AIM: The aim of the study was to evaluate fidelity in first episode psychosis (FEP) teams in Czechia and to gage the feasibility and utility of the process in a mental health system that is undergoing a transformation. METHODS: Fidelity assessment was conducted using The First Episode Psychosis Services Fidelity Scale (FEPS-FS). Fidelity assessment was based on a review of data abstracted from the health records of active clients, program documents, administrative data, and interviews with members of staff. The mean scores were compared across the teams. Feasibility and utility were assessed by program response to their fidelity results. RESULTS: Three FEP teams were involved in the fidelity assessment. Across the 35 items, the mean fidelity score ranged from 2.5 to 3.1. Across the FEP teams, the percentage of the 35 items rated as 4 or 5 (satisfactory or exemplary) ranged from 34.3% to 51.4%. CONCLUSIONS: This study provided an opportunity to implement FEPS-FS and assess fidelity in FEP teams in Czechia. The fidelity assessment also provided a baseline for measuring change.
- MeSH
- lidé MeSH
- pilotní projekty MeSH
- psychotické poruchy * diagnóza MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
- Geografické názvy
- Česká republika MeSH
Coal miners with coal workers' pneumoconiosis (CWP, J60 according to ICD-10) were previously found to have a significantly higher risk of lung carcinoma compared to the general male population. The presented study aimed to analyze the (i) incidence of lung carcinoma in miners, (ii) histopathological findings in cohorts with and without CWP, and (iii) effect of smoking cessation on the histopathological profile. Analyzed cohorts consisted of miners with (n = 3476) and without (n = 6687) CWP. Data on personal and working history obtained from the medical records were combined with information on lung cancer from the Czech Oncological Register and histopathological findings. Statistical analysis was performed using non-parametric tests and the incidence risk ratio at the significance level of 5%. In 1992-2015, 180 miners (2.7%) without CWP and 169 (4.9%) with CWP, respectively, were diagnosed with lung carcinoma. The risk of lung cancer in miners with CWP was 1.82 (95% CI: 1.48-2.25) times higher than in those without CWP. Squamous cell carcinoma (37%) was the most common histopathological type, followed by adenocarcinoma (22%) and small cell carcinoma (21%). A statistically significant difference between the cohorts (p = 0.003) was found in the histopathological subtypes, with the incidence of small cell carcinoma being 2 times higher in miners without CWP than in those with CWP. Only a few individuals with lung carcinoma were non-smokers. The incidence of small cell carcinoma, which is strongly associated with smoking, is significantly higher in miners without CWP. Smoking constitutes the most important risk factor for developing lung carcinoma even in that cohort. However, CWP remains a very important risk factor.
- MeSH
- antrakóza * epidemiologie MeSH
- karcinom * MeSH
- kouření epidemiologie MeSH
- lidé MeSH
- nádory plic * epidemiologie MeSH
- plíce MeSH
- pneumokonióza * epidemiologie MeSH
- těžba uhlí * MeSH
- uhlí MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Česká republika MeSH
Dle WHO může být onemocnění COVID-19 způsobené expozicí na pracovišti považováno za nemoc z povolání. Mělo by být hlášeno a kompenzováno dle mezinárodních pracovních standardů a národních schémat pro odškodňování při pracovních úrazech nebo nemocech z povolání. Ve většině zemí je COVID-19 považován za nemoc z povolání, ale forma uznávání se dle jednotlivých zemí často liší. Některé země uznávají COVID-19 jako nemoc z povolání (např. Česká republika, Bulharsko) nebo jako pracovní úraz (Itálie, Slovinsko), pokud vznikne v souvislosti s expozicí na pracovišti. Jiné země uznávají obě tyto formy (závisí na určitých kritériích dané země) (např. Německo, Belgie, Rakousko, Španělsko), čtvrtou možností je podezření na souvislost s pracovní expozicí, ale přesná forma není specifikována (např. Irsko a Řecko). V některých zemích není vůbec možné COVID-19 uznat za nemoc spojenou s výkonem práce (Malta).
According to the WHO, COVID-19 disease caused by occupational exposure can be considered an occupational disease. It should be reported and compensated according to the international occupational standards and national rules for compensations of an accident at the work and occupational diseases. In most countries, COVID-19 is considered an occupational disease, but the form of acknowledgement is different in specific countries. Some countries recognize COVID-19 as an occupational disease (e.g. the Czech Republic, Bulgaria) or as an accident at work (Italy, Slovenia) if it occurs in the relationship with the exposure at the workplace. Other countries (e.g. Germany, Belgium, Austria, Spain) recognize both of these forms (depending on the country specific criteria) or the fourth option is a suspected relationship with occupational exposure but the exact form is not specified (e.g. Ireland and Greece). In some countries, COVID-19 cannot be recognized as a work-related disease at all (Malta).
- MeSH
- COVID-19 * MeSH
- lidé MeSH
- nemoci z povolání * MeSH
- posuzování pracovní neschopnosti MeSH
- pracovní úrazy MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Evropa MeSH
BACKGROUND: Cancer risk (especially as regards lung cancer) in black-coal miners is mainly analyzed on the basis of mortality. The risk calculated based on mortality may differ from the values based on incidence. The aim of the study was to compare cancer risk in black-coal miners with and without coal workers' pneumoconiosis (CWP), based on data on mortality and the incidence of lung cancer in the Czech Republic in 1992-2013. MATERIAL AND METHODS: The cohort without CWP was composed of 6687 miners, and the cohort with CWP of 3476 miners. Information on the incidence of lung cancer was obtained from the Czech National Oncological Register (NOR), and information on mortality from the National Population Register. The risk of lung cancer incidence was compared with the general male population in the Czech Republic using the standardized incidence ratio (SIR), and the risk of lung cancer mortality using the standardized mortality ratio (SMR), with the 95% CI. RESULTS: In miners with CWP, a lower SMR value was found, SMR = 1.70 (95% CI: 1.41-2.04), compared with the SIR value, SIR = 2.01 (95% CI: 1.70-2.36). In miners without CWP, this was opposite, the value of SIR = 0.81 (95% CI: 0.69-0.94) was lower than the value of SMR = 0.83 (95% CI: 0.70-0.98). In miners without CWP, 17 cases of lung cancer (out of 176 cases in total) were not registered in NOR. In miners with CWP, the share of not registered cases was significantly lower (p = 0.018), and it was represented by 3% of not registered lung cancer cases, out of 156 cases with the diagnosis of lung cancer. CONCLUSIONS: In spite of the difference between SIR and SMR, the results of both indicators were consistent with the resulting relationship between the lung cancer risk and CWP. Med Pr. 2020;71(5):513-8.
- MeSH
- antrakóza epidemiologie mortalita MeSH
- dospělí MeSH
- horníci statistika a číselné údaje MeSH
- incidence MeSH
- kauzalita MeSH
- kohortové studie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- nádory plic epidemiologie mortalita MeSH
- nemoci z povolání epidemiologie mortalita MeSH
- prevalence MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
