Repository of the University of Rijeka, Faculty of Medicine
Not a member yet
7184 research outputs found
Sort by
Difficulties in Accessing the List and Full Text of the Defended PhD Theses from Medical Schools: a Retrospective Case Study from Croatia
No full textObjective. To conduct scientometric studies on PhD (“Doctor of Philosophy”) theses (i.e., doctoral theses), researchers should be able to access the theses. We aimed to explore how to obtain a list and full text of the defended PhD theses from medical schools in Croatia over 30 years (from the beginning of 1992 to the end of 2021).
Methods. We tried to obtain information from the Croa- tian Bureau of Statistics, the National and University Library in Zagreb (NSK), universities, medical schools and online reposito- ries.
Results. We could not find a single list (source) of all PhD theses. Based on 4 different sources (website of the University of Zagreb and Medical School in Rijeka; school administrator from Split; library catalog from Osijek), we gathered information that from the beginning of 1992 to the end of 2021, there were 2955 PhD theses defended at medical schools in Croatia – 357 in Osijek, 550 in Rijeka, 337 in Split and 1711 in Zagreb. In May 2022, the online Croatian Digital Dissertations Repository contained 631 (22%) of full-text theses in Portable Document Format (PDF). University of Zagreb School of Medicine has its own repository that holds the full text of 834 (49%) of their PhD theses. One of the three PhD programs of the University of Split School of Medicine, namely Translational Research in Biomedicine (TRIBE), published full texts of all PhD theses defended at that program on its website. NSK held 2650 (90%) of the theses in a printed version.
Conclusion. It was extremely challenging to access the list and full texts of doctoral theses defended in Croatia. Making PhD theses publicly available would ensure transparency and enable analyses that should improve scientific policy
“House History” (Historia Domus) of the Jesuit College in Rijeka – a Fundamental Archival Source for the History of the Jesuits in Rijeka in the 17th and 18th Centuries
No full textU radu je objašnjeno kako je pronađen rukopis Historia Collegii Fluminis S. Viti ab anno MDCXXVIII (“Kućna kronika riječkoga kolegija sv. Vida od 1628. godine”), temeljni izvor za istraživanje povijesti kolegija Družbe Isusove u Rijeci u 17. i 18. stoljeću. Opisan je kontekst iznošenja te kućne kronike iz Rijeke nakon Drugoga svjetskoga rata te je rekonstruiran način na koji je dospjela u isusovačke arhive u Italiji. Objašnjavajući mjesto i ulogu koje su historiae domus kao žanr imale u djelovanju isusovaca, posebice s obzirom na odnose središnjih struktura Družbe Isusove s lokalnim isusovcima diljem svijeta, u radu su iznesene prosudbe o tom na koji način historiografija treba pristupati tomu vrelu. Iznesena su osnovna obilježja djelovanja isusovaca u Rijeci od 1627. do 1773., kao i opće karakteristike pronađenoga vrela.The paper brings news about the re-discovery of the source Historia Collegii Fluminis S. Viti ab anno MDCXXVIII, a fundamental source for researching the history of the College of the Society of Jesus in Rijeka in the 17th and 18th centuries. The context of the removal of this Historia Domus (“house history”) from Rijeka after World War II is described, including how it ended up in the Jesuit archives in Italy. In 1947 Giuseppe Viezzoli alienated the manuscript from Rijeka, then under communist rule, and through his Jesuit brother Lorenzo, handed it over to the Jesuit archive in Gallarate, Italy. This action deprived the city of Rijeka of a valuable part of its archival records and cultural heritage, as the manuscript is an important source for researching local, church, and educational history. The basic characteristics of the activities of the Jesuits in Rijeka from 1627 to 1773 are presented, as well as the general characteristics of the found source. Explaining the place and role of the Historiae Domus in the activities of the Jesuits, particularly in relation to the interactions between the central structures of the Society of Jesus and the local Jesuits around the world, the paper offers insights on how historiography should approach such sources. It should be known that Historiae are an expression of the Jesuit selection of the news that the community itself felt should be remembered and are created in accordance with the instructions from the headquarters of the Order. Historia Collegii Fluminis S. Viti contains valuable data for the historical research of the early modern period in Rijeka and its surroundings, but its content should not be regarded as an entirely objective historical source, as it reflects, to some extent, a matter of selected memory
Stavovi i znanje zatvorenika o hepatitisu C
No full textUvod: Oko 58 milijuna ljudi ima kroničnu HCV infekciju, a oko 1,5 milijuna ljudi se zarazi svake
godine.
