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Cvjetković S, Jeremić Stojković V, Piperac P, Djurdjević O, Bjegović-Mikanović V. Determinants of COVID-19 vaccine hesitancy: questionnaire development and validation. Cent Eur J Public Health 2022; 30:99-106. [PMID: 35876598 DOI: 10.21101/cejph.a7074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2021] [Accepted: 06/13/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVES Vaccine hesitancy presents one of the critical constraints in combating COVID-19 pandemic. The aim of this study was to develop and validate an instrument for measuring factors that contribute to COVID-19 vaccine hesitancy. METHODS The key constructs in the study instrument were factors that constitute the "3C" model of vaccine hesitancy: Confidence, Complacency and Convenience. Using a cross-sectional, online survey design, the 8-item COVID-19 Vaccine Hesitancy Questionnaire was administered to a sample of 667 adult citizens of Serbia in December 2020. We used confirmatory factor analysis to investigate the model that assumes three latent variables. To ensure that the instrument measures the same constructs in different groups, the measurement invariance examination was conducted. To examine criterion validity, Spearman's correlation was applied to determine the association between the instrument total score and the single-item measuring the likelihood of getting vaccinated against SARS-CoV-2. RESULTS Confirmatory factor analysis established the three-factor structure, with subscales fitting within the "3C" model of vaccine hesitancy comprising confidence, convenience and complacency. The full scalar invariance was found across gender, and the partial scalar invariance was achieved for the age, region and education level. A higher level of the COVID-19 vaccine hesitancy was associated with the lower likelihood to get vaccinated against the SARS-CoV-2 virus. CONCLUSION Our scale is brief and consistent, maintaining a good fit across key socio-demographic subgroups. This result implies that the scale could be useful for quick assessment of COVID-19 vaccine hesitancy in various target populations.
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Affiliation(s)
- Smiljana Cvjetković
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Vida Jeremić Stojković
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Pavle Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Ognjen Djurdjević
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Vesna Bjegović-Mikanović
- School of Public Health and Health Management, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.,Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Djurdjevic D, Todorovic J, Terzic-Supic Z, Piperac P. Factors Associated with PA Level during the COVID-19 Outbreak in Serbia. P R Health Sci J 2022; 41:63-67. [PMID: 35704523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
OBJECTIVE The novel coronavirus (SARS-CoV-2) has had an influence on almost the entire world and has become a major public health problem. Many countries have introduced measures that restrict the movement of the population and that may negatively influence the physical activity (PA) levels. The aim of this study was to examine the factors associated with changes in PA in Serbia during the COVID-19 outbreak. METHODS The cross-sectional study was conducted from the 9th through the 13th of April 2020. A total of 340 people, all contacted using Viber, were invited to participate in the study. The study instrument was a questionnaire that gathered information regarding social characteristics, PA during the outbreak, PA before the outbreak, and fear of COVID-19. RESULTS A total of 50 participants (14.7%) had low levels of PA in the 7 days prior to the study, while 133 (39.1%) had moderate and 106 (31.2%) had high levels of PA. The participants with high levels of PA had significantly higher energy expenditures before than after the COVID-19 outbreak (P < .001). There were no significant differences between the participants with different levels of PA in the scores on the Fear of COVID-19 scale (low: 13.4 ± 5.2; moderate: 12.6 ± 4.4; high: 13.8 ± 5.5; P = .204). CONCLUSION One-sixth of the participants had low PA levels, and as restrictive measures are still in place in many countries, the lack of PA in high proportions of the general population may cause significant public health concerns.
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Affiliation(s)
- Dragan Djurdjevic
- Department of Sports Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Jovana Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Zorica Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Pavle Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
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Dugalic S, Petronijevic M, Vasiljevic B, Todorovic J, Stanisavljevic D, Jotic A, Lukic L, Milicic T, Lalić N, Lalic K, Stoiljkovic M, Terzic-Supic Z, Stanisavljevic T, Stefanovic A, Stefanovic K, Vrzic-Petronijevic S, Macura M, Pantic I, Piperac P, Jovanovic M, Cerovic R, Djurasevic S, Babic S, Perkovic-Kepeci S, Gojnic M. Trends of the Prevalence of Pre-gestational Diabetes in 2030 and 2050 in Belgrade Cohort. Int J Environ Res Public Health 2022; 19:ijerph19116517. [PMID: 35682099 PMCID: PMC9180675 DOI: 10.3390/ijerph19116517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 05/17/2022] [Accepted: 05/25/2022] [Indexed: 11/16/2022]
Abstract
The aim of this study was to analyze the trends in diabetes in pregnancy in Belgrade, Serbia for the period of the past decade and forecast the number of women with pre-gestational diabetes for the years 2030 and 2050. The study included the data on all pregnant women with diabetes from the registry of the deliveries in Belgrade, by the City Institute of Public Health of Belgrade, Serbia for the period between 2010 and 2020 and the published data on the deliveries on the territory of Belgrade. During the examined period the total number of live births in Belgrade was 196,987, and the prevalence of diabetes in pregnancy was 3.4%, with the total prevalence of pre-gestational diabetes of 0.7% and overall prevalence of GDM of 2.7%. The average age of women in our study was significantly lower in 2010 compared to 2020. The forecasted prevalence of pre-gestational diabetes among all pregnant women for 2030 is 2% and 4% for 2050 in our cohort. Our study showed that the prevalence of pre-gestational diabetes has increased both among all pregnant women and among women with diabetes in pregnancy in the past decade in Belgrade, Serbia and that it is expected to increase further in the next decades and to further double by 2050.
