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Magnetic resonance imaging of the pelvis in the assessment of perianal fistula
No full textPerianalne fistule predstavljaju značajan klinički izazov, osobito kod pacijenata s kroničnim upalnim bolestima crijeva poput Crohnove bolesti. Precizna dijagnostika ima ključnu ulogu u pravilnom odabiru terapije i smanjenju rizika od ponovne pojave bolesti. Magnetska rezonancija (MR) zdjelice se smatra najpouzdanijom metodom slikovne dijagnostike, omogućujući detaljan prikaz mekih tkiva visoke rezolucije te preciznu analizu fistuloznih kanala u odnosu na sfinkterski aparat.
U ovom radu naglašena je važnost MR-a u identifikaciji i klasifikaciji fistula, pri čemu se posebna pažnja posvećuje dvjema najčešće korištenim klasifikacijama – Parksovoj i St. Jamesovoj. Također su detaljno opisane tehničke karakteristike pregleda, uključujući izbor optimalnih sekvenci i primjenu kontrastnih sredstava radi poboljšanja dijagnostičke točnosti.
Zaključno, MR zdjelice omogućuje sveobuhvatan i neinvazivan pristup dijagnostici perianalne fistule, značajno doprinosi kirurškom odlučivanju i smanjuje rizik od pogrešne terapije. Njegova primjena trebala bi biti standardizirana u svim centrima koji se bave liječenjem perianalnih bolesti.Perianal fistulas represent a complex clinical condition, particularly in patients with chronic inflammatory bowel diseases such as Crohn’s disease. Accurate diagnosis is essential for effective treatment and to minimize the risk of recurrence. Pelvic magnetic resonance imaging (MRI) is considered the gold standard in the evaluation of perianal fistulas due to its high-resolution soft tissue contrast and its ability to delineate the relationship between fistulous tracts and the sphincter complex.
This paper highlights the role of MRI in the detection and classification of perianal fistulas, focusing on commonly used systems such as the Parks and St. James’s University Hospital classifications. Technical aspects of MRI protocols are described, including optimal sequences and the role of contrast enhancement. The importance of MRI in preoperative planning and post-treatment monitoring is also discussed.
In conclusion, pelvic MRI offers a comprehensive, non-invasive diagnostic approach to perianal fistulas, greatly supporting surgical decision-making and reducing the likelihood of inadequate treatment. Its use should be standardized in all specialized centers managing perianal disease
Life support with an automatic external defibrillator - The role of a nurse/medical technician in the T2 emergency medical service team
No full textOvaj rad bavi se analizom uloge medicinske sestre i tehničara u okviru T2 tima hitne medicinske službe, s posebnim naglaskom na uporabu automatskog vanjskog defibrilatora (AVD) u izvanbolničkoj reanimaciji. Uzimajući u obzir značaj pravovremene defibrilacije kod iznenadnog srčanog zastoja te sve učestaliju dostupnost AVD uređaja na javnim mjestima, naglašava se potreba za kvalitetnom edukacijom i osposobljenošću zdravstvenih djelatnika. Uloga T2 tima, koji često djeluje bez prisutnosti liječnika, posebno dolazi do izražaja u udaljenim i teško dostupnim područjima. Rad istražuje važnost stalnog stručnog usavršavanja, dobre timske koordinacije, kao i poznavanja anatomije srca, uzroka srčanog zastoja te pravilne primjene AVD-a. Kroz pregled aktualnih izvora i nacionalnih preporuka, ističe se važnost aktivne uloge medicinskih sestara i tehničara u povećanju šansi za preživljavanje osoba pogođenih srčanim zastojem izvan bolničkog okruženja.This paper analyzes the role of nurses and medical technicians within the T2 emergency medical service (EMS) teams, with a particular focus on the use of automated external defibrillators (AEDs) during out-of-hospital resuscitation. Considering the critical importance of timely defibrillation in cases of sudden cardiac arrest and the growing availability of AEDs in public spaces, the study highlights the need for thorough education and training of healthcare professionals. The role of T2 teams - often operating without a physician - is especially vital in remote and hard-to-reach areas. The paper explores the significance of continuous professional development, effective team coordination, and comprehensive knowledge of cardiac anatomy, the causes of cardiac arrest, and proper AED application. Through a review of current literature and national guidelines, the study emphasizes the active role nurses and technicians play in improving survival outcomes for individuals experiencing cardiac arrest outside of hospital settings
Knowledge and attitudes of the nurses of KBC Split about the Hospital Information System
No full textUvod: Informatizacija sustava je donijela velike i nužne promjene u cijelom zdravstvenom sustavu. Važno je omogućiti implementaciju što boljeg sustava te prilagodit radu medicinskim sestra na svakom odjelu obzirom na dinamiku i mogućnost rada.
