Search

This cross-sectional study aims to examine the quality of life and difficulties in the daily functioning of patients with impaired visual acuity treated with intravitreal drugs. The survey included 180 adult respondents (78 male and 102 female). The standardized, validated questionnaire VFQ 25 version 2000 was used to measure the quality of life. Results show that, in general, regarding visual functioning, men are significantly more satisfied than women, they rate less intensity of pain, and their distance vision is better. Men report fewer restrictions than women, better color, peripheral vision, and overall visual functioning. The best vision results are in individuals under the age of 60 who also report significantly better social functioning, mental health, fewer restrictions, and less dependence on others. The only significant association between the number of drug applications and the scale of visual functioning is driving motor vehicles—the more applications of the drug they received, the less likely they are to drive a car. The quality of life in patients with chronic ophthalmic diseases treated with intravitreal drugs is reduced, particularly in elderly and female patients who have poorer visual acuity, poorer health in general, and limited social roles.

Ovo je prvo istraživanje biometrijskih svojstava u zdravih odraslih osoba mjereno optičkim instrumentima i uključuje korelacije izmjerenih biometrijskih obilježja prednjeg i stražnjeg segmenta oka s dobi, tjelesnom visinom i tjelesnom masom u ovoj specifičnoj dobnoj skupini.

Background: Do gender, age, body mass and height influence eye biometrical properties in young adults? Methods: A total of 155 eyes (92 female, 63 male) of healthy subjects between the ages of 18 and 39 years were included in the study. The subjects’ gender and age were recorded, and their body mass, height and biometrical properties of the eyes were measured. Results: The male subjects had significantly thicker and flatter corneas and lower minimal rim-to-disk ratios than the female subjects did. In both genders, age showed strong, negative correlations with anterior chamber depth and pupil diameter and a positive correlation with lens thickness. We also found significant, negative correlations between body height and mass with keratometry measurements, negative correlations between body height and optic disk rim area and rim volume, and positive correlations between body mass and axial length in both genders. Conclusions: Biometric eye parameters differ among people. In addition to age and gender, which are usually taken into consideration when interpreting ocular biometry findings, we strongly suggest that body height and mass should be also routinely considered when interpreting eye biometry data, as these factors have an impact on ocular biometry.

Aim. The goal of the research is to assess parent satisfaction with children’s health care in the Children’s Hospital Zagreb and to determine whether there were differences in their assessment with regard to the clinic at which the child is hospitalized. Methods. The sample included 160 participans (parents of children hospitalized in the Clinic for Pediatric Surgery and the Pediatric Clinic in the Children’s Hospital Zagreb). As a research method an anonymous modified Picker questionnaire was used. Participation in the research was voluntary. Results. 36.9% of respondents think that their children’s health care is excellent, 43.8% think it is very good and 15% think it is good. 58.1% of parents believe that their child was frightened during hospitalization. 53.8% of respondents rated the hospital food as good, 98.8% of them said they have confidence and trust in the doctors and nurses who take care of their child. 4.4% of parents felt they were not sufficiently involved in decision-making about their child. 72.5% of children during hospitalization felt pain. Parents of children hospitalized in surgical departments have a better opinion of alleviating pain. Conclusions. 81% of respondents assesed the care of their child as very good or excellent and there is no significant difference in satisfaction with regard to the clinic at which the child is hospitalized. The variables found to have a correlation with the total satisfaction score are: a sense of confidence and trust in doctors, psychological preparation of the child, parents’ perception of participating in their child’s care, quality of the food, perception of parents about safety on the ward., Cilj. Procijeniti stupanj zadovoljstva roditelja zdravstvenom skrbi djece u Klinici za dječje bolesti Zagreb te utvrditi postoje li statistički značajne razlike u procjeni zadovoljstva roditelja zdravstvenom skrbi djece s obzirom na kliniku pri kojoj je dijete hospitalizirano. Metode. Ispitanici su roditelji djece hospitalizirane na Klinici za pedijatriju i Klinici za dječju kirurgiju pri Klinici za dječje bolesti Zagreb (njih 160). Primijenjen je modificirani upitnik za procjenu zadovoljstva roditelja bolničkom skrbi djece prema Institutu Picker. Sudjelovanje u istraživanju bilo je dobrovoljno. Rezultati. 36,9 % roditelja smatra skrb odličnom, 43,8 % vrlo dobrom, 15 % dobrom. Da je skrb prihvatljiva smatra 3,8 % ispitanika, a jedan je ispitanik (0,6 %) skrb procijenio kao lošu. 58,1 % ispitanika smatra da je njihovo dijete bilo uplašeno tijekom boravka u bolnici. 53,8 % ispitanika bolničku je hranu ocijenilo dobrom, 98,8 % roditelja izjavilo je kako imaju pouzdanja i povjerenja u liječnike i medicinske sestre koji se brinu o njihovu djetetu. 4,4 % roditelja smatra kako nisu dovoljno uključeni u odlučivanje o skrbi o njihovu djetetu. 72,5 % djece tijekom hospitalizacije osjećalo je bol, samo je jedan roditelj (0,9 %) nezadovoljan tretiranjem boli djeteta, a ispitanici s kirurškog odjela imaju bolje mišljenje o ublažavanju boli. Zaključak. Ukupno 81 % ispitanika smatra da je skrb o njihovu djetetu vrlo dobra ili odlična te ne postoji znatna razlika u procjeni zadovoljstva s obzirom na kliniku pri kojoj je dijete hospitalizirano. Varijable su kod kojih je utvrđena povezanost s ukupnom ocjenom skrbi: osjećaj pouzdanja i povjerenja u liječnike, priprema djeteta za provođenje pretrage, osjećaj roditelja da može sudjelovati u skrbi za dijete, procjena kvalitete bolničke hrane, percepcija roditelja o sigurnosti djeteta na bolničkom odjelu.

