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Article: Parents' versus Grandparents' Attitudes about Childhood Vaccination.

Skitarelić, Nataša / Vidaić, Marija / Skitarelić, Neven

2022 Volume 9, Issue 3

Abstract: Background: We investigated and compared practices and attitudes about childhood vaccination between young parents and their parents and identified influences and sources of information in the County of Zadar, Croatia.: Methods: This research was ... ...

Abstract	Background: We investigated and compared practices and attitudes about childhood vaccination between young parents and their parents and identified influences and sources of information in the County of Zadar, Croatia. Methods: This research was conducted in six general practice and paediatric medical clinics. It included 300 volunteers, including 150 younger parents and 150 older grandparents. Information was collected with a survey questionnaire. The survey data were statistically processed. Results: The 300 participants were divided into 2 groups. Most of the respondents were married, employed, had a high school education, and had a good economic status, often with two children and living in the city. Generally, the attitude towards vaccination was positive. Healthcare workers made the most important influence on the decision for vaccination. The younger age group was significantly affected by social networks and the internet and wanted more information. They were afraid of the adjuvants in vaccines. The older respondents held that vaccination must be legally regulated and did not believe the anti-vaccine media headlines. Conclusions: Our respondents had positive attitudes towards childhood vaccination, noticed the benefits of vaccinating children, and held that untreated children represent a risk for the community. They were well informed and satisfied with the collaboration with medical professionals, although the media and social networks had some impact on attitudes.
Language	English
Publishing date	2022-03-02
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2732685-8
ISSN	2227-9067
ISSN	2227-9067
DOI	10.3390/children9030345
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Article ; Online: Levels of depression, anxiety and subjective happiness among health sciences students in Croatia: a multi-centric cross-sectional study.

Milić, Jakov / Skitarelić, Nataša / Majstorović, Dijana / Zoranić, Sanja / Čivljak, Marta / Ivanišević, Kata / Marendić, Mario / Mesarić, Jasna / Puharić, Zrinka / Neuberg, Marijana / Čukljek, Snježana / Racz, Aleksandar / Puljak, Livia

BMC psychiatry

2024 Volume 24, Issue 1, Page(s) 50

Abstract: Background: Previous studies have shown that symptoms of depression and anxiety were highly prevalent among health sciences students. This may lead to other professional and personal difficulties and a decrease in individuals' well-being. This study ... ...

Abstract	Background: Previous studies have shown that symptoms of depression and anxiety were highly prevalent among health sciences students. This may lead to other professional and personal difficulties and a decrease in individuals' well-being. This study aimed to analyze levels of depression, anxiety and subjective happiness among health sciences students in Croatia. Methods: We conducted a cross-sectional study in 10 higher education institutions in Croatia during March 2023. Eligible participants were health sciences students. Participants filled out an online survey consisting of sociodemographic questions and validated scales for determining the levels of depression (9-question Patient Health Questionnaire, PHQ-9), anxiety (General Anxiety Disorder 7-item scale, GAD-7), and happiness (Subjective Happiness Scale, SHS). Results: Of 7460 invited students, 2137 students participated in the study (29% response rate). There were 41.4% of students that exhibited at least mild depressive symptoms, with 8% of students exhibiting moderately severe symptoms and 1.8% severe depressive symptoms. Mild anxiety was found in 36.8%, moderate anxiety in 23.9% and severe anxiety in 15.8% of students. The median SHS score was 19 (15.25-22). Women students had significantly higher levels of depression (p < 0.001) and anxiety (p < 0.001) than their men peers. Students in earlier study years showed higher levels of depression, anxiety and lower levels of subjective happiness compared to those in later study years. Students with lower self-assessed financial status had higher levels of depression (p < 0.001) and anxiety (p < 0.001). Students that failed an academic year had higher levels of depression (p < 0.001), but lower levels of anxiety (p = 0.005). Conclusion: In this study, we have shown that health sciences students exhibit high levels of depression and anxiety, at rates exceeding those in the general population reported in other studies. Our results may help educational institutions to put greater effort into the battle against mental health stigma, foster acceptance of mental health issues and encourage students to seek help when needed. Adequate mental health services are needed at universities to promote timely diagnosis and treatment of mental health problems.
MeSH term(s)	Male ; Humans ; Female ; Depression/diagnosis ; Depression/epidemiology ; Depression/psychology ; Cross-Sectional Studies ; Happiness ; Croatia/epidemiology ; Anxiety/diagnosis ; Anxiety/epidemiology ; Anxiety/psychology ; Students/psychology ; Universities ; Anxiety Disorders
Language	English
Publishing date	2024-01-13
Publishing country	England
Document type	Journal Article
ZDB-ID	2050438-X
ISSN	1471-244X ; 1471-244X
ISSN (online)	1471-244X
ISSN	1471-244X
DOI	10.1186/s12888-024-05498-5
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Article ; Online: Laparoscopic Reduction of Intussusception in Children in Restricted Environment: Our Initial Experience Supports Timely Resort to Minimally Invasive Surgery

