Heat- and cold-stress effects on cardiovascular mortality and morbidity among urban and rural populations in the Czech Republic

2013 ◽  
Vol 58 (6) ◽  
pp. 1057-1068 ◽  
Author(s):  
Aleš Urban ◽  
Hana Davídkovová ◽  
Jan Kyselý
Author(s):  
Beata Gavurova ◽  
Miriama Tarhanicova ◽  
Adam Kulhanek ◽  
Roman Gabrhelik

Background: Drinking and smoking have economic consequences and are the main risk factors of mortality and morbidity. Disease-specific deaths attributable to using substances present the primary health indicator in this study. This analysis focuses on mortality in productive age, 15 to 64 years since those deaths are considered the highest economic burden. Method: In the analytical part, data from the Registry of deaths of the Czech Republic for 1994 to 2017 were used. The number of deaths attributable to smoking and drinking was calculated using attributable fractions, based on literature review. This research aimed to reveal the gender differences in deaths attributable to drinking and smoking, according to age, and the differences in deaths regarding smoking or drinking. Results: The mortality attributable to smoking and drinking differs across age groups and genders. The highest median share of tobacco-related deaths is in the age group, 60—64 years. The highest median share of alcoholic deaths is in the age group of 50—54 years. Conclusions: There are significant differences between genders in both, smoking and drinking. A prevention program should be targeted to different age groups.


2008 ◽  
Vol 52 (No. 12) ◽  
pp. 562-568 ◽  
Author(s):  
D. Pokorova ◽  
V. Piackova ◽  
A. Cizek ◽  
S. Reschova ◽  
J. Hulova ◽  
...  

An outbreak of koi herpesvirus (KHV) infection associated with high mortality of common and koi carp was recorded in the USA and Israel in 1998. At present, this disease is viewed as one of the most significant factors that can adversely affect common and koi carp breeds. The disease has spread worldwide including European countries neighbouring with the Czech Republic (CR), i.e. Germany, Poland, and Austria. To monitor the situation in the CR, samples were collected from a total of 138 common and koi carps in seven and eight locations in CR respectively, and were examined between 2005 and 2006. Locations owned by the major producers of common and koi carp were selected with respect of potential occurrence of the KHV virus. No records of increased mortality and morbidity were noticed there. Preferentially carps with non-specific symptoms of disease were sampled, often with isolated skin erosions. To obtain detailed picture about health condition of examined fish the bacteriological and haematological examinations were accomplished. The next part of the examined samples were carp and koi carp for export from professional breeders, imported koi carp and fish from breeds with increased mortality (45 and 21 fish in 2005 and 2006, respectively) The only virological testing was done in this case. The culture and PCR method, according to Gilad et al. (2002) showed negative results for virus KHV in all years. Retrospective investigation by PCR method according to Bercovier et al. (2005) showed positivity in five locations in 2005. In 2006, KHV virus was not detected in any of the selected locations. The aim of our study was to find out the presence/absence of KHV in selected locations and potential correlation of virological, bacteriological and haematological findings. The results of first testing for presence of koi herpesvirus indicates the necessity of regular KHV monitoring in the Czech Republic in the next period.


Author(s):  
Aleš Urban ◽  
Katrin Burkart ◽  
Jan Kyselý ◽  
Christian Schuster ◽  
Eva Plavcová ◽  
...  

2010 ◽  
Vol 113 (4) ◽  
pp. 897-900 ◽  
Author(s):  
Michal Bar ◽  
Robert Mikulik ◽  
David Školoudík ◽  
Daniel Czerny ◽  
Radim Lipina ◽  
...  

Object Decompressive surgery within 48 hours in patients younger than 60 years of age reduces mortality and morbidity from malignant supratentorial infarction. The goal of this study was to characterize the utilization of decompressive surgery in the Czech Republic in 2006. Methods This nationwide study was undertaken from September to December 2007 using a questionnaire sent to all neurosurgery departments in the Czech Republic. Diagnosis of brain infarction and decompressive surgery was based on discharge codes. Patient data were retrieved from hospital charts. Favorable outcome was defined as a modified Rankin scale score ≤4 on the day of discharge from the hospital. Results Data were obtained from 15 of the 16 neurosurgery departments in the Czech Republic (94%) and from 39 patients (11 female [28%]). The average patient age was 52 ± 14 years (11 patients > 60), median time to surgery was 48 hours (interquartile range [IQR] 26–67 hours; 15 patients > 48 hours), median National Institutes of Health Stroke Scale score was 22 (IQR 16–30), median infarct volume was 341 cm3 (IQR 243–375 cm3), mean shift from the midline was 9.9 ± 4.1 mm, median duration of hospitalization was 19 days (IQR 13–30 days), and mean bone flap surface area was 75 cm2 (IQR 70–97 cm2). A favorable outcome was achieved in 19 patients (49%). The median number of procedures per site in 2006 was 1.5 (range 0–13 procedures). Five sites (31%) serving one-third of the entire population did not perform any decompressive surgery. No variable was a significant predictor of outcome in a multiple regression model. Conclusions In 2006 decompressive surgery was underutilized and occurred late in the clinical course in the Czech Republic. Revision of national guidelines is necessary to incorporate the latest data and ensure that the patients who can benefit most receive treatment.


2019 ◽  
Vol 220 ◽  
pp. 23-27 ◽  
Author(s):  
Marina Oseeva ◽  
Veronika Paluchova ◽  
Petr Zacek ◽  
Petra Janovska ◽  
Tomas Mracek ◽  
...  

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