SummaryGuidance is provided in a European setting on the assessment and treatment of postmenopausal women at risk of fractures due to osteoporosis.IntroductionThe International Osteoporosis Foundation and European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis published guidance for the diagnosis and management of osteoporosis in 2008. This manuscript updates these in a European setting.MethodsSystematic literature reviews.ResultsThe following areas are reviewed: the role of bone mineral density measurement for the diagnosis of osteoporosis and assessment of fracture risk, general and pharmacological management of osteoporosis, monitoring of treatment, assessment of fracture risk, case finding strategies, investigation of patients and health economics of treatment.ConclusionsA platform is provided on which specific guidelines can be developed for national use.
Abstract People with severe mental illnesses, such as schizophrenia, depression or bipolar disorder, have worse physical health and reduced life expectancy compared to the general population. The excess cardiovascular mortality associated with schizophrenia and bipolar disorder is attributed in part to an increased risk of the modifiable coronary heart disease risk factors; obesity, smoking, diabetes, hypertension and dyslipidaemia. Antipsychotic medication and possibly other psychotropic medication like antidepressants can induce weight gain or worsen other metabolic cardiovascular risk factors. Patients may have limited access to general healthcare with less opportunity for cardiovascular risk screening and prevention than would be expected in a non-psychiatric population. The European Psychiatric Association (EPA), supported by the European Association for the Study of Diabetes (EASD) and the European Society of Cardiology (ESC) published this statement with the aim of improving the care of patients suffering from severe mental illness. The intention is to initiate cooperation and shared care between the different healthcare professionals and to increase the awareness of psychiatrists and primary care physicians caring for patients with severe mental illness to screen and treat cardiovascular risk factors and diabetes.
This update of the treatment guidelines was commissioned by the European Academy of Neurology and the European section of the Movement Disorder Society. Although these treatments are initiated usually in specialized centers, the general neurologist should know the therapies and their place in the treatment pathway.
The article seeks to provide a comparative perspective on Jewish emigration to the United States and to Mandatory Palestine during the period spanning World War I and the civil war in Ukraine through the closing of the United States borders to immigrants in 1924. The study consists of three sections. The first offers a typological explication of the concepts of emigration, aliyah, and refugeehood. The second part utilizes this typological discussion to characterize Jewish emigration in the nineteenth and twentieth centuries. The third section considers the attitudes exhibited by absorbing societies towards newcomers. The article furnishes a detailed account of the socio-political forces shaping Jewish emigration patterns and their implications for identity and absorption. In addition to a critical examination of the ideological, economic, and social context of Jewish migration, it discusses the hardships of displacement and absorption and traces the characteristics inherent to Jewish emigration.
Book review of Weikert, Katherine, and Elena Woodacre, eds. 2021. Medieval Intersections: Gender and Status in Europe in the Middle Ages. New York and Oxford: Berghahn. Pp. 132. ISBN 9781800731547.
Based on the analysis of regional archival material, the article examines in detail the dynamics of the deployment of evacuation hospitals in the Penza region in 1941-1945. The features of the development of the structure of their bed fund are considered, the main places of deployment and placement are determined. The analysis made it possible to identify the following chronological stages in the development of the regional base of rear evacuation hospitals: 1) June 22 July 1941; 2) July 1941 early 1942; 3) February October 1942; 4) November 1942 early 1944; 5) early 1944 June-July 1945; 6) second half of 1945. It is concluded that the dynamics of the deployment of evacuation hospitals was determined, first of all, by a change in the operational-strategic situation and a change in the front line, and only then by the capabilities of regional health care. By comparing local data with data on the number of evacuation hospitals in other regions of the Volga region, an excessively high degree of mobilization load was placed on the healthcare system of the Penza region, which initially had insignificant sectoral resources. It was determined that the structure of the bed fund during the war years developed towards deepening its specialization, primarily due to an increase in the number of specialized surgical beds. The vast majority of evacuation hospitals were located in settlements located on the territory of the regions of the Penza region, which have the necessary social and railway infrastructure
Ratna Chrismiari Purwestri, Petra Palátová, Miroslav Hájek
et al.
Abstract In recent years, there has been growing interest in public valuation for forest ecosystem services in policymaking. This paper investigates the public’s perception of the Czech forest ecosystem services, i.e., provisioning, regulating and cultural services, with associated factors (changes in forest cover, production, and respondents’ characteristics). The performance perception of forest ecosystem services was gathered from a nationwide survey in 2020. The Coordination of Information on the Environment Land Cover information in 2000 and 2018 was used for observation of forest cover changes. Coniferous and non-coniferous (broadleaved) roundwood, mushroom, and bilberry production data from the observed years were acquired from the Czech Statistical Office and the Ministry of Agriculture’s annual nationwide surveys. The Bohemia vs. Moravia study areas were also statistically compared. Predictor analysis of the high score of performance perception from individual and cluster forest ecosystems was also performed to answer the research objectives. The group of forest provisioning services received high scores in public evaluation (from 3.9 to 4.2), followed by regulating services (mean range: 3.7–4.1). The highest score was found in forest as a natural habitat for wild animals and plants (mean: 4.6). However, the lowest value was the esthetic value (mean: 2.3). Both are categorized as forest cultural services. The broadleaved and mixed forest areas in 2018 were significantly higher than in 2000, especially in Bohemia. Meanwhile, the total coniferous forested region in 2018 declined substantially compared to 2000 (p = 0.030), especially in Moravian areas. A significantly higher total production of the coniferous and broadleaved roundwood removals in 2018 than in 2000 was reported, in contrast to a marked decrease in collected mushrooms and bilberries. The high score of performance perception of forests as the wood provisioning service was positively and significantly associated with the changes in broadleaved roundwood removals. Older-age and female respondents were the primary predictors of the studied cluster and individual forest ecosystem services. The findings indicate that the social value of the individual forest provisioning services supports the implementation of multi-species and multi-purpose forests; hence, it encourages the implementation of the current Czech forest policy.