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Stres tijekom studiranja kod studenata preddiplomskih studija Sveučilišnog odjela zdravstvenih studija Sveučilišta u Splitu
No full textUvod: Stres je od davnina pojam koji je uvriježen među populacijom, kako su se vremena mijenjala tako se i značenje stresa mijenjalo te je on danas poznat kao sastavni dio našeg života. Studenti kao posebna populacija posebno su osjetljivi na stres pa je tako i pojam akademskog stresa tema ovog rada i istraživanja.
Cilj: Glavni cilj istraživanja je ispitati i usporediti razinu stresa kod studenata Sveučilišnog odjela zdravstvenih studija
Metode: U ovom istraživanju ankete su ispunili 124 ispitanika. Ispitanici su studenti preddiplomskog studija sestrinstva, primaljstva, medicinsko-laboratorijske dijagnostike, radiološke tehnologije, fizioterapije, od prve do treće godine, obuhvaćajući oba spola, sve dobi. Mjerni instrumenti koji su se koristili u ovom istraživanju bili su: sociodemografski upitnik, skala percipiranog stresa (Perceived stress scale; Cohen S, Kamarck T, Mermelstein R; 1983.), indeks stresa kod studenata sestrinstva (Student nurse stress indeks; Jones MC, Johmston DW; 1999) te Covid-19 upitnik osmišljen za potrebe istraživanja.
Rezultati: Prosječan PSS-14 rezultat iznosio je 25,88 bodova sa prosječnim odstupanjem od aritmetičke sredine 8,33. Prosječan ISSS-22 rezultat iznosio je 64,98 (SD=13,90) teorijskog raspona 22-110. Ukupni rezultat sadrži četiri subskale, prosječni rezultat kod akademske subskale iznosio je 23,07 (SD=4,17), kliničke subskale 18,86, subskale osobnih problema 10,18 te subskale unutarnje brige 21,67. Što se tiče uporabe upitnika Covid-19 prosječan rezultat iznosio je 22 boda sa prosječnim odstupanjem od 8,63 (teorijski raspon 10-50).
Zaključci: Utvrđeno je kako sociodemografska obilježja nisu utjecala na razinu stresa kod studenata SOZS-a te da su razina percepcije stresa i pandemija COVID-19 u korelaciji i to kada se učinak pandemije poveća za jednu jedinicu tako raste i razina stresa. Utvrđeno je kako pandemija COVID-19 utječe na percepciju i izvore stresa kod studenata sestrinstva, dok ostale varijable ne utječu. Razlika u percepciji stresa između studenata preddiplomskih studija SOZS-a nije utvrđena također povećanoj razini stresa kod studenata SOZS-a nisu doprinijela sociodemografska obilježja. Utvrđeno je kako se većim učincima pandemije COVID-19 može očekivati viša razina percipiranog stresa.Summary: Since ancient times, stress has been a concept that has become established among the population, as times have changed, so has the meaning of stress, and today it is known as an integral part of our lives. Students as a special population are especially sensitive to stress, so the concept of academic stress is the topic of this work and research.
Purpose: The main goal of the research is to examine and compare the level of stress among students of the University Department of Health Studies
Methods: In this research, 124 respondents filled out the surveys. The respondents are undergraduate students of nursing, midwifery, medical-laboratory diagnostics, radiological technology, physiotherapy, from the first to the third year, including both sexes, all ages. The measuring instruments used in this research were: sociodemographic questionnaire, Perceived stress scale (Cohen S, Kamarck T, Mermelstein R; 1983), stress index for nursing students (Student nurse stress index; Jones MC, Johmston DW; 1999) and the Covid-19 questionnaire designed for research purposes.
Results: The average PSS-14 score was 25.88 points with an average deviation from the arithmetic mean of 8.33. The average ISSS-22 score was 64.98 (SD=13.90) of the theoretical range of 22-110. The total score contains four subscales, the average score for the academic subscale was 23.07 (SD=4.17), the clinical subscale was 18.86, the personal problems subscale was 10.18, and the internal concern subscale was 21.67. Regarding the use of the Covid-19 questionnaire, the average score was 22 points with an average deviation of 8.63 (theoretical range 10-50).
