Refine Search

New Search

Results: 252

(searched for: publisher_group_id:7263)
Save to Scifeed
Page of 6
Articles per Page
by
Show export options
  Select all
, Ana Joka, Adriano Friganović, Ana Ljubas, Valerija Korent
Croatian nursing journal, Volume 5, pp 17-28; https://doi.org/10.24141/2/5/1/2

Abstract:
Introduction. Comprehensive care for patients who no longer respond to treatment procedures is called palliative care. Palliative medicine does not delay or accelerate death, it promotes life, and considers dying as a normal process. In palliative medicine and care there is no place for hierarchy - teamwork, focus on the patient and respect for his autonomy are what is important. Aim. The conducted research shows the knowledge of nurses about palliative care at the primary, secondary and tertiary levels of health care. Methods. Prospective research in the Republic of Croatia at three levels of health care has been conducted. The sample included 150 nurses. The instrument used in the study was the Palliative Care Quiz for Nursing (PCQN). Results. The results showed that the nurses’ knowledge of palliative care is insufficient among the nursing population. Despite numerous training activities conducted over the past ten years, levels of knowledge are still lower than expected. Nurses at the primary level of health care have far greater knowledge than nurses at secondary and tertiary levels. Conclusion. Results of the study showed the need for quality education with real-life examples in order to achieve higher levels of empathy, spread knowledge about palliative care and about the importance of care for palliative patients. It is recommended to increase the number of educational activities in small groups, in the local language, adaptable and understandable to all health professionals.
Janja Vranješ, Daniela Petrić, Tanja Grahovac Juretić,
Croatian nursing journal, Volume 5, pp 5-16; https://doi.org/10.24141/2/5/1/1

Abstract:
Introduction. Day hospitals are becoming an increasingly common method of treatment for people with mental disorders in many Croatian psychiatric hospitals, but research examining their effectiveness is still rare. Aim. The aim of this study was to compare treatment satisfaction and quality of life between patients enrolled in a day hospital program and patients hospitalized on a psychiatric ward. Methods. The study design was cross-sectional with two outcome measures: treatment satisfaction and quality of life. The study sample consisted of 120 adult patients of the Clinic for Psychiatry of the University Hospital Centre Rijeka. The first group consisted of 60 patients included in the day hospital psychosocial program, while the second group consisted of 60 patients hospitalized on the inpatient ward. Results. Day hospital patients reported a significantly higher level of overall treatment satisfaction compared to hospitalized patients (mean rank: 55 vs. 17, p=0.000) and were significantly more satisfied in four out of seven different treatment domains: the explanations about treatment (mean rank: 68 vs. 53, p=0.013), carefulness and precision of medical examination (mean rank: 72 vs. 49, p=0.000), choices about treatment (mean rank: 67 vs. 57, p=0.027) and feeling of respect (mean rank: 68 vs. 53, p=0.010). Day hospital patients also reported a significant psychopaly higher level of overall subjective quality of life (mean: 4.26 vs. 3.71, p=0.005), being more satisfied with life in general (mean rank: 68 vs. 53, p=0,018), financial situation (mean rank: 67 vs. 54, p=0.046), accommodation (mean rank: 67 vs. 54, p=0.041), personal safety (mean rank: 68 vs. 53, p=0.014), people they live with or living alone (mean rank: 71 vs. 50, p=0.001), relationship with their family (mean rank: 49 vs. 53, p=0.000) and their mental health (mean rank: 69 vs. 52, p=0.008). Conclusion. Patients treated in the day hospital differed in the observed variables from those hospitalized on the ward, reporting higher levels of treatment satisfaction and higher subjective quality of life. Future studies should focus on different segments of day hospital programs and a broader set of outcomes.
Danijela Golub,
Croatian nursing journal, Volume 5, pp 67-73; https://doi.org/10.24141/2/5/1/6

Abstract:
Introduction. Patient falls are a significant clinical problem, as the fall can result in disability and, in some cases, death. The fall affects the patients’ quality of life, prolongs hospitalization, and increases the cost of treatment. Falls are the result of interaction between various factors. In the hospital setting, falls are considered adverse events. Aim. To determine the number of patients’ falls at the Clinical Institute for Rehabilitation and Orthopedic Aids of the University Hospital Centre Zagreb (UHC Zagreb) between September 1, 2019, and February 29, 2020. Methods. The data was extracted after the event from the Hospital Information System (Nursing records) and then processed. The study included 212 patients with limb amputations (both sexes) who were hospitalized in the Clinical Institute for Rehabilitation and Orthopedic Aids. Results. The results showed that patients with limb amputations have a risk for falls when doing rehabilitation for their primary diagnosis. Of the 212 patients admitted, 209 were at risk of falling according to the Morse Falls Scale, but of the total number of patients, only 2 fell. Conclusion. Patients with limb amputations have a higher risk of falls. The retrospective study shows that despite the increased risk of falls, the actual number of falls is very small. This shows that the medical staff are doing excellent work.
, Josipa Kurtović, Ana Pavelić Tremac
Croatian nursing journal, Volume 5, pp 51-65; https://doi.org/10.24141/2/5/1/5

Abstract:
Homeostasis is important for maintaining balance and normal functioning of the organism. Allostatic mechanisms further help to establish this balance. If the body is under stress for a longer period, a complex condition in the body called allostatic load occurs. If such a load lasts longer, the risk of developing diseases increases significantly. This study was conducted anonymously with the aim of determining the health status of male and female nurses in the Neuropsychiatric hospital “Dr. Ivan Barbot” in Popovača and their exposure to everyday stressors in the workplace. The main purpose was to examine the relationship between stress and the health status of nurses in relation to gender, age, and seniority. A total of 142 nurses participated. The Health Questionnaire and Workplace Stress Questionnaire were used. The results showed that the most common diseases nurses suffer from are cardiovascular diseases, thyroid diseases, gastrointestinal diseases, and allergies. Women showed higher sensitivity to stress than men. The most common stressors faced by nurses in the workplace are inadequate personal income, inadequate workspace and material resources for work, lack of staff, daily contingencies, 24-hour responsibility, and administrative work. This study found an association between age and, consequently, work experience with the likelihood of illness, although both the healthy and the sick perceive equal levels of stress. One disadvantage of this study is that it covers a large area and deals with general issues, but it can certainly be a starting point for further research. Many questions remain open, which means there is a need for further research and study of the link between stress and illness.
Marija Ruklić,
Croatian nursing journal, Volume 5, pp 41-50; https://doi.org/10.24141/2/5/1/4

Abstract:
Aim. The aim of this paper was to determine whether there are any differences in the time of mobilisation and response time of the emergency medical service (EMS) team with respect to the location of the emergency call. Methods. The data for this paper was collected and analysed in detail using the program “e-hitna” (“e-emergency”). The sample consists of all calls received in the period between 1 January and 31 December 2019 in the Medical Reporting Unit of the Department of Emergency Medicine of Zagreb County (DEMZC; Zavod za hitnu medicinu zagrebačke županije). This paper presents the number, category, place of intervention, time of mobilisation of the emergency medical service team, and the response time of the emergency services team to emergency calls designated as priority 1 (A). Results. A total of 47,060 calls were recorded in the “e-hitna” system. We found that out of the total number of calls received, 49% (23,235) were related to emergency interventions. In 38% (8,841) of calls, the medical dispatcher opted for priority 1 (A). According to the place of emergency, 53% (4,691) of priority 1 (A) cases take place in the apartment, while 46% (4,071) occur in a public place. The average mobilisation time of an EMS team for priority 1 (A) cases for apartments is 1.87 ± 1.27, while for public places it is 1.92 ± 0.78 min. (Mann Whitney U test, p<0.001). The average response time of an EMS team for priority 1 (A) cases for apartments is 11.02 ± 4.27, and for public places it is 6.57 ± 3.78 min. The response time was on average much shorter for calls related to emergencies in public places (Mann Whitney U test, p<0,001). Conclusion. The collected data showed that the Department of Emergency Medicine of the Zagreb County effectively aligns their working processes as well as resources with the needs of the population regarding emergency medical care. Creativity, imagination, and constant time analysis are the determinants of the work of a medical dispatcher.
Josip Brezić, Biljana Kurtović,
Croatian nursing journal, Volume 5, pp 29-39; https://doi.org/10.24141/2/5/1/3

Abstract:
Introduction. Hemodynamic monitoring is of great importance because it covers all vital organic systems and their functioning, and any error in the interpretation of the monitored parameters can lead to a drastic deterioration of the patient’s condition and cause death. Aim. The aim of this study was to determine the levels of knowledge about hemodynamic monitoring of full-time and part-time students of the first, second, and third year of the undergraduate study of nursing at the University of Applied Health Sciences in Zagreb. Methods. A cross sectional study was conducted. The survey subjects were students at the University of Applied Health Sciences in Zagreb (N=280) in the period between December 2020 and February 2021. For the purposes of the study, the authors created a questionnaire that students filled in using an online platform, and the results of the questionnaire were anonymous. Results. The research found that most students have an adequate level of knowledge in the field of hemodynamic monitoring. By determining differences in knowledge of part-time and full-time nursing students, it was observed that students with work experience showed statistically significantly better results (p<0.05). Conclusion. The conducted study showed an adequate level of knowledge of nursing studies, since a high number of students, outside of their faculty obligations, have not been in contact with hemodynamic monitoring. The specificity and complexity of work in the intensive care unit comes from a particularly vulnerable population of patients who require maximum care, which is why nurses need continuous education, skill improvement, and training regarding new monitoring methods.
, Sanja Ledinski Fičko, Boris Ilić, Adriano Friganović, Štefanija Ozimec Vulinec, Valentina Krikšić
Croatian nursing journal, Volume 5, pp 83-94; https://doi.org/10.24141/2/5/1/8

Abstract:
Introduction. Two-thirds of primary care patients with depression also have somatic symptoms present, making detection of depression more difficult. Primary health care is the first level of screening for depression, and early detection is key to treatment success. Anxiety also has a high comorbidity rate with chronic pain conditions. Generalized anxiety disorder (GAD) is common among patients with “medically unexplained” chronic pain and chronic physical illness and is also a predictor of chronic musculoskeletal pain after trauma. Belonging to different ethnic groups and ignorance of these differences by primary care physicians can be an obstacle to good health care, especially early recognition of depressive symptoms. Aim. The aim of this proposed, systematic work was to draw conclusions from empirical research dealing with the processes involved in the examination of depression, anxiety, and chronic non malignant pain. The research question for this review paper was to examine the correlation of depression and anxiety with chronic non-malignant pain. The aim was to examine the role of primary health care in recognizing, preventing, and treating depression and anxiety in patients with chronic non-malignant pain, and whether there is a difference in the correlation between depression, anxiety, and chronic non-malignant pain according to ethnicity. Methods. Methods for identifying the study were derived from the Medline database (via PubMed). The analysis included all scientific papers in English, regardless of methodology, published since 2011. The papers dealt with the correlation between depression, anxiety, and chronic non-malignant pain, and included the population of primary care patients over 18 years of age who suffer from chronic nonmalignant pain and at the same time have symptoms of depression and anxiety present or are members of ethnic groups. 403 articles were found, original and review papers, of which, after a detailed reading, 10 were selected that meet the inclusion criteria for the purposes of this review. Results. Depression and anxiety are significantly more present in people with chronic pain (23%), compared to those who do not have chronic pain (12%). The most common is chronic musculoskeletal pain, with one-third of patients having depression. Depression and anxiety are significantly associated with the intensity and duration of pain. Chronic pain and depression also differ according to ethnic groups, with cultural differences and language barriers being a barrier to early detection of depression. Conclusion. Depression is the most common mental health disorder associated with chronic pain. It is extremely important to treat both depression and pain, in order to prevent the development of severe depression and chronic pain at an early stage. The integrated program at the level of primary health care is expected to have positive effects on both the physical and mental condition of patients. Cultural differences and ethnicity, which can significantly reduce the detection of depressive symptoms at the primary health care level, should certainly be taken into account.
Croatian nursing journal, Volume 5, pp 75-82; https://doi.org/10.24141/2/5/1/7

