Cent Eur J Public Health 2014, 22(1)

Differences Between the Spectra of Respiratory Illnesses in Children Living in Urban and Rural Environments

Miroslav Dostál, Miroslav Průcha, Eva Rychlíková, Anna Pastorková, Radim J. Šrám

Cent Eur J Public Health 2014, 22(1):3-11 | DOI: 10.21101/cejph.a3950  

A longitudinal study launched in 1994 within the framework of the Teplice Programme aimed at comparing the respiratory morbidity in children born (1994-1998) and living in the districts of Teplice (TE) and Prachatice (PRA) in the Czech Republic. Lists of all illnesses of 960 children from birth to 10 years of age were obtained from paediatric medical records. From 26,471 diagnoses (in ICD-10 codes), 34.7% were diagnoses of upper respiratory infections (URI, J00-02, J06), 11.3% of tonsillitis, 10.2% of influenza, 9.4% of bronchitis, 8.9% of laryngitis/tracheitis (J04), 2.7% of otitis media, and 0.5% of pneumonia. The more polluted district of Teplice...

Obesity and Diet Awareness among Polish Children and Adolescents in Small Towns and Villages

Marta Stankiewicz, Magdalena Pieszko, Aleksandra Śliwińska, Sylwia Małgorzewicz, Łukasz Wierucki, Tomasz Zdrojewski, Bogdan Wyrzykowski, Wiesława Łysiak-Szydłowska

Cent Eur J Public Health 2014, 22(1):12-16 | DOI: 10.21101/cejph.a3813  

Background: In addition to genetic predispositions and environmental factors, healthy lifestyle education is very important for children and adolescents. The purpose of this research was to estimate the number of overweight and obese children and adolescents from small towns and villages and to find out an association between health awareness in children and the risk of becoming overweight or obese. Methods: The research was conducted in 1,515 healthy children aged 6-18 years from small towns and villages in Poland. Overweight was diagnosed when BMI for age and sex was over the 90th percentile; obesity - when it was over the 95th percentile....

Projected Incidence of Overweight and Obesity and Related Disease Incidence Across Poland

Laura Webber, Ewa Halicka, Tim Marsh, Ketevan Rtveladze, Klim McPherson, Martin Brown

Cent Eur J Public Health 2014, 22(1):17-23 | DOI: 10.21101/cejph.a3877  

The first objective is to project obesity trends to 2030 based on the current data from Poland. The second objective is to test the effect of a 1% or 5% decrease in population BMI upon future incidence and prevalence of related non-communicable diseases. A two-stage modelling design projecting overweight and obesity trends and related diseases in a microsimulation model was developed. Epidemiological data for entry into a microsimulation model were gathered from Poland. This study used population level data from Poland creating a virtual population within a microsimulation model. Obesity and overweight in Poland was found to increase to very high levels...

Birth-Weight Differences of Roma and Non-Roma Neonates - Public Health Implications from a Population-Based Study in Hungary

Péter Balázs, Ildikó Rákóczi, Andrea Grenczer, Kristie L. Foley

Cent Eur J Public Health 2014, 22(1):24-28 | DOI: 10.21101/cejph.a3841  

Objective: This study analyses the role of ethnicity-based birth weight differences at term (37-42 weeks) between neonates of Roma and non-Roma populations in Hungary, controlling for socio-demographic and biological characteristics of the mothers. Methods: A cross-sectional survey among 9,040 mothers coupled with biometric data of the neonates was conducted in 2010. Inclusion criteria were: at term (37-42 weeks gestation) non-pathological pregnancies, and self-reported ethnicity. Birth weight was based on mothers' ethnicity, age, body mass index, education, marital and employment status, poverty level, household amenities, dietary and...

Prevalence of Viral Hepatitis in Croatian Adult Population Undergoing Routine Check-up, 2010-2011

Tatjana Vilibić-Čavlek, Jasmina Kučinar, Sunčanica Ljubin-Sternak, Bernard Kaić, Lorena Lazarić-Stefanović, Branko Kolarić

Cent Eur J Public Health 2014, 22(1):29-33 | DOI: 10.21101/cejph.a3844  

Seroprevalence data on viral hepatitis in the general population vary widely. The aim of this study was to determine the prevalence of hepatitis A (HAV), hepatitis B (HBV) and hepatitis C (HCV) viruses in the general Croatian adult population undergoing routine check-ups. The seroprevalence of anti-HAV, anti-HBc and anti-HCV was 40.5%, 7.0% and 0.9%, respectively. HBsAg was found in 0.7% and anti-HBs antibodies in 24.4% of participants. Gender was not associated with HAV, HBV or HCV seropositivity. HAV and HBV seropositivity increased progressively with age (HAV from 11.7% to 90.4%, p<0.001; HBV from 1.7% to 15.8%, p<0.001). Participants from...

