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Clinical and radiologic features in patients with the WHO grade I and II meningiomas 世界卫生组织 I 级和 II 级脑膜瘤患者的临床和放射学特征
Q3 Nursing Pub Date : 2024-05-02 DOI: 10.17532/jhs.2024.2564
H. Sefo, B. Rovčanin, D. Jesenković, Melika Džeko, Amra Avdić, A. Ahmetspahić, I. Omerhodžić, Ermin Hadžić, Hadžan Konjo
Introduction: Meningiomas are the most common benign tumor of the central nervous system, accounting for 53.3% and 37.6% of all central nervous system tumors (1). The World Health Organization (WHO) Grade I meningiomas account for 80.5% of all meningiomas and are considered benign meningiomas; the WHO Grade II meningiomas account for 17.7% of all meningiomas and exhibit more aggressive behavior.Methods: In the period 2015-2022, a retrospective single-center study at the clinic of neurosurgery at the Clinical Center University of Sarajevo was conducted, which included patients with a pathohistological finding of WHO Grade I or II meningioma. Depending on the pathohistological grade of the tumor, patients were divided into two groups: Grade I and Grade II patients. Patients were examined clinically and radiologically. Clinical data collected included in the study: Gender, age, number of symptoms before surgery, whether patients were symptomatic or asymptomatic, pre-operative Eastern Cooperative Oncology Group,and Karnopsky performance scale. Pre-operative contrast magnetic resonance imaging of the head measured tumor volume, temporal muscle thickness (TMT), sagittal midline shift, and surrounding cerebral edema.Results: A total of 80 patients were enrolled in the study, 68 with WHO Grade I and 12 with WHO Grade II meningiomas. We found that patients with Grade I meningioma were younger and that the mean thickness of the temporal muscle was statistically thicker than in patients with Grade II. Increasing TMT was significantly and positively associated with Grade I tumors and negatively associated with Grade II tumors (p = 0.032).Conclusion: This study demonstrates that TMT can serve as a radiologic pre-operative indicator of meningioma grade and provide valuable guidance to neurosurgeons in surgical planning. Further studies are needed to validate these results.
简介脑膜瘤是中枢神经系统最常见的良性肿瘤,分别占所有中枢神经系统肿瘤的53.3%和37.6%(1)。世界卫生组织(WHO)Ⅰ级脑膜瘤占所有脑膜瘤的80.5%,被认为是良性脑膜瘤;WHOⅡ级脑膜瘤占所有脑膜瘤的17.7%,表现出更强的侵袭性:2015-2022年期间,萨拉热窝大学临床中心神经外科诊所开展了一项回顾性单中心研究,研究对象包括病理组织学发现为WHO I级或II级脑膜瘤的患者。根据肿瘤的病理组织学分级,患者被分为两组:I 级和 II 级患者。对患者进行临床和放射学检查。研究收集的临床数据包括性别、年龄、术前症状次数、无症状或无症状患者、术前东部合作肿瘤学组(Eastern Cooperative Oncology Group)和 Karnopsky 评分。术前头部对比磁共振成像测量了肿瘤体积、颞肌厚度(TMT)、矢状中线移位和周围脑水肿:共有80名患者参加了研究,其中68名患者为WHO I级脑膜瘤,12名患者为WHO II级脑膜瘤。我们发现 I 级脑膜瘤患者更年轻,颞肌的平均厚度在统计学上比 II 级患者更厚。TMT的增加与I级肿瘤呈显著正相关,与II级肿瘤呈负相关(p = 0.032):本研究表明,TMT 可作为脑膜瘤分级的术前放射学指标,为神经外科医生制定手术计划提供有价值的指导。还需要进一步的研究来验证这些结果。
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引用次数: 0
Perceptions of women on sexuality, intimacy, andhealth-related quality of life during the COVID-19 epidemic COVID-19 流行期间妇女对性、亲密关系和与健康相关的生活质量的看法
Q3 Nursing Pub Date : 2024-04-15 DOI: 10.17532/jhs.2024.2257
Katja Lenarčič, Anita Jug Došler, A. P. Mivšek
Introduction: The COVID-19 epidemic and its restrictions have affected all aspects of people’s lives, including health-related quality of life and, considering sexuality as an integral part of individual needs, also intimacy and sexuality. Therefore, the aim of this article was to investigate women’s sexual functioning and health-related quality of life assessment in Slovenian women in the reproductive period.Methods: An online survey with valid questionnaires (short form 36 [SF-36] and Female sexual function index [FSFI-19]) was conducted in January 2022. All research ethical measures were taken to ensure the integrity of the participants.Results: The FSFI scale score was 25.37 ± 8.29, 1.18 points above the cutoff point, indicating a higher risk of sexual dysfunction (26.55). The estimated prevalence of sexual dysfunction was 36.8%, with sexual desire being the most problematic area. The mean score on the SF-36 scale in our sample reached 73.52 ± 13.84 on a 100-point scale, with 0 representing the worst and 100 the best quality of life; fatigue (x̅ = 48.50) was the most problematic category. The results partly reflect the results of foreign studies, but we must be aware of cultural differences in the understanding of sexuality and keep in mind that some countries faced difficult circumstances during the COVID-19 pandemic and that social constraints were different in 2020 than in 2022.Conclusion: The epidemic affected the sexual function of women of reproductive age and their perception of (health-related) quality of life.