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Affiliation(s)
- Stefan Dugalic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | - Milos Petronijevic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | - Brankica Vasiljevic
- Maternity and Child Health Service, NMC Royal Hospital DIP, Dubai Hospital, Dubai P.O. Box 7832, United Arab Emirates;
| | - Jovana Todorovic
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, 11000 Belgrade, Serbia; (J.T.); (Z.T.-S.)
| | - Dejana Stanisavljevic
- Faculty of Medicine, Institute for Medical Statistics and Informatics, University of Belgrade, 11000 Belgrade, Serbia;
| | - Aleksandra Jotic
- Faculty of Medicine, Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.)
| | - Ljiljana Lukic
- Faculty of Medicine, Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.)
| | - Tanja Milicic
- Faculty of Medicine, Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.)
| | - Nebojsa Lalić
- Faculty of Medicine, Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.)
| | - Katarina Lalic
- Faculty of Medicine, Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.)
| | - Milica Stoiljkovic
- Faculty of Medicine, Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.)
| | - Zorica Terzic-Supic
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, 11000 Belgrade, Serbia; (J.T.); (Z.T.-S.)
| | | | - Aleksandar Stefanovic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | - Katarina Stefanovic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | - Svetlana Vrzic-Petronijevic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | - Maja Macura
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | - Igor Pantic
- Faculty of Medicine, Institute for Medical Physiology, University of Belgrade, 11000 Belgrade, Serbia;
| | - Pavle Piperac
- Department for Humanities, University of Belgrade, Faculty of Medicine, 11000 Belgrade, Serbia;
| | | | - Radmila Cerovic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | | | - Sandra Babic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
| | | | - Miroslava Gojnic
- Faculty of Medicine, Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, University of Belgrade, 11000 Belgrade, Serbia; (S.D.); (M.P.); (A.S.); (K.S.); (S.V.-P.); (M.M.); (R.C.); (S.B.)
- Correspondence:
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Gojnic M, Todorovic J, Stanisavljevic D, Jotic A, Lukic L, Milicic T, Lalic N, Lalic K, Stoiljkovic M, Stanisavljevic T, Stefanovic A, Stefanovic K, Vrzic-Petronijevic S, Petronijevic M, Terzic-Supic Z, Macura M, Perovic M, Babic S, Piperac P, Jovanovic M, Parapid B, Doklestic K, Cerovic R, Djurasevic S, Dugalic S. Maternal and Fetal Outcomes among Pregnant Women with Diabetes. IJERPH 2022; 19:ijerph19063684. [PMID: 35329371 PMCID: PMC8953700 DOI: 10.3390/ijerph19063684] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 03/12/2022] [Accepted: 03/15/2022] [Indexed: 02/08/2023]
Abstract
The aim of this study was to examine the differences in pregnancy complications, delivery characteristics, and neonatal outcomes between women with type 1 diabetes mellitus (T1DM), type 2 diabetes mellitus (T2DM), and gestational diabetes mellitus (GDM). This study included all pregnant women with diabetes in pregnancy in Belgrade, Serbia, between 2010 and 2020. The total sample consisted of 6737 patients. In total, 1318 (19.6%) patients had T1DM, 138 (2.0%) had T2DM, and 5281 patients (78.4%) had GDM. Multivariate logistic regression with the type of diabetes as an outcome variable showed that patients with T1DM had a lower likelihood of vaginal delivery (OR: 0.73, 95% CI: 0.64–0.83), gestational hypertension (OR: 0.47, 95% CI: 0.36–0.62), higher likelihood of chronic hypertension (OR: 1.88, 95% CI: 1.55–2.29),and a higher likelihood ofgestational age at delivery before 37 weeks (OR: 1.38, 95% CI: 1.18–1.63) compared to women with GDM. Multivariate logistic regression showed that patients with T2DM had a lower likelihood ofgestational hypertension compared to women with GDM (OR: 0.37, 95% CI: 0.15–0.92).Our results indicate that the highest percentage of diabetes in pregnancy is GDM, and the existence of differences in pregnancy complications, childbirth characteristics, and neonatal outcomes are predominantly between women with GDM and women with T1DM.
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Affiliation(s)
- Miroslava Gojnic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
| | - Jovana Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (J.T.); (Z.T.-S.)
| | - Dejana Stanisavljevic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia;
| | - Aleksandra Jotic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
- Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
| | - Ljiljana Lukic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
- Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
| | - Tanja Milicic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
- Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
| | - Nebojsa Lalic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
- Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
| | - Katarina Lalic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
- Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
| | - Milica Stoiljkovic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
- Clinic for Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, 11000 Belgrade, Serbia
| | - Tamara Stanisavljevic
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
| | - Aleksandar Stefanovic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
| | - Katarina Stefanovic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
| | - Svetlana Vrzic-Petronijevic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
| | - Milos Petronijevic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
| | - Zorica Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (J.T.); (Z.T.-S.)
| | - Maja Macura
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
| | - Milan Perovic
- Clinic for Gynecology and Obstetrics “NarodniFront”, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia;
| | - Sandra Babic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
| | - Pavle Piperac
- Department for Humanities, Faculty of Medicine, University of Belgrade, 11000 belgrade, Serbia;
| | | | - Bijana Parapid
- Clinic for Cardiology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia;
| | - Krisitna Doklestic
- Emergency Department, University Clinical Centre of Serbia, 11000 Belgrade, Serbia;
| | - Radmila Cerovic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
| | | | - Stefan Dugalic
- Clinic for Obstetrics and Gynecology, University Clinical Centre of Serbia, 11000 Belgrade, Serbia; (M.G.); (A.S.); (K.S.); (S.V.-P.); (M.P.); (M.M.); (S.B.); (R.C.)
- Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia; (A.J.); (L.L.); (T.M.); (N.L.); (K.L.); (M.S.); (T.S.)
- Correspondence:
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Terzic-Supic Z, Todorovic J, Bajcetic M, Jankovic J, Santric-Milicevic M, Stamenkovic Z, Djikanovic B, Mandic-Rajcevic S, Piperac P, Jovic-Vranes A, Matejic B. Knowledge, attitudes and practices and fear of COVID-19 among medical students in Serbia. J Infect Dev Ctries 2021; 15:773-779. [PMID: 34242185 DOI: 10.3855/jidc.14298] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Accepted: 01/05/2021] [Indexed: 10/31/2022] Open
Abstract
INTRODUCTION The outbreak of the disease caused by the novel coronavirus, SARS-CoV-2 named COVID-19 has spread throughout the world. The number of registered cases is increasing and almost no country or territory worldwide has been without any COVID-19 patient. The aim of this study was to examine the level of knowledge on the SARS-COv-2 and COVID-19 among medical students and to explore the differences in attitudes, practices and fear of COVID-19 among students with sufficient and students with insufficient knowledge. METHODOLOGY The cross-sectional study among the 1,722 medical students was conducted through an online platform of the Faculty of Medicine, University of Belgrade. The instrument used was a questionnaire with sections on socio-demographic characteristics, knowledge, attitudes and practices towards COVID-19 and the Fear of COVID-19 scale. RESULTS Total of 1576 (91.50%) students were in the sufficient knowledge group. The multivariate logistic regression analysis showed that there was a significant association between the sufficient knowledge on COVID-19 and female sex (OR = 1.70, 95% CI = 1.18-2.45), age (OR = 1.10, 95% CI = 1.02-1.18), considering the preventive measures enforced in Serbia as good (OR = 2.57, 95% CI = 1.18-5.56), wearing the surgical mask outside of the household in the past 14 days (OR = 1.87, 95% CI = 1.22-2.87) and score on Fear of COVID-19 scale (OR = 0.94, 95% CI = 0.91-0.98). CONCLUSIONS Medical students showed good knowledge of COVID-19 and could be a part of the promotion of health education messages as a part of preventive measures.
