M. Čuk, R. Gajanin, S. Djuricic, V. Marić, R. Marić, M. Kovačević
Introduction. Primary appendiceal adenocarcinoma is a very rare malignancy which accounts for 0.1% of all appendectomy specimens. In both patients presented in this paper, appendectomy was performed due to suspected acute complicated appendicitis. Case Reports. The first patient, a 77-year-old man, presented with a low grade colonic-type pT3 adenocarcinoma of the appendix, diagnosed by histopathological examination of the resected appendix delivered in a fixative. A month after appendectomy, the patient underwent right hemicolectomy of a tumor at the edge of the resection. Due to a cardiovascular disease, adjuvant chemotherapy was not indicated. The second patient, a 74-year-old female, presented with a low grade mucinous adenocarcinoma of the appendix with subserous infiltration, diagnosed by histopathological analysis of the resected appendix. Eight months after appendectomy, the patient developed a recurrent tumor in the cecal area. After radical surgical excision of the recurrent tumor, the patient received adjuvant chemotherapy. Both patients had a 5-year survival without relapse. Conclusion. Preoperative diagnosis of appendiceal adenocarcinoma is a challenge due to overlapping symptoms of complicated acute appendicitis. Our results suggest that in elderly patients with symptoms of complicated acute appendicitis, appendectomy should be done with intraoperative histopathological frozen section consultation. In advanced stages of adenocarcinoma, right hemicolectomy is a better choice than appendectomy.
{"title":"Adenocarcinoma of the appendix mimicking complicated appendicitis in the elderly : A report of two cases","authors":"M. Čuk, R. Gajanin, S. Djuricic, V. Marić, R. Marić, M. Kovačević","doi":"10.2298/MPNS1812405C","DOIUrl":"https://doi.org/10.2298/MPNS1812405C","url":null,"abstract":"Introduction. Primary appendiceal adenocarcinoma is a very rare malignancy which accounts for 0.1% of all appendectomy specimens. In both patients presented in this paper, appendectomy was performed due to suspected acute complicated appendicitis. Case Reports. The first patient, a 77-year-old man, presented with a low grade colonic-type pT3 adenocarcinoma of the appendix, diagnosed by histopathological examination of the resected appendix delivered in a fixative. A month after appendectomy, the patient underwent right hemicolectomy of a tumor at the edge of the resection. Due to a cardiovascular disease, adjuvant chemotherapy was not indicated. The second patient, a 74-year-old female, presented with a low grade mucinous adenocarcinoma of the appendix with subserous infiltration, diagnosed by histopathological analysis of the resected appendix. Eight months after appendectomy, the patient developed a recurrent tumor in the cecal area. After radical surgical excision of the recurrent tumor, the patient received adjuvant chemotherapy. Both patients had a 5-year survival without relapse. Conclusion. Preoperative diagnosis of appendiceal adenocarcinoma is a challenge due to overlapping symptoms of complicated acute appendicitis. Our results suggest that in elderly patients with symptoms of complicated acute appendicitis, appendectomy should be done with intraoperative histopathological frozen section consultation. In advanced stages of adenocarcinoma, right hemicolectomy is a better choice than appendectomy.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"131 1","pages":"405-408"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76374600","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}
V. Canadanovic, N. Babic, S. Davidović, A. Miljkovic, Stefan Brunet, S. Barišić
Introduction. The association between diabetes and cataract formation has been shown in many clinical studies. Development of cataract occurs more frequently and at an earlier age in diabetic patients. Due to the increasing prevalence of diabetes worldwide, the incidence of diabetic cataracts steadily rises. While the overall outcomes of cataract surgery are excellent, patients with diabetes may have poorer vision outcomes than those without diabetes. The objective of this study was to evaluate the visual outcomes (visual acuity and visual function), intraoperative and postoperative complications of cataract surgery, and to assess the final surgical outcomes. Material and Methods. The prospective study included 128 patients (133 eyes) with cataract and diagnosis of diabetes mellitus type 2 at least 5 years prior to cataract surgery, operated at the Eye Clinic, Clinical Center of Vojvodina, Novi Sad. A full medical history included patients' age, the time since the