Goran Dankovic, Tomislav Stantic, Nenad Stojiljkovic, Ivana Aleksic, Vladimir Zivkovic, Vladimir Jakovljevic
Introduction. The aim of this study was to establish if sodium bicarbonate affects the blood marker levels after a Special Judo Fitness Test in elite judo athletes. Material and Methods. Ten male judo athletes (age 20 ? 2.1 years; body height 180.18 ? 8.11 cm; body mass 85.24 ? 23.17 kg; body mass index 25.2 ? 3.4 kg/m2), judo masters (black belt holders) with at least 10 years of training and competition experience, agreed to participate in the current research. Results. The results showed a significant main effect of time (p < 0.05) for the following variables: uric acid, aspartate aminotransferase, alanine transaminase, creatine kinase, lactate dehydrogenase, phosphate, magnesium, calcium, sodium, potassium, and chloride. We found that creatine kinase, C-reactive protein, sodium and chloride were significantly different (p < 0.05) in the sodium bicarbonate group compared to placebo group after the Special Judo Fitness Test. Conclusion. The main finding of the present study was that sodium bicarbonate (0.3 g/kg) improved recovery compared to placebo in elite judokas. Therefore, coaches should consider sodium bicarbonate to improve athlete recovery during combat.
{"title":"Acute effects of oral sodium bicarbonate on blood marker levels in elite judo athletes","authors":"Goran Dankovic, Tomislav Stantic, Nenad Stojiljkovic, Ivana Aleksic, Vladimir Zivkovic, Vladimir Jakovljevic","doi":"10.2298/mpns2302005d","DOIUrl":"https://doi.org/10.2298/mpns2302005d","url":null,"abstract":"Introduction. The aim of this study was to establish if sodium bicarbonate affects the blood marker levels after a Special Judo Fitness Test in elite judo athletes. Material and Methods. Ten male judo athletes (age 20 ? 2.1 years; body height 180.18 ? 8.11 cm; body mass 85.24 ? 23.17 kg; body mass index 25.2 ? 3.4 kg/m2), judo masters (black belt holders) with at least 10 years of training and competition experience, agreed to participate in the current research. Results. The results showed a significant main effect of time (p < 0.05) for the following variables: uric acid, aspartate aminotransferase, alanine transaminase, creatine kinase, lactate dehydrogenase, phosphate, magnesium, calcium, sodium, potassium, and chloride. We found that creatine kinase, C-reactive protein, sodium and chloride were significantly different (p < 0.05) in the sodium bicarbonate group compared to placebo group after the Special Judo Fitness Test. Conclusion. The main finding of the present study was that sodium bicarbonate (0.3 g/kg) improved recovery compared to placebo in elite judokas. Therefore, coaches should consider sodium bicarbonate to improve athlete recovery during combat.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135262454","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}
Sasa Karan, Branko Baljak, Nikola Vukosav, Nemanja Gvozdenovic, Srdjan Ninkovic
Introduction. The goal of this study is to analyze the mechanisms of injury of patients diagnosed with anterior cruciate ligament injury and their correlation with risk factors in our clinical material. Material and Methods. The study included 1,471 patients, 1192 male and 279 female, with a diagnosed anterior cruciate ligament injury, that were surgically treated in the period between the end of January 2012 and the middle of June 2018. Results. Of the total number of women, around 51% sustained the injury when changing direction, 35% during landing, and 12% during a collision. Among men, 46% sustained injuries during a change of direction, 30% during landing, while the percentage of injuries sustained during a collision was higher than among women, amounting to 23%. The impact of gender on the type of injury mechanism and on the injury mechanism is statistically significant. The incidence of left knee injuries is higher in non-contact injuries, while right knee injuries are more common in contact injuries. The level of sports activity showed no statistically significant impact on the type of the mechanism of injury, but its impact on the category of mechanism of injury proved to be statistically significant. The impact of sport on the type of the mechanism of injury, as well as on the mechanism of injury categories was statistically significant. Non-contact injuries commonly occurred during the warm-up, beginning and end of a training session, while collisions mostly occurred halfway through the activity. Contact injuries were most often sustained on grass and training mats, while non-contact injuries occurred more often on other surfaces. Conclusion. Most participants sustained injury through non-contact mechanisms and the most frequent noncontact mechanism is change of direction.
