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MIDWIFE ACTIVITY IN THE PREVENTION OF CERVICAL CANCER
No full textUVOD: Rak vrata maternice je nastanak novotvorina na vratu maternice. Novotvorine ili neoplazije su zapravo abnormalne stanice koje nekontrolirano rastu. Karcinom cerviksa je jedan od rijetkih karcinoma koje možemo spriječiti, a da se promjene nisu ni pojavile, jer je uzrokovan Humanim papiloma virusom. Edukacija žena je zdravstveno odgojna djelatnost svake primalje. Zdravstveno odgojna djelatnost sastoji se od svih savjeta upućenih pacijentici. Osvijestiti pacijenticu da je važno brinuti se za svoje ginekološko zdravlje. CILJ: Cilj rada je prikazati aktivnosti primalje u prevenciji karcinoma vrata maternice, utvrditi znanje i stavove žena o raku vrata maternice te procijeniti osvještenost žena o brizi za spolno zdravlje odlascima na preventivne ginekološke preglede. METODE: U ovome istraživanju sudjelovalo je 946 žena svih dobnih skupina. Kriterij uključenja bile su žene reproduktivne dobi te žene u menopauzi i postmenopauzi. Mjerni instrument za ovo istraživanje je Upitnik znanja i stavova žena reproduktivne dobi o prevenciji raka vrata maternice stvoren putem Google obrasca. Istraživanje je provedeno u travnju 2021. Upitnik se sastoji od dvije komponente, prvi dio sastoji se od 12 pitanja na koje će ispitanice dati odgovor popunjavajući prazno polje ili u padajućem izborniku odabrati jedan od ponuđenih odgovora, a drugi dio upitnika sastoji se od 12 pitanja u obliku tvrdnje, a mogući odgovori su točno, netočno i ne znam. REZULTATI: Istraživanje je pokazalo zadovoljavajuće rezultate, većina žena(74,4%) redovno jednom godišnje odlazi na ginekološke preglede kao i na Papa test. Gotovo većina ispitanica je čula za HPV infekciju. Na tvrdnju „Rak vrata maternice se može spriječiti korištenje prezervativa“ većina ispitanica (41,60%) je na tu tvrdnju odgovorila sa netočno. Većina ispitanica (81,9%) smatra da žene u Hrvatskoj nisu kvalitetno i dovoljno informirane o karcinomu cerviksa. ZAKLJUČCI: Provedeno istraživanje rezultiralo je zadovoljavajućim podatcima o znanju i stavovima žena o prevenciji karcinoma cerviksa. Primalja svojim aktivnostima edukacijom žena, promoviranjem odgovornog spolnog ponašanja, potiče odlaske žena na redovne preventivne ginekološke preglede i tako podiže svijest o brizi za vlastito zdravlje.INTRODUCTION: Cervical cancer is the formation of neoplasms on the cervix. Neoplasms are actually abnormal cells that grow uncontrollably. Cervical cancer is one of the few cancers that we can prevent without the changes even occurring since it is caused by the HPV. Women's education is a health education activity for every midwife. The health education activity consists of all the advice given to the patient, to make the patient aware that it is important to take care of their gynecological health. OBJECTIVE: The aim of this paper is to present the activities of midwives in the prevention of cervical cancer, to determine a woman's knowledge and attitudes about cervical cancer and to assess a woman's awareness of sexual health care by going for preventive gynecological examinations. The only goal is to show the activities of midwives in the prevention of cervical cancer. METHODS: 946 women of all ages participated in this study. The inclusion criteria were women of reproductive age and menopausal and postmenopausal women. The measuring instrument for this research is the Questionnaire of knowledge and attitudes of women of reproductive age on the prevention of cervical cancer created through the Google form. The survey was conducted in April 2021. The questionnaire consists of two components, the first part consists of 12 questions that respondents answered by filling in a blank field or select one of the offered answers in the drop-down menu, and the second part of the questionnaire consists of 12 questions. Form of the claim, and the possible answers are correct, incorrect and I do not know. RESULTS: The survey showed satisfactory results, most women (74.4%) regularly go for gynecological examinations once a year as well as for a Pap smear. Almost most of the respondents had heard of HPV infection. To the statement "Cervical cancer can be prevented by using condoms", the majority of respondents (41.60%) answered this statement incorrectly. The majority of respondents (81.9%) believe that women in Croatia are not well informed about cervical cancer. CONCLUSIONS: The conducted research resulted in satisfactory data on the knowledge and attitudes of women on the prevention of cervical cancer. Through her activities, the midwife educates women, promotes responsible sexual behavior, encourages women to go to regular preventive gynecological examinations and thus raises awareness of caring for their own health
Radiological management of patients with epileptic seizure
No full textNapredak u radiologiji pružio je mogućnosti slikovnog prikaza raznih bolesti, uključujući epilepsiju. Epilepsija je bolest koja se povezuje s epileptičknim napadajima te posljedično dovodi do negativnih promjena na kognitivnoj, neurobiološkoj, psihološkoj i socijalnoj razini. S obzirom na složenost mozga kao organa, dijagnosticiranje ove bolesti zahtijeva precizne i pouzdane metode snimanja.