diagnosis of diabetes, current management of diabetes, blood pressure and assessment of glycemic control using glycosylated hemoglobin. All patients underwent complete ophthalmological examination before cataract surgery, and were re-examined 7 days, one and six months after the surgery. Results. The mean age of patients at the time of surgery was 63.5 years (SD ± 6.5, range 57 - 70 years) with mean duration of diabetes 8.5 years. The glycosylated haemoglobin level in the group treated with insulin was 6.8 vs. 8.2 in patients on oral medications (p < 0.05). Diabetes mellitus was accompanied by other systemic diseases in 81 patients (63.28%), whereas 45 of 133 operated eyes (33.83%) had other ocular diseases. Intraoperative complications occurred in 20 of 133 operated eyes (15%): posterior capsular rupture with vitreous loss, intraoperative miosis, iris hemorrhage and suprachoroidal hemorrhage. Conclusion. Cataract surgery with intraocular lens implantation is an effective and safe surgical procedure in diabetic patients, and sight threatening complications are rare. Our study confirmed that visual acuity after surgery in diabetic patients depends on the severity of diabetic retinopathy at the time of surgery.
{"title":"Outcome of cataract surgery in diabetic patients","authors":"V. Canadanovic, N. Babic, S. Davidović, A. Miljkovic, Stefan Brunet, S. Barišić","doi":"10.2298/MPNS1808217C","DOIUrl":"https://doi.org/10.2298/MPNS1808217C","url":null,"abstract":"Introduction. The association between diabetes and cataract formation has been shown in many clinical studies. Development of cataract occurs more frequently and at an earlier age in diabetic patients. Due to the increasing prevalence of diabetes worldwide, the incidence of diabetic cataracts steadily rises. While the overall outcomes of cataract surgery are excellent, patients with diabetes may have poorer vision outcomes than those without diabetes. The objective of this study was to evaluate the visual outcomes (visual acuity and visual function), intraoperative and postoperative complications of cataract surgery, and to assess the final surgical outcomes. Material and Methods. The prospective study included 128 patients (133 eyes) with cataract and diagnosis of diabetes mellitus type 2 at least 5 years prior to cataract surgery, operated at the Eye Clinic, Clinical Center of Vojvodina, Novi Sad. A full medical history included patients' age, the time since the diagnosis of diabetes, current management of diabetes, blood pressure and assessment of glycemic control using glycosylated hemoglobin. All patients underwent complete ophthalmological examination before cataract surgery, and were re-examined 7 days, one and six months after the surgery. Results. The mean age of patients at the time of surgery was 63.5 years (SD ± 6.5, range 57 - 70 years) with mean duration of diabetes 8.5 years. The glycosylated haemoglobin level in the group treated with insulin was 6.8 vs. 8.2 in patients on oral medications (p < 0.05). Diabetes mellitus was accompanied by other systemic diseases in 81 patients (63.28%), whereas 45 of 133 operated eyes (33.83%) had other ocular diseases. Intraoperative complications occurred in 20 of 133 operated eyes (15%): posterior capsular rupture with vitreous loss, intraoperative miosis, iris hemorrhage and suprachoroidal hemorrhage. Conclusion. Cataract surgery with intraocular lens implantation is an effective and safe surgical procedure in diabetic patients, and sight threatening complications are rare. Our study confirmed that visual acuity after surgery in diabetic patients depends on the severity of diabetic retinopathy at the time of surgery.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"93 1","pages":"217-221"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74899281","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. We present a patient with a delayed rupture of the spleen following a mild abdominal trauma. For years, the patient was treated for hereditary massive splenomegaly with thrombocytopenia, without established etiology. Case Report . The initial non-operative treatment lasted seven days, after which the patient was readmitted to the Emergency Department with signs of intra-abdominal hemorrhage and underwent emergency open splenectomy. Even after pathohistological examination, the etiology of massive splenomegaly remained unknown. Conclusion. Conservative treatment is not recommended in cases of massive splenomegaly; thorough surgical observation in a tertiary care hospital with interventional radiology and a good multidisciplinary team is necessary, while splenectomy is a surgery of choice.
