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المؤلفون: Milena Santric-Milicevic, Zorica Terzic-Supic, Zeljka Stamenkovic, Jovana Todorovic, P Piperac, Bosiljka Djikanovic
المصدر: European Journal of Public Health. 29
مصطلحات موضوعية: Gerontology, Life style, business.industry, 4. Education, Public Health, Environmental and Occupational Health, Physical activity, 030229 sport sciences, Physical activity level, 03 medical and health sciences, 0302 clinical medicine, Intervention (counseling), Social media, The Internet, 030212 general & internal medicine, Young adult, business, Psychology, Students medical
الوصف: Background Physical activity level decreases during the transition from late adolescence to young adulthood. Social media are nowadays widely used and part of many people’s daily routines and the interventions on these websites have the possibilities to be integrated into those routines without becoming a burden. The aim of this study was to assess physical activity level among medical students and to assess the possibilities of using social media intervention with an aim to improve physical activity among them. Methods Prospective study was conducted during October of 2016 at the Faculty of Medicine, University of Belgrade, Serbia. The study included 375 first and fifth-year students. At the baseline, students filled in the questionnaire regarding social and lifestyle characteristics as well as their physical activity. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). After completing the questionnaire, students were asked to join a Facebook discussion group. The intervention consisted of motivation for physical activity through motivational pictures, texts, and discussions. The second assessment was done after one month. Based on the reported physical activity level students were divided into two groups: sufficient (>600MET-minutes/week) and insufficient physical activity (≤600 MET-minutes/week). Results Total of 85.4% of students were sufficiently active at the baseline, while 90.4% were sufficiently active after one month. Multivariate logistic regression analysis showed that students who were part of the Facebook group (OR: 3.51, 95% CI: 1.46-8.43) and students who had sufficient physical activity at the baseline (OR: 5.44, 95% CI: 2.44-12.13) had a higher likelihood to be sufficiently active after one month. Conclusions Social media can be used for interventions targeting lifestyle change among young adults and activities on these websites can be adjusted to meet the needs of the target population. Key messages Intervention on social media could lead to lifestyle change. Interventions on social media could be adjusted to fit the target population.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::140dfe0b85719e8d53d267f5b53d3641Test
https://doi.org/10.1093/eurpub/ckz186.469Test -
72
المصدر: European Journal of Public Health. 29
مصطلحات موضوعية: 03 medical and health sciences, 0302 clinical medicine, business.industry, 030503 health policy & services, Dental health, Environmental health, Public Health, Environmental and Occupational Health, Medicine, 030212 general & internal medicine, 0305 other medical science, business, 3. Good health
الوصف: Background Changes in the health insurance law in 2005 led to the changes in the organization of the provision of dental health care in Serbia. Prior to this law, dental health care was available for every resident covered by mandatory health insurance without additional out-of-pocket payments. Now the dental health care is available only for children under the age of 18, students under the age of 26, pregnant women and for emergency dental care. The aim of this study was to assess the prevalence of unmet dental health care needs among adults and to assess the factors associated with unmet dental health care needs. Methods The study was the secondary analysis of the data from the Survey on income and Living conditions in Serbia, conducted during 2017. Multivariate logistic regression analysis was used to assess the association of unmet dental health care needs and socio-demographic and socio-economic factors. Results Total of 1718/12437 (12.1%) adults reported unmet dental health care needs. The main reason reported was not being able to afford it (1014/1718, 59.0%), along with the fear of doctors or hospitals (260/1718, 15.5%). Multivariate logistic regression analysis showed the association of unmet dental health care needs and being employed (OR: 1.50, 95% CI: 1.24-1.80), unemployed (OR: 1.96, 95% CI: 1.65-2.33), having primary (OR: 1.47, 95% CI: 1.16-1.86), or secondary education (OR: 1.43, 95% CI: 1.21-1.69), being divorced (OR: 1.47, 95% CI: 1.17-1.85), having good (OR:1.44, 95% CI: 1.20- 1.74), average (OR: 2.36, 95% CI: 1.91-2.92), poor (OR: 2.29, 95%CI: 1.77-2.97), or very poor general health (OR: 2.42, 95% CI: 1.68-3.48), having limitation in daily activities (OR: 0.66, 95% CI: 0.60-0.77) and being materially deprived (OR: 1.67, 95% CI: 1.46-1.90). Conclusions The prevalence of unmet dental health care needs in high among adults in Serbia. There is an association between social characteristics and health status with unmet dental health care needs in Serbia. Key messages There is a high prevalence of unmet dental health care needs in Serbia. Unmet dental health care needs are associated with social characteristics and health status.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::779436cde187b9e761fcc1a437172600Test
