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BACKGROUND: The increasing prevalence of mental health disorders among adolescents highlights the importance of early identification and intervention. Artemis-A is a web-based application of computerised adaptive testing (CAT), originally developed for secondary schools, to quickly and efficiently assess students' mental health. Due to its speed, reliability and accessibility, it may be a valuable tool for healthcare practitioners (HCPs) working with children and young people (CYP) in primary, community and potentially secondary care settings in the future. OBJECTIVE: To explore whether Artemis-A would be a useful, feasible and acceptable tool for HCPs working in primary and community care settings to identify CYP's mental health difficulties. METHODS: Semistructured interviews were conducted with 20 HCPs: 5 general practitioners, 5 Child and Adolescent Mental Health Services (CAMHS) staff, 5 school nurses and 5 community paediatricians. Data were analysed using the Framework approach. FINDINGS: HCPs reported that Artemis-A has the potential to enhance mental health assessment and aid overburdened services by providing a quick, patient-centred assessment and monitoring mechanism. Benefits of the app include facilitating earlier intervention and appropriate referrals. However, some concerns emerged about safety netting and the way Artemis-A presents its information. Responsibilities for ensuring care continuity also require careful clarification. CONCLUSIONS: With proper protocols and integration, Artemis-A could prove valuable in supporting HCPs to promptly detect mental health issues in CYP. Further research into optimal implementation is warranted. CLINICAL IMPLICATIONS: If paired with effective evidence-based interventions, the implementation of Artemis-A could help manage escalating demands in CAMHS.
- MeSH
- diagnóza počítačová MeSH
- dítě MeSH
- dospělí MeSH
- duševní poruchy diagnóza epidemiologie terapie MeSH
- duševní zdraví MeSH
- kvalitativní výzkum * MeSH
- lidé MeSH
- mladiství MeSH
- postoj zdravotnického personálu MeSH
- primární zdravotní péče * MeSH
- služby péče o duševní zdraví MeSH
- studie proveditelnosti * MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Spojené království MeSH
Introduction: The coronavirus epidemic caught the world by surprise. The already overburdened and understaffed health sector faced new challenges that made the daily lives of health workers even more difficult. Aim: The purpose of this study was to evaluate the extent of burnout and symptoms of depression in health workers, and their association with work in COVID care and other sociodemographic and workplace factors. Methods: The cross-sectional study was conducted from 27 January 2022 to 14 February 2022 with a self-constructed questionnaire. Data were analysed with descriptive statistics, Chi-square tests, and Spearman correlations (p < 0.05). Results: Of the 10,285 Hungarian respondents who completed the questionnaire, 42.3% suffered from varying degrees of depression and 64.4% from burnout. These two psychological factors are significantly associated with marital status, sex, number of years in health care, levels of health care, and the length of time working in COVID care. A high degree of burnout and severe depression will result in a negative assessment of the COVID vaccine. The older the respondent, the lower the levels of depression and burnout. Conclusion: Working in COVID care has had a significant negative impact on the mental health of health workers. It is important to note that the Beck Depression Scale alone is not sufficient to diagnose depression.
- MeSH
- COVID-19 psychologie MeSH
- deprese diagnóza psychologie MeSH
- duševní vyhoření * MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- sociodemografické faktory MeSH
- zdravotnický personál psychologie MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Maďarsko MeSH
Východiska: Česká republika patří dlouhodobě mezi země s vysokými hodnotami incidence i mortality kolorektálního karcinomu. Od roku 2000 je v ČR zaveden screeningový program, který hraje v rámci prevence tohoto onemocnění důležitou roli. Pro zajištění vysoké kvality a z ní plynoucí úspěšnosti programu je nutný průběžný monitoring celého screeningového procesu. Cílem sdělení je prezentace aktuálních výsledků Národního programu screeningu kolorektálního karcinomu pomocí vybraných indikátorů výkonnosti jednotlivých pracovišť pro screeningovou koloskopii (dále jen centrum). Materiál a metody: Analýza byla provedena na datech roku 2021, hodnoceny byly vybrané indikátory výkonnosti (počet provedených preventivních koloskopií, adekvátní střevní očista, podíl totálních koloskopií a záchyt adenomových polypů). Výsledné indikátory výkonnosti byly hodnoceny v souladu s referenčními hodnotami publikovanými v doporučených postupech ČGS ČLS JEP s cílem poukázat na výsledky programu jako celku, nikoli hodnotit jednotlivá centra. Výsledky: Většina (94,7 %) center splňuje základní indikátor výkonnosti stran počtu provedených koloskopií. Indikátor výkonnosti adekvátní střevní přípravy byl splněn u 83,6 % center (průměrný podíl koloskopií s adekvátní střevní přípravou je v ČR 93,8 %), optimálního podílu úplných koloskopií (90,0 %) v roce 2021 dosahovalo 87,2 % center. Pouze 16 center (8,5 %) nesplnilo indikátor hodnotící detekci adenomů, mezi centry byla v tomto parametru značná variabilita (11,6–68,2 %) – obdobné výsledky pozorujeme i v případě hodnocení tohoto indikátoru dle pohlaví a indikace. Při hodnocení dle indikace byla zaznamenána u TOKS+ koloskopií relativně nízká detekce adenomových polypů související s vysokou a variabilní pozitivitou TOKS, což může indikovat nadbytečné koloskopie a nadměrně zatěžovat centra. Závěr: Část center nesplňuje minimální referenční hodnoty definované doporučeními ČGS ČLS JEP pro jednotlivé indikátory výkonnosti – je tedy nezbytně nutné pokračovat ve sledování indikátorů výkonnosti na úrovni jednotlivých center s cílem zvyšování kvality celého programu.
