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1.
Healthcare (Basel) ; 9(11)2021 Nov 05.
Artículo en Inglés | MEDLINE | ID: mdl-34828554

RESUMEN

The objective of the paper is to evaluate the quality of systemic change management (CHM) and readiness for change in five Central European countries. The secondary goal is to identify trends and upcoming changes in the field of digital innovations in healthcare. The results show that all compared countries (regardless of their historical context) deal with similar CHM challenges with a rather similar degree of success. A questionnaire distributed to hospitals clearly showed that there is still considerable room for improvement in terms of the use of specific CHM tools. A review focused on digital innovations based on the PRISMA statement showed that there are five main directions, namely, data collection and integration, telemedicine, artificial intelligence, electronic medical records, and M-Health. In the hospital environment, there are considerable reservations in applying change management principles, as well as the absence of a systemic approach. The main factors that must be monitored for a successful and sustainable CHM include a clearly defined and widely communicated vision, early engagement of all stakeholders, precisely set rules, adaptation to the local context and culture, provision of a technical base, and a step-by-step implementation with strong feedback.

2.
Artículo en Inglés | MEDLINE | ID: mdl-34639847

RESUMEN

Evidence suggests that changes in alcohol consumption during the first months of the COVID-19 pandemic were unevenly distributed over consumer groups. We investigated possible inter-country differences in how changes in alcohol consumption are contingent on initial consumption (before or at the start of the pandemic), and how changes in consumption translate into possible changes in the prevalence of heavy drinking. We used data from the European Survey on Alcohol use and COVID-19 (ESAC) conducted in Czechia, Denmark, Finland, Germany, Norway, Poland, Spain, and the UK (N = 31921). Past-year alcohol consumption and changes in consumption were measured by AUDIT-C. Drinking habits were compared according to percentiles of pre-pandemic consumption levels, below versus above the 90th percentile. Across countries, drinkers in the highest 10% for pre-pandemic consumption increased their drinking during the pandemic, whereas absolute changes among those initially drinking below this level were modest. The percentage of people reporting >28 alcohol units/week increased significantly in seven of eight countries. During the first months of the COVID-19 pandemic, alcohol consumption in the upper decile of the drinkers increased as did the prevalence of heavy drinkers, in contrast with a declining consumption in other groups in the sample.


Asunto(s)
Intoxicación Alcohólica , COVID-19 , Consumo de Bebidas Alcohólicas/epidemiología , Humanos , Pandemias , SARS-CoV-2
3.
Cent Eur J Public Health ; 29(2): 153-158, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34245556

RESUMEN

OBJECTIVES: The paper analyses real-world data on cost of treatment in patients after stroke hospitalized in early rehabilitation units within comprehensive stroke centres in the Czech Republic. This is the first study of the kind in the Czech Republic, while such information is extremely rare worldwide. Stroke treatment witnessed a dramatic development in the last years, when the main progress was due to establishment of specialized (comprehensive) stroke units incorporating also early rehabilitation. There is a general agreement among clinicians that early rehabilitation is beneficial for patients after stroke. METHODS: Costs of early rehabilitation after stroke were calculated by the micro-costing method alongside a pragmatic study in three Czech hospitals. Patients were transferred to specialized early rehabilitation units usually on 7th to 14th day after stroke onset and received four hours of interprofessional rehabilitation per day. RESULTS: The analysis of data collected during the prospective observational research of 87 patients proved significant differences between patients. The average costs of hospitalization were determined to be CZK 5,104 (EUR 194) per one day of intensive rehabilitation in seriously affected patients early after stroke. These costs differed significantly between hospitals (p-value < 0.001); the structure of direct costs was quite stable, though. About 60% of these costs were due to nursing and overhead, while no more than 15% were consumed by therapists. CONCLUSIONS: The treatment of patients after stroke in specialized stroke units proved to be beneficial for the patients increasing the number of those re-integrated in family and community life.