导言:COVID-19 的流行及其限制影响了人们生活的方方面面,包括与健康相关的生活质量,考虑到性是个人需求不可分割的一部分,还包括亲密关系和性行为。因此,本文旨在调查斯洛文尼亚生育期妇女的性功能和与健康相关的生活质量评估:方法:2022 年 1 月,使用有效问卷(简表 36 [SF-36] 和女性性功能指数 [FSFI-19])进行了在线调查。调查采取了所有研究伦理措施,以确保参与者的完整性:FSFI量表得分为25.37±8.29,比临界点高1.18分,表明性功能障碍的风险较高(26.55)。性功能障碍的患病率估计为 36.8%,其中性欲是最容易出现问题的方面。在我们的样本中,SF-36 量表的平均得分为 73.52±13.84 分(100 分制),0 分代表最差的生活质量,100 分代表最好的生活质量;疲劳(x̅ = 48.50)是问题最多的一项。这些结果部分反映了国外的研究结果,但我们必须意识到对性的理解存在文化差异,并牢记一些国家在 COVID-19 大流行期间面临着困难的环境,而且 2020 年的社会制约因素与 2022 年不同:疫情影响了育龄妇女的性功能及其对(与健康相关的)生活质量的看法。
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引用次数: 0
The relationship of limited mobility of the cervical spinewith postural and mental reactions of students 颈椎活动受限与学生姿势和心理反应的关系
Q3 Nursing Pub Date : 2024-04-15 DOI: 10.17532/jhs.2024.2186
Kenan Galijašević, Emira Švraka, Adnan Mujezinović, M. Oruč, H. Hodžić
Introduction: Previous studies have found that, in addition to the general factors for the occurrence of pain and reduced mobility of the cervical spine, the use of electronic devices promotes these, the excessive use of which can also lead to the occurrence of depressive symptoms in students. The aim of this study was to determine the mobility limitation of the cervical spine in students with reported neck pain, to determine the degree of disability and depression due to neck pain, to determine the correlation of mobility limitation of the cervical spine with the degree of disability and depression of students, and to determine the correlation of the degree of disability with the degree of depression.Methods: The research was conducted as a cross-sectional study from May to July 2021 at the University of Zenica in four faculties. The study used the General Questionnaire and two standardized questionnaires to assess disability due to neck pain (Index of Disability due to Neck Pain) and the degree of depression (patient health questionnaire).Results: A total of 147 students with reported neck pain participated in the study. A limitation of mobility was found in 30.6% of the students in flexion, 25.2% in rotation, 23.8% in lateral flexion, and 20.4% on extension. Mild disability due to neck pain was found in 58.5% of students, moderate in 23.8%, and severe in 2.7%. 45.6% of the students had mild depression, 18.4% had moderate depression, and 5.4% had severe depression.Conclusion: Restricted flexion and rotation are more common than restricted lateral flexion and extension of the cervical spine. About half of the students who reported neck pain had a mild degree of disability and mild depression. A strong positive correlation was found between the degree of disability and depression in students with neck pain.