The aim of this study is to evaluate the efficacy of biofeedback (BF) therapy in females with stress urinary incontinence by a systematic review of available literature database. Materials and methods. A search of the MEDLINE database in order to find articles related to biofeedback therapy for treating incontinence. The keywords which were used to search the database were: "biofeedback", "women", "stress urinary incontinence". Analyses included full-length, peer-reviewed articles reporting on outcomes of treatment of stress urinary incontinence (SUI) using BF in 18-year-old women and older, from any country, treated in any care setting. The inclusion criteria were that it was an original research, not older than five years and written in English. Results. The search of the database yielded a total of 123 articles. Further analysis determined that 32 articles were suitable with respect to this study’s search criteria. Finally, the analysis included 5 articles. The studies are from different parts of the world: Egypt, Poland, China, Malaysia and Japan. Two articles are from 2013 and 2015, and one was published in 2016. Three studies evaluated the efficacy of biofeedback therapy (BF therapy) versus self-performed Kegel exercises, and two studies compared biofeedback therapy with electro-stimulation. Conclusion. Although almost all studies (4 of the 5 analysed) report a positive impact of biofeedback therapy in treating SUI, further research on a more homogeneous group, employing standardized protocols, should be conducted in the future., Cilj je ovog rada sustavnim pregledom literature utvrditi svrhu i djelotvornost primjene biološke povratne sprege (engl. biofeedback) kod liječenja stresne inkontinencije. Materijali i metode. Pretraživanjem baze podataka MEDLINE pronađeni su članci povezani s metodom liječenja inkontinencije biofeedbackom. Ključne riječi prema kojima se pretraživala baza bile su: „biofeedback”, „žene”, „stresna urinarna inkontinencija”. U analizu su bili uključeni samo recenzirani, u cijelosti objavljeni članci, s rezultatima liječenja stresne urinarne inkontinencije (SUI) s pomoću biofeedbacka kod žena u dobi od najmanje 18 godina, iz svih dijelova svijeta, bez obzira na to u kojem se okuženju odvijala terapija. Kriteriji uključivanja bili su izvorna istraživanja ne starija od pet godina i pisana na engleskom jeziku. Rezultati. Pretražujući bazu s ključnim riječima pronađena su ukupno 123 članka. Daljnjom analizom utvrđeno je da ih 32 odgovara kriterijima pretraživanja. U konačnu analizu uvršteno je pet radova. Analizirane studije bile su iz različitih dijelova svijeta: Egipat, Poljska, Kina, Malezija i Japan. Dva su članka iz 2013. i 2015. godine, a jedan iz 2016. godine. Tri studije procjenjivale su učinkovitost terapije biofeedbackom u usporedbi s Kegelovim vježbama, a dvije studije u usporedbi s elektrostimulacijom. Zaključak. Iako gotovo sve studije (četiri od pet analiziranih) izvještavaju o pozitivnom utjecaju terapije biofeedbackom u liječenju stresne inkontinencije, potrebna su daljnja istraživanja na homogenijoj skupini i sa standardiziranim protokolima.

Purpose: The aim was to determine the degree of patient satisfaction with the one day cataract surgery and detect critical points that could serve as a basis for the future improvements. Methods: In this research, the occasional samples were the patients who came for grey cataract surgery, and passed through the outpatient clinic. The criteria for including patients in the research were that they came for cataract surgery and were admitted through outpatient clinic. None of the patients were excluded from the research and none of them were retrospectively included.The data in this study was collected by an anonymous questionnaire created for the needs of this research. The questionnaire was filled after the surgery procedure Results: Statistical analysis of the obtained dana showed that the majority of pa- tients, 130 (87.2%) of them, are satisfied with the cataract surgery, 12 (8.1%) are partially satisfied and the minimum number of patients, only two of them, are some- what dissatisfied with the operation. There is no patient who is unhappy with the cataract surgery. Conclusions: Studies have shown that hospitalization is an especially traumatic and stressful experience, which is greatly reduces with the introduction of the daily hospital care.