Cilj: Utvrditi stavove i znanja medicinskih sestara u KBC-u Split o bolničkom informacijskom sustavu.
Metode: Istraživanje se provodilo pri KBC-u Split (klinika, zavod, odjel), a obuhvatilo je 76 ispitanika. Upitnik se ispunjavao anonimno, online putem koristeći Google Forms u trajanju od 1. prosinca 2021. do 20.prosinca 2021. godine.
Rezultati: Rezultati istraživanja upućuju na različite stavove i znanja medicinskih sestara prema bolničkom informacijskom sustavu. Ispitivanjem su utvrđene i statistički obrađeni rezultati sociodemografskog dijela s obzirom na spol (χ2=64,47; P<0,001), na dob (IQR=29,50-48,50). na stupanj obrazovanja (χ2=32,63; P<0,001), radni staž (χ2=57,32; p<0,001), informatičku pismenost (χ2=33,90; P<0,001). Istraživanjem je utvrđena prosječna razina znanja iznosi koja iznosi (43,74%) sa prosječnim odstupanjem od aritmetičke sredine (12,35%). Znanje medicinskih sestara o BIS-u mjereno je temeljem tvrdnji na koje su medicinske sestre iskazivale slaganje. Najveći broj medicinskih sestara i postotak koji se potpuno složio s nekom tvrdnjom je n= 38; 50%, dok je najveći broj i postotak koji je dobiven ne slaganjem s određenom tvrdnjom n=14; (18,42). Stav medicinski sestara o sustavu mjeren je temeljem tvrdnji, gdje je utvrđeno da veliki broj medicinskih sestara ne istražuje dodatno i osobno literature vezanu za BIS (n=39; 51,32%), ali imaju potrebu za dodatnom edukacijom (n=39; 51,32%). Prosječna razina stava iznosi (28,75%) sa prosječnim odstupanjem od aritmetičke sredine (15,77%).
Zaključci: Medicinske sestre KBC-a Split, istraživanjem su utvrđene pretpostavke da manji udio medicinskih sestara ima dovoljno znanja o BIS-u, te je sustav nedovoljno prilagođen različitim uvjetima rada medicinskih sestara. Utvrđeno je da nema statistički značajne razlike među medicinskim sestrama mlađim od 40. godina koje se bolje služe BIS-om, i utvrđena je potreba za dodatnom edukacijom. Statistički su utvrđene razlike u stavovima medicinskih sestara različitog stupnja obrazovanja, no nisu utvrđene razlike u znanju medicinskih sestara različitog stupnja obrazovanja.SUMMARY
Introduction The informatization of the hospital system has brought about major and necessary changes in the entire health care system. It is important to enable the implementation of the best possible system and to adapt the work of nurses in each department regarding the dynamics and possibility of work.
Aim: To determine the attitudes and knowledge of nurses at the Clinical Hospital Center Split about the hospital information system.
Methods The research was conducted at the Clinical Hospital Center Split (clinic, institute, department), and included seventy-six respondents. The questionnaire is completed anonymously, online using Google Forms from December 1, 2021., to December 20, 2021.