Ističu se pretrage poput elektroencefalograma (EEG), kompjutorizirane tomografije (CT), magnetske rezonance (MR) i njenih naprednih tehnika te metode nuklearne medicine (PET, SPECT). Postoje indikacije za primjenu svake od navedenih tehnologija, međutim kada je riječ o epilepsiji MR je tada najčešći izbor snimanja mozga. Upotreba specifičnog MR protokola za epilepsiju uvelike je olakšala proces prepoznavanja i postavljanja dijagnoze ove bolesti. Protokol se sastoji od niza sekvenci koje u kombinaciji daju sliku potrebnu za uočavanje epileptogene promjene. Druge metode oslikavanja se primjenjuju kada je u pitanju hitnoća ili kada MR nalaz nije dovoljan za procjenu. To su naprednije i skuplje tehnike, ali kod određenih situacija neophodne u otkrivanju uzroka stanja u kojem se bolesnik nalazi. Postoji šest etioloških skupina uzroka te je potrebno utvrditi s kojom je povezana postojeća epilepsija. Evaluacijom slikovnog materijala može se doći do vrijednih informacija pomoću kojih se bolesniku može pružiti potrebna skrb.The development of radiology has given us the opportunity of imaging many diseases, epilepsy being one of them. This disease is associated to epileptic seizures and it can consequently lead to cognitive, neurobiological, psychological and social changes. Considering the complexity of the brain anatomy, diagnosing this type of disease requires precise and reliable imaging methods. The exams that stand out are the electroencephalogram (EEG), computed tomography (CT), magnetic resonance imaging (MRI) and its’ advanced techniques and also nuclear medicine methods (PET, SPECT). There are many indications for the use of these technologies, but when it comes to epilepsy the MRI is the most common choice for examining the brain. The use of the epilepsy dedicated protocol has helped in the process of recognizing and diagnosing this disease. The protocol consists of many sequences that, when combined, give an image that is needed for noticing the epileptogenic changes. Other forms of imaging are used when urgent or when the MR findings are not enough for the evaluation. Those methods are more advanced and expensive, but very necessary in some situations to find out the cause of the condition the patient is currently in. There are six etiologic groups of causes, and it is important to find out which one is associated to the epilepsy that the patient has. In order to give patients the care they need, it is obligatory to evaluate the images that hold the needed information
Rehabilitation and early intervention in preterm born children
No full textStopa prijevremenih poroda u Europi i razvijenim zemljama iznosi 5-9%. Tako rođena djeca na svijet dolaze prije navršenog 37. tjedna. Rizični čimbenici, za koje se zna da su povezani s preuranjenim porodom, su povijest zabilježenog pobačaja u prvom trimjesečju, prethodni prijevremeni porod, višeplodna trudnoća, majčine akutne ili kronične bolesti, dob majke i sl. Nedonoščad, zbog nezrelosti nekih organskih sustava, spada u rizičnu skupinu. Također, česti su slučajevi motornih i kognitivnih zaostataka. Svrha ovog rada je predstaviti populaciju nedonoščadi, njihove specifičnosti u vidu poteškoća na okolinu koje imaju po rođenju, i raznolikosti stanja, s kojima mogu biti rođeni ili koji se kasnije mogu pojaviti. Uobičajeni fiziološki izazovi, s kojima se takva djeca suočavaju, su problemi s disanjem, cirkulacijom krvi, hranjenjem, ponašanjem. U većini slučajeva, nedonoščad će se razviti u normalnu, zdravu djecu i kasnije odrasle ljude te se ni po čemu neće razlikovati od svojih vršnjaka. Ipak, kod neke djece, njihov prerani dolazak na svijet uzrokovat će dugotrajne ili doživotne probleme. Zato je važna rana intervencija i uključenje u proces rehabilitacije kako bi se uklonile abnormalnosti ili smanjili negativni učinci koje abnormalnosti imaju na daljnji rast, razvoj i kvalitetu života djeteta. Zbog