BACKGROUND: Depression and anxiety are among the most prevalent mental health issues experienced worldwide. However, whereas cross-cultural studies utilize psychometrically valid and reliable scales, fewer can meaningfully compare these conditions across different groups. To address this gap, the current study aimed to psychometrically assess the Brief Symptomatology Index (BSI) in 42 countries. METHODS: Using data from the International Sex Survey (N = 82,243; Mage = 32.39; SDage = 12.52; women: n = 46,874; 57 %), we examined the reliability of depression and anxiety symptom scores of the BSI-18, as well as evaluated evidence of construct, invariance, and criterion-related validity in predicting clinically relevant variables across countries, languages, genders, and sexual orientations. RESULTS: Results corroborated an invariant, two-factor structure across all groups tested, exhibiting excellent reliability estimates for both subscales. The 'caseness' criterion effectively discriminated among those at low and high risk of depression and anxiety, yielding differential effects on the clinical criteria examined. LIMITATIONS: The predictive validation was not made against a clinical diagnosis, and the full BSI-18 scale was not examined (excluding the somatization sub-dimension), limiting the validation scope of the BSI-18. Finally, the study was conducted online, mainly by advertisements through social media, ultimately skewing our sample towards women, younger, and highly educated populations. CONCLUSIONS: The results support that the BSI-12 is a valid and reliable assessment tool for assessing depression and anxiety symptoms across countries, languages, genders, and sexual orientations. Further, its caseness criterion can discriminate well between participants at high and low risk of depression and anxiety.

• MeSH
• deprese * diagnóza   MeSH
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• průzkumy a dotazníky MeSH
• psychometrie MeSH
• reprodukovatelnost výsledků MeSH
• srovnání kultur * MeSH
• úzkost diagnóza   MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

AIMS: To evaluate the psychometric properties of the Perceived Implicit Rationing of Nursing Care (PIRNCA) instrument and to report the prevalence of rationed care at university and faculty hospitals. DESIGN: A cross-sectional study. METHODS: The study was carried out at two university and five faculty hospitals in the Slovak Republic. Participants were 895 Registered Nurses recruited by the purposive sampling method between December 2017-July 2018. Data were collected using the PIRNCA instrument. Construct validity and reliability of the instrument were tested. RESULTS: The prevalence of rationed care at university and faculty hospitals was identified as being 42.1%. Furthermore, 87.6% of nurses reported rationing one or more nursing care activities. Using both statistical methods when evaluating the PIRNCA resulted in the confirmation that the tool is valid and reliable. CONCLUSION: Rationed care is a common phenomenon at university and faculty hospitals. The PIRNCA is a suitable instrument to measure the phenomenon in adult acute care units because of its high reliability and validity. We recommend using the instrument in different contexts, not only for specific conditions that were presented for this study. IMPACT: Rationed care at university and faculty hospitals has never been reported. Psychometric properties of the instrument that measures nurses ́ perception of rationed care have never been evaluated by using different approaches. The most frequently rationed nursing care activities are those that nurses are competent to initiate on the basis of their knowledge and skills - the independent ones. The PIRNCA is a valid and reliable instrument. Hospital management can use the instrument to explore the prevalence of rationed care, followed by the application of prevention strategies. Our findings represent the base for further exploration of rationed care using the PIRNCA.

• MeSH
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• ošetřovatelská péče organizace a řízení   statistika a číselné údaje   MeSH
• personál sesterský nemocniční organizace a řízení   statistika a číselné údaje   MeSH
• přidělování zdravotní péče organizace a řízení   statistika a číselné údaje   MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• psychometrie MeSH
• reprodukovatelnost výsledků MeSH
• sociální validita - výzkum * MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Slovenská republika MeSH

Aim: The aim was to study criterion validity of the Czech version of the Eating Assessment Tool (EAT-10) by comparing it with the Nursing Dysphagia Screening Tool (NDST). Moreover, the aim was to compare three items of the EAT-10 that focused on swallowing liquids (EAT3) and solids (EAT4) and on cough while eating (EAT9) with one item of the NDST, the swallow test (NDST8). Design: The design was cross-sectional. Methods: The sample included 57 hospitalized patients with a neurological condition. Their swallowing function was assessed using the EAT-10 and NDST. The relationship between the dichotomized EAT-10 and NDST and the selected items of both tools was expressed using the association coefficient phi (φ). Results: For all the studied EAT-10 cut-off scores, the relationship between the EAT-10 and NDST was negative; it was the strongest for a cut-off score of 15 (phi = -0.795; p <0.001). In all but one case, the relationship between the three items of the EAT-10 and the NDST8 was negative; it was the strongest for EAT3 (cut-off score of 3; phi = -0.701; p < 0.001). Conclusion: The results do not provide evidence for criterion validity of the EAT-10 using the NDST. Further research is recommended.

