Zdravstvena zaštita最新文献

{"title":"Assessment of various kinesiotherapy treatment approaches in reducing postoperative pain in patients with knee joint arthroplasty","authors":"Milica Bardak","doi":"10.5937/zdravzast52-46043","DOIUrl":"https://doi.org/10.5937/zdravzast52-46043","url":null,"abstract":"The aim of this review is to analyze various kinesiotherapy treatment approaches in reducing postoperative pain in patients with knee joint arthroplasty. Knee osteoarthritis often causes pain and reduced mobility, which can be alleviated by total knee joint arthroplasty. Based on previous research, it is observed that preoperative strength training improves functionality and range of motion one to three months after surgery. Some studies indicate that rehabilitation, which includes preoperative strength training, results in decreased pain in patients with total knee joint arthroplasty. Also, some studies suggest an increase in pain intensity 9 days after surgery, which gradually decreases in the following days. Gender, BMI, and knee deformity are associated with higher postoperative pain intensity. Although preoperative strength training has a positive impact on functional recovery and range of motion, its effect on reducing postoperative pain requires further investigation. Previous research highlights the need for personalized rehabilitation approaches for patients undergoing total knee joint arthroplasty, taking into account the complexity of pain and various risk factors for postoperative pain occurrence. The development of personalized rehabilitation protocols may provide significantly better recovery outcomes for patients after total knee joint arthroplasty compared to traditional standard approaches.","PeriodicalId":477339,"journal":{"name":"Zdravstvena zaštita","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135057347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skrining of developmental disorders in children By using the standardized questionnaires \"Ages & Stages questionnaires\" (ASQ-3)","authors":"Mirjana Makević-Đurić, Milivoje Đurić","doi":"10.5937/zdravzast52-45939","DOIUrl":"https://doi.org/10.5937/zdravzast52-45939","url":null,"abstract":"Introduction/Aim: By introducing a questionnaire for screening developmental disabilities in early childhood, developmental delay would be detected in time thus enabling prompt intervention. The standardized questionnaire \"Ages and Stages Questionnaire\" (ASQ-3) has been used for more than 30 years all over the world, and in Serbia it was standardized under the name \"Uzrasti i razvoj deteta\" (URD). The aim of our study was to identify children with developmental disabilities in early childhood using the standardized ASQ-3 questionnaire in primary pediatric practice, so that the appropriate treatment would be started on time. Methods: This study included 31 subjects aged 9-36 months. The subjects were divided into age groups and the standardized ASQ-3 questionnaire was used for each child. The obtained data were analyzed with the help of a computer program for statistical analysis of data (SPSS, version 20), and the methods of descriptive statistics were used. Results: The obtained results showed that 71% of the subjects suffered from developmental disorders, which demanded additional learning activities or further diagnostics. In 45.2% of the subjects, deviations from normal development were discovered in at least one of the examined areas, which demanded additional learning activities and further monitoring of children (that is, they had results in the grey zone), and in 25.8% of the subjects, deviations demanded consultations with experts for further assessment and treatment (that is, they had results in the black zone). Conclusion: The introduction of standardized ASQ-3 questionnaires as a mandatory clinical instrument in primary pediatric practice would enable early recognition of children with deviations from normative development, when early stimulation of development would begin, and the need for re-evaluation, supplementary diagnostics and early intervention support would be established.","PeriodicalId":477339,"journal":{"name":"Zdravstvena zaštita","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135057998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blind and visually impaired persons in health care: Analysis of problems and potential solutions","authors":"Branislava Brestovački-Svitlica","doi":"10.5937/zdravzast52-46088","DOIUrl":"https://doi.org/10.5937/zdravzast52-46088","url":null,"abstract":"The aim of this review is to analyze, based on relevant scientific sources, the problems faced by blind and partially sighted people in health care, as well as to identify opportunities for solutions to these challenges. Blindness and visual impairment are serious health conditions that can significantly affect an individual's quality of life. These individuals often face numerous challenges when accessing health care. Accessibility of the physical environment, communication with healthcare professionals, access to information, and use of medical devices are some of the key issues. Improving access to health care can be realized through the application of technological solutions, education of health workers, provision of accessible communication and information, and the inclusion of blind and partially sighted people in health care planning.","PeriodicalId":477339,"journal":{"name":"Zdravstvena zaštita","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135058001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in the level of sex hormones with aging and their influence on the voice","authors":"Mirjana Petrović-Lazić, Ivana Ilić-Savić","doi":"10.5937/zdravzast52-44412","DOIUrl":"https://doi.org/10.5937/zdravzast52-44412","url":null,"abstract":"The aim of this study is to review modern literature to provide an insight into contemporary research into the etiology, pathophysiology and symptomatology of changes in hormone levels associated with aging and their pattern-consequential relationship with voice quality, with special reference to the analysis of different types of mutations (mutatio precox and mutatio perversa), menstrual and climacteric dysphonia. The criteria for inclusion of works obtained from the search were: works published during the last 15 years, published in English. Compared to the male voice, the female voice does not go through drastic changes during puberty. In males, the increased levels of testosterone and dihydrotestosterone during puberty are responsible for the enlargement of the laryngeal cartilage, which causes the basal tone to decrease by a third of an octave. If the child enters puberty prematurely, this hormone imbalance will lead to the appearance of voice pathology -mutation precox. Mutatio perversa occurs suddenly in females and is characterized by a deep male voice and other signs of virilization. The appearance of submucosal bleeding in the period before menstruation and the increased secretion of estrogen that leads to the appearance of edema will cause premenstrual dysphonia. Voice