Hana Vanková

Hana Vanková
Charles University in Prague | CUNI · 3rd Faculty of Medicine

MD, PhD

About

36
Publications
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Introduction
Hana is a geriatrician, combining clinical work with educational activities and research. Engaged as Full Board member of European Geriatric Medicine Society (EuGMS) and Board member of the Czech Society of Gerontology and Geriatrics. Hana has established geriatrics as a subject for medical students at the Third Faculty of Medicine at Charles University since 2010. Research interests: geriatrics, frailty, Alzheimer´s disease, depression, sarcopenia.

Publications

Publications (36)
Article
Depressive symptoms are common among older adults, particularly those living in long-term care facilities. However, little is known about factors associated with depressive symptoms among long-term care residents in the Czech Republic and in other Eastern European countries. Moreover, the role of mobility and pain in depressive symptoms among long-...
Article
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Objective: To evaluate the effect of a dance-based therapy on depressive symptoms among institutionalized older adults. Design: Randomized controlled trial. Setting: Nursing homes. Participants: Older adults (60 years or older) permanently living in a nursing home. Intervention: Exercise Dance for Seniors (EXDASE) Program designed for the...
Article
Introduction Hospitalization is associated with acute changes in sarcopenia status in older people, but the influencing factors are not fully understood. Pre-admission care dependency level as a risk factor has not yet been investigated. Objective Evaluate if pre-admission care dependency level is an independent predictor of sarcopenia changes fol...
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An investigation of inappropriate medication use in treatment of depressivity in institutionalized older adults, based on a nurse-led evaluation of functional status and depressive symptoms in nursing home residents. Methods: A cross-sectional multicenter study was performed using records from 1087 residents cared for in fifteen nursing homes (NHs)...
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Full-text available
Background To support family caregivers of people with dementia in end-of-life decision making, a family booklet on comfort care has been adapted and adopted by several European jurisdictions since the original publication in Canada in 2005. Methods We analyzed and compared the adaptations to the family booklets used in Canada, the Czech Republic,...
Article
Alzheimer's disease (AD) is the most common type of dementia, but it is very difficult to diagnose with certainty, so many AD studies have attempted to find early and relevant diagnostic markers. Regulated upon activation, normal T cell expressed and secreted (RANTES, also known as C-C chemokine ligand) is a chemokine involved in the migration of T...
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Peripheral insulin resistance is associated with decreasing adiponectin and increasing leptin plasma levels, and also with cognitive decline. The effects of adipokines on brain function have been published from both animal and human studies. In particular, the influence of leptin and adiponectin on the development of Alzheimer’s disease (AD) has be...
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Full-text available
This study was conducted to examine differences between self- and proxy ratings of activities in daily living (ADL) in nursing home residents and to compare them with actual performance. An impact of cognitive status on these ratings was also determined. Data were obtained from 164 dyads of nursing home residents (self-ratings) and their profession...
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Alzheimer’s disease (AD) is the most common type of dementia, with a prevalence that is rising every year. AD is associated with type 2 diabetes mellitus (T2DM) and insulin resistance, and is therefore sometimes called “type 3 diabetes mellitus”. The aim of this study was to examine whether the variants of some candidate genes involved in the devel...
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Steroids are important components in the pathophysiology of Alzheimer's disease (AD). Although their role has been studied, the corresponding metabolomic data is limited. In the present study we evaluate the role of steroid sulfotransferase SULT2A1 in the pathophysiology of AD on the basis of circulating steroids (measured by GC-MS), in which the s...
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Full-text available
Late life deterioration of functional status is associated with adverse health outcomes and increased cost of care. This trial was conducted to determine whether dance-based intervention could reverse functional decline among nursing home (NH) residents. A total of 189 residents of seven NHs in the Czech Republic were randomly assigned to intervent...
