Towards integrated food policy: Main challenges and steps ahead

Repeated food crises have resulted in increased recognition of the boundary-spanning nature of governing food systems and in consequent calls for more holistic food governance. An increasing number of governments have followed up on this recognition by initiating or discussing the development of better integrated food policy. However, in spite of the emergence of integrated food policy as a policy paradigm worth pursuing, considerable challenges remain regarding its concrete realization. Drawing upon recent insights from the public policy literature, this policy letter sets out five particularly demanding areas of concern: (i) constructing a resonating policy frame, (ii) formulating policy goals, (iii) involving relevant sectors and levels, (iv) the question of what constitutes optimal policy integration, and (v) designing a consistent mix of policy instruments. Formulating answers to these challenges will enable policymakers and stakeholders to envision the next steps in concretizing integrated food policy

Preliminary Water Assessment Reports of The Test Basins of The Watch Project

This report presents the initial plans of the case studies how they link to rest of the Watch project and on which water resources they will focus. This report will function as the basis for further discussions on how to improve the integration of the case studies within the project and to develop a more general protocol for each of the case studies. Currently 5 catchments are used within the Watch project, they differ in climatic and hydro-geological features and expected climate changes: the Glomma River basin (Eastern Norway), the upper Guadiana basin (Central Spanish Plateau), the Nitra River basin (central Slovakia), the Upper-Elbe basin (part of the Elbe River) and the island of Crete. Also the water resources issues vary over these cases. Agricultural (and domestic) water use is under pressure in the Mediterranean catchments probably aggravating with the expected increase in drought frequency under future climate. The Norwegian catchment provides hydropower services under threat of precipitation increase rather than decrease. The central European catchments are threatened mainly by increased variability, i.e. increased frequencies of extremes in a densely populated environment, and river flow may need additional buffers (reservoirs) to reduce floodrisk and store water for dry period

Adolescents Who Intend to Change Multiple Health Behaviours Choose Greater Exposure to an Internet-delivered Intervention

Despite a growth of Internet-delivered interventions, exposure rates to such interventions are still low. In total, 35,104 adolescents participated in the E-MOVO project: an Internet-delivered lifestyle intervention aimed at multiple health behaviours. By means of multilevel analyses, we demonstrated the relationship between intention to change behaviour and adolescents' exposure to E-MOVO's functionalities. There was a clustering of intention to change risk taking behaviours in an unhealthy way and energy balance-related behaviours in a healthy way. This should be taken into account with the design of Internet-delivered interventions. AD - Maastricht University, The Netherlands. [email protected]. FAU - Crutzen, Rik AU - Crutzen R FAU - de Nooijer, Jascha AU - de Nooijer J FAU - Candel, Math J J M AU - Candel MJ FAU - de Vries, Nanne K AU - de Vries NK LA - eng PT - Journal Article PL - England TA - J Health Psychol JT - Journal of health psychology JID - 9703616 SB - I

APPLICATION OF BIOMECHANICS TO THE PREVENTION OF OVERLOAD INJURIES IN ELITE SOCCER PLAYERS.

Structural alterations of the foot and inadequate design of sports footwear, as well as overtraining, have been determined to be risk factors for overload injuries during sports practice. A biomechanical analysis protocol was designed to study both, the foot and sports footwear statically and dynamically. This protocol was applied on 47 soccer players of the Spanish Premier League. Amongst the results we should point out that 53.3% of the players had cavus feet. 14.8% of the players deformed the boots. 44.7% of the players studied registered high pressures over the metatarsal heads. and 19.1 % registered high ones at the first toe. 44.7% of the players showed an excessive supination pattern. The data obtained gave us information about the static and dynamic patterns of the elite soccer player. With the individual information the assessment of suitable footwear was carried out for each player. The correct application of this protocol could be used in the diagnosis or prevention of overtraining and in the detection of foot and gait pathologies

Influence of health literacy on acceptance of influenza and pertussis vaccinations: a cross-sectional study among Spanish pregnant women.