Cilj: Ispitati stavove i znanje zatvorenika o hepatitisu C, te analizom utvrditi postoji li statistički
značajna razlika s obzirom na dob, radni status i stupanj obrazovanja ispitanika.
Metode: Istraživanje je provedeno od studenoga 2020. do ožujka 2021. godine u Kaznionici LipovicaPopovača. Kao instrument za provedbu istraživanja koristio se posebno konstruirani anketni upitnik.
Rezultati: Sudjelovalo je 133 muških ispitanika u dobi 23-82 godine.Najzastupljeniji sudionici imaju
srednjoškolsko obrazovanje - 82 (61,7%). Polovina sudionika je zaposlena, njih 72 (54,1%), a 118 (88,7%)
njih je izjavilo da ima znanje o HCV-u. Sudionici imaju nedostatno znanje na pitanja „Testiranje na hepatitis
C može se obaviti u svakoj općoj bolnici u Republici Hrvatskoj“ (M=2,17, SD=1,50) i „Treba izbjegavati
dodir s oboljelom osobom od hepatitisa C“ (M=2,92, SD=1,50). Upoznati su s tim da bi se osobe rizičnog
ponašanja trebale testirati na virus hepatitisa C (M=4,52, SD=0,92), da su testiranje i detekcija najvažniji
postupci u prevenciji širenja bolesti (M=4,54, SD=0,88), da besplatna testiranja doprinose većem odazivu
na testiranje, što može doprinijeti otkrivanju većeg broja osoba s HCV-om (M= 4,55, SD=0,91), te da je
važno imati podršku obitelji i bliskih osoba (M=4,61, SD=0,69).
Zaključak: Informiranost o virusnim hepatitisima u zatvorskom sustavu je prisutna, ali je i dalje
nedovoljna i zahtijeva ulaganje u ovom području. Rezultati i analiza provedenog istraživanja otvaraju
mogućnost za uvođenje standardiziranih javnozdravstvenih programa kojima bi se zatvorska populacija
dodatno educirala i promijenila svoj stil života
CONSTRUCTION AND VALIDATION OF A QUESTIONNAIRE FOR ASSESSMENT OF PHYSICAL ACTIVITY IN THE ELDERLY IN INSTITUTIONAL CARE
No full textCilj istraživanja: Konstruirati i provjeriti psihometrijska svojstva upitnika za procjenu razine
tjelesne aktivnosti osoba starije životne dobi u institucijskoj skrbi. Dodatno istražiti odnos
između tjelesne aktivnosti i raspodjele po spolu, dobnih kategorija, indeksa tjelesne mase
(ITM), ograničavajućih faktora te komorbiditeta.
Ispitanici i metode: Studiji je pristupilo 200 korisnika institucijske skrbi u domovima za starije
osobe u gradu Zagrebu nakon višemjesečne provedbe protuepidemijskih mjera za vrijeme
pandemije COVID-19. Uključeni su korisnici 65 godina i stariji koji prema funkcionalnoj
sposobnosti i zdravstvenom stanju primaju 1. stupanj usluge smještaja u sustavu socijalne skrbi.
Korišten je integrativni pristup u procjeni razine tjelesne aktivnosti kombiniranjem modela
samoprocjene uz 7-dnevno motoričko praćenje.
Rezultati: Physical activity-Dolor Dyspnoea Fatigo upitnik (PA-DDF) pokazao je primjerenu
relevantnost i razumljivost prema rezultatima indeksa sadržajne valjanosti (CVI > 0,80).
