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Alcoholism – Epidemic of the Current Time after COVID-19 Pandemic (Letter to the Editor) 酒精中毒——COVID-19大流行后的当代流行病(致编辑的信)
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_02
M. Popovicová, J. Šulcová, R. Barta
Introduction: Harmful consumption of alcohol has a serious impact on public health and is considered as one of the main risk factors for health damage and disease on a global level. Increased consumption of alcohol is dangerous at any age; however, a greater risk has been shown at younger age. For this reason, our research has been focused on the consumption of alcoholic beverages among adolescents. Objective: We investigated the attitudes of students in relation to alcohol consumption. Material and methodology: To obtain necessary information, we used existing available professional literature and a non-standardized questionnaire. For the defined research goal, we included in the research group older elementary school students and high school students. 272 respondents took overall part in the research. To test the hypotheses, we used Pearson's chi-square test of independence, Student's t-test and one-factor analysis of variance (ANOVA test - non-parametric version). Results: The results showed significant differences in alcohol consumption between smokers and non-smokers of elementary school students and high school students. In the observed group, today's generation of young people and teenagers have almost equal experiences with alcohol, whereas boys have a slightly higher drinking frequency. We also confirmed the connection between the frequency of consumption of alcoholic beverages and smoking. Regarding prevention, girls perceive a higher prevention than boys, but the subjective rate of alcoholism prevention importance is not age related. Conclusion: Of all the negative phenomena of modern human society, alcoholism is the most dangerous, due to its massive distribution. Therefore, prevention at primary level is to be taken seriously, which emphasizes a controlled consumption of alcohol. Considering the unfavorable statistical indicators of the increased alcohol consumption, especially in case of women, it is necessary to create long-term selective preventive programs.
导言:有害饮酒对公众健康有严重影响,被认为是全球范围内健康损害和疾病的主要风险因素之一。在任何年龄增加饮酒都是危险的;然而,年龄越小,风险越大。出于这个原因,我们的研究一直集中在青少年酒精饮料的消费上。目的:了解大学生对饮酒的态度。材料和方法:为了获得必要的信息,我们使用了现有的专业文献和一份非标准化的问卷。为了确定研究目标,我们将年龄较大的小学生和高中生纳入研究小组。总共有272名受访者参与了这项研究。为了检验假设,我们使用了Pearson卡方独立性检验,学生t检验和单因素方差分析(ANOVA检验-非参数版本)。结果:吸烟与不吸烟的小学生与高中生在酒精消费量上存在显著差异。在观察组中,今天这一代的年轻人和青少年饮酒的经历几乎相同,而男孩的饮酒频率略高。我们还证实了饮酒频率与吸烟之间的联系。在预防方面,女孩认为预防程度高于男孩,但主观认为预防酗酒的重要性与年龄无关。结论:在现代人类社会的所有负面现象中,酗酒是最危险的,因为它的大规模分布。因此,应重视基层预防,强调控制饮酒。考虑到酒精消费量增加的不利统计指标,特别是在妇女的情况下,有必要制定长期的选择性预防方案。
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引用次数: 0
Survey of Alcohol, substance Abuse, depressive Disorders & other social Pathology in Refugees & Homeless in Postcovid Era: Two cohort nonrandomized Survey of 109 Clients in Post COVID-19 Period 后疫情时期难民和无家可归者酒精、药物滥用、抑郁等社会病理调查:109名后疫情时期难民和无家可归者的两组非随机调查
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_05
J. Poloňová, M. Bednarikova, J. Vallová, M. Vladarova, M. Guľašová, I. Hupkova, Z. Macková, Z. Hajdenova, E. Haluskova, B. Igliarova, D. Hennelova, M. Bosnakova, P. Bryndzak, M. Stachoň, D. Giertliova, P. Mlynárcik, M. Valach, J. Bozik, L. Roman, Z. Ondrúšová, R. Barta, V. Krcmery, A. Paulovicova, E. Vrankova, F. Radi, L. Bazalickova, M. Hrárdy
The postcovid era augmented with armed conflict in Eastern Europe brings new waves of social pathology, including postcovid syndrome, where the commonest signs are depression, anxiosity‚ followed by alcohol, tobacco, or other substance use. Two cohorts of clients of social work: one among migrants and refugees (98 clients); 11 homeless have been studied on development of both symptomes related to stress (post trauma stress syndrome after armed conflict, and chronic stress of homelesness and isolation). Only one case of HIV and HepC in both groups have been recorded, both on ARV or HCV treatment. Tobacco use has been increased in the group of posttrauma stress syndrome related to Group I (armed conflict refugees), but alcohol or substance use were sporadic and exceptional both before and after admission in the 3m follow up.