Mihanović, Jakov / Karlo, Robert / Bačić, Ivan / Skitarelić, Nataša

Balkan medical journal

2018 Volume 36, Issue 1, Page(s) 66–67

MeSH term(s)	Humans ; Intussusception/diagnosis ; Intussusception/surgery ; Laparoscopy/methods ; Laparoscopy/trends ; Pediatrics/methods ; Time Factors ; Ultrasonography/methods
Language	English
Publishing date	2018-10-05
Publishing country	Turkey
Document type	Letter
ZDB-ID	2612982-6
ISSN	2146-3131 ; 2146-3123
ISSN (online)	2146-3131
ISSN	2146-3123
DOI	10.4274/balkanmedj.2018.0627
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Article ; Online: Covid-19 pandemija

Skitarelić, Neven / Dželalija, Boris / Skitarelić, Nataša

Medica Jadertina ; ISSN 0351-0093 (Print) ; Volume 50 ; Issue 1

kratki pregled dosadašnjih spoznaja

2020

Abstract: Corona virus (virus SARS-CoV-2) je novi soj virusa koji je uzrokovao Covid-19 pandemiju. Širenje bolesti u Europi prvenstveno je uzrokovano kapljičnim prijenosom s čovjeka na čovjeka. Osim prijenosa s bolesnih ljudi, virus se prenosi i s asimptomatskih ... ...

Abstract	Corona virus (virus SARS-CoV-2) je novi soj virusa koji je uzrokovao Covid-19 pandemiju. Širenje bolesti u Europi prvenstveno je uzrokovano kapljičnim prijenosom s čovjeka na čovjeka. Osim prijenosa s bolesnih ljudi, virus se prenosi i s asimptomatskih bolesnika. Razdoblje inkubacije iznosi do 14 dana nakon izlaganja uzročniku, s prosječnom inkubacijom od četiri do pet dana. Oboljeli su najčešće u petom desetljeću života. Najčešći simptomi bolesti su povišena temperatura, slabost i suhi kašalj. Više od 90% bolesnika hospitalizira se radi pneumonije. Od laboratorijskih nalaza kod oboljelih najčešća je limfocitopenija, trombocitopenija, leukopenija, te povišene vrijednosti C – reaktivnog proteina. Visoki rizik od teškog oblika bolesti i smrtnog ishoda imaju stariji bolesnici, te bolesnici s komorbiditetnim bolestima, kao što su kardiovaskularne bolesti, kronična plućna bolest, dijabetes, oboljeli od zloćudnih bolesti, te bolesnici s povišenim krvnim tlakom. Po dosadašnjim podacima liječenja oboljelih u Kini, oko 5% bolesnika liječeno je u jedinicama intenzivnog liječenja. U Italiji je taj broj znatno viši i iznosi oko 16%. Broj umrlih bolesnika u Kini kreće se od 2-3%, dok je trenutna smrtnost u Italiji iznad 8%. Osobnu zaštitu zdravstvenih djelatnika u radu s oboljelima čine: pregača, gumene rukavice, naočale, zaštitna maska, te zaštitno odijelo. Tijekom zahvata pri kojima se stvara aerosol, poput ručne ventilacije bolesnika, trahealne intubacije, traheotomije, te tijekom kardiopulmonalne reanimacije, fiberskopije i bronhoskopije, za zaštitu medicinskog osoblja, potrebno je koristiti zaštitne maske N95, FFP3 i P100. S obzirom na to da je SARS-CoV-2 virus stabilan i virulentan na plastičnim površinama tijekom 72 sata, a na metalnima tijekom 48 sati, potrebna je redovita dezinfekcija ovakvih površina otopinom klora u koncentraciji od 1000 mg/L.
Keywords	Covid-19 ; pandemija ; karakteristike bolesti ; zaštita ; covid19
Language	Croatian
Publisher	General hospital Zadar
Publishing country	hr
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Covid-19 pandemija

