Education and Research in Health Sciences
Akademija strukovnih studija Beograd, Odsek Visoka zdravstvena škola; Fakultet medicinskih nauka Univerziteta u Kragujevcu
Poremećaj digestivne funkcije kod poremećaja u ishrani: nutritivni tretman
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Poremećaji u ishrani predstavljaju kompleksna psihijatrijska i metabolička stanja koja, pored psiholoških i endokrinoloških posledica, značajno utiču na funkciju digestivnog sistema. Dugotrajna restrikcija unosa hrane, epizode prejedanja, izazvano povraćanje, kao i zloupotreba laksativa i diuretika dovode do brojnih poremećaja gastrointestinalne funkcije, uključujući usporeno pražnjenje želuca, nadimanje, bolove, dijareju i konstipaciju, koji često perzistiraju i tokom remisije bolesti. Ovi simptomi dodatno otežavaju nutritivnu rehabilitaciju i mogu predstavljati značajnu prepreku u procesu oporavka. Cilj ovog rada je da se prikažu mehanizmi nastanka poremećaja digestivne funkcije kod osoba sa poremećajima u ishrani, kao i da se razmotre principi i značaj adekvatnog nutritivnog tretmana u sanaciji ovih poremećaja. Metode rada obuhvataju pregled relevantne naučne literature dostupne u međunarodnim bazama podataka, sa fokusom na kliničke studije, sistematske preglede i smernice koje se odnose na gastrointestinalne komplikacije i nutritivne intervencije kod poremećaja u ishrani. Rezultati ukazuju da su poremećaji digestivne funkcije česti, multifaktorijalni i reverzibilni uz adekvatno vođen nutritivni tretman. Postepeno povećanje energetskog unosa, prilagođen izbor namirnica, adekvatan unos vlakana i tečnosti, kao i primena probiotika i prebiotika, pokazali su se kao ključni elementi u obnovi gastrointestinalne funkcije. Zaključuje se da je razumevanje digestivnih simptoma i njihovo sistematsko uključivanje u plan nutritivne terapije od suštinskog značaja za uspešan i održiv oporavak osoba sa poremećajima u ishrani.
Fizioterapija u perimenopauzi - prevencija, rehabilitacija i postrehabilitacija
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Perimenopauza predstavlja prelaznu fazu u životu žene, često praćenu fizičkim i psihičkim simptomima uzrokovanim smanjenjem i oscilacijama nivoa estrogena. Mišićno-skeletni bolovi, ograničena pokretljivost, inflamatorni procesi, smanjenje mišićne mase i gustine kostiju samo su neki od faktora koji mogu značajno uticati na svakodnevno funkcionisanje žena u periodu koji prethodi menopauzi. Cilj ovog rada je prikazati ulogu fizioterapije u perimenopauzi kroz preventivne, rehabilitacione i postrehabilitacione mere, koje doprinose očuvanju i unapređenju funkcionalnih sposobnosti i zdravstvenog statusa žena. Metod rada obuhvata pregled relevantne literature objavljene u poslednjih 15 godina, pretražene u elektronskim bazama PubMed, Google Scholar, KoBSON i Scopus. Analiza ukazuje da preventivni programi treba da integrišu multimodalne vežbe, uključujući aerobne aktivnosti, trening snage, istezanje i tehnike relaksacije, koje se sprovode u manjim grupama radi optimalnog individualnog pristupa. U okviru rehabilitacije, fizioterapija značajno doprinosi prevenciji i tretmanu poremećaja kao što su sarkopenija, osteoporoza, osteoartritis, miofascijalni sindromi, sindrom bola velikog trohantera i bol u donjem delu leđa. Postrehabilitacija se fokusira na održavanje postignutih rezultata, prevenciju recidiva simptoma i dugoročno očuvanje mišićno-skeletnog i psihofizičkog zdravlja. Dobijeni nalazi ukazuju na značaj integrisanja ovih sadržaja u studijske programe fizioterapije i kontinuirane oblike stručnog usavršavanja, sa ciljem osposobljavanja budućih terapeuta za primenu adekvatnih mera kod žena u perimenopauzi. Zaključno, fizioterapija ima važnu ulogu u multidisciplinarnom pristupu očuvanju zdravlja žena u ovom periodu.
Procena snage stiska šake u kineziološkoj evaluaciji
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6"/> <w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful Accent 6"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Snaga stiska šake predstavlja široko priznat i validan biomarker mišićne snage i opšteg zdravstvenog statusa, te ima značajnu prediktivnu vrednost za različite zdravstvene ishode. S obzirom na laku primenu, nisku cenu i pouzdanost merenja pomoću dinamometra, ovaj parametar je postao česta tema naučnih istraživanja. Istraživanja su dosledno pokazala da smanjena vrednost snage stiska konzistentno korelira sa povećanom smrtnošću, dužinom bolničkog lečenja i smanjenom fizičkom sposobnošću. Sem toga, snaga stiska je povezana s funkcijom kognitivnih sposobnosti, rizikom od hroničnih bolesti (kao što su kardiovaskularne bolesti i demencija), kao i s većom verovatnoćom fizičke slabosti i sarkopenije. Ovakav multidimenzionalni aspekt snage stiska i njena prediktivna sposobnost čine je važnim instrumentom u procenama zdravstvenog stanja, rehabilitaciji i kreiranju trenažnih programa u kineziološkoj praksi. Cilj rada je da sagleda mogućnosti koje nam pruža rad sa dinamometrom.
Definisanje sindroma sagorevanja u populaciji medicinskih sestara - vaspitača
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UnhideWhenUsed="true" Name="Mention"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Smart Hyperlink"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Hashtag"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Unresolved Mention"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Smart Link"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod. Razvoju sindroma sagorevanja na poslu doprinose loši interpersonalni odnosi, mobing, anksioznost, a sve zajedno dovodi do psiholoških i fizioloških promena kod zaposlenih, a za posledicu ima razvoj depresije i organskih oboljenja. Metod. U ispitivanje, studiju preseka, uključene su 302 medicinske sestre vaspitači zaposlene u predškolskim ustanovama na teritoriji Beograda. Cilj rada. Procena prevalence sindroma sagorevanja na poslu, analiza psihometrijskih karakteristika instrumenta merenja, definisanje prediktora sindroma sagorevanja na poslu i definisanje modela povezanosti psiholoških karakteristika ličnosti sa sindromom sagorevanja. Rezultati. Prosečna starost u ispitivanoj populaciji bila je 38+9,2 (opseg 16-60 godina) i sve su bile ženskog pola. Prosečna dužina radnog staža bila je 11 godina (percentil 6-18) i većina je imala završenu srednju školu (79,7%). Prosečni rezultat podskale za iscrpljenost bio je 1,5+1,3. Umeren do visoki nivo iscrpljenosti primećen je kod 27,6% medicinskih sestara vaspitača. Prosečni skor podskale za profesionalnu efikasnost bio je 5,3+0,7, a skorovi za nisko, umereno i visoko sagorevanje bili su zastupljeni u 78,8%, 16,1% i 5,1%. Prosečni skor podskale za cinizam bio je 1,6+1,1. Ukupno, 251 (83,1%) medicinskih sestara vaspitača imalo je umereni sindrom sagorevanja. agresivnost, neuroticizam i negativna valenca bile su u pozitivnoj korelaciji sa iscrpljenošću (p < 0,001). Zaključak. Posao medicinske sestre-vaspitača zahteva visok nivo društvene odgovornosti, a svakodnevni problemi koji se mogu pojaviti uključuju preopterećenost poslom, nedostatak autonomije ili autoritet za donošenje odluka i poteškoće u usklađivanju porodičnog života i posla. Neretko je prisutno radno preopterećenje zbog nedostatka kadra. Svi ovi faktori čine medicinske sestre vaspitače posebno ranjivim na sagorevanje.
