During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is ...of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = -0.02,
= 0.013) and personal risk of COVID‑19 (β = 1.05,
< 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = -0.33,
= 0.023) and anxiety (β = -0.31,
= 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs' knowledge. Thus lowering anxiety and improving patient care.
Studies show that hyperuricemia is an element of the pathophysiology of many conditions. Therefore, the aim of this study was to assess primary care physicians' knowledge and attitudes toward ...asymptomatic hyperuricemia and gout management.
A survey-based cross-sectional study was conducted to assess the primary physicians' attitudes, knowledge, and patient management regarding hyperuricemia and gout.
A total of 336 primary care physicians were included. Physicians who read at least one scientific paper covering the topic of hyperuricemia in the past year scored significantly higher in knowledge questions (N = 152, 6.5 ± 2.05 vs. N = 183, 7.04 ± 2.14,
= 0.019). Only around half of physicians correctly identified drugs that can lower or elevate serum uric acid levels. Furthermore, the analysis of correct answers to specific questions showed poor understanding of the pathophysiology of hyperuricemia and possible risk factors.
This study identified gaps in primary care physicians' knowledge essential for the adequate management of patients with asymptomatic hyperuricemia and gout. As hyperuricemia and gout are among the fastest rising non-communicable diseases, greater awareness of the available guidelines and more education about the causes and risks of hyperuricemia among primary care physicians may reduce the development of diseases that have hyperuricemia as risk factors.
Family physicians (FPs) are exposed to high amounts of stress, and could be susceptible to the development of mental health disorders (MHD), especially after the emergence of the COVID-19 pandemic. ...The aim of the current study was to assess MHD history, attitudes toward MHDs and stress-coping strategies in FPs. An additional goal was to estimate their comprehensive well-being and investigate connections with resilience and a healthy lifestyle. A total of 483 FPs submitted their responses via online survey. MHD attitudes were assessed with the according questionnaires, while burnout levels, healthy lifestyle, resilience, job and life satisfaction were estimated with validated scales. Results have shown that 32.5% of FPs disclosed positive MHD history, while 68.7% used professional help. Resilience and healthy lifestyle levels were significantly higher in MHD negative FPs (
< 0.001), while burnout levels were lower (
< 0.001). Moreover, healthy lifestyle (β = 0.03,
< 0.001) was an independent correlate of resilience, while healthy lifestyle (β = -0.35,
< 0.001, and resilience (β = -1.82,
< 0.001) were of burnout levels. Finally, resilience (OR = 0.387,
< 0.001) and healthy lifestyle (OR = 0.970,
= 0.021) were shown as independent predictors of positive MHD history status. Strong promotion and education of FP population regarding resilience and healthy lifestyle should be utilized in practice in order to alleviate the possibility of mental health disturbances and the according consequences.
The prevalence and incidence of gout doubled from 1990 to 2017. Therefore, we can expect that a number of doctors have come across a patient with gout in their daily practice. Hence, we wanted to ...investigate how familiar our medical students, as future medical professionals, are with gout. This cross-sectional survey included Medical Studies students from the two largest universities in Croatia: the University of Split School of Medicine, and the University of Zagreb School of Medicine, and included a total of 221 fifth or sixth year medical students. Most students gave correct answers to questions about treatment approach and non-pharmacological interventions in asymptomatic hyperuricemia (>80%). Less than 3% of all students agreed they knew enough about care for patients with asymptomatic hyperuricemia, whereas almost 15% thought they were well familiar with care for gout patients. Less than 8% of students considered their school education adequate on both topics, and less than 2% were aware of the existence of EULAR guidelines. Physicians lacking in the latest knowledge on the pathophysiology of gout, the influence of lifestyle, and genetic factors limits their ability to properly manage gout. With increasing prevalence, gout should be more represented in medical students' education.
Glavni cilj ovog istraživanja bio je ispitati razlikuju li se stavovi o cijepljenju protiv bolesti COVID-19
studenata medicine i liječnika obiteljske medicine u Splitsko-dalmatinskoj županiji. ...Provedeno je presječno
istraživanje u kojem je sudjelovalo 176 studenata medicine, 47 studenata dentalne medicine, te 100 liječnika
obiteljske medicine. Ispitanici su rješavali anketni upitnik putem Google forms internetske aplikacije
tijekom lipnja 2021. Korištena je peterostupanjska Likertova skala koja je sadržavala 27 tvrdnji. Prikupljeni
podaci obrađeni su u programima STATISTICA 14 i Python. Utvrđeno je da pozitivan stav o svim
cjepivima protiv bolesti COVID-19 ima statistički značajno više liječnika u odnosu na studente (P=0,038).
