Physiologic reactions during five weeks of continuous residence in an artificial humid and hot climate

During 5 weeks in a climatic room, total sweat during work almost doubled. Initial hour differences increasingly equalized. There was a displacement of sweat secretion from trunk to extremities till the end of week 3, occurring earlier and more clearly for the arm than for the leg. Work temperatures dropped rapidly and evenly to a constant level by day 11. Circulation behavior matched that of temperature. Pulse rate during work dropped like rectal temperature and pulse rate during rest was phasically like the pattern of corresponding temperatures. Except for the first days urine output was adequate and even, Na decreasing in the urine until week 3, then returning to initial values. Na and K in sweat declined but with opposite patterns for hours 1-4. Total salt elimination decreased. The conclusive phenomena of redistribution occurred within the first 3 weeks. A few functions changed later also. Relatively trivial changes in an otherwise uniform reaction pattern indicated that after 3 or even 5 weeks of acclimatization the process is not over or at least not completely so. The tempo of the process appears to be a function of the degree of loading

A global charter for the public\u27s health - The public\u27s health: the role, functions, competencies, education

Political leaders increasingly perceive health as being crucial to achieving growth, development, equity and stability throughout the world. Health is now understood as a product of complex and dynamic relations generated by numerous determinants at different levels of governance. Governments need to take into account the impact of social, environmental and behavioural health determinants, including economic constraints, living conditions, demographic changes and unhealthy lifestyles in many of the World Health Organization (WHO) Member States. This understanding and increasing globalization means it is very timely to review the role of (global) public health in this changing societal and political environment

Trends in self-reported prevalence and management of hypertension, hypercholesterolemia and diabetes in Swiss adults, 1997-2007

Switzerland has a low mortality rate from cardiovascular diseases, but little is known regarding prevalence and management of cardiovascular risk factors (CV RFs: hypertension, hypercholesterolemia and diabetes) in the general population. In this study, we assessed 10-year trends in self-reported prevalence and management of cardiovascular risk factors in Switzerland. data from three national health interview surveys conducted between 1997 and 2007 in representative samples of the Swiss adult population (49,261 subjects overall). Self-reported CV RFs prevalence, treatment and control levels were computed. The sample was weighted to match the sex - and age distribution, geographical location and nationality of the entire adult population of Switzerland. self-reported prevalence of hypertension, hypercholesterolemia and diabetes increased from 22.1%, 11.9% and 3.3% in 1997 to 24.1%, 17.4% and 4.8% in 2007, respectively. Prevalence of self-reported treatment among subjects with CV RFs also increased from 52.1%, 18.5% and 50.0% in 1997 to 60.4%, 38.8% and 53.3% in 2007 for hypertension, hypercholesterolemia and diabetes, respectively. Self-reported control levels increased from 56.4%, 52.9% and 50.0% in 1997 to 80.6%, 75.1% and 53.3% in 2007 for hypertension, hypercholesterolemia and diabetes, respectively. Finally, screening during the last 12 months increased from 84.5%, 86.5% and 87.4% in 1997 to 94.0%, 94.6% and 94.1% in 2007 for hypertension, hypercholesterolemia and diabetes, respectively. in Switzerland, the prevalences of self-reported hypertension, hypercholesterolemia and diabetes have increased between 1997 and 2007. Management and screening have improved, but further improvements can still be achieved as over one third of subjects with reported CV RFs are not treated

A systems framework for public health policy to support health improvement in West-Africa

Laaser U. A systems framework for public health policy to support health improvement in West-Africa. In: EUROPEAN JOURNAL OF PUBLIC HEALTH. Vol 28. OXFORD UNIV PRESS; 2018: 290-291

Die Kontrolle der Hypertonie als primärpräventive Aufgabe.

Laaser U, Breckenkamp J. Die Kontrolle der Hypertonie als primärpräventive Aufgabe. In: Allhoff P, Flatten G, Laaser U, eds. Handbuch der Prävention. Berlin et al.: Springer Verlag; 1997: 267-280

Die gesundheitliche Lage von Frauen und Männern in Nordrhein-Westfalen

Laaser U, Breckenkamp J. Die gesundheitliche Lage von Frauen und Männern in Nordrhein-Westfalen. In: Gesundheit von Frauen und Männern. Landesgesundheitsbericht 2000. Ministerium für Frauen, Jugend, Familie und Gesundheit des Landes Nordrhein-Westfalen; 2000: 66-90

Global health in the 21st century

INTRODUCTION: Since the end of the 1990s, globalization has become a common term, facilitated by the social media of today and the growing public awareness of life-threatening problems common to all people, such as global warming, global security and global divides. REVIEW: For the main parameters of health like the burden of disease, life expectancy and healthy life expectancy, extreme discrepancies are observed across the world. Infant mortality, malnutrition and high fertility go hand in hand. Civil society, as an indispensable activator of public health development, mainly represented by non-governmental organisations (NGOs), is characterised by a high degree of fragmentation and lack of public accountability. The World Federation of Public Health Associations is used as an example of an NGO with a global mission and fostering regional cooperation as an indispensable intermediate level. The lack of a globally valid terminology of basic public health functions is prohibitive for coordinated global and regional efforts. Attempts to harmonise essential public health functions, services and operations are under way to facilitate communication and mutual understanding. RECOMMENDATIONS: 1) Given the limited effects of the Millennium Development Goal agenda, the Post-2015 Development Goals should focus on integrated regional development. 2) A code of conduct for NGOs should be urgently developed for the health sector, and NGOs should be registered and accredited. 3) The harmonisation of the basic terminology for global public health essentials should be enhanced