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INCIDENCE OF VAGINAL BIRTH AFTER CESAREAN SECTION IN KBC RIJEKA IN THE PERIOD 2020.-2023.: research
No full textCilj ovog istraživanja je prikazati incidenciju vaginalnog poroda nakon carskog reza u Klinici za ginekologiju i porodništvo Kliničkog bolničkog centra Rijeka u vremenskom periodu od 1. siječnja 2020. godine do 31. prosinca 2023. godine, usporediti broj vaginalnog poroda nakon carskog reza u ponovljenih carskih rezova, zatim usporediti utječe li razmak između trudnoća na udio vaginalnog poroda nakon carskog reza, te usporediti udio vaginalnih poroda nakon carskog kod različitih dobnih skupina.
U istraživanje uključene su rodilje koje rađaju drugi put u periodu od 1. siječnja 2020. godine do 31. prosinca 2023. godine, a prvi porod je završio carskim rezom. U istraživanje nisu uključene rodilje koje su rađale prvi put te rodilje koje su rađale tri i više puta. Promatrani parametri su: dob, način poroda te vremenski period između poroda. Za dobivanje podataka pretraživale su se povijesti bolesti iz bolničke arhive.
Ispitanice ovog istraživanja su 687 rodilja. 206 ispitanica pripada skupini <30godina (30%), zatim 453 ispitanice pripadaju dobnoj skupini 31-40godina (65,9%), dok 28 ispitanica pripada skupini 41<= godina (4,1%). Prosječna dob ispitanica je 32,75 godina (SD=4,63).
U ovom istraživanju 370 ispitanica (53,9%) rodilo je programskim carskim rezom, 183 ispitanice (26,6%) rodile su hitnim carskim rezom dok su 134 ispitanice (19,5%) rodile vaginalno.
Kod 109 ispitanica vremenska razlika između poroda je manja od 24 mjeseca (15,9%), 332 ispitanice rodile su drugi put 25-48 mjeseci nakon prvog poroda (48,3%). 147 ispitanica rodilo je 49-72 mjeseci nakon prvog poroda (21,4%), dok je kod 99 ispitanica vremenska razlika veća od 73 mjeseci (14,4%). Prosječni razmak između dva poroda je 49,03 mjeseci (SD=31,35).
Mann-Whitneyev U test nije otkrio statistički značajnu razliku u dobi između rodilja koje su porođene vaginalnim putem i rodilja koje su porođene carskim rezom (programski ili hitno) (p<0,05).
Mann-Whitneyev U test nije otkrio statistički značajnu razliku u dobi između rodilja koje su porođene vaginalnim putem i rodilja koje su porođene carskim rezom (programski ili hitno) (p<0,05).The aim of this study is to show the incidence of vaginal birth after cesarean section at the Clinic of Gynecology and Obstetrics of the Rijeka University Hospital Center in the period from January 1, 2020 to December 31, 2023, to compare the number of vaginal births after cesarean sections to repeated cesarean sections, then to compare whether the interval between pregnancies affects the proportion of vaginal births after cesarean sections, and to compare the proportion of vaginal births after cesarean sections in different age groups.
The study included women giving birth for the second time in the period from January 1, 2020 to December 31, 2023, and the first birth ended in cesarean section. The study did not include women giving birth for the first time or women giving birth three or more times. The parameters observed were: age, mode of delivery, and time period between births. To obtain data, medical histories from hospital archives were searched.
The subjects of this study are 687 women in labor. 206 subjects belong to the <30 years group (30%), then 453 subjects belong to the 31-40 years age group (65.9%), while 28 subjects belong to the 41<= years group (4.1%). The average age of the subjects is 32.75 years (SD=4.63).
In this study, 370 subjects (53.9%) gave birth by elective cesarean section, 183 subjects (26.6%) gave birth by emergency cesarean section, while 134 subjects (19.5%) gave birth vaginally.
In 109 women, the time interval between births was less than 24 months (15.9%), 332 women gave birth for the second time 25-48 months after the first birth (48.3%). 147 women gave birth 49-72 months after the first birth (21.4%), while in 99 women the time interval was more than 73 months (14.4%). The average interval between two births was 49.03 months (SD=31.35).
The Mann-Whitney U test did not reveal a statistically significant difference in age between women who gave birth vaginally and women who gave birth by cesarean section (scheduled or emergency) (p<0.05).
