Central European journal of public health最新文献

{"title":"Management of patients with urinary incontinence in senior age.","authors":"Marek Vargovčák, Erik Dorko, Kvetoslava Rimárová, Jana Diabelková","doi":"10.21101/cejph.a7890","DOIUrl":"10.21101/cejph.a7890","url":null,"abstract":"<p><strong>Objectives: </strong>Urinary incontinence is an extremely stressful and often debilitating disease, increasing morbidity in society. The aim of the work is to point out the problems of the management of incontinent patients - seniors in the context of their quality of life as well as treatment costs to find ways to make the widest possible public awareness of the fact that in most cases incontinence is solvable in terms of improving the quality of life.</p><p><strong>Methods: </strong>The group consisted of 100 patients with urinary incontinence who were treated with conservative medical procedures at the urological outpatient clinic of the Railway Hospital in Košice. The research was conducted in the period from September 2018 to February 2019. The extended standardized Urinary Incontinence Quality of Life Measure (I-QOL) questionnaire was used to evaluate the quality of life. The SPSS program - version 16.0 was used for statistical analysis of the file and hypotheses, and the chi-square test and the McNemar test for analysis of non-parametric data distribution.</p><p><strong>Results: </strong>The average value of the total social I-QOL score was 14.15 ± 5.03, which means that this area contributes significantly to the reduction of the quality of life. The average value of the total I-QOL score of the group studied was 63.86 ± 19.29, which indicates that urinary incontinence has a significant impact on the quality of life of seniors. Respondents considered the frequent urge to urinate and the absence of a toilet in a reachable place to be a negative factor. Feeling of the state of a certain form of inferiority and obsession was the most serious. Patients expressed approximately equal concerns about feeling out of control of their bladder and concerns about urinating as well as concerns about worsening incontinence due to aging.</p><p><strong>Conclusion: </strong>Based on the presented results, participants achieved the highest average score in the psychological domain of quality of life (27.81 ± 7.54) and the lowest in the social domain (14.15 ± 5.03). Social support programmes aimed at reducing stigma and enhancing social engagement for individuals dealing with incontinence could help improve the social quality of life. Physical health interventions, such as pelvic floor exercises could support physical well-being.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"91-95"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001116","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":"Analysis of COVID-19 patient outcomes with molnupiravir treatment and the role of risk factors: a single-centre retrospective descriptive study.","authors":"Ondrej Zahornacký, Štefan Porubčin, Alena Rovňáková, Pavol Jarčuška, Dária Semenovová, Paulína Kubalcová, Erik Dorko, Kvetoslava Rimárová","doi":"10.21101/cejph.a8398","DOIUrl":"10.21101/cejph.a8398","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to describe the outcomes of COVID-19 patients treated with molnupiravir and to explore the associations with various risk factors.</p><p><strong>Methods: </strong>We conducted a single-centre, descriptive, retrospective study without a comparison group.</p><p><strong>Results: </strong>Out of 141 patients, 70 (49.7%) required follow-up outpatient care. In the subgroup of 66 (46.8%) hospitalized patients, 28 (19.9%) developed interstitial viral pneumonia, with 6 (4.3%) deaths. Unvaccinated patients had a higher incidence of pneumonia (p = 0.020), and obesity was a significant risk factor for both pneumonia (p = 0.001) and mortality (p = 0.011). Patients over 60 years (p = 0.040) and those with cardiovascular diseases (p = 0.026) also had increased pneumonia risk. Male sex was associated with a higher risk of death (p = 0.020).</p><p><strong>Conclusion: </strong>Molnupiravir treatment was linked to reduced risks of hospitalization and death, particularly in high-risk patients. Vaccination provided additional protection, and obesity obstructive pulmonary disease and autoimmune diseases were significant risk factors for severe outcomes.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"104-110"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000949","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":"A ten-year retrospective analysis of risk factors and comorbidities prevalence in a group of septic arthritis patients.","authors":"Dávid Sokol, Erik Dorko, Kvetoslava Rimárová, Róbert Čellár, Erik Drabiščák, Daniela Schreierová, Marek Lacko, István Mitró, Ahmad Gharaibeh, Peter Hrdlík","doi":"10.21101/cejph.a7887","DOIUrl":"10.21101/cejph.a7887","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was the evaluation of a group of patients treated at the Department of Orthopaedics and Traumatology of Locomotory Apparatus at Luis Pasteur University Hospital in Košice for septic arthritis in relation to risk factors and chronic diseases and its microbial aetiologic profile.</p><p><strong>Methods: </strong>We conducted a retrospective study of patients including all episodes of septic arthritis from March 2013 to August 2022. The occurrence of chronic diseases, risk factors and its microbiological profile were investigated.