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OUTCOMES OF PREGNANCY AFTER PLACEMENT OF CERVICAL CERCLAGE SUTURES IN THE CLINIC FOR WOMENS DISEASES AND LABORS IN PERIOD FROM 1ST JANUARY 2017 TO 31ST DECEMBER 2021
No full textNemogućnost vrata maternice da održi svoj integritet do kraja trudnoće može rezultirati pobačajem ili prijevremenim porodom te to nazivamo insuficijencija vrata maternice. Serklaža vrata maternice je kirurški zahvat kojim se pokušava održati strukturalni integritet vrata maternice kako bi se pokušala produžiti tudnoća te kako bi ishod iste bio što povoljniji. Serklaža vrata maternice je kirurški postupak osmišljen kako bi ojačao vrat maternice tijekom trudnoće. Postoji više vrsta serklaže vrata maternice koji su prilagođeni za rješavanje različitih vrsta insuficijencije vrata maternice i kliničkih slika. Podaci su prikupljeni i analizirani retrospektivno iz medicinske dokumentacije, odnosno putem bolničkog informacijskog sustava (BIS-a) KBC-a Zagreb. Ispitivana skupina su pacijentice kod kojih je u razdoblju od 01. siječnja 2017. do 31. prosinca 2021. godine proveden kirurški postupak postavljanja serklaže vrata maternice. S obzirom na nedostatak podataka, iz istraživanja su isključene 64 trudnice, stoga su sva mjerenja izvođena na uzorku n=186, što se smatralo povoljnim uzorkom budući da je očekivani broj ispitanika bio n=250. Kroz zadano razdoblje iz medicinskog protokola Klinike za ženske bolesti i porode u Zagrebu prikupljeni su podaci o ukupnom broju poroda, broju prvorodilja i višerodilja kojima je postavljen šav serklaže, o broju komplikacija, podaci o indikacijama za postavljanje šava serklaže i podaci o tjednima u kojima je nastupio porod.Inability of the cervix to maintain its integrity throughout the pregnancy can result in miscarriage or premature birth, and this is called cervical insufficiency. Cervical cerclage surgery is a surgical procedure that attempts to maintain the structural integrity of the cervix in an attempt to prolong the life of the cervix and to maximize the outcome. Cervical cerclage is a surgical procedure designed to strengthen the cervix during pregnancy. There are several types of cervical cerclage that are adapted to address different types of cervical insufficiency and clinical pictures. The data were collected and analysed retrospectively from the medical records, i.e. via the Hospital Information System (BIS) of KBC Zagreb. The study group consisted of patients who underwent cervical cerclage surgery between 1 January 2017 and 31 December 2021. In view of the lack of data, 64 pregnant women were excluded from the study, therefore all measurements were carried out on a sample of n=186, which was considered a favourable sample given that the expected number of subjects was n=250. During a given period, data were collected from the medical protocol of the Clinic for Gynecology and Obstetrics in Zagreb on the total number of deliveries, the number of first-borns and multiple births to which the suture of the cervix was applied, the number of complications, the method of setting the indication for the suture of the cervix and the data of the weeks in which the pregnancies were completed
Insights into Positive Mental Health Amid the COVID-19 Pandemic: Evidence from a Study in Croatia
No full textAbstract: Objective: The COVID-19 pandemic has raised significant concerns about public health,
particularly in terms of mental well-being due to heightened fear and uncertainty. The findings
of this study are based on a survey conducted to evaluate the mental health status of the general
population in Croatia during the COVID-19 pandemic. Methods: A survey conducted randomly
and cross-sectionally included 588 respondents from all 21 counties in Croatia. The survey gathered
demographic data and assessed various factors related to pandemic response measures and mental
health using the Mental Health Continuum—Short Form (MHC-SF) scale. Results: Despite feeling
adequately informed about COVID-19 (76.0%), most respondents (60.8%) expressed concerns about
their loved ones during the pandemic. There were significant numbers who felt there was no risk of
infection (50.9%) or believed they would not get infected (40.2%), while 72.4% were content with government
measures. A statistical analysis indicated that mental health was not significantly different
between genders, but age-related differences were evident, with those under 21 experiencing the most
