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1.
Self-reported chronic conditions in student population in Slovenia
Zalika Klemenc-Ketiš, Žiga Hladnik, Danica Rotar-Pavlič, Mieke Post, Janko Kersnik, 2010, original scientific article

Abstract: Purpose/Objective: The aims of this study were (1) to determine the prevalence of chronic diseases in a student population in Slovenia, (2) to determine the effects of chronic diseases on the use of health services. Methods: A cross-sectional web-survey among university students in Ljubljana and Maribor, Slovenia took place in March and April 2008. Data were analyzed using SPSS version 13.0 (SPSS Inc, Chicago, IL, USA),and chi-square test, t-test and binary logistic regression analysis were performed. Results: The prevalence of chronic diseases in the student population was 40.3 %. The most common chronic diseases were allergies (excluding hay fever) (14.9 %), hay fever (11.4 %), followed by skin diseases (9.2 %) and anxiety (5.3 %). Both high blood pressure and asthma had a higher prevalence in men than in women (p < 0.001 and p = 0.023, respectively). Students with chronic conditions less often thought that they can influence their own health by self-treatment, experienced stress in the previous week, more likely visited or contacted his/her personal doctor in the past year, more likely purchased medications for self-treatment from a pharmacist in the past year, were more aware of the facts that self-treatment may hide the symptoms and signs of illness to such extent that the doctor may not be able to recognize it or overlook it completely. Conclusion: A greater awareness of the prevalence and impact of chronic diseases in students is warranted and the existing interventions should be changed in order to achieve a better life quality of university students.
Keywords: students, chronic disease, prevalence, self-care, quality of life
Published: 28.03.2017; Views: 285; Downloads: 25
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2.
Combination of lung ultrasound (a comet-tail sign) and N-terminal pro-brain natriuretic peptide in differentiating acute heart failure from chronic obstructive pulmonary disease and asthma as cause of acute dyspnea in prehospital emergency setting
Gregor Prosen, Petra Klemen, Matej Strnad, Štefek Grmec, 2011, original scientific article

Abstract: Introduction: We studied the diagnostic accuracy of bedside lung ultrasound (the presence of a comet tail sign), N-terminal pro-brain natriuretic peptide (NT-proBNP), and clinical assessment (modified Boston criteria) in differentiating heart failure (HF)- related acute dyspnea from pulmonary (COPD/asthma) related acute dyspnea in the prehospital setting. Methods: Prospective study was performed at the Center for Emergency Medicine Maribor, Slovenia, between July 2007 and April 2010. Two groups of patients were compared: HF-related acute dyspnea group (n = 129) vs pulmonary-related (asthma/COPD) acute dyspnea group (n = 89). All patients underwent lung ultrasound examination, along with basic laboratory, rapid NT-proBNP testing and chest X-ray. Results: Ultrasound comet tail sign has 100% sensitivity, 95% specificity, 100% negative predictive value (NPV) and 96% positive predictive value (PPV) for the diagnosis of HF. NT-proBNP (cut-off point 1000 pg/ml) has 92% sensitivity, 89% specificity, 86% NPV and 90% PPV. Boston modified criteria have 85% sensitivity, 86% specificity, 80% NPV and 90% PPV. Comparing the three methods, we found significant differences between ultrasound sign vs NT-proBNP (P<0.05) and Boston modified criteria (P<0.05). Combination of ultrasound sign and NT-proBNP has 100% sensitivity, 100% specificity, 100% NPV and 100% PPV. With ultrasound we can exclude HF in patients with pulmonary related dyspnea who have positive NT-proBNP (> 1000 pg/ml) and previous history of HF. Conclusions: Ultrasound comet tail sign alone or in combination with NT-proBNP has a high diagnostic accuracy in differentiating between acute HF and COPD/asthma causes of acute dyspnea in prehospital emergency setting.
Keywords: lungs, ultrasound, N-terminal pro-brain natriuretic peptide, acute heart failure, chronic obstructive pulmonary disease, asthma, acute dyspnea
Published: 29.06.2017; Views: 745; Downloads: 88
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3.
Factors associated with health-related quality of life among university students
Zalika Klemenc-Ketiš, Janko Kersnik, Ksenija Eder, Dušan Colarič, 2011, original scientific article

Abstract: Introduction: University students are subjected to different kinds of stressors, i.e.academic pressures, social issues and financial problems. This can affect their academic achievements and quality of life. Objective: The aim of this study was to determine the health-related quality of life of university students, and how it is affected by the presence of chronic diseases, mental disorders comorbidity, and patterns of medical services' use. Methods: This web-based study included a sample of 1,410 Slovenian university students. We used a self-administered questionnaire, containing a sheet with demographic data, Zung's self-assessment inventories about anxiety and depression, and EQ-5D questionnaire. The main outcome measures were scores on EQ-5D part and VAS part of the EQ-5D questionnaire. Results: Independent factors associated with the health-related quality of life of university students, were the presence of chronic pain, the presence of depression and anxiety, need for urgent medical help and at least one visit to a clinical specialist in the past year. The independent factors associated with the health status of university students were the presence of chronic diseases, chronic pain, depression and anxiety, a visit to a clinical specialist, a need for urgent medical help and a visit to an emergency unit in the past year. Conclusion: Health-related quality of life of university students can be seriously affected by the presence of mental disorders and chronic pain. Appropriate health-related measures should be adopted to achieve early recognition of worse health-related quality of life, the presence of mental disorders and other chronic conditions, and to enable their effective treatment.
Keywords: quality of life, students, chronic disease, pain, depression, anxiety
Published: 04.08.2017; Views: 199; Downloads: 105
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