{"title":"Mechanisms of anterior cruciate ligament injury","authors":"Sasa Karan, Branko Baljak, Nikola Vukosav, Nemanja Gvozdenovic, Srdjan Ninkovic","doi":"10.2298/mpns2302042k","DOIUrl":"https://doi.org/10.2298/mpns2302042k","url":null,"abstract":"Introduction. The goal of this study is to analyze the mechanisms of injury of patients diagnosed with anterior cruciate ligament injury and their correlation with risk factors in our clinical material. Material and Methods. The study included 1,471 patients, 1192 male and 279 female, with a diagnosed anterior cruciate ligament injury, that were surgically treated in the period between the end of January 2012 and the middle of June 2018. Results. Of the total number of women, around 51% sustained the injury when changing direction, 35% during landing, and 12% during a collision. Among men, 46% sustained injuries during a change of direction, 30% during landing, while the percentage of injuries sustained during a collision was higher than among women, amounting to 23%. The impact of gender on the type of injury mechanism and on the injury mechanism is statistically significant. The incidence of left knee injuries is higher in non-contact injuries, while right knee injuries are more common in contact injuries. The level of sports activity showed no statistically significant impact on the type of the mechanism of injury, but its impact on the category of mechanism of injury proved to be statistically significant. The impact of sport on the type of the mechanism of injury, as well as on the mechanism of injury categories was statistically significant. Non-contact injuries commonly occurred during the warm-up, beginning and end of a training session, while collisions mostly occurred halfway through the activity. Contact injuries were most often sustained on grass and training mats, while non-contact injuries occurred more often on other surfaces. Conclusion. Most participants sustained injury through non-contact mechanisms and the most frequent noncontact mechanism is change of direction.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135314199","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}
Mile Vukovic, Verica Paunovic, Tanja Milovanovic, Aleksandra Vidakovic, Sindi Mitrovic
Introduction. Aphasia and dysarthria are permanent consequences of stroke in many patients. These disorders significantly disrupt the person?s functioning in everyday life. The aim of this paper is to examine the quality of communication and quality of life in patients with aphasia and dysarthria. Material and Methods. The clinical group included 25 patients with aphasia and 20 patients with dysarthria due to stroke. The control group included 15 post-stroke people without speech and language disorders and 15 neurologically healthy subjects. The Quality of Communication Life Scale was used to assess the quality of communication. This scale provides information about the impact of speech and language disorders on individuals? ability to communicate and quality of life in general. The scale consists of 18 items scored from 1 to 5. Results. Patients with aphasia and dysarthria have a significantly lower quality of communication compared to stroke survivors with preserved speech and language functions and neurologically healthy subjects. The severity of the language and speech disorder proved to be a significant factor in determining the quality of communication. Namely, patients with more severe forms of aphasia and dysarthria scored significantly lower on the Quality of Communication Life Scale compared to the patients with milder forms. It was also shown that patients with flaccid dysarthria have the worst quality of communication compared to the patients with other types of dysarthria. Conclusion. Aphasia and dysarthria following a stroke significantly impair the quality of communication and quality of life of the affected persons.
