The presence of steatotic liver disease (SLD) is associated with an increased cardiovascular risk in the general population. Chronic myeloproliferative neoplasms (MPNs), essential thrombocythemia ...(ET) and polycythemia vera (PV), are characterized by clonal myeloproliferation, chronic inflammatory state, and increased cardiovascular morbidity and mortality. The aim of this single-center study was to analyze clinical associations and the potential prognostic impact of SLD in ET and PV patients. We retrospectively included 108 patients (64 ET and 44 PV); median age was 70.5 years (range 21–92), 68 (63 %) were females, and the median follow-up time was 69 months. Baseline SLD presence was defined ultrasonographically and was detected in 25 (23.1 %) patients. There were no associations of SLD with any of the clinical and laboratory patient characterictics. Also, baseline ultrasonographic presence of SLD did not have an impact on future thrombotic, bleeding and disease transformation risk, nor patient survival. None of the patients experienced signs of liver failure during the follow-up. In conclusion, the presence of SLD in ET and PV patients does not seem to have major clinical implications. Therefore, patients may be advised about the generally harmless nature of SLD when occurring in the MPN context.
•Prevalence of steatotic liver disease (SLD) in ET and PV is similar to that in the general population.•The presence of SLD did not correlate with any of the MPN-related disease features.•SLD did not affect thrombotic, bleeding and transformation risk, nor survival.
Medicinske sestre neizostavni su članovi zdravstvene skrbi koji pružaju kontinuiranu i holističku skrb pacijentima tijekom liječenja. Međutim, zbog učestalih traumatičnih situacija i stresnih ...iskustava s kojima se susreću u svakodnevnom radu, medicinske su sestre izložene riziku od razvoja umora od suosjećanja, smanjenog zadovoljstva poslom i izgaranja, što negativno utječe na njihovu sposobnost pružanja kvalitetne skrbi.Umor od suosjećanja predstavlja kompleksan i multidimenzionalan fenomen koji uključuje emocionalnu iscrpljenost, osjećaj depersonalizacije i smanjenje osobnog postignuća. Medicinske sestre izložene su većem riziku od razvoja umora od suosjećanja u usporedbi s drugim zdravstvenim radnicima zbog svoje bliske interakcije s pacijentima, dugotrajnih razdoblja rada i visokog stupnja odgovornosti koji nosi njihov posao.Umor od suosjećanja ima ozbiljne posljedice na kvalitetu zdravstvene skrbi, stoga zdravstvene organizacije trebaju prepoznati ovaj fenomen i poduzeti preventivne mjere kako bi smanjili rizik od razvoja umora od suosjećanja među svojim osobljem. To uključuje razvoj programa edukacije i podrške za zdravstvene radnike, pružanje emocionalne podrške i mentorstva, prilagođavanje radnog okruženja i uspostavljanje politika koje promiču samopomoć i brigu o zdravlju zaposlenika.Razumijevanje i prepoznavanje umora od suosjećanja posebno je važno za zdravlje i dobrobit medicinskih sestara, pacijenata i zdravstvenih organizacija. Kao neizostavni članovi tima zdravstvene skrbi, medicinske sestre zaslužuju podršku i brigu kako bi se osiguralo da mogu nastaviti pružati najbolju moguću skrb pacijentima.
Nurses are indispensable members of healthcare who provide continuous and holistic care to patients during treatment. However, due to the frequent traumatic situations and stressful experiences they encounter in their daily work, nurses are exposed to the risk of developing compassion fatique, reduced job satisfaction, and burnout, which negatively affects their ability to provide quality care.Compassion fatigue is a complex and multidimensional phenomenon that includes emotional exhaustion, feelings of depersonalization, and diminished personal accomplishment. Nurses are at greater risk of developing compassion fatigue compared to other healthcare professionals due to their close interaction with patients, long work periods, and the high degree of responsibility that their job entails.Compassion fatigue has serious consequences for the quality of healthcare, so healthcare organizations should recognize this phenomenon and take preventive measures to reduce the risk of developing compassion fatigue among their staff. That includes developing education and support programs for healthcare workers, providing emotional support and mentoring, adapting the work environment, and establishing policies that promote self-help and employee health care.Understanding and recognizing compassion fatigue is vital to the health and well-being of nurses, patients, and healthcare organizations. As indispensable members of the health care team, nurses deserve support and care to ensure they can continue to provide the best possible care to patients.