Asunto(s)
Hospitalización , Accidente Cerebrovascular , Costos y Análisis de Costo , República Checa , Humanos
4.
Addiction ; 116(12): 3369-3380, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34109685

RESUMEN

AIMS: To investigate changes in alcohol consumption during the first months of the COVID-19 pandemic in Europe as well as its associations with income and experiences of distress related to the pandemic. DESIGN: Cross-sectional on-line survey conducted between 24 April and 22 July 2020. SETTING: Twenty-one European countries. PARTICIPANTS: A total of 31 964 adults reporting past-year drinking. MEASUREMENTS: Changes in alcohol consumption were measured by asking respondents about changes over the previous month in their drinking frequency, the quantity they consumed and incidence of heavy episodic drinking events. Individual indicators were combined into an aggregated consumption-change score and scaled to a possible range of -1 to +1. Using this score as the outcome, multi-level linear regressions tested changes in overall drinking, taking into account sampling weights and baseline alcohol consumption [Alcohol Use Disorder Identification Test (AUDIT-C)] and country of residence serving as random intercept. Similar models were conducted for each single consumption-change indicator. FINDINGS: The aggregated consumption-change score indicated an average decrease in alcohol consumption of -0.14 [95% confidence interval (CI) = -0.18, -0.10]. Statistically significant decreases in consumption were found in all countries, except Ireland (-0.08, 95% CI = -0.17, 0.01) and the United Kingdom (+0.10, 95% CI = 0.03, 0.17). Decreases in drinking were mainly driven by a reduced frequency of heavy episodic drinking events (-0.17, 95% CI = -0.20, -0.14). Declines in consumption were less marked among those with low- or average incomes and those experiencing distress. CONCLUSIONS: On average, alcohol consumption appears to have declined during the first months of the COVID-19 pandemic in Europe. Both reduced availability of alcohol and increased distress may have affected consumption, although the former seems to have had a greater impact in terms of immediate effects.


Asunto(s)
COVID-19 , Pandemias , Adulto , Consumo de Bebidas Alcohólicas/epidemiología , Estudios Transversales , Europa (Continente)/epidemiología , Humanos , SARS-CoV-2
5.
BMJ Open ; 11(5): e043037, 2021 05 19.
Artículo en Inglés | MEDLINE | ID: mdl-34011582

RESUMEN

OBJECTIVES: To fill the existing research gap related to long-term costs of postacute care in methanol poisoning survivors, healthcare cost for 6 years after the outbreak has been modelled and estimated. DESIGN: In a prospective longitudinal cohort study, data collected from 55 survivors of the Czech methanol mass poisoning outbreak in 2012 were collected in four rounds (5 months, then 2, 4 and 6 years after the discharge) in the General University Hospital in Prague according to the same predefined study protocol. The collected data were used to inform the cost model. SETTING AND PARTICIPANTS: All 83 patients discharged from a hospital poisoning treatment after the 2012 methanol outbreak were informed about the study and invited to participate. Fifty-five patients (66%) gave their written informed consent and were followed until their death or the last follow-up 6 years later. The costs were modelled from the Czech healthcare service (general health insurance) perspective. MAIN OUTCOME MEASURES: Long-term national budget impact of the methanol poisoning outbreak, frequencies of sequelae and their average costs. RESULTS: The postacute cost analysis concentrated on visual and neurological sequelae that were shown to be dominant. Collected data were used to create process maps portraying gradual changes in long-term sequelae over time. Individual process maps were created for the central nervous system, peripheral nervous system, sequelae detected during eye examinations and sequelae concerning the visual evoked potentials. Based on the process maps the costs of the postacute outpatient care were estimated. CONCLUSIONS: In 2013-2019 the highest costs per patient related to postacute care were found in the first year; the average costs decreased afterwards, and remained almost constant for the rest of the studied period of time. These costs per patient ranged from CZK4142 in 2013 to CZK1845 in 2018, when they raised to CZK2519 in 2019 again.


Asunto(s)
Metanol , Envenenamiento , Brotes de Enfermedades , Potenciales Evocados Visuales , Costos de la Atención en Salud , Humanos , Estudios Longitudinales , Envenenamiento/epidemiología , Estudios Prospectivos , Atención Subaguda , Sobrevivientes
6.
Int J Methods Psychiatr Res ; 30(3): e1875, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-33951258

RESUMEN

OBJECTIVES: This contribution provides insights into the methodology of a pan-European population-based online survey, performed without external funding during the COVID-19 pandemic. We present the impact of different dissemination strategies to collect data from a non-probabilistic convenience sample and outline post-stratification weighting schemes, to provide guidance for future multi-country survey studies. METHODS: Description and comparison of dissemination strategies for five exemplary countries (Czechia, Germany, Lithuania, Norway, Spain) participating in the Alcohol Use and COVID-19 Survey. Comparison of the sample distribution with the country's actual population distribution according to sociodemographics, and development of weighting schemes. RESULTS: The dissemination of online surveys through national newspapers, paid social media adverts and dissemination with the support of national health ministries turned out to be the most effective strategies. Monitoring the responses and adapting dissemination strategies to reach under-represented groups, and the application of sample weights were helpful to achieve an analytic sample matching the respective general population profiles. CONCLUSION: Reaching a large pan-European convenience sample, including most European countries, in a short time was feasible, with the support of a broad scientific network.


Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , COVID-19/epidemiología , Adolescente , Adulto , República Checa/epidemiología , Femenino , Alemania/epidemiología , Humanos , Lituania/epidemiología , Masculino , Persona de Mediana Edad , Noruega/epidemiología , España/epidemiología , Encuestas y Cuestionarios , Adulto Joven
7.
Drug Alcohol Rev ; 40(7): 1207-1218, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-33880791

RESUMEN

INTRODUCTION: Drug-related mortality is a key epidemiological indicator that is collected nationally and internationally. Significant efforts were made in 2006-2007 to improve the quality of data concerning drug-related mortality in the Czech Republic. The aim of this article is to identify the effect of a quality improvement project on the drug-induced mortality data reported in the General Mortality Registry (GMR), and to demonstrate how to identify, quantify and interpret changes in drug-induced mortality based on the example of the Czech Republic. METHODS: We extracted data on illicit drug-induced deaths from the Czech Republic GMR and Special Mortality registry (SMR) for the years between 2004 and 2012, and aggregated monthly and quarterly time series. We applied a new procedure to identify structural breakpoints in time series based on dating structural changes in standard linear regression models. RESULTS: In the GMR, breakpoints were identified in three time series: (i) opioid-related deaths; (ii) other stimulant-related deaths; and (iii) total drug-induced deaths. In the SMR, the structural breaks were identified for opioids, volatile substances and selection D time series. In each of these time series, the analysis identified a decrease in the intercepts in the different segments. DISCUSSION AND CONCLUSIONS: The structural breaks identified and quantified in the GMR time series were plausibly caused by the quality improvement efforts that started in 2006. These results demonstrate that it is critical for the analysis and use of drug mortality data collected in the registries to identify practice changes in the relevant registries, to quantify their influence and to adjust mortality estimates accordingly.

8.
Subst Abuse Treat Prev Policy ; 16(1): 36, 2021 04 26.
Artículo en Inglés | MEDLINE | ID: mdl-33902668

RESUMEN

BACKGROUND: SARS-CoV-2 reached Europe in early 2020 and disrupted the private and public life of its citizens, with potential implications for substance use. The objective of this study was to describe possible changes in substance use in the first months of the SARS-CoV-2 pandemic in Europe. METHODS: Data were obtained from a cross-sectional online survey of 36,538 adult substance users from 21 European countries conducted between April 24 and July 22 of 2020. Self-perceived changes in substance use were measured by asking respondents whether their use had decreased (slightly or substantially), increased (slightly or substantially), or not changed during the past month. The survey covered alcohol (frequency, quantity, and heavy episodic drinking occasions), tobacco, cannabis, and other illicit drug use. Sample weighted data were descriptively analysed and compared across substances. RESULTS: Across all countries, use of all substances remained unchanged for around half of the respondents, while the remainder reported either a decrease or increase in their substance use. For alcohol use, overall, a larger proportion of respondents indicated a decrease than those reporting an increase. In contrast, more respondents reported increases in their tobacco and cannabis use during the previous month compared to those reporting decreased use. No distinct direction of change was reported for other substance use. CONCLUSIONS: Our findings suggest changes in use of alcohol, tobacco and cannabis during the initial months of the pandemic in several European countries. This study offers initial insights into changes in substance use. Other data sources, such as sales statistics, should be used to corroborate these preliminary findings.


Asunto(s)
COVID-19/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Adolescente , Adulto , Alcoholismo/epidemiología , Estudios Transversales , Europa (Continente)/epidemiología , Femenino , Humanos , Masculino , Abuso de Marihuana/epidemiología , Persona de Mediana Edad , Pandemias , SARS-CoV-2 , Factores Socioeconómicos , Adulto Joven
9.
Zookeys ; 1019: 141-162, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33679172

RESUMEN

Megagrapha starki Barták & Grootaert, sp. nov. (Poland, Russia, Slovakia), Oedalea portugalica Barták & Grootaert, sp. nov. (Portugal), Hybos conicus Grootaert & Barták, sp. nov. (Greece, Turkey), and Platypalpus obscuroides Barták & Grootaert, sp. nov. (Slovakia) are described and illustrated. Diagnostic characters are discussed. The female of Syndyas merzi Shamshev & Grootaert, 2012 is described for the first time. New distributional records are presented: Megagrapha europaea Papp & Földvári, 2001 is first reported from Slovakia and Syndyas merzi Shamshev & Grootaert, 2012 is first reported from Turkey.