https://doi.org/10.1093/eurpub/ckz187.145Test -
73
المؤلفون: Natasa Milic, M Gačević, M Šantrić Milićević, Jovana Todorovic, Zorica Terzic-Supic, J. Filipovic
المصدر: European Journal of Public Health. 29
مصطلحات موضوعية: Nursing, Public Health, Environmental and Occupational Health, language, Secondary data, Job satisfaction, Quality of care, Serbian, Rationalization (economics), Psychology, Work pressure, language.human_language, Hospital care
الوصف: Background Rationalization, freezing of salaries and additional taxation of salaries above a certain amount have marked the reform of the public health sector in Serbia in 2014/15. Health managers bear responsibility for success in reform activities, and improvement of subordinates’ job satisfaction and health care quality with constrained resources. This study explored factors associated with work-pressure, turnover intentions and job satisfaction among health managers in 323 public health institutions in Serbia. Methods Data of the 2015 job satisfaction survey of the Ministry of Health and the Serbian Public Health Institute were used to carry out a secondary analysis. Logistic regression was applied, including factors such as age, gender, occupation (doctors, nurses, other health workers, healthcare associates and non-medical managers), workplace, work-conditions’ satisfaction, general job satisfaction, and turnover intention in relation to work-pressure of 7818 health managers (response rate was 91.5%). Results Almost 39.5% of the health managers experienced high/very high work-pressure (p < 0.001), 51.2% were dissatisfied (p < 0.001), and 23.7% had turnover intention outside the health sector/country (p < 0.001). High/very high work-pressure positively correlated with health managers of secondary (Odds Ratio-OR =1.37, p < 0.001) and tertiary care institution (OR = 1.72, p < 0.001), female sex (OR = 1.19, p = 0.004), younger than 55 years of age (OR = 1.26, p < 0.001), and nurses (OR = 1.13, p = 0.024). Other factors showing positive correlations include job dissatisfaction in general (p < 0.001) and with all workplace conditions (p < 0.001), as well as turnover intentions (p < 0.001). Conclusions Work pressure of health managers seems to be perceived highest in the group of younger female nurse executives in hospital care. Their dissatisfaction with the job in general and with the working conditions, as well as turnover intentions positively correlate with the increase of work pressure. Key messages Improving working conditions and job satisfaction is key to reduce work pressure of health managers. Young female nurse managers perceive highest levels of work pressure, and need reinforcement at work.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::0c52bcd03577a7ae100ef0844478dde2Test
https://doi.org/10.1093/eurpub/ckz185.081Test -
74
المؤلفون: Jovana Todorovic, A Maksimovic, Ivan Soldatovic, Zorica Terzic-Supic, S Karic, P Piperac
المصدر: European Journal of Public Health. 29
مصطلحات موضوعية: 03 medical and health sciences, 0302 clinical medicine, 030503 health policy & services, 8. Economic growth, Two step, Public Health, Environmental and Occupational Health, Mathematics education, 030212 general & internal medicine, Burnout, 0305 other medical science, Psychology, Disease cluster
الوصف: Background The burnout is influenced by a variety of personal, work-related and client-related factors, which are included in different domains of Copenhagen burnout inventory (CBI). The aim of this study was to examine if there are different groups of preschool teachers which differ in scores on different domains of CBI. Methods This was the analysis of the data from the survey on burnout on a National representative sample of 456 preschool teachers in Serbia. The study was conducted between October of 2018 and January 2019. The study instrument contained questions on socio-demographic characteristics, workplace environment characteristics, and Copenhagen burnout inventory. We used two-step cluster analysis in SPSS to segment the participants based on age and average scores on personal, work-related and client related domains of CBI. Results Our participants clustered in three distinguished groups: participants aged 35.31 years, who worked in shifts, with personal burnout average of 29.46, work-related burnout average of 24.06 and client related burnout average of 19.46; participants aged 44.09 years, who worked in shifts, personal domain scores of 55.24, work-related burnout scores of 51.72, and client-related burnout scores of 51.13; and participants aged 43.01 years, who did not work in shifts, with personal burnout scores of 36.47, work-related burnout scores of 31.95, and client-related burnout scores of 32.08. Conclusions Participants clustered in three different groups, and the group with the highest average age and with the shift work had higher scores on all three domains compared to other groups. Key messages Preschool teachers clustered in three groups with different scores on domains on burnout. The group with the highest average age had the highest scores on all three domains of burnout.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::300c698ccf71595897e5644e043cd440Test
