This study was aimed to analyse the lower limb kinematics during the change of direction (COD) performance with the dominant (DL) and non-dominant (NDL) leg using linear (traditional kinematics) and nonlinear (Self Organising Map-based cluster analysis) approaches. Three 5-0-5 COD performances with the DL and three with the NDL were performed by 23 (aged 21.6 ± 2.3 years) collegiate athletes. No significant difference was observed between the COD duration, and approach speed of DL and NDL. Significantly greater ankle abductions, knee and hip external rotations were identified in COD with DL, compared to NDL (p < .001, d > 0.8). Self Organising Maps portrayed a completely different coordination pattern profile during change of direction performance with the DL and NDL. The cluster analysis illustrated similar inter-individual coordination patterning when participants turned with their DL or NDL. No visible relationship was observed in the cluster analysis of the lower limb joint angles and angular velocities. Outcomes of this study portrayed that coordination patterning (combination of joint angles and the rate of change of angles) could portray the movement patterning differences in different tasks, while a sole investigation on the joint angles or angular velocities may not reveal the underlying mechanisms of movement patterning.
- MeSH
- Leg * physiology MeSH
- Biomechanical Phenomena MeSH
- Lower Extremity * physiology MeSH
- Functional Laterality * physiology MeSH
- Ankle physiology MeSH
- Humans MeSH
- Young Adult MeSH
- Motor Skills * physiology MeSH
- Nonlinear Dynamics MeSH
- Movement physiology MeSH
- Cluster Analysis MeSH
- Athletic Performance * physiology MeSH
- Check Tag
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Introduction: The ability to self-care is considered essential in heart failure management. One of the valid and reliable instruments that allow the measurement of heart failure self-care behaviour is the European Heart Failure Self-Care Behaviour Scale (EHFScBS-9). Objective: To adapt and assess psychometric properties of the Slovak version of the EHFScBS-9. Methods: In this descriptive validation study, 122 Slovak heart failure patients completed the EHFScBS-9, the Cardiac Self-Efficacy Questionnaire (CSEQ), and Personal Well-being Index (PWI). Item analysis, confirmatory factor analysis (CFA), and convergent and discriminant validity were evaluated. Cronbach's alpha was calculated to assess reliability. Results: The results of CFA confirmed a good fit of the two- respectively three-factor structure of the Slovak EHFScBS-9. Convergent validity was confirmed by positive correlation between the Slovak EHFScBS-9 and the CSEQ. Discriminant validity was supported by poor correlation between EHFScBS-9 and PWI. Cronbach's alpha coefficient for the total EHFScBS-9 instrument of Slovak version was 0.77. Conclusion: The Slovak version of the EHFScBS-9 instrument is valid and reliable to measure self-care behaviour in heart failure patients.
- MeSH
- Factor Analysis, Statistical MeSH
- Middle Aged MeSH
- Humans MeSH
- Self Care methods psychology MeSH
- Surveys and Questionnaires MeSH
- Psychometrics * methods MeSH
- Reproducibility of Results MeSH
- Aged MeSH
- Heart Failure * psychology MeSH
- Statistics as Topic MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Validation Study MeSH
- Geographicals
- Slovakia MeSH
Background: Individuals with intellectual disabilities experience inequalities in healthcare. Aim: In this cross-sectional study, we aimed to analyse the perceived professional competencies of nursing students from two countries: the Czech Republic and Poland in relation to providing medical care for patients with intellectual disabilities. Methods: Two closed self-report questionnaires were used to examine the relationships between students' competency, their attitudes toward keeping a social distance from individuals with intellectual disabilities in healthcare, and their participation in training related to this issue. The sample consisted of 208 nursing students from two countries: the Czech Republic and Poland. Results: Relationships were observed between students' self-assessed competencies and their social distance. Additionally, training in the field of care and treatment of individuals with intellectual disabilities played a differing role. Conclusion: The findings highlight the complexity of developing nursing competencies in providing medical care for patients with intellectual disabilities. They suggest the need for tailored, context-sensitive training programs, ongoing research to uncover additional influencing factors, and a supportive educational environment that encourages honest dialogue and self-assessment.
