Cíl: Cílem výzkumu bylo posouzení kognitivních funkcí u seniorů v domovech pro seniory prostřednictvím standardizovaných testů – Montrealský kognitivní test (MoCA) a Pojmenování obrázků a jejich vybavení (POBAV). Metodika: Výzkum zahrnoval 76 klientů ze tří domovů pro seniory. Hodnocení kognitivních funkcí bylo provedeno standardizovanými testy MoCA a POBAV (ježková verze). Statistické zpracování bylo provedeno na hladině významnosti a = 0,05. Výsledky: Průměrný skór v MoCA byl 20 bodů, průměrné výsledky u POBAV byly 3/5. Normální kognitivní stav mělo dle MoCA (při hraničním skóre ≤ 24 bodů) 21 % seniorů a dle POBAV dosáhlo normy 25 % dotázaných. U obou testů MoCA a POBAV nebyl zjištěn statisticky významný rozdíl v úrovni kognitivních funkcí v závislosti na pohlaví, vzdělání ani na délce pobytu v domově pro seniory. Byl však prokázán statisticky významný rozdíl v úrovni kognitivních funkcí v závislosti na věku, kognitivním tréninku i na kondičním cvičení a bylo zjištěno, že osoby absolvující kognitivní trénink a kondiční cvičení dosahují v obou testech lepších výsledků. Byla potvrzena shoda v detekci kognitivní poruchy pomocí MoCA a POBAV v 97 % případů. Mezi testy MoCA a POBAV byla zjištěna významná korelace. Pearsonův korelační koeficient mezi testy MoCA a POBAV – Chyby v pojmenování obrázků, znázorňuje negativní korelaci –0,625 (p < 0,001). Pearsonův korelační koeficient mezi testy MoCA a POBAV – Správně vybavené obrázky, představuje pozitivní korelaci 0,86 (p < 0,001). Závěr: Časný záchyt a monitoring kognitivního deficitu pomocí screeningových testů by měly být nedílnou součástí při poskytování dlouhodobé péče u seniorů. Test POBAV je vhodnou volbou pro včasný záchyt kognitivního deficitu a může sloužit jako srovnatelná alternativa testu MoCA.
Aim: The aim of the research was to assess cognitive functions of elderly people in nursing homes using standardized tests – Montreal Cognitive Assessment (MoCA) and Picture Naming and Immediate Recall (PICNIR). Methodology: The study included 76 clients from three nursing homes. The assessment of cognitive functions was carried out using the standardized tests MoCA and PICNIR (Hedgehog Version). Statistical processing was performed at a significance level of α = 0.05. Results: The average score in MoCA was 20 points, and the average results in PICNIR were 3/5. According to MoCA (with a threshold score of ≤ 24 points), 21% of elderly people had a normal cognitive state, and according to PICNIR, 25% of respondents reached the norm. No statistically significant difference in the level of cognitive functions was found in either the MoCA or PICNIR tests in relation to sex, education, or length of stay in the nursing home. However, a statistically significant difference in the level of cognitive functions was demonstrated in relation to age, cognitive training, and physical exercise, and it was found that individuals undergoing cognitive training and physical exercise achieved better results in both tests. A concordance in the detection of cognitive impairment using MoCA and PICNIR was confirmed in 97% of cases. A significant correlation was found between the MoCA and PICNIR tests. The Pearson correlation coefficient between MoCA and PICNIR – Mistakes in Naming demonstrated a negative correlation of –0.625 (P < 0.001). The Pearson correlation coefficient between MoCA and PICNIR – Correctly Recalled Picture Names indicated a positive correlation of 0.86 (P < 0.001). Conclusion: Early detection and monitoring of cognitive deficits using screening tests should be an integral part of providing long-term care for elderly people. The PICNIR test is a suitable choice for early detection of cognitive deficits and can serve as a comparable alternative to the MoCA test.
