Papers by Ricardas Radisauskas
Sveikatos mokslai, Apr 27, 2019
Raktažodžiai: jautrumas maistui, maisto alergenai, tėvų žinios apie vaikų jautrumą maistui, šeimų... more Raktažodžiai: jautrumas maistui, maisto alergenai, tėvų žinios apie vaikų jautrumą maistui, šeimų gyvenimo kokybė. Maisto produktai gali sukelti įvairių nepageidaujamų reakcijų, kurios vadinamos padidėjusiu jautrumu maisto produktams. Tyrimo tikslas buvo įvertinti Kauno mieste ikimokyklines įstaigas lankančių vaikų jautrumo maistui dažnį bei tėvų (globėjų) nuomonę ir žinias apie vaikų jautrumą maistui. Anketinėje apklausoje dalyvavo 1143 vaikų tėvai. Nustatyta, kad jautrumo maistui dažnis ikimokyklinėse įstaigose siekė 15,2 proc., (n=174), iš jų 98 (17,5 proc.) berniukai ir 76 (13,0 proc.) mergaitės. Mergaitės dažniau buvo jautrios šokoladui (61,8 proc.), citrusiniams vaisiams (50,0 proc.) ir pienui (43,4 proc.); tuo tarpu berniukai buvo labiau jautrūs pienui (54,1 proc.), šokoladui (45,9 proc.), kiaušiniams (39,8 proc.). Dažniausiai vaikams pasireiškė alerginės odos reakcijos (80,6 proc. berniukų ir 77,7 proc. mergaičių), rečiau -sloga, čiaudulys (41,8 proc. berniukų ir 31,6 proc. mergaičių). Tėvų nuomone, maisto alergijas lemia genetiniai veiksniai, mityba bei aplinkos tarša. Statistiškai reikšmingai daugiau žinių apie alergiją maistui ir anafilaksinio šoko galimybę turėjo aukštąjį išsilavinimą įgiję respondentai (atitinkamai ŠS = 2,73 (95 proc. PI 1,25-6,31) ir ŠS=2,83 (95 proc. PI 1,98-4,95). Vaikų jautrumas maistui lėmė didžiosios dalies respondentų šeimų gyvenimo kokybę (82,2 proc.), siekiant užtikrinti tinkamą vaikų mitybą bei gydymą.
Acupuncture in Medicine, 1994
That pain sensation can be related to weather conditions has been accepted since early times, but... more That pain sensation can be related to weather conditions has been accepted since early times, but the hypothesis that an increase in pain could act as a predictor for bad weather to come, tends to be looked on with scepticism. This personal investigation demonstrates that there is a sufficiently clear relationship to encourage further research.
The European Journal of Public Health, 2006
of their time. In developed world a major concern with respect to indoor air quality is the use o... more of their time. In developed world a major concern with respect to indoor air quality is the use of gas cookers and unflued gas heaters. In less developed countries the use of coal for heating poses a major burden on the health. The dependence on such fuels is both a cause and a result of poverty as poor households often can not afford cleaner and more efficient fuels, and appliances. The aim of the study was to investigate the health effects related to particulate matter air pollution in adult population with special attention to the indoor exposure related to the type of apartment's heating. Methods A cross-sectional study was performed in Krakow, Poland, within EC Project 'from toxic emissions to health effects' in winter 2005. Data on demographic and socioeconomic variables, smoking habit, selected chronic illnesses, and generic health status measured by SF-36 were collected; lung function testing was included as well. Multivariate regression analyses allowing for age, gender, socioeconomic status, and smoking adjustment were applied to assess relation between exposure and health. A total of 657 adults (mean age 45 ±16 years) took part in the epidemiological interview, 552 of them performed spirometry tests. The exposed and comparison groups differed significantly in respect to age, marital status, education level, occupational activity and smoking status. 36% of the subjects self-evaluated their health status as a good, 64% rated their health as being about the same now than one year ago. People from coal apartments evaluated their health status three times more frequently as poor when compared with inhabitants of centrally heated apartments (OR ¼ 3.2, 95% CI ¼ 2.1-4.8, P < 0.001). Respondents from exposure group were more likely to report common chronic disorders. For some of the diseases, including respiratory symptoms, the OR remained statistically significant after adjustments for usual confounders. Subjects exposed to coal related air pollution reported COPD symptoms twice often when compared with those without such exposure (OR ¼ 2.24, 95% CI ¼ 1.05-4.75). Analysis of respiratory parameters (FEV1, FVC, PEF) points to an association of long-term exposure to coal related air pollution with lung functioning. Conclusions (i) Long-term exposure to coal related indoor air pollution is associated with higher prevalence of chronic disorders and respiratory health. (ii) Restructuring heating system in order to improve population health has to be an urging issue for policy makers.
