Višnja Kokić Maleš, Zoran Vučinović, Domagoj Marković, Ivana Jukić
Hypertriglyceridemia is a known but underestimated cause of acute pancreatitis. Although the connection between acute pancreatitis and type I, IV, and V hyperlipoproteinemia has been described, using Fredrickson’s classification, the connection between type IIb hyperlipoproteinemia and associated pancreatitis has only been reported in a few more rare cases. That is why we present a female patient with recurrent hyperlipidaemic pancreatitis with type IIb hyperlipidaemia.
高甘油三酯血症是导致急性胰腺炎的一个已知但被低估的原因。虽然根据弗雷德里克森的分类法，急性胰腺炎与 I、IV 和 V 型高脂蛋白血症之间的联系已被描述过，但 IIb 型高脂蛋白血症与相关胰腺炎之间的联系仅在少数罕见病例中报道过。这就是为什么我们要介绍一位患有复发性高脂蛋白血症胰腺炎并伴有 IIb 型高脂蛋白血症的女性患者。
{"title":"Akutni rekurentni pankreatitis\u0000izazvan hiperlipidemijom tip IIb","authors":"Višnja Kokić Maleš, Zoran Vučinović, Domagoj Marković, Ivana Jukić","doi":"10.48188/hczz.3.2.1","DOIUrl":"https://doi.org/10.48188/hczz.3.2.1","url":null,"abstract":"Hypertriglyceridemia is a known but underestimated cause of acute pancreatitis. Although the connection between acute pancreatitis and type I, IV, and V hyperlipoproteinemia has been described, using Fredrickson’s classification, the connection between type IIb hyperlipoproteinemia and associated pancreatitis has only been reported in a few more rare cases. That is why we present a female patient with recurrent hyperlipidaemic pancreatitis with type IIb hyperlipidaemia.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138967665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniela Šupe Domić, Ivana Unić Šabašov, Lada Stanišić, Sunčana Janković, Milena Nadrčić, A. Matana, E. Čečuk-Jeličić, I. Drmić Hofman
Background: The aim of this study was to determine serum levels of leptin and adiponectin of obese children to identify the influence of leptin receptor gene polymorphisms on leptin resistance and leptin levels, as well as the association between the polymorphisms of adiponectin gene and adiponectin levels.Materials and methods: A case-control study comparing a study group of 74 obese children (age 13.34±2.60 years) to a normal weight-age matched (age 13.39±2.64 years) control group of 69 children. In both groups, body mass index (BMI) and waist/hip circumference, systolic and diastolic blood pressure were measured. Also, the leptin and adiponectin levels, as well as glucose and lipid metabolism parameters, and highly sensitive C-reactive protein (hs-CRP) were measured. Insulin sensitivity was evaluated using fasting insulinemia and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). All subjects were tested for gene-tic polymorphisms in LEPRQ223R (rs1137101), ADIPOQ G276T (rs1501299) and ADIPOT45G (rs2241766).Results: The phenotypes of the obese children study group were significantly higher than in the control group in weight, BMI, waist/hip circumferences and systolic blood pressure (SBP) (P<0.001). We confirmed that in obese children the levels of leptin in the blood are increased and levels of adiponectin are decreased (P<0.001). The differences of the genotype distributions of leptin receptor (LEPRQ223R) and adiponectin (ADIPOG276T and ADIPOT45G) gene polymorphisms in the study group of obese chil-dren and a control group was not observed.Conclusion: In this study, we demonstrated increased leptin level and significantly decreased level of adiponectin in the obese children group compared with the control group. The results of the analysis of glucose metabolism and lipidogram between the two groups showed that insulin, HOMA-IR, and triglycerides, as well as hsCRP were increased and significantly different in the group of obese children compared to the control group, as expected. However, by including a significantly larger number of tested and control samples of both sexes and age-specific groups, with a larger number of tested SNPs, the genes investigated in this study would probably give better insight into a multicomplex disease such as obesity.