Results The results of the research indicate different attitudes and knowledge of nurses towards the hospital information system. The study determined and statistically processed the results of the socio-demographic part regarding gender (χ2 = 64.47; P <0.001), age (IQR = 29.50-48.50). at the level of education (χ2 = 32.63; P <0.001), work experience (χ2 = 57.32; p <0.001), computer literacy (χ2 = 33.90; P <0.001). The research determined the average level of knowledge is (43.74%) with an average deviation from the arithmetic mean (12.35%). The nurses' knowledge of BIS was measured based on the statements that the nurses agreed with. The highest number of nurses and the percentage who completely agreed with a statement is n = 38; 50%, while the maximum number and percentage obtained by disagreeing with a particular statement is n = 14; (18.42). The attitude of nurses about the system was measured based on claims, where it was found that a large number of nurses do not research additional and personal literature related to BIS (n = 39; 51.32%) but need additional education (n = 39; 51.32%). The average attitude level is (28.75%) with an average deviation from the arithmetic mean (15.77%).
Conclusions Nurses of KBC Split, the research established the assumptions that a smaller proportion of nurses have sufficient knowledge about BIS, and the system is insufficiently adapted to different working conditions of nurses. It was found that there is no statistically significant difference between nurses under the age of forty who use BIS better, just as there is need for additional education. Differences in the attitudes of nurses with various levels of education were statistically determined, but no differences were found in the knowledge of nurses with various levels of education
Identification of possible victims of abuse in the Eye Diseases Clinic and in the Department of Orthopedics and Traumatology of the Surgical Clinic of KBC Split; Attitudes and knowledge of nurses and physicians about abuse of women
No full textUvod: IPV je javnozdravstveni problem koji može dovesti do smrtnosti i obolijevanja. Žrtve IPV-a se učestalo javljaju u zdravstvene ustanove zbog traume oka ili traume mišićno-koštanog sustava kao posljedice IPV-a. Stoga je potrebno pomno ispitati važnost pravovremenog uočavanja i reagiranja medicinskih sestara i liječnika na pacijentice koje su žrtve nasilja od strane intimnog partnera kako bi se popunila trenutna praznina u ovom području.
Cilj: Istražiti znanje i stavove medicinskih sestara i liječnika u vezi s nasiljem nad ženama na Klinici za očne bolesti i Zavodu za ortopediju i traumatologiju Klinike za kirurgiju KBC-a Split.
Metode: Istraživanjem je obuhvaćeno 97 ispitanika u razdoblju od 1. listopada do 30. studenog 2023. godine. Svih 97 ispitanika su bili medicinske sestre i liječnici sa zasnovanim radnim odnosom u Klinici za očne bolesti i u Zavodu za ortopediju i traumatologiju Klinike za kirurgiju KBC-a Split koji su popunili upitnik “Nasilje nad ženama – Upitnik za pružatelje zdravstvenih usluga“.
Rezultati: Eksploratornom faktorskom analizom, uz korištenje PCA sa svojstvenom vrijednošću većom od 1 uz Varimax rotaciju i uvjet da su apsolutne vrijednosti veće od 0,45, dobili smo 7 faktora koja objašnjavaju ukupno 65,14% varijance. Samo 3 medicinske sestre i 2 liječnika su educirani o zlostavljanju žena. Medicinske sestre su imale više iskustva s nasiljem nad ženama od liječnika (χ=5,7; p=0,17). Udio liječnika koji su pozvali policiju za 2,6 puta je veći nego udio medicinskih sestara koje su pozvale policiju (χ=3,9; p=0,047). Najviše ispitanika (11,3%) smatra kako je strah žene da verbalizira zlostavljanje najveća prepreka u probiru zlostavljanja žena. Na otvoreno pitanje što bi im pomoglo u olakšavanju probira 51,5% ispitanika nije dalo nikakav odgovor. Od ispitanika koji su odgovorili na pitanje, najviše ispitanika (22,7%), od toga 25,4% medicinskih sestara i 17,6% liječnika smatra kako bi edukacija olakšala probir zlostavljanja žena.
