Browsing by Author "Terzic, Zorica (15840732000)"

Purpose: To investigate the impact of lower urinary tract symptoms on health-related quality of life (QoL) in Serbian population considering socio-demographic characteristics, habits, and health status. Materials and Methods: The study was conducted in the Primary Healthcare Center «Novi Beograd», Serbia. The study included 1424 male participants, aged 40 years and above. QoL was assessed by using the -36Item Short Form Health Survey (SF36-) questionnaire, while voiding and incontinence symptoms were measured using the International Continence Society Male Short Form (ICS male SF) questionnaire. Results: Voiding and incontinence symptoms significantly correlate with all domains of QoL. Voiding and incontinence symptoms have a high influence on general health, social functioning, physical functioning and body pain. After adjusting for age and education, voiding and incontinence symptoms had a similar influence on QoL. In the multivariate model the influence of cardiovascular diseases and income on QoL was lower than voiding and incontinence symptoms.. Conclusion: Voiding and incontinence symptoms affect QoL domains differently. Incontinence symptoms have a greater impact on QoL than voiding symptoms.

Two recent developments have redirected the course of Public Health in Europe - the Public Health Mandate of the European Commission and the conceptualization of a New Public Health. For the transition, countries in South Eastern Europe, particularly Serbia, provide support to essential public health reforms in four areas: strategic management, public health information, public health legislation, and public health training and research. The roles of the Dubrovnik Pledge (2001) and the Stability Pact, which has international support, have been central. © 2007 Palgrave Macmillan Ltd.

Strategic Management, Public Health Information, Public Health Legislation, as well as Public Health Training and Research are considered essential elements of a coherent public health strategy for Serbia, a republic of the former Yugoslavia. Whereas the strategic framework in Serbia is outlined in detail, which includes an action plan that is linked with local pilot initiatives, the information base is well developed but not yet sufficiently related to the strategic objectives. The transformation of strategic considerations and information into meaningful legislative acts stands at halfway and has to cope with a heritage of unrelated and dysfunctional laws. A big step forward was made with the establishment of a modern School of Public Health in Belgrade in 2004, which acts as a brain-trust for the New Public Health in Serbia. The multi-professionalism at the Institutes of Public Health and the corresponding inter-disciplinarity at the academic Schools of Public Health provide an adequate institutional environment if the resources of skills, knowledge and experience are adequately managed - in a participatory and supportive system representing a flat hierarchy.

Strategic Management, Public Health Information, Public Health Legislation, as well as Public Health Training and Research are considered essential elements of a coherent public health strategy for Serbia, a republic of the former Yugoslavia. Whereas the strategic framework in Serbia is outlined in detail, which includes an action plan that is linked with local pilot initiatives, the information base is well developed but not yet sufficiently related to the strategic objectives. The transformation of strategic considerations and information into meaningful legislative acts stands at halfway and has to cope with a heritage of unrelated and dysfunctional laws. A big step forward was made with the establishment of a modern School of Public Health in Belgrade in 2004, which acts as a brain-trust for the New Public Health in Serbia. The multi-professionalism at the Institutes of Public Health and the corresponding inter-disciplinarity at the academic Schools of Public Health provide an adequate institutional environment if the resources of skills, knowledge and experience are adequately managed - in a participatory and supportive system representing a flat hierarchy.

The purpose of this study was to analyse whether the nationwide application of the national Serbian guideline for diabetes mellitus (NSGDM) would save a relevant amount of disability-adjusted life years (DALYs) and/or reduce the medical cost of treating diabetic patients in Serbia, as compared to the present situation. Disability-adjusted life years were calculated for Serbia and the cost-effectiveness was analysed in eight population groups under ideal and present conditions; prevalent and incident cases were each split up for patients with blood glucose that was well controlled and that was uncontrolled. Under ideal conditions, i.e., according to the NSGDM, 8,031 DALYs could be saved with a potential cost reduction at the same time of approximately 19 million Euros. The implementation of the NSGDM in clinical practice bears a great potential to save lives and reduce years lived with lowered quality of life, but in addition it may reduce costs by about a quarter. © 2006 Springer-Verlag.

The purpose of this study was to analyse whether the nationwide application of the national Serbian guideline for diabetes mellitus (NSGDM) would save a relevant amount of disability-adjusted life years (DALYs) and/or reduce the medical cost of treating diabetic patients in Serbia, as compared to the present situation. Disability-adjusted life years were calculated for Serbia and the cost-effectiveness was analysed in eight population groups under ideal and present conditions; prevalent and incident cases were each split up for patients with blood glucose that was well controlled and that was uncontrolled. Under ideal conditions, i.e., according to the NSGDM, 8,031 DALYs could be saved with a potential cost reduction at the same time of approximately 19 million Euros. The implementation of the NSGDM in clinical practice bears a great potential to save lives and reduce years lived with lowered quality of life, but in addition it may reduce costs by about a quarter. © 2006 Springer-Verlag.