Central European journal of public health最新文献

{"title":"Correction to: Comparing step count strategies: the impact of walking on cardiometabolic health in women with obesity (Vol. 34, Pg 80, 2026).","authors":"Merve Kal, Nazime Cebi, Meral Kucuk Yetgin","doi":"10.21101/cejph.a9217","DOIUrl":"https://doi.org/10.21101/cejph.a9217","url":null,"abstract":"<p><p>The authors regret that the name of the university was omitted in the Funding section.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 3","pages":"216"},"PeriodicalIF":0.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal changes in health-related quality of life in working-age adults one year after ischaemic stroke: findings from the FRAILTY study.","authors":"Elena Gurková, Daniel Šaňák, Daniela Bartoníčková, Šárka Šaňáková, Lenka Štureková, David Franc, Jana Zapletalová, Petra Divišová","doi":"10.21101/cejph.a8809","DOIUrl":"10.21101/cejph.a8809","url":null,"abstract":"<p><strong>Objectives: </strong>Limited evidence exists on how working-age adults perceive the impact of ischaemic stroke (IS) during the first months post-event, and longitudinal data on health-related quality of life (HRQoL) are scarce. The aim of the study was to examine 12-month changes in HRQoL, functional outcomes, cognitive function, and psychosocial sequelae in working-age adults after IS, and to explore age-related differences (< 50 vs. ≥ 50 years).</p><p><strong>Methods: </strong>In this prospective cohort study, 220 patients aged 18-65 years with first-ever IS were assessed before hospital discharge, 3-, 6-, and 12-month post-discharge. Measures included the Stroke Impact Scale (SIS 3.0), Neuro-QoL, Fatigue Severity Scale (FSS), Montreal Cognitive Assessment (MoCA), Hospital Anxiety and Depression Scale (HADS), Brief Pain Inventory, and Multidimensional Scale of Perceived Social Support (MSPSS). Longitudinal changes were analysed using the Wilcoxon signed-rank, Bowker's test, and the Mann-Whitney U test with Bonferroni correction.</p><p><strong>Results: </strong>Significant improvements in HRQoL, cognitive function, and psychosocial outcomes occurred mainly within the first three months. FSS scores indicated clinically relevant fatigue. SIS domains - strength, emotion, communication, activities of daily living (ADL), mobility, hand function, and social participation - improved, while memory remained unchanged. Neuro-QoL T-scores increased for satisfaction with social roles, positive affect, and physical function. Changes after three months were generally not statistically significant. Post-stroke pain and perceived social support remained stable. Age subgroup analysis revealed no significant differences.</p><p><strong>Conclusion: </strong>Recovery in HRQoL, cognitive function, and psychosocial outcomes typically occurs within the first three months post-IS, with a subsequent plateau. Younger and older working-age adults exhibit similar trajectories, underscoring the importance of early comprehensive rehabilitation interventions adapted to the patient's condition and deficit.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"88-97"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the psychometric properties of the Czech versions of Illinois Bully Scale.","authors":"Štěpán Komrska, Alžběta Váňová, Martin Dolejš, Jaroslava Suchá","doi":"10.21101/cejph.a8731","DOIUrl":"10.21101/cejph.a8731","url":null,"abstract":"<p><strong>Objectives: </strong>The main objective of the study was to adapt and verify the psychometric properties of the Illinois Bully Scale (IBS) in Czech adolescents.</p><p><strong>Methods: </strong>The analysis utilized quantitative data from 1,321 respondents, aged 12 to 14 years, who were enrolled in 7th grade of lower secondary or grammar school. Descriptive and inferential statistics, including chi-square tests and Mann-Whitney U tests, were used to examine group differences.</p><p><strong>Results: </strong>The IBS demonstrated strong internal consistency and construct validity across all subscales (Victim: 0.84, Bully: 0.80, Fight: 0.79, total IBS: 0.87). Boys and elementary school students reported significant victim and bully experiences. The supplemental cyberbullying scale showed significant correlations with the IBS subscales, supporting its criterion-related validity.</p><p><strong>Conclusions: </strong>Adaptation of the IBS confirmed that it is a useful tool for assessing the frequency and experience of different types and severity of bullying. Its Czech adaptation allows for population screening as well as identification of severe cases and planning of interventions.