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Search Results: 1 - 10 of 718 matches for " Koci? Sanja "
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Climate variations: Risk factor of commiting suicide
Mili? ?aslav,KociSanja,Radovanovi? Sne?ana
Medicinski Pregled , 2011, DOI: 10.2298/mpns1104202m
Abstract: Introduction. Recently there have been more and more attempts at getting into connection the frequency of suicide with climate factors, humidity changes, atmospheric pressure. A large number of authors agree that suicide has meteorological character and that weather can be a provoking factor in suicidal persons. Suicides happen most frequently when the weather is warm, stable, and sunny; then, when it is rainy, cloudy and with high humidity, and least frequently when the atmospheric pressure and temperature are decreased accompanied with wind. Climate variations and suicide. Men who commit suicide show a significant, positive connection with indicators of temperature and exposure to sun, and a significant, negative connection with indicators of humidity and rainfall. Women who commit suicide show a less significant connection with climate variations - indicators. Violent and non-violent suicide. Regarding violent and nonviolent suicide, it has been proved that violent suicide is affected by environmental temperature, sunny intervals, raise in temperature in the previous few weeks. Higher envi-ronmental temperature and increase in air temperature in the previous few weeks are the most significant climate factors influencing the violent suicide rate. In addition, each degree exceeding 18°C increases the violent suicide rate by 3.8-5%. Conclusion. The result of many investigations of the influence of climate factors on committing suicide is that the suicide incidence reaches its peak during early summer. Also, the sun radiation the day before suicidal event is significantly connected with the increased suicidal risk. There is a difference between sexes. If the sun were a trigger, men would have to be exposed to it for a longer time than women.
General characteristics of psychoactive substances consumption and abuse among high school population
Radovanovi? Sne?ana,Mili? ?aslav,KociSanja
Medicinski Pregled , 2010, DOI: 10.2298/mpns1010616r
Abstract: Introduction. Consumption of psychoactive substances among the youth is suggestive of a trend indicating an accelerated and continual growth of the tendency in question. This research was aimed at investigating the frequency of psychoactive substance consumption among high school students on the territory of the town of Kragujevac so that the adequate measures on prevention should be taken. Material and methods. Data from the questionnaire answered by high school student attending the 1st and 4th grade of the medical, technical and economic high schools in Kragujevac were thereby used. The survey included the overall number of 1280 students: there were 793 (62%) male participants and 487 (38%) female. The research was conducted from October 2007 until January 2008. The questionnaire from the project 'Health Status, Health Needs and Utilization of Health Care of the Population of Serbia' conducted by the Institute of Public Health of Serbia 'Dr Milan Jovanovi Batut' in 2000 was used in the survey. Results and Discussion According to the answers, alcohol was used by 45.5%, cigarettes by 20.% and drugs by 3.1% of the examined subjects. Following the use of alcohol and cigarettes, the most often used psychoactive substance was cannabis, which was consumed by 7.8% of the examined subjects out of who 9.8% were boys and 4.8% were girls. Since the risky behavior seems not to be isolated and individual, but rather as a combination of several forms of it, school programmes should treat young people before certain forms of behavior are established. Family, school, health service and society should work on an organized basis as well as methodically on prevention and on fighting against these inadequate habits.
Influence of demographic and socioeconomic characteristics on the quality of life
Grbi? Gordana,?oki? Dragoljub,KociSanja,Mitra?inovi? Dejan
Srpski Arhiv za Celokupno Lekarstvo , 2011, DOI: 10.2298/sarh1106360g
Abstract: Introduction. The quality of life is a multidimensional concept, which is best expressed by the subjective well-being. Evaluation of the quality of life is the basis for measuring the well-being, and the determination of factors that determine the quality of life quality is the basis for its improvement Objective. To evaluate and assess the determinants of the perceived quality of life of group distinguishing features which characterize demographic and socioeconomic factors. Methods. This was a cross-sectional study of a representative sample of the population in Serbia aged over 20 years (9479 examinees). The quality of life was expressed by the perception of well-being (pleasure of life). Data on the examinees (demographic and socioeconomic characteristics) were collected by using a questionnaire for adults of each household. To process, analyze and present the data, we used the methods of parametric descriptive statistics (mean value, standard deviation, coefficient of variation), variance analysis and factor analysis. Results. Although men evaluated the quality of life with a slightly higher grading, there was no statistically significant difference in the evaluation of the quality of life in relation to the examinee’s gender (p>0.005). Among the examinees there was a high statistically significant difference in grading the quality of life depending on age, level of education, marital status and type of job (p<0.001). In relation to the number of children, there was no statistically significant difference in he grading of the quality of life (p>0.005). Conclusion. The quality of life is influenced by numerous factors that characterize each person (demographic and socioeconomic characteristics of individual). Determining factors of the quality of life are numerous and diverse, and the manner and the strength of their influence are variable.