Vrijednosti Cronbach alfa koeficijenti ukazuju na dobru pouzdanost domene tjelesne aktivnosti
(α = 0,881) i izvrsnu pouzdanost domene ograničenja (α = 0,949). Potvrđena je jednofaktorska
struktura domene tjelesne aktivnosti i trofaktorska struktura domene ograničenja. Domena
tjelesne aktivnosti PA-DDF upitnika pozitivno korelira s rezultatom ostvarenim na Physical
Activity Scale for the Elderly upitnikom, prosječnim brojem ostvarenih koraka i aktivnosti
srednjeg intenziteta putem dnevnika i netHR vrijednosti u rasponu od 0,724 do 0,699. Istoimena
domena u negativnoj je korelaciji s aktivnostima niskog intenziteta i sjedilačkim ponašanjem
praćenih dnevnikom i netHR vrijednosti u rasponu od -0,601 do 0,280. U domeni ograničenja
umor ostvaruje dominantnu negativnu implikaciju s domenom tjelesne aktivnosti u rasponu od -0,674 do -0,629. Značajno višu razinu tjelesne aktivnosti postižu muškarci, mlađe osobe te
korisnici s nižim ITM-om. Iako korisnici s manjim ograničenjima postižu značajno višu razinu
tjelesne aktivnosti, a pojedinci s većim brojem komorbiditeta postižu značajno nižu razinu
tjelesne aktivnosti, prisutnost ograničenja i komorbiditeta nisu prepoznati kao značajni
prediktori tjelesne aktivnosti (P < 0,05). Veliki depresivni poremećaj, osteoporoza, preboljeli
srčani infarkt i cerebrovaskularni inzult, sideropenična anemija uz ITM i dob značajni su
prediktori tjelesne aktivnosti gdje je prisutan silazni efekt u rasponu od 0,68 do 0,98 (P < 0,05).
Zaključak: PA-DDF upitnik pouzdan je i valjan instrument za procjenu i praćenje promjena u
tjelesnoj aktivnosti osoba starije životne dobi u institucijskoj skrbi (domova za starije) što
osigurava njegovu primjenu u interdisciplinarnoj gerontološkoj skrbi.Objectives: Construct and verify the psychometric properties of a questionnaire for assessing
the level of physical activity of elderly people in institutional care. Further investigate the
relationship between physical activity and division by gender, age categories, body mass index
(BMI), limiting factors and comorbidities.
Respondents and Methods: 200 beneficiaries of institutional care in nursing homes in the city
of Zagreb took part in the study after several months of anti-epidemic measures which were in
place during the COVID-19 pandemic. Beneficiaries 65 years of age and older were included
who according to their functional ability and state of health receive the 1st level of
accommodation services in the social care system. An integrative approach was used in
assessing the level of physical activity by combining a self-assessment model with a 7-day
motor monitoring.
Results: The Physical activity-Dolor Dyspnoea Fatigo questionnaire (PA-DDF) showed
appropriate relevance and comprehensibility according to the results of the content validity
index (CVI > 0.80). Cronbach alpha coefficient values indicate good reliability of the physical
activity domain (α = 0.881) and excellent reliability of the limitation domain (α = 0.949). The
one-factor structure of the physical activity domain and the three-factor structure of the
limitation domain were confirmed. The physical activity domain of the PA-DDF questionnaire
positively correlates with the result obtained on the Physical Activity Scale for the Elderly
questionnaire, the average number of steps taken and medium-intensity activities through the
diary and netHR values ranging from 0.724 to 0.699. This domain is negatively correlated with
low-intensity activities and sedentary behavior monitored through diary and netHR values
ranging from -0.601 to 0.280. In the limitation domain, fatigue achieves a dominant negative
implication with the physical activity domain ranging from -0.674 to -0.629. A significantly
higher level of physical activity is achieved by men, younger people and beneficiaries.
Although beneficiaries with minor limitations achieve a significantly higher level of physical
activity, and individuals with a greater number of present diseases achieve a significantly lower
level of physical activity, the existence of limitations and comorbidities were not recognized as
significant predictors of physical activity (P < 0.05). Major depressive disorder, osteoporosis,
recovered heart attack and cerebrovascular insult, sideropenic anaemia along with BMI and age
are significant predictors of physical activity, showing a downward effect in the range from
0.68 to 0.98 (P < 0.05).
