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Social Inclusion of Youth with Disabilities Through the Implementation of a Mentoring Program
In the fifteen years of our social-pedagogical work in special education classes at Fran Franković Elementary School Rijeka with students with learning difficulties, we have identified certain obstacles they encounter in their development. After finishing their education in regular high schools, they mostly remain unemployed, spend more time at home, go out less, and become more socially isolated, relying on their families for care. Their involvement in the mentoring program has helped them bridge or at least alleviate these challenges. After three years of participating in the “Friends” mentoring program, they feel more satisfied and integrated into society and the local community than before. It is essential to continue promoting and developing mentoring programs for individuals with difficulties to enhance their employment opportunities and to ensure more meaningful and higher-quality leisure time.
Copyright (c) 2024 World of Health https://creativecommons.org/licenses/by/4.0
Quality of life comparison between mothers of preterm and full-term infants during the first year of life
Background: Based on completed weeks of gestation, newborns can be born premature, full term and post-term. Childbirth itself is an intense experience and premature delivery brings even more stress to the mother and the child. Preterm children are often born with a number of health conditions due to their insufficient intrauterine stay and are significantly associated with increased adverse outcomes compared with full-term children. Due to all the different health conditions that can affect preterm children and extra care they require in the months following delivery, mothers of premature children deal with a greater amount of stress than mothers of term children, which can affect their quality of life. The aim of this study was to examine the quality of life of mothers of premature-born children and mothers of term children during the first year of child's life, as well as identifying the dimensions of the quality of life that were rated poorly for both groups. Subjects and methods: The research was conducted online through the Health Status Questionnaire SF-36 used to assess the quality of life. A total of 303 mothers participated in the survey, of which 181 were mothers of preterm children and 122 mothers of term children. Results: No difference was found in the general quality of life among mothers of preterm children and mothers of term children. However, a comparison of the average scores achieved on certain dimensions of health status showed that in the dimension of social functioning, mothers of premature-born children scored significantly lower scores compared to mothers of full-term children. Conclusion: Mothers of premature-born children are less satisfied with social relations, participation in social activities and perceived support during the first year of the child's life in comparison to mothers of term children. Due to this, it is necessary to provide them with continuous psychosocial support.
PALMAR COOLING AND THE PHYSIOLOGICAL RESPONSE TO AEROBIC PHYSICAL ACTIVITY
During physical activity, various physiological systems synergistically operate to enable organism adaptation. Introducing an innovative approach, such as palm cooling, i.e., the application of cold compresses to the palms, investigates the potential for regulating body temperature during exercise. This study analyzes the influence of palm cooling on changes in heart rate, perceived exertion, body temperature, and workload during aerobic activity. The aim is to understand whether palm cooling can mitigate the rise in body temperature and subjective perception of effort, as well as encourage regular exercise among individuals struggling with exercise-induced discomfort. In this context, the exploration of palm cooling represents an innovative approach that could contribute to optimizing physical activity and promoting a healthy lifestyle. Twenty-four physically healthy participants participated in the study, with no acute or chronic conditions present at the time of the study, and none of them had medical restrictions for sports activities prescribed by a physician. The students were aged 20 to 23, with an average fitness level. Exclusion criteria encompassed sensitivity to cold, acute and chronic health conditions, and locomotor injuries. A submaximal cycle ergometer test, specifically the Astrand-Rhyming Cycle Ergometer Test, was employed to analyze differences in four parameters between the two conditions. Statistical analysis encompassed descriptive procedures, t-test, Wilcoxon test, and Chi-square test. While differences in heart rate, perceived exertion, and workload were observed between conditions with and without palm cooling, statistical significance was not achieved. However, notable differences in body temperature, which was lower in the palm cooling condition, confirm the potential efficacy of palm cooling during aerobic physical activities.
VIRTUAL REALITY IN THE EDUCATION OF INSTRUMENTATION TECHNIQUES FOR NURSES/TECHNICIANS
Medical education is changing today and the use of virtual reality in the training of nurses is rapidly increasing. Therefore, it is important to determine whether training through virtual reality simulations is equivalent or better than traditional training programs. Research shows that the use of virtual reality in nurse/technician education provides repetitive, hands-on training to develop cognitive abilities and skill mastery, commonly defined as a measure of the participant's understanding of concepts and ability to demonstrate a procedure or technique. In this scoping review, according to the established criteria, 5 studies were included in the final analysis that support the implementation of virtual reality for training nursing students to work in operating rooms. It is recommended that additional research be conducted to determine faculty and student readiness for the implementation of virtual realty in graduate nursing education and the benefits of such education for enhancing nursing competencies.