随着东欧武装冲突的加剧,新冠时代带来了新的社会病理浪潮,包括新冠综合征,其中最常见的症状是抑郁、焦虑,其次是酒精、烟草或其他物质的使用。两组社会工作服务对象:一组是移民和难民(98名服务对象);对11名无家可归者进行了与压力有关的两种症状(武装冲突后创伤后压力综合症,以及无家可归和孤立造成的慢性压力)的发展研究。两组中仅记录了一例艾滋病毒和HepC病例,均接受抗逆转录病毒或丙型肝炎病毒治疗。在与第一组(武装冲突难民)有关的创伤后应激综合症组中,烟草使用有所增加,但在入院前和入院后的300万随访中,酒精或药物使用是零星的和例外的。
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引用次数: 0
Discussion on COVID-19 Prevention apart of Public Health: Several Judgments of national and international Courts Helps to prepare us for the next Wave of Pandemics (Letter to the Editor) 浅谈公共卫生之外的COVID-19预防:国内和国际法院的几项判决有助于我们为下一波大流行做好准备(致编辑的信)
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_06
J. Šikuta, J. Drgová, I. Kmit, V. Krcmery
This letter to the editor highlights other than just medical aspects of ongoing pandemics, just before the third/fourth wave of COVID-19, arriving back to the EU, having destroyed several economic and trade structures in China and Korea in recent months. However, we have some advantages in comparison to December 2019. First, (i) testing is widely available, accessible, cheap and more accurate. Second, vaccines are on the market (ii) and 4.5 billion of the whole population are vaccinated, (iii) Third two molecules of antivirals are registered for clinical use and finally (iv) several judications on both sides of the Atlantic may help to protect the global and local Public Health. In this first letter, we have selected some - according to space - important judgments supporting the protection of health care on one side, and minimizing the side effect of pandemics to human rights, economic bills and legal structure of pandemic response.
这封致编辑的信不仅强调了正在进行的流行病的医学方面,就在第三/第四波COVID-19回到欧盟之前,近几个月来,中国和韩国的几个经济和贸易结构遭到了破坏。然而,与2019年12月相比,我们有一些优势。首先,(i)检测可广泛获得、可获得、便宜且更准确。第二,疫苗上市(二),45亿人口接种了疫苗;(三)第三,两种抗病毒药物分子已注册供临床使用;最后(四)大西洋两岸的若干判决可能有助于保护全球和当地的公共卫生。在这第一封信中,我们根据篇幅选择了一些重要的判决,一方面支持保护卫生保健,另一方面最大限度地减少大流行病对人权、经济法案和大流行病应对法律结构的副作用。
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引用次数: 0
Depression not only due to Post COVID-19 Syndrome: Happiness Diary & Mental Health 抑郁不仅仅是由于COVID-19后综合征:幸福日记与心理健康
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_04
R. Gottschalk, A. Al Trad
Research is always concerned with the topic of how to cure depressive symptoms or alleviate the symptoms. A central therapeutic goal in cognitive behavioral therapy is cognitive restructuring. At the behavioral level, a particular therapeutic intervention is often used to promote a more positive mindset: a positive effect on the psyche of keeping a happiness diary has already been demonstrated. The results of this work are consistent with others reported in the literature, which is why such studies should also be conducted on clinical groups. The purpose of this paper is to investigate the long-term keeping of the happiness diary and what effect this has on the depressive course symptomatology. Subjects were asked at catamnesis (6 months after the end of therapy) whether they still kept their diary regularly and were then instructed to complete the BDI-II again and return it to the practice. These scores were compared to the initial diagnostic from the patient's therapy period (pre- and post-measure-ment) and analyzed. Subjects who had not continued the happiness diary in the next 6 months after the end of therapy achieved a higher score in the BDI-II compared to the subjects who had continued the happiness diary regularly. The results of this work allow conclusions to be drawn about the importance of relapse prevention in psychotherapy.