https://doi.org/10.1093/eurpub/ckz186.328Test -
75
المؤلفون: Jovana Todorovic, Sandra Šipetić-Grujičić, Zorica Terzic-Supic, Vladimir Vasic, Vesna Bjegovic-Mikanovic, Dejana Vukovic, Biljana Obradovic-Tomasevic, Ratko Tomasevic, Milena Santric-Milicevic, Uros Babic
المصدر: International Journal of Environmental Research and Public Health
Volume 16
Issue 17
International Journal of Environmental Research and Public Health, Vol 16, Iss 17, p 3203 (2019)مصطلحات موضوعية: Adult, Male, socio-ecological model, Adolescent, Health, Toxicology and Mutagenesis, prevalence, Poison control, lcsh:Medicine, Violence, Logistic regression, Suicide prevention, Article, Occupational safety and health, Young Adult, 03 medical and health sciences, Social support, 0302 clinical medicine, 5. Gender equality, Injury prevention, health education, Humans, 0501 psychology and cognitive sciences, 030212 general & internal medicine, 10. No inequality, Crime Victims, youth, 05 social sciences, lcsh:R, 1. No poverty, Public Health, Environmental and Occupational Health, Human factors and ergonomics, 16. Peace & justice, 3. Good health, Aggression, Logistic Models, violence victimization, violence prevention, Female, Health education, Psychology, Serbia, 050104 developmental & child psychology, Demography
الوصف: The study identifies the prevalence of violence victimization and the perpetration among youths, and explores the determinants and predictors using a socio-ecological model. The data of 36 variables from a representative sample of 1722 persons, ages 15&ndash
24 years, from the National Health Survey of Serbia in 2013, were analyzed by a multivariate logistic regression modeling. The study shows that 13.4% of youths experienced multi-victimization, while 10.4% were perpetrators of violence. Up to one-third of the victims were violence perpetrators. A small percentage of victims seek family and community support. Predictors of violence among youths were: male sex, households with fewer members, urban settlements, violence perpetration, self-assessed health as poor, lack of close friends and perception that it was difficult to obtain the assistance needed. Predictors of youth violence highlighted the need to improve health education, social support and community regulations, as well as strengthen the promotion of gender equality and a healthy environment.وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::245f3fea8cec8975bc7a3d3b8218f3d5Test
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76
المؤلفون: Aleksandra Jotic, Jovana Todorovic, Svetlana M. Petronijevic-Vrzic, Milica Stoiljkovic, Dejan Nesic, Miloš Petronijević, Stefan Dugalic, Milan Perovic, Miroslava Gojnic-Dugalic, Katarina Stefanovic, Tanja Milicic, Dejana Stanisavljevic, Ljiljana Lukic, Nebojsa Lalic, Aleksandar Stefanovic, Igor Pantic
المصدر: Medicine
مصطلحات موضوعية: Adult, Blood Glucose, medicine.medical_specialty, endocrine system diseases, Cross-sectional study, Population, Observational Study, Body Mass Index, 03 medical and health sciences, 0302 clinical medicine, Abnormal oral glucose tolerance, Glucose Intolerance, medicine, Humans, Mass Screening, education, Retrospective Studies, 030304 developmental biology, 0303 health sciences, education.field_of_study, Pregnancy, 030219 obstetrics & reproductive medicine, Obstetrics, business.industry, nutritional and metabolic diseases, Retrospective cohort study, General Medicine, Glucose Tolerance Test, medicine.disease, Polycystic ovary, 3. Good health, glycemia, Cross-Sectional Studies, polycystic ovary syndrome, Gestation, Female, pregnancy, business, Body mass index, Research Article
الوصف: Both pregnancy, as physiological, and polycystic ovary syndrome (PCOS), as a pathological condition, carry the risk for developing glucose metabolism abnormalities. In this retrospective cross-sectional study, we hypothesized that pregnancy as a physiological condition carries a higher likelihood for abnormal oral glucose tolerance test (OGTT) results than PCOS as a pathological condition. We have compared the prevalence and likelihood ratios for abnormal OGTT results between non-pregnant women with PCOS (Group A) and pregnant women at 24 to 28 weeks of gestation (Group B). Participants of both study groups underwent glucose tolerance testing with 75 g glucose OGTT. During the study period, 7411 women were tested, 3932 women encompassed Group A, and 3479 women comprised Group B. The numbers of yearly tested pregnant women and the corresponding proportion of tested women among all study participants have decreased during the study period, from 766 to 131 and 89.1% to 20.5%, respectively. Group A had a significantly lower prevalence (4.4%) of pathological OGTT results compared to Group B (8.1%). This has resulted in a 45.427 likelihood ratio (P
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8131ca657f841cb8b958441d04b13861Test
https://doi.org/10.1097/md.0000000000027232Test -
77