{"title":"Delayed splenic rupture in massive splenomegaly - a case report","authors":"Srđan S. Putnik, M. Ilic","doi":"10.2298/mpns1802049p","DOIUrl":"https://doi.org/10.2298/mpns1802049p","url":null,"abstract":"Introduction. We present a patient with a delayed rupture of the spleen following a mild abdominal trauma. For years, the patient was treated for hereditary massive splenomegaly with thrombocytopenia, without established etiology. Case Report . The initial non-operative treatment lasted seven days, after which the patient was readmitted to the Emergency Department with signs of intra-abdominal hemorrhage and underwent emergency open splenectomy. Even after pathohistological examination, the etiology of massive splenomegaly remained unknown. Conclusion. Conservative treatment is not recommended in cases of massive splenomegaly; thorough surgical observation in a tertiary care hospital with interventional radiology and a good multidisciplinary team is necessary, while splenectomy is a surgery of choice.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"17 1","pages":"49-51"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78728155","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. Noise is recognized as a physical hazard in the environment, and if it causes adverse effects to human health, it is recognized as a risk. Also, it is a harmful outdoor sound created by human activity. The aim of this paper was to present the history of environmental noise measurements in Novi Sad, as well as the indicators, methods, standards and results during three decades. Material and Methods. From 1985 to 2011, the Institute of Public Health of Vojvodina conducted noise measurements presented as the equivalent continuous sound pressure levels, which were, at the same time, the rating equivalent continuous levels, due to the representativity of the measurement conditions and measurement sites selection. Since 2011, the measurements have included the basic noise indicators - daily, evening, night and total noise, while the measurement sites were ranked in accordance to the European Environmental Noise Directive. Results. There is a lot of available data about environmental noise in Novi Sad from 1985 - 2016, but only the data from five representative measurement sites are presented in the paper. The linear trends of daily and night noise from all the measurement sites show a fall, but it does not mean that the environmental noise is reduced. All the data show that the minimum and maximum values are getting close to each other, which indicates that environmental noise is evenly distributed and is present everywhere. Conclusion. Based on the 30 -year results, always using modern methodology and equipment, as well as expert knowledge, it may be concluded that the environmental noise in Novi Sad presents a long-lasting physical hazard.
{"title":"Environmental noise in Novi Sad 1985 - 2016","authors":"E. Živadinović, M. Jevtić, S. Bijelović","doi":"10.2298/mpns1804137z","DOIUrl":"https://doi.org/10.2298/mpns1804137z","url":null,"abstract":"Introduction. Noise is recognized as a physical hazard in the environment, and if it causes adverse effects to human health, it is recognized as a risk. Also, it is a harmful outdoor sound created by human activity. The aim of this paper was to present the history of environmental noise measurements in Novi Sad, as well as the indicators, methods, standards and results during three decades. Material and Methods. From 1985 to 2011, the Institute of Public Health of Vojvodina conducted noise measurements presented as the equivalent continuous sound pressure levels, which were, at the same time, the rating equivalent continuous levels, due to the representativity of the measurement conditions and measurement sites selection. Since 2011, the measurements have included the basic noise indicators - daily, evening, night and total noise, while the measurement sites were ranked in accordance to the European Environmental Noise Directive. Results. There is a lot of available data about environmental noise in Novi Sad from 1985 - 2016, but only the data from five representative measurement sites are presented in the paper. The linear trends of daily and night noise from all the measurement sites show a fall, but it does not mean that the environmental noise is reduced. All the data show that the minimum and maximum values are getting close to each other, which indicates that environmental noise is evenly distributed and is present everywhere. Conclusion. Based on the 30 -year results, always using modern methodology and equipment, as well as expert knowledge, it may be concluded that the environmental noise in Novi Sad presents a long-lasting physical hazard.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"14 1","pages":"137-143"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88268263","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}
Aleksandra Lučić-Prokin, Armin Pakoci, S. Popovic, A. Uvelin