10.
Zootaxa ; 4908(1): zootaxa.4908.1.8, 2021 Jan 13.
Artículo en Inglés | MEDLINE | ID: mdl-33756636

RESUMEN

Fannia bohemica sp. nov. (Czech Republic, Slovakia) is described and illustrated. Male of F. latifrontalis Hennig, 1955 is described and illustrated for the first time. Fannia jezoensis Nishida, 1976 is first reported from West Palaearctic, Fannia morrisoni Malloch, 1913 is first recorded from Palaearctic Region. Fannia umbrosa (Stein, 1895) and F. armata (Meigen, 1826; first record based on morphologically identified specimens) are new records from Nearctic Region. Six species (Fannia fuscitibia Stein, 1920, F. latifrontalis, F. limbata (Tiensuu, 1938), F. verrallii (Meade, 1891), F. gotlandica Ringdahl, 1926 and F. spathiophora, Malloch, 1918) are recorded for the first time from Slovakia.


Asunto(s)
Dípteros , Muscidae , Distribución Animal , Animales , Masculino
11.
Artículo en Inglés | MEDLINE | ID: mdl-33114689

RESUMEN

BACKGROUND: This study provides insight into the impact of methamphetamine precursor regulation, which is considered to be one of the most important tools of supply reduction and a tool with potential public health impact. METHODS: It is based on a longitudinal and quasi-experimental design and it investigates the changes of methamphetamine precursor regulation in Czech Republic, which is treated as a natural experiment. The statistical analysis uses features from the generalized fluctuation test framework as well as from the F test framework to estimate structural changes in the methamphetamine-related arrests and nonfatal intoxications time series. RESULTS: The analysis identified structural breaks in the majority of the methamphetamine drug market-related time series in the period related to the tightening of regulation. The results of this study show that methamphetamine precursor regulation was associated with the proliferation of international and organized crime groups and with no change in the overall number of arrests and nonfatal intoxications. CONCLUSIONS: The precursor regulation ceteris paribus plausibly leads to the change in drug supply towards more organized groups and to an increasing involvement of foreign nationals at the drug market and is not effective in suppressing the methamphetamine market and in reducing the public health indicator of nonfatal methamphetamine intoxications.


Asunto(s)
Control de Medicamentos y Narcóticos/legislación & jurisprudencia , Metanfetamina , Salud Pública , República Checa/epidemiología , Humanos , Proyectos de Investigación
12.
Int J Rehabil Res ; 43(4): 376-382, 2020 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-32991353

RESUMEN

The purpose of this prospective study was to determine whether the cost and cost-effectiveness of early rehabilitation after stroke are associated with the degree of initial disability. The data for cost calculations were collected by the bottom-up (micro-costing) method alongside the standard inpatient care. The total sample included 87 patients who were transferred from acute care to early rehabilitation unit of three participating stroke centers at the median time poststroke of 11 days (range 4-69 days). The study was pragmatic so that all hospitals followed their standard therapeutic procedures. For each patient, the staff recorded each procedure and the associated time over the hospital stay. The cost and cost-effectiveness were compared between four disability categories. The average cost of the entire hospitalization was CZK 114 489 (EUR 4348) with the daily average of CZK 5103 (EUR 194). The cost was 2.4 times higher for the immobile category (CZK/EU: 167 530/6363) than the self-sufficient category (CZK/EUR: 68 825/2614), and the main driver of the increase was the cost of nursing. The motor status had a much greater influence than cognitive status. We conclude that the cost and cost-effectiveness of early rehabilitation after stroke are positively associated with the degree of the motor but not cognitive disability. To justify the cost of rehabilitation and monitor its effectiveness, it is recommended to systematically record the elements of care provided and perform functional assessments on admission and discharge.


Asunto(s)
Evaluación de la Discapacidad , Hospitalización/economía , Rehabilitación de Accidente Cerebrovascular/economía , Adulto , Anciano , Anciano de 80 o más Años , Análisis Costo-Beneficio , República Checa , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos
13.
Zookeys ; 955: 147-158, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32855596

RESUMEN

Atelestus turcicus Barták, sp. nov. (Turkey) and Atelestus ibericus Barták, sp. nov. (Spain) are described and illustrated. A key to all known Palaearctic species of Atelestus is provided and the main diagnostic characters are discussed. The female of Nemedina acutiformis Carles-Tolrá, 2008 is described for the first time. New distributional records are presented: Atelestus dissonans Collin, 1961 - first records from Spain and Bulgaria, A. pulicarius (Fallén, 1816) - first record from Turkey, Nemedina alamirabilis Chandler, 1981 - first record from Bulgaria and N. acutiformis Carles-Tolrá, 2008 - first record from Turkey.