U današnje vrijeme, pravovremeno objavljivanje najboljih radova i rezultata istraživanja s preporukama u rješavanju najaktualnijih problema najkorišteniji je način širenja rezultata sa svrhom ...integracije dokaza u zdravstveni sustav. Znanstveno je komuniciranje iznimno važno u razvoju znanosti i protoku informacija o novim spoznajama do kojih znanstvenik dolazi tijekom svojeg akademskog djelovanja. Posljedično, recenziranje se smatra modelom najučinkovitije znanstvene komunikacije koju biomedicinski časopisi upotrebljavaju pri odluci o objavljivanju članaka. Sustavna akumulacija najboljeg novog znanja generiranog iz znanstvenog okruženja i preusmjerenog u kliničku praksu medicinskih sestara temelj je poboljšanja zdravstvene skrbi usmjerene na pojedinca, obitelj i zajednicu. Recenzija je poput zagovornice sestrinske znanosti u generiranju inovativnih doprinosa profesionalnoj zajednici. Objavljena recenzirana informacija ima mogućnost postati osnovom standardiziranog djelovanja i kontinuiranog razvoja u sestrinstvu. Kvalitetan osvrt pomaže autoru u znanstvenom razvoju, ali i recenzentu u prikupljanju najnovijih spoznaja još neobjavljenih podataka iz njihova područja interesa. Razvidna je globalna potreba mentoriranja i edukacije mladih istraživača i recenzenata putem formalnih oblika obrazovanja kako bi doprinijeli unapređenju sestrinske znanosti, rasterećenju postojećih eksperata kolegijalnog opažanja te ubrzali protok znanstvene informacije.
Nowadays, the timely publication of the best works and research results with recommendations for solving the most current problems is the most used channel for disseminating findings with the purpose of integrating evidence into the health system. Scientific communication is crucial in the development of science and the flow of information about new knowledge that scientist achieves during his academic activities. Consequently, peer review is considered the most effective scientific communication model that biomedical journals use when deciding to publish articles. Systematic accumulation of the best new knowledge generated from the scientific environment and channeled into clinical nursing practice is the foundation of improving health care focused on individuals, families, and communities. The review is like an advocate for nursing science in generating innovative contributions to the professional community. Published, peer-reviewed information has the potential to become the basis of standardized action and continuous development in nursing. A quality review helps the author in scientific development, but also the reviewer in gathering the latest knowledge of as-yet-unpublished data from their area of interest. There is a clear global need for mentoring and education of young researchers and reviewers through formal forms of education to contribute to advancing the nursing science, relief of existing experts in collegial observation, and speed up the flow of scientific information.
Uvod: Kateterizacija je rutinski postupak kojim se omogućava drenaža urina iz mokraćnog sustava. Komplikacija vezana za kateterizaciju jest infekcija mokraćnog sustava koja uzrokuje značajan ...morbiditet. Cilj: Cilj je rada utvrditi učestalost urinarnih infekcija povezanih s upotrebom urinarnih katetera kod pacijenata koji su hospitalizirani u jedinici intenzivnog liječenja (JIL) tijekom 2009. i 2018. godine, koristeći se protokolom iz 2005. godine prema kojem se urinarni kateter mijenjao svaka dva tjedna i iz 2015. godine prema kojem se mijenjao svaka tri tjedna. Ispitanici i metode: U istraživanje su uključeni pacijenti koji su bili hospitalizirani u JIL-u Opće bolnice Šibensko-kninske županije od 1. 1. do 31. 12. 2009. godine i od 1. 1. do 31. 12. 2018. godine. Ukupan broj liječenih tijekom te dvije godine čini 761 pacijent, od kojih je 386 pacijenata liječeno u 2009. godini i 375 pacijenata u 2018. godini. Rezultati: Tijekom 2009. godine, od ukupno 386 pacijenata, uzorkovano je njih 114 (29,5 %), a od ukupno 375 pacijenata u 2018. godini, uzorkovano je 77 (20,5 %) pacijenata. Pacijenata s nesterilnim nalazom urinokulture značajno je više tijekom 2009. godine, njih 60 (52,6 %) (χ 2 test, P = 0,02), u odnosu na broj pacijenata s nesterilnim nalazom iz 2018. godine, njih 27 (35,1 %). Međutim, nema značajne razlike u nalazima u odnosu na promatrane godine. Zaključak: Primjena protokola kod pacijenata s urinarnim kateterom koji su liječeni u JIL-u nije imala statistički značajnu razliku na učestalost urinarnih infekcija u uspoređivanim godinama.
Introduction: Catheterization is a routine procedure enabling urine drainage from the urinary system. A complication associated with catheterization is urinary tract infection, which entails significant morbidity. Aim: This paper aims to determine the frequency of urinary tract infections related to the use of urinary catheters in patients hospitalized in the Intensive Care Unit (ICU) in 2009 and 2018, utilizing the protocol from 2005, where urinary catheters were changed every two weeks, and the one from 2015, where they were changed every three weeks. Participants and methods : The study included patients hospitalized in the ICU of the General Hospital of Šibenik-Knin County from January 1 to December 31, 2009, and from January 1 to December 31, 2018. A total of 761 patients were treated during those two years, comprising 386 patients in 2009 and 375 patients in 2018. Results: In 2009, out of 386 patients, 114 (29.5%) were sampled, while out of 375 patients in 2018, 77 (20.5%) were sampled. There were significantly more patients with non-sterile urine cultures found in 2009, 60 of them (52.6%) (χ 2 test, P=0.02), compared to those in 2018, which accounted for 27 (35.1%) patients. However, there is no significant difference observed concerning the years under review. Conclusion: The application of protocols for patients with urinary catheters treated in the ICU did not show a statistically significant difference in the frequency of urinary tract infections in the compared years.