Introduction. The incidence of intracerebral hemorrhage related to oral anticoagulant and antiplatelet therapy has an increasing trend, thus it may be a potential indicator of unvaforable outcome of primary intracerebral hemorrhage. The aim of the study was to determine the effect of these therapies on the occurrence, localization and outcome of primary intracerebral hemorrhage. Material and Methods. A retrospective study included 246 patients with first time diagnosed primary intracerebral hemorrhage. Patients were divided into three groups, according to the drugs they have used. The incidence, anatomical distribution of primary intracerebral hemorrhage and survival/mortality rates were observed in all groups. Results. Antiplatelet therapy was used by 20.3% of patients, 8.2% received antocoagulant therapy, while the rest of 71.5% did not take these drugs in the premorbid period. The most common risk factor was arterial hypertension (97.2%). In all groups, patients had a tendency for supratentorial hematomas. Only alcohol consumption had a significant impact on the localization of hemorrhage (p < 0,05). There was no statistically significant difference between groups in National Institutes of Health Stroke Scale score on admission and a modified Rankin Scale Score at discharge. Oral anticoagulant users presented with the highest mortality rate in the first 24 hours (odds ratio - 2.5). Patients in other two groups showed a significantly higher survival rate (odds ratio - 1.5). Conclusion. Oral anticoagulant users had significantly higher National Institutes of Health Stroke Scale score on admission with an increased risk for early death. A significantly higher percentage of survival was noted in other two groups. Approximately 2/3 of all patients had poor functional recovery.
{"title":"Effect of anticoagulant and antiplatelet therapy on the occurrence of primary intracerebral hemorrhage","authors":"Aleksandra Lučić-Prokin, Armin Pakoci, S. Popovic, A. Uvelin","doi":"10.2298/mpns1802042p","DOIUrl":"https://doi.org/10.2298/mpns1802042p","url":null,"abstract":"Introduction. The incidence of intracerebral hemorrhage related to oral anticoagulant and antiplatelet therapy has an increasing trend, thus it may be a potential indicator of unvaforable outcome of primary intracerebral hemorrhage. The aim of the study was to determine the effect of these therapies on the occurrence, localization and outcome of primary intracerebral hemorrhage. Material and Methods. A retrospective study included 246 patients with first time diagnosed primary intracerebral hemorrhage. Patients were divided into three groups, according to the drugs they have used. The incidence, anatomical distribution of primary intracerebral hemorrhage and survival/mortality rates were observed in all groups. Results. Antiplatelet therapy was used by 20.3% of patients, 8.2% received antocoagulant therapy, while the rest of 71.5% did not take these drugs in the premorbid period. The most common risk factor was arterial hypertension (97.2%). In all groups, patients had a tendency for supratentorial hematomas. Only alcohol consumption had a significant impact on the localization of hemorrhage (p < 0,05). There was no statistically significant difference between groups in National Institutes of Health Stroke Scale score on admission and a modified Rankin Scale Score at discharge. Oral anticoagulant users presented with the highest mortality rate in the first 24 hours (odds ratio - 2.5). Patients in other two groups showed a significantly higher survival rate (odds ratio - 1.5). Conclusion. Oral anticoagulant users had significantly higher National Institutes of Health Stroke Scale score on admission with an increased risk for early death. A significantly higher percentage of survival was noted in other two groups. Approximately 2/3 of all patients had poor functional recovery.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"52 1","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73727166","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}
Igor Repic, Gordana Repić, D. Zarić, Andjelija Petrovic
Introduction. Chronic periapical lesion is a pathological process of the root apex and the surrounding alveolar bone. Granuloma, which is a term that usually describes a chronic periapical process, represents a mass of granulation tissue at the apex of a devitalized tooth. Such lesions are treated by conventional (endodontic) therapy or surgery. The aim of this study was to assess clinical and radiographic outcomes of surgical treatment of chronic periapical lesions in multirooted teeth. Material and Methods. This prospective study included 30 patients who underwent a standard Partsch surgical procedure. The root canals, without previous endodontic treatment, were obturated immediately before surgery, or intraoperatively. The canals with short fillings or teeth with fixed prosthetics were retrogradely obturated. Zinc-phosphate cement condensed with gutta-percha cone was used for obturation. Evaluation of clinical outcomes was performed 6, 12 and 24 months after surgery, and radiographic outcomes after 12 and 24 months, respectively. Results. After surgery, a statistically significant improvements of treatment outcomes were observed between the follop-ups (p < 0.000). The overall success rate of chronic periapical lesions in multirooted teeth 24 months after surgery was 83.3% for clinical and 66.7% for radiographic outcomes. Conclusion. The results of clinical and radiographic parameters after surgical treatment outcomes in multirooted teeth were satisfying. Therefore, we may conclude that surgical treatment can be considered as a primary treatment option in the management of chronic periapical lesions.