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Affiliation(s)
- Zorica Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Jovana Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
| | - Milos Bajcetic
- Institute for Histology and Embryology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Janko Jankovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | - Zeljka Stamenkovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Bosiljka Djikanovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Stefan Mandic-Rajcevic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Pavle Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | - Bojana Matejic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Piperac P, Todorovic J, Terzic-Supic Z, Maksimovic A, Karic S, Pilipovic F, Soldatovic I. The Validity and Reliability of the Copenhagen Burnout Inventory for Examination of Burnout among Preschool Teachers in Serbia. Int J Environ Res Public Health 2021; 18:ijerph18136805. [PMID: 34202911 PMCID: PMC8297089 DOI: 10.3390/ijerph18136805] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 06/17/2021] [Accepted: 06/18/2021] [Indexed: 12/30/2022]
Abstract
Introduction: Burnout syndrome is being increasingly recognized as a factor that affects the health status and is being examined among different professional groups. Consequently, there is a need for a reliable and valid instrument for its examination. Teachers are emerging as a professional group of interest in the area of burnout research, so the aim of this study was to assess the validity and reliability of the Serbian version of Copenhagen burnout inventory among teachers at preschool institutions in Serbia. Materials and Methods: This research was conducted as a cross-sectional study between October 2018 and April 2019 on a nationally representative sample of preschool teachers in Serbia. The internal consistency of the scale was assessed using Cronbach’s alpha, and the construct validity was examined using exploratory (EFA) and confirmatory factor analyses (CFA). Results: The average score on total burnout was 39.1 ± 17.0, while the average score per scales on the Copenhagen burnout inventory was: 41.3 ± 18.7 for personal burnout, 41.2 ± 15.9 for work-related burnout, and 34.7 ± 22.0 for client-related burnout. The Cronbach’s alpha for the entire scale was 0.936, the Cronbach’s alpha for the personal burnout scale was 0.906, and the Cronbach’s alpha for the work-related burnout scale was 0.765, while the Cronbach’s alpha for the client-related burnout scale was 0.901. The EFA for the CBI showed three factors. The factor loadings varied from 0.575 to 0.859. The three factors explained 67.17% of the variance. Conclusions: Our study showed that the three-factor Serbian version of the Copenhagen burnout inventory can be used for the assessment of burnout syndrome among teachers.
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Affiliation(s)
- Pavle Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Pasterova 2, 11000 Belgrade, Serbia
- Correspondence:
| | - Jovana Todorovic
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia; (J.T.); (Z.T.-S.)
| | - Zorica Terzic-Supic
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia; (J.T.); (Z.T.-S.)
| | - Aleksandra Maksimovic
- Faculty of Science, University of Kragujevac, Radoja Domanovica 12, 34000 Kragujevac, Serbia;
| | - Svetlana Karic
- Department of Studies for Preschool and Nursery Teachers, Academy of Professional Studies, Dobropoljska 5, 15000 Sabac, Serbia;
| | - Filip Pilipovic
- Institute for Orthopedics Banjica, Mihaila Avramovica 28, 11000 Belgrade, Serbia;
| | - Ivan Soldatovic
- Faculty of Medicine, Institute for Medical Statistics and Informatics, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia;
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Todorovic J, Terzic-Supic Z, Divjak J, Stamenkovic Z, Mandic-Rajcevic S, Kocic S, Ukropina S, Markovic R, Radulovic O, Arnaut A, Piperac P, Mirkovic M, Nesic D. Validation of the Study Burnout Inventory and the Copenhagen Burnout Inventory for the use among medical students. Int J Occup Med Environ Health 2021; 34:737-745. [PMID: 34057165 DOI: 10.13075/ijomeh.1896.01726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
OBJECTIVES The aim of this study was to assess the validity and reliability of the Serbian versions of the Copenhagen Burnout Inventory (CBI) and the Study Burnout Inventory (SBI) among fifth-year medical students at 5 universities in Serbia. MATERIAL AND METHODS The study included 573 fifthyear medical students at 5 universities in Serbia. The research instrument consisted of SBI and CBI. The reliability of these instruments was assessed using an internal consistency measure (Cronbach's α), an intra-class coefficient (ICC) and factor analysis. RESULTS Cronbach's α for SBI was 0.83, including for exhaustion 0.73, for cynicism 0.70, and for inadequacy 0.48. The test-retest reliability (ICC) was 0.75. Cronbach's α for personal burnout on CBI was 0.89, for the faculty-related burnout 0.86, and for the faculty-members-related burnout 0.92. Cronbach's α for CBI was 0.93. The factor analysis for SBI showed 2 factors and for CBI 3 factors. CONCLUSIONS This study revealed that the Serbian versions of both SBI and CBI could be used for the assessment of burnout in this population.
