Published research studies in Central Europe have been mostly oriented toward occupational stress among schoolteachers. The aim of this study is to investigate the level of occupational stress in ...kindergarten teachers and to specify psychosocial risks associated with their work.
The study was conducted by using a Meister questionnaire and a Psychosocial risk questionnaire. The data collection was obtained from kindergarten teachers in 2017. The survey link with request was sent to participants via email. A total 287 questionnaires from 67 kindergarten schools were collected.
192 (66.9%) teachers perceived their work as mentally burdensome. Teachers who perceived their work as mentally non-burdening were more likely to report autonomy in their work (p=0.001), fair performance evaluation (p=0.010), sufficient family time (p=0.005), a health-protected workplace (p=0.000) and absence of violence and bullying (p=0.042). Teachers with a university degree perceiving work as mentally burdensome reported that their work was not adequately assessed (p=0.034). Teachers over 45 years of age with school practice of over 20 years reported injustice in evaluating work performance against younger colleagues (p=0.000).
Kindergarten teachers reported overloading, time pressure, and high responsibility, but considered their work interesting. However, changing the way teachers work in schools can reduce teacher resignation and improve teachers' well-being.
The aim of our study was to determine the self-reported incidence and prevalence of running-related injuries among participants of the 18
Ljubljana Marathon, and to identify risk factors for their ...occurrence.
A customized questionnaire was distributed over registration. Independent samples of t-test and chi-square test were used to calculate the differences in risk factors occurrence in the injured and non-injured group. Factors which appeared significantly more frequently in the injured group were included further into multiple logistic regression analysis.
The reported lifetime running injury (absence >2 weeks) incidence was: 46% none, 47% rarely, 4% occasionally, and 2% often. Most commonly injured body regions were: knee (30%), ankle and Achilles' tendon (24%), foot (15%), and calf (12%). Male gender, running history of 1-3 years, and history of previous injuries were risk factors for life-time running injury. In the season preceding the event, 65% of participants had not experienced any running injuries, 19% of them reported minor problems (max 2 weeks absenteeism), but 10% and 7% suffered from moderate (absence 3-4 weeks) or major (more than 4 weeks pause) injuries. BMI was identified as the solely risk factor.
This self-reported study revealed a 53% lifetime prevalence of running-related injuries, with the predominate involvement of knee, ankle and Achilles' tendon. One out of three recreational runners experienced at least one minor running injury per season. It seems that male gender, short running experience, previous injury, and BMI do increase the probability for running-related injuries.
Health-related quality of life (HRQoL) is measuring a patient's experience of his health status and represents an outcome of medical interventions. Existing data proves that a healthy lifestyle is ...positively associated with HRQoL in all age groups. Patients with a high risk for cardiovascular disease typically led an unhealthy lifestyle combined with risk diseases. We aimed to analyse these characteristics and their reflection in HRQoL.
A cross-sectional study in 36 family practices, stratified by location and size. Each practice invited 30 high-risk patients from the register. Data were obtained from medical records and patient questionnaire. The EQ-5D questionnaire and the VAS scale were used for measuring the patient's HRQoL as an independent variable.
871 patients (80.6% response rate) were included in the analysis. 60.0% had 3-4 uncontrolled risk factors for CVD. The average VAS scale was 63.2 (SD 19.4). The correlation of EQ-5D was found in the number of visits in the practice (r=-0.31, p<0.001), the socioeconomic status (r=-0.25, p=0.001), age (r=-0.27, p=0.001) and healthy diet (r=0.20, p=0.006). In a multivariate model, only physical activity among lifestyle characteristics was an independent predictor of HRQoL (p=0.001, t=3.3), along with the frequency of visits (p<0.001, t=-5.3) and age (p=0.025, t=-2.2).
This study has been performed on a specific group of patients, not being "really sick", but having less optimal lifestyle in many cases. Encouragement to improve or keep healthy lifestyle, especially physical activity, is important, not only to lower the risk for CVD, but also to improve HRQoL.
