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Query: "keywords" (prevention) .

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The influence of the endotracheal tube cuff on the occurrence of ventilator-associated pneumonia
Marko Kučan, Bernarda Djekić, Mirjam Ravljen, 2015, review article

Abstract: Introduction: An endotracheal tube enables patient ventilation, but also presents a risk of complications. The accumulation of subglottic secretions above the cuff may cause ventilatorassociated pneumonia. The purpose of the article is to establish the effect of the endotracheal tube cuff (shape and material, method of inflation, verifying and maintaining pressure) on the incidence of ventilator-associated pneumonia. Methods: A descriptive method with a systematic review of domestic and foreign literature was used. The literature was retrieved from electronic databases and the cooperative bibliographic/catalogue database. According to eligibility criteria, sixteen original scientific articles published in the last ten years were finally used. Data were processed with qualitative content analysis. Results: Cuff inflation control with a manometer and continuous measuring and adjustment of cuff pressure with modern equipment were found to be the safest methods. According to the articles on shape and material, conical polyurethane cuffs provide the best sealing. Discussion and conclusion: Ventilator-associated pneumonia is a serious complication in mechanically ventilated patients. Maintaining appropriate cuff pressure proved to be a very effective preventive measure. The research presented here is limited by the small number of available articles. Further research is needed before practical applications are attempted.
Keywords: ventilator associated pneumonia, prevention, cuff, pressure, shape, material, nursing
Published in DiRROS: 28.01.2026; Views: 91; Downloads: 20
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The impact of the covid−19 pandemic on nurses' and physicians' mental health : a literature review
Uroš Višić, Maja Sočan, 2022, review article

Abstract: Introduction: The covid-19 pandemic is characterised by an increased risk of post-traumatic stress disorder in healthcare professionals. The purpose of this systematic review was to identify the impact of the covid-19 pandemic on the mental health of healthcare professionals. Methods: A systematic review of the literature was conducted. The literature search took place from November 2020 to January 2021. The search was conducted in the Pubmed, Ebsco, Ovid and Google Scholar databases, using the following combinations of keywords: self-image, fear, pandemic, prevention, nurses, physicians. The relevant records were selected on the basis of inclusion and exclusion criteria. The course of the literature review is shown using the PRISMA diagram. A thematic analysis was conducted with open coding of the results. Results: From the total search set, 14 articles were selected for final analysis. The prevalence of anxiety among nurses and physicians ranged from 12.3 to 35.6%. The prevalence of anxiety was higher in nurses, with the symptoms of anxiety being significantly lower in male nurses than in their female colleagues. Discussion and conclusion: The pandemic has left a significant psychological burden on nurses and physicians. There is therefore an urgent need to include preventive psychoeducational measures such as "briefing" and "teambuilding" in supervising mental health of nurses and physicians.
Keywords: mental health, covid-19, health impact, risk factors, self-image, fear, pandemia, prevention, physicians, nurses
Published in DiRROS: 28.01.2026; Views: 120; Downloads: 60
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Comparison of community health nurses' preventive home visits to older adults in Sweden and Slovenia : a literature review
Marija Milavec Kapun, Nina Meglič, Senada Hajdarevic, 2022, review article

Abstract: Introduction: Community health nurses contribute significantly to better health, well-being and independence of older adults. The aim of the study is to compare preventive services for older adults in community health care between Sweden and Slovenia.Methods: Literature review and document analysis were used to conduct a qualitative comparative analysis. Literature was retrieved from the MEDLINE, CINAHL and COBIB databases. An analysis of documents such as sectoral legal bases, guidelines and expert recommendations in Slovenia and Sweden was also conducted. The analysis included sources related to preventive services for olderadults living at home published between January 2000 and December 2020 in Slovene, English or Swedish. Results: Twenty units of literature were included in the review. Four comparative factors were identified: system and legal basis, organisation and scope, providers, and content. In Slovenia, all older adults are entitled to the same range of preventive services. Compared to Sweden, the organisation of community health care in Slovenia is more centralised, all older adults are entitled to the same scope of preventive health visits, while the level of education and scope of competences of healthcare providers are lower. In both countries, the content of preventive home visits to older adults is similar.Discussion and conclusion: In Slovenia, community health nurses with additional knowledge could prescribe medical devices and medications form a limited list, as well as coordinate care. This would allow them to act more independently in patients' home environment. Further development of more personalised preventive services for older adults depends on research, resource provision and consideration of the organisational culture.
Keywords: nursing, care, prevention, home environment
Published in DiRROS: 28.01.2026; Views: 140; Downloads: 27
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Aktivnosti za preprečevanje padcev v rehabilitaciji pacientov po možganski kapi in njihov učinek na incidenco padcev
Natalija Kopitar, Nika Goljar Kregar, Vesna Mlinarič Lešnik, 2014, original scientific article