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Affiliation(s)
- Jovana Todorovic
- University of Belgrade, Belgrade, Serbia (Faculty of Medicine, Institute of Social Medicine)
| | - Zorica Terzic-Supic
- University of Belgrade, Belgrade, Serbia (Faculty of Medicine, Institute of Social Medicine)
| | - Jelena Divjak
- University of Belgrade, Belgrade, Serbia (Faculty of Medicine)
| | - Zeljka Stamenkovic
- University of Belgrade, Belgrade, Serbia (Faculty of Medicine, Institute of Social Medicine)
| | - Stefan Mandic-Rajcevic
- University of Belgrade, Belgrade, Serbia (Faculty of Medicine, Institute of Social Medicine)
| | - Sanja Kocic
- University of Kragujevac, Kragujevac, Serbia (Faculty of Medical Sciences, Department of Social Medicine)
| | - Snezana Ukropina
- University of Novi Sad, Novi Sad, Serbia (Faculty of Medicine, Chair for Social Medicine and Health Statistics with Informatics)
| | - Roberta Markovic
- University of Nis, Nis, Serbia (Faculty of Medicine, Department of Social Medicine and Hygiene with Medical Ecology)
| | - Olivera Radulovic
- University of Nis, Nis, Serbia (Faculty of Medicine, Department of Social Medicine and Hygiene with Medical Ecology)
| | - Aleksandra Arnaut
- University of Kragujevac, Kragujevac, Serbia (Faculty of Medical Sciences, Department of Stomatology)
| | - Pavle Piperac
- University of Belgrade, Belgrade, Serbia (Faculty of Medicine, Department of Humanities)
| | - Momcilo Mirkovic
- University of Pristina - Kosovska Mitrovica, Kosovska Mitovica, Serbia (School of Medicine, Department for Preventive Medicine)
| | - Dejan Nesic
- University of Belgrade, Belgrade, Serbia (Faculty of Medicine, Institute of Medical Physiology)
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Pavlovic V, Weissgerber T, Stanisavljevic D, Pekmezovic T, Milicevic O, Lazovic JM, Cirkovic A, Savic M, Rajovic N, Piperac P, Djuric N, Madzarevic P, Dimitrijevic A, Randjelovic S, Nestorovic E, Akinyombo R, Pavlovic A, Ghamrawi R, Garovic V, Milic N. How accurate are citations of frequently cited papers in biomedical literature? Clin Sci (Lond) 2021; 135:671-681. [PMID: 33599711 PMCID: PMC8048031 DOI: 10.1042/cs20201573] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2021] [Revised: 02/16/2021] [Accepted: 02/18/2021] [Indexed: 11/17/2022]
Abstract
Citations are an important, but often overlooked, part of every scientific paper. They allow the reader to trace the flow of evidence, serving as a gateway to relevant literature. Most scientists are aware of citations' errors, but few appreciate the prevalence of these problems. The purpose of the present study was to examine how often frequently cited papers in biomedical scientific literature are cited inaccurately. The study included an active participation of the first authors of included papers; to first-hand verify the citations accuracy. Findings from feasibility study, where we reviewed 1540 articles containing 2526 citations of 14 most cited articles in which the authors were affiliated with the Faculty of Medicine University of Belgrade, were further evaluated for external confirmation in an independent verification set of articles. Verification set included 4912 citations identified in 2995 articles that cited 13 most cited articles published by authors affiliated with the Mayo Clinic Division of Nephrology and Hypertension. A citation was defined as being accurate if the cited article supported or was in accordance with the statement by citing authors. At least one inaccurate citation was found in 11 and 15% of articles in the feasibility study and verification set, respectively, suggesting that inaccurate citations are common in biomedical literature. The most common problem was the citation of nonexistent findings (38.4%), followed by an incorrect interpretation of findings (15.4%). One-fifth of inaccurate citations were due to chains of inaccurate citations. Based on these findings, several actions to reduce citation inaccuracies have been proposed.
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Affiliation(s)
- Vedrana Pavlovic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Tracey Weissgerber
- Charité - Universitätsmedizin Berlin, Berlin Institute of Health, QUEST Center, Berlin
| | - Dejana Stanisavljevic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Tatjana Pekmezovic
- Institute of Epidemiology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Ognjen Milicevic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Jelena Milin Lazovic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Andja Cirkovic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Marko Savic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Nina Rajovic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Pavle Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Nemanja Djuric
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Petar Madzarevic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Ana Dimitrijevic
- Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Simona Randjelovic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Emilija Nestorovic
- Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Remi Akinyombo
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Andrija Pavlovic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Ranine Ghamrawi
- Division of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic, Rochester, MN U.S.A
| | - Vesna Garovic
- Division of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic, Rochester, MN U.S.A
| | - Natasa Milic
- Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
- Division of Nephrology and Hypertension, Department of Internal Medicine, Mayo Clinic, Rochester, MN U.S.A
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9
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Tiosavljevic D, Pantovic Stefanovic M, Dunjic B, Piperac P, Latas M, Milosavljevic M, Vicentic S. The Sexuality of Sex Workers: Sexual Arousability and the Sexual Profile of Women Engaged in Prostitution in Serbia. Psychiatr Danub 2020; 32:583-592. [PMID: 33212467] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND In a view of sex work being a sexual behavioural activity, the main objective of our research was to explore the sexuality of sex workers in Serbia regarding to intensity of their sexual arousability. SUBJECTS AND METHODS The research was conducted on 30 sex workers and 30 controls of randomly selected social and demographic characteristics, without any signs of psychiatric morbidity. For the evaluation of the intensity of sexual arousability, SAI (Sexual Arousability Index) questionnaire was used. RESULTS The analysis of the main total scores of the SAI for the sex workers and control participants showed no statistically significant difference in the overall intensity of arousability (p>0.05). However, item by item analysis of the questionnaire showed qualitative difference in sexuality between sex workers and controls, related to certain aspects of sexuality. CONCLUSIONS These findings allow the space for further research in the way of identifying origins of qualitative issues in the sexual profile of sex workers, in correlation to women who are not sex workers, i.e. whether they had been result of potential biological, specific psychodynamic factors, or have been formed as a result of the direct influence of the sex work.
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10
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Todorovic J, Terzic-Supic Z, Piperac P, Divjak J. Sports betting in Serbia- National survey on lifestyles in Serbia: substance abuse and gambling. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Sports betting has been one of the gambling games which are strongly associated with problem gambling. The aim of our study was to examine the association of social (socio-demographic and socio-economic) and lifestyle characteristics of sports bettors in Serbia.
Methods
The cross-sectional study was the secondary analysis of the data from the National Survey on lifestyles in Serbia: substance abuse and gambling, conducted during 2014. The questionnaire consisted of 158 items. The first part was on socio-demographic characteristics. The second was on lifestyle characteristics with Beverage Specific Quantity Frequency - BSQF Instrument developed during Standardized measurement of Alcohol-related troubles-SMART project, Kessler psychological distress scale, Problem Gambling Severity Index (PGSI), use of illicit drugs, and prescription/ non-medical prescription drug use. The sports betting was assessed with yes/ no question: 'Have you played sports betting in the past 30 days?'
