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2.
Cesk Slov Oftalmol ; 1(Ahead of print): 1-15, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33086847

RESUMO

Juvenile idiopathic arthritis (JIA) is the most common rheumatic disease in children and uveitis is its most important extra-articular manifestation. Evidence-based recommendations are available only to a limited extent and therefore JIA associated uveitis management is mostly based on physicians experience. Consequently, treatment practices differ widely, both nationally and internationally. Therefore, an effort to optimize and publish recommendations for the care of children and young adults with rheumatic diseases was launched in 2012 as part of the international project SHARE (Single Hub and Access Point for Pediatric Rheumatology in Europe) to facilitate clinical practice for paediatricians and (paediatric) rheumatologists. The aim of this work was to translate published international SHARE recommendations for the diagnosis and treatment of JIA associated uveitis and to adapt them for use in the Czech and Slovak Republics. International recommendations were developed according to the standard methodology of the European League against Rheumatism (EULAR) by a group of nine experienced paediatric rheumatologists and three experts in ophthalmology. It was based on a systematic literature review and evaluated in the form of an online survey and subsequently discussed using a nominal group technique. Recommendations were accepted if > 80% agreement was reached (including all three ophthalmologists). A total of 22 SHARE recommendations were accepted: 3 on diagnosis, 5 on disease activity assessment, 12 on treatment and 2 on future recommendations. Translation of the original text was updated and modified with data specific to the czech and slovak health care systems and supplemented with a proposal for a protocol of ophthalmological dispensarization of paediatric JIA patients and a treatment algorithm for JIA associated uveitis. Conclusion: The aim of the SHARE initiative is to improve and standardize care for paediatric patients with rheumatic diseases across Europe. Therefore, recommendations for the diagnosis and treatment of JIA-associated uveitis have been formulated based on the evidence and agreement of leading European experts in this field.


Assuntos
Artrite Juvenil , Uveíte , Artrite Juvenil/complicações , Artrite Juvenil/diagnóstico , Artrite Juvenil/terapia , Criança , República Tcheca/epidemiologia , Europa (Continente) , Humanos , Eslováquia/epidemiologia , Uveíte/diagnóstico , Uveíte/epidemiologia , Uveíte/etiologia , Adulto Jovem
3.
Anticancer Res ; 40(11): 6257-6264, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33109563

RESUMO

BACKGROUND/AIM: The aim of this study was to evaluate the relationship between MDM2 T309G polymorphism and prostate cancer risk in the Slovak population and the association of this polymorphism with MDM2 expression and clinicopathological features. MATERIALS AND METHODS: The MDM2 T309G polymorphism was determined by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis in 506 prostate cancer patients and 592 controls. Quantitative real-time (RT)-PCR and western blot analysis were applied to examine MDM2 expression in 47 prostate cancer tissues and 43 benign prostatic hyperplasia (BPH) tissues. RESULTS: A decreased risk of prostate cancer in men carrying the GG genotype in comparison with the TT genotype was found. A decrease in the relative MDM2 mRNA and protein levels was found in prostate cancer tissues among patients with the MDM2 GG genotype. CONCLUSION: There is a potentially protective effect of the MDM2 GG genotype on the risk of prostate cancer in the Slovak male population.


Assuntos
Regulação Neoplásica da Expressão Gênica , Estudos de Associação Genética , Predisposição Genética para Doença , Polimorfismo de Nucleotídeo Único/genética , Neoplasias da Próstata/genética , Proteínas Proto-Oncogênicas c-mdm2/genética , Idoso , Estudos de Casos e Controles , Frequência do Gene , Humanos , Masculino , Neoplasias da Próstata/patologia , Fatores de Risco , Eslováquia
4.
Klin Onkol ; 33(5): 386-389, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33108884