- MeSH
- Homes for the Aged statistics & numerical data MeSH
- Epidemiologic Studies MeSH
- Cognition MeSH
- Correlation of Data MeSH
- Humans MeSH
- Neurocognitive Disorders * diagnosis epidemiology MeSH
- Neuropsychological Tests * statistics & numerical data MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Mental Status and Dementia Tests statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- MeSH
- Child MeSH
- Upper Extremity diagnostic imaging MeSH
- Correlation of Data MeSH
- Humans MeSH
- Adolescent MeSH
- Radiography, Panoramic MeSH
- Statistics as Topic MeSH
- Age Determination by Skeleton methods statistics & numerical data MeSH
- Age Determination by Teeth * methods MeSH
- Age Factors MeSH
- Child Development MeSH
- Tooth growth & development MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
Introduction: The main objective of our research was to measure the impact on health of isolation and online education due to the Covid-19 pandemic, and particularly risk behaviours and mental health in adolescents with low socioeconomic status. Methods: We used an online questionnaire before (Q1) and after (Q2) the introduction of digital education, which was completed by a total of 212 Hungarian secondary school students. We measured the prevalence of risk behaviours and psychosomatic symptoms: subjective well-being, life satisfaction, self-esteem, sense of coherence, and changes in coping mechanisms among the students. Results: Stable smoking (p = 0.316), alcohol consumption habits (p = 0.573), and cannabis use (p = 0.607) did not change significantly between the two data sets. Psychosomatic symptoms (p = 0.111), life satisfaction (p = 0.727), self-esteem (p = 0.053) and sense of coherence (p = 0.602) also showed no significant change. However, there was an increase in the level of subjective well-being (p = 0.017) and in the proportion of those who used cognitive restructuring (p = 0.035) or problem-focused coping (p = 0.012) as coping mechanisms. Conclusion: Digital education had no negative impact on the health indicators of the students with low socioeconomic status. There were no significant changes in risk behaviours between the two surveys, while the students' mental health changed in a positive direction in several aspects.
- MeSH
- COVID-19 * psychology MeSH
- Education, Distance MeSH
- Mental Health statistics & numerical data MeSH
- Correlation of Data MeSH
- Humans MeSH
- Adolescent MeSH
- Low Socioeconomic Status MeSH
- Surveys and Questionnaires MeSH
- Psychology, Adolescent MeSH
- Psychophysiologic Disorders epidemiology etiology MeSH
- Social Isolation * psychology MeSH
- Statistics as Topic MeSH
- Health Risk Behaviors MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
Východiská: V súčasnosti absentuje dostatok štúdií, ktoré by sa venovali sledovaniu vzťahu symptómov dolných močových ciest a porúch mobility u žien so sklerózou multiplex. Cieľom práce bolo sledovanie vzťahu hyperaktívneho močového mechúra a porúch mobility u žien so sklerózou multiplex. Metódy: Pacientky so sklerózou multiplex (SM) s relaps-remitujúcou formou (RR), štádium disability: EDSS ≤ 6,5, zo špecializovanej ambulancie Neurologickej kliniky LF UPJŠ v Košiciach v počte 106. Symptómy úniku moču boli hodnotené modifikovaným Dotazníkom medzinárodnej konzultácie o inkontinencii (ICIQ UI-SF) a symptomy hyperaktívneho močového mechúra boli hodnotené krátkym dotazníkom príznakov hyperaktívneho mechúra (OAB-q). Bola použitá stupnica dopadu Sklerózy multiplex (MSIS-29) a Index mobility Rivermead (RMI). Záver: U pacientok s SM sme zistili uvedené korelácie: signifikantne pozitívnu strednú koreláciu medzi závažnosťou symptómov OAB a UI a fyzickými atribútmi. Zistili sme signifikantne pozitívnu miernu koreláciu medzi závažnosťou symptómov OAB a UI a psychickými atribútmi. Zistili sme negatívnu signifikantnú strednú koreláciu medzi závažnosťou symptómov OAB a UI a mobilitou. Bolo potvrdené, že čím sú závažnejšie symptómy UI a OAB, tým sú väčšie ťažkosti s mobilitou pri vykonávaní fyzických aktivít a tým rastie aj negatívny dopad ochorenia SM na psychické zdravie pacientok.
Background: Currently, there is a lack of studies monitoring the relationship between lower urinary tract symptoms and mobility disorders in women with multiple sclerosis. The aim of this study was to monitor the relationship between overactive bladder and mobility impairments in women with multiple sclerosis. Methods: A number of 106 female patients with multiple sclerosis (MS) with relapsing-remitting (RR) form, disability stage: EDSS ≤ 6.5, from the specialized outpatient clinic of the Department of Neurology, Faculty of Medicine, University of Medical Sciences in Košice. Urinary leakage symptoms were assessed by the modified International Consultation on Incontinence Questionnaire (ICIQ UI-SF), and overactive bladder symptoms were assessed by the Short Overactive Bladder Symptoms Questionnaire (OAB-q). The Multiple Sclerosis Impact Scale (MSIS-29) and the Rivermead Mobility Index (RMI) were used. Conclusion: In MS patients, we found the following correlations: a significant positive mean correlation between the severity of OAB and UI symptoms and physical attributes. We found a significant positive moderate correlation between severity of OAB and UI symptoms and psychological attributes. We found a negative significant moderate correlation between OAB and UI symptom severity and mobility. It was confirmed that the more severe the symptoms of UI and OAB, the greater the difficulty of mobility in performing physical activities, and thus the negative impact of SM disease on patients' psychological health increases.
