This study aimed to investigate factors associated with the symptoms of mental disorders following a road traffic crash (RTC). A prospective cohort of 200 people was followed for 6 months after experiencing an RTC. The cohort was comprised of uninjured survivors and injured victims with all levels of road traffic injury (RTI) severity. Multivariable logistic regression analyses were performed to evaluate the associations between the symptoms of depression, posttraumatic stress disorder and anxiety one and six months after the RTC, along with sociodemographic factors, health status before and after the RTC, factors related to the RTI and factors related to the RTC. The results showed associations of depression, anxiety, and posttraumatic stress disorder symptoms with sociodemographic factors, factors related to the health status before and after the RTC and factors related to the RTC. Factors related to the RTI showed associations only with depression and posttraumatic stress disorder symptoms. Identifying factors associated with mental disorders following an RTC is essential for establishing screening of vulnerable individuals at risk of poor mental health outcomes after an RTC. All RTC survivors, regardless of their RTI status, should be screened for factors associated with mental disorders in order to successfully prevent them.
18 September 2020 in Zbornik Pravnog fakulteta Sveučilišta u Rijeci
Tijekom 19. stoljeća u Slavoniji je neprekidno postojala opasnost od izbijanja epidemija zaraznih bolesti. Stoga su županijske i gradske vlasti imale dužnost brinuti se o poduzimanju mjera za njihovo sprječavanje. Skrbile su o...
Objectives: This cross-sectional study aimed to evaluate the oral-health-related quality of life (OHRQoL) among patients with fixed, removable, and combined dental prosthetic restorations in Osijek, Croatia, focusing on potential variations by gender, age, and prosthetic type. Methods: This study included 313 patients treated at dental clinics within the Osijek-Baranja County Health Center. The standardized Oral Health Impact Profile-14 (OHIP-14) questionnaire, validated in Croatian (OHIP-CRO14), was used to assess the participants’ OHRQoL. Statistical analyses were conducted to explore associations between demographic factors, prosthetic types, and OHRQoL domains. Results: Psychological discomfort emerged as the domain with the lowest reported OHRQoL, whereas social disability was the least affected. Gender showed no significant association with OHRQoL outcomes. However, age influenced OHRQoL scores. Patients with fixed prosthetic restorations reported better OHRQoL in functional limitation, physical pain, and physical disability compared to those with removable or combined prosthetics. Conclusions: Patients with fixed prosthetic restorations reported better OHRQoL, particularly in functional limitation, physical pain, and physical disability domains. While no significant gender differences were observed, age significantly influenced physical disability scores, with younger participants reporting lower scores and older participants higher scores. These results emphasize the importance of prosthetic type in improving OHRQoL and guiding clinical decision-making in dental practice.
Background/Objectives: A person’s values regarding oral health significantly shape their related behaviors and habits. Therefore, it is essential to systematically study this relationship and create reliable tools to assess perceptions of oral health values, which can inform evidence-based interventions and policy decisions. This study aimed to translate, culturally adapt, and validate the “Oral Health Values Scale” (OHVS) for use in the Croatian context. Methods: The process involved two key phases. First, an expert committee oversaw the translation to ensure consistency across all versions and produce a test-ready instrument. To identify any ambiguities in translation and test the instrument’s reliability, a pilot study with 40 participants was conducted. Once the expert committee confirmed content validity, the finalized OHVS was administered to a sample of 702 Croatian adults to evaluate its psychometric properties. Results: Factor analysis revealed a three-factor structure in the Croatian version, differing from the original four-factor model, with items from the “Retaining Natural Teeth” subscale distributed across two factors. Results demonstrated strong internal consistency (Cronbach’s α > 0.78) and test–retest reliability (ICC = 0.976, 95% CI: 0.955–0.987, p < 0.01), confirming the instrument’s reliability. Conclusions: These results confirm the OHVS-CRO as a valid and reliable instrument for assessing oral health values, offering valuable insights into the perspectives of Croatian populations. This validation study provides a foundation for future research, supports culturally tailored interventions, and highlights the potential for the OHVS to inform oral health research and policy development both locally and globally.
U radu se prikazuje pravno uređenje javnozdravstvenoga sustava i stvaranje mreže javne zdravstvene službe u Slavoniji, zbog čega se kronološki objašnjava povijesni slijed počevši od terezijanskih pa sve do Mažuranićevih zdravstvenih reformi. U preglednom dijelu rada razmatra se važnost donošenja Općega zdravstvenog pravilnika iz 1770. te objašnjava odnos između Ugarskoga namjesničkog vijeća s nižim ustrojbenim upravnim i zdravstvenim organizacijama. Jedna od takvih bio je gradski fizikat slobodnoga i kraljevskoga grada Osijeka, koji je kao stručni organ gradskoga poglavarstva bio zadužen za poslove javnoga zdravstva. U nastavku rada prikazat će se zdravstvene djelatnosti, uređenje protuepidemijskoga sustava i zdravstvenih ustanova. Upozorit će se i na važnost Hrvatsko-ugarske nagodbe iz 1868. godine, kojom su stvoreni preduvjeti da se javnozdravstveni sustav samostalno uredi. Takav rasplet događaja omogućio je da se provede reorganizacija uprave utemeljena na poštovanju načela vladavine prava te se donose novi i moderniji zakoni, od kojih su najvažniji bili Zakon o uređenju zdravstva iz 1874. i Zakon o uređenju zdravstvene službe u kraljevinama Hrvatskoj i Slavoniji iz 1894. godine.
Background/Objectives: This study aimed to assess oral health values, oral hygiene habits, preventive dental attendance, and lifestyle-related risk factors among students at the University of Osijek and to compare findings between students enrolled in health-related and non-health-related study programs. Methods: A cross-sectional survey was conducted among 331 students (186 health-related and 145 non-health-related). Participants were recruited using a convenience sampling approach. Data were collected using an anonymous questionnaire comprising demographic information, oral health–related behaviors, and the Croatian version of the Oral Health Values Scale (OHVS-CRO). Group differences were analyzed using nonparametric statistical tests. Results: Students enrolled in health-related study programs reported significantly more favorable oral hygiene behaviors, including more frequent toothbrushing, greater use of dental floss, interdental brushes, and mouthwash, as well as more regular preventive dental attendance (all p < 0.05). They also achieved significantly higher OHVS-CRO scores across all domains and on the total scale (median total score: 42 vs. 40; p < 0.001). No significant differences were observed regarding smoking, alcohol consumption, or refined sugar intake. Conclusions: Students enrolled in health-related study programs demonstrated higher oral health values and more favorable oral health-related behaviors than students enrolled in non-health-related study programs. These findings suggest an association between educational orientation and oral health values and behaviors and may inform future oral health promotion initiatives targeting university students.