Pub Date : 2023-12-30DOI: 10.15584/ejcem.2023.4.19
I. Prykhodko, Y. Matsehora, Nataliia I. Kryvokon, K. Hunbin, Oleksandr Kovalchuk, Nataliia Antusheva, Lesia Filonenko
Introduction and aim. Since the beginning of the Russian-Ukrainian war, many Ukrainian military personnel began to show post-traumatic stress (PTS). The purpose of the article is to identify the features of PTS exhibited in different age groups in trauma-exposed military personnel during their participation in the psychological recovery program (“Invincibility Program”). Material and methods. Ukrainian Defense Forces military personnel (n=546 males, between 20 and 60 years of age) participated in this study. All participants were divided into three age groups. Determination of the features of PTS in military personnel was carried out using psychodiagnostic tests. Results. In each age group, more than half of the participants in the “Invincibility Program” had PTS characteristics such as the sub-threshold or clinical manifestations of PTSD, adjustment disorders, low resilience to combat mental trauma, and various sleep disorders combined with somatic complaints. The data showed higher features of PTS in the younger participants and they decreased in both the 2 older sets of participants. Conclusion. The age-related features of the manifestation of PTS in military personnel must be taken into account when developing psychological recovery programs: for younger participants, such events should be carried out longer and more intensively.
{"title":"Manifestations of post-traumatic stress in military personnel after participating in hostilities in the Russian-Ukrainian war","authors":"I. Prykhodko, Y. Matsehora, Nataliia I. Kryvokon, K. Hunbin, Oleksandr Kovalchuk, Nataliia Antusheva, Lesia Filonenko","doi":"10.15584/ejcem.2023.4.19","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.19","url":null,"abstract":"Introduction and aim. Since the beginning of the Russian-Ukrainian war, many Ukrainian military personnel began to show post-traumatic stress (PTS). The purpose of the article is to identify the features of PTS exhibited in different age groups in trauma-exposed military personnel during their participation in the psychological recovery program (“Invincibility Program”). Material and methods. Ukrainian Defense Forces military personnel (n=546 males, between 20 and 60 years of age) participated in this study. All participants were divided into three age groups. Determination of the features of PTS in military personnel was carried out using psychodiagnostic tests. Results. In each age group, more than half of the participants in the “Invincibility Program” had PTS characteristics such as the sub-threshold or clinical manifestations of PTSD, adjustment disorders, low resilience to combat mental trauma, and various sleep disorders combined with somatic complaints. The data showed higher features of PTS in the younger participants and they decreased in both the 2 older sets of participants. Conclusion. The age-related features of the manifestation of PTS in military personnel must be taken into account when developing psychological recovery programs: for younger participants, such events should be carried out longer and more intensively.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-30DOI: 10.15584/ejcem.2023.4.21
Sevim Çelik, Neşe Uğur, E. Karahan, I. Dolu
Introduction and aim. Falls are the second leading cause of unintentional death in the world. The study was conducted to examine the risk of falls and levels of frailty in older adult patients admitted to the emergency department due to fractures, as well as to identify the factors that influence fall risk and frailty levels. Material and methods. This cross-sectional and correlational study conducted with 155 older patients. Data collected by the patient information form, Itaki Fall Risk Scale and Edmonton Frail Scale. Results. Patients diagnosed with fracture in the emergency department had a high risk of falling with a mean score of 9.55±3.84.70.3% of the patients were frail. The one-third (30.3%) had severe frailty. There was a moderate positive correlation between the risk of falling and the mean frailty score of the older adult patients (p<0.001). Conclusion. The study showed that older adults admitted to the emergency department due to falls are at high risk of falling and the majority of them are frail. Early determination of fall risk and frailty levels in the older adults with a history of falling, prevention of falls and fractures due to falls will be beneficial in increasing the quality of life of the older adults.
