the age at first birth (AFB) and women’s labor income. We study these dynamics in the short run (i.e. ratio between labor income at AFB and two years prior to AFB) and long run (i.e., positive/negative differences in total lifetime labor income). Methods Using unique Danish administrative register data for the entire Danish population, we estimate the age-income profiles separately for college and non-college women conditional on marital status, and mothers’ age at first birth (AFB). We compute the lifetime labor income differentials by taking the differences between the labor income of women with and without children at each AFB. Results The short-run loss in labor income, defined as the difference in percentages between the income earned two years prior to AFB and income earned at AFB, ranges from 37% to 65% for college women and from 40% to 53% for non-college women. These losses decrease monotonically with respect to AFB for both education groups. Our results on the lifetime labor income differentials between mothers and women without children also show a net effect that is monotonic (from negative to positive) in AFB. With AFB<25, the lifetime labor income loss for college women is -204% of their average annual labor income and this figure is -252% for non-college women. There are lifetime labor income gains with AFB>31. The largest gains for college women are 13% of their average annual income and this figure is 50% for non-college women. Conclusion Women have a large and unambiguous short-run reduction in labor income at their AFB. In terms of lifetime labor income, both college and non-college women, compared to childless women, are associated with lower income of more than twice their respective average annual income when bearing a child at AFB<25. In other words, women with AFB<25 are associated with a lower

  5. Environmental Risk of Climate Change and Groundwater Abstraction on Ecological Conditions in a Danish Catchment

    NASA Astrophysics Data System (ADS)

    Seaby, L. P.; Boegh, E.; Jensen, N. H.

    2014-12-01

    The Danish drinking water supply is sourced almost entirely from groundwater. Balancing water abstraction demands and the ecological conditions in streams is one of the major challenges for water resource managers. With projected climate change, characterised by increased annual temperature, precipitation, and evapotranspiration rates for Denmark, the impact to low flows and groundwater levels are especially of interest, as they relate to aquatic habitat and nitrate leaching, respectively. On the island Sjælland, which includes urban and agricultural regions, a doubling of groundwater abstraction rates has been proposed in selected areas to meet water resource demands. This study evaluates the risk to stream ecological conditions for a lowland Danish catchment under multiple scenarios of climate change and groundwater abstraction. Projections of future climate (i.e. precipitation, temperature, reference evapotranspiration) come from the ENSEMBLES climate modelling project. Climate variables from 11 climate models are first bias corrected with a distribution based scaling (DBS) method (Seaby et al., 2013) and then used to force hydrological simulations of stream discharge, groundwater recharge, and nitrate leaching from the root zone under present (1991-2010) and future (2071-2100) climate conditions. Hydrological modelling utilises a sequential coupling methodology with DAISY, a one dimensional crop model describing soil water dynamics in the root zone, and MIKE SHE, a distributed groundwater-surface water model which the National Water Resources Model (DK-model) is set up in (Henriksen et al., 2003). We find low flow and annual discharge to be most impacted by scenarios of climate change, with high variation across climate models (+/- 40% change). Doubling of current groundwater abstraction rates reduces annual discharge by approximately 20%, with higher reductions to low flows seen around 40%. The combined effects of climate change and increased groundwater

  6. Prevalence, seriousness and reporting of work-related violence in the Danish elderly care.

    PubMed

    Sharipova, Muborak; Borg, Vilhelm; Hogh, Annie

    2008-12-01

    A survey study (paper and pencil) among staff of elderly care institutions in 36 Danish municipalities (n = 9949) was conducted in 2005 with a response rate of 78%. The majority of the participants of the study were women (96%). The paper presents the prevalence, perpetrators, seriousness (self-rated seriousness, injuries, sick leave and type of violence) of work-related physical violence towards care workers in the Danish elderly care and the frequency of reporting the incidents to the safety organization. The findings show that every fourth caregiver was exposed to violence in 2005. Care personnel working in nursing homes and integrated institutions had the highest prevalence of violence (40%) and were also most often (10%) exposed to violence. Clients were most often (>90% of cases) the perpetrators. The most frequent types of violence were hitting (63%) and scratching/pinching (63%). Being held (32%) or kicked (27%) was also mentioned as frequent types of violence; use of weapon, throwing or hitting with a hard objects were more seldom. Nearly 1/3 of the exposed respondents rated at least one incident as very serious. There were significant associations between self-rated seriousness and type of violence, injuries and sick leave. The incidents were, in particular when perpetrators were clients, often rated as not serious. Only 22% of the victims of violence reported the violent incidents to the safety organizations. Reports of violent incidents were significantly associated with frequency of exposure, type of violence, physical injury, sick leave and perpetrators. The more frequent and most serious cases were reported most often and cases where the perpetrators were clients were reported less often than when perpetrators were others. It has been suggested that underreporting of violence occurs because it is time consuming, lacks supervisory support, because it won't make any difference, because it is part of the job, and also because there is a tendency to