Abstract:
Some literature reviews have been carried out about the role of perforin in medicine. The first step involved a systematic search to identify relevant studies published between 2001 and 2019 in the following electronic databases - EBSCO host, Scopus, Science Direct, Web of Science, and Elsevier. By analyzing the available literature, it can be concluded that perforin plays an important role in cytoxical activity of natural killer cells (NK) and CD8+ T cell. NK and CD8+use the same mechanism for destroying target cells. This article cites the disease hemophagocytic lymphohistiocytosis (HLH) which is characterized by heavy abnormalities in the immune system. The point is that this disease is caused by perforin gene mutation. The key is the application of properly sensitized dendritic cells (DCs) because they are effective in immunotherapy against cancer. It may be effective in γ-irradiated colon cancer cell lines HT-29. Growth hormone inhibiting hormone (GIH) induces maturation and activation of DCs. In that way, GIH-Dcs shows increased cytotoxic activity and higher perforin and granzyme expression. So, this means that theoretical research has shown that efficient activity against cancer is induced when DCs are sensitized with γ-irradiated cancer cells. In that way, through a direct increase of cytotoxicity and indirect T cell activation,there can beanti-tumor activity. It is suggested to continue scientific research about the role of perforin in the future.
Riccardo Paracino, Fabrizio Mancini, Simona Lattanzi, Mauro Dobran
Journal of Applied Health Sciences, Volume 7, pp 121-126; https://doi.org/10.24141/1/7/2/2

Abstract:
The purpose of this study is to identify some risk factors and post-operative predictors for recurrent lumbar disc hernia (rLDH) during a long-term follow-up in patients treated with microdiscectomy. Aim of the paper: This study analyzes some risk factors and postoperative predictors for recurrent lumbar disc hernia (rLDH) during a long-term follow-up in patients treated with microdiscectomy. Material and methods. We analyzed retrospectively a consecutive series of patients who underwent lumbar spinal microdiscectomy for lumbar disc herniation (LDH) from January 2013 to June 2018 at our Institute. The rate of rLDH during long-term follow-up was analyzed and correlated with baseline and post-operative data. Results. A total of 263 patients were included with a median follow-up time of 24 months (from 13 to 43 months). Most of the patients had rLDH within the first 36 months after surgery. At multivariate analysis, recurrence of LDH was associated with higher pre-operative body mass index (BMI) and higher post-operative Oswentry disability index (ODI) with statistical significance. Conclusions. Baseline BMI and post-surgery ODI could predict rLDH after surgery during a long-term follow-up.
Zlatka Kozjak Mikić
Journal of Applied Health Sciences, Volume 7, pp 191-201; https://doi.org/10.24141/1/7/2/9

Abstract:
S obzirom na rizike mentalnoga zdravlja, adolescencija pripada u kritična životna razdoblja, a osim čimbenika iz obiteljskog konteksta, za mentalno zdravlje od velike su važnosti i oni povezani sa školskim zahtjevima. U ovome radu analizirani su podaci prikupljani od 141 polaznika zdravstvenih programa tijekom četiri godine njihova srednjoškolskog obrazovanja. Prikupljani su podaci o učestalosti negativnih automatskih misli povezanih sa strahom od neuspjeha i ohrabrujućih automatskih misli za vrijeme učenja u ispitnim razdobljima pri kraju nastavne godine. Svrha istraživanja bila je provjeriti smjer i doprinos pozitivnih i negativnih automatskih misli u predviđanju dugoročnih emocionalnih ishoda, odnosno razine emocionalne uznemirenosti na kraju srednje škole. Osim deskriptivne analize, u obradi rezultata primijenjena je multipla regresijska analiza. Ovisno o godini obrazovanja, oko 16 % sudionika za vrijeme učenja ima iznadprosječno učestale negativne automatskih misli, 13 do 18 % pozitivne automatske misli, dok 16 do 18 % sudionika ima iznadprosječnu razinu opće emocionalne uznemirenosti. Rezultati su pokazali kako u ispitnim razdobljima pri kraju nastavne godine 15 % sudionika ima iznadprosječno povišenu razinu emocionalne uznemirenosti kroz više godina, pa i na završetku srednje škole. Negativne automatske misli povezane sa strahom od neuspjeha za vrijeme učenja na kraju drugog i trećeg razreda dobro predviđaju razinu emocionalne uznemirenosti na kraju srednje škole, što upućuje na važnost negativnih kognitivnih procjena za dugoročne nepovoljne emocionalne ishode. Prediktivnost pozitivnih misli u predviđanju dugoročnih emocionalnih ishoda nije potvrđena. Rezultati se komentiraju u kontekstu Lazarusove teorije stresa i suočavanja te Beckova kognitivnog modela disfunkcionalnog i neadaptivnog ponašanja.
Aleksandar Racz, Dora Smolčić Jurdana, Krešimir Rotim
Journal of Applied Health Sciences, Volume 7, pp 151-160; https://doi.org/10.24141/1/7/2/5

Abstract:
U novije doba, više nego ikad ranije, klimatske su promjene globalnog karaktera i ozbiljno determiniraju razvoj i budućnost turizma u širem obuhvatu turističkih regija i svijetu u cjelini. Klimatske promjene ne predstavljaju samo hipotetski akademski izazov za čovječanstvo, već direktno utječu na sve aspekte ljudskog života, uključujući turizam, koji i sam postaje globalni ekološki problem. U ovom radu fokus interesa bio je usmjeren na istraživanje postojanja povezanosti između kategorije smještajnog objekta izražene zvjezdicama s iskazanim uvjerenjima i stavovima menadžera o klimatskim promjenama i međuutjecaju klimatskih promjena i turizma. U istraživanju je postavljena hipoteza prema kojoj postoje znatne razlike u uvjerenjima i stavovima o klimatskim promjenama i međuutjecaju klimatskih promjena i turističkog smještaja, kao i o klimatskim promjenama kao determinantama oblikovanja turističke ponude između menadžera u različitim kategorijama (dvije do pet zvjezdica) turističkih smještajnih kapaciteta (hoteli, aparthoteli, turistička naselja, kampovi ili marine). Stoga je specifični cilj istraživanja bio utvrditi utječu li kategorija različitih turističkih smještajnih kapaciteta (hoteli, aparthoteli, turistička naselja, kampovi ili marine) na uvjerenja i stavove menadžera o pitanjima klimatskih promjena i međuutjecaju klimatskih promjena i turističkog smještaja, kao i o klimatskim promjenama kao determinantama oblikovanja turističke ponude. Područje provođenja istraživanja bilo je prostorno određeno na cijelom području Republike Hrvatske i na ukupnoj populaciji svih kategoriziranih turističkih smještajnih objekata, odnosno na 1084 kategorizirana objekta na dan 7. ožujka 2019. prema kategorizaciji koju je provelo Ministarstvo turizma RH. Prikupljanje podataka bilo je provedeno metodom e-anketiranja, pri čemu je od ukupnog broja poslanih anketnih upitnika uredno bilo ispunjeno 283 upitnika, što je predstavljalo odaziv od 26,1 %. U skladu s postavljenom hipotezom i ciljem istraživanja dokazano je postojanje znatnih razlika u stavovima menadžera koji upravljaju turističkim smještajnim objektima koji imaju različitu kategorizaciju, odnosno različit broj dodijeljenih zvjezdica, i to po svim tvrdnjama o kojima su izrazili svoj stav, u sve tri komponente stava. Uvjerenja i stavovi menadžera u smještajnoj turističkoj industriji funkcija su raznih karakteristika smještajnog objekta, pri čemu snažnije proekološke stavove i veću razinu ekološke svijesti o klimatskim promjenama i međuutjecaju klimatskih promjena i turističkog smještaja, kao i o klimatskim promjenama kao determinantama oblikovanja turističke ponude pokazuju menadžeri zaposleni u smještajnim turističkim kategoriziranim objektima s višom kategorijom, odnosno većim brojem zvjezdica.
Leda Račić, Andreja Bartolac
Journal of Applied Health Sciences, Volume 7, pp 137-149; https://doi.org/10.24141/1/7/2/4

Abstract:
Lateralnost ili dominantnost jedne strane tijela posljedica je evolucijskog razvoja ljudskog govora i kompleksnih vještina. Preferencija lijeve strane tijela javlja se u oko 10 % populacije. Osim genske predispozicije, i kulturološki čimbenici mogu utjecati na prevalenciju ljevorukosti. Cilj je ovog rada istražiti svakodnevna iskustva ljevorukih osoba u Hrvatskoj kroz odrastanje te u odrasloj dobi, identificirati aktivnosti koje ljevoruki pojedinci otežano izvode te kako procjenjuju svoju kvalitetu života u odnosu na ljevorukost. U istraživanju je primijenjen mješoviti istraživački nacrt. U svrhu prikupljanja podataka 686 sudionika ispunilo je elektronički upitnik kojim se ispituje iskustvo ljevorukih osoba pri sudjelovanju u svakodnevnim okupacijama, korištenju različitim priborom, alatom i načinu izvođenja okupacija te doživljena kvaliteta života. Rezultati ukazuju na znatan socijalni pritisak kojem su sudionici bili izloženi tijekom odrastanja (osobito očekivanje pisanja desnom rukom), kao i izazove s kojima se susreću u svakodnevnim okupacijama. Unatoč navedenim iskustvima, većina sudionika kvalitetu života ocjenjuje visokom, što tumače osobnom prilagodbom svijetu dešnjaka u kojem žive, no pritom naglašavaju potrebu za univerzalnim oblikovanjem uporabnih predmeta i okoline u smislu jednake pristupačnosti bez obzira na lateralizaciju.
Krešimir Rotim, Bruno Splavski, Filip Vrban, Ante Rotim
Journal of Applied Health Sciences, Volume 7, pp 115-120; https://doi.org/10.24141/1/7/2/1

Abstract:
Introduction: Brain glioma is the most common and lethal primary malignant intracranial tumor. Nonetheless, gross tumor resection remains the most successful treatment modality, which may prolong progression free survival of these patients. However, excessive surgery brings a danger of neurological, regional and systemic complications, which may be diminished/ avoided by better pre- and intra-operative care and by modern neurosurgical techniques. Aim: To analyze the incidence and type of peri- and post-operative complications in surgical brain glioma patients. Computing the results, advice on complication prevention was made. Methods: A single institution series of brain glioma patients operated on during a two-year period was analyzed. The incidence, type and time of complications were observed, as well as the patients’ gender and age, and the extent of tumor resection complications, dichotomized as peri- and post-operative variables, were correlated with investigated parameters to find out their possible association. Results: Transitory neurological deficit was the most common peri-operative complication. Seizures, meningitis, and permanent neurological deficit were commonly recorded among post operative complications. Conclusion: Patients’ gender and age, and the extent of tumor resection were not influential to the development of brain glioma complications. Aggressive surgery requires the avoidance of complications by cautious patient selection, multidisciplinary preoperative planning, and scrupulous neurosurgical technique augmented by up-to-date armamentarium.
Ljubica Hrnjkaš, Aleksandar Racz
Journal of Applied Health Sciences, Volume 7, pp 181-190; https://doi.org/10.24141/1/7/2/8