OBJECTIVES: Immunisations against influenza and Bordetella pertussis infection are recommended to pregnant women in Valencia (Spain), yet vaccination rates remain low. Health literacy (HL) appears as a crucial factor in vaccination decision-making. We explored the relation between HL of pregnant women and decisions to receive influenza and pertussis immunisations. SETTING: University hospital in Valencia (Spain). PARTICIPANTS: 119 women who gave birth at a hospital in Valencia (Spain) between November 2015 and May 2016. Women in the immediate postpartum period (more than 27 weeks of gestation), between November 2015 and May 2016 were included in the study. Women with impairments, language barriers or illiteracy which prevented completion of the questionnaires, or those who were under 18 years were excluded from enrolment. PRIMARY AND SECONDARY OUTCOME MEASURES: HL level; influenza and pertussis immunisation rate; reasons for rejection of vaccination. RESULTS: 119 participants were included (mean age 32.3±5.5 years, 52% primiparous, 95% full-term deliveries). A higher education level was associated with Short Assessment of Health Literacy for Spanish Adults _50 (adjusted R2=0.22, p=0.014) and Newest Vital Sign (adjusted R2=0.258, p=0.001) scores. Depending on the scale, 56%-85% of participants had adequate HL. 52% (62/119) and 94% (112/119) of women received influenza and pertussis immunisation, respectively. Women rejecting influenza vaccine had a higher HL level (measured by SALHSA_50 tool) than those accepting it (Kruskal-Wallis test p=0.022). 24% of women who declined influenza vaccination felt the vaccine was unnecessary, and 23% claimed to have insufficient information. CONCLUSIONS: Influenza vaccination rate was suboptimal in our study. Women with high HL were more likely to decline immunisation. Information from professionals needs to match patients' HL levels to reduce negative perceptions of vaccination

Fibrohistiocitoma maligno óseo tras degeneración de enfermedad de Paget Caso clínico y revisión de la literatura

El fibrohistiocitoma maligno óseo es un tumor de estirpe mesenquimal poco frecuente, pero de alta agresividad. Se suele presentar de forma primaria, aunque a veces lo hace sobre lesiones previas en el hueso. Puede ser difícil de diferenciar histológicamente de otros tumores, pero es una entidad propia desde el punto de vista anatomopatológico. Presentamos un paciente con enfermedad de Paget que desarrolló un fibrohistiocitoma maligno óseo en el fémur sobre el hueso pagético. Fue tratado mediante desarticulación de cadera. No se usó quimioterapia como tratamiento coadyuvante debido a su avanzada edad y situación basal. A los 18 meses se encuentra asintomático y sin signos de recurrencia. Se hace una revisión de la literatura acerca de este tumor.Malignant fibrous histiocytoma of bone is a rare but highly agressive mesenchimal tumor. It usually arises as a primary tumor but sometimes it can be associated with pre-existing bone abnormalities. Histologically it can be missdiagnosed with other tumors. We report a case of malignant fibrous histiocytoma of bone in the femur in a patient with Paget's disease treated by hip desarticulation. We didn't use chemotherapy because his elderly status. At 18 months follow up, the patient is symptom-free and neither local recurrence nor metastasis have been found. A review of the literature has been carried out

Pseudoaneurisma de la arteria geniculada superior lateral secundaria a artroplastia de rodilla: Aportación de un caso

El pseudoaneurisma es una complicación infrecuente en la cirugía ortopédica de rodilla. Los pocos casos descritos generalmente están en relación con cirugía artroscópica. Presentamos un caso de pseudoaneurisma de la arteria geniculada superolateral secundario a artroplastia de rodilla en un varón de 69 años. El diagnóstico se realizó mediante arteriografía. Se trató con éxito mediante hemostasia y resección química.Pseudoaneurysm is an uncommon complication in knee orthopaedic surgery. There are few cases reported an most of them are secondary to arthroscopic techniques. We report a case of pseudoaneurysm of the superolateral genicular artery after knee arthroplasty in a 69-year-old-man. The diagnosis was made with arteriographay, and treatment was a successful hemostasia and surgical resection

The dynamics of quasi-isometric foliations

If the stable, center, and unstable foliations of a partially hyperbolic system are quasi-isometric, the system has Global Product Structure. This result also applies to Anosov systems and to other invariant splittings. If a partially hyperbolic system on a manifold with abelian fundamental group has quasi-isometric stable and unstable foliations, the center foliation is without holonomy. If, further, the system has Global Product Structure, then all center leaves are homeomorphic.Comment: 18 pages, 1 figur