Results
The 10% of participants reported sports betting in the past 30 days. The sports betting was associated with being male (OR:11.22, 95% CI: 7.62-16.53), aged 18-44 (OR: 2.33, 95% CI: 1.78-3.07), living in urban areas (OR: 1.79, 95%CI: 1.41-2.28), being single (OR: 1.35, 95 % CI: 1.06-1.72), having secondary education (OR: 1.47, 95% CI: 1.09-1.98), being unemployed (OR: 2.71, 95% CI:1.35-5.45), employed (OR: 3.00, 95 % CI: 1.53-5.90), or student (OR: 3.86, 95% CI: 1.83-8.17), binge-drinking (OR: 1.94, 95% CI: 1.39-2.71), non-medical prescription drug use (OR: 1.78, 95% CI: 1.22-2.59) and low/ moderate (OR: 12.82, 95% CI: 8.50-19.33), and problem gambling (OR: 43.38, 95% CI: 11.75-160.11).
Conclusions
The association of sports betting with risk behaviors among young males should be a concern for public health authorities.
Key messages
The prevalence of the past 30 days betting in Serbia is 10%. Sports betting is associated with risk behaviors.
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Affiliation(s)
- J Todorovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - Z Terzic-Supic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - P Piperac
- University of Belgrade, Faculty of Medicine, Department of Humanities, Belgrade, Serbia
| | - J Divjak
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
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Abstract
Abstract
Background
Pedagogical work has been one of the most stressful professions, especially work with pre-school children. Working with each age group has particular challenges, in which educators participate in the development of healthy lifestyles in children, their physical activity habits and their identity as social beings. The incidence of stress-related illnesses is more common among teachers than in the general population. The aim of this study was to examine the prevalence of burnout syndrome among preschool teachers in Serbia and factors associated with it.
Methods
The cross-sectional study was conducted between October 2018 and April 2019 and included National representative sample of 482 pre-school teachers in Serbia. The study instrument consisted of four sections: the socio-demographic, lifestyle and workplace characteristics; Copenhagen Burnout inventory; Beck Depression Inventory, and Zung Anxiety Scale.
Results
The average score on total burnout was 39.1±17.0, while the average score per scales on Copenhagen burnout inventory were: 41.3±18.7 for personal burnout, 41.2±15.9 for work-related burnout and 34.7±22.0 for client related burnout. The frequency of total burnout was 27.1%. Multivariate logistic regression analysis with total burnout as an outcome variable showed that being singe (OR: 0.18, 95% CI: 0.05-0.58), having poor (OR: 6.05, 95% CI: 1.05-34.91), or average (OR: 3.60, 95% CI: 1.57-8.25) self-rated health, not having didactic tools (OR: 2.71, 95% CI: 1.21-6.04), having higher score on Beck depression inventory (OR: 1.19, 95% CI: 1.09-1.29) or Zung anxiety scale (OR: 1.10, 95% CI: 1.03-1.18) was significantly associated with total burnout among our participants.
Conclusions
Our study showed the worryingly high prevalence of burnout among preschool teachers in Serbia. The results indicate its association with mental health problems, depression and anxiety, and yield for preventive action.
Key messages
There is a worryingly high prevalence of burnout among preschool teachers in Serbia. Total burnout was associated with mental health problems.
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Affiliation(s)
- Z Terzic-Supic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - P Piperac
- University of Belgrade, Faculty of Medicine, Department of Humanities, Belgrade, Serbia
| | - A Maksimovic
- The College for Preschool Teachers, Sabac, Serbia
| | - S Karic
- The College for Preschool Teachers, Sabac, Serbia
| | - B Hacko
- Institute for Public Health, Kikinda, Serbia
| | - J Todorovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
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Todorovic J, Terzic-Supic Z, Gojnic-Dugalic M, Dugalic S, Piperac P. Sensitivity and specificity of anthropometric measures during early pregnancy for prediction of development of gestational diabetes mellitus. Minerva Endocrinol (Torino) 2020; 46:124-126. [PMID: 32672435 DOI: 10.23736/s2724-6507.20.03151-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Jovana Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia -
| | - Zorica Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | - Stefan Dugalic
- Clinic of Obstetrics and Gynecology, Clinical Center of Serbia, Belgrade, Serbia
| | - Pavle Piperac
- Department for Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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13
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Todorovic J, Terzic-Supic Z, Gojnic-Dugalic M, Dugalic S, Piperac P. Sensitivity and specificity of anthropometric measures during early pregnancy for prediction of development of gestational diabetes mellitus. Minerva Endocrinol (Torino) 2020. [PMID: 32672435 DOI: 10.23736/s0391-1977.20.03151-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Jovana Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia -
| | - Zorica Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | - Stefan Dugalic
- Clinic of Obstetrics and Gynecology, Clinical Center of Serbia, Belgrade, Serbia
| | - Pavle Piperac
- Department for Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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14
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Todorovic J, Piperac P, Terzic-Supic Z. Emergency management, mitigation for COVID-19 and the importance of preparedness for future outbreaks. Int J Health Plann Manage 2020; 35:1274-1276. [PMID: 32567706 PMCID: PMC7361933 DOI: 10.1002/hpm.3011] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 05/02/2020] [Accepted: 05/23/2020] [Indexed: 11/24/2022] Open
Affiliation(s)
- Jovana Todorovic
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia
| | - Pavle Piperac
- Faculty of Medicine, Department of Humanities, University of Belgrade, Belgrade, Serbia
| | - Zorica Terzic-Supic
- Faculty of Medicine, Institute of Social Medicine, University of Belgrade, Belgrade, Serbia
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15
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Todorovic J, Terzic-Supic Z, Bjegovic-Mikanovic V, Piperac P, Dugalic S, Gojnic-Dugalic M. Factors Associated with the Leisure-Time Physical Activity (LTPA) during the First Trimester of the Pregnancy: The Cross-Sectional Study among Pregnant Women in Serbia. Int J Environ Res Public Health 2020; 17:ijerph17041366. [PMID: 32093248 PMCID: PMC7068306 DOI: 10.3390/ijerph17041366] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 02/16/2020] [Accepted: 02/18/2020] [Indexed: 12/30/2022]
Abstract
Background: The benefits of physical activity during pregnancy include lower maternal weight gain, a lower likelihood of gestational diabetes, low back pain, preeclampsia, preterm delivery, caesarian delivery, and macrosomia. This study aimed to examine the factors associated with insufficient leisure-time physical activity (LTPA) during the first trimester. Methods: A cross-sectional study was conducted at the Clinic for Obstetrics and Gynecology of Clinical Center of Serbia, Belgrade, between January and June of 2018. The final analyses included 162/175 pregnant women. The questionnaire was used to obtain social characteristics, pregnancy, and lifestyle characteristics (Pregnancy Risk Assessment Monitoring System-PRAMS), pre-pregnancy LTPA (International Physical Activity Questionnaire-IPAQ), and LTPA during the first trimester (Pregnancy Physical Activity Questionnaire-PPAQ). Women were classified into two groups of sufficient and insufficient LTPA during the first trimester based on the recommendations of the World Health Organization. Multivariate logistic regression analysis was applied. Results: A total of 27.2% of the women had insufficient LTPA during pregnancy. Insufficient LTPA during pregnancy was associated with <12 years of education (OR: 2.3, 95% CI: 1.05-5.04), self-rated financial status as poor (OR: 0.34, 95% CI: 0.14-0.79), and hours spent walking before pregnancy (OR: 0.87, 95% CI: 0.77-0.99). Conclusions: Our results can help direct health care professionals advice for women who are planning pregnancy towards walking as it seems to be sustained during pregnancy.