引言以往的研究发现,除了导致颈椎疼痛和活动度降低的一般因素外,使用电子设备也会促进颈椎疼痛和活动度降低,过度使用电子设备还会导致学生出现抑郁症状。本研究旨在确定报告颈部疼痛的学生的颈椎活动受限情况,确定颈部疼痛导致的残疾和抑郁程度,确定颈椎活动受限与学生残疾和抑郁程度的相关性,以及确定残疾程度与抑郁程度的相关性:研究于 2021 年 5 月至 7 月在泽尼察大学的四个院系进行,为横断面研究。研究使用了普通问卷和两份标准化问卷来评估颈部疼痛导致的残疾程度(颈部疼痛导致的残疾指数)和抑郁程度(患者健康问卷):共有 147 名报告颈部疼痛的学生参与了研究。发现30.6%的学生在屈伸时活动受限,25.2%的学生在旋转时活动受限,23.8%的学生在侧屈时活动受限,20.4%的学生在伸展时活动受限。58.5%的学生因颈部疼痛而轻度残疾,23.8%的学生为中度残疾,2.7%的学生为重度残疾。45.6%的学生有轻度抑郁,18.4%有中度抑郁,5.4%有重度抑郁:结论:颈椎的屈伸和旋转受限比侧向屈伸受限更为常见。在报告颈部疼痛的学生中,约半数有轻度残疾和轻度抑郁。在患有颈部疼痛的学生中,残疾程度和抑郁程度之间存在很强的正相关性。
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引用次数: 0
The effect of a six-week home physiotherapy program on symptoms and activities of daily living in post-COVID-19 patients following hospital discharge 为期六周的家庭物理治疗计划对 COVID-19 后患者出院后的症状和日常生活活动的影响
Q3 Nursing Pub Date : 2024-04-06 DOI: 10.17532/jhs.2024.2414
Amra Mačak Hadžiomerović, Samire Beqaj, M. Qorolli, Dafinë Ibrahimi Kaçuri, Arbnore Ibrahimaj Gashi, Mirjetë Hoti, Teuta Osmani Vllasolli, A. Murtezani, V. Krasniqi
Introduction: Patients following the acute stage of Severe Acute Respiratory Syndrome Coronavirus 2 were shown to present with persisting symptoms including fatigue, dyspnea, joint pain, and chest pain. The aim of this study was to investigate the effect of a 6-week home physiotherapy program on the psychological and physical symptoms, as well as the physical abilities to perform activities of daily living in post-COVID-19 patients.Methods: The subjects were 39 adult patients who had been diagnosed with COVID-19 and had been hospitalized at the University Clinical Center of Kosovo. Patients initially underwent a physiotherapy assessment 2-3 weeks after discharge from the hospital, including sociodemographic data, psychological and physical symptoms, and functional performance in daily activities using the Patient-Specific Functional Scale (PSFS). Based on their functional capacity, the patients received two types of brochures for a home physiotherapy program that was carried out over the next 6 weeks. Upon the completion of the physiotherapy program, 23 patients reported for the second physiotherapy assessment. The Mann–Whitney Wilcoxon test was used for comparison of the variables obtained during the first and second assessments.Results: Pre–post analysis showed that the symptoms including excessive fatigue, difficulty breathing, and insomnia were significantly less present following the home physiotherapy program (p = 0.005; p = 0.008; p = 0.034). On the PSFS scale, the mean score increased from 5.2 (2.1) to 7.8 (0.5) for stair climbing, from 5.5 (1.8) to 8.8 (1.6) for walking longer distances, and from 3.7 (3.2) to 4.0 (5.6) for running.Conclusion: Although limited by the absence of a control group, the findings from this study indicate that home physiotherapy intervention can be feasible and effective in enhancing psychological and physical symptoms, as well as activities of daily living in post-COVID-19 patients following hospitalization.