The relationship between physical activity and professional burnout syndrome among physiotherapists in Croatia
Introduction and aim: Professional burnout syndrome occurs as a result of chronic exposure to high stress in the workplace. Healthcare workers, including physiotherapists, have proven to be more susceptible to this syndrome than professionals in other fields. It has been demonstrated that physical activity has a protective effect on stress and professional burnout in certain healthcare professions. Therefore, the main aim of this research was to investigate the relationship between the level of physical activity and the intensity of professional burnout among physiotherapists. The specific aim was to compare the intensity of professional burnout among physiotherapists with regard to their level of education. Respondents and methods: The survey included 170 physiotherapists who worked in Croatia at the time of the research and had at least one year of professional experience. Besides general sociodemographic data, the questionnaire used in this research included two standardized questionnaires: “Questionnaire of the intensity of burnout at work” and “International physical activity questionnaire – short form”. Results: The median intensity of professional burnout among the respondents was 25 points (interquartile range from 22 to 29 points), thus showing that burnout is not present. The research results demonstrated no statistically significant relationship between the level of physical activity and the intensity of professional burnout among physiotherapists (p = 0.255). Furthermore, no statistically significant difference was found in the intensity of professional burnout among physiotherapists with regard to their level of education (p = 0.642). Conclusion: The results indicate that the tested sample did not exhibit signs of professional burnout. The research found no association between physical activity and professional burnout syndrome among physiotherapists in Croatia. This suggests a need for further research on this topic in order to maintain the health and work ability of physiotherapists.
The necessity of ethics in the midwifery profession: from the construction of the identity of the profession to the determination of everyday midwifery practice
Ethics is one of the defining factors of every profession, including midwifery. Midwives face numerous ethical issues in their daily practice. Their relationship towards pregnant women, mothers and children, midwives and gynecological patients is very complex and they must have the skills and knowledge to act ethically. The approach to bioethical issues today is multidisciplinary, and special attention in perinatal medicine, gynecology and obstetrics is not left only to health professionals, but includes the client/patient and her family, with significant attention to the rights of the fetus. Therefore, the paper shows that in addition to the necessity of midwifery ethics in the construction of midwifery as a well-rounded profession, midwifery ethics is the basis for establishing an adequate relationship with the client/patient and her family in everyday midwifery practice and providing adequate health care.
ethics, midwifery, professionalization, midwifery practice, health care, relationship towards the patient/client
INFLUENCE OF ORGANIZED EXERCISE ON MOTOR OUTCOMES IN OBESE PERSONS
INTRODUCTION The World Health Organization describes obesity as one of the biggest public health challenges of the 21st century, and it is defined as an excessive amount of fat tissue in the body. Physical activity and exercise play an important role in a comprehensive treatment approach, but also in the prevention of obesity. The aim of the research is to compare the level of body mass index and muscle strength, waist circumference and the change in the speed of the Timed Up and Go test in obese people who participated in an organized exercise over a period of six months. METHODS The subjects participating in the research are patients who visit the Obesity Outpatient Clinic and who participate in physical activity that is carried out twice a week at the premises of the Faculty of Health Studies in Rijeka. The data required for the implementation of the research were collected by measuring the height and body mass of the subjects, measuring muscle strength, waist circumference and their speed of performing the Timed Up and Go test. RESULTS The research proved that there is a statistically significant difference in the reduction of body mass index after organized exercise (p < 0,001). Furthermore, there is no statistically significant connection between the increase in muscle strength and the decrease in body mass index and waist circumference after organized exercise. Also, in the examination comparing the improvement of the speed of performing the Timed Up and Go test in obese people who exercise in an organized manner, it was proven that there is a statistically significant difference in the speed of performing the Timed Up and Go test (p < 0,001). CONCLUSION Physical activity and organized exercise have a positive effect on the reduction of obesity in the world. It is necessary to make the world's population aware of the numerous consequences that obesity brings with it, as well as to encourage regular physical activity and exercise.
