Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-17
{"title":"Prevencija i zbrinjavanje dekubitusa kod starijih osoba","authors":"","doi":"10.26800/lv-145-supl9-17","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-17","url":null,"abstract":"","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140692727","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}
Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-30
M. Mašanović, Ankica Džono Boban
Introduction and objective : Three-day home stool testing for invisible blood (test) for healthy, asymptomatic people of both sexes is performed every two years at the invitation of the National Colon Cancer Screening (NCCSP) in Croatia since 2008. The aim of the paper is to present the characteristics of elderly with a positive test result for the Dubrovnik-Nereva County (DNC) at the age of 65 - 74 years as part of the 3rd - 5th calling cycle. Methods : We used data from the NCCSP IT solution and survey questionnaire that people submitted with test samples in the period April 4th 2016 until May 26th 2023 for the analyzed cycles, processed by descriptive statistical method. Results : The results are shown collectively for all observed cycles, according to gender, for 603 people (326 men and 277 women) with a positive test (7.1% of men and 5.1% of women among those tested). Respondents mostly live in a married or cohabiting union (77.0% of men, 59.9% of women), have a secondary education (47.5% of men and 44.4% of women). According to the body mass index (BMI), most men have increased body mass, 47.5% (39.4% of women). The obese category, BMI > 40, was recorded in 0.9% of men and 1.1% of women. The hereditary component of
{"title":"Elderly people with a positive test of the national colon cancer screening program in the Dubrovnik-Neretva County","authors":"M. Mašanović, Ankica Džono Boban","doi":"10.26800/lv-145-supl9-30","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-30","url":null,"abstract":"Introduction and objective : Three-day home stool testing for invisible blood (test) for healthy, asymptomatic people of both sexes is performed every two years at the invitation of the National Colon Cancer Screening (NCCSP) in Croatia since 2008. The aim of the paper is to present the characteristics of elderly with a positive test result for the Dubrovnik-Nereva County (DNC) at the age of 65 - 74 years as part of the 3rd - 5th calling cycle. Methods : We used data from the NCCSP IT solution and survey questionnaire that people submitted with test samples in the period April 4th 2016 until May 26th 2023 for the analyzed cycles, processed by descriptive statistical method. Results : The results are shown collectively for all observed cycles, according to gender, for 603 people (326 men and 277 women) with a positive test (7.1% of men and 5.1% of women among those tested). Respondents mostly live in a married or cohabiting union (77.0% of men, 59.9% of women), have a secondary education (47.5% of men and 44.4% of women). According to the body mass index (BMI), most men have increased body mass, 47.5% (39.4% of women). The obese category, BMI > 40, was recorded in 0.9% of men and 1.1% of women. The hereditary component of","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140692855","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}
Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-12
{"title":"Educational program for adults as support in health and social care for the elderly","authors":"","doi":"10.26800/lv-145-supl9-12","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-12","url":null,"abstract":"","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":" 62","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140691975","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}
Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-32
Lucija Nežmah, Dora Belec, M. Držaić, Ingrid Kummer, Iva Bužančić, M. O. Hadžiabdić, Jovana Brkić, Daniela Fialová
Introduction and aim : Inappropriate and long-term use (longer than 12 weeks) of benzodiazepines (BZD) is associated with unfavourable outcomes, especially in sensitive groups of patients such as the older adults. In order to increase patient safety and improve outcomes, deprescribing should be suggested to patients with prolonged BZD use. Primary aim of this study was to determine the prevalence of BZD use in older adults in Croatian primary health care. Secondary aim was to estimate the need for their deprescribing
