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Your search keyword '"Aleksandar Džakula"' showing total 2 results
Start Over Author "Aleksandar Džakula" Publisher croatian society of natural sciences
2 results on '"Aleksandar Džakula"'

1. Remote patient monitoring system for older rural population – pilot project in Sisak Moslavina County

Author

ADIS KERANOVIĆ, ALEKSANDAR DŽAKULA, KSENIJA VITALE, NIKOLINA ANTONIA DOMOKUŠ, and LIDIJA BUŠIĆ BJELOBABA

Subjects
distant patient monitoring, chronic conditions, older population, rural population, isolated geographic regions
Abstract

Background and Purpose: The aimof this study is to evaluate the use of EriscssonMobileHealth (EMH) system for rural, distant, older, chronically ill patient monitoring in SisakMoslavina County in the region of ASSC. The aim is to evaluate quality, patient satisfaction, health care provider satisfaction with EMH system as well as possible obstacles and points for possible cost savings. Materials and Methods: The solution we tested is Ericsson Mobile Health (EMH), a mobile medical device of class IIa, composed of several components that include package for patient, server and applications. Package for patient includes several sensors depending on type of monitoring, communication device and expendable material. Package for patient consists of sensors for Pulse Oximetry (SaO2), Electro Cardio Graph (ECG), Peak Expiratory Flow (PEF) and Forced Expiratory Volume in 1 Second (FEV1), Blood Pressure (BP) and Blood Glucose Level. Communication device is central part of patient package. It collects sensor measurements available via Bluetooth interface and it sends themtowards server available viamobile network.Doctor access to server and browse through patient data using application for doctors. As amethod for evaluationwe used interviews with open-ended questions for both patients and medical personnel. Data were analyzed using qualitative conventional content analysis. Results: Common denominator in all interviews with patients was feeling of security and possibility of quick intervention if needed. Also, they felt they can substantially save on transportation. Medical personnel observed mainly technical objections regarding devices. As for benefits they recognized continuity of care, easy access to primary care, responsiveness to specific patients needs, in one visit field nurse can cover group of patients, and accurate data for decision making. Conclusion: EMHis adaptable and secure systemthat can reduce costs of health care in distant rural areas both for population and health care system. Direct link with primary health care provider contributes to the patient’s feeling of security.

Published
2013

2. Prevalence, awareness, treatment and control of hypertension and salt intake in some rural areas of Sisak – Moslavina county, Croatia

Author

SLAVICA SOVIĆ, KSENIJA VITALE, ADIS KERANOVIĆ, IVANKA DRAŽIĆ, ALEKSANDAR DŽAKULA, BOJAN JELAKOVIĆ, SLAVICA SOVIĆ, KSENIJA VITALE, ADIS KERANOVIĆ, IVANKA DRAŽIĆ, ALEKSANDAR DŽAKULA, and BOJAN JELAKOVIĆ

Abstract

Background and Purpose: High salt intake through food rich in salt is one of the important risk factors for hypertension, and even modest reduction in salt intake lowers the blood pressure (BP). In Croatia 91.6 % of the total territory is classified as rural and 47.6% of population live in rural regions. The study was conducted in order to determine salt intake and awareness on harmful effect of salt on BP, prevalence, treatment and control of hypertension in rural part of Sisak – Moslavina County (SMC), third largest county in Croatia. Materials and Methods: In total there were 107 participants, 50 (46.7%) male, and 57 (53.3%) female. Hypertension was defined as systolic BP ≥140 mmHg and/or diastolic BP ≥ 90 mmHg, and/or current treatment with an antihypertensive medication. Treated hypertension was defined as the current use of an antihypertensive medication. Salt intake was estimated based on questionnaire results. Results: Prevalence of hypertension was 84% for male and 77.2% for female. Out of 88 hypertensive participants, 76.7% were treated, and hypertension of 59.1% was uncontrolled. Salt intake was high. 71% of participants were aware that salt intake is related to hypertension, 70% did not know main sources of salt intake in every day meal, and only 39.2% were advised by health professionals. Conclusion: Prevalence of hypertension, nutrition without variety but rich in salt, and unsatisfactory knowledge on harmful effect of salt on BP and health should attract attention of national and local public health authorities to apply proper measures.

Published
2011

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