  7. National Cohort Study of Suicidality and Violent Criminality among Danish Immigrants

    PubMed Central

    Webb, Roger T.; Antonsen, Sussie; Mok, Pearl L. H.; Agerbo, Esben; Pedersen, Carsten B.

    2015-01-01

    Background Immigrant populations in western societies have grown in their size and diversity yet evidence is incomplete for their risks of suicidality and criminal violence. We examined these correlated harmful behaviours in a national cohort. Aims (i) Compare absolute risk between first and second generation immigrants, foreign-born adoptees and native Danes by plotting cumulative incidence curves to onset of early middle age; (ii) estimate sex-specific relative risks for these immigrant type subgroups vs. native Danes; (iii) examine effect modification by higher vs. lower socio-economic status. Methods In a cohort of over two million persons, attempted suicides and violent crimes were investigated using data from multiple interlinked registers. We plotted sex-specific cumulative incidence curves and estimated incidence rate ratios. Results In the whole study cohort, 1414 people died by suicide, 46,943 attempted suicide, and 51,344 were convicted of committing a violent crime. Among all immigrant subgroups combined, compared with native Danes, relative risk of attempted suicide was greater in female immigrants (incidence rate ratio, 1.59; 95% confidence interval: CI 1.54-1.64) than in male immigrants (1.26; CI 1.20-1.32), and vice versa for relative risk of violent offending in male immigrants (2.36; CI 2.31-2.42) than in female immigrants (1.74; CI 1.62-1.87). Risk for both adverse outcomes was significantly elevated in virtually every gender-specific immigrant type subgroup examined. Violent crime risk was markedly raised in first generation immigrant males and in the Danish born male children of two immigrant parents. However, male immigrants of lower social status had lower risk of attempted suicide than their native Danish peers. Conclusion Young immigrants of both first and second generation status face serious challenges and vulnerabilities that western societies need to urgently address. Relative risk patterns for these adverse outcomes vary greatly

  8. Validity of the coding for herpes simplex encephalitis in the Danish National Patient Registry

    PubMed Central

    Jørgensen, Laura Krogh; Dalgaard, Lars Skov; Østergaard, Lars Jørgen; Andersen, Nanna Skaarup; Nørgaard, Mette; Mogensen, Trine Hyrup

    2016-01-01

    Background Large health care databases are a valuable source of infectious disease epidemiology if diagnoses are valid. The aim of this study was to investigate the accuracy of the recorded diagnosis coding of herpes simplex encephalitis (HSE) in the Danish National Patient Registry (DNPR). Methods The DNPR was used to identify all hospitalized patients, aged ≥15 years, with a first-time diagnosis of HSE according to the International Classification of Diseases, tenth revision (ICD-10), from 2004 to 2014. To validate the coding of HSE, we collected data from the Danish Microbiology Database, from departments of clinical microbiology, and from patient medical records. Cases were classified as confirmed, probable, or no evidence of HSE. We estimated the positive predictive value (PPV) of the HSE diagnosis coding stratified by diagnosis type, study period, and department type. Furthermore, we estimated the proportion of HSE cases coded with nonspecific ICD-10 codes of viral encephalitis and also the sensitivity of the HSE diagnosis coding. Results We were able to validate 398 (94.3%) of the 422 HSE diagnoses identified via the DNPR. Hereof, 202 (50.8%) were classified as confirmed cases and 29 (7.3%) as probable cases providing an overall PPV of 58.0% (95% confidence interval [CI]: 53.0–62.9). For “Encephalitis due to herpes simplex virus” (ICD-10 code B00.4), the PPV was 56.6% (95% CI: 51.1–62.0). Similarly, the PPV for “Meningoencephalitis due to herpes simplex virus” (ICD-10 code B00.4A) was 56.8% (95% CI: 39.5–72.9). “Herpes viral encephalitis” (ICD-10 code G05.1E) had a PPV of 75.9% (95% CI: 56.5–89.7), thereby representing the highest PPV. The estimated sensitivity was 95.5%. Conclusion The PPVs of the ICD-10 diagnosis coding for adult HSE in the DNPR were relatively low. Hence, the DNPR should be used with caution when studying patients with encephalitis caused by herpes simplex virus. PMID:27330328