{"title":"Analysis of leptin, adiponectin and adiponectin gene polymorphism and leptin receptor in obese children and adolescents","authors":"Daniela Šupe Domić, Ivana Unić Šabašov, Lada Stanišić, Sunčana Janković, Milena Nadrčić, A. Matana, E. Čečuk-Jeličić, I. Drmić Hofman","doi":"10.48188/hczz.3.1.3","DOIUrl":"https://doi.org/10.48188/hczz.3.1.3","url":null,"abstract":"Background: The aim of this study was to determine serum levels of leptin and adiponectin of obese children to identify the influence of leptin receptor gene polymorphisms on leptin resistance and leptin levels, as well as the association between the polymorphisms of adiponectin gene and adiponectin levels.Materials and methods: A case-control study comparing a study group of 74 obese children (age 13.34±2.60 years) to a normal weight-age matched (age 13.39±2.64 years) control group of 69 children. In both groups, body mass index (BMI) and waist/hip circumference, systolic and diastolic blood pressure were measured. Also, the leptin and adiponectin levels, as well as glucose and lipid metabolism parameters, and highly sensitive C-reactive protein (hs-CRP) were measured. Insulin sensitivity was evaluated using fasting insulinemia and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). All subjects were tested for gene-tic polymorphisms in LEPRQ223R (rs1137101), ADIPOQ G276T (rs1501299) and ADIPOT45G (rs2241766).Results: The phenotypes of the obese children study group were significantly higher than in the control group in weight, BMI, waist/hip circumferences and systolic blood pressure (SBP) (P<0.001). We confirmed that in obese children the levels of leptin in the blood are increased and levels of adiponectin are decreased (P<0.001). The differences of the genotype distributions of leptin receptor (LEPRQ223R) and adiponectin (ADIPOG276T and ADIPOT45G) gene polymorphisms in the study group of obese chil-dren and a control group was not observed.Conclusion: In this study, we demonstrated increased leptin level and significantly decreased level of adiponectin in the obese children group compared with the control group. The results of the analysis of glucose metabolism and lipidogram between the two groups showed that insulin, HOMA-IR, and triglycerides, as well as hsCRP were increased and significantly different in the group of obese children compared to the control group, as expected. However, by including a significantly larger number of tested and control samples of both sexes and age-specific groups, with a larger number of tested SNPs, the genes investigated in this study would probably give better insight into a multicomplex disease such as obesity.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123286281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cilj: Cilj ovog istraživanja je ispitati stavove studenata zdravstvenih i nezdravstvenih usmjerenja o starenju i demenciji.Metode: Istraživanje je presječno. Ispitanici su studenti Sveučilišta u Splitu s Medicinskog, Pomorskog i Filozofskog fakulteta te Odjela zdravstvenih studija. Obrađeni podatci prikupljeni su putem online ankete. Metode deskriptivne statistike prezentiraju srednje razine stavova upotrebom medijana i aritmetičke sredine s pokazateljima raspršenosti oko srednjih vrijednosti upotrebom interkvartilnog raspona, te standardne devijacije. χ2 testom ispituje se razlika u strukturi ispitanika. Kod ispitivanja hipoteza kori-ste se T-test, Anova test, te regresijska analiza. Analiza je rađena u statističkom softwareu STATISTICA 12, TIBCO Software Inc., California.Alati za mjerenje: Za potrebe istraživanja proveden je anketni upitnik od četiri (4) dijela: podatci o sociodemografskim obiljež-jima ispitanika, znanje ispitanika upotrebom Palmerove ljestvice, stavovi prema starenju i starijim osobama upotrebom Koganove ljestvice te stavovi prema demenciji DAS ljestvicom.Rezultati: Srednja razina stava na Koganovoj ljestvici je za 3,73 boda veća u odnosu na graničnu vrijednost 119. Ispitivanjem je utvrđena statistički značajna razlika između stava studenata zdravstvenog i nezdravstvenog usmjerenja (t=4,28; P<0,001). Znanje je ispitano Palmer ljestvicom znanja. Srednja razina znanja je 15,02 boda, te se kretala u rasponu od 1 do 23. Stav prema dementnosti je ispitan DAS ljestvicom. Povezanost starosne dobi i stavova o starenju i starijim osobama nije utvrđena (r=0,024; P=0,715), kao niti između dobi i Palmerove ljestvice (r=-0,114; P=0,083). Promjena stava prema demenciji nije povezana s pro-mjenom starosne dobi (r=0,060; P=0,364). Na DAS skali je veći zbroj