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Affiliation(s)
- Jovana Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia; (Z.T.-S.); (V.B.-M.)
- Correspondence: ; Tel.: +381-11-2643-830
| | - Zorica Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia; (Z.T.-S.); (V.B.-M.)
| | - Vesna Bjegovic-Mikanovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Dr Subotica 15, 11000 Belgrade, Serbia; (Z.T.-S.); (V.B.-M.)
| | - Pavle Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Pasterova 2, 11000 Belgrade, Serbia;
| | - Stefan Dugalic
- Clinic of Obsterics and Gynecology, Clinical Centre of Serbia, Belgrade, 11000 Beograd, Serbia; (S.D.); (M.G.-D.)
| | - Miroslava Gojnic-Dugalic
- Clinic of Obsterics and Gynecology, Clinical Centre of Serbia, Belgrade, 11000 Beograd, Serbia; (S.D.); (M.G.-D.)
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Todorovic J, Terzic-Supic Z, Piperac P, Stamenkovic Z, Santric-Milicevic M, Djikanovic B. Facebook Intervention To Improve Physical Activity Level Among Youth. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.469] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
Physical activity level decreases during the transition from late adolescence to young adulthood. Social media are nowadays widely used and part of many people’s daily routines and the interventions on these websites have the possibilities to be integrated into those routines without becoming a burden. The aim of this study was to assess physical activity level among medical students and to assess the possibilities of using social media intervention with an aim to improve physical activity among them.
Methods
Prospective study was conducted during October of 2016 at the Faculty of Medicine, University of Belgrade, Serbia. The study included 375 first and fifth-year students. At the baseline, students filled in the questionnaire regarding social and lifestyle characteristics as well as their physical activity. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). After completing the questionnaire, students were asked to join a Facebook discussion group. The intervention consisted of motivation for physical activity through motivational pictures, texts, and discussions. The second assessment was done after one month. Based on the reported physical activity level students were divided into two groups: sufficient (>600MET-minutes/week) and insufficient physical activity (≤600 MET-minutes/week).
Results
Total of 85.4% of students were sufficiently active at the baseline, while 90.4% were sufficiently active after one month. Multivariate logistic regression analysis showed that students who were part of the Facebook group (OR: 3.51, 95% CI: 1.46-8.43) and students who had sufficient physical activity at the baseline (OR: 5.44, 95% CI: 2.44-12.13) had a higher likelihood to be sufficiently active after one month.
Conclusions
Social media can be used for interventions targeting lifestyle change among young adults and activities on these websites can be adjusted to meet the needs of the target population.
Key messages
Intervention on social media could lead to lifestyle change. Interventions on social media could be adjusted to fit the target population.
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Affiliation(s)
- J Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Z Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - P Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Z Stamenkovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - M Santric-Milicevic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - B Djikanovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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17
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Terzic-Supic Z, Todorovic J, Vojvodic K, Piperac P, Santric-Milicevic M. Unmet dental health care needs among adults in Serbia, Survey on Income and Living Conditions 2017. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz187.145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Changes in the health insurance law in 2005 led to the changes in the organization of the provision of dental health care in Serbia. Prior to this law, dental health care was available for every resident covered by mandatory health insurance without additional out-of-pocket payments. Now the dental health care is available only for children under the age of 18, students under the age of 26, pregnant women and for emergency dental care. The aim of this study was to assess the prevalence of unmet dental health care needs among adults and to assess the factors associated with unmet dental health care needs.
Methods
The study was the secondary analysis of the data from the Survey on income and Living conditions in Serbia, conducted during 2017. Multivariate logistic regression analysis was used to assess the association of unmet dental health care needs and socio-demographic and socio-economic factors.
Results
Total of 1718/12437 (12.1%) adults reported unmet dental health care needs. The main reason reported was not being able to afford it (1014/1718, 59.0%), along with the fear of doctors or hospitals (260/1718, 15.5%). Multivariate logistic regression analysis showed the association of unmet dental health care needs and being employed (OR: 1.50, 95% CI: 1.24-1.80), unemployed (OR: 1.96, 95% CI: 1.65-2.33), having primary (OR: 1.47, 95% CI: 1.16-1.86), or secondary education (OR: 1.43, 95% CI: 1.21-1.69), being divorced (OR: 1.47, 95% CI: 1.17-1.85), having good (OR:1.44, 95% CI: 1.20- 1.74), average (OR: 2.36, 95% CI: 1.91-2.92), poor (OR: 2.29, 95%CI: 1.77-2.97), or very poor general health (OR: 2.42, 95% CI: 1.68-3.48), having limitation in daily activities (OR: 0.66, 95% CI: 0.60-0.77) and being materially deprived (OR: 1.67, 95% CI: 1.46-1.90).
Conclusions
The prevalence of unmet dental health care needs in high among adults in Serbia. There is an association between social characteristics and health status with unmet dental health care needs in Serbia.
Key messages
There is a high prevalence of unmet dental health care needs in Serbia. Unmet dental health care needs are associated with social characteristics and health status.
