OBJECTIVE: This study examined the association between diabetic ketoacidosis (DKA) at type 1 diabetes diagnosis and long-term glycemic outcomes, insulin requirements, BMI SD score (SDS), and diabetes technology uptake in youth. RESEARCH DESIGN AND METHODS: Data were from nine countries (Austria, Czechia, Germany, Italy, Luxembourg, New Zealand, Slovenia, Switzerland, and U.S. [Colorado]), including youth (0.5-15.9 years) diagnosed with type 1 diabetes in 2019-2020 and followed for 2 years thereafter. Participants were divided into three groups: no DKA, nonsevere, and severe DKA at diagnosis. HbA1c, insulin requirements, BMI SDS, and use of technology, including automated insulin delivery (AID), were assessed. RESULTS: The analysis included 9,269 individuals (54.8% males, mean age 9.0 years). DKA at diagnosis was observed in 34.2% of participants and severe DKA in 12.8%. After 1 year, adjusted mean HbA1c was higher in the severe DKA group (7.41%) compared with nonsevere DKA (7.23%, P = 0.001) and no DKA groups (7.14, P < 0.001), and this difference persisted after 2 years (7.58% vs. 7.38% [P < 0.001] and vs. 7.32% [P < 0.001]). Higher BMI SDS was observed in both DKA groups compared with no DKA. The use of AID was associated with lower HbA1c levels compared with other treatment modalities and moderated differences between DKA groups after 2 years of follow-up (P = 0.072). CONCLUSIONS: Severe and nonsevere DKA at type 1 diabetes diagnosis were both associated with persistently higher HbA1c and higher BMI SDS. AID use diminishes the association of DKA at diagnosis and higher HbA1c over time.
- MeSH
- diabetes mellitus 1. typu * epidemiologie komplikace krev MeSH
- diabetická ketoacidóza * epidemiologie MeSH
- dítě MeSH
- glykovaný hemoglobin metabolismus MeSH
- hypoglykemika terapeutické užití MeSH
- inzulin terapeutické užití MeSH
- inzulinové infuzní systémy MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- následné studie MeSH
- předškolní dítě MeSH
- registrace MeSH
- Check Tag
- dítě MeSH
- kojenec MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- předškolní dítě MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Itálie MeSH
- Lucembursko MeSH
- Německo MeSH
- Nový Zéland MeSH
- Rakousko MeSH
- Slovinsko MeSH
- Švýcarsko MeSH
BACKGROUND: Social isolation is a growing public health concern for older adults, as it has been associated with poor health and premature mortality. On the other hand, physical inactivity and an inadequate diet are important health risk behaviours associated with physical and mental health problems. Considering that there is no research examining the possible relationship between social isolation and the above mentioned health risk behaviours of European middle-aged and older adults, this cross-sectional study aims to contribute to filling this gap. METHODS: We used data from the SHARE project (Survey of Health, Ageing and Retirement in Europe), wave 6 (2015), release 7.0.0 (N = 67,173 individuals from 17 European countries plus Israel). Statistical tests for a two-group comparison were carried out to assess the differences between highly socially isolated individuals and low/intermediate socially isolated ones. Logistic regressions by country were performed to examine whether social isolation is associated with physical inactivity and an inadequate diet in the population aged 50 + . RESULTS: Our results point out that, for the majority of the countries analysed, highly socially isolated individuals are more likely than low/intermediate isolated ones to be physically inactive and to consume less fruit or vegetables on a daily basis. In 9 European countries (Austria, Germany, Sweden, Denmark, Greece, Belgium, Poland, Luxembourg and Estonia) highly socially isolated individuals are more likely to be physically inactive. On the other hand, in 14 European countries (Austria, Germany, Sweden, Italy, France, Denmark, Greece, Switzerland, Belgium, Czech Republic, Luxembourg, Slovenia, Estonia and Croatia), high social isolation increases the likelihood of having an inadequate diet. CONCLUSION: Highly socially isolated European middle-aged and older adults are more prone to be physically inactive and to have an inadequate diet in terms of daily consumption of fruit and vegetables. The reduced social integration, social support and companionship of the highly socially isolated individuals may explain this association. Our results reinforce the importance of social and health policies targeting highly socially isolated European individuals aged 50 + .
- MeSH
- dieta MeSH
- lidé středního věku MeSH
- lidé MeSH
- průřezové studie MeSH
- sedavý životní styl * MeSH
- senioři MeSH
- sociální izolace * MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Research Support, N.I.H., Extramural MeSH
- Research Support, U.S. Gov't, P.H.S. MeSH
- Geografické názvy
- Belgie MeSH
- Česká republika MeSH
- Chorvatsko MeSH
- Estonsko MeSH
- Evropa MeSH
- Francie MeSH
- Itálie MeSH
- Izrael MeSH
- Lucembursko MeSH
- Německo MeSH
- Polsko MeSH
- Rakousko MeSH
- Řecko MeSH
- Slovinsko MeSH
- Švédsko MeSH
- Švýcarsko MeSH
In the frame of the European Physical Activity Label for Schools (Eu-PALS, 2020a) project diverse indicators of physical activity, physical education and sport in different European schools have been analysed. As a starting point, this paper is presenting the chosen indicators and comparing them to an already existing physical activity label for schools in Luxembourg. The choice of the quality criteria in the Eu-PALS project, which may lead to the awarding of the label, are further discussed by demonstrating the results of a pilot study at four schools in Luxembourg. This national pilot study shows not only to the participating schools in which areas they might need to improve their activities, but allows also more generally to evaluate the indicators and possibly to improve the choice. Finally, with regard to the topic of the CEREPS Conference 2019 in Prague – “Quality criteria and outcome standards for Physical Education and School Sport” – in the frame of which this study has been presented, it is also discussed whether the project contributes to make criteria and outcome standards of physical education and school sport in Europe visible and comparable.