Current Medical Research and Opinion, 2010
There is a need to evaluate the prevalence of metabolic syndrome (MetS) diagnosed by the new Join... more There is a need to evaluate the prevalence of metabolic syndrome (MetS) diagnosed by the new Joint Interim Societies (JIS) MetS definition. The JIS definition was compared with three previous definitions to assess their ability to predict cardiovascular disease (CVD) risk. A cross-sectional analysis of a representative sample of Greek adults (n = 9669) was performed to estimate the prevalence of MetS and CVD using the JIS vs. the three older definitions of MetS: the National Cholesterol Education Program-Adult Treatment Panel-III (NCEP-ATP-III), the International Diabetes Federation (IDF) and the American Heart Association/National Heart Lung and Blood Institute (AHA/NHLBI) definitions. The age-adjusted MetS prevalence was 45.7%, 43.4%, 24.5% and 26.3% (ANOVA p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001) with the JIS, IDF, NCEP and AHA/NHLBI definitions. The prevalence of CVD was 11.4% in the whole study population and 17.6%, 18.3%, 23.3%, 22.6% and in subjects with MetS according to the JIS, IDF, NCEP and AHA/NHLBI definitions (ANOVA p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). The prevalence of CVD was only 10.4% (i.e., lower than in the whole study population) in subjects with MetS according to the JIS but not according to the NCEP-ATP-III and AHA/NHLBI definitions (p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001 vs. subjects with MetS as defined by NCEP-ATP-III or AHA/NHLBI). When diagnosed according to the new JIS definition, the prevalence of MetS was high in a Greek Mediterranean cohort (nearly half of the adult population). The NCEP-ATP-III and AHA/NHLBI definitions were more predictive of CVD risk than the new JIS definition. These findings, though limited by the cross sectional analysis, may have implications regarding the choice of the definition to diagnose MetS.
Circulation, 2005
Background— As part of the Worcester Heart Attack Study, a community-wide study examining changes... more Background— As part of the Worcester Heart Attack Study, a community-wide study examining changes over time in the incidence and long-term case-fatality rates of greater Worcester, Mass, residents hospitalized with confirmed acute myocardial infarction (AMI), we investigated the hypothesis that census tract–level socioeconomic position is an important predictor of survival after hospital discharge for AMI, after adjusting for demographic and clinical characteristics. Methods and Results— Data were available for 3423 confirmed cases of AMI among metropolitan Worcester residents during the 4 study years of 1995, 1997, 1999, and 2001 who were followed up through the end of 2002. The mean age among patients was 69 years, and 58% were men. Using a multilevel Cox proportional hazards regression model, we estimated a 30% higher death rate after AMI for patients living in census tracts with the most residents living below the poverty line compared with patients living in the wealthiest cens...
Substance Abuse Treatment, Prevention, and Policy, Nov 8, 2023
Background The Baltic countries-Lithuania, Latvia and Estonia-are characterized by a high rate of... more Background The Baltic countries-Lithuania, Latvia and Estonia-are characterized by a high rate of fully alcoholattributable mortality, compared with Poland. Alcohol control policy measures implemented since 2001 in the Baltic countries included a restriction on availability and an increase in excise taxation, among others. The aim of the current study was to evaluate the relationship between alcohol control policy implementation and alcohol-attributable mortality in the Baltic countries and Poland. Methods Alcohol-attributable mortality data for 2001-2020 was defined by codes 100% alcohol-attributable for persons aged 15 years and older in the Baltic countries and Poland. Alcohol control policies implemented between 2001 and 2020 were identified, and their impact on alcohol-attributable mortality was evaluated using an interrupted timeseries methodology by employing a generalized additive model. Alcohol-attributable mortality was significantly higher in the Baltic countries, compared with Poland, for both males and females. In the final reduced model, alcohol control policy significantly reduced male alcoholattributable mortality by 7.60% in the 12 months post-policy implementation. For females, the alcohol control policy mean-shift effect was higher, resulting in a significant reduction of alcohol-attributable mortality by 10.77% in the 12 months post-policy implementation. The interaction effects of countries and policy tested in the full model were not statistically significant, which indicated that the impact of alcohol control policy on alcohol-attributable mortality did not differ across countries for both males and females. Based on the findings of the current study, alcohol control policy in the form of reduced availability and increased taxation was associated with a reduction in alcohol-attributable mortality among both males and females.
Background: Understanding the determinants of social capital is the prerequisite to building soci... more Background: Understanding the determinants of social capital is the prerequisite to building social capital. However there was few studies to explore factors related to workplace social capital. We aim to examine associations between psychosocial work environments and social capital in a Chinese context through a cross-sectional study. Methods: A cross-sectional study was conducted in Shanghai, China from December 2016 through March 2017. In total, 2380 workers from 32 workplaces were randomly sampled by a two-stage sampling procedure. Workplace social capital (WSC), psychosocial work environments (PWEs), and workplace Chinese Confucian values (CCVs), were assessed using validated and psychometrically tested measures. Multilevel ordinal regression models were used to examine the associations of WSC with individual-and workplace-level PWEs and workplace CCVs after controlling for individual socioeconomic characteristics. Results: After controlling for individual socioeconomic characteristics, all individual-level PWEs (unstandardized coefficients [B] ranging from 0.280 to 2.467) were positively associated with WSC. Individual-level workplace CCVs had mixed associations with WSC-high individual levels of respect for authorities (B: 0.325; 95%CI: 0.134, 0.516) and altruism (B: 0.347; 95%CI: 0.155, 0.539) were associated with high WSC, while high individual levels of acceptance of authorities (B: -0.214; 95%CI: -0.381, -0.046) and the mianzi rule (B: -0.258; 95%CI: -0.435, -0.080) were associatecd with low WSC. No workplace-level variable was associated with WSC. Conclusion: These findings suggest that workplace social capital associates with multiple factors. Psychosocial work environments and cultural context are important in understanding variations in workplace social capital between individuals.
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Papers by Ricardas Radisauskas