The Mann-Whitney U test did not reveal a statistically significant difference in age between women who delivered vaginally and women who delivered by cesarean section (scheduled or emergency) (p<0.05)
The frequency of food consumption among pre-adolescents and adolescents of primary school age
No full textUravnotežena prehrana ključna je za pravilan rast, razvoj i očuvanje zdravlja predadolescenata i adolescenata. Cilj ovog istraživanja bio je utvrditi uravnoteženost prehrane predadolescenata i adolescenata osnovnoškolskog uzrasta u odnosu na nacionalne prehrambene smjernice.
Istraživanje je provedeno u Osnovnoj školi Jelenje-Dražice i Osnovnoj školi Čavle. U njemu je sudjelovalo 284 ispitanika, od čega 99 iz Osnovne škole Jelenje-Dražice i 185 iz Osnovne škole Čavle. Podaci su prikupljeni pomoću validiranog hrvatskog upitnika o učestalosti konzumacije hrane i pića (FFQ) kojeg su ispunjavali roditelji učenika.
Rezultati su pokazali da većina ispitanika unosi prekomjerne količine bjelančevina i zasićenih masnih kiselina, dok je unos ugljikohidrata i energije ispod preporučenih vrijednosti. Najmanje zastupljen vitamin bio je vitamin C, a svi su vitamini konzumirani u količinama iznad preporuka, najčešće putem obogaćenih napitaka. Djevojčice su unosile značajno manje kalorija od dječaka, a prehrambene navike pokazale su tendenciju pogoršanja s porastom dobi. Uočene su i razlike između škola, što ukazuje na utjecaj lokalnog prehrambenog okruženja.
Zaključno, rezultati ukazuju na potrebu za sustavnom edukacijom o pravilnoj prehrani te za intervencijama usmjerenima na promicanje zdravijih prehrambenih izbora u školskom i obiteljskom okruženju. Ovo istraživanje pruža vrijedan uvid u prehrambene obrasce djece osnovnoškolskog uzrasta i može poslužiti kao temelj za daljnje javnozdravstvene aktivnosti i istraživanja.A balanced diet is essential for the proper growth, development, and maintenance of health in pre-adolescents and adolescents. The aim of this study was to assess the dietary balance of primary school-aged pre-adolescents and adolescents in relation to national dietary guidelines.
The research was conducted at Jelenje-Dražice Primary School and Čavle Primary School with a total of 284 participants, 99 from Jelenje-Dražice and 185 from Čavle. Data were collected using a validated Croatian Food Frequency Questionnaire (FFQ), completed by the students’ parents.
The results showed that most participants consumed excessive amounts of protein and saturated fats, while carbohydrate and energy intake were below recommended levels. Vitamin C was the least represented micronutrient, while all vitamins were consumed in quantities exceeding recommendations, most commonly through fortified beverages. Girls had significantly lower caloric intake than boys, and dietary habits tended to worsen with age. Differences between schools were also observed, indicating the influence of the local food environment.
In conclusion, the findings point to the need for systematic education on proper nutrition and for interventions aimed at promoting healthier dietary choices within both school and family settings. This study provides valuable insight into the dietary patterns of primary school children and may serve as a foundation for future public health initiatives and research
COMPARISON OF FEET IN STATIC AND DYNAMIC CONDITIONS IN PHYSIOTHERAPY STUDENTS WHO ENGAGE IN PHYSICAL ACTIVITY AND THOSE WHO DO NOT
No full textUvod: Stopalo je složena struktura koja ima ključnu ulogu u održavanju ravnoteže, prijenosu težine i omogućavanju kretanja. Pravilno izvođena i dozirana tjelesna aktivnost pozitivno utječe na biomehaniku stopala. Metoda koja se koristi za mjerenje i analizu raspodjele opterećenja tijela na stopalo tijekom stajanja ili bilo kojeg oblika kretanja naziva se pedobarografija. Pedobarografija novija je metoda u okviru prevencije, dijagnostike i rehabilitacije te ima široko kliničko područje i primjenu. Glavni cilj istraživanja jest ispitati distribuciju plantarnog pritiska kod ispitanika koji se bave tjelesnom aktivnošću i onih koji se ne bave.