导言:严重急性呼吸系统综合征冠状病毒2型急性期患者会出现持续性症状,包括疲劳、呼吸困难、关节痛和胸痛。本研究的目的是调查为期 6 周的家庭物理治疗计划对 Coravirus-19 后患者的心理和身体症状以及日常生活活动能力的影响:研究对象为 39 名被诊断患有 COVID-19 并在科索沃大学临床中心住院治疗的成年患者。患者出院后 2-3 周接受物理治疗评估,评估内容包括社会人口学数据、心理和身体症状,以及使用患者特定功能量表(PSFS)进行日常活动的功能表现。根据患者的功能能力,他们会收到两种类型的家庭物理治疗计划手册,该计划将在接下来的 6 周内实施。物理治疗计划结束后,23 名患者接受了第二次物理治疗评估。第一次和第二次评估的变量比较采用了曼-惠特尼-威尔科克森检验:结果:前后分析表明,在接受家庭物理治疗后,过度疲劳、呼吸困难和失眠等症状明显减少(p = 0.005;p = 0.008;p = 0.034)。在 PSFS 量表中,爬楼梯的平均得分从 5.2 (2.1) 增加到 7.8 (0.5),长距离行走的平均得分从 5.5 (1.8) 增加到 8.8 (1.6),跑步的平均得分从 3.7 (3.2) 增加到 4.0 (5.6):尽管缺乏对照组,但本研究的结果表明,家庭物理治疗干预对于改善 COVID-19 患者住院后的心理和身体症状以及日常生活活动是可行且有效的。
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引用次数: 0
Measurement of palliative care competencies using PALCOM instrument 使用 PALCOM 工具衡量姑息关怀能力
Q3 Nursing Pub Date : 2024-02-27 DOI: 10.17532/jhs.2024.2254
M. Oruč, Suad Sivić, D. Bokonjić, Kenan Galijašević, Harun Hodžić
Introduction: An essential component of any profession is competent and confident staff. In palliative care, a wellrounded approach and versatile knowledge of staff and students are of great importance. Measuring these competencies is very important for the development of palliative care and health care.Methods: Measurement of competencies in palliative care by analyzing existing instruments and questions in palliative care. Process of developing a new instrument for measurement of competencies in palliative care PALCOM, using cross-sectional methodology with nurses from Bosnia and Herzegovina.Results: The results are presenting findings of research done with nurses from BIH using two main variables: Years of work experience and level of education of the participants. Main difference is between the two competencies: Pain assessment and management, education, and care for the patient’s family regarding the level of education.Conclusion: The need for measuring competencies is evident in the daily evolution of palliative care, community-based palliative care, hospice care, and subspecialized palliative care. There is no questionnaire that can measure all competencies, but the use of the general competencies in the PALCOM questionnaire can cover this area with the measurement of different domains and the competencies specific to these domains.
导言:任何行业都离不开有能力和自信的员工。在姑息关怀中,工作人员和学生的全面方法和多方面知识非常重要。衡量这些能力对于姑息关怀和医疗保健的发展非常重要:方法:通过分析现有的姑息关怀工具和问题来衡量姑息关怀的能力。方法:通过分析现有的姑息关怀工具和问题来衡量姑息关怀的能力。过程:使用横断面方法,与来自波斯尼亚和黑塞哥维那的护士一起开发新的姑息关怀能力衡量工具 PALCOM:研究结果显示了对波斯尼亚和黑塞哥维那护士的研究结果,其中使用了两个主要变量:参与者的工作年限和教育水平。主要区别在于两种能力:结论:在姑息关怀、社区姑息关怀、临终关怀和亚专业姑息关怀的日常发展中,衡量能力的必要性显而易见。目前还没有一份调查问卷可以测量所有的能力,但使用 PALCOM 调查问卷中的通用能力可以覆盖这一领域,测量不同的领域和这些领域所特有的能力。
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引用次数: 0
Ultraviolet-C (UV-C) Effectiveness for Bacterial Decontamination in The Hospital Setting: A Systematic Review 紫外线-C (UV-C) 在医院环境中的细菌净化效果:系统回顾
Q3 Nursing Pub Date : 2024-01-18 DOI: 10.17532/jhsci.2023.2175
R. Ariningpraja, Ika Yuni Widyawati, Endah Panca Lydia Fatma, Retno Lestari
Introduction: Bacteria are the most common agent reported to cause hospital-acquired infection (HAI) and nurses play a key role in achieving optimal decontamination. Ultraviolet-C (UV-C) is a promising candidate to reduce the bacteria infection burden. Therefore, this review aims to explore the UV-C application and its effectiveness in reducing bacteria contamination on various objects that can act as sources of HAI transmission.Methods: Searches were conducted on the PubMed, ScienceDirect, Scopus, and Cumulative Index to Nursing and Allied Health Literature databases. The inclusion criteria were randomized clinical trials, and non-randomized clinical intervention studies, written in English and published between January 2018 and March 2023. The search strategy used a population (P), intervention (I), comparator (C), and outcome (O) approach.Results: A total of 21 eligible studies were included in this review with four being related to decontaminating medical devices, two to personal equipment, nine to communication devices, and the remaining six to the environment. The exposure to UV-C radiation varies ranging from 24 s to 24 h (continuously) and it reduced the level of bacteria even up to 100%. Meanwhile, previously the objects were detected to be contaminated with pathogenic and resistant bacteria.Conclusion: UV-C exposure can be effectively used to decontaminate various objects in hospitals. However, special consideration should be given to semi-critical devices due to contact with mucosal tissue. Further studies are needed regarding the application of doses and duration of UV-C exposure to eliminate bacteria completely.
