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1.
Clinical pharmacy services in mental health in Europe : a commentary paper of the European Society of Clinical Pharmacy Special Interest Group on Mental Health
Matej Štuhec, Martina Hahn, I. Taskova, I. Bayraktar, I. Fitzgerald, L. Molitschnig, A. Tatarević, N. Lindner, L. Agnoletto, Filipa Alves da Costa, 2023, review article

Abstract: A large proportion of the world's disease burden is attributable to mental illnesses. Although effective interventions are available, many patients still have limited access to evidence-based treatments. Aside from access, treatment gaps, including inappropriate medication selection and monitoring, are also routinely recognised. Mental health clinical pharmacists can help address these gaps and enable patients to receive optimised pharmaceutical care, particularly appropriate medication selection and monitoring. The European Society of Clinical Pharmacy (ESCP) Special Interest Group on Mental Health was established to improve standardised service provision in mental health settings across Europe. The Special Interest Group identified significant barriers (predominantly associated with reimbursement and position within the multidisciplinary team) to effective pharmaceutical care amongst those with mental illnesses. This commentary presents recommendations to address these gaps through improved mental health clinical pharmacy service provision.
Keywords: clinical pharmacist interventions, clinical pharmacy in mental health, European society of clinical pharmacy, mental illnesses and pharmacy, pharmaceutical services in mental health, polypharmacy and clinical pharmacy, psychotropics and clinical pharmacy
Published in DKUM: 15.04.2024; Views: 29; Downloads: 0
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2.
Resveratrol food supplement products and the challenges of accurate label information to ensure food safety for consumers
Maja Bensa, Irena Vovk, Vesna Glavnik, 2023, original scientific article

Abstract: The food supplement market is growing as many consumers wish to complement their nutrient intake. Despite all the regulations in place to ensure food supplements safety, there are still many cases of irregularities reported especially connected to internet sales. Twenty resveratrol food supplement products sold on the Slovenian market were evaluated on their compliance of declared vs. determined resveratrol content, as well as the compliance of labels with the European Union (EU) and Slovenian regulatory requirements. Both the ingredient contents and food information are important parts of food safety. Analyses of 20 food supplements performed using high-performance thin-layer chromatography (HPTLC) coupled with densitometry showed that 95% of products had contents different from what was declared and 55% of products contained higher contents than declared. In 25% of the products the determined content per unit exceeded the maximum level (150 mg/day) specified in EU novel food conditions for food supplement with trans-resveratrol. Evaluation of the 20 food supplement labels included mandatory and voluntary food information, food supplement information, novel food information, health claims and nutrition claims. Most labels contained the necessary information, but multiple errors were observed ranging from typos to misleading practices. From a food safety perspective there is still a lot of improvement needed in the field of food supplements.
Keywords: trans-resveratrol, dietary supplements, food safety, regulation, labels, health claims, nutrition claims, novel foods, high-performance thin-layer chromatography, HPTLC
Published in DKUM: 15.04.2024; Views: 14; Downloads: 0
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3.
Overview of this issue: "clinical pharmacy impacting mental health delivery and outcomes"
Martina Hahn, Matej Štuhec, Filipa Alves da Costa, 2023, preface, editorial, afterword

Keywords: clinical pharmacy, mental health care
Published in DKUM: 15.04.2024; Views: 13; Downloads: 0
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4.
Understanding, trusting, and applying scientific insights to improve your health : a latent profile analysis approach
Nejc Plohl, Bojan Musil, 2022, original scientific article

Abstract: Various leading causes of death can be prevented or delayed through informed decision-making and lifestyle changes. Previous work has, to some extent, linked such health-promoting behavior (HPB) with variables capturing individuals’ understanding of science, trust in science, and capacity to apply evidence-based information in the health context. However, empirical research on the relationship between scientific knowledge, trust in science, health literacy, and HPB is scarce. Additionally, no study has investigated whether these characteristics interact to form homogeneous, high-risk subgroups of the population. The present online study (N = 705) revealed that trust in science and health literacy were positively related to a wide array of HPBs (e. g., healthy nutrition, physical activity, stress management), while scientific knowledge was only positively associated with COVID-19 vaccination intention. Furthermore, the results of latent profile analyses yielded four subgroups (i. e., low, moderate, and high levels of all three variables and a varied profile exhibiting very low trust in science, low health literacy, and moderate scientific knowledge). The identified subgroups differ significantly in HPB and variables determining profile membership (e. g., political conservatism). Hence, the present study offers some guidance on which groups may be targeted with public health campaigns and how they may be designed.
Keywords: scientific knowledge, trust in science, health literacy, health behaviour, COVID-19
Published in DKUM: 12.04.2024; Views: 45; Downloads: 0
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5.
Depressive symptoms among Slovenian female tertiary students before and during the COVID-19 pandemic : analysis of two repeated cross-sectional surveys in 2020 and 2021
Andrej Kirbiš, 2023, original scientific article