Skitarelić, Neven / Dželalija, Boris / Skitarelić, Nataša

Medica Jadertina ; Volume 50

kratki pregled dosadašnjih spoznaja

2020 , Issue 1

Abstract	Corona virus (virus SARS-CoV-2) je novi soj virusa koji je uzrokovao Covid-19 pandemiju. Širenje bolesti u Europi prvenstveno je uzrokovano kapljičnim prijenosom s čovjeka na čovjeka. Osim prijenosa s bolesnih ljudi, virus se prenosi i s asimptomatskih bolesnika. Razdoblje inkubacije iznosi do 14 dana nakon izlaganja uzročniku, s prosječnom inkubacijom od četiri do pet dana. Oboljeli su najčešće u petom desetljeću života. Najčešći simptomi bolesti su povišena temperatura, slabost i suhi kašalj. Više od 90% bolesnika hospitalizira se radi pneumonije. Od laboratorijskih nalaza kod oboljelih najčešća je limfocitopenija, trombocitopenija, leukopenija, te povišene vrijednosti C – reaktivnog proteina. Visoki rizik od teškog oblika bolesti i smrtnog ishoda imaju stariji bolesnici, te bolesnici s komorbiditetnim bolestima, kao što su kardiovaskularne bolesti, kronična plućna bolest, dijabetes, oboljeli od zloćudnih bolesti, te bolesnici s povišenim krvnim tlakom. Po dosadašnjim podacima liječenja oboljelih u Kini, oko 5% bolesnika liječeno je u jedinicama intenzivnog liječenja. U Italiji je taj broj znatno viši i iznosi oko 16%. Broj umrlih bolesnika u Kini kreće se od 2-3%, dok je trenutna smrtnost u Italiji iznad 8%. Osobnu zaštitu zdravstvenih djelatnika u radu s oboljelima čine: pregača, gumene rukavice, naočale, zaštitna maska, te zaštitno odijelo. Tijekom zahvata pri kojima se stvara aerosol, poput ručne ventilacije bolesnika, trahealne intubacije, traheotomije, te tijekom kardiopulmonalne reanimacije, fiberskopije i bronhoskopije, za zaštitu medicinskog osoblja, potrebno je koristiti zaštitne maske N95, FFP3 i P100. S obzirom na to da je SARS-CoV-2 virus stabilan i virulentan na plastičnim površinama tijekom 72 sata, a na metalnima tijekom 48 sati, potrebna je redovita dezinfekcija ovakvih površina otopinom klora u koncentraciji od 1000 mg/L. The Corona virus (virus SARS-CoV-2) is the new virus strain which caused the Covid-19 pandemic. The spreading of the disease in Europe is primarily caused by drop transmission from person to person. Besides transmission from sick people, the virus is also transmitted from asymptomatic patients. The incubation period is up to 14 days following exposure to the agent, with an average incubation of four to five days. The diseased are most commonly in the fifth decade of life. The most common symptoms of the disease are fever, weakness and dry cough. More than 90% of patients are hospitalized due to pneumonia. The laboratory findings are most commonly lymphocytopenia, thrombocytopenia, leukopenia and elevated C – reactive protein. Elderly patients and patients with comorbidities such as cardiovascular disease, chronic pulmonary disease, diabetes, malignancies, and hypertonic patients are at high risk of severe disease and fatal outcome (death). According to the latest data available in patient treatment in China, about 5% of patients have been treated in intensive care units. That number is much higher in Italy and amounts to about 16%. The mortality of patients in China is from 2-3%, while the current mortality in Italy is above 8%. Personal protection of health care workers dealing with patients is: apron, rubber gloves, glasses, protective mask and protective suit. During aerosol generation interventions such as manual patient ventilation, tracheal intubation tracheotomy, and cardiopulmonary resuscitation, fiberscopy and bronchoscopy, N95, FFP3 and P100 protective masks must be worn to protect the medical staff. Taking into consideration that the SARS-CoV-2 virus is stable and virulent on plastic surfaces for 72 hours and on metal ones for 48 hours, regular disinfection of such surfaces is required using chlorine solution at a concentration of 1000 mg/L.
Keywords	BIOMEDICINA I ZDRAVSTVO. Javno zdravstvo i zdravstvena zaštita ; ; BIOMEDICINE AND HEALTHCARE. Public Health and Health Care ; ; Covid-19 ; pandemija ; karakteristike bolesti ; zaštita ; Covid-19 ; pandemic ; disease characteristics ; protection ; covid19
Subject code	610
Language	Croatian
Publishing country	hr
Document type	Article ; Online
ZDB-ID	2502966-6
ISSN	0351-0093
ISSN	0351-0093
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Web-Based Educational Intervention to Improve Knowledge of Systematic Reviews Among Health Science Professionals: Randomized Controlled Trial.