Prediktori percipiranog stresa i ublažavajuća uloga fizičke aktivnosti kod medicinskih sestara zaposlenih na visokorizičnim odeljenjima
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: Stres na radnom mestu predstavlja značajan javnozdravstveni problem među zdravstvenim radnicima, naročito medicinskim sestrama zaposlenim na visokorizičnim odeljenjima, gde su profesionalni zahtevi, odgovornost i izloženost stresorima izraženi. Cilj rada: Cilj ovog istraživanja bio je da se ispita odnos između doživljaja stresa na poslu, psihosomatskih simptoma, ponašajnih i kognitivnih reakcija na stres, percipiranih koristi fizičke aktivnosti i nivoa percipiranog stresa kod medicinskih sestara zaposlenih na visokorizičnim radnim mestima. Metod: Istraživanje je sprovedeno kao studija preseka na uzorku od 82 medicinske sestre zaposlene na visokorizičnim odeljenjima u Kliničkom centru Srbije i Institutu za ortopediju „Banjica“. Za procenu percipiranog stresa korišćena je Skala percipiranog stresa (PSS-10), dok su dodatnim stavkama ispitivani stres na poslu, psihosomatski simptomi, ponašajne i kognitivne reakcije, kao i percepcija efekata fizičke aktivnosti. Podaci su analizirani primenom deskriptivne statistike, Pearsonove korelacione analize i višestruke linearne regresije. Rezultati: Stres na poslu, psihosomatski simptomi i ponašajne i kognitivne reakcije na stres pokazali su se kao statistički značajni prediktori percipiranog stresa, pri čemu su ponašajne i kognitivne reakcije imale najizraženiji doprinos. Suprotno očekivanjima, percipirane koristi od fizičke aktivnosti nisu statistički značajno dovedene u vezu sa percipiranim stresom, iako je smer povezanosti bio negativan. Zaključak: Dobijeni rezultati ukazuju da je percipirani stres kod medicinskih sestara značajno povezan sa radnim stresorima, kao i sa psihosomatskim, ponašajnim i kognitivnim reakcijama na stres. Nalazi ukazuju na potrebu za sveobuhvatnim pristupom prevenciji profesionalnog stresa, koji obuhvata unapređenje radnih uslova, jačanje psihološke podrške i podsticanje zdravih životnih navika, uključujući redovnu fizičku aktivnost.
Stavovi zaposlenih o primeni procesa zdravstvene nege i sestrinske dokumentacije u psihijatrijskoj praksi
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: Proces zdravstvene nege (PZN) predstavlja standardizovanu metodologiju rada u sestrinskoj profesiji, čija primena i dokumentovanje imaju poseban značaj u psihijatrijskoj praksi, gde je nega zasnovana na biopsihosocijalnom pristupu i timskom radu. Iako je PZN deo formalnog obrazovanja medicinskih sestara, njegova primena u praksi i dalje je neujednačena, naročito u oblasti mentalnog zdravlja. Cilj: Cilj ovog istraživanja bio je da se ispitaju stavovi zaposlenih o značaju i mogućnostima primene dokumentacije zdravstvene nege u timskom radu u psihijatriji. Metodologija: Sprovedeno je deskriptivno, opservaciono istraživanje presečnog tipa. Uzorak je činilo 39 zaposlenih različitih profesionalnih profila angažovanih u radu sa osobama sa psihičkim smetnjama u Domu za duševno obolela lica „1. oktobar“, Stari Lec. Podaci su prikupljeni pomoću strukturisanog upitnika konstruisanog za potrebe istraživanja, a obrađeni metodama deskriptivne statistike. Rezultati: Rezultati su pokazali da većina ispitanika nije u potpunosti upoznata sa procesom zdravstvene nege (71,8%), ali da prepoznaje značaj dokumentacije zdravstvene nege za kvalitet zbrinjavanja, bezbednost korisnika i planiranje intervencija u okviru timskog rada (82,1%). U praksi se dokumentovanje najčešće odnosi na pojedine realizovane intervencije, dok je dosledna primena i dokumentovanje svih faza PZN ograničena (23,1%). Ispitanici su uglavnom iskazali pozitivan stav prema mogućnosti unapređenja sestrinske prakse kroz primenu standardizovane dokumentacije zdravstvene nege. Zaključak: Nalazi ukazuju na postojanje jaza između teorijskog značaja procesa zdravstvene nege i njegove primene u psihijatrijskoj praksi. Iako zaposleni prepoznaju značaj dokumentacije zdravstvene nege u timskom radu, neophodno je unaprediti uslove za njenu dosledniju primenu kroz kontinuiranu edukaciju, unapređenje dokumentacije i jačanje institucionalne podrške.
Uloga reikija u prevenciji sindroma sagorevanja kod zdravstvenih radnika
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Sindrom sagorevanja (burnout) predstavlja značajan izazov u savremenom radnom okruženju, naročito u zdravstvenim i pomagačkim profesijama, koje se odlikuju visokim stepenom emocionalne uključenosti, odgovornosti i hronične izloženosti stresu. Prema definiciji Svetske zdravstvene organizacije, sagorevanje se opisuje kao profesionalni fenomen koji nastaje kao posledica dugotrajnog stresa na radnom mestu koji nije uspešno prevaziđen, a ispoljava se kroz emocionalnu iscrpljenost, depersonalizaciju i smanjen osećaj profesionalne efikasnosti. S obzirom na ograničenja isključivo konvencionalnih pristupa prevenciji, sve veća pažnja usmerava se ka integrativnim i komplementarnim intervencijama koje imaju za cilj psihofiziološku regulaciju stresa. Cilj ovog preglednog rada bio je da se, na osnovu analize dostupne naučne literature, ispita uloga Reikija kao komplementarne terapijske metode u prevenciji sindroma sagorevanja kod zdravstvenih radnika i zdravstvenih saradnika. Rad se zasniva na sveobuhvatnom pregledu relevantnih međunarodnih i nacionalnih studija objavljenih u periodu od 2000. do 2025. godine, uz kvalitativnu sintezu teorijskih modela sindroma sagorevanja, principa Reiki prakse i empirijskih nalaza o njenim efektima. Rezultati pregleda literature ukazuju na to da Reiki može doprineti smanjenju percipiranog stresa, emocionalne iscrpljenosti i anksioznosti, kao i unapređenju subjektivnog blagostanja i profesionalnog funkcionisanja. Pojedine studije takođe beleže povoljne promene u fiziološkim markerima stresa, uključujući varijabilnost srčanog ritma, nivo kortizola i imunološke parametre. Iako su u postojećim istraživanjima prisutna određena metodološka ograničenja, doslednost nalaza sugeriše da Reiki može imati značajnu ulogu kao dopunska strategija u okviru integrativnih programa usmerenih ka prevenciji sindroma sagorevanja.
Neophodnost multidisciplinarnog pristupa u tretmanu poremaćaja ishrane
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Poremećaji ishrane predstavljaju složene psihosomatske bolesti koje zahtevaju sveobuhvatan i strogo individualizovan pristup u tretmanu. Cilj rada je prikazati specifičnosti lečenja anoreksije nervoze, bulimije nervoze i poremećaja prejedanja, sa akcentom na nutritivni, farmakološki i psihosocijalni pristup i sa fokusom na porodicu i socijalnu podršku. U radu su razmatrani principi tretmana, uključujući poštovanje individualnih karakteristika pacijenata, uticaj porodičnog i socijalnog okruženja, kao i značaj rane intervencije. Metode lečenja obuhvataju psihoterapiju (individualnu, bihejvioralnu i porodičnu), prilagođeni nutritivni plan, praćenje telesne težine i zdravstvenog stanja, kao i multidisciplinarnu koordinaciju između stručnjaka. Rezultati pokazuju da kombinovani pristup, koji integriše psihološku podršku i nutricionističku intervenciju, doprinosi postepenom oporavku telesne mase, smanjenju anksioznosti i reintegraciji pacijenata u svakodnevni život. Posebna pažnja se posvećuje upravljanju stresom, prevenciji relapsa i adaptaciji na nove životne rutine. Zaključuje se da je holistički, taktičan i human pristup ključan za uspešno lečenje, uz stalnu podršku porodice i multidisciplinarnog tima, uzimajući u obzir kako fizičke, tako i psihičke aspekte bolesti.
