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1.
Anim Cogn ; 27(1): 45, 2024 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-38913161

RESUMEN

Due to their outstanding ability of vocal imitation, parrots are often kept as pets. Research has shown that they do not just repeat human words. They can use words purposefully to label objects, persons, and animals, and they can even use conversational phrases in appropriate contexts. So far, the structure of pet parrots' vocabularies and the difference between them and human vocabulary acquisition has been studied only in one individual. This study quantitatively analyses parrot and child vocabularies in a larger sample using a vocabulary coding method suitable for assessing the vocabulary structure in both species. We have explored the composition of word-like sounds produced by 21 grey parrots (Psittacus erithacus) kept as pets in Czech- or Slovak-speaking homes, and compared it to the composition of early productive vocabularies of 21 children acquiring Czech (aged 8-18 months), who were matched to the parrots by vocabulary size. The results show that the 'vocabularies' of talking grey parrots and children differ: children use significantly more object labels, activity and situation labels, and emotional expressions, while parrots produce significantly more conversational expressions, greetings, and multiword utterances in general. These differences could reflect a strong link between learning spoken words and understanding the underlying concepts, an ability seemingly unique to human children (and absent in parrots), but also different communicative goals of the two species.


Asunto(s)
Loros , Vocabulario , Animales , Femenino , Masculino , Humanos , Lactante , República Checa , Desarrollo del Lenguaje , Mascotas , Eslovaquia
2.
BMC Infect Dis ; 24(1): 596, 2024 Jun 18.
Artículo en Inglés | MEDLINE | ID: mdl-38890608

RESUMEN

BACKGROUND: Intestinal parasitic infections remain a significant global health issue, particularly affecting poor and marginalised populations. These infections significantly contribute to children's diseases, malnutrition, poor school performance, cognitive disorders, and future economic losses. This study aimed to explore and compare the occurrence of intestinal parasites in early childhood among the group of infants from the Slovak majority population and from marginalised Roma communities (MRCs). Furthermore, it aimed to explore the health complaints of children with and without intestinal parasitic infection in the past month and assess the effect of various risk factors on the occurrence of intestinal parasitic infection in infants from MRCs. METHODS: We obtained cross-sectional data from mothers and stool samples of their children aged 13-21 months using the first wave of the longitudinal RomaREACH study. A total of 181 stools from infants were analysed: 105 infants from the Slovak majority population and 76 from MRCs. RESULTS: Infants from MRCs are significantly more often infected by Ascaris lumbricoides, Trichuris trichiura and Giardia duodenalis than their better-off peers from the majority population. Infection rates are 30% in infants from MRCs vs. 0% in the majority population (p < 0.001). Single and mixed infections were observed in children from MRCs. Infants with intestinal parasitic infections suffer significantly more often from various health complaints, particularly cough, stomach ache, irritability, and diarrhoea. Within MRCs, the risk of parasitic infections in infants is significantly increased by risk factors such as the absence of flushing toilets in households (OR = 4.17, p < 0.05) and contact with un-dewormed animals (OR = 3.61, p < 0.05). Together with the absence of running water in the household, these three factors combined increase the risk more than ten times (p < 0.01). CONCLUSION: Maintaining hygienic standards in conditions of socioeconomic deprivation in MRCs without running water and sewage in the presence of un-dewormed animals is problematic. These living conditions contribute to the higher prevalence of parasitic infections in children from MRCs, causing various health complaints and thus threatening their health and healthy development.


Asunto(s)
Heces , Parasitosis Intestinales , Romaní , Humanos , Lactante , Factores de Riesgo , Femenino , Masculino , Estudios Transversales , Parasitosis Intestinales/epidemiología , Prevalencia , Heces/parasitología , Romaní/estadística & datos numéricos , Eslovaquia/epidemiología , Animales
3.
J Asthma ; 61(7): 745-753, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38193466

RESUMEN

INTRODUCTION: Asthma is a chronic heterogeneous disease with characteristic symptoms, but with proper treatment the patient can lead a full life. In patients with allergic asthma, symptoms appear after irritation with an allergen, most often in the pollen season. In 2019, the viral disease COVID-19 appeared, which, especially in people with asthma, led not only to an asthma attack, but also to other serious diseases. METHODS: The main aim was to investigate differences in patients' health status by comparing spirometric values in and out of pollen season (A), spirometric values before and after COVID-19 viral illness (B) and an anonymous questionnaire (C). Spirometric values were recorded in each patient (control group - patients diagnosed with asthma, research group - patients after overcoming COVID-19 disease) in 3 cycles, namely (in the pollen period, in the non-pollen period and after overcoming COVID-19 disease - at an interval of 2 months after a negative PCR test). RESULTS: We observed significant results during the individual spirometry performed (A) during the pollen season and non-pollen season. We observed the same in patients after they received COVID-19 treatment (B). Patients were also asked questions regarding family history, symptoms and their variability, worsening of the condition or correct inhalation technique (C). CONCLUSION: Our research shows that the PEF parameter is most affected by the pollen and non-pollen season in asthmatic patients. Significant differences in PEF parameter were observed between genders, where we observed highly significant statistical significance of PEF parameter in pollen and non-pollen season in females.