RESUMO

BACKGROUND: In December 2019 a new strain of coronavirus SARS-CoV-2 has emerged and affected health care worldwide. Patients with cancer and other comorbidities are at increased risk for adverse outcomes in this infection. CASE: In this case report we present a 75-year-old patient with a localized gastric adenocarcinoma, currently treated by perioperative chemotherapy regimen, who had an rT-PCR proven novel coronavirus SARS-CoV-2 infection. Laboratory and radiologic assessments were performed in order to assess disease severity; however, the findings were not altered in accordance with the findings associated with COVID-19 disease. RESULTS: On the first hospital day the patient had a low grade fever with chills. Subsequently a pharmacological therapy with hydroxychloroquine and azithromycin was started. After pharmacologic and symptomatic treatment, the patient was reassessed for SARS-CoV-2, with negative results. At discharge, the patient was ordered a 14-day mandatory quarantine. After 57 days of follow-up, the patient underwent a new rapid antibody test by Acro Biotech inc., which gave negative results for IgM and IgG. CONCLUSION: An infection with SARS-CoV-2 is associated with a more severe disease in patients with comorbidities and cancer; however, this case patient had a mild course of COVID-19 disease. The aim of this case report is to share the information on the clinical course and outcomes of a patient with malignancy. Rapid spreading of information is crucial in the management of COVID-19.


Assuntos
Adenocarcinoma/complicações , Infecções por Coronavirus/complicações , Pneumonia Viral/complicações , Neoplasias Gástricas/complicações , Idoso , Azitromicina/administração & dosagem , Betacoronavirus , Infecções por Coronavirus/tratamento farmacológico , Humanos , Hidroxicloroquina/administração & dosagem , Masculino , Pandemias , Alta do Paciente , Pneumonia Viral/tratamento farmacológico , Eslováquia , Resultado do Tratamento
5.
Ambio ; 49(12): 1912-1924, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32915444

RESUMO

There is a need for societal transformation towards bioeconomy, which promotes the replacement of non-renewable natural resources with renewable ones. Slovakia has considerable potential for bioeconomy development, yet this potential remains untapped. This article evaluates the public perception regarding the individual properties of renewable and non-renewable materials and their relation to the potential for bioeconomy development in Slovakia. It is found that Slovak consumers prefer natural renewable materials, regardless of other influencing factors, and realise the need for transformation towards a more sustainable economy.


Assuntos
Biotecnologia , Eslováquia
6.
Bratisl Lek Listy ; 121(9): 628-633, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32990010

RESUMO

AIMS: The aim of this study was to explain the demographic data, comorbidity and laboratory findings of our first cases in COVID-19 pneumonia in our country. METHODS: We gathered the data of COVID-19 pneumonia participants from our electronic medical system, including daily medical knowledge and laboratory, radiological, and microbiological results between March 10 to April 7, 2020. RESULTS: Totally, 125 patients, whose findings were compatible with COVID-19, were included in the study, 42 patients were excluded from the study. The distribution of genders was, 39 females (46.9 %), 44 males (53.01 %), the average age was 56.36 ± 16.25 (19-85). Hypertension above 60 years of age and diabetes mellitus under 60 years of age were the most common comorbidities. Neutrophils/ Lymphocyte percent(% NLR) was noted in 44 (53.01 %) patients, average: 3 (range 1.78-4.63). There was a statistically significant and positive relationship between D-dimer and C Reactive Protein (CRP) and ferritin. CONCLUSION: We detected that comorbidities, which were seen at COVID-19 disease differ according to the patients age. Besides that D-dimer, ferritin and CRP outcomes were particularly high and had a significant correlation with COVID-19 severity (Tab. 3, Fig. 2, Ref. 25). Text in PDF www.elis.sk Keywords: COVID-19, prognosis, acute phase reactan.


Assuntos
Proteínas da Fase Aguda/análise , Infecções por Coronavirus/diagnóstico , Pneumonia Viral/diagnóstico , Adulto , Idoso , Betacoronavirus , Comorbidade , Infecções por Coronavirus/epidemiologia , Diabetes Mellitus/epidemiologia , Feminino , Humanos , Hipertensão/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Prognóstico , Eslováquia/epidemiologia , Adulto Jovem
7.
Cent Eur J Public Health ; 28(3): 178-186, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32997472

