Прегледај по Аутор "Stanetić, Kosana"

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    Detection of diabetic polyneuropathy in a family medicine clinic by using monofilament
    (Military Medical Academy, 2022) Lakić, Biljana; Petrović, Verica; Račić, Maja; Stanetić, Kosana
    Background/Aim. Diabetic polyneuropathy (DPN) is the most common microvascular complication of diabetes melli-tus (DM), which may be present at the time of disease detec-tion. Screening for DPN is performed for the patients with type 2 diabetes at the time of diagnosis and for type 1 diabe-tes 5 years after diagnosis. The primary aim of this study was to determine the prevalence of DNP among family medicine patients with DM aged 18 to 70 years using nylon monofila-ment. Methods. The cross-sectional study estimated the prevalence of DPN among primary care patients with DM in Banja Luka, Republic of Srpska, Bosnia and Herzegovina. Semmes-Weinstein nylon 10 g monofilament was used to de-tect DPN. Age, gender, duration of DM, type of therapy, symptoms, glycosylated hemoglobin (HbA1c), and risk fac-tors (hypertension, smoking, dyslipidemia, obesity, physical inactivity) were analyzed. Data collection took place from June 1st, 2017 to May 31st, 2018. Results. The study includ-ed 228 patients, 132 (57.9%) men and 96 (42.1%) women. There was a statistically significant difference in the presence of all symptoms of DPN (tingling, burning, light burning, and stinging) among patients with different duration of DM (p < 0.01). Multivariate logistic regression revealed that patients who had hypertension [odds ratio (OR) = 26.2; 95% confi-dence interval (CI): 4.070–168.488; p = 0.001], used oral anti-diabetic therapy (OR = 12.3; 95% CI: 1.300–116.309; p = 0.029), had tingling (OR = 5.2; 95% CI: 1.431–18.571; p = 0.012) and a longer duration of diabetes (OR = 4.27; 95% CI: 1.983–9.175; p = 0.000) were more likely to have DPN. Con-clusion. The prevalence of DPN in family medicine patients with DM using nylon monofilament was 24.2%. Determi-nants of DNP were the presence of symptoms of tingling, duration of diabetes, hypertension, and the use of oral antidi-abetic therapy alone.
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    Family physicians’ perspectives on clinical guidelines, a survey from the Republic of Srpska, Bosnia and Herzegovina
    (Taylor & Francis, 2016) Račić, Maja; Eremija, Svjetlana; Mašić, Srđan; Joksimović, Bojan N.; Stanetić, Kosana
    Background: Despite considerable efforts to promote and support clinical practice guidelines (CPGs) use, adherence has often been suboptimal universally. Objectives: The aim of this study was to assess to which extent family physicians (FPs) in Republic of Srpska (RS), Bosnia and Herzegovina (BiH) accept or reject the concept and practice of CPGs and evidence-based medicine (EBM). Methods: A cross-sectional survey was conducted among FPs from the RS, BiH in the period between January and March 2014. Recruitment of FPs was performed combining two different strategies, in-person recruitment at family medicine conferences and mailed invitations. The Questionnaire included19 questions from the existing Healthcare Monitor Questionnaire, divided into four thematic blocks and 11 self-designed questions. Results: Seventy-seven per cent of 131 interviewed physicians reported already using guidelines in the treatment of patients, while 22.9% of them are undecided or disagree. As the reason for rejecting guidelines, 13.0% of the physicians stated they did not support their content, 12.2% found that limited knowledge about guidelines prevented their application, and another 12.2% reported that the current guidelines were not practical enough. All groups would rather not use guidelines developed by a governmental institution. Conclusion: Most physicians in the RS, BiH accept and declare application of CPG. However, a substantial percentage remains sceptical, using CPGs only as an exception, or rejecting them due to their content or impracticability.
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    Screening of undiagnosed depression among elderly primary care patients: a cross-sectional study from the Republic of Srpska, Bosnia and Herzegovina
    (Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2020) Stanetić, Kosana; Petrović, Verica; Stanetić, Bojan; Kević, Vesna; Stanetić, Mirko; Matović, Jelena; Kusmuk, Srebrenka; Račić, Maja
    Aim To examine the prevalence of undiagnosed depression among primary care elderly patients in the entity of the Republic of Srpska (Bosnia and Herzegovina) as well as the sociodemographic and clinical risk factors associated with depression. Methods A cross-sectional study was conducted between April and June 2019 in nine towns of the Republic of Srpska. The study sample included 1,198 primary care patients older than 65 years of age. Research instruments included a sociodemographic questionnaire and Geriatric Depression Scale - Short Form (GDS-SF). Results Positive screening test (GDS-SF score > 5), which indicates depression was found in 484 (40.4%) participants. Multivariate regression analysis showed that lower education levels [OR = 1.565, 95% CI (1.13-2.17)], divorced and widowed [OR = 1.366, 95% CI (1.16-1.62)], poor financial situation [OR = 1.690 , 95% CI (1.25-2.29)], non-home residents [OR = 2.200, 95% CI (1.41- 3.44)], non-hobby patients [OR = 2.115, 95% CI (1.54-2.91) ], non-friends [OR = 3.881, 95% CI (2.70-5.57)], patients suffering from chronic pain [OR = 2.414, 95% CI (1.72-3.39)], patients with daily life limitation activities [OR = 1.415, 95% CI (1.03-1.95)], patients with three or more chronic diseases [OR = 1.593, 95% CI (1.12-2.27)], patients using five or more drugs [OR = 1.425. 95% CI (1.00-2.03)], and patients with history of previous depression [OR = 2.858, 95% CI (1.94-4.21)] were at higher risk for depression. Conclusion The prevalence of undiagnosed depression in the elderly in Republic of Srpska is high. Future strategies are needed to strengthen screening of geriatric depression in primary health care.