Asunto(s)
Asma , COVID-19 , Polen , Estaciones del Año , Espirometría , Humanos , COVID-19/epidemiología , Femenino , Masculino , Adulto , Persona de Mediana Edad , Polen/inmunología , Eslovaquia/epidemiología , Encuestas y Cuestionarios , Asma/fisiopatología , SARS-CoV-2 , Rinitis Alérgica Estacional/fisiopatología , Rinitis Alérgica Estacional/epidemiología , Adulto Joven , Anciano
4.
Arch Sex Behav ; 53(8): 3187-3201, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38862863

RESUMEN

People tend to befriend others similar to themselves, generating a pattern called homophily. However, existing studies on friendship patterns often rely on surveys that assess the perspective of relatively few participants on their friendships but do not measure actualized friendship patterns. Here, we used data from a large Slovakian online social network to assess the role of gender, age, and body mass index (BMI) in same-gender online connections among more than 400,000 users. We found that age and BMI homophily occurred in both men's and women's same-gender connections, but somewhat more strongly among men's. Yet, as women diverged in BMI, their connections were less likely to be reciprocated. We discuss how the evolutionary legacy of men's coalitional competition (e.g., warfare) and women's mating competition or recruitment of allocare providers might contribute to these patterns in modern same-gender relationships. For example, men's engagement in physical activities may lead to similar formidability levels among their same-gender peers. Altogether, our findings highlight the importance of trait similarity to same-gender friendship patterns.


Asunto(s)
Amigos , Humanos , Masculino , Femenino , Amigos/psicología , Adulto , Relaciones Interpersonales , Factores Sexuales , Persona de Mediana Edad , Adulto Joven , Red Social , Índice de Masa Corporal , Eslovaquia , Redes Sociales en Línea , Adolescente , Factores de Edad
5.
Arch Sex Behav ; 53(8): 2905-2922, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-38869747

RESUMEN

The development of human sexual orientation remains a complex and multifaceted subject. It is often studied but its origins continue to elude us. In this preregistered study, our primary objective was to demonstrate the fraternal birth order effect (FBOE), which assumes a higher prevalence of older brothers in gay men than in their straight counterparts and which has also been recently recorded in lesbian women. Our second aim was to explore any potential impact of the FBOE on anal-erotic role orientation (AERO), both in gay and straight men. Our study sample included 693 gay men, 843 straight men, 265 lesbian women, and 331 straight women from Czechia and Slovakia. Employing a conventionally parameterized logistic regression model, we substantiated the FBOE among both gay men (OR = 1.35 for maternal older brothers) and lesbian women (OR = 1.71). These outcomes were confirmed by a more nuanced parameterization recently proposed by Blanchard (2022). Nonmaternal older brothers did not exhibit a significant influence on their younger brothers' sexual orientation. Contrary to some earlier reports, however, our data did not establish the FBOE as exclusive to gay men with the receptive AERO. Furthermore, our observations indicated a lower offspring count for mothers of gay men compared to mothers of straight men. Emphasizing the positive FBOE outcomes, we acknowledge the need for caution regarding the various options that can be used to estimate the familial influences on sexual orientation.


Asunto(s)
Orden de Nacimiento , Homosexualidad Femenina , Homosexualidad Masculina , Humanos , Femenino , Masculino , Homosexualidad Masculina/estadística & datos numéricos , Homosexualidad Masculina/psicología , Adulto , Eslovaquia , Homosexualidad Femenina/estadística & datos numéricos , República Checa , Hermanos , Conducta Sexual/estadística & datos numéricos , Adulto Joven , Heterosexualidad/estadística & datos numéricos , Heterosexualidad/psicología , Persona de Mediana Edad , Minorías Sexuales y de Género/estadística & datos numéricos , Minorías Sexuales y de Género/psicología
6.
BMC Vet Res ; 20(1): 423, 2024 Sep 21.
Artículo en Inglés | MEDLINE | ID: mdl-39304874

RESUMEN

BACKGROUND: Dictyocaulosis is a parasitic disease caused by pulmonary nematodes from genus Dictyocaulus affecting various ungulate hosts. It can cause verminous bronchopneumonia and for heavily infected individuals, fatal outcomes can occur. CASE PRESENTATION: The study describes the case of a male European bison which died three months after relocation from Slovakia to one of the reintroduction areas in Nucșoara village, Fagaraș Mountains, Romania. Necropsy revealed the presence of pulmonary nematodes in the respiratory tract. Morphology and molecular diagnosis was performed and Dictyocaulus viviparus was identified. CONCLUSION: Rigorous health monitoring is essential to assure the success of reintroduction programs, understanding and preventing infectious diseases and limiting their impact on population health.


