Croatian Medical Journal最新文献_第2页

Socio-economic and health-related determinants of unmet health needs: a national cross-sectional study on the adult population.

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2025-02-28

Vesna Štefančić Martić, Ana Ivičević Uhernik, Tomislav Benjak, Petra Čukelj, Ivana Brkić-Biloš, Danijela Štimac Grbić

{"title":"Socio-economic and health-related determinants of unmet health needs: a national cross-sectional study on the adult population.","authors":"Vesna Štefančić Martić, Ana Ivičević Uhernik, Tomislav Benjak, Petra Čukelj, Ivana Brkić-Biloš, Danijela Štimac Grbić","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To investigate the prevalence and predictors of self-perceived unmet health needs (UHN) in Croatia.Methods: We used data from the European Health Interview Survey, conducted in 2019 on 5461 individuals. Dependent variables were different causes of UHN - long waiting times, financial problems, and problems with transportation, while independent variables were sex, age, marital status, region of residence, degree of urbanization of the respondent's place of residence, education level, quintile of household's income, self-perceived general health, self-reported chronic disease/condition, severity of bodily pain, consultation with a family doctor in the last 12 months, consultation with a specialist in the last 12 months, and perceived social support. An association between the variables was determined with a simple logistic regression and multiple logistic regression model.Results: Socioeconomic variables such as low education, urban residence, and residence in the Adriatic Region, as well as several health-related factors (worse self-perceived health, higher perceived levels of bodily pain, consultation with a physician in the last 12 months, and lower perceived levels of social support) were associated with higher odds for unmet health needs.Conclusion: Our findings highlight the need for continued reform and targeted initiatives in the Croatian health care system to improve health care access and equity. Addressing the underlying causes of UHN can help to ensure fair health care for all individuals and enhance overall health outcomes.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"66 1","pages":"35-46"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Editors' role in shaping the publishing environment and guiding authors in the era of artificial intelligence. 在人工智能时代，编辑在塑造出版环境和指导作者方面的作用。

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Hrvoje Barić, Lea Škorić, Svjetlana Kalanj Bognar

引用次数: 0

Holistic care and complex needs: unveiling the full potential of modern nursing. 整体护理和复杂需求：揭示现代护理的全部潜力。

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Ljerka Pavković, Dubravka Jakšetić, Silvija Marić, Dorja Vočanec, Aleksandar Džakula

引用次数: 0

New-onset refractory status epilepticus after SARS-CoV-2 infection: a review of literature. SARS-CoV-2感染后新发难治性癫痫持续状态：文献综述

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Athanasios Stavropoulos, Dimitrios Filippou

引用次数: 0

Conceptualization of pain in Croatian adults: a cross-sectional and psychometric study. 克罗地亚成人疼痛的概念化：一项横断面和心理测量学研究。

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Snježana Schuster, Iva Lončarić Kelečić, Morana Bilić, Margareta Begić, Joshua W Pate

{"title":"Conceptualization of pain in Croatian adults: a cross-sectional and psychometric study.","authors":"Snježana Schuster, Iva Lončarić Kelečić, Morana Bilić, Margareta Begić, Joshua W Pate","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To ascertain whether Croatian respondents' knowledge on pain aligns with modern pain science, and determine the measurement properties of the Croatian version of the Concept of Pain Inventory for Adults (COPI-Adult).Methods: A cross-sectional, online survey was used to collect the respondents' sociodemographic, clinical, and COPI-Adult (CRO) data (n = 509). A Pearson correlation coefficient test was used to assess the correlations between sociodemographic, clinical, and COPI-Adult (CRO) data. Confirmatory factor analysis and Cronbach's coefficient, based on classical test theory, were used to determine the measurement properties of the questionnaire.Results: The average COPI-Adult (CRO) score was 35.91 ± 5.8 out of 52 and it was similar in respondents with (36.52±6.01) and without (35.36±5.57) formal medical/health care education. Respondents exhibited a reductionist understanding of pain as a result of structural damage. Higher COPI-Adult scores were very weakly correlated with formal medical/health care education, younger age, lower pain intensity, higher pain knowledge self-assessment, and higher education level. Formal medical education significantly moderately correlated with pain knowledge self-assessment (r=-0.425; P<0.001). One-factor COPI-Adult (CRO) model revealed significant factor loadings of each item (P<0.001) and good internal consistency (Cronbach α=0.803).Conclusions: Croatian respondents' concept of pain aligns with their objective knowledge, but only partially with modern pain science. This indicates the need to bridge the gap between traditional and contemporary understandings of pain in the Croatian population. One-factor COPI-Adult (CRO) inventory serves as the first questionnaire for assessing the concept of pain among Croatian adults.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 6","pages":"473-482"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Behavioral correlates of health literacy among university students of health sciences in Kosovo: a cross-sectional study. 科索沃卫生科学专业大学生健康素养的行为相关性：一项横断面研究。