distress. The lowest level of psychological and social well-being was observed in respondents who
were unemployed. Conclusions: The study identifies vulnerable groups in the Croatian population
during the pandemic, including younger individuals, those on parental leave, students, and the
unemployed, who exhibited worse mental health. The importance of implementing targeted mental
health interventions to support these vulnerable groups is highlighted by these findings
Doula practice in Croatia and motivation for entering the profession
No full textDoule su educirane i iskusne profesionalke koje pružaju kontinuiranu emocionalnu, fizičku i informacijsku podršku majkama prije trudnoće, tijekom trudnoće i porođaja te u razdoblju nakon porođaja. S obzirom na globalne trendove povećanja svijesti o prirodnom porođaju te potrebi za emocionalnom podrškom tijekom porođaja, prednosti i koristi usluga doula sve više dobivaju na važnosti. U Hrvatskoj se zanimanje doula počelo razvijati posljednjeg desetljeća kada su se aktivirale organizacije i inicijative koje promiču rad doula, te njihovo obrazovanje i certifikacija postaju sve dostupniji. Usprkos porastu interesa za uslugama doula te njihovom rastućem broju, malo toga se zna o njihovoj motivaciji i praksi u Hrvatskoj. Stoga je glavni cilj ovog istraživanja bio ispitati motivaciju, iskustva i prakse doula u Hrvatskoj. Istraživanje je provedeno putem online upitnika izrađenog za potrebe ovog istraživanja te je uključivalo 64 ispitanice – doule koje djeluju na području Hrvatske. Ispitanice dolaze iz različitih dijelova Hrvatske, pri čemu je najveći broj doula u Zagrebu (42,2%) i Zagrebačkoj županiji (35,9%). Najčešća motivacija za ulazak u zanimanje doula bila je pozitivno osobno iskustvo s porođaja (50%) te želja za samostalnim poslom (36%). Većina doula nudi kontinuiranu podršku tijekom cijele trudnoće, porođaja i postporođajnog razdoblja.
Konačno, izazovi kao što su geografska udaljenost, ekonomske prepreke i kulturološke razlike utječu na dostupnost i korištenje usluga doule.Doulas are educated and experienced professionals who provide continuous emotional, physical, and informational support to mothers before pregnancy, during pregnancy and childbirth, and in the postpartum period. Given global trends in increasing awareness of natural childbirth and the need for emotional support during childbirth, the advantages and benefits of doula services are gaining significance. In Croatia, the profession of doulas began to develop in the last decade, when organizations and initiatives promoting the work of doulas became active, and their education and certification became more accessible. Despite the growing interest in doula services and their increasing numbers, little is known about their motivation and practice in Croatia. Therefore, the main aim of this study was to examine the motivation, experiences, and practices of doulas in Croatia.
The research was conducted through an online questionnaire created specifically for this study and included 64 participants – doulas operating in Croatia. Respondents come from various parts of Croatia, with the largest number of doulas located in Zagreb (42.2%) and Zagreb County (35.9%). The most common motivation for entering the doula profession was a positive personal birth experience (50%) and the desire for independent work (36%). Most doulas offer continuous support throughout pregnancy, childbirth, and the postpartum period.
Finally, challenges such as geographical distance, economic barriers, and cultural differences impact the availability and use of doula services
PSYCHOLOGICAL ASPECTS OF PATIENTS WITH STOMA
No full textUVOD: Pacijenti sa stomom doživljavaju promjene u svojim životima, koje su posebno povezane s njihovom društvenom mrežom (posao i slobodno vrijeme) i seksualnošću, pogoršavajući njihov osjećaj nesigurnosti i strah od odbacivanja. Mogući negativni psihološki ishodi i emocionalni problemi koji proizlaze iz stome čine nužnim pružanje sveobuhvatne skrbi za pacijente, uz interdisciplinarni i specijalizirani pristup potrebama pacijenata i njihovih obitelji, s ciljem potpunog fizičkog, emocionalnog i socijalnog oporavka. Bolesnike je potrebno pripremiti, uglavnom tijekom perioperativnog razdoblja, kada doživljavaju tjeskobu i tjeskobu pred nepoznatim, odnosno stomom.
CILJ: Glavni cilj istraživanja bio je istražiti, prikazati i opisati psihološke simptome kod pacijenata sa stomom u Općoj bolnici Karlovac.
