The Aim of this research is to analyze how the socio-demographic characteristics of users of Complementary and Alternative Medicine (CAM) in Serbia influence and impact their consumption of OTC drugs. Respondents and methods: The study employed the third edition of the National Health Survey of the Republic of Serbia, published in 2013, as a data source covering the Serbian population. The sample comprised of 550 interviewed individuals who had been applying a variety of CAM treatments over the previous 12 months. Their socio-demographic characteristics were used as independent variables impacting the consumption of OTC drugs over the previous 2-week period, representing the dependent variable.Results: Two thirds (65.3%) of the CAM users consumed OTC drugs at their own discretion, without recommendation by a physician or a relevant prescription. Users of OTC drugs were most often females whose ages ranged within the average interval of 49.16 ± 16.02, whose education level was to secondary school diploma, who were married and employed, lived in urban areas, mostly Belgrade, belonged to the middle-income group, and followed relevant headlines via public information channels (TV, the internet, radio, and print). Comparison of the results revealed, on the one hand, that 2/3 of respondents who had used and 1/3 of those who did not consume OTC drugs had undergone fecal occult blood tests over the past year (p < 0.05) and, on the other hand, that those respondents had been less frequently hospitalized in the previous year (p = 0.05). In addition, the same responders were found to access available health care services more frequently than did others (p < 0.05).Conclusion: Since, according to the statistics, it is highly likely that respondents who were CAM- and OTC drug-users would be less frequently hospitalized and not use medical leave, these results provide a strong indication that this phenomenon should be investigated in more depth. Moreover, the areas to be considered when defining strategies for determining patient treatments should also include the influence of socio-demographic factors on the patient's consciousness that would enable easier understanding of the proper usage of OTC drugs.
Početak bubrežnih bolesti često bude neprepoznat, a i neretko koegzistira uz druge hronične bolesti (na pr. dijabetes i kardiovaskularne bolesti, KVB). U literaturi je malo objavljenih slučaja kojima je primenom dijete odložena dijaliza kod dijabetesa complicate tip I. Cilj rada je praćenje efekata primene redukcione niskoproteinske (RNP) dijete koja bi kod hroničnih bolesnika sa oštećenom funkcijom bubrega dovela do promene praćenih parametara, kao posledice dijabetesa i hipertenzije. Prikaz bolesnika Prikazana su dva slučaja sa hroničnim zdravstvenim problemima, jedan ima dijabetes melitus tipa 1, a drugi ima hipertenziju, oba sa komplikacijama na bubrezima, što se vidi, povećanjem uree i kreatinina, kojima je uspešno primenjena RNP dijeta. Kod prvog slučaja, korekcijom vrednosti uree i kreatinina je odložena dijaliza, a kod drugog su trajno rešene komplikacije. U radu je dat i kratak pregled objavljenih radova na temu primene redukcione niskoproteinske dijete. Novo u radu je to, što je prilikom izbora namirnica, uspešno korišćen novi metodološki pristup testiranja, elektropunkturna dijagnostika po Voll-u (EPD). Nakon eliminacije namirnica sa visokim sadržajem proteina izvršeno je testiranje EPD čime se dobio usko individualni izbor namirnica za svakog pacijenta ponaosob. Prilikom izbora namirnica, akcenat je stavljan, na one sa visokim procentom hranljivih sastojaka, kao antioksidanasa, flavonoida, vitamina, minerala, nezasićenih masnih kiselina, posebno tipa omega3. Zaključak Prikaz ova dva slučaja praktično obezbedjuju jedan od dokaza da je primena ovakvog načina ishrane ne samo sprečila nastanak novih bolesti, nego pomogla u sanaciji postojećih. Zbog toga se preporučuje ozbiljan multidisciplinaran pristup, prilikom lečenja ovakvih pacijenata, koji bi se još mogao proveriti kroz studiju na većem broju uzoraka. Radom na kvalitetu života hroničnih pacijenata, primenom RNP dijete može se znatno uštedeti u troškovima lečenja.
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