Asunto(s)
Bison , Infecciones por Dictyocaulus , Dictyocaulus , Animales , Masculino , Dictyocaulus/aislamiento & purificación , Resultado Fatal , Neumonía/veterinaria , Eslovaquia , Rumanía , Especies Introducidas
7.
BMC Psychiatry ; 24(1): 465, 2024 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-38915006

RESUMEN

BACKGROUND: Recent years have seen a growing interest in the use of digital tools for delivering person-centred mental health care. Experience Sampling Methodology (ESM), a structured diary technique for capturing moment-to-moment variation in experience and behaviour in service users' daily life, reflects a particularly promising avenue for implementing a person-centred approach. While there is evidence on the effectiveness of ESM-based monitoring, uptake in routine mental health care remains limited. The overarching aim of this hybrid effectiveness-implementation study is to investigate, in detail, reach, effectiveness, adoption, implementation, and maintenance as well as contextual factors, processes, and costs of implementing ESM-based monitoring, reporting, and feedback into routine mental health care in four European countries (i.e., Belgium, Germany, Scotland, Slovakia). METHODS: In this hybrid effectiveness-implementation study, a parallel-group, assessor-blind, multi-centre cluster randomized controlled trial (cRCT) will be conducted, combined with a process and economic evaluation. In the cRCT, 24 clinical units (as the cluster and unit of randomization) at eight sites in four European countries will be randomly allocated using an unbalanced 2:1 ratio to one of two conditions: (a) the experimental condition, in which participants receive a Digital Mobile Mental Health intervention (DMMH) and other implementation strategies in addition to treatment as usual (TAU) or (b) the control condition, in which service users are provided with TAU. Outcome data in service users and clinicians will be collected at four time points: at baseline (t0), 2-month post-baseline (t1), 6-month post-baseline (t2), and 12-month post-baseline (t3). The primary outcome will be patient-reported service engagement assessed with the service attachment questionnaire at 2-month post-baseline. The process and economic evaluation will provide in-depth insights into in-vivo context-mechanism-outcome configurations and economic costs of the DMMH and other implementation strategies in routine care, respectively. DISCUSSION: If this trial provides evidence on reach, effectiveness, adoption, implementation and maintenance of implementing ESM-based monitoring, reporting, and feedback, it will form the basis for establishing its public health impact and has significant potential to bridge the research-to-practice gap and contribute to swifter ecological translation of digital innovations to real-world delivery in routine mental health care. TRIAL REGISTRATION: ISRCTN15109760 (ISRCTN registry, date: 03/08/2022).


Asunto(s)
Servicios de Salud Mental , Humanos , Servicios de Salud Mental/economía , Alemania , Bélgica , Eslovaquia , Trastornos Mentales/terapia , Trastornos Mentales/economía , Evaluación Ecológica Momentánea , Europa (Continente) , Análisis Costo-Beneficio/métodos
8.
Neurol Sci ; 45(2): 693-698, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-37698786

RESUMEN

BACKGROUND: Neuromyelitis optica spectrum disorders (NMOSD) are autoantibody-mediated inflammatory diseases of the central nervous system predominantly targeting optic nerves and the spinal cord. Two distinct phenotypes are recognized based on the presence of serum aquaporin-4 (AQP4-IgG) antibodies. However, contrasting clinical course patterns have been identified between AQP4-IgG-positive and AQP4-IgG-negative patients. AIMS: This study aimed to present demographic and clinical characteristics of patients with NMOSD in Slovakia and to evaluate the significance of differences between AQP4-IgG-seropositive and AQP4-IgG-seronegative patients. METHODS: We performed a longitudinal multi-centric retrospective study and analysed the clinical and demographic characteristics of a cohort of 63 Slovak NMOSD patients. RESULTS: Eighty-six percent of patients were women, and ninety-four patients were Caucasian. The median age at diagnosis was 37 years. The most frequent initial manifestations were optic neuritis (47.6% of patients) and transverse myelitis (39.7% of patients). The median EDSS score deteriorated from the initial 3.0 to 4.0 at the last follow-up. Sixty-eight percent of patients were AQP4-IgG positive; 10% of patients were MOG-IgG positive; 27% of patients had no NMOSD-specific antibodies detected. There was a higher prevalence of autoimmune thyroiditis among AQP4-IgG-positive patients (25.6%) compared to AQP4-IgG-negative patients (0%) (p = 0.01). CONCLUSION: This study provides a detailed overview of the clinical and demographic characteristics of NMOSD based on a retrospective analysis of a Slovak cohort of 63 NMOSD patients and extends information provided by similar recently published studies. The most important finding is that there is a high prevalence of autoimmune thyroiditis among AQP4-IgG-negative patients (25%).