quality in this period is characterized by vocal fatigue, reduced voice range with loss of high tones, loss of vocal power and hoarseness of voice. Menopausal vocal syndrome is characterized by reduced flexibility and a reduced range of vibrational amplitude. It can be concluded that the vocal cords are a target organ, sensitive to fluctuations in the level of sex hormones due to the physiological aging process and the resulting endocrine disorders during life.","PeriodicalId":477339,"journal":{"name":"Zdravstvena zaštita","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135057684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The assessment of the impact of vitamin D on the intensity of lower urinary tract symptoms and the quality of life of persons with benign prostatic hyperplasia","authors":"Rada Kovačević, Damir Peličić","doi":"10.5937/zdravzast52-45571","DOIUrl":"https://doi.org/10.5937/zdravzast52-45571","url":null,"abstract":"Introduction/Aaim: Older men with benign prostatic hyperplasia (BPH) are more likely to have a poor quality of life. The aim of this study was to examine the influence of serum vitamin D on the intensity of lower urinary tract symptoms and the quality of life of persons with benign prostatic hyperplasia. Methods: The study was conducted as a cross-sectional study. The study included 117 persons with benign prostatic hyperplasia (BPH) treated at the Clinical Center of Montenegro in Podgorica from May 10 th , 2022 to August 15 th , 2022. Data were collected with the help of the general questionnaire from electronic medical records, as well as with the International Prostate Symptom Score (IPSS) questionnaire. Spearman's correlation coefficient was used for the statistical analysis of data. Results: The average age of participants was 62.97±11,57. The average value of the intensity of symptoms in patients with BPH according to the IPSS questionnaire was 8.54. Of the 117 participants with BPH, 57 (48.7%) had moderate symptoms, 56 (47.9%) mild, and 4 (3.4%) severe. A significant negative correlation (r=-0.316; p=0.010) was obtained between vitamin D levels and average values of symptoms according to the IPSS questionnaire. Also, a significant negative correlation was obtained between serum vitamin D values and all individually assessed values of BPH symptoms according to the IPSS questionnaire (sensation of incomplete emptying of the bladder during urination -p=0.040; repeated urination within two hours from the previous urination -p<0.001; intermittent urination -p=0.005; inability to postpone urination -p=0.036; a thin and weak urinary stream -p=0.001; straining to begin urinating with the sensation of the need to urinate -p=0.046 and nocturia -p=0.011). Based on the serum level of vitamin D, the participants had optimal levels of vitamin D in 52.1% of cases, insufficient levels in 29.1% of cases and deficit in 18,8%. An inverse relationship between the average values of serum vitamin D and quality of life according to ISPP questionnaire was observed, but this relationship was not significant (r =-0.365; p=0.160). Conclusion: The results of the study show that higher levels of vitamin D lead to the significant reduction in urological symptoms in patients with BPH, which points to the need to prevent vitamin D deficiency. Further research in this field is necessary aimed at making more detailed recommendations.","PeriodicalId":477339,"journal":{"name":"Zdravstvena zaštita","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135057698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern aspects of fever management","authors":"Katarina Jugović-Pavlović, Jovana Radovanović, Stefan Jakšić","doi":"10.5937/zdravzast52-45661","DOIUrl":"https://doi.org/10.5937/zdravzast52-45661","url":null,"abstract":"The aim of this review article was to present in a systematic way modern aspects of body temperature management. A fever is one of the oldest, best known and best observed manifestations of the disease. It is a normal, coordinated body's response to an identified threat to the immune system, including the autonomic, behavioral and neuroendocrine response. Fever management is an integral aspect of health care at all levels of health care. There are two basic approaches to solving this problem: pharmacological and physical care. Uncontrolled conventional methods, intravascular and percutaneous controlled methods are available within physical methods of care, while pharmacological methods most frequently include the use of antipyretics.","PeriodicalId":477339,"journal":{"name":"Zdravstvena zaštita","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135057693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing students' attitudes towards monitoring patients' vital signs","authors":"Katarina Jugović-Pavlović, Dragana Simin","doi":"10.5937/zdravzast52-46056","DOIUrl":"https://doi.org/10.5937/zdravzast52-46056","url":null,"abstract":"Introduction/Aim: Data on the attitudes of nursing students towards the monitoring of patients' vital signs are insufficient. The aim of this study was to examine the attitudes of students towards the monitoring of patients' vital signs. Methods: The research was conducted as a cross-sectional study, by surveying 193 students of Undergraduate Academic Studies in Nursing and Undergraduate Applied Studies in Nursing at the Faculty of Medicine in Novi Sad. The data were collected using the general questionnaire and V-scale. Results: The attitude of the majority of nursing students (88.6%) regarding the monitoring of patients' vital signs at the Faculty of Medicine in Novi Sad, according to the total score of V-scale, was ambivalent. The largest number of students (91.7%) expressed a positive attitude towards the statements in the domain of communications, ambivalent in the domain of technologies (61.1%), and negative in the domain of key indicators (28.0%). The analysis of students' attitudes towards vital signs monitoring in relation to gender showed a significant difference in the domain of communication. The value of the average score in the domain of communication was significantly lower in men (4.04±0.75) than in women (4.37±0.67). Students who had completed vocational secondary school had significantly higher values of average score in the domain of knowledge (3.44±0.72) in comparison to students who had previously completed high school or some other school (3.13±0.86), but the significant difference was not obtained for the other domains of V-scale. The students of final years in comparison to first-year students had significantly lower values of average score in the domains of communication and knowledge. Conclusion: The obtained results of our study, in addition to the scientific one, also have professional significance, because pedagogical implications can be created based on them, as a basis for improving the existing content of clinical training in nursing studies.","PeriodicalId":477339,"journal":{"name":"Zdravstvena zaštita","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135058003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}