Petr Hlaďo

Fear of driving license withdrawal in patients with insulin-treated diabetes mellitus negatively influences their decision to report severe hypoglycemic events to physicians

Background Under current European Union legislation, two severe hypoglycemic events within 12 months is grounds for driving license withdrawal. The aim of the study reported here was to determine whether fear of such a withdrawal could lead to patients concealing severe hypoglycemia from physicians, which could negatively impact further treatment decisions. Methods A total of 663 patients with insulin-treated diabetes were anonymously surveyed about whether they would conceal severe hypoglycemic events from their physicians, if revealing them could result in driving license withdrawal. This investigation utilized an adapted and expanded questionnaire by Graveling et al. Results Of all diabetic patients surveyed, 26.17% would most likely not report hypoglycemia, and 25.86% were undecided. In a group of patients with type 1 diabetes, 31.83% would likely not report hypoglycemic events, and 25.06% were undecided. The patients least likely to report severe hypoglycemic events were those who indicated that vehicles were partly essential for work, and who also had more than two hypoglycemic events monthly. Conclusion A considerable percentage of diabetic patients would likely conceal severe hypoglycemic events from their physicians due to fear of driving license withdrawal. Patient failure to report severe hypoglycemic events can potentially lead to physicians being misinformed regarding the patient’s condition, which could lead to inadequate monitoring and treatment.

Analysis of Social Influences in the Transition of Czech Students Between Educational Levels and to the Labour Market

Abstract The paper deals with the transition of Czech students of lower secondary schools (ISCED 2A) and vocationally oriented upper secondary schools (ISCED 3A and 3C) between educational levels and to the labour market. The theoretical introduction describes the specifics of career decision making of Czech pupils and synthesizes some important empirical findings on social influences on this decision. The core lies in a survey designed by the National Institute of Education, School Counselling Centre and Centre for Further Education of Teachers. The instrument of data collection was questionnaires for students of final years of lower secondary and upper secondary schools. Data collection took place in 2011 at 40 lower secondary (n=779) and 20 vocationally oriented upper secondary schools (n=442). The paper compares the views of these groups of respondents on student’s autonomy in the choice of further education and occupation, and social influences on students’ career decision-making.

FAKTORY OVLIVŇUJÍCÍ VOLBU TECHNICKÉHO VZDĚLÁVÁNÍ A PERCEPCE TECHNICKÝCH OBORŮ ŽÁKY ZÁKLADNÍCH ŠKOL

Statistiky vykazuji dlouhodobý nezajem žaků o studium technických oborů vzdělani a střednich skol. Na tuto situaci musi reagovat zakladni skoly, neboť výzkumy realizovane v ceskem prostředi ukazuji, že je zapřiciněn nejenom individualnimi preferencemi žaků, ale i nepřiznivou image technických oborů a vlivem nedostatecných ci zkreslených informaci. Cilem přispěvku je přinest aktualni poznatky o prvotni volbě povolani žaků, konkretně jak žaci vnimaji technicke obory, ktere faktory ovlivňuji volbu technicky orientovaných oborů vzdělani a střednich skol a jaka je mira jejich autonomie v rozhodovacim procesu, a tim zefektivnit výchovně-vzdělavaci praci ucitelů směrem k vyssi motivaci absolventů zakladnich skol k technickemu vzdělavani.