Asunto(s)
Enfermedad de Hashimoto , Neuromielitis Óptica , Humanos , Femenino , Adulto , Masculino , Estudios Retrospectivos , Eslovaquia/epidemiología , Glicoproteína Mielina-Oligodendrócito , Acuaporina 4 , Autoanticuerpos , Inmunoglobulina G , Demografía
9.
Neoplasma ; 71(4): 402-413, 2024 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-39267541

RESUMEN

The optimal treatment of oropharyngeal cancer (OPC) associated with human papillomavirus (HPV) is currently a subject of clinical research. This questionnaire study investigated current trends in the treatment of HPV-associated (HPV+) OPC in Slovakia with the incorporation of deintensification of oncological treatment into routine clinical practice outside of clinical trials. The Slovak Cooperative Head and Neck Cancer Group (SCHNCG) developed a questionnaire aimed at identifying trends in the oncological treatment of HPV+ OPC intended for all radiation oncology (RO) facilities in Slovakia. Specialists in the field of RO responded to general questions about the character of their individual institutions as well as to 4 theoretical clinical scenarios (case reports) regarding the treatment of HPV+ OPC, focusing primarily on the applied dose of radiotherapy (RT), the extent of target volumes, and the type of concurrent chemotherapy (CHT). The questionnaire study involved 35 RO specialists from 14 institutions in Slovakia. Regarding primary chemoradiotherapy (CRT) in T1N1M0 HPV+ OPC, 16 respondents (45.7%) would consider de-escalation of the RT dose to <70 Gy. In the case of postoperative RT in pT1pN1M0 HPV+ OPC with negative resection margins (R0) and absent extracapsular extension (ECE), 4 physicians (11.4%) would consider de-escalation of the RT dose to <60 Gy in the tumor bed area, while the majority of the treating specialists (n=19, 54.3%) would omit concurrent CHT. In the case of primary RT in elderly patient with T2N1M0 HPV+ OPC, the same number of physicians (n=16, 45.7%) would consider de-escalation of the RT dose to <70 Gy, and 14 respondents (40.0%) would completely omit CHT. In a high-risk patient with T2N3M0 HPV+ OPC with a complete response after 3 cycles of induction chemotherapy (iCHT), none of the respondents would indicate a reduction in the RT dose to the area of the original tumor and lymphadenopathy to <60 Gy. The doses and extent of irradiated volumes in the treatment of HPV+ OPC in Slovakia vary among different institutions. The tendency to de-escalate RT doses and reduce doses of concurrent systemic therapy in Slovakia is high and there was also an observed trend to reduce the extent of radiation treatment fields.


Asunto(s)
Quimioradioterapia , Neoplasias Orofaríngeas , Infecciones por Papillomavirus , Humanos , Eslovaquia/epidemiología , Neoplasias Orofaríngeas/virología , Neoplasias Orofaríngeas/terapia , Infecciones por Papillomavirus/virología , Infecciones por Papillomavirus/complicaciones , Infecciones por Papillomavirus/terapia , Encuestas y Cuestionarios , Masculino , Papillomaviridae , Femenino , Virus del Papiloma Humano
10.
BMC Public Health ; 24(1): 583, 2024 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-38395773

RESUMEN

The present study examines, as research questions, which and to what extent psychological and demographic variables significantly predict individual, community, and societal resilience among a sample of Czech Republic adults (N = 1,100) six months after the Russian invasion of Ukraine. The research tools included the following scales: Societal, community, and individual resilience; hope, well-being; morale; distress symptoms; a sense of danger; and perceived threats. The results indicated the following: (a) Correlation analysis shows that resilience is significantly and positively correlated with supporting coping factors and significantly and negatively correlated with suppressing coping factors. (b) A comparison of supporting coping indicators (hope, well-being, and morale) and suppressing coping indicators (distress symptoms, sense of danger, and perceived threats) in the Czech Republic with those variables in Slovakia and Israel indicated that Israel reported higher resilience, higher supporting coping indicators, and lower suppressing coping factors. Three-path analysis among the Czech sample indicated that the best predictor of SR was the level of hope, the best predictor of CR was morale, and the best predictor of IR was the sense of danger. In an attempt to explain these findings in the discussion section, we refer to the background of Czech society and a possible connection to the findings.