za 2,39 bodova utvrđen kod ispitanih studentica u odnosu na ispitane studente (t=1,98; P=0,049). Ispitivanjem nije utvrđena prisutnost statistički značajne razlike s obzirom na spol (F=1,62; P=0,199). Ispitivanjem nije utvrđena prisutnost statistički značajne razlike s obzirom na mjesto stanovanja (F=0,20; P=0,819). Ispitivanjem nije utvrđena statistički značajna razlika s obzirom na godinu studiranja (F=2,07; P=0,070). Srednja razina stava kod studenata s osobnim iskustvom života sa starijim osobama, mjerena svim trima ljestvicama, statistički nije značajna. Statistički značajan utjecaj je utvrđen kod čimbenika dobi. Godina studija se pozitivno održava na znanje; studenti viših godina studija bilježe porast znanja u prosjeku za 0,15 bodova na svakoj narednoj godini studija (P=0,041). Zaključci: Presječnom istraživanju pristupilo je 233 studenta zdravstvenih i nezdravstvenih studija. Stav studenata medicinskih usmjerenja pozitivnija je u tri kategorije ispitivanja: prema starenju i starijim osobama, te demenciji. Stav studenata nije različit s obzirom na demografska obilježja (dob, spol, boravište, godina studiranja). Nismo dokazali razlike u stavu studenata prema stare-nju s obzirom na is
目的：本研究旨在调查医科和非医科学生对老龄化和痴呆症的看法。参与者为医学院、海事研究学院、艺术学院和健康研究系的学生。原始数据通过在线调查收集。描述性统计方法通过使用中位数和算术平均数来显示结果的均值差异，并使用四分位数间距和标准差来显示均值差异的离散指标。 χ2检验用于检验样本结构的差异。使用 T 检验、Anova 检验和回归分析来检验假设。分析使用 TIBCO 软件公司的统计软件 STATISTICA 12 进行、为了研究的目的，进行了四（4）dijela 问卷调查：关于受访者社会人口学丰度的数据、使用 Palmer 量表的受访者知识、使用 Kogan 量表的老龄化和老年化以及使用 DAS 量表的痴呆症。结果：Kogan 量表的平均投注差异为 3.73 分，高于 119 分的上限。结果证实，医科学生和非医科学生的得分差异具有统计学意义（t=4.28；P<0.001）。 知识采用帕尔默知识量表进行测量。痴呆状态由 DAS 量表测量。年龄与老龄化和老年状态之间的关联不确定（r=0.024；P=0.715），年龄与帕尔默量表之间的关联也不确定（r=-0.114；P=0.083）。痴呆症患病率与老年患病率没有关联（r=0.060；P=0.364）。在 DAS 量表中，患有痴呆症的学生人数高出 2.39 分（t=1.98；P=0.049）。 实验结果未证实性别差异的统计学意义（F=1.62；P=0.199）。 实验结果未证实居住地差异的统计学意义（F=0.20；P=0.819）。实验结果并没有证实居住地的差异具有统计学意义（F=0.20；P=0.819）。差异的统计意义由最大年龄决定。学习年限对知识有积极影响；学习年限较高的学生在接下来的学习年限中，每年的知识都会增加 0.15 分（P=0.041）。 结论：233 名卫生和非卫生专业的学生参与了此次调查。医科学生对老龄化和老年人以及痴呆症这三个类别的积极态度是正面的。学生人数在人口统计学特征（年龄、性别、教育程度、就读年级）方面没有差异。Nismo dokazali razlike u stavu studenata prema stare-nju s obzirom na iskustvo suživota sa starijom osôb。学生的学习成绩和痴呆程度可能会影响他们的学习成绩。
{"title":"Differences in the\u0000attitudes of health and non-health students about aging and dementia","authors":"Silvija Kaleb, R. Mulić, Iris Jerončić Tomić","doi":"10.48188/hczz.3.1.4","DOIUrl":"https://doi.org/10.48188/hczz.3.1.4","url":null,"abstract":"Cilj: Cilj ovog istraživanja je ispitati stavove studenata zdravstvenih i nezdravstvenih usmjerenja o starenju i demenciji.Metode: Istraživanje je presječno. Ispitanici su studenti Sveučilišta u Splitu s Medicinskog, Pomorskog i Filozofskog fakulteta te Odjela zdravstvenih studija. Obrađeni podatci prikupljeni su putem online ankete. Metode deskriptivne statistike prezentiraju srednje razine stavova upotrebom medijana i aritmetičke sredine s pokazateljima raspršenosti oko srednjih vrijednosti upotrebom interkvartilnog raspona, te standardne devijacije. χ2 testom ispituje se razlika u strukturi ispitanika. Kod ispitivanja hipoteza kori-ste se T-test, Anova test, te regresijska analiza. Analiza je rađena u statističkom softwareu STATISTICA 12, TIBCO Software Inc., California.Alati za mjerenje: Za potrebe istraživanja proveden je anketni upitnik od četiri (4) dijela: podatci o sociodemografskim obiljež-jima ispitanika, znanje ispitanika upotrebom Palmerove ljestvice, stavovi prema starenju i starijim osobama upotrebom Koganove ljestvice te stavovi prema demenciji DAS ljestvicom.Rezultati: Srednja razina stava na Koganovoj ljestvici je za 3,73 boda veća u odnosu na graničnu vrijednost 119. Ispitivanjem je utvrđena statistički značajna razlika između stava studenata zdravstvenog i nezdravstvenog usmjerenja (t=4,28; P<0,001). Znanje je ispitano Palmer ljestvicom znanja. Srednja razina znanja je 15,02 boda, te se kretala u rasponu od 1 do 23. Stav prema dementnosti je ispitan DAS ljestvicom. Povezanost starosne dobi i stavova o starenju i starijim osobama nije utvrđena (r=0,024; P=0,715), kao niti između dobi i Palmerove ljestvice (r=-0,114; P=0,083). Promjena stava prema demenciji nije povezana s pro-mjenom starosne dobi (r=0,060; P=0,364). Na DAS skali je veći zbroj za 2,39 bodova utvrđen kod ispitanih studentica u odnosu na ispitane studente (t=1,98; P=0,049). Ispitivanjem nije utvrđena prisutnost statistički značajne razlike s obzirom na spol (F=1,62; P=0,199). Ispitivanjem nije utvrđena prisutnost statistički značajne razlike s obzirom na mjesto stanovanja (F=0,20; P=0,819). Ispitivanjem