Materijali i metode: U istraživanju je dobrovoljno sudjelovalo 40 ispitanika (80 % ispitanika su ženskog spola, a 20 % ispitanika muškog spola) u dobi od 18. do 24. godine života. Ispitanici su bili podijeljeni u dvije skupine, kontrolnu i eksperimentalnu, na temelju njihovog bavljenja tjelesnom aktivnošću. Svi ispitanici izmjereni su Biomech pedobarografom u statičkim i dinamičkim uvjetima. Dobiveni podaci obrađeni su u programu Statistica 14.0.0.15. (TIBCO Software Inc.) Deskriptivnom statistikom dobile su se sljedeće vrijednosti: aritmetička sredina, standardna devijacija i p vrijednost.
Rezultati: Tijekom analize mjerenja u statici, analizirale su se sljedeće varijable: maksimalna sila (Kgf), maksimalni plantarni pritisak (kPa), površina oslonca (cm2) i distribucija opterećenja lijevog stopala u odnosu na desno i obrnuto (%). Rezultati nisu pokazali statistički značajnu razliku (p > 0,05) u raspodjeli opterećenja stopala između kontrolne i eksperimentalne skupine u statičkim uvjetima. Pa se tako p-vrijednost ovisno varijabli i stopalu (ili dijelu stopala) kreće od 0,089 do 0,889. Isto tako, ispitanici ovog istraživanja ne oslanjaju se na dominantnu nogu u većoj mjeri. Tijekom analize mjerenja u dinamici, analizirala se varijabla maksimalna sila (Kgf). Rezultati nisu pokazali statistički značajnu razliku (p > 0,05) između raspodjele opterećenja stopala između kontrolne i eksperimentalne skupine u dinamičkim uvjetima. P-vrijednosti unutar rezultata dinamičkog mjerenja kreću se od 0,423 do 0,978.
Zaključak: Nedostatak značajnih rezultata ukazuje na potrebu za detaljnijim i opsežnijim istraživanjima s većim uzorcima i preciznijim podjelama unutar skupina. Buduća istraživanja mogu pomoći u boljem razumijevanju povezanosti tjelesne aktivnosti i biomehanike stopala te tako doprinijeti razvoju učinkovitijih preventivnih i terapijskih pristupa i programa.Introduction: The foot is a complex structure that plays a key role in maintaining balance, transmitting body weight, and enabling movement. Properly performed and appropriately regulated physical activity positively influences the biomechanics of the foot. The method used to measure and analyze the distribution of body load on the foot during standing or any form of movement is called pedobarography. Pedobarography is a relatively new method in prevention, diagnosis, and rehabilitation, with broad clinical applications. The main aim of this study was to examine plantar pressure distribution in participants who engage in physical activity and those who do not.
Materials and Methods: The study included 40 voluntary participants (80% female and 20% male) aged 18 to 24. Participants were divided into two groups, control and experimental, based on their participation in physical activity. All participants were measured using the Biomech pedobarograph under static and dynamic conditions. The collected data were processed using Statistica 14.0.0.15 (TIBCO Software Inc.). Descriptive statistics yielded the following values: arithmetic mean, standard deviation, and p-value.
Results: During the analysis of static measurements, the following variables were examined: maximum force (Kgf), maximum plantar pressure (kPa), contact area (cm²) and the load distribution between the left and right foot (%). The results showed no statistically significant difference (p > 0,05) in foot load distribution between the control and experimental groups under static conditions. The p-value, depending on the variable and the foot (or part of the foot), ranges from 0.089 to 0.889. Additionally, participants did not show a greater reliance on their dominant foot. During the analysis of dynamic measurements, the variable maximum force (Kgf) was examined. Results also showed no statistically significant difference (p > 0,05) in foot load distribution between the control and experimental groups under dynamic conditions. P-values within the dynamic measurement results range from 0.423 to 0.978.
Conclusion: The lack of statistically significant results indicates the need for more detailed and extensive research with larger samples and more precise group classifications. Future studies may help improve our understanding of the relationship between physical activity and foot biomechanics, contributing to the development of more effective preventive and therapeutic approaches and programs
Depression and Its Effect on Geriatric Rehabilitation Outcomes in Switzerland’s Aging Population
No full textAbstract: Background and Objectives: Depression is a common mental problem in the older
population and has a significant impact on recovery and general well-being. A comprehensive
understanding of the prevalence of depressive symptoms and their effects on
functional outcomes is essential for improving care strategies. The primary aim of this
study was to determine the prevalence of depressive symptoms in older patients undergoing
geriatric rehabilitation and to assess their specific impact on their functional abilities.
