Recruitment and retention of public health workers (PHWs) is crucial for the optimal functioning of the public health system at a time of budget cuts and the threat of a pandemic. Individual and ...job-related variables were examined by univariate and multivariate logistic regression to identify predictors of the intention to leave a job during the COVID-19 outbreak among Serbian PHWs in 25 institutes of public health (n = 1663 respondents, of which 73.1% were female). A total of 20.3% of PHWs intended to leave their current job within the next five years. Males and persons aged younger than 55 years who had additional practice were more likely to report an intention to leave their job than females, those older than 54 years and those without additional work. While uncertainty and fear of infection during the COVID-19 pandemic were almost perceived as job attractiveness, other job-related characteristics were identified as significant barriers to maintaining the sufficient capacity of qualified PHWs in the future. Authorities need to address these factors, including the following: the feeling of tension, stress or pressure, and unavailability of information during the COVID-19 pandemic, as well as dissatisfaction with respect, valuation, and the job in general.
Introduction. Primary breast angiosarcoma is a very rare tumor and accounts
for 0.04% of all breast malignant tumors and most commonly occur in young
women. Kasabach-Merritt syndrome (KMS) is ...described as consumption
coagulopathy with thrombocytopenia, and without adequate therapy almost
certainly leads to a very fast lethal outcome. Case report. We present a
rare case of 60-year-old postmenopausal woman with metastatic primary
angiosarcoma of the breast associated with a picture like Kasabach-Merritt's
syndrome (thrombocytopenia and anemia without the coagulation factor
disorder with massive bleeding in the tumor). Conclusion. Primary breast
angiosarcoma in postmenopausal women is a very rare tumor, and may be
associated with anemia and thrombocytopenia without other laboratory
parameters for Kasabach-Merritt's syndrome. Anemia and thrombocytopenia are
refractory to standard treatment protocols, and also significantly reduces
the quality of life of these patients. The literature contains only a few
cases of Passociated with thrombocytopenia or with KMS and there are no
clear defined protocols for the treatment of these patients, which requires
the presentation of as many cases as possible.
Common Ground Issavi, Justine; Pawłoska, Kamilla; Vasic, Milena ...
Near Eastern archaeology,
06/2020, Letnik:
83, Številka:
2
Journal Article
Recenzirano
Open spaces at Çatalhöyük are at once simple and multifarious. We use familiar terms to refer to them. At times we conflate them with the accumulation of discard and waste, and at other times we ...frame them as an extension of the domestic sphere. Yet these portrayals inevitably fall short of encapsulating the intricacy of open spaces in the Neolithic architectural landscape. As the common physical and social setting for the inhabitants of Çatalhöyük, open spaces represent materialized consensus. This study highlights the multiplicity and complexity of open spaces. It also emphasizes how the Neolithic inhabitants of Çatalhöyük fashioned and engaged with their built environment through time. Beyond serving as proxies for changing social structures and ownership regimes, the use and development of open spaces can inform our understanding of responses to the challenges of long-term sedentism.
In addition to the nutritional value, cheese and other fermented milk-based products are a good source of biologically active proteins and peptides. Bioactive peptides in cheese are mainly formed ...during cheese production, especially during ripening, which is one of the most important stages in cheese production. Since the ripening process differ significantly depending on the cheese type, it can be assumed that their bioactivity is also substantially different. White brined cheeses are specific for the region of South-Eastern Europe. They are characterized by relatively intensive proteolysis and as such may be of interest as products with favorable functional characteristics. Yet, their functionality is still insufficiently characterized. This paper presents an overview of the current knowledge on white brined cheese’s bioactive peptides.
This research is focused on proteolysis and total antioxidant capacity of proteins of white brined cheese prepared from overheated (90 °C, 10 minutes) cow milk. White brined cow cheese of overheated ...milk went through specific proteolytic changes during ripening that were result of high level of whey proteins incorporated into the gel matrix. Specificity was reflected through the relatively low level of soluble nitrogen fractions, the intensive and continual decrease of αs-caseins up to 15.42 % of initial content, slow degradation of β-casein throughout the whole ripening period and high level of proteolytic products tightly bounded into gel matrix. Strong negative correlations (-0.97, -0.98 and -0.91; p<0.05) between ripening time and resudual αs-caseins, β-casein and low molecular weight products were observed. Proteolysis also affected the total antioxidant capacity of both water soluble and water insoluble nitrogen fractions, but to different extents and with different trends. Total antioxidant capacity of water insoluble fraction increased slowly during the whole ripening period, wherease significant improvement of total antioxidant capacity of water soluble fraction started after 30 days of ripening. These findings could be useful for better understanding and control of the white brined cow cheese production.
Sirevi kao i drugi fermentirani proizvodi na bazi mlijeka, osim izražene nutritivne vrijednosti, predstavljaju i dobar izvor biološki aktivnih proteina i peptida. Bioaktivni peptidi sira najvećim ...dijelom nastaju prilikom proizvodnje sira, a posebno tijekom zrenja, kao jedne od najznačajnijih faza u procesu proizvodnje. Kako se proces zrenja različitih tipova sira bitno razlikuje, može se pretpostaviti da se i njihova bioaktivnost bitno razlikuje. Bijeli sirevi u salamuri specifični su za podneblje Jugoistočne Europe, a odlikuju se dosta intenzivnim procesima proteolize te mogu biti zanimljivi kao proizvodi s povoljnim funkcionalnim karakteristikama. U tom smislu ovaj tip sira još uvijek nije dovoljno okarakteriziran. Ovaj rad predstavlja pregled dosadašnjih saznanja o bioaktivnim peptidima bijelih sireva u salamuri.