nije utvrđena statistički značajna razlika s obzirom na godinu studiranja (F=2,07; P=0,070). Srednja razina stava kod studenata s osobnim iskustvom života sa starijim osobama, mjerena svim trima ljestvicama, statistički nije značajna. Statistički značajan utjecaj je utvrđen kod čimbenika dobi. Godina studija se pozitivno održava na znanje; studenti viših godina studija bilježe porast znanja u prosjeku za 0,15 bodova na svakoj narednoj godini studija (P=0,041). Zaključci: Presječnom istraživanju pristupilo je 233 studenta zdravstvenih i nezdravstvenih studija. Stav studenata medicinskih usmjerenja pozitivnija je u tri kategorije ispitivanja: prema starenju i starijim osobama, te demenciji. Stav studenata nije različit s obzirom na demografska obilježja (dob, spol, boravište, godina studiranja). Nismo dokazali razlike u stavu studenata prema stare-nju s obzirom na is","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132620936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sideropenična anemija se javlja uslijed smanjenog unosa željeza hranom, kod poremećaja u apsorpciji željeza u probavnom traktu, zbog gubitka krvi ili zbog povećanih potreba organizma za željezom. Procjenjuje se da od sideropenične anemije pati oko 30% svjetske populacije, od čega je više od 40% predškolske djece. U prevenciji nastanka sideropenične anemije značajna je edu-kacija roditelja i populacije o važnosti pravilne prehrane i unosu željeza u organizam putem hrane. Najznačajnije je utvrditi uzrok anemije, a cilj liječenja je normalizacija hemoglobina, serumskog željeza te popunjavanje rezervi željeza. Liječenje sideropenične anemije se provodi peroralnim preparatima željeza koji su po svome sastavu organske ili anorganske soli željeza u dvovalentnom (fero) ili trovalentnom (feri) obliku. Ovim radom daje se sustavni pregled aktualnih smjernica, preporuka i postupaka koji se koriste u svrhu prevencije i liječenja sideropenične anemije u pedijatrijskoj populaciji. Također, u radu se daje pregled peroralnih prepa-rata željeza koji su registrirani lijekovi, dodaci prehrani i početne dojenačke formule, zastupljeni na hrvatskom tržištu.
{"title":"Peroralni\u0000preparati željeza u prevenciji i liječenju sideropenične anemije u dječjoj dobi","authors":"Ivana Đurović, A. Rešić","doi":"10.48188/hczz.3.1.7","DOIUrl":"https://doi.org/10.48188/hczz.3.1.7","url":null,"abstract":"Sideropenična anemija se javlja uslijed smanjenog unosa željeza hranom, kod poremećaja u apsorpciji željeza u probavnom traktu, zbog gubitka krvi ili zbog povećanih potreba organizma za željezom. Procjenjuje se da od sideropenične anemije pati oko 30% svjetske populacije, od čega je više od 40% predškolske djece. U prevenciji nastanka sideropenične anemije značajna je edu-kacija roditelja i populacije o važnosti pravilne prehrane i unosu željeza u organizam putem hrane. Najznačajnije je utvrditi uzrok anemije, a cilj liječenja je normalizacija hemoglobina, serumskog željeza te popunjavanje rezervi željeza. Liječenje sideropenične anemije se provodi peroralnim preparatima željeza koji su po svome sastavu organske ili anorganske soli željeza u dvovalentnom (fero) ili trovalentnom (feri) obliku. Ovim radom daje se sustavni pregled aktualnih smjernica, preporuka i postupaka koji se koriste u svrhu prevencije i liječenja sideropenične anemije u pedijatrijskoj populaciji. Također, u radu se daje pregled peroralnih prepa-rata željeza koji su registrirani lijekovi, dodaci prehrani i početne dojenačke formule, zastupljeni na hrvatskom tržištu.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115114943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cilj rada: Odrediti učestalost infekcija uzrokovanih M. hominis i U. urealyticum u KBC-u Split od 1.1.2020. do 31.12.2020. te odrediti osjetljivost navedenih izolata na antibiotike u istom periodu.Materijali i metode: Istraživanje je obuhvatilo podatke o pacijentima s dokazanom M. hominis ili U. urealyticum u navedenom razdoblju. Podatci su prikupljeni u Kliničkom zavodu za mikrobiologiju i parazitologiju, Kliničkog bolničkog centra (KBC) Split. Kao dijagnostička metoda koristio se komercijalni set za kultivaciju urogenitalnih mikoplazmi MYCOFAST RevolutioN, podijeljen u dvije faze testiranja.Rezultati: Klinički zavod za mikrobiologiju i parazitologiju u Splitu zaprimio je 638 uzoraka iz urogenitalnog trakta sumnjivih na infekciju urogenitalnimi mikoplazmama. Od toga je u 7% (ukupno 45 uzoraka) dokazana U. urealyticum te u 0,5% (ukupno 3 uzorka) M. hominis. Ureaplazme najčešće uzrokuju infekcije spolnog sustava