Zaključci: Hrvatska verzija upitnika „Nasilje nad ženama – Upitnik za pružatelje zdravstvenih usluga“ od ukupno 20 pitanja pokazala je primjenjivu pouzdanost u mjerenju znanja i stavova medicinskih sestara i liječnika u bolničkom sustavu o zlostavljanju žena. Nema razlike u znanju i stavovima o nasilju nad ženama između medicinskih sestara i liječnika u Klinici za očne bolesti i Zavodu za ortopediju i traumatologiju KBC-a Split, osim u stavovima profesionalne podrške.Introduction: IPV is a public health problem that can lead to mortality and morbidity. Victims of violence against women often come to health care facilities for eye trauma or musculoskeletal trauma as a result of IPV. Therefore, the importance of timely recognition and response by nurses and physicians to patients who are victims of intimate partner violence needs to be carefully considered in order to address the current gap in this area.
Aim: To study the knowledge and attitudes of nurses and physicians regarding violence against women in the Eye Diseases Clinic and the Orthopedics and Traumatology Department of the Surgical Clinic of KBC Split.
Methods: The study included 97 respondents in the period from October 1 to November 30, 2023. All 97 respondents were nurses and physicians in permanent employment at the Eye Diseases Clinic and the Department of Orthopedics and Traumatology of the Surgical Clinic of KBC Split who completed the questionnaire "Violence against women - questionnaire for health care providers".
Results: Using exploratory factor analysis (PCA) with an eigenvalue greater than 1 and varimax rotation, and the condition that absolute values are greater than 0.45, 7 factors were identified, explaining a total of 65.14% of the variance. Only 3 nurses and 2 physicians were educated about abuse of women. Nurses had more experience with violence against women than physicians (χ=5.7; p=0.17). The proportion of physicians who called the police was 2.6 times higher than the proportion of nurses who called the police (χ=3.9; p=0.047). Most respondents (11.3%) believe that women's fear of verbalizing mistreatment is the greatest barrier to screening for mistreatment of women. The majority of respondents (51.5%) did not answer the open-ended question about what would help them facilitate screening. Of the respondents who answered the question, most (22.7%), including 25.4% nurses and 17.6% physicians, felt that education would facilitate screening for abuse against women.
Conclusions: The Croatian version of the "Violence Against Women Questionnaire for Health Care Providers, with a total of 20 questions, proved to be reliable in measuring the knowledge and attitudes of nurses and physicians in the hospital system regarding abuse of women. There are no differences in knowledge and attitudes about violence against women between nurses and doctors at the Eye Diseases Clinic and the Department of Orthopedics and Traumatology at KBC Split, except for attitudes about professional support
Use of drug-eluting balloons (DEB) in the treatment of peripheral arterial disease (PAD)
No full textBolest perifernih arterija (eng. Peripheral Artery Disease) nedovoljno je dijagnosticirano, kronično i
progresivno stanje koje je najčešće uzrokovano aterosklerozom. Kao rezultat ateroskleroze, PAD dovodi do kronične
nedovoljne perfuzije tkiva i ishemije, što se može zakomplicirati trombotičkim ili emboličnim događajima. Baloni s
lijekom (eng. Drug-Eluting Balloon) igraju veliku ulogu u intervencijama na perifernim arterijama. Imaju široku
primjenu jer sprječavaju revaskularizaciju, stvaranje tromba i alergijske reakcije uzrokovane stentovima.Peripheral Artery Disease (DEB) is an underdiagnosed, chronic and progressive condition that is most
often caused by atherosclerosis. As a result of atherosclerosis, PAD leads to chronic tissue underperfusion and