METODE: Istraživanje je provedeno anketnim upitnikom pripremljenim za ispitanike, odnosno pacijente starosti od 18 do 90 godina, muškog i ženskog spola, koji su bili podvrgnuti operativnom zahvatu umetanja stome. Planirani uzorak ispitanika bio je 50 pacijenta. Podaci su se prikupljali u razdoblju od 01.veljače do 30 lipnja 2024.godine. Pacijenti su ispunjavali anketni obrazac nakon operativnog zahvata umetanja stome. Anketa je bila anonimna te se ispunjavala na Odjelu abdominalne kirurgije Opće bolnice Karlovac prije otpusta sa odjela i u ordinaciji za abdominalnu kirurgiju kod pacijenta koji su dolazili na kontrolne preglede nakon operativnog zahvata.
REZULTATI: Najvišu vrijednost aritmetičkih sredina odgovora ispitanika zabilježilo je pitanje vezano uz vrstu komplikacija nakon zahvata, gdje aritmetička sredina odgovora ispitanika iznosi 1,44, a standardna devijacija 0,50. Za pitanje kojim se ispitivala promjena načina života nakon ugradnje stoma pomagala, aritmetička sredina iznosi 1,26, a standardna devijacija 0,44. Najnižu vrijednost aritmetičkih sredina odgovora ispitanika zabilježilo je pitanje vezano uz vrijeme prilagodbe na stoma pomagalo, gdje aritmetička sredina iznosi 1,07, a standardna devijacija 0,26.INTRODUCTION: Patients with a stoma experience changes in their lives, which are especially related to their social network (work and free time) and sexuality, exacerbating their feelings of insecurity and fear of rejection. Possible negative psychological outcomes and emotional problems arising from stoma make it necessary to provide comprehensive care for patients, with an interdisciplinary and specialized approach to the needs of patients and their families, with the goal of complete physical, emotional and social recovery. Patients need to be prepared, mainly during the perioperative period, when they experience anxiety and anxiety in front of the unknown, that is, the stoma.
AIM: The main objective of the study was to investigate, present and describe psychological symptoms in patients with stoma in Karlovac General Hospital.
METHODS: The study was conducted using a questionnaire prepared for respondents, i.e. patients aged 18 to 90 years, male and female, who underwent stoma insertion surgery. The planned sample of subjects was 50 patients. The data were collected in the period from February 1 to June 30, 2024. Patients filled out a questionnaire form after stoma surgery. The survey was anonymous and was filled out at the Department of Abdominal Surgery of the Karlovac General Hospital before discharge from the department and in the abdominal surgery office of patients who came for check-ups after surgery.
RESULTS: The highest value of the arithmetic mean of the respondents' responses was recorded by the question related to the type of complications after the procedure, where the arithmetic mean of the respondents' answers was 1.44 and the standard deviation was 0.50. For the question that examined the change in lifestyle after stoma placement, the arithmetic mean is 1.26 and the standard deviation is 0.44. The lowest value of the arithmetic mean of the respondents' answers was recorded by the question related to the time of adaptation to stoma, where the arithmetic mean is 1.07 and the standard deviation is 0.26
KNOWLEDGE OF NURSING STUDENTS OF THE FACULTY OF HEALTH STUDIES IN RIJEKA ON CONTRACEPTIVE METHODS
No full textKontracepcija ima ključnu ulogu u očuvanju reproduktivnog zdravlja i planiranju obitelji, a njeno ispravno razumijevanje od velike je važnosti za zdravstvene djelatnike, posebice one koji neposredno rade s pacijentima. Studenti sestrinstva, kao budući zdravstveni profesionalci, imaju odgovornost ne samo pružati zdravstvenu njegu, već i informirati pacijente o dostupnim kontracepcijskim metodama, njihovim učincima, dobrobiti i mogućim rizicima. Njihova razina znanja i razumijevanja ove tematike odražava se na kvalitetu skrbi koju će pružati, kao i sposobnost pravilnog savjetovanja pacijenata radi promicanja odgovorne skrbi o reproduktivnom zdravlju.