14.
Artículo en Inglés | MEDLINE | ID: mdl-32635320

RESUMEN

BACKGROUND AND AIMS: The current level of knowledge concerning the effect of socioeconomic status (SES) on internet use, gambling, and substance use in structurally disadvantaged regions is scarce. The objective of this study was an investigation of the relationship between SES and risky internet use, gambling and substance use in a structurally disadvantaged region in Central Europe. METHODS: A cross-sectional survey was conducted among high school students (n = 1063) in a Czech structurally disadvantaged region in autumn 2017. Binary Logistic Regression models were applied to data from the modified Excessive Internet Use scale (mEIUS), a standard tool for measuring the risk of addictive behavior on the internet and the risk of excessive gaming. Other data were collected using the Lie/Bet (problematic gambling), CAGE (acronym of the key words: cut, angry, guilty and eye-opener), and the Cannabis Abuse Screening Test (CAST) (problematic alcohol/cannabis use) tools. RESULTS: There were statistically significant differences between at-risk and not-at-risk groups in addictive behavior on the internet and gaming, while none were found in problematic gambling. Individual dimensions of SES showed significant effects on substance use. Regarding parenting styles, significant differences were found only in the risk of addictive behavior on the internet or gaming between the authoritarian and authoritative styles. Being engaged in behavioral addictions with one´s parents increased the odds of the behavioral addiction risk and decreased the odds of the substance addiction risk. Engagement with one´s parents in substance addictions decreased the odds of the behavioral addiction risk and increased the odds of the substance addiction risk. DISCUSSION AND CONCLUSIONS: The results point at specific relations between SES and the risk of addictive behaviors on the internet and gaming within structurally disadvantaged regions. The results of SES and/or structurally disadvantaged region measures obtained in research, policy-making, and care-provision may improve the focus of actions taken.


Asunto(s)
Conducta Adictiva/epidemiología , Juego de Azar/epidemiología , Internet , Trastornos Relacionados con Sustancias/epidemiología , Juegos de Video , Adolescente , Estudios Transversales , Europa (Continente) , Femenino , Humanos , Masculino , Clase Social , Poblaciones Vulnerables
15.
Zootaxa ; 4567(2): zootaxa.4567.2.6, 2019 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-31715899

RESUMEN

Carnidae of the genera Meoneura and Hemeromyia in the collection of Miroslav Barták, deposited in the Czech University of Life Sciences (Prague) have been studied. Five species are newly described: Meoneura artoodetoo spec. nov. (Uzbekistan), Meoneura baechli spec. nov. (Italy), Meoneura gnomi spec. nov. (Uzbekistan), Meoneura joedaltoni spec. nov. (Italy), and Meoneura mucki spec. nov. (Uzbekistan). Additional 21 species of Meoneura and 1 species of Hemeromyia are recorded with first records from Algeria, Andorra, Austria, Bulgaria, Czech Republic, France, Italy, Slovakia, Ukraine, and Uzbekistan.


Asunto(s)
Dípteros , Animales , Europa (Continente)
17.
BMJ Open ; 9(8): e029476, 2019 08 10.
Artículo en Inglés | MEDLINE | ID: mdl-31401601

RESUMEN

INTRODUCTION: Amphetamine-type stimulants (ATS) including amphetamine, methylenedioxymethamphetamine/'ecstasy', methamphetamine, synthetic cathinones and 'Ritalin' are the second most commonly used illicit drugs globally. Yet, there is little evidence on which factors are associated with the development of different patterns of ATS use over the life course. This study aims to examine which individual, social and environmental factors shape different pathways and trajectories of ATS consumption. The study will be conducted in five European countries: Germany, the Netherlands, Poland, Czech Republic and the UK. METHODS AND ANALYSIS: We will use a sequential mixed-methods study design to investigate the multiple factors (familial, social and occupational situation, critical life events, general risk behaviour, mental and physical health, satisfaction with life) that shape individual ATS use pathways. A systematic literature review will be performed to provide an overview of the current academic literature on the topic. In module 1, qualitative semistructured interviews (n=ATS users and non-users) will be conducted to explore individual experiences of, and perspectives on, dynamics of change in stimulant consumption patterns. In module 2, structured questionnaires (n=2000 ATS users and non-users) will be administered via tablet computers to validate and enhance the generalisability of the interview findings. Data integration will take place at two key points. First, during the study, where the findings from the first qualitative interviews will inform the design of the structured questionnaire. Second, at the end of the study, where mixed methods data will be brought together to generate an in-depth, contextualised understanding of the research topic. ETHICS AND DISSEMINATION: The study has been approved by the respective responsible ethics committee in each participating country. Data will be treated confidentially to ensure participants' anonymity. Findings will be disseminated in peer-reviewed scientific journals, national and international conferences, and in briefings for policy and practice.