Abstract: Uvod: Preprečevanje padcev je pomemben del rehabilitacijske obravnave. S timsko obravnavo in sistematičnim izvajanjem aktivnosti pri za padec visoko ogroženih pacientih se število padcev lahko zmanjša. Metode: V raziskavo je bilo vključenih 1.634 pacientov na rehabilitaciji po možganski kapi v Univerzitetnem rehabilitacijskem inštitutu Republike Slovenije - Soča (URI - Soča) od 1. 1. 2007 do 31. 12. 2012. Za ugotavljanje učinkovitosti aktivnosti za preprečevanje padcev pacientov je bila izvedena retrospektivna opazovalna raziskava z elementi akcijskega raziskovanja. Uspešnost izvedenih aktivnosti za preprečevanje padcev se je ugotavljala na podlagi incidence padcev. Rezultati: V primerjavi z obdobjem 2007 do 2010, ko so se izvajale splošne aktivnosti za preprečevanje padcev in je incidenca padcev npr. leta 2007 znašala 4,5/1000 bolnišničnooskrbnih dni, se je le-ta v letih 2011 in 2012 po uvedbi lestvice za oceno tveganja za padec ter sistematičnega delovanja celotnega rehabilitacijskega tima pomembno zmanjšala, tako da je leta 2012 znašala 2,8/1000 bolnišničnooskrbnih dni. Učinkovitost sistematičnega delovanja pri preprečevanju padcev se kaže v manjšem številu pacientov, ki so padli enkrat ( p = 0,025). Diskusija in zaključek: S sistematičnim delovanjem multidisciplinarnega rehabilitacijskega tima lahko učinkovito zmanjšamo število padcev pacientov po možganski kapi na rehabilitacijskem oddelku. Vpliv teh aktivnosti na preprečevanje padcev pacientov v domačem okolju po zaključeni rehabilitaciji odpira tudi možnosti za nadaljnje raziskovalno delo.
Keywords: rehabilitacijski centri, hospitalizirani bolniki, nesrečni padci, preventiva, negovalno osebje, možganska kap, falls, prevention, inpatient rehabilitation
Published in DiRROS: 28.01.2026; Views: 150; Downloads: 47
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Pathways of absenteeism and early leaving from education and training : ENESET Ad hoc report
Ana Kozina, final research report

Keywords: education, absenteeism, early leaving school, adolescents, prevention
Published in DiRROS: 29.12.2025; Views: 539; Downloads: 144
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Postural sway in multiple sclerosis patients : interaction of vision, surface, and fatigue effects
Žiga Kozinc, Eva Žura, Gregor Brecl Jakob, 2025, original scientific article

Abstract: Introduction: Postural control impairments are common in patients with multiple sclerosis (MS), resulting in postural instability and increased fall risk. Sensory inputs are crucial to maintain balance adequately. Additionally, fatigue is one of the common and most disabling symptoms of MS, possibly contributing to postural deficits. Previous studies have examined the effects of fatigue and altered sensory conditions on postural control in patients with MS. The present study aimed to extend this knowledge by jointly assessing these factors within the same experimental framework, providing additional insight into how fatigue modulates sensory contributions to balance. Methods: A total of 21 patients with MS (age = 41.1 ± 10.1 years; EDSS = 1.9 ± 1.0; disease duration = 6.8 ± 4.9 years) completed balance assessments on firm and compliant surfaces with both eyes open and eyes closed, before and after a 6-min walk test used to induce fatigue. Postural sway was quantified using sway velocity and root mean square (RMS). Results: There was a significant effect of surface on sway velocity (p < 0.001, η2 = 0.60), with a greater sway on the compliant surface compared to the firm surface. Fatigue significantly increased sway RMS (p = 0.023, η2 = 0.23) but did not affect sway velocity (p > 0.05). The absence of visual input (eyes closed) also significantly increased sway RMS (p = 0.001, η2 = 0.46). There was a significant interaction between surface and vision for sway RMS (p < 0.001, η2 = 0.54), with a larger effect of surface instability in the eyes-closed condition. Discussion: Patients with MS face increased challenges in maintaining postural control under conditions of fatigue, surface instability, and lack of visual input. Sway RMS may be more sensitive to these effects than sway velocity.
Keywords: balance control, sensory integration, proprioception, motor impairments, fall prevention, neurological disorders, physical fatigue
Published in DiRROS: 11.12.2025; Views: 340; Downloads: 124
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Statins for secondary prevention in women with atherosclerotic vascular disease : a nation-wide analysis of 24,665 women hospitalized for coronary, cerebrovascular or peripheral artery disease
Gregor Verček, Tjaša Furlan, Dalibor Gavrić, Mitja Lainščak, Jerneja Farkaš-Lainščak, Irena Ograjenšek, Petra Došenović Bonča, Borut Jug, 2025, original scientific article