Krnic Martinic, Marina / Čivljak, Marta / Marušić, Ana / Sapunar, Damir / Poklepović Peričić, Tina / Buljan, Ivan / Tokalić, Ružica / Mališa, Snježana / Neuberg, Marijana / Ivanišević, Kata / Aranza, Diana / Skitarelić, Nataša / Zoranić, Sanja / Mikšić, Štefica / Čavić, Dalibor / Puljak, Livia

Journal of medical Internet research

2022 Volume 24, Issue 8, Page(s) e37000

Abstract: Background: Lack of knowledge of systematic reviews (SRs) could prevent individual health care professionals from using SRs as a source of information in their clinical practice or discourage them from participating in such research.: Objective: In ... ...

Abstract	Background: Lack of knowledge of systematic reviews (SRs) could prevent individual health care professionals from using SRs as a source of information in their clinical practice or discourage them from participating in such research. Objective: In this randomized controlled trial, we evaluated the effect of a short web-based educational intervention on short-term knowledge of SRs. Methods: Eligible participants were 871 Master's students of university health sciences studies in Croatia; 589 (67.6%) students who agreed to participate in the trial were randomized using a computer program into 2 groups. Intervention group A (294/589, 49.9%) received a short web-based educational intervention about SR methodology, and intervention group B (295/589, 50.1%) was presented with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) checklist. The participants' knowledge of SRs was assessed before and after the intervention. The participants could not be blinded because of the nature of the intervention. The primary outcome was the difference in the percentage of correct answers about SR methodology per participant between the groups after the intervention, expressed as relative risk and 95% CI. Results: Results from 162 and 165 participants in the educational intervention and PRISMA checklist groups, respectively, were available for analysis. Most of them (educational intervention group: 130/162, 80.2%; PRISMA checklist group: 131/165, 79.4%) were employed as health care professionals in addition to being health sciences students. After the intervention, the educational intervention group had 23% (relative risk percentage) more correct answers in the postintervention questionnaire than the PRISMA checklist group (relative risk=1.23, 95% CI 1.17-1.29). Conclusions: A short web-based educational intervention about SRs is an effective tool for short-term improvement of knowledge of SRs among health care studies students, most of whom were also employed as health care professionals. Further studies are needed to explore the long-term effects of the tested education. Trial registration: OSF Registries 10.17605/OSF.IO/RYMVC; https://osf.io/rymvc.
MeSH term(s)	Checklist ; Health Personnel/education ; Humans ; Internet ; Students
Language	English
Publishing date	2022-08-25
Publishing country	Canada
Document type	Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	2028830-X
ISSN	1438-8871 ; 1439-4456
ISSN (online)	1438-8871
ISSN	1439-4456
DOI	10.2196/37000
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Article ; Online: Hypersensitivity to the pollen of Olea europea in the Mediterranean area.

