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The purpose of this paper is to explore physical environmental, medical environmental, and individual factors in a sample of ethnic minority adults with or at-risk for type 2 diabetes (T2D) on the Atlantic Coast of Nicaragua.

The study used a cross-sectional descriptive design guided by a community-based participatory research framework. Three coastal communities in the South Atlantic Autonomous Region (RAAS) of Nicaragua were sampled. Inclusion criteria were: lay adult with or at-risk for T2D, ⩾21 years of age, self-identification as Creole or Miskito, and not pregnant. Convenience sampling procedures were followed. Data were collected via objective (A1C, height, and weight) and self-report (Pan American Health Organization surveys, Diabetes Care Profile subscales, and Medical Outcomes Survey Short Form-12 (MOS SF-12) measures. Univariate and bivariate statistics were computed according to level of measurement.

The sample (N=112) was predominately comprised of Creoles (72 percent), females (78 percent), and mid-age (M=54.9, SD±16.4) adults with T2D (63 percent). For participants with T2D, A1C levels, on average, tended to be elevated (M=10.6, SD±2.5). Those with or at-risk for T2D tended to be obese with elevated body mass indices (M=31.7, SD±8.1; M=30.2, SD±6.0, respectively). For many participants, fresh vegetables (63 percent) and fruit (65 percent) were reported as ordinarily available but difficult to afford (91 and 90 percent, respectively). A majority reported that prescribed medication(s) were available without difficulty (56 percent), although most indicated difficulty in affording them (73 percent). A minority of participants with T2D reported receipt of diabetes education (46 percent). A1C levels did not significantly vary according to diabetes education received or not (M=10.9, SD±2.9; M=10.4, SD±2.5; t=−0.4, p=0.71). Participants at-risk for T2D were infrequently instructed, by a provider, to follow an exercise program (4.8 percent) or meal plan (4.8 percent) and receive diabetes education (2.38 percent). MOS SF-12 findings revealed participants with T2D (M=41.84, SD=8.9; M=37.8, SD±8.5) had significantly poorer mental and physical health quality of life relative to at-risk participants (M=45.6, SD±8.4; M=48.1, SD±9.5) (t=−2.9, p<0.01; t=−2.5, p=0.01).

Salient physical environmental, medical environmental, and individual factors were identified in a sample of adults with or at-risk for T2D on Nicaragua’s Atlantic Coast.

Findings informed the development of community-based clinics to address the problem of T2D locally.

The community-based clinics, housed in trusted church settings, provide culturally competent care for underserved ethnic minority populations with or at-risk for T2D.

This is the first quantitative assessment of the T2D problem among diverse ethnic groups in Nicaragua’s underserved RAAS.

The purpose of this paper is to test a hypothesized structure of interrelations between pre-migration dispositional factors (cultural identity and optimism/pessimism) and immigration-related experiences (level of integration and perceived discrimination) in association with mental and physical components of health-related quality of life (HRQoL) in a sample of Jewish people from the Former Soviet Union (FSU) who immigrated to Germany.

A questionnaire in Russian, including items about the immigration background, level of integration, perceived discrimination as well as cultural identity, dispositional optimism/pessimism (Life Orientation Test-R) and HRQoL (SF-12) was handed out to Jewish immigrants from the FSU living in Germany. The data of 153 participants were analyzed using structural equation modeling.

Whereas no significant associations between Jewish identity and HRQoL could be found, both a positive association between optimism and level of integration with a link to physical and mental health, and an inverse relation between optimism and perceived discrimination with a link to mental health, were observed. Opposite associations were found for pessimism.

The results replicate prior research findings on Jews from the FSU living in Israel and the USA and suggest more detailed assessment methods for further investigations on integration processes and cultural identity in the selected group of immigrants. Additionally, HRQoL is significantly lower in the Jewish sample than in the general population. These findings underline the need for a better integration policy, especially for Jewish people from the FSU.

The purpose of this paper is to establish whether the inclusion of physical activity (PA) in a community programme setting is more beneficial than the benefit obtained from social participation for older adults.

A cross-sectional study conducted with a sample of 105 adults age 65+ and older that take part in community activities organised by the Bristol based charity LinkAge. Participants took part in either solely social groups or social groups with a PA component. A self-report questionnaire was composed of measures assessing functional health and well-being, health-related quality of life, functional ability, outcome expectation for exercise, and social support.

A significantly different and higher score on physical health measures was reported by the physically active group for role physical, physical function, bodily pain, and the physical capacity score. No significant difference was found for health measures that include a mental component. The physically active group reported higher outcome expectations for exercise.

Social activity in community programmes may provide a method to maintain a healthy mental state in older adults, but participation in PA in the same environment is associated with better scores for physical health measures.

Providing greater support for older people to engage in physical and social activities may enable them to maintain a higher quality of life.

Probleme des Plastizitätsthcorie (Problems of the Theory of Plasticity). By William Prager [Birkhäuser Verlag, Basel and Stuggart, Sf 12.50].

The purpose of this paper is to analyze numerically forced convective conjugate heat transfer characteristics for laminar flow through a wavy minichannel.

The mass and momentum conservation equations for the flow of water in the fluidic domain and the coupled energy conservation equations in both the fluid and solid domain are solved numerically using the finite element method. The exteriors of both the walls are subjected to a uniform heat flux.

The results reveal that the theoretical model without consideration of the effect of wall thickness always predicts a lower value of average Nusselt number ( Nu¯) as compared to the case of conjugate analysis, although it varies with the thickness as well as material of the wall. For the low amplitude of the wall (α = 0.2), the performance factor (PF) becomes very high for Re in the regime of 5 (⩽) Re (⩽) 15. For any geometrical configurations, conjugate heat transfer analysis predicts higher PF as compared to that of nonconjugate analysis.