RESUMO

OBJECTIVES: This study aims to identify the differences in the use of HPV vaccination between female medical students in the Czech and Slovak Republics and their possible causes. METHODS: We performed a cross-sectional survey among female students of general medicine in all faculties of medicine in the Czech and Slovak Republics. RESULTS: We obtained 630 questionnaires from the Czech Republic and 776 questionnaires from the Slovak Republic. In the Czech Republic, 65.4% of female medical students underwent HPV vaccination, while in the Slovak Republic, the figure was 21.1%. In the Czech Republic, residency and religion of students did not influence their rate of vaccination. However, in the Slovak Republic, village residency with less than 5,000 inhabitants lowered the probability of vaccination with OR = 0.56 (95% CI: 0.38-0.84), and the Catholic religion lowered the probability of vaccination with OR = 0.40 (95% CI: 0.28-0.57). Czech students were informed about the possibility of vaccination by a paediatrician in 55.7% of cases, while the figure for Slovak students was 26.8%. In the Czech Republic, 75.7% of students participated in regular cervical oncologic screening, while in the Slovak Republic, the figure was 57.7%. Vaccination of relatives would be recommended by 86.5% and 80.5% of Czech and Slovak students, respectively. CONCLUSIONS: The adoption of an oncologic prevention programme and the more extensive propagation by paediatricians are probably the medical reasons for the higher HPV vaccination among Czech students. Demographic factors - village residency and religion - are also important.


Assuntos
Vacinas contra Papillomavirus/administração & dosagem , Estudantes de Medicina/psicologia , Vacinação/psicologia , Estudos Transversais , República Tcheca , Feminino , Humanos , Infecções por Papillomavirus/prevenção & controle , Eslováquia , Estudantes de Medicina/estatística & dados numéricos , Inquéritos e Questionários , Vacinação/estatística & dados numéricos
8.
Ann Agric Environ Med ; 27(3): 361-367, 2020 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-32955215

RESUMO

INTRODUCTION: Trichinella spp. are zoonotic parasitic nematodes with almost worldwide distribution. The infection can be transmitted through the foodborne route and can cause serious health problems in infected human patients. It is also an economically important issue due to the high financial cost connected with prevention of the disease. OBJECTIVE: The study aimed to discover trends in the epidemiological situation in people and animals in Slovakia in 2009-2018. MATERIAL AND METHODS: Data on human trichinellosis originated from the Public Health Authority of the Slovak Republic, and data on Trichinella infection in animals from the State Veterinary and Food Administration of the Slovak Republic. A seroepidemiological study on 655 voluntary respondents was performed. RESULTS: Altogether, 29 human cases were reported between 2009-2018, with a maximum of 13 cases in 2011. Males were affected more often (19 cases) than females (10 cases); the average age of patients was 45.1 years. Antibodies to Trichinellawere detected in two sera (0.3%): in a serum from one hunter and one veterinarian. In the monitored period, the average prevalence of Trichinella infection was 9.6% in 2,295 red foxes, and 0.04% in 165,643 wild boars. Three (1.7%) of 178 surveyed brown bears were positive. Within the compulsory monitoring of trichinellosis in domestic pigs, none from a total of 1,632,688 pigs were positive. The presence of three species, Trichinellabritovi, T. spiralis and T. pseudospiralis, was documented, with T. britovi representing 93.9% of identified isolates. CONCLUSIONS: The study indicates that the prevalence of Trichinella infection has not changed considerably with time in Slovakia, and the risk of human infection outbreaks is connected mainly with the consumption of wild boar meat.


Assuntos
Raposas , Doenças dos Suínos/epidemiologia , Trichinella/isolamento & purificação , Triquinelose/epidemiologia , Triquinelose/veterinária , Ursidae , Adulto , Animais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Eslováquia/epidemiologia , Sus scrofa , Suínos , Doenças dos Suínos/parasitologia , Triquinelose/parasitologia
9.
Ann Agric Environ Med ; 27(3): 485-488, 2020 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-32955234