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Affiliation(s)
- Z Terzic-Supic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - J Todorovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - K Vojvodic
- Institute of Public Health of Belgrade, Department for Planning,Organizing and Analyzing Health System, Belgrade, Serbia
| | - P Piperac
- Department of Humanities, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - M Santric-Milicevic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Piperac P, Terzic-Supic Z, Todorovic J, Maksimovic A, Karic S, Santric-Milicevic M. Copenhagen Burnout Inventory On A National Representative Sample Of Pre-School Teachers. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz185.168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Pre-school teachers are faced with work-related stress and are at increased risk of development of burnout syndrome. The aim of this study was to evaluate the reliability of the Serbian version of Copenhagen burnout inventory (CBI) on a National Representative Sample of preschool teachers in Serbia.
Methods
This was a cross-sectional study conducted between October 2018 and April 2019 which included 456 preschool teachers in Serbia. The instrument contained questions on socio-demographic, socio-economic characteristics, lifestyle characteristics, workplace environment and Serbian version of CBI. Univariate linear regression, multiple linear regression, Cronbach alpha coefficients were performed.
Results
Cronbach alpha of three domains of CBI were: personal burnout-0.907, work-related burnout-0.878, client-related burnout- 0.903. Multiple linear regression analysis showed that having a tenured contract (ß=3.46, p = 0.04), working in shifts (ß=7.94, p = 0.01), and having worse self-perceived health status (ß=-8.88, p = 0.01) were significantly associated with personal burnout. Working in shifts (ß=-4.67, p-0.012) and having worse self-perceived health status (ß=-7.82, p < 0.001) were significantly associated with work-related burnout. Age (ß=0.53, p < 0.001), living in urban areas (ß=-6.55, p = 0.015), alcohol consumption (ß=5.09, p = 0.016), number of children teacher work with (ß0.407, p = 0.005), having teaching equipment (ß=-4.46, p = 0.033), and having worse self-perceived health status (ß=-7.17, p < 0.0001) were significantly associated with client-related burnout.
Conclusions
CBI is a valid instrument for the assessment of burnout among preschool teachers in Serbia. Many workplace-related factors, which could be subject of preventive measures, are associated with domains of burnout in this population.
Key messages
Workplace-related factors are associated with burnout among preschool teachers in Serbia. CBI is valid instrument for assessment of burnout among preschool teachers.
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Affiliation(s)
- P Piperac
- University of Belgrade, Faculty of Medicine, Department of Humanities, Belgrade, Serbia
| | - Z Terzic-Supic
- University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - J Todorovic
- University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - A Maksimovic
- The College for Preschool Teachers, Sabac, Serbia
| | - S Karic
- The College for Preschool Teachers, Sabac, Serbia
| | - M Santric-Milicevic
- University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
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Piperac P, Terzic-Supic Z, Todorovic J, Maksimovic A, Karic S, Soldatovic I. Two step cluster analysis of burnout among preschool teachers. Eur J Public Health 2019. [DOI: 10.1093/eurpub/ckz186.328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The burnout is influenced by a variety of personal, work-related and client-related factors, which are included in different domains of Copenhagen burnout inventory (CBI). The aim of this study was to examine if there are different groups of preschool teachers which differ in scores on different domains of CBI.
Methods
This was the analysis of the data from the survey on burnout on a National representative sample of 456 preschool teachers in Serbia. The study was conducted between October of 2018 and January 2019. The study instrument contained questions on socio-demographic characteristics, workplace environment characteristics, and Copenhagen burnout inventory. We used two-step cluster analysis in SPSS to segment the participants based on age and average scores on personal, work-related and client related domains of CBI.
Results
Our participants clustered in three distinguished groups: participants aged 35.31 years, who worked in shifts, with personal burnout average of 29.46, work-related burnout average of 24.06 and client related burnout average of 19.46; participants aged 44.09 years, who worked in shifts, personal domain scores of 55.24, work-related burnout scores of 51.72, and client-related burnout scores of 51.13; and participants aged 43.01 years, who did not work in shifts, with personal burnout scores of 36.47, work-related burnout scores of 31.95, and client-related burnout scores of 32.08.
Conclusions
Participants clustered in three different groups, and the group with the highest average age and with the shift work had higher scores on all three domains compared to other groups.
Key messages
Preschool teachers clustered in three groups with different scores on domains on burnout. The group with the highest average age had the highest scores on all three domains of burnout.
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Affiliation(s)
- P Piperac
- University of Belgrade, Faculty of Medicine, Department of humanities, Belgrade, Serbia
| | - Z Terzic-Supic
- University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - J Todorovic
- University of Belgrade, Faculty of Medicine, Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - A Maksimovic
- The college for preschool teachers, Sabac, Sabac, Serbia
| | - S Karic
- The college for preschool teachers, Sabac, Sabac, Serbia
| | - I Soldatovic
- University of Belgrade, Faculty of Medicine, Institute for medical statistics and informatics, Belgrade, Serbia
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Todorovic J, Terzic-Supic Z, Djikanovic B, Nesic D, Piperac P, Stamenkovic Z. Can social media intervention improve physical activity of medical students? Public Health 2019; 174:69-73. [PMID: 31323599 DOI: 10.1016/j.puhe.2019.05.030] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Revised: 05/16/2019] [Accepted: 05/24/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Physical activity level decreases during young adulthood. As social media are nowadays widely used and are included into many people's daily routines, the interventions on these websites have the possibilities to be integrated into those routines without becoming a burden. The aim of this study was to assess physical activity level among first- and fifth-year medical students and social media intervention with the aim to improve physical activity among them. STUDY DESIGN Prospective longitudinal study was conducted during October of 2016 at the Faculty of Medicine, University of Belgrade, Serbia. The study included 375 first- and fifth-year students. METHODS At the baseline, students filled in the questionnaire and were asked to join a Facebook discussion group. The intervention consisted of motivation for physical activity through motivational pictures, texts, and discussions. The second assessment was carried out after one month. Based on the reported physical activity level, students were divided into groups: sufficient (>600 metabolic equivalent [MET]-minutes/week) and insufficient physical activity (≤600 MET-minutes/week). RESULTS Total of 85.4% of students were sufficiently active at the baseline, whereas 90.4% were sufficiently active after one month. Multivariate logistic regression analysis showed that students who were part of the Facebook group (odds ratio [OR]: 3.51, 95% confidence interval [CI]: 1.46-8.43) and students who had sufficient physical activity at the baseline (OR: 5.44, 95% CI: 2.44-12.13) had a higher likelihood to be sufficiently active after one month. CONCLUSION Social media are shown to be valuable in health-promoting interventions and can be used for interventions targeting lifestyle change among young adults.