Conclusion: It was determined that sociodemographic characteristics did not affect the level of stress among SOZS students and that the level of stress perception and the COVID-19 pandemic are correlated and that when the effect of the pandemic increases by one unit, the stress level also increases. It was determined that the COVID-19 pandemic affects the perception and sources of stress among nursing students, while other variables do not. The difference in the perception of stress between undergraduate students of SOZS was not determined, and sociodemographic characteristics did not contribute to the increased level of stress among SOZS students.
It has been established that a higher level of perceived stress can be expected due to the greater effects of the COVID-19 pandemic
Obstetric operations
No full textNormalan porođaj se ponekad zna zakomplicirati pa ga je potrebno dovršiti jednom od porodničkih operacija ukoliko postoji indikacija. Primalja mora poznavati osobitosti epiziotomije, vakuum ekstrakcije i carskog reza jer manje ili više sudjeluje u svakoj. Glavna uloga joj je psihofizička priprema i poslijeoperacijska njega majke i djeteta.A normal birth can sometimes get complicated, in whitch case, it needs to be finished by one of the obstetric operations given the slightest indication. The midwife must know the properties of episiotomy, the vacuum extraction and the caesarean section because she's, more or less, present in each of them. Her main role is the psychophysiological preparation and post-operational care of the mother and the child
The use of radiography and computed tomography in pregnancy: review article
No full textNapretkom radiologije povećala se i upotreba radioloških pregleda u trudnoći, osobito kompjutorizirane tomografije, metode koja koristi ionizirajuće zračenje. Istovremeno porasla je i svijest, zabrinutost i zablude među javnošću i zdravstvenim radnicima o potencijalnim rizicima izlaganja ionizirajućem zračenju majke i fetusa. Potrebno je odvagnuti rizik izlaganja majke i djeteta ionizirajućem zračenju u svrhu postavljanja točne dijagnoze koja može biti životno ugrožavajuća. Neželjni učinci zračenja mogu biti deterministički i stohastički.Deterministički učinci zračenja proizlaze iz oštećenja određenog broja stanica, s točno određenim pragom doze prije nego dođe do oštećenja. Ne očekuje se deterministički učinak od praktičnog značaja ispod doze od 100 mGy. Stohastički učinci ionizirajućeg zračenja proizlaze iz oštećenja pojedine stanice i mogu dovesti do karcinogeneze.
Fetalne doze zračenja do 1 mGy—koje se koriste u većini radioloških pregleda područja ispod koljena i iznad dijafragme—smatraju se prihvatljivima, s dodatnim rizikom od karcinogeneze za dijete manjim od jedan na 10 000. S većim dozama (npr. fetalna doza od 20-50 mGy primljena tijekom CT-a zdjelice), rizik od karcinogeneze povećava se otprilike za faktor 2, iako ostaje nizak u apsolutnom smislu (manje od jedan u 250). Sve radiološke ustanove trebale bi imati pisane upute za probir i liječenje trudnica.
Kontrolirane studije o primjeni niskoosmolalnih jodnih kontrastnih sredstava tijekom trudnoće u žena ne postoje dok životinjske studije in vivo ne pokazuju mutagene i teratogene učinke stoga se primjena ovih kontrastnih sredstava u trudnoći preporuča jedino ukoliko se bez njih ne bi mogla dobiti klinički važna dijagnostička informacija. Ako se jodirani spojevi koriste tijekom trudnoće, funkciju štitnjače novorođenčeta treba provjeriti tijekom 1. tjedna života. Ukoliko je potrebno trudnicu snimati metodom koja koristi ionizirajuće račenje potrebno je odvagnuti rizike za majku i dijete, prilagodbom radiološke metode smanjiti dozu zračenja te nakon snimanja osigurati savjetovanje s medicinskim fizičarom, ginekologom i radiologom.With the progress of radiology, the use of radiological methods during pregnancy has also increased, especially computed tomography, a method that uses ionizing radiation. At the same time, awareness, concern, and misconceptions among the public and health professionals about the potential risks of exposure to ionizing radiation for the mother and fetus have also increased. It is necessary to weigh the risk of exposure of mother and child to ionizing radiation in order to establish an accurate diagnosis, which can be life-threatening. Radiation adverse effects can be deterministic and stochastic. Deterministic effects occur when a certain number of cells is damaged, with a precisely defined dose threshold before damage occurs. Below a dose of 100 mGy there is no expected deterministic effect of practical significance. Stochastic effects of ionizing radiation occurs when there is damage to individual cells and can result with carcinogenesis.
