University Department of Health Studies Repository
Not a member yet
1537 research outputs found
Sort by
SATISFACTION OF PREGNANT WOMEN AND PUERPERA WITH MIDWIFERY CARE AT THE DEPARTMENT OF GYNECOLOGY AND OBSTETRICS SPLIT
No full textCilj: Cilj ovog istraživanja bio je ispitati razinu zadovoljstva trudnica i babinjača primaljskom skrbi u Klinici za ženske bolesti i porode Split, unutar odjela babinjača i patologije trudnoće.
Metode: Podaci su prikupljeni u svibnju 2021. godine pomoću posebno konstruiranog anonimnog upitnika o zadovoljstvu trudnica i babinjača primaljskom skrbi, uz obrazloženje i informirani pristanak, kojeg su ispitanice ispunile tijekom svoje hospitalizacije. Upitnik se sastoji od 15 pitanja od kojih se prva 2 odnose na demografska obilježja, jedno se odnosi na način prijema u kliniku, 5 pitanja je povezano s radom i ponašanjem primalje gdje je ponuđen širok raspon odgovora te 6 tvrdnji o stavovima prema primaljama i pruženoj primaljskoj skrbi koje ispitanice procjenjuju na pet stupanjskoj Likertovoj ljestvici.
Rezultati: Iskazana je visoka razina zadovoljstva primaljskom njegom (prosječna ocjena u vrijednosti od 4,52). Ispitanice primljene putem hitnog prijema uvelike su manje čekale svoj prijem za razliku od onih koje su primljene putem dogovorenog prijema. Rezultati istraživanja upućuju na ugodan pristup primalja prema pacijenticama. Ukupan postotak ispitanica koje se nisu ustručavale upitati primalje informacije koje ih zanimaju iznosi 87,5%. Prema rezultatima istraživanja pružena primaljska skrb je bila u okviru očekivanja ispitanica te su primalje pokazale visoku stručnost prilikom rada.
Zaključak: Trudnice i babinjače imaju pozitivne stavove prema primaljama i primaljskoj skrbi u Klinici za ženske bolesti i porode Split te je uočena povezanost zadovoljstva primaljskom njegom s obzirom na razinu obrazovanja ispitanica.Goal: The aim of this study was to examine the level of satisfaction of pregnant women and midwives with midwifery care at the Clinic for Gynecology and Obstetrics in Split, within the Department of Midwifery and Pregnancy Pathology. Methods: Data were collected in May 2021 using a specially constructed anonymous questionnaire on the satisfaction of pregnant women and midwives with midwifery care, with explanation and informed consent, which the respondents filled out during their hospitalization. The questionnaire consists of 15 questions, of which the first 2 relate to demographic characteristics, one relates to the method of admission to the clinic, 5 questions related to the work and behavior of midwives where a wide range of answers is offered and 6 statements about attitudes towards midwives and midwives care that respondent’s rate on a five-point Likert scale. Results: A high level of satisfaction with midwifery care was expressed (average grade of 4,52). Respondents admitted through emergency admission were much less likely to wait for their admission than those received through agreed admission. Results of the research indicate a pleasant approach of midwives towards patients. The total percentage of respondents who did not hesitate to ask midwives the information they are interested in is 87.5%. According to the results of the research, the midwifery care provided was within the expectations of the respondents, and the midwives showed high expertise in their work. Conclusion: Pregnant women and midwives have positive attitudes towards midwives and midwifery care at the Clinic for Women's Diseases and Obstetrics in Split, and the connection between satisfaction with midwifery care and the level of education of the respondents was noticed
Midwifery care in the delivery of multiple pregnancies
No full textUvod: Višeplodna trudnoća predstavlja razvoj više od jednog ploda u maternici. Kad jedan spermij oplodi jednu jajnu stanicu razvit će se jednojajčani blizanci. S druge strane postoje dvojajčani blizanci koji nastaju kada dva spermija oplodne dvije jajne stanice. Glavno sredstvo u dijagnostici i praćenju višeplodne trudnoće je ultrazvuk.