Background: Compared to other European countries, the Czech Republic has long been one of the countries with high rates of incidence and mortality of colorectal cancer. The screening program was implemented in 2000 and has become an essential part of prevention policy in the Czech Republic. Continuous monitoring of the entire screening process is necessary to ensure high quality and the resulting success of the program. The aim of the paper is to present the current results of the National Colorectal Cancer Screening Program using selected indicators in accordance with established recommendations. Material and Methods: The analysis was performed on data on preventive colonoscopies performed in Centers for screening colonoscopy (Centers) in 2021, with selected performance indicators being evaluated (number of preventive colonoscopies, adequate bowel preparation, caecal intubation rate and adenoma detection rate). The resulting performance indicators were evaluated by the published recommendations of the Czech Gastroenterological Society to point to the results of the program as a whole, not to assess individual Centers. Results: The majority (94.7%) of the Centers achieved the basic performance indicator (number of preventive colonoscopies). The performance indicator of adequate bowel preparation was met by 83.6% of Centers (the average proportion of colonoscopies with adequate bowel preparation in the Czech Republic is 93.8%). The optimal proportion of caecal intubation (90.0%) was reached by 87.2% of Centers in 2021. Only 16 Centers (8.5%) did not meet the adenoma detection rate indicator, but a high variability was observed across the Centers (11.6% to 68.2%) – a similar situation was observed in evaluation by gender and indication. A relatively low adenoma detection rate in follow-up colonoscopies after positive FOBT could be related to high and variable FOBT, which may indicate redundant colonoscopies and overburden the Centers. Conclusion: Some Centers do not reach the reference values for performance indicators according to reference values. It is necessary to continue monitoring performance indicators at the level of individual Centers to improve the quality of the entire program.
The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is significantly impacting human lives, overburdening the healthcare system and weakening global economies. Plant-derived natural compounds are being largely tested for their efficacy against COVID-19 targets to combat SARS-CoV-2 infection. The SARS-CoV-2 Main protease (Mpro) is considered an appealing target because of its role in replication in host cells. We curated a set of 7809 natural compounds by combining the collections of five databases viz Dr Duke's Phytochemical and Ethnobotanical database, IMPPAT, PhytoHub, AromaDb and Zinc. We applied a rigorous computational approach to identify lead molecules from our curated compound set using docking, dynamic simulations, the free energy of binding and DFT calculations. Theaflavin and ginkgetin have emerged as better molecules with a similar inhibition profile in both SARS-CoV-2 and Omicron variants.
- MeSH
- farmakoterapie COVID-19 * MeSH
- lidé MeSH
- pandemie MeSH
- proteasy MeSH
- SARS-CoV-2 * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
Purpose: In Pakistan, medical professionals face multiple challenges comprising long, fixed working hours and workload overburdening, which leads to emotional fatigue. These conflicts in work-life scenarios, brought about by high work demands causing emotional exhaustion, can create a state of distress among the medical professionals. The present study investigates the association between work-family conflict (WFC), emotional intelligence (EI), and self-efficacy (SE) among medical practitioners during COVID-19 in Pakistan. Patients and Methods: The study sample included 140 medical professionals from Rawalpindi and Islamabad. Cross-section correlational research design was used, and information was gathered employing online surveys through a purposive sampling technique. The scales utilized were the WFC, EI, and SE Scale. Results: The current study hypothesized a significant relationship between work-family conflict, general self-efficacy (GSE) and emotional intelligence among medical practitioners during COVID-19 in Pakistan. The results showed that those with more family-to-work conflict had less EI and GSE. Furthermore, findings uncovered that there is a significant positive relationship between EI and GSE. Conclusion: The findings propose that it is important for medical professionals to have a high level of EI and GSE to navigate through the WFC more healthily. In future, awareness seminars could be arranged related to EI and its significance to stimulate the psychological well-being of medical professionals. Future studies could also consider other healthcare workers, including nurses and internees doing house jobs and other medical staff, as they are also exposed to several stresses due to the workload and family demands.
