Primary Health Care Service
Primary Health Care Service
Gajic S.,Primary Health Care Service |
Djonovic N.,Institute for Public Health
Medicinski Casopis | Year: 2011
Violent deaths are deaths caused by violence and/or injury to the body, i.e. violent destruction of one's own or otherperson s life. There is a need to determine the frequency of violent deaths, so that adequate measures for prevention could be planned. The aim of this paper is to determine the frequency of violent deaths in the city of Kragujevac. The research was based on 2234 death certificates issued, which is 86.19% of the total number of death certificates issued in the city of Kragujevac in this period (2592). During the same period, coroners have carried out 203 investigations and declared 113 natural and 90 violent deaths. The number of violent deaths of men was three times higher than the number of violent deaths of women. The majority of men were married (36) and the fewest were divorced (4). The majority of women were widows (11), while there were no divorced women. We found that the number of violent deaths among people living in the city (46) was the same as the one among those living in rural areas (August (4) while the mortality rate had its peaks in May (14) and January (10). The biggest number of violent deaths were suicides (24 in the city and 22 in villages), followed by accidents (19 in villages and 15 in the city) and the fewest were murders (2). Classifying suicide deaths by cause of death revealed that hanging was the most frequent cause (29) and three quarters of them were men. This number is followed by deaths from fire arms (8), exclusively committed by men. Accidental violent deaths were the most frequent in traffic accidents (14) and three quarters of them were men. Violent deaths rate is relatively insignificant among the leading death rates. This rate could be lowered by applying preventive measures, starting from traffic safety measures to opening call-centres for people with psychological problems.
Stojanovic R.,Institute of Rheumatology |
Stojanovic R.,University of Belgrade |
Jovicevic R.,General Hospital Uzice |
Glogovac B.,Primary Health Care Service |
And 2 more authors.
Turkish Journal of Rheumatology | Year: 2012
Objectives: This study aims to present the results of three consecutive regional studies concerning the prevalence of rheumatoid arthritis (RA) based on medical documentation in two regions of Serbia. Patients and methods: Two representative regions of Serbia were chosen for the survey. The first region selected was the Zlatibor region located in the mountainous part of Western Serbia with a predominantly rural population. This study included patients registered in 1997. Two studies were also carried in the region of Belgrade, the capital. One of these studies was conducted in 2001 in the northern part of the city in Dobanovci, an urban suburb. The other took place in 2007 in Mladenovac, a southern suburb of Belgrade with a combined rural and urban population. The medical documentation for all patients diagnosed with chronic polyarthritis was reviewed to verify the diagnosis of RA according to the American Rheumatology College (ARC) 1987 revised criteria. The prevalence of RA was estimated based on the entire population over the age of 18 for Zlatibor region and over the age of 20 in the two studies in the Belgrade area. Results: The prevalence of RA in region Zlatibor was 0.253% (95% CI=0.217-0.288). In Dobanovci, the prevalence was 0.224% (95% CI=0.214-0.234), and it was 0.220% (95% CI=0.18-0.27) in Mladenovac. The estimated total number of patients with RA in Serbia was 14,445 out of an estimated 5,778,102 adult inhabitants in Serbia in 2009. Conclusion: The previous prevalence of RA obtained in a population study of Belgrade in the 1990s along with the data from these three studies demonstrates low values. These results are consistent with the values obtained in surrounding countries in the Mediterranean region. © 2012 Turkish League Against Rheumatism. All rights reserved.
Askim T.,Norwegian University of Science and Technology |
Morkved S.,Norwegian University of Science and Technology |
Engen A.,Trondheim Rehabilitation Center |
Roos K.,Primary Health Care Service |
And 2 more authors.
Stroke | Year: 2010
Background and Purpose-: Increased amount of therapy seems to be beneficial for motor recovery after stroke. The primary aim of the present study was to evaluate the effect of a 4-week community-based intensive motor training program combined with early supported discharge after initial treatment in a comprehensive stroke unit on balance. Secondary aims were to evaluate the effect on other functional outcome measures. Methods-: This was a single-blind, randomized, controlled trial with a 26-week follow-up. Sixty-two patients were recruited within 14 days after stroke and were randomly allocated to a standard treatment group (n=32) or to an intensive motor training group (n=30) receiving 3 sessions of physical therapy and a structured home exercise program in addition to standard treatment every week for the first 4 weeks after discharge from hospital. Primary outcome measure was Berg Balance Scale. Secondary measures were Barthel Index, Motor Assessment Scale, Step Test, 5-meter Walk Test, and Stroke Impact Scale. Results-: The mean (SD) minutes of physical therapy per week was 171.0 (65.8) in the intensive motor training group vs 85.6(69.9) in the standard treatment group. There were no statistical significant differences between the groups on any measure at end of follow-up except for a trend toward higher Motor Assessment Scale score (P=0.059) and gait speed (P=0.095) in the intensive motor training group. Conclusion-: In this randomized, controlled trial, a community-based intensive motor training program, doubling the amount of physical therapy during the first 4 weeks after discharge, did not show significant improvement of balance or any other functional outcomes. © 2010 American Heart Association, Inc.