  9. Epidemiologic and economic evaluation of risk-based meat inspection for bovine cysticercosis in Danish cattle.

    PubMed

    Calvo-Artavia, F F; Nielsen, L R; Alban, L

    2013-03-01

    Under the current EU meat inspection regulation, every single carcase from all bovines above 6 weeks of age has to be examined for bovine cysticercosis (BC). This is time-consuming, costly, and is of limited value in countries with low prevalence. The aim of this study was to develop a stochastic simulation model for analysis of tentative risk-based meat inspection systems for BC in Danish cattle with regard to system sensitivity (SSSe), specificity and potential monetary benefits compared to the current system, which has an estimated SSSe of 15%. The relevant risk factors used to construct three alternative scenario trees were identified from previous Danish risk factor studies (1) gender, (2) grazing and (3) access to risky water sources. Thus, females, animals that had been grazing or animals with access to risky water sources were considered high-risk and would be subjected to invasive inspection at meat inspection. All animals in the low-risk groups (i.e. males, non-grazing or no access to risky water sources, respectively) would be subjected to visual inspection only. It was assumed that half of the cattle were slaughtered in abattoirs that would be able to reorganise the work at the slaughterline, allowing them to do with one meat inspector less. All abattoirs would gain on the price of sold uncut beef from the masseter muscles from visually inspected cattle. Under these assumptions, using gender and grazing were preferable due to them having SSSe only slightly lower than the current system, and highest effectiveness ratios, but they had a lower net economic effect (NEE) than the scenario using risky water sources. Using gender to differentiate high and low-risk groups was judged preferable over grazing due to feasibility, because the information is readily available at the slaughter line. The exact total NEE for the cattle sector depends on how many and which of the abattoirs that would be able to reorganise the work at the slaughter line to save money on

  10. Early Success Is Vital in Minimal Worksite Wellness Interventions at Small Worksites

    ERIC Educational Resources Information Center

    Ablah, Elizabeth; Dong, Frank; Konda, Kurt; Konda, Kelly; Armbruster, Sonja; Tuttle, Becky

    2015-01-01

    Intervention: In an effort to increase physical activity, 15 workplaces participated in a minimal-contact 10,000-steps-a-day program sponsored by the Sedgwick County Health Department in 2007 and 2008. Pedometers were provided to measure participants' weekly steps for the 10-week intervention. Method: Participants were defined as those who…

  11. Advanced Sensitivity Analysis of the Danish Eulerian Model in Parallel and Grid Environment

    NASA Astrophysics Data System (ADS)

    Ostromsky, Tz.; Dimov, I.; Marinov, P.; Georgieva, R.; Zlatev, Z.

    2011-11-01

    A 3-stage sensitivity analysis approach, based on analysis of variances technique for calculating Sobol's global sensitivity indices and computationaly efficient Monte Carlo integration techniques is considered and applied to a large-scale air pollurion model, the Danish Eulerian Model. On the first stage it is necessary to carry out a set of computationally expensive numerical experiments and to extract the necessary sensitivity analysis data. The output is used to construct mesh-functions of ozone concentration ratios to be used in the next stages for evaluating the necessary variances. Here we use a specially adapted for the purpose version of the model, called SA-DEM. It has been successfully implemented and run on the most powerful parallel supercomputer in Bulgaria—IBM Blue Gene/P. A more advanced version, capable of using efficiently the full capacity of this powerful supercomputer, is described in this paper, followed by some performance analysis of the numerical experiments. Another source of computational power for solving such a tuff numerical problem is the computational grid. That is why another version of SA-DEM has been adapted to exploit efficiently the capacity of our Grid infrastructure. The numerical results from both the parallel and Grid implementation are presented, compared and analysed.