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Naim Jerliu, Haxhi Kamberi, Iris Mone, Pranvera Krasniqi, Genc Burazeri

{"title":"Behavioral correlates of health literacy among university students of health sciences in Kosovo: a cross-sectional study.","authors":"Naim Jerliu, Haxhi Kamberi, Iris Mone, Pranvera Krasniqi, Genc Burazeri","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To assess the behavioral correlates of health literacy (HL) among university students of health sciences in Kosovo, irrespective of their sociodemographic characteristics.Methods: This cross-sectional study, carried out in Kosovo in 2024, enrolled 470 students of health sciences from the universities of Prishtina and Gjakova (86% women; mean age: 20.7±2.7 years; response rate: 70%). We gathered HL data with the European Health Literacy Survey Questionnaire, as well as information on behavioral characteristics and sociodemographic factors. General linear model and binary logistic regression were used to assess the independent behavioral correlates of HL.Results: In multivariable-adjusted general linear models controlling for all sociodemographic factors and behavioral characteristics, lower HL scores were positively associated with alcohol consumption (36 vs 38 in non-drinkers, P=0.024), low levels of physical exercise (36 vs 39 among students with high level of physical activity, P<0.001), obesity (35 vs 39 among normal-weight individuals, P=0.011), and a poorer health status (36 vs 37 among students with a better self-rated health status, P=0.031). Furthermore, fully adjusted logistic regression models revealed a positive and strong relationship of \"inadequate and/or problematic HL\" (scores: 0-33) with physical inactivity (OR=7.6, 95%CI=1.8-31.9) and especially obesity (OR=21.4, 95%CI=3.8-119.8).Conclusions: Students with low HL may be more likely to engage in behaviors detrimental to health. There is need to enhance HL among future health professionals.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 6","pages":"493-500"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Control values of intraocular pressure in different species: a review of literature. 不同物种眼压的控制值：文献综述。

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Maja Bakula, Tomislav Kuzman, Milan Radoš, Katarina Starčević, Ivana Jurjević, Marija Mamić, Boris Pirkić, Marijan Klarica

{"title":"Control values of intraocular pressure in different species: a review of literature.","authors":"Maja Bakula, Tomislav Kuzman, Milan Radoš, Katarina Starčević, Ivana Jurjević, Marija Mamić, Boris Pirkić, Marijan Klarica","doi":"","DOIUrl":"","url":null,"abstract":"It is generally accepted that intraocular pressure (IOP) depends on the rate of aqueous humor production, system outflow resistance, and episcleral venous pressure. Therefore, control IOP values are expected to be within the strict and predictable limits in specific animal species, and there should be no vast differences between species. However, in the literature the control IOP values significantly vary (from potentially \"hypotensive\" to \"hypertensive\") within the same species, and especially between species depending on the measurement technique, head position in relation to the rest of the body, circadian rhythm, age, and topical and systemic drugs (anesthetics) applied. These variations make it difficult to compare different therapeutic approaches for intraocular hypertension, investigate the correlation between IOP and intracranial pressure, and determine target IOP values in glaucoma research. We recommend that different IOP physiology and pathophysiology studies take into account all the mentioned factors when describing IOP measurement methodology.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 6","pages":"518-529"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alcohol use among Croatian adolescents: the alignment of 13-year-old and 15-year-old girls with boys, and the impact of the COVID-19 pandemic. 克罗地亚青少年的酒精使用情况：13岁和15岁女孩与男孩的一致性，以及COVID-19大流行的影响

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Maja Valentić, Tonka Karin, Luka Šimetin, Lara Petković, Filip Šimetin, Mirjana Kujundžić Tiljak