UNETHICAL BEHAVIOR OF STUDENTS ON EXAMS Šimunić, Nevena; Šimunić, Roko; Bušac, Vesna ...
Zdravstveni glasnik,
11/2023, Letnik:
9, Številka:
2
Journal Article
Odprti dostop
Introduction: The unethical behavior of students on exams represents a serious challenge for
the education system. This disturbing trend requires immediate attention and the
implementation of ...appropriate measures to raise awareness about the importance of academic
integrity and promote ethical awareness among students.
Objective: Examine the unethical behavior of students on exams.
Subjects and methods: The study involved students from the Medical School in Šibenik. Out of
the total number of participants, 155 students took part, with 75 (48,4%) specializing in general
nursing, and 80 (51,6%) in pharmaceutical studies. The participants completed a questionnaire
based on the Šimić Šašić and Klarin model (2009).
Results: The results showed a high percentage of cheating during knowledge assessments. A
total of 81,9% of respondents admitted to cheating at least once. In the domain of attitudes
towards the acceptability of cheating, 52,9% of respondents agreed that cheating is entirely
natural and inherent to human nature. Regarding different grades, fourth-grade students
significantly held a stronger attitude toward the acceptability of cheating compared to students
from other grades. Regarding reasons for cheating, the most common internal reason, stated by
50,4 % of respondents, was insufficient time for studying, while 49.6% cheated to help a friend,
and 49% cheated to achieve good grades. External reasons for cheating, such as weak
supervision, were mentioned by 52,9% of respondents, unfairness by 52,2%, and difficulty of
the exam by 49% of respondents. Female respondents exhibited more pronounced internal and
external reasons for cheating compared to male respondents. Conclusion: The research
confirmed that academic dishonesty is a routine occurrence among students. The students
themselves do not view cheating as ethically wrong and rationalize it in numerous ways.
Keywords: unethical behavior, students, exam
Nasilje među medicinskim sestrama Vukša, Andrea; Bušac, Vesna; Žepina Puzić, Ana
Sestrinski glasnik
28, Številka:
2
Archival Material
Odprti dostop
Zlostavljanje na poslu najčešće se događa u zdravstvu. Medicinske su sestre najranjivije i izložene su raznim oblicima nasilja. Sestrinstvo je zapravo četiri puta više izloženo zlostavljanju od ...većine drugih profesija. Najčešći je oblik nasilja lateralno nasilje koje se često definira kao čin prijetnje, ponižavanja ili fizičkog, mentalnog ili emocionalnog ozljeđivanja pojedinca ili skupine. Učestalost nasilja najbolje ilustriraju istraživanja koja pokazuju da će se 90 % medicinskih sestara u nekom trenutku svoje karijere susresti s lateralnim nasiljem. Prema istraživanjima provedenima u Hrvatskoj, 91,3 % medicinskih sestara i tehničara primijetilo je ili doživjelo lateralno nasilje na poslu. Osim toga, gotovo polovica njih svakodnevno svjedoči nasilju. Zlostavljanje medicinskih sestara može uzrokovati ozbiljnu depresiju i nisko samopoštovanje. Medicinske sestre koje često doživljavaju lateralno nasilje obraćaju manje pažnje na svoje pacijente i dužnosti sestre, što može rezultirati pogreškama u liječenju ili ozljedama pacijenata. Zaključno, zdravstveno okruženje i njega pacijenata poboljšat će se smanjenjem lateralnog nasilja.
Introduction: The unethical behavior of students on exams represents a serious challenge for the education system. This disturbing trend requires immediate attention and the implementation of ...appropriate measures to raise awareness about the importance of academic integrity and promote ethical awareness among students.
Objective: Examine the unethical behavior of students on exams.
Subjects and methods: The study involved students from the Medical School in Šibenik. Out of the total number of participants, 155 students took part, with 75 (48,4%) specializing in general nursing, and 80 (51,6%) in pharmaceutical studies. The participants completed a questionnaire based on the Šimić Šašić and Klarin model (2009).
Results: The results showed a high percentage of cheating during knowledge assessments. A total of 81,9% of respondents admitted to cheating at least once. In the domain of attitudes towards the acceptability of cheating, 52,9% of respondents agreed that cheating is entirely natural and inherent to human nature. Regarding different grades, fourth-grade students significantly held a stronger attitude toward the acceptability of cheating compared to students from other grades. Regarding reasons for cheating, the most common internal reason, stated by 50,4 % of respondents, was insufficient time for studying, while 49.6% cheated to help a friend, and 49% cheated to achieve good grades. External reasons for cheating, such as weak supervision, were mentioned by 52,9% of respondents, unfairness by 52,2%, and difficulty of the exam by 49% of respondents. Female respondents exhibited more pronounced internal and external reasons for cheating compared to male respondents. Conclusion: The research confirmed that academic dishonesty is a routine occurrence among students. The students themselves do not view cheating as ethically wrong and rationalize it in numerous ways.
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