toga će biti opisani postupci rane intervencije i rehabilitacije.The rate of premature births in Europe and developed countries is 5-9%. Babies born this way are born before the 37th week. Risk factors, which are known to be associated with premature birth, are the history of recorded abortion in the first trimester, previous premature birth, multiple pregnancy, maternal acute or chronic diseases, maternal age, etc. Prematurity, due to the immaturity of some organ systems, belongs to risk group. Also, there are frequent cases of motor and cognitive impairments. The purpose of this paper is to present the population of premature infants, their specificity in the form of environmental difficulties they have at birth, and the diversity of conditions, with which they may be born or which may occur later. Common physiological challenges that such children face are problems with breathing, blood circulation, feeding, behavior. In most cases, preterm infants will develop into normal, healthy children and later adults and will be no different from their peers. However, in some children, their premature birth will cause long-term or lifelong problems. Therefore, early intervention and involvement in the rehabilitation process is important to eliminate abnormalities or reduce the negative effects that abnormalities have on the further growth, development and quality of life of the child. Therefore, early intervention and rehabilitation procedures will be described
THE EFFECT OF NURSING EDUCATION ON QUALITY OF LIFE IN PATIENTS WITH DIABETES
No full textCilj istraživanja: Glavni cilj istraživanja je interpretacija i vrednovanje rezultata upitnika prikupljenih u ambulanti za dijabetes Opće bolnice Šibenik, koristeći većim dijelom statističku obradu podataka. Upitnik je sastavljen na način da odabrane varijable što primjerenije testiraju postavljenu hipotezu (uzimanje anamnestičkih podataka o šećernoj bolesti, provođenje propisane terapije i procjena kvalitete života i radne sposobnosti pacijenata) koja će nam dokazati kako se boljom edukacijom oboljelih i pravilnom primjenom propisane terapije dijabetesa, postiže bolja kontrola znakova bolesti te se povećava kvaliteta života pacijenata.
Ispitanici i metode: Istraživanje je provedeno u Općoj bolnici Šibenik, a uključilo je ispitanike upisane u dnevnu dijabetološku ambulantu. Upitnik je proveden na 72 ispitanika u periodu od 1. srpnja 2021. do 30. rujna 2021. Upitnik se sastoji od uzimanja anamnestičkih podataka o šećernoj bolesti, provođenja propisane terapije i procjene kvalitete života te radne sposobnosti pacijenata.
Rezultati: U provedenom istraživanju najveći postotak ispitanika, čak njih 93,1%, pridržava se preporuke uzimanja terapije, što možemo i pored visokog postotka smatrati nedovoljnim u odnosu na brojne komplikacije neprovođenja terapije i kontrole znakova bolesti. Bilo kakvu komplikaciju dijabetesa ima 86,1% ispitanika. Najučestalije komplikacije su umor i nepodnošenje napora kako navodi 48,6% ispitanika. Što pravilnijom primjenom propisane terapije i pridržavanjem uputa o načinu života s dijabetesom, trebale bi se smanjiti navedene komplikacije. Kod skupina ispitanika, koji su educirani sa strane liječnika ili medicinske sestre o načinu kontrole znakova bolesti i poboljšanja kvalitete života, ustanovljen je manji broj komplikacija u odnosu na skupinu pacijenata koji se educiraju iz „ostalih izvora“. Ispitanici u anketi su sami procijenili kvalitetu života s dijabetesom na skali od 1-10, gdje veći broj označava i bolju kvalitetu života. Srednja vrijednost ocjene kvalitete života je 7, a kod najvećeg broja ispitanika je prisutan strah od pogoršanja bolesti (43,1%). Da su savjeti dobiveni od medicinskog osoblja pomogli u održavanju i poboljšanju kvalitete života, navodi 93,1% ispitanika, da su im djelomično pomogli, navodi njih 5,6%, a 1,4% ispitanika navodi kako im savjeti uopće nisu pomogli.