Fetal doses of radiation up to 1 mGy—used in most radiological examinations of the area below the knee and over the diaphragm—are considered admissible, with a risk of carcinogenesis for child less than one in 10,000. With higher doses (e.g. fetal doses of 20-50 mGy received during a CT of pelvic region), the risk of carcinogenesis grows by about factor of 2, but it remains low in absolute terms (less than one in 250). All radiological institutions should have a written instructions for the screening and treatment of pregnant women.
Controlled studies on the use of low-osmolality iodine contrast agents during pregnancy in women do not exist, while animal studies in vivo do not show mutagenic and teratogenic effects, therefore the use of these contrast agents during pregnancy is recommended only if clinically important diagnostic information could not be obtained without them.
If it is necessary to scan a pregnant woman with a method that uses ionizing radiation, it is necessary to weigh the risks for the mother and child, to reduce the radiation dose by adapting the method, and after the scan to ensure consultation with a physicist, gynecologist and radiologist
THE ROLE OF RADIOLOGY IN AESTHETIC MEDICINE
No full textEstetska medicina jedna je od najbrže rastućih specijalnosti danas. Razvojem tehnologije otvaraju se brojne mogućnosti i različite metode estetskih zahvata koji postaju pristupačniji te se sve veći broj ljudi odlučuje na njih. Svrha estetske medicine je poboljšati čovjekovu sliku o sebi i time kvalitetu života, stoga je upravo zadovoljstvo pacijenta mjerilo uspjeha estetskog zahvata. Komunikacija između liječnika estetske medicine i pacijenta ključan je dio u postizanju zadovoljstva pacijenta, ali je istovremeno najveći izazov s kojim se ova specijalnost susreće. Radiologija, kao grana medicine koja se bavi oslikavanjem, otvara brojne mogućnosti koje bi olakšale preoperativnu obradu pacijenta. Nove tehnologije koje su dio radiologije mijenjaju dosadašnju komunikaciju liječnika i pacijenta te je podižu na viši nivo. Ovaj rad obrađuje nekoliko studija koje opisuju primjenu radiologije u svrhu unaprjeđenja estetske medicine.Aesthetic medicine is one of the fastest-growing specialties today. Modern technology opens numerous possibilities and different approaches to aesthetic procedures that become more affordable, and an increasingly large number of people get them. The purpose of aesthetic medicine is to improve a person’s self-image and quality of life, therefore the patient’s satisfaction is the measure of the success of an aesthetic procedure. Communication between the doctor of aesthetic medicine and the patient is the key part in achieving patient satisfaction, but at the same time it is the biggest challenge that this specialty faces. Radiology, as a specialty that produces image, opens up numerous possibilities that would facilitate the preoperative assessment of the patient. New technologies that are part of radiology are changing the previous communication models between doctor and patient and raising it to a higher level. This master thesis deals with several studies that describe the application of radiology for the purpose of improving aesthetic medicine
Physioterapeutic assessment and therapy in patients with fracture aquired from fall on same level from slipping, tripping and stumbling
No full textPadovi su drugi najčešći uzrok ozljeđivanja, a padovi u razini u 15% slučajeva rezultiraju
prijelomom. Iako su starije osobe i djeca skloniji padovima, frakture nakon pada u razini najviše se javljaju u
radno aktivnoj skupini stanovništva.