Conclusion: The PA-DDF questionnaire is a reliable and valid instrument for assessing and
monitoring changes in the physical activity of elderly in institutional care (nursing homes), thus
ensuring its application in interdisciplinary gerontological care
Women and Sexuality
No full textZadovoljavajući i zdrav seksualni život važna je sastavnica zdravlja žene te samim time značajno utječe na kvalitetu života. Žensko seksualno zdravlje obuhvaća širok spektar fizičkih, emocionalnih, mentalnih i društvenih faktora koji utječu na žensku seksualnost i seksualno funkcioniranje. Studije su pokazale da oko 22 do 43 % žena ima problema u seksualnom životu, ali svega 21 % njih traži pomoć liječnika. Kronične bolesti kao što su bolesti kardiovaskularnog sustava, šećerna bolest, artritis i depresija mogu imati duboke posljedice na seksualno funkcioniranje smanjujući seksualnu želju, izazivajući bol tijekom odnosa ili otežavajući postizanje uzbuđenja i orgazma. Etiologija seksualne disfunkcije često je višestruka. Stoga se predlaže biopsihosocijalni pristup seksualnosti, uključujući fizičke, emocionalne, relacijske i sociokulturološke aspekte. Osnaživanje žena kroz edukaciju, dostupnost zdravstvenih usluga i otvorenost prema vlastitim potrebama i željama može značajno doprinijeti njihovu zadovoljstvu i kvaliteti života.A satisfying and healthy sex life is an important component of women’s health and therefore has a significant impact on the quality of life. Women’s sexual health encompasses a broad spectrum of physical, emotional, mental, and social factors that affect female sexuality and sexual functioning. Studies have shown that approximately 22 to 43% of women experience problems in their sexual life, but only 21% seek medical help. Chronic conditions such as cardiovascular disease, diabetes, arthritis, and depression can have profound effects on sexual functioning, reducing sexual desire, causing pain during intercourse, or making it difficult to achieve arousal and orgasm. The etiology of sexual dysfunction is often multifactorial. Thus, a biopsychosocial approach to sexuality is suggested, including physical, emotional, relational, and sociocultural aspects. Empowering women through education, access to healthcare services, and openness to their own needs and desires can significantly contribute to their satisfaction and quality of life
Maligni tumor testisa u šesnaestomjesečnog dječaka: prikaz slučaja
No full textMalignant testicular tumors in children are rare. The aim of this paper is to describe the clinical presentation, diagnostic approach, and treatment of testicular tumors through a case report of a boy with an endodermal sinus tumor. Case report: A sixteen-month-old boy was referred for a pediatric evaluation due to painless scrotal mass. Physical examination revealed a hard, painless, palpable mass in the right scrotum, and laboratory tests showed high levels of serum alpha-fetoprotein. Ultrasound and computed tomography of the testicles, pelvis and abdomen demonstrated a testicular tumor with neovascularization. A radical right-sided orchiectomy was performed. Histopathological analysis established the diagnosis of a prepubertal yolk sac tumor (endodermal sinus tumor). The boy was regularly followed-up clinically, with laboratory tests and ultrasound imaging. Four years after surgery, he is in remission, with normal growth and development. Conclusion: The suspicion of a malignant tumor in a boy with testicular enlargement, combined with prompt laboratory and imaging evaluations, allows for the best possible therapeutic approach and outcome
Kombinirano endovaskularno liječenje lezije aorte i uklanjanje penetrirajućeg pedikularnog vijka nakon stražnje instrumentacije kralježnice: prikaz slučaja i pregled literature
No full textStabilization of spine using transpedicular screws is the most commonly used
instrumentation technique among spinal surgeons. The ‘free hand’ technique is considered relatively
safe and can be performed under x-ray control. Vascular injuries with misplaced screws are rare but
potentially fatal complications. Injury of thoracoabdominal aorta by malpositioned screw demands
a multidisciplinary approach. Injury of vessel wall might demand screw removal and vessel wall
repair. Here we present a case of 72-year-old female patient who underwent long segment fixation of
thoracolumbar spine. During follow up, computed tomography (CT) scan and afterwards aortography
showed a lesion of the posterior aortic wall by malpositioned screw without signs of bleeding. After
meticulous preparation, combined endovascular repair with stent-graft and removal of the penetrating
screw were performed. Endovascular treatment was performed simultaneously with screw removal.
During screw removal, the patient was in lateral decubital position. The patient was discharged on
postoperative day 8. Follow up CT aortography 6 months later showed no leak or other changes in
the aorta. We found combined endovascular vessel repair with simultaneous screw removal safe and
sufficient for this kind of aortic injury. Although lateral decubital position bears limitations, it gives
enough space for the operator. Performing intraoperative aortography provides good insight into stent
position and possible bleeding after screw removal.Stabilizacija kralježnice transpedikularnim vijcima najčešća je tehnika instrumentacije među spinalnim kirurzima.