Materials and Methods: A retrospective study was conducted at the Lucerne Cantonal Hospital
inWolhusen, Switzerland, spanning from 2015 to 2020 and including 1159 individuals
aged 65 years and older. The presence of depressive symptoms was assessed using the
Geriatric Depression Scale (GDS) Short Form, while functional abilities were evaluated
using the Functional Independence Measure (FIM) and the Tinetti test. Data analysis was
performed using TIBCO Statistica 13.3, with statistical significance set at p < 0.05. Results:
Of the participants, 22.9% (N = 266) exhibited depressive symptoms, with no notable differences
between genders. Although all patients showed functional improvements, the
duration of rehabilitation was prolonged by two days (p = 0.012, d = 0.34) in those with
depressive symptoms. Alarmingly, 76% of participants were classified as at risk of falling
based on the Tinetti score. However, no significant correlation was found between the
GDS and Tinetti scores at admission (p = 0.835, r = 0.211) or discharge (p = 0.336, r = 0.184).
The results from the non-parametric Wilcoxon matched-pairs test provide compelling
evidence of significant changes in FIM scores when comparing admission scores to those
at discharge across all FIM categories. Conclusions: Depressive symptoms are particularly
common in geriatric rehabilitation patients, leading to prolonged recovery time and increased
healthcare costs. While depressive symptoms showed no correlation with mobility
impairments, improvements in functional status were directly associated with reduced GDS
scores. Considering mental health during admission and planning is critical in optimizing
rehabilitation outcomes
Double Trouble on the Lower Leg—Unique Human Coinfection with Echinococcus granulosus and Echinococcus multilocularis Without Liver Involvement
No full textThe tapeworms Echinococcus granulosus and Echinococcus multilocularis cause two different clinical manifestations in humans: cystic echinococcosis (CE) and alveolar echinococcosis (AE), respectively. Both forms of echinococcosis manifest primarily in the liver, while other organs or tissues are less frequently affected. Simultaneous occurrence of CE and AE is extremely rare, and all previously reported patients exhibited affected livers, while simultaneous infection without liver involvement has not yet been described. Herein, we present an exclusively extrahepatic E. granulosus and E. multilocularis coinfection localized between the calf muscles of a patient. Due to progressive painful local swelling, an abscess was suspected, but there was no improvement after the administration of multiple courses of antibiotics. When imaging diagnostics suggested a parasitic origin of the two identified cystic lesions, positive serology for both species indicated a dual infection. Albendazole therapy was started, and extensive surgical excision was performed. Both species were confirmed using PCR and sequencing from intraoperative samples. The current case shows that coinfection without liver involvement can occur, even in patients from low-incidence regions, which should be considered in the differential diagnosis of patients with unusual clinical presentation
Early Surgical Treatment of Posttraumatic Myositis Ossificans of the Vastus Intermedius Muscle
No full textThis case study demonstrates the effectiveness of early surgical excision of the traumatic myositis ossificans of the vastus intermedius muscle in an elite football player and return to sports activity within 3 months from the initial injury.
A 27-year-old male professional football player presented with progressive pain and loss of range of motion after sustaining a severe, right quadriceps contusion 4 weeks earlier. After unsuccessful conservative therapy, the differential diagnosis of myositis ossificans was suspected and confirmed on radiographic examination. MRI revealed significant edema encompassing a substantial portion of the vastus intermedius muscle.
Surgical treatment was considered for the right thigh mass, being symptomatic 1 month after the onset and refractory to conservative treatment and rehabilitation program. At 2 months postsurgery, the patient was asymptomatic and had completed a rehabilitation program.