Abstract: The COVID-19 pandemic has adversely affected the mental health of the general population. This holds true especially for vulnerable groups, including young people, students, and females. Our study examined cross-sectional changes in depressive symptoms from immediately before the COVID-19 pandemic (January/February 2020) to the second wave of the epidemic in Slovenia (January/February 2021) among female tertiary students. A multivariate analysis of two repeated cross-sectional surveys was performed using relatively homogeneous samples. The pooled sample included 418 young adult female students (Mage = 21.21 years). Depressed affect items were used to measure depressive symptomatology. All three feelings indicating depressed affect increased substantially and significantly from 2020 to 2021: feeling depressed (23% vs. 38%), lonely (16% vs. 43%), and sad (21% vs. 49%). In 2021, female students had almost a three-fold increase in the odds of reporting at least two out of three depressed affect symptoms compared to 2020 (19% vs. 43%; aOR 2.97; 95% CI 1.59–5.54; p < 0.001), adjusted for sociodemographic and socioeconomic confounders. Our findings suggest that Slovenian female students’ mental health deteriorated during the first year of the COVID-19 pandemic. Public health professionals’ efforts to combat the pandemic’s mental health-related negative short-term and potential long-term impacts should thus focus on young people, especially on younger female students.
Keywords: depressive symptoms, depressed affect, students, covid-19, mental health, pandemic
Published in DKUM: 09.04.2024; Views: 57; Downloads: 2
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6.
Leadership and managerial challenges to ensure agile management as a method to enable business success : a Delphi study of the Slovenian health organisations
Vasja Roblek, Vlado Dimovski, Kristjan Jovanov Oblak, Maja Meško, Judita Peterlin, 2024, original scientific article

Abstract: Purpose This study aims to apply the Delphi method to explore the possibilities for implementing agility management concepts in Slovenian health-care organisations. Design/methodology/approach The research is based on a qualitative Delphi study encompassing 15 employees in different Slovenian health-care organisations. Findings Slovenian health-care organisations need to be more agile currently. For this reason, it is necessary to begin with organisational changes and organisational learning concepts to educate employees about the meaning and content of agile processes. It is essential to ensure that accepting employee mistakes and offering help to employees becomes normal practice, and it is necessary to ensure the greater trust of the management towards the employees. Originality/value The research empowers health-care professionals with new management and leadership concepts, such as agile management, sustainable leadership and leadership development methods in health care.
Keywords: entrepreneurship, leadership, company performance, business efficiency, agile management, delphi study, health-care organisations, organisational transformation, Slovenia, change management, health services sector
Published in DKUM: 08.04.2024; Views: 62; Downloads: 3
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7.
Multilevel analysis of COVID-19 vaccination intention : the moderating role of economic and cultural country characteristics
Monika Lamot, Andrej Kirbiš, 2024, original scientific article

Abstract: Predictors of COVID-19 (coronavirus) vaccination have been extensively researched; however, the contextual factors contributing to understanding vaccination intention remain largely unexplored. The present study aimed to investigate the moderating role of economic development (Gross domestic product - GDP per capita), economic inequality (Gini index), the perceived corruption index and Hofstede’s measurements of cultural values—index of individualism/collectivism and power distance index—in the relationship between determinants of satisfaction with the healthcare system, trust in political institutions, conspiracy beliefs and COVID-19 vaccination intention. Methods: A multilevel modelling approach was employed on a sample of approximately 51 000 individuals nested within 26 countries. Data were drawn from the European Social Survey Round 10. The model examined the effect of individual- and country-level predictors and their interaction on vaccination intention. Results: Satisfaction with the healthcare system had a stronger positive effect on intention to get vaccinated in countries with lower perceived corruption and more individualistic countries. Trust in political institutions had a stronger positive effect on vaccination intention in countries with higher economic development and lower perceived corruption, while a negative effect of conspiracy beliefs on vaccination intention was stronger in countries with lower economic development, higher perceived corruption and a more collectivistic cultural orientation. Conclusion: Our findings highlight the importance of considering individual and contextual factors when addressing vaccination intention.
Keywords: COVID-19 vaccination intention, multilevel analyses, satisfaction with the health system, trust in political institutions, conspiracy beliefs
Published in DKUM: 08.04.2024; Views: 68; Downloads: 4
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8.
The IHI Rochester Report 2022 on healthcare informatics research : Resuming after the CoViD-19
Carlo Combi, Julio C. Facelli, Peter Haddawy, John H. Holmes, Sabine Koch, Hongfang Liu, Jochen Meyer, Mor Peleg, Giuseppe Pozzi, Gregor Štiglic, Pierangelo Veltri, Christopher C. Yang, 2023, review article

