1. Impact of the COVID-19 epidemic on cancer burden and cancer care in Slovenia : a follow-up studyTina Žagar, Sonja Tomšič, Vesna Zadnik, Nika Bric, Mojca Birk, Blaž Vurzer, Ana Mihor, Katarina Lokar, Irena Oblak, 2022, izvirni znanstveni članek Povzetek: In Slovenia, cancer care services were exempt from government decrees for COVID-19 containment. Nevertheless, cancer control can be impacted also by access to other health services and changes in health-seeking behaviour. In this follow up study, we explored changes in cancer burden and cancer care beyond the first months after the onset of the COVID-19 epidemic.Materials and methods. We analysed routinely collected data for the period January 2019 through July 2022 from three sources: (1) pathohistological and clinical practice cancer notifications from two major cancer centres in Ljubljana and Maribor (source: Slovenian Cancer Registry); (2) referrals issued for oncological services (source: e-referral system); and (3) outpatient appointments and diagnostic imaging performed (source: administrative data of the Institute of Oncology Ljubljana – IOL). Additionally, changes in certain clinical and demographic characteristics in patients diagnosed and treated during the epidemic were analysed using the Hospital-Based Cancer Registry of the IOL (period 2015–2021).Results. After a drop in referrals to follow-up cancer appointments in April 2020, in June-August 2020, there was an increase in referrals, but it did not make-up for the drop in the first wave; the numbers in 2021 and 2022 were even lower than 2020. Referrals to first cancer care appointments and genetic testing and counselling increased in 2021 compared to 2019 and in 2022 increased further by more than a quarter. First and follow-up outpatient appointments and cancer diagnostic imaging at the IOL dropped after the onset of the epidemic in March 2020 but were as high as expected according to 2019 baseline already in 2021. Some deficits remain for follow-up outpatients’ appointments in surgical and radiotherapy departments. There were more CT, MRI and PET scans performed during the COVID-19 period than before. New cancer diagnoses dropped in all observed years 2020, 2021 and until July 2022 by 6%, 3% and 8%, respectively, varying substantially by cancer type. The largest drop was seen in the 50−64 age group (almost 14% in 2020 and 16% in 2021), while for patients older than 80 years, the numbers were above expected according to the 2015–2019 average (4% in 2020, 8% in 2021).Conclusions. Our results show a varying effect of COVID-19 epidemic in Slovenia for different types of cancers and at different stages on the patient care pathway – it is probably a mixture of changes in health-seeking behaviour and systemic changes due to modifications in healthcare organisation on account of COVID-19. A general drop in new cancer cases reflects disruptions in the pre-diagnostic phase and could have profound long-term consequences on cancer burden indicators.
Ključne besede: cancer, covid-19, delay in diagnosis
Objavljeno v DiRROS: 25.07.2024; Ogledov: 24; Prenosov: 8
 Celotno besedilo (623,76 KB)
Gradivo ima več datotek! Več... |
2. COVID-19 pandemic consequences on coastal water quality using WST Sentinel-3 Data : case of Tangier, MoroccoEl Khalil Cherif, Martin Vodopivec, Nezha Mejjad, Joaquim C.G Esteves da Silva, Simona Simonovič, Hakim Boulaassal, 2020, izvirni znanstveni članek Povzetek: The west coast of Tangier, in northern Morocco, has been affected by industrial wastewater discharge that reaches the ocean through the Boukhalef river. Therefore, the Jbila and Sidikacem beaches near to the Boukhalef river mouth have been classified as polluted for many years. With the aim of determining the COVID-19 pandemic consequences on the Tangier coastal environment, a linear model using Sentinel 3 water surface temperature (WST) has been tested in several locations. Data from April 2019 and April 2020, before and during the COVID-19 pandemic related emergency status in Morocco, were compared. The results from April 2019 showed high WST values and consequently, the poorest water quality in the sites closest to the Boukhalef river mouth. On the other hand, the results from April 2020 showed normal WST values and high water quality in the same study area. These results illustrate the usefulness of Sentinel 3 WST for the estimation of bathing water quality on the west coast of Tangier. The study shows the positive impact of the COVID-19 pandemic consequences on the coastal environment quality in the study area and indicates the importance of decreasing the industrial discharge on the west coast of Tangier. The same methodology could be used in decision-making processes and to reduce cost, time and human resources for coastal monitoring systems. We demonstrate the potential of using the Sentinel 3 data for coastal waters monitoring, as well as the need for stricter controls of pollutant discharges into the world’s rivers.