{"title":"Clinical and radiographic outcomes of surgical management of chronic periapical lesions in multirooted teeth","authors":"Igor Repic, Gordana Repić, D. Zarić, Andjelija Petrovic","doi":"10.2298/MPNS1802009R","DOIUrl":"https://doi.org/10.2298/MPNS1802009R","url":null,"abstract":"Introduction. Chronic periapical lesion is a pathological process of the root apex and the surrounding alveolar bone. Granuloma, which is a term that usually describes a chronic periapical process, represents a mass of granulation tissue at the apex of a devitalized tooth. Such lesions are treated by conventional (endodontic) therapy or surgery. The aim of this study was to assess clinical and radiographic outcomes of surgical treatment of chronic periapical lesions in multirooted teeth. Material and Methods. This prospective study included 30 patients who underwent a standard Partsch surgical procedure. The root canals, without previous endodontic treatment, were obturated immediately before surgery, or intraoperatively. The canals with short fillings or teeth with fixed prosthetics were retrogradely obturated. Zinc-phosphate cement condensed with gutta-percha cone was used for obturation. Evaluation of clinical outcomes was performed 6, 12 and 24 months after surgery, and radiographic outcomes after 12 and 24 months, respectively. Results. After surgery, a statistically significant improvements of treatment outcomes were observed between the follop-ups (p < 0.000). The overall success rate of chronic periapical lesions in multirooted teeth 24 months after surgery was 83.3% for clinical and 66.7% for radiographic outcomes. Conclusion. The results of clinical and radiographic parameters after surgical treatment outcomes in multirooted teeth were satisfying. Therefore, we may conclude that surgical treatment can be considered as a primary treatment option in the management of chronic periapical lesions.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"9 6 1","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78464241","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. The aim of this research was to assess the efficiency and safety of a natural product N-acetylcysteine and propolis in the children with acute respiratory infections with increased mucus production and cough. Material and Methods. The research was conducted in the period April 2016 - February 2017 among 145 pediatric patients aged 3 to 14 years with symptoms of acute respiratory infection. They were divided into two groups. Group A - preschool and Group B - school children. The first clinical examination included demographic data, physical examination. filling out the quality of cough questionnaire, and taking nasal and pharyngeal swabs. After a ten-day therapy, physical examination was conducted, quality of cough questionnaire was refilled and swabs were taken. Results. Group A included 73 and Group B 72 children. No statistically significant difference was observed in the incidence of respiratory disease episodes. In Group B children received antibiotics less often. started school at an early age and more children had daily activities in regard to children in Group A. Statistically, both groups of children coughed early in the morning more than during the day. The results of control swab tests were negative in both groups. No side effects were reported in either group. Conclusion. The propolis combined with N-acetylcysteine in a pediatric syrup is a good choice in the treatment of acute respiratory infections in children with accompanied mucus production and cough. The product is efficient and safe for all age groups.