- MeSH
- Humans MeSH
- Intellectual Disability nursing therapy MeSH
- Professional Competence MeSH
- Persons with Intellectual Disabilities * MeSH
- Pilot Projects MeSH
- Attitude MeSH
- Psychological Distance MeSH
- Statistics as Topic MeSH
- Students, Nursing * psychology MeSH
- Self Report MeSH
- Check Tag
- Humans MeSH
- Publication type
- Comparative Study MeSH
- Geographicals
- Czech Republic MeSH
- Poland MeSH
Introduction: The central venous catheter (CVC) and its use represents a step forward in patient treatment, but involves numerous potential complications. Applying nursing standards to clinical practice achieves high-quality nursing care. Design: Cross-sectional quantitative study using a questionnaire. Methods: Quantitative research using questionnaire technique was conducted to examine nurses' knowledge of nursing care for central venous catheters and adherence to nursing standards. The research sample consisted of 256 nurses in selected regional hospitals in the Slovak Republic. The criterion for including nurses in the sample was the provision of CVC care in routine practice. The data were analysed using descriptive statistics and statistical testing methods. Results: The research found that nurses have certain shortcomings in nursing care for central venous catheters. Nurses know how to work correctly according to aseptic procedures (81%), but they are unsure what barrier devices are needed for dressing and treatment (25%). Conclusion: Based on the research results, it can be concluded that despite nurses' knowledge being adequate, it is necessary to provide regular training on the principles of CVC care to reduce infections associated with healthcare.
Background: Malnutrition is a lack of proper nutrition associated with different chronic diseases, comorbidities, frailty, and a higher prevalence of morbidity and mortality. Aim: The aim of the study was to determine the most appropriate items that reflect nutrition status in this population group and incorporate them into the nutrition risk screening and malnutrition assessment tool. Methods: A cross-sectional validation study was conducted in Bosnia and Herzegovina among 300 individuals older than 65 years. An eight-step approach that included correspondence analysis, generation of the pool item, content validity, internal consistency, construct validity, criterion validity, face validity, and reliability was performed. Results: Correspondence analyses were performed using the contingency table's low-dimensional graphical representation of the rows and columns. After identifying nutrition status assessment-related topics via correspondence analyses, a literature review was performed to determine additional items. The assessment tool's accuracy was measured against clinical judgement as a reference standard. To test face validity of the tool, cognitive interviewing was used. Responses were analyzed and necessary changes were made. The final version of the tool included 14 items. Possible range score on the assessment tool was 0-21. Lower scores indicated nutrition risk. The screening and assessment tool showed acceptable validity and internal consistency.
- MeSH
- Risk Assessment methods MeSH
- Nutrition Assessment * MeSH
- Humans MeSH
- Nutritional Status MeSH
- Malnutrition prevention & control MeSH
- Cross-Sectional Studies MeSH
- Aged * MeSH
- Statistics as Topic MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Aged * MeSH
- Female MeSH
- Publication type
- Validation Study MeSH
- Geographicals
- Bosnia and Herzegovina MeSH
Introduction: Shame is defined as a negative emotion associated with intense distress and self-blame. It strongly manifests in conditions such as urinary or fecal incontinence. This study aimed to explore the feeling of shame experienced by individuals with incontinence when discussing their condition with others. Additionally, the study sought to identify factors associated with this emotion. Methods: A prospective observational study was conducted with 220 patients with incontinence who filled in a 17-item online survey. Multivariate linear regression analysis was used to identify factors related to shame. Results: A significant sense of shame was reported by 39.1% of participants when discussing their incontinence. The highest levels of shame were observed among women with poorer health status who initially sought advice from general practitioners, had limited knowledge of incontinence, and relied primarily on the internet for information. Conclusion: This study highlights the importance of adopting a comprehensive approach that includes incontinence's emotional and psychological aspects. Educational and awareness interventions are crucial to enhance understanding, provide reliable information, and reduce social stigma. Creating a trusting environment is essential to enable individuals with incontinence to feel comfortable discussing their condition with healthcare professionals, promoting open and supportive communication.
- MeSH
- Adult MeSH
- Fecal Incontinence * psychology MeSH
- Shame MeSH
- Urinary Incontinence * psychology MeSH
- Humans MeSH
- Prospective Studies MeSH
- Regression Analysis MeSH
- Aged MeSH
- Statistics as Topic MeSH
- Self Report MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Observational Study MeSH
Cíl: Pomocí dotazníkové studie zmapovat řešení různých typů ektopické gravidity v ČR. Soubor a metodika: V roce 2023 bylo pomocí online dotazníku osloveno 95 gynekologicko-porodnických oddělení v ČR s dotazy na způsoby řešení různých typů ektopické gravidity. Pracoviště byla rozdělena podle počtu provedených hysterektomií za rok. Rozdílné odpovědi mezi velkými centry a ostatními pracovišti byly statisticky porovnány. Výsledky: Zaslaný dotazník vyplnilo 45 oddělení všech velikostí. Dvě třetiny všech pracovišť provádí v případě tubární gravidity vždy salpingektomii (78 % velkých, 58 % středně velkých a 40 % malých). Systémovou aplikaci metotrexátu při léčbě intaktní tubární gravidity využívá pětina pracovišť (22 % velkých, 23 % středně velkých a 0 % malých). Při atypické lokalizaci ektopické gravidity používá léčbu metotrexátem 33 % velkých, 42 % středně velkých a 40 % malých pracovišť. Statisticky signifikantní rozdíl vykazoval jednoznačně preferovaný laparoskopický přístup při chirurgickém řešení gravidity v jizvě po císařském řezu u velkých pracovišť ve srovnání s menšími odděleními (p = 0,036). Všechny další sledované parametry se mezi pracovišti statisticky nelišily. Závěr: Při diagnóze intaktní tubární gravidity indikují čtyři pětiny všech gynekologicko--porodnických pracovišť laparoskopickou salpingektomii, pouze pětina využívá při terapeutickém řešení systémovou aplikaci metotrexátu. Tato léčba je naopak používána u třetiny až dvou pětin gynekologicko-porodnických pracovišť všech velikostí při atypické lokalizaci ektopické gravidity.
