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issues, technical support and access needs to be developed.<br /><br /> The strain on health care services is increasing due to an ageing population and the increasing prevalence of chronic health conditions. eHealth could contribute to optimise effective and efficient care to older adults with one or more chronic health conditions in the general practice.<br /><br /> The aim of this study was to identify the needs, barriers and facilitators amongst community-dwelling older adults (60+) suffering from one or more chronic health conditions, in using online eHealth applications to support general practice services.<br /><br /> A qualitative study, using semi-structured followed by think-aloud interviews, was conducted in the Netherlands. The semi-structured interviews, supported by an interview guide were conducted and analysed thematically. The think-aloud method was used to collect data about the cognitive process while the participant was completing a task within online eHealth applications. Verbal analysis according to the Chi approach was conducted to analyse the think-aloud interviews.<br /><br /> A totity of eHealth applications amongst older adults in the general practice, the applications should be tailored to meet individual needs. More attention should be given to improving the user-friendliness of these applications and to the promotion of the benefits such as facilitating older adults independent living for longer.<br /><br /> To examine the association between mealtime media use and non-HDL-cholesterol as well as other markers of cardiometabolic risk (CMR) in children.<br /><br /> A repeated measures study design was used to examine the association between mealtime media use and CMR outcomes. Multivariable linear regression with generalised estimating equations was used to examine the association between mealtime media use and CMR outcomes. Analyses were stratified a priori by age groups (1-4 and 5-13 years).<br /><br /> The TARGet Kids! Practice-based research network in Toronto, Canada.<br /><br /> 2117 children aged 1-13 years were included in the analysis.<br /><br /> After adjusting for covariates, there was no evidence that total mealtime media use was associated with non-HDL-cholesterol in 1-4 year olds (P = 0·10) or 5-13 year olds (P = 0·29). Each additional meal with media per week was associated with decreased HDL-cholesterol in 5-13 year olds (-0·006 mmol/l; 95 % CI -0·009, -0·002; P = 0·003) and log-TAG in 1-4 year olds (β = -0·004; 95 % CI -0·008, -0·00009; P = 0·04). Media use during breakfast was associated with decreased HDL-cholesterol in 5-13 year olds (-0·012 mmol/l; 95 % CI -0·02, -0·004; P = 0·002), while media during lunch was associated with decreased log-TAG (-0·01 mmol/l; 95 % CI -0·03, -0·002; P = 0·03) in children aged 1-4 years. Total mealtime media use was not associated with total cholesterol, glucose or insulin in either age group.<br /><br /> Mealtime media use may be associated with unfavourable lipid profiles through effects on HDL-cholesterol in school-aged children but likely not in pre-schoolers.<br /><br />Mealtime media use may be associated with unfavourable lipid profiles through effects on HDL-cholesterol in school-aged children but likely not in pre-schoolers.<br /><br /> Little is known regarding how home care is affected by extreme weather. In February 2018, Fukui City in Japan experienced unprecedented levels of snowfall. We examined snowfall impact on the provision of home care to elucidate whether patients incurred any harm.<br /><br /> A retrospective observational study using clinical and administrative records from a clinic in Fukui City was conducted on 294 patients (mean age = 69.9 ± 27.7 years; women = 60.5%, median age = 81). The study period was from February 5 to February 18, 2018. We analysed the patients' characteristics, daily trend of planned/actual patient visits, emergency transportation situations, and local snow accumulation. We summarized the situation in the clinic.<br /><br /> There were 326 planned home visits, however only 121 (37%) occurred. Despite this, there were only 2 emergency transfers. Although the available clinical staff was limited, they managed to contact most patients via telephone and social networking services.<br /><br /> Although the number of home visits dramatically decreased, the number of emergency transfers did not increase. This study therefore highlights the necessity for effective disaster preparation, such as assessment training, or use of telemedicine, and on-site decision-making to maintain home care during disasters.<br /><br />Although the number of home visits dramatically decreased, the number of emergency transfers did not increase. This study therefore highlights the necessity for effective disaster preparation, such as assessment training, or use of telemedicine, and on-site decision-making to maintain home care during disasters.<br /><br /> Clinical assessments are a primary method for ascertaining suicide risk, yet the language used across measures is inconsistent. [https://www.selleckchem.com/products/mycro-3.html Mycro 3 Myc inhibitor] The implications of these discrepancies for adolescent responding are unknown, which is troubling as multiple research areas (i.e. on culture, mental health language, and suicide communication) indicate individuals from varying sociodemographic backgrounds may communicate differently regarding mental health concerns. The aims of the current study are to investigate whether a geographically diverse sample of adolescents respond differently to directly and indirectly phrased suicide attempt questions (i.e. directly phrased includes the term 'suicide' and indirectly asks about suicidal behavior without using 'suicide'), and to examine whether sociodemographic factors and history of mental health service usage relate to endorsement differences.<br /><br /> Participants were N = 5909 adolescents drawn from the Emergency Department Screening for Teens at Risk for Suicide multi-site study. The lifegh school education predicted endorsing only the direct question.<br /><br /> Despite the substantial investment by Australian health authorities to improve the health of rural and remote communities, rural residents continue to experience health care access challenges and poorer health outcomes. Health literacy and community engagement are both considered critical in addressing these health inequities. However, the current focus on health literacy can place undue burdens of responsibility for healthcare on individuals from disadvantaged communities whilst not taking due account of broader community needs and healthcare expectations. This can also marginalize the influence of community solidarity and mobilization in effecting healthcare improvements.<br /><br /> The objective is to present a conceptual framework that describes community literacy, its alignment with health literacy, and its relationship to concepts of community engaged healthcare.<br /><br /> Community literacy aims to integrate community knowledge, skills and resources into the design, delivery and adaptation of healthcare policies, and services at regional and local levels, with the provision of primary, secondary, and tertiary healthcare that aligns to individual community contexts.