Uticaj teških metala na zdravlje ljudi i pojavu autizma
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Toksikologija hrane objašnjava načine unosa toksina iz hrane, raspodelu u organizmu, kao i metabolizam i izlučivanje. Toksini se mogu prirodno naći u namirnicama, dospeti iz spoljne sredine, ali je značajan i ljudski faktor. Dijagnostički kriterijumi i skrining, porast svesti šire stručne i društvene javnosti, kao i brojne defektološke metode rada su inicirali veću osetljivost za poremećaje iz spektra autizma (PSA). Ovaj pregled prisustva teških metala u hrani, govori o njihovim toksikološkim osobinama i štetnosti po zdravlje ljudi. Kako je prevalenca broja dece iz spektra autizma sve veća, a etiologija nepoznata, može se skrenuti pažnja i na uticaj teških metala kao spoljnjih faktora (koji se unose hranom) na pojavu ovog razvojnog poremećaja.
Psihofizička priprema trudnica kao faktor uspešnog porođaja
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<![endif]--> Psihofizička priprema trudnica predstavlja značajan segment prenatalne zdravstvene zaštite koji doprinosi optimalnoj pripremi žene za porođaj sa fizičkog, psihološkog i emocionalnog aspekta. Cilj rada bio je da se analizira uticaj različitih metoda psihofizičke pripreme na ishod trudnoće i porođaja, kao i na postpartalni oporavak majke i prilagođavanje novorođenčeta. U radu su analizirani relevantni naučni radovi objavljeni u periodu od 2014. do 2024. godine, pretraženi putem baza podataka PubMed, Scopus, ScienceDirect i Cochrane Library. Prikazani rezultati ukazuju na to da psihofizička priprema doprinosi smanjenju straha i bola tokom porođaja, povećava osećaj kontrole i zadovoljstva porođajem, smanjuje potrebu za medikamentoznim i hirurškim intervencijama, kao i pojavu postpartalne depresije. Ove intervencije se pokazuju značajnim i sa aspekta babičke prakse, jer omogućavaju kvalitetniju komunikaciju i saradnju između porodilje i zdravstvenog osoblja. Psihofizička priprema trudnica može se posmatrati kao važan faktor uspešnog porođaja i pozitivnog ishoda za majku i dete.
Komunikaciona efikasnost kao pokazatelj profesionalizma medicinske sestre vaspitača
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: Кomunikacija je složen i dinamičan proces u kome se šalju i primaju verbalne i neverbalne poruke. Кomunikacija je veština koja se uči, vežba i usavršava. Dobre komunikacione veštine doprinose kvalitetnijim verbalnim i neverbalnim porukama, što ima za posledicu kvalitetnije sporazumevanje u životu i tokom rada. Komunikacija predstavlja osnovu profesionalne kompetencije medicinske sestre ‒ vaspitača i ključni faktor uspešnog vaspitno-obrazovnog rada u predškolskim ustanovama. Njena uloga je naročito izražena u radu sa decom jaslenog uzrasta, gde su empatija, aktivno slušanje i neverbalni znaci od presudnog značaja za uspostavljanje poverenja i emocionalne sigurnosti. Cilj: Cilj istraživanja bio je ispitivanje razvijenosti komunikacionih veština kod medicinskih sestara ‒ vaspitača i utvrđivanje uticaja sociodemografskih faktora na percepciju i primenu komunikacionih kompetencija u radu sa decom i roditeljima. Metode: Istraživanje je sprovedeno u osam vrtića Predškolske ustanove „Lane“ na teritoriji opštine Grocka. Uzorkom je obuhvaćeno 50 medicinskih sestara ‒ vaspitača zaposlenih u jaslenim vaspitnim grupama, koje su dobrovoljno i anonimno popunjavale upitnik. Podaci su obrađeni deskriptivnom, analitičkom i statističkom metodom. Rezultati: Rezultati su pokazali visok nivo svesti o značaju komunikacije (96% ispitanika) i izraženu spremnost za prilagođavanje komunikacije uzrastu deteta i primenu aktivnog slušanja (preko 94% ispitanika). Statistički značajne razlike utvrđene su u odnosu na radni staž i stručnu spremu. Mlađi vaspitači i oni sa višim nivoom obrazovanja pokazali su veći stepen slaganja sa tvrdnjama o važnosti verbalne i neverbalne komunikacije. Zaključak: Komunikacija se potvrđuje kao kompleksna profesionalna veština koja zahteva kontinuirano usavršavanje i prilagođavanje individualnim karakteristikama dece. Formalno obrazovanje, stručni razvoj i refleksivna praksa doprinose unapređenju kvaliteta komunikacije u predškolskom okruženju.
Mogućnosti i izazovi otvaranja samostalne sestrinske prakse u Srbiji - između zakona, tržišta i profesionalne inicijative
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: U doba sve većih izazova za zdravstvene sisteme širom sveta uključujući starenje stanovništva, hronične bolesti i nedostatak zdravstvenog kadra, potreba za transformacijom uloge medicinskih sestara nikada nije bila veća. Zamislimo zdravstveni sistem u kojem medicinska sestra nije samo izvršilac, već nosilac sopstvene prakse, nezavisna, stručna, obrazovan i odgovoran profesionalac koji ima svoju ambulantu, svoje pacijente i sopstvenu zonu odlučivanja. U mnogim razvijenim zemljama, ova slika je realnost. U Srbiji, međutim, ta vizija se tek nazire, okružena pravnim nedoumicama, institucionalnim otporom i tržišnim preprekama. Cilj: Cilj ovog rada je da se istraže mogućnosti i izazovi otvaranja samostalne sestrinske prakse u Srbiji kroz analizu stavova i percepcija medicinskih sestara. Materijali i metode: Deskriptivna i opservaciona indirektna metoda - anketa. Rezultati: Rezultati istraživanja ukazuju da medicinske sestre u Srbiji prepoznaju brojne prepreke u osnivanju samostalne prakse, pri čemu kao glavne izazove navode nepovoljan zakonski okvir, nedostatak institucionalne podrške i finansijske barijere. Istovremeno, većina ispitanika iskazuje visok nivo motivacije i interesovanja za ovu vrstu rada, posebno u ruralnim područjima. Postoji izražena potreba za dodatnim obrazovanjem i mentorskim programima. Upoređivanjem sa evropskim i svetskim praksama, uočava se značajan normativni zaostatak Srbije. Takođe, viši nivo obrazovanja pozitivno korelira sa većom spremnošću za pokretanje samostalne sestrinske prakse. Diskusija: Istraživanje je pokazalo da, iako postoji značajna zainteresovanost i spremnost medicinskih sestara u Srbiji da se upuste u osnivanje samostalne sestrinske prakse, brojne prepreke i dalje ograničavaju ovu mogućnost u praksi. Ključne barijere identifikovane u istraživanju uključuju neadekvatan zakonski okvir, nedostatak institucionalne podrške, slabu informisanost javnosti i profesionalne zajednice, kao i potrebu za dodatnim obrazovanjem i finansijskom podrškom. .......
