Time trends in the relation between the achieved education and the cardiovascular risk factors prevalence and control in general population and in persons with coronary heart disease

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
J Bruthans ◽  
O Mayer ◽  
P Sulc ◽  
P Wohlfahrt ◽  
V Lanska ◽  
...  
Keyword(s):  
Risk Factors ◽  
Czech Republic ◽  
General Population ◽  
Time Trends ◽  
Basic Education ◽  
University Education ◽  
Funding Source ◽  
The Czech Republic ◽  
Prevalence Of Obesity ◽  
And Control

Abstract Background Achieved education is the most consistent and powerful socioeconomic status index and the differences in cardiovascular mortality (CV) according to achieved education in the Czech Republic are over a long period among most pronounced in Europe. Higher prevalence of CV risk factors in less educated is the major factor behind their higher CV morbidity and mortality. Purpose To analyse the changes in prevalence and control of CV risk factors according to achieved education in general population and in patients with stable CHD and their impact on CV mortality. Methods Based on data of 15 590 persons from 7 cross sectional epidemiological surveys carried through the Czech MONICA and post-MONICA project in 1985–2018 in identical 6 districts of the Czech Republic (general population) and on data of 2129 patients from 5 independent descriptive surveys of the Czech EUROASPIRE study in 1995–2018 (patients with stable CHD) time trends of major CV risk factors and their control in respondents with basic, secondary and university education were compared. Results The persons from general population as well as patients with CHD with higher education had consistently lower BMI and lower prevalence of obesity, the differences increased in due time (p<0,001), the prevalence of obesity increased in all educational strata (p<0,001). The total and non-HDL cholesterol were higher in lower educational population strata (p<0,01), but not in CHD patients, there was a very pronounced continuous decrease in all educational strata (p<0,001 for trend). Population systolic and diastolic blood pressures and prevalence of hypertension were higher in men and women with basic education (p<0,01) and decreased during the analysed period (p<0,001). In CHD patients the blood pressure was higher only in women. The prevalence of smoking was higher in men with basic education and decreased in all educational strata (p<0,0001), in women the prevalence of smoking increased in women with basic and decreased in women with secondary and university education (p<0,0001), in CHD patients the prevalence of smoking was lower and did not differ according to education. Prevalence of diabetes and of sedentary life style increased and was more prevalent in general as well as in CHD population in persons with lower education. Conclusion CV risk gradient in general population and in CHD patients decreased with level of education achieved, was present during the whole analysed period and became more pronounced in the 2016–18 survey. The education based differences were more pronounced in factors influenced by lifestyle (BMI, smoking) and less in factors influenced also by medical therapies (blood pressure, cholesterol levels). The impact on CV mortality is to be expected more pronounced in general CV prevention and less in already treated population. Observation of healthy life style remains a basic problem in CV prevention, particularly in persons with elementary education. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): Agency for Medical Research, Ministry of Health of the Czech Republic

scholarly journals Sex-specific reference values and determinants of infra-renal abdominal aortic diameter among women and men from general population

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
F Zhu ◽  
B Arshi ◽  
M Ikram ◽  
R De Knegt ◽  
M Kavousi
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
General Population ◽  
Cardiovascular Risk Factors ◽  
Reference Values ◽  
Aortic Diameter ◽  
Funding Source ◽  
Men And Women ◽  
Abdominal Aortic