{"title":"Assessing the need for deprescribing benzodiazepines in older adults in primary care: analysis of a Croatian cohort from the EuroAgeism H2020 ESR7 project","authors":"Lucija Nežmah, Dora Belec, M. Držaić, Ingrid Kummer, Iva Bužančić, M. O. Hadžiabdić, Jovana Brkić, Daniela Fialová","doi":"10.26800/lv-145-supl9-32","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-32","url":null,"abstract":"Introduction and aim : Inappropriate and long-term use (longer than 12 weeks) of benzodiazepines (BZD) is associated with unfavourable outcomes, especially in sensitive groups of patients such as the older adults. In order to increase patient safety and improve outcomes, deprescribing should be suggested to patients with prolonged BZD use. Primary aim of this study was to determine the prevalence of BZD use in older adults in Croatian primary health care. Secondary aim was to estimate the need for their deprescribing","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140692804","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}
Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-15
Dunja Kuliš, Petra Nola Fuchs, Boris Pažin, Josipa Sanja Forto
Micro-organisms
微生物
{"title":"Influence of nutrition on the oral health of elderly persons","authors":"Dunja Kuliš, Petra Nola Fuchs, Boris Pažin, Josipa Sanja Forto","doi":"10.26800/lv-145-supl9-15","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-15","url":null,"abstract":"Micro-organisms","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690633","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}
Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-26
Valerija Bralić Lang
{"title":"Geriatric approach in the treatment of elderly people with the most common cardiometabolic diseases","authors":"Valerija Bralić Lang","doi":"10.26800/lv-145-supl9-26","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-26","url":null,"abstract":"","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":"141 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140694156","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}
Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-35
Irma Širanović Pongrac, V. Tomašić, P. Čačić, T. Pavic, N. Baršić, A. Bišćanin, I. Lerotić, D. Hrabar
Background and aims : Early detection of colon adenomas and polyps reduces the risk of colorectal cancer development. Adenoma detection rate (ADR), polyp detection rate (PDR) and cecal intubation rate (CIR) are quality indicators for screening or diagnostic colonoscopy. The available data from previously conducted research regarding ADR, PDR and CIR in groups of patients who were deeply sedated with propofol and those who underwent colonoscopy without sedation are inconclusive. The aim of this study was to determine the effect of deep sedation vs. no-sedation on ADR, PDR and CIR in group of elderly patients. Methods : This was a retrospective cohort study which included adult patients over the age of 60, presenting for a first screening or diagnostic colonoscopy performed over a 4-month time. Participants’ characteristics were assessed using descriptive statistics. Normal distribution was assessed using Kolmogorov-Smirnov and Shapiro-Wilk tests. Continuous variables were analyzed using Mann–Whitney test and categorical variables using Chi-square or Fisher exact test. Binary logistic regression was conducted to identify significant predictors of the outcomes. Two-tailed tests were conducted, and statistical significance was considered when p <0.05. Results : Among 196 patients (53.9% female; mean age: 68.5 years) deep sedation was performed in 97 patients (48.2%). Total PDR was 51.2%, ADR was 18.8%, and CIR was 94.5%. Overall, no significant difference was shown in PDR and ADR between no-sedation and deep sedation groups (χ2(1, N =196)=0.498, P=0.48, χ2(1, N =196)=0.47, P=0.49 respectively). After adjustments for BMI, colon diverticulosis and history of abdominal surgery differences, CIR was significantly higher in deep sedation group (χ2(1, N =196)=6.407, P=0.01). Conclusion : In our mixed cohort of elderly patients undergoing screening and diagnostic colonoscopies, use of propofol-induced deep sedation did not improve ADR or PDR. On the other hand, CIR was influenced by deep sedation. Therefore, further investigations are needed to identify the impact of deep sedation on colonoscopy quality indicators in elderly groups of patients.