ischemia, which can be complicated by thrombotic or embolic events. Drug-Eluting Balloons (DEB) play a major
role in interventions on peripheral arteries. They are widely used because they prevent systemic revascularization,
thrombus formation and allergic reactions caused by stents
Radiological methods in orthodontics
No full textRadiologija pronalazi svoju primjenu u dijagnostici i praćenju ortodontskih problema, sve od otkrića rendgenskih zraka 1895. godine. Rendgenske snimke se koriste za identifikaciju nepravilnosti u položaju zubi te različitih patologija i genetskih problema. Napredak tehnologije poput izuma digitalne radiografije i 3D snimaka, omogućio je novi način detaljnijeg uvida u strukturu kostiju i zuba te preciznije planiranje terapije. Panoramska snimka pruža cjelovit prikaz zuba i okolnih struktura, dok se kefalometrija koristi za analizu položaja čeljusti i zuba. CBCT omogućuje trodimenzionalni prikaz čeljusti zuba visoke rezolucije te je koristan u složenim slučajevima. Intraoralne rendgenske snimke snimaju detalje izravno unutar usne šupljine i koriste se za preciznu dijagnostiku karijesa i praćenje terapije. Suvremene radiološke tehnike omogućuju precizniju dijagnostiku i učinkovitije ortodontske tretmane.Radiology finds its application in the diagnosis and monitoring of orthodontic problems, ever since the discovery of X-rays in 1895. X-rays are used to identify irregularities in the position of the teeth and various pathologies and genetic problems. Advances in technology, such as the invention of digital radiography and 3D imaging, have enabled a new way of more detailed insight into the structure of bones and teeth and more precise therapy planning. A panoramic image provides a complete view of the teeth and surrounding structures, while cephalometry is used to analyze the position of the jaws and teeth. CBCT provides a high-resolution three-dimensional image of the jaws and teeth and is useful in complex cases. Intraoral X-rays capture details directly inside the oral cavity and are used for accurate caries diagnosis and therapy monitoring. Modern radiological techniques enable more precise diagnostics and more effective orthodontic treatments
Comparability of methods for determining cortisol in a 24-hour urine sample
No full textNadbubrežna žlijezda sastoji se od srži koja sintetizira kateholamine i kore koja sintetizira steroidne
hormone, pri čemu obje komponente imaju specifične funkcije i regulacije unutar endokrinog sustava.
Hiperfunkcija nadbubrežne žlijezde uzrokovana je prekomjernim lučenjem određenog hormona, što može
dovesti do stanja kao što su hiperaldosteronizam, koji uzrokuje hipertenziju i hipokalijemiju zbog viška
aldosterona ili Cushingov sindrom koji je posljedica dugotrajno povišene razine kortizola, a očituje se
simptomima poput debljanja, slabosti mišića i visokog krvnog tlaka. Hipofunkcija nadbubrežne žlijezde
može biti uzrokovana primarnom, sekundarnom ili tercijarnom insuficijencijom, s mogućim ozbiljnim
komplikacijama poput adrenalne krize, dok hipoaldosteronizam uzrokuje nedostatak aldosterona, a
Addisonovu bolest, često autoimunu, karakterizira postupni početak. Kortizol, hormon stresa koji se
sintetizira iz kolesterola u nadbubrežnim žlijezdama, izlučuje se cirkadijalnim ritmom, regulira se kroz
negativnu povratnu spregu, ključan je za energetski metabolizam, ravnotežu elektrolita te utječe na
imunološki sustav, a njegov metabolizam odvija se kroz pretvaranje u kortizon i daljnji metabolizam.
Analizirano je 40 uzoraka 24h mokraće pacijenata u dobi 25 - 83 godine (30 žena, 10 muškaraca) uz pomoć
dvije metode mjerenja koncentracije kortizola elektrokemiluminiscentnim imunotestom (ECLIA) na Cobas
uređajima proizvođača Roche Diagnostics, uz statističku obradu podataka pomoću "MedCalc "softvera.