Abstract:
Cilj rada bio je dokazati transfer ostataka pesticida s kore na pulpu ako se dokaže njihova prisutnost na kori naranče. U tu svrhu u radu je analizirano 48 uzoraka naranči iz uvoza i domaćeg porijekla u kojima su analize bile usmjerene na detekciju 88 aktivnih tvari. Rezultati su pokazali da su bile potvrđene četiri aktivne tvari: imazalil, klorpirifos, tiabendazol i bifentrin, pri čemu je transfer aktivnih tvari dokazan na 11 uzoraka te se kretao u rasponu od 20 % do 30 %.
Lidija Šoher, Ines Banjari
Journal of Applied Health Sciences, Volume 7, pp 203-212; https://doi.org/10.24141/1/7/2/10

Abstract:
Magnesium is a cofactor in more than 300 enzymes, it plays a vital role in energy metabolism, homeostasis of electrolites, and bone metabolism, and regulates a number of fundamental functions such as muscle contraction, neuromuscular conduction, glycemic control, and blood pressure. Magnesium deficiency has been associated with a wide range of diseases, from cardiovascular diseases, hypertension, diabetes, to anxiety and other mental disorders, migraine and osteoporosis, and especially worrying is subclinical form which is estimated to affect up to 30% of the population. Recommended dietary intake of magnesium is 300 mg and 350 mg per day for adult males and females, respectively. While highly abundant in a variety of foods, especially green leafy vegetables, nuts and seeds, water is the main contributor to magnesium daily intake. Water has been the focus of a number of public health interventions aiming to improve magnesium status of populations, especially in Israel and Australia. Supplements are becoming a more important contributor to the total magnesium intake, especially among physically active individuals. Public awareness of the health benefits gained from physical activity is improving, and more individuals decide to engage in (recreational) physical activity. Even though physical activity increases the risk of magnesium deficiency, misuse of supplements due to lack of knowledge and misinformation shared on social networks can have a detrimental effect on individual’s health and physical performance.
Carnot N Ntafam, Chigozie Nwobi Ivor, David Otohinoyi, Okikiade Adedeji, Joseph Dimas
Journal of Applied Health Sciences, Volume 7, pp 127-136; https://doi.org/10.24141/1/7/2/3

Abstract:
Introduction: Ultrasound is a non-invasive imaging modality, safe for both the mother and the fetus, which uses a high frequency sound to generate images of body tissues and organs. It has been widely used for fetal evaluation and dating. Purpose: To determine normative values of fetal heart circumference (FHC) as a predictor of the gestational age (GA) in black population and compare it to those of the Caucasian population. Material and Methods: A prospective cross-sectional study was carried at the University of Maiduguri Teaching Hospital (UMTH), Nigeria. 324 women with a singleton pregnancy between 12-40 weeks, who conceived naturally, were scanned using a 2D ultrasound machine with a 3.5 MHz curvilinear probe. Two fetal heart diametersat right angle to each other were taken at the level of the four-heart chamber view, during diastole. Results: There is a strong positive linear correlation between the FHC and the GA (r2= 0.964, p<0.001). The equation of GA prediction is Y=0.246X + 5.06 (where y=GA, X=FHC). FHC weekly growth rate is 3.81mm. FHC is more accurate between 12-20 weeks GA and its accuracy decreases as the pregnancy progresses. There is a strong correlation between FHC and biparietal diameter (BPD) (r2=0.959), HC(r2=0.946) and FL (r2= 0.962). Conclusion: The study has derived a nomogram of FHC as a predictor of the GA in Nigerian population and has shown that the FHC is a good predictor of GA especially in the early second trimester. Also, there was a statistically significant difference between the FHC in our study population (blacks) and those of the Caucasian population.
Dora Jurički, Olivera Petrak, Snježana Schuster
Journal of Applied Health Sciences, Volume 7, pp 167-179; https://doi.org/10.24141/1/7/2/7

Abstract:
Uvod: „Fizioterapeut mora posjedovati određena znanjai vještine…“ Ova fraza odnosi se na stručne kompetencije potrebne za adekvatnu fizioterapijsku procjenu pacijenta, na postavljanje ciljane dijagnoze na temelju procjene te na provođenje fizioterapijske intervencije. Naglašava da je u obrazovanju učenje teorije jednako važno kao i svladavanje praktičnog dijela profesije. Cilj rada: Utvrditi koliko studenti tijekom obrazovanja smatraju zadovoljavajućima i usklađenima teorijske i vježbovne sadržaje iz struke te postoji li značajna razlika u mišljenju studenata treće godine u odnosu apsolvente i prvostupnike fizioterapije. Metode: Istraživanje je provedeno sa studentima i prvostupnicima fizioterapije Zdravstvenog veleučilišta u Zagrebu (ZVU) 2019. godine. Sudjelovalo je 88 ispitanika, podijeljenih u dvije skupine. Prvu skupinu činili su apsolventi i studenti sa završenim preddiplomskim studijem, a drugu skupinu studenti treće godine redovnog studija fizioterapije. U trenutku ispunjavanja ankete studenti druge skupine odrađivali su kliničku nastavu. Rezultati: Ispitanici smatraju kako bi na praktična znanja trebalo staviti veći naglasak te da postoji neusklađenost znanja koje dobivaju u edukaciji i praktičnog rada s kojim se susreću na radilištima. Mišljenja su kako bi bilo kvalitetnije da praksa iz određenog predmeta slijedi neposredno nakon teorijskog upoznavanja s predmetom te im je važan individualni angažman svakog studenta. Prva skupina u većoj mjeri smatra da im je potrebno dodatno usavršavanje osnovnih praktičnih vještina, kao i da je nužno usklađivanje znanja nastavnika i mentora. Zaključak: Rezultati ovog istraživanja pokazuju da je povećana potreba za unaprjeđenjem aktualnih teorijskih i praktičnih znanja u cilju napredne fizioterapijske prakse uz otvaranje mogućnosti jedinstvenog kurikuluma za obrazovanje budućih prvostupnika fizioterapije u Hrvatskoj. Zlatni standard u edukaciji budućih fizioterapeuta postiže se, uz poboljšanje kvalitete edukacije studenata i edukacijom predavača i mentora.
Marija Pocrnjić, Ozren Rađenović, Ivan Jurak
Journal of Applied Health Sciences, Volume 7, pp 161-166; https://doi.org/10.24141/1/7/2/6

Abstract:
Budući da je košarka sport s puno brzih promjena, doskoka i okreta, ozljede su njezin sastavni dio te treba staviti poseban naglasak na njihovu prevenciju. Uzroci ozljeda su različiti, mogu biti unutrašnji (genski, anatomski, biomehanički, hormonalni) i vanjski (podloga, obuća), a njihov mehanizam nastanka može biti bez kontakta ili uz kontakt s igračicom ili podlogom. Kako bi se ozljede smanjile, važnu ulogu ima fizioterapeut koji bi, kao sastavni dio svake ekipe, trebao provoditi edukaciju, prevenciju i rehabilitaciju ako se ozljeda već dogodila. Prema dostupnoj literaturi, prevencija bi se trebala uklopiti u program treninga i odvijati kroz minimalno tri treninga tjedno. Cilj ovog rada bio je utvrditi povezanost učestalosti ozljeda s obzirom na igračku poziciju u sezoni 2016./2017. Za potrebe istraživanja napravljen je upitnik s devet pitanja na koja je odgovorilo 90 košarkašica iz 12 prvoligaških klubova. Nije pronađena statistički značajna razlika između ozljeda gležnja, koljena i Ahilove tetive s obzirom na igračku poziciju.
Marija Marinović, Mihaela Grubišić, Želimir Bertić, Gordana Grozdek Čovčić, Iva Lončarić Kelečić, Mirjana Telebuh
Journal of Applied Health Sciences, Volume 7, pp 37-45; https://doi.org/10.24141/1/7/1/4

Abstract:
Mijastenija gravis jest autoimuna neuromuskularna bolest pri kojoj organizam stvara protutijela protiv receptora na mišićnim stanicama i tako sprječava prijenos podražaja sa živaca na mišiće. Mišići se brzo umaraju i javlja se slabost mišića. Cilj istraživanja bio je provjeriti koliko su oboljeli od mijastenije gravis uključeni u fizioterapijski program i druge oblike tjelesne aktivnosti te ispitati stav oboljelih o ulozi tjelesne aktivnosti na njihovu bolest te postoji li razlika funkcioniranja u svakodnevnom životu kod oboljelih s obzirom na poteškoće povezane s inkontinencijom, operaciju timusa i na spol. U istraživanju je sudjelovalo 211 ispitanika s dijagnosticiranom mijastenijom gravis, 181 žena (85,8%) te 30 muškaraca (14,2%), prosječne dobi 39 godina. Rezultati ovog istraživanja pokazuju da većina ispitanika smatra kako planirana tjelesna aktivnost pogoršava njihovo zdravstveno stanje, nema utjecaja ili nisu upoznati s učincima na zdravstveno stanje, manje su tjelesno aktivne i većinski nisu uključene u proces fizioterapije ni u neki drugi vid tjelesne aktivnosti. Statistički značajna razlika funkcioniranja u svakodnevnom životu nađena je kod osoba koje su operirale timus (p<0,00) i koje imaju problema s inkontinencijom (p<0,00). Neupitno je da mijastenija gravis dovodi do smanjenja funkcioniranja u svakodnevnom životu te da edukacija oboljelih o važnosti terapijskog vježbanja donosi benefite u smislu boljeg funkcioniranja za oboljele od mijastenije gravis.
Maja Karić, Ana Božanić, Andrej Starc
Journal of Applied Health Sciences, Volume 7, pp 87-92; https://doi.org/10.24141/1/7/1/8

Abstract:
Sigurnost pacijenta vrlo je važno javnozdravstveno pitanje koje se definira kao prevencija štetnog utjecaja na pacijenta te povećavanja rizika od učestalih pogrešaka koje se događaju. Temelji se na kulturi sigurnosti koja uključuje zdravstvene radnike, zdravstvene organizacije i organizacije uključene u zdravstvo te pacijente. Sigurnost pacijenata definira se kao svaki izostanak moguće ili nepotrebne štete za pacijenta povezane sa zdravstvenom skrbi, odnosno svaka šteta koja je učinjena pacijentu, a nije uzrokovana osnovnom bolesti. Zdravstveni sustav potrebno je učiniti što je moguće sigurnijim, kako za pacijenta tako i za sve one koji pružaju zdravstvenu skrb. Sigurnost pacijenta bitna je komponenta kvalitete zdravlja, osobito u tranzicijskim zemljama, gdje na svjetskoj razini visoki udio pacijenata svake godine doživi invaliditet, ozljede ili smrt zbog nesigurne medicinske skrbi. Kultura sigurnosti pacijenta određena je kao vrijednost o tome kako procesi djeluju u organizaciji i interakciji unutar radne jedinice i organizacijskih struktura te sustava koji zajedno provode norme ponašanja koje promiču sigurnost. U današnje vrijeme veliki je izazov ostvarivanje izvrsnosti u okviru zdravstvene djelatnosti, stoga je ključno postizanje, održavanje, mjerenje i unaprjeđenje kvalitete u zdravstvu. Da bi se postigla kultura sigurnosti, potrebno je razumjeti vrijednosti, uvjerenja i norme o tome što je važno u organizaciji te koji su stavovi i ponašanja povezani sa sigurnošću pacijenata očekivani i prikladni.
Bruno Splavski, Krešimir Rotim, Mia Jurilj, Tomislav Sajko
Journal of Applied Health Sciences, Volume 7, pp 5-10; https://doi.org/10.24141/1/7/1/1