{"title":"Quality of communication and quality of life of people with aphasia and dysarthria after stroke","authors":"Mile Vukovic, Verica Paunovic, Tanja Milovanovic, Aleksandra Vidakovic, Sindi Mitrovic","doi":"10.2298/mpns2302022v","DOIUrl":"https://doi.org/10.2298/mpns2302022v","url":null,"abstract":"Introduction. Aphasia and dysarthria are permanent consequences of stroke in many patients. These disorders significantly disrupt the person?s functioning in everyday life. The aim of this paper is to examine the quality of communication and quality of life in patients with aphasia and dysarthria. Material and Methods. The clinical group included 25 patients with aphasia and 20 patients with dysarthria due to stroke. The control group included 15 post-stroke people without speech and language disorders and 15 neurologically healthy subjects. The Quality of Communication Life Scale was used to assess the quality of communication. This scale provides information about the impact of speech and language disorders on individuals? ability to communicate and quality of life in general. The scale consists of 18 items scored from 1 to 5. Results. Patients with aphasia and dysarthria have a significantly lower quality of communication compared to stroke survivors with preserved speech and language functions and neurologically healthy subjects. The severity of the language and speech disorder proved to be a significant factor in determining the quality of communication. Namely, patients with more severe forms of aphasia and dysarthria scored significantly lower on the Quality of Communication Life Scale compared to the patients with milder forms. It was also shown that patients with flaccid dysarthria have the worst quality of communication compared to the patients with other types of dysarthria. Conclusion. Aphasia and dysarthria following a stroke significantly impair the quality of communication and quality of life of the affected persons.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135317096","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. It is common practice in on-pump cardiac surgery to stop mechanical ventilation when extracorporeal circulation is started or to continue with low tidal volumes. The aim of this study was to investigate whether patients ventilated with low tidal volumes had a lower percentage of postoperative pulmonary complications compared to patients who were not ventilated during cardiopulmonary bypass. Material and Methods. This retrospective study included patients who underwent coronary artery bypass graft surgery over a period of 14 months. Patients with lung diseases and those with an ejection fraction < 30% were excluded from the study. Results. A total of 499 patients were included in the study. Of these, 398 were ventilated with low tidal volumes, while 101 patients were not ventilated during extracorporeal circulation. The groups did not differ in baseline characteristics, comorbidities, and intraoperative data. Pulmonary complications were equally prevalent in both groups (ventilated 16%, not ventilated 17.8%). The most frequent were the need for prolonged mechanical ventilation (ventilated 5.8%, not ventilated 5.9%), and pleural effusions (ventilated 4.8%, not ventilated 5.9%). The incidence of pneumonia was identical in both groups (2%). Other complications were less frequent. Duration of mechanical ventilation after surgery, stay in the intensive care unit, and in-hospital mortality did not differ significantly between the groups. Conclusion. Pulmonary complications after cardiac surgery are still common. The experience at our clinic showed that the choice of mechanical ventilation strategy during cardiopulmonary bypass does not affect postoperative pulmonary complications.
{"title":"Effects of mechanical ventilation during cardiopulmonary bypass on postoperative pulmonary complications","authors":"Ranko Zdravkovic, Milanka Tatic, Miodrag Golubovic, Mihaela Preveden, Marija Klinovski, Sanja Vickovic","doi":"10.2298/mpns2302010z","DOIUrl":"https://doi.org/10.2298/mpns2302010z","url":null,"abstract":"Introduction. It is common practice in on-pump cardiac surgery to stop mechanical ventilation when extracorporeal circulation is started or to continue with low tidal volumes. The aim of this study was to investigate whether patients ventilated with low tidal volumes had a lower percentage of postoperative pulmonary complications compared to patients who were not ventilated during cardiopulmonary bypass. Material and Methods. This retrospective study included patients who underwent coronary artery bypass graft surgery over a period of 14 months. Patients with lung diseases and those with an ejection fraction < 30% were excluded from the study. Results. A total of 499 patients were included in the study. Of these, 398 were ventilated with low tidal volumes, while 101 patients were not ventilated during extracorporeal circulation. The groups did not differ in baseline characteristics, comorbidities, and intraoperative data. Pulmonary complications were equally prevalent in both groups (ventilated 16%, not ventilated 17.8%). The most frequent were the need for prolonged mechanical ventilation (ventilated 5.8%, not ventilated 5.9%), and pleural effusions (ventilated 4.8%, not ventilated 5.9%). The incidence of pneumonia was identical in both groups (2%). Other complications were less frequent. Duration of mechanical ventilation after surgery, stay in the intensive care unit, and in-hospital mortality did not differ significantly between the groups. Conclusion. Pulmonary complications after cardiac surgery are still common. The experience at our clinic showed that the choice of mechanical ventilation strategy during cardiopulmonary bypass does not affect postoperative pulmonary complications.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261434","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. Breast hamartomas are benign breast lesions with extremely rare, but not unseen, malignant transformation. They most often occur in middle-aged women and are usually up to 5 cm in diameter. Hamartomas of about 10 cm and larger are designated as giant and they are extremely rare. Case Report. We present a 47-year-old female patient with a giant hamartoma of the right breast. After radiological diagnosis and core biopsy, the patient underwent surgery. Histopathological findings confirmed the diagnosis of hamartoma, without signs of malignant transformation. The postoperative course was without complications. Conclusion. Regardless of the fact that breast hamartoma is a benign lesion with a low potential for malignant transformation, we believe that surgical excision of these tumors is justified along with histopathological tissue processing. Recurrence is rare and the prognosis is good.