Project "With the wind through the silence"
People with disabilities are a heterogeneous group because their disability includes a wide field of different situations. Disability is accepted in the sense of a concept created and developed from the interaction of persons with disabilities and the environment, due to which obstacles appear that prevent the full and effective and equal participation of persons with disabilities in the social community. Sport has proven to be an excellent tool for the inclusion of people with disabilities in society and has numerous positive effects on the person himself in the form of personal health, individual development and improvement in the social aspect. There is no sailing as a sport for people with hearing impairment, while Paralympic sailing has been canceled for people with disabilities. The project "S vjetrom kroz tišinu" has a long history of working with deaf and hard-of-hearing people through sailing associations and through various activities throughout the year, while today it gathers all people with disabilities within the Association "S vjetrom kroz tišinu", which by providing its activities also enables a re/habilitation effect on them.
Introduction to sample and sampling in biomedicine
Population is the largest statistical group and consists of all the studied subjects, placed in a particular time and place. Sample represents a portion of the population; express variability and the two samples can never be equal but only similar. It is not possible to use the entire population due to limited time for research, financial issues, and, most importantly, the real availability of subjects. Hence, scientists developed a research methodology based on a sample, part of the population, generated through the process of sampling. Sampling produces a sample, but a sampling error is also described in statistics by standard error. The most important sample feature is representativeness, achieved by adequate calculation of sample size and random selection of subjects from the population that differentiates two sample types: probabilistic, with random selection, and nonprobabilistic (not representative samples). Probabilistic sample types are simple random samples, stratified samples, systematic samples, and cluster samples. The sample size is the only factor that the researcher can control while planning the study. It directly affects the statistical power of the study, and therefore, sample size has to be calculated using the statistical methods described in this paper.
Difference in intestinal microbiota between breast-fed and formula-fed children
Intestinal (gut) microbiota is a community of microorganisms that colonize human digestive system. In recent times, intestinal microbiota has been intensively researched, that is, its role in the host's health has been a research subject. In the human body, among other things, the intestinal microbiota plays the role of a central regulator of metabolism and immune function, and disturbances in the balance of the intestinal microbiota are associated today with numerous pathological conditions. The composition and diversity of the intestinal microbiota are influenced by numerous factors, among which the dietary habits of the individual are cited as the most significant, therefore the question arises to what extent dietary habits can influence the diversity and composition of the intestinal microbiota and to what extent changes in the intestinal microbiota conditioned by dietary habits can influence on the host's health. The intestinal microbiota develops from an early age, and some authors suggest that the formation of the intestinal microbiota begins already in utero, therefore in this paper we will briefly try to present recent findings on the topic of the influence of diet on the intestinal microbiota of infants, that is, point out the differences in the intestinal microbiota of breastfed children and children fed with adapted milk formula.
The Attitudes of Radiological Technology Students Regarding the Role of the Radiological Technolo-gist in Percutaneous Coronary Interventions Teams
Aim: Coronary artery disease is a leading cause of death in Croatia, and percutaneous coronary intervention (PCI) has emerged as a significant advancement in its treatment. The facilitation of PCI is performed by an interventional team consisting of an interventional cardiologist, a nurse, and a radiologic technologist. In order to achieve precise and efficient intervention outcomes, the radiologic technologist's role in operating the fluoroscopy is crucial. This study's aim was to investigate the attitudes of undergraduate professional radiologic technology students at the Faculty of Health Studies in Rijeka regarding the role of the radiologic technologist within the specialist team during PCI and the adequacy of competencies acquired during university education. Materials and methods: The research included students from all three years of regular undergraduate professional studies in radiologic technology, representing diverse demographic characteristics. Data were collected online through a questionnaire developed in Google Forms and analyzed using the Statistica software program. Results: The majority of respondents view the radiologic technologist as essential in the medical team during PCI, with effective communication being emphasized as a crucial element for successful teamwork. However, respondents express a belief that their previous education has not equipped them with adequate knowledge and skills to function competently within a PCI team, indicating a perceived need for additional education and professional training. Conclusion: The study shows that radiologic technology students comprehend the significance of radiologic technologists in the interventional team for PCI procedures. However, they express concerns regarding the insufficiency of knowledge and skills acquired during their studies for proficient work in interventional cardiology laboratories.