{"title":"Fall risk and frailty level in older adults admitted to the emergency department with a complaint of falling","authors":"Sevim Çelik, Neşe Uğur, E. Karahan, I. Dolu","doi":"10.15584/ejcem.2023.4.21","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.21","url":null,"abstract":"Introduction and aim. Falls are the second leading cause of unintentional death in the world. The study was conducted to examine the risk of falls and levels of frailty in older adult patients admitted to the emergency department due to fractures, as well as to identify the factors that influence fall risk and frailty levels. Material and methods. This cross-sectional and correlational study conducted with 155 older patients. Data collected by the patient information form, Itaki Fall Risk Scale and Edmonton Frail Scale. Results. Patients diagnosed with fracture in the emergency department had a high risk of falling with a mean score of 9.55±3.84.70.3% of the patients were frail. The one-third (30.3%) had severe frailty. There was a moderate positive correlation between the risk of falling and the mean frailty score of the older adult patients (p<0.001). Conclusion. The study showed that older adults admitted to the emergency department due to falls are at high risk of falling and the majority of them are frail. Early determination of fall risk and frailty levels in the older adults with a history of falling, prevention of falls and fractures due to falls will be beneficial in increasing the quality of life of the older adults.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139139640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction and aim. India, accounting for approximately 26% of the global tuberculosis (TB) burden with a significant proportion of 0.11 million (6%) pediatric TB cases. The goal of this systematic review paper is to provide a thorough analysis of the TB epidemic in India, including information on the severity of the illness and challenges associated with diagnosis and treatment, the risk factors for transmission and progression of the disease, and the advancements and difficulties encountered in efforts to control at community level. Material and methods. The terms “Tuberculosis in India,” “Drug-Resistant Tuberculosis,” “Tuberculosis and Associated Co-morbidities,” “Diagnosis of Tuberculosis,” “Prevention of Tuberculosis,” and “Treatment of Tuberculosis’’, keywords were used to search in number of international electronic databases, including “Google Scholar,” “PubMed,” and “DOAJ.” Analysis of the literature. Diagnosis and treatment of TB are significantly complicated by co-morbid condition such includes alcoholism, diabetes, HIV, undernutrition, diabetes and HIV. In addition, there may be treatment delays, and the extra-pulmonary or drug-resistant TB due to ignorance, misunderstandings, and lack of education among TB patients, and medical professionals, which ultimately increases morbidity and mortality. Conclusion. Poverty, undernutrition, inadequate healthcare infrastructure, and co-morbidities, which frequently complicate TB diagnosis and treatment, must be addressed in addition to the critical need to prioritize TB research and development.
{"title":"Tuberculosis epidemic in India – a systematic review","authors":"Pranay Deotale, Nitish Mondal","doi":"10.15584/ejcem.2023.4.6","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.6","url":null,"abstract":"Introduction and aim. India, accounting for approximately 26% of the global tuberculosis (TB) burden with a significant proportion of 0.11 million (6%) pediatric TB cases. The goal of this systematic review paper is to provide a thorough analysis of the TB epidemic in India, including information on the severity of the illness and challenges associated with diagnosis and treatment, the risk factors for transmission and progression of the disease, and the advancements and difficulties encountered in efforts to control at community level. Material and methods. The terms “Tuberculosis in India,” “Drug-Resistant Tuberculosis,” “Tuberculosis and Associated Co-morbidities,” “Diagnosis of Tuberculosis,” “Prevention of Tuberculosis,” and “Treatment of Tuberculosis’’, keywords were used to search in number of international electronic databases, including “Google Scholar,” “PubMed,” and “DOAJ.” Analysis of the literature. Diagnosis and treatment of TB are significantly complicated by co-morbid condition such includes alcoholism, diabetes, HIV, undernutrition, diabetes and HIV. In addition, there may be treatment delays, and the extra-pulmonary or drug-resistant TB due to ignorance, misunderstandings, and lack of education among TB patients, and medical professionals, which ultimately increases morbidity and mortality. Conclusion. Poverty, undernutrition, inadequate healthcare infrastructure, and co-morbidities, which frequently complicate TB diagnosis and treatment, must be addressed in addition to the critical need to prioritize TB research and development.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139140239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-30DOI: 10.15584/ejcem.2023.4.12
Kusum Ghosh, Shreyoshi Chakraborty, D. Chatterjee, A. Bandyopadhyay
Introduction and aim. Polycystic ovarian syndrome (PCOS) is one of the major reproductive health issues, thought to be multifactorial, needs serious attention as a dual burden (health and economic) mainly for developing countries like India, due to its rapid rise (30%) in the last couple of years. Therefore, widespread and liberal screening for this disorder towards prognosis, diagnosis and intervention seems to be an urgent area of research. In this background, the present study attempts to unravel the association of salivary microbial diversity and PCOS. Material and methods. To achieve the purpose 100 clinically diagnosed PCOS individuals and 110 age matched non-PCOS participants from Bengalee Hindu caste population, West Bengal, India was considered. Obtained salivary samples were identified with 16S rDNA amplification and microbial diversity were determined by Alu I restriction enzyme digestion. Results. The present study revealed an explicit pattern of DNA fragment lengths varied between 200 bp and 225 bp in PCOs in comparison to the non-PCOS group. Conclusion. The cardinal feature of the present study as the first attempt from India envisaged, utilization of salivary microbial diversity as an additional potential and economizing biomarker for PCOS that stimulate new horizon of research in 21st century’s anthropology – the anthropology of microbes.