RESUMO

INTRODUCTION AND OBJECTIVES: The parasite Cryptosporidium spp. is an intracellular protozoa which has a broad range of hosts and zoonotic potential. It presents a serious health risk for agricultural workers and veterinarians. The aim of the study was to identify the species and subtypes of Cryptosporidium occurring in a veterinary student who came into contact with calves on a farm. MATERIAL AND METHODS: The Ziehl-Neelsen staining technique was employed to confirm the presence of Cryptosporidium oocysts. ELISA test was applied to detect coproantigen in faecal specimens. Nested PCR was used to amplify a small ribosomal subunit (SSU rRNA) and sequencing of the GP60 gene served to identify the zoonotic subtypes. RESULTS: The nested PCR allowed to confirm the C. parvum species; subsequently, the IIdA15G1 zoonotic subtype was identified. CONCLUSIONS: This is the first confirmed case in Slovakia of human cryptosporidiosis caused by the unique subtype IIdA15G1.


Assuntos
Criptosporidiose/diagnóstico , Cryptosporidium parvum/isolamento & purificação , Animais , Criptosporidiose/parasitologia , Cryptosporidium parvum/classificação , Ensaio de Imunoadsorção Enzimática , Humanos , Reação em Cadeia da Polimerase , Proteínas de Protozoários/análise , Eslováquia , Estudantes de Medicina , Medicina Veterinária , Adulto Jovem , Zoonoses/diagnóstico , Zoonoses/parasitologia
10.
Bratisl Lek Listy ; 121(7): 481-483, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32990000

RESUMO

The Covid-19 pandemic has fully opened the debate on the complexity of the problem, which goes far beyond medical and epidemiological analyzes and proposals, although these are key to the decisions of leaders in the decisive sphere. Critical situations always force us to look for new methods. This is also indicated by paradigmatic changes in the overall functioning and position of medical faculties in Slovakia and abroad (1,2,3). The adaptation of the faculty administration at the time of this crisis is admirable in many respects and essential for the long-term societal struggle with the pandemic. (Ref. 3). Keywords: COVID-19, Coronavirus 2019, pandemic, public health, medical faculties in Slovakia.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Docentes de Medicina , Humanos , Eslováquia
11.
Environ Monit Assess ; 192(10): 656, 2020 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-32968838

RESUMO

The extensive construction of drainage systems in the lowlands and flood plains of Slovakia has significantly changed the landscape and runoff ratios of rivers. Our study focuses on the assessment of the benefits provided by the ecosystems of water ditches and their catchment areas. Ditches and their buffer zone, similarly to other artificial anthropogenic elements in the country, fulfil various landscape-ecological functions and provide different ecosystem services (ESs) to human populations and society. As study areas, we chose ditches and their 1-km buffer zones in the Podunajská nízina (P) lowland and Východoslovenská nízina (V) lowland (Slovakia). There are notable differences between these two selected lowlands. Hence, there are also differences in their potential to provide various ESs. Based on a re-evaluation of the present state of the ditches, we evaluated nine ESs related to three main groups of ESs, using the Common International Classification of Ecosystem Services (CICES). We assessed the ESs and benefits provided by ditches and their buffer zone in two ways: (1) ES assessment by experts and (2) biophysical assessment of ESs and their benefits based on an integrated assessment framework (relations between pressures, ecological status, and delivery of ESs). Finally, we compared the potentials for provisioning of the study areas. The study area in the V lowland has the highest potential to provide "Lifecycle maintenance, habitat and gene pool protection" benefits, and the study area in the P lowland has the highest potential to provide "Surface water for non-drinking purposes."


Assuntos
Ecossistema , Monitoramento Ambiental , Agricultura , Rios , Eslováquia
12.
Cesk Slov Oftalmol ; 76(1): 46-51, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32917094

