53Rd DAYS of PREVENTIVE MEDICINE INTERNATIONAL CONGRESS
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PUBLIC HEALTH INSTITUTE NIŠ FACULTY OF MEDICINE, UNIVERSITY OF NIŠ SERBIAN MEDICAL SOCIETY, NIŠ rd 53 DAYS OF PREVENTIVE MEDICINE INTERNATIONAL CONGRESS 24-27. SEPTEMBER 2019. NIŠ, SERBIA BOOK OF ABSTRACTS NIŠ, 2019. Editor in Chief Уредник Prof. dr Zoran Milošević Technical Editor Технички уредник dipl. ing. Stefan Bogdanović Publisher Издавач Public Health Institute Niš - Институт за јавно здравље Ниш Faculty of Medicine Niš, University of Niš - Медицински факултет у Нишу, Универзитет у Нишу Serbian Medical Society, Niš - Српско лекарско друштво подружница Ниш For publisher За издавача Prof. dr Miodrag Stojanović Printed in Штампарија и место штампања Галаксија, Ниш, Србија Number of copies Тираж 300 Under the patronage of Под покровитељством Ministry of Education, Science and Technological Development of the Republic of Serbia Министарства просвeтe, наукe и тeхнолошког развоjа Рeпубликe Србиje Ministry of Health of the Republic of Serbia Министарства здравља Рeпубликe Србиje All abstracts are published in the book of abstracts in the form in which they were submitted by the authors, who are responsible for their content. Сви сажеци су публиковани у зборнику резимеа у облику у коме су достављени од стране аутора, који су одговорни за њихов садржај. The content of this publication is available online at dpm.izjz-nis.org.rs Садржај ове публикације је доступан на Интернет адреси dpm.izjz-nis.org.rs The continuing education program number А-1-1174/19 was accredited by the decision of the Health Council of the Republic of Serbia No. 153-02-1413/2019-01 from 20. 05. 2019. Програм континуиране едукације је под бројем А-1-1174/19 акредитован одлуком Здравственог савета Републике Србије број: 153-02-1413/2019-01 од 20. 05. 2019. године. ISBN 978-86-900283-0-6 MAIN TOPICS Promoting health in family and society Public Health today Informatics in the health system Current parasitosis Microbiology today Nutrition and Health Environment and health Theoretical and practical problems of communicable diseases Theoretical and practical problems of non-communicable diseases The Congress is accredited (153-02-1413/2019-01. А-1-1174/19 20.05.2019.) as international by the Health Council of the Republic of Serbia with the following number of points: invited lecturers: 15 points oral presentation: 13 points poster presentation: 11 points passive participation: 10 points 3 SCIENTIFIC COMMITTEE Chairman Prof. dr Zoran Milošević, Serbia Members Prof. dr Dobrila Stanković-ĐorĊević, Serbia Prof. dr Miodrag Stojanović, Serbia Prof. dr Dragan Bogdanović, Serbia Prof. Luca Rosi, Italy Prof. dr Gianfranco Damiani, Italy Prof. Mihela Erjavec, Bangor, Wales, United Kingdom Prof. dr Branislava Kocić, Serbia Prof. dr Marina Dinić, Serbia Prof. dr Olgica Đurković-Đaković, Serbia Prof. dr Nataša Miladinović Tasić, Serbia Prof. dr Biljana Miljković Selimović, Serbia Prof. dr Tomaz Langerholc, Slovenia Prof. dr Gordana RanĊelović, Serbia Prof. dr Lazar Ranin, Serbia Prof. dr Vaso Taleski, North Macedonia Prof. dr Biljana Kocić, Serbia Prof. dr Dušica Stojanović, Serbia Prof. dr Maja Nikolić, Serbia Prof. dr Aleksandra Stanković, Serbia Prof. dr Aleksandar Višnjić, Serbia Prof. dr Predrag Stojanović, Serbia Asst. Prof. dr Konstansa Lazarević, Serbia Asst. Prof. dr Olivera Radulović, Serbia Asst. Prof. dr Nataša Ranĉić, Serbia Asst. Prof. dr Roberta Marković, Serbia Asst. Prof. dr Ljiljana Stošić, Serbia 4 ORGANISING COMMITTEE ОРГАНИЗАЦИОНИ ОДБОР Chairman mr sc. dr Ĉedomir Šagrić Secretary Asst. Prof. dr Aleksandra Ignjatović Technical secretary Milan Ţivković, dipl. ing. Members dr Svetlana Stević, mr sc. med. dr Ana Stefanović, mr sc. med. dr Tatjana Babić, dr sc. med. dr Marija Milosavljević dr Miloš RanĊelović dr Marko Stojanović Danijela Milenković-Stanković, sanitarno ekološki inţenjer specijalista mr sc. Nikola Tiodorović mr sc. Jelena Videnović, dipl. hem. spec. sanitarne hemije dr Bojana Vuković-Mirković 5 PLENARY SESSION An operational Framework For Promoting Adolescent And Community Health Luca Rosi PhD, MC, MHM, MPH What is health? According to WHO, Health is a state of physical, mental, and social well being, and not merely the absence of disease or infirmity; where a clean environment is essential for good health well-being While to some, the terms preventive medicine and health promotion are used synonymously, Preventive Medicine focuses on the health of individuals, communities, and populations. Its goal is to protect, promote, and maintain health and well-being and to prevent disease, disability, and death Health promotion is the action that enable people to increase control over their own health. Therefore, it covers a wide range of social and environmental interventions that are