导言和目的。多囊卵巢综合征（PCOS）是主要的生殖健康问题之一，被认为是多因素造成的，由于其发病率在过去几年中迅速上升（30%），作为主要给印度等发展中国家造成的双重负担（健康和经济），需要引起高度重视。因此，对这种疾病进行广泛和自由的筛查，以便进行预后、诊断和干预，似乎是一个紧迫的研究领域。在此背景下，本研究试图揭示唾液微生物多样性与多囊卵巢综合症的关系。材料和方法。为了达到研究目的，研究人员考虑了 100 名临床诊断为多囊卵巢综合症的患者和 110 名年龄匹配的非多囊卵巢综合症患者，他们都来自印度西孟加拉邦的孟加拉印度种姓人群。获得的唾液样本经 16S rDNA 扩增鉴定，微生物多样性经 Alu I 限制性酶消化测定。结果本研究显示，与非多囊卵巢综合征组相比，多囊卵巢综合征患者的 DNA 片段长度在 200 bp 和 225 bp 之间。结论。作为印度的首次尝试，本研究的主要特点是将唾液微生物多样性作为多囊卵巢综合征的另一种潜在和经济的生物标志物，从而激发 21 世纪人类学研究的新视野--微生物人类学。
{"title":"Salivary microbial diversity – an investigation on possible biomarkers for polycystic ovarian syndrome from eastern India","authors":"Kusum Ghosh, Shreyoshi Chakraborty, D. Chatterjee, A. Bandyopadhyay","doi":"10.15584/ejcem.2023.4.12","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.12","url":null,"abstract":"Introduction and aim. Polycystic ovarian syndrome (PCOS) is one of the major reproductive health issues, thought to be multifactorial, needs serious attention as a dual burden (health and economic) mainly for developing countries like India, due to its rapid rise (30%) in the last couple of years. Therefore, widespread and liberal screening for this disorder towards prognosis, diagnosis and intervention seems to be an urgent area of research. In this background, the present study attempts to unravel the association of salivary microbial diversity and PCOS. Material and methods. To achieve the purpose 100 clinically diagnosed PCOS individuals and 110 age matched non-PCOS participants from Bengalee Hindu caste population, West Bengal, India was considered. Obtained salivary samples were identified with 16S rDNA amplification and microbial diversity were determined by Alu I restriction enzyme digestion. Results. The present study revealed an explicit pattern of DNA fragment lengths varied between 200 bp and 225 bp in PCOs in comparison to the non-PCOS group. Conclusion. The cardinal feature of the present study as the first attempt from India envisaged, utilization of salivary microbial diversity as an additional potential and economizing biomarker for PCOS that stimulate new horizon of research in 21st century’s anthropology – the anthropology of microbes.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139138791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-30DOI: 10.15584/ejcem.2023.4.17
Wojciech A. Warmbier, J. Podgórska-Bednarz, A. Gagat-Matuła, L. Perenc
Introduction and aim. Computer techniques are increasingly used in speech therapy. The aim of the work is to present the results of the preliminary evaluation of the new “Talk To Me” application and its functionality in the treatment of speech development delays. Material and methods. The study was conducted in 3 groups of children: the study group with the use of the “Talk To Me” application, the conventional therapy group and the control group - in the case of both groups with the intervention, additional reinforcements were used. All children included in the project showed delays in speech development. The recorded age of children in all analyzed groups ranged from 2 to 6 years. In order to verify language progress, the Scale of Language Skills Acquisition in the Field of Communication Competence was used. Results. Acquisition of language skills varies depending on the group affiliation. The analysis of simple main effects for the time of measurement showed that in each group the differences between successive measurements turned out to be significant. In the study group, the increase in language skills differs from the other two groups (p<0.001). However, there is no difference between the groups with conventional and control therapy (p=1.00). Conclusion. Analysis of the research results allows us to conclude that the “Talk To Me” application is a tool that significantly affects the speed of therapy progress in the case of speech development delays concerning communicative competence.