- MeSH
- Adult MeSH
- Urinary Bladder, Overactive complications MeSH
- Comorbidity * MeSH
- Correlation of Data MeSH
- Middle Aged MeSH
- Humans MeSH
- Movement Disorders MeSH
- Surveys and Questionnaires MeSH
- Multiple Sclerosis * complications MeSH
- Statistics as Topic MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
Cieľ: Sclerosis multiplex má veľký vplyv na kvalitu života pacienta. Cieľom štúdie bolo lingvisticky a kultúrne validovať Multiple Sclerosis Quality of Life Questionnaire – 54 (MSQOL-54). Nástroj zahŕňa širokú škálu oblastí kvality života súvisiace so zdravím. Metodika: Pre posúdenie konštruktovej validity bola použitá Hlavná analýza komponentov s ortogonálnou rotáciou Varimax. Predbežná analýza bola vykonaná pomocou Kaiserovej Meyer-Olkinovej štatistiky a Bartlettovho testu sféricity. Pre analýzu faktorovej štruktúry nástroja sme použili procedúry konfirmačnej faktorovej analýzy. Výsledky: Pilotnej štúdie sa zúčastnilo 104 respondentov. Reliabilita celého dotazníka potvrdila hodnotu Cronbach a = 0,979. Najvýznamnejšie korelácie sa zistili medzi skóre Expanded Disability Status Scale: bolesťou a fyzickým zdravím (p < 0,001). Štatisticky významné inverzné korelácie boli zistené medzi dĺžkou trvania ochorenia a subškálami MSQoL-54 na úrovni p < 0,001 v oblastiach: obmedzenie úloh z dôvodu emocionálnych problémov, energia, kognitívne funkcie, sexuálna aktivita, zmena v zdravotnom stave, spokojnosť so sexuálnou aktivitou. Záver: Dotazník vykazuje možnosti použitia u väčšej vzorky respondentov bez obmedzenia na diagnostikovaný typ sclerosis multiplex a s rozšírenými položkami v oblasti sociodemografického skríningu, úrovne sebaopatery a mentálneho zdravia.
Aim: Multiple sclerosis has a major impact on the quality of life of the patient. The aim of the study was to validate the Multiple Sclerosis Quality of Life Questionnaire – 54 (MSQOL-54) linguistically and culturally. The instrument includes a wide range domain of quality of life which is related with health. Methodology: Principal component analysis with orthogonal Varimax rotation was used to assess the construct validity. Preliminary analysis was performed using the Kaiser Meyer-Olkin statistic and Bartlett‘s test of sphericity. For the analysis of the factor structure of the instrument we used the procedures of confirmatory factor analysis. Results: In the pilot study there were 104 respondents. The reliability of the whole questionnaire confirmed the value of Cronbach a = 0.979. The most significant correlations were found between the Expanded Disability Status Scale scores: pain and physical health (P < 0.001). Statistically significant inverse correlations were found between duration of disease and MSQoL-54 subscales at the P < 0.001 level in the areas: task limitation due to emotional problems, energy, cognitive functions, sexual activity, change in health status, and satisfaction with sexual activity. Conclusion: The questionnaire shows possibilities of use in a larger sample of respondents without limitation to the diagnosed type of multiple sclerosis and with extended items in the area of sociodemographic screening, level of self-care and mental health.