  12. Natural variability in bovine milk oligosaccharides from Danish Jersey and Holstein-Friesian breeds

    PubMed Central

    Sundekilde, Ulrik K; Barile, Daniela; Meyrand, Mickael; Poulsen, Nina A; Larsen, Lotte B; Lebrilla, Carlito B.; Bruce, German J.; Bertram, Hanne C

    2012-01-01

    Free oligosaccharides are key components of human milk and play multiple roles in the health of the neonate, by stimulating growth of selected beneficial bacteria in the gut, participating in development of the brain and exerting anti-pathogenic activity. However, the concentration of oligosaccharides is low in mature bovine milk, normally used for infant formula, compared with both human colostrum and mature human milk. Characterization of bovine milk oligosaccharides in different breeds is crucial for the identification of viable sources for oligosaccharide purification. An improved source of oligosaccharides can lead to infant formula with improved oligosaccharide functionality. In the present study we have analyzed milk oligosaccharides by high-performance liquid chromatography chip quadrupole time-of-flight mass spectrometry and performed a detailed data analysis using both univariate and multivariate methods. Both statistical tools revealed several differences in oligosaccharide profiles between milk samples from the two Danish breeds; Jersey and Holstein-Friesians. Jersey milk contained higher relative amounts of both sialylated and the more complex neutral fucosylated oligosaccharides, while the Holstein-Friesian milk had higher abundance of smaller and simpler neutral oligosaccharides. The statistical analyses revealed that Jersey milk contain significantly higher levels of fucosylated oligosaccharides than Holstein-Friesian milk. Jersey milk also possesses oligosaccharides with a higher degree of complexity and functional residues (fucose and sialic acid) suggesting it may therefore offer advantages in term of a wider array of bioactivities. PMID:22632419

  13. Danish Citizens and General Practitioners' Use of ICT for their Mutual Communication.

    PubMed

    Bertelsen, Pernille; Stub Petersen, Lone

    2015-01-01

    This paper reports on selected findings from a Danish national survey of citizens' perception and use of information and communication technology (ICT) for their health care [1]. Focus is on citizens' use of ICT and on communication with their General Practitioner (GP). It also focuses on citizens' experience of their GPs' ICT use and no use during medical consultations. The responsibility for medical service in Denmark is to a large extent handed over to the primary sector where the GP is the gatekeeper. Our data display that 65% of the adult citizens or their relatives have been using ICT to communicate with their GP. Twenty-two percent have experienced their GP use a computer screen to actively show them something while they have a consultation. Further, our data supports the assumption that the higher the education people have, the more likely they are to use ICT for their health care. The understanding of the use of ICT in communication with the GP is central to monitoring and developing an ICT that supports all citizens and considers new ways in which to enhance quality of care. PMID:26262075

  14. Strategic Environmental Assessment as catalyst of healthier spatial planning: The Danish guidance and practice

    SciTech Connect

    Kornov, Lone

    2009-01-15

    A wide range of factors within spatial planning can affect health. There is therefore an important scope for Strategic Environmental Assessment (SEA) of spatial plans to protect and improve human health. Due to the EU Directive 2001/42/EC on SEA, health has been made explicit in Danish legislation and guidance. This paper examines the inclusion of health as a formal component in impact assessment of spatial plans. Based upon a documentary study of 100 environmental reports, the paper analyses and discusses how health impact considerations are incorporated in SEA practice. It is found that health impacts are included in SEA practice and are being interpreted in a broader sense than what the national guidance exemplifies. The frequent included health aspects are noise, drinking water, air pollution, recreation/outdoor life and traffic safety. The primary determinant for health is transport-whether it is at the overall or local planning level. The main conclusion is that SEA shows a potential to catalyse healthier spatial planning. Despite the broad inclusion of health in SEA practice the examination shows potential improvements, hereunder qualification of assessments by better explaining the nature and significance of impacts and by including the distributional aspects of human health impacts. Inclusion from the health sector is put forward as an important institutional mean to secure cross disciplinarily and higher quality assessment.