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Affiliation(s)
- J Todorovic
- Institute of Social Medicine, School of Medicine, University of Belgrade, Dr Subotica 15, 11000, Belgrade, Serbia; Centre School for Public Health and Health Management, Pasterova 2, 11000, Belgrade, Serbia.
| | - Z Terzic-Supic
- Institute of Social Medicine, School of Medicine, University of Belgrade, Dr Subotica 15, 11000, Belgrade, Serbia; Centre School for Public Health and Health Management, Pasterova 2, 11000, Belgrade, Serbia.
| | - B Djikanovic
- Institute of Social Medicine, School of Medicine, University of Belgrade, Dr Subotica 15, 11000, Belgrade, Serbia; Centre School for Public Health and Health Management, Pasterova 2, 11000, Belgrade, Serbia.
| | - D Nesic
- Institute of Medical Physiology, School of Medicine, University of Belgrade, Dr Subotica 8, 11000, Belgrade, Serbia.
| | - P Piperac
- Department for Humanities, Faculty of Medicine, University of Belgrade, Serbia.
| | - Z Stamenkovic
- Institute of Social Medicine, School of Medicine, University of Belgrade, Dr Subotica 15, 11000, Belgrade, Serbia; Centre School for Public Health and Health Management, Pasterova 2, 11000, Belgrade, Serbia.
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Todorovic J, Terzic-Supic Z, Stamenkovic Z, Santric-Milicevic M, Davidovic M, Piperac P. Knowledge on HIV and attitudes towards people living with HIV among prisoner population in Serbia. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky214.167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- J Todorovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - Z Terzic-Supic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - Z Stamenkovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - M Santric-Milicevic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | | | - P Piperac
- Medical Faculty, Belgrade University, Belgrade, Serbia
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22
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Todorovic J, Gojnic-Dugalic M, Terzic-Supic Z, Dugalic S, Bjegovic-Mikanovic V, Stamenkovic Z, Davidovic M, Piperac P, Santric-Milicevic M. Association of pre-pregnancy physical activity level and physical activity in the first trimester. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- J Todorovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - M Gojnic-Dugalic
- Clinic for Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia
| | - Z Terzic-Supic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - S Dugalic
- Clinic for Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia
| | - V Bjegovic-Mikanovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - Z Stamenkovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - M Davidovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - P Piperac
- Medical Faculty Belgrade, Belgrade, Serbia
| | - M Santric-Milicevic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
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23
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Todorovic J, Terzic-Supic Z, Djikanovic B, Stamenkovic Z, Piperac P, Davidovic M, Santric-Milicevic M. Use of smart phone apps for educational purposes among Medical students. Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky218.243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- J Todorovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - Z Terzic-Supic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - B Djikanovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - Z Stamenkovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - P Piperac
- Medical Faculty, Belgrade University, Belgrade, Serbia
| | - M Davidovic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
| | - M Santric-Milicevic
- Institute of Social Medicine, Medical Faculty, Belgrade University, Belgrade, Serbia
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Protic D, Pejovic A, Andjelkovic D, Djukanovic N, Savic D, Piperac P, Markovic Denic L, Zdravkovic M, Todorovic Z. Nosocomial Infections Caused by Acinetobacter baumannii: Are We Losing the Battle? Surg Infect (Larchmt) 2016; 17:236-42. [PMID: 26885722 DOI: 10.1089/sur.2015.128] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The incidence of nosocomial infections caused by multi-drug- and extended-drug resistant strains of Acinetobacter is constantly increasing all over the world, with a high mortality rate. We analyzed the in-hospital data on the sensitivity of Acinetobacter baumannii isolates and correlated them with antibiotic treatment and clinical outcomes of nosocomial infections over a 17-mo period. METHODS Retrospective analysis was performed at the Clinical Center "Bezanijska kosa," Belgrade, Serbia. Microbiologic data (number and sensitivity of A. baumannii isolates) and clinical data (medical records of 41 randomly selected patients who developed nosocomial infection caused by A. baumannii) were matched. RESULTS Acinetobacter baumannii, detected in 279 isolates and obtained from 19 patients (12% of all samples), was resistant to almost all antibiotics tested, including carbapenems, with the exception of colistin and tigecycline. It was obtained most often from the respiratory tract samples. Empiric treatment of the nosocomial infections (pneumonia in 75% of cases) involved cephalosporins, metronidazole, and carbapenems (80%, 66%, and 61% of patients, respectively), whereas tigecyclin and colistin were used primarily in targeted therapy (20% and 12% of patients, respectively). The mortality rate of patients treated empirically was significantly higher (p < 0.01), reaching 100% in the elderly. CONCLUSIONS Nosocomial A. baumannii infections represent a significant clinical problem because of their high incidence, lack of susceptibility to the most commonly used antibiotics, and the often inappropriate treatment, which favors the development of multi-drug-resistant strains.
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Affiliation(s)
- Dragana Protic
- 1 Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade , Belgrade, Serbia
| | - Aleksa Pejovic
- 1 Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade , Belgrade, Serbia
| | | | - Nina Djukanovic
- 3 High Medical School "Milutin Milanković ," Belgrade, Serbia
| | - Dragana Savic
- 1 Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade , Belgrade, Serbia
| | - Pavle Piperac
- 1 Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade , Belgrade, Serbia
| | - Ljiljana Markovic Denic
- 2 Medical Center "Bezanijska kosa ," Belgrade, Serbia .,4 Institute of Epidemiology , Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Marija Zdravkovic
- 2 Medical Center "Bezanijska kosa ," Belgrade, Serbia .,5 Faculty of Medicine, University of Belgrade , Belgrade, Serbia
| | - Zoran Todorovic
- 1 Department of Pharmacology, Clinical Pharmacology and Toxicology, Faculty of Medicine, University of Belgrade , Belgrade, Serbia .,2 Medical Center "Bezanijska kosa ," Belgrade, Serbia
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