Nakon liječničkog zbrinjavanja bolesnika s frakturom slijedi važan period fizikalne terapije. Nakon
dobre procjene i planiranja tretmana, fizioterapeut u aktivnoj suradnji s pacijentom provodi fizikalnu terapiju
pomoću raznih agensa, a najviše kroz pokret. Fizikalna terapija fraktura obuhvaća elektroterapiju
,hidroterapiju, kineziterapiju te nakon svega edukaciju pacijenta.Falling is the second most common cause of injury, level fallency in 15% result in fracture. Even
though elderly and children are prone to falls, fractures, fractures occur in work groups. Medical care of
patients with fracture continues to an importat period of physical therapy.
After evaluation and planning treatmennt, physiotherapist carry out the treatment through many
procedures,mostly throug the movement, but in cooperation with patient. Physical therapy of fractures
includes electrotherapy, hydrotherapy, kinesitherapy and education of patien
RADIOLOGICAL PROCESSING AND TREATMENT OF COMPRESSION FRACTURES OF THE THORACOLUMBAR SPINE
No full textKompresivne frakture torakolumbalne kralježnice važan su medicinski i javnozdravstveni problem, a podrazumijevaju smanjenje visine tijela kralješka kojeg mogu uzrokovati razni čimbenici. Obzirom da spadaju u najčešća patološka oštećenja kralježnice, bitna je brza, točna i precizna medicinska obrada pacijenta. Kompresivne frakture torakolumbalne kralježnice mogu nastati na različite načine, no glavni mehanizam oštećenja je prijelom kralješka uzrokovan jakim pritiskom ili silom. Najčešći uzrok kompresivne frakture je osteoporoza, odnosno bolest koju karakterizira smanjena gustoća kostiju, a ostali uzroci su trauma i tumori kralježnice.
Kompresivne frakture torakolumbalnih kralježaka dijagnosticiraju se kliničkim pregledom te korištenjem slikovnih radioloških metoda poput konvencionalne radiografije, kompjutorizirane tomografije ili magnetske rezonancije. Denzitometrija je metoda koja se koristi za praćenje tijeka bolesti, odnosno cijeljenja prijeloma. Iako ovakav tip prijeloma najčešće uzrokuje bol, pojedine frakture koje se razvijaju postupno u početku ne moraju uzrokovati simptome. Stoga su kompresivni prijelomi nerijetko slučajan nalaz pri snimanju radiograma zbog drugih razloga. Unatoč činjenici da je većina kompresivnih prijeloma kralježaka subklinička, oni mogu uzrokovati bol, invaliditet, deformacije pa čak i preuranjenu smrt. Iz tog razloga bitno je odrediti pravilan pristup i način liječenja kako bi se izbjegle neželjene i najteže posljedice.Compression fractures of the thoracolumbar spine are an important medical and public health problem that imply a reduction in the height of a vertebral body, which can be caused by various factors. Given the fact that these fractures belong to a group of the most common pathological damages to the spine, it is essential to provide a patient with quick, accurate, and precise medical treatment. Compression fractures of the thoracolumbar spine can occur in different ways, but the main damage mechanism would be a fracture of the vertebral body caused by severe pressure or force. The most common cause of compression fractures is osteoporosis, a disease characterized by reduced bone density. Other causes would include trauma and spine tumors.