Use of Selected Prediction Equations (CG, MDRD4, CKD-EPI) in Improving Glomerular Filtration Rate Assessment in Clinical Practice in Slovakia

Tomáš Žatko, Branislav Kolena, Ida Petrovičová, Tomáš Pilka, Anton Kolačan

Cent Eur J Public Health 2014, 22(1):34-41 | DOI: 10.21101/cejph.a3858  

Our study aimed to establish the best prediction equation for different age ranges in estimating Glomerular Filtration Rate (GFR) in clinical practice in Slovakia. The GFR by 24-hour creatinine clearance (Ccr) and the estimated GFR (eGFR) using the Cockcroft-Gault (CG), the four-variable Modification of Diet in Renal Disease (MDRD4) and the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations were obtained in adults aged 30-80 (n=433, 10-years intervals). The correlation between these prediction equations and Ccr was evaluated. Errors in prediction equations were detected by moving average and by comparisons of...

Risk and Protective Factors in the Origin of Atrial Septal Defect Secundum - National Population-Based Case-Control Study

Melinda Csáky-Szunyogh, Attila Vereczkey, Róbert Urbán, Andrew E. Czeizel

Cent Eur J Public Health 2014, 22(1):42-47 | DOI: 10.21101/cejph.a3824  

The aim of this study was to assess the risk factors in the origin of lethal or surgically corrected isolated atrial septal defect secundum. The population-based Hungarian Case-Control Surveillance of Congenital Abnormalities (conducted between 1980 and 1996) comprised 472 atrial septal defect secundum cases, 678 matched controls and 38,151 available controls without any defects; in addition, 21,022 malformed controls with other isolated defects. Medically recorded chronic disorders in the prenatal maternity logbook were evaluated, while acute maternal diseases, drug treatments and pregnancy supplements were analyzed on the basis of both prospective...

Helicobacter Pylori Prevalence in Children Influenced by Non-specific Antibiotic Treatments

Antje Hoffmann, Peter Krumbiegel, Thomas Richter, Matthias Richter, Stefan Röder, Ulrike Rolle-Kampczyk, Olf Herbarth

Cent Eur J Public Health 2014, 22(1):48-53 | DOI: 10.21101/cejph.a3890  

Objective: Helicobacter pylori (H.p.) infections play a very important role in the development of ulcerations and malignancies of the gastrointestinal tract. It is assumed that the primary infection occurs during childhood, depending on numerous environmental factors among them hygiene and social status. Our aim was to determine whether treatment with antibiotics affects the persistence of H.p. infection. Methods: In 2006, we conducted an epidemiological study among all grade 8 students in the city of Leipzig (mean age 14.6 years). To determine the prevalence of H.p. infection, a voluntary H.p. test (13C-urea...

Cross-Border Surveillance Differences: Tick-Borne Encephalitis and Lyme Borreliosis in the Czech Republic and Poland, 1999-2008

Paweł Stefanoff, Hana Orlíková, Vladimír Príkazský, Čestmír Beneš, Magdalena Rosińska

Cent Eur J Public Health 2014, 22(1):54-59 | DOI: 10.21101/cejph.a3937  

We compared neighbouring regions of the Czech Republic (CZ) and Poland (PL) situated within 100 km of the country border, in order to compare surveillance systems performance in measuring the burden of tick-borne diseases in both countries. We used routine surveillance notifications from 1999-2008 on tick-borne encephalitis (TBE) and Lyme borreliosis (LB). We assessed the crude risk ratio (RR) across the country border, and its estimates adjusted for both population density and the expected epidemiological gradient across the region, using negative binomial regression. The crude RR between CZ and PL was 7.43 (95% CI 6.20-8.90) for TBE, and 1.80 (1.76-1.83)...

Transferable Fluoroquinolone Resistance in Enterobacteriaceae and Pseudomonas Aeruginosa Isolated from Hemocultures

Naďa Kulková, Marta Babálová, Jaroslava Brňová, Vladimír Krčméry

Cent Eur J Public Health 2014, 22(1):60-63 | DOI: 10.21101/cejph.a3884  

Background: The main mechanisms causing high-level resistance to fluoroquinolones (FQ) are encoded chromosomally; that includes mutations in genes coding DNA-gyrase, but overexpression of efflux pumps contributes to increased minimum inhibitory concentration (MIC) of FQ as well. However, genes responsible for FQ-resistance may be harboured in transferable/conjugative plasmids. For some time, there was an assumption that resistance to FQ cannot be transferable in conjugation due to their synthetic origin, until 1998, when plasmid-mediated resistance transmission in Klebsiella pneumoniae was proved. We aimed to detect the occurrence of transferable...

News and Notes

Global battle against cancer won't be won with treatment alone--effective prevention measures urgently needed to prevent cancer crisis.

Cent Eur J Public Health 2014, 22(1):23, 28  

WHO opens public consultation on draft sugars guideline.

Cent Eur J Public Health 2014, 22(1):41  

7 million deaths annually linked to air pollution.

Cent Eur J Public Health 2014, 22(1):53, 59  

Medicus Europaeus: Prof. Pavel Schmidt, MD, PhD (*25 November 1933 - †11 March 1994)

Michael Franz Reinhold Popović

Cent Eur J Public Health 2014, 22(1):64 | DOI: 10.21101/cejph.a3966