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"135-140"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparing step count strategies: the impact of walking on cardiometabolic health in women with obesity.","authors":"Merve Kal, Nazime Cebi, Meral Kucuk Yetgin","doi":"10.21101/cejph.a8661","DOIUrl":"https://doi.org/10.21101/cejph.a8661","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to compare the effect of 10 thousand steps per day (10TSPD) and 3 thousand steps per 30 minutes (30M3TS) supported by medical nutritional therapy on body composition, 6-minute walking distance (6MWT), cardio-metabolic parameters comprising insulin, glucose, glycohaemoglobin (HbA1c), homeostatic model assessment of insulin resistance (HOMA-IR), low density lipoprotein (LDL), high density lipoprotein (HDL), and total cholesterol in women with obesity.</p><p><strong>Methods: </strong>Thirty women with obesity supported by individual-specific medical nutrition therapy were divided into two groups with a target (10TSPD) at a frequency of 3-5 days/week and (30M3TS) per 30 minutes in a single session and followed up with a pedometer at the end of 8 weeks. At the beginning and end of the study, body compositions were analysed, 6MWT values were determined and blood samples were taken.</p><p><strong>Results: </strong>Glucose, insulin, and HOMA-IR significantly decreased in the 10TSPD group (p < 0.05), while no significant metabolic changes were observed in the 30M3TS group. No significant between-group differences were observed in metabolic parameters (p > 0.05). Body weight (BW), body mass index (BMI), body fat mass and percentage, and waist and hip circumferences decreased significantly in both groups (p < 0.05), whereas lean body mass and muscle mass did not change significantly. The 6MWT distance increased in both groups (p = 0.01), with no significant difference between groups.</p><p><strong>Conclusions: </strong>Both 10TSPD and 30M3TS walking protocols combined with nutritional therapy improved body composition and walking performance in women with obesity, primarily through reductions in adiposity, while lean body mass and muscle mass remained unchanged. Metabolic improvements were observed only in the 10TSPD group; however, no significant between-group differences were detected.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"80-87"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions of dental amalgam use and regulation among health and science students and academic staff in the Czech Republic: a cross-sectional study.","authors":"Lenka Vavřičková, Jan Schmidt, Anna Krejčová, Anna Horňáková, Milan Tuček, Martin Kapitán","doi":"10.21101/cejph.a8978","DOIUrl":"https://doi.org/10.21101/cejph.a8978","url":null,"abstract":"<p><strong>Objectives: </strong>This study assessed perceptions of health and science students and academic staff regarding the health risks, environmental impact, and regulation of dental amalgam (DA). As DA faces increasing restrictions, understanding the views of students and academic staff is essential for evaluating educational and policy readiness.</p><p><strong>Methods: </strong>A cross-sectional survey was distributed to 1,230 participants in the Czech Republic. The questionnaire explored awareness of mercury exposure from DA, health and environmental concerns, and familiarity with regulations. Responses were statistically compared across disciplines.</p><p><strong>Results: </strong>Overall, 35.8% of respondents did not recognize DA as a mercury source, and 48.5% did not view it as a health risk. Most did not consider DA an occupational hazard for dental professionals. However, 55.3% saw it as an environmental pollutant. While 59.2% supported restricting DA use in pregnant women and 51.0% in children, only 22.0% supported a complete ban. Most respondents preferred composites for aesthetic reasons (88.5%) rather than health concerns. Dental students differed significantly from other groups in several key areas, particularly regarding perceived health risks and support for restrictions on dental amalgam use.</p><p><strong>Conclusions: </strong>Perceptions of dental amalgam differed according to educational background. While most participants supported restricting its use in vulnerable populations, dental students were less likely to perceive it as a significant health risk and were less supportive of a complete ban. These findings highlight the importance of evidence-based education and public health communication regarding dental amalgam and mercury-related issues.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"141-148"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic cost of excess body weight among adults in Estonia.","authors":"Johann Saavaste, Aleksei Baburin, Mall Leinsalu, Rainer Reile","doi":"10.21101/cejph.a8761","DOIUrl":"10.21101/cejph.a8761","url":null,"abstract":"<p><strong>Objectives: </strong>High disease burden related to excess body weight (EBW) poses a substantial burden to healthcare systems globally. This study aims to assess the economic impact of EBW in Estonia, where over 60% of adult population are overweight or obese.