Health status of soldiers affects their quality of life and combat readiness. The aim of the research was to explore the differences in health-related quality of life (HRQoL) between combat ready und ...unready soldiers and to what extent are clinically assessed combat readiness and psychological dimensions related to self-reported HRQoL. The study included 402 consecutively selected soldiers aged 21 to 54 (mean age 35.3 +/- 6.0) who were classified on the basis of a regular health examination as combat ready (N=327) and unready (N=75). HRQoL was assessed using the Short Form-8 Questionnaire and psychological dimensions using the Brief Symptom Inventory. There were no significant differences in physical and mental components of HRQoL between combat ready and unready soldiers. Clinically assessed combat readiness and psychological symptomatic dimensions were weak predictors of HRQoL. Higher intensity of psychoticism and less years in military service were the only significant predictor of higher physical component of HRQoL (p=0.027 and p=0.020, respectively) but accounted for low variability (each 1%). None variable was a predictor of mental component. In conclusion, clinically assessed combat readiness of soldiers and psychological symptomatic dimensions are poor predictors of HRQoL. HRQoL should be introduced in evaluation of combat readiness.
To determine the predictive value of dental readiness and psychological dimensions for oral health-related quality of life (OHRQoL) in Croatian soldiers.
The sample consisted of 402 consecutive ...soldiers aged 21 to 54 years classified into the following groups according to dental readiness: Class 1 - not requiring dental treatment (N=54), Class 2 - unlikely to need emergency treatment within 12 months (N=205), and Class 3 - very likely to need treatment within 12 months (N=143). OHRQoL was assessed by the Oral Health Impact Profile and psychological dimensions by the Brief Symptom Inventory and Dental Anxiety Scale.
Multivariate analysis showed that Class 3 soldiers had higher frequency of psychological discomfort, psychological disability, and physical pain and handicap than Class 1 soldiers (P=0.019). Multiple linear regression showed that longer military experience, higher level of dental anxiety, and dental unreadiness were significant predictors of lower OHRQoL (P<0.050) but accounted for low variability. None of the single psychological symptomatic dimensions was a significant predictor of OHRQoL.
Although this study found a moderate association between OHRQoL and clinical, military, demographic˝, and psychological variables, the significant predictors could be used as a basis for further research of clinical and psychosocial factors of OHRQoL.
A retrospective study about the incidence of malaria in Croatia in the period from 1987 to 2006 based on the official data of the Croatian National Institute of Public Health. In this period there ...were 201 cases of malaria registered in Croatia. The majority (79.6%) were imported from Africa, a significantly lower number from Asia (17%), and several cases from South America or from unknown locations. One case ended in death. The causative agents determined are Plasmodium falciparum (64.7%), Plasmodium vivax (19.9%), Plasmodium malariae (2.0%), Plasmodium ovale (0.5%), and mixed infections (6.0%). The causative agent was not discovered in 6.9% of the cases. Chemoprophylaxis was given to patients in regular intervals and correctly in 23.3% of the cases, in irregular intervals in 8.0% of the cases, incorrectly in 9.5% of the cases, in 9.5% the manner of application is unknown, and the remaining 48.7% did not use chemoprophylaxis. Approximately 70% of the patients are seamen, and the remaning are workers temporarily working in tropical countries and tourists. In conclusion, authors argue in favour of prevention measures in persons who stay in malarious areas, by providing them with information about the disease, applying permanent prophylaxis and rigorous control, as well as monitoring all persons arriving from risky areas. On account of the danger of the possible reintroduction of malaria and spreading imported causative agents, we should focus our attention primarily on the early detection and appropriate therapy of infected cases from abroad.
In order to estimate the transmission risk of measles and mumps viruses and a possible change in the strategy of vaccination against these infectious diseases, seroprevalence of antibodies to measles ...and mumps was determined in the population of young adults, i.e. in the recruits of the Croatian Army. Factors that may influence the state of immunity were analyzed as well. The study was performed during 1995 and 1996, comprising a total of 300 recruits. The serological part of the study included 260 conscripts. The status of antibodies was evaluated using commercially available ELISA tests for the detection of IgG antibodies in blood. Seronegativity rates measured 40.80% for measles and 8.80% for mumps. With regard to specific age groups (18-19; 20-24; over 25) seronegativity rates were similar for both diseases in all subjects. It has been confirmed by this study that the place of birth and residence does not have any significant influence upon the rate of infections in the recruits. The results of the study show that there is a very high risk of measles and mumps infection in the military. This finding indicates that the introduction of additional vaccination for the high-risk population groups should be considered, against measles in particular. The detected differences in the degree of immunity to measles and mumps (vaccination of which is performed simultaneously) indicate a need for additional epidemiological and serological studies that should be performed using other laboratory techniques. The fact that soldiers do not have medical records on vaccination, and that anamnestic data on disease contraction and vaccination are unreliable, suggests that the regulations on the keeping of vaccination records in Croatia should be implemented in a more consistent way.