</p><p><strong>Results: </strong>A total of 141 patients were included: 92 (65%) males and 49 (35%) females, the mean age of patients was 58.1 years. A continued decrease in cases was recorded during the period of COVID-19 pandemic and the post-pandemic years. The largest group of our cohort represented septic arthritis of the knee (87 cases, 61.7%), followed by hip and shoulder arthritis - 17 (12.1%) and 14 (9.9%) cases, respectively. Gram positive aetiologic flora represented 87.5% of all pathogens isolated and antibiotics were administered to 46 (32.6%) patients before microbiological culture samples were obtained. The dominant chronic disease was diabetes mellitus with 42 (29.8%) cases and degenerative joint disease affecting the joint was verified in 86 (61%) patients. Dental foci in 28 (19.9%) cases and skin infections in 17 (12.1%) cases were the most numerous groups of risk factors with predominant distribution for cases without previous intervention in the affected joint leading to infection.</p><p><strong>Conclusion: </strong>The distribution of joint involvement and microbial agents was similar to other literature without affecting negative culture results by prior administration of antibiotics. Representation of chronic diseases and risk factors was comparable to the work of other authors. Notable was the continued decline in total number of cases in post-pandemic years of COVID-19 pandemic. What was interesting was the number of confirmed cases of distant focal infection distributed mainly in the group of patients without a history of any previous intervention on the joint before the infection. There is a lack of literature on distant silent infection as a risk factor.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"52-57"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000997","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":"Sugar-sweetened beverages: taxation evidence from seven European countries and recommendations for implementation in other EU regions.","authors":"Pavel Semerád, Petra Hospodková, Markéta Lamačová, Vladimír Rogalewicz, Ondřej Babuněk, Marian Dobranschi","doi":"10.21101/cejph.a8210","DOIUrl":"10.21101/cejph.a8210","url":null,"abstract":"<p><strong>Objectives: </strong>Higher-than-recommended sugar consumption (< 10% of total energy intake; WHO) leads to negative health impacts and the development of serious diseases. Sugar-sweetened beverages (SSBs) proved to be among the leading sources of free sugar intake, as they contain large amounts of added sugar. Our article aims to propose tax measures that will help change consumer behaviour and reduce SSBs consumption.</p><p><strong>Methods: </strong>For a comparison of the forms of taxation, the experience of seven countries (Denmark, France, Hungary, Italy, Poland, Catalonia - Spain, and the UK) were analysed. The evolution of sugar consumption, consumption of sweetened drinks and obesity before and after the introduction and/or abolition of the sugar tax were reviewed.</p><p><strong>Results: </strong>States that implemented a tax on SSBs were able to reduce SSBs consumption in the first year after the tax was introduced when states with a sugar-content-based tax have implemented it more effectively than states with a volume-based tax. Based on this finding, we propose basic design assumptions for the tax that can be used in European countries that have not yet introduced the tax. Progressive taxation divides beverages into 3 bands. The basic assumption is to encourage the desired consumer behaviour, i.e., consumption of SSBs with lower sugar content. The proposed tax design is applied to the conditions of the Czech Republic as a model case study.</p><p><strong>Conclusions: </strong>The results of our study suggest that SSBs taxation could be an effective policy intervention to improve population health by reducing the health impacts of SSBs among children and adolescents, although further studies are needed to prove the causality of the described associations.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 4","pages":"279-287"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188387","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":"Factors affecting smoking cessation success in individuals who applied to a smoking cessation centre.","authors":"Türkan Günay, Nur Acar, Duygu Lüleci, Fatma Seven, Nurcan Şentürk Durukan, Hakan Baydur, Oğuz Kilinç, Şafak Taner","doi":"10.21101/cejph.a8295","DOIUrl":"10.21101/cejph.a8295","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to assess the frequency of smoking cessation and to identify the factors affecting smoking cessation success among individuals seeking assistance at a smoking cessation centre.</p><p><strong>Methods: </strong>This cross-sectional study included 1,570 individuals who applied to the smoking cessation centre in Izmir, Turkey, between 2009 and 2018, and completed three follow-ups. Data were obtained from the centre's records. Factors affecting smoking cessation success were analysed using logistic regression in multivariate analysis.</p><p><strong>Results: </strong>The median age to start smoking was 19 (17-22), and the median number of cigarettes consumed per day was 20 (20-30). Among the participants, 59.9% exhibited a high/very high level of nicotine dependence, and 79.6% had attempted to quit smoking previously. The median number of patient follow-ups was 7 (5-10). Of the patients, 34.0% successfully quit smoking for one year. According to the multivariate analysis results, smoking cessation success increased with being married by 2.26 times (95% CI: 1.51-3.38, p < 0.001), the absence of other smokers in the household by 1.38 times (95% CI: 1.01-1.88, p = 0.04), having a low level of nicotine dependence by 1.75 times (95% CI: 1.23-2.48, p = 0.002), and more patient follow-ups by 1.61 times (95% CI: 1.52-1.72, p < 0.001).