Abstract:
Introduction: The COVID-19 pandemic was declared on January 30, 2020. The disease has rapidly disseminated throughout Europe, reaching Croatia from late February onward, representing a great burden to the national health care system. Our institution’s capacity for emergency neurosurgery was adjusted to assure adequate degree of protection for both the patients and medical workforce. Separate COVID-19-free pathways were ensured, while regular operative program has been attuned to the existing epidemiological condition. Aim: To explain the implementation of neurosurgical protocol for urgent elective and emergency traumatic brain injury patients during the COVID-19 pandemic based on our institutional experience. Methods: The time of pandemic was divided into 3 separate two-month periods. Patients, who suffered a traumatic brain injury and were not tested for corona virus, were considered COVID positive and were included in the analysis investigating the type and severity of injury, period of hospital admission and surgery, methods of surgery, and outcome. Results: A series consisted of 16 patients who were tested for COVID-19 at hospital admission, and under-went urgent/emergency surgery before the test results became known. Surgery was performed according to the specifically designed operative COVID-19 protocol. Skull fracture and traumatic intracranial hemorrhage were mainly observed. Moderate injury was recorded less frequently, particularly during the lock down, and post lock down summer. The majority of patients recuperated well, having good recovery. Conclusion: A specific operative protocol, employment of protective measures, and a separate operating theatre are mandatory for a safe and successful management of traumatic brain injury to evade transmission of the infection.
Zvonimir Supičić, Zvonimir Puljić, Mirjana Milić, Diana Aranza
Journal of Applied Health Sciences, Volume 7, pp 25-35; https://doi.org/10.24141/1/7/1/3

Abstract:
Uvod: Unaprjeđenje i širenje zdravstvene pismenosti jedan je od vodećih zdravstvenih izazova 21. stoljeća kao sredstvo i ishod poticanja aktivne inkluzije čovjeka u brigu o vlastitom zdravlju i zdravlju zajednice. Cilj istraživanja bio je utvrditi razinu zdravstvene pismenosti studenata Sveučilišta u Splitu s obzirom na tip studija te dob i spol ispitanika. Metode: U ovom istraživanju sudjelovalo je 270 studenata s osam sastavnica Sveučilišta u Splitu. Novokonstruirani upitnik, kao mjerni instrument primijenjen u ovom istraživanju, testiran je mjerenjem pouzdanosti, gdje je vrijednosti Cronbachova alfa-koeficijenta upućuju na zaključak da je mjerni instrument valjan i pouzdan. Izračunavanje deskriptivnih statističkih pokazatelja uključilo je izračunavanje učestalosti i postotnih vrijednosti svih mjernih varijabli te varijabli potrebnih za opis ispitanika. Za utvrđivanje razlika po spolu i vrsti studija primijenjen je t-test za nezavisne uzorke, a za utvrđivanje razlika prema dobi i studijskom programu kod studentica i studenata primijenjena je univarijantna analiza razlika ANOVA. Post hoc analiza razlika ukupnog rezultata između skupina ispitanika s obzirom na dob studenata izražena s pomoću LSD Fisherova testa nije utvrdila značajnu razliku. Rezultati: Ukupan je postotak točno riješenih odgovora 68,36 %. Utvrđena je značajna razlika između studenata zdravstvenih i nezdravstvenih studija, gdje su studenti zdravstvenih studija pokazali višu razinu zdravstvene pismenosti, dok značajna razlika s obzirom na dob i spol ispitanika nije pronađena. Zaključak: Studenti Sveučilišta u Splitu pokazuju zadovoljavajuću razinu zdravstvene pismenosti. Međutim, na pronađeni rezultat znatno utječe znanje studenata zdravstvenih studija (Medicinski fakultet, Zdravstveni studiji). Zbog važnosti razvoja zdravstvene pismenosti kao oblika unaprjeđenja zdravlja potrebna je bolja zdravstvena edukacija mladeži.
Ema Buković, Damir Važanić, Adriano Friganović, Vesna Svirčević, Cecilija Rotim, Biljana Kurtović
Journal of Applied Health Sciences, Volume 7, pp 57-69; https://doi.org/10.24141/1/7/1/6

Abstract:
Introduction: Healthcare associated infections (HCAIs) represent a major public health issue. In Europe, 37 000 patients are affected annually by some sort of HCAI. HCAIs are preventable, and hand hygiene is an important measure in their prevention. During daily clinical practice, hands of healthcare workers (HCWs) are exposed to surfaces, various substances and objects; therefore, proper hand hygiene is the first step in preventing microorganism transmission. Aim: To determine the HCWs hand hygiene compliance with the guidelines of the World Health Organization through a systematic review of literature. Methods: A systematic review of literature based on the PRISMA statement guidelines using the PubMed database in a search for articles that evaluate the hand hygiene compliance among HCWs. Results: Six articles were taken into consideration by the availability of full-text articles and years of publication between 2010 and 2020. Results showed that compliance rate was the highest in studies that implemented World Health Organisation’s Multimodal Hand Hygiene Improvement Strategy or its modifications. Conclusion: The multimodal approach, as World Health Organisation’s multimodal strategy or its local modifications, has been shown as the best approach addressing the problem of hand hygiene compliance. Further areas for research include finding a better method of measuring compliance, technology-driven solutions for both delivery of alcohol-based handrub and monitoring of its use, a greater focus on evaluating proper hand hygiene techniques, and insuring longer-term programs of training and education to achieve the best effectiveness of hand hygiene compliance among HCWs.
Marina Cigić, Josipa Rožman
Journal of Applied Health Sciences, Volume 7, pp 11-23; https://doi.org/10.24141/1/7/1/2

Abstract:
Depresija je najčešći psihijatrijski poremećaj koji je u ukupnoj populaciji prema učestalosti na četvrtom mjestu. Osobe koje se suočavaju sa smrću prolaze kroz različita duševna stanja i faze, kao što su gnjev, cjenkanje, depresija i prihvaćanje, a najčešće su obrane kojima se onkološki bolesnik koristi regresija, poricanje, projekcija i potiskivanje. Istraživanja su pokazala kako su psihijatrijski poremećaji učestali podjednako, ako ne i više od ostalih tjelesnih simptoma kod onkoloških bolesnika. Cilj ovog rada bio je procijeniti kliničku sliku depresije kod onkoloških bolesnika na temelju upitnika za test depresije (Beck Depression Inventory). Istraživanje je provedeno na internom odjelu Opće bolnice Šibenik u onkološkoj ambulanti na uzorku od 50 ispitanika. Rezultati istraživanja pokazali su kako među ispitanicima nije utvrđen teški oblik depresije te kako je u postotku u kojem se pojavila, prema testu BDI, u blagom razvoju.
Ema Zeman, Olivera Petrak
Journal of Applied Health Sciences, Volume 7, pp 47-56; https://doi.org/10.24141/1/7/1/5

Abstract:
U životu se susrećemo s mnogim stereotipima o različitim skupinama ljudi, ali rijetko je koja skupina toliko obilježena predrasudama kao skupina oboljelih od psihičkih bolesti. Iako s vremenom dolazi do pozitivnih promjena u gledanju na psihijatrijske bolesnike, te se promjene odvijaju vrlo sporo, a istraživanja pokazuju da predrasuda nisu lišeni ni zdravstveni djelatnici. Stoga je cilj ovog rada bio ispitati stavove studenata fizioterapije o psihijatrijskim bolesnicima. Skala stavova sastavljena je za potrebe ovog istraživanja kompilacijom i prilagodbom tvrdnji iz nekoliko instrumenata, a sadržavala je ukupno 39 čestica. Analizom glavnih komponenata dobivena je jednofaktorska struktura za 33 čestice s objašnjenih 27,3 % varijance. Ispitivanje se provelo online na 135 studenata fizioterapije sa sve tri godine studija, od čega je 81,5 % ženskog, a 17,8 % muškog spola. Prosječna dob ispitanika iznosi 28,7 godina. Dobiveni rezultati ukazuju na blago pozitivne stavove prema psihijatrijskim bolesnicima. Najnegativniji stavovi iskazani su kroz aspekt dodatnog opreza, nesigurnosti i nepovjerenja u komunikaciji s njima. Za ukupni rezultat na skali stavova nije dobivena značajna razlika ni po spolu, ni s obzirom na način studiranja, kao ni za godinu studija. Studentice imaju pozitivnije stavove od muške populacije na sedam čestica, ali se značajno više boje psihijatrijskih bolesnika. Izvanredni studenti imaju značajno više profesionalnog iskustva s psihijatrijskim bolesnicima, dok redovni studenti iskazuju pozitivnije stavove na tri čestice u svezi načina komunikacije s psihijatrijskim bolesnicima i njihovih prava. Unatoč relativno pozitivnoj slici, mjesta za poboljšanje svakako ima, i to u vidu pojačanja edukacije i izrazitijih kontakata sa psihijatrijskim bolesnicima.
Danijel Brkić, Andrea Jajetić, Aleksandar Racz, Marijan Benić, Željka Pavlek, Željka Kuharić, Jasenka Šabarić, Ivana Prskalo, Jasna Bošnir
Journal of Applied Health Sciences, Volume 7, pp 71-86; https://doi.org/10.24141/1/7/1/7

Abstract:
Žitarice predstavljaju najrasprostranjeniju i najvažniju kulturu za prehranu ljudi. Važne su i kao sirovina u prehrambenoj industriji te čine osnovu piramide prehrane. Mlinski proizvodi također predstavljaju osnovne prehrambene proizvode. Glavni su mlinski proizvodi prekrupa, krupica i brašno. Magnezij je mineral koji je iznimno važan element u ljudskom organizmu. Zauzima četvrto mjesto po zastupljenosti kationa u organizmu te je drugi najčešći u stanicama. Ima važnu ulogu za katalitičku aktivnost više od 300 enzima u enzimatskim sustavima. Najvažniji je za pravilan rad srca te kao regulator fosfora i kalcija u kostima. Cilj je ovog rada utvrditi količinu magnezija u odabranim žitaricama i mlinskim proizvodima te prikazati zdravstvenu dobrobit magnezija. Tijekom analize sastava žitarica i mlinskih proizvoda analizirano je sveukupno 28 uzoraka. Od toga je bilo pet uzoraka kukuruza u zrnu, sedam uzoraka pšenice, 11 uzoraka pšeničnog brašna, brašno od integralne heljde bez glutena, zobena kaša, prosena kaša, kaša zobi, ječma i pira te kaša riže, kukuruza i heljde. Analiza je provedena na Nastavnom zavodu za javno zdravstvo „Dr. Andrija Štampar”. Magnezij je nakon digestije s nitratnom kiselinom i vodikovim peroksidom u mikrovalnoj pećnici određen induktivno spregnutom plazmom s masenom spektrometrijom (ICP-MS). Količine magnezija u žitaricama iznosile su od 81,92 mg / 100 g do 145,21 mg / 100 g za pšenicu te od 111,68 mg / 100 g do 145,21 mg / 100 g za kukuruz. Prosječna vrijednost magnezija iznosila je 105,81 mg / 100 g za uzorke pšenice te 133,72 mg / 100 g za uzorke kukuruza u zrnu. Količina magnezija utvrđena u pšeničnom brašnu kretala se u rasponu od 23,17 mg / 100 g do 60,41 mg / 100 g, dok je srednja vrijednost magnezija iznosila 34,56 mg / 100 g. Količina magnezija u brašnu od integralne heljde bez glutena iznosila je 226,32 mg / 100 g. Utvrđena količina magnezija u zobenoj kaši, prosenoj kaši, kaši zobi, ječma i pira te kaši riže, kukuruza i heljde kretala se u rasponu od 76,77 mg / 100 g do 153,61 mg / 100 g. Srednja vrijednost magnezija za uzorke kaše iznosila je 122,98 mg / 100 g.
Anna Pierobon, Mirjana Lana Kosanović Ličina
Journal of Applied Health Sciences, Volume 7, pp 93-101; https://doi.org/10.24141/1/7/1/9