Cilj: Opisati višeplodnu trudnoću, njezine karakteristike i komplikacije koje se mogu dogoditi tijekom trudnoće i poroda. Fokus je stavljen na sam porod višeplodne trudnoće i zadatke koje primalja obavlja za vrijeme i nakon poroda.
Rasprava: S obzirom da je riječ o rizičnoj trudnoći, komplikacije se mogu razviti kod fetusa i majke. Kako tijekom trudnoće, tako i kod samo porođaja komplikacije nisu isključene. Blizanci se mogu roditi vaginalnim putem ili carskim rezom. Način porođaja ovise o gestacijskoj dobi, položaju djece te komorbiditetu majke. Uloga primalje je bitna tijekom cijele trudnoće. Njezin zadatak je da bude profesionalna, kompetentna, da educira trudnicu, te psihička i fizička priprema za porod. Primalja treba pripremiti sve potrebno za porod, biti sterilna pri porođaju i naposljetku zbrinuti novorođenčad na adekvatan način.
Zaključak: Važno je da blizanačku trudnoću i porod vodi vrstan ginekološki tim. Porod blizanačke trudnoće treba biti obavljen u tercijarnom centru. Većina blizanaca bude rođena carskim rezom kako bi se smanjile posljedice za djecu.Introduction: Multiple pregnancy is the development of more than one fetus in the womb. Identical twins will develop, when one sperm fertilizes one egg,. On the other hand, there are fraternal twins that are formed when two sperm fertilize two eggs. The main tool in the diagnosis and monitoring of multiple pregnancies is ultrasound.
Goal: The aim is to describe multiple pregnancy, its characteristics and complications that can occur during pregnancy and childbirth. The focus is on the birth of a multiple pregnancy and the tasks that the midwife performs during and after the birth.
Discussion: Since it is a high-risk pregnancy, complications can develop in the fetus and to the mother. Complications are not excluded both during pregnancy and in childbirth. Twins can be born vaginally or by caesarean section. The method of delivery depends on the gestational age, the position of the children and the comorbidity of the mother. The role of the midwife is essential throughout the pregnancy. Her task is to be competent, professional, to educate and prepare pregnant women mentally and physically for childbirth. The midwife should prepare everything necessary for childbirth, be sterile at birth and finally take care of the newborn in an adequate way.
Conclusion: It is important that the twin pregnancy and childbirth are led by a good gynecological team. The delivery of a twin pregnancy should be performed in a tertiary center. Most twins are born by caesarean section to reduce the consequences for the children
Attitudes of nursing students about alcohol addicts
No full textOvisnost o alkoholu značajan je javnozdravstveni problem u suvremenom svijetu. Novi su izazovi stavljeni pred suvremene liječnike i medicinske sestre koji skrbe o osobama ovisnima o alkoholu. Rad prikazuje stavove studenata sestrinstva o ovisnicima o alkoholu uz teorijski okvir.Alcohol addiction is a significant public health problem in the modern world. New challenges have been posed to modern doctors and nurses caring for people addicted to alcohol. The paper presents the attitudes of nursing students about alcohol addicts in addition to the theoretical framework
PHYSICAL ACTIVITY AND SPORT; IMPLICATIONS ON THE HEALTH STATUS OF CHILDREN AND YOUTH