The book review Guide to Evidence-Based Physical Therapist Practice-book review
This book review is a brief description of a book that every physiotherapist entering the world of physiotherapy research needs.
evidence based physical therapist practice
Copyright (c) 2023 World of Health https://creativecommons.org/licenses/by-nc/4.0/
Eating disorders are conditions in which distorted perception of one’s body and a disturbed attitude towards food result in impaired mental and physical health, as well as changes in social functioning. Given that the mentioned disorders are almost always accompanied by another psychiatric comorbidity, it is important to treat them with pharmacotherapy. Psychotherapy is also of indispensable importance, and physiotherapy is becoming increasingly significant. In physiotherapy, the most commonly used methods are massage, autogenic training, hydrotherapy, and most importantly, kinesitherapy. Physiotherapy is a process that requires an individual approach to each patient, regardless of diagnosis and age. The physiotherapist must work as part of the medical team and be familiar with the patient’s diagnosis and previous therapy. Physiotherapy has a positive effect on the physical consequences of eating disorders, such as muscle atrophy and slowed basal metabolism, but it also affects the patient’s psychological status.
Inicijativom Odbora za znanost Fakulteta zdravstvenih studija u Rijeci tijekom 2023. godine potaknut je niz znanstvenih aktivnosti u koji su uključeni nastavnici i studenti u zajednički znanstveno-istraživački rad. Katedre Fakulteta organizirale su znanstvenu tribinu koje su bile otvorene i za građanstvo. Osim tribina organizirali su se i dani Fakulteta, dvije međunarodne konferencija i dobilo se nekoliko važnih projekata.
In memoriam: prof. dr. sc. Alan Šustić, dr. med. (1965.-2023.)
Uloga terapijskog psa u životu obitelji i djece s poteškoćama u razvoju
Introduction: Families of children with developmental disabilities who have a dog are involved in rehabilitation and early intervention programs. One of rehabilitation programs includes the coexistence of an assistance/guide dog in the family of a child with developmental disabilities. The aim of this research was to examine and evaluate the benefits of children and families of children with developmental disabilities who have an assistance /guide dog. Methods: Families of children with developmental disabilities who have an assistance/guide dog participated in the research. Data was collected through a survey questionnaire specially created for this research in electronic form using Google Forms with the support of the Silver Rehabilitation Center, Zagreb, Croatia 2023. Results: The total number of participants was 44, out of which 32 (72,73%) were female and 12 (27,27%) male. The age of 17 (38,64%) participants was up to forty years of age, 23 participants (52,27%) were aged forty to fifty and 4 (9,09%) participants were over fifty-one years of age. The level of well-being in emotional, social and motor expression was not affected if the family had a pet before, it exists and is equal nonetheless. It was estimated that benefits will be high-lighted by families with children who have only one developmental disability. Conclusion: Well-being in the child's motor, social, and emotional expression, regardless of the number of difficulties is associated with the presence of an assistance /guide dog in the household.
Anthropometris features of term newborns
The Aim of this research was to determine the average weight of term newborns and to observe the difference between male and female newborns. Also, the goal was to determine whether the measure-ments of newborns affect the completion of childbirth, whether these measurements increase with gestational gain, and whether some maternal diseases affect the anthropometric characteristics of newborns. Methods: The research was conducted by collecting data by looking at the medical documentation - the book of birth certificates of the Clinic for Gynecology and Obstetrics KBC Rijeka. The data was col-lected in the period from January 1, 2019 to December 31, 2019. The sample included all children born at term. Results: Of 2,421 newborns, 2,260 (93%) were born at term, 1,140 (50.4%) were male, and 1,120 (49.6%) were female. The average length, weight and head circumference of male newborns is higher than female newborns (all p<0.001), while the weight and length of twins do not differ (all p>0.05), and the head circumference of male newborns is higher (p=0.018) . Of the 2,381 women, 53 (2.23%) had hypertensive disorders during pregnancy, 365 (15.33%) had gesta-tional diabetes mellitus, 59 (2.48%) were obese, and the rest 1904 (79.97%) suffered from some other disease or did not suffer at all. Conclusion: In addition, it was confirmed that anthropometric char-acteristics depend on gestational age. Also, maternal diseases affect-ing anthropometric characteristics showed a significant difference in mothers with GDM and obese mothers compared to mothers with hypertensive disorders. However, existing differences point to the need for further research.