导言:据报道,细菌是导致医院获得性感染(HAI)的最常见病原体,而护士在实现最佳净化方面发挥着关键作用。紫外线-C(UV-C)是减少细菌感染负担的有效方法。因此,本综述旨在探讨紫外线-C 的应用及其在减少各种可能成为 HAI 传播源的物体上的细菌污染方面的有效性:方法:在 PubMed、ScienceDirect、Scopus 和 Cumulative Index to Nursing and Allied Health Literature 数据库中进行检索。纳入标准为 2018 年 1 月至 2023 年 3 月间发表的英文随机临床试验和非随机临床干预研究。检索策略采用了人群(P)、干预(I)、比较者(C)和结果(O)的方法:本综述共纳入了 21 项符合条件的研究,其中 4 项与医疗设备去污有关,2 项与个人设备有关,9 项与通讯设备有关,其余 6 项与环境有关。紫外线-C 辐射的照射时间从 24 秒到 24 小时不等(连续照射),它甚至能使细菌的数量减少 100%。同时,之前检测到的物体都受到了致病菌和耐药菌的污染:结论:紫外线-C 照射可有效地用于净化医院中的各种物品。结论:紫外线-C 照射可有效地对医院中的各种物品进行去污,但应特别考虑与粘膜组织接触的半关键设备。还需要对紫外线-C 照射的剂量和持续时间进行进一步研究,以彻底消除细菌。
{"title":"Ultraviolet-C (UV-C) Effectiveness for Bacterial Decontamination in The Hospital Setting: A Systematic Review","authors":"R. Ariningpraja, Ika Yuni Widyawati, Endah Panca Lydia Fatma, Retno Lestari","doi":"10.17532/jhsci.2023.2175","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2175","url":null,"abstract":"Introduction: Bacteria are the most common agent reported to cause hospital-acquired infection (HAI) and nurses play a key role in achieving optimal decontamination. Ultraviolet-C (UV-C) is a promising candidate to reduce the bacteria infection burden. Therefore, this review aims to explore the UV-C application and its effectiveness in reducing bacteria contamination on various objects that can act as sources of HAI transmission.\u0000Methods: Searches were conducted on the PubMed, ScienceDirect, Scopus, and Cumulative Index to Nursing and Allied Health Literature databases. The inclusion criteria were randomized clinical trials, and non-randomized clinical intervention studies, written in English and published between January 2018 and March 2023. The search strategy used a population (P), intervention (I), comparator (C), and outcome (O) approach.\u0000Results: A total of 21 eligible studies were included in this review with four being related to decontaminating medical devices, two to personal equipment, nine to communication devices, and the remaining six to the environment. The exposure to UV-C radiation varies ranging from 24 s to 24 h (continuously) and it reduced the level of bacteria even up to 100%. Meanwhile, previously the objects were detected to be contaminated with pathogenic and resistant bacteria.\u0000Conclusion: UV-C exposure can be effectively used to decontaminate various objects in hospitals. However, special consideration should be given to semi-critical devices due to contact with mucosal tissue. Further studies are needed regarding the application of doses and duration of UV-C exposure to eliminate bacteria completely.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"114 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139614096","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}
引用次数: 0
Comparison of values of crestal bone loss around dental implants: A comparative study 牙科植入物周围骨嵴骨质流失值的比较:比较研究
Q3 Nursing Pub Date : 2023-12-29 DOI: 10.17532/jhsci.2023.2419
Muhamed Ajanović, Alma Kamber, Selma Tosum Pošković, A. Dervišević, Kemal Tucak
Introduction: Many studies have examined values of crestal bone loss according surgical techniques, time of implant placement (immediate post-extraction or after alveolar socket healing), platform switching or convectional platform, surface of the implant, functional loading (immediate or delayed), etc. Methods: This study analyzed a total of 443 dental implants on 115 images: 161 Bredent blueSKY dental implants and 282 Ritter spiral dental implants. All images were taken at the Faculty of Dentistry of the University of Sarajevo: before implantation and after 1 year of functional loading. Crestal bone loss was measured on the mesial and distal side of each implant from the coronal portion of the abutment to the noticeable margin of the alveolar bone. Results: There is statistically significant differences between Bredent blueSKY and Ritter spiral dental implants regarding mesial (p < 0.001, df = 441, tstat = −64.22) and distal (p < 0.001, df = 441, tstat = −151.21) bone losses. Conclusion: Platform switching dental implants showed more bone loss on the mesial and distal side of implant than dental implants with conventional platform.