Early surgical treatment followed-up with a rehabilitation program results with a complete recovery of muscle strength and range of motion. At 3 months postinitial injury, the patient was considered fully recovered and had returned to the match without reporting pain or other symptoms
Comparison on physical activity among physiotherapy students of the Faculty of health studies in Rijeka and Seamk University of applied sciences in Seinäjoki
No full textUvod: Tjelesna aktivnost ima ključnu ulogu u očuvanju fizičkoh i mentalnog zdravlja, osobito kod mladih odraslih osoba poput studenata. Svjetska zdravstvena organizacija (WHO) kontinuirano ističe važnost redovite tjelesne aktivnosti kao temelja zdravog načina života, no podaci pokazuju da velik broj ljudi, osobito mladih, ne doseže preporučene razine. Unatoč poznatim dobrobitima, razina tjelesne aktivnosti među studentima često nije zadovoljavajuća, što može biti povezano s različitim individualnim, kulturnim i infrastrukturnim čimbenicima. Studenti zdravstvenih studija, posebno fizioterapije, zbog svoje buduće profesionalne uloge, trebali bi razvijati i njegovati aktivan životni stil. Osim osobnog zdravlja, njihova je uloga važna i u promicanju zdravlja među populacijom. Upravo zato važno je razumjeti obrasce tjelesne aktivnosti unutar ove skupine i prepoznati moguće razlike među njima.
Ciljevi istraživanja: Ispitati postoji li razlika u razini tjelesne aktivnosti između studenata fizioterapije na Fakultetu zdravstvenih studija u Rijeci i Sveučilištu primijenjenih znanosti Seamk u Seinäjokiju, uzimajući u obzir dostupnost sportske infrastrukture. Također, istražuju se razlike u tjelesnoj aktivnosti s obzirom na spol te utjecaj kultunih i životnih navika na aktivan stil života.
Ispitanici (materijali) i metode: Istraživanje je provedeno na 101 student preddiplomskog studija fizioterapije, od čega 49 studenata s Fakulteta zdravtvenih studija u Rijeci (Hrvatska) i 52 studenata s Fakulteta primijenjenih znanosti Seamk u Seinäjokiju (Finska). Sudionici su ispunili dugu verziju Međunarodnog upitnika o tjelesnoj aktivnosti (International Physical Activity Questionnaire- IPAQ), koji se standardiziran alat za procjenu razine tjelesne aktivnosti. Također, ispitani su i aspekti dostupnosti sportske infrastrukture i sudjelovanja u organiziranim sportskim aktivnostima putem dodatnog anketnog upitnika. Prikupljeni podaci analizirani su pomoću deskriptivne statistike te t-testa i Hi-kvadrat testa kako bi se ispitala statistička značajnost razlika među skupinama.
Rezultati: Rezultati pokazuju da studenti fizioterapije u Seinäjokiju značajno imaju višu razinu tjelesne aktivnosti u usporedbi sa studentima u Rijeci (p<0.001), čime je prva hipoteza potvrđena. Nije pronađena statistički značajna razlika u razini tjelesne aktivnosti između muškaraca i žena na oba fakulteta, pa druga hipoteza nije potvrđena. Sportska infrastruktura značajno je dostupnija studentima u Seinäjokiju u odnosu na Rijeku (p<0.001), čime je potvrđena treća hipoteza. Povezanost između životnih navika i percepcije važnosti tjelesne aktivnosti nije statistički značajna, pa četvrta hipoteza nije potvrđena.
Zaključak: Istraživanje je pokazalo da studenti fizioterapije u Seinäjokiju imaju veću razinu tjelesne aktivnosti i bolju dostupnost sportske infrastrukture u usporedbi sa studentima u Rijeci. Razlike u tjelesnoj aktivnosti prema spolu nisu bile značajne, a povezanost životnih navika i percepcije važnosti tjelesne aktivnosti nije potvrđena. Ovi nalazi ukazuju na važnost osiguravanja kvalitetne sportske infrastrukture za poticanje tjelesne aktivnosti među studentima.Introduction: Physical activity plays a key role in maintaining both physical and mental health, particularly among young adults such as university students. The World Health Organization (WHO) continuously emphasizes the importance of regular physical activity as a foundation of a healthy lifestyle; however, data show that a large number of individuals, especially young people, fail to meet the recommended levels. Despite its well-documented benefits, physical activity levels among students are often insufficient, which may be influenced by a range of individual, cultural, and infrastructural factors. Students in health-related fields, especially physiotherapy, are expected to adopt and sustain an active lifestyle due to their future professional roles. In addition to safeguarding their own health, they also play a crucial role in promoting health within the broader population. For these reasons, it is important to understand the patterns of physical activity within this group and to identify potential differences among them.
Objectives: to compare the level of physical activity among physiotherpy students from the University of health studies in Rijeka (Croatia) and Seamk University of Applied sciences in Seinäjoki (Finland), considering the availability of sports infrastructure. It also explores gender differences and the influence of cultural and lifestyle factors on an active lifestyle.