Cilj ovog rada je analizirati znanje studenata sestrinstva Fakulteta zdravstvenih studija u Rijeci o metodama kontracepcije. Istražit će se koliko su studenti upoznati s različitim vrstama kontracepcije, kako percipiraju njihovu učinkovitost i sigurnost, te u kojoj mjeri su spremni prenijeti to znanje budućim pacijentima. Ovaj rad također će istražiti potencijalne praznine u obrazovanju i razumijevanju kontracepcijskih metoda, te ponuditi preporuke za poboljšanje edukacije na ovom području kako bi se osigurala visoka razina kompetentnosti među budućim sestrama i medicinskim tehničarima.
Istraživanje se provelo tijekom srpnja na Fakultetu zdravstvenih studija Sveučilišta u Rijeci. U istraživanju je sudjelovalo 115 studenata prijediplomskog studija sestrinstva. Podaci za ovo istraživanje su prikupljeni na temelju upitnika izrađenog u Googleforms-u. Pitanja u upitniku su podijeljena u 2 dijela.
U istraživanju su testirane tri hipoteze. Prva hipoteza je pretpostavljala da studenti prve godine imaju manje znanja o kontracepciji od studenata treće godine, no rezultati su pokazali suprotno – studenti prve godine imali su bolji postotak točnih odgovora (69,30% naspram 65,75%), pa je hipoteza odbačena. Druga hipoteza je sugerirala da redovni studenti imaju bolje znanje od izvanrednih, no izvanredni studenti su postigli nešto bolji rezultat, iako razlika nije bila statistički značajna (t=-0,216, p=0,114), pa je i ova hipoteza odbačena. Treća hipoteza, koja je pretpostavljala da studenti s medicinskom školom imaju bolje znanje od onih s gimnazijom ili drugom strukovnom školom, također je odbačena jer statistička analiza nije pokazala značajne razlike između skupina (t=0,97, p=0,97).Contraception plays a crucial role in preserving reproductive health and family planning, and its proper understanding is of great importance for healthcare professionals, especially those who work directly with patients. Nursing students, as future healthcare professionals, have the responsibility not only to provide healthcare but also to inform patients about available contraceptive methods, their effects, benefits, and potential risks. Their level of knowledge and understanding of this topic reflects the quality of care they will provide, as well as their ability to effectively counsel patients to promote responsible reproductive health care.
The aim of this study is to analyze the knowledge of nursing students at the Faculty of Health Studies in Rijeka regarding contraception methods. The study will examine how familiar the students are with different types of contraception, how they perceive their effectiveness and safety, and to what extent they are prepared to convey this knowledge to future patients. This study will also explore potential gaps in education and understanding of contraceptive methods and offer recommendations for improving education in this area to ensure a high level of competence among future nurses and medical technicians.
The research was conducted in July at the Faculty of Health Studies, University of Rijeka. A total of 115 undergraduate nursing students participated in the study. Data for this research were collected using a questionnaire created in Google Forms. The questions in the questionnaire were divided into two parts.
Three hypotheses were tested in the study. The first hypothesis assumed that first-year students have less knowledge about contraception compared to third-year students, but the results showed the opposite – first-year students had a higher percentage of correct answers (69.30% compared to 65.75%), leading to the rejection of the hypothesis. The second hypothesis suggested that full-time students have better knowledge than part-time students, but part-time students achieved slightly better results, although the difference was not statistically significant (t=-0.216, p=0.114), leading to the rejection of this hypothesis as well. The third hypothesis, which assumed that students who graduated from medical school have better knowledge than those who graduated from high school or another vocational school, was also rejected because statistical analysis did not show significant differences between the groups (t=0.97, p=0.97)
Undergraduate regular study of nursing students satisfaction with the perfomance of teaching.
No full textUvod: Razvoj sestrinstva je povezan s obrazovanjem medicinskih sestara i tehničara. Zadovoljstvo studenata sestrinstva izravno utječe na njihovu predanost učenju i svladavanju osnovnih vještina. Vjerojatnije je da će zadovoljni i sretni studenti razviti kompetenciju i samopouzdanje potrebne za pružanje visokokvalitetne skrbi za pacijente nakon što uđu u profesiju.
Cilj: Ispitati razinu zadovoljstva studenata prijediplomskog stručnog studija sestrinstva s izvođenjem nastave, uz usporedbu prve druge i treće godine studija.