RESUMO

INTRODUCTION: In the past enucleation was the treatment of choice for all the patients with uveal melanoma. Nowadays, we prefer glope-sparing treatment modalities, except for large tumors, tumors with extrascleral extension and painful blind eyes. Most of the patients perform radiotherapy or local resection techniques. In Slovak Republic, the only one possibility is a stereotactic radiotherapy on a linear accelerator LINAC. Nevertheless, enucleation after radiotherapy is necessary for some patients. The causes are postradiation complications, mainly neovascular glaucoma, tumor recurrence, tumor progression or patient´s decision. MATERIAL AND METHODS: The retrospective non-randomised study of 168 eyes of the patients with choroidal or ciliary body melanoma, who performed one-day session stereotactic radiosurgery at the linear accelerator LINAC during period 2007-2016. The data about postradiation complications were analysed based on the medical records of the patients and the data about enucleated eyes based on the histopathological findings. RESULTS: The occurence of enucleation after radiotherapy in our cohort was 17 % (28 patients), with median time period after radiotherapy 21,5 months. The most common cause was neovascular glaucoma (82 %), then tumor progression (14 %) and patient´s decision (4 %). The most common histopathological finding was spindle-cell melanoma. DISCUSSION: Others authors describe similar enucleation rate and causes. The histopathological findings indentified more viable melanoma cells in eyes enucleated for tumor progression in comparison with enucleation for other causes. Enucleation may be more difficult and the occurence of postoperative complications can be higher in the eyes after radiotherapy rather than primary enucleation. CONCLUSION: The management of the patients with uveal melanoma is difficult, and requires the cooperation of ophthalmologist, oncologist, radiation physicist and pathologist. Even if we make effort to preserve the eye, enucleation after radiotherapy is necessary in some patients.


Assuntos
Melanoma , Radiocirurgia , Neoplasias Uveais , Humanos , Melanoma/radioterapia , Melanoma/cirurgia , Estudos Retrospectivos , Eslováquia , Resultado do Tratamento , Neoplasias Uveais/radioterapia , Neoplasias Uveais/cirurgia
13.
Vnitr Lek ; 66(3): 186-189, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32972167

RESUMO

Chloride ions are involved in regulating cell volume, secreting body fluids and maintaining acid-base balance. Hypo/hyperchloraemia in neonates and infants is an emergent situation requiring careful differential diagnosis to detect a cause of the condition. The rare causes of severe hypochloremia include congenital chloridorhea (CLD), characterized by profound bulky diarrhea, high chloride concentration in stool, and severe metabolic alkalosis. CLD is a rare autosomal recessive disease caused by the mutation of the SLC26A3 gene located on chromosome 7q31, which encodes the transmembrane protein in intestinal cells. Genetic defect causes a disorder of intestinal chloride absorption and bicarbonate secretion. Profound diarrhea induces significant losses of water and electrolytes, leading to volume depletion, hyperreninemia, hyperaldosteronism, renal loss of potassium and occasionally to the development of chronic nephropathy. The authors present rare cases of two brothers with genetically confirmed CLD. Both children were born with lower birth weight and shortly after birth required administration to ICU because of notable distended abdomen and diarrhea with severe dehydration and electrolyte imbalance. Significant hypochloraemia (76 mmol/l or 78 mmol/l) and extreme metabolic alkalosis (pH 7.63; HCO3 46 mmol/l and pH 7.73; HCO3 40 mmol/l resp.) were dominant laboratory features. Renal chloride losses and cystic fibrosis were excluded; the chloride concentration test in stool was not available. After intravenous suplementation of electrolytes, the biochemical abnormalities were partially normalized and watery stools persist. In further development, the frequent episodes of dehydratation reguiring the parenteral treatment were present. Renal functions are at age 6 or 2 years resp. normal, but USG signs of nephrocalcinosis in the older boy have been observed. By molecular genetic testing the same genotype in both siblings was identified the previously not described variant c.629_63Ildel (p.Ile210del) and the pathogenic variant in the heterozygous state of the SLC26A3 gene. In persistent watery diarrhea, hypochloraemia, hypokalaemia and metabolic alkalosis, a congenital chloridorhea should be consider. The diagnosis is based on a typical clinical picture of watery diarrhea from neonatal age, evidence of a high chloride concentration in stool > 90 mmol/l and molecular-genetic examination. CLD patients require regular nephrologic monitoring for the risk of chronic nephropathy or functional tubular damage.