前言:许多研究根据手术技术、种植体植入时间(拔牙后即刻或牙槽骨愈合后)、平台切换或对流平台、种植体表面、功能性加载(即刻或延迟)等因素对骨嵴骨质流失的数值进行了研究。研究方法本研究共分析了 115 幅图像上的 443 个牙科种植体:161 个 Bredent blueSKY 种植体和 282 个 Ritter 螺旋种植体。所有图像都是在萨拉热窝大学牙科学院拍摄的:植入前和功能负荷 1 年后。在每个种植体的中侧和远侧,从基台的冠状部分到牙槽骨的明显边缘,都测量了嵴状骨损失。结果:Bredent blueSKY 和 Ritter 螺旋种植体在中轴(p < 0.001,df = 441,tstat = -64.22)和远轴(p < 0.001,df = 441,tstat = -151.21)骨质流失方面存在明显的统计学差异。结论与使用传统平台的牙科种植体相比,平台转换牙科种植体在种植体中侧和远侧显示出更多的骨质流失。
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引用次数: 0
Benefits of low-dose carotid CT angiography in stroke patients 低剂量颈动脉 CT 血管造影术对中风患者的益处
Q3 Nursing Pub Date : 2023-12-21 DOI: 10.17532/jhsci.2023.2357
Haris Kurić, Spomenka Kristić, Melika Bukvić, Jasna Strika-Kurić, S. Vegar-Zubović, Adnan Beganović, M. Jusufbegović, F. Julardžija, A. Šehić
Introduction: Computed tomography angiography (CTA) represents the gold standard as a method for the diagnosis of carotid artery diseases. The current topic is the use of CTA for the evaluation of carotid arteries with a reduction in the dose of contrast agent and dose of ionizing radiation, which, with adequate preparation, would enable the use of this method in some risk groups. The aim of this study was to evaluate the feasibility and image quality of a new low-dose CTA protocol in comparison with a standard protocol.Methods: Forty patients with recumbent ischemic stroke were included in the study, twenty of whom underwent lowdose CTA, and the remaining twenty underwent a standard CTA protocol of the carotid arteries.Results: No significant difference was found between the mean values of CT number (Hounsfield unit), signal-to-noise ratio, contrast-to-noise ratio, and subjective assessment of image quality in the comparison of the control and experimental groups. CT dose index, volume, and dose length product were significantly lower in patients who underwent lowdose carotid CTA. There was no significant difference in the degree of carotid stenosis between color Doppler and CTA.Conclusion: The use of the low-dose protocol for carotid CTA allows the application of this method in risk groups, in which it was previously not possible to perform, with the same image quality in comparison with the standard protocol.