i to u žena u generativnoj dobi. Većina testiranih izolata ureaplazmi bila je osjetljiva na doksicikin (94,4%), eritromicin (82,9%), moksifloksacin (80,5%), levofloksacin (77,8%) i tetraciklin (76%), a rezistentnana klindamicin (95,8%). Zbog malog broja mikoplazmi testiranih na antibiotike, uzorak nije repre-zentativan za statističku analizu osjetljivosti izolata na antibiotike.Zaključci: Rezultati ovoga istraživanja ukazuju na najveću pojavnost urogenitalnih mikoplazmi u žena reproduktivne dobi, što naglašava značaj rane dijagnostike i liječenja, kako bi se pravodobno spriječile komplikacije u trudnoći i postpartalnom razdoblju. Iako je većina izolata dobro osjetljiva na tetracikline i makrolide, potrebno je stalno testiranje osjetljivosti izolata na antibiotike zbog sve veće pojave i rasta rezistencije u svijetu.
{"title":"Diagnosis\u0000of infections caused by Ureaplasma urealyticum and Mycoplasma hominis","authors":"Tina Kavelj, Anita Novak","doi":"10.48188/hczz.3.1.6","DOIUrl":"https://doi.org/10.48188/hczz.3.1.6","url":null,"abstract":"Cilj rada: Odrediti učestalost infekcija uzrokovanih M. hominis i U. urealyticum u KBC-u Split od 1.1.2020. do 31.12.2020. te odrediti osjetljivost navedenih izolata na antibiotike u istom periodu.Materijali i metode: Istraživanje je obuhvatilo podatke o pacijentima s dokazanom M. hominis ili U. urealyticum u navedenom razdoblju. Podatci su prikupljeni u Kliničkom zavodu za mikrobiologiju i parazitologiju, Kliničkog bolničkog centra (KBC) Split. Kao dijagnostička metoda koristio se komercijalni set za kultivaciju urogenitalnih mikoplazmi MYCOFAST RevolutioN, podijeljen u dvije faze testiranja.Rezultati: Klinički zavod za mikrobiologiju i parazitologiju u Splitu zaprimio je 638 uzoraka iz urogenitalnog trakta sumnjivih na infekciju urogenitalnimi mikoplazmama. Od toga je u 7% (ukupno 45 uzoraka) dokazana U. urealyticum te u 0,5% (ukupno 3 uzorka) M. hominis. Ureaplazme najčešće uzrokuju infekcije spolnog sustava i to u žena u generativnoj dobi. Većina testiranih izolata ureaplazmi bila je osjetljiva na doksicikin (94,4%), eritromicin (82,9%), moksifloksacin (80,5%), levofloksacin (77,8%) i tetraciklin (76%), a rezistentnana klindamicin (95,8%). Zbog malog broja mikoplazmi testiranih na antibiotike, uzorak nije repre-zentativan za statističku analizu osjetljivosti izolata na antibiotike.Zaključci: Rezultati ovoga istraživanja ukazuju na najveću pojavnost urogenitalnih mikoplazmi u žena reproduktivne dobi, što naglašava značaj rane dijagnostike i liječenja, kako bi se pravodobno spriječile komplikacije u trudnoći i postpartalnom razdoblju. Iako je većina izolata dobro osjetljiva na tetracikline i makrolide, potrebno je stalno testiranje osjetljivosti izolata na antibiotike zbog sve veće pojave i rasta rezistencije u svijetu.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117340302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aim of this paper is to determine whether there is a difference between the expressed need and choice of priorities of the non-institutional care services provided by gerontological centres and the category of their functional independence in the elderly who are on the official waiting list for placement in the decentralized Nursing home Split “Vukovarska”.Methods: The research was conducted in November 2021. The participants were aged 65 and over who were on the official waiting list of the Nursing home Split. The research was conducted via telephone survey with the guaranteed anonymity of the participants. The following questionnaires were used: Questionnaire on sociodemographic characteristics, Questionnaire for self-assessment of elderly persons on the need and choice of offered services of non-institutional care, Barthel index modified according to Shah S., Vanclay F. and Cooper B. (MBI).Results: The study included 182 participants. There was a statistically significant difference between the participants’ stated need and choice of priorities for the offered services of the gerontological centre and the category of functional independence of the participants in relation to offered services: help at home (p<0.001); day stay (p<0.001); programs of continuous physical, mental, work, and cultural and entertainment activities (p<0.001); medical, social and psychological services (p<0.002); technical assistance (p<0.001).Conclusions: This study indicates that the functional independence of the elderly is an important gerontological public health indicator in the planning of non-institutional care for the elderly population.