Uticaj mio-inozitola na glikoregulaciju i lipidni profil
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<![endif]--> Mio-inozitol je privukao pažnju zbog svog potencijalnog terapeutskog dejstva u lečenju metaboličkih poremećaja, posebno dijabetes melitusa i poremećaja lipidnog statusa. U ovom radu istražena je uloga mio-inozitola u regulaciji metabolizma glukoze, insulinske osetljivosti i lipidnog profila, sa posebnim fokusom na njegov uticaj na dijabetes tipa 2 i povezane poremećaje lipida. Mio-inozitol igra ključnu ulogu u signalizaciji insulina, regulišući delovanje insulina u ciljnim tkivima, poboljšavajući unos glukoze i smanjujući insulinsku rezistenciju. Kliničke studije pokazuju da suplementacija mio-inozitolom može dovesti do značajnih poboljšanja u kontroli glikemije, uključujući smanjenje nivoa jutarnje glikemije i HbA1c i, takođe, utiče na lipidni profil smanjujući ukupan holesterol, LDL i trigliceride, te povećavajući vrednost HDL. Takođe, mio-inozitol pokazuje potencijal u rešavanju komplikacija povezanih sa dijabetesom, uključujući dijabetičku nefropatiju i oksidativni stres. Ovi nalazi pokazuju potencijal mio-inozitola kao dodatne terapije u lečenju dijabetesa i poremećaja lipida. Međutim, potrebna su dalja klinička istraživanja sa većim brojem ispitanika kako bi se u potpunosti razumeli dugoročni efekti i bezbednost kod pacijenata koji boluju od dijabetesa. Ovaj pregled naglašava potrebu za daljim istraživanjima radi optimizacije terapijskih primena mio-inozitola u metaboličkim poremećajima.
Formalno obrazovanje zdravstvenih radnika iz biofizike i medicinske fizike u Republici Srbiji i okruženju
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<![endif]--> Savremena medicina podrazumeva primenu sofisticiranih dijagnostičkih i terapijskih postupaka koji su bazirani na otkrićima iz drugih naučnih oblasti (biologija, hemija, fizička hemija, fizika, matematika, statistika, informatika i dr.), što je čini multidisciplinarnom. Sve ove naučne oblasti mogu se objediniti u jednu oblast - biofiziku. Biofizika je fizika žive prirode, na svim nivoima: molekularnom, ćelijskom i nadćelijskom. Savremena biofizika se bavi: ispitivanjem strukture i funkcionisanja bioloških sistema, analizom podataka (iz bioloških/medicinskih eksperimenata), formiranjem modela, neuronaukom, bioinženjeringom, robotikom, medicinskim imidžingom i drugim medicinskim aplikacijama, te dejstvom fizičkih i fizičkohemijskih agenasa na biološke sisteme/ljude, kao i odgovorom sistema na dejstvo tih agenasa. U okviru strukovnih studija iz oblasti medicine (zdravstvene studije), posle reforme obrazovanja, zadržali su se neki oblici nastave iz predmeta biofizika, medicinska fizika i fizika ljudskog organizma što omogućuje slušaocima da steknu osnovna znanja i shvate značaj ove naučne oblasti, posebno kada je reč o primeni savremenih dijagnostičkih i terapijskih metoda, koje pored neospornog benefita za pacijenta mogu imati i određena neželjena dejstva kako na pacijente, tako i na zaposlene medicinske radnike i okolinu.
Značaj genetskih polimorfizama u akutnom koronarnom sindromu
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SemiHidden="true" UnhideWhenUsed="true" Name="toc 8"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true" UnhideWhenUsed="true" Name="toc 9"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="footnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="annotation text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="header"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="footer"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="index heading"/> <w:LsdException Locked="false" Priority="35" SemiHidden="true" UnhideWhenUsed="true" QFormat="true" Name="caption"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="table of figures"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="envelope address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="envelope return"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="footnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="annotation reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="line number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="page number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="endnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="endnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="table of authorities"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="macro"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="toa heading"/> <w:LsdException 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SemiHidden="true" UnhideWhenUsed="true" Name="Note Heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Block Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Hyperlink"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="FollowedHyperlink"/> <w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Document Map"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Plain Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="E-mail Signature"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Top of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Bottom of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal (Web)"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Acronym"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Cite"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Code"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Definition"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML 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SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Contemporary"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Elegant"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Professional"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Balloon Text"/> <w:LsdException Locked="false" Priority="39" Name="Table Grid"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Theme"/> <w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" Name="Light List"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" SemiHidden="true" Name="Revision"/> <w:LsdException Locked="false" Priority="34" QFormat="true" Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" QFormat="true" Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" Name="Medium 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Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" QFormat="true" Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" SemiHidden="true" UnhideWhenUsed="true" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true" UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/> <w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/> <w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/> <w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/> <w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/> <w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/> <w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 1"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/> 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<![endif]--> Uticaj genetskih polimorfizama u kardiologiji postaje sve više ispitivan, kako vezano za izbor terapije, tako i za stratifikaciju rizika kod pacijenata obolelih od akutnog koronarnog sindroma. Akutni koronarni sindrom (AKS) obuhvata različite bolesti uzrokovane naglim smanjenjem protoka krvi do srca. Bolest koronarne arterije i akutni koronarni sindrom su glavni uzroci smrtnosti u razvijenim zemljama, pri čemu genetski faktori mogu imati značajnu ulogu u njihovom nastanku i progresiji , delujući u sadejstvu sa tradicionalnim, promenjljivim faktorima rizika. Studije su identifikovale brojne genetske polimorfizme povezane sa akutnim koronarnim sindromom, kao što su polimorfizmi gena za apolipoprotein E, proprotein konvertazu subtilizin/keksin tipa 9, interleukin-6, C-reaktivni protein,endotelijalnu sintazu azot-monoksida, kao i gena za inhibiciju migracije makrofaga, koji predviđaju povećani rizik od AKS. Drugi geni, kao što je transporter ABC klase A1, utiču na smanjenje rizika od koronarne arterijske bolesti.Genetsko testiranje je od ključne važnosti za razvoj personalizovanog pristupa lečenju i poboljšanje stratifikacije rizika, omogućavajući zdravstvenim radnicima da prilagode intervencije na osnovu individualnih genetskih profila. Dodatno, informacije o genetskom profilu mogu bolje usmeriti dalje praćenje i preventivne strategije za pacijente sa visokim rizikom, naglašavajući značaj porodičnog testiranja za ranu intervenciju. Međutim, izazovi i dalje postoje u interpretaciji rezultata genetskih testova, posebno kod genskih varijacija nejasnog značaja, što može otežati procenu rizika i donošenje kliničkih odluka. U celini, integracija genetskog znanja u kliničku praksu vodi unapređenju terapijskog i preventivnog pristupa u lecenju kardivaskularnih bolesti.
Metaforička konceptualizacija domena zdravstva i medicine u engleskom jeziku
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<![endif]--> Uvod: Rad se bavi metaforičkom konceptualizacijom zdravstva/medicine u engleskom jeziku služeći se teorijskim okvirom kognitivne lingvistike. Drugim rečima, na osnovu jezičkog materijala dobijenog iz novinskih članaka/tekstova na polju zdravstva i medicine, ovaj rad istražuje brojne izvorne domene čiji elementi i odnosi konceptualizuju ciljni domen zdravstva/medicine. Cilj: Glavni cilj ovog rada je utvrđivanje potencijalne metaforičke konceptualizacije engleskog jezika na polju zdravstva i medicine, to jest, određivanje izvornih domena koji semantički motivišu ciljni domen zdravstva/medicine i pojmovnih metafora koje strukturiraju pojmovno-značenjski okvir metaforičkih izraza koji se ispituju u ovom istraživanju. Metod: Kvalitativna semantička analiza jezičkih jedinica ekscerpiranih iz korpusa u svetlu metodološkog aparata kognitivne lingvistike. Rezultati: Semantičkom analizom zabeleženih metaforičkih izraza u vezi sa pojmom zdravstva/medicine identifikovano je 15 izvornih domena koji motivišu njihova značenja putem brojnih pojmovnih metafora tako što uspostavljaju pojmovne veze između izvornih domena i pojmova iz ciljnog domena zdravstva/medicine. Zaključak: U radu se zaključuje da jezik zdravstva i medicine koji se koristi u novinarskom diskursu odslikava visok stepen metaforičnosti, što izvire iz dubokoukorenjene kognitivne utemeljenosti jezičkih jedinica koje pripadaju domenu zdravstva/medicine koji se ispituje u ovom radu.