Assuntos
Diarreia , Hipopotassemia , Criança , Pré-Escolar , Antiportadores de Cloreto-Bicarbonato , Cloretos , Diarreia/genética , Fezes , Humanos , Lactente , Recém-Nascido , Masculino , Eslováquia , Transportadores de Sulfato
14.
Parasitol Res ; 119(10): 3297-3304, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32827105

RESUMO

A comparative study on the strobilar morphology of the tapeworm Proteocephalus percae (Müller, 1780) (Cestoda), a parasite of the perch Perca fluviatilis (L.), showed a high percentage of abnormally developed parasite individuals. The evaluation of biological samples showed seven types of morphological abnormalities, mostly related to reproductive organs of the model tapeworm species. The most commonly identified deformity was an incomplete segmentation of the strobila. A malformed ovary, which is a structural anomaly linked with proglottization and maturation of the strobila, was also shown to be rather frequent. Offish hosts (P. percae) were collected from two localities with different levels of heavy metal pollution, the highly contaminated water reservoir Ruzín and a control locality, the water reservoir Palcmanská Masa, which belongs to the European network of protected areas in Slovakia. Tapeworm abnormalities occurred more frequently in individuals from the contaminated environment (29.9%) compared with individuals from the control site (4.9%). The concentrations of heavy metals found in the parasites and their fish hosts from the heavily polluted reservoir support our assumption that the occurrence of abnormalities could be linked with the destructive effect of toxic substances. The present study also demonstrates that the enumeration of body deformities exceeding the common level of phenotypic variability of particular parasitic species could potentially be used as an indicator of environmental problems.


Assuntos
Monitoramento Biológico/métodos , Cestoides/anatomia & histologia , Infecções por Cestoides/veterinária , Doenças dos Peixes/parasitologia , Percas/parasitologia , Animais , Cestoides/efeitos dos fármacos , Infecções por Cestoides/parasitologia , Feminino , Metais Pesados/toxicidade , Eslováquia , Poluentes da Água/toxicidade
15.
Environ Monit Assess ; 192(8): 534, 2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32691161

RESUMO

The variability of selected biogenic elements in soils and leaves of three dominant plant species was studied in segments of Querci-Fageta typica and Fagi-Querceta typica forest ecosystems located near R1 Pribina highway in SW Slovakia. The amounts of nutrients (Mg, K, Na and Zn) in soils distant 30 m from the highway were mostly low and increased significantly with a depth of soil. On the other hand, the highest Ca concentrations were found in the surface humus horizons and decreased significantly with soil depth. The Mg, K and Zn contents found in soil mineral horizons 8000 m from the highway were more balanced than those found at 30 m from the highway. The nutrient content of plant leaves was mostly significantly higher at a distance of 30 m from the highway than 8000 m from the highway, for Ca (Prunus spinosa, Melica uniflora), Mg (P. spinosa), Na (Quercus cerris, P. spinosa) and Zn (Q. cerris, M. uniflora). The tightness of the relationships between nutrient contents in leaves and the distance from the highway was the highest for Ca (P. spinosa, M. uniflora), Mg, Na, Zn (Q. cerris, P. spinosa) and K (M. uniflora). The K/(Mg + Ca) ratios in Q. cerris and P. spinosa leaves distant 8000 m from the highway were more balanced than those found at 30 m from the highway. This markedly points to favourable biological activity and better stability of the more distant control ecosystem with lower level of pollutants.


Assuntos
Poluentes do Solo/análise , Solo , Ecossistema , Monitoramento Ambiental , Florestas , Nutrientes , Eslováquia
16.
Artigo em Inglês | MEDLINE | ID: mdl-32635422