Compression fractures of the thoracolumbar vertebrae are diagnosed with a physical examination and diagnostic imaging tests like classic radiography, computed tomography, or magnetic resonance imaging. Densitometry is a method used for monitoring the course of the disease, as well as the healing process of the fracture. Even though this type of fracture most often causes pain, some of the gradually developing fractures do not cause symptoms. Hence, this causes compression fractures to be an accidental finding discovered during the radiographic imaging for another condition. Although most vertebral compression fractures are subclinical, they can cause pain, disability, and deformities, as well as a premature death. As a result, it is critical to determine the proper approach and method of treatment in order to avoid unfavorable and severe consequences
THE IMPORTANCE OF NURSING CARE AFTER NOSE SURGERY
No full textNajčešći razlog operacije nosa je funkcionalni poremećaj nosa uzrokovan deformacijama nosne pregrade ili vanjska abnormalnost nosa. Očekivani rezultat septoplastike je otklanjanje začepljenja nosa, poboljšanje nosnog disanja te ponekad i uspješna korekcija kozmetičkih nedostataka vanjskog nosa (septorinoplastika). Smjernice za operaciju nosa uključuju preoperativno, intraoperativno i postoperativno razdoblje. Što se tiče preoperativnog razdoblja fokus je na motivaciji i obuci bolesnika, procjeni popratnih bolesti, smanjenju jela prije operacije. Intraoperativno razdoblje je namijenjeno septoplastici kao kirurškoj tehnici. U postoperativnom razdoblju fokus je na ranoj i intenzivnoj mobilizaciji, ranom i ponovnom uvođenju oralne prehrane, adekvatnom planu zdravstvene njege koji je prema pravilima izradila medicinska sestra. U središtu postoperativne zdravstvene njege bolesnika je uspostavljanje fiziološke ravnoteže, liječenje boli i prevencija komplikacija. Postoperativna njega provodi se u 2 faze u kojima medicinska sestra ima jako bitnu ulogu. Ona sestrinske probleme rješava na način da izradi plan zdravstvene njege za svaki pojedini problem i vlastitim intervencijama utječe na ishod situacije. Ti planovi zdravstvene njege su ujedno i sredstvo komunikacije između medicinskih sestara, a također i između drugih pružatelja zdravstvene zaštite. Bez takvog postupka planiranja sestrinske skrbi izgubila bi se kvaliteta i dosljednost skrbi o pacijentima.The most common cause of the nose surgery is a functional disorder of the nose caused by deformities of the nasal septum or external abnormalities of the nose. The expected result of septoplasty is the removal of the nasal rudiments, the improvement of nasal breathing, and sometimes the successful correction of cosmetic defects of the outer nose (septorinoplasty). Guidelines for nasal surgery include preoperative, intraoperative, and postoperative periods. Regarding the preoperative period, the focus is on motivation and training patients, assessed comorbidities, reduction of meals before operations. The intraoperative period is intended for septoplasty as a surgical technique. In the postoperative period, the focus is on early and intensive mobilization, early and reintroduction of oral nutrition, an adequate health care plan developed by a nurse according to the rules.Physiological balance, pain treatment and prevention of complications are established at the heart of postoperative patient care. Postoperative care leads to 2 phases in which the nurse has a very important role. She solves nursing problems by creating a health care plan for each individual problem and influencing the outcome of the situation through her own interventions. These healthcare plans are also a means of communication between nurses and also between other health care providers. Without such a nursing care planning process, the quality and consistency of patient care would be lost
REACTIONS AND EXPECTATIONS OF PARENTS ON CHILD HOSPITALIZATION IN THE CLINICAL HOSPITAL CENTRE SPLIT
No full textCILJ ISTRAŽIVANJA: Analizirati parametre koji utječu na percepciju pozitivne ili negativne reakcije roditelja na hospitalizaciju djeteta. Dostupnost zdravstvenog osoblja, dostupnost informacija, uključenost u dijagnostičke postupke, individualni pristup, komunikacija i osjećaj sigurnosti. Procijeniti kako poboljšati hospitalizaciju na dječjim odjelima.
MATERIJALI I METODE: Istraživanje provedeno na Klinici za dječje bolesti KBC Split u razdoblju od kolovoz 2019 do veljača 2020 godine. U istraživanju je sudjelovalo ukupno 200 roditelja od kojih 156 majki i 44 očeva. Popunjavanjem anonimnog anketnog upitnika roditelji su odgovarali na pitanja o: sociodemografskim podacima, subjektivnoj procjeni bolničkog odjela, osoblja, higijeni i skrbi za dijete, osobnim stavovima o hospitalizaciji djeteta, očekivanju od zdravstvenog osoblja, te prijedlozima o unapređenju zdravstvene skrbi.