简介计算机断层扫描血管造影术(CTA)是诊断颈动脉疾病的金标准。目前的主题是使用 CTA 对颈动脉进行评估,同时降低造影剂剂量和电离辐射剂量,在做好充分准备的情况下,这种方法可用于某些高危人群。本研究旨在评估新的低剂量 CTA 方案与标准方案相比的可行性和图像质量:方法:研究纳入了 40 名卧位缺血性脑卒中患者,其中 20 人接受了低剂量 CTA,其余 20 人接受了颈动脉标准 CTA 方案:结果:对照组和实验组的 CT 数量(Hounsfield 单位)、信噪比、对比度-信噪比和图像质量主观评价的平均值之间没有明显差异。接受低剂量颈动脉 CTA 的患者的 CT 剂量指数、体积和剂量长度乘积明显较低。结论:使用低剂量方案进行颈动脉CTA检查是可行的:结论:使用低剂量方案进行颈动脉CTA检查,可将这种方法应用于以前无法进行检查的高危人群,且图像质量与标准方案相同。
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引用次数: 0
Health locus of control and sociodemographic factors in older adults: Insights from exercise programs – Crosssectional study 老年人的健康控制点和社会人口因素:运动项目的启示--横断面研究
Q3 Nursing Pub Date : 2023-12-15 DOI: 10.17532/jhsci.2023.2373
Mateja Znika, S. Tomek-roksandić
Introduction: Aging is an inherent and progressive process affecting all living organisms, characterized by physical, mental, and psychological changes. With the societal changes that involve rapid information exchange, there is also a change in the behavior of older individuals. The aim of this study is to analyze the level of health locus of control in older adults participating in exercise programs and its association with certain sociodemographic factors.Methods: This cross-sectional study was conducted from November 2018 to March 2019. A total of 200 individuals aged 65 and older, who were participating in free exercise programs, were included. Among them, 190 were female, and only 10 were male. For the purposes of this study, the Health Locus of Control Scale (Croatian- ZLK-90) and a general questionnaire on demographic characteristics were used. The questionnaire was completed in a traditional pen-and-paper format.Results: The results of the Health Locus of Control Scale revealed that, among the respondents, the Eo scale (Circumstances) component had the highest median score of 21.00, while the Evd scale (Important Others) showed the lowest median at 18.00. Furthermore, the findings indicated statistically significant differences in certain subscales of the Health locus of control scale. Specifically, there was a significant difference in the Eo scale (Circumstances) associated with the respondents’ level of education, with the highest ranks found among individuals with the lowest education level. A statistically significant difference was also observed in the factor related to respondents’ living arrangements, demonstrating a significant variation in the I scale (Internal Locus) for those who live alone.Conclusion: This study unveiled the health-related locus of control level and its correlation with demographic characteristicsin older adults engaged in exercise programs. The findings provide valuable insights into the relationship between the health locus of control and specific traits of the active older population.
引言衰老是影响所有生物体的一个固有的渐进过程,其特点是身体、精神和心理的变化。随着社会的变化,信息交流迅速,老年人的行为也发生了变化。本研究旨在分析参加运动项目的老年人的健康控制点水平及其与某些社会人口因素的关系:本横断面研究于 2018 年 11 月至 2019 年 3 月进行。共纳入 200 名 65 岁及以上参加免费运动项目的老年人。其中,190 人为女性,只有 10 人为男性。本研究使用了健康控制点量表(克罗地亚语-ZLK-90)和人口统计学特征一般问卷。问卷以传统的纸笔形式填写:健康控制感量表的结果显示,在受访者中,Eo 量表(环境)部分的中位数最高,为 21.00 分,而 Evd 量表(重要他人)部分的中位数最低,为 18.00 分。此外,研究结果表明,健康控制感量表的某些分量表在统计上存在显著差异。具体地说,Eo 量表(环境)与受访者的教育水平存在显著差异,教育水平最低者的等级最高。在与受访者居住安排相关的因素中,也观察到了统计学上的显著差异,表明独居者在 I 量表(内部焦点)中存在显著差异:本研究揭示了参与运动项目的老年人的健康相关控制感水平及其与人口特征的相关性。研究结果为了解老年人的健康控制感与运动人群的具体特征之间的关系提供了有价值的见解。
{"title":"Health locus of control and sociodemographic factors in older adults: Insights from exercise programs – Crosssectional study","authors":"Mateja Znika, S. Tomek-roksandić","doi":"10.17532/jhsci.2023.2373","DOIUrl":"https://doi.org/10.17532/jhsci.2023.2373","url":null,"abstract":"Introduction: Aging is an inherent and progressive process affecting all living organisms, characterized by physical, mental, and psychological changes. With the societal changes that involve rapid information exchange, there is also a change in the behavior of older individuals. The aim of this study is to analyze the level of health locus of control in older adults participating in exercise programs and its association with certain sociodemographic factors.