Tehnika „slobodne ruke“ je relativno sigurna uz kontrolu intraoperacijskog rendgena. Vaskularne ozljede malpozicioniranim
vijcima su rijetke, ali potencijalno kobna komplikacija. Ozljede torakoabdominalne aorte malpozicioniranim vijkom
zahtijevaju multidisciplinarni pristup. Ozljeda stijenke krvne žile može zahtijevati uklanjanje vijka i popravak lezije. U ovom
radu prikazujemo slučaj 72-godišnje bolesnice kod koje je učinjena duga fi ksacija torakolumbarne kralježnice. Kontrolna
kompjutorizirana tomografija (CT) tijekom poslijeoperacijskog praćenja, a potom i aortografija pokazali su leziju stražnjeg
zida aorte malpozicioniranim vijkom bez znakova krvarenja. Nakon minuciozne pripreme učinjen je kombinirani zahvat,
tj. simultani endovaskularni popravak aorte stent-graftom i uklanjanje vijka. Tijekom uklanjanja vijka bolesnica je bila u
desnom bočnom položaju. Otpuštena je na kućno liječenje osmog poslijeoperacijskog dana. Kontrolna CT aortografija 6
mjeseci kasnije nije pokazala krvarenja ili bilo kakve promjene na aorti. Smatramo da je simultani endovaskularni popravak
lezije aorte i uklanjanje vijka siguran i prikladan pristup u liječenju ove komplikacije. Bočni položaj nosi određena ograničenja
za operatere, ali istodobno ostavlja dovoljno prostora za siguran rad. Intraoperacijska aortografija daje dobar uvid u položaj
stenta ili eventualno krvarenje nakon uklanjanja vijka
POVIJESNI PREGLED KIRURŠKIH TEHNIKA OPERATIVNOG LIJEČENJA PREPONSKE KILE
No full textHernia is characterized as the protrusion of peritoneum with or without an organ or a portion of an organ through the defect of abdominal wall. It's likely that inguinal hernias have been a problem since the beginning of a human history. Many doctors have had challenges in the past when treating them. Although they are no longer recognized as a fatal illness, they are nevertheless very common in the general population and they can be clinically complicated. There has been advancement in hernia repair throughout history. The biggest advancement was in the late 1800s when Eduardo Bassini published his method of triple sewing fascia and muscle tissues to reinforce the posterior wall of the inguinal canal. The use of prosthetic materials in the repair of the inguinal canal marked the next major development. Irving Lichtenstein is credited with being a pioneer in the use of prolene mesh for tension-free repair. The last reamrkable development was the introduction of laparoscopic techniques in surgery, which are nowadays very commonly used in laparoscopic procedures.Kila je izbočenje peritoneuma sa ili bez organa kroz otvor trbušne stijenke. Vrlo je vjerojatno da su ingvinalne kile problem od početka ljudske povijesti. Mnogim kirurzima u prošlosti bio je izazov kako kirurški liječiti hernije. Iako se više ne prepoznaju kao smrtonosna bolest, česte su u općoj populaciji, a mogu se klinički i komplicirati. Tijekom povijesti došlo je do napretka u kirurškom popravku kila. Najveći napredak postignut je u kasnim 1800-ima kada je Eduardo Bassini objavio svoju metodu trostrukog šivanja fascije i mišićnog tkiva za pojačavanje stražnje stijenke ingvinalnog kanala. Korištenje protetskih materijala u popravku ingvinalnog kanala označilo je sljedeći veliki razvoj. Irving Lichtenstein zaslužan je za korištenje prolenske mrežice za popravak bez napetosti. Posljednji je značajan razvoj uvođenje laparoskopskih tehnika u kirurgiju, koje se danas vrlo često koriste u laparoskopiji
Borovečki, Ana – Klarica, Marijan (ur.) Medicinska etika Zagreb, Hrvatska sveučilišna naklada – Medicinski fakultet, 2023.