No full textDefinirajući i polazeći od pretpostavke tjelesne aktivnosti, sagledane s aspekta društva u cjelini, zatim aspekta fiziologije, kao i smjernica WHO-a za TA i sedentarni stil života, zatim dotičući se implikacija tj. načina po kojima se ta ista TA implementira i ostvaruje preko sporta, rekreacije u slobodno vrijeme i TZK-a te dotaknuti se pitanja korelacije TA i COVID-19; i prema tome temeljna postavka ovog rada jest utvrditi, dokazati i, napose, relevantnim znanstvenim činjenicama i rezultatima potkrijepiti stavove po kojima TA predstavlja jednu osovinu odnosno nezaobilazan segment za dug, zdrav, i ispunjen život, kao i njene sveobuhvatne benefite koji se kauzalno ostvaruju u brojnim životnim domenama što nedvojbeno ukazuju te iste smjernice, rezultati i činjenice iz znanstvene literature. Dalje ističući, dakle, s rastom, razvojem gradova i gradskog načina življenja današnje moderno doba je suočeno, što ujedno i predstavlja veliki izazov za TA, jest pandemija tjelesne neaktivnosti koja proizlazi iz sedentarnog načina življenja i navika, što isto tako predstavlja značajan i veliki javnozdravstveni problem jer u pravilu dovodi do prekomjerne tjelesne mase odnosno pretilosti što može predstavljati ishodišnu točku za nastanak tzv. „nezaraznih kroničnh bolesti“ (non-communicable diseases - NCDs). Zatim, evidentan je i izostanak pravodobnog angažmana pojedinih institucija i odjeljenja koje bi trebale biti odgovorne za javno promoviranje TA u vidu edukacije društva o prevenciji onih štetnih ishoda koji proizlaze iz sedentarnih navika, a samim time i tjelesnog inaktiviteta. I naposljetku ono što je poželjno i zapravo temljni cilj jest da se, za vrijeme djetinjstva i adolescencije, usvojeni obrasci i navike u skladu sa TA i idejom zdravog stila života prenesu i odraze na odraslu dob.Defining and starting from the hypothesis of physical activity, viewed from the aspect of society as a whole, then from the aspect of physiology as well, then from the WHO guidelines for PA and sedentary lifestyle, hence touching on the implications ie the way in which that the same PA is implemented through sports, recreation in free time and through Physical education and, of course, to touch on the issue of correlation between PA and COVID-19; and therefore the main set up of this thesis is to establish, prove and especially by using the relevant scientific facts and results to support the views that physical activity is like an axis or an indispensable segment that, in particular, provides long, healthy and fulfilled life, as so furthermore as well as its comprehensive benefits that are causally achieved in numerous domains of life which is undoubtedly indicated by guidelines, results and facts from the scientific literature. Further emphasizing, therefore, the growth, development of the cities and urban lifestyle, today's modern age is facing, which is also a great challenge for PA, ie the pandemic of physical inactivity that results from a sedentary lifestyle and habits, which is also a significant and presents as well a large public health problem because, as usual, it leads to overweight or obesity, which can be the starting point for the emergence of the so-called non-communicable diseases (NCDs). Also there is the evident lack of regular engagement by certain institutions and departments that actually should be responsible for public promotion of physical activity in the form of educating society about the prevention of those harmful outcomes that arise from sedentary habits and, thereby, from the physical inactivity. Finally, what is the most desirable and in fact a fundamental goal is that adopted patterns and habits during childhood and adolescence, in accordance with PA and the idea of a healthy lifestyle, are transferred and reflected to adulthood
Adjuvant radiotherapy for endometrial cancer
No full textRadioterapija predstavlja način liječenja zloćudnih tumora ionizirajućim zračenjem čiji je cilj maksimalno ozračiti tumorsku tvorbu uz što veću poštedu okolnog zdravog tkiva. Ovisno o vrsti i stadiju raka koriste se i različite tehnike radioterapije uključujući terapiju vanjskim snopom zračenja ili brahiterapiju.
Rak endometrija najčešći je rak koji pogađa ženske reproduktivne organe u visoko razvijenim zemljama. Pri liječenju ove vrste raka koristi se adjuvantna radioterapija nakon primarnog kirurškog zahvata, a uz nju se često primjenjuju i drugi terapijski modaliteti poput kemoterapije.