Attitudes and behavior of students related to reproductive health
Radovanovi? Sne?ana,KociSanja,?orak Marija,Mili? ?aslav
Medicinski Pregled , 2010, DOI: 10.2298/mpns1012859r
Abstract: Introduction. One of the features of modern societies is the increase of sexual activity among young people. Sexual activity creates new health problems, or to be more exact, it can result in an unplanned pregnancy and disease induced by sexual contact. Material and methods. The data for the study were obtained from the questionnaires filled in by students of the Faculty of Medicine and Faculty of Economics in Kragujevac in 2008. Out of 615 students of both sexes included in this questionnaire, 222 students were from the Faculty of Medicine and 393 students from the Faculty of Economics. The questionnaire was designed at the Institute for Public Health ”Dr Milan Jovanovic Batut” in 2000 for the project ”Health condition, health needs and using of health protection by population in Serbia”. Results. The research showed that 41.6% of the students included in the questionnaire had sexual relations; 69.1% of female and 30.9% of male students had sexual experience, i.e. one third and two thirds of the interviewed students attending the Faculty of Economics and of Medicine, respectively. The reason for having the first sexual intercourse was love in 50.4%. Almost 80% of the interviewees used a condom during the first sexual contact. According to the answers, 71.9% of the study sample had one sexual partner. More than half (51.6%) of the students having sexual relations did not use contraceptives. Contraceptives were used more frequently by the students of Medical Faculty (54.3%) than those from the Faculty of Economics (45.7%). Conclusion. In order to prevent multiple consequences of ignorance and risky behavior, it is necessary to inform and educate young people about the reproductive health.
Out-hospital morbidity of population in Shumadia district
Radovanovi? Sne?ana,KociSanja,Ni?iforovi? Jovan,Radevi? Svetlana
Medicinski Pregled , 2012, DOI: 10.2298/mpns1212516r
Abstract: Introduction. The aim of this paper was to analyze out-hospital morbidity of population in the district of Shumadia and to identify the priority health problems. Material and Methods. The data source were the Reports on diseases, conditions and injuries provided by Department of General Medicine, Department of Preschool and School children Health Care and Department of Women’s Health Care at Health Care Centres in the district of Shumadia for the period from 1999 to 2008. Results. Cardiovascular diseases account for 22.4% of morbidity in the district of Shumadia, thus taking the leading place in the morbidity structure according to Departments of General Medicine. However, pulmonary diseases are the most frequent ones in pre-school and school children and diseases of genitourinary system in females account for more than a half (63.9%) of the total morbidity in the Departments of Women’s Health Care. Conclusion. As the mass non-contagious diseases are dominating in the morbidity and mortality structure of population in the district of Shumadia, it is necessary to intensify promotionalpreventive measures and activities in order to improve the health status of the population and to solve the priority health problems.