Ključne besede: COVID-19, Sentinel 3, WST, Tangier west coast, coastal waters, bathing waters, industrial activities
Objavljeno v DiRROS: 22.07.2024; Ogledov: 27; Prenosov: 8
Celotno besedilo (5,70 MB)
Gradivo ima več datotek! Več... |
3. Impact of COVID-19 on cancer diagnosis and management in Slovenia : preliminary resultsVesna Zadnik, Ana Mihor, Sonja Tomšič, Tina Žagar, Nika Bric, Katarina Lokar, Irena Oblak, 2020, izvirni znanstveni članek Ključne besede: covid-19, oncology, oncology diagnosis, pandemic
Objavljeno v DiRROS: 12.07.2024; Ogledov: 99; Prenosov: 58
Celotno besedilo (291,69 KB)
Gradivo ima več datotek! Več... |
4. Dreams, sleep quality, and collective trauma : an investigation of the impact of the COVID-19 pandemicCarmela Mento, Maria Catena Silvestri, Amelia Rizzo, Clara Lombardo, Hadipour Lakmesani Abed, Ferdinando Testa, Kelly Bulkeley, Toshio Kawai, 2023, izvirni znanstveni članek Povzetek: The aim of the current study was to explore the impact of the CoVID-19 out-break on the dreams of a group of Italian participants. a total of 403 individuals were recruited online through a cross-sectional survey on Moodle. The qualitati-ve content of their dreams was analysed using the Dream Interview (TKYDQ), a tool created by Bulkeley. In addition, the Pittsburgh Sleep Quality Index (PSQI) was used to assess the quantitative aspects of dreams. from the results of our stu-dy, three macro-categories of content in the participants' dreams were identified: 1) dreams with phobic content; 2) dreams with a persecutory theme and 3) “old normal” dreams. Moreover, some sleep-related difficulties such as problems falling asleep and mild clinical sleep disorders were identified in the sample. The pro-longed quarantine and the lifestyle adopted during the pandemic have intensely influenced our dream activities, and it seems that CoVID-19 has already entered our collective unconscious in a symbolic way and through the processing of images and scenes related to the epidemic. The study, therefore, aims to explore how cata-strophic events affect mental health, specifically sleep quality and dream content.
Ključne besede: dreams, sleep, collective trauma, COVID-19, pandemic
Objavljeno v DiRROS: 13.05.2024; Ogledov: 186; Prenosov: 132
Celotno besedilo (506,18 KB)
Gradivo ima več datotek! Več... |
5. Incidenca raka v prvem letu epidemije covida-19Vesna Zadnik, Tina Žagar, Nika Bric, Mojca Birk, Amela Duratović Konjević, Ana Mihor, Katarina Lokar, Sonja Tomšič, 2023, strokovni članek Povzetek: Uvod: Število novih diagnoz raka (incidenca) se v Sloveniji v zadnjem desetletju povečuje za povprečno 1,6 % na leto. V letu 2020, prvem letu omejitvenih ukrepov zaradi epidemije covida19, smo s platformo OnKOvid predvideli 3–8-odstotni padec novih diagnoz raka. Namen je predstaviti uradno incidenco raka za Slovenijo za leto 2020 in ugotoviti, kolikšen je bil dejansko manko novih diagnoz raka. Metode: V Registru raka Republike Slovenije smo v skladu z mednarodnimi pravili registrirali vse nove primere raka pri prebivalcih s stalnim prebivališčem v Sloveniji. Primerjali smo jih z registrirano incidenco za 2019, modelno incidenco za 2020, preliminarnimi rezultati OnKovida in dostopnimi rezultati incidence iz registrov raka iz drugih držav. Rezultati: V letu 2020 je za rakom zbolelo 15.096 oseb v Sloveniji (7.034 žensk, 8.002 moška). Glede na modelno oceno incidence za leto 2020 gre za manko 1.854 oseb (10,9 %; 11,6 % žensk, 10,4 % moških). Pri tem je za 10,5 % manj ugotovljenih rakov v omejenem stadiju, najbolj izrazito v starosti 50–69 let (za 13,2 %). Upad je primerljiv s poročili iz Anglije, ZDA in Kanade ter deloma večji kot na Škotskem in Švedskem. Najbolj izrazit upad novih diagnoz raka ugotavljamo pri nemelanomskem kožnem raku (23 %, najbolj po 50. letu), raku prostate (15,9 %, najbolj v omejenem stadiju), pljučnem raku (8,9 %, 60–64 let, v razširjenem stadiju), raku dojk (8,3 %, 45–64 let), ne-Hodgkinovem limfomu (9 %) in levkemijah (11,6 %). Pri kožnem melanomu, raku debelega črevesa in danke ni bilo primanjkljaja. Zaključek: Upad incidence raka v letu 2020 gre verjetno na račun omejitvenih ukrepov, reorganizacije zdravstva in z zdravjem povezanega vedenja med epidemijo covida-19, beležijo jo v več državah. Med epidemijami je potrebno nemoteno izvajanje onkologije.