• MeSH
• lidé středního věku MeSH
• lidé MeSH
• nemoci mozku komplikace   MeSH
• ošetřovatelská diagnóza * klasifikace   MeSH
• polykání MeSH
• poruchy polykání * diagnóza   prevence a kontrola   MeSH
• průřezové studie statistika a číselné údaje   MeSH
• reprodukovatelnost výsledků * MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• statistika jako téma MeSH
• zpráva o sobě MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• práce podpořená grantem MeSH

BACKGROUND: Thrombogenicity is an important parameter of haemodialysis (HD) membrane biocompatibility. The surface of the polyacrylonitrile AN69 ST membrane is coated with a polyethylenimine. This modification allows heparin adsorption. The binding of heparin to the membrane surface occurs during priming of the extracorporeal circuit (ECC) by rinsing it with saline and heparin. Our aims were to assess and compare the thrombogenicity of the AN69 ST membrane under conditions of two extracorporeal circuit (ECC) rinse protocols-with and without unfractionated heparin (UFH). METHODS: In a prospective, crossover and randomized study, we examined 10 patients during HD after ECC preparation with either rinse protocols. Prior to HD and at 15, 60 and 240 min, we determined plasma levels of the thrombin-antithrombin complexes (TAT), platelet factor 4 (PF4), heparin concentration (antiXa) and thrombocyte count. Systemic anticoagulation was performed using UFH. RESULTS: During HD after ECC rinse without UFH, there was a significantly earlier and more marked increase in TAT compared with UFH-containing rinse (P <0.05). Using Spearman coefficient, we demonstrated a significant correlation between TAT and antiXa at 60 min (r = -0.534) and 240 min (r = -0.538). A comparison of the TAT/antiXa ratios between rinses at 60 min revealed a significantly higher increase in TAT following UFH-free rinse (P <0.05). There was no difference in PF4 between the rinses. Platelet count did not change significantly during HD using either rinse protocol. CONCLUSION: Based on plasma TAT levels, ECC priming with an UFH-containing solution reduces the thrombogenicity of the AN69 ST membrane. There is no significant difference between both types of priming concerning PF4 and thrombocyte count.

• MeSH
• adsorpce MeSH
• akrylové pryskyřice chemie   MeSH
• biokompatibilní materiály MeSH
• časové faktory MeSH
• design vybavení MeSH
• dialýza ledvin metody   přístrojové vybavení   MeSH
• financování organizované MeSH
• hemodialyzační roztoky chemie   MeSH
• heparin chemie   MeSH
• klinické křížové studie MeSH
• lidé středního věku MeSH
• lidé MeSH
• prospektivní studie MeSH
• randomizované kontrolované studie jako téma MeSH
• reprodukovatelnost výsledků MeSH
• senioři MeSH
• senzitivita a specificita MeSH
• trombocytový faktor 4 chemie   MeSH
• trombocyty metabolismus   MeSH
• trombóza MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH

OBJECTIVES: The study aimed to assess the psychometric properties of the Czech versions of the Quality of Life in Late-Stage Dementia (QUALID) and the Cognitively Impaired Life Quality (CILQ) scales for use in the palliative care setting in terminally ill patients with cognitive impairment. METHODS: The sample comprised 306 cognitively impaired inpatients with advanced cancer and non-cancer conditions. In this cross-sectional study, two Quality of Life (QoL) measurements were performed at baseline and after five days. The dimensionality of the QUALID and CILQ scales was evaluated using a principal component analysis with Varimax rotation. Reliability was assessed using Cronbach's alpha; inter-rater reliability was evaluated with Kappa index. Test-retest stability was calculated using the intraclass correlation coefficients (ICCs) comparing scores from baseline and 3-5 days post-baseline. The construct validity of the QUALID and CILQ scale was established by Spearman's correlation coefficients with the Symptom Management at the End-of-Life in Dementia (SM-EOLD). RESULTS: Both scales were shown to have adequate validity and reliability (Cronbach's α = 0.812 for QUALID, and α = 0.73 for CILQ), good inter-rater agreement (QUALID: κ = 0.760; CILQ: κ = 0.801) as well as test-retest reliability (QUALID: ICC = 0.847; CILQ: ICC = 0.925). CONCLUSION: The Czech versions of the QUALID and CILQ scales may be recommended for use in the Czech Republic in the area of palliative care.