No full textGENERATIONAL DIFFERENCES IN THE PERCEPTION OF LEADERSHIP, WORKPLACE AND PROFESSIONAL IDENTITY OF NURSES IN PRIMORJE GORSKI KOTAR COUNTY
No full textCiljevi istraživanja: Ciljevi ovog istraživanja bili su istražiti i opisati povijesni razvoj
sestrinske profesije te istražiti i opisati generacijske karakteristike medicinskih sestara/tehničara
u odnosu generacije, spola i obrazovne razine s percepcijom o dimenzijama sestrinstva koje se
odnose na vodstvo i radno mjesto i samoprocjenu profesionalnog identiteta te dobivene
rezultate usporediti između sve četiri generacije.
Ispitanici i metode: Provedeno je povijesno, kvalitativno i kvantitvno istraživanje. Povijesno
istraživanje temeljilo se na sondiranju arhivske građe, dostupne literature i povijesnih spisa.
Kvalitativno istraživanje se provelo kroz intervjue i fokus grupe, a kvantitavno putem dva
upitnika MNGQ i NPIS. Ispitanici su bile medicinske sestre/tehničari na području Primorsko
goranske županije.
Rezultati: Povijesnim istraživanjem potvrdili smo da su ključne točke u napretku sestrinstva
bile napredak sustavne edukacije, epidemije i napredak medicine koji su obilježili svaku
generaciju medicinskih sestara/tehničara. Kvalitativnim istraživanjem dobili smo specifičnosti
svake pojedine generacije. Kvantitativnim istraživanjem utvrdili smo da postoje statistički
značajne razlike između generacijskih karakteristika medicinskih sestara u odnosu generacije,
spola i obrazovne razine s percepcijom o dimenzijama sestrinstva koje se odnose na vodstvo,
radno mjesto i samoprocjenu profesionalnog identiteta između svake generacije. Rezultati
istraživanja potvrđuju visoku pouzdanost i valjanost hrvatske verzije MNGQ i NPIS upitnika,
te se oba upitnika mogu implementirati u hrvatski kontekst.
Zaključak: Kombinacija povijesnih, kvalitativnih i kvantitativnih podataka pruža
sveobuhvatan uvid u izazove, percepcije i potrebe medicinskih sestara kroz različite generacije.
Razumijevanje tih dinamika ključno je za razvoj politika, programa edukacije i radnih okolina
koje podržavaju suradnju, raznolikost i dugoročno zadovoljstvo medicinskih sestara. Sve
generacije unose svoje jedinstvene perspektive i vještine u sestrinsku praksu, a stvaranje
inkluzivnog okruženja ključno je za poboljšanje kvalitete skrbi i održivost zdravstvenog
sustava.Objectives: The objectives of this research were to examine and describe the historical
development of the nursing profession as well as to examine and describe the generational
characteristics of nurses/technicians in terms of generation, gender and educational level with
the perception of dimensions of nursing in terms of leadership and workplace and self
assessment of professional identity and to compare the results obtained between all four
generations.
Subjects and methods: Historical, qualitative and quantitative research was carried out. The
historical research was based on a review of archival material, available literature and historical
writings. The qualitative research was conducted through interviews and focus groups and the
quantitative research through two questionnaires MNGQ and NPIS. The respondents were
nurses/technicians in the Primorje-Gorski Kotar County region.
Results: Through historical research, we confirmed that the key points of the progress of
nursing were the progress of systematic education, epidemics and the progress of medicine that
characterized each generation of nurses/technicians. Through qualitative research, we identified
the characteristics of each generation. Through quantitative research, we found that there are
statistically significant differences between the generational characteristics of nurses in terms
of generation, gender, and educational level with perceptions of dimensions of nursing related
to leadership, workplace, and self-assessment of professional identity between each generation.
The research results confirm the high reliability and validity of the Croatian version of the
MNGQ and NPIS questionnaires, and both questionnaires can be used in the Croatian context.
Conclusion: A combination of historical, qualitative and quantitative data provides a
comprehensive insight into the challenges, perceptions and needs of nurses across different
generations. Understanding these dynamics is critical to developing strategies, educational
programs and work environments that promote collaboration, diversity and long-term
satisfaction among nurses. All generations bring their unique perspectives and skills to nursing
practice, and creating an inclusive environment is critical to improving the quality of care and
the sustainability of the healthcare system