Skitarelić, Natasa / Skitarelić, Neven

Arhiv za higijenu rada i toksikologiju

2009 Volume 60, Issue 2, Page(s) 259–260

MeSH term(s)	Adolescent ; Adult ; Allergens ; Child ; Child, Preschool ; Female ; Humans ; Male ; Mediterranean Region/epidemiology ; Middle Aged ; Olea ; Pollen ; Rhinitis, Allergic, Seasonal/diagnosis ; Rhinitis, Allergic, Seasonal/epidemiology ; Young Adult
Chemical Substances	Allergens
Language	English
Publishing date	2009-06
Publishing country	Croatia
Document type	Letter
ZDB-ID	127289-5
ISSN	1848-6312 ; 0004-1254
ISSN (online)	1848-6312
ISSN	0004-1254
DOI	10.2478/10004-1254-60-2009-1944
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Article ; Online: Attitudes and concerns of undergraduate university health sciences students in Croatia regarding complete switch to e-learning during COVID-19 pandemic: a survey.

Puljak, Livia / Čivljak, Marta / Haramina, Ana / Mališa, Snježana / Čavić, Dalibor / Klinec, Dinko / Aranza, Diana / Mesarić, Jasna / Skitarelić, Nataša / Zoranić, Sanja / Majstorović, Dijana / Neuberg, Marijana / Mikšić, Štefica / Ivanišević, Kata

BMC medical education

2020 Volume 20, Issue 1, Page(s) 416

Abstract: Background: Croatia has closed all educational institutions after 32 cases of SARS-CoV-2 infection were confirmed and switched to exclusive e-learning. Health sciences university students may have been particularly affected with this change due to a ... ...

Abstract	Background: Croatia has closed all educational institutions after 32 cases of SARS-CoV-2 infection were confirmed and switched to exclusive e-learning. Health sciences university students may have been particularly affected with this change due to a lack of practical education. It is not known how health sciences students and schools have adjusted to exclusive e-learning. This study aimed to explore attitudes and concerns of health sciences students in Croatia regarding the complete switch to e-learning during the COVID-19 pandemic. Methods: Eligible participants were students from 9 institutions offering university-level health sciences education in Croatia enrolled in the academic year 2019/2010, and participating in e-learning. Data were collected with a questionnaire distributed via email during April/May 2020. Results: A total of 2520 students (aged 25.7 ± 7.7 years) responded to the questionnaire (70.3% response rate). General satisfaction with exclusive e-learning was rated with average grade of 3.7 out of 5. Compared with previous education, exclusive e-learning was rated with average grade of 3.2 out of 5. Compared to classroom learning, equal or higher motivation to attend exclusive e-learning was reported by 64.4% of participants. With a longer duration of exclusive e-learning, equal or higher motivation was reported by 65.5% of participants. Less than half of the students indicated they felt deprived or concerned due to the lack of practical lessons. Most participants indicated that in the future, they would prefer to combine classic classroom and e-learning (N = 1403; 55.7%). Conclusions: Most health sciences students were satisfied with the exclusive e-learning, as well as their personal and institutional adjustment to it. Students' feedback can help institutions to improve the exclusive e-learning experience for students in the time of the pandemic.
MeSH term(s)	Adult ; Attitude ; Betacoronavirus ; COVID-19 ; Computer-Assisted Instruction ; Coronavirus Infections/epidemiology ; Croatia ; Education, Distance/organization & administration ; Education, Medical, Undergraduate/organization & administration ; Female ; Humans ; Male ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Students, Medical/psychology ; Surveys and Questionnaires ; Young Adult
Keywords	covid19
Language	English
Publishing date	2020-11-10
Publishing country	England
Document type	Journal Article
ZDB-ID	2044473-4
ISSN	1472-6920 ; 1472-6920
ISSN (online)	1472-6920
ISSN	1472-6920
DOI	10.1186/s12909-020-02343-7
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Article ; Online: The human external nose and its evolutionary role in the prevention of obstructive sleep apnea.