\u0000Methods: This cross-sectional study was conducted from November 2018 to March 2019. A total of 200 individuals aged 65 and older, who were participating in free exercise programs, were included. Among them, 190 were female, and only 10 were male. For the purposes of this study, the Health Locus of Control Scale (Croatian- ZLK-90) and a general questionnaire on demographic characteristics were used. The questionnaire was completed in a traditional pen-and-paper format.\u0000Results: The results of the Health Locus of Control Scale revealed that, among the respondents, the Eo scale (Circumstances) component had the highest median score of 21.00, while the Evd scale (Important Others) showed the lowest median at 18.00. Furthermore, the findings indicated statistically significant differences in certain subscales of the Health locus of control scale. Specifically, there was a significant difference in the Eo scale (Circumstances) associated with the respondents’ level of education, with the highest ranks found among individuals with the lowest education level. A statistically significant difference was also observed in the factor related to respondents’ living arrangements, demonstrating a significant variation in the I scale (Internal Locus) for those who live alone.\u0000Conclusion: This study unveiled the health-related locus of control level and its correlation with demographic characteristicsin older adults engaged in exercise programs. The findings provide valuable insights into the relationship between the health locus of control and specific traits of the active older population.","PeriodicalId":15927,"journal":{"name":"Journal of Health Sciences","volume":"8 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138970654","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}
引用次数: 0
Plantar calcaneal spurs and their connection with lumbar herniating discs 足底骨刺及其与腰椎间盘突出症的关系
Q3 Nursing Pub Date : 2023-12-01 DOI: 10.17532/jhsci.2023.2201
E. Spahiu, Altin Erind, Lindita Agolli
Introduction: Calcaneal spurs are bony triangular projections of varying sizes that are found on the calcaneum. By analyzing the incidence of plantar spurs and lumbar herniated disks, the current research aims to provide a reliable baseline for determining the pathological significance of spurs with herniated disks.Methods: Consecutive patients who had visited a local physiotherapy clinic for plantar calcaneal spurs between October 2022 and February 2023 with no self-reported comorbidities such as diabetes or vascular diseases were qualified for the study. Of the eligible subjects, a total of 84 patients were randomly selected from the clinic’s database. All 84 patients were subjected to weight-bearing lateral foot radiographs and magnetic resonance imaging scans. A Visual Analog Scale (VAS) was used to measure heel pain. Associations between the presence of spurs, herniated disks, sex, body mass index (BMI), and heel pain were then explored.Results: Of the 84 patients, 40 were males (48%) and 44 females (52%), with a mean age of 64.2 ± 5.6 years. The mean BMI was 28.5 ± 5.2 kg/m2. From the analysis of the imaging examination results, of the 84 patients with calcaneal spurs, 40 (48%) had lumbar disk herniation at L5-S1, 38 (45%) at L4-L5, 1 (1%) high lumbar herniations, and 5 (6%) no hernia. Women accounted for 45% of L5-S1 herniations and 41% of L4-L5 herniations. Pearson correlation between the variables speaks for a positive weak (r = 0.33) and significant relationship between VAS and weight and between VAS and BMI (r = 0.436, p < 0.001).Conclusion: Given the high percentage of patients suffering concomitantly from plantar calcaneal spurs and discal hernias (94%), we assume that there might be a probable link between the two disorders.
跟骨刺是跟骨上大小不一的骨三角形突起。本研究旨在通过分析足底骨刺和腰椎间盘突出的发生率,为确定腰椎间盘突出的骨刺的病理意义提供可靠的基线。方法:在2022年10月至2023年2月期间,连续到当地物理治疗诊所治疗足底跟骨刺的患者,无自我报告的合并症,如糖尿病或血管疾病,符合研究条件。在符合条件的受试者中,共有84名患者从诊所的数据库中随机选择。所有84例患者均接受负重侧足x线片和磁共振成像扫描。采用视觉模拟量表(VAS)测量足跟疼痛。然后探讨了骨刺、椎间盘突出、性别、体重指数(BMI)和足跟疼痛之间的关系。结果:84例患者中,男性40例(48%),女性44例(52%),平均年龄64.2±5.6岁。平均BMI为28.5±5.2 kg/m2。从影像学检查结果分析,84例跟骨刺患者中,L5-S1腰椎间盘突出40例(48%),L4-L5腰椎间盘突出38例(45%),高位腰椎间盘突出1例(1%),无疝5例(6%)。女性占L5-S1疝的45%,L4-L5疝的41%。变量之间的Pearson相关性为弱正相关(r = 0.33), VAS与体重、VAS与BMI之间存在显著关系(r = 0.436, p < 0.001)。结论:考虑到伴随足底跟骨刺和椎间盘疝的患者比例很高(94%),我们认为这两种疾病之间可能存在联系。
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