REZULTATI: Od ukupno 200 ispitanika u istraživanju je sudjelovalo 3,55 puta više majki u odnosu na očeve. Prosječna dob ispitanika iznosi 35,26 godina. U ispitanom uzorku najzastupljeniji su roditelji sa završenih 14 do 16 godina školovanja. Najučestaliji način posjeta roditelja hospitaliziranoj djeci je korištenje svakodnevnih posjeta (37,8 %). Majke i očevi su podjednako zadovoljni sa pruženom zdravstvenom skrbi hospitaliziranom djetetu, a manje su zadovoljni s uključenosti u dijagnostičke postupke. Roditelji mlađe djece od 3 godine imaju veća očekivanja od medicinskih sestara, utvrđeno je postojanje veze između percipiranog individualnog pristupa i dobi djeteta (p=0,012), percipirane dostupnosti informacija i dobi djeteta (p=0,01) i percipirane komunikacije i dobi djeteta (p=0,045). Visoko obrazovani roditelji očekuju da su medicinske sestre odlično educirane o zdravstvenoj skrbi djeteta.
ZAKLJUČCI: Majke i očevi se značajno ne razlikuju po svojim očekivanjima na hospitalizaciju djeteta, obrazovanje roditelja ne utječe na pozitivna očekivanja roditelja tijekom hospitalizacije djeteta, visoko obrazovani roditelji i roditelji djece mlađe od 3 godine imaju viša očekivanja od zdravstvenih radnika koji skrbe za hospitaliziranu djecu.AIM: To analyze the parameters that affect the perception of a pozitivi or negative reaction of parents to the hospitalization of the child. Availability of medical staff, availability of information, involvement in diagnostic procedures, individual approach, communication and sense of security. Assess how to improve hospitalization in pediatric wards.
MATERIALS AND METHODS: Prospective research conducted at the Clinic for Children's Diseases KBC Split in the period from August 2019 to February 2020. A total of 200 parents participated in the study, of which 156 mothers and 44 fathers. By filling out an anonymous questionnaire, parents answered questions about: socio-demographic data, subjective assessment of the hospital ward, staff, hygiene and child care, personal views on child hospitalization, expectations from health staff, and suggestions for improving health care.
RESULTS: Out of a total of 200 respondents, 3.55 times more mothers than fathers participated in the study. The average age of the respondents is 35.26 years. In the examined sample, the most represented are parents from 14 to 16 years of schooling. The most common way parents visit hospitalized children is to use daily visits (37.8%). Mothers and fathers are equally satisfied with the health care provided to the hospitalized child, and less satisfied with the involvement in diagnostic procedures. Parents of children younger than 3 have higher expectations of nurses, the relationship between perceived individual approach and child age 0.012), perceived availability of information and age of the child (p = 0.01) and perceived communication and age of the child (p = 0.045). Highly educated parents expect nurses to be well educated about their child’s health care.
CONCLUSIONS: Mothers and fathers do not differ significantly in their expectations of child hospitalization, parental education does not affect positive parental expectations during child hospitalization, highly educated parents and parents of children under 3 have higher expectations than health care workers caring for hospitalized children
MEASURED RADIATION DOSES IN THE CARDIOLOGICAL LABORATORYIN CORRELATIONWITH OPERATOR EXPIRIENCE
No full textCILJ: Cilj ovog istraživanja je usporediti doze zračenja s obzirom na vrstu pretrage te rezultata korelirati s iskustvom operatera. Cilj rada je također usporediti doze zračenja pojedinih operatera u korelaciji s procedurom i postupkom kod pojedinih vrsta pretrage. Isto tako cilj ovog rada je utvrditi razlike u dozi zračenja kod pojedinih operatera u odnosu na vrstu zaštite koju koriste tijekom izvođenja istovrsnih pretraga.
METODE: Sudjelovalo je 112 pacijenata od kojih je 61 pacijent kod kojeg je napravljena dijagnostika te 51 pacijent gdje je rađena intervencija na krvnim žilama. Kod 91 pacijenta je zaštita korištena u punom obimu, a kod 21 pacijenta je korištena samo mala zaštita bez velikog paravana. Može se navesti da je u istraživanju sudjelovalo 12 operatera od kojih 7 spada u kategoriju iskusnih operatera koji su napravili 74 postupka, a u 5 kategoriju manje iskusnih odnosno neiskusnih koji su napravili 38 postupaka.