Zaključci: Komplikacije šećerne bolesti glavni su uzrok smrtnosti u oboljelih. Prema dobivenim rezultatima velika većina pacijenata s dijabetesom Tip 1 i Tip 2 pridržava se preporuke uzimanja terapije te na taj način smanjuju moguće komplikacije bolesti. Važnost dobre edukacije i informiranja pacijenata s dijabetesom nam je jednako važna od strane liječnika i medicinske sestre, što nam pokazuju rezultati da su savjeti dobiveni od medicinskog osoblja pomogli u poboljšanju kvalitete života.Aim of the research: The main goal of the research is the interpretation and evaluation of the results obtained through questionnaires administered to patients of the diabetes clinic at the General Hospital Šibenik. Statistical data processing methods were applied to analyse the results. The questionnaire was designed to address the suitable variables selected to verify the hypothesis (collecting anamnestic data on diabetes patients, compliance with the prescribed treatment and assessing the quality of life and patient working capability). It is hypothesized that better education of patients and adherence to prescribed diabetes treatment leads to more successful management of disease signs and increases the quality of patients’ lives.
Examinees and methods: The study was conducted at the General Hospital Šibenik, and included subjects enrolled in the diabetes day clinic. The questionnaire was conducted on 72 respondents in the period from July 1, 2021 to September 30, 2021. The questionnaire consists of collecting anamnestic data of diabetes patients, compliance with the prescribed treatment and assessment of the quality of life and patient work capability.
Results: In the conducted research, the largest percentage of respondents, as many as 93,1%, followed the recommended treatment. Although the percentage of patients adhering to treatment is high it cannot be considered as sufficient, especially in relation to the numerous complications arising from noncompliance with treatment or control of disease signs. 86,1% of respondents have at least one health complication related to diabetes. According to 48,6% of respondents, the most common complications are fatigue and inability to perform physical activity. Complying with the prescribed treatment and following the guidelines on lifestyle to manage diabetes should reduce the occurrence of these complications. In the groups of respondents who received education about management of disease signs and improvement of the quality of life from doctors or nurses, a smaller number of complications was found compared to the group of patients using other educational resources. Respondents in the survey themselves assessed the quality of life with diabetes on a scale of 1-10, with 10 indicating a high quality of life. The mean value of the quality of life assessment is 7, whereas the majority of respondents report fear of disease worsening (43,1%). 93,1% of the respondents state that the advice received from the medical staff helped to maintain and improve the quality of life, 5,6% state that the advice were partly helpful, and 1,4% of the respondents state that the advice did not help them at all.
Conclusions: Complications of diabetes are the leading cause of death in patients. According to the obtained results, the vast majority of patients with type 1 and type 2 diabetes adhere to the recommended treatment and thus reduce the possible complications of the disease. The importance of good education and informing patients with diabetes is equally important from the point of view of doctors and nurses, as shown by the results confirming that the advice received from medical staff has helped to improve the quality of patients’ lives
CHARACTERISTICS OF NARCISM IN HEALTH STUDY STUDENTS
No full textCilj istraživanja: Cilj ovog istraživanja bio je ispitati prisutnost i značajke narcizma u studenata zdravstvenih studija Sveučilišta u Splitu, zatim ispitati odnos između studijskih grupa po zastupljenosti vulnerabilnog i grandioznog narcizma, te istražiti pojavnost vulnerabilnog i grandioznog narcizma po spolu i godini studiranja.
Izvori podataka i metode: Ispitanici su bili studenti prve i treće godine preddiplomskog studija OZS-a u Splitu. U istraživanju je sudjelovao 101 student prve godine i 100 studenata treće godine preddiplomskog studija OZS-a u Splitu. Ispitivanje se provodilo putem anonimne ankete uz prethodnu suglasnost Etičkog povjerenstva Sveučilišnog odjela zdravstvenih studija u Splitu.
Upitnik se sastojao iz dva dijela: samoprocjenske skale te pitanja s ponuđenim odgovorima i pitanja s nadopunjavanjem. U prvom dijelu upitnika, pitanja su se odnosila na sociodemografska obilježja ispitanika (dob, spol, godine studiranja, prethodna traumatična iskustva i psihološku pomoć). Drugi dio bio je validirani PNI upitnik, sastavljen od 52 čestice koji se koristi za mjerenje dviju dimenzija patološkog narcizma, grandioznosti i vulnerabilnosti.