导言和目的。计算机技术在语言治疗中的应用越来越广泛。这项工作旨在介绍对新的 "Talk To Me "应用程序及其在治疗语言发育迟缓方面的功能进行初步评估的结果。材料和方法。研究在三组儿童中进行：使用 "Talk To Me "应用程序的研究组、常规治疗组和对照组--在两组干预中都使用了额外的强化措施。所有参与该项目的儿童都表现出语言发育迟缓。所有分析组中儿童的记录年龄在 2 至 6 岁之间。为了验证语言进步情况，使用了 "交流能力领域语言技能掌握量表"。结果显示语言技能的掌握因所属群体而异。对测量时间的简单主效应分析表明，在每个组别中，连续测量之间的差异都很显著。在研究组中，语言技能的提高与其他两组不同（p<0.001）。然而，传统疗法组和对照疗法组之间没有差异（p=1.00）。结论通过对研究结果的分析，我们可以得出这样的结论："Talk To Me "应用软件是一种对语言发育迟缓儿童交际能力治疗进展速度有显著影响的工具。
{"title":"The use of the “Talk To Me” application in the therapy of speech development delays","authors":"Wojciech A. Warmbier, J. Podgórska-Bednarz, A. Gagat-Matuła, L. Perenc","doi":"10.15584/ejcem.2023.4.17","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.17","url":null,"abstract":"Introduction and aim. Computer techniques are increasingly used in speech therapy. The aim of the work is to present the results of the preliminary evaluation of the new “Talk To Me” application and its functionality in the treatment of speech development delays. Material and methods. The study was conducted in 3 groups of children: the study group with the use of the “Talk To Me” application, the conventional therapy group and the control group - in the case of both groups with the intervention, additional reinforcements were used. All children included in the project showed delays in speech development. The recorded age of children in all analyzed groups ranged from 2 to 6 years. In order to verify language progress, the Scale of Language Skills Acquisition in the Field of Communication Competence was used. Results. Acquisition of language skills varies depending on the group affiliation. The analysis of simple main effects for the time of measurement showed that in each group the differences between successive measurements turned out to be significant. In the study group, the increase in language skills differs from the other two groups (p<0.001). However, there is no difference between the groups with conventional and control therapy (p=1.00). Conclusion. Analysis of the research results allows us to conclude that the “Talk To Me” application is a tool that significantly affects the speed of therapy progress in the case of speech development delays concerning communicative competence.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 87","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139139663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Jimoh, Abdulfattah Adekunle Onifade, F. Abbiyesuku, V. F. Edem, S. Rahamon, O. Arinola
Introduction and aim. Reports have shown that there is alteration in haematological and inflammatory processes in patients with cervical cancer. However, there is the dearth of information on the pattern of alteration in Nigerian patients with cervical cancer at various stages of the disease. Therefore, haemocytometric profile and plasma levels of interleukin-6 (IL-6) and IL-12 were determined in Nigerian patients with cervical cancer at various stages of the disease. Material and methods. Eighty-nine adults consisting of 49 patients with cervical cancer and 40 apparently healthy controls were enrolled into this study. Haemocytometric profile was determined using automated haematology analyzer while the plasma levels of interleukin-6 (IL-6) and IL-12 were determined using ELISA. Results. Of the participants with cervical cancer, 6.12%, 24.49%, 53.06% and 16.33% were in stages I, II, III and IV respectively. The mean plasma IL-6 level was significantly higher in patients at stage IV of the cancer compared with those in stages I, II and III. No significant differences were observed in the mean plasma IL-12 level, and the haemocytometric profile when patients in different stages of the cancer were compared with one another. Plasma IL-6 had significant positive correlation with the lymphocytes count and cancer stage but had significant negative correlation with packed cell volume (PCV), haemoglobin and total white blood cells count (WBC) in patients with cervical cancer. Conclusion. Interleukin-6 appears to play an important role in the progression of cervical cancer and could be involved in cervical cancer-associated alteration in haemocytometric profile.