Abstract Introduction Abdominal aortic diameter has shown to be a marker of adverse cardiovascular outcomes. Among the non-aneurysmal populations, studies regarding abdominal aortic diameter normal reference values are sparse. Moreover, data regarding the associations between cardiovascular risk factors and aortic diameter among men and women are limited. Purpose To establish age- and sex-specific distribution of the infra-renal abdominal aortic diameters among non-aneurysmal older adults from the general population and to investigate the associations between cardiovascular risk factors and aortic diameters in men and women. Methods From a population-based cohort, 4032 participants (mean age, 67.2 years; 60.4% women) with infra-renal diameter assessment and without history of cardiovascular disease were included. Mean and quantile values of diameters were calculated in different age groups. Multiple linear regression analysis was used to detect the association of cardiovascular risk factors with diameters in men and women. Results The mean crude diameter was larger in men [mean (SD): 19.5 (2.6) mm] compared to women [17.0 (2.4)mm] but after adjustment for body surface area (BSA), the differences were small. There was a non-linear relationship between age and diameter (p<0.001). After 66 years of age, the increase in diameter with increasing age was attenuated. After age 74 years in women and 71 years in men, the relationship between age and infra-renal aortic diameter was no longer statistically significant (Figure). Waist [standardized β (95% CI): 0.02 (0.0–0.04) in women and 0.03 (0.01–0.06) in men] and diastolic blood pressure [0.04 (0.02–0.05) in women and 0.02 (0.0–0.04) in men] were the risk factors for diameters in both sexes. Body mass index [0.02 (0.01–0.09)], systolic blood pressure [−0.01 (−0.02 to −0.01)], smoking status [0.21 (0.02–0.39)], cholesterol [−0.19 (−0.29 to −0.09)], and lipid-lowering medication [−0.47 (−0.71 to −0.23)] were significantly associated with aortic diameter only in women. Conclusion The differences in the crude abdominal aortic diameter between women and men diminished after taking into account the BSA. The abdominal aortic diameter increased steeply with advancing age and up to 66 years of age. However, after 74 years in women and 71 years in men, the diameter values reached a plateau. We also observed sex differences in the associations of cardiovascular risk factors with abdominal aortic diameter. Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): Netherlands Organization for the Health Research and Development (ZonMw); the Research Institute for Diseases in the Elderly (RIDE)

Inflammatory bowel disease has a negative impact on patients reproductive behaviour: the first multicentre survey in the Czech Republic

2021 ◽  
Vol 75 (1) ◽  
pp. 12-19
Author(s):  
Dana Ďuricová ◽  
Zuzana Krátka ◽  
Martin Bortlík ◽  
Lenka Slabá ◽  
Kristýna Strnadová ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Czech Republic ◽  
General Population ◽  
Bowel Disease ◽  
Negative Impact ◽  
Fertility Rate ◽  
Sexual Life ◽  
The Czech Republic ◽  
Live Births ◽  
Inflammatory Bowel

Background: Several previous studies reported the negative impact of inflammatory bowel disease (IBD) on reproductive plans and fertility rate. The aim of our study was to investigate, for the first time, reproductive attitudes and fertility rate among Czech patients with IBD. Methods: Between March and August 2019, consecutive patients with IBD from 22 centres across the Czech Republic responded anonymously to a predefined questionnaire focused on the patients’ demographics, details of IBD and treatment, gynaecological/urological history, reproductive issues and patients’ knowledge on this topic. Results: The questionnaire was filled in by 798 patients (526 women; median age 34 years, 66% with Crohn’s disease). Of these, 58% of the females and 47.1% of the males already had ≥ 1 child (median 2 children). Women with IBD were significantly more worried about infertility (55.5% versus 22.4%), had more limitations in their sexual life (53.2% vs. 26.8%) and more frequently changed their earlier reproductive plans (27.6% versus 11.0%) than the males (p < 0.0001). The total fertility rate in female IBD patients was lower compared to the general population with 1.004 live births/IBD woman versus 1.69 live births/woman in the Czech population. The pattern of decreased fertility was observed in all age-specific categories. Of the childless patients, 14% of the women and 18.1% of the men were voluntarily childless. Approximately one-half of them indicated their IBD to be the primary cause. Conclusions: IBD seems to have a negative impact on patients’ reproductive plans and attitudes. The fertility rate in Czech IBD female patients was decreased compared to the general population in this study.

scholarly journals THE STUDY OF UNIVERSITY PROGRAMS IN THE CZECH REPUBLIC FOCUSED ON EDUCATION