Abstract:
Imunoprofilaksa je umjetno stvaranje imunosti. Provođenje imunoprofilakse vrši se na dva načina, a to su cijepljenje (aktivna imunizacija) i unošenje imunoglobulina (pasivna imunizacija). Aktivna imunizacija ili cijepljenje jest postupak unošenja specifičnog antigena u organizam koji stimulira razvoj specifične obrane prema određenom uzročniku zarazne bolesti. Cijepljenje je dokazano najuspješnija intervencija suvremene medicine i temeljno je ljudsko pravo. Provođenjem cijepljenja u svijetu se znatno smanjio morbiditet i mortalitet u populaciji. U Hrvatskoj se cijepljenje djece i odraslih vrši prema Programu obveznog cijepljenja. Cjepiva se od rođenja primaju u određenim razdobljima života te se neka primaju u jednoj, a neka u više doza. Procijepljenost je u Hrvatskoj na zadovoljavajućoj razini unatoč opadanju postotka procijepljenosti u zadnjih nekoliko godina. Cilj i svrha ovog istraživanja bili su uvidjeti stavove studenata Zdravstvenog veleučilišta (ZVU) o cijepljenju. Uzorak je sadržavao 281 ispitanika. Ispitanici su bili studenti svih smjerova, sve tri godine Zdravstvenog veleučilišta (sanitarno inženjerstvo, sestrinstvo, medicinsko-laboratorijska dijagnostika, radiologija, radna terapija). Rezultati istraživanja pokazali su da svi studenti imaju pozitivan stav o cijepljenju, što je dobar rezultat s obzirom na to da su svi smjerovi zdravstvenog tipa te da im je edukacija o cijepljenju na visokom nivou.
, Snježana Čukljek, Sanja Ledinski Fičko, Martina Smrekar
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 205-217; https://doi.org/10.24141/2/4/2/6

Abstract:
Aim. The purpose of this systematic review is to examine all available research studies on quality of life of ostomy patients and their families, which is contingent upon the effects of adequate preoperational education, the best and most acceptable ostomy site marking on the patients’ abdomen, and subsequently, the effect on the ostomy patients’ self-esteem. Methods. A literature search was carried out using scientific electronic databases - Science Direct, PubMed and Medline. Analysed period was from 2010 to 2016 in order to get insight into the most recent findings. Search terms included preoperative education, stoma marking, quality of life, self-esteem, influence on family life. Overview of articles was made in three stages. Results. We found 1440 scientific articles. In the first stage, we eliminated 1271 articles because they were unsuitable. In the second stage, we analysed 34 articles and made a conclusion based on 13 full text available articles. Conclusion. The patient is content while being treated in the hospital; however, only after the patient has been released do the hardships occur, which are often the main cause of discontent, isolation, anxiety, and fear – thus resulting in diminished quality of life. Preoperational education and marking the most acceptable place for ostomy procedure significantly affect the self-esteem and the quality of life of ostomy patients and their families. Ostomy patients need to be followed up, and the home care system, as well as the support systems of public health care for patients with a gastrointestinal ostomy, need to be strengthened.
, Janko Babić, Ana Marija Hošnjak, Sanja Ledinski Fičko, Martina Smrekar
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 183-191; https://doi.org/10.24141/2/4/2/4

Abstract:
The aim of the research was to determine the reasons for students enrolling in nursing studies, priorities in the choice of studies and differences in the reasons and priorities for choosing enrollment with regard to previously completed high school. The research was conducted on full-time nursing students of the University of Applied Health Sciences who enrolled in the first year of study in the academic year 2017/2018 and 2018/2019. For the purpose of the research, an anonymous questionnaire was used. The questionnaire includes questions related to demographic data and questions about the reasons related to enrollment in nursing studies, whether any of their family members or friends work in the health care system and whether any of the members of their family is a health worker. Students were required to rank their choice of the study of nursing on a scale of 1 to 10 at the time of enrollment. Students who have previously completed high school for nurses most often stated the expansion of existing knowledge, the acquisition of new knowledge, and the continuation of previous education as the reasons for enrolling in nursing studies. Students who have completed other types of high schools stated interest in medicine, nursing, health, helping others, good employment opportunities, and nursing being interesting as reasons for enrollment. Participants in this research significantly more often stated that their family members do not work in the health care system. When enrolling in the study, the majority of the students’ first choice was the study of nursing at the higher education institution where the research was conducted – in the 2017 74.7% of participants, and in 2018 67.3% of participants. There is no statistically significant difference in the average ranking of the choice of the nursing study with respect to the year of enrollment (p=0.692). Information on the reasons for enrollment can help in planning the promotion of studies and nursing profession in public to encourage students to enroll.
, Martina Smrekar
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 205-217; https://doi.org/10.24141/2/4/2/7

Abstract:
Falls present a major challenge for health care systems: they correlate with poor patient outcomes, extend the length of hospitalization, and increase overall medical expenditure. According to existing literature, risk factors for the occurrence of falls include the male gender, urinary incontinence, muscle weakness, agitation or confusion, and dementia. Studies have shown that the combined practice of identifying risk factors and implementing appropriate fall prevention interventions leads to a reduction in the incidence of falls among hospital patients. As the largest group of health professionals committed to providing high-quality care, nurses play an important role in preventing falls among patient populations. In order to prevent falls and maintain patient safety, it is important to identify the most effective strategies for fall prevention. This study presents an overview of previously published strategies and intervention practices on fall prevention in hospital settings around the world. The most common interventions include fall risk assessment, environment/equipment modifications, patient education/family education on fall prevention interventions, staff education on fall reporting and fall prevention, fall risk alerts, medication management, physical fitness of patients, assistance with transfer and toileting and effective team communication and leadership. Ultimately, it is incumbent upon nurses, other health-care professionals and the entire hospital system to develop effective strategies in order to prevent falls among hospitalised patients.
Snježana Galić Lukšić, Goran Lapat, Jelena Lučan
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 165-181; https://doi.org/10.24141/2/4/2/3

Abstract:
Aim. To establish the degree of consciousness of the importance of hygiene among the Romani population in the Sisak-Moslavina County and to examine whether there are differences in children’s health care of non-Romani population considering the number of hospitalized Romani children in general and especially regarding respiratory diseases. Methods. The study was conducted on 100 parents of hospitalized children, 50 of them being members of the Romani population and 50 being members of non-Romani population. It was done by means of a questionnaire specially designed for this study. The categorical data is represented by the absolute and relative frequencies, while the numerical data is described with the median and the limits of the interquartile span. Categorical variable differences were tested using Fisher’s exact test. The normality of numerical variable distribution was tested using the Shapiro-Wilk test. The differences in numerical variables between two independent groups were tested using the Mann-Whitney U test. Results. The results show that due to respiratory diseases a significantly large number of Romani children (43%) were hospitalized once in six months. Fewer children of Romani research subjects who have indoor plumbing were hospitalized. Romani families tend to visit a doctor when a child is injured or for a regular check-up rather than to seek a doctor’s advice. In non-Romani families, children tend to shower every day, have their own towel and better personal hygiene habits than children of Romani families. The results clearly show hygiene habits differ greatly between Romani and non-Romani families. Neglecting their children’s personal hygiene habits in Romani families points to a problem of insufficient education of the parents. Conclusion. The obtained results point to the importance of constant encouragement and education of Romani family members, as well as the members of non-Romani families, in order for them to realize the significance of hygiene and personal hygiene habits.
, Zrinka Puharić, Drita Puharić, Mario Gašić
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 157-164; https://doi.org/10.24141/2/4/2/2

Abstract:
Introduction. Sexuality of children and adolescents in Croatia is still considered a taboo, and sexually transmitted diseases are a significant global public health problem that is constantly growing. As a frequent consequence of irresponsible sexual behaviour and early sexual intercourse, we are faced with the problem of juvenile, most often unwanted, pregnancy. Contraceptives are used to prevent sexually transmitted diseases and unwanted pregnancies, and the most vulnerable group are the adolescents. The primary task is to educate the youth prior to them entering active sexual life. Aim. To collect and analyse data on sexual habits, attitudes and knowledge of adolescents. To assess the need for additional education and preventive programmes. Methods. 130 high school students, aged 17-19, participated in the survey. For testing purposes, a questionnaire was used. The questionnaire was conducted voluntarily and was completely anonymous, and a written consent was obtained from parents of juvenile participants. Results. The adolescent subjects in this study showed insufficient knowledge of sexuality, namely the menstrual cycle, contraceptives and emergency contraception, and sexually transmitted diseases. They showed knowledge of things they could get acquainted with on a daily basis through the media and other information outlets. Conclusion. According to the results obtained by the research, we can conclude that higher quality education of the youth is necessary, with the aim of expanding their knowledge of sexuality in order to prevent sexually transmitted diseases and the occurrence of unwanted juvenile pregnancies.
Sandra Karabatić, Miroslav Samaržija, Sanja Pleština, Ivana Lukić Franolić, Snježana Čukljek, Andreja Šajnić
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 143-155; https://doi.org/10.24141/2/4/2/1

Abstract:
Introduction. Lung cancer is a complex disease and requires a multidisciplinary approach to achieve the best results in treatment, to increase the survival rate while preserving the quality of life of the sufferer. The nutritional status of the patient is an important factor affecting outcome and recovery from disease or injury. We question whether there is a link between nutritional status and malignant pain in lung cancer patients. Aim. A prospective trial was conducted to determine the distribution of respondents by frequency of pain according to a validated Visual Analog Scale (VAS), distribution of respondents who reported reduced food intake and distribution of factors that have led to the reduced food intake. Methods. A prospective trial was conducted at the Department for respiratory diseases Jordanovac, University Hospital Center Zagreb, Croatia, on a sample of patients with advanced non-small cell lung cancer to determine the frequency, characteristics and treatment of chronic malignant pain (N=76). These are the results from November 2013 to June 2014. For pain assessment, we used a validated VAS. For the identification of patients at risk of malnutrition we used Nutritional risk screening tool (NRS 2002). For a rough estimate of total body adiposity, we measured dermal thicknesses using a standard calliper. Monitoring of patients was documented in the form of nursing documentation. A component of nursing documentation was designed to monitor the nutritional status of cancer patients and has been implemented at the Department for respiratory diseases Jordanovac as required documentation. The component included collecting the following data: the stage and type of cancer and treatment, demographic characteristics, age, gender, vital signs, body weight and height, body mass index (BMI), subjective symptoms such as pain, fatigue and nausea, reduction ad rezones of food consumption. Results. During the study 417 measurements were made: 1) 32,1% of patients reported reduced food intake, and 67,9% of respondents indicated that have not reduced their regular diet; 2) as a reason for the reduced food intake 37,7% respondents stated loss of appetite, 31,2% fatigue and 24,6% pain; 3) 59,5% subjects mainly reported absence of pain, while none of the respondents reported the existence of the highest degree of pain. Conclusion. By regular monitoring of the intensity of the pain we achieved good control in malignant pain management, which is an important data in the assessment of nutritional status. The fact is that poorly controlled pain is present in 24% of patients and has been the reason for the reduced food intake.
Sajma Ajhenberger, , Ivana Vadlja, Dunja Anić
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 193-203; https://doi.org/10.24141/2/4/2/5

