Riga Stradiņš University (RSU) (Latvian: Rīgas Stradiņa universitāte, Latin: Universitas Rigensis Stradina) is a public university located in the city of Riga, Latvia. The Stradiņš (pronounced [ˈstradiɲʃ]) name in the university's title is owed to members of the Stradiņš family who have had a significant influence on the course of community and academic life in Latvia for over a century.
Reaction speed represents a fundamental cognitive-motor capacity in sport, yet empirical findings regarding its psychological predictors remain inconsistent, particularly across stages of athletic expertise. This study aimed to investigate the associations of performance level and stress tolerance with latent reaction speed in athletes and to determine whether these associations differ across competitive levels. A cross-sectional sample of 304 competitive athletes (amateur, pre-elite, and elite) completed standardized computerized psychophysiological assessments. Latent reaction speed was modeled as a unified cognitive-motor construct indicated by simple and choice reaction speed and motor execution measures. Performance level and stress tolerance were assessed as task-based indices of performance efficiency and cognitive load tolerance under standardized conditions. Structural equation modeling was used to examine predictors of latent reaction speed, followed by multi-group analyses across athlete competitive levels. Both performance level (β = 0.19, p = 0.004) and stress tolerance (β = 0.17, p = 0.010) showed small but statistically significant positive associations with latent reaction speed, together explaining 14.2
Background Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder whose terminology inadequately reflects its systemic nature. The proposed renaming to polyendocrine metabolic ovary syndrome (PMOS) aims to better represent its pathophysiology.Objective To present the European Society of Gynaecology (ESG) position regarding the proposed terminology change and its implementation.Methods Expert consensus and narrative synthesis of current scientific evidence and international recommendations.Results ESG supports a structured, patient-centered transition strategy. Recommendations include prioritizing patient communication, implementing a gradual transition with prolonged dual terminology use, and integrating the new terminology systematically into scientific and educational frameworks. The importance of interdisciplinary clarity and the central role of gynecological endocrinology are emphasized.Conclusion A phased and clearly communicated transition will enhance conceptual accuracy while preserving patient understanding, continuity of care, and clinical coordination.
The psychosocial well-being of employees is crucial to health and productivity, and it forms the basis for organisational sustainability. Unfortunately, most studies rely on narrow indicators or small samples and thus are not generalisable. The present study aims to identify psychosocial and health-related factors that distinguish employees with high and low SWB and determine whether these effects are universal or sector-specific. A total of 1628 employees with organisations in Latvia's public administration, healthcare, pharmaceutical and energy sectors participated by completing the Multidimensional Psychosocial Well-Being Scale for Employed Persons (MPSWEP). This instrument assesses five key work environment factors: social inclusion, professional development, work intensity, health risks and autonomy. Subjective well-being (SWB) was measured as a separate outcome variable, and additional self-reported health problems were included as an independent variable in the analysis. Higher odds of high SWB were observed with greater social inclusion (OR = 5.11; p < 0.001), whereas higher work intensity (OR = 0.51; p < 0.001) and health problems (OR = 0.25; p < 0.001) were associated with lower odds of high SWB. Model accuracy was high (AUC = 0.85-0.87), with significant differences between sectors. The results suggest that some resources universally facilitate well-being across sectors, while others exert more sector-specific effects.
INTRODUCTION:Although epidemiological studies often group the Baltic states together, they differ significantly in national stroke care legislation and infrastructure. Our study aimed to explore and compare the current state of stroke care in Lithuania, Latvia and Estonia. PATIENTS AND METHODS:We analysed the Stroke Action Plan for Europe (SAP-E) Stroke Service Tracker data from 2022, including data from the respective National Health Insurance Funds and direct centre-level queries. Geographic Information System-based modelling assessed population access to stroke-ready hospitals within 1 h. Key metrics, including hospitalised stroke incidence, stroke unit admission, recanalisation therapy and in-hospital as well as 30-day mortality, were compared using Z-tests for proportions. RESULTS:The hospitalised stroke incidence per 100,000 inhabitants was similar in Lithuania (353) and Latvia (354), but lower in Estonia (246), despite similar population structures. Lithuania had the highest proportion of its population (94.0%) with access to a stroke-ready hospital within 1 h, followed by Latvia (87.1%) and Estonia (84.7%, P < .001). Estonia had the highest proportion of stroke unit admission rates and the lowest mortality rates-9.6% (in-hospital) and 15.0% (30-day) for ischaemic stroke. Endovascular treatment was most frequent in Lithuania (8.6% of all strokes, P < .001), while Estonia had the highest rate of intravenous thrombolysis (29.0%, P < .001). CONCLUSIONS:Despite broadly comparable populations and formal SAP-E alignment, the Baltic states exhibit marked differences in stroke access, treatment and outcomes. High stroke unit admissions and high recanalisation rates in Estonia may be associated with lower ischaemic stroke mortality, underscoring the importance of system design beyond geographic coverage alone.
Pediatric cholecystitis and cholelithiasis management is heterogeneous. We surveyed European centers to map current practices, training exposure, and outcomes of pediatric biliary cholecystectomy. A 24-item cross-sectional international survey was developed by the European Union of Medical Specialists (UEMS) Section of Paediatric Surgery and distributed to centers in 31 UEMS member states. Items covered institutional resources, indications and timing, surgical approach and adjuncts (ERCP, ICG), training exposure, and center-level outcomes; results are reported as n (