Asunto(s)
Estimulantes del Sistema Nervioso Central/administración & dosificación , Proyectos de Investigación , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/psicología , Europa (Continente)/epidemiología , Humanos , Estudios Multicéntricos como Asunto , Medición de Riesgo , Factores de Riesgo , Revisiones Sistemáticas como Asunto
18.
Zookeys ; 838: 35-48, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31048967

RESUMEN

A list of all the species of Chamaemyiidae known from Turkey is compiled from the literature and supplemented by new records. A total of 40 species in five genera is given with updated nomenclature. One undescribed species is illustrated but not named for lack of males. The distribution of each species outside Turkey is summarised.

19.
Zootaxa ; 4555(1): 91-100, 2019 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-30790949

RESUMEN

Empis (Pachymeria) vikhrevi sp. nov. is described from Bulgaria and Turkey (Bolu Province). Empis (Xanthempis) adanaensis sp. nov. is described from Turkey (Adana Province). The subgenus Xanthempis is registered for the first time from Israel, with one species E. (X.) testiculata Bezzi, 1909. Also, this species is recorded for the first time from Turkey (Mugla Province) and the female is described for the first time. A subdivision of Pachymeria into two species groups (E. femorata group and E. tumida group) is proposed. Keys to species of Pachymeria known from the Palaearctic and Xanthempis known from the Mediterranean basin are presented.


Asunto(s)
Dípteros , Distribución Animal , Animales , Bulgaria , Femenino , Israel , Turquia
20.
Cent Eur J Public Health ; 27 Suppl: S29-S39, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31901190

RESUMEN

OBJECTIVES: The study focuses on the 2012 methanol outbreak in the Czech Republic. The main goal of the present study was to apply analytical and descriptive tools to selected qualitative and quantitative processes related to the 2012 methanol outbreak in the Czech Republic. The secondary goal was to study and evaluate in detail their potential for creating integrated conceptual national policies aimed at eliminating the risk of methanol poisoning in the future. METHODS: The presented qualitative analysis focused on the content of documents published by Czech public authorities - the Ministry of Health, the Ministry of the Interior, the Czech Agriculture and Food Inspection Authority, and the Regional Public Health Authorities - as well as the content of the relevant legal regulations. Moreover, statistical data concerning the number of hospitalisations and deaths due to the methanol intoxication were used to provide a background to a detailed description of the relevant facts. RESULTS: In procedural terms, most of the analysed measures focused on a strongly restrictive regulation of sales, regular information channels designed to protect consumers on the national as well as international level, and elimination of further health and economic risks stemming from the dangerous alcoholic products that had already entered distribution networks. The health, social and economic consequences of such activities are quantified at a highly aggregated level. The analysed institutional ties are evaluated also in the context of international documents: the European Action Plan to Reduce Harmful Use of Alcohol 2012-2020 and the Global Strategy to Reduce Harmful Use of Alcohol, and their current potential for steering public policies is assessed. CONCLUSION: The analysis and evaluation of procedural activities carried out after the methanol outbreak have laid the foundations for a multidimensional study that can contribute to integrated national policy concepts aimed at preventing these and similar negative health, societal and economic consequences. Six years after the methanol outbreak, national and regional health policies have reflected no findings concerning the experience of patients whose health was impaired due to methanol, and the economic cost of the event has not been calculated. The quality of life of these patients has greatly decreased due to permanent or partial incapacity and serious upheavals of their and their families' economic and social conditions. This opens the question of researching and evaluating multiple aspects of health, social and economic impacts of harmful use of alcohol and setting up processes to mitigate these impacts.


Asunto(s)
Brotes de Enfermedades , Metanol/envenenamiento , Envenenamiento/epidemiología , Política Pública , República Checa/epidemiología , Humanos , Investigación Cualitativa
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