- Publikační typ
- časopisecké články MeSH
Telehealth is the delivery of health care and education over great distances using electronic and telecommunication technology. Telehealth intended objective is for it to become a mainstream method of providing health care to the general public. Because of its importance in reducing hospital visits from patients with COVID-19 or other illnesses, as well as promoting home isolation in persons with moderate symptoms, telehealth received additional attention during the current coronavirus sickness (COVID-19) pandemic. The needs of people with chronic conditions are commonly overlooked during pandemics. Some patients are turning to Telehealth services like video consultation and remote monitoring due to a lack of regular clinic visits. The safety of key clinical professionals is also ensured by telehealth. Furthermore, Telehealth has the potential to minimise the number of unnecessary hospital visits, alleviating the demand on already overburdened healthcare resources.
... 63 -- Overburdened hospitals 63 -- Shortage of ventilators? 67 -- Were the measures appropriate? ...
First printing 159 stran : ilustrace ; 20 cm
- MeSH
- Betacoronavirus MeSH
- COVID-19 MeSH
- dějiny 21. století MeSH
- dějiny lékařství MeSH
- karanténa MeSH
- koronavirové infekce MeSH
- pandemie MeSH
- poskytování zdravotní péče MeSH
- statistika jako téma MeSH
- zdravotní politika MeSH
- Check Tag
- dějiny 21. století MeSH
- Publikační typ
- monografie MeSH
- populární práce MeSH
- Konspekt
- Veřejné zdraví a hygiena
- NLK Obory
- veřejné zdravotnictví
- pneumologie a ftizeologie
- infekční lékařství
... and civil society: the urban middle classes and the poor as clients 396 -- (7) The crisis of the overburdened ...
1. elektronické vydání 1 online zdroj (478 stran)
Geodiversity plays an important role in species establishment during spontaneous succession. At post-mining sites in the Czech Republic in 2003, we established plots in which the surface of the heaped overburden was either kept wave-like or leveled. Based on surveys conducted from 2006 to 2015, leveled plots were increasingly dominated by grasses and herbs (and especially by the grass Calamagrostis epigejos) while the wave-like plots were increasingly dominated by the trees Salix caprea and Betula pendula. In 2015, a detailed survey was conducted of the dominant species. Both S. caprea and B. pendula occurred more often in wave-like plots than in leveled plots; this was particularly true for trees taller than 1 m, which were absent in leveled plots. In wave-like plots, leaf and root biomasses of both woody species were higher on the wave slopes than on the wave depressions. Nitrogen content was higher but content stress indicating proline in leaves of S. caprea was lower in wave-like plots than in leveled plots. In wave-like plots, both woody species occurred mainly on wave slopes but C. epigejos occurred mainly in the depressions. We speculate that trees were more abundant in wave-like plots than in leveled plots because the waves trapped tree seeds and snow and because the soil porosity was greater in wave-like than in leveled plots. Grasses may have preferred the leveled plots because soil porosity was lower and clay content was higher in leveled than in wave-like plots.
- MeSH
- dřevo MeSH
- lipnicovité * MeSH
- půda MeSH
- stromy MeSH
- životní prostředí * MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
M. psoas je najväčším a najsilnejším svalom, ktorý leží na ventrálnej ploche chrbtice, z funkčného hladiska ho zaraďujeme medzi flexory bedrového kĺbu. Je trvale preťažovaný pri státí, chôdzi i v sede, a preto má tendenciu k skráteniu, ktorá vedie k zväčšeniu lumbálnej lordózy a zväčšeniu záťaže na bedrové kĺby. Tým vzrastá opotrebenie bedrových kĺbov prejavujúce sa obmedzením vnútornej rotácie, skrátením kroku a prvými príznakmi začínajúcej koxartrózy. U vertebrogénnych syndrómoch v driekovej oblasti býva často bolestivý. V praxi zohráva dôležitú úlohu jeho spazmus a skrátenie. V našom článku rozoberáme rôzne prístupy ako pracovať s týmto svalom, a to z pohľadu analytického cvičenia, Spiral dynamiky®, reflexného plazenia, alebo vybraných ásan z jogy. Správna diagnostika postihnutého m. psoas a následná vhodná terapia umožňuje použiť rôzne prístupy pre rôznych pacientov. Čím viacej postupov poznáme, tým širšie spektrum pacientov v rôznych štádiách ochorenia môžeme liečiť.
Psoas muscle is the largest and most powerful muscle, positioned on the ventral part of the spine. It is classified in lumbar joint flexors from the functional point of view. It is permanently overburdened in standing, walking and sitting position, and that is why tends to be shortened with results in increasing lumbar lordosis and increased load upon lumbar joints. In this way there is increasing tendency to wear out lumbar joints, which becomes manifest in limited internal rotation, shortened steps and first signs of coxarthrosis. In vertebrogenic syndromes in the shank area pain is often encountered. In practice its spasm and shortening play important roles. Our paper analyzed various approaches for treatment pf this muscle from the analytical exercise point of view as well as Spiral dynamics®, reflex creepage, or selected ásan from yoga. A correct diagnosis of affected psoas muscle and subsequent suitable therapy makes it possible to use various approaches for different patients. The more procedures are used, the broader spectrum of patients in different stages of the disease can be treated.