2018 ◽  
pp. 9-17
Author(s):  
Josef Malach ◽  
Tatiana Havlásková
Keyword(s):  
Czech Republic ◽  
Curriculum Design ◽  
Teaching And Learning ◽  
Academic Staff ◽  
Good Practice ◽  
University Education ◽  
The Czech Republic ◽  
Legal Standards ◽  
Study Programs ◽  
Social Pedagogue

The paper presents an overview of study felds at universities in the Czech Republic, which are aimed at achieving the qualifcations required for the performance of educational professions, respectively educational roles. The fundamental differentiation criterion is their main focus on one of the aspects of complex education, specifcally education and upbringing. Professions of an educator, special and social pedagogue or a leisure time teacher are considered to be the professions predominantly focused on education. University education for the previously stated occupational subgroups implemented so far is built on study programs that have been created by teams of academic staff and accredited by the Accreditation Commission. They are usually based on the erudition and personal experience of their authors and assessors and without any professional standards. The amendment to the University Education Act has fundamentally changed both the procedures for the accreditation of study programs and the functioning of the newly established accreditation institution — the National Accreditation Ofce. The study introduces the legal standards applicable to accreditation procedures as well as the fundamental changes in functioning of universities due to these rules. Apart from that, the curriculum design includes current education and training practices with a number of national (both positive and negative) characteristics and oddities identifed on the basis of the (inter)national research, analysis, monitoring or good practice. Today´s educational reality is the result of the involvement of stakeholders who reflect it critically in terms of their expectations and needs. They provide feedback to universities necessary for the innovations of graduate profles, the aims and content of their studies and the future educators´ teaching and learning processes. With regard to the implementation of the national digital education strategy, the possibilities of universities to respond to its objectives by preparing new subjects for teacher education are mentioned.

scholarly journals Závislost hypermobility na výskytu lehkých mozečkových dysfunkcí u závodnic v moderní gymnastice

2016 ◽  
Vol 10 (1) ◽  
pp. 96-102
Author(s):  
Kateřina Kapounková ◽  
Ivan Struhár ◽  
Jitka Kopřivová
Keyword(s):  
Czech Republic ◽  
General Population ◽  
Hip Joint ◽  
Brain Dysfunction ◽  
The Czech Republic ◽  
The People ◽  
Rhythmic Gymnastics ◽  
Joint Range ◽  
Rhythmic Gymnasts ◽  
Movement Test

The aim of the study was to ascertain information upon the occurrence of hypermobility as well as the symptoms of light brain dysfunction in rhythmic gymnasts and to prove their relationship. The research sample consisted of 78 girls from rhythmic gymnastics teams from the Czech Republic with average age 12,81 ± 2,47. The study used deliberate selection on the basis of chosen criteria: women, age 10 – 18 years, at least 5 let of specialised training in rhythmic gymnastics, week load at least 10 hours. The diagnostics of hypermobility used the method of measuring joint range with the aid of goniometer. The range of the movement of hip joint was measured and Janda test. The diagnostics of mild brain dysfunction diagnostics used orientation brain tests. It is the test of tax, which is aimed upon the proper aiming of movement, test of diadochokinesis, which is aimed at the ability to perform alternating movements, and the test of stability using Romberg pose on a balance platform with open eyes. The results of the goniometric measurement showed a significant flexibility of the gymnasts, mainly in the area of their hip joint (flexe right hip joint 161,09 °; ± 14,78 and flexe left hip joint 158,54 ° ± 14,05). When diagnosing mild brain dysfunction using tax, in both the upper and the lower extremities, no pathology was ascertained, on the contrary, however dysdiadochokinesis was found in 7 gymnasts. The results of the Romberg pose on the balance platform were mildly above the norm (compared with general population), nonetheless, the 7 people with dysdiadochokinesis showed results under the values of the general population. The people with dysdiadochokinesis, also showed worse results in the Romberg pose on the balance platform, as well as the symptoms of hypermobility, which where proved by goniometric examination.