Abstract: In 2020, the CoViD-19 pandemic spread worldwide in an unexpected way and suddenly modified many life issues, including social habits, social relationships, teaching modalities, and more. Such changes were also observable in many different healthcare and medical contexts. Moreover, the CoViD-19 pandemic acted as a stress test for many research endeavors, and revealed some limitations, especially in contexts where research results had an immediate impact on the social and healthcare habits of millions of people. As a result, the research community is called to perform a deep analysis of the steps already taken, and to re-think steps for the near and far future to capitalize on the lessons learned due to the pandemic. In this direction, on June 09th–11th, 2022, a group of twelve healthcare informatics researchers met in Rochester, MN, USA. This meeting was initiated by the Institute for Healthcare Informatics—IHI, and hosted by the Mayo Clinic. The goal of the meeting was to discuss and propose a research agenda for biomedical and health informatics for the next decade, in light of the changes and the lessons learned from the CoViD-19 pandemic. This article reports the main topics discussed and the conclusions reached. The intended readers of this paper, besides the biomedical and health informatics research community, are all those stakeholders in academia, industry, and government, who could benefit from the new research findings in biomedical and health informatics research. Indeed, research directions and social and policy implications are the main focus of the research agenda we propose, according to three levels: the care of individuals, the healthcare system view, and the population view.
Keywords: biomedical and health informatics, artificial intelligence in medicine, research trends, CoViD-19
Published in DKUM: 03.04.2024; Views: 51; Downloads: 3
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9.
The safety of patient management in family medicine in Slovenia during Covid-19 : a crosssectional study
Maja Cvetko Gomezelj, Špela Miroševič, Alina Verdnik Tajki, Ksenija Tušek-Bunc, Esther Van Poel, Sara Willems, Zalika Klemenc-Ketiš, 2023, original scientific article

Abstract: Abstract Background During the Covid-19 pandemic, family medicine practices (FMPs) changed to improve safety against new coronavirus infections for both patients and employees. Protocols for treating patients with suspected Sars-Cov-2 infections were established to protect medical staf and other patients from being infected. However, these protocols also led to increased safety risks, such as delays in treating patients with other medical conditions. This exploratory study aimed to investigate safety risks in treating patients in FMPs during the Covid-19 pandemic and to suggest improvements to prevent Covid-19 in FMPs in Slovenia. Methods A cross-sectional study was rolled out in FMPs in Slovenia as part of the international Pricov-19 study. Data collection on safety management during the Covid-19 pandemic in FMPs in Slovenia took place from November 2020 until January 2021 using a self-administered online survey for FP working in Slovenia. A chi-square test, ANOVA, independent samples t-test or bivariate correlation test was performed to explore associations regarding the safety of patients’ management variables. Results From the 191 participating family physicians (FPs) (15.2% response rate), 54.8% reported having treated patients with fever (not Covid-19) late due to the new protocols at least once, and 54.8% reported patients with urgent conditions having been seen late at least once due to not coming. In the suburbs and rural environments FPs more often reported that at least once patient with a fever (not Covid-19) was seen late due to the protocol (p=0.017) and more often reported that at least once patient with an urgent condition was seen late due to not com‑ ing to their FP (p=0.017). The larger the practice, the more they reported that at least once a patient with fever (not Covid-19) was seen late due to the protocol (p=0.012) and the more they reported at least once a patient with an urgent condition was seen late due to not coming to their FP (p=0.012). Conclusion Covid-19 afected the safety of patient management in FMP in Slovenia. The most common prob‑ lem was foregone care. Therefor, protocols for chronic patient management in the event of epidemics need to be established.
Keywords: Covid-19, family medicine, patient safety, patient management, quality of care, PRICOV-19, primary health care, general practice, timeliness
Published in DKUM: 29.03.2024; Views: 66; Downloads: 6
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10.
Effectiveness of health promotion interventions in primary schools : a mixed methods literature review
Joca Zurc, Camilla Laaksonen, 2023, review article

Abstract: School-based health promotion interventions (HPIs) are commonly used in schools, but scientific evidence about the structures of effective interventions is lacking. Therefore, we conducted a mixed methods systematic literature review to recognize the HPI structures related to their effectiveness. Based on the inclusion criteria, 49 articles were selected for the literature review. The articles, published in 2011–2022, described 46 different school-based interventions conducted in 20 different countries. The average duration of the interventions was 12 months, and they were implemented mostly with an RCT study design (61.2%) and by targeting children (69.4%). Three main groups of interventions were identified and explained: (1) extensive and long-term interventions; (2) school policy-changing interventions; and (3) highly effective interventions. Effective school-based HPIs included multiple target groups, multiple providers with external experts, and an efficient duration and timing of follow-ups. The implications for educational research and school practice are presented. Evidence on the effectiveness of health-related interventions is still lacking and needs to be addressed in further studies.
Keywords: education, school health, health promotion, health education, intervention effectiveness, systematic literature review, mixed methods review
Published in DKUM: 21.03.2024; Views: 99; Downloads: 5
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