designed to benefit and protect individual people‘s health and quality of life by addressing and preventing the root causes of ill health, not just focusing on treatment and cure. According to WHO, since Ottawa, there are 3 key elements that make health promotion effective. Namely: Good governance for health so that policymakers should make health a central line of government policy. Health literacy so that people have the necessary knowledge, skills and information to make healthy choices, and have financial, social and environmental opportunities to make these choices. Healthy Cities/Urban Health which means leadership and commitment at both central and municipal level for planning and build up preventive measures in communities (and primary health care facilities). Health promotion implies a strong understanding of the interaction of these 3 elements, because suddenly everyone is an actor in the system. In other words, a well constructed approach to health should take into account cultural, social and psychological perspectives among the others. Those of you that are psychologists, sociologist, epidemiologists and/or population health scientists understand pieces of this puzzle, how people become engaged with these pieces, how community support this process, and how this process can promote individual and community health. Health promotion and adolescent’s misbehavior One of the most critical element to be considered in making effective Healthcare promotion and prevention is the so-called vulnerable/fragile population. And among these the adolescent and their role in the community. 6 Let me clarify the term adolescent. By this term I mean those who are neither children nor adults but they have social needs belongings to both. The adolescent is therefore a quite complex psycho-social individual!! When children advance from elementary through middle school, they face new and challenging social, family, and academic situations. Often during this period, children are exposed to substances such as cigarettes, drugs and alcohol for the first time. When they enter high school, teens may encounter greater availability of drugs, drug use by older teens, and social activities where drugs are used. We have been there! Risk-taking is a normal part of the human development. The desire to try new things and become more independent is healthy, but it may also increase teens' tendencies to fail in this trial and errors growth due to also vulnerability to peer pressure. Moreover, adolescents have a different set of developmental goals and needs that make it a relevant stage to understand how community participation affects healthy development. For example, according to Erikson1, a major developmental task of adolescence is identity formation, which includes defining one's role in relation to society, suggesting that youth engagement within their communities is an important part of development. Communication suddenly represents one of the most effective tool of engagement to sustain a correct growth of the adolescent. And overall the growth of the all community, teachers, parents, students as part of one system. According to the evidence an effective engaging action should include: Family prevention programmes: e. g. strengthening protective factors through the family, including increasing family bonding and using appropriate discipline. Community/school prevention programmes: e. g. introducing programmes at an early-age (pre-school/first grade) to address risk factors for later substance abuse. Role of healthcare providers: e. g. introduce and perform at primary care provision level screening for substance abuse and counselling at early stages. Health Promotion and effective communication Today, thanks also to the new media, we live an historical period in which a good communication is fundamental to connect to the younger generation. Interpersonal Communication and social marketing serve to influence and empower individuals, populations, and communities to make healthier choices promoting positive changes in attitudes and behaviors. They can address elements such as: Increase risk perception Reinforce positive behaviors Influence social norms Increase availability of support and needed services Effective health communication strategies should therefore include components such as: 1 Erikson EH, Identity: youth and crisis. New York, NY: WW Norton & Company, 1968. 7 Use of research-based strategies to shape materials and products and to select the best channels that deliver them to the intended audience. Understanding of language and priorities for different cultures and settings. Consideration of health literacy, internet access and social/mass media exposure of target populations (including exposure to fake news very common not only among the young generation). Recommendations