Metode: U istraživanju je sudjelovalo 79 prijediplomskog stručnog studija sestrinstva - redovni koji studiraju na Fakultetu zdravstvenih studija u Rijeci, a provelo se sa metodom papir-olovka tijekom 2023./2024. akademske godine. Znanja i stavovi studenata o zadovoljstvu studija ispitana su autorskim upitnikom koji je sastavljen na temelju dostupne literature isključivo za potrebe provedbe ovog istraživanja.
Rezultati: Rezultati su pokazali kako su studenti prve godine izrazili najveće zadovoljstvo, dok studenti treće najniže. Druga godina se nalazi u sredini. Statistička analiza nije pokazala značajne razlike u zadovoljstvu između studenata koji su pohađali medicinsku srednju školu i onih koji su završili neku drugu srednju školu. Rezultati ukazuju važnost daljnjeg istraživanja s ciljem unaprjeđenjem nastave, posebice za studente treće godine.
Zaključak: Istraživanje je pokazalo umjereno i visoko zadovoljstvo studenata sestrinstva. No, rezultati istraživanja upućuju na potrebu za daljnjim istraživanjem kako bi se bolje razumjeli faktori koji utječu na zadovoljstvo studenata sestrinstva, posebno kod različitih godina studija. Također, potrebno je istražiti dodatne metode za poboljšanje kvalitete nastave.Introduction: The development of nursing is closely linked to the education of nurses and technicians. Nursing students' satisfaction directly influences their commitment to learning and mastering essential skills. Satisfied and happy students are more likely to develop the competence and confidence needed to provide high-quality patient care once they enter the profession.
Objective: To examine the level of satisfaction among undergraduate nursing students with the delivery of instruction, with a comparison between the first, second, and third years of study.
Methods: The study included 79 nursing students at the Faculty of Health Studies in Rijeka and was conducted using a paper-and-pencil method during the 2023/2024 academic year. Students' knowledge and attitudes towards their satisfaction with the program were assessed using a custom questionnaire, designed specifically for this study based on available literature.
Results: The results showed that first-year students expressed the highest level of satisfaction, while third-year students reported the lowest. The second-year students were in the middle. Statistical analysis did not show significant differences in satisfaction between students who attended medical high school and those who attended other types of high schools. The results highlight the importance of further research aimed at improving teaching quality, particularly for third-year students.
Conclusion: The research indicated moderate to high levels of satisfaction among nursing students. However, the findings suggest the need for further research to better understand the factors influencing nursing students' satisfaction, especially across different years of study. Additionally, it is necessary to explore additional methods to enhance the quality of instruction
Treatment of burns in out -of- hospital emergency medical service
No full textOpekline predstavljaju ozbiljne traume koje često zahtijevaju dugotrajno liječenje. U izvanbolničkoj medicinskoj službi ključno je poznavanje smjernica i dobro koordiniran tim kako bi se povećale šanse za preživljavanje pacijenta i smanjile posljedice po zdravlje.
Cilj ovog rada je istražiti, prikazati i opisati stopu opeklinskih ozljeda prema spolu i dobi. Također, cilj je utvrditi vrijeme potrebno za izlazak na intervenciju izvanbolničke medicinske službe, kao i vrijeme dolaska tima izvanbolničke medicinske službe na mjesto nezgode. Na kraju, istražit će se najčešće vrste opeklina prema načinu nastanka.Istraživanje je provedeno retrospektivnom analizom podataka iz baze podataka sustava „e-Hitna“ u izvanbolničkoj medicinskoj službi Karlovačke županije. U istraživanje je uključeno 56 osoba koje su zadobile opeklinske ozljede i kod kojih je intervenirala izvanbolnička medicinska služba Karlovačke županije u razdoblju od siječnja 2020. do prosinca 2023. godine na području Grada Karlovca i Karlovačke županijeBurns represent serious traumas that often require long-term treatment. In the outpatient medical service, it is crucial to be familiar with guidelines and to have a well-coordinated team in order to increase the chances of patient survival and reduce health consequences.The aim of this paper is to investigate, present, and describe the rate of burn injuries according to gender and age. Additionally, the goal is to determine the time required for the outpatient medical service to respond to an intervention, as well as the time taken for the outpatient medical team to arrive at the scene of the incident. Finally, the most common types of burns will be examined based on their causes
: The research was conducted by retrospective analysis of data from the database of the "e-Emergency" system in the outpatient medical service of Karlovac County. The study included 56 people who suffered burn injuries and were treated by the outpatient medical service of Karlovac County in the period from January 2020 to December 2023 in the area of the City of Karlovac and Karlovac Count
Satisfaction with midwifery care and mental health of primipara
No full textPrimaljska skrb specifičan je model skrbi u zdravstvu. Primalja je jedini kvalificirani pružatelj skrbi trudnici, rodilji, babinjači i novorođenčetu. Odnos primalje prema rodilji i pristup u skrbi mogu utjecati na zadovoljstvo rodilje porodom, primaljom i primaljskom skrbi te mogu ostaviti posljedice na njeno mentalno zdravlje. Mentalno i tjelesno zdravlje podjednako su važne komponente za cijelo ukupno zdravlje svakog čovjeka, a hormonske promjene u trudnoći te stresni događaj kao porod mogu znatno utjecati na mentalno zdravlje žena.