{"title":"Giant breast hamartoma in a middle-aged woman: A case report","authors":"Enes Zogic, Dzemail Detanac","doi":"10.2298/mpns2302049z","DOIUrl":"https://doi.org/10.2298/mpns2302049z","url":null,"abstract":"Introduction. Breast hamartomas are benign breast lesions with extremely rare, but not unseen, malignant transformation. They most often occur in middle-aged women and are usually up to 5 cm in diameter. Hamartomas of about 10 cm and larger are designated as giant and they are extremely rare. Case Report. We present a 47-year-old female patient with a giant hamartoma of the right breast. After radiological diagnosis and core biopsy, the patient underwent surgery. Histopathological findings confirmed the diagnosis of hamartoma, without signs of malignant transformation. The postoperative course was without complications. Conclusion. Regardless of the fact that breast hamartoma is a benign lesion with a low potential for malignant transformation, we believe that surgical excision of these tumors is justified along with histopathological tissue processing. Recurrence is rare and the prognosis is good.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135260806","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. Induced pluripotent stem cells are ethically much more acceptable than embryonic stem cells. The aim of this paper is to evaluate the knowledge on these cells among the general population and medical professionals, because this may influence further research. Material and Methods. We conducted a survey to assess knowledge on induced pluripotent stem cells among the general population and medical workers. The inclusion criteria were age over 18 years and the ability to read and write in Serbian. The survey was conducted via email and printed materials using a validated questionnaire for evaluation of awareness, knowledge, and attitudes towards donation, storage, and application of induced pluripotent stem cells. The collected data were entered into an Excel database, and complete statistical analysis was performed using the Statistical Package for the Social Sciences version 26.0. Results. The rate of correct answers among health workers ranged from 17.5% to 67.1%, and among the general population from 16.4% to 49.4%. The average number of correct answers per respondent in the population of health workers was 6, while in the general population it was 4, which is statistically significantly lower. Conclusion. The research results showed that healthcare workers have a higher level of knowledge on induced pluripotent stem cells than members of the general population, but the level of knowledge can be influenced by the level of education, availability of information, socioeconomic status, ideology, and conservative attitudes.
介绍。诱导多能干细胞在伦理上比胚胎干细胞更容易被接受。本文的目的是评估普通人群和医学专业人员对这些细胞的了解，因为这可能会影响进一步的研究。材料和方法。我们进行了一项调查，以评估一般人群和医务工作者对诱导多能干细胞的知识。纳入标准是年龄在18岁以上，具有塞尔维亚语读写能力。该调查通过电子邮件和印刷材料进行，使用有效的问卷来评估对诱导多能干细胞的捐赠、储存和应用的认识、知识和态度。将收集到的数据输入Excel数据库，并使用statistical Package for The Social Sciences version 26.0进行完整的统计分析。结果。卫生工作者的正确率为17.5% ~ 67.1%，一般人群的正确率为16.4% ~ 49.4%。在卫生工作者人群中，每个应答者的平均正确回答次数为6次，而在一般人群中为4次，这在统计上明显较低。结论。研究结果表明，医护人员对诱导多能干细胞的知识水平高于一般人群，但知识水平受教育水平、信息可得性、社会经济地位、思想观念和保守态度的影响。
{"title":"Evaluation of knowledge on induced pluripotent stem cells among the general population and medical professionals","authors":"Sanja Rascanin, Mirjana Jovanovic, Nemanja Rancic","doi":"10.2298/mpns2302029r","DOIUrl":"https://doi.org/10.2298/mpns2302029r","url":null,"abstract":"Introduction. Induced pluripotent stem cells are ethically much more acceptable than embryonic stem cells. The aim of this paper is to evaluate the knowledge on these cells among the general population and medical professionals, because this may influence further research. Material and Methods. We conducted a survey to assess knowledge on induced pluripotent stem cells among the general population and medical workers. The inclusion criteria were age over 18 years and the ability to read and write in Serbian. The survey was conducted via email and printed materials using a validated questionnaire for evaluation of awareness, knowledge, and attitudes towards donation, storage, and application of induced pluripotent stem cells. The collected data were entered into an Excel database, and complete statistical analysis was performed using the Statistical Package for the Social Sciences version 26.0. Results. The rate of correct answers among health workers ranged from 17.5% to 67.1%, and among the general population from 16.4% to 49.4%. The average number of correct answers per respondent in the population of health workers was 6, while in the general population it was 4, which is statistically significantly lower. Conclusion. The research results showed that healthcare workers have a higher level of knowledge on induced pluripotent stem cells than members of the general population, but the level of knowledge can be influenced by the level of education, availability of information, socioeconomic status, ideology, and conservative attitudes.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135261885","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}
Vladimir Ristic, Danka Maksimovic, Predrag Rasovic, Vukadin Milankov