Loši efekti savremenih komunikacionih tehnologija u životu i radu učenika osnovnih i srednjih škola u niškom regionu
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Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="envelope address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="envelope return"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="footnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="annotation reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="line number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="page number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="endnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="endnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="table of authorities"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="macro"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="toa heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Bullet"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Bullet 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Bullet 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Bullet 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Bullet 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Number 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Number 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Number 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Number 5"/> <w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Closing"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Signature"/> <w:LsdException Locked="false" Priority="1" SemiHidden="true" UnhideWhenUsed="true" Name="Default Paragraph Font"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="List Continue 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Message Header"/> <w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Salutation"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Date"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text First Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text 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Name="Document Map"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Plain Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="E-mail Signature"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Top of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Bottom of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal (Web)"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Acronym"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Cite"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Code"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Definition"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Keyboard"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Preformatted"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Sample"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Typewriter"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Variable"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal Table"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="annotation subject"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="No List"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Outline List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Outline List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Outline 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SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 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UnhideWhenUsed="true" Name="Table 3D effects 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Contemporary"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Elegant"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Professional"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 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Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" SemiHidden="true" Name="Revision"/> <w:LsdException Locked="false" Priority="34" QFormat="true" Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" QFormat="true" Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 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Name="Plain Table 3"/> <w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/> <w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/> <w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 1"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/> <w:LsdException Locked="false" 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<![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod/Cilj: Ovo longitudinalno istraživanje imalo je tri cilja. Prvi cilj je bio da se pokaže uticaj različitih uređaja u životu i radu učenika osnovnih i srednjih škola, njihov odnos i racionalnost prema tim uređajima i izloženost tim uređajima. Drugi cilj je bio da se pokaže ponašanje na internetu kao preduslov za izlaganje učenika digitalnom nasilju. Treći cilj je bio da se pokaže prisustvo digitalnog nasilja među učenicima. Metode: Korišćen je metod istraživanja na populaciji od 1500 ispitanika u četiri godine: 2021., 2022., 2023. i 2024. (750 učenika osnovnih škola i 750 učenika srednjih škola u Nišu). Takođe, pri uređenju rezultata korišćene su statističke i matematičke metode. Rezultati: Ostvareni rezultati su pokazali da učenici u svom životu i radu dosta koriste savremene digitalne uređaje, posebno mobilni telefon (svaki učenik je imao mobilni telefon). Izloženost digitalnom nasilju ispitanika bila je veoma visoka (svaki učenik koristi neku društvenu mrežu). Digitalno nasilje postoji među ispitanicima u velikom stepenu (učenici su uznemiravani e-mailom, telefonom ili preko društvenih mreža u različitim procentima, od 30% do 90%). Zaključak: Savremeni digitalni uređaji se veoma koriste među decom školskog uzrasta, što direktno implicira povećane količine elektromagnetnog zračenja i izloženost digitalnom nasilju. Digitalno nasilje predstavlja savremen, ozbiljan i sve veći problem savremenog društva, kao direktna posledica korišćenja digitalnih uređaja i društvenih mreža i mora se zaustaviti i eliminisati na najbolji mogući način.
Učestalost neželjenih efekata doksorubicina i faktori koji utiču na iskustvo pacijenata
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<![endif]--> Uvod: Prema definiciji Američkog instituta za bezbednost i zdravlje na radu, citostatici predstavljaju grupu lekova koji se svrstavaju u rizične lekove. Citostatici se koriste u hemioterapiji karcinoma, a doksorubicin se smatra jednim od najefikasnijih citostatika u hemioterapiji karcinoma dojke kod žena. Pored uticaja na uništavanje malignih ćelija, hemioterapija doksorubicinom dovodi i do oštećenja zdravih ćelija, i samim tim do niza neželjenih efekata koji se mogu pojaviti. Cilj: Sagledati učestalost neželjenih efekata koji su se javljali kod pacijenata tokom hemioterapije doksorubicinom, i faktore koji utiču na iskustvo pacijenata. Metodologija: Istraživanje je realizovano u Opštoj bolnici Požarevac. Istraživanjem je obuhvaćeno 30 pacijentkinja na hemioterapiji doksorubicinom. Instrument čini Anketni list za pacijentkinje, posebno kreiran za ovo istraživanje. Rezultati: Kao najčešće neželjeno dejstvo leka pacijenti navode alopeciju. Većina pacijentkinja je zadovoljna edukacijom o doksorubicinu, ali samo 10% njih redovno dobija informacije o svojoj terapiji. Sve pacijentkinje su saglasne da su zadovoljne pristupom i komunikacijom medicinskih sestara, a oko 90% pacijentkinja ističe podršku medicinskih sestara, dok nešto manji procenat (dvе trеćinе) naglašava njihovo saosećanje i razumevanje. Zaključak: Na osnovu istraživanja, zaključujemo da nekoliko ključnih faktora utiče na iskustvo pacijentkinja tokom terapije doksorubicinom. Najveći broj pacijentkinja iznosi značajan uticaj gubitka kose tokom lečenja. Iako pacijentkinje dobijaju adekvatnu edukaciju i podršku, neželjeni efekti lečenja i njihov uticaj na svakodnevni život i dalje predstavljaju poteškoću.Zadovoljstvo radom i komunikacijom medicinskih sestara je visoko, ali postoji prostor za poboljšanja u pogledu učestalosti informacija i materijala koji pacijentkinje mogu koristiti kod kuće.
Samoprocena mentalnog zdravlja učenika srednje medicinske škole
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SemiHidden="true" UnhideWhenUsed="true" Name="toc 8"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true" UnhideWhenUsed="true" Name="toc 9"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="footnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="annotation text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="header"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="footer"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="index heading"/> <w:LsdException Locked="false" Priority="35" SemiHidden="true" UnhideWhenUsed="true" QFormat="true" Name="caption"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="table of figures"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="envelope address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="envelope return"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="footnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="annotation reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="line number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="page number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="endnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="endnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="table of authorities"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="macro"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="toa heading"/> <w:LsdException 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SemiHidden="true" UnhideWhenUsed="true" Name="Note Heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Body Text Indent 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Block Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Hyperlink"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="FollowedHyperlink"/> <w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Document Map"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Plain Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="E-mail Signature"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Top of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Bottom of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Normal (Web)"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Acronym"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Cite"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Code"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML Definition"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="HTML 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SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Simple 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Classic 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Colorful 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Columns 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Grid 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table List 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table 3D effects 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Contemporary"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Elegant"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Professional"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Subtle 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Web 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Balloon Text"/> <w:LsdException Locked="false" Priority="39" Name="Table Grid"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true" Name="Table Theme"/> <w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" Name="Light List"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" SemiHidden="true" Name="Revision"/> <w:LsdException Locked="false" Priority="34" QFormat="true" Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" QFormat="true" Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" Name="Medium 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Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" QFormat="true" Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" SemiHidden="true" UnhideWhenUsed="true" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true" UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/> <w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/> <w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/> <w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/> <w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/> <w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/> <w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light Accent 1"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/> 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<![endif]--> Uvod: Mentalno zdravlje čini osnovu zdravlja svake osobe i u velikoj meri je povezano sa ličnim razvojem pojedinca. Adolescencija predstavlja ključni period koji će odrediti uspeh fizičkog i psihičkog razvoja pojedinca, koji može biti narušen lošim mentalnim zdravljem. Neki od najčešćih poremećaja mentalnog zdravlja u adolescenciji jesu depresija, rizično seksualno ponašanje, bolesti zavisnosti i sl. Prevencija mentalnih poremećaja i promocija mentalnog zdravlja čine važan koncept koji za cilj ima smanjenje pojave mentalnih poteškoća, a kroz strategije na različitim društvenim nivoima. Cilj: Ispitati stavove i sagledati samoprocenu mentalnog zdravlja učenika srednje medicinske škole. Metode: Stavovi i samoprocena mentalnog zdravlja učenika su se utvrđivali anketom koja je sadržala 24 pitanja i standardizovanim PHQ 9 upitnikom koji je sačinjen od 9 segmenata gde su učenici imali priliku da zaokruže jedan od 4 ponuđena odgovora.Istraživanjem je obuhvaćen uzorak od 80 učenika Medicinske škole u Čačku. Rezultat: Rezultati istraživanja su pokazali da svi ispitanici smatraju da je jednako važno brinuti se o mentalnom zdravlju isto kao i o fizičkom zdravlju. Kao najčešću prepreku u traženju pomoći za očuvanje mentalnog zdravlja, 33.8% učenika je navelo vršnjački pritisak. Prema standardizovanoj skali rezultata PHQ9 upitnika, preko 32% ispitanika pokazuje blage depresivne simptome. Zaključak: Rezultati straživanja su doveli do zaključka da velika većina učenika smatra da su usluge podrške mentalnog zdravlja nedovoljno dostupne, kao i da vršnjački pritisak predstavlja glavnu prepreku prilikom traženja pomoći podrške. Pored toga, trećina anketiranih učenika pokazuje znake minimalne depresivnosti.