Mladina, Ranko / Skitarelić, Neven B / Skitarelić, Nataša P

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

2010 Volume 143, Issue 5, Page(s) 712; author reply 712–3

MeSH term(s)	Adult ; Airway Resistance ; Continuous Positive Airway Pressure/methods ; Humans ; Male ; Nasal Obstruction/physiopathology ; Nose/physiopathology ; Sleep Apnea, Obstructive/physiopathology ; Sleep Apnea, Obstructive/prevention & control
Language	English
Publishing date	2010-11
Publishing country	England
Document type	Comment ; Letter
ZDB-ID	392085-9
ISSN	1097-6817 ; 0161-6439 ; 0194-5998
ISSN (online)	1097-6817
ISSN	0161-6439 ; 0194-5998
DOI	10.1016/j.otohns.2010.07.018
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Article ; Online: Could we prevent unilateral cleft lip/palate in the future?

Mladina, Ranko / Skitarelić, Neven B / Skitarelić, Natasa P

Medical hypotheses

2009 Volume 73, Issue 4, Page(s) 601–603

Abstract: Surveillance studies have shown that cleft lip and palate is one of the commonest craniofacial anomalies, occurring in approximately 1 in 500 live births. Previous studies on craniofacial form in unilateral cleft lip/palate subjects have been carried out, ...

Abstract	Surveillance studies have shown that cleft lip and palate is one of the commonest craniofacial anomalies, occurring in approximately 1 in 500 live births. Previous studies on craniofacial form in unilateral cleft lip/palate subjects have been carried out, but most attention has been focused on the deformity of the bony septum whereas the deformities of the nasal spine and cartilaginous component of the septum had received little attention. Our recent study was based on monitoring a very specific type of nasal septal deformity, type 6, and its relation to the unilateral cleft lip/palate disease. This type is very anteriorly located and refers to the cartilaginous part of the nasal septum and the inter-maxillary bone itself. Rhinoscopic view shows a typical, almost horizontal, unilateral groove at the nasal septum located very anteriorly. At the opposite septal side, but corresponding location, there is so called basal crest. The results of our study showed that the incidence of type 6 septal deformity was very high not only in unilateral cleft lip/palate children (80.6%) but also in their parents (58% in at least one of them). In contrast, in our previous study this type of septal deformity was seen in only 3.7% of non-unilateral cleft lip/palate children before puberty, rising to 7.4% in students and 9.4% in adults. In other words, perhaps we can expect the onset of unilateral cleft lip/palate in the offspring of parents who both have a type 6 septal deformity. Perhaps there is a gene responsible for the onset of both type 6 septal deformity and the cleft. If these clinical entities belong to the same gene, the cleft per se could perhaps disappear from the Earth in a near future owing to the gene therapy which will be able to eliminate it before the baby is born or even conceived.
MeSH term(s)	Cleft Lip/genetics ; Cleft Lip/prevention & control ; Cleft Palate/genetics ; Cleft Palate/prevention & control ; Forecasting ; Genetic Predisposition to Disease/genetics ; Genetic Predisposition to Disease/prevention & control ; Genetic Therapy/trends ; Humans ; Models, Genetic
Language	English
Publishing date	2009-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	193145-3
ISSN	1532-2777 ; 0306-9877
ISSN (online)	1532-2777
ISSN	0306-9877
DOI	10.1016/j.mehy.2009.05.028
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