Iskanje po katalogu digitalne knjižnice

Opis: Background and purpose: The aim of this study was to examine the risk factors, prodromal symptoms, non-motor symptoms (NMS), and motor symptoms (MS) in different Parkinson’s disease (PD) non-motor subtypes, classified using newly established criteria and a data-driven approach. Methods: A total of 168 patients with idiopathic PD underwent comprehensive NMS and MS examinations. NMS were assessed by the Non-Motor Symptom Scale (NMSS), Montreal Cognitive Assessment (MoCA), Hamilton Depression Scale (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), REM Sleep Behavior Disorder Screening Questionnaire (RBDSQ), Epworth Sleepiness Scale (ESS), Starkstein Apathy Scale (SAS) and Fatigue Severity Scale (FSS). Motor subtypes were classified based on Stebbins’ method. Patients were classified into groups of three NMS subtypes (cortical, limbic, and brainstem) based on the newly designed inclusion criteria. Further, data-driven clustering was performed as an alternative, statistical learning-based classification approach. The two classification approaches were compared for consistency. Results: We identified 38 (22.6%) patients with the cortical subtype, 48 (28.6%) with the limbic, and 82 (48.8%) patients with the brainstem NMS PD subtype. Using a data-driven approach, we identified five different clusters. Three corresponded to the cortical, limbic, and brainstem subtypes, while the two additional clusters may have represented patients with early and advanced PD. Pearson chi-square test of independence revealed that a priori classification and cluster membership were significantly related to one another with a large effect size (χ2(8) = 175.001, p < 0.001, Cramer’s V = 0.722). The demographic and clinical profiles differed between NMS subtypes and clusters. Conclusion: Using the actuarial and clustering approach, marked differences between individual NMS subtypes were found. The newly established criteria have potential as a simplified tool for future clinical research of NMS subtypes of Parkinson’s disease.
Ključne besede: Parkinson’s disease, non-motor symptoms subtypes, a priori classification, cluster analysis
Objavljeno v DKUM: 07.04.2025; Ogledov: 0; Prenosov: 3
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Opis: Background: Although the internet facilitates access to a wide range of knowledge and evidence, overuse among young people is associated with lower wellbeing and psychosomatic symptoms. The aim of this cross-sectional study is to explore the relationship between internet use, mental wellbeing, and psychosomatic symptoms among university students in Slovenia. Methods: We used correlation matrix plots to identify correlated symptoms and multivariate logistic regression to analyze the relationship between the time spent on the internet or computer and psychosomatic symptoms controlling for gender. Symptoms were measured using the Health Behavior of School Children scale. Results: Out of 464 students, the majority (64.7%, n = 300) were healthcare students and 35.3% (n = 164) were computer science students. Among somatic symptoms, headaches were associated with more time spent on the computer (r = −0.17, p < 0.001) and were significantly more prevalent in computer science students compared to health science students (χ2(1) = 8.52, p = 0.004). Time spent using the internet for spare time activities was associated with lower nervousness (r = 0.15, p = 0.005). Conclusions: Computer science students reported more frequent psychological symptoms compared to health science students and less somatic symptoms.
Ključne besede: psychological symptoms, somatic symptoms, technology use, wellbeing, university students
Objavljeno v DKUM: 27.11.2024; Ogledov: 0; Prenosov: 3
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Opis: ntroduction Primary care physicians use various tools and methods to identify medically unexplained symptoms (MUS). The main purpose of our study is to determine the views of Slovenian family medicine trainees (FMT) about using the “Careful Assessment” tool for managing patients with MUS. Methods A qualitative study using open survey questions focused on the experience of family medicine trainees in managing patients with MUS. The sample consisted of surveys from 184 family medicine trainees. These trainees analysed a total of 702 patients with MUS. Manual coding was used for quantitative content analysis. Results In the coding process, 49 codes were developed that included broader research fields about using the “Careful Assessment” tool for managing patients with MUS. The codes were grouped into four theoretically grounded, logical categories in accordance with the elaborated theoretical concept: multi-purpose utility; improved patient management; in-depth knowledge and new skills; and patient response. Conclusion The study demonstrated that, in the view of Slovenian FMT, the “Careful Assessment” tool has multi-purpose utility. The study showed that FMT felt that this tool helps them in systematic patient management. Their opinion is that it helps them establish a trusting relationship with patients, which is a precondition for providing further treatment.
Ključne besede: medically unexplained symptoms, Careful Assessment tool, family medicine, qualitative studies, family medicine, trainees
Objavljeno v DKUM: 17.06.2024; Ogledov: 151; Prenosov: 18
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Opis: The main objective of the paper is to determine the impact of behavioral symptoms of burnout of older employees on their work engagement in large- and medium- sized companies in Slovenia. The research is based on the implementation of a factor analysis by which we wanted to reduce the large number of variables into a smaller number of factors. With those factors, we performed a simple linear regression. Based on the results, we confirmed the hypothesis that behavioral symptoms of burnout of older employees have a statistically significant negative impact on their work engagement. Well-being of employees of varying ages in the workplace is key for long-term effectiveness of companies. From this point of view, companies should apply appropriate measures to reduce burnout as well as to contribute to employees’ well-being and better workplace performance, which is reflected in work engagement of employees.
Ključne besede: burnout, behavioral symptoms of burnout, older employees, work engagement
Objavljeno v DKUM: 10.10.2018; Ogledov: 1571; Prenosov: 198
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Opis: Background and Purpose: People spend a significant part of their lifespan working, but the role of age in job design and implementation of work have largely been ignored. The consequences can be evident in stress and burnout in different symptoms. Thus, age-diverse employees are faced with different symptoms of burnout and stress when carrying out their work. The main aim of this paper is to present burnout of older employees compared to younger employees in Slovenian companies. Design/Methodology/Approach: The paper is based on research including a survey between two age groups of employees, namely the younger employees that were classified in the group of under 50 years of age and the older employees that were classified in the group of above 50 years of age. Since the Kolmogorov-Smirnov and Shapiro- Wilk test showed that the data was not normally distributed, the noan-parametric Mann-Whitney U test was used to verify differences in the physical symptoms of burnout, emotional symptoms of burnout, and behavioral symptoms of burnout in the workplace between two groups. Results: The results show that there are significant differences in the great majority of the variables describing the physical symptoms of burnout, emotional symptoms of burnout, and behavioral symptoms of burnout in the workplace between younger and older employees. Conclusion: Well-being in the workplace of age-diverse employees is a key for long-term effectiveness of organizations. Managers and employers should apply appropriate measures to reduce burnout as well as to contribute to employees well-being and better workplace performance.
Ključne besede: physical symptoms of burnout, emotional symptoms of burnout, behavioral symptoms of burnout, employees, human resource management
Objavljeno v DKUM: 06.04.2017; Ogledov: 2246; Prenosov: 256
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