Starije osobe uzimaju više lijekova jer češće boluju od kroničnih bolesti. Starenjem organizma farmakodinamika i farmakokinetika se mijenjaju. U pravilu su starije osobe osjetljivije na uobičajene doze lijekova i u njih su češće neželjene štetne reakcije na lijekove. Uzroci nepravilnog uzimanja lijeka mogu biti razni (nemogućnost nabave lijeka, nemogućnost pridržavanja kompliciranog režima uzimanja, kognitivna, funkcionalna i osjetilna oštećenja..).

Introduction. Patient safety represents the most reliable measure of the quality of work in nursing. The most common adverse events associated with the process of nursing care are bedsores, falls, hospital-acquired infections, insufficient hand hygiene and unwanted adverse effects related to drugs. Aim. The aim of this study was to investigate the views of respondents on adverse events during the process of nursing care in the University Hospital Centre Osijek. Respondents and methods. A quantitative cross-sectional study was conducted using an anonymous survey on a sample of 100 nurses in february and March 2016, at the clinics for surgery, internal medicine and anaesthesiology, the intensive care unit, emergency room and neurology. Results. The study showed that nurses actively improve patient safety (82% of respondents). 71% of the nurses believe that the mistakes reflect on them, while 67.7% of the respondents agree with the claim that the mistakes led to positive changes. When an adverse event is reported, 74.2% of nurses feel as if they are the ones being reported, and not the problem itself. After they make changes to improve patient safety, 83.5% of the nurses evaluate their effectiveness. 33.4% of the respondents claim that there are patient safety issues at their ward, and 49 (50%) of the respondents claim that the procedure and the system are efficient at preventing mistakes. Most respondents (57.1%) rated patient safety as acceptable. In similar studies that were conducted in US hospitals, there was generally a higher level of the patient safety culture by several grade points. Conclusion. Nurses agree that the patient safety culture regarding adverse events in the process of nursing care in the University Hospital Centre Osijek is acceptable, and that they are responsible for protecting and improving patient safety., Uvod. Sigurnost pacijenata predstavlja najpouzdaniju mjeru kvalitete rada u sestrinstvu. Najčešći su neželjeni događaji povezani s procesom sestrinske skrbi dekubitus, padovi, intrahospitalne infekcije, nedostatna higijena ruku i neželjeni događaji povezani s primjenom lijekova. Cilj. Cilj je ovoga istraživanja ispitati mišljenja ispitanika o neželjenim događajima tijekom procesa sestrinske skrbi u Kliničkom bolničkom centru Osijek. Ispitanici i metode. Provedeno je kvantitativno istraživanje s pomoću anonimne ankete koja je obuhvatila 100 medicinskih sestra/tehničara u veljači i ožujku 2016. na klinikama za kirurgiju, internu medicinu, anesteziologiju i neurologiju te u jedinici intenzivnog liječenja i hitnom prijemu. Rezultati. Istraživanje je pokazalo da su medicinske sestre aktivne u poboljšanju kulture sigurnosti pacijenata (82 % ispitanika). Čak 71,7% medicinskih sestara misli da se pogreške odražavaju na njih, dok se 67,7% ispitanika složilo s tvrdnjom da su pogreške dovele do pozitivnih promjena. Kada se neželjeni događaj prijavi, 74,2% ispitanika osjeća kako su oni osobno prijavljeni, a ne sami događaj. Nakon što naprave promjene kako bi poboljšale sigurnost pacijenata, 83,5% medicinskih sestara procjenjuje njihovu učinkovitost. Ispitanici, njih 33,4%, tvrde kako imaju problem u sigurnosti pacijenata u svojem okruženju, a 49 (50%) ispitanika tvrdi da je sustav dobar u sprječavanju neželjenih događaja. Većina ispitanika (57,1%) ocjenjuje sigurnost pacijenata prihvatljivom. U sličnim istraživanjima koja su provedena u bolnicama SAD-a općenito je veća razina kulture sigurnosti pacijenata za nekoliko ocjenskih bodova. Zaključak. Medicinske sestre / medicinski tehničari slažu se kako je kultura sigurnosti pacijenata s obzirom na neželjene događaje povezane s procesom sestrinske skrbi prihvatljiva te da su odgovorni za zaštitu i poboljšanje sigurnosti pacijenata.

Katarakta je zamućenje inače prozirne leće. Najčešće se javlja u osoba starije životne dobi, otuda i naziv senilna katarakta. Katarakta je najčešći uzrok reverzibilnog gubitka vida u cijelom svijetu, a pretpostavlja se da će do 2020.g. broj slijepih zbog katarakte narasti do 50 milijuna.