Cílem studie bylo zjistit, jakým způsobem se chorvatští zubní lékaři rozhodují o odesílání svých pacientů k endodontistům a zda se toto rozhodnutí liší v závislosti na demografických proměnných týkajících se praktických zubních lékařů a charakteru jejich stomatologické praxe. Metodika: Byl sestaven dotazník zaměřený na demografické údaje týkající se účastníků studie a jejich praxe, typy prováděných endodontických zákroků a faktory ovlivňující jejich rozhodování o odeslání pacienta k endodontistovi. Dotazník byl rozeslán všem praktickým zubním lékařům s adresou ordinace v chorvatské Rijece. K analýze rozdílů ve zkoumaném vzorku byl použit χ2 test na hladině významnosti p < 0,05. Výsledky: Většina respondentů (39 z 94; 41,5 %) byla ve věku 40 až 49 let. Analýza ukázala, že většina respondentů byly ženy (64 z 94; 68,1 %). Významně více mužů (10 z 30) mělo postgraduální vzdělání ve srovnání se ženami (9 z 64; 33,3 % vs. 14,1 %; p < 0,001). Pokud jde o vliv demografických proměnných, měl významný vliv na rozhodování o odeslání pouze počet zubních lékařů zaměstnaných v ordinaci (χ2 = 7,006; p = 0,030). Respondenti, kteří pracovali ve vlastní zubní ordinaci sami, odesílali pacienty významně častěji než respondenti pracující v ordinacích, kde jsou zaměstnáni tři a více zubních lékařů (72,4 % vs. 20 %; p < 0,05). Závěr: V souvislosti se stárnutím evropské populace rostou náklady na zdravotní péči a je třeba sledovat nadužívání a nevyužívání specializované péče, aby byla pro každého pacienta zajištěna řádná léčba. Studenti a zubní lékaři by měli být podporováni v postgraduálním vzdělávání, které zvyšuje jejich odbornou způsobilost.
The aim of the survey was to identify the endodontic referral pattern among a group of Croatian dentists and to explore if the decision to refer a patient to an endodontist varies based on demographic variables of general dental practitioners and the features of their dental practice. Methods: A questionnaire was designed that focused on demographics of the participants and their practice, the pattern of endodontic procedures they perform and the factors influencing their decision to refer. The survey was mailed to all licensed general practicing dentists with a work address in Rijeka, Croatia. Chi-square test was used at a significance level P<0.05 to analyze differences in the study sample. Results: The majority of respondents (39 out of 94; 41.5%) were between 40 and 49 years old. Analysis revealed that the majority of respondents were female (64 out of 94; 68.1%). Significantly more male practitioners (10 out of 30) had postgraduate education compared to female practitioners (9 out of 64; 33.3% vs. 14.1%; P<0.001). Regarding the effect of demographic variables, only the number of dentists employed in a practice had a significant influence on the referral decisions of dentists (χ2=7.006; P=0.030). Respondents who were the only employed dentists referred patients significantly more often than respondents who work in practices where three or more dentists are employed (72.4% vs. 20%; P<0.05). Conclusion: Due to the aging European population, healthcare costs are increasing, and there is a need to monitor the overuse and underuse of specialized care to ensure appropriate treatment for each patient. Students and dentists should be encouraged to pursue postgraduate education, which enhances their professional competence.
- MeSH
- dospělí MeSH
- index potřeby ortodontické léčby * MeSH
- konziliární vyšetření a konzultace MeSH
- lidé středního věku MeSH
- lidé MeSH
- průzkumy a dotazníky MeSH
- senioři MeSH
- stomatologická péče * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- práce podpořená grantem MeSH
- Geografické názvy
- Chorvatsko MeSH
INTRODUCTION: Previous research has raised concerns about high prevalence of drug-related problems, polypharmacy and inappropriate benzodiazepine prescribing in nursing homes (NHs) and confirmed lack of studies from Central and South-Eastern Europe. The aim of our study was to determine the prevalence and characteristics of polypharmacy, hyperpolypharmacy and inappropriate benzodiazepine prescribing in NH residents in Croatia. METHODS: Data from 226 older NH residents from five Croatian NHs were collected using the InterRAI Long-Term Care Facilities assessment form. The prevalence and determinants of polypharmacy/hyperpolypharmacy and patterns of inappropriate benzodiazepine prescribing were documented. RESULTS: The prevalence of polypharmacy (49.6%) and hyperpolypharmacy (25.7%) among NH residents was high. In our study, 72.1% of NH residents were prescribed at least one psychotropic agent, 36.7% used 2-3 psychotropics and 6.6% used 4+ psychotropics. Among benzodiazepine users (55.8%), 28% of residents were prescribed benzodiazepines in higher than recommended geriatric doses, 75% used them for the long term and 48% were prescribed concomitant interacting medications. The odds of being prescribed polypharmacy/hyperpolypharmacy were significantly higher for older patients with polymorbidity (6+ disorders, proportional odds ratio (POR) = 19.8), type II diabetes (POR = 5.2), ischemic heart disease (POR = 4.6), higher frailty (Clinical Frailty Scale (CFS ≥5); POR = 4.3) and gastrointestinal problems (POR = 4.8). CONCLUSIONS: Our research underscores the persistent challenge of inappropriate medication use and drug-related harms among older NH residents, despite existing evidence and professional campaigns. Effective regulatory and policy interventions, including the implementation of geriatrician and clinical pharmacy services, are essential to address this critical issue and ensure optimal medication management for vulnerable NH populations.