Abstract:
Introduction. We consider job satisfaction through the prism of the work we do, the working conditions, the relationships with colleagues and superiors, and the opportunity to advance and earn. Nurses make up 50% of the total workforce in the healthcare system and it is beyond question that their number in the system directly affects the quality of nursing care. The most common dissatisfaction at work is insufficient staff, poor working conditions, poor relationship with colleagues and superiors, and impossibility to advance. Aim. The objectives of the study were to examine the satisfaction of nurses in the job and to assess whether they were considering leaving their current job and how they were assessing their health and working productivity. Methods. The study involved 155 nurses from three Clinical Hospital Centers in Croatia (Osijek, Rijeka and Zagreb). The study was designed as a cross-sectional study. It started on January 1, and ended on June 30, 2018. The first part refers to the demographic dana of the respondents, while the second part contains questions related to the intention of leaving the present job, self-assessment of health status and working productivity and job satisfaction. Results. In the answers to job satisfaction claims, the respondents with the bachelor’s and master’s degree in nursing compared to the respondents who completed secondary education, responded with a higher percentage that they were dissatisfied with the working conditions and the possibility of promotion (46.2%). They are dissatisfied with the relationship with their superiors (70%), as well as with the work they do (54%). Respondents at all levels of education are equally satisfied with their relationships with colleagues and with their earnings. Conclusion. Most of the respondents are satisfied with the relationship with their superiors, colleagues and work, and dissatisfied with the possibility of advancement and salary. Most of them answered that they rarely think about leaving their job, and they assess their health as good and work productivity as normal.
Israel Oluwasegun Ayenigbara
Published: 11 December 2020
Croatian nursing journal, Volume 4, pp 227-242; https://doi.org/10.24141/2/4/2/8

Abstract:
Introduction. Heavy and chronic alcohol use connotes frequent, continuous and persistent consumption of alcoholic drinks over an extended period of time. Importantly, heavy consumption of alcohol causes many health problems to the drinker and the society at large, as over 5.1% of the global burden of morbidity and injuries are attributable to alcohol usage alone. Aim. The purpose of this study is to identify some of the noncommunicable diseases that are associated with chronic alcohol consumption through a systematic and narrative review, with detailed descriptions of the occurrences. Methods. A systematic and narrative review of literature that evaluates noncommunicable diseases associated with chronic alcohol consumption was carried out using Google, Medline and databases of major international health organizations. Keywords used as search terms were alcoholism, chronic alcohol use and heavy alcohol use; these terms were matched with occurrences and risk of noncommunicable diseases. Studies included in this review are clinical trials, meta-analyses, randomized controlled trials, and systematic and review articles. Results. The findings revealed that chronic alcohol use is either a single or joint risk factor for Alzheimer’s disease and dementia, arthritis, brain malfunction, cancer (most commonly of the oropharynx, larynx, oesophagus, liver, colon, rectum or breast), chronic obstructive pulmonary disease (COPD), diabetes, epilepsy, heart diseases and cardiovascular diseases, immune system dysfunction, malnourishment and vitamin deficiencies, mood disorders, bipolar disorder and depression, osteoporosis and bone malformation, pancreatitis, and ulcers and gastrointestinal problems. Conclusion. These findings are background information as they revealed some of the noncommunicable diseases associated with chronic alcohol use. Hence, more and precise long-term cohort studies are necessary for a better understanding of the occurrences and epidemiology of noncommunicable diseases as a result of chronic alcohol use.
Denisa Manojlović, Nejc Šarabon
Journal of Applied Health Sciences, Volume 6, pp 271-278; https://doi.org/10.24141/1/6/2/9

Abstract:
Uvod: Patelofemoralna bol (PFB) jedna je od najučestalijih boli u području koljena. Smanjena jakost okolnih mišićnih skupina može prouzrokovati lokalne biomehaničke promjene, koje posljedično pridonose razvoju PFB-a. Cilj je našeg rada identificirati, usporediti i procijeniti značajke maksimalne izometričke kontrakcije (MVIC) mišića kuka, trupa i gležnja kod žena i muškaraca s PFB-om. Metode: Izveden je sustavni pregled literature te je za daljnju analizu izabrano devet istraživanja koja su odgovarala unaprijed postavljenim kriterijima. Rezultati: Znatno veći broj istraživanja proučava MVIC mišića kuka u žena s PFB-om nego u muškaraca s istom patologijom. Kod žena su istraživanja složna te izvještavaju o smanjenoj jakosti abduktora, aduktora i ekstenzora kuka, dok su u slučaju dvaju istraživanja koja su proučavala MVIC laterofleksora trupa rezultati oprečni. Našim pretraživanjem nisu nađena istraživanja koje proučavaju utjecaj MVIC-a gležnja kod PFB-a. Zaključak: U oba se spola područje kuka pokazalo potkrijepljeno znanstvenim istraživanjima te su rezultati MVIC-a kod PFB-a na tom području homogeni. Sustavnim pregledom trenutačno dostupne literature utvrđena je djelomična zastupljenost MVIC-a područja trupa kod osoba s PFB-om. Također, vidljiv je nedostatak znanstvenih istraživanja MVIC-a područja gležnja i stopala kako kod žena tako i kod muškaraca s PFB-om.
Dora Rašan, Suzana Marković, Jelena Dorčić, Lovro Rašan
Journal of Applied Health Sciences, Volume 6, pp 219-228; https://doi.org/10.24141/1/6/2/4

Abstract:
Uvod: Pojavom epidemije bolesti COVID-19 ljekarne su se susrele s dosad nezabilježenom potražnjom za dezinficijensima, antisepticima te zaštitnim maskama. Ljudi su u većoj mjeri počeli odlaziti u ljekarne, koje su se morale od početka epidemije strogo pridržavati mjera sigurnosti. Uloga ljekarnika u navedenim okolnostima postala je još važnija. Cilj i metode: Cilj ovog rada bio je istražiti i analizirati stavove klijenata ljekarni o kvaliteti usluge, analizirati njihovo sveukupno zadovoljstvo te ispitati razinu straha od bolesti COVID-19. U tu svrhu na temelju relevantne znanstvene literature kreiran je upitnik koji je distribuiran putem interneta. U mjerenju kvalitete usluge ljekarnika primijenjen je modificirani mjerni instrument SERVQUAL. Istraživanje je provedeno na uzorku od 203 klijenata ljekarni. Rezultati: Rezultatima provedenoga empirijskog istraživanja utvrđeno je da ispitanici posjeduju visoka očekivanja o kvaliteti usluga ljekarnika (3,93). Ukupna percepcija ispitanika pružene usluge ljekarnika iznosi 3,54, što ukazuje na činjenicu da je prisutan negativan SERVQUAL jaz između percepcije i očekivanja ispitanika (–0,39). Negativan jaz bio je najveći pri ocjeni varijable „Ljekarnik bi me trebao uputiti što učiniti ako propustim dozu lijeka”(–1,60), a najveći pozitivan jaz pri vrednovanju varijable „Ljekarnik je riješio sve zdravstvene probleme koje sam očekivao” (+0,82). Ispitanici su bili zadovoljni ukupnom pruženom uslugom ljekarnika (4,53) te su prilikom posjeta ljekarni osjećali srednju razinu straha od bolesti COVID-19 (3,03). Zaključak: Istraživanje zadovoljstva klijenata pruženom uslugom ljekarnika od krucijalnog je značaja za poboljšanja i unaprjeđenja postojeće kvalitete usluge ljekarnika. Istraživanje je pokazalo da je SERVQUAL prikladan mjerni instrument za mjerenje razlike u očekivanjima i percepciji klijenata o kvaliteti usluga ljekarnika.
Anamarija Jurković, Aleksandar Racz
Journal of Applied Health Sciences, Volume 6, pp 229-237; https://doi.org/10.24141/1/6/2/5

Abstract:
Metode komplementarne i alternativne medicine (KAM) široko su rasprostranjene diljem svijeta, a u novije vrijeme raste njihova upotreba i na području Republike Hrvatske. Ovim pilot istraživanjem željelo se utvrditi stavove i uvjerenja budućih zdravstvenih radnika o pojedinim metodama komplementarne i alternativne medicine i njihovoj učinkovitosti. U tu svrhu korišten je ranije dizajniran originalni upitnik koji je primijenjen na malom uzorku. Rad je napravljen i za potrebe izrade diplomskog rada autorice s namjerom proširenja istraživanja na višoj razini školovanja koja je u tijeku. Od ukupnog broja ispitanika veliki postotak njih je barem jednom upotrijebio neku od metoda te isto tako većina ispitanika smatra kako bi se metode KAM-a trebale integrirati u obrazovni sustav, kao i s klasičnom medicinom. Kao najučinkovitije metode ispitanicu su naveli akupunkturu, kiropraktiku te razne masažne tehnike.
Petra Josipović
Journal of Applied Health Sciences, Volume 6, pp 261-270; https://doi.org/10.24141/1/6/2/8

Abstract:
Introduction: Physiotherapists use different methods such as tactile feedback, scales and biofeedback to teach patients applying the partial weight bearing instructions. Biofeedback systems are more effective and objective method than usage of conventional bathroom scales in training patients to comply with weight-bearing limitations. Aim: The current review will focus on the availability and clinical use of biofeedback in-shoe device in patients with prescribed PWB. Methods: A literature search was performed using the following keywords: partial weight bearing, biofeedback in-shoe device and surgery. Five databases were searched appropriate for screening (PubMed, PEDro, Google Scholar, Clinicaltrials.gov and ScienceDirect). Results: Filtration strategy was used in a literature search. 15 sources were selected for final analysis. Qualitative analytical approach was used in data processing. Conclusion: Biofeedback systems have been more effective than conventional bathroom scales in training patients to comply with weight-bearing limitations. With additional randomised controlled trials, biofeedback devices may very well become a part of the mainstay of clinical practice in orthopaedic partial weight-bearing patients.
Nikolina Šaravanja, Dragutin Ivanec
Journal of Applied Health Sciences, Volume 6, pp 279-295; https://doi.org/10.24141/1/6/2/10