Stavovi studenata zdravstvenih nauka u vezi sa eutanazijom
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<![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: U vremenu napretka medicine, eutanazija je i dalje jedna od najkontroverznijih tema današnjice, meta brojnih rasprava i neslaganja. Prepliću se mišljenja brojnih stručnjaka iz oblasti medicine, filozofije, psihologije, prava, a sa druge strane i verske zajednice u celini. Medicinske sestre su uključene u svakodnevnu negu terminalnih pacijenata i mogu se suočiti sa teškim odlukama kao što je eutanazija. Stoga je važno proceniti njihove stavove i pripremiti ih za takve situacije u njihovom profesionalnom životu.................... Cilj rada: Sagledati stavove studenata zdravstvenih nauka u vezi sa eutanazijom. Ispitanici: Studenti osnovnih strukovnih studija zdravstvene nege. ............................................... Metode: Deskriptivna i opservaciona indirektna metoda ‒ Anketa. Rezultati sa diskusijom rezultata: Stavovi studenata obuhvaćeni našim istraživanjem ne razlikuju se u mnogome od stavova studenata i medicinskih sestara drugih istraživača u vezi sa eutanazijom.. Poređenjem našeg istraživanja sa istraživanjima drugih istraživača možemo uvideti da je negativan stav u vezi sa eutanazijom u bliskoj vezi sa stepenom religioznosti. Studenti zaposleni u struci imaju pozitivniji stav u vezi sa legalizacijom eutanazije u odnosu na nezaposlene studente.. .................... Zaključak: Većina studenata na svim ispitanim studijskim programima iskazuje pozitivan stav u vezi sa sprovođenjem eutanazije u pojedinim slučajevima, a najviše kod bolesnika koji su na intenzivnoj nezi i reanimaciji, kao i kod onih bolesnika koji su izloženi kontinuiranim jakim bolovima. Stavovi religioznih studenata i studenata zaposlenih u struci značajno se razlikuju u odnosu na nezaposlene i nereligiozne studente. Sagledavajući sve rezultate istraživanja, zaključujemo da veći deo studenata nije u dovoljnoj meri upoznat sa eutanazijom što se može zaključiti na osnovu vrlo podeljenih stavova......................
Trening hoda uz pomoć robotizovanih trenažera hoda kod osoba nakon moždanog udara
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Locked="false" Priority="21" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Poremećaj hoda, koji je nastao kao posledica moždanog udara, dovodi do značajne invalidnosti. Glavni cilj neurorehabilitacije je vraćanje funkcije samostalnog kretanja kroz konvencionalnu fizioterapiju, ali i primenu robotizovanih trenažera hoda. Cilj ovog rada je analiza dosadašnje primene robotizovanih trenažera hoda u rehabilitaciji hoda kod osoba nakon moždanog udara. U kliničkoj praski u upotrebi su različiti tipovi uređaja koji su prilagođeni za osobe, kako u subakutnom, tako i u hroničnom stadijumu nakon moždanog udara. Promene u funkciji hoda nastale upotrebom robotizovanih trenažera hoda, kao što su povećanje brzine hoda, dužine koraka i prostorne simetrije evidentne su u kliničkoj praksi. Ipak, postoji nedostatak koji se tiče naknadnih evaluacija i dugoročnih efekata, kao i sagledavanja rizika primene ovih uređaja u rehabilitaciji hoda kod osoba nakon moždanog udara.
Doprinos medicinskih sestara i babica u prevenciji karcinoma grlića materice: analitički pregled
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UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: Karcinom grlića materice je maligna bolest koja je vodeći uzrok smrti kada je reč o karcinomu kod žena. Razvija se kroz niz prekarcinoznih promena epitela koje se nazivaju cervikalnim intraepitelnim neoplazijama. Kroz proces karcinogeneze, genetske i molekularne promene transformišu ćelije cerviksa u invazivni karcinom, koji se može širiti u okolno tkivo, limfne čvorove i druge organe. Nažalost, i pored značajnih napredaka u poznavanju patogeneze i razvoju metoda rane detekcije, karcinom grlića materice je bio i ostaje, jedna od centralnih i vanredno složenih oblasti ginekološke onkologije i predstavlja značajan globalni zdravstveni izazov. Cilj: Osnovni cilj istraživanja bio je istražiti doprinos medicinskih sestara i babica u prevenciji karcinoma grlića materice i prikazati detaljnija razmatranja o različitim pristupima i metodama koje koriste u svom radu, kao i njihovom angažovanju u informisanju i podizanju svesti među ženama. Metod: Metodologija istraživanja obuhvatila je detaljno pretraživanje relevantnih medicinskih akademskih baza podataka, uz precizno definisan cilj, što je usmerilo istraživanje i omogućilo identifikaciju relevantnih informacija o doprinosu medicinskih sestara i babica u prevenciji karcinoma grlića materice. Kvalitativna analiza primarnih rezultata sprovedena je radi sinteze podataka, ističući dominantne teme. Zaključak: Medicinske sestre imaju značajnu odgovornost u sprovođenju preventivnih aktivnosti. Efikasna implementacija programa prevencije, uz opsežnu edukaciju iz oblasti javnog zdravlja, mogu značajno doprineti smanjenju incidencije karcinoma grlića materice. Da bi se unapredio njihov doprinos i poboljšao pristup i metode prevencije, neophodna je usklađena saradnja između zdravstvenih profesionalaca i donosilaca političkih odluka.