COMPREHENSIVE CARE OF OBESITY PATIENT WITH CHRONIC LEG WOUNDS AND LYMPHEDEMA - CASE REPORT
In the process of wound healing, numerous processes occur that, even under ideal circumstances, create functionally less valuable tissue with structural and functional changes. There are numerous risk factors for the development of chronic and so called hard to heal wounds. The presence of a wound, as well as long duration of treatment, affect all spheres of the patient's life and lead to a decline in the quality of life. A model of care according to the principle of comprehensive individualized care with a biopsychosocial approach is described in the presentation of an obese patient with lower leg wounds, lymphedema and difficult, painful moving due to hip os-teoarthritis and peroneal nerve paresis with clubfoot. Non-healing wounds and obesity were an obstacle to the necessary surgical total hip endoprosthesis implantation procedure. Diagnostic procedures included assessment of the patient and healing factors, assessment of the vascular status of the legs by ultrasound color doppler im-aging and measurement of the ankle brachial index, assessment of edema, wounds, and psychosocial status of the patient. In the ther-apy, compression therapy devices, local wound therapy and dress-ings and skin care were used. The patient and family member were educated on compression therapy, along with advice and counseling on diet and exercise, as well as supportive psychotherapy. Chronic wounds on the right lower leg healed in two weeks, and on the left in 11 weeks, without recurrence for two years. In a period of 20 months, the patient reached the recommended body weight and underwent a planned operation, which obtained a good therapeutic result in the form of disappearance of pain and good walking, with-out any complications from the procedure. The partner relationship with the patient with a high level of motivation and adherence, es-pecially in compression therapy, influenced not only the healing of wounds, which was the primary goal, but also the improvement of the overall quality of the patient's life. Such a scope of care requires additional specific knowledge and skills of healthcare professionals, as well as additional equipment of medical institutions that care for patients with wounds.
Knowledge of Nursing Students on Permanent Cardiac Pacemaker and the Quality of Life of Patients With an Implanted Permanent Cardiac Pacemaker
Introduction: Cardiac electrostimulation is one of the most modern methods of treating cardiac arrhythmias, and the nurse/technician as part of the medical team has a significant role in medical care and improving the patient's quality of life. Therefore, lifelong learning and continu-ous improvement of the knowledge and skills of nurses/technicians during and after regular education is crucial in providing quality medical care. Objective of this research is to compare the knowledge of regular first-year nursing students about permanent heart pace-makers and the care and quality of life of patients with an implanted permanent electrostimulator with the knowledge of second- and third-year students. Materials and methods: The research was conducted at the Faculty of Health Studies in Ri-jeka by surveying students. The research sample was - students of both sexes, first, second and third year of full-time undergraduate studies in Nursing. A total of 90 respondents participated in the re-search. The results of the completed survey in the part of testing knowledge about electrostimulator and testing knowledge about the quality of life of patients with a permanent cardiac pacemaker were classified into 3 groups: insufficient knowledge (≤ 9 points), inter-mediate knowledge (10 to 16 points) and considerable knowledge (> 16 points) . The collected data were statistically processed using the computer program Microsoft Excel and Statistica 13.3 (TIBCO Software Inc.). Results: In the assessment of students' knowledge about permanent cardiac electrostimulation, students of all years achieved average knowledge, without statistically significant deviations in the points achieved (p=0.41). In the part of the questionnaire that assesses students' knowledge about the quality of life of patients with an implanted permanent pacemaker, the students of all three years also achieved equal results, varying between 15 and 17 points (p=0.11). Conclusion: Students of all three years of study have intermediate knowledge about permanent cardiac electrostimulator, which is a good basis and motivation for further improving the quality of teaching, but also improving the knowledge in later specialist training during the working life, in order to continuously improve the care of patients with permanent cardiac pacemaker and their quality of life.