Cilj adjuvantne radioterapije je uništiti zaostale mikroskopske fokuse tumorskog tkiva nakon kirurškog zahvata i smanjiti stopu lokoregionalnog povrata bolesti. Bitno je naglasiti važnost ispravnog planiranja radioterapije i u sklopu toga odrediti odgovarajuće margine svih volumena zračenja te označiti organe od rizika.Radiotherapy is a way of treating malignant tumors with ionizing radiation whose goal is to maximally irradiate the tumor and to spare the surrounding healthy tissue. Depending on the type and stage of the cancer, various radiotherapy techniques are used, including external beam therapy or brachytherapy.
Endometrial cancer is the most common cancer affecting the female reproductive organs in highly developed countries. In the treatment of this type of cancer, adjuvant radiotherapy is used after primary surgery, and other modalities such as chemotherapy are often used in addition to it.
The goal of adjuvant radiotherapy is to destroy the residual microscopic foci of tumor tissue after surgery and to reduce the rate of locoregional recurrence of the disease. It is important to emphasize the importance of proper radiotherapy planning which includes determining the appropriate margins of all radiation volumes and marking organs at risk
Specifics of physical therapy in children with neuromuscular diseases
No full textNeuromišićne bolesti su nasljedne progresivne bolesti koje su uzrokovane problemima na motoneuronima. Očituju se u različitim razdobljima života gdje neke bolesti započinju već po rođenju, neke u ranom djetinjstvu, a neke tek u adolescentskoj ili odrasloj dobi. U neuromišićne bolesti se ubrajaju mnogobrojne bolesti i sindromi, od kojih svaka ima specifične simptome i terapije. U ovom radu su istaknute Duchenneova mišićna distrofija i Charcot-Marie-Toothova bolest. Duchenneovu mišićnu distrofiju karakterizira proksimalna mišićna slabost i pseudohipertrofija potkoljenica, te pozitivan Gowersov znak, izražena lordoza i gegajući hod. Simptomi ove bolesti u konačnici vode do nepokretnosti. Charcot-Marie-Toothova bolest je opisana kao sindrom koji zahvaća distalne mišiće uz razvoj mišićne slabosti i atrofije, te se dijeli na više vrsta s različitim načinom nasljeđivanja i simptomima. U radu su također prikazana i istraživanja o načinima fizikalne terapije za ove dvije bolesti koja su pokazala učinkovitost treninga respiratornih mišića kod Duchenneove mišićne distrofije, te trening s kontinuiranim povećanjem otpora kod Charcot-Marie-Toothove bolesti. Unatoč prikazanim istraživanjima, od iznimne bitnosti su buduća istraživanja o ovim bolestima.Neuromuscular diseases are inherited progressive diseases caused by problems on motoneurons. They manifest at different periods of life where some diseases begin as early as birth, some in early childhood, and some only in adolescence or adulthood. Neuromuscular diseases include numerous diseases and syndromes, each of which has specific symptoms and therapies. Duchenne muscular dystrophy and Charcot-Marie-Tooth disease are highlighted in this paper. Duchenne muscular dystrophy is characterized by proximal muscle weakness and pseudohypertrophy of the lower legs, as well as a positive Gowers sign, pronounced lordosis and limping gait. The symptoms of this disease ultimately lead to immobility. Charcot-Marie-Tooth disease has been described as a syndrome that affects the distal muscles with the development of muscle weakness and atrophy, and is divided into several types with different mode of inheritance and characteristics. The paper also presents research on physical therapy methods for these two diseases, which showed the effectiveness of respiratory muscle training in Duchenne muscular dystrophy, and training with a continuous increase in resistance in Charcot-Marie-Tooth disease. Despite the research presented, future research on these diseases is extremely important