Slovene press has recently expressed concern for the health of children who ingest playground sand contaminated with lead. However, current assessments may be overestimating the health risk, as they ...assume that human body absorbs the whole amount of a contaminant. The aim of our study was to see how much lead in sand intended for playground sandboxes in Slovenia really is absorbed and what health risk it may present. To do that, we ran bioaccessibility tests to simulate metabolism and see how digestion affects lead levels. Our results show low bioaccessibility of lead from sand (0.01- 36.84 %). Taking into account lead bioaccessibility, we ran several scenarios of sand ingestion in children and established that in general the risk is negligible, except for pica behaviour with extremely high (20 g) ingestion of sand with highly mobilised lead (2.69 μg g-1). Further research should assess real-life exposure to lead from playground sand in children and perhaps update these preliminary bioaccessibility data.
V zadnjem obdobju so se v Sloveniji pojavili številni pomisleki o varnosti mivke, ki je namenjena za otroške peskovnike. Ocena tveganja otrok, ki so izpostavljeni svincu temelji na predpostavki, da je celotna količina toksične kovine biološko dostopna. Zato je bil namen raziskave analizirati biološko dostopnost svinca v mivki, ki je namenjen za peskovnike otroških igrišč. Z simulacijo prebavnega trakta smo analizirali vpliv prebavnih sokov za izplavljanje svinca iz mivke. Rezultati kažejo na majhno biodostopnost svinca v mivki (0,01-36,84 %) slovenskih proizvajalcev. Na podlagi biološke dostopnosti smo simulirali različne scenarije vnosa in ugotovili, da je tveganje zanemarljivo, razen v primeru pica sindroma (zaužitje 20 g mivke) ter ob predpostavki največje dokazane biološke dostopnosti (2,69 μg g-1). Raziskave v prihodnosti bodo vključevale realno izpostavljenost otrok svincu iz peskovnikov in bodo morda nadgradile preliminarno raziskavo.
In the second Slovenian national healthcare-associated infections (HAIs) prevalence survey, conducted within the European point prevalence survey of HAIs and antimicrobial use in acute-care ...hospitals, we estimated the prevalence of all types of HAIs and identified risk factors.
Patients from acute-care hospitals were enrolled into a one-day cross-sectional study in October 2011. Descriptive analyses were performed to describe the characteristics of patients, their exposure to invasive procedures and the prevalence of different types of HAIs. Univariate and multivariate analyses of association of having at least one HAI with possible risk factors were performed to identify risk factors.
Among 5628 patients, 3.8% had at least one HAI and additional 2.6% were still being treated for HAIs on the day of the survey; the prevalence of HAIs was 6.4%. The prevalence of urinary tract infections was the highest (1.4%), followed by pneumoniae (1.3%) and surgical site infections (1.2%). In intensive care units (ICUs), the prevalence of patients with at least one HAI was 35.7%. Risk factors for HAIs included central vascular catheter (adjusted odds ratio (aOR) 4.0; 95% confidence intervals (CI): 2.9-5.7), peripheral vascular catheter (aOR 2.0; 95% CI: 1.5-2.6), intubation (aOR 2.3; 95% CI: 1.4-3.5) and rapidly fatal underlying condition (aOR 2.1; 95% CI: 1.4-3.3).
The prevalence of HAIs in Slovenian acute-care hospitals in 2011 was substantial, especially in ICUs. HAIs prevention and control is an important public health priority. National surveillance of HAIs in ICUs should be developed to support evidence-based prevention and control.
In the third Slovenian national healthcare-associated infections (HAIs) prevalence survey, conducted within the European point prevalence survey of HAIs and antimicrobial use in acute care hospitals, ...we estimated the prevalence of all types of HAIs and identified factors associated with them.
Patients were enrolled into a one-day cross-sectional study in November 2017. Descriptive analyses were performed to describe the characteristics of patients, their exposure to invasive procedures and the prevalence of different types of HAIs. Univariate and multivariate analyses of association of having at least one HAI with possible risk factors were performed to identify risk factors.