المؤلفون: Jovana Todorovic, Dusan Popadic, Ivanka Markovic, Marija Jeremic, Marija Mitkovic-Voncina, Ana Munjiza Jovanovic, Milutin Kostić, Dusica Lecic Tosevski
المصدر: Psychiatry Research. 301:113987
مصطلحات موضوعية: Adult, Oncology, medicine.medical_specialty, medicine.medical_treatment, behavioral disciplines and activities, 03 medical and health sciences, 0302 clinical medicine, Transforming Growth Factor beta, Internal medicine, mental disorders, medicine, Humans, In patient, Child Abuse, Child, Biological Psychiatry, Depressive Disorder, Major, biology, Adult patients, business.industry, Adult Survivors of Child Abuse, CTQ tree, Transforming growth factor beta, medicine.disease, Control subjects, 3. Good health, 030227 psychiatry, Psychiatry and Mental health, Cytokine, biology.protein, Cytokines, Major depressive disorder, business, 030217 neurology & neurosurgery, Transforming growth factor
الوصف: Transforming growth factor beta (TGF-β), which has a role as a regulatory cytokine, has not been widely investigated in patients with major depressive disorder (MDD) who experienced childhood trauma. The aim of our study was to investigate the differences in circulating TGF-β levels between the patients with major depressive disorder (MDD) with and without child maltreatment (CM) history, and to compare them to the corresponding control subjects' groups (with or without CM). Blood samples were obtained from 55 patients, fulfilling DSM-IV-R criteria for a current MDD episode without psychotic symptoms, and 45 healthy controls, matched for age and gender. Participants were administered the Childhood Trauma Questionnaire (CTQ). Serum TGF-β concentration was determined by enzyme-linked immunosorbent assay. The concentration of TGF-β was significantly higher in patients with MDD with CM history, compared to MDD patients with no CM, as well as both control groups. Furthermore, we have shown that the combined effect of CM history and MDD affected TGF-β levels in adulthood, which was not observed in the control group with CM. These results indicate that MDD patients with the experience of CM have altered immune-regulatory response, and they may constitute a specific subtype within this heterogenic disorder (ecophenotype).
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::79db3d587645af672ee1f08dabc97c08Test
https://doi.org/10.1016/j.psychres.2021.113987Test -
78
المؤلفون: Jovana Todorovic, Aleksandra Maksimovic, Zorica Terzic-Supic, Filip Pilipovic, P Piperac, Svetlana Karic, Ivan Soldatovic
المصدر: International Journal of Environmental Research and Public Health
Volume 18
Issue 13
International Journal of Environmental Research and Public Health, Vol 18, Iss 6805, p 6805 (2021)مصطلحات موضوعية: Psychometrics, health care facilities, manpower, and services, Health, Toxicology and Mutagenesis, Burnout syndrome, education, Copenhagen Burnout Inventory, Validity, Burnout, Psychological, Burnout, Article, 03 medical and health sciences, preschool teachers, 0302 clinical medicine, Cronbach's alpha, Surveys and Questionnaires, health services administration, Internal consistency, Humans, 030212 general & internal medicine, Burnout, Professional, validation, 030505 public health, burnout, Public Health, Environmental and Occupational Health, Reproducibility of Results, Construct validity, Cross-Sectional Studies, Child, Preschool, Scale (social sciences), Medicine, School Teachers, 0305 other medical science, Psychology, Serbia, psychological phenomena and processes, Professional group, Clinical psychology
الوصف: Introduction: Burnout syndrome is being increasingly recognized as a factor that affects the health status and is being examined among different professional groups. Consequently, there is a need for a reliable and valid instrument for its examination. Teachers are emerging as a professional group of interest in the area of burnout research, so the aim of this study was to assess the validity and reliability of the Serbian version of Copenhagen burnout inventory among teachers at preschool institutions in Serbia. Materials and Methods: This research was conducted as a cross-sectional study between October 2018 and April 2019 on a nationally representative sample of preschool teachers in Serbia. The internal consistency of the scale was assessed using Cronbach’s alpha, and the construct validity was examined using exploratory (EFA) and confirmatory factor analyses (CFA). Results: The average score on total burnout was 39.1 ± 17.0, while the average score per scales on the Copenhagen burnout inventory was: 41.3 ± 18.7 for personal burnout, 41.2 ± 15.9 for work-related burnout, and 34.7 ± 22.0 for client-related burnout. The Cronbach’s alpha for the entire scale was 0.936, the Cronbach’s alpha for the personal burnout scale was 0.906, and the Cronbach’s alpha for the work-related burnout scale was 0.765, while the Cronbach’s alpha for the client-related burnout scale was 0.901. The EFA for the CBI showed three factors. The factor loadings varied from 0.575 to 0.859. The three factors explained 67.17% of the variance. Conclusions: Our study showed that the three-factor Serbian version of the Copenhagen burnout inventory can be used for the assessment of burnout syndrome among teachers.