本文的目的是确定老年学中心提供的非机构护理服务的表达需求和优先选择与在分散的养老院Split " Vukovarska "的正式等候名单上的老年人的功能独立性类别之间是否存在差异。方法:研究于2021年11月进行。参与者年龄在65岁及以上，都在斯普利特养老院的正式等候名单上。这项研究是通过电话调查进行的，并保证参与者的匿名。采用以下问卷:社会人口学特征问卷、老年人非机构照护服务需求与选择自评问卷、根据Shah S.、Vanclay F.和Cooper B. (MBI)修正的Barthel指数。结果:该研究包括182名参与者。参与者对老年中心提供的服务的陈述需求和优先选择与参与者的功能独立性类别之间存在统计学上的显著差异:家庭帮助(p<0.001);住院天数(p<0.001);持续的体力、脑力、工作、文化和娱乐活动计划(p<0.001);医疗、社会和心理服务(p<0.002);技术援助(p<0.001)。结论:老年人功能独立性是老年人非机构养老规划中一项重要的老年公共卫生指标。
{"title":"Samoprocijenjene potrebe starijih osoba za uslugama\u0000gerontoloških centara izvaninstitucijske skrbi u odnosu na njihovu funkcionalnu\u0000sposobnost","authors":"Marina Tičinović, N. Tomasović Mrčela","doi":"10.48188/hczz.3.1.5","DOIUrl":"https://doi.org/10.48188/hczz.3.1.5","url":null,"abstract":"Aim of this paper is to determine whether there is a difference between the expressed need and choice of priorities of the non-institutional care services provided by gerontological centres and the category of their functional independence in the elderly who are on the official waiting list for placement in the decentralized Nursing home Split “Vukovarska”.Methods: The research was conducted in November 2021. The participants were aged 65 and over who were on the official waiting list of the Nursing home Split. The research was conducted via telephone survey with the guaranteed anonymity of the participants. The following questionnaires were used: Questionnaire on sociodemographic characteristics, Questionnaire for self-assessment of elderly persons on the need and choice of offered services of non-institutional care, Barthel index modified according to Shah S., Vanclay F. and Cooper B. (MBI).Results: The study included 182 participants. There was a statistically significant difference between the participants’ stated need and choice of priorities for the offered services of the gerontological centre and the category of functional independence of the participants in relation to offered services: help at home (p<0.001); day stay (p<0.001); programs of continuous physical, mental, work, and cultural and entertainment activities (p<0.001); medical, social and psychological services (p<0.002); technical assistance (p<0.001).Conclusions: This study indicates that the functional independence of the elderly is an important gerontological public health indicator in the planning of non-institutional care for the elderly population.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123690549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Antonela Matijaš, M. Firić, Duje Donadić, Ivan Plenković, A. Obad, Mario Podrug
Medical waste is generated in healthcare institutions and can be of different types. According to its properties, it can be classified as hazardous medical waste or non-hazardous medical waste. Due to its potentially dangerous properties, it is necessary to manage medical waste in accordance with the provisions of the Waste Management Act and the Ordinance on Medical Waste Management (1, 2). In the period from 2015 to 2019, the amount of medical waste grew annually by an average of 8%. In 2020, 7.014 tons of medical waste were generated, of which 74% was hazardous and 26% was non-hazardous medical waste. Compared to 2019, this was an increase of 28%, which can be attributed to the increased consumption of medical products due to the COVID-19 pandemic. The amount of hazardous medical waste increased by 18%, and the amount of non-hazardous medical waste by 67% (3). The aim of this work was to investigate the differences in the amount,ncomposition, and treatment of medical waste in the pre-pandemic and pandemic period during the COVID-19 pandemic in health care institutions of the Split-Dalmatia County. The increased use of additional protective equipment in the work of healthcare professionals during the COVID-19 pandemic caused the generation of three times more infectious waste. The paper highlights the importance of proper handling, collection, processing, and disposal of infectious medical wasteo to prevent direct or indirect transmission of infection and harmful effects on human and/or animal health.