</p><p><strong>Conclusions: </strong>Smoking cessation success is increased by the support and follow-up provided by healthcare professionals, the absence of other smokers in the household, and a low level of nicotine dependency.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 4","pages":"256-262"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188307","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":"Sleep apnoea from a dentist's point of view.","authors":"Marcela Šestáková, Alexandra Janíčková, Eleonóra Ivančová, Mária Eötvösová, Viliam Donič, Erik Dorko, Kvetoslava Rimárová","doi":"10.21101/cejph.a7891","DOIUrl":"10.21101/cejph.a7891","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to confirm the relevance of knowledge a dentist has regarding obstructive sleep apnoea (OSA), considering the fact that based on specific risk factors a dentist may be the first clinician to identify patients who are at risk of being affected by this serious condition.</p><p><strong>Methods: </strong>The cohort consisted of 53 subjects who underwent a routine dental examination. Anthropometric data and data on tongue size (Mallampati classification), tonsil size (Friedman classification), daytime sleepiness (Epworth Sleepiness Scale) and systemic risk factors were recorded in a record sheet. On the basis of the monitored parameters, selected subjects underwent polysomnography in order to objectivise the parameters observed.</p><p><strong>Results: </strong>Polysomnography confirmed a 96% success rate in our identifying subjects as being at high risk of developing OSA. This indicates that the parameters monitored during a routine dental examination were properly selected to identify patients with this condition in advance.</p><p><strong>Conclusion: </strong>The relevance of information dentists have about the early identification of patients with OSA may be crucial in the management of further therapy to be provided to these patients.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"66-71"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000648","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":"Eating behaviours and associated lifestyle factors in a sample of Slovak adolescents.","authors":"Diana Vondrová, Ľubica Argalášová, Michael Weitzman, Martin Samohýl, Alexandra Filová, Katarína Hirošová, Jana Jurkovičová, Kvetoslava Rimárová, Erik Dorko, Jana Babjaková","doi":"10.21101/cejph.a7893","DOIUrl":"10.21101/cejph.a7893","url":null,"abstract":"<p><strong>Objectives: </strong>An unhealthy lifestyle, inappropriate eating habits, and inadequate physical activity are the most common risk factors affecting health and causing the premature onset of non-communicable diseases. The study aimed to evaluate lifestyle factors, eating habits, and daily regimens in a sample of Slovak adolescents.</p><p><strong>Methods: </strong>The sample involves 524 students aged 15-22 years attending selected secondary schools from the model region of Bratislava, the capital of Slovakia. We assessed the prevalence of selected lifestyle factors and investigated the relationship between negative lifestyle factors and the presence of overweight and obesity.</p><p><strong>Results: </strong>We found eating irregularities including avoidance of school lunch, inadequate daily consumption of vegetables, dairy products and wholegrain foods, and the high consumption of sweets and sweetened beverages. The prevalence of excess weight and obesity in the sample was 18.4%. Compared to the non-obese, overweight or obese students had significantly lower daily consumption of vegetables and used to avoid sports more frequently. Almost 37% of students did not do sports at all. Students who were not doing sports on regular basis used to skip breakfast more frequently, they ate fewer vegetables and more sweets and spent considerable time in sedentary activities.</p><p><strong>Conclusion: </strong>In the sample of secondary school students, we investigated several negative lifestyle factors and the relatively high prevalence of overweight and obesity. The results of the study can be used for the development of preventive measures to protect and promote the health of children and youth.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"96-103"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001096","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":"Oral health and rheumatoid arthritis: a case control study.","authors":"Margaréta Tamášová, Želmíra Macejová, Erik Dorko, Silvia Timková, Kvetoslava Rimárová, Jana Diabelková","doi":"10.21101/cejph.a7892","DOIUrl":"10.21101/cejph.a7892","url":null,"abstract":"<p><strong>Objectives: </strong>Patients suffering from rheumatoid arthritis (RA) are repeatedly affected by oral diseases or problems, including dental caries and periodontal diseases (PDs). Periodontitis and rheumatoid arthritis are chronic inflammatory destructive diseases that share many similarities. The objective of this study was to assess oral health status including examination of hard dental tissues and periodontium in patients with rheumatoid arthritis and compare the results with healthy controls. We hypothesize some interlink between oral diseases and RA.</p><p><strong>Methods: </strong>The epidemiological case-control study involved a total of 64 subjects divided into an experimental group (14 rheumatoid arthritis cases) and a control group (50 healthy individuals). Disease activity in the subjects with RA was assessed by the Disease Activity Score (DAS28). The number of Decayed, Missing and Filled Teeth (DMFT) and Community Periodontal Index of Treatment Need (CPITN) as a basic epidemiological oral health indexes were recorded. Finally, the data were analysed statistically.