RESUMO

Psychotherapists around the world are facing an unprecedented situation with the outbreak of the novel coronavirus disease (COVID-19). To combat the rapid spread of the virus, direct contact with others has to be avoided when possible. Therefore, remote psychotherapy provides a valuable option to continue mental health care during the COVID-19 pandemic. The present study investigated the fear of psychotherapists to become infected with COVID-19 during psychotherapy in personal contact and assessed how the provision of psychotherapy changed due to the COVID-19 situation and whether there were differences with regard to country and gender. Psychotherapists from three European countries: Czech Republic (CZ, n = 112), Germany (DE, n = 130) and Slovakia (SK, n = 96), with on average 77.8% female participants, completed an online survey. Participants rated the fear of COVID-19 infection during face-to-face psychotherapy and reported the number of patients treated on average per week (in personal contact, via telephone, via internet) during the COVID-19 situation as well as (retrospectively) in the months before. Fear of COVID-19 infection was highest in SK and lowest in DE (p < 0.001) and was higher in female compared to male psychotherapists (p = 0.021). In all countries, the number of patients treated on average per week in personal contact decreased (p < 0.001) and remote psychotherapies increased (p < 0.001), with more patients being treated via internet than via telephone during the COVID-19 situation (p < 0.001). Furthermore, female psychotherapists treated less patients in personal contact (p = 0.036), while they treated more patients via telephone than their male colleagues (p = 0.015). Overall, the total number of patients treated did not differ during COVID-19 from the months before (p = 0.133) and psychotherapy in personal contact remained the most common treatment modality. Results imply that the supply of mental health care could be maintained during COVID-19 and that changes in the provision of psychotherapy vary among countries and gender.


Assuntos
Infecções por Coronavirus/psicologia , Pneumonia Viral/psicologia , Psicoterapia/estatística & dados numéricos , Telemedicina/estatística & dados numéricos , Adulto , Betacoronavirus , Coronavirus , República Tcheca , Medo , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Psicoterapia/métodos , Eslováquia , Inquéritos e Questionários
17.
Artigo em Inglês | MEDLINE | ID: mdl-32599727

RESUMO

Background: This study aimed to determine the relationship between stress intensity and coping strategies and the quality of life and health among nursing students in Poland, Spain and Slovakia. Methods: The study was performed on a group of 1002 nursing students from three European countries. A diagnostic survey was used as a research method and the data collection was based on the Perceived Stress Scale PSS-10, Mini-COPE Coping Inventory-and the WHOQoL-Bref questionnaire. Results: The average age of all the respondents was 21.6 years (±3.4). Most of the surveyed students rated their stress intensity over the last month as moderate or high. Comparison of the results of the stress levels in relation to the country of residence did not reveal statistically significant differences. In the group of Polish students, the most positive relationship between active coping strategies and the quality of life in the psychological (r = 0.43; p < 0.001) and physical health domain (r = 0.42; p < 0.001) were most strongly marked. Among Slovak students, significant correlations of low intensity were found between active coping strategies and the quality of life in the physical health (r = 0.15; p < 0.01), psychological (r = 0.21; p < 0.001), social relationships (r = 0.12; p < 0.05) and environment (r = 0.19; p < 0.001) domain. In overcoming stressful situations, Spanish students used the Sense of Humour strategy, which is considered less effective, although very useful in some cases. In this group, the strongest positive correlation was found for the psychological domain (r = 0.40; p < 0.001). Conclusions: There is a need to implement prevention and stress coping programmes at every stage of studies to ensure effective protection against the negative effects of stress and to improve the quality of life of nursing students.


Assuntos
Adaptação Psicológica , Estresse Psicológico , Estudantes de Enfermagem , Atividades Cotidianas , Adulto , Europa (Continente) , Humanos , Polônia , Qualidade de Vida , Eslováquia , Espanha , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários , Adulto Jovem
18.
Environ Sci Pollut Res Int ; 27(32): 40930-40948, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32681326

RESUMO

The relationship between tourism development, economic growth, renewable energy consumption, and carbon dioxide emissions has been examined in a variety of contexts; however, the extant studies report contradictory findings mainly due to utilizing arbitrary empirical techniques. We present a comprehensive literature review and the effects of tourism development, economic growth, and renewable energy consumption on the carbon dioxide (CO2) emission. Specifically, the effects of gross domestic product, renewable energy consumption, and tourism receipts on carbon dioxide emissions in OECD countries are examined utilizing the bootstrap panel cointegration technique and the augmented mean group estimator. The results showed that tourism development has negative and significant effects on CO2 emission in Canada, Czechia, and Turkey, while tourism development has positive and significant effects on CO2 emission in Italy, Luxembourg, and the Slovak Republic. Also, Belgium, France, New Zealand, and the Slovak Republic have shifted towards sustainable tourism practices. Theoretical and practical implications are discussed.