REZULTATI: Provedenim istraživanjem nije potvrđena statistički značajna razlika u dozi zračenja s obzirom na vrstu pretrage i iskustvo operatera. Nakon dobivenih rezultata nije statistički potvrđena razlika u dozi zračenja kod pojedinih operatera u odnosu na vrstu zaštite koju koriste tijekom izvođenja istovrsnih pretraga.
ZAKLJUČAK: Dobiveni rezultati isključivo ovise o anatomiji pacijenta i korištenim materijalima.OBJECTIVE: The aim of this study is to compare radiation doses with respect to the type of examination and to correlate the results with the experience of the operator. The aim of this paper is also to compare the radiation doses of individual operators in correlation with the procedure and procedure for individual types of search. Also, the aim of this paper is to determine the difference in the radiation dose of individual operators in relation to the type of protection they use during the performance of similar tests.
METHODS: There were 112 patients, of whom 61 were diagnosed and 51 were vascular intervention. In 91 patients the protection was used in full and in 21 patients only a small protection without a large screen was used. It can be stated that 12 operators participated in the research, of which 7 belong to the category of experienced operators who performed 74 procedures and 5 to the category of less experienced or inexperienced who performed 38 procedures.
RESULTS: The conducted research did not confirm a statistically significant difference in the radiation dose with regard to the type of examination and the experience of the operator. After the obtained results, there were no statistically confirmed differences in the radiation dose of individual operators in relation to the type of protection they use during the performance of similar test.
CONCLUSIONS: The results obtained depend solely on the anatomy of the patient and the materials used
THE INFLUENCE OF ENDOMETRIOSIS ON THE QUALITY OF LIFE AND FERTILITY OF WOMEN - MIDWIFERY CARE
No full textEndometrioza je kronična bolest koju karakterizira pojava endometrija na mjestima izvan
maternice. Primarni simptom endometrioze je ciklička bol u zdjelici, često povezana s menstrualnim razdobljima
i ovulacijom. Iako mnoge žene osjećaju grčeve tijekom menstruacije, pacijentice s endometriozom obično
opisuju menstrualne bolove kao daleko jačeg intenziteta nego kod žena kojima nije dijagnosticirana
endometrioza. Kod pojedinih pacijentica potpuno izostaju simptomi, što dovodi do činjenice da se endometrioza
može dijagnosticirati čak sedam godina kasnije od njezine pojave. Liječenje endometrioze može biti izazovno s
obzirom na to da su česti recidivi bolesti, osobito nakon liječenja kirurškim putem. Rana dijagnoza te stručan i
multidisciplinaran pristup, rezultiraju boljim ishodom liječenja. Endometrioza se može liječiti primjenom
različitih lijekova, kirurškim putem i/ili kombinirano, a neplodnost uzrokovana endometriozom liječi se
postupkom medicinski potpomognute oplodnje. Glavna posljedica endometrioze je neplodnost, koja se javlja
kod 1/3 žena. U radu su opisani poslovi i zadaci primalje kod skrbi za reproduktivno zdravlje žene. Osim
stručnosti i profesionalnog odnosa, primalja bi trebala pacijenticamapružiti utješnu riječ i otkloniti strahove te
navesti pozitivne primjere liječenja.Endometriosisis a chronic disease characterized by the appearance of the endometrium at sites
different from the uterus. The primary symptom of endometriosis is cyclic pelvic pain, often associated with
menstrual periods and ovulation. Although many patients experience cramps during menstruation, patients with
endometriosis usually describe menstrual pain that is far more intense than usual. Some patients have no
symptoms at all, which leads to the fact that endometriosis can be diagnosed with a delay of as much as seven
years. Treating endometriosis can be challenging given that recurrences of the disease are common, especially
after surgical treatment. Early diagnosis and professional and multidisciplinary ways, resulting a better treatment
outcome. Endometriosis can be treated with medication, surgery and combined approach. The main consequence
of endometriosis is infertility, which occurs in 1/3 of women and it is treated by IVF. This thesis describes the
jobs and tasks of a midwife in the care of a woman's reproductive health. In addition to expertise and
professionalism, the midwife must be a warm person and provide a word of comfort to the woman, allay fears
and cite positive examples of treatment