Introduction. Iatrogenic injury to the infrapatellar branch of the saphenous nerve is the most common complication after anterior cruciate ligament reconstruction. The aim of the study is to present the incidence, analyze risk factors, and possibilities of prevention. Material and Methods. One year after bone-patellar tendon-bone surgery, we surveyed 787 patients, 78.3% males, with mean age 27.7 years (14 - 59), mean height 180.6 cm (154 - 207), and mean weight 81.8 kg (46 - 145). We monitored the incidence of anterolateral skin numbness below the operated knee joint. Results and Discussion. Of the total number of examinees, 71.8% had a feeling of numbness, while 27.3% reported constant numbness. In the group of patients with a higher body mass, the feeling of numbness occurred significantly less often compared to the group with lower body mass, as was the case in the tallest patients, who reported numbness significantly less often compared to the shortest (p < 0.001). The incidence of anterolateral skin numbness was lowest among basketball players (64.5%) and highest among skiers (84.8%). Numbness was not significantly affected by age, laterality, and body mass index, level of sports activity, competition ranking or time until surgery. The horizontal surgical incision, intraoperative identification of the nerve, minimally invasive surgery, and the choice of bone graft harvesting sites, can reduce the complication rate. Conclusion. One year after the anterior cruciate ligament reconstruction, every fourth patient felt constant anterolateral skin numbness of the operated knee. Although this did not significantly affect the quality of life, it can be prevented by the surgeon who is obliged to warn every candidate for surgery about the possibility of complications, especially short and slim persons.
{"title":"Saphenous nerve injury after anterior cruciate ligament reconstruction","authors":"Vladimir Ristic, Danka Maksimovic, Predrag Rasovic, Vukadin Milankov","doi":"10.2298/mpns2302035r","DOIUrl":"https://doi.org/10.2298/mpns2302035r","url":null,"abstract":"Introduction. Iatrogenic injury to the infrapatellar branch of the saphenous nerve is the most common complication after anterior cruciate ligament reconstruction. The aim of the study is to present the incidence, analyze risk factors, and possibilities of prevention. Material and Methods. One year after bone-patellar tendon-bone surgery, we surveyed 787 patients, 78.3% males, with mean age 27.7 years (14 - 59), mean height 180.6 cm (154 - 207), and mean weight 81.8 kg (46 - 145). We monitored the incidence of anterolateral skin numbness below the operated knee joint. Results and Discussion. Of the total number of examinees, 71.8% had a feeling of numbness, while 27.3% reported constant numbness. In the group of patients with a higher body mass, the feeling of numbness occurred significantly less often compared to the group with lower body mass, as was the case in the tallest patients, who reported numbness significantly less often compared to the shortest (p < 0.001). The incidence of anterolateral skin numbness was lowest among basketball players (64.5%) and highest among skiers (84.8%). Numbness was not significantly affected by age, laterality, and body mass index, level of sports activity, competition ranking or time until surgery. The horizontal surgical incision, intraoperative identification of the nerve, minimally invasive surgery, and the choice of bone graft harvesting sites, can reduce the complication rate. Conclusion. One year after the anterior cruciate ligament reconstruction, every fourth patient felt constant anterolateral skin numbness of the operated knee. Although this did not significantly affect the quality of life, it can be prevented by the surgeon who is obliged to warn every candidate for surgery about the possibility of complications, especially short and slim persons.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135314402","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. Coronavirus infection may cause numerous complications in pregnant women, as well as an increased risk for the fetus. Disseminated intravascular coagulation and other coagulopathies can be caused by coronavirus disease 2019 infection. Case Report. A 22-year-old primigravida presented with a nineday history of dry cough, myalgia, nausea and fever. A nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 infection was positive. The patient?s condition rapidly deteriorated, resulting in severe liver damage and disseminated intravascular coagulation. Fetal cardiotocography showed a silent curve with late decelerations, while the umbilical artery Doppler showed end-diastolic block, indicating a fetal distress. Emergency cesarean section was performed at 28+5 weeks of gestation. After the cesarean section, the patient was treated with blood derivatives, thromboprophylaxis and supportive therapy and recovered quickly. Unfortunately, the premature infant died three hours after birth. Conclusion. It is very important to simultaneously monitor the parameters of the mother?s coagulation system, as well as the condition of the fetus, because there is a possibility of developing coagulopathies, including disseminated intravascular coagulation.
