Relevant organizations emphasize the importance of first aid (FA) for older adults due to the increased risk of injuries and sudden illnesses in old age. Even though FA training guidelines have been ...developed, no program for an FA course adapted for the older adults has been formally adopted in Europe. This study’s objective is to identify older adults’ needs, beliefs, desires, advantages, and possible limitations in connection with FA. This qualitative study used semistructured interviews with 22 laypersons and retired health professionals older than 60 years old. The qualitative content analysis indicated that the major themes elicited by the older adults are motivation to participate in the FA training, older adults’ specific features as a resource or obstacle for participating in FA training, general suggestions, and content suggestions for FA training. Older adults are very differently motivated to participate in FA training due to the heterogeneity of their psychophysical abilities. They need and want to obtain additional knowledge from the field of FA and health protection for which any psychophysical limitations are not as relevant as when learning cardiopulmonary resuscitation. They want to learn how to recognize emergency situations and more about calling emergency services with the use of modern technology. In addition to cardiopulmonary resuscitation without rescue breaths, they also want to learn about topics related to the treatment of injuries. Those who had practiced FA in their work–life think that they can be a good source to transfer their knowledge to persons from their generation. While planning an FA training course, it has to be taken into consideration that older adults want a short course, adjusted to their varied psychophysical abilities. Due to the wide array of contents they want to learn, it would be reasonable to prepare a selection of different programs for short training courses.
Background. Hazardous and harmful alcohol drinking is an important health, social and economic issue in Slovenia amongst all age groups. While drinking in Slovenia has been well researched amongst ...elementary and high school students, there is a lack of research on drinking amongst university students.
Methods. We conducted a cross-sectional study among first- and fourth-year students of the University of Maribor, Slovenia, attending the mandatory preventive health check between October 2009 and May 2010. During this health check, they filled in a non-anonymous lifestyle questionnaire. AUDIT-C questionnaire on alcohol use and questions on smoking and illicit drug use were also included.
Results. 3.130 students were included in the analysis, 1219 (38.9%) were males. There were 871 (27.8%) students that were screened as risky drinkers. The highest percentage of risky drinkers attended the Faculty for Wood Technology and the lowest the Faculty for Health Sciences. Students, recognized as healthier by the physicians, reported risky drinking significantly less often (p=0.015). Students with higher BMI reported risky drinking significantly more often (p=0.012). Variables, proved to be independently associated with the risky drinking in the multivariate analysis, were: bad health status (p=0.044), male sex (p<0.001), daily consumption of fried food (p=0.017), smoking (p<0.001), illicit drugs (p<0.001), attending the Faculty for Civil Engineering (p=0.006), not attending the Faculty for Health Sciences (p=0.002)
Conclusions. While the prevalence of risky drinking among students in this study is high, a structured preventive programme should be implemented for students,which will include also illicit drug use and smoking.
Uvod. Tvegano in škodljivo pitje alkohola je pomembna zdravstvena, socialna in ekonomska tema v Sloveniji, ki se dotika vseh starostnih skupin prebivalstva. Pitje alkohola je dobro raziskano med osnovnošolci in srednješolsko mladino, malo pa je podatkov o pitju alkohola med študenti.
Metode. Izvedena je bila presečna raziskava med študenti prvih in četrtih letnikov Univerze v Mariboru, ki so obiskali obvezni preventivni zdravniški pregled med oktobrom 2009 in majem 2010. V okviru tega pregleda so izpolnili tudi neanonimni vprašalnik o življenjskem slogu, ki je med drugim vključeval vprašalnik AUDIT-C za oceno pitja alkohola ter vprašanja glede kajenja in rabe prepovedanih drog.
Rezultati. V analizo je bilo vključenih 3130 študentov, od tega je bilo 1219 (38,9 %) moških. S presejalnim testom je bilo prepoznanih 871 (27,8 %) tveganih pivcev. Največji odstotek tveganih pivcev je bil med študenti višje lesarske šole, najnižji pa med študenti visoke zdravstvene šole. Med študenti, ki so jih zdravniki opredelili za bolj zdrave, je bilo statistično značilno manj tveganih pivcev (p=0,015). Med študenti s povišanim indeksom telesne mase je bilo statistično značilno več tveganih pivcev (p=0,012). Spremenljivke, ki so bile pri multivariantni analizi neodvisno povezane s tveganim pitjem, so bile slabo zdravstveno stanje (p=0,044), moški spol (p<0,001), vsakodnevno uživanje ocvrte hrane (p=0,017), kajenje (p<0,001), raba prepovedanih drog (p<0,001), študij na Fakulteti za gradbeništvo (p=0,006) in ne biti študent Visoke zdravstvene šole (p=0,002).