{"title":"Haemocytometric profile and plasma levels of selected cytokines in patients at various stages of cervical cancer","authors":"M. Jimoh, Abdulfattah Adekunle Onifade, F. Abbiyesuku, V. F. Edem, S. Rahamon, O. Arinola","doi":"10.15584/ejcem.2023.4.2","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.2","url":null,"abstract":"Introduction and aim. Reports have shown that there is alteration in haematological and inflammatory processes in patients with cervical cancer. However, there is the dearth of information on the pattern of alteration in Nigerian patients with cervical cancer at various stages of the disease. Therefore, haemocytometric profile and plasma levels of interleukin-6 (IL-6) and IL-12 were determined in Nigerian patients with cervical cancer at various stages of the disease. Material and methods. Eighty-nine adults consisting of 49 patients with cervical cancer and 40 apparently healthy controls were enrolled into this study. Haemocytometric profile was determined using automated haematology analyzer while the plasma levels of interleukin-6 (IL-6) and IL-12 were determined using ELISA. Results. Of the participants with cervical cancer, 6.12%, 24.49%, 53.06% and 16.33% were in stages I, II, III and IV respectively. The mean plasma IL-6 level was significantly higher in patients at stage IV of the cancer compared with those in stages I, II and III. No significant differences were observed in the mean plasma IL-12 level, and the haemocytometric profile when patients in different stages of the cancer were compared with one another. Plasma IL-6 had significant positive correlation with the lymphocytes count and cancer stage but had significant negative correlation with packed cell volume (PCV), haemoglobin and total white blood cells count (WBC) in patients with cervical cancer. Conclusion. Interleukin-6 appears to play an important role in the progression of cervical cancer and could be involved in cervical cancer-associated alteration in haemocytometric profile.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139139668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction and aim. Aneurysmal bone cysts (ABC) are aggressive benign lesions with high rates of recurrence rendering its treatment uniquely challenging. We report the outcome in 28 consecutive patients of ABC of extremities treated with percutaneus sclerotherapy using 3% polidocanol over a period of 5 years. Material and methods. In biopsy proven 28 ABC cases, Injection polidocanol 3% was used as sclerosing agent under fluoroscopy guidance. Injections were repeated at 6-week intervals till complete healing of cysts. Radiological and functional results were assessed by Rastogi et al. criteria, VAS score and Enneking scoring method. Results. 25 out of 26 patients (89.28%) displayed good clinical response with an average 2.56 injections per patients. The mean follow-up period was 17.04±7.08 months. Reduction in cyst volume (mean 6.86±1.48 to 0.71±1.48.) and VAS score (mean 6.72±1.51 to 0.56±1.08) and improvement in Enneking score (17.35±3.14 to 28.92±1.35) at last follow up was significant. No recurrence was reported during the study period. Treatment failure, skin sclerosis and infection were reported in one case each. Conclusion. sclerotherapy with polidocanol 3% for primary ABC is safe and effective alternate method with advantage of no surgical morbidity, having better functional score with lesser recurrence and minimal complications.
{"title":"Percutaneous sclerotherapy using polidocanol in the treatment of aneurysmal bone cysts of extremities – a report of 28 consecutive cases","authors":"R. Harshwal, Kaushal Kishore Kumawat, Narender Saini, Manisha Sehrawat, Devi Sahay Meena","doi":"10.15584/ejcem.2023.4.29","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.29","url":null,"abstract":"Introduction and aim. Aneurysmal bone cysts (ABC) are aggressive benign lesions with high rates of recurrence rendering its treatment uniquely challenging. We report the outcome in 28 consecutive patients of ABC of extremities treated with percutaneus sclerotherapy using 3% polidocanol over a period of 5 years. Material and methods. In biopsy proven 28 ABC cases, Injection polidocanol 3% was used as sclerosing agent under fluoroscopy guidance. Injections were repeated at 6-week intervals till complete healing of cysts. Radiological and functional results were assessed by Rastogi et al. criteria, VAS score and Enneking scoring method. Results. 25 out of 26 patients (89.28%) displayed good clinical response with an average 2.56 injections per patients. The mean follow-up period was 17.04±7.08 months. Reduction in cyst volume (mean 6.86±1.48 to 0.71±1.48.) and VAS score (mean 6.72±1.51 to 0.56±1.08) and improvement in Enneking score (17.35±3.14 to 28.92±1.35) at last follow up was significant. No recurrence was reported during the study period. Treatment failure, skin sclerosis and infection were reported in one case each. Conclusion. sclerotherapy with polidocanol 3% for primary ABC is safe and effective alternate method with advantage of no surgical morbidity, having better functional score with lesser recurrence and minimal complications.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" July","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139136790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction and aim. The COVID-19 pandemic has caused significant changes in human life. As a result of these changes, it is important to determine the effects on the child and family life. This study was conducted to determine the challenges experienced by children and their families while home quarantine in the pandemic. Material and methods. The study was conducted with parents who had children aged 6-18, use social media, and willing to participate in the study. A total of 450 parents participated in the study. Online survey was used. Results. It was determined that some of parental daily activities decreased (doing sports, communicating with friends, engaging in hobbies) and some of them increased (personal hygiene, internet, and playing games with their children). The decreased daily activities of children (doing sports and communicating with friends) and increased activities (eating, personal hygiene, internet, and social media use, playing with toys and technological devices) were detected. There was an increase in some of the family activities (watching movies, playing games, and studying). Conclusion. It was determined that the home quarantine in the pandemic led to some negative changes in the daily living habits, lifestyles, and feelings of the family.