</p><p><strong>Methods: </strong>Using population attributable fraction approach, this cost-of-illness study included 29 health conditions associated with overweight and obesity. The annual costs were calculated from the health care/government perspective for the year 2021 using individual level and administrative data. The direct costs were defined as a sum of treatment and medication costs, sickness benefits and care leave, while indirect costs were viewed as tax revenue lost due to premature death or incapacity for work. One-way sensitivity and scenario analyses were carried out to assess the robustness of the results.</p><p><strong>Results: </strong>The annual direct costs associated with EBW were €112.7 million, of which €107.2 million (95%) were treatment costs. Cardiovascular diseases (€58 million) had the highest treatment costs. Indirect costs of EBW were estimated at €12 million. The total annual cost of EBW among adults was €125 million (€116 per adult), from which €50.3 million was attributable to overweight and €74.4 million to obesity. Depending on assumptions and input data, the estimated total costs reached €226 million in the sensitivity analysis.</p><p><strong>Conclusions: </strong>The estimated direct costs of EBW comprise 6.9% of national health expenses in Estonia. EBW among adults is thus not only an important public health challenge but also a considerable burden for national healthcare system.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"72-79"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transmission of infectious agents in healthcare settings: a systematic review of healthcare-associated infections.","authors":"Renata Trajerová, Ladislav Štěpánek","doi":"10.21101/cejph.a8870","DOIUrl":"https://doi.org/10.21101/cejph.a8870","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to systematically analyse original research publications to provide a comprehensive assessment of the transmission chain of healthcare-associated infections (HAIs). The review focused on identifying transmission routes, sources of pathogen detection, and the predominant microorganisms detected in healthcare environments.</p><p><strong>Methods: </strong>A systematic review was performed following PRISMA methodology. Relevant studies were searched in PubMed and Scopus databases using predefined keywords.</p><p><strong>Results: </strong>Forty-four original studies published in English between January 2015 and July 2025 were included. Indirect transmission was reported in 37 (84.1%) studies, while 27 (61.4%) studies identified it as the sole transmission route. Fomites were reported as the sole source of pathogen detection in 30 (68.2%) studies. Among studies investigating fomites or environmental contamination, stethoscopes were the leading contaminated item (n = 5, 13.5%). Among detected microorganisms, Gram-negative bacilli (n = 94, 51.1%) and Gram-positive cocci (n = 76, 41.3%) prevailed. The dominant bacterial genus was Staphylococcus spp. (n = 55, 29.9%), whereas Staphylococcus aureus represented the leading species (n = 25, 13.6%), followed by Klebsiella pneumoniae (n = 12, 6.5%) and Escherichia coli (n = 11, 6.0%). Multidrug-resistant strains, including methicillin-resistant Staphylococcus aureus (n = 11, 6.0%) were also observed.</p><p><strong>Conclusion: </strong>Indirect transmission through contaminated fomites represented the predominant transmission pathway, including medical devices such as stethoscopes. Staphylococcus aureus was among the most frequently detected microorganisms, while multidrug-resistant organisms were also reported. These findings emphasize the importance of infection prevention and control measures in healthcare settings.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"111-116"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathogen occurrence and antimicrobial resistance in long-term care units before and after the COVID-19 pandemic: an analysis from a Polish district hospital (2017-2023).","authors":"Rafał Kuczma, Szymon Barwiński, Barbara Symula, Katarzyna Jermakow","doi":"10.21101/cejph.a8932","DOIUrl":"10.21101/cejph.a8932","url":null,"abstract":"<p><strong>Objectives: </strong>The study aimed to analyse trends in pathogen occurrence and antimicrobial resistance patterns in two long-term care (LTC) units operating within a Polish district hospital from 2017 to 2023, with a particular focus on changes across the COVID-19 pandemic.