Asunto(s)
Resiliencia Psicológica , Adulto , Humanos , República Checa , Eslovaquia/epidemiología , Ucrania , Habilidades de Afrontamiento
11.
BMC Public Health ; 24(1): 1142, 2024 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-38658885

RESUMEN

BACKGROUND: Infant mortality rates are reliable indices of the child and general population health status and health care delivery. The most critical factors affecting infant mortality are socioeconomic status and ethnicity. The aim of this study was to assess the association between socioeconomic disadvantage, ethnicity, and perinatal, neonatal, and infant mortality in Slovakia before and during the COVID-19 pandemic. METHODS: The associations between socioeconomic disadvantage (educational level, long-term unemployment rate), ethnicity (the proportion of the Roma population) and mortality (perinatal, neonatal, and infant) in the period 2017-2022 were explored, using linear regression models. RESULTS: The higher proportion of people with only elementary education and long-term unemployed, as well as the higher proportion of the Roma population, increases mortality rates. The proportion of the Roma population had the most significant impact on mortality in the selected period between 2017 and 2022, especially during the COVID-19 pandemic (2020-2022). CONCLUSIONS: Life in segregated Roma settlements is connected with the accumulation of socioeconomic disadvantage. Persistent inequities between Roma and the majority population in Slovakia exposed by mortality rates in children point to the vulnerabilities and exposures which should be adequately addressed by health and social policies.


Asunto(s)
Mortalidad Infantil , Mortalidad Perinatal , Romaní , Factores Socioeconómicos , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Embarazo , COVID-19 , Etnicidad/estadística & datos numéricos , Mortalidad Infantil/etnología , Mortalidad Infantil/tendencias , Mortalidad Perinatal/etnología , Mortalidad Perinatal/tendencias , Romaní/estadística & datos numéricos , Eslovaquia/epidemiología , Disparidades Socioeconómicas en Salud
12.
Eur J Public Health ; 34(4): 730-736, 2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-38734929

RESUMEN

BACKGROUND: The increased prevalence of overweight and obesity in the Czech Republic and Slovakia has led to heightened emphasis on weight control, particularly among women. Our aim is to explore body image perceptions among women in both countries and compare their attitudes, focusing on the relationship between body image and body mass index (BMI), height, weight, body fat and the weight control. METHODS: The cross-sectional study involved 358 female students from the University of Pardubice and Constantine the Philosopher University in Nitra, with equal representation from the Czech Republic and Slovakia. Body parameters were assessed using anthropometric methods and the InBody 230 diagnostic device, while participants' perceptions of their bodies were evaluated using the Body Shape Questionnaire. RESULTS: The results confirmed that BMI did not significantly influence self-perception among Slovak students, while Czech participants with increasing obesity tended to perceive themselves more negatively. Significantly higher median values for BMI (p = 0.0509), weight (p = 0.0507), height (p = 0.05) and body image (p = 0.002) were observed in the Czech Republic compared with Slovakia. No significant difference was found in weight control and fat between participants from both countries. CONCLUSIONS: Although obesity was demonstrated in both nations, body satisfaction was different for participants from the Czech Republic and Slovakia.


Asunto(s)
Imagen Corporal , Índice de Masa Corporal , Humanos , Femenino , Eslovaquia , República Checa , Imagen Corporal/psicología , Estudios Transversales , Adulto Joven , Adulto , Encuestas y Cuestionarios , Obesidad/epidemiología , Obesidad/psicología , Adolescente , Autoimagen , Estudiantes/estadística & datos numéricos , Estudiantes/psicología , Peso Corporal
13.
BMC Health Serv Res ; 24(1): 637, 2024 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-38760673

RESUMEN

BACKGROUND: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. It is also a major risk factor for ischemic stroke. The main objective of our study was to identify direct and indirect costs of AF and AF-related stroke in Slovakia. METHODS: We conducted a retrospective population-based study of AF and stroke related costs both from the third-party healthcare payers and societal perspective. The prevalence and incidence of AF and stroke were determined from central government run healthcare database. Further we estimated both indirect and direct costs of AF and stroke. All costs and healthcare resources were assessed from 2015 through 2019 and were expressed in the respective year. RESULTS: Over the 5-year study period, the prevalence of AF increased by 26% to a total of 149,198 AF cases in 2019, with an estimated total annual economic burden of €66,242,359. Direct medical costs accounted for 94% of the total cost of AF. The total cost of treating patients with stroke in 2019 was estimated at €89,505,669. As a result, the medical costs of stroke that develops as a complication of AF have been estimated to be €25,734,080 in 2019. CONCLUSIONS: Our study shows a substantial economic burden of AF and AF-related stroke in Slovakia. In view of the above, both screening for asymptomatic AF in high-risk populations and effective early management of AF with a focused on thromboprophylaxis rhythm control should be implemented.