Oralna higijena pacijenata sa protetskim nadoknadama
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QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Kontrola plaka i debrisa je neophodna za prevenciju inflamatornih parodontalnih bolesti i zubnog karijesa, jer je plak primarni etiološki faktor u nastanku i razvoju obe ove bolesti usmerene na infekciju. Uklanjanje plaka četkicom za zube je najčešće korišćena metoda oralne higijene. Električne četkice za zube razvijene su počev od 1960-ih i sada se široko koriste u razvijenim zemljama. Dlake četkice za zube treba da budu u stanju da dosegnu i efikasno očiste većinu delova usta, a nedavno se dizajn i ručnih i električnih četkica za zube fokusirao na sposobnost da se dosegne i čiste interproksimalne površine zuba. Ponašanje pojedinca pri pranju zuba, uključujući silu, trajanje, motivaciju i pokret, takođe je ključno za efikasnost pranja zuba. Konac za zube i vrsta paste za zube igraju dodatnu važnu ulogu kao pomoćni alat za oralnu profilaksu. Sva pomenuta sredstva se koriste i kod pacijenata koji su rehabilitovani zubnim nadoknadama. Ipak, protokoli u održavanju oralne higijene pacijenata sa različitim vrstama nadoknada se razlikuju. Ovaj članak razmatra ove teme.
Saradnja porodice i sestara vaspitača - aktivnosti i zadovoljstvo
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UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Grid 1 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Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: Usled oslabljene vaspitne funkcije savremene porodice, jedna od osnovnih funkcija predškolske ustanove jeste dopuna porodičnom vaspitanju. Obzirom na važnost partnerskog odnosa između vaspitača i roditelja za pozitivan, spontani razoj deteta, u ovom radu istražujemo načine realizovanja saradnje, kao i zadovoljstvo roditelja i vaspitača međusobnom saradnjom. Cilj rada: Sagledati saradnju između predškolske ustanove i porodice i utvrditi u kojoj meri su roditelji i vaspitači zadovoljni međusobnom saradnjom. Ispitanici i metode: Populaciju ovog istraživanja čine medicinske sestre vaspitači i roditelji. Uzorak čini 30 medicinskih sestara vaspitača zaposlenih u Predškolskoj ustanovi „Vračar“ u Beogradu i 30 nasumično odabranih roditelja čija deca pohađaju istu predškolsku ustanovu. U svrhe ovog istraživanja formulisana su dva upitnika, za roditelje i za vaspitače u cilju saznavanja njihovih stavova. Rezultati: Rezultati istraživanja pokazuju da vaspitači procenjuju veću zainteresovanost majki, u odnosu na očeve, za saradnju koja se ostvaruje putem nekoliko značajnih oblika – individualni razgovor, roditeljski sastanak, radionice, u zavisnosti od procene samih roditelja. Individualni razgovor izdvaja se kao najefikasniji i najučestaliji oblik saradnje. Dalje rezultati pokazuju da je procenat dolaznosti roditelja, na roditeljske sastanke i radionice, zadovoljavajući i da su roditelji i vaspitači zadovoljni međusobnom saradnjom. Zaključak: Na osnovu analizirane teorijske građe i rezultata inicijalnog istraživanja možemo zaključiti da je saradnja porodica sa sestrama vaspitačima zadovoljavajuća i da se kao najbolji oblik saradnje ističe individualni razgovor i roditeljski sastanci. Unapređenje komunikacijskih kompetencija sestara vaspitača, ali i stalna edukacija roditelja o značaju aktivne i kontinuirane saradnje sa predškolskom ustanovom ključni su faktori za unapređenje istraživanog procesa.
Procena balansnih sposobnosti kod pacijenata sa unilateralnim transtibijalnim amputacijama u pretprotetičkoj fazi rehabilitacije nakon sprovedenih vežbi balansa
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Accent 5"/> <w:LsdException Locked="false" Priority="73" SemiHidden="false" UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" SemiHidden="false" UnhideWhenUsed="false" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" SemiHidden="false" UnhideWhenUsed="false" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" SemiHidden="false" UnhideWhenUsed="false" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" SemiHidden="false" UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" SemiHidden="false" UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" 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UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod: Unilateralne transtibijalne amputacije su među prvim amputacijama po učestalosti, predstavljajući veliki rehabilitacioni problem koji iziskuje angažovanje šireg rehabilitacionog tima. Kako bi se ovakav rehabilitacioni problem rešio i pacijent sa transtibijalnom amputacijom bio funkcionalno osposobljen neophodno je sprovesti adekvatan program vežbi balansa. Vežbe balansa, u preprotetičkoj fazi rehabilitacije, su od krucijalne važnosti u postizanju bolje neuromišićne kontrole, stabilnosti i funkcionalne mobilnosti pacijenta sa unilateralnim transtibijalnim amputacijama. Cilj istraživanja je procena uticaja primenjenih vežbi balansa na balansne sposobnosti pacijenata. Metod: U istraživanju su primenjivani programi vežbi koji su klasifikovani na lake, srednje teške i teške vežbe, a uz set vežbi ispitanici su bili izloženi različitim testovima koji imaju zadatak procene sposobnosti pacijenata u održavanju balansa: test reaktivne posturalne kontrole, test rizika od pada kod osoba sa amputacijama, test funkcionalnog dosega i skala inteziteta balansa. Testiranje je vršeno pre i posle primenjivanih programa vežbi balansa. U istraživanju je učestvovalo 25 ispitanika, pacijenti Specijalne bolnice za rehabilitaciju i ortopedsku protetiku, koji su učestvovali potpisivanjem obrasca dobrovoljnog pristanka informisanog pacijenta u istraživanju. Rezultati: Na kraju perioda predviđenog za uvežbavanje balansnih reakcija, svi ispitanici iz eksperimentalne grupe nezavisno su održavali balans u toku pertubacija na balans ploči, tako da su ispitanici koji su imali lošiju ocenu u toku prvog pokušaja održavanja balansa na balans ploči, postizali pozitivniju ocenu od prethodne. Zaključak: Vežbe balansa kod osoba sa unilateralnim transtibijalnim amputacijama su doprinele većem nivou funkcionalnih sposobnosti, mobilnosti i stabilnosti u aktivnostima svakodnevnog života.
Procena faktora koji utiču na prihvatanje HPV vakcine među adolescentima i mladim odraslim osobama: doprinos medicinske sestre
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UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Pregledni rad se bavi procenom faktora koji utiču na prihvatanje HPV vakcine među adolescentima i mladim odraslim osobama, sa posebnim fokusom na doprinos medicinskih sestara. HPV infekcija je ozbiljan javnozdravstveni problem koji može izazvati značajne posledice po zdravlje, kao što su karcinom grlića materice, genitalne bradavice i druge komplikacije. Međutim, vakcinacija može značajno smanjiti rizik od ovih oboljenja. Cilj rada odnosio se na istraživanje faktora koji imaju uticaj na prihvatanje HPV vakcine kod adolescenata i mladih odraslih, s akcentom na odgovornost medicinskih sestara. Rezultati analize studija ukazuju na složenost faktora koji utiču na odluku o HPV vakcinaciji. Medicinske sestre imaju nedvosmislen doprinos u edukaciji, podršci adolescentima i njihovim roditeljima. Studije su pokazale da su medicinske sestre često najvažniji izvor informacija o HPV vakcinaciji, što doprinosi povećanju informisanosti i pozitivnih stavova prema vakcinaciji. Pored toga, roditelji, prijatelji i društvene mreže takođe imaju značajan uticaj na odluku adolescenata o vakcinaciji. Društvene mreže takođe doprinose oblikovanju stavova o HPV vakcinaciji, pri čemu pozitivan i negativan sadržaj mogu imati različite efekte. Javne kampanje i zdravstveno obrazovanje su takođe specifični faktori u povećanju informisanosti i prihvatanja HPV vakcinacije. Studije su pokazale da je izbor odgovarajućih zdravstveno-vaspitnih metoda presudan za uspeh u podizanju svesti i prihvatanju vakcinacije. Ovi rezultati sugerišu da su efikasne kampanje i edukativni programi od suštinskog značaja za promociju vakcinacije. Razumevanje faktora koji utiču na prihvatanje HPV vakcine među adolescentima i mladim odraslim osobama zahteva sveobuhvatan pristup koji povezuje medicinske sestre, roditelje, prijatelje, društvene mreže i javne kampanje. Samo udruženim naporima može se postići povećanje stope vakcinacije, što je suštinski važno za zaštitu zdravlja mladih od HPV infekcije i njenih ozbiljnih posledica. Rad doprinosi boljem razumevanju dinamike prihvatanja HPV vakcine, istovremeno naglašavajući odgovornost medicinskih sestara u promociji HPV vakcinacije.
