Ciljevi: Usporediti edukacije menadžera u kineziološkoj rekreaciji (UZR) u odnosu na menadžere u drugim djelatnostima (OD) te utvrditi žele li više usavršavati svoja znanja. Metodologija: 192 ...ispitanika (66.7% muškaraca, prosječne životne dobi 40 godina) su osobe na vodećim pozicijama organizacija. Klasificirani su u dvije skupine (UZR, OD) i anketirani pomoću modificiranog upitnika prema osnovnim podacima o menadžeru (spol, dob, visina stručne spreme, razina menadžmenta na kojoj se nalazi, duljina radnog staža) te učestalosti pohad strok signanja programa edukacije (niti jednom, jednom, više puta, stalno) i motiviranosti za nastavkom usavršavanja (stručnog, ekonomskog, organizacijskog, menadžment, informatičkog, sociološkog, psihološkog te ophod strok signenja s ljudima). Rezultati: Prema učestalosti pohad strok signanja programa edukacije unutar poduzeća, najveća razlika med strok signu skupinama je kod onih učesnika koji su stalno pohad strok signali edukacijske programe u korist OD (3.2% vs 21.2%). Prema programu trajnog obrazovanja i usavršavanja menadžera, najveća razlika med strok signu skupinama je u želji stjecanja ekonomskih znanja (11.8% vs 34.3%), a nešto manje u domeni psiholoških (19.4% vs 37.4%) i socioloških
Sedentary lifestyle and obesity increase the risk of coronary disease (CAD). The aims of this prospective study were to estimate the trends in physical activity (PA) level, accuracy of the ...Baecke's/LRC-PA questionnaires, and trends in obesity parameters (body mass index-BMI/waist-to-hip ratio-WHR) in patients with acute coronary syndrome (ACS) in the last two decades. We grouped 209 patients with ACS (UAP-unstable angina, STEMI-ST-elevation myocardial infarction, NSTEMI-non STEMI) by year of admission (Group 2002-05/Group 2017) and compared them by the levels of PA (Baecke's/LRC-PA questionnaires) and obesity parameters (BMI, WHR). Group 2017 had higher WHR (1.02 vs. 0.97) and leisure PA index (LI) (3.00 vs. 2.50), as well as less high and very low activity patients (P<0.05). Patients with UAP/STEMI had higher WHR in 2017 (1.02 vs. 0.96, 1.02 vs. 0.99, respectively) (P<0.05) and had lower LI in 2002-05 (2.50 vs. 3.25, 2.75 vs. 3.50, respectively) (P<0.05). In conclusion, leisure PA and WHR was increased in the study period both in patients with ACS and in the general population. We emphasize the usage of more precise methods for evaluation of PA and obesity (Baecke's/Four-point LRC-PA questionnaires, WHR), and that only increased PA with dietary changes leads to reduction of central obesity and risk of ACS.
...eGFR is a powerful predictor of outcome in patients with acute myocardial infarction (MI) and is more useful for this purpose than serum creatinine 3 .
Atrial fibrillation (AF) affects about 2% of the population, with the increasing prevalence with age. It is associated with poorer quality of life, effort intolerance, frequent hospitalizations, ...heart failure, and increased risk of systemic embolization, stroke, and mortality. Warfarin has been the only choice of chronic anticoagulant therapy for over 50 years. Its disadvantages are reflected by interaction with various foods, drugs, and alcohol, while its action is highly dependent on liver function, age, and genetic background. Administration of direct oral anticoagulants (DOACs) to patients with AF and acceptable bleeding risk reduces the risk of systemic thromboembolic complications and stroke; these drugs are superior or at least as effective as warfarin. Their use is safer than warfarin in terms of reduced risk of major bleeding. This is a group of drugs with wide clinical use, except in patients with severely impaired renal and hepatic function. Proper use is a guarantee of the safety of DOACs, which in the future will be even more pronounced with the advent of new antidotes, such as Praxbind.
The appearance of MI is more frequent during winter 1-6,14,20 . Because of acclimatization, people in cold regions (Finland) may not experience more winter excess mortality than those in mild regions ...(London) 21,22 . ...we would like to emphasize the need for decreasing the upper lawful limits of air pollutants as it increases the number of patients with MI.
The interrelation between metabolic syndrome (MetS) (the revised National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) and International Diabetes Federation (IDF)) and ...obesity indices in predicting clinical severity and prognosis of acute ST-elevation myocardial infarction (STEMI) is insufficiently known.
This prospective study included 250 acute STEMI patients treated with primary percutaneous coronary intervention. The patients with/without MetS were analyzed by baseline (medical history, demography and obesity indices: overall - body mass index (BMI) vs.central - body adiposity index (BAI), conicity index (Cindex), visceral adiposity index (VAI), waist circumference (WC), waist-to-hip (WHR) and waist-to-height ratio (WHtR)), severity (clinical presentation, laboratory, echocardiography, coronary angiography and in-hospital complications) and prognostic parameters (major adverse cardiovascular events and sick leave duration during 12-month follow-up).
There were 136 (54.4%) and 147 (58.8%) patients with MetS (NCEP-ATP III) and MetS (IDF), respectively. MetS (NCEP-ATP III) increased the risk of > 1 significantly stenosed coronary artery (CA), very high BAI increased the risk of dyspnea, Cindex > 1.25/1.18 increased the risk of total in-hospital complications, increased VAI increased the risk of coronary segment 3 significant stenosis, WHR ≥ 0.90/0.85 increased the risk of proximal/middle coronary segments (especially of segment 1) significant stenosis, WHtR ≥ 63/58 increased the risk of heart failure, and the number of significantly stenosed CAs increased the risk of total MACE (
< 0.05).
MetS (NCEP-ATP III) and several central obesity indices are superior to BMI in predicting acute STEMI severity (clinical presentation, in-hospital complications, severity of coronary disease), while WC and MetS (IDF) have no influence on it. They all have no influence on prognosis.
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