  15. JP-HHT phenotype in Danish patients with SMAD4 mutations.

    PubMed

    Jelsig, A M; Tørring, P M; Kjeldsen, A D; Qvist, N; Bojesen, A; Jensen, U B; Andersen, M K; Gerdes, A M; Brusgaard, K; Ousager, L B

    2016-07-01

    Patients with germline mutations in SMAD4 can present symptoms of both juvenile polyposis syndrome (JPS) and hereditary hemorrhagic telangiectasia (HHT): the JP-HHT syndrome. The complete phenotypic picture of this syndrome is only just emerging. We describe the clinical characteristics of 14 patients with SMAD4-mutations. The study was a retrospective, register-based study. SMAD4 mutations carriers were identified through the Danish HHT-registry, the genetic laboratories - and the genetic departments in Denmark. The medical files from relevant departments were reviewed and symptoms of HHT, JPS, aortopathy and family history were noted. We detected 14 patients with SMAD4 mutations. All patients had polyps removed and 11 of 14 fulfilled the diagnostic criteria for JPS. Eight patients were screened for HHT-symptoms and seven of these fulfilled the Curaçao criteria. One patient had aortic root dilation. Our findings support that SMAD4 mutations carriers have symptoms of both HHT and JPS and that the frequency of PAVM and gastric involvement with polyps is higher than in patients with HHT or JPS not caused by a SMAD4 mutation. Out of eight patients screened for aortopathy, one had aortic root dilatation, highlighting the need for additional screening for aortopathy. PMID:26572829

  16. Risk factors for Coxiella burnetii antibodies in bulk tank milk from Danish dairy herds.

    PubMed

    Agger, Jens Frederik; Paul, Suman; Christoffersen, Anna-Bodil; Agerholm, Jørgen Steen

    2013-01-01

    The aim was to identify risk factors associated with Coxiella burnetii antibody positivity in bulk tank milk (BTM) samples from 100 randomly selected Danish dairy cattle herds. Antibody levels were measured by an enzyme-linked immuno-sorbent assay. Before testing the herds, the farm managers were interviewed about hired labour, biosecurity, housing and herd health during the 12 months prior to the study. Variables considered important for C. burnetii antibody positivity in multivariable logistic regression analysis included the sharing of machines between farms (OR = 3.6), human contacts (OR = 4.2), artificial insemination by other people than artificial insemination technicians (OR = 7.7), routine herd health contract with the veterinarian (OR = 4.3) and hygiene precautions taken by veterinarians (OR = 5). In addition, herd size, hired labour, trading of cattle between farms, quarantine and use of calving and disease pens also showed significant association in univariable analysis. This study demonstrates that strict biosecurity is important for the prevention of infections with C. burnetii. PMID:24228845

  17. Degradation of zearalenone and ochratoxin A in three Danish agricultural soils.

    PubMed

    Mortensen, Gerda K; Strobel, Bjarne W; Hansen, Hans C B

    2006-03-01

    Degradation of two mycotoxins: zearalenone (ZON) produced by species of Fusarium and ochratoxin A (OTA) produced by species of Penicillium were followed in pot experiments using agricultural topsoils from Danish experimental farms: a sandy soil, a sandy clay soil and a gyttja soil with a high content of silt. Experiments with unplanted soil and pots planted with barley were included. Soil samples were withdrawn during a period of 225 days and analysed for the content of OTA and ZON. The degradation of both toxins consisted of an initial fast degradation followed by a slower transformation step and was described well by a sum of two first-order kinetic equations. The decay first-order rate constants for the first step (k1) were in the range 0.73-2.91 d(-1) for OTA and 0.0612-0.108 d(-1) for ZON, respectively. Half-lives (t0.5) for ZON using data from the first phase were between 6.4 and 11 days, whereas the half-lives for OTA were about 0.2-1 day. The slowest degradation was measured in soil rich in clay. After 225 days, neither OTA nor ZON was detected in any of the soil types. Generally, the degradation of ZON and OTA was faster in planted soil than in unplanted soil, probably due to higher microbial activity. Due to the fast degradation of ZON and OTA in surface soil leaching as soluble substances appears to be limited. PMID:16095665