Glavni cilj istraživanja jest razumjeti kako kvaliteta primaljske skrbi utječe na mentalno zdravlje žena nakon poroda prvog djeteta. Istraživanje je provedeno online putem društvene mreže Facebook, u grupi koja se bavi tematikom poroda i razmjene iskustava s poroda. Grupa broji 23958 članova, a u istraživanju je sudjelovalo 338 ispitanica u dobi od 19 do 53 godine. Upitnik je anoniman i sastoji se od četiri dijela. Prvi dio upitnika sadrži filter pitanje s kojim smo odvojili prvorotkinje od višerotki, drugi dio upitnika sadrži socio-demografska pitanja, za treći dio upitnika korišten je upitnik za procjenu zadovoljstva primaljskom skrbi koji je prilagođen istraživanju, a za četvrti dio upitnika korišten je standardizirana Depression Anxiety Stress Scales - 21 Items (DASS-21).
Od 338 ispitanica njih 203 izjavljuje kako su zadovoljne primaljskom skrbi, 81 je ambivalentna te 63 izjavljuju kako nisu zadovoljne primaljskom skrbi. Razine stresa, anksioznosti i depresije povećani su u odnosu na opću populaciju, a daljnjim istraživanjem utvrđeno je kako su ispitanice koje su bile zadovoljnije primaljskom skrbi imale manje razine stresa, anksioznosti i depresije u odnosu na ispitanice koje nisu bile zadovoljne primaljskom skrbi.Midwifery care is a specific model of care in healthcare. A midwife is the only qualified caregiver for a pregnant woman, a woman in labor, a postpartum woman, and a newborn. The relationship between the midwife and the woman in labor, as well as the approach to care, can influence the woman's satisfaction with the childbirth experience, the midwife, and midwifery care, potentially impacting her mental health. Both mental and physical health are equally important components of overall health for every individual. Hormonal changes during pregnancy and the stressful event of childbirth can significantly affect a woman's mental health.
The main goal of this research is to understand how the quality of midwifery care affects the mental health of women after the birth of their first child. The research was conducted online via the social media platform Facebook, in a group focused on childbirth and the exchange of childbirth experiences. The group has 23,958 members, and 338 women aged between 19 and 53 participated in the research. The questionnaire is anonymous and consists of four parts. The first part of the questionnaire includes a filter question to distinguish between first-time mothers and those who have had multiple children. The second part contains socio-demographic questions. The third part uses a questionnaire for assessing satisfaction with midwifery care, which was adapted for this research, and the fourth part uses the standardized Depression Anxiety Stress Scales - 21 Items (DASS-21).
Out of 338 respondents, 203 stated that they were satisfied with midwifery care, 81 were ambivalent, and 63 were not satisfied with midwifery care. Levels of stress, anxiety, and depression were found to be higher than in the general population. Further research revealed that respondents who were more satisfied with midwifery care had lower levels of stress, anxiety, and depression compared to those who were not satisfied with midwifery care
Nurses/technicians' attitudes about nurses/technicians who have visible tattoos and piercing
No full textUVOD: Povijest body arta, posebice tetoviranja i piercinga, opsežna je i kulturno raznolika. Iako
prisutan kroz veliki dio ljudske povijesti, u današnje vrijeme stavovi i percepcija o body artu
značajno varira. Stavovi i percepcija predstavljaju odraz u ponašanju u obliku diskriminacije ili
stereotipa, što može u negativnoj konotaciji utjecati na međuljudske odnose, pogotovo unutar
poslovnog sektora, odnosno među medicinskim sestrama/tehničarima.