研究总是关注如何治愈抑郁症状或减轻症状的主题。认知行为疗法的一个中心治疗目标是认知重构。在行为层面,一种特殊的治疗干预经常被用来促进更积极的心态:保持幸福日记对心理的积极影响已经被证明。这项工作的结果与文献中报道的其他结果一致,这就是为什么这样的研究也应该在临床群体中进行。本研究旨在探讨长期保持快乐日记对抑郁症病程症状的影响。在结束治疗6个月后,受试者被问及是否仍然定期写日记,然后被指示再次完成BDI-II并将其返回到实践中。将这些评分与患者治疗期间的初始诊断(测量前后)进行比较并进行分析。在治疗结束后的6个月内没有继续写幸福日记的受试者在BDI-II中的得分高于定期写幸福日记的受试者。这项工作的结果可以得出关于预防复发在心理治疗中的重要性的结论。
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引用次数: 0
Socio-demographic Characteristics of Tick Bite and Erythema migrans not associated with the Diagnosis of Neuroboreliosis 蜱叮咬和移行性红斑的社会人口学特征与神经线虫病的诊断无关
IF 0.2 Pub Date : 2022-11-30 DOI: 10.22359/cswhi_13_6_15
A. Koscalova, K. Holecková, K. Gazdíková, J. Suvada
Introduction Lyme neuroborreliosis (LNB) is a tick-borne infection caused by bacteria Borrelia burgdorferi sensu lato that accounts for 10-15% of all Lyme borreliosis cases in Europe. LNB can present with a variety of neurological manifestations. We aimed to describe the typical anamnestic, clinical and laboratory features of patients diagnosed with LNB and to describe the differences between paediatric and adult cases. Additionally, we assessed the factors associated with definite LNB. Methods We retrospectively evaluated data of patients with suspected LNB had undergone lumbar puncture and were admitted to the Infectious diseases department of University hospital Bratislava, Slovakia, between September 2019 and May 2022. Patients were divided into three categories according to the diagnostic criteria of European Federation of Neurological Societies: A) cases with definite LNB, B) cases with possible LNB, C) non-LNB controls. Results In total, 139 patients were included in the analysis. 32 individuals were classified as definite LNB, 23 as possible LNB and 84 as non-LNB controls. 55.5% were females and 35.3% were children aged<18 years. 56.3% of patients with definite LNB reported a history of tick bite, and 21.9% a history of erythema migrans (EM). Peripheral facial nerve palsy (PFNP) was the most common clinical symptom in patients with definite LNB (65.6%), followed by headache (50.0%), fever (21.9%) and radicular pain (18.8%). In a univariate and multivariable analyses neither history of tick bite nor history of EM were significantly associated with definite LNB. Factors independently associated with definite LNB in multivariable analyses were (i) age < 18 years (aOR 7.89, 95% CI 2.00-31.03, p < 0,003), (ii) female gender (OR 6.34; 95% CI 1.66-24.17, p < 0.007), and (iii) facial nerve palsy (OR 10.54; 95% CI 2.41-55.19, p < 0.002). Conclusion We found that peripheral facial nerve palsy is the strongest predictor of definite LNB, and that the children<18 years and females in our study were more likely to be diagnosed with LNB. Our study also suggests that anamnestic data on history of tick bite and EM contribute little to the diagnosis of LNB and that the examination of CSF is essential for the diagnosis of LNB.