</p><p><strong>Results: </strong>The RA patients (19.21, SD = 6.95) showed a higher caries index level measured by DMFT than the control group (17.72, SD = 6.19); the difference was not statistically significant (U = 387.5, p = 0.547). In terms of a mean number of teeth decayed (p = 0.078), teeth filled due to caries (p = 0.397), and missing teeth (p = 0.126), the two groups were not significantly different. In terms of periodontal health, a significant difference was observed between the two groups concerning the CPI maximum score (p = 0.003). The RA patients showed higher prevalence of periodontitis than the controls.</p><p><strong>Conclusions: </strong>A complete basic oral examination, along with an oral health instruction including adequate oral and dental hygiene, is crucial to prevent dental caries and periodontal diseases and associated complications in RA patients, since they appear to be more vulnerable than the non-RA population.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"78-84"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000609","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":"Socioeconomic inequalities and their impact on the health of seniors 65.","authors":"Jitka Vacková, Kvetoslava Rimárová, Lenka Motlová, Renata Švestková, Erik Dorko, Ivana Chloubová, Radek Vistořín, Kristýna Hellerová, Lesia Shuranová, Eva Fichtnerová, Markéta Bendová","doi":"10.21101/cejph.a8280","DOIUrl":"10.21101/cejph.a8280","url":null,"abstract":"<p><strong>Objectives: </strong>The main aim of the article is to indicate how selected socioeconomic factors contribute to the selected characteristics of the subjectively perceived health of seniors 65+ living in the Czech Republic.</p><p><strong>Methods: </strong>Data collection took place in the Czech Republic from 27 January 2020 to 14 February 2020. The total number of interviews carried out in the research was 1,172, from a representative quota sample of seniors from the senior population living in the Czech Republic. Questionnaires were distributed in the form of PAPI interviews.</p><p><strong>Results: </strong>The assessment of subjective social status increases with education and employment (these three aspects are closely linked), and the assessment transferred to the senior years.</p><p><strong>Conclusion: </strong>The accumulation of advantages and disadvantages should encourage the Government of the Czech Republic, as well as other European states, to focus on those who, based on their low levels of education and social status, have very low assessments of their subjective health. Prevention (in both health and social fields), which includes access to information and the subsequent better life decisions, must be implemented throughout a person's lifetime (so as to reduce the disadvantages that accumulate from the cradle to the grave).</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"85-90"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000652","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":"Assessment of depressive disorders and states of anxiety in patients following cerebrovascular accidents in connection with health care provision.","authors":"Miriam Ištoňová, Erik Dorko, Viliam Knap, Beáta Stehlíková, Anna Murgová, Perla Ondová, Kvetoslava Rimárová","doi":"10.21101/cejph.a7888","DOIUrl":"10.21101/cejph.a7888","url":null,"abstract":"<p><strong>Objective: </strong>Anxiety and depression in patients following cerebrovascular accidents are among frequently occurring complications of the medical condition. The consequences affect personal, family, professional, and social life. They cause severe functional and cognitive impairments, limit the ability to perform normal daily activities, which can result in complete disability. The aim of the study was to monitor the occurrence of anxiety and depression in patients following cerebrovascular accidents hospitalized in neurological departments in the region of eastern Slovakia.</p><p><strong>Methods: </strong>A total of 101 patients following cerebrovascular accidents, aged from 48-86 years, were included in the descriptive study. Demographic and clinical data were obtained from patients and from medical records. We determined the occurrence of anxiety disorders, depression and emotional distress in patients following cerebrovascular accidents using a standardized Hospital Anxiety and Depression Scale (HADS) questionnaire.</p><p><strong>Results: </strong>Data analysis confirms a high incidence of anxiety in the HADS-A subscale (9.23 ± 4.13) and depression in the HADS-D subscale (9.09 ± 4.43) during the hospitalization phase of the disease. It demonstrates the pathological occurrence of anxiety states in 37%, depression in 36%, emotional distress in 36%, and a serious degree of combination of pathological values of the anxiety subscale and the depression subscale in 27% of patients. The existence of a strong positive correlation between anxiety and depression indicators was confirmed.</p><p><strong>Conclusion: </strong>The results confirm a high prevalence of anxiety and depression in the acute phase of the disease. The findings indicate that patients recovering from cerebrovascular accidents not only face physical difficulties and loss of independence but also struggle with anxiety and depression, which can negatively impact and slow their recovery. Given the high frequency of these psychological conditions, further research is needed to enhance the quality and effectiveness of care provided to patients with cerebrovascular accidents.</p>","PeriodicalId":9823,"journal":{"name":"Central European journal of public health","volume":"32 Supplement","pages":"18-24"},"PeriodicalIF":1.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143000953","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}