Rezultati: Rezultati ovog istraživanja pokazali su da nije postojala razlika u izraženosti narcističkih crta ličnosti između studenata fizioterapije, medicinske radiologije i medicinsko laboratorijske dijagnostike u odnosu na studente sestrinstva i primaljstva (Z= -.466; p=.641). Rezultati su također pokazali da nije postojala razlika u izraženosti grandioznog narcizma između studenata fizioterapije, medicinske radiologije i medicinsko laboratorije dijagnostike u odnosu na studente sestrinstva i primaljstva ( t= 0.821; p= 0.207). Studenti sestrinstva i primaljstva nisu pokazali izraženije crte ličnosti vulnerabilnog narcizma u odnosu na studente fizioterapije, medicinske radiologije i medicinsko laboratorijske dijagnostike ( Z=-.373; p=.709). Kod studenata nisu bile izraženije narcističke crte ličnosti u odnosu na studentice ( Z= -.303; p= .762). Vulnerabilni narcizam nije bio izraženiji kod studentica u odnosu na studente ( Z= -.091; p= .927). Grandiozni narcizam nije bio izraženiji kod studenata u odnosu na studentice (t= .248; p= .244). Studenti treće godine pokazali su manje izražene crte vulnerabilnog i grandioznog narcizma u odnosu na studente prve godine (narcističke crte ličnosti Z= -.2977; p= .003; vulnerabilni narcizam Z= .2770; p= .006; grandiozni narcizam t= .065; p= .004).
Zaključci: Nije postojala razlika u izraženosti narcističkih crta ličnosti, grandioznog i vulnerabilnog narcizma između svih studijskih grupa. Nije se pokazala statistički značajna razlika izraženosti narcističkih crta ličnosti, grandioznog i vulnerabilnog narcizma po spolu. Istraživanje je pokazalo da je manja pojavnost narcizma u višim godinama studija.Aim of the study: The aim of this study was to examine the presence and characteristics of narcissism in medical students at the University of Split, then to examine the relationship between study groups in the prevalence of vulnerable and grandiose narcissism, and to investigate the incidence of vulnerable and grandiose narcissism by gender and year.
Data sources and methods: Respondents were first and third year undergraduate students at OZS in Split. 101 first-year students and 100 third-year undergraduate students of the OZS in Split participated in the research. The study was conducted through an anonymous survey with the prior consent of the Ethics Committee of the University Department of Health Studies in Split.
The questionnaire consisted of two parts: a self-assessment scale and questions with offered answers and questions with completion. In the first part of the questionnaire, the questions referred to the sociodemographic characteristics of the respondents (age, gender, years of study, previous traumatic experiences and psychological help). The second part was a validated PNI questionnaire, composed of 52 particles used to measure the two dimensions of pathological narcissism, grandiosity and vulnerability.
Results: The results of this study showed that there was no difference in the expression of narcissistic personality traits between students of physiotherapy, medical radiology and medical laboratory diagnostics in relation to students of nursing and midwifery (Z = -.466; p = .641). The results also showed that there was no difference in the severity of grandiose narcissism between students of physiotherapy, medical radiology, and medical laboratory diagnostics compared to students of nursing and midwifery (t = 0.821; p = 0.207). Students of nursing and midwifery did not show more pronounced personality traits of vulnerable narcissism in relation to students of physiotherapy, medical radiology and medical laboratory diagnostics (Z = -. 373; p = .709). Narcissistic personality traits were not more pronounced among female students compared to female students (Z = -.303; p = .762). Vulnerable narcissism was not more pronounced in female students compared to male students (Z = -.091; p = .927). Grandiose narcissism was not more pronounced in male students than female students (t = .248; p = .244). Third - year students showed less pronounced traits of vulnerable and grandiose narcissism compared to first - year students (narcissistic personality traits Z = -.2977; p = .003; vulnerable narcissism Z = .2770; p = .006; grandiose narcissism t =. 065; p = .004).
