IntroductionThe problems of oral health of people diagnosed with depression are not adequately recognized, either in developed or developing countries. Social stigma, lack of self-interest, or even inadequate approaches of dental doctors towards the unique situation of this group of people this lead to excessive oral health problems.MethodsThe bibliographic database PubMed/Medline, Google Scholar, and Whiley online library were searched using the following text and MeSH as separate key terms and in combination: depression and oral health/dental caries/periodontal disease/tooth loss/utilization of oral health services/and barriers. The content of documents was analysed using qualitative methodology.ResultsTwenty-six original studies were included in the review. Level/severity of depression, medication and medical comorbidity are the most important medical barriers influencing the oral health of people diagnosed with depression. Dental fear and anxiety are mostly combined with low oral hygiene and bad oral health. Socioeconomic status, dental insurance, bad habits and education also have important roles in the oral health status of people diagnosed with depression.ConclusionIncluding individuals with depression and oral health problems in national health programs, creating specific prevention programs, or subsidizing the cost of treatment are some of the recommendations suggested as solutions.
Background/Aim: The purpose of the conducted study was to show the frequencies of PIM in the elderly population with cardiovascular diseases and to describe factors with significant impact on PIM present in the elderly population. Methods: The study was performed as a retrospective, cross-sectional study. The research was performed during 2018 , the relevant data collected during the period from January 2016 to December 2017. Study sample included 1500 patients over 65 years with cardiovasculares disease who had medical records at the Institute for Gerontology and Palliative Care, Belgrade. Assessment of PIM was done by standard international criteria American Geriatrics Society 2015 updated Beers Criteria for potentially inappropriate medication use in older adults. Results: PIM frequency in elderly population was 70, 3%. In relation to gender, it was more frequent in female elders. Mean number of prescribed drugs was similar for 2016 and 2017, respectively 7, 2 and 7, 3. The most common were: medium acting benzodiazepines (70, 9%), central ? blockers (23, 98%), and antipsychotics (typical and atypical) (20,94%). The most common comorbidity was noted in a group labelled with the international disease classification I00-I99 which inlcudes heart and blood vessel diseases (n=2658; 36.9%). The most common diagnoses belonged to the subgroup I10-I15 hypertensive diseases (n=1298; 18%), I20-I25 ischemic heart diseases (n= 542; 7.5%), I30-I52, other forms of heart disease (n=705; 9.8%), I60-I69 cerebrovascular diseases (n =94; 1.3%), and I80- I89 diseases of veins, lymph vessels and lymph nodes (n=12; 0.17%). Predictor for PIM were numerous: polypharmacy, gender, nicotine use, cognitive status, nutrition state and number of diseases registered at study sample. Conclusion: Cardiovascular diseases in the elderly population are associated with a high prevalence of potentially inappropriate drug prescribing. Creating health recommendations for prescribing drugs in the elderly that would emphasize these factors could reduce the prevalence of PIM in this population
The aim of the study is to assess the health literacy of women who are using health services within the Gynecology Obstetric Clinic “Narodni Front” in Belgrade. Testing of health literacy was conducted as a cross-sectional study in the period October- November 2012. As instruments of research the following questionnaires are used: Short Test of Functional Health Literacy in Adults and General information questionnaire of respondents who referred to the demographic, social and economic characteristics of respondents, self-assessment of health, use of health services, health knowledge and behavior in the area of reproductive health. Inadequate health literacy level is registered in every ten respondents. Th e education level of the respondents proved to be a signifi cant predictor of health literacy. Demographic and socio- economic characteristics of the patients (age, occupation, marital status) as well as self-evaluation of the health status were not signifi cantly related to the health literacy. Health literacy respondents did not signifi cantly dependent on risk behaviors related to reproductive health. Th e level of health literacy is consistent with the knowledge of subjects in the fi eld of protection of reproductive health. Health literacy as the ability to function within the health care system is equally certain by individual characteristics and skills, characteristics of the health and education systems as well as a wide range of social and cultural factors. Health literacy is more systematic than individual problem, so it requires a broader social action.
Background: We aimed to determine the socio-economic factors associated with unmet healthcare needs of the population aged 20 and over in Serbia. Methods: We used data from the 2013 National Health Survey (NHS) of the population of Serbia. We focused only on the data concerning the population aged 20 and over. The final sample thus included 13,765 participants. The logistic regression was used to examine the socio-economic factors associated with unmet health care needs. Results: According to the data obtained in this study, 26.2% of the population aged 20 and over reported unmet health care needs during the previous 12 months. The multivariate analysis shows that significant indicators of unmet healthcare needs include: gender, age, marital status, level of education, financial and employment status. Conclusion: Females, the elderly and those with the lowest levels of education and household income, as well as those who are divorced and unemployed are at highest risk of unmet healthcare needs. Different policies and approaches should be taken into consideration when it comes to vulnerable population groups in order to reduce the currently existing gaps to a minimum and provide more equal opportunities for health care to all citizens.
BackgroundThe aims of our study are related to examining the relevance of teachers' attitudes toward the implementation of inclusive education. In addition, its subject is related to the implications on inclusive education policies, limitations of the existing study along with the recommendations for our future research endeavors.MethodsThe research is a cross-sectional study type. The sample included 64 primary school teachers in the lower grades of primary school (grades 1–4), selected by using simple random sampling, in three primary schools on the territory of Belgrade, Serbia in 2021 (26, 17, and 21 primary school teachers). The Questionnaire for Teachers, which was used as a research instrument, was taken from the Master's Thesis Studen Rajke, which was part of the project “Education for the Knowledge Society” at the Institute for Educational Research in Belgrade. Dependent variables measured in the study referred to the attitudes of primary school teachers toward inclusive education. Categorical variables are represented as frequencies and the Chi-square test was used to determine if a distribution of observed frequencies differed from the expected frequencies.ResultsOne in three teachers (32.8%) thought that inclusion was useful for children with disabilities (29.7%), of them thought that schools did not have the conditions for inclusive education, whereas one in four teachers (25.0%) believed that inclusion was not good. No statistically significant differences were found in the attitudes of professors, when observed in terms of their gender, age and length of service.ConclusionInvesting more resources and time in developing and implementing special education policies can promote successful inclusive education.
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