U radu autori iznose medicinske bolesti skladatelja. Većina skladatelja umrla je od kroničnih ne zaraznih bolesti, od raka, srčanog i moždanog udara uglavnom u starijoj dobi (75 skladatelja, ...doživljavanje je 75,1 god., u postocima 90,36%). Pneumonije su zbog dugovječnosti vjerojatno bile zadnji stadij kroničnih bolesti. Ostale zarazne bolesti su se događale kod mlađih ljudi kao i samoubojstva i pogibanja u logorima (8 skladatelja, prosječno doživljavanje je 52,5 god., u postocima 9,64 % skladatelja); (sveukupno: 83 skladatelja, prosječno doživljavanje je 72.9 god., u postocima 100% skladatelja).
Glavna karakteristika ulkusa je usporena tendencija cijeljenja. najčešći uzroci ulkusa na potkoljenici su kronična venska insuicijencija, periferna okluzivna bolest arterija, dijabetes, neuropatija i ...kombinacija više navedenih čimbenika. odabir terapije ovisi o etiologiji kronične rane. Unatoč postignutom napretku na području dijagnostike i terapije, kronična rana jest i dalje terapijski izazov. Autori prikazuju rezultate ankete provedene u Zagrebu u razdoblju od šest mjeseci u 2014 godini. Anketa je provedena u organizaciji gradskog ureda za zdravstvo grada Zagreba i Referentnog centra za kronične rane MZ-a Rh Klinike za kožne i spolne bolesti KBC "Sestre milosrdne" u kojoj ukazujemo na zastupljenost pojedinog tipa ulkusa s obzirom na etiologiju, dob i spol. Rezultati ankete ukazuju i na prosječno vrijeme trajanja pojedinog tipa ulkusa. Dobiveni su rezultati o učinjenom dvostrukim obojenim ultrazvukom i provođenju kompresivne terapije u skupini bolesnika s venskim ulkusom.
Aim To determine the predictive value of dental readiness
and psychological dimensions for oral health-related quality
of life (OHRQoL) in Croatian soldiers.
Methods The sample consisted of 402 ...consecutive soldiers
aged 21 to 54 years classified into the following
groups according to dental readiness: Class 1 – not requiring
dental treatment (N = 54), Class 2 – unlikely to need
emergency treatment within 12 months (N = 205), and
Class 3 – very likely to need treatment within 12 months
(N = 143). OHRQoL was assessed by the Oral Health Impact
Profile and psychological dimensions by the Brief Symptom
Inventory and Dental Anxiety Scale.
Results Multivariate analysis showed that Class 3 soldiers
had higher frequency of psychological discomfort, psychological
disability, and physical pain and handicap than Class
1 soldiers (P = 0.019). Multiple linear regression showed
that longer military experience, higher level of dental anxiety,
and dental unreadiness were significant predictors of
lower OHRQoL (P < 0.050) but accounted for low variability.
None of the single psychological symptomatic dimensions
was a significant predictor of OHRQoL.
Conclusion Although this study found a moderate association
between OHRQoL and clinical, military, demographic
˝, and psychological variables, the significant predictors
could be used as a basis for further research of clinical and
psychosocial factors of OHRQoL.
Cilj studije bio je utvrditi razloge za vađenje zuba među vojnim osobljem i civilima tijekom rata u Hrvatskoj. Podaci iz vojne zubne ambulante smještene na prvoj bojišnici uspoređeni su s podacima ...ambulante iz obližnjega grada Senja. Ispitanici su podijeljeni u tri dobne skupine (18-29, 30-39 i 40-49 godina) prema Međunarodnoj klasifikaciji bolesti. U statističkoj analizi primijenjen je χ2-test. Kod civilne populacije prevladavalo je vađenje zuba zbog kvarenja ili parodontne bolesti, dok je kod vojnog osoblja više zuba izvađeno zbog traume te zbog endodontne i periapikalne bolesti (p<0,05 oboje). Kod vojne populacije nije bilo statistički značajne razlike između lijeve i desne strane usne šupljine, kao ni između zuba gornje i donje čeljusti. Kod vojne populacije glavni uzroci gubitka zuba su zapuštenost zuba i nedostatno vrijeme za sveobuhvatnu terapiju (endodontsko, parodontno ili protetsko liječenje). Utvrđena je potreba obrazovanja kako vojnog osoblja tako i vojnih stomatologa.
PDF