{"title":"Disseminated intravascular coagulation in a pregnant woman with coronavirus disease 2019 infection: A case report","authors":"Anita Krsman, Marija Kupresanin, Branislava Baturan, Sanja Bulatovic, Djordje Petrovic, Djordje Ilic","doi":"10.2298/mpns2302052k","DOIUrl":"https://doi.org/10.2298/mpns2302052k","url":null,"abstract":"Introduction. Coronavirus infection may cause numerous complications in pregnant women, as well as an increased risk for the fetus. Disseminated intravascular coagulation and other coagulopathies can be caused by coronavirus disease 2019 infection. Case Report. A 22-year-old primigravida presented with a nineday history of dry cough, myalgia, nausea and fever. A nasopharyngeal swab for severe acute respiratory syndrome coronavirus 2 infection was positive. The patient?s condition rapidly deteriorated, resulting in severe liver damage and disseminated intravascular coagulation. Fetal cardiotocography showed a silent curve with late decelerations, while the umbilical artery Doppler showed end-diastolic block, indicating a fetal distress. Emergency cesarean section was performed at 28+5 weeks of gestation. After the cesarean section, the patient was treated with blood derivatives, thromboprophylaxis and supportive therapy and recovered quickly. Unfortunately, the premature infant died three hours after birth. Conclusion. It is very important to simultaneously monitor the parameters of the mother?s coagulation system, as well as the condition of the fetus, because there is a possibility of developing coagulopathies, including disseminated intravascular coagulation.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135316680","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}
Ivana Matic, Sanja Ostojic-Zeljkovic, Mina Nikolic, Sanja Djokovic, Slobodanka Lemajic-Komazec, Zoran Komazec
Introduction. Presbycusis or age-related hearing loss is a physiological elevation of hearing threshold and is one of the leading chronic health problems. A growing number of studies show a correlation between hearing loss in old age and decline in cognitive function. Material and Methods. The Serbian version of the Montreal Cognitive Assessment test was used, and the study included 56 subjects with a confirmed diagnosis of presbycusis of which 29 (51.8%) were hearing aid users. Results. The score of cognitive function in the respondents was lower compared to the results of previous research (mean = 19.07; standard deviation = 5.03). Also, there were significant differences between the scores of cognitive function in persons who used amplification and persons who did not. There was no significant correlation between gender, employment status, and the degree of hearing impairment, while the correlation was significant between the level of education, age, the length of hearing aid use, and the number of hours per day a person used a hearing aid. Regression analysis showed that about 88% of the variance of the dependent variable could be explained by four variables: age, level of education, length of hearing aid use, and daily level of hearing aid use. Conclusion. Persons with presbycusis from the territory of the Autonomous Province of Vojvodina showed poor performance scores on the cognitive ability test compared to the results of other researchers. The results showed that the length of hearing aid use and the daily level of hearing aid use significantly affect the cognitive functions in persons with presbycusis.