莱姆病神经疏螺旋体(LNB)是一种由伯氏疏螺旋体引起的蜱传感染,占欧洲所有莱姆病病例的10-15%。LNB可表现为多种神经学表现。我们的目的是描述诊断为LNB的患者的典型健忘,临床和实验室特征,并描述儿科和成人病例之间的差异。此外,我们评估了与明确LNB相关的因素。方法回顾性分析2019年9月至2022年5月斯洛伐克布拉迪斯拉发大学医院感染性疾病科收治的疑似LNB腰椎穿刺患者的资料。根据欧洲神经学会联合会的诊断标准将患者分为三类:A)明确LNB病例,B)可能LNB病例,C)非LNB对照。结果共纳入139例患者。明确LNB 32人,可能LNB 23人,非LNB对照84人。55.5%为女性,35.3%为<18岁的儿童。确诊LNB患者中56.3%有蜱叮咬史,21.9%有迁移性红斑史。外周面神经麻痹(PFNP)是明确LNB患者最常见的临床症状(65.6%),其次是头痛(50.0%)、发热(21.9%)和神经根性疼痛(18.8%)。在单变量和多变量分析中,蜱叮咬史和EM史与LNB均无显著相关性。在多变量分析中,与LNB明确相关的独立因素为(i)年龄< 18岁(aOR 7.89, 95% CI 2.00-31.03, p < 0.003), (ii)女性(OR 6.34;95% CI 1.66-24.17, p < 0.007), (iii)面神经麻痹(OR 10.54;95% CI 2.41 ~ 55.19, p < 0.002)。结论外周面神经麻痹是LNB明确的最强预测因子,且在本研究中<18岁的儿童和女性更容易被诊断为LNB。我们的研究还表明,蜱叮咬史和EM的记忆资料对LNB的诊断贡献不大,CSF检查对LNB的诊断至关重要。
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引用次数: 0
The Benefit of Sport for People with Disabilities 体育对残疾人的好处
IF 0.2 Pub Date : 2022-09-22 DOI: 10.22359/cswhi_13_5_11
E. Štangová, J. Levická, E. Ochabova, M. Vaceková
Starting points: People with disabilities face daily obstacles that do not allow them to integrate adequately into society. Health disadvantage itself is a complex and multidimensional phenomenon, which carries with it several specificities. Social inclusion is a phenomenon that is still present in the academic world than in society itself. A specific part of inclusion is precisely the participation of people with disabilities in sporting activities. Although sport can be understood as the most beautiful means of inclusion of people with disabilities, it is here that we can observe shortcomings in participation in sport. Very little attention is paid to the management of sport of persons with disabilities and their support from society is at a minimum. We chose this issue precisely because of the increase in the interest of people with disabilities in sports activities. Methods: The study analyzes sport as a means of inclusion of people with disabilities in society. We carried out the research in qualitative design and as a method of data collection we chose a semi-structured interview, which we conducted with 9 informants between October 2021 and March 2022. We analyzed the results of our research was to find out what sport brings to the lives of people with disabilities and to find out in what areas sport has enriched the lives of people with disabilities. Results & conclusions: Based on our findings, we can conclude that people with disabilities reflect the changes that occurred in their lives after they started active sports. Through sport, they managed to improve not only their physical condition, but also brought positive changes to them by sport in the fields of mental and social. Our research also confirmed the positive impact of sport on the autonomy of people with health disadvantages.