Asunto(s)
Fibrilación Atrial , Accidente Cerebrovascular , Humanos , Eslovaquia/epidemiología , Fibrilación Atrial/epidemiología , Fibrilación Atrial/economía , Fibrilación Atrial/terapia , Estudios Retrospectivos , Accidente Cerebrovascular/epidemiología , Accidente Cerebrovascular/economía , Femenino , Masculino , Anciano , Persona de Mediana Edad , Costos de la Atención en Salud/estadística & datos numéricos , Costo de Enfermedad , Incidencia , Prevalencia , Anciano de 80 o más Años , Adulto
14.
BMC Med Ethics ; 25(1): 94, 2024 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-39223538

RESUMEN

BACKGROUND: In the years to come, artificial intelligence will become an indispensable tool in medical practice. The digital transformation will undoubtedly affect today's medical students. This study focuses on trust from the perspective of three groups of medical students - students from Croatia, students from Slovakia, and international students studying in Slovakia. METHODS: A paper-pen survey was conducted using a non-probabilistic convenience sample. In the second half of 2022, 1715 students were surveyed at five faculties in Croatia and three in Slovakia. RESULTS: Specifically, 38.2% of students indicated familiarity with the concept of AI, while 44.8% believed they would use AI in the future. Patient readiness for the implementation of technologies was mostly assessed as being low. More than half of the students, 59.1%, believe that the implementation of digital technology (AI) will negatively impact the patient-physician relationship and 51,3% of students believe that patients will trust physicians less. The least agreement with the statement was observed among international students, while a higher agreement was expressed by Slovak and Croatian students 40.9% of Croatian students believe that users do not trust the healthcare system, 56.9% of Slovak students agree with this view, while only 17.3% of international students share this opinion. The ability to explain to patients how AI works if they were asked was statistically significantly different for the different student groups, international students expressed the lowest agreement, while the Slovak and Croatian students showed a higher agreement. CONCLUSION: This study provides insight into medical students' attitudes from Croatia, Slovakia, and international students regarding the role of artificial intelligence (AI) in the future healthcare system, with a particular emphasis on the concept of trust. A notable difference was observed between the three groups of students, with international students differing from their Croatian and Slovak colleagues. This study also highlights the importance of integrating AI topics into the medical curriculum, taking into account national social & cultural specificities that could negatively impact AI implementation if not carefully addressed.


Asunto(s)
Inteligencia Artificial , Relaciones Médico-Paciente , Estudiantes de Medicina , Confianza , Humanos , Estudiantes de Medicina/psicología , Eslovaquia , Croacia , Femenino , Masculino , Encuestas y Cuestionarios , Adulto , Adulto Joven , Actitud del Personal de Salud
15.
J Dairy Sci ; 107(10): 8205-8222, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38908686

RESUMEN

Although dairy goat production, characterized by traditional production on small farms, is an important source of income in the Czech Republic and Slovakia, locally adapted breeds have not been fully consolidated over the last 100 yr due to large fluctuations in population size and inconsistent breeding programs that allowed for different crossbreeding strategies. Our main objective in this study was therefore to assess the conservation status of 4 Czech (Alpine Goat, White Shorthair, Brown Shorthair, and Czech Landrace) and 1 Slovak (Slovak White Shorthair) local goat breeds, to analyze their population structure and admixture, and to estimate their relatedness to several neighboring breeds. Our analyses included 142 goats belonging to 5 local breeds genotyped with the Illumina 50K BeadChip, and 618 previously genotyped animals representing 15 goat breeds from Austria and Switzerland (all analyses based on 46,862 autosomal SNPs and 760 animals). In general, the conservation status of the Czech and Slovak local goat breeds was satisfactory, with the exception of the Brown Shorthair goat, as the analyzed parameters (heterozygosity, haplotype richness, runs of homozygosity-based inbreeding, and effective population size) were mostly above the median of 20 breeds. However, for all 5 Czech and Slovakian breeds, an examination of historical effective population size indicated a substantial decline about 8 to 22 generations ago. In addition, our study revealed that the Czech and Slovakian breeds are not fully consolidated; for instance, White Shorthair and Brown Shorthair were not clearly distinguishable. Considerable admixture, especially in Czech Landrace (effective number of parental clusters = 4.2), and low but numerous migration rates from other Austrian and Swiss breeds were found. These results provide valuable insights for future breeding programs and genetic diversity management of local Czech and Slovak goat breeds.