Ključne besede: rak, incidenca, register raka, epidemija, covid-19
Objavljeno v DiRROS: 26.02.2024; Ogledov: 306; Prenosov: 78
Celotno besedilo (301,68 KB) |
6. Environmental hazard of polypropylene microplastics from disposable medical masks : acute toxicity towards Daphnia magna and current knowledge on other polypropylene microplasticsAnita Jemec Kokalj, Andraž Dolar, Damjana Drobne, Marjan Marinšek, Matej Dolenec, Luka Škrlep, Gregor Strmljan, Branka Mušič, Andrijana Sever Škapin, 2022, izvirni znanstveni članek Povzetek: The COVID-19 pandemic has increased the use of disposable plastics, including medical masks, which have become a necessity in our daily lives. As these are often improperly disposed of, they represent an important potential source of microplastics in the environment. We prepared microplastics from polypropylene medical masks and characterised their size, shape, organic chemical leaching, and acute toxicity to the planktonic crustacean Daphnia magna. The three layers of the masks were separately milled and characterised. Each of the inner frontal, middle filtering, and outer layers yielded different types of microplastics: fibres were obtained from the inner and outer layer, but irregular fragments from the middle layer. The shape of the obtained microplastics differed from the initial fibrous structure of the intact medical mask layers, which indicates that the material is deformed during cryo-milling. The chemical compositions of plastics-associated chemicals also varied between the different layers. Typically, the inner layer contained more chemicals related to antimicrobial function and flavouring. The other two layers also contained antioxidants and their degradation products, plasticisers, cross-linking agents, antistatic agents, lubricants, and non-ionic surfactants. An acute study with D. magna showed that these microplastics do not cause immobility but do physically interact with the daphnids. Further long-term studies with these microplastics are needed using a suite of test organisms. Indeed, studies with other polypropylene microplastics have shown numerous adverse effects on other organisms at concentrations that have already been reported in the environment. Further efforts should be made to investigate the environmental hazards of polypropylene microplastics from medical masks and how to handle this new source of environmental burden.
Ključne besede: COVID-19 pandemic, plastics-associated chemicals, Daphnia magna, fibres, fragments, nanofibres, polypropylene microplastics, single-use plastic
Objavljeno v DiRROS: 05.05.2023; Ogledov: 483; Prenosov: 314
Celotno besedilo (3,28 MB)
Gradivo ima več datotek! Več... |
7. |
8. EditorialSaša Pišot, 2021, predgovor, uvodnik, spremna beseda Ključne besede: sport, kinesiology, pandemics, coronavirus, Covid-19, restricitive measures, research
Objavljeno v DiRROS: 02.03.2023; Ogledov: 487; Prenosov: 234
Celotno besedilo (134,61 KB)
Gradivo ima več datotek! Več... |
9. How well did the healthcare system respond to the healthcare needs of older people with and without dementia during the COVID-19 pandemic : the perception of healthcare providers and older people from the SI4CARE Project in the ADRION RegionStella Fragkiadaki, Dionysia Kontaxopolou, Darja Šemrov, Simon Colnar, Mitja Luštrek, Bojan Blažica, Vlado Dimovski, Sokratis G. Papageorgiou, 2023, izvirni znanstveni članek Povzetek: One major challenge during the COVID-19 pandemic was the limited accessibility to healthcare facilities, especially for the older population. The aim of the current study was the exploration of the extent to which the healthcare systems responded to the healthcare needs of the older people with or without cognitive impairment and their caregivers in the Adrion/Ionian region. Data were collected through e-questionnaires regarding the adequacy of the healthcare system and were anonymously administered to older individuals and stakeholder providers in the following countries: Slovenia, Italy (Calabria), Croatia, Bosnia and Herzegovina, Greece, Montenegro, and Serbia. Overall, 722 older people and 267 healthcare stakeholders participated in the study. During the COVID-19 pandemic, both healthcare stakeholders and the older population claimed that the healthcare needs of the older people and their caregivers increased dramatically in all countries, especially in Italy (Calabria), Croatia and BiH. According to our results, countries from the Adrion/Ionian regions faced significant challenges to adjust to the special needs of the older people during the COVID-19 pandemic, which was possibly due to limited accessibility opportunities to healthcare facilities. These results highlight the need for the development of alternative ways of providing medical assistance and supervision when in-person care is not possible.
Ključne besede: healthcare system responses, COVID-19 pandemic, older people, cognitive impairment, dementia, caregivers, telemedicine, healthcare challenges, accessibility, Slovenia, Italy, Serbia, Croatia, Bosnia and Herzegovina, Greece, Montenegro
Objavljeno v DiRROS: 01.02.2023; Ogledov: 757; Prenosov: 325
Celotno besedilo (412,07 KB)
Gradivo ima več datotek! Več... |
10. Rak jajčnikov - novosti : ginekološki simpozij2022, zbornik recenziranih znanstvenih prispevkov na domači konferenci Povzetek: Rak jajčnikov je najpogostejši vzrok smrti pri ženskah, ki zbolijo za ginekološkimi raki. Za večino obolelih z napredovalim rakom je bolezen usodna. Razlog za to je slaba prepoznavnost bolezni v zgodnjih stadijih, ko je zdravljenje učinkovito.
Ključne besede: ginekološki raki, klinična slika, laparoskopija, sledenje pacientov, etiologija, imunoterapija, intraperitonealna kemoterapija, COVID-19, zborniki, elektronske knjige
Objavljeno v DiRROS: 04.01.2023; Ogledov: 694; Prenosov: 337
Celotno besedilo (1,18 MB)
Gradivo ima več datotek! Več... |