Abstract:
Teorijski neutralan tretman koji dovodi do pozitivnih ishoda naziva se placebo-učinak. Takav je učinak opažen i dokumentiran kako u laboratorijskim tako i u kliničkim istraživanjima, kod različitih zdravstvenih simptoma i patoloških stanja. U tradicionalnom poimanju placebo-učinka podrazumijevali su se učinci koje primarno treba metodološki kontrolirati kako bi se što točnije procijenio učinak teorijski utemeljenih terapijskih pristupa. U modernijim shvaćanjima riječ je o realnom učinku koji ima svoje opažljive psihološke procese i fiziološke mehanizme. Može biti samostalan ili pak dio svih drugih terapijskih postupaka. Na temelju toga, u zdravstvenom kontekstu cilj ne bi trebao biti tek kontrolirati takav učinak, već ga što bolje razumjeti kako bi se eventualno mogao primjenjivati uz poznate i teorijski utemeljene zdravstvene tretmane. U ovom tekstu naglasak je na opisu bioloških mehanizama i procesa koji pridonose placebo-učinku. Dominantno je opisano područje placebo-učinka kod boli, ali su opisani i slučajevi placebo-učinka i kod nekih drugih patoloških stanja gdje su istraživani biološki mehanizmi placeba, poput psihičkih bolesti i poremećaja te Parkinsonove bolesti. Kod svih placebo-učinaka postoji dosta indikatora da je riječ o složenom odnosu psiholoških čimbenika koji u interakciji s fiziološkim procesima pridonose realnom poboljšanju zdravstvenih ishoda.
Amer Ovčina, Jasmina Marušić, Amela Hajdarević, Nada Spasojević, Ernela Eminović, Selveta Mušanović
Journal of Applied Health Sciences, Volume 6, pp 201-218; https://doi.org/10.24141/1/6/2/3

Abstract:
Healthcare documentation or nursing documentation as often used in practice is the name of an indispensable part of a patient’s medical documentation, and documentation is an integral part of a nurse’s daily work. Documenting health care in the hospital means recording data on all procedures performed, during the entire health care process for the individual, all for the purpose of systematic monitoring, planning and evaluation of the quality of health care. Nursing documentation serves as a means of communication between the team and is of great importance for the quality and continuity of health care. AIMS: 1 - To determine the existence of health care documentation in hospital health care institutions; 2 - Examine the importance and purpose of documenting health care among nurses-medical technicians; 3 - Examine the practice of nurses-medical technicians in the process of administering health care; 4 - Present quality indicators that are monitored and analyzed through health care documentation; 5 - Compare the obtained results in two examined areas. METHODS: This research was conducted in two geographically separate areas of Sarajevo and Travnik. The study involved 210 respondents, 147 nurses-technicians employed at the Clinical Center of the University of Sarajevo and 63 nurses-technicians employed at the General Hospital in Travnik. Data collection for research was carried out by exploratory and descriptive method. An original authorized questionnaire was used for the descriptive research. The questionnaire was made available to respondents in the electronic form trough Google Forms. The anonymity of the respondents was fully guaranteed. The survey was conducted in the period from July 15- August 15, 2019. RESULTS: At the Clinical Center of the University of Sarajevo (CCU), 98% of respondents use health care documentation forms on a daily basis, and at the General Hospital Travnik 77.8% of respondents. In CCU Sarajevo, respondents use more standardized forms of health care documentation, 97.6%, compared to respondents in the General Hospital Travnik, where the documenting is carries out in nursing records, 74.6%. 68% of respondents at CCU Sarajevo believe that documentation contributes to the evaluation of nursing services, while only 19% of re-spondents at General Hospital Travnik believe the same. As the most common shortcomings, the respondents state the lack of computer technology in the department in 74.3%, then adequate premises for document administration in 37.6%, the lack of forms in printed form in 32.1% and 6 or 2.3% respondents did not answer this question. In both institutions, the biggest shortcoming is the problem of computer equipment in the department, in 70.7% in CCU Sarajevo and 82.5% in General Hospital Travnik. CONCLUSIONS: The research found that over 95% of respondents use standardized health care processes in their daily practice, document health care, know the basic purpose and monitor health care indicators. More than 90% of respondents in both study groups use health care documentation to plan health care and monitor its outcomes. More than half of respondents in both study groups stated that documenting health care is a problem because it consumes a lot of time. A larger number of respondents from both groups, as many as 30%, state that they do not use the data from the health care documentation for any purpose. The lack of workers in the health care process, insufficient knowledge of information technologies, and the lack of an information system represent an aggravating circumstance in documenting the health care process.
Adis Hrvačić
Journal of Applied Health Sciences, Volume 6, pp 305-311; https://doi.org/10.24141/1/6/2/12

Abstract:
Mikrobiološka kontaminacija hranjivih podloga koje se upotrebljavaju za uzgajanje mikroorganizama prilično je česta u mikrobiološkim laboratorijima. Tijekom pripreme hranjivih podloga za uzgoj i izolaciju čistih bakterijskih kultura vjerojatnost kontaminacije velika je ili zbog neadekvatne sterilizacije, nepravilnog rukovanja ili neadekvatne kontrole uvjeta pohrane i provjere roka trajanja. Pripremljene ploče ne smiju se odmah upotrebljavati ili čuvati na niskoj temperaturi dok se ne testiraju na sterilnost. Provjera sterilnosti vrlo je važan segment prije upotrebe ploča za mikrobiološke postupke i procedure i jedan od glavnih faktora koji utječe na validnost rezultata ispitivanja u mikrobiološkom laboratoriju. Cilj je rada uspostaviti kriterije odbacivanja kontaminiranih ploča. Pripremljena su tri seta ploča hranjivih podloga koji su tijekom 18 do 24 sata inkubirani na sobnoj temperaturi za provjeru sterilnosti. Procjena kontaminacije: porast kolonije na površini ili ispod nje. Inkubacija ploča produžena je za još jedan dan za razvoj kontaminacije na pločama na kojima nije bilo porasta kolonija prvog dana. Rezultati su otkrili da su u dvije skupine pronađene dvije vrste kontaminacije. Prvi set ploča ima kolonije na površini i kontaminacija nije pronađena drugog dana na nekontaminiranim pločama, što ukazuje na to da bi se kontaminacija mogla dogoditi tijekom postupaka nepravilnog rukovanja pločama. Druga skupina ima kolonije ispod površine i zagađenje se drugog dana razvijalo i u nekontaminiranim pločama zbog nepravilne sterilizacije staklenog posuđa ili nepravilne sterilizacije hranjivih medija. Uviđajući važnost provjere sterilnosti prije upotrebe hranjivih podloga za kultiviranje mikroorganizama od interesa, preporučeno je da se ploče kojima je potvrđena sterilnost mogu upotrebljavati za daljnje mikrobiološke procedure, dok je za sve ostale setove kontaminiranih ploča potrebno uspostaviti kriteriji odbacivanja bez obzira na to koja je vrsta kontaminacije pronađena i kako je nastala.
Marinela Mandić, Maja Budeč, Danijel Brkić, Jasna Bošnir, Jozica Raljević, Anna Pierobon, Josipa Krković, Paula Sliva
Journal of Applied Health Sciences, Volume 6, pp 239-247; https://doi.org/10.24141/1/6/2/6

Abstract:
Med je po definiciji namirnica kojoj se ništa ne smije dodavati niti oduzimati kako bi zadržala svoja izvorna karakteristična svojstva. Podaci Food Fraud networka govore kako je riječ o hrani koja podliježe sve češćim prevarama potrošača, odnosno krivotvorenju. Med je specifičnog kemijskog i nutritivnog sastava koji mu daju status visokovrijedne hrane. Taj sastav, osim krivotvorenjem sastojaka, može se ugroziti i njegovim neadekvatnim skladištenjem ili pogrešnom manipulacijom tijekom prerade i prodaje. Cilj je ovoga projekta pratiti promjene osnovnih parametara kvalitete meda kao što su kiselost, elektrovodljivost, aktivnost dijastaze i količina hidroksimetilfurfurala (HMF), koji se mijenjaju s duljinom skladištenja, temperaturom i izloženošću meda Sunčevoj svjetlosti. Istraživanjem je utvrđeno da različiti uvjeti skladištenja meda povezani s promjenom temperaturnog režima imaju utjecaj na promjenu kvalitete meda. Ukupno je analizirano osam uzoraka meda (pet uzoraka meda bagrema i tri uzorka cvjetnog meda), a dobiveni rezultati prikazuju prosječne vrijednosti svih analiziranih uzoraka. Najveće promjene utvrđene su kod dijastaze i HMF-a. Med je skladišten na temperaturi od –20 °C, 0 °C, 20 °C te na temperaturi od 40 °C i 60 °C. Rezultati ukazuju da izlaganje meda višim temperaturama utječe na smanjenje aktivnosti dijastaze ispod 8DN. Jednako tako, rezultati ukazuju da vrijednosti HMF-a pri visokim temperaturama rastu i ako je izloženost meda visokim temperaturama dulja, vrijednosti HMF-a prelaze maksimalne vrijednosti (40mg/kg). Stoga je od velike važnosti da se pri distribuciji i skladištenju meda vodi računa o izloženosti meda utjecaju direktne svjetlosti i temperature okoliša u kojem se med skladišti kako bi se sačuvale prirodne vrijednosti meda. Potrebno je radi zaštite potrošača med skladištiti izvan dohvata Sunčeve svjetlosti i visokih temperatura, a sve u cilju zaštite zdravlja ljudi.
Paula Sliva, Marinela Mandić, Jasna Bošnir, Sonja Serdar, Anna Pierobon, Jozica Raljević, Josipa Krković
Journal of Applied Health Sciences, Volume 6, pp 249-259; https://doi.org/10.24141/1/6/2/7

Abstract:
Maslinovo ulje visokovrijedna je i kvalitetna namirnica te osnova svake mediteranske prehrane, ali i šire. Sama kvaliteta maslinova ulja, osim načina proizvodnje, uvjetovana je i načinom čuvanja. Svjesni smo činjenice da su maslinova ulja često izložena utjecaju svjetlosti i visokim temperaturama, koje znatno mogu utjecati na njegovu kvalitetu, kako kod proizvođača i distributera tako i kod samih potrošača. Cilj je ovoga rada u laboratorijskim uvjetima simulirati uvjete temperaturnih režima te duljine ekspozicije maslinovih ulja, prateći njihov utjecaj na parametre kvalitete ulja kao što su ukupna kiselost ulja, peroksidni broj, K-broj te promjenu sastava masnih kiselina, uključujući i promjenu senzorskih svojstava. Analizama je utvrđeno da temperatura i način skladištenja imaju znatan utjecaj na promjenu kvalitete ulja, osobito kada je riječ o ukupnoj kiselosti ulja i peroksidnom broju. Stoga je od iznimne važnosti da se ulje skladišti u prikladnoj ambalaži, odnosno tamnim staklenim bocama te da se skloni od utjecaja direktnih Sunčevih zraka i visoke temperature.
Ana Debeljak De Martini, Renato Ristić, Jasminka Potočnjak
Journal of Applied Health Sciences, Volume 6, pp 297-304; https://doi.org/10.24141/1/6/2/11