وصف الملف: application/pdf
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::17dc82abd57bd172263ebf0202d230f8Test
https://doi.org/10.3390/ijerph18136805Test -
79
المؤلفون: Goran Trajkovic, Zorica Šupić-Terzić, Jovana Todorovic, Janko Janković, Milena Santric-Milicevic, Uros Babic, Nataša Rosić
المصدر: Central European Journal of Public Health. 25:106-112
مصطلحات موضوعية: Adult, Male, Rural Population, Urban Population, Population, Poison control, Suicide prevention, Occupational safety and health, 03 medical and health sciences, Mental distress, 0302 clinical medicine, Environmental health, Prevalence, Humans, Medicine, 030212 general & internal medicine, Propensity Score, 10. No inequality, education, Aged, Demography, Psychiatric Status Rating Scales, education.field_of_study, 030505 public health, business.industry, Mental Disorders, 4. Education, Rural health, 1. No poverty, Public Health, Environmental and Occupational Health, General Medicine, Middle Aged, Mental health, 3. Good health, Cross-Sectional Studies, Propensity score matching, Female, 0305 other medical science, business, Serbia
الوصف: OBJECTIVE: Studies about mental health among urban and rural residents are scarce. A limited number of studies report somewhat better mental health in rural settings, despite higher rates of suicides. The main objective of this study was to describe social conditions of the population of Serbia in rural and urban settlements and to assess the differences in the prevalence of mental health disorders. METHODS: Propensity score matching of urban and rural persons (2 × 3,569 persons) has eliminated confounding effects from social variables (age, gender, wealth index, education level, employment, family status) and self-rated health. Thus, any statistical differences concerning mental health variables (five-item Mental Health Inventory and clinically diagnosed chronic anxiety or depression) between the two populations were not a result of differences in the matching variables. RESULTS: After matching all variables, the estimated prevalence rate of poor mental health was significantly higher among residents of urban (52.2%) than rural (49.1%) settlements (p=0.012). CONCLUSIONS: Almost half of the Serbian population suffers from poor mental health, therefore, there is a need to increase efforts on mental health promotion, prevention and treatment. Our study findings also support the importance of promoting benefits of rural settings for people with mental distress. Language: en
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a0424637ae420584b863921f38c9a6f5Test
https://doi.org/10.21101/cejph.a4160Test -
80مراجعة
المؤلفون: Miroslava Gojnic, Zoran Vilendecic, Stefan Dugalic, Igor Pantic, Jovana Todorovic, Milan Perovic, Mirjana Kovac, Irena Djunic, Predrag Miljic, Jelena Dotlic*
الوصف: Antithrombin deficiency, although the rarest thrombophilia, carries the highest risk of thromboembolism. This risk is increased especially for pregnant women due to physiological coagulation changes in pregnancy. Therefore, in cases of positive personal and/or family history of thromboembolic events as well as recurrent pregnancy loss women should be tested for antithrombin deficiency. Antithrombin deficiency is caused by numerous mutations of serpin peptidase inhibitor clade C 1 gene (SERPINC) and is classified according to antithrombin plasma activity and antigen levels into Type I (quantitative defect) and Type II (qualitative defect). Complications during pregnancy can be divided into those regarding the mother and those concerning the fetus. The main clinical manifestation of antithrombin deficiency regarding the mother is thromboembolism occurring spontaneously or recurrently during pregnancy. Numerous major gestational complications such as miscarriage, intrauterine growth restriction or fetal death, placental abruption, preeclampsia and hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome can be linked to antithrombin deficiency. Close monitoring with early and adequate prophylaxis and treatment nowadays can mostly assure the positive pregnancy outcome for both mother and child. Prophylaxis/therapy with both low molecular weight heparin and antithrombin concentrate should start as soon as pregnancy is planned or at least as early as possible in pregnancy and continue until the end of the puerperium.