Conclusions: There were no differences in the expression of narcissistic personality traits, grandiose and vulnerable narcissism between all study groups. There were no statistically significant differences in the expression of narcissistic personality traits, grandiose and vulnerable narcissism by gender. Research has shown that the incidence of narcissism was lower in the higher years of study
THE ROLE OF SCINTIGRAPHY IN DETECTION OF NEUROENDOCRINE TUMORS (NET)
No full textU radu je obrađena tema neuroendokrinih tumora (NET) i slikovne dijagnostike vezane za dijagnostiku istih, a ponajviše scintigrafija somatostatinskih receptora kao metoda izbora. Neuroendokrini tumori kao heterogena skupina neoplazmi predstavljaju velik izazov u dijagnostici i liječenju. U radu su predstavljene metode dijagnostike neuroendokrinih tumora, a posebna pozornost je posvećena slikovnim medicinskim modalitetima, bilo to klasičnim ili funkcionalnim postupcima dobivanja slike. Na temelju dosadašnjih saznanja, pregledom literature, navedeni su podaci o specifičnosti i osjetljivosti pojedine metode i objašnjeni su postupci dobivanja slike. Nuklearno medicinske pretrage postavljaju se kao imperativ u dijagnostici i praćenju NET-a. Cilj ovog rada je bio utvrditi ulogu scintigrafije somatostatinskih receptora u detekciji neuroendokrinih tumora, njihovom praćenju i procjeni te utvrditi učestalost i razloge obavljanja ove pretrage u KBC-u Split.
Za potrebe ovog rada retrospektivno je prikupljena dokumentacija KBC Split, Kliničkog zavoda za nuklearnu medicinu za razdoblje od 1.1.2019. do 31.12.2020. godine, o 152 slučaja obavljene scintigrafije somatostatinskih receptora. Statističkom obradom podataka i tabelarnim i grafičkim strukturama prikazani su podaci o pacijentima prema promatranim obilježjima.
U promatranoj skupini veća je zastupljenost muškaraca u odnosu na žene, a srednja vrijednost dobi je 65,50 godina. Trećina obavljenih pretraga spada u kategoriju kontrolnih uz podjednaku učestalost korištenja pretrage za procjenu stadija bolesti kao i za postavljanje dijagnoze. Najčešća lokacija suspektnih lezije prije pretrage je gastrointestinalni trakt (35,53%), a najčešća lokacija patoloških promjena u nalazu pretrage je bila jetra (50,88%). Pri svakoj pretrazi je snimljen i SPECT/CT.
Značajna uloga spomenutog pregleda u praćenju već dijagnosticirane bolesti i njegova uloga u procjeni terapije uz pravilno dijagnosticiranje sumnje na neuroendokrini tumor potvrđena je zajedno sa SPECT / CT-om kao nezamjenjiva metoda zbog poboljšanja dijagnostičke točnosti i bolje lokalizacije lezija i diferenciranja između patološkog i fiziološkog ili nespecifičnog unosa radiofarmaka.The paper deals with the topic of neuroendocrine tumors (NET) and imaging diagnostic connections for their diagnosis, especially scintigraphy of somatostatin receptors as a method of choice. Neuroendocrine tumors as a heterogeneous group of neoplasms pose a major challenge in diagnosis and treatment. The paper presents methods for the diagnosis of neuroendocrine tumors, with special attention paid to imaging medical modalities, whether the imaging procedures were classical or functional. Based on previous knowledge and literature review, data on the specifics and sensitivity of individual methods are shown and the procedures for obtaining images are explained. Nuclear medical tests are set as an imperative in the diagnosis and monitoring of NET. The goal of this study was to determine the role of somatostatin receptor scintigraphy in the detection of neuroendocrine tumors, their follow up and disease assessment, and also to determine the frequency and reasons for performing of this diagnostic test in the KBC Split.
For the purposes of this paper, the documentation of KBC Split, Institute of Nuclear Medicine was collected retrospectively for the period from 1.1.2019. to 31.12.2020. Collected documentation shows data on 152 cases of performed somatostatin receptor scintigraphy. Statistical data processing and tabular and graphical structures show data on patients according to the observed characteristics.
In the observed group, the representation of men is higher compared to women, with a mean age value of 65.50 years. A third of examinations performed were follow up scintigraphy examinations and the frequency of this exam due to disease staging or disease diagnosis was nearly equal. The most common location of the suspected primary lesion was the gastrointestinal tract (35,53%) and the most common location of pathological lesions on exam was the liver (50,88%). SPECT/CT was performed at every case of examination.