Zadovoljstvo organiziranošću cijepljenja protiv bolesti COVID-19 statistički je značajno veće u liječnika
nego studenata (P=0,006). Iako u procijepljenosti između studenata i liječnika nema statistički značajne
razlike, ona je pronađena između studenata pretkliničkih i kliničkih godina studija (P=0,005). Udio
cijepljenih veći je u studenata kliničkih godina (67%). Također, utvrđeno je, sa statistički značajnom
razlikom, da su ispitanici koji su cijepljeni protiv gripe spremniji i na cijepljenje protiv COVID-19 bolesti
(P=0,001), te da se značajno više liječnika nego studenata odlučilo na cijepljenje protiv gripe ove ili
prethodnih sezona (P<0,001).
Studijom je dokazano da su opći stavovi studenata medicinskog fakulteta i liječnika obiteljske medicine
o cijepljenju pozitivni. Naime, poznato je da se stavovi pojedinca prema primjeni cjepiva uvelike
odražavaju na procijepljenost i incidenciju zaraznih bolesti u populaciji, te je jako važno da i studenti, koji
će biti aktivni sudionici zdravstvenog sustava i liječnici obiteljske medicine, koji su najdostupniji sudionici
zdravstvenog sustava, imaju jednake stavove o najučinkovitijoj metodi zaštite populacije od širenja
zaraznih bolesti.
Glavni cilj ovog istraživanja bio je ispitati razlikuju li se stavovi o cijepljenju protiv bolesti COVID-19 studenata medicine i liječnika obiteljske medicine u Splitsko-dalmatinskoj županiji. ...Provedeno je presječno istraživanje u kojem je sudjelovalo 176 studenata medicine, 47 studenata dentalne medicine, te 100 liječnika obiteljske medicine. Ispitanici su rješavali anketni upitnik putem Google forms internetske aplikacije tijekom lipnja 2021. Korištena je peterostupanjska Likertova skala koja je sadržavala 27 tvrdnji. Prikupljeni podaci obrađeni su u programima STATISTICA 14 i Python. Utvrđeno je da pozitivan stav o svim cjepivima protiv bolesti COVID-19 ima statistički značajno više liječnika u odnosu na studente (P=0,038). Zadovoljstvo organiziranošću cijepljenja protiv bolesti COVID-19 statistički je značajno veće u liječnika nego studenata (P=0,006). Iako u procijepljenosti između studenata i liječnika nema statistički značajne razlike, ona je pronađena između studenata pretkliničkih i kliničkih godina studija (P=0,005). Udio cijepljenih veći je u studenata kliničkih godina (67%). Također, utvrđeno je, sa statistički značajnom razlikom, da su ispitanici koji su cijepljeni protiv gripe spremniji i na cijepljenje protiv COVID-19 bolesti (P=0,001), te da se značajno više liječnika nego studenata odlučilo na cijepljenje protiv gripe ove ili prethodnih sezona (P<0,001). Studijom je dokazano da su opći stavovi studenata medicinskog fakulteta i liječnika obiteljske medicine o cijepljenju pozitivni. Naime, poznato je da se stavovi pojedinca prema primjeni cjepiva uvelike odražavaju na procijepljenost i incidenciju zaraznih bolesti u populaciji, te je jako važno da i studenti, koji će biti aktivni sudionici zdravstvenog sustava i liječnici obiteljske medicine, koji su najdostupniji sudionici zdravstvenog sustava, imaju jednake stavove o najučinkovitijoj metodi zaštite populacije od širenja zaraznih bolesti.