• MeSH
• kognitivní dysfunkce psychologie   MeSH
• kvalita života psychologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• paliativní péče psychologie   MeSH
• průřezové studie MeSH
• průzkumy a dotazníky normy   MeSH
• psychometrie přístrojové vybavení   MeSH
• reprodukovatelnost výsledků MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři nad 80 let MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

OBJECTIVES: The Short Form-8 (SF-8) is a widely used 8-item tool for health-related quality of life assessment. This study aimed to evaluate the psychometric properties of the Slovak version of the SF-8 in a population sample. METHODS: A cross-sectional survey on a Slovak representative sample (n = 1018; mean age 46.24 ± 16.56 years; 51.3% women) monitoring health and well-being was performed in 2019. Exploratory network analysis and confirmatory factor analysis were used to assess the construct validity of the scale. Reliability and sociodemographic differences were evaluated. RESULTS: A 2-factor model had an adequate fit to the data [χ2(19) = 186.2, P < .001, comparative fit index = 0.998, Tucker-Lewis index = 0.997, root mean square error of approximation = 0.093, standardized root mean of residuals = 0.039], with high reliability (α = 0.93, ω = 0.95). The physical component score and mental component score (MCS) were negatively associated with the presence of chronic health conditions. Lower physical component score and MCS were associated with higher age (P < .001), and lower MCS were associated with female gender (P < .001). CONCLUSIONS: The Slovak version of the SF-8 represents a valuable tool for measuring health-related quality of life in the Slovak population in both practice and research.

• MeSH
• dospělí MeSH
• kvalita života * psychologie   MeSH
• lidé středního věku MeSH
• lidé MeSH
• průřezové studie MeSH
• průzkumy a dotazníky MeSH
• psychometrie * metody   přístrojové vybavení   normy   MeSH
• reprodukovatelnost výsledků MeSH
• senioři MeSH
• zdravotní stav MeSH
• Check Tag
• dospělí MeSH
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• validační studie MeSH
• Geografické názvy
• Slovenská republika MeSH

Východiská: V súčasnosti existuje na svete takmer 40 škál na posúdenie rizika vzniku dekubitu. Napriek ich množstvu boli psychometrické vlastnosti testované len u niektorých. Cieľ: Zistiť stupeň inter-rater reliability jednotlivých položiek vybraných škál na posúdenie rizika vzniku dekubitu (Bradenovej škály, Nortonovej škály a Waterlowej škály). Metódy: Zber dát prebiehal od apríla do augusta 2014 na oddelení s dlhodobou ošetrovateľskou starostlivosťou. Výskumný súbor tvorilo 32 pacientov. Pre vyhodnotenie inter-rater reliability boli použité štatistické metódy vnútrostredný koeficient korelácie (ICC). Výsledky: Zhoda medzi posudzovateľmi Bradenovej škály sa pohybuje v rozmedzí od ICC = 0,846 pre položku „aktivita“ a ICC = 0,645 pre položku „výživa“. Nortonovej škála dosiahla najvyššiu zhodu v položke „inkontinencia“ (ICC = 0,931), najnižšiu v položke „fyzický stav“ (ICC = 0,849). Najvyššia zhoda medzi posudzovateľmi Waterlowej škály je pozorovaná pri položkách „pohlavie“ (ICC = 1), „vážna operácia alebo trauma“ (ICC = 1). Najnižšiu zhodu dosiahla položka „skóre váhového úbytku“ (ICC = 0,497). Závery: Najvyššiu zhodu medzi posudzovateľmi dosiahli položky Nortonovej škály, nasledujú položky Bradenovej škály. Najnižšiu zhodu medzi posudzovateľmi dosiahli položky Waterlowej škály. Odporúčame ďalšie testovanie škál na posúdenie rizika vzniku dekubitov v českom klinickom prostredí.