A significant role of said examination in follow up of already diagnosed disease and its role in assessing therapy along with correctly diagnosing suspected neuroendocrine tumour was confirmed along with SPECT/CT as being an indispensable method due to improving diagnostic accuracy and better localization of lesions and differentiating between pathologic and physiologic or unspecific radiopharmaceutical uptake
THE IMPORTANCE OF APPROPRIATE PREPARATION AND AWARENESS OF PATIENTS FOR THE IMPLEMENTATION OF ANESTHESIOLOGICAL PROCEDURES
No full textCilj istraživanja je utvrditi važnost pravovaljane pripreme i informiranost bolesnika za provedbu anestezioloških postupaka, te ulogu medicinske sestre u pripremi i informiranju bolesnika. Pri izradi rada korišteni su primarni i sekundarni izvori podataka. Primarni izvor podataka bilo je istraživanje putem anketnog upitnika kojeg su medicinske sestre podijelile operiranim bolesnicima na odjelu kirurgije u Općoj bolnici Šibenik, koji su ostali u bolnici nekoliko dana nakon zahvata. Sekundarni izvori obuhvaćali su domaću i stranu stručnu i znanstvenu literaturu, baze podataka i Internet. Upitnik se sastojao iz dva dijela. Prvim dijelom prikupljale su se informacije o obilježjima bolesnika, kao što su spol, dob i obrazovanje, dok se u drugom dijelu od bolesnika tražilo da iskažu svoje mišljenje o tvrdnjama koje opisuju pripremu i informiranost za provedbu anestezioloških postupaka uz pomoć 17 čestica na ljestvici Likertovog tipa. Rezultati istraživanja su pokazali da su ispitanici informirani i pripremljeni za provedbu anestezioloških postupaka, te da su svjesni uloge medicinske sestre u njihovoj pripremi i informiranju.The aim of the research is to determine the importance of proper preparation and informing patients for the implementation of anesthesia procedures, and the role of the nurse in the preparation and informing of patients. Primary and secondary data sources were used in the preparation of the paper. The primary source of data was a survey through a questionnaire distributed by nurses to operated patients in the surgery department at the Šibenik General Hospital, who remained in the hospital for several days after the procedure. Secondary sources included domestic and foreign professional and scientific literature, databases and the Internet. The questionnaire consisted of two parts. The first part collected information on patient characteristics, such as gender, age and education, while the second part asked patients to express their views on claims describing preparation and information for the implementation of anesthesia procedures using 17 particles on a Likert-type scale. The results of the research showed that the respondents were informed and prepared for the implementation of anesthesia procedures, and that they were aware of the role of the nurse in their preparation and information
Use of drug eluting balloons (DEB) in the treatment of coronary artery disease (CAD)
No full textKoronarna arterijska bolest vodeći je uzrok smrti u svijetu i najčešća kardiovaskularna bolest današnjeg svijeta. Intervencijska kardiologija mnogo je napredovala u liječenju koronarne bolesti srca. Baloni koji luče lijekove su jedni od aduta u lepezi terapijskih rješenja za koronarnu arterijsku bolest. Priprema lezija ključan je preduvjet za uspješnu isporuku lijeka. Baloni koji luče lijekove su se pokazali djelotvornima u intervencijama pojedinih lezija poput in-stent restenoze, de novo lezija, bolesti malih krvnih žila, itd. Istraživanja su pokazala kako su baloni koji luče lijekove jednako uspješni kao i DES ili BMS, ako ne i bolji u određenim slučajevima. Kada je riječ o novcu, DEB se pokazao isplativom opcijom u liječenju koronarne bolesti srca. Buduće studije su potrebne kako bi se utvrdila primjenjivost DEB-a koji luči lijek sirolimus.Coronary artery disease (CAD) is the leading cause of death in the world and the most common cardiovascular disease nowadays. Interventional cardiology has come a long way in treating CAD. Drug eluting balloons (DEB) represent a trump card in a fan of treating options for CAD. Lesion preparation is mandatory in order for drug delivery to be successful. DEB has shown effectiveness in several lesion types such as in-stent restenosis, de novo, small vessels, etc. Research have shown that DEB is non inferior to DES or BMS, if not even better in some cases. Money matters, DEB has proven to be a cost effective option in the treatment of CAD. Future studies should address applicability of sirolimus based DEB
INFLUENCE OF INTRAABDOMINAL PRESSURE ON THE STABILITY OF THE SPINE AND CORE MUSCLE IN HEALTHY AND SICK MAN