</p><p><strong>Methods: </strong>A retrospective observational study was conducted using epidemiological and microbiological data from two LTC units (nursing home and inpatient hospice) in Poland. Isolation rates (per 1,000 patient-days) for ESKAPE pathogens and Clostridioides difficile were analysed. The pre-pandemic period (2017-2019) was compared with the pandemic/post-pandemic period (2020-2023) using rate ratios (RR). Trends in the proportion of resistant isolates among the dominant Gram-negative bacteria (Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii) were evaluated based on phenotypic surveillance criteria.</p><p><strong>Results: </strong>The inpatient hospice and nursing home exhibited different epidemiological profiles. In the hospice, ESKAPE pathogen isolation rates decreased significantly after 2020 (RR = 0.55, 95% CI: 0.37-0.81), whereas the detection rate of C. difficile quadrupled (RR = 4.39, 95% CI: 1.51-12.75). Isolation rates remained low and stable in the nursing home. Across both units, the proportion of antimicrobial-resistant isolates increased sharply during the pandemic period. Notably, in selected pandemic and post-pandemic years, all analysed E. coli and K. pneumoniae isolates exhibited the ESBL phenotype, while all analysed A. baumannii isolates were carbapenem-resistant.</p><p><strong>Conclusions: </strong>The COVID-19 pandemic was associated with substantial changes in pathogen occurrence patterns in long-term care units and with increased antimicrobial resistance among key Gram-negative pathogens. The emergence of resistant phenotypes among clinically important Gram-negative pathogens, including ESBL-producing Enterobacterales and carbapenem-resistant A. baumannii isolates, poses a significant public health concern. These findings highlight the need for strengthened microbiological surveillance, antimicrobial stewardship, and infection prevention and control measures tailored to the specific care profiles of hospices and nursing homes.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"105-110"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Trends in sexual initiation and contraception use among Czech adolescents between 2002-2022 (vol. 33, pg 255, 2025).","authors":"Anna Ševčíková, Vít Suchý, Peter Kolarčik, Lukas Blinka","doi":"10.21101/cejph.a9122","DOIUrl":"https://doi.org/10.21101/cejph.a9122","url":null,"abstract":"<p><p>We would like to submit the following correction to our recently published paper due to an error in the Table 1.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"149-150"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness of community about patient safety, medical errors and patient engagement: a cross-sectional study.","authors":"Emel Filiz","doi":"10.21101/cejph.a8463","DOIUrl":"10.21101/cejph.a8463","url":null,"abstract":"<p><strong>Objective: </strong>Preventable medical errors are recognized as an important public health problem. The aim of this study was to evaluate the awareness of adults in the community about patient safety, medical errors and patient participation; and to determine their experiences of medical errors.</p><p><strong>Methods: </strong>Adults older than 18 years living in the Konya city centre in Türkiye were included in the study. The implementation of the questionnaire took approximately two months, and a total of 780 valid questionnaires were obtained. Participants were asked questions about their views and attitudes towards medical errors. In addition, participants' engagement in behaviours recommended by the Agency for Healthcare Research and Quality (AHRQ) to prevent medical errors was evaluated using a 4-point Likert scale.</p><p><strong>Results: </strong>Twenty-six percent of the participants stated that they or one of their family members had suffered a medical error. Those who were exposed to the error (n = 201) mostly experienced physical problems (44.3%). Other reported consequences included psychological problems (19.4%), disability (10.9%), loss of employment (5.5%), and death (2.5%). When the answers given to the questions about exposure to medical error and \"whether the patients are responsible for preventing the errors\" were compared with the socio-demographic characteristics, a statistically significant difference was found between age, education status, socioeconomic status, and experiencing with medical error (p < 0.05).</p><p><strong>Conclusion: </strong>A significant part of the participants were harmed while receiving healthcare services. In addition, their awareness of protecting themselves from this harm was low. The findings of this study can guide healthcare professionals for patient safety training for patients.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"34 2","pages":"117-122"},"PeriodicalIF":0.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}