The main goal of this research was to examine whether the attitudes about vaccination against the COVID-19 disease distinguish between medical students and family medicine doctors in the County of Split. In this cross-sectional study 176 medical students participated, 47 students of dental medicine and 100 family medicine doctors. The respondents answered a questionnaire via the Google forms internet application during June 2021. A five-point Likert scale containing 27 statements was used. The collected data were processed in STATISTICA 14 and Python programs. It was found that statistically significantly more doctors had a positive attitude about all vaccines against the COVID-19 disease than students (P=0.038). Satisfaction with the organization of vaccination against the COVID-19 disease was statistically significantly higher in doctors than in students (P=0.006). Although there was no statistically significant difference in vaccination between students and doctors, it was found between students in the preclinical and clinical years of study (P=0.005). The proportion of those vaccinated was higher in students of clinical years (67%). It was also determined, with a statistically significant difference, that respondents who had been vaccinated against the influenza were more willing to be vaccinated against the COVID-19 disease (P=0.001) and that significantly more doctors than students decided to get vaccinated against the influenza this season than in previous seasons (P<0.001). The study proved that the general attitudes of medical school students and family medicine doctors concerning vaccination are positive. To be specific, it is known that an individual's attitude towards the use of vaccines are largely reflected in the vaccination rate and incidence of infectious diseases in the population. It is very important that both students, who will be active participants in the health system and family medicine doctors, who are the most accessible participants in the health system, have equal views on the most effective method of protecting the population from the spread of infectious diseases.
Rekurirajuće uroinfekcije česte su u žena te su
ozbiljan javnozdravstveni problem zbog svoje
učestalosti, pobola i troškova koje izazivaju.
Najmanje jednu simptomatsku epizodu treba
potvrditi ...urinokulturom kako bi se potvrdila
dijagnoza i vodilo liječenje. Ne preporučuje se
opsežna rutinska obrada koja uključuje cistoskopiju
i radiološke pretrage jer je dijagnostički prinos
nizak. Nalazi iz anamneze ili fizikalnog pregleda
koji sugeriraju kompliciranu infekciju ili neku
drugu patologiju zahtijevaju dodatnu procjenu.
Prevencija IMS uključuje savjetovanje u vezi s
izbjegavanja faktora rizika, alternativne mjere te
antimikrobnu profilaksu. Zbog razvoja rezistentnih
sojeva važno je poticati alternativne oblike
profilakse. Preporučuje se uvođenje kontinuirane
ili postkoitalna antimikrobna profilaksa kada druge
intervencije nisu uspjele. Važno je savjetovati
bolesnice glede mogućih nuspojava. Prikazali
smo slučaj bolesnice s rekurentnim infekcijama
mokraćnog sustava povezane s funkcionalnom
abnormalnošću urinarnog trakta.
Tonzilofaringitis označava upalne procese u ždrijelu koji zahvaćaju Waldeyerov limfatični prsten. Najčešće je uzrokovan virusima, među kojima prednjače adenovirusi, enterovirusi i rinovirusi. U ...svakodnevnoj praksi, jedini značajan bakterijski uzročnik je beta hemolitički streptokok skupine A (BHS-A). Sukladno ISKRA smjernicama, penicilin je lijek prvog izbora u liječenju streptokoknog tonzilofaringitisa s nikada do sada zabilježenom rezistencijom BHS-A. Cilj našeg istraživanja bio je usporediti odabrani antibiotik za liječenje streptokoknog tonzilofaringitisa s preporučenom terapijom u ISKRA smjernicama za grlobolju.
Provedeno je retrospektivno, presječno istraživanje o učestalosti i načinu liječenja streptokoknog tonzilofaringitisa u ordinacijama opće/obiteljske medicine DZ SDŽ u periodu od 01. siječnja 2015. do 31. prosinca 2016. godine.
U istraživanje je uključeno 53 (75,7%) liječnika opće/obiteljske medicine DZ SDŽ, među kojima je bilo 42 (79,2%) žene i 11 (20,8%) muškaraca. Najpropisivaniji antibiotik bio je amoksicilin s klavulanskom kiselinom koji je propisan u 34,4% slučajeva, potom amoksicilin u 20% te azitromicin u 17,8% slučajeva. Na četvrtom mjestu su penicilinski pripravci koji su propisani u 14,5% slučajeva.
Rezultati našeg istraživanja ukazuju da ispitanici ne propisuju antibiotike sukladno preporuci. Neracionalno propisivanje antibiotika glavni je uzrok porasta bakterijske rezistencije na svjetskoj razini. Liječnik obiteljske medicine (LOM) propisuju većinu antibiotika i zbog toga je važno da slijede smjernice u svakodnevnoj praksi.
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