Copyright (c) 2023 World of Health https://creativecommons.org/licenses/by-nc/4.0
Bone mineral density and biochemical indicators of bone remodeling in menopausal women
Introduction: Menopause is a period marked by major changes in women, manifested by a decrease in bone mineral density, deoxypyridinoline, vitamin D, and alkaline phosphatase levels. Therefore, the main objectives of this research were to determine whether there is a difference in bone mineral density in women who have been in menopause for less than 5 years and in women who have been in menopause for more than 5 years and to compare biochemical indicators of bone remodeling in both groups. Participants and methods The study included 37 women divided into a group of women who have been in menopause for less than 5 year (N=13 women) and a group of women who have been in menopause for more than 5 years (N=24 women). Serum alkaline phosphatase and vitamin D, and urinary deoxypyridinoline were measured. In addition, all women underwent bone density measurement of the lumbar spine and femoral neck using dual-energy x-ray absorptiometry. Results: Results showed that there was a statistically significant decrease in the level of the deoxypyridinoline in urine, while the values of vitamin D and alkaline phosphatase obtained from the analysis of blood samples did not differ significantly in the two groups. Bone mineral density values for the lumbar spine and left femur were significantly lower in the group of women who have been in menopause for more than 5 years. Conclusion: The results obtained showed that the biochemical indicators of bone remodeling increased in the first five years after menopause, and the determination of these parameters in blood and urine could be an effective method for determining patients with rapid bone remodeling after the onset of menopause.
alkaline phosphatase, deoxypyridinoline, bone density, menopause, osteoporosis
Perception of professional stress of employees of the Unified Emergency Hospital Admission of the Clinical Hospital Centre Rijeka
Summary INTRODUCTION: Nurses-technicians at ED are exposed to various hazards and stressful situations daily; witness seriously ill patients, trauma and death, experience conflict situations with patients, escorts and other health professionals, face shortages of staff and means of work, overtime and other factors that affect increased stress levels. RESEARCH GOAL: The aim of the study was to investigate the level of perceived professional stress among ED employees of CHC Rijeka, and the influence of length of service and type of occupation on perceived stress. RESPONDENTS AND METHODS: The survey was conducted on a commemorative sample of 50 respondents, ED employees of CHC Rijeka, during June 2023 through an anonymous online survey. Validated "Questionnaire on stressors in the workplace of hospital health professionals" dr. sc. Milan Milošević from 2009. RESULTS: A total of 50 respondents participated in the survey, M 40%, and F 60%. The largest number of respondents is aged 20-29 years. The most common occupation of respondents is nurse/technician (76%). It has been proven that ED employees are exposed to a high level of stress, but only at a factor related to work organization and finances. Employees with a work experience >5 years have a higher level of stress than those with seniority <5 years, while the occupation has no effect on the perceived level of stress. CONCLUSION: The leading factor that leads to professional stress among ED employees of CHC Rijeka, especially nurse/technician, is "Workplace organization and financial issues".
Analysis of healthcare patients with SARS-CoV-2 disease
Research objective: To present the total number and demographic data of patients with COVID-19 treated at the Clinical Hospital Center (KBC) Rijeka, the proportion of patients who required hos-pital admission and invasive mechanical ventilation, the mortality rate and the duration of hospital treatment. Research methods: Retrospectively collected data included 1739 patients with COVID-19 treated at the KBC in the period from March 1, 2020 to February 28, 2021. The data was collected from the IBIS database, and processed and graphically displayed using Microsoft Office Excel and Prism 10 for Mac OS. Results: Out of 1739 patients with SARS-CoV-2, 1192 (68.55%) patients were treated on an outpatient basis, while 547 (31.45%) of them were indicated for hospital treatment, of which 146 (26.69%) patients required invasive mechanical ventilation (IMV). The majority of patients treated in hospital were male (64.17%) and older than 65 (66.54%). The median duration of hospital treatment was 9.75 days, and 19.01% of hospitalized patients spent more than 15 days in the hospital. Of hospitalized patients, 62.34% recov-ered, while 37.66% died. Of the total number of deceased patients (206), 129 (62.62%) were men, and 77 (37.38%) were women. The youngest deceased was 27 years old and had spent 9 days in hospital, while the oldest was 100 years old and had spent one day in hospital. Conclusion: In the analyzed period, the mortality rate from infec-tion with SARS-CoV-2 in KBC Rijeka was high and for patients treated in the hospital amounted to 37.66%.