出发点:残疾人每天都面临着阻碍他们充分融入社会的障碍。健康劣势本身是一个复杂的、多维的现象,具有若干特殊性。社会包容是一种现象,它仍然存在于学术界,而不是社会本身。包容的一个具体部分恰恰是残疾人参与体育活动。虽然体育可以被理解为包容残疾人的最美丽的手段,但在这里,我们可以看到参与体育运动的缺点。对残疾人体育运动的管理重视甚少,社会对残疾人的支持也很少。我们之所以选择这个话题,正是因为残疾人对体育活动的兴趣越来越大。方法:本研究分析体育作为残疾人融入社会的一种手段。我们在定性设计中进行了研究,作为数据收集的方法,我们选择了半结构化访谈,我们在2021年10月至2022年3月期间与9名被调查者进行了访谈。我们分析研究结果是为了找出体育给残疾人的生活带来了什么,以及体育在哪些方面丰富了残疾人的生活。结果与结论:根据我们的研究结果,我们可以得出这样的结论:残疾人在开始积极运动后反映了他们生活中发生的变化。通过体育运动,他们不仅改善了身体状况,而且在心理和社会方面也给他们带来了积极的变化。我们的研究还证实了体育运动对健康状况不佳的人的自主性有积极影响。
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引用次数: 1
Collapse of Healthcare Providers-medical and Paramedical-healthcare Staff after last Three Years of Pandemics and War Conflicts 在过去三年的流行病和战争冲突之后,医疗保健提供者——医疗和辅助医疗保健人员——的崩溃
IF 0.2 Pub Date : 2022-09-22 DOI: 10.22359/cswhi_13_5_02
C. Muss, V. Krcmery, M. Guľašová, M. Oláh, D. West
This Editorial dispatch focuses on absolute shortage of healthcare workers and their psychical and physical exhaustion with devastation consequences on healthcare providers and management of pandemics and health destruction within ongoing armed conflicts in Europe and Middle East,focusing on non prioritizing HCW versus healthcare infrastructure, vaccines medications, but putting both to the same level of priority.
这篇社论的重点是卫生保健工作者的绝对短缺以及他们身心疲惫对卫生保健提供者造成的破坏性后果,以及在欧洲和中东持续的武装冲突中对流行病和健康破坏的管理,重点是非优先考虑的卫生保健工作者与卫生保健基础设施、疫苗和药物,但将两者置于同样的优先地位。
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引用次数: 1
Economic & Time-varying Consequences of Smoking Addiction among Nurses on Work Performance from the Aspect of Nursing Management 从护理管理角度看护士吸烟成瘾对工作绩效的经济和时变影响
IF 0.2 Pub Date : 2022-09-22 DOI: 10.22359/cswhi_13_5_03
M. Kilíková, V. Hulkova, A. Sabova
Objective: The aim of our study was to determine the impact of smoking addiction on nurses on their work performance and economic and time-varying consequences. Design: Cross-sectional study. Participants: The sample consisted of 381 nurses who worked in hospitals in Slovakia and the Czech Republic. Methods: The data were collected through non-standardized questionnaires in the period July 2020-March 2021. The questionnaires were prepared in 3 versions according to the target sample for which they were intended.Results: The financial loss caused by smoking during the working hours costs employer EUR 862.50 per smoking nurse per year and the time lost due to smoking takes up to 15 working days every year. Conclusion: Managers are not interested in time lost due to smoking during working hours. Management's lack of interest or their indifferent attitude is alarming. Nurse managers should begin to perceive nurses' smoking as a limiting factor in nurses' work performance, given the shorter time devoted to the provision of nursing care.