- MeSH
- Correlation of Data MeSH
- Quality of Life MeSH
- Humans MeSH
- Pilot Projects MeSH
- Surveys and Questionnaires MeSH
- Psychometrics * methods MeSH
- Reproducibility of Results MeSH
- Multiple Sclerosis * MeSH
- Statistics as Topic MeSH
- Check Tag
- Humans MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Validation Study MeSH
- Geographicals
- Slovakia MeSH
Background: There is a marked use of technology by children in our societies, particularly during the last 2decades, which may be associated with limitation of their milestones developments including speech.Objectives: To determine the association between screen exposure and speech development delay among toddlers and preschoolers, to clarify the correlation linking the visioning of the screen and the input - data - of the child and his(her) mother, and to identify the impact of screen withdrawal on the possible enhancement of speech.Material and Methods: This descriptive cross-sectional study enrolled children (n=237) who had a history of delay in speech or complete loss of the ability to speak as a chief complaint. The age ranged from 12-60 months categorized into two groups: toddlers and preschoolers. All cases had programmed medical visits to the private clinics of psychiatry in Nineveh Province, Iraq. Data were obtained from interview questionnaire reports including; digital device type, first exposure age, spent time, and child-maternal parameters. Follow-up for 6months was done beyond the departure of those media.Results: This study involved 47 (19.8%) toddlers, and 190 (80.2%) preschoolers with an inclination toward males. Children with speech postponement were spotted in around 225 (94.9%), while the others had complete loss of the ability to speak. In both sets, a considerable association between speech delay and screen viewing was shown, impressively those who commenced screen exposure at less than twenty-four months of age and consumed ≥4hr per day for screens visioning. Six -months after quitting these devices, there is speech improvement was recognized in 36.7% of cases.Conclusions: Positive associations were noticed between the first exposure age and high frequency of screen spent time and speech delays in children, especially toddlers. This work recommends an instantaneous parent's and researchers' consciousness, besides that from health consultants, on the acceptable usage of screen's visioning time in consonance with children to support healthy development in digital life.
- MeSH
- Screen Time * MeSH
- Correlation of Data MeSH
- Humans MeSH
- Child, Preschool MeSH
- Cross-Sectional Studies MeSH
- Surveys and Questionnaires MeSH
- Statistics as Topic MeSH
- Language Development Disorders * epidemiology etiology MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Child, Preschool MeSH
- Female MeSH
- Geographicals
- Iraq MeSH
BACKGROUND: Medication administration errors (MAE) are a worldwide issue affecting the safety of hospitalized patients. Through the early identification of potential causes, it is possible to increase the safety of medication administration (MA) in clinical nursing. The study aimed to identify potential risk factors affecting drug administration in inpatient wards in the Czech Republic. MATERIAL AND METHODS: A descriptive correlation study through a non-standardized questionnaire was used. Data were collected from September 29 to October 15, 2021, from nurses in the Czech Republic. For statistical analysis, the authors used SPSS vers. 28 (IBM Corp., Armonk, NY, USA). RESULTS: The research sample consisted of 1205 nurses. The authors found that there was a statistically significant relationship between nurse education (p = 0.05), interruptions, preparation of medicines outside the patient rooms (p < 0.001), inadequate patient identification (p < 0.01), large numbers of patients assigned per nurse (p < 0.001), use of team nursing care and administration of generic substitution and an MAE. CONCLUSIONS: The results of the study point to the weaknesses of medication administration in selected clinical departments in hospitals. The authors found that several factors, such as high patient ratio per nurse, lack of patient identification, and interruption during medication preparation of nurses, can increase the prevalence of MAE. Nurses who have completed MSc and PhD education have a lower incidence of MAE. More research is needed to identify other causes of medication administration errors. Improving the safety culture is the most critical challenge for today's healthcare industry. Education for nurses can be an effective way to reduce MAEs by enhancing their knowledge and skills, mainly focusing on increasing adherence to safe medication preparation and administration and a better understanding of medication pharmacodynamics. Med Pr. 2023;74(2):85-92.
- MeSH
- Correlation of Data MeSH
- Pharmaceutical Preparations MeSH
- Humans MeSH
- Medication Errors * prevention & control MeSH
- Surveys and Questionnaires MeSH
- Self Report MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
Úvod: Měření práce myokardu (myocardial work, MW) představuje novou echokardiografickou metodu založenou na sledování smyčky tlak-deformace srdeční komory, což umožňuje kvantifikovat výkonnost srdce. Na druhé straně rychlost pulsní vlny (pulse wave velocity, PWV) určuje tuhost tepen na základě poznatku, že se zvyšující se tuhostí tepny se zvyšuje i rychlost anterográdního a retrográdního přenosu sfygmické vlny. Cíl: Cílem této studie bylo stanovit korelaci mezi parametry MW a PWV. Metody: Do studie jsme zařazovali všechny po sobě následující pacienty bez kardiovaskulárního onemocnění, kteří v období mezi červnem 2021 a červencem 2022 absolvovali transtorakální dopplerovské echokardio- grafické vyšetření. Hodnoty MW byly vypočítány ze smyčky tlak-deformace srdeční komory, do níž byly začleněny hodnoty neinvazivního vyšetření tepenného tlaku podle doporučení pro standardní echokardiogracfické vyšetření metodou "speckle tracking". Hodnota PWV se měřila tonometrem na úrovni společné karotidy a společné femorální tepny. Výsledky: Celkem bylo do studie zařazeno 66 pacientů průměrného věku 30,7 ± 8,6 roku. Byla nalezena statisticky významná negativní korelace mezi PWV a celkovou zbytečně vynaloženou energií (global wasted energy, GWE) (r = -0,317; p < 0,01) při korelaci s celkovou zbytečně vynaloženou prací (global wasted work, GWW) (r = 0,324; p < 0,01). Statisticky významná korelace přetrvávala v podskupinách žen i mužů u GWE (ženy: r = -0,280; p < 0,05; muži: r = -0,362; p < 0,05) i u GWW (ženy: r = 0,359; p < 0,05; muži: r = 0,359; p < 0,05). Závěr: Vztah mezi MW a PWV jako projev součinnosti mezi levou komorou a velkými tepnami může potenciálně představovat užitečný nástroj pro časné odhalení subklinické dysfunkce kardiovaskulárního systému.