Zaključek. Glede na ugotovljen velik odstotek tveganih pivcev bi bilo treba za študente uvesti strukturiran preventivni program za zmanjšanje pitja alkohola, ki bi vključeval tudi aktivnosti v zvezi s kajenjem in prepovedanimi drogami.
Summary
Background
Post-herpetic neuralgia (PHN) is the most common complication of herpes zoster (HZ) and is difficult to treat. The role of antiviral agents and nonpharmacologic procedures in ...preventing PHN is not entirely clear. Recent retrospective study showed that transcutaneous electrical nerve stimulation (TENS) may completely prevent PHN. The aim of our study was to identify predictors for PHN and evaluate the treatment with antiviral agents and TENS.
Methods
We conducted a multicenter prospective, randomized intervention study in patients with a new onset of HZ. Immunocompromised patients were excluded. Patients were randomly assigned to four groups (TENS, Antiviral agents, TENS and Antiviral agents, and Control Group). At the inclusion, the following criteria were recorded: age, gender, duration of pain before the onset of the rash, the number of efflorescence, the intensity of pain, and the analgesic prescribed. During the follow-up, we recorded a spontaneous pain sensation, pain intensity, and presence of allodynia, hyperalgesia, or paraesthesia.
Results
With each additional year of age, the odds for the presence of PHN with unchanged values of other predictors increase (odds ratio (OR) = 1.03 1.01; 1.05,
p
= 0.001). The same is true for the initial intensity of the pain (OR = 1.25 1.09; 1.43,
p
= 0.002). The odds for acute and subacute herpetic neuralgia are greater than for PHN. The odds for subacute herpetic neuralgia are the lowest in the group treated with TENS (OR = 0.15 0.05; 0.47,
p
= 0.001).
Conclusions
PHN cannot be completely prevented. TENS as a single therapy was found the most successful among the tested treatments in reducing the incidence of subacute herpetic neuralgia.
Osnovna zdravstvena dejavnost in z njo družinska medicina predstavljata temelj vsakega zdravstvenega sistema. V Sloveniji imamo sistem osnovne zdravstvene dejavnosti, ki je konceptualno priznan kot ...zelo dober s strani mednarodnih strokovnjakov in organizacij. Ob tem se soočamo z resnimi kritikami in težavami. Prispevek predstavlja pregled izzivov, s katerimi se sooča družinska medicina v Sloveniji zdaj. V devetih točkah so zbrani predlogi ukrepov, ki bi jih bilo potrebno izpolniti, če želimo, da se stanje na področju družinske medicine izboljša.
Izhodišča: V času epidemije covida-19 v Sloveniji je bilo potrebno celotni teoretični del pouka družinske medicine izvesti po spletu.
Metode: Pouk družinske medicine smo prilagodili izvedbi preko ...videokonferenčnega sistema. Dodali smo aktualne teme o epidemiji, uvedli redne domače naloge, povečali uporabo spletne učilnice in vzpostavili možnost foruma. Uporabili smo nove metode, na primer predavanje z “obrnjeno učilnico”, problemsko usmerjeno učenje s kliničnimi vinjetami in video-posvet o pouku sporazumevanja. Posebej se je obnesla metoda igrifikacije oz. uvedba kviza v pouk.
Rezultati: Kakovost, prednosti in nevarnosti spletnega pouka smo ocenili z anketo študentov in mnenjem pedagogov. Študenti so ocenili, da je pouk dobro potekal, sodobne metode so jim ugajale, predlagali pa so več kliničnih primerov in predstavitev najpogostejših stanj v družinski medicini. Spletni pouk so ocenili enako visoko kot klinične vaje. Pedagogi so navedli visoko lastno motivacijo in inovativnost pri spremembi pouka, poudarili prednost časovne prilagodljivosti, po drugi strani pa časovno zahtevnost spletnega poučevanja. V prihodnosti bi lahko s pomočjo spletnega poučevanja določen delež študentov opravljal klinične vaje v domačem okolju, s čimer bi potrebovali manj mentorjev v Ljubljani. Spletno poučevanje ponuja možnost učenja modernih veščin zdravnika družinske medicine (npr. videoposvet), aktivacije študentov (npr. igra vlog) ter omogoči ustvarjanje repozitorija učnih gradiv in sodelovanje gostov iz tujine. Slabost pa je odsotnost osebnega stika s študenti ter neustreznost za učenje kliničnih veščin.