Efficacy of Physical Therapy in the Intensive Care Unit in a One-Year Period
Introduction: Early physical therapy in the intensive care unit (ICU) is crucial for minimizing complications of prolonged hospitalization and shortening the length of stay in the ICU. Therefore, physiotherapists at the Department of Anaesthesiology, Intensive Care and Pain Management at the Clinical Hospital Centre in Rijeka have been working in 12-hour shifts since February 1, 2022. This study aims to present the effectiveness of physiotherapy by comparing two periods – 8- and 12-hour shifts period; comparing the length of stay and the number of verticalized patients. Materials and methods: The study was conducted on a sample of 1326 patients hospitalizedin the ICU between February 1, 2021, and January 31, 2023 – 437were included in further analysis. Results: Average age of patients was 59 and 71.17% were male. The mostcommon main diagnosis on admission of the studied patients wasacute respiratory failure (16.02%), while the most concomitantdiseases were cardiovascular diseases (67.96%). There is no statistically significant difference in the duration of stay between thetwo compared periods, but the patients were weaned from invasivemechanical ventilation earlier (13.58%) and were verticalized morefrequently (13.58%) before discharge. Conclusion: Early physical therapy and respiratory rehabilitation are extremelyimportant because they shorten the duration of mechanical ventilation and length of stay in the ICU, minimizing complications ofprolonged hospitalization in the ICU. 12-hour shifts allow continuous work and monitoring of patients by physiotherapists, as well asrehabilitation adapted to the general condition and course of treatment.
Frequency of polytoxicomania with regard to gender
Introduction: Polytoxicomania is an increasingly represented psychiatric entity within the framework of hospital psychiatric treatment. The aim of this study was to examine the frequency of polytoxicomania at the Psychiatry Clinic of the Clinical Hospital Center Rijeka in relation to gender, age, education and frequency of use of treatment measures. Subjects and methods: In a retrospective study conducted in two periods, from 01/012014 to 31/12/2014 and from 01/01/2019 to 31/12/2019, data was collected through the Integrated Hospital Information System for 143 subjects from the Diagnostic Group F19 -Mental and behavioral disorders caused by taking more drugs ortaking other psychoactive substances, who were treated at the Psychiatry Clinic of the Clinical Hospital Center Rijeka, 60 in 2014 and 83 in 2019. Results: In 2019, a higher number of patients with polytoxicomania was recorded compared to the same period five years earlier,with the ratio of men to women in both periods being 3.5:1. Women diagnosed with polytoxicosis have a lower educational status thanmen in 2014, but not five years later. Women with polytoxicomaniaare significantly more often in hospital treatment and more likely to be diagnosed with mood disorder and schizoid disorder comparedto men. Conclusion: The worrying upward trend of hospitalizations due topolytoxicomania is present in both genders, so it is extremely important to identify this problem early in the community itself andraise awareness of it through various preventive actions and programs.
Physics Course at the Undergraduate Study of Radiological Technology
Technological advances and the development of computers have enabled the production of sophisticated devices that use ionizing radiation for electronic imaging of the human body and for image processing for the purpose of diagnosis and treatment of disease. Undergraduate students in radiological technology need a thorough knowledge of physics in order to use these new technologies efficiently and safely and to understand the fundamentals of their work. ​Although the undergraduate program in radiological technology combines knowledge from computer science and statistics with medical knowledge, it is only through an understanding of the physical laws of the concepts mentioned in the context of medical radiology that students become complete experts, able to work independently or as part of a team in the field of radiography, nuclear medicine, and radiologic diagnosis and therapy. At the same time, knowledge and conceptual interpretation of the laws of physics are necessary for understanding basic biological processes in the human body, such as the cardiac activity or the transmission of nerve impulses. Therefore, the subject of physics focuses on knowledge of the structure of matter and the structure of atoms, electromagnetism, ultrasound, elementary nuclear physics, the nature of ionizing radiation and the generation and application of X-rays, which is fundamental to understanding the physics of medical imaging. The paper introduces some areas of science that are an integral part of the Physics course at the Undergraduate Professional Study of Radiological Technology.