{"title":"Challenges of the COVID-19 pandemic for children and their families during home quarantine in Turkey","authors":"Bahise Aydın, N. Çalbayram, Sebahat Altundağ","doi":"10.15584/ejcem.2023.4.5","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.5","url":null,"abstract":"Introduction and aim. The COVID-19 pandemic has caused significant changes in human life. As a result of these changes, it is important to determine the effects on the child and family life. This study was conducted to determine the challenges experienced by children and their families while home quarantine in the pandemic. Material and methods. The study was conducted with parents who had children aged 6-18, use social media, and willing to participate in the study. A total of 450 parents participated in the study. Online survey was used. Results. It was determined that some of parental daily activities decreased (doing sports, communicating with friends, engaging in hobbies) and some of them increased (personal hygiene, internet, and playing games with their children). The decreased daily activities of children (doing sports and communicating with friends) and increased activities (eating, personal hygiene, internet, and social media use, playing with toys and technological devices) were detected. There was an increase in some of the family activities (watching movies, playing games, and studying). Conclusion. It was determined that the home quarantine in the pandemic led to some negative changes in the daily living habits, lifestyles, and feelings of the family.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139137636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Z. Sert, Ayşegül Evren Dilmaç, Ender Alkan, E. Sert
Introduction and aim. To evaluate the clinical features of women at ≥40 weeks of pregnancy and the utility of obstetric Doppler indices in predicting adverse perinatal outcomes in these pregnancies. Material and methods. This prospective study was conducted at a single academic medical center between 2020 and 2022. Women aged 18 years and older with no risk factors who were at ≥40 weeks of pregnancy and delivered their babies in our hospital were included in the study. The fetal biometry, placental maturity grading, and doppler velocytometry indices of the pregnant women were evaluated. The cases were divided into two groups according to the development of adverse perinatal outcomes. The relationship between clinical features and adverse perinatal outcomes was evaluated. Results. Adverse perinatal outcomes developed in 19.6% (42) of the 214 cases. The multiple logistic regression analysis was performed to identify factors affecting perinatal outcomes. Accordingly, a maternal age of ≥35 years (odds ratio [OR]: 1.74, 95% confidence interval [CI]: 1.29–3.96, p=0.038), nulliparity (OR: 1.42, 95% CI: 1.13–4.63, p=0.040), and grade 3 placental calcification (OR: 1.98, 95% CI: 1.11–4.53, p=0.029) were independent predictors of adverse perinatal outcomes. Conclusion. Care should be taken in terms of adverse perinatal outcomes in the presence of nulliparity, a maternal age of ≥35 years, and grade 3 placental calcification in ≥40 week pregnancies.