Abstract:
Edukacija zdravstvenih djelatnika kroz formalnu nastavu često se odvija ex cathedra, gdje predavač prenosi znanje, a studenti su slušači. Tijekom studija studenti zdravstva moraju ovladati digitalnim vještinama kako bi bili što učinkovitiji u svojem poslu. Stoga je potrebno da nastavni proces bude moderan i kvalitetan. Cilj istraživanja: Kroz anketiranje ispitati zadovoljstvo metodama poučavanja, poznavanje suvremenih alata u nastavi te stupanj motivacije kod studenata/učenika te zdravstvenih djelatnika sa završenim formalnim školovanjem. Metode: Provedena je anonimna anketa na uzorku od 531 ispitanika. Za potrebe istraživanja konstruiran je strukturirani upitnik koji je izrađen na principu petostupanjske Likertove ljestvice. Anketa se sastoji od sociodemografskih podataka (spol, dob, mjesto školovanja, nivo obrazovanja), tvrdnji za procjenu motivacije te tvrdnji za procjenu nastavnih metoda. Kod 23 ispitanika u tijeku je srednjoškolsko obrazovanje (4,33%), 179 ispitanika završilo je srednju zdravstvenu školu (33,71%), 106 je studenata zdravstva (19,96%), 170 prvostupnici (32,02%), 18 ih je diplomiralo (3,39%), a 35 magistriralo (6,59%). Rezultati: Istraživanje je pokazalo da su tvrdnje o motivaciji za prisustvovanje predavanju ocijenjene prosječnom ocjenom od 3,39 (zanimljiva i poticajna predavanja, odlazim jer moram i sl.). Tvrdnje koje se odnose na poznavanje suvremenih nastavnih metoda i njihovu primjenu u nastavi ocijenjene su prosjekom od 1,49 (Schoology, Kahoot i dr.). Zaključak: Iz provedene ankete može se zaključiti da postoji potreba za modernizacijom i prilagođavanjem predavačkih metoda novim generacijama studenata. Uvođenjem suvremenih nastavnih alata nastava će postati modernija i kreativnija, čime će se povećati motivacija za učenje i sudjelovanje u nastavnom procesu.
Kristina Delaš, Lana Erjavec, Gordana Grozdek Čovčić, Mirjana Telebuh, Ivan Jurak
Journal of Applied Health Sciences, Volume 6, pp 181-188; https://doi.org/10.24141/1/6/2/1

Abstract:
Uvod: Neka istraživanja ukazuju na to da ples utječe na poboljšanje hoda i balansa osoba s Parkinsonovom bolešću te kako utjecaj glazbe i ritma facilitira kretanje i brzinu kod ljudi s Parkinsonovom bolešću. Blagotvorni učinci ritma i glazbe proizlaze iz aktiviranja neuralnih struktura uključenih u kretanje i određivanje vremena. Metode: Rad je sustavni pregled literature pretraživanjem relevantnih članaka baza podataka PubMed, PE-Dro, LILACS i Cochrane library od 2007. do 2020. godine. Kriteriji su istraživanja koja se bave utjecajem tanga na hod i balans kod osoba s Parkinsonovom bolešću primjenom standardiziranih testova Berg balans skale (BBS), testa Time up and go (TUG) i Unified Parkinsonʼs Disease Rating Scale III (UPDRS-III). Iz sustavnog pregleda literature od ukupno 65 pronađenih radova uključeno je šest članaka koji zadovoljavaju zadane kriterije. Rezultati: Uspoređujući trajanje intervencija, istraživanja su se provodila uglavnom kratkoročno i intenzivno te dugoročno i umjereno. Prakticiranjem tanga u kratkoročnom ili dugoročnom razdoblju dolazi ne samo do poboljšanja balansa nego i povećanja tjelesnog fitnesa. Rezultati kratkoročnih istraživanja pokazala su statistički značajne razlike kod testova UPDRS-III i BBS u korist skupina koje su kao intervenciju imale tango, dok se kod dugoročnih istraživanja uočavaju poboljšanja u balansu i hodu koja se nisu pokazala kod kratkoročne i intenzivne intervencije tangom. Zaključak: Dokazi o poboljšanju funkcionalne mobilnosti i balansa potiču na proširivanje spektra rehabilitacije kod osoba s Parkinsonovom bolešću jer je tango ples koji svojim ritmom, glazbom i širinom koraka itekako pronalazi mjesto u rehabilitaciji osoba s Parkinsonovom bolešću.
Suzana Marković, Luka Škifić, Aleksandar Racz
Journal of Applied Health Sciences, Volume 6, pp 189-200; https://doi.org/10.24141/1/6/2/2

Abstract:
Zdravstveni turizam kompleksan je turistički proizvod koji obuhvaća velik broj specijaliziranih sadržaja i uslu­ga na putovanjima motiviranim potrebom za unapređe­njem zdravlja i poboljšanjem kvalitete života. Wellness­turizam kao njegova sastavnica, a posebice medicinski wellness, organizirano je provođenje zdravstveno-pre­ventivnih i kurativnih programa u svrhu prevencije bolesti te očuvanja i unaprjeđenja zdravlja, čije usluge utječu na raznolikost ukupnoga turističkog proizvoda, a time i na bolju prepoznatljivost turističke destinacije na sve zahtjevnijem tržištu. Cilj ovog rada bio je istražiti očekivanja i percepcija korisnika usluga primjenom modificiranoga modela SERVQUAL. Istraživanje je provedeno u Thalasso Wellness Centru Opatija na slučajnom uzorku od 87 ispitanika, a priku­pljeni podaci analizirani su primjenom metoda deskrip-Rezultati istraživanja potvrdili su empirijsku pretpo­stavku o adekvatnosti primjene modela SERVQUAL za mjerenje kvalitete usluga wellnessa, jer je dobiven ja­san prikaz ukupne kvalitete usluga wellnessa. Rezultati su nedvosmisleno ukazali na postojanje jaza između percepcija i očekivanja korisnika. S obzirom na to da su najviše prosječne ocjene za percepciju dobi­le dimenzije opipljivost i pouzdanost kvalitete usluga wellnessa, a najniže osjećajnost ili empatija, u tim je di­menzijama i utvrđen i najveći jaz. Rezultati empirijskoga istraživanja mogu poslužiti me­nadžmentu ustanove kao poticaj za opravdanost kon­tinuiranoga provođenja istraživanja kvalitete usluga wellnessa, zadovoljstva korisnika usluga wellnessa i radnoga zadovoljstva osoblja wellness-centra primje­nom i drugih metoda i modela.
Ines Dobrinić,
Croatian nursing journal, Volume 4, pp 91-101; https://doi.org/10.24141/2/4/1/8

Abstract:
Introduction. Visits to patients are part of a positive and effective strategy of helping patients and their families to better adapt to the stress caused by a patient’s admission to an intensive care unit (ICU). Aim. To determine the ICU nurses’ perception of visits to patients. Methods. The study was conducted at the University Hospital Centre Zagreb (UHC). The cross-sectional study included nurses who work in ICUs. An anonymous, self-designed questionnaire was used and filled in by 44 respondents. The questionnaire consisted of 17 closed-ended questions pertaining to demographic data, questions related to information on visits and questions about the concept of open visits. Results. Out of the total number of 44 respondents, 25 respondents stated that their ICU has booklets about the manner of visits and visiting hours, and that they hand them out to families, while 19 respondents stated that they do not have such booklets. 61% of the respondents feel they have sufficient training to communicate with the patient’s family. 41% of the respondents said that the visits had a positive effect on the patient’s condition and only 2% stated that the visits had no positive effect. 57 % of the respondents think that visits sometimes have a positive effect on the patient’s condition. Of the total number of respondents, 84% feel that visiting hours should be limited. Respondents feel that visits sometimes impede them in their work (66%), while 59% of the respondents feel that visits help spread infections. Out of the total number of respondents, only 32% of them stated that they were familiar with the open ICU concept. Conclusion. More than half of the respondents stated that they have a written visiting policy on ICU wards, and that they are trained to communicate with the family members of patients. Most respondents feel that visits contribute to the spread of infections and that they would limit children’s visits to the ICU. The respondents’ poor knowledge of the open ICU concept creates one of the barriers to introducing it in their wards.
, Matija Bagarić, Marija Karača, Vladimir Trkulja,
Croatian nursing journal, Volume 4, pp 81-89; https://doi.org/10.24141/2/4/1/7

Abstract:
Introduction. Surgical treatment of structural adolescent scoliosis, either through anterior or posterior spinal fusion, results in severe pain. Aim. In comparison with the anterior approach, the posterior approach is considered advantageous in that several spine curvatures can be corrected in a single operative act. The aim was to compare the effectiveness of a morphine-based multimodal protocol over the first 48 postoperative hours in anterior and posterior surgeries. Methods. This retrospective chart review included consecutive adolescents (10-21 years of age) treated using either the anterior (n=28) or the posterior (n=30) approach at a single hospital centre over 3 years (2015-2017). Intravenous morphine (48 mg/24 hours) was administered at hourly intervals; pain was assessed using an 11-point (higher score=worse pain) visual analogue scale on 12 occasions during the first 24 hours and on 3 occasions during the second 24 hours. Additional analgesia (non-opioid or weak opioid) was delivered on demand and/or according to medical assessment. Results. With adjustments for age and number of affected spinal segments, VAS pain scores were lower in the anterior approach, overall (48 hours) (difference = -18%, 95% CI -30 to -5), and particularly over hours 0-3 (-23%, 95% CI -36 to -7%) and hours 4-6 (-26%, 95% CI -40 to -10%) after the surgery. The rate of additional analgesic administrations was comparable throughout the observed period (rate ratios around 1.0). Conclusion. The evaluated intravenous morphinebased multimodal analgesic protocol appeared less effective in surgeries using the posterior approach, suggesting that the two approaches might require different protocols for the same level of analgesia.
Croatian nursing journal, Volume 4, pp 59-71; https://doi.org/10.24141/2/4/1/5

Abstract:
Aim. To assess the level of correlation between two scoring systems: patient categorization according to the Croatian Nursing Council consensus and Nine Equivalents of Nursing Manpower Use Score (NEMS) and their ability to determine if the number of nurses working in the intensive care unit (ICU) is optimal to provide adequate nursing care, and to assess the level of correlation between the severity of patients’ illness and the level of nurses’ satisfaction with provided care. Methods. Research was performed in surgical ICU of the Clinical Department of Anesthesiology, Resuscitation and Intensive Care Medicine, University Hospital Dubrava, in the period between January 8th and April 14th, 2014. 256 patients aged 18-92 years were included in the study. Patient categorization and NEMS were calculated each day during the first 7 days of the ICU stay. NEMS was calculated using a pre-made table of variables and categorization was calculated using an electronic form included in nursing electronic patient files. Satisfaction of provided care was expressed using the Likert scale (1-5). Results. Study results have shown a moderate but significant level of correlation between the categorization and NEMS scores. Mean NEMS score during the first 7 days in the ICU was 26.93 ± 4.64 and the highest measured values were at day 4 (30.34±8.1) after which they started decreasing. Mean cumulative NEMS throughout the whole ICU stay was 269.3. According to the fact that according to NEMS scoring system one nurse can provide maximum of 45 points for 24 hours, the results have shown that a 10 bed ICU needs at least 5.98 (6) nurses to provide adequate level of care. Average categorization score was 57.83±4.29 and the highest recorded score was at day 7 (59.7±4.44). According to the categorization scoring system time needed to provide care for one 4th category patient throughout 24 hours is 10 or more hours. Since the description of the 4th category doesn’t specify what is the upper limit of time needed to provide care for each patient, 14 hours was used to determine a minimum number of nurses, and according to the categorization score 5.83 (6) nurses are needed in the ICU. Nurses’ satisfaction with provided care has shown a significant negative correlation with NEMS score and categorization score. Conclusion. Both scoring systems can be used to assess nursing workload in a surgical ICU. However, NEMS is simpler and quicker to use, more applicable, useful and should be routinely used in place of categorization to assess nursing workload in surgical ICUs.
Page of 6
Articles per Page
by
Show export options
  Select all
Back to Top Top