- MeSH
- benzodiazepiny * terapeutické užití škodlivé účinky aplikace a dávkování MeSH
- domovy pro seniory statistika a číselné údaje MeSH
- lékařská praxe - způsoby provádění statistika a číselné údaje normy MeSH
- lidé MeSH
- nevhodné předepisování * statistika a číselné údaje MeSH
- pečovatelské domovy * statistika a číselné údaje MeSH
- polypharmacy * MeSH
- prevalence MeSH
- psychotropní léky terapeutické užití škodlivé účinky MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Chorvatsko MeSH
Aim: This study aimed to test an existing theory of the Anxiety about Aging Scale and determine the relationship between ageism and anxiety about aging in nurses in the Republic of Croatia. Design: A cross-sectional study. Methods: The sample consisted of 798 nurses from Republic of Croatia. Participants filled Anxiety about Aging Scale and Kogan's Attitude toward Old People Scale. Results: Regarding the factor structure of the 20 items, chi-square test revealed a statistically significant finding (χ2 = 2131.090, df = 164, p > 0.05). Analyses confirmed the four-factor structure (fear of older adults, psychological concern, fear of loss, and physical appearance) and the indicators of adequate reliability and validity. Furthermore, Kogan's Attitude toward Old People Scale significantly correlated with fear of older adults (r = 0.409; p < 0.01); attitudes changed with fear of older adults. Factors such as age, work experience duration (in years), and education individually affected aging anxiety, but not sex, living with older adults, and work department. Conclusion: The Anxiety about Aging Scale Croatian version is a valid and reliable measuring instrument for nurses. Nurses who have expressed greater anxiety about aging have a more negative attitude toward older adults.
- MeSH
- diskriminace na základě věku klasifikace psychologie MeSH
- lidé MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- škála projevu úzkosti MeSH
- stárnutí * psychologie MeSH
- úzkost klasifikace psychologie MeSH
- zdravotní sestry * psychologie MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Chorvatsko MeSH
We report a case of double aneuploidy in a preterm male newborn with karyotype 48,XXY,+18 whose mother was of advanced age and infected with the SARS-CoV-2 virus during the early stages of her pregnancy. The clinical features observed in the newborn included intrauterine growth retardation, dysmorphic facial features, overlapping fingers on both hands, respiratory distress syndrome, ventricular septal defect, patent ductus arteriosus, persistent pulmonary hypertension, and bilateral clubfoot, a phenotype that mainly correlates with Edwards syndrome (trisomy 18). To our knowledge, this is the first reported case of double aneuploidy in Croatia. This paper provides a detailed description of the clinical presentation and treatment strategies used, with the aim of providing valuable data for future recognition and management of similar cases. Furthermore, we discuss the mechanisms of nondisjunction that might account for this rare form of aneuploidy.
- MeSH
- aneuploidie MeSH
- COVID-19 * komplikace MeSH
- lidé MeSH
- SARS-CoV-2 MeSH
- syndrom trizomie 18 komplikace MeSH
- těhotenství MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Geografické názvy
- Chorvatsko MeSH
Although defining normative values of cardiorespiratory fitness have been the topic of many Western societies, little evidence has been provided for less developed countries like Croatia. Since cardiorespiratory fitness rapidly declines in Croatian children and adolescents, the newly established normative values would help health-related professionals and physical education teachers to detect 'talented' groups and direct them towards sport and 'risky' groups for planning special interventions. Therefore, the main purpose of the study was to determine normative reference values of cardiorespiratory fitness. A total of 1,612 children and adolescents aged 7-14 years (mean±SD; age 9.7±2.4 years; stature 151.0±17.6 cm; body mass 45.1±19.1 kg; 52.5% girls) participated in this cross-sectional study. Cardiorespiratory fitness was assessed by the Maximal multistage 20-m shuttle run test and the performance was expressed as the number of stages. Maximal oxygen uptake (VO2max) was estimated by equations. Smoothed percentile curves were calculated. Boys outperformed girls in the maximal number of levels achieved after the 20-m shuttle run test and in the VO2max values at each age category. In boys, a gradually higher level of performance between ages 11 and 14 was observed, while in girls the values started to rise after the age of 8. Our study provides one of the first sex- and age-specific normative values for cardiorespiratory fitness assessed by the 20-m shuttle run test in Croatian children and adolescents.