Nedavna istraživanja sugeriraju da ljudi općenito imaju pozitivnu percepciju skrbi medicinskih
sestara/tehničara s vidljivim tetovažama/piercingom, što izaziva tradicionalne stereotipe i
naglašava važnost inkluzivnosti. Uz rastuće priznanje body arta kao legitimnog oblika
samoizražavanja postupno se preispituju stereotipi te se potiče prihvatljiviji društveni pogled.
CILJ ISTRAŽIVANJA: Cilj ovog istraživačkog rada bio je istražiti i opisati stavove medicinskih
sestara/tehničara o medicinskim sestrama/tehničarima koji imaju vidljive tetovaže i/ili piercinge.
ISPITANICI I METODE: Istraživanje je provedeno na uzorku od 154 ispitanika zaposlenih u
zdravstvenim ustanovama sa prebivalištem na području Republike Hrvatske. Prikupljanje
podataka provodilo se putem online upitnika. Podaci su obrađeni i prikazani deskriptivno, svaka
čestica je prikazana zasebno putem standardne devijacije, srednje vrijednosti i aritmetičke
sredine. Podaci su obrađeni i prikazani pomoću programa MS Excell.
REZULTATI: Rezultati pokazuju da većina ispitanika (79,2%) smatra da piercing ili tetovaža ne
utječe na kvalitetu rada medicinskog osoblja. Uočena je umjerena negativna korelacija u
stavovima s obzirom na dob, dok spol, razina obrazovanja i mjesto življenja nisu pokazali
značajan utjecaj na stavove.
ZAKLJUČAK: Zaključno, rezultati istraživanja ukazuju na to da su stavovi prema osobama s
vidljivim tetovažama i piercingom uglavnom neutralni do pozitivni. Ovo istraživanje može
doprinijeti razumijevanju percepcije profesionalizma u zdravstvenom sektoru te potaknuti daljnja
istraživanja na ovu temu.INTRODUCTION: The history of body art, especially tattoos and piercings, is an extensive and
culturally diverse topic, although present throughout a large part of human history, nowadays
attitudes and perceptions about body art vary significantly. Attitudes and perception are reflected
in behavior in the form of discrimination or stereotypes, which can have a negative connotation
on interpersonal relationships, especially within the business sector, that is, among
nurses/technicians. Recent research suggests that people generally have a positive perception of
care provided by nurses/technicians with visible tattoos/piercings, challenging traditional
stereotypes and highlighting the importance of inclusivity. With the growing recognition of body
art as a legitimate form of self-expression, stereotypes are gradually being reconsidered and a
more acceptable social view is being encouraged.
OBJECTIVE OF THE RESEARCH: The aim of this research was to examine and describe the
attitudes of nurses/technicians towards about nurses/technicians who have visible tattoos and/or
piercings.
PARTICIPANTS AND METHODS: The research was conducted on a sample of 154 respondents
employed in healthcare institutions residing in the Republic of Croatia. Data collection was
carried out through an online questionnaire. The data is processed and presented descriptively,
each particle is presented separately via standard deviation, mean value and arithmetic mean. The
data were processed and presented using the MS Excell program.
RESULTS: The results show that the majority of respondents (79.2%) believe that a piercing or
tattoo does not affect the quality of work of the medical staff. A moderate negative correlation
was observed in attitudes with regard to age, while gender, level of education and place of living
did not show a significant influence on attitudes.