No full textPrema Virginii Henderson, medicinska sestra ima ulogu u zadovoljavanju osnovnih ljudskih potreba. Jedna od ljudskih potreba je potreba za tjelesnom aktivnošću i rekreacijom. Budući da se suvremena kineziologija temelji na centralnoj stabilnosti i distalnoj mobilnosti, medicinska sestra mora poznavati pokret i mišićni sustav. Core mišići ili mišići jezgre su od krucijalne važnosti zbog stvaranja i održavanja intraabdominalnog tlaka. Međusobna kontrakcija core- a rezultira ko- aktivacijom dijafragme, zdjeličnog dna (pelvic floor muscle) i abdominalne muskulature. Uspostava intraabdominalnog tlaka omogućava stabilizaciju kralježnice i mišića trupa, aktivaciju središnjeg živčanog sustava, bolju posturu i povećanje mobilnosti i fleksibilnosti. Aktivacijom intraabdominalnog tlaka preveniraju se ozljede, poboljšava se performans rekreativca i sportaša, povećava se ravnoteža i koordinacija što je iznimno bitno kod bolničkog pacijenta. Poznavanjem vježbi za stabilizaciju core- a i kralježnice, medicinska sestra može pomoći pacijentima u svakodnevnim aktivnostima, bržem oporavku i zadovoljavanju ljudskih potreba za kretanjem.According to Virginia Henderson, the nurse has a role to play in meeting basic human needs. One of the human needs is the need for physical activity and recreation. Since modern kinesiology is based on central stability and distal mobility, the nurse must know movement and the muscular system. Core muscles or core muscles are crucial for creating and maintaining intra-abdominal pressure. Mutual contraction of the core results in co-activation of the diaphragm, pelvic floor (pelvic floor muscles) and abdominal muscles. Establishing intra-abdominal pressure allows stabilization of the spine and trunk muscles, activation of the central nervous system, better posture and increased mobility and flexibility. By activating the intra-abdominal pressure, the following are prevented, the performance of recreational athletes and athletes is improved, balance and coordination are increased, which is extremely important in a hospital patient. By knowing core and spine stabilization exercises, a nurse can assist patients in daily activities, speed recovery and meet human movement needs
Nurses tasks in education young peopla about planning a family
No full textU radu je prikazano što označava pojam planiranja obitelji, koje su to aktivnosti medicinske sestre i kakav to utjecaj ima na nas. Kada je uvedena edukacija i od koje dobi započinje te tko ju provodi. Prikazani su podaci o pobačaju u Hrvatskoj, susjednim zemaljama, EU, Nordijskim zemaljama, te podaci o kontracepciji. Čemu sve mladi podliježu, čemu su skloniji kod korištenja kontracepcije, koliko su česte adolescentne trudnoće i pobačaji. Koliko se razlikuju države po zakonima. Što je temetrijski pobačaj i postoji li to? Kako se koristi usluga telemetrijskog pobačaja, gdje se može koristiti? Kakav je utjecaj vjere na kontracepciju i pobačaj, koji je njen stav. Prikazane su prirodne metode kontracepcije: kalendarska, temperaturna, prekinuti snošaj i Billingsova metoda; mehaničke: kondom, dijafragma, cervikalna kapa, ženski kondom te vaginalne pjene, kreme, vagitoriji i kontracepcijska spužva; hormonske: oralna kontracepcija, injekcijska, implantati, vaginalni prstenovi, hormonski maternički ulošci, transdermalna kontracepcija i postkoitalna kontracepcija; intrauterine: nemedicinirani ulošci i medicinirani ulošci; i strilizacijska metoda kontracepcije, koja stopa trudnoća je kod koje kontracepcije i nuspojave. Pronađeno je što koristi češće mlađa populacija, a što starija te koliko ih smatra da je kontracepcija nepotrebna i zašto.This paper shows what does family planning mean, what are nurses tasks and how it affects us. Numbers are shown for abortion for Croatia, it's neighbouring countries, EU, Nordic countries, and data for contraception use. The youth opinion, what do they use in contraception, how often are there pregnancies and abortion in adolescents. What different laws have different countries. What is a telemetric abortion and is it in use? How can you use telemetric abortion and where? What point of view does Church have on contraception and abortion and how it affects us. The paper shows that there are natural methods of contraception: calendar method, temeprature method, interrupted coitus and Billings method; mechanical: condom, diaphragm, cervical cap, female condom and vaginal foams, creams, vagitories and contraception spunge; hormonal: oral contraception, injection contraception, implants, vaginal rings,hormonal maternal device, transdermal contraception and postcoitus contraception; intrauterine: non-medical and medical device; and sterilization, how often do prenancies happen and side effects. Reasherch was found on what contraception methods younger people use and what older generation uses and how many people think it's unnecesary