- MeSH
- lidé MeSH
- pilotní projekty MeSH
- pohybová aktivita * MeSH
- průzkumy a dotazníky MeSH
- školy MeSH
- tělesná výchova * statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Lucembursko MeSH
The objective is to evaluate the relations between gender health inequalities and economic prosperity in the Organisation for Economic Co-operation and Development (OECD) countries. The groups included health indicators in the specification of men, women and gender inequalities: life expectancy, causes of mortality and avoidable mortality. The variable determining the economic prosperity was represented by the Gross Domestic Product (GDP). The analytical processing included descriptive analysis, analysis of differences and analysis of relationships. The regression analysis was presented as the main output of the research. Most of the significant gender differences in health showed a more positive outcome for women. It is possible to identify a certain relation between gender health inequalities and economic prosperity. If there is some reduction in gender inequalities in health, the economic prosperity will increase. The reduction seems to be more effective on the part of men than women. The output of the cluster analysis showed the relations of indicators evaluating the inequalities and the prosperity. The countries such as Luxembourg, Norway or Switzerland showed very positive outputs, on the other hand, the countries with a potential for the improvement are Lithuania, Latvia or Estonia. Overall, the policies should focus on reducing the inequalities in avoidable mortality as well as reducing the frequent diseases in younger people.
- MeSH
- disparity zdravotního stavu * MeSH
- hrubý domácí produkt * MeSH
- lidé MeSH
- sexuální faktory MeSH
- socioekonomické faktory MeSH
- vyspělé země * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Estonsko MeSH
- Litva MeSH
- Lotyšsko MeSH
- Lucembursko MeSH
- Norsko MeSH
- Švýcarsko MeSH
A European multi-country outbreak of Salmonella Enteritidis phage type (PT) 14b occurred from March to November 2014 associated with the consumption of eggs. The outbreak involved more than 400 human cases from France, Luxembourg, Austria and the United Kingdom. In 2016-2017, it has been re-evaluated combining recent epidemiological results with latest molecular data. The outbreak was traced back to one large Bavarian egg producer with four distinct premises, three located in Bavaria, one in the Czech Republic. The outbreak isolates of S. Enteritidis PT 14b were grouped into three closely related clades by whole genome sequencing. Two of these clades could be referred to two Bavarian premises of the egg producer on the basis of epidemiological and molecular data, while epidemiological data presumably linked the third clade to another premises of the egg producer. Interestingly and in contrast to the situation in other European countries where several outbreaks were documented, all notified 91 laboratory-confirmed cases of S. Enteritidis PT 14b from Bavaria were sporadic, singular cases not belonging to any epidemiological outbreaks. In conclusion, as demonstrated here, the resolution of food-related outbreaks with such a high discriminatory power is rare in outbreak investigation.
- MeSH
- epidemický výskyt choroby * MeSH
- fagotypizace metody MeSH
- jednonukleotidový polymorfismus MeSH
- lidé MeSH
- otrava salmonelou epidemiologie MeSH
- Salmonella enteritidis klasifikace genetika izolace a purifikace MeSH
- salmonelóza epidemiologie MeSH
- sekvenování celého genomu MeSH
- vejce mikrobiologie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- Francie epidemiologie MeSH
- Lucembursko MeSH
- Rakousko MeSH
- Spojené království MeSH
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- MeSH
- pití alkoholu prevence a kontrola škodlivé účinky MeSH
- podpora zdraví MeSH
- snížení rizika poškození MeSH
- spektrum vrozených alkoholových poruch prevence a kontrola MeSH
- těhotenství MeSH
- Check Tag
- těhotenství MeSH
- Geografické názvy
- Finsko MeSH
- Litva MeSH
- Lucembursko MeSH
- Německo MeSH
- Norsko MeSH
- Polsko MeSH
- Slovinsko MeSH
- Švédsko MeSH
- Konspekt
- Veřejné zdraví a hygiena
- NLK Obory
- adiktologie
- NLK Publikační typ
- publikace WHO
- MeSH
- důstojnost lidského života MeSH
- eutanazie * dějiny trendy zákonodárství a právo MeSH
- lékařská etika MeSH
- lidé MeSH
- morálka MeSH
- péče o umírající MeSH
- právo na smrt MeSH
- umírající psychologie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- přehledy MeSH
- Geografické názvy
- Anglie MeSH
- Belgie MeSH
- Lucembursko MeSH
- Německo MeSH
- Nizozemsko MeSH
- Oregon MeSH
- Švýcarsko MeSH
- MeSH
- dějiny středověku MeSH
- filatelie dějiny MeSH
- katarakta dějiny psychologie MeSH
- lékařství arabské dějiny MeSH
- lidé MeSH
- odmítnutí poskytnout terapii MeSH
- oftalmologie dějiny MeSH
- slepota dějiny MeSH
- vedení války MeSH
- významné osobnosti * MeSH
- zbytečná diagnóza a terapie psychologie MeSH
- Check Tag
- dějiny středověku MeSH
- lidé MeSH
- Publikační typ
- biografie MeSH
- časopisecké články MeSH
- historické články MeSH
- Geografické názvy
- Česká republika MeSH
- Francie MeSH
- Lucembursko MeSH
- Klíčová slova
- ošetřovatelská péče, vzdělávání, kvalita,
- Geografické názvy
- Evropa MeSH
- Lucembursko MeSH