scholarly journals Comparative Study of the Perception of the Role of a Social Worker in Hospitals in the Czech Republic and Slovakia during the COVID-19 Pandemic

2021 ◽  
Vol 12 (4) ◽  
pp. 23-30
Author(s):  
P. Laca ◽  
s. Laca
Keyword(s):  
Czech Republic ◽  
Social Worker ◽  
Professional Education ◽  
Research Study ◽  
Slovak Republic ◽  
University Education ◽  
Online Questionnaire ◽  
The Czech Republic ◽  
The Social

This research study is focused on the perception of the role of asocial worker by hospital nurses in the Czech and Slovak Re- public during the COVID-19 pandemic. Aim of the study:The main aim of the research study was to find the opinions of nurses from the Czech and Slovak Repub- lic on asocial worker who works in ahospital during acoron- avirus - COVID-19 pandemic and then compare their opinions in helping patients Research sample and setting:The research sample of the study consisted of 75 nurses with higher professional education (Czech Republic), university education of the first and second degree (Czech Republic, Slovak Republic), who were together with social workers in the front line in hospitals at the time of the coronavirus pandemic COVID-19. All participating respon- dents were informed about the purpose of the research study and the completion of the online questionnaire. Statistical analysis:The mathematical-statistical method chi- square test of the independence of the criteria of individual re- search hypotheses was used to compare the interviewed re- spondents in the Czech Republic and Slovakia. Results of the study:Medical staff at the time of the COVID- 19 pandemic was satisfied with the social worker, as evidenced by the research study and their answers in the questionnaire survey. It is clear from the results of the research survey that the participants perceived the social worker positively during the COVID-19 pandemic.

scholarly journals Increase in hepatitis A cases in the Czech Republic in 2008 – an update

2009 ◽  
Vol 14 (3) ◽  
Author(s):  
J Cástková ◽  
C Beneš
Keyword(s):  
Czech Republic ◽  
General Population ◽  
Drug Users ◽  
Hepatitis A ◽  
Fold Increase ◽  
Injecting Drug Users ◽  
Annual Number ◽  
The Czech Republic ◽  
Parenteral Transmission ◽  
Increased Susceptibility

In 2008, 1,616 cases of hepatitis A were reported in the Czech Republic, more than a 10-fold increase compared with the annual number of cases registered in 2003-2007. The infection was initially associated with injecting drug users, most probably by person-to-person contact or parenteral transmission, and in the second half of the year continued to spread among the general population with increased susceptibility.

scholarly journals Paradoxes of Doctoral Studies in Education Sciences in the Czech Republic

2021 ◽  
Vol 17 (1) ◽  
pp. 60-71
Author(s):  
Miroslav Dopita ◽  
Jana Poláchová Vašťatková
Keyword(s):  
Higher Education ◽  
Czech Republic ◽  
Educational Policy ◽  
Higher Education Policy ◽  
Doctoral Degree ◽  
University Education ◽  
Doctoral Studies ◽  
The Czech Republic ◽  
University Studies ◽  
Educational Sciences

Adequate staffing of university studies with qualified academics was completed thanks to the reimplementation of three-stage university education during the post-socialist restoration of higher education in the Czech Republic. Thus, the doctoral degree of education has been attained by more than four-fifths of academic staff, with over two-fifths of them being aged 50+. The current course of university studies, including doctoral study programs, is influenced by their focus on educational and research strategy. With regards to the regulations for graduating in doctoral studies, doctoral candidates act as homo oeconomicus following neo-liberal educational policy. The conditions for doctoral studies, namely, those in educational sciences, thus lead to paradoxes caused by the current higher educational policy. The objective of the paper is to analyze the neoliberal set-up of the higher education policy of the Czech Republic in the field of doctoral studies in educational sciences in particular and its possible impacts in the area of labor-market integration of graduates and university training of academics.

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