The rising prevalence of obesity in children calls for new strategies for the provision of effective care by a multidisciplinary team. Telemedicine has overall proven to be an effective tool for ...promoting a healthy lifestyle. The main objective of the current paper is to present the protocol of our ongoing CardioMetabolic Prevention (CAMP) study and compare its design with published studies on telemedicine in paediatric obesity. Additionally, we analysed the preliminary anthropometric and laboratory data to test the efficacy of our 12-week intensive program that combines in-person and telemedicine support. The program demonstrated a positive impact on body mass index (BMI) and its z-scores in 21 adolescents, and BMI in 18 participating parents. However, we found no effect on body composition, waist circumference, cardiometabolic parameters, or fitness evaluated via a 6-min walk test in adolescents. In conclusion, the combination of in-person and telemedicine intensive support over 35 h delivered by a multidisciplinary team can be beneficial not only for adolescents with obesity but also for their parents. The ongoing CAMP study serves as a platform for precision medicine in future decisions regarding anti-obesity medication in adolescents with obesity.
Endocrine-disrupting chemicals are industrially manufactured compounds that have the capacity to mimic or interfere with biosynthesis, metabolism, and the functions of bodily produced hormones. The ...ubiquity and persistence of endocrine-disrupting chemicals in the environment have raised concerns about their impacts on human as well as nonhuman life. How do these chemicals affect us? How do we interact with them? And how do we respond to the risks that they pose? My inquiry into how chemical endocrine disruptors affect us focuses upon the ways in which they can influence our emotions. I bring attention to how being exposed to them can disrupt our brain chemistry, and therefore our emotions, too. With the help of the Endocrine Disruption Tracker Tool—a speculative instrument for a collective investigative practice that I have created—I look into what we can learn about endocrine disruption if we consider how are emotions are affected. I have developed this tool to help me, my research participants, and a broader community of interested people to address the exigencies of our lives, as affected by involuntary chemical exposure, and to construct responsive care relations—paving the way for new approaches to research, ethics, and politics that are embodied, experientially and materially grounded, in their concerns about endocrine-disrupting chemicals.
The main aim of this article is to point out the monopoly position of customs offices in the assignment of goods under the individual codes of the EU Combined Nomenclature, which also serves for the ...management of goods before the customs and tax administration authorities. The way of certainty of destination is the so-called Binding origin information by customs offices. The correct classification of goods determines the resulting payment of customs duties and other related mandatory payments related to it.
Health literacy is a critical determinant of women's and children's health and therefore has immense consequences for the health of society as well. Evidence from epidemiological, clinical and ...experimental studies indicates that unhealthy lifestyles and risky behavioural habits of parents before conception and during pregnancy influence the etiology of various health defects. Decreasing primary risk factors, practicing physical wellness, monitoring physiological markers and preparing for labour, breastfeeding and newborn care should be the main parental responsibilities during the prenatal period.
Our study focused on specifying the main determinants of health literacy among 360 pregnant Czech women by using an anonymous questionnaire and selected anthropometric data of mothers. The criteria for study participation produced a sample representing 1.41% of Czech women in labour during a given 2012 reference period.
Despite quite adequate knowledge of both risks and supporting factors for pregnancy and foetal development, the lifestyles of a majority of the women surveyed were far from optimum: only 30% reported good dietary and physical activity habits, 24% were active or passive smokers and one third of the women occasionally drank alcohol, more often among those who were university educated.
Our results have confirmed previously published data noting that health literacy and a healthier lifestyle of pregnant women are associated with a higher level of education (except for alcohol drinking) and with contact with a midwife (in some examined parameters) in prenatal courses.
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