Zaključek: Ob takojšnjem prehodu na spletno poučevanje smo preizkusili nove metode pouka, ugotovili nekatere prednosti in pomanjkljivosti. Te izkušnje bodo pomembne za spremembe pouka v naslednjih letih.
Background: Alcohol Use Disorders Identification Test Consumption (AUDIT-C) questionnaire as a screening instrument for identification of hazardous and harmful drinkers give some false-positive and ...negative results. Changes of answers decrease the number of false results. Methods: Changes in second and third questions with theoretical simulation of possible answers' combinations was made; cutoff scores have to be changed. Study with original and adapted AUDIT-C was conducted among 298 students to analyze the differences. Results: Adapted Slovenian version of AUDIT-C gives less false-positive and less false-negative results. Conclusions: Changes of AUDIT-C questionnaire that give less false results means less potential disharmony in doctor-patient relationship, less unnecessary questioning, less time spent inadequately, and also less missed hazardous drinkers.
Celotno besedilo
Dostopno za:
DOBA, FSPLJ, IJS, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Alcohol consumption in Slovenia is one of the highest in Europe. In Slovenia there were a few epidemiological studies on drinking habits among adult population, but none of them has used the AUDIT ...questionnaire or the Internet for research.
The aim of this study was to analyse the drinking habits of the visitors of our website www.nalijem.si, which included an anonymous questionnaire for self-assessment of alcohol drinking.
A cross sectional survey was conducted between January 2010 and December 2013. The front page of our website included an invitation to fill in the anonymous web-based questionnaire; a part of it was the AUDIT 10 questionnaire. Everyone who filled in the questionnaire completely received an individualized feedback on his drinking.
54.020 persons visited our website, 15.817 (29.3%) of them started to fill in the questionnaire, 12.800 (80.9%) filled it in completely. In the analysis, 9.087 (71.0%) persons were included who completed the questionnaire for themselves. There were 37.1% (N=3.373) women and 62.9% (N=5.714) men. The average age was 33 years, the majority was employed (59.7%, N=5.222). The minority drank alcohol 2-4 times per month (32.8%, N=2.977) and most of them (64.5%, N=5.869) drank more than 3 units of alcohol per one occasion on a typical day. The average AUDIT 10 score was 11.7 for men, 8.1 for women.
A large percentage of participants were identified as hazardous and harmful drinkers, which should be a matter of serious concern.
Introduction: Slovenia has a high level of alcohol consumption. Comparisons of the alcohol drinking habits of the Roma and non-Roma population have yielded conflicting results. The aim of this ...research was to compare alcohol consumption habits between Roma and non-Roma in a sample population in Northeastern Slovenia. Methods: We conducted a cross-sectional study in which we included 100 representatives of Roma and 100 representatives of non-Roma population, aged 18 to 65 years. The questionnaire used included demographic data (gender, age, marital status, education, and employment) and the AUDIT (Alcohol Use Disorders Identification Test) questionnaire. Two logistic regression models (teetotallers/drinkers and non-hazardous drinkers/other drinkers) were used for the comparison of drinking habits. Results: Roma scored lower on overall AUDIT score (4.51) than non-Roma (4.56). Roma and non-Roma differ significantly regarding teetotallers (39.0% vs. 16.0%) and non-hazardous drinkers (38.0% vs. 64.0%). Ethnicity was identified to have a statistically significant impact on the studied drinking behaviour: teetotallers (p < 0.001) and non-hazardous drinkers (p = 0.015). Discussion and conclusion: Our aim was to look at the differences between the two groups rather than obtain representative data on the population. Our research also casts a doubt on whether the AUDIT scale is suitable for measuring alcohol abuse.
The author describes problems related to the implementation of electronic medical record in family medicine in Slovenia since 1992 when first personal computers have been delivered to family ...physicians' practices. The situation of health care informatization and implementation of electronic medical record in primary health care in new countries, other former Yugoslav republics, is described. There are rather big differences among countries and even among some regions of one country, but in the last year the situation improved, especially in Montenegro, Serbia and Slovenia. The main problem that is still unsolved is software offered by several companies which do not offer many functions, are non-standardized or user friendly enough and is not adapted to doctors' needs. Some important questions on medical records are discussed, e.g. what is in fact a medical record, what is its purpose, who uses it, which record is a good one, what should contain and confidentiality issue. The author describes what makes electronic medical record better than paper-based one (above all it is of better quality, efficiency and care-safe, easier in data retreival and does it offer the possibility of data exchange with other health care professionals) and what are the barriers to its wider implementation.
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