Abstract: Background - Statin therapy is recommended for secondary prevention of atherosclerotic vascular disease (ASCVD) based on randomized trials, which enrolled mostly men with coronary artery disease (CAD), whereas women and patients with cerebrovascular (CVD) and peripheral artery disease (PAD) were under-represented. We analyzed the effectiveness of statin therapy uptake in a nation-wide cohort of women hospitalized for ASCVD. Methods - Women hospitalized for CAD, CVD, or PAD, including aortic disease, between 2015 and 2021 were retrospectively identified by linking the national hospital database, medicines reimbursement claims, and national mortality registry. The association of statin uptake within 30 days post-discharge with clinical outcomes (all-cause mortality and cardiovascular hospitalizations) was assessed by Kaplan-Meier curves and Cox proportional hazards regression model with propensity score-derived inverse probability of treatment weights and a 30-day landmark period. Results - We included 24,665 women with ASCVD – 14,419 with CAD, 5,427 with CVD, and 4,819 with PAD. Overall, the median age was 73 (64–81) years. The rates of statin uptake were 50% for women with CAD, 60% for CVD and 28% for PAD. Statin therapy uptake was associated with a reduction in all-cause mortality and cardiovascular hospitalizations across all three major types of ASCVD: hazard ratio (HR) 0.88, 95% confidence interval (CI) 0.83 – 0.93, p=0.001 for CAD, HR 0.87, 95% CI 0.80 – 0.94, p=0.006 for PAD, and HR 0.72, 95% CI 0.66 – 0.78, p<0.001 for CVD. Conclusion -Statin therapy is associated with reduced all-cause mortality and cardiovascular hospital readmissions in women with all major types of ASCVD.
Keywords: health, diseases, prevention
Published in DiRROS: 28.11.2025; Views: 773; Downloads: 132
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Exploring beekeepers’ experiences and perceptions of anaphylaxis risks : a qualitative study to inform targeted health education programs
Tea Močnik, Sabina Ličen, Mihaela Zidarn, Mirko Prosen, 2024, original scientific article

Abstract: Background: Beekeeping plays crucial natural and economic roles but also poses health risks, as bee stings can cause severe allergic reactions like anaphylaxis, a potentially life-threatening condition that requires timely intervention. Understanding symptoms and the proper use of adrenaline autoinjectors is essential to minimize risks. This study aimed to assess the need for education on anaphylaxis and to develop a health education program to enhance beekeepers’ preparedness and safety. Methods: A qualitative descriptive interpretative method was employed. Two focus groups were conducted, one with eight health care professionals specializing in allergy and clinical immunology and the other with six active beekeepers. The data were analyzed via content analysis using QDA Miner® Lite v3.0.5 software. Results: The analysis structure comprises five thematic areas: (1) the management of anaphylaxis; (2) the prevention of anaphylaxis; (3) health education approaches; (4) systemic approaches in prevention; and (5) adrenaline autoinjectors. The results highlight key challenges, including the need for better strategies to manage anaphylaxis, improve prevention, and provide practical educational programs for beekeepers. There is also a need for better collaboration between health care professionals and beekeepers, as well as improved access to and knowledge of adrenaline autoinjectors. Conclusions: Targeted education for beekeepers on recognizing anaphylaxis symptoms and using adrenaline autoinjectors is essential for timely intervention and preventing severe outcomes. Given their exposure to bee stings, beekeepers require proper training and regular practice to improve preparedness and safety. This research underscores the need for a comprehensive educational program to reduce anaphylaxis risk and enhance safety in beekeeping.
Keywords: beekeepers, hypersensitivity reaction, epinephrine, exposure, awareness, prevention, health education
Published in DiRROS: 16.05.2025; Views: 736; Downloads: 544
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