Istraživanje je analiziralo distribuciju podataka i usporedilo dvije metode korištenjem KolmogorovSmirnov testa i Passing-Bablokove regresije. Prva metoda, koja uključuje ekstrakciju uzorka, nema
značajno odstupanje od normalne distribucije, dok je druga metoda, bez ekstrakcije, pokazala značajno
odstupanje od normalne distribucije. Rezultati regresije pokazuju značajnu proporcionalnu razliku između
metoda, pri čemu metoda koja uključuje ekstrakciju uzorka daje dosljedno više vrijednosti. Međutim,
sustavna razlika između metoda nije značajna, a visoka korelacija sugerira dosljednost metoda unatoč
proporcionalnim razlikama. Zaključak istraživanja ističe značajne razlike između dviju metoda za mjerenje
kortizola u mokraći. Unatoč proporcionalnim razlikama, visoka korelacija između metoda ukazuje na
konzistentnost mjerenja. Ovi nalazi naglašavaju potrebu za pažljivim razumijevanjem specifičnosti i
kalibracija metoda pri interpretaciji rezultataThe adrenal gland consists of a medulla that produces catecholamines and a cortex that produces steroid
hormones, both components having specific functions and regulations within the endocrine system.
Hyperfunction of the adrenal gland is caused by the excessive secretion of a certain hormone, which can
lead to conditions such as hyperaldosteronism, which causes hypertension and hypokalemia due to excess
aldosterone, or Cushing's syndrome, which is the result of long-term elevated cortisol levels, and is
manifested by symptoms such as weight gain, muscle weakness and high blood pressure. Adrenal
hypofunction can be caused by primary, secondary or tertiary insufficiency, with possible serious
complications such as adrenal crisis, while hypoaldosteronism causes a lack of aldosterone, and Addison's
disease, often autoimmune, is characterized by a gradual onset. Cortisol, a stress hormone that is
synthesized from cholesterol in the adrenal glands, secreted in a circadian rhythm, regulated through a
negative feedback loop is crucial for energy metabolism, electrolyte balance and affects the immune system,
and its metabolism takes place through conversion into cortisone and further metabolism. 40 samples of
24h urine from patients aged 25 - 83 (30 women, 10 men) were analyzed with two methods of measuring
cortisol concentration by electrochemiluminescence immunoassay (ECLIA) on Cobas devices
manufactured by Roche Diagnostics, with statistical data processing using "MedCalc" software. The
research analyzed the data distribution and compared the two methods using the Kolmogorov-Smirnov test
and the Passing-Bablok regression. The first method, which includes sample extraction, has no significant
deviation from the normal distribution, while the second method, without extraction, showed a significant
deviation from the normal distribution. The regression results show a significant proportional difference
between the methods, with the method involving sample extraction giving consistently higher values.
However, the systematic difference between the methods is not significant and the high correlation suggests
the consistency of the methods despite the proportional differences. The conclusion of the research
highlights significant differences between the two methods for measuring cortisol in urine. Despite the
proportional differences, the high correlation between the methods indicates the consistency of the
measurements. These findings emphasize the need for careful understanding of method specificity and
calibration when interpreting results
Analysis of the results of the quality control of blood products at the Department of Transfusion Medicine University Hospital Center Split for a period of two years (2021-2022.)