Inflammation in knee osteoarthrosis: Cause of aggravation
?ivanovi? Sandra,Nikoli? Sandra,Jevti? Milorad,KociSanja
Medicinski Pregled , 2010, DOI: 10.2298/mpns1010668z
Abstract: Introduction. Knee osteoarthrosis is a degenerative disease which induces intense trouble. Material and methods. The aim of the study was the parallel analysis of clinical and ultrasound examination in patients diagnosed with knee osteoarthrosis. A group of 88 patients underwent the clinical examination and the outflow and size of flexion were determined, the intensity of pain was assessed by the patient's mark on VAS, the functional ability by HAQ index, and the size of effusion and synovitis by arthrosonography. Results. The minimal outflow was diagnosed in 34.1% of patients, medium in 22.7%, and significant in 4.5%. Synovitis was evident in 67% of patients, 17.0% had nodular, 30.7% diffuse and 19.3% nodular-diffuse type. Effusion was observed in 75% of patients. The average size of synovitis in suprapatellar recess (SR) in the patients with significant, medium and lateral outflow was 6.68 (2.93-10.04) mm (p=0.000), 1.57 (0-5.53) mm (p=0.006) and 6.18 (3.44-7.10) mm (p=0.000), respectively. The grade of pain on VAS was the highest in patients with significant outflow 70(60-95) (p=0.014), effusion 60 (50-80) (p=0.024) and nodular type of synovitis 70 (50-90) (p=0.029). There was a significant correlation on VAS in the positive direction with the size of effusion (r=0.238, p=0.025) and synovitis in LR (r=0.215, p=0.044), HAQ index (r=0.502, p=0.000), and in the negative direction with the size of flexion (r=-0.346, p=0.001). The average size of flexion in the patients with significant outflow was 90 (82.5-90)°(p=0.000), HAQ index 1.99 (1.49-2.30) (p=0.078). HAQ index depended on effusion in LR in the positive direction (p=0.014). Discussion and Conclusion. Clinically significant outflow is shown by arthrosonography as the biggest in SR, moderate and minimal only in LR. Moderate or significant outflow, effusion and nodular type of synovitis lead to intensive pain. Patients with bigger functional disability had intense pain, significant outflow in LR and significantly limited motions.
Scoliosis in school children aged from 7 to 8 and conditions in primary and secondary schools in Kragujevac
?onovi? Nela,Mili? ?aslav,KociSanja,Radovanovi? Sne?ana
Medicinski Pregled , 2009, DOI: 10.2298/mpns0910445d
Abstract: Introduction. Scoliosis, a lateral curvature of the spine, is the most frequent deformity of the spinal column. It is additionally aggravated by the inadequate environmental conditions in schools, such as unadjusted furniture, teaching aids and most of all, school bag and bad lighting. Material and methods. This investigation was carried out during the years 2005 and 2006 on the territory of the city of Kragujevac and included school children attending 22 primary and 8 secondary schools, whose medical records were obtained from school children health centres, the counseling centre for scoliosis at the Orthopedic Department of the Hospital in Kragujevac and the Institute of Public Health in Kragujevac. Results. The statistical analysis of these data showed that a significantly higher number of children with scoliosis was detected in 2005, being χ2=11.6, p<0.01 for primary schools. Scoliosis was more frequent in girls than in boys: in 2005 it was χ2=10.54, p<0.01 and in 2006 χ2=10.72, p<0.01 in primary schools, whereas no difference was found in secondary schools in 2005 -c2=4.14, p>0.05, but in 2006 scoliosis was more frequent in girls χ2=49.51, p<0.01. Conclusion. Scoliosis is extremely important in both primary and secondary schools and therefore, it is necessary to intensify preventive systematic examinations of school children.
Sex as suicidal risk factor
KociSanja,Radovanovi? Sne?ana,Vasiljevi? Dragan,Milosavljevi? Mirjana
Medicinski Pregled , 2012, DOI: 10.2298/mpns1210415k
Abstract: Introduction. The rates of suicide are two to three times higher in men than in women in all communities. This “gender paradox” can be explained by various factors, such as more impulsive nature of men and their choice of more efficient (more lethal) methods to commit suicide. This study was aimed at finding the correlation between the gender and other suicidal factors. Material and Methods. The study sample consisted of persons who committed suicide on the territory of Kragujevac in the period from 1996 to 2001. This study was based on the records kept by the Ministry of the Interior as well as by the Psychiatric Clinic of the Clinical Centre ”Kragujevac”. Data for weather were obtained from the Serbian Meteorological Institute reports. Results. During the analyzed period 121 suicides were committed on the territory of Kragujevac. The gender structure showed that within persons who committed suicide there were 78.5% men and 21.5% women (p<0.01). As for diseases which had existed before suicide, women suffered from the underlying psychic disorder in 65.3%, while 50.5% of men had both a psychic disorder and addiction problem. Hanging was the most frequently used method by both men and women (57.9% and 65.4%, respectively); and home was chosen as the place to commit suicide by 49.5% men and 42.3% women. Both men and women had a behaviour disorder before suicide, in 75.8% and 88.4% of the cases, respectively, (p<0.01). The dominating motive was a disease in 17.9% of men, whereas family problems prevailed in 11.5% of women (p<0.01). Conclusion. There is a statistically important difference between men and women considering pre-suicidal behaviour, suicidal motive and suicidal frequency.