- MeSH
- dítě MeSH
- kardiorespirační zdatnost * MeSH
- lidé MeSH
- mladiství MeSH
- průřezové studie MeSH
- referenční hodnoty MeSH
- rizikové faktory MeSH
- tělesná výkonnost MeSH
- zátěžový test MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- Geografické názvy
- Chorvatsko MeSH
Aim: The aim of the study was to investigate the attitude of nursing students towards online teaching during the pandemic Covid-19. Design: A cross-sectional study was conducted. Methods: The sample included full-time and part-time undergraduate and graduate students of nursing in the Republic of Croatia. The research was conducted using an online method with a questionnaire to measure studentsʼ attitudes towards the learning process through online teaching. Results: The largest number of participants (58.66%) expressed a moderate attitude towards online teaching; two participants (0.96 %) expressed a negative attitude towards online teaching; while 84 (40.38%) had a highly positive attitude towards online teaching. The findings indicated a significant difference in attitude towards online teaching with regard to student status (full-time / part-time) (p = 0.003), students' conditions for monitoring online teaching (p = 0.003), and their beliefs and expectations (p = 0.001). Conclusion: Nursing students tended to express a moderate attitude towards online teaching. Most students would prefer combined classes and believe that conducting online classes only during the Covid-19 pandemic would reduce the amount of specific knowledge they would acquire during their studies.
CÍLE: Cílem studie je odpovědět na otázku: Jaký postoj zaujímají studenti sociální práce, sociální pracovníci a vzdělavatelé v sociální práci k využívání supervize jako nástroje pro reflexi osobních problémů v České republice a Chorvatsku? TEORETICKÁ VÝCHODISKA: Ve studii se opírám zejména o teoretické ukotvení supervizních procesů (Kadushin, Harkness, 2002; O’Donoghue, 2010; 2008; 2015). Zaměřuji se na podpůrčí funkci supervize, kterou nově konceptualizuji ve vztahu k zaměření na „reflexi osobních témat“. METODY: Pro zodpovězení výzkumné otázky byla použita kvalitativní výzkumná strategie a následná komparace umožňující porovnat českou a chorvatskou praxi. Technikou sběru dat byl polostrukturovaný rozhovor vedený s respondenty vybranými na základě kriteriálního výběru. V procesu analýzy dat byly použity prvky zakotvené teorie. VÝSLEDKY: Chorvatští respondenti mnohem více vnímají supervizi jako nástroj pro reflexi osobních problémů. Čeští respondenti jsou k využívání supervize pro reflexi osobních problémů skeptičtější. Obě skupiny definují bariéry, které stojí v cestě tomu, aby byla supervize důvěrnějším prostředím, kde by mohly být osobní problémy bezpečně reflektovány. Zmiňují také přínosy, které supervize pro reflexi osobních problémů může přinést. IMPLIKACE PRO PRAXI: Závěry přispívají k diskusi o využívání supervize v sociální práci s důrazem na popis přínosů a limitů supervize, jako nástroje pro reflexi profesních i osobních problémů.
OBJECTIVES: The aim of the study is to answer the question: What are the attitudes of social work students, social workers, and social work educators towards the use of supervision as a tool for reflection on personal problems in the Czech Republic and Croatia? THEORETICAL BASE: In this study, I draw particularly on the theoretical anchoring of supervision processes (Kadushin, Harkness, 2002; O’Donoghue, 2008; 2010; 2015). I focus on the supportive function of supervision, which I reconceptualise in relation to a focus on “reflection on personal issues”. METHODS: The qualitative research strategy was used, followed by a comparative study showing Czech and Croatian practices. The data collection technique was a semi-structured interview, with elements of grounded theory being used. OUTCOMES: The Croatian respondents perceive supervision much more as a tool for reflecting on personal problems. The Czech respondents are more sceptical about using supervision to reflect on personal problems. Both groups define barriers that stand in the way of making supervision a more confidential environment where personal problems could be reflected. SOCIAL WORK IMPLICATIONS: The conclusions contribute to the discussion on the use of supervision in social work with an emphasis on describing the benefits and limitations of supervision as a tool for reflection on both professional and personal problems.