Introduction: The myocardial work (MW) is a new echocardiographic method, based on the pressure-strain loop, which allows quantifying the cardiac performance. On the other hand, the pulse wave velocity (PWV) evaluates arterial stiffness, knowing that as the stiffness of an artery increases, the transmission velocity of the anterograde and the retrograde sphygmic wave increases. Purpose: The aim of the study is to evaluate the correlation between MW and PWV parameters. Methods: We enrolled consecutively all patients without cardiovascular disease who underwent transthora- cic Doppler echocardiography between June 2021 and July 2022. The MW parameters were derived from the strain-pressure loop, including in its calculation the measurement non-invasive arterial pressure, according to standard speckle tracking echocardiography recommendations. The PWV measurement was obtained by tonometry at the level of the common carotid artery and the common femoral artery. Results: We enrolled 66 patients (mean age: 30.7±8.6 years). There was a significant inversely proportio- nal correlation between PWV and GWE (r = –0.317; p <0.01) meanwhile there was a directly proportional correlation with GWW (r = 0.324; p <0.01). The statistically significant correlation remained in the female and male subgroups for GWE (female: r = –0.280; p <0.05; male: r = –0.362; p <0.05) and GWW (female: r = 0.359; p <0.05; male: r = 0.359; p <0.05). Conclusion: The relationship between MW and PWV as a demonstration of ventricular arterial coupling may potentially be a useful tool in the early recognition of subclinical cardiovascular dysfunction.
- MeSH
- Pulse Wave Analysis * methods instrumentation MeSH
- Echocardiography, Doppler methods instrumentation MeSH
- Adult MeSH
- Correlation of Data MeSH
- Humans MeSH
- Young Adult MeSH
- Heart * physiology MeSH
- Statistics as Topic MeSH
- Vascular Stiffness physiology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
- Geographicals
- Italy MeSH
OBJECTIVES: Evaluation of selected inflammatory parameters and serum malondialdehyde (MDA) significance in the post-inflammatory period in adult patients with cystic fibrosis. BACKGROUND: Laboratory biomarkers can be integrated into clinical practice as part of monitoring the effectiveness of treatment. METHODS: After recovery from an acute exacerbation of lung infection, selected inflammatory parameters (fibrinogen, IL-1, IL-6, SAA, hs-CRP) and serum MDA were examined in 30 adult patients with cystic fibrosis. Their correlation with FEV1, frequency and duration of subsequent hospitalizations and 6-year prognosis in terms of mortality or need for lung transplantation was evaluated. RESULTS: FEV1 negatively correlated with fibrinogen, but positively with MDA. No significant correlation with hs-CRP, IL-1, IL-6 and SAA was recorded. Plasma fibrinogen predicted the frequency and duration of subsequent hospitalizations. The 6-year prognosis was negatively associated with plasma fibrinogen whereas its association with MDA was positive. However, the prognosis of patients in the multivariate analysis was significantly associated only with FEV1. CONCLUSION: Plasma fibrinogen examined in the post-inflammatory period is a marker of lung damage in patients with cystic fibrosis and can be used to predict the prognosis. The positive correlation of serum MDA with FEV1 in the post-inflammatory period may be important to the interpretation of treatment interventions (Tab. 3, Fig. 2, Ref. 17).
- MeSH
- Biomarkers * blood MeSH
- Cystic Fibrosis * blood MeSH
- Tidal Volume MeSH
- Adult MeSH
- Fibrinogen analysis MeSH
- Clinical Deterioration MeSH
- Correlation of Data MeSH
- Humans MeSH
- Malondialdehyde analysis MeSH
- Prognosis MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Evaluation Study MeSH
- Clinical Study MeSH
- Research Support, Non-U.S. Gov't MeSH