Article
Context: There is need for tools to help detect pain or lack of comfort in persons unable to communicate. However, pain and (dis)comfort tools have not been compared, and it is unclear to what extent they discriminate between pain and other possible sources of discomfort, or even if items differ. Objectives: To map and compare items in tools tha...
Article
Objective: Improving care for persons living with dementia is an issue of increasing importance in the Czech Republic. The objective is to describe the impact of the Gerontological and Organizational Supervision Project focusing on improving person centred care in nursing homes in the South Moravian Region. Methods: Introductory workshop with manag...
Article
Introduction: People with dementia are one of the most vulnerable groups of residents of long-term care institutions. The Czech Alzheimer Society (CALS) aims to improve the situation of people with dementia and their families using various methods, including the improvement of quality of care. Objective: To present the development of the "Vazka" Qu...
Article
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The aim of this study was to explore the attitudes of older people living in institutions and their caregivers to ageing. Recent outcomes showed prevailing negative social stereotype to ageing in CR. The Attitudes to Ageing Questionnaire (AAQ-24) was used in two waves of data collection to measure attitudes of 400 randomly selected residents of 19...
Conference Paper
Pain in People with Dementia: Deployment of Pain Assessment in a Long Term Care Institution Hana Vaňková, Iva Holmerová, Dana Hradcová, Martina Jedlinská Centre of Expertise in Longevity and Long Term Care (CELLO UK), Charles Univesity in Prague, Faculty of Humanities Situation in Long term care institutions specialized on care of older adults wit...
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Objectives: To evaluate the possibilities of some recommended diagnostic tools on selected groups of the elderly. Design and Methods: 79 elderly people (average age 81.8) participated in a study aimed at verifying the possibilities of using diagnostic methods of sarcopenia proposed by the European Working Group on Sarcopenia in Older People (EWGSOP...
Article
Poskytování kvalitní péče pro seniory a osoby s demencí vyžaduje interprofesionální spolupráci. Změny v kvalitě péče jsou možné za předpokladu, že pracovníci zařízení poskytujících služby mají možnost aktivně se účastnit hodnocení, plánování a realizace změn a dostane se jim potřebného vzdělání a podpory. Projekt Gerontologická a organizační superv...
Conference Paper
Hana Vaňková, Iva Holmerová, Dana Hradcová. Pain is frequently underdetected in people with dementia, as has been observed in series of studies. Situation in LTC institutions in the Czech Republic will be discussed, regarding also communication about pain in interprofessional team and first experiences with deployment of pain assessment in these i...
Article
Authors provide results of their review of research in the field of biogerontology. Despite the fact that the term "biogerontology" is not commonly used in Czech scientific practice, there have been many research efforts in this field. Up to present, the Czech research teams have focused on the theoretical and biological models of ageing, its immun...
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Full-text available
Senescence of the immune system and of endothelial cells can contribute to age-dependent vascular and neurodegenerative disorders including Alzheimer's disease. The aim of this study is an assessment of putative relationships of serum levels of transforming growth factor beta (TGFβ) and soluble endoglin (sCD105) and neurodegeneration, and of change...
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The authors conducted a randomized control trial to examine the effect of the Exercise Dance for Seniors (EXDASE) program on lower-body functioning among older individuals from residential care facilities in the Czech Republic. Participants were randomly assigned into an experimental or control group. The experimental group completed a 3-month EXDA...
Article
In Czechia, Alzheimer’s disease and other diseases causing dementia have been a topic of discussion only since last 10 years. Before, the syndrome of dementia was considered to be a consequence of atherosclerosis, or better to say, the component of atherosclerosis. In other instances, dementia was considered to be a part of normal ageing, not a dis...
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Full-text available
Care for patients with dementia poses multiple challenges to the caretaker, including issues concerning maintaining patient dignity. In this paper, we discuss dignity in the context of patient autonomy, self-respect and appreciation, and explore issues that relate to dignity of patients in dementia care. As patients become incapacitated by the dise...

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