14 research outputs found
Meningococcal serogroup W135 epiglottitis in an adolescent patient.
Acute epiglottitis is a severe and potentially life-threatening condition. Since the implementation of javax.xml.bind.JAXBElement@1aa5699 vaccination, the number of cases of epiglottitis has decreased and the proportion of other infectious causes has increased. We report a case of acute epiglottitis in a teenager caused by javax.xml.bind.JAXBElement@32cd1494 , an unusual pathogen
Between âclass projectâ and individualization: The stratification of Europeansâ transnational activities
After transition: Varieties of political-economic development in Eastern Europe and the Former Soviet Union
Ost-Mitteleuropa und die EuropĂ€ische Union: Ăhnlichkeiten und Verschiedenheiten ihrer Gesellschaften
Own education, current conditions, parental material circumstances, and risk of myocardial infarction in a former communist country
OBJECTIVEâTo study the association between own education, adult and parental circumstances and the risk of myocardial infarction in a former communist country.âšDESIGNâPopulation based case-control study.âšSETTINGâGeneral population of five districts of the Czech Republic in the age group 25-64 years.âšPARTICIPANTSâRandom sample of population (938 men and 1048 women, response rate 77%) served as controls to 282 male and 80 female cases of non-fatal first myocardial infarctions.âšMAIN OUTCOME MEASURESâMyocardial infarction was defined by the WHO MONICA criteria based on ECG, enzymes and symptoms. The following socioeconomic indicators were studied: own education, crowded housing conditions (more than one person per room), car ownership, and education and occupation of mother and father.âšRESULTSâThere was a weak correlation between education and car ownership, and a strong association between own education and parental education and occupation. Crowding was not related to other socioeconomic factors. The risk of myocardial infarction was inversely related to education, and was unrelated to material conditions and parental education and occupation. The age-sex-district adjusted odds ratios for apprenticeship, secondary, and university education, compared with primary education, were 0.87, 0.74 and 0.46, respectively (p for trend 0.009); odds ratios for car ownership and crowding were 1.01 (95% confidence intervals 0.77, 1.34) and 0.92 (0.76,( )1.12), respectively. Further adjustment for parental circumstances and adult height did not change these estimates but adjustment for coronary risk factors reduced the gradient. Increased height seemed, anomalously, to confer a small increased risk.âšCONCLUSIONSâIn this population, the social gradient in non-fatal myocardial infarction is only apparent for own education. Materialist explanations for this gradient seem unlikely but behaviours seem responsible for a part of the gradient.âšâšâšKeywords: myocardial infarction; ischaemic heart disease; socioeconomic factors; epidemiology; Eastern Europ