Highly monodisperse silicon nanoparticles (1.57 ± 0.21 nm) are synthesized with a covalently attached alkyl monolayer on a gram scale. Infrared spectroscopy shows that these silicon nanoparticles ...contain only a few oxygen atoms per nanoparticle. XPS spectra clearly show the presence of unoxidized Si and attached alkyl chains. Owing to the relatively efficient synthesis (yields ≈100‐fold higher than of those previously reported) the molar extinction coefficient ε can be measured: εmax = 1.7 × 10−4 M−1cm−1, only a factor of 4 lower than that of CdS and CdSe nanoparticles of that size. The quantum yield of emission ranges from 0.12 (C10H21‐capping) to 0.23 (C16H33‐capping). UV/Vis absorption and emission spectroscopy show clear vibrational progressions (974 ± 14 cm−1; up to five vibrational bands visible at room temperature), resembling bulk SiC phonons, which support the monodispersity observed by TEM. This was also confirmed by time‐resolved fluorescence anisotropy measurements, which display a strictly monoexponential decay that can only be indicative of monodisperse, ball‐shaped nanoparticles.
Highly monodisperse and unoxidized Si NPs (1.57 ± 0.21 nm) are synthesized with a covalently attached alkyl monolayer on a gram scale, confirmed by FTIR and XPS. UV/Vis absorption and emission spectroscopy display clear vibrational progressions (974 ± 14 cm−1; see image), which resembles bulk SiC phonons. Thissupports the monodispersity observed by TEM and time‐resolved fluorescence anisotropy measurements.
Data from developing countries on the rates of kidney disease are scarce. The study aimed to estimate population-based prevalence of self-reported kidney disease (SRKD) in Serbia, describe ...co-occurrence of chronic diseases/conditions/functional limitations in respondents with SRKD and explore association between SRKD and possible risk factors.
We performed a secondary analysis of 2013 National Health Survey data. Data on a total of 14,587 respondents aged 15 years or older were analyzed using means of descriptive statistics, principal component analysis and logistic regression analysis.
Out of all study respondents, 5.6% (95%CI 5.2-6.0) reported presence of kidney disease. Prevalence of all analyzed morbidities and functional limitations was higher in respondents with SRKD, and they had 8 times higher likelihood of being diagnosed with cirrhosis, 6.3 times higher likelihood of being diagnosed with urinary incontinence, more than 3 times higher likelihood of being diagnosed with degenerative disorder of bone and joint system. For cardiovascular diseases we obtained odds ratios (ORs) from 2.27 (95%CI 2.32-3.44) for heart attack to 2.95 (95%CI 2.43-3.57) for coronary heart disease. Number of co-occurrence patterns of kidney and other chronic diseases/conditions varied depending on inclusion of obesity in models. Logistic regression analysis showed that age explained most part of variability in the prevalence of SRKD and in the prevalence of two morbidities in respondents with SRKD, whereas the presence of three or more morbidities were associated with female gender, aging and low education level.
Our study provided evidence that the presence of kidney disease was significantly associated with socio-demographic, lifestyle characteristics and a number of morbidities in Serbia. There is a need for integrated care and public health interventions, tackling management of NCDs and their risk factors. Detailed well-designed studies, as part of cost-effective preventive approach, are needed for chronic kidney disease screening.
The WHO recommends a risk management approach to ensure safe drinking-water and sanitation, so-called Water Safety Planning and Sanitation Safety Planning. However, applying these risk management ...approaches separately in small-scale drinking-water supply and sanitation systems might be challenging for rural communities with limited human, financial, and administrative resources. An integrated approach seems a better option. In this study, an integrated water and sanitation safety planning (iWSSP) approach was developed together with guidance and training material for the practical application of this novel approach. The integrated approach was piloted in three small systems in rural Serbia to identify benefits and suggestions for improvement which can be used for potential future scaling-up. Implementing iWSSP at the pilot sites contributed to a better understanding of both drinking-water supply and sanitation systems. It also resulted in increased awareness, knowledge, and understanding among staff of drinking-water supply and sanitation services. Key experts, including external facilitators, played a crucial role in the implementation of iWSSP. Future scaling-up of the integrated approach could be enabled if more guidance, easy-to-use training materials and templates become available which can be adapted and updated as needed.
The product of health system and its employees is health service whose quality is related to the satisfaction and motivation of people working in health system. The objective of this study was to ...assess and compare satisfaction with different aspects of work among different categories of employees in healthcare facilities on primary, secondary and tertiary level of health care in Nisava and Toplica districts.
The study was conducted as a one-day study in 15 healthcare facilities on primary level, in two public hospitals and 27 clinics of Clinical Centre of Nis, using anonymous questionnaire. Out of 3,892 employees, who took part in this study, 2,227 were from primary and 1,665 were from secondary and tertiary level.
All employees on primary level are more satisfied with the majority of aspects of job comparing with employees on secondary and tertiary level of health care. Administrative staff is in general more satisfied with all aspects of job comparing with other categories of employees. All employees on secondary and tertiary level are more physically and psychically exhausted than employees on primary level of health care. Health workers on secondary and tertiary level are most psychically exhausted.
There is a difference in satisfaction with different aspects ofjob in different categories of employees, and on different levels of health, in healthcare facilities in Nisava and Toplica districts. Employees of healthcare facilities on primary level of health care are in general more satisfied than employees on se-condary and tertiary level of health care.
PDF