No full textKontrola kvalitete skup je postupaka koji omogućava korištenje neškodljivih i ispravnih krvnih pripravaka u svrhu liječenja. Kontrola kvalitete uključuje provjeru i ispravnost uređaja i reagenasa i rad djelatnika. Cilj ovog rada bio je analizirati rezultate i uočiti greške u proizvedenim krvnim pripravcima u Zavodu za transfuzijsku medicinu KBC Splitu u dvogodišnjem razdoblju (2021.-2022.). Uzorci ovog istraživanja su krvni pripravci. Koristili su se podatci Odsjeka za kontrolu kvalitete te su obrađeni metodom deskriptivne statistike. Rezultati ovog istraživanja prikazani su tablično te pokazuju da su kontrole određenih parametara i mikrobiološke čistoće uredne za 2021. godinu. Parametri kvalitete krvnih pripravaka su sukladni i za 2022. godinu. Mikrobiološka kontrola pokazala je pozitivan rezultat s izolacijom bakterije Staphylococcus epidermidis i potrebu za provođenjem korektivnih i preventivnih mjera.Quality control is a set of procedures that enables the use of harmless and correct blood products for treatment. Quality control includes checking and verifying the equipment, reagents and the work of employees. The aim of this work was to analyze the results and identify errors in the blood products produced at the Institute for Transfusion Medicine KBC Split in a two-year period (2021-2022). The samples of this research are blood products. Data from the Quality Control Department were used and processed using the method of descriptive statistics. The results of this research are presented in a table and show that the controls of certain parameters and microbiological purity are in order for the year 2021. The parameters of the quality of blood products are also compliant for the year 2022. Microbiological control showed a positive result with the isolation of Staphylococcus epidermidis bacteria and the need to implement corrective and preventive measures
Mammography examination: knowledge, attitudes and experiences of women in the Republic of Croatia
No full textMamografija je neinvazivna rendgenska metoda snimanja dojke na aparatu koji se zove mamograf. Mamografija omogućava uvid u tkivo dojke i otkrivanje kalcifikata, masa i drugih abnormalnosti. Najveća prednost mamografije nad drugim metodama je detekcija patoloških mikro kalcifikata. Mamografija može otkriti rak dojke dvije godine prije nego što se tumor može napipati te prije pojave bilo kojih simptoma ili znakova bolesti. U gotovo svim populacijama rak dojke je u samom vrhu vodećih uzroka smrtnosti kod žena. Cilj ovog istraživanja bio je utvrditi znanja, stavove i iskustva žena u Republici Hrvatskoj vezano za mamografski pregled kao zlatni standard u ranom otkrivanju raka dojke te ponuditi smjernice za osvješćivanje važnosti redovitih mamografskih pregleda u ranom otkrivanju karcinoma dojke. Zadaci istraživanja bili su utvrditi znanja, stavove i iskustva vezano za mamografski pregled te ispitati razlikuju li se ispitanice u znanjima, stavovima i iskustvima vezano za mamografski pregled s obzirom na dob, stupanj obrazovanja, mjesto stanovanja i socio–ekonomski status. Rezultati su pokazali nedovoljno znanja, ali pozitivan stav i pozitivna iskustva ispitanica. Utvrđeno je da ispitanice s višim obrazovanjem i iz grada više znaju i imaju pozitivnije stavove vezano za mamografski pregled od ispitanica sa sela i s nižim obrazovanjem te da ispitanice mlađe od 59 godina imaju pozitivnije stavove od ispitanica starijih od 59 godina. Nije utvrđena razlika u iskustvima mamografskog pregleda ispitanica s obzirom na ispitivane nezavisne varijable. Ovo istraživanje pridonosi boljem razumijevanju čimbenika koji utječu na odluke žena u vezi s mamografijom te pruža smjernice za poboljšanje programa ranog otkrivanja raka dojke. Postoje velike šanse za izlječenje ukoliko se otkrije na vrijeme, stoga su vrlo važna znanja o mamografiji, kao i pozitivni stavovi te pozitivna iskustva pacijentica vezano za mamografski pregled. U radu se naglašava potreba za daljnjim edukativnim kampanjama prilagođenim informiranju žena o važnosti mamografije i poticajima za sudjelovanje u ranoj dijagnostici raka dojke.Mammography is a non-invasive X-ray method of imaging the breast using a machine called a mammograph. Mammography enables insight into the breast tissue and the detection of calcifications, masses and other abnormalities. The biggest advantage of mammography over other methods is the detection of pathological microcalcifications. Mammography can detect breast cancer two years before the tumor can be felt, and before any symptoms or signs of the disease appear. In almost all