Assuntos
Dióxido de Carbono , Desenvolvimento Econômico , Bélgica , Canadá , Dióxido de Carbono/análise , França , Itália , Luxemburgo , Nova Zelândia , Organização para a Cooperação e Desenvolvimento Econômico , Energia Renovável , Eslováquia , Turquia
19.
Artigo em Inglês | MEDLINE | ID: mdl-32635439

RESUMO

Background: Overweight and obesity are mostly monitored via the Body Mass Index (BMI), based on self-reported or measured height and weight. Previous studies have shown that BMI as a measure of obesity can introduce important misclassification problems. The aim of this study was to assess the validity of overweight and obesity classification based on self-reported and on measured height and weight versus the proportion of body fat as the criterion. Methods: We used data on 782 adolescents (mean age = 13.5, 55.8% boys) from the Health Behaviour in School-Aged Children (HBSC) study conducted in 2018 in Slovakia. We obtained self-reported (height and weight) and objective measures (height, weight) and the proportion of fat (as the criterion measure) measured via bioimpedance body composition analysis (BIA) with an InBody 230 from the adolescents. Results: Both measured and self-reported BMI indicated overweight and obesity with relatively low sensitivity (66-82%), but high specificity (90-92%). The superior accuracy of measured BMI in comparison to self-reported BMI was confirmed by the area under the curve (AUC) based on the receiver operating characteristics (ROC) curves (AUC measured/self-reported: 0.94/0.89; p < 0.001). The misclassification of overweight and obesity was significantly higher when using self-reported BMI than when using measured BMI. Conclusion: Both self-reported and measured BMI as indicators of overweight and obesity underestimate the prevalence of adolescents with overweight and obesity.


Assuntos
Índice de Massa Corporal , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Adolescente , Estatura , Peso Corporal , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Eslováquia/epidemiologia
20.
Artigo em Inglês | MEDLINE | ID: mdl-32727049

RESUMO

Background: This study analyzed the role of global self-esteem and selected sociodemographic variables in predicting life satisfaction of nursing students in Poland, Spain and Slovakia. Methods: The study subjects were full-time nursing students from three European countries. A diagnostic survey was used as a research method, while the Rosenberg self-esteem scale (SES) and the satisfaction with life scale (SWLS) were used to collect data. Results: The research was performed on a group of 1002 students. The mean age of those surveyed was 21.6 (±3.4). The results showed significant differences both in the level of the global self-esteem index (F = 40.74; p < 0.0001) and in the level of general satisfaction with life (F = 12.71; p < 0.0001). A comparison of the structure of results demonstrated that there were significantly fewer students with high self-esteem in Spain (11.06%) than in Poland (48.27%) and in Slovakia (42.05%), while more students with a high sense of life satisfaction were recorded in Spain (64.90%) than in Poland (37.87%) or in Slovakia (47.44%). A positive, statistically significant correlation was found between global self-esteem and satisfaction with life in the group of Slovak students (r = 0.37; p < 0.0001), Polish students (r = 0.31; p < 0.0001) and Spanish students (r = 0.26; p < 0.0001). Furthermore, a regression analysis proved that three variables explaining a total of 12% output variation were the predictors of life satisfaction in Polish students. The regression factor was positive (ßeta = 0.31; R2 = 0.12), which indicates a positive correlation and the largest share was attributed to global self-esteem (9%). In the group of Spanish students, global self-esteem explained 7% (ßeta = 0.27; R2 = 0.07) of the output variation and 14% in the group of Slovak students (ßeta = 0.38; R2 = 0.14). Conclusions: The global self-esteem demonstrates the predictive power of life satisfaction of nursing students, most clearly marked in the group of Slovak students. The measurement of the variables under consideration may facilitate the planning and implementation of programs aimed at increasing self-esteem among young people and promoting the well-being of nursing students.


Assuntos
Satisfação Pessoal , Autoimagem , Estudantes de Enfermagem , Adulto , Europa (Continente) , Feminino , Humanos , Masculino , Polônia , Eslováquia , Espanha , Inquéritos e Questionários , Adulto Jovem
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