{"title":"Indicators of cognitive decline in persons with presbycusis","authors":"Ivana Matic, Sanja Ostojic-Zeljkovic, Mina Nikolic, Sanja Djokovic, Slobodanka Lemajic-Komazec, Zoran Komazec","doi":"10.2298/mpns2302016m","DOIUrl":"https://doi.org/10.2298/mpns2302016m","url":null,"abstract":"Introduction. Presbycusis or age-related hearing loss is a physiological elevation of hearing threshold and is one of the leading chronic health problems. A growing number of studies show a correlation between hearing loss in old age and decline in cognitive function. Material and Methods. The Serbian version of the Montreal Cognitive Assessment test was used, and the study included 56 subjects with a confirmed diagnosis of presbycusis of which 29 (51.8%) were hearing aid users. Results. The score of cognitive function in the respondents was lower compared to the results of previous research (mean = 19.07; standard deviation = 5.03). Also, there were significant differences between the scores of cognitive function in persons who used amplification and persons who did not. There was no significant correlation between gender, employment status, and the degree of hearing impairment, while the correlation was significant between the level of education, age, the length of hearing aid use, and the number of hours per day a person used a hearing aid. Regression analysis showed that about 88% of the variance of the dependent variable could be explained by four variables: age, level of education, length of hearing aid use, and daily level of hearing aid use. Conclusion. Persons with presbycusis from the territory of the Autonomous Province of Vojvodina showed poor performance scores on the cognitive ability test compared to the results of other researchers. The results showed that the length of hearing aid use and the daily level of hearing aid use significantly affect the cognitive functions in persons with presbycusis.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135316824","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}
Slavica Majdevac, Ranko Zdravkovic, Andrej Preveden, Ilija Bjeljac, Mihaela Preveden, Aleksandar Redzek
Introduction. Right heart thrombus is uncommon and it is usually detected by echocardiography in patients with venous thromboembolism. Thrombi attached to the atrial or ventricular wall have a good prognosis; however, free-floating ?snake-like? thrombi are usually associated with massive, unstable pulmonary embolism and high mortality. Case Report. A 43-year-old male patient visited a cardiologist complaining about rapid fatigue and shortness of breath with minimal effort in the last week. An echocardiographic examination confirmed a right heart thrombus and a pulmonary embolism. After the examination, the case was presented to the Heart Team, which made a decision to perform a surgery. After the usual preoperative preparation for emergency surgery, the patient underwent surgery under general endotracheal anesthesia via median sternotomy. Conclusion. The right heart thrombus is associated with risks of possible embolization to the pulmonary circulation and potential circulatory collapse. There was a considerable discrepancy between the apparently mild clinical presentation and the alarming echocardiographic finding of a huge free-floating thrombus. Despite the lack of standardized and precise recommendations for the optimal therapeutic strategy, surgical approach seems to be the best option in emergency cases with large free-floating thrombi.
{"title":"Free-floating right heart thrombus with pulmonary embolism - a case report","authors":"Slavica Majdevac, Ranko Zdravkovic, Andrej Preveden, Ilija Bjeljac, Mihaela Preveden, Aleksandar Redzek","doi":"10.2298/mpns2302058m","DOIUrl":"https://doi.org/10.2298/mpns2302058m","url":null,"abstract":"Introduction. Right heart thrombus is uncommon and it is usually detected by echocardiography in patients with venous thromboembolism. Thrombi attached to the atrial or ventricular wall have a good prognosis; however, free-floating ?snake-like? thrombi are usually associated with massive, unstable pulmonary embolism and high mortality. Case Report. A 43-year-old male patient visited a cardiologist complaining about rapid fatigue and shortness of breath with minimal effort in the last week. An echocardiographic examination confirmed a right heart thrombus and a pulmonary embolism. After the examination, the case was presented to the Heart Team, which made a decision to perform a surgery. After the usual preoperative preparation for emergency surgery, the patient underwent surgery under general endotracheal anesthesia via median sternotomy. Conclusion. The right heart thrombus is associated with risks of possible embolization to the pulmonary circulation and potential circulatory collapse. There was a considerable discrepancy between the apparently mild clinical presentation and the alarming echocardiographic finding of a huge free-floating thrombus. Despite the lack of standardized and precise recommendations for the optimal therapeutic strategy, surgical approach seems to be the best option in emergency cases with large free-floating thrombi.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135316699","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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