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The current gold standard for detection of flu season onset in the USA is done retrospectively, where flu season is detected after it has already started. We aimed to create a new surveillance strategy capable of detecting flu season onset prior to its starting. We used an established data generation method that combines Google search volume and historical flu activity data to simulate real-time estimates of flu activity. We then applied a method known as change-point detection to the generated data to determine the point in time that identifies the initial uptick in flu activity which indicates the imminent onset of flu season. Our strategy exhibits a high level of accuracy in predicting the onset of flu season at 86%. Additionally, on average, we detected the onset three weeks prior to the official start of flu season. The results provide evidence to support both the feasibility and efficacy of our strategy to improve the current standard of flu surveillance. The improvement may provide valuable support and lead time for public health officials to take appropriate actions to prevent and control the spread of the flu.According to the reviewed literature, the selection system in handball is quite complex and requires new approaches from trainers based on the current and modern requirements of this game. This paper investigated the importance of coordinative ability development in handball in the selection process for young Romanian children (10-12 years old). The results were obtained from a sociological questionnaire survey, for which 109 handball coaches, 34 female and 75 male, were questioned. The mean age was 40.71 years (SD = ±5.32) with a range of 31-51 years for female coaches and 40.3 years (SD = ±7.53) with a range of 30-62 years for male coaches. Their experience in handball coaching varied from 10 to 30 years, with 19.88 (SD = ±5.05) years of experience on average for female coaches and 19.09 (SD = ±5.26) years of experience on average for male coaches. The answers delivered depended on the experience and knowledge the coaches had and difficulties they had encountered over the years. Data are presented using a variety of appropriate descriptive statistics, including frequencies, percentages, and mean and standard variation. Obtained data were modeled using a one-way analysis of variation (ANOVA). The questionnaire format was three-to-five-point Likert scale. As a general overview, in the opinion of the surveyed specialists, the Romania selection process for handball does not meet their expectations, and the development level of coordinative abilities in 10-12 year-old children is medium to weak. A total of 61.76% female and 58.66% male coaches stressed the importance of developing coordination abilities to optimize the selection process of children for handball games, opening up a new approach in modern training methods for performance achievement. The obtained results from this paper questionnaire can be used by coaches as a different approach to the handball training process, considering that handball is a game mainly based on coordination.The COVID-19 restrictions could preclude children from participating in physical education (PE) interventions. This study aimed to evaluate the efficacy of a PE intervention conducted on the beach on children's skill- and health-related outcomes, as a possible alternative PE intervention that could be also applied during the COVID-19 pandemic. The study involved 106 primary school children, randomly assigned to the traditional indoor (TI) intervention or to the experimental outdoor (EO) intervention. The intervention period lasted 4 months and consisted of two 1-h sessions per week. Intervention was conducted just before the beginning of the COVID-19 pandemic. Children's anthropometric parameters (height, weight, BMI, body fat percentage, and abdominal circumference), fitness parameter (VO2peak), health parameters (resting heart rate, and systolic and diastolic blood pressure), gross motor coordination, and physical activity level were assessed before and after intervention. Both groups significantly improved fitness and motor coordination but worsened some anthropometric parameters (weight, abdominal circumference) after the intervention period. The EO group showed a higher increase of gross motor coordination than the TI group. Results of this study demonstrated that children benefited from a well-structured PE intervention conducted in the natural environment of the beach improving physical fitness and gross motor coordination. Therefore, planning outdoor PE interventions could be an alternative and safe way to encourage and implement physical activity at school during the particular period of COVID-19 pandemic.Meaningful inclusion of young people's perceptions and experiences of inequalities is argued to be critical in the development of pro-equity policies. https://www.selleckchem.com/products/k03861.html Our study explored young people's perceptions of what influences their opportunities to be healthy within their local area and their understandings of health inequalities. Three interlinked qualitative focus group discussions, each lasting 90 to 100 min, with the same six groups of young people (n = 42) aged 13-21, were conducted between February and June 2021. Participants were recruited from six youth groups in areas of high deprivation across three geographical locations in England (South Yorkshire, the North East and London). Our study demonstrates that young people understand that health inequalities are generated by social determinants of health, which in turn influence behaviours. They highlight a complex interweaving of pathways between social determinants and health outcomes. However, they do not tend to think in terms of the social determinants and their distribution as resulting from the power and influence of those who create and benefit from health and social inequalities. An informed understanding of the causes of health inequalities, influenced by their own unique generational experiences, is important to help young people contribute to the development of pro-equity policies of the future.Nursing home residents are affected by depressive symptoms more often than elders living at home. There is a correlation between unmet needs and depression in nursing home residents, while met needs positively correlate with greater satisfaction and well-being. The study aims to examine the needs of nursing home residents with depressive symptoms and the communication of those needs, as no previous study has explicitly addressed the needs of this group of people and the way they are communicated. We conducted semi-structured interviews with 11 residents of three nursing homes and analyzed them using content-structuring content analysis. The residents reported diverse needs, assigned to 12 categories. In addition, barriers such as health impairments prevented the fulfillment of needs. As to the communication of needs, various interlocutors, facilitators, and barriers were identified. The findings reveal that residents can express their needs and are more likely to do so if the interlocutors are patient and take them seriously. However, lack of confidants, missing or non-functioning communication tools, impatience and perceived lack of understanding on the part of caregivers, and residents' insecurities limit communication of needs.The COVID-19 pandemic and the concomitant infodemic have emphasized the importance of digital health literacy (DHL) to global public health research and practice. The aim of this study was to examine information-seeking behavior, the ability to find, understand and deal with health information among university college students in Denmark and/in addition we wanted to examine the impact of their close social network on students' ability to find and understand health information. This research was carried out as part of the COVID-HL university student survey by using a uniform questionnaire consisting of elaborated scales. Data were collected from a cross-sectional survey conducted at University College South during 4 weeks in April and May 2020. To capture DHL, four subscales of the DHL instrument were adapted to the pandemic context. A total of 59.9% of the students have sufficient DHL-most students find it rather easy to find information and are satisfied with the information they find on the internet. However, some (28.1%) students find it difficult to judge the quality and reliability of the information. Students with a sufficient level of DHL are more likely to seek information through search engines and websites of official institutions, while students with a limited level of DHL more often use social media for health information. Students with sufficient DHL more often share health information and less often ask for support in their network.
This study aimed to identify distinct profiles of physical activity (PA) patterns among individuals with prediabetes or type 2 diabetes participating in a two-year PA trial and to investigate predictors of the profiles.