Asunto(s)
Cruzamiento , Cabras , Animales , Cabras/genética , República Checa , Eslovaquia , Genotipo , Polimorfismo de Nucleótido Simple , Genómica
16.
Parasitol Res ; 123(7): 268, 2024 Jul 12.
Artículo en Inglés | MEDLINE | ID: mdl-38992328

RESUMEN

This study describes the first detection of Ixodes ventalloi in Slovakia. Two engorged females of I. ventalloi were collected from Dunnocks (Prunella modularis) captured in eastern Slovakia. The identification of females was based on morphological and molecular 16S rRNA gene features. Phylogenetic analysis revealed a classification of the females into distinct genogroups. Moreover, comparative morphological analysis highlighted variations between the two females, particularly in the curvature of the auriculae, the shape of coxa I, and the internal spur. These findings suggest the potential for varied phenotypes of I. ventalloi correlated with their genogroups. Nonetheless, I. ventalloi population establishment within Slovakia necessitates further investigation through flagging or drag sampling.


Asunto(s)
Ixodes , Filogenia , ARN Ribosómico 16S , Animales , Eslovaquia , Ixodes/clasificación , Ixodes/anatomía & histología , Ixodes/genética , Ixodes/fisiología , Femenino , ARN Ribosómico 16S/genética , Análisis de Secuencia de ADN , Infestaciones por Garrapatas/parasitología , Infestaciones por Garrapatas/veterinaria , Enfermedades de las Aves/parasitología , Galliformes/parasitología , ADN Ribosómico/genética , Análisis por Conglomerados
17.
J Wound Care ; 33(9): 636-642, 2024 Sep 02.
Artículo en Inglés | MEDLINE | ID: mdl-39287026

RESUMEN

Pressure ulcers/injuries (PU/Is) are a burden on healthcare systems worldwide. They are costly and have a negative impact on the quality of life of patients. PU/Is cause discomfort, prolong hospital stays and can even lead to death. Data on the incidence and prevalence of PU/Is are used to implement effective, tailored prevention practices. The aim of this paper is to highlight the importance and value of collecting epidemiological data in terms of its practical use in Slovakia. The prevalence of PU/Is was found to be low compared to global data. Shortcomings in the collection of epidemiological data are highlighted; however, the use of those available data in amending national standards, such as the mandatory reporting of PU/Is, is summarised. Several steps and activities related to the prevention and care of PU/Is have been carried out in Slovakia. It is important to know not only the prevalence in terms of field of care, time and provider, but also, more specifically, the risk characteristics and/or presence of PU/I in order to initiate more individualised and tailored patient care.


Asunto(s)
Úlcera por Presión , Úlcera por Presión/epidemiología , Úlcera por Presión/prevención & control , Humanos , Eslovaquia/epidemiología , Prevalencia , Incidencia , Factores de Riesgo , Masculino , Femenino
18.
Croat Med J ; 65(2): 85-92, 2024 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-38706234

RESUMEN

AIM: To identify diabetic patients with a potential risk of developing diabetic peripheral neuropathy (DPN) in community pharmacies in Slovakia using a modified Michigan Neuropathy Screening Instrument questionnaire (MNSIq-12). METHODS: This cross-sectional study enrolled 703 patients with type 1 and type 2 diabetes mellitus who had not been diagnosed with DPN. The study took place in selected community pharmacies across Slovakia in October 2019. The MNSIq-12 was administered by pharmacy students, and a Michigan score <1.5 was considered risky. The groups divided based on the Michigan score were compared in terms of duration of diabetes, age, body mass index (BMI), sex, weekly physical activity, level of education, and smoking. RESULTS: The risk of developing DPN was detected in 6.6% of respondents with type 1 diabetes and 13.4% with type 2 diabetes. Patients with both types of diabetes (38.2%; 67.0%) reported fatigue and heaviness in the legs as the most common clinical symptoms that may indicate the development of DPN. Those with a Michigan score <1.5 were older (P<0.0001), had a higher BMI (P<0.0001), a lower level of education (P=0.0020), and were less physically active (P<0.0001). Conclusion Approximately one-eighth of patients with diabetes who visited community pharmacies were potentially at risk for developing DPN. The modified MNSIq-12 was shown to be a simple, time-effective, and non-invasive indicative screening tool that can be applied in the environment of community pharmacies.