{"title":"Composition and quantity of medical waste and its impact on the environment before and during the Covid-19 pandemic","authors":"Antonela Matijaš, M. Firić, Duje Donadić, Ivan Plenković, A. Obad, Mario Podrug","doi":"10.48188/hczz.3.1.9","DOIUrl":"https://doi.org/10.48188/hczz.3.1.9","url":null,"abstract":"Medical waste is generated in healthcare institutions and can be of different types. According to its properties, it can be classified as hazardous medical waste or non-hazardous medical waste. Due to its potentially dangerous properties, it is necessary to manage medical waste in accordance with the provisions of the Waste Management Act and the Ordinance on Medical Waste Management (1, 2). In the period from 2015 to 2019, the amount of medical waste grew annually by an average of 8%. In 2020, 7.014 tons of medical waste were generated, of which 74% was hazardous and 26% was non-hazardous medical waste. Compared to 2019, this was an increase of 28%, which can be attributed to the increased consumption of medical products due to the COVID-19 pandemic. The amount of hazardous medical waste increased by 18%, and the amount of non-hazardous medical waste by 67% (3). The aim of this work was to investigate the differences in the amount,ncomposition, and treatment of medical waste in the pre-pandemic and pandemic period during the COVID-19 pandemic in health care institutions of the Split-Dalmatia County. The increased use of additional protective equipment in the work of healthcare professionals during the COVID-19 pandemic caused the generation of three times more infectious waste. The paper highlights the importance of proper handling, collection, processing, and disposal of infectious medical wasteo to prevent direct or indirect transmission of infection and harmful effects on human and/or animal health.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122642322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dugi se niz godina smatralo da ultrazvuk nije pogodna metoda prikaza promjena prsnog koša. Ultrazvuk prsnog koša je osobito primjenjiv u djece jer imaju tanku stijenku prsnog koša, a promjene na plućima većinom dopiru do pleure. Jednostavno ga je primijeniti uz krevet bolesnika. Ultrazvuk prsišta je dijagnostička metoda razvijena od liječnika kliničara za daljnju kliničku uporabu. Postoje tipične ultrazvučne promjene (“artefakti”) koje je potrebno prepoznati na ultrazvuku prsišta. Pregledavanje mora biti sustavno, uvijek istim redoslijedom, kako bi se dobile mjerljive i točne informacije o plućnoj patologiji. Ultrazvuk prsišta pogodan je za praćenje i rano otkrivanje komplikacija bolesti. Ultrazvuk prsišta može se lako uključiti u dijagnostički algoritam u svrhu smanjenja izloženosti ionizirajućem zračenju. Klinička uporaba ultrazvuka prsišta može omogućiti brže postavljanje ispravne dijagnoze i liječenja, što dovodi do poboljšanja ishoda bolesti.
{"title":"Lung\u0000ultrasound: a valuable diagnostic method","authors":"Jasna Petrić Duvnjak","doi":"10.48188/hczz.3.1.8","DOIUrl":"https://doi.org/10.48188/hczz.3.1.8","url":null,"abstract":"Dugi se niz godina smatralo da ultrazvuk nije pogodna metoda prikaza promjena prsnog koša. Ultrazvuk prsnog koša je osobito primjenjiv u djece jer imaju tanku stijenku prsnog koša, a promjene na plućima većinom dopiru do pleure. Jednostavno ga je primijeniti uz krevet bolesnika. Ultrazvuk prsišta je dijagnostička metoda razvijena od liječnika kliničara za daljnju kliničku uporabu. Postoje tipične ultrazvučne promjene (“artefakti”) koje je potrebno prepoznati na ultrazvuku prsišta. Pregledavanje mora biti sustavno, uvijek istim redoslijedom, kako bi se dobile mjerljive i točne informacije o plućnoj patologiji. Ultrazvuk prsišta pogodan je za praćenje i rano otkrivanje komplikacija bolesti. Ultrazvuk prsišta može se lako uključiti u dijagnostički algoritam u svrhu smanjenja izloženosti ionizirajućem zračenju. Klinička uporaba ultrazvuka prsišta može omogućiti brže postavljanje ispravne dijagnoze i liječenja, što dovodi do poboljšanja ishoda bolesti.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114991389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aims: Age-related changes of bones and skeletal muscles were investigated in previous studies. The aim of our study was to determine the possible association of CT-estimated lumbar spine bone density and psoas major muscle changes in a young and middle-aged population, in whom the age-related changes are not considerably advanced. We also investigated to which extent the iodine contrast affected bone and muscle attenuation. Methods: Baseline and CT imaging data of patients aged 18 to 49 years, who underwent a multiphasic abdominopelvic CT exam at the University Hospital Split from July to December 2021, were retrospectively retrieved. CT attenuation values, Hounsfield Units (HU), of lumbar spine and psoas major muscle were measured at the level of L4 on native (precontrast), arterial and venous postcontrast scans.Results: The mean age of 113 included patients was 40.61 years, 51.33% were men. CT attenuation values of lumbar spine and psoas major muscle correlated. The highest correlation was found between age and L4, while the correlation between age and psoas muscle was somewhat weaker. No significant differences were observed between the sexes, except higher L4 HU in women. The application of iodine contrast significantly increased HU, with a mean increase of nearly 12% at lumbar spine and 18-26% at psoas muscle.Conclusion: CT attenuation values of lumbar spine and psoas major muscle correlate in young and middle-aged population. Age-related changes were somewhat stronger in bones than in muscles. Iodine contrastysignificantly increases the HU of both bone and muscle.