The level of knowledge of students of medical faculty kragujevac about nosocomial infections
Ili? Milena D.,Markovi?-Deni? Ljiljana N.,Radojkovi? Aleksandra,KociSanja
Srpski Arhiv za Celokupno Lekarstvo , 2003, DOI: 10.2298/sarh0304168i
Abstract: OBJECTIVE: To investigate differences in clinical and pre-clinical medical students' knowledge of nosocomial infections (NI). DESIGN: Cross-sectional survey. RESULTS: Questionnaires were answered and returned by 352 of 453 student (77.7 %). The results indicated that students knew the definition of NI (70.1 % correct answers) and their reservoirs (86 %). The bacteria as etiological agents was the most frequent answer (76.4 %), but 30.9 % students did not knew at least one multidrug-resistant bacteria. About one half of the students (54.4 %) knew that contact was the most frequent mode of NI transmission, but hand washing as preventive measure was cited by only 18.8 % of students. Significantly statistical differences about NI in our country, etiology NI and preventive measures, and perception of risk for transmission of hepatitis B for health-care personnel were founded by year of training, by expectation that final-year medical students as more successfully, while pre-clinical students knew more about mode of NI transmission. Pre-clinical students who had previously finished nursing school knew more about multidrug-resistant bacteria than those who had finished some other secondary school, but showed a lower knowledge about definition and most important preventive measures of NI. Clinical students who had previously finished nursing school knew more about frequency NI in our country, reservoirs and preventive measures of NI than those who had finished some other secondary school. CONCLUSION: Data support the need for additional information about nosocomial infections, especially practical work in prevention, in order to get complete knowledge about nosocomial infections.
Age as a risk factor for suicide
KociSanja S.,Mili? ?aslav T.,Grbi? Gordana G.,Pla?i? Aleksandar H.
Vojnosanitetski Pregled , 2008, DOI: 10.2298/vsp0805371k
Abstract: Background/Aim. World Health Organization (WHO) in its plan for health policy until the year 2010, has taken reduction of risk factors of suicide as its 12th aim. Because of the fact that the problem of suicide is also significant health problem in our society, the aim of this study was to examine the influence of life period as a risk factor for suicide in the area of the town of Kragujevac. Methods. In total 211 persons, both sexes, aged between 17 and 91 years, from the area of the town of Kragujevac, who had been committed a suicide during the period from 1996 to 2005, were included in a retrospective study. This study included the analysis of: conditions prior to suicide, locations of suicide, motives for suicide, the ways of committing suicide. For statistical analysis χ2 test and univariante regression model were used. Results. Average rate of suicide, in analyzed period, moved from 8.7 to 27 with a mean value of 14.6± 6.9. Suicide rates were the lowest in the age group from 15 to 24 years and the highest in the age group above 65 years (p < 0.05). Among the presuicidal conditions, within any age groups the presence of mental disease dominated as a factor for suicide, but within the oldest one in which organic diseases prevailed as a factor for suicide (p < 0.05). Statistically significant fact is that a house (flat) was the main location for committing suicide in any age groups. Motives for suicide were significantly different within the groups and they were mostly unknown. Committing suicide by hanging was the most frequent way of suicide among any age groups. Univariant regression analysis failed to show any impact of age on the analyzed factors. Conclusion. Because of the fact that an average rate of suicide in elderly increases it is obligatory to primarily determine risk factors for suicide among people more than 65 years of age. Physicians should play the most important role in that.
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