An e-learning curriculum for dealing with challenging psychosocial issues is being developed and trialled under the leadership of the Clinics for Psychosomatic Medicine and Psychotherapy, Psychiatry and Psychotherapy II and Child and Adolescent Psychiatry and Psychotherapy. The aim is to support general practitioners working in GP care in particular in recognising psychosocial issues such as violence in relationships or child endangerment and to positively influence the course of the illness through early intervention.

General practice coordination: Ines Bekavac-Günther, ines.bekavac-guenther@uni-ulm.de

Under the leadership of the Department of Internal Medicine I, a digital health application is being developed and tested in cooperation with the clinics ...., which offers low-threshold information and individual risk stratification for the three major tumour entities of breast, colon and prostate cancer. This freely accessible health app is intended to support patients with a history of increased risk in making an informed decision for personalised prevention together with their doctors.

Coordination of general medicine: Tanja Jähnig, tanja.jaehig@uni-ulm.de

Self-management programmes can lead to an improvement in quality of life and self-efficacy after a stroke. Since 2016, the patient organisation Schlaganfall-Ring Schleswig-Holstein e.V. has been distributing the so-called Stroke Ring Box, which explains possible problems after a stroke with examples on 84 index cards. Patients should use these cards to identify their personal problems and needs and be better able to name them to their carers. The aim of the proposed project is to investigate over a period of 12 months to what extent the Stroke Ring Box helps patients to deal with their individual problems and which factors hinder or favour their implementation.

In order to avoid overloading emergency and intensive medical care during a pandemic situation, it is essential to ensure outpatient care. In Baden-Württemberg, 51 coronavirus outpatient clinics (CA), 206 coronavirus focal point practices (CSP) and 16 swab centres (AS) were set up in a very short space of time. In these makeshift facilities and the existing GP practices, around 85% of Covid-19 patients could be treated purely on an outpatient basis. The aim of this joint project is to compile and analyse the experience and data collected in these structures in order to derive recommendations for future pandemic/crisis situations.

Co-operation partners:

• Institute for General Medicine and Interprofessional Care, University Hospital Tübingen

• Department of General Medicine, University Medical Centre Freiburg

• Department of General Medicine and Health Services Research, Heidelberg University Hospital

• Baden-Württemberg Association of Statutory Health Insurance Physicians

PD Dr Dorothea Kesztyüs (Institute of General Medicine, Ulm University Hospital) and PD Dr Susanne Kobel (Department of Sports and Rehabilitation Medicine, Ulm University Hospital) have taken on the task of compiling this special edition for the renowned Swiss publishing house MDPI as guest editors.

Over the last few decades, an obesity-promoting environment has developed that significantly hinders a healthy lifestyle through both a growing lack of exercise and an oversupply of processed foods. Governments are barely fulfilling their obligation to protect the population from harmful environmental conditions and the negative effects of industrial food production. Not only is the lobby of obesogenic food producers massively resisting any restrictions, they are also trying to influence scientific research. In addition, health care is often focussed on secondary diseases and preventive measures tend to be underrepresented. The decline in life expectancy in the USA can be seen as a first indicator of this worrying undesirable development. It is high time to take comprehensive measures to tackle the roots of this obesity epidemic. Solid scientific evidence is the basis for identifying effective and cost-effective interventions to drive implementation in the areas of prevention, health care and policy.
All scientists working in the field of obesity are invited to submit a contribution to the special issue Prevention, Health Care and Policies for Populations at High Risk for Overweight and Obesity.

Systematic literature review on the prevalence of abdominal obesity in Europe.

Time-restricted eating (TRE), a form of intermittent fasting, is considered a measure for the prevention and treatment of lifestyle-related diseases. TRE aims to shorten the period of daily food intake and extend the nocturnal fasting phase.
In a pilot study with 40 adult, abdominally obese participants in a GP practice in the Ulm area, we were able to demonstrate good feasibility and acceptance among the participants.
A randomised controlled trial is currently in preparation to investigate the impact of GP-led TRE on metabolic health and quality of life in patients with metabolic syndrome characteristics. The intention is to involve 150 patients in 10 GP practices for a four-month intervention phase and a follow-up phase of one year.

Systematic review on the consumption of sweetened, flavoured milk and cocoa in children and adolescents: Associations with health and anthropometrics.

This study investigates the influence of participatory decision-making on treatment satisfaction and quality of life in patients following surgery for gynaecological malignancy.

Co-operation partners are:

Dr Norbert Marschner, Practice for Interdisciplinary Oncology and Haematology, Freiburg

Prof. Dr Dirk Watermann, Diakonie Hospital Freiburg - Women's Clinic

Dr Roland Rein, Emmendingen District Hospital - Gynaecology

Prof Dr Tibor Kesztyüs, Institute for Medical Informatics, Georg August University Göttingen