CARDIAC MRI: CURRENT SITUATION AND FUTURE GUIDELINES
No full textPrimjena MRI srca započela je s kliničkom uporabom ranih 80-ih 20. stoljeća. Napretkom ove tehnike, MRI je, s vremenom postala standardna slikovna metoda u procjeni globanih i regionalnih funkcija sistole, detekciji infarkta miokarda, procjeni njegovog ponovnog oporavka te u analizi tumora na srcu i drugih srčanih bolesti. Prednost MRI u odnosu na druge slikovne metode prevenstveno je što ne koristi ionizirajuće zračenje i odlična kontrastna rezolucija. No, s druge strane, neki od nedostataka su dulje vrijeme pregleda što nije pogodno klaustrofobičnim pacijentima. Zatim osobe koje nisu u mogućnosti dovoljno dugo zadržati dah i slično. S vremenom, kako MRI pronalazi sve veću ulogu u otkrivanju i dijagnosticiranju bolesti srca, razvijaju se nove pulsne sekvence koje cijelokupni pregled čine još preciznijim i detaljnijim smanjujući vrijeme snimanja na osobito zadovoljstvo pacijenata.The use of cardiac MRI began with clinical use in the early 1980s. With the advancement of this technique, MRI has, over time, become the standard imaging method in assessing global and regional systole functions, detecting myocardial infarction, assessing its recovery, and in analyzing heart tumors and other heart diseases. The advantage of MRI over other imaging methods is that it does not use ionizing radiation and excellent contrast resolution. But on the other hand, some of the disadvantages are the longer examination time which is not suitable for claustrophobic patients. Then people who are not able to hold their breath long enough and the like. Over time, as MRI finds an increasing role in the detection and diagnosis of heart disease, new pulse sequences are developed that make the overall examination even more precise and detailed by reducing the recording time to the particular satisfaction of patients
FREQUENCY AND PREVENTION OF PNEUMONIA CAUSED BY MACHINE VENTILATION IN THE INTENSIVE TREATMENT UNIT
No full textUpala pluća uzrokovana respiratorom - VAP je naziv za nozokomijalnu pneumoniju kod bolesnika koji su na strojnoj respiratornoj potpori putem endotrahealnog tubusa ili trahealne kanile dulje od 48 sati.VAP primarno nastaje zbog toga što endotrahealni tubus ili trahealna kanila omogućavaju prolaz bakterijama iz usne šupljine u donje segmente pluća.Rizik nastanka VAP-a kod strojno ventiliranih svaki dan raste za 1-3%.
Cilj istraživanja je utvrditi učestalost pneumonije uzrokovane strojnom ventilacijom kod bolesnika hospitaliziranih u JIL-u u 2009. i 2018. godini koristeći protokole za zdravstvenu njegu usne šupljine kao pouzdane smjernice, zatim utvrditi incidenciju po spolu, vremenu uzorkovanja, duljini boravka u JIL-u te utjecaj ranijeg neposrednog boravka na drugim odjelima.
Kriterij uključenja bili su bolesnici priključeni na strojnu ventilaciju kod kojih se pneumonija razvila do sedmog dana boravka u JIL-u (kasni VAP). U istraživanju je sudjeovao 761 bolesnik. Rezultatima je utvrđeno da nema statistički značajne razlike među dvama protokolima u smanjenju orofaringealne kolonizacije mikroorganizmima na pojavnost VAP-a.Respiratory pneumonia - VAP is the name for nosocomial pneumonia in patients on mechanical respiratory support through the endotracheal tube or tracheal cannula for more than 48 hours. VAP occurs primarily because the endotracheal tube or tracheal cannula allows bacteria to pass from the oral cavity to the oral cavity lungs.The risk of VAP in machine ventilated increases by 1-3% every day.
The aim of the study was to determine the incidence of pneumonia caused by mechanical ventilation in patients hospitalized in the ICU in 2009 and 2018 using oral health protocols as reliable guidelines, then to determine the incidence by sex, sampling time, length of stay in the ICU and the impact of previous immediate residence in other departments.