Participants (materials) and Methods: The study included a total od 101 physiotherapy students, with 49 students from the Faculty of Health Studies in Rijeka (Croatia) and 52 students from Seinäjoki University of Applied Sciences (Finland). The partecipants completed the International Physical Activity Questionnaire – Long Form (IPAQ), a standardized tool for assessing physical activity levels. Additionally, aspects of access to sports infrastructure and participation in organized sports activities were examined through supplementary questions. The collected data were analyzed using descriptive statistics, as well as t-tests and chi-square tests to assess the statistical significance of differences between the groups.
Results: The results indicate that physiotherapy students in Seinäjoki have a significantly higher level of physical activity compared to students in Rijeka (p<0.001), confirming the first hypothesis of the reserach. No statistically significant differences were found in physical activity levels between male and female students at either faculty, thus the second hypothesis was not confirmed. Access to sports infrastructure was significantly greater for students in Seinäjoki compared to those in Rijeka (p<0.001), supporting the third hypothesis. The association between lifestyle habits and the perception of the importance of physical activity was not statistically significant, and therefore the fourth hypothesis was not confirmed.
Conclusion: The study revealed that physiotherapy students in Seinäjoki exhibit higher levels of physical activity and better access to sports infrastructure compared to students in Rijeka. Differences in physical activity by gender were not significant, and the association between lifestyle habits and the perception of the importance of physical activity was not confirmed. These findings highlight the importance of providing quality sports infrastructure to promote physical activity among students
CHARACTERISTICS OF FOOD INDUCED ANAPHYLAXIS IN PEDIATRIC POPULATION
No full textUvod: Anafilaktička reakcija je akutna životno ugrožavajuća alergijska reakcija koju karakterizira sistemska vazodilatacija i bronhokonstrikcija. Može se pojaviti nakon izlaganja različitim alergenima poput hrane, otrova insekata, lijekova i cjepiva. Pedijatrijska populacija sklonija je alergijama na hranu u odnosu na odraslu populaciju. Procijenjeno je da otprilike 8% djece ima alergije na hranu, 2.4% djece ima višestruke alergije na hranu, a 3% djece doživi anafilaktičku reakciju.
Materijali i metode: U ovo istraživanje uključena su djeca do osamnaeste godine života hospitalizirana zbog anafilaktičke reakcije na hranu u Klinici za pedijatriju KBC Rijeka u desetogodišnjem razdoblju od 1. siječnja 2014. do 31. prosinca 2024. godine.
Rezultati: U desetogodišnjem periodu, zabilježene su 94 hospitalizacije zbog anafilaksije na hranu. Veća je pojavnost anafilaksija kod dječaka (55,3%) u odnosu na djevojčice (44,7%). Najveći broj slučajeva zabilježen je kod djece u dobi od 13 do 18 godina (35,1%), a najmanje u skupini od 4 do 6 godina (11,7%). Međutim, najveći broj pojedinačnih slučajeva zabilježen je kod jednogodišnjaka (13,8%). Najčešći uzrok bio je kikiriki (22,3%), a sljedeći po učestalosti su pšenica (10,6%), jaje (8,5%) te kravlje mlijeko (7,4%). U simptomatologiji anafilaktičke reakcije dominiraju kožni simptomi te su također visoko zastupljeni simptomi na respiratornom i gastrointestinalnom sustavu. Polovica pacijenata nije imala kardiovaskularne ili neurološke simptome, a njihova prisutnost ukazuje na teže oblike anafilaksije.
Zaključak: Anafilaksija na hranu predstavlja važan zdravstveni problem u pedijatrijskoj populaciji. Istraživanje potvrđuje da se anafilaksija može javiti u svim dobnim skupinama djece, s različitim kliničkim slikama i težinom simptoma. Najčešći uzroci povezani su s uobičajenim prehrambenim alergenima poput kikirikija, pšenice, jaja i kravljeg mlijeka. Pravovremeno prepoznavanje simptoma, adekvatno liječenje i prevencija izloženosti alergenima ključni su za smanjenje rizika i poboljšanje ishoda kod djece s alergijama na hranu.Introduction: Anaphylactic reaction is an acute, life-threatening allergic response characterized by systemic vasodilation and bronchoconstriction. It may occur following exposure to various allergens such as food, insect venom, medications, and vaccines. The pediatric population is more prone to food allergies compared to the adult population. It is estimated that approximately 8% of children have food allergies, 2.4% have multiple food allergies, and 3% experience an anaphylactic reaction.