{"title":"Predictors of adverse perinatal outcomes in women at 40 weeks or more of pregnancy","authors":"Z. Sert, Ayşegül Evren Dilmaç, Ender Alkan, E. Sert","doi":"10.15584/ejcem.2023.4.4","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.4","url":null,"abstract":"Introduction and aim. To evaluate the clinical features of women at ≥40 weeks of pregnancy and the utility of obstetric Doppler indices in predicting adverse perinatal outcomes in these pregnancies. Material and methods. This prospective study was conducted at a single academic medical center between 2020 and 2022. Women aged 18 years and older with no risk factors who were at ≥40 weeks of pregnancy and delivered their babies in our hospital were included in the study. The fetal biometry, placental maturity grading, and doppler velocytometry indices of the pregnant women were evaluated. The cases were divided into two groups according to the development of adverse perinatal outcomes. The relationship between clinical features and adverse perinatal outcomes was evaluated. Results. Adverse perinatal outcomes developed in 19.6% (42) of the 214 cases. The multiple logistic regression analysis was performed to identify factors affecting perinatal outcomes. Accordingly, a maternal age of ≥35 years (odds ratio [OR]: 1.74, 95% confidence interval [CI]: 1.29–3.96, p=0.038), nulliparity (OR: 1.42, 95% CI: 1.13–4.63, p=0.040), and grade 3 placental calcification (OR: 1.98, 95% CI: 1.11–4.53, p=0.029) were independent predictors of adverse perinatal outcomes. Conclusion. Care should be taken in terms of adverse perinatal outcomes in the presence of nulliparity, a maternal age of ≥35 years, and grade 3 placental calcification in ≥40 week pregnancies.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139140052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-30DOI: 10.15584/ejcem.2023.4.32
Wojciech A. Warmbier, L. Perenc, P. Piwoński, J. Podgórska-Bednarz
Introduction and aim. The paper aims to present the prospects of using the „Talk To Me” application in the case of a child with this neurodevelopmental disorder. Description of the case. The subject of the study was a 53-month-old boy who did not communicate verbally, but behaved forcefully. A child underwent a speech therapy using the „Talk To Me” application for a period of 12 weeks. The scale of acquiring language skills in the field of communication competence was used to monitor the progress of therapy. In the analyzed period, a decrease in the score on the scale from 23 to 15 points was observed, which means a result indicating an improvement in the communication sphere. The use of a newly developed therapeutic tool was an important motivational factor and, in the opinion of the boy’s mother, significantly influenced the progress in therapy, which had not been observed before using a conventional approach. Conclusion. The „Talk To Me” application is a therapeutic tool with potential effectiveness in the case of speech delays in children with autism spectrum disorder, and it is also compatible with behavioral therapy, a widely used therapeutic method with proven effectiveness in autism spectrum disorder.
导言和目的。本文旨在介绍在一名患有神经发育障碍的儿童身上使用 "与我交谈 "应用程序的前景。病例描述。研究对象是一名 53 个月大的男孩，他不会用语言交流，但行为强势。患儿接受了为期 12 周的 "Talk To Me "应用程序语言治疗。在交流能力方面，采用了语言技能掌握量表来监测治疗的进展情况。在分析期间，观察到量表上的分数从 23 分降至 15 分，这意味着结果表明在交流领域有所改善。使用新开发的治疗工具是一个重要的激励因素，而且在男孩的母亲看来，它对治疗的进展产生了重大影响，这在使用传统方法之前是无法观察到的。结论对我说话 "应用软件是一种治疗工具，对自闭症谱系障碍儿童的言语发育迟缓具有潜在的疗效，它还与行为疗法兼容，而行为疗法是一种广泛使用的治疗方法，对自闭症谱系障碍的疗效已得到证实。
{"title":"Speech development delay in autism spectrum disorder – the perspective of using the “Talk To Me” speech therapy application","authors":"Wojciech A. Warmbier, L. Perenc, P. Piwoński, J. Podgórska-Bednarz","doi":"10.15584/ejcem.2023.4.32","DOIUrl":"https://doi.org/10.15584/ejcem.2023.4.32","url":null,"abstract":"Introduction and aim. The paper aims to present the prospects of using the „Talk To Me” application in the case of a child with this neurodevelopmental disorder. Description of the case. The subject of the study was a 53-month-old boy who did not communicate verbally, but behaved forcefully. A child underwent a speech therapy using the „Talk To Me” application for a period of 12 weeks. The scale of acquiring language skills in the field of communication competence was used to monitor the progress of therapy. In the analyzed period, a decrease in the score on the scale from 23 to 15 points was observed, which means a result indicating an improvement in the communication sphere. The use of a newly developed therapeutic tool was an important motivational factor and, in the opinion of the boy’s mother, significantly influenced the progress in therapy, which had not been observed before using a conventional approach. Conclusion. The „Talk To Me” application is a therapeutic tool with potential effectiveness in the case of speech delays in children with autism spectrum disorder, and it is also compatible with behavioral therapy, a widely used therapeutic method with proven effectiveness in autism spectrum disorder.","PeriodicalId":11828,"journal":{"name":"European Journal of Clinical and Experimental Medicine","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139140301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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