{"title":"Alcohol use among Croatian adolescents: the alignment of 13-year-old and 15-year-old girls with boys, and the impact of the COVID-19 pandemic.","authors":"Maja Valentić, Tonka Karin, Luka Šimetin, Lara Petković, Filip Šimetin, Mirjana Kujundžić Tiljak","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To determine age and gender patterns of alcohol use among Croatian pupils and assess whether alcohol use was associated with factors related to school, peers, family, and the COVID-19 pandemic.Methods: Data were collected from the 2022 Health Behavior in School-aged Children cross-sectional study conducted in Croatia involving 5338 pupils. Pearson χ2 test and multivariate logistic regression were performed.Results: At the age of 11, boys were drinking alcohol more than girls (P<0.001), while 13- and 15-year-old girls aligned with boys. Lifetime alcohol use was positively associated with schoolwork pressure in 11-year-old girls (OR 3.28, CI 1.36-7.75) and boys (OR 1.87, CI 1.03-3.37). The COVID-19 pandemic negatively affected mental health in 13- (OR 2.21, 1.56-3.13) and 15-year-old girls (OR 1.50, CI 1.01-2.23), and life in 15-year-old boys (OR 1.83, 1.03-3.27). Recent alcohol use was positively associated with hospitalization of a close family member for COVID-19 in 11-year-old girls (OR 2.35, 1.05-5.28), low peer support in 13-year-old boys (OR 1.49, 1.01-2.20), difficult communication with father in 15-year-old girls (OR 1.49,1.05-2.12), negative COVID-19 impact on mental health in 13-year-old girls (OR 1.67,1.13-2.47), and negative COVID-19 impact on life in 15-year-old boys (OR 1.79, 1.08-2.98). Lifetime drunkenness was positively associated with negative COVID-19 impact on mental health in 13- (OR, 2.03,1.28-3.21) and 15-year-old girls (OR 2.12, 1.49-3.01), and with positive or neutral COVID-19 impact on life in 15-year-old girls (OR 0.65, 0.43-0.97).Conclusion: Preventive activities should offer support systems to minimize the negative COVID-19 impact, with special attention to girls' needs.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 6","pages":"483-492"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lung long distance: histopathological changes in lung tissue after COVID-19 pneumonia. 肺长距离：COVID-19肺炎后肺组织的组织病理学改变。

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Grgur Salai, Jasna Tekavec-Trkanjec, Ivona Kovačević, Čedna Tomasović-Lončarić, Arijana Pačić, Mirna Vergles, Đivo Ljubičić, Daria Cvetković-Kučić, Ivica Lukšić, Bruno Baršić

{"title":"Lung long distance: histopathological changes in lung tissue after COVID-19 pneumonia.","authors":"Grgur Salai, Jasna Tekavec-Trkanjec, Ivona Kovačević, Čedna Tomasović-Lončarić, Arijana Pačić, Mirna Vergles, Đivo Ljubičić, Daria Cvetković-Kučić, Ivica Lukšić, Bruno Baršić","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To investigate histopathological changes in the lung tissue of long-COVID patients.Methods: In this cross-sectional study, transbronchial lung biopsy was performed in long-COVID patients with persisting symptoms and radiological abnormalities. Histopathologic analyses were performed by using hematoxylin-eosin, Martius, Scarlet and Blue, Movat's, thyroid transcription factor 1, CD34, and CD68 staining.Results: Adequate biopsy samples were obtained from 29/32 patients. The median (Q1-Q3) time from disease onset to biopsy was 13 (9-20) weeks. We observed several histopathologic patterns: DAD with vascular abnormalities (VA) (n=8); VA with inflammatory pattern (n=4); inflammatory pattern (n=13), and fibrotic pattern (n=4). VA included capillary thrombi, dilated venules, and dissection of small pulmonary arteries. DAD with VA was detected up to the 9th week from the onset of disease; inflammatory pattern from the 8th to 28th week (4 patients with this pattern biopsied in the 11th-13th week had accompanying VA); and a predominantly fibrotic pattern was found at weeks 8, 10, 48, and 49.Conclusion: Our study observed a slow recovery of lung tissue with long-lasting DAD and VA, likely followed by interstitial inflammation or focal fibrosis. These findings might be the underlying cause of the slow recovery of long-COVID patients.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 6","pages":"501-509"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A new generation of health professionals - ethical dilemmas and challenges. 新一代卫生专业人员--伦理困境与挑战。

IF 16.4 4区医学

Croatian Medical Journal Pub Date : 2024-10-31

Aleksandar Džakula, Dorja Vočanec, Karmen Lončarek

引用次数: 0