目的:本研究旨在了解护士吸烟成瘾对其工作绩效的影响以及经济和时变后果。设计:横断面研究。参与者:样本包括在斯洛伐克和捷克共和国医院工作的381名护士。方法:于2020年7月- 2021年3月通过非标准化问卷收集数据。问卷根据所针对的目标样本分为3个版本。结果:每名吸烟护士每年因工作时间吸烟造成的经济损失为862.50欧元,每年因吸烟造成的时间损失高达15个工作日。结论:管理者对工作时间吸烟造成的时间损失不感兴趣。管理层缺乏兴趣或漠不关心的态度令人担忧。鉴于护士提供护理的时间较短,护士管理者应该开始将护士吸烟视为护士工作绩效的限制因素。
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引用次数: 1
Poor Dental Health as leading Risk Factor for noninfectious Diseases: One of major WHO Concerns in 21st Century (note 牙齿健康不良是非传染性疾病的主要危险因素:世卫组织在21世纪的主要关切之一(注)
IF 0.2 Pub Date : 2022-09-22 DOI: 10.22359/cswhi_13_5_08
J. Dinkel, A. Hansen, C. Baumgartel, A. Muschik, D. Deaconu, M. Tvrdon, M. Guľašová, R. Aghili, A. Mirwald
Poor dental health in a known risk factor for cardiovascular and cancer portality in long term horizon.In Acute cases, infectious endocarditis with 10% mortality attributable directly to poor dental health, caries dentis, and dental surgery or napropriate implantationare classical examples of infectious diseases related mortality, and chronic inflammation for head and neck neoplasia, and systemic arteriosclerosis.
从长远来看,牙齿健康状况不佳是心血管疾病和癌症风险的已知危险因素。在急性病例中,感染性心内膜炎(10%的死亡率可直接归因于牙齿健康状况不佳、龋齿、牙科手术或适当种植)是感染性疾病相关死亡的典型例子,头颈部肿瘤引起的慢性炎症和全身动脉硬化。
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引用次数: 1
Aspects of the Level of Digitisation in Medical Care in Germany: Development of a Typology 德国医疗保健数字化水平方面:类型学的发展
IF 0.2 Pub Date : 2022-09-22 DOI: 10.22359/cswhi_13_5_05
F. Renger, A. Czirfusz
Introduction. Today, most people own smartphones, which fit into their pockets and are more powerful than the first supercomputers, and which they can use to communicate, stream music or measure their pulse. There is no end in sight to this rapid technological development. This also applies to the rapidly growing volume of health-related data. Objectives: In doctor’s practices, medical data, such as medical history, blood test results and diagnostic findings, are recorded directly in the computer system. In biomedical research entire genomes, for example those of malignant tumors, are sequenced almost routinely and are also stored and processed electronically. And, more and more people are themselves using smartphone apps, wearables and in future perhaps also implanted biosensors for continuously measuring their blood pressure, blood sugar levels and pulse. Methodology: In qualitative social research, there are only a few approaches that involve a detailed explanation and systematization of the typology process. As the concept of type is of central importance for qualitative social research, it is crucial to clarify the concept and the process of typology, as presented by Kluge in her essay published in the FQM (Forum for Qualitative Social Research). In the evaluation of secondary data from the KBV (National Association of Statutory Health Insurance Physicians), the methodology of this approach is based on the procedure of typology development according to Kluge (2000), with the aim of demonstrating a systematic and transparent development of types and typologies in the digitization process.
介绍。今天,大多数人都拥有智能手机,它们可以装进口袋,比第一代超级计算机更强大,人们可以用它来交流、流媒体音乐或测量脉搏。这种快速的技术发展还看不到尽头。这也适用于快速增长的健康相关数据量。目的:在医生的实践中,病历、血检结果和诊断结果等医疗数据直接记录在计算机系统中。在生物医学研究中,整个基因组,例如恶性肿瘤的基因组,几乎是按常规排序的,而且也以电子方式存储和处理。而且,越来越多的人自己也在使用智能手机应用程序、可穿戴设备,未来可能还会使用植入式生物传感器来持续测量他们的血压、血糖水平和脉搏。方法论:在定性社会研究中,只有少数方法涉及类型学过程的详细解释和系统化。由于类型的概念对定性社会研究至关重要,因此澄清类型学的概念和过程至关重要,正如Kluge在FQM(定性社会研究论坛)上发表的文章中所提出的那样。在对KBV(全国法定医疗保险医师协会)的二手数据进行评估时,该方法的方法基于Kluge(2000)提出的类型学发展程序,目的是展示数字化过程中类型和类型学的系统和透明发展。
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引用次数: 1
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Clinical Social Work and Health Intervention
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