Materials and methods: This study included children up to 18 years of age who were hospitalized due to food-induced anaphylactic reactions at the Department of Pediatrics, Clinical Hospital Center Rijeka, over a ten-year period from January 1, 2014, to December 31, 2024.
Results: Anaphylaxis occurred more frequently in boys (55.3%) than in girls (44.7%). The highest number of cases was observed in children aged 13 to 18 years (35.1%), and the lowest in the 4 to 6-year age group (11.7%). However, the highest number of individual cases was recorded among one-year-olds (13.8%). The most common trigger was peanut (22.3%), followed by wheat (10.6%), eggs (8.5%), and cow’s milk (7.4%). Cutaneous symptoms were the most dominant clinical manifestation of anaphylactic reactions, with respiratory and gastrointestinal symptoms also being highly represented. Half of the patients did not exhibit cardiovascular or neurological symptoms, but their presence was indicative of more severe forms of anaphylaxis.
Conclusion: Food-induced anaphylaxis is a significant health issue in the pediatric population. The study confirms that anaphylaxis can occur in all pediatric age groups, presenting with diverse clinical manifestations and varying symptom severity. The most common triggers are typical dietary allergens such as peanuts, wheat, eggs, and cow’s milk. Early recognition of symptoms, appropriate treatment, and prevention of allergen exposure are essential for reducing risk and improving outcomes in children with food allergies
WORK MOTIVATION OF PHYSIOTHERAPISTS: research : Master thesis
No full textRad fizioterapeuta zahtijeva visoku razinu stručnosti, odgovornosti i posvećenosti pacijentima. S obzirom na izazove profesije, radna motivacija i zadovoljstvo poslom imaju važnu ulogu u kvaliteti pružene zdravstvene skrbi. Cilj ovog istraživanja bio je ispitati motivacijske čimbenike fizioterapeuta zaposlenih u Thalassotherapia Opatija - specijalna bolnica za medicinsku rehabilitaciju bolesti srca, pluća i reumatizma (Thalassotherapia Opatija) i Thalassotherapia Crikvenica - specijalna bolnica za medicinsku rehabilitaciju (Thalassotherapia Crikvenica) Primorsko-goranske županije.
Thalassotherapiji Opatija i Thalassotherapia Crikvenica te utvrditi što najviše utječe na njihovo zadovoljstvo poslom. Dobiveni rezultati mogu poslužiti za unapređenje radnih uvjeta i organizacije rada u zdravstvenim ustanovama.
Istraživanje je provedeno na prigodnom uzorku fizioterapeuta i fizioterapeutskih tehničara zaposlenih u Thalassotherapiji Opatija i Thalassoterapiji Crikvenica. U istraživanju je sudjelovalo 60 zaposlenika. Kao instrumenti koristit će se standardizirani upitnici Employee Satisfaction Survey i Work Preference Inventory. Upitnici obuhvaćaju podatke o sociodemografskim obilježjima, zadovoljstvu poslom i razini radne motivacije. Podaci su prikupljeni tijekom akademske godine 2024./2025., uz prethodno odobrenje Etičkih povjerenstava u obje ustanove.
Od pet postavljenih hipoteza potvrđene su one koje se odnose na obrazovanje i radni staž. Nisu pronađene značajne razlike u motivaciji prema spolu, mjestu rada ni vrsti ugovora. Rezultati upućuju na to da motivaciju više oblikuju individualni i organizacijski čimbenici nego osnovne demografske varijable.
Istraživanje je pokazalo da na radnu motivaciju fizioterapeuta utječu različiti unutarnji i vanjski čimbenici, poput osjećaja doprinosa pacijentima, profesionalnog razvoja i radnog okruženja. Kao demotivirajući faktori istaknuti su manjak priznanja, ograničene mogućnosti napredovanja i nezadovoljavajući financijski uvjeti.The work of a physiotherapist requires a high level of expertise, responsibility and dedication to patients. Given the challenges of the profession, work motivation and job satisfaction play an important role in the quality of healthcare provided. The aim of this study was to examine the motivational factors of physiotherapists employed in
Thalassotherapia Opatija – a special hospital for medical rehabilitation of heart, lung and rheumatism diseases (Thalassotherapia Opatija) and Thalassotherapia Crikvenica – a special hospital for medical rehabilitation (Thalassotherapia Crikvenica) of Primorje - Gorski Kotar County
Thalassotherapia Opatija and Thalassotherapia Crikvenica and to determine what most affects their satisfaction. The results obtained can be used to improve working conditions and work organization in healthcare institutions.