Background: Worldwide, approximately 40 pressure ulcer risk assessment scales are available. Despite of this amount, the psychometric properties were tested only for some. Aim: To determine inter-rater reliability of items of selected pressure ulcer risk assessment scales (Braden Scale, Norton Scale and Waterlow Scale). Methods: The data were collected from April to August 2014 in one long-term care department. The sample consisted of 32 patients. An intra-class correlation coefficient (ICC) was used to determine the inter-rater reliability. Results: The inter-rater reliability of Braden Scale ranged between ICC = 0.846 for the item “activity” and ICC = 0.645 for the item “nutrition“. The highest inter-rater reliability of Norton Scale reached for item “incontinence” (ICC = 0.931), the lowest for item “physical condition” (ICC = 0.849). The highest inter-rater reliability of Waterlow Scale is observed for items “sex” (ICC = 1), “surgery/trauma” (ICC = 1). The lowest inter-rater reliability reached item “weight loss score” (ICC = 0.497). Conclusions: The highet inter-rater reliability reached items of Norton Scale, followed by items of Braden Scale. The lowest inter-rater reliability reached items of Waterlow Scale. We recommend further testing of pressure ulcer risk assessment scales in czech clinical settings.

• Klíčová slova
• Bradenova škála, Nortonova škála, Waterlowova škála,
• MeSH
• dekubity prevence a kontrola   MeSH
• hodnocení rizik metody   MeSH
• průřezové studie metody   MeSH
• reprodukovatelnost výsledků * MeSH
• statistika jako téma * MeSH

PURPOSE: Cavotricuspid isthmus-dependent atrial flutter (AFL) can occur in a paroxysmal or persistent pattern. The aim of this study was to identify clinical, echocardiographic, and electrophysiological risk factors independently associated with persistence of AFL. METHODS: Patients of the recently published AURUM 8 study with paroxysmal versus persistent AFL were compared with respect to clinical and echocardiographic baseline characteristics as well as procedural parameters. The AURUM 8 study is a randomized, multicenter clinical trial comparing the efficacy and safety of gold versus platinum-iridium 8-mm-tip ablation. AFL was paroxysmal in 218 patients and persistent in 210 patients. RESULTS: Univariate analysis revealed that patients with persistent AFL had higher New York Heart Association class (P = 0.002), shorter time since 1st AFL episode (median 0.18 vs 0.34, P = 0.037), a higher prevalence of previous coronary artery bypass grafting surgery (17% vs 9%, P = 0.02), left ventricular hypertrophy (17% vs 8%, P = 0.005), dyspnea during AFL (P < 0.001), mitral regurgitation (P = 0.002), tricuspid regurgitation (P = 0.049), and pulmonary hypertension (P = 0.01). Palpitations during AFL were less frequent in patients with persistent AFL (P = 0.001). Multivariate analysis revealed that age, weight, AFL diagnosis after initiation of class IC or III antiarrhythmic drugs for atrial fibrillation, history of left ventricular hypertrophy, dyspnea during AFL and mitral regurgitation on echocardiography were significant independent variables associated with persistent AFL. A history of atrial fibrillation and palpitations during AFL were independently associated with paroxysmal AFL. CONCLUSIONS: We were able to identify clinical and echocardiographic risk factors associated with persistence of typical AFL. Treatment of these risk factors can potentially not only prevent the transition from paroxysmal to persistent AFL, but maybe also the development or initiation of AFL in general.

• MeSH
• chronická nemoc MeSH
• echokardiografie statistika a číselné údaje   MeSH
• fibrilace síní diagnóza   epidemiologie   prevence a kontrola   MeSH
• flutter síní diagnóza   epidemiologie   prevence a kontrola   MeSH
• hodnocení rizik MeSH
• incidence MeSH
• komorbidita MeSH
• lidé MeSH
• reprodukovatelnost výsledků MeSH
• senioři MeSH
• senzitivita a specificita MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• multicentrická studie MeSH
• práce podpořená grantem MeSH
• randomizované kontrolované studie MeSH
• Geografické názvy
• Česká republika MeSH
• Německo MeSH