Among 5,743 patients, 4.4% had at least one HAI and an additional 2.2% were still treated for HAIs on the day of the survey, with a prevalence of HAIs of 6.6%. The prevalence of pneumoniae was the highest (1.8%), followed by surgical site infections (1.5%) and urinary tract infections (1.2%). Prevalence of blood stream infections was 0.3%. In intensive care units (ICUs), the prevalence of patients with at least one HAI was 30.6%. Factors associated with HAIs included central vascular catheter (adjusted odds ratio aOR 4.1; 95% confidence intervals CI: 3.1-5.4), peripheral vascular catheter (aOR 3.0; 95% CI: 2.3-3.9), urinary catheter (aOR 1.8; 95% CI: 1.4-2.3).
The prevalence of HAIs in Slovenian acute care hospitals in 2017 was substantial, especially in ICUs. HAIs prevention and control is an important public health priority. National surveillance of HAIs in ICUs should be developed to support evidence-based prevention and control.
Osteoporosis is a highly prevalent public health problem with osteoporosis-related fractures that account for high morbidity and mortality. Therefore, prevention strategies and early detection of ...osteoporosis should be carried out in primary gynaecological care units, so as to substantially reduce the risk of fractures and allow the best treatment option for a particular woman.
From 2002 to 2011, we recruited 2956 women. Of the total number of women, we additionally extrapolated 1274 women aged 60-75 years, assumingly, the group of women at higher risk of osteoporosis. Demographic and anthropometrical data as well as the information regarding risk factors for osteoporosis were collected using a questionnaire.
The odds ratio for osteoporosis increased by 8% (p=0.001) with each additional year of life. The OP prevalence increased with age from 24.9% in 60-64 years to 37.4% in 70-75 years. In non-smokers the odds ratio for osteoporosis was 0.424, which was statistically significant (p<0.05). BMI <18.5 increased the odds ratio for osteoporosis by 2 times, which was not statistically significant. In women 60-75 years old (N=1274), the risk of fractures increased with increasing age, considering previous fractures in the last 5 years (p<0.001), hip fracture (p=0.001), wrist fracture (p=0.002) and observed height loss (p<0.001). Hormone therapy (HT) use decreased the prevalence of OP by 25% in comparison with non-users.
Primary care gynaecologist with a DXA centre has every opportunity for a holistic approach to the management of postmenopausal women, including the prevention and treatment of postmenopausal osteoporosis.
V članku so obravnavani praktični ukrepi za vključevanje rezultatov ocene tveganja zaradi izrednih vremenskih dogodkov v postopek prostorskega načrtovanja. Na primerih ocene tveganja zaradi žleda za ...prenosno in distribucijsko elektroenergetsko omrežje ter za vetrne elektrarne je predstavljen postopek, ki vnaša rezultate ocene tveganja v analizo ustreznosti prostora. Najprej je izdelana ocena tveganja za prenosno in distribucijsko omrežje zaradi žleda. Rezultati ocene tveganja so uporabljeni kot podlaga za presojo predlaganih različic tras visokonapetostnega daljnovoda in kot vhodni podatek za analizo ustreznosti prostora za umestitev vetrnih elektrarn. Različici za umestitev vetrnih elektrarn z upoštevanjem tveganja in brez tega smo primerjali z gospodarskega vidika in ugotovili, da lahko škode zaradi izrednih vremenskih dogodkov pomembno vplivajo na gospodarsko upravičenost načrta. Ugotavljamo, da lahko rezultate ocene tveganja na dva načina vključimo v načrtovanje elektroenergetske infrastrukture, in sicer s posodobitvijo inženirskih standardov in izogibanjem območjem, na katerih bi lahko nastale največje škode na infrastrukturi zaradi izrednih vremenskih dogodkov. Ocena tveganja je pomembna informacija, ki lahko vpliva na odločitve v zvezi z rabo prostora in tehničnimi ukrepi za povečanje odpornosti infrastrukture.
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