{"title":"Povezanost CT-om procijenjene mineralne gustoće lumbalne kralježnice i masne infiltracije mišića psoasa u pacijenata mlađe i srednje životne dobi","authors":"Matea Bolčić, Danijela Budimir Mršić, Ivica Ordulj","doi":"10.48188/hczz.3.1.1","DOIUrl":"https://doi.org/10.48188/hczz.3.1.1","url":null,"abstract":"Aims: Age-related changes of bones and skeletal muscles were investigated in previous studies. The aim of our study was to determine the possible association of CT-estimated lumbar spine bone density and psoas major muscle changes in a young and middle-aged population, in whom the age-related changes are not considerably advanced. We also investigated to which extent the iodine contrast affected bone and muscle attenuation. Methods: Baseline and CT imaging data of patients aged 18 to 49 years, who underwent a multiphasic abdominopelvic CT exam at the University Hospital Split from July to December 2021, were retrospectively retrieved. CT attenuation values, Hounsfield Units (HU), of lumbar spine and psoas major muscle were measured at the level of L4 on native (precontrast), arterial and venous postcontrast scans.Results: The mean age of 113 included patients was 40.61 years, 51.33% were men. CT attenuation values of lumbar spine and psoas major muscle correlated. The highest correlation was found between age and L4, while the correlation between age and psoas muscle was somewhat weaker. No significant differences were observed between the sexes, except higher L4 HU in women. The application of iodine contrast significantly increased HU, with a mean increase of nearly 12% at lumbar spine and 18-26% at psoas muscle.Conclusion: CT attenuation values of lumbar spine and psoas major muscle correlate in young and middle-aged population. Age-related changes were somewhat stronger in bones than in muscles. Iodine contrastysignificantly increases the HU of both bone and muscle.","PeriodicalId":240055,"journal":{"name":"Hrvatski časopis zdravstvenih znanosti","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125617616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ante Buljubašić, L. Luketin, Amneris Milano Bekavac
Cilj: Cilj ovog rada je procijeniti stavove mladih ljudi prema ovisnosti. Metode: Za istraživanje su korišteni upitnici za prikupljanje sociodemografskih karakteristika ispitanika te upitnik koji se odnosi na stavove ispitanika prema konzumaciji droga sastavljen od trideset i devet tvrdnji vezanih za stavove ispitanika prema ovisnostima, predan ispitanicima u izravnom kontaktu. Istraživanje je bilo dobrovoljno i anonimno.Rezultati: U istraživanju je sudjelovalo 502 ispitanika od kojih je 246 (49%) bilo muškaraca i 256 (51%) žena u dobi od 15 do 18 godina. Ispitanici su bili učenici prvog (N=261) i četvrtog (N=241) razreda srednjih škola. Na tvrdnje “Korištenje kanabisa ne treba biti legalno.” i “Nije normalno da mladi ljudi probaju droge barem jednom.”, muškarci su zauzeli značajno povoljnije sta-vove. Učenici prvog i četvrtog razreda su statistički značajno različito odgovorili na tvrdnju “Povremeno korištenje kanabisa/ma-rihuane je opasno.”, dok su kod tvrdnje “Većina mladih danas proba ecstasy.” odgovori učenika prvih i četvrtih razreda statistički značajno različiti. Analizom odgovora prema školama na tvrdnje “Sve droge nisu jednako štetne za Vaše zdravlje.” te “Povremeno korištenje kanabisa/marihuane je opasno.”, uočeni su statistički značajno različiti odgovori.Zaključci: Iako većina ispitanika ima pozitivne stavove o ovisnostima i smatra da je edukacija o ovisnostima potrebna već u ranoj fazi školovanja, ipak su rezultati pokazali da svaki peti ispitanik prvog razredu srednje škole te svaki treći ispitanik četvrtog razreda srednje škole konzumira kanabis. Ovakvi rezultati govore u prilog potrebe sustavnog pristupa šire zajednice u rješavanju ovog problema.
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