{"title":"Is there an impact of deep sedation with propofol on adenoma detection rate, polyp detection rate and cecal intubation rate in elderly patients?","authors":"Irma Širanović Pongrac, V. Tomašić, P. Čačić, T. Pavic, N. Baršić, A. Bišćanin, I. Lerotić, D. Hrabar","doi":"10.26800/lv-145-supl9-35","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-35","url":null,"abstract":"Background and aims : Early detection of colon adenomas and polyps reduces the risk of colorectal cancer development. Adenoma detection rate (ADR), polyp detection rate (PDR) and cecal intubation rate (CIR) are quality indicators for screening or diagnostic colonoscopy. The available data from previously conducted research regarding ADR, PDR and CIR in groups of patients who were deeply sedated with propofol and those who underwent colonoscopy without sedation are inconclusive. The aim of this study was to determine the effect of deep sedation vs. no-sedation on ADR, PDR and CIR in group of elderly patients. Methods : This was a retrospective cohort study which included adult patients over the age of 60, presenting for a first screening or diagnostic colonoscopy performed over a 4-month time. Participants’ characteristics were assessed using descriptive statistics. Normal distribution was assessed using Kolmogorov-Smirnov and Shapiro-Wilk tests. Continuous variables were analyzed using Mann–Whitney test and categorical variables using Chi-square or Fisher exact test. Binary logistic regression was conducted to identify significant predictors of the outcomes. Two-tailed tests were conducted, and statistical significance was considered when p <0.05. Results : Among 196 patients (53.9% female; mean age: 68.5 years) deep sedation was performed in 97 patients (48.2%). Total PDR was 51.2%, ADR was 18.8%, and CIR was 94.5%. Overall, no significant difference was shown in PDR and ADR between no-sedation and deep sedation groups (χ2(1, N =196)=0.498, P=0.48, χ2(1, N =196)=0.47, P=0.49 respectively). After adjustments for BMI, colon diverticulosis and history of abdominal surgery differences, CIR was significantly higher in deep sedation group (χ2(1, N =196)=6.407, P=0.01). Conclusion : In our mixed cohort of elderly patients undergoing screening and diagnostic colonoscopies, use of propofol-induced deep sedation did not improve ADR or PDR. On the other hand, CIR was influenced by deep sedation. Therefore, further investigations are needed to identify the impact of deep sedation on colonoscopy quality indicators in elderly groups of patients.","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":"82 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140694658","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}
Pub Date : 2024-04-17DOI: 10.26800/lv-145-supl9-25
Filip Babić, P. Čačić, Dominik Kralj, A. Bišćanin, V. Tomašić, I. Burčul, Doris Ogresta Kordej, Z. Dorosulić, D. Hrabar
Results : A total of 184 non-elderly and 11 elderly patients were analyzed. Baseline IBD patient and disease characteristics were comparable in elderly and non-elderly group as there was no statistically significant difference in female or smoking rates, as well as in disease duration or extraintestinal manifestations rates. When comparing treatment data, anti-TNFα drugs were used significantly less in the elderly group (p=0.001). Combination therapy with an immunomodulator and a biologic (combotherapy) was evaluated on patients starting anti-TNFα drugs and was significantly higher in the non-elderly patient group (p=0.02
{"title":"Elderly inflammatory bowel disease patients: patient and disease characteristics","authors":"Filip Babić, P. Čačić, Dominik Kralj, A. Bišćanin, V. Tomašić, I. Burčul, Doris Ogresta Kordej, Z. Dorosulić, D. Hrabar","doi":"10.26800/lv-145-supl9-25","DOIUrl":"https://doi.org/10.26800/lv-145-supl9-25","url":null,"abstract":"Results : A total of 184 non-elderly and 11 elderly patients were analyzed. Baseline IBD patient and disease characteristics were comparable in elderly and non-elderly group as there was no statistically significant difference in female or smoking rates, as well as in disease duration or extraintestinal manifestations rates. When comparing treatment data, anti-TNFα drugs were used significantly less in the elderly group (p=0.001). Combination therapy with an immunomodulator and a biologic (combotherapy) was evaluated on patients starting anti-TNFα drugs and was significantly higher in the non-elderly patient group (p=0.02","PeriodicalId":246678,"journal":{"name":"Liječnički vjesnik","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690708","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}
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