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Copyright of Health Problems of Civilization is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Health Problems of Civilization is the property of Termedia Publishing House and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Florence (1801-464X) is the property of Care Comm s.r.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Zdravotnícke Študie is the property of Catholic University in Ruzomberok and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Florence (1801-464X) is the property of Care Comm s.r.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Advanced practice nursing (APN) is a modern and effective nursing role that has a positive impact on health care systems around the world. Guiding principles are advanced education, expanded scope of practice, and policies supportive of the role. Purpose: The aim of this study was to find out the perception of APNs of their own practice in the context of the current legislative conditions in Slovakia and to identify related factors. Methods: A quantitative exploratory design was selected. From 5,067 APN, 584 were conveniently selected. The adapted and modified SCAPE study questionnaire was used for data collection. Data were processed using SPSS 25. Results: There were differences between newly introduced competencies for the APN role in Slovakia and the general concept of the role that could influence practice. The level of APNs' perception of their own practice is low. Years of practice was significantly and positively related to the perception. The results in each region were significantly different. Community nurses/outpatient nurses assessed their practice at a significantly higher level. The educational curriculum lacks the subject of APN. Competencies, remuneration, and satisfaction with the status are insufficient. Implications for practice: To understand, implement, and practice the concept of APN, it is essential to change policies related to competencies, education, remuneration, and status. Creation of an educational model that includes the subject area of advanced practice nursing in the postgraduate curriculum is essential. Education and practice conditions for advanced practice nurses should be uniform in all regions of the country. [ABSTRACT FROM AUTHOR]

Copyright of Zdravotnícke Študie is the property of Catholic University in Ruzomberok and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Florence (1801-464X) is the property of Care Comm s.r.o. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Medicina Sportiva Bohemica et Slovaca is the property of Ceska spolecnost telovychovneho lekarstvi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The three main features requested for the "ideal" pre-participation screening (PPS) in sports are cost-effectiveness, high diagnostic accuracy and feasibility in large populations. Controversy exists concerning increasing an efficacy of the PPS by using echocardiography (ECHO). 500 healthy athletes (aged: 16-32, median age 21 ± 5, 446 males and 54 females [8:1], participating in sports like football, athletics, handball, cycling, basketball, gymnastics) were examined during the period from 2011-2013 in a pilot study focusing on the prevention of cardiovascular complications in sports. All of the athletes were screened according to European PPS protocol with history taking, physical examination and 12-lead ECG registration. Cardiovascular abnormalities were not detected in any case. After that conventional ECHO (M-mode and 2D modalities) the exam was performed in all of the athletes and a broad spectrum of cardiovascular abnormalities was found in 14 cases (2.8%). In 7 (1.4%) athletes it was mitral valve prolapse (hemodynamically significant in 1 case), in 3 (0.6%) -- bicuspid aortic valve (significant aortic stenosis in 1 case) and in other 4 cases (0.8%) it was myocarditis, myocardial bridging, noncompaction of the left ventricle and coronary artery fistula. In 4 athletes abnormalities that were found required a temporary or permanent sports activities cessation. The postulate suggesting that inclusion of ECHO into the PPS protocol may not be cost-effective should be revised today. Currently conventional techniques like M-mode and 2D are inexpensive enough (about 6.00 Euros in Slovakia), technically simple to be performed in the field in large athletic population by pocket-size ultrasound systems, powerful enough for the efficient screening and thus hold the potential to enter a screening protocol. Well-constructed, sufficiently powered, randomized and long-term controlled studies will allow an objective evaluation of ECHO contribution to the diagnostic evaluation of life-threatening cardiovascular abnormalities in athletes. Considering such evidence, a modified PPS protocol should probably be applied to the sports cardiology practice. [ABSTRACT FROM AUTHOR]