Toksični efekti vitamina i dijetetskih suplemenata
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UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Vitamini i minerali su najčešće korišćeni dijetetski suplementi u populaciji širom sveta. Igraju ključnu ulogu u mnogim ćelijskim procesima uključujući i energetske metaboličke procese. Koriste se u slučaju deficita ili za održavanje adekvatnog unosa. U odsustvu osnovne bolesti, dugotrajni umor i nedostatak energije, mogu biti prouzrokovani upravo deficitom mikronutrijenata. Stoga je važna procena subkliničkog statusa vitamina i neadekvatne ishrane kao potencijalnih faktora rizika za pojavu nekih bolesti kod naizgled zdravih osoba. Konzumacija visoko prerađene hrane dovodi se u vezu sa porastom hroničnih nezaraznih bolesti, usled lošijeg nutritivnog kvaliteta hrane. Pored veće bezbednosti, boljeg ukusa i duže ispravnosti, pojedini procesi u obradi dovode do gubitka minerala i vitamina. Osim toga, bioraspoloživost vitamina mogu da ometaju različite hranljive materije i dijtetske komponente. Potreba za suplementacijom postoji posebno kod rizičnih grupa poput žena i starije populacije. Zbog uticaja na modulaciju imunskog odgovora suplementacija vitaminima tokom pandemije COVID-19, pokazala se као opravdana posebno u težim oblicima bolesti jer je tok zavisio od inflamatornog odgovora. Međutim, toksični efekti vitamina i minerala su dokumentovani u stručnoj i naučnoj literaturi, pa se nameće oprez pri njihovoj upotrebi. Pregledom literature, ovaj rad pruža uvid u toksične efekte vitamina i dijetetskih suplemenata sa medicinskog, pravnog i društvenog aspekta. Kao značajan rezultat se izdvajaju i podaci da se suplementi sve češće neosnovano koriste, bez preporuke lekara, u odsustvu kliničkog ispoljavanja deficita, uz oskudno znanje o štetnim efektima. Na osnovu ovih podataka u radu su izneti predlozi mera za unapređenje teorije i prakse.
Upotreba modernih tehnologija u službi digitalnog nasilja kod đaka i studenata
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UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/> </w:LatentStyles> <![endif]--><!-- [if gte mso 10]> <![endif]--> Uvod/cilj: Današnji svet i njegovo funkcionisanje ne mogu se zamisliti bez proizvoda savremenih tehnologija. Prednosti njihove upotrebe su ogromne. Savremeni život predstavlja život sa puno brzih i velikih tehnoloških promena. Ove promene su, pored ostalog, uključile i upotrebu mnogih novih tehničkih uređaja koji koriste električnu energiju i proizvode elektromagnetno zračenje. Naravno, mobilni telefon, laptop i tablet predstavljaju jedan od najčešće korišćenih uređaja u poslednje vreme. Njihova upotreba ima mnogo koristi, vezanih za posao i život. Ali, pored koristi, postoje i neki takozvani loši efekti. Prva asocijacija na loše efekte u vezi sa savremenim električnim uređajima, pa tako i mobilnim telefonom, je elektromagnetno zračenje. Pored uočenih loših efekata, ovi uređaji se mogu koristiti u službi digitalnog nasilja i drugih loših oblika ponašanja ili kriminala. Ovaj rad je napisan da prikaže upotrebu mobilnog telefona, laptopa, desktopa i tableta u radu i životu učenika i studenata, potencijalnu izloženost učenika i studenata digitalnom nasilju i prisustvo i uticaj digitalnog nasilja kod učenika i studenata. Metod: Istraživanja su obuhvatila 600 učenika niških osnovnih, 600 učenika srednjih škola, kao i 600 studenata fakulteta Univerziteta u Nišu. Rezultati: Rezultati su pokazali veliki uticaj savremenih digitalnih uređaja u životu i radu ispitanika, posebno mobilnih telefona . Izloženost digitalnom nasilju ispitanika bila je veoma visoka (više od 80% ispitanika koristilo je društvene mreže različitog stepena izloženosti). Digitalno nasilje među ispitanicima postoji u visokom stepenu (više od 70% ispitanika je uznemiravano putem e-pošte, telefona ili društvenih mreža). Zaključak: Digitalno nasilje predstavlja ozbiljan problem za ispitanike, a sprovodi se u većini slučajeva putem mobilnog telefona.
Uticaj buke na zdravlje. Mere za kontrolu prevelikog nivoa buke u saobraćaju
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U današnje vreme, buka u životnoj sredini je postala značajan problem u većini zemalja. Zagađenje bukom je širenje neželjenih zvukova u okolini. Buka je skoro uvek oko nas. Među faktorima životne sredine koji izazivaju zdravstvene posledice, buka u okruženju je na drugom mestu po značaju, odmah posle zagađenja vazduha. Zbog buke sa puteva, železnice i aerodroma, jedna od tri osobe iskusi uznemirenost tokom dana, a svaka peta ima poremećaj sna noću. Fizički zdravstveni efekti zagađenja bukom mogu se javiti kao direktan ili indirektan rezultat izloženosti buci. U teškim slučajevima, glasni zvuci mogu direktno uzrokovati oštećenje sluha. Ova prekomerna buka ozbiljno šteti ljudskom zdravlju i ometa svakodnevne aktivnosti ljudi u školi, na poslu, kod kuće i u slobodnom vremenu. Hronična izloženost buci životne sredine takođe značajno utiče na fizičko i mentalno zdravlje. Buka drumskog saobraćaja je najčešći izvor buke u životnoj sredini i najviše doprinosi ukupnim efektima buke na zdravlje. Ako se utvrdi da je smanjenje buke izvodljivo i odgovarajuće, jedna od najčešćih tehnika za redukciju buke su barijere za buku. Od nekoliko tehnologija koje su dostupne nadležnima za puteve, primena materijala koji smanjuju buku za izgradnju puteva, nije samo najisplativija, već se može primeniti u kratkom roku.
Oralna higijena kod pacijenata sa ortodontskim aparatima
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Za posledicu imamo pojavu većeg broja različitih problema, posebno kod pacijenata koji loše održavaju oralnu higijenu. Najčešći problemi su uglavnom gingivitisi, kao i povećana incidenca karijesa. Nekad promene na gingivi mogu biti toliko izražene da se mora skratiti vreme nošenja aparata, a u nekim slučajevima i prekinuti terapija. Zbog navedenih problema, dobro održavanje oralne higijene kod pacijenata koji nose fiksne ortodontske aparate vrlo je značajno. Svakodnevno održavanje oralne higijene kod ovih pacijenata je komplikovano, pa su njima potrebna dodatna uputstva i objašnjenja kako i kojim sredstvima mogu efikasno da uklone plak. Takođe je potrebno, pogotovu mlađim pacijentima, pružati stalnu motivaciju i podršku. Za održavanje oralne higijene ovi pacijenti koriste veći broj različitih sredstava: standardne zubne četkice, i interdentalne četkice raznih veličina i oblika, zubni konac i interdentalne stimulatore. Mogu se koristiti električne četkice i aparat sa mlazom vode ili rastvorom. Često su kao pomoć oralnoj higijeni potrebni antiseptici i fluoridi. Kod pacijenata koji nose fiksne ortodontske aparate potrebno je uložiti napor i koristiti različita sredstva da se efikasno održava oralna higijena kako bi ortodontska terapija bila uspešna.