- Klíčová slova
- reflexe osobních problémů,
- MeSH
- lidé MeSH
- organizace a řízení * MeSH
- řešení problému MeSH
- sociální práce MeSH
- sociální pracovníci psychologie MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
- Chorvatsko MeSH
The aim of this paper is to introduce the digitalization process and its effects on better reach of the target population. Progress in the digitalization and e-health tools worldwide enables new opportunities in prevention, diagnostics and treatment for people living with HIV (PLHIV) and people in the risk of HIV infection, hepatitis C (HCV) and other sexually transmitted infections (STIs), especially in the context of the COVID-19 pandemic. The system already used for voluntary counselling and testing (VCT) at the CheckPoint Centre Zagreb run by the non-governmental organization (NGO) Croatian Association for HIV and Viral Hepatitis (CAHIV) was upgraded and adapted (due to the COVID-19 prevention epidemiological measures) and developed for implementation of the pilot project of feasibility and acceptability of home HIV self-testing (HIVST) among men who have sex with men (MSM) in Zagreb. A special feature of the HIVST mobile application enables an innovative approach in collecting clients' test result feedback. This paper presents the method of use digitalization of the VCT and HIVST activities to support and increase availability of screening testing. Described procedures of new technologies application in VCT services and preliminary results of the HIVST pilot project indicate that technology-delivered interventions can contribute and improve access and utilisation of HIV/STI prevention and care services.
- MeSH
- COVID-19 * MeSH
- digitální technologie MeSH
- Hepacivirus MeSH
- hepatitida C * diagnóza epidemiologie prevence a kontrola MeSH
- HIV infekce * diagnóza epidemiologie prevence a kontrola MeSH
- homosexualita mužská MeSH
- lidé MeSH
- pandemie MeSH
- pilotní projekty MeSH
- poradenství MeSH
- sexuálně přenosné nemoci * diagnóza epidemiologie prevence a kontrola MeSH
- sexuální a genderové menšiny * MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Chorvatsko MeSH
Aim: The aim of the study was to translate the Satisfaction with Simulation Experience (SSE) scale in Croatian language and examine whether the SSE scale was valid and reliable among Croatian nursing students. Design: In May 2020, a cross-sectional study was conducted at the University of Applied Health Sciences in Croatia. A 145 bachelor's degree nursing students participated in the study. Methods: To determine the instrument's internal consistency reliability, the Cronbach alpha coefficient was used. In addition, Confirmatory factor analysis, Bartlett's sphericity test, the Kaiser-Olkin statistic and Kolmogorov-Smirnov tests were used. Results: Cronbach's alpha coefficient demonstrated a high consistency of the Croatian version of SSE scale (α = 0.92). The Kaiser-Meyer-Olkin (KMO = 0.895) and the Bartlett's sphericity (p < 0.000) demonstrate significant results. The confirmatory factor analysis CFA has yielded a three-factor structure of SSE scale. Conclusion: The Croatian version of Satisfaction with Simulation Experience scale (CRO - SSE) has shown adequate psychometric properties making it a suitable tool for examining the satisfaction of nursing students with the simulation experience in Croatian context.
- MeSH
- lidé MeSH
- osobní uspokojení MeSH
- překlady MeSH
- průřezové studie MeSH
- psychometrie * MeSH
- reprodukovatelnost výsledků MeSH
- studenti ošetřovatelství psychologie MeSH
- studium ošetřovatelství MeSH
- tréninková simulace MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- hodnotící studie MeSH
- Geografické názvy
- Chorvatsko MeSH
Medical rehabilitation is an important segment in the treatment and recovery of patients. Medical rehabilitation treatment is controlled by regulations. The regulation regulates who decides on the need for rehabilitation, including the duration of rehabilitation, as well as the diagnosis of diseases with which patients can be referred for rehabilitation to a specialized institution. In Croatia, Croatian Health Insurance Fund insured persons have the right to rehabilitation at the expense of the Institute in those institutions that have a contract with the Institute, but they can also cover the rehabilitation financially under their own arrangement, where they are then given the opportunity to choose the institution they want to go to. Today, health tourism is developing more and more, which is also included in rehabilitation institutions.
Liečebná rehabilitácia je dôležitým segmentom v liečbe a rekonvalescencii pacientov. Liečebno-rehabilitačný postup je riadený predpismi. Nariadenie upravuje, kto rozhoduje o potrebe rehabilitácie vrátane dĺžky trvania rehabilitácie, ako aj diagnostiky chorôb, s ktorými môžu byť pacienti odoslaní na rehabilitáciu do špecializovaného ústavu. V Chorvátsku majú poistenci Chorvátskeho fondu zdravotného poistenia právo na rehabilitáciu na náklady inštitútu v tých inštitúciách, ktoré majú zmluvu s ústavom, ale môžu si rehabilitáciu finančne pokryť aj podľa vlastného usporiadania, kde sa im potom poskytne možnosť vybrať si inštitúciu, do ktorej chcú ísť. Dnes sa čoraz viac rozvíja zdravotná turistika, ktorá je zaradená aj do rehabilitačných ústavov.
- MeSH
- pacienti MeSH
- rehabilitace organizace a řízení zákonodárství a právo MeSH
- Geografické názvy
- Chorvatsko MeSH