The study was conducted on a convenient sample of physiotherapists and physiotherapy technicians employed in Thalassotherapia Opatija and Thalassotherapia Crikvenica. 60 employees participated in the study. The instruments used will be the standardized Employee Satisfaction Survey and Work Preference Inventory questionnaires. The questionnaire includes data on sociodemographic characteristics, job satisfaction and level of work motivation. The data were collected during the 2024/2025 academic year, with prior approval from the Ethics Committees in both institutions.
Of the five hypotheses set, those related to education and length of service were confirmed. No significant differences were found in motivation by gender, place of work or type of contract. The results indicate that motivation is shaped more by individual and organizational factors than by basic demographic variables.
The research showed that the work motivation of physiotherapists is influenced by various internal and external factors, such as a sense of contribution to patients, professional development and the work environment. Lack of recognition, limited opportunities for advancement and unsatisfactory financial conditions were highlighted as demotivating factors
Impact of sociodemographic factors on sleep quality in pregnant women with type diabetes and type 2 diabetes in the clinic forwomen"s diseases and childbirth of university hospital center Zagreb: research paper
No full textCILJ: Cilj ovog istraživanja bio je ispitati utjecaj sociodemografskih čimbenika na kvalitetu spavanja kod trudnica oboljelih od dijabetesa tipa 1 i tipa 2 koje su liječene u Klinici za ženske bolesti i porode KBC-a Zagreb.
METODE: Istraživanje je provedeno kao presječno, opisno istraživanje na uzorku od 50 trudnica. Kao instrument korišten je Pittsburgh upitnik za procjenu kvalitete spavanja, dopunjen pitanjima o sociodemografskim obilježjima ispitanica.
REZULTATI: Rezultati su pokazali kako čak 74 % trudnica ima lošu kvalitetu spavanja. Najčešći uzrok lošeg sna bio je učestali odlazak na toalet tijekom noći. Nije utvrđena statistički značajna povezanost kvalitete spavanja s dobi, bračnim statusom, mjestom stanovanja ni duljinom radnog staža ispitanica, čime su hipoteze o njihovom utjecaju na san odbačene. Međutim, pokazalo se kako postoji značajna povezanost između korištenja noćne doze inzulina i lošije kvalitete spavanja. Trudnice koje koriste inzulin noću češće imaju loš san, što može biti povezano s noćnim buđenjima radi kontrole glukoze ili strahom od hipoglikemija.
ZAKLJUČAK: Zaključuje se kako poremećaji spavanja predstavljaju značajan problem kod trudnica s dijabetesom te da bi procjena kvalitete sna trebala postati dio rutinske prenatalne skrbi. Potrebna su dodatna istraživanja s većim uzorkom ispitanica radi boljeg razumijevanja međuodnosa dijabetesa i kvalitete sna u trudnoći.OBJECTIVE: The aim of this study was to investigate the impact of sociodemographic factors on sleep quality in pregnant women with type 1 and type 2 diabetes treated at the Clinic for Women’s Diseases and Childbirth of University Hospital Center Zagreb.
METHODS: This cross-sectional descriptive study included a sample of 50 pregnant women. The Pittsburgh Sleep Quality Index questionnaire, supplemented with questions on sociodemographic characteristics, was used as the research instrument. Results showed that as many as 74% of pregnant women had poor sleep quality. The most common cause of disturbed sleep was frequent nocturnal urination.
RESULTS: There was no statistically significant association between sleep quality and factors such as age, marital status, place of residence, or years of work experience, leading to rejection of hypotheses regarding their impact on sleep. However, a significant association was found between the use of nighttime insulin doses and poorer sleep quality. Pregnant women using insulin at night reported poorer sleep, possibly due to nocturnal awakenings for glucose monitoring or fear of hypoglycemia.
CONCLUSION: It can be concluded that sleep disturbances are a significant issue for pregnant women with diabetes, and that assessment of sleep quality should become part of routine prenatal care. Further research on larger samples is necessary to better understand the relationship between diabetes and sleep quality during pregnancy