CONCLUSION: In conclusion, the research results indicate that attitudes towards people with
visible tattoos and piercings are mostly neutral to positive. This research can contribute to the
understanding of the perception of professionalism in the health sector and encourage further
research on this topic
Impact of mediterranean diet on patients with metabolic syndrome: Obesity
No full textMetabolički sindrom je zajednički naziv za nekoliko metaboličkih poremećaja poput inzulinske rezistencije, trbušnog tipa pretilosti, hipertenzije i hiperlipidemije koji zajedno povećavaju rizik od razvoja bolesti poput ateroskleroze, kardiovaskularnih bolesti, dijabetes melitusa tip 2 te karcinoma. Metabolički sindrom i pretilost imaju znatan porast krivulje u posljednjim desetljećima, postavši tako bitan javnozdravstveni problem zbog visokih stopa hospitalizacija, velikih troškova liječenja i narušene kvalitete života. Prevalencija metaboličkog sindroma uvelike varira, a ovisi o spolu, dobi, socioekonomskom statusu i etničkom podrijetlu ispitivanih skupina. Mnoge studije kliničkog i epidemiološkog karaktera su pokazale da metabolički sindrom počinje središnjom pretilošću. Budući da se u posljednjih 30 godina učestalost pretilosti u svijetu dvostruko povećala, paralelno je značajno porasla i prevalencija metaboličkog sindroma. Stoga je pretilost označena kao vodeći uzrok metaboličkog sindroma jer je čvrsto povezana sa svim metaboličkim čimbenicima rizika.
Mediteransku prehranu (MD) karakterizira kombinacija voća i povrća, ribe, raznih žitarica i višestruko nezasićenih masti, uz smanjenu konzumaciju crvenog mesa i mesnih prerađevina, te umjeren unos crnog vina. Znanstveni dokazi su pokazali da prihvaćanje mediteranske prehrane čini jedan tip zaštite za nastanak raznih vrsta karcinoma, kardiovaskularnih bolesti, cerebrovaskularnog inzulta, starenja i pretilosti. Hranjive tvari kojih ima u izobilju u mediteranskoj prehrani imaju antikancerogena, protuupalna svojstva te zajedno pridonose održavanju zdravstvenog stanja. Ovakav obrazac prehrane stoga je neophodan kao preventivna mjera protiv metaboličkog sindroma i drugih kroničnih bolesti, ali i za smanjenje troškova zdravstvene zaštite. Budući da je pretilost povezana s povećanim rizikom od kardiovaskularnih bolesti i dijabetesa tipa 2, koji mogu trajati od djetinjstva i adolescencije do mlade odrasle dobi, važno je rano identificirati djecu i adolescente koji su pod visokim rizikom od razvijanje metaboličkog sindroma. Stoga bi tim mladim ljudima bilo moguće dati rane preventivne mjere, uključujući promjenu načina života, kako bi se zaustavio razvoj metaboličkih abnormalnosti.Metabolic syndrome is a common name for many metabolic disorders like obesity, hypertension, insulin resistance, hyperlipidemia, which together do the act of big risk of development of disease problems like atherosclerosis, cardiovascular diseases, diabetes mellitus type 2 and even some type of cancer. Metabolic syndrome and obesity have a big increase in recent years, starting to be an important public health point because of high risk of hospitalization, high hospital expenses and decreased quality of living. The Sindrome's prevalence is big, have many variations, and depends on age, socioeconomic status, genetics, gender. Many clinical studies have shown that this condition begins with obesity around your waist. Since frequency of obesity in the world increased, almost doubled in last 3 decades, incidence of metabolic syndrome also increased significantly. In that matter, obesity is identified as the first cause of metabolic syndrome because it's heavily connected with many metabolic factors.
Mediterranean diet is described as diet with a combination of fibers, meaning fruits and vegetables, fish, various grains, reduced consummation of red meat, high consummation of blue fish and daily intake of red wine. Clinical studies has shown that the consumption of Mediterranean diet creates some kind of protection from the occurrence of various cancers, cardiovascular diseases, cerebrovascular insult, obesity. Foods that are abundant in the Mediterranean diet have anti-carcinogenic, anti-inflammatory characteristics and together bring good maintaining a healthy state. This type of diet is therefore necessary as a preventive measure against metabolic syndrome and other chronic diseases and to reduce healthcare expenses. Since obesity is connected with an rising hazard of cardial complications and diabetes type 2, which can last from childhood to young adulthood, it is important to identify children and youngsters who have big risk of gettings metabolic syndrome early in life. So, it would be possible to have these young people preventive measurements, including changes of their living, to stop the development of metabolic abnormalities