Data (
= 168, collected 2013-2020) from the cohort of a randomized trial aimed at increasing PA in individuals with prediabetes and type 2 diabetes were used. PA and sedentary behaviours were assessed by waist-worn ActiGraph GT1M accelerometers at baseline and at 6, 12, 18 and 24 months. Fifteen PA and sedentary variables were entered into a latent class mixed model for multivariate longitudinal outcomes. Multinominal regression analysis modelled profile membership based on baseline activity level, age, gender, BMI, disease status and group randomisation.

Two profiles of PA patterns were identified "Increased activity" (
= 37, 22%) included participants increasing time in PA and decreasing sedentary time. "No change in activity" (
= 131, 78%) included participants with no or minor changes. "Increased activity" were younger (
= 0.003) and more active at baseline (
= 0.011), compared to "No change in activity". No other predictor was associated with profile membership.

A majority of participants maintained PA and sedentary patterns over two years despite being part of a PA intervention. Individuals improving PA patterns were younger and more active at baseline.
A majority of participants maintained PA and sedentary patterns over two years despite being part of a PA intervention. Individuals improving PA patterns were younger and more active at baseline.This study investigated the short-term effects of low-fat chocolate milk (LFCM) consumption on delayed onset muscle soreness (DOMS) and performance in female badminton players. Seven female badminton players (23 ± 1 years; height 163.8 ± 4.1 cm; body mass 58.7 ± 0.9 kg) were randomly assigned to 1 week of LFCM (500 mL) or placebo (water, 500 mL) consumption in a crossover design. Participants consumed LFCM or water immediately after each training session during the 1-week intervention. Performance variables (aerobic power, anaerobic power, agility, explosive power, and maximum handgrip strength) were assessed at two separate time points pre and post-intervention (after 1 week). In addition, the Visual Analogue Scale (VAS) was used to assess DOMS before, immediately after, and at 24 and 48 h after each training session. There were significant time effects for aerobic power, upper body explosive power, minimum anaerobic power, and time to exhaustion (TTE), which significantly increased after LFCM consumption (p < 0.
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