The inclusion criteria were patients enrolled in mechanical ventilation in whom pneumonia developed by the seventh day of stay in the ICU (late VAP). 761 patients participated in the study. The results showed that there was no statistically significant difference between the two protocols in the reduction of oropharyngeal colonization by microorganisms to the incidence of VAP
PATIENT EDUCATION AND NURSE ACTIVITIES IN PREVENTING DEVELOPMENT OF ARTERIAL HYPERTENSION : croatian
No full textCilj rada je prikazati učestalost arterijske hipertenzije, njen značaj te aktivnosti, ulogu, kompetencije i intervencije koje obavlja medicinska sestra u svim aspektima bolesti. Pretraživanjem literature opaženo je kako je učestalost arterijske hipertenzije u porastu u oba spola u svakoj životnoj dobi. U pretraženim literaturama i istraživanjima ova je bolest jedan od globalnih problema javnog zdravstva te kao takav stoji za izazov mnogobrojnim disciplinama.The aim of this paper is to present the frequency of arterial hypertension, its significance and the activities, role, competencies and interventions performed by the nurse in all aspects of the disease. A search of the literature showed that the incidence of arterial hypertension increased in both sexes at each age. In the searched literature and research, this disease is one of the global problems of public health and as such it challenges many disciplines
FREQUENCY OF ENDOLEAK AFTER ENDOVASCULAR TREATMENT OF ABDOMINAL AORTIC ANEURYSM
No full textU današnje vrijeme endovaskularno liječenje aneurizme abdominalne aorte ima sve više prednosti u odnosu na otvoreno kirurško liječenje. Endovaskularni zahvat je manje invazivan te je stopa mortaliteta znantno niža za razliku od otvorenog kirurškog liječenja. Jedna od komplikacija endovaskularnog liječenja aneurizme abdominalne aorte je nastanak propusnosti ili endoleaka. U ovom radu istražili smo učestalost i karakteristike endoleaka kod pacijenata koji su liječili aneurizmu abdominalne aorte endovaskularnim putem. Metode rada zasnivaju se na statističkoj obradi podataka 60 pacijenata koji su liječeni u Kliničkom zavodu za dijagnostičku i intervencijsku radiologiju, Kliničkog bolničkog centra Split. Podaci su prikupljeni iz arhive navedenog kliničkog zavoda od pacijenata koji su liječeni u razdoblju od 01/2016 do 05/2019 godine. Analizom je utvrđeno da se endoleak pojavio kod 63% pacijenata. Najčešći tip endoleaka koji se javljao je endoleak tip II. Reintervencija vezana za endoleak je bila potrebna kod 4 pacijenta. Kod većine pacijenata, endoleak tip II se postepeno povlačio i nije zahtijevao ponovnu intervenciju. Endovaskularno liječenje je novija metoda liječenja te je potreban stalan nadzor ugrađenog stent-grafta. Prosječno vrijeme praćenja pacijenata koji su analizirani u ovom radu je 26 mjeseci. Prosječan broj kontrola je 4 kontrole.Nowadays, endovascular treatment of abdominal aortic aneurysms has more and more advantages over open surgical treatment. Endovascular surgery is less invasive and the mortality rate is significantly lower in contrast to open surgical treatment. One of the complications of endovascular treatment of abdominal aortic aneurysms is the formation of permeability or endoleak. In this study, we investigated the frequency and characteristics of endoleaks in patients who treated abdominal aortic aneurysm with endovascular method.. Methods are based on statistical data processing of 60 patients treated at the Clinical Institute for Diagnostic and Interventional Radiology, Clinical Hospital Center Split. Data were collected from the archives of the said clinical institution from patients treated in the period from 01/2016 to 05/2019. The analysis determined that the endoleak appeared in 63% of patients. The most common type of endoleak that occurred was endoleak type II. Endoleak-related reintervention was required in 4 patients. In most patients, type II endoleak gradually receded and did not require re-intervention. Endovascular treatment is a newer method of treatment and requires constant monitoring of the implanted stent-graft. The mean follow-up time of the patients analyzed in this study was 26 months. The average number of controls is 4 controls