Asunto(s)
Diabetes Mellitus Tipo 2 , Neuropatías Diabéticas , Humanos , Eslovaquia/epidemiología , Masculino , Femenino , Estudios Transversales , Persona de Mediana Edad , Neuropatías Diabéticas/diagnóstico , Neuropatías Diabéticas/epidemiología , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/epidemiología , Adulto , Encuestas y Cuestionarios , Tamizaje Masivo/métodos , Farmacias/estadística & datos numéricos , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/complicaciones , Diabetes Mellitus Tipo 1/epidemiología , Anciano , Factores de Riesgo , Índice de Masa Corporal
19.
Artículo en Inglés | MEDLINE | ID: mdl-39205405

RESUMEN

In the present study the concentration of selected elements in tissues of domestic rabbits and of wild brown-hares (kidneys, liver, and muscle - m. quadriceps femoris) in Slovakian habitats were determined. After mineralization the elements examined were detected using flame atomic absorption spectrophotometry/graphite furnace atomic absorption spectrophotometry. For rabbits, Fe in the liver was correlated with essential (Mn, Cu) (R2 = 0.94, p < 0.05; R2 = 0.96, p < 0.05 respectively) or toxic (Pb) elements (R2 = -0.93, p < 0.05). For hares, significant correlations were found between Cd and Cu or between Cd and Mn in the kidneys (R2 = -0.96, p < 0.05; R2 = 0.92, p < 0.05 respectively), which is the target organ for Cd. Higher concentrations of the elements were found in hare tissue, and this may be linked to pollution of their wild habitats. The xenobiotic elements as well as the essential elements were accumulated in the kidneys of the hares than rabbits. For liver, differences were less pronounced and significance was only for Fe and Cu. Muscle of hares was more contaminated than of rabbits for both biogenic and toxic elements. These results show that detectable concentrations of inorganic elements. These levels may be linked to contamination of the natural habitats of wild biota due to industry, traffic, agriculture, and urban sprawl.


Asunto(s)
Liebres , Riñón , Hígado , Animales , Conejos , Riñón/metabolismo , Riñón/química , Hígado/metabolismo , Liebres/metabolismo , Músculos/metabolismo , Músculos/química , Eslovaquia , Monitoreo del Ambiente , Espectrofotometría Atómica , Contaminantes Ambientales/análisis , Contaminantes Ambientales/metabolismo
20.
Cent Eur J Public Health ; 32(2): 137-142, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-39069318

RESUMEN

OBJECTIVES: The Slovak Medical University (SMU) holds a unique position in the health education system in Slovakia. It has a direct connection to the health sector, allowing health education to reflect the actual needs in this field. Because of increasing importance of public health in the last decades, more attention must be given to disease prevention and the promotion of healthy lifestyles. We aim to highlight the main characteristics of health higher education at one of the specialized health universities in Slovakia, with a particular focus on public health and its practical impacts. METHODS: We analysed the available legal regulations for postgraduate studies in Slovakia and the officially valid documents of the Faculty of Public Health (FPH) and the Slovak Medical University in accordance with the accredited study programme in Public Health. Archived data from the Department of Science, Research, and Doctoral Studies of the Faculty over the past 10 years were used for the analysis of postgraduate studies (2013-2023). RESULTS: PhD studies in Slovakia are conducted in accordance with Act No. 131/2002 Coll. on Higher Education Institutions and on amendments to certain acts. There are two forms of PhD study in Slovakia: full-time and external. The evaluation of study results is based on the credit system. The doctoral study programme proceeds according to an individual study plan under the guidance of the advisor. The PhD study concludes with the defence of the dissertation, which serves as the final thesis. A total of 97 students have graduated at FPH SMU in Public Health in the last 10 years. The majority of graduates were females (68% vs. 32% males) and studied in the external form of study (80.4% vs. 19.6% in the full-time programme). The most frequent research topics at FPH SMU in the last 10 years included Epidemiology and Prevention of Non-communicable (21.7%) and Infectious Diseases (11.3%), Health Management and Policy (17.5%), Environmental Health (15.5%), as well as Occupational Health (13.4%). CONCLUSION: High-quality and innovative postgraduate education in public health plays a crucial role in this field, preparing experts for the public health services. From a quality perspective, it is substantial to share experiences with various study programmes across the European region, as well as with other universities. Graduates of the Faculty of Public Health are highly sought-after professionals with diverse career opportunities not only in Slovakia but also within the European Union, other countries, and various important international institutions.


Asunto(s)
Educación de Postgrado , Salud Pública , Eslovaquia , Humanos , Femenino , Masculino , Docentes Médicos , Escuelas de Salud Pública/organización & administración , Universidades
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