The role of adipokinetic hormone (Drome-AKH) in maintaining the levels of basic nutrients, under starvation conditions, was studied using Drosophila melanogaster mutants with AKH deficiency (Akh1) and AKH abundance (EE-Akh). Our results showed lipids as the main energy reserve in Drosophila, and their physiological level and metabolism were shown to be under the control of AKH. AKH abundance in the body resulted in lower levels of triacylglycerols and diacylglycerols than in the controls, probably due to a more intensive metabolism; interestingly, there was a disproportional representation of fatty acids in triacylglycerols and diacylglycerols in Drosophila. Lower level of glycogen and its partial control by AKH suggest its lesser role as the storage substance. However, maintenance of free carbohydrate level in Drosophila seemed to be critical; when glycogen stores are exhausted, carbohydrates are synthesized from other sources. Protein levels and their alterations, under starvation, did not seem controlled by AKH. AKH-deficient flies were more resistant while AKH-abundant flies were more sensitive to starvation; females were found to be more resistant than males, regardless of the AKH level, probably due to higher body mass and higher amount of nutrients. However, in accordance with the level of all nutrients, that of AKH also gradually decreased with prolonged starvation.

• MeSH
• analýza přežití MeSH
• delece genu MeSH
• diglyceridy metabolismus   MeSH
• Drosophila melanogaster genetika   MeSH
• ELISA MeSH
• energetický metabolismus * MeSH
• geneticky modifikovaná zvířata MeSH
• glykogen metabolismus   MeSH
• hladovění metabolismus   MeSH
• hmyzí hormony genetika   metabolismus   MeSH
• křížení genetické MeSH
• kyselina pyrrolidonkarboxylová analogy a deriváty   metabolismus   MeSH
• metabolismus lipidů * MeSH
• metabolismus sacharidů * MeSH
• náhodné rozdělení MeSH
• oligopeptidy genetika   metabolismus   MeSH
• pohlavní dimorfismus MeSH
• proteiny Drosophily genetika   metabolismus   MeSH
• reprodukovatelnost výsledků MeSH
• triglyceridy metabolismus   MeSH
• zvířata MeSH
• Check Tag
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• zvířata MeSH
• Publikační typ
• časopisecké články MeSH

Background: Work is an important factor for the individual as it provides the essentials for life, a kind of identity to the individual, and opportunities to achieve goals. Therefore, work can be considered to determine the way an individual “stands” in the wider society. From the above, it seems that work-related quality of life has evolved into an important aspect that affects the efficiency and productivity of the individual. Objective: The purpose of this study is to evaluate the psychometric properties of the Greek version of work-related quality of life (WRQoL) as well as to assess the work-related quality of life of Greek nurses. Methods: A descriptive, cross-sectional study was conducted among nurses working in two hospitals located in Athens, the capital city of Greece in which 286 nurses participated. Data were collected with the WRQoL scale, demographic and work-related information also gathered. The analysis was performed with SPSS v. 25 and using the methods of descriptive and inferential statistics. The WRQoL was assessed for its internal consistency and construct validity, p-values of 0.05 were considered statistically significant. The factor analysis resulted in six factors, with Eigenvalue >1 (Kaiser criterion) that interpreted 57% of the total variance. The Cronbach’s alpha coefficient for the total score of the WRQoL questionnaire was 0.808 which showed that the scale has particularly good internal consistency. Results: The Cronbach’s alpha coefficient of the total score of the Greek version of WRQoL is 0.808 and for the subscales were Control at Work 0.705, General Well Being 0.680, Home-Work Interface 0.692, Job Career Satisfaction 0.712, Stress at Work 0.700, Working Conditions 0.797. The reported Cronbach’s alpha coefficients in our study are low compared to the original scale and other studies, but yet is supporting a good internal consistency (11,19), fact which indicates that the scale is a valid and reliable tool to assess the work-related quality of life among Greek nurses. Conclusion: Through this study, it was revealed that the validity and reliability of the Greek version of the WRQoL Scale are highly satisfactory. Also, the fact that almost all nurses were willing to participate in this study shows that the WRQoL Scale is an appropriate and easy tool to explore the work-related quality of life among nurses.

• Klíčová slova
• WRQoL,
• MeSH
• kvalita života * psychologie   MeSH
• lidé MeSH
• práce psychologie   MeSH
• pracovní podmínky MeSH
• průřezové studie metody   MeSH
• psychická pohoda MeSH
• psychický stres MeSH
• zdravotní sestry * MeSH
• Check Tag
• lidé MeSH
• Geografické názvy
• Řecko MeSH