Objective: To map management of different types of ectopic pregnancies in the Czech Republic using a questionnaire-based study. Methods: In 2023, a total of 95 obstetrics and gynecology departments across the Czech Republic were surveyed using an online questionnaire, which inquired about the management strategies for various types of ectopic pregnancies. The departments were categorized based on the number of hysterectomies performed annually. Differences in responses between large centers and other departments were statistically compared. Results: A total of 45 departments of all sizes completed the questionnaire. Two-thirds of all departments always perform salpingectomy in cases of tubal pregnancy (78% of large, 58% of medium-sized, and 40% of small departments). Systemic methotrexate administration for the treatment of intact tubal pregnancy is used by one-fifth of departments (22% of large, 23% of medium-sized, and 0% of small departments). In cases of atypical ectopic pregnancy localization, methotrexate treatment is used by 33% of large, 42% of medium-sized, and 40% of small departments. A statistically significant difference was observed in the clearly preferred laparoscopic approach for surgical management of cesarean scar pregnancy in large centers compared to smaller departments (P = 0.036). No other statistically significant differences were observed between the departments in other parameters. Conclusion: In cases of intact tubal pregnancy, four-fifths of obstetric and gynecological departments perform laparoscopic salpingectomy, while only one-fifth utilize systemic methotrexate for treatment. On the other hand, methotrexate is used by one-third to two-fifths of departments of all sizes in cases of atypical ectopic pregnancy localization.
- MeSH
- Data Analysis MeSH
- Humans MeSH
- Disease Management MeSH
- Methotrexate pharmacology therapeutic use MeSH
- Pregnancy, Ectopic * drug therapy therapy MeSH
- Surveys and Questionnaires MeSH
- Salpingectomy methods statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Czech Republic MeSH
Navrhovaná studie proveditelnosti využívá aplikaci „OCD dům“, vytvořenou v prostředí virtuální reality (VR) pro expoziční terapii u pacien- tů s obsedantně-kompulzivní poruchou (OCD). Metoda byla vyvinuta na základě dimenzionálního přístupu k symptomatologii OCD, který vyčleňuje čtyři podtypy: „kontaminace/čištění“, „symetrie/uspořádání“, „strach z poškození/kontrola“ a „hromadění“. Cílem probíhající studie proveditelnosti je ověřit účinnosti již dříve validované expoziční metody ve spojení s čichovou stimulací. Předpokládáme, že čichová stimulace během expozice ve VR zvýší vnímanou realističnost a potenciálně také intenzitu symptomů vyvolaných touto čichově obohacenou simulací.
The proposed feasibility study uses the application "OCD house" created in a virtual reality (VR) environment for exposure therapy in pati- ents with obsessive-compulsive disorder (OCD). The method was designed based on a dimensional approach to OCD symptomatology, which distinguishes four subtypes: 'contamination/cleaning', 'symmetry/ordering', 'fear of harm/checking' and 'hoarding'. An ongoing feasibility study aims to test the previously validated exposure method in combination with olfactory stimulation. We hypothesize that olfactory stimu- lation during exposure in VR will increase the perceived level of immersion in the environment and potentially also the assessed intensity of symptoms induced by this olfactory-enriched simulation.
- MeSH
- Olfactory Perception MeSH
- Adult MeSH
- Implosive Therapy methods MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Obsessive-Compulsive Disorder * therapy MeSH
- Software MeSH
- Statistics as Topic MeSH
- Feasibility Studies MeSH
- Virtual Reality Exposure Therapy * methods MeSH
- Anxiety therapy MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
Cílem této studie je zjistit, jaká je vývojová tendence u vybraných somatických faktorů elitních hráčů a elitních hráček tenisu v období let 2003-2023. Výzkumný soubor tvořili hráči a hráčky, kteří se umístili v Top 20 žebříčku ATP a WTA. Analyzovali jsme tělesnou výšku u hráčů a hráček ATP a WTA i hmotnost a BMI u hráčů ATP. Výsledky ukázaly, že v období 2003–2023 došlo k nárůstu průměrné tělesné výšky mužů o 5 cm, přičemž výška tenistek vzrostla jen mírně. U mužů se zároveň neprojevil trend nárůstu tělesné hmotnosti, která v posledních letech klesla. U indexu tělesné hmotnosti (BMI) byl pozorován pokles, což naznačuje, že moderní hráči jsou spíše štíhlejší a pohyblivější. Studie přináší poznatky o vývoji tělesných parametrů nejlepších hráčů tenisu, které ovlivňují jejich výkonnost. Získaná data by mohla být užitečná pro praxi ve vrcholovém tenise a mohla by se uplatnit i při výběru mladých tenisových talentů.