  18. Psychosocial work environment factors and weight change: a prospective study among Danish health care workers

    PubMed Central

    2013-01-01

    Background Lifestyle variables may serve as important intermediate factors between psychosocial work environment and health outcomes. Previous studies, focussing on work stress models have shown mixed and weak results in relation to weight change. This study aims to investigate psychosocial factors outside the classical work stress models as potential predictors of change in body mass index (BMI) in a population of health care workers. Methods A cohort study, with three years follow-up, was conducted among Danish health care workers (3982 women and 152 men). Logistic regression analyses examined change in BMI (more than +/− 2 kg/m2) as predicted by baseline psychosocial work factors (work pace, workload, quality of leadership, influence at work, meaning of work, predictability, commitment, role clarity, and role conflicts) and five covariates (age, cohabitation, physical work demands, type of work position and seniority). Results Among women, high role conflicts predicted weight gain, while high role clarity predicted both weight gain and weight loss. Living alone also predicted weight gain among women, while older age decreased the odds of weight gain. High leadership quality predicted weight loss among men. Associations were generally weak, with the exception of quality of leadership, age, and cohabitation. Conclusion This study of a single occupational group suggested a few new risk factors for weight change outside the traditional work stress models. PMID:23327287

  19. Parental celiac disease and risk of asthma in offspring: a Danish nationwide cohort study

    PubMed Central

    Andersen, Ane Birgitte Telén; Erichsen, Rune; Kappelman, Michael David; Frøslev, Trine; Ehrenstein, Vera

    2015-01-01

    Objective The incidences of celiac disease (CD) and asthma are increasing and the two conditions are associated in individuals. Risk of asthma may be passed on to the next generation through shared risk factors. We examined whether parental CD is associated with risk of asthma in offspring. Methods We conducted a population-based Danish nationwide cohort study, using medical databases, covering the period 1 January 1979 to 31 December 2009. For each child with a parental history of CD, we randomly sampled 100 children without this history from the children born in the same calendar year. We used Cox proportional-hazards regression to estimate incidence rate ratios for asthma, adjusting for measured covariates. Results We identified 1,107 children with a parental history of CD and 110,700 children without this parental history. During up to 32 years of follow-up, 6,125 children received a hospital diagnosis of asthma. The adjusted incidence rate ratio for asthma associated with a parental history of CD was 1.09 (95% confidence interval: 0.86–1.39) and was similar for maternal and paternal CD. Inclusion of asthma-medication in the definition of asthma did not substantially change the results. Conclusion There was no convincing evidence of an increased risk of asthma among offspring of parents with CD. PMID:25565892

  20. Integrated ecological assessment of Danish Baltic Sea coastal areas by means of phytoplankton and macrophytobenthos

    NASA Astrophysics Data System (ADS)

    Sagert, Sigrid; Krause Jensen, Dorte; Henriksen, Peter; Rieling, Thorsten; Schubert, Hendrik

    2005-04-01

    The Water Framework Directive (WFD) demands an integrated assessment of ecological quality based on biological parameters. In this context combined macrophytobenthos and phytoplankton data sets along the Danish Baltic Sea coast were analysed for similarities and differences in their response to abiotic variables. Zostera marina's depth limits showed a significantly negative correlation with concentrations of total-nitrogen, total phosphorus and chlorophyll a as well as with Myrionecta rubra biomass and a strongly positive correlation with Secchi depth. The results documented that selected phytobenthos and phytoplankton indicators show correlated responses to water quality. All biotic and abiotic parameters clustered in two groups, indicating two trophic states but, at the same time, also two distinct salinity classes. One class was characterised by low nutrient levels and low salinity while the other class was characterised by high nutrient levels and high salinity, indicating that the mixing of relatively nutrient poor brackish Baltic water with more nutrient rich North Sea water overruled traditional estuarine gradients in the investigated area. The results therefore allow an analysis of the eutrophication state regarding the additional influence of decreased salinity on euryhaline marine species. The consequences of the results are discussed in relation to classification systems for brackish water ecosystems.