The present study finds relevance in several applications, such as solar collectors and heat exchangers used in chemical industries and heating-ventilation and air-conditioning, etc.

To the best of the authors’ knowledge, the analysis of combined influences of the thickness and the material of the wall of the channel together with the geometrical parameters of the channel, namely, amplitude and wavelength on the heat transfer and fluid flow characteristics for flow through wavy minichannel in the laminar regime is reported first time in the literature.

The purpose of this paper is to inquiry dietary behavior and the physical and mental health status of food pantry users to better understand issues related to food insecurity and to explore predictors of intentions for self-sufficiency.

The authors randomly surveyed 12 food pantries (151 consumers) sponsored by the North Texas Food Bank in USA, regarding dietary behavior, health status, reasons for food pantry use, satisfaction with services provided, and self-sufficient behavior and support.

About 37 percent of survey participants would expect to continue using food pantry services for one or more years. Reasons for food pantry use included low job earnings, unemployment, poor health, and disability. Over 83 percent of them were either overweight or obese, and over half (57 percent) of them had moderate or severe mental disorder symptoms that warrant examination by healthcare practitioners. On average, their health-related quality of life was lower than the general population. Participants’ physical health was significantly correlated with work intention. The hierarchical regression model predicting work intention had a large effect size.

This research has highlighted the importance of improving food pantry consumers’ health and self-sufficiency in order to live sufficiently and healthily.

Community health practitioners need to help food banks address the needs beyond hunger to focus on the larger ramification of food insecurity such as self-sufficiency and health-related quality of life.

This work extends the existing studies focused on food insecurity, and it will enable the collaborations among food banks, social workers, vocational rehabilitation counselors, and public health practitioners.

This is the second article about our comparative study of joint health and social care rehabilitation for older people. We discuss what has worked well so far, and how we have tackled the various obstacles to doing systematic research across two complex organisations. We describe our sample group and report on data collection so far.

Urban green space (UGS) shows to be a sustainable resource stimulating physical activity, health and quality of life in the general population. With regard to an aging European population, the purpose of this paper is to investigate the relationship between UGS, physical activity and health-related quality of life (HRQoL) in community-dwelling older adults.

Cross-sectional survey data were provided by a sample from Hamburg (Germany), consisting of 272 adults aged⩾65 years. Respondents answered questions regarding HRQoL (Short Form 12), physical activity (German-PAQ-50+) and exposure to UGS. The authors applied a linear regression to analyse the relationship between weekly duration of exposure to UGS and physical activity. While controlling for confounding factors, the authors used a multivariate linear regression model to detect effects on HRQoL.

A significant effect (adjusted R²: 4.3 per cent; p-value⩽0.001) was found for weekly duration of exposure to UGS and weekly physical activity. Multiple linear regression showed significant positive effects of weekly duration of exposure to UGS (p=0.010) and weekly time of physical activity (p=0.017) on HRQoL. Age, sex and feeling of satisfaction were identified as relevant confounding factors.

Future research should continue to explore the indicators that mediate an increase of physical activity and HRQoL in the heterogeneous age band of older adults.

Findings suggest that community-dwelling older adults are likely to benefit from higher amounts of time in UGS since it is positively associated with both physical activity and HRQoL. Therefore, urban planners should explicitly consider the demands of community-dwelling older adults towards UGS.

This study is one of the first to examine the relationship between UGS, physical activity and HRQoL in older adults.

This is the first of two articles about evaluating a residential rehabilitation service for older people. It highlights some key principles about research on the health/social care interface, which may be useful to others doing similar work. Here we describe the methodology and how it was chosen. In the next article we will discuss the baseline data findings.

Kidney transplantation (KT) is the treatment of choice for end-stage chronic kidney disease (CKD) and is well known to improve the clinical outcome of patients. However, the impact of KT on comorbid psychological symptoms, particularly depression and anxiety, is less clear, and recipients of living-donor (LD) organs may have a different psychological outcome from recipients of dead-donor (DD) organs.

In total, 152 patients were included and analyzed using a cross-sectional design. Of these patients, 25 were pre-KT, 13 were post-KT with a LD transplant and 114 were post-KT with a DD transplant. The patients were tested for a variety of psychometric outcomes using the Hospital Anxiety and Depression Scale, the 12-Item Short Form Health Survey (assessing physical and mental health-related quality of life), the Resilience Scale, the Coping Self-Questionnaire and the Social Support Questionnaire.

The mean age of the patients was 51.25 years and 40 per cent of the patients were female. As expected, the post-KT patients had significantly better scores on the physical component of the Short Form Health Survey than the pre-KT patients, and there were no significant differences between the two post-KT groups. There were no significant differences among the groups in any of the other psychometric outcome parameters tested, including anxiety, depression and the mental component of health-related quality of life.

KT and the origin of the donor organ do not appear to have a significant impact on the psychological well-being of transplant patients with CKD. Although the diagnosis and early treatment of psychological symptoms, such as depression and anxiety, remain important for these patients, decisions regarding KT, including the mode of transplantation, should not be fundamentally influenced by concerns about psychological impairments at the population level.

CKD is a serious condition involving profound impairment of the physical and psychological well-being of patients. KT is considered the treatment of choice for most of these patients. KT has notable advantages over dialysis with regard to the long-term physical functioning of the renal and cardiovascular system and increases the life expectancy of patients. However, the data on the improvement of psychological impairments after KT are less conclusive.