populations, breast cancer is at the very top of the leading causes of death in women. The aim of this research was to determine the knowledge, attitudes and experiences of women in the Republic of Croatia regarding mammography as the gold standard in the early detection of breast cancer, and to offer guidelines for raising awareness of the importance of regular mammography in the early detection of breast cancer. The tasks of the research were to determine the knowledge, attitudes and experiences related to mammography examination and to examine whether the respondents differ in their knowledge, attitudes and experiences regarding mammography examination with regard to age, level of education, place of residence and socio-economic status. The results showed insufficient knowledge, but a positive attitude and positive experiences of the respondents. It was found that respondents with a higher education and from the city know more and have more positive attitudes about mammography examination than respondents from the countryside and with a lower education, and that respondents younger than 59 years have more positive attitudes than respondents older than 59 years. No difference was found in the test subjects' mammography examination experiences with regard to the examined independent variables. This research contributes to a better understanding of the factors that influence women's decisions regarding mammography and provides guidelines for improving breast cancer early detection programs. There are great chances for a cure if it is detected in time, therefore knowledge about mammography is very important, as well as positive attitudes and positive experiences of patients regarding mammography examination. The paper emphasizes the need for further educational campaigns adjusted to inform women about the importance of mammography and incentives for participation in early breast cancer diagnosis
Cooperation between civil society and healthcare in the care of complex patients in Split-Dalmatia county
No full textSuradnja između civilnog društva i zdravstva u skrbi za kompleksne pacijente u Splitsko-dalmatinskoj županiji predstavlja ključni element u osiguravanju sveobuhvatne i prilagođene zdravstvene skrbi. Kroz integrirane projekte i programe podrške, ove dvije strane zajedno doprinose poboljšanju pristupačnosti, dostupnosti i kvalitete zdravstvenih interesa za pacijente s kompleksnim zdravstvenim potrebama. Uspješni primjeri suradnje ukazuju na važnost zajedničkog djelovanja u promicanju socijalne inkluzije, psihološke podrške i unaprjeđenju kvalitete života pacijenata. Kontinuirano poticanje i podrška ovoj suradnji ključni su za daljnje unaprjeđenje zdravstvenog sustava i osiguravanje visokih standarda skrbi za kompleksne pacijente u regiji. Jedan od primjera uspješne suradnje civilnog društva i zdravstva u Splitsko-dalmatinskoj županiji je projekt "Uspostava mobilnih timova peer podrške u zajednici za osobe sa psihosocijalnim teškoćama", koji je financiran iz Europskog socijalnog fonda. Organizacija MoSt Split uspješno surađuje s Gradom Splitom u provedbi projekta Prenoćište za beskućnike, dok Udruga "Mi" osnovala je Centar za pomoć i njegu s ciljem olakšavanja i produženja sigurnog boravka osoba treće dobi u njihovim domovima.The collaboration between civil society and healthcare in caring for complex patients in the Split-Dalmatia County represents a key element in ensuring comprehensive and tailored healthcare. Through integrated projects and support programs, these two sides contribute together to improving the accessibility, availability, and quality of healthcare services for patients with complex health needs. Successful examples of collaboration highlight the importance of joint action in promoting social inclusion, psychological support, and enhancing the quality of life for patients. Continuous encouragement and support for this collaboration are crucial for further enhancing the healthcare system and ensuring high standards of care for complex patients in the region. One successful example of collaboration between civil society and healthcare in the Split-Dalmatia County is the project "Establishment of mobile peer support teams in the community for people with psychosocial difficulties," funded by the European Social Fund. The MoSt Split organization successfully collaborates with the City of Split in implementing the Shelter for the Homeless project, while the "Mi" Association has established a Center for Assistance and Care aimed at facilitating and extending the safe stay of elderly individuals in their homes