The aim of this study is to investigate the developmental trends of selected somatic factors in elite male and female tennis players over the period from 2003 to 2023. The research sample consisted of players who were ranked in the Top 20 of the ATP and WTA rankings, and the analysis focused on body height, weight, and BMI. The results showed that between 2003 and 2023, the mean body height of male players increased by 5 cm, while the height of female players rose only slightly. In men, no trend of increasing body weight was observed, and in recent years, weight has even decreased. A decrease in Body Mass Index (BMI) was also observed, suggesting that modern players tend to be leaner and more mobile. This study provides insights into the development of physical characteristics in the best tennis players, which influence their performance. The data obtained could be useful in professional tennis practice and may also be applied in the selection of young tennis talents.
- MeSH
- Data Analysis MeSH
- Body Mass Index MeSH
- Humans MeSH
- Somatotypes MeSH
- Athletes statistics & numerical data MeSH
- Athletic Performance physiology statistics & numerical data MeSH
- Body Height * MeSH
- Tennis * physiology statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
Přímé podání dosahuje nejvyšších rychlostí. Pro jeho úspěšné provedení je základem si správně nadhodit míč a zasáhnout ho. Cílem je zjistit, jaký vztah má nadhoz na úspěšnost prvního (přímého) podání u hráček tenisu. Sledovali jsme 8 závodních hráček tenisu dospělé kategorie. Každá z nich provedla 40 přímých podání. Ty byly natáčeny na rychloběžnou kameru (200Hz) z bočního pohledu. Kartézský souřadný systém obsahoval osu X (ve směru základní čára – síť) a osu Y (výšku od země). Na základě 2D kinematické analýzy jsme hodnotili bod vrcholu nadhozu a zásahu míče u podání dle kategorií jeho úspěšnosti: 1) úspěšné 2) do sítě 3) do autu – dlouhý 4) do autu – do strany. Data byla analyzována analýzou rozptylu pro opakovaná měření. Výsledky ukázaly, že vrchol nadhozu byl statisticky významně nižší (cca o 5 cm) u podaní do autu do strany (351,7 ± 21,9 cm) proti ostatním třem sledovaným kategoriím úspěšnostem podání (p < 0,05). Zásah míče neukázal žádné statisticky významné rozdíly, i když podání do autu do strany byla zasahována nejblíže základní čáry a podání do sítě nejdále. Kinematická analýza ukázala určité charakteristiky nadhozu dle kategorizace úspěšnosti i jistou jeho variabilitu. Nadhoz podání ovlivňuje úspěšnost podání, avšak hráčky mohou do jisté míry pomocí vlastních pohybových dovedností kompenzovat jeho nepřesnosti a korigovat svůj pohyb a docílit úspěšného podání. Jedním z častých důvodů podání do autu do strany je nízký nadhoz.
The flat serve reaches the highest speeds. To execute it successfully, the key is to toss the ball correctly and hit it. The aim is to determine the relationship between the toss and the success of the flat serve in female tennis players. We observed 8 competitive female adult tennis players who served 40 flat serves each. They were videotaped on a high-speed camera (200Hz) from the side view. On the basis of 2D kinematic analysis, we evaluated the racket-ball impact during 1) successful serves 2) serves into the net 3) serves fault-long 4) serves fault-wide. Using repeated measures ANOVA, the results showed that the toss peak was significantly lower (approx. 5 cm) for fault serves wide 351,7 ± 21,9 cm ((p < 0.05) compared to all other serve outcomes. The ball impact did not show any statistically significant differences, although fault serves wide had racket-ball contact closest to the baseline, and serves into the net the furthest. Kinematic analyses revealed some characteristics and variability in serve toss of selected serve outcomes. The serve toss affects the success of the serve, but players can to some extent use their own movement skills to compensate for its inaccuracies and make corrections in their movement to achieve a successful serve. One reason for fault serve wide is a low toss.
- MeSH
- Data Analysis MeSH
- Biomechanical Phenomena MeSH
- Time Factors MeSH
- Humans MeSH
- Motor Skills MeSH
- Motion Capture methods MeSH
- Athletes statistics & numerical data MeSH
- Athletic Performance * statistics & numerical data MeSH
- Tennis * physiology statistics & numerical data MeSH
- Videotape Recording methods MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Clinical Study MeSH