{"title":"The efficiency and safety of a dietary supplement used in the treatment of preschool and school children with acute respiratory infections","authors":"L. Sagić, K. Milosevic, O. Ostojić, A. Agić","doi":"10.2298/MPNS1806180S","DOIUrl":"https://doi.org/10.2298/MPNS1806180S","url":null,"abstract":"Introduction. The aim of this research was to assess the efficiency and safety of a natural product N-acetylcysteine and propolis in the children with acute respiratory infections with increased mucus production and cough. Material and Methods. The research was conducted in the period April 2016 - February 2017 among 145 pediatric patients aged 3 to 14 years with symptoms of acute respiratory infection. They were divided into two groups. Group A - preschool and Group B - school children. The first clinical examination included demographic data, physical examination. filling out the quality of cough questionnaire, and taking nasal and pharyngeal swabs. After a ten-day therapy, physical examination was conducted, quality of cough questionnaire was refilled and swabs were taken. Results. Group A included 73 and Group B 72 children. No statistically significant difference was observed in the incidence of respiratory disease episodes. In Group B children received antibiotics less often. started school at an early age and more children had daily activities in regard to children in Group A. Statistically, both groups of children coughed early in the morning more than during the day. The results of control swab tests were negative in both groups. No side effects were reported in either group. Conclusion. The propolis combined with N-acetylcysteine in a pediatric syrup is a good choice in the treatment of acute respiratory infections in children with accompanied mucus production and cough. The product is efficient and safe for all age groups.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"48 1","pages":"180-185"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80768017","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. Spasticity is an interrupted or constant hyperactivity of the sceletal muscles, caused by lesion of the upper motor neuron. The aim of this article was to gather scientifically and clinically important data about spasticity. Morpho-functional basis on which spasticity originates. The spasm is motoric disorder in which an increased muscle tone is present (especially of antigravity muscles), with slower movements and tendency of appearing moderate atrophy and contractures. Etiology. Spasticity may be caused by stroke; demyelinating diseases (sclerosis multiplex, amyotrophic lateral sclerosis); cerebral palsy; tumors; brain and spinal cord damage (trauma, ischemia, surgical intervention); other neurodegenerative diseases. Symptoms. There are a number of symptoms: increased muscle tone, joint stiffness, overactive reflexes, involuntary jerky movements, which may include spasms and clonus, pain, decreased functional abilities and delayed motor development, difficulty with care and hygiene, unusual posture, abnormal positioning of fingers, wrists, arms, or shoulders, contractures or muscle tightness. Management of spasticity- therapeutic treatment: physical therapy and rehabilitation, medicamentous and surgical treatment. Conclusion. Spasticity is a complex phenomenon with constant hyperactivity of the sceletal muscles, it is one component of upper motoneuron syndrome and many neurological diseases and disorders. Therapeutic treatment of spasticity should be highly specific, individualized, multidisciplinar and conducted carefully, controlled with the purpose of functional improvement and pain relief. It is significant to know that sometimes spasticity is useful and should not be removed. There is a need for standardized protocols for 'best practice' in management of spasticity.
{"title":"Spasticity - a result of central nervous system injury","authors":"N. Naumović","doi":"10.2298/MPNS1802005N","DOIUrl":"https://doi.org/10.2298/MPNS1802005N","url":null,"abstract":"Introduction. Spasticity is an interrupted or constant hyperactivity of the sceletal muscles, caused by lesion of the upper motor neuron. The aim of this article was to gather scientifically and clinically important data about spasticity. Morpho-functional basis on which spasticity originates. The spasm is motoric disorder in which an increased muscle tone is present (especially of antigravity muscles), with slower movements and tendency of appearing moderate atrophy and contractures. Etiology. Spasticity may be caused by stroke; demyelinating diseases (sclerosis multiplex, amyotrophic lateral sclerosis); cerebral palsy; tumors; brain and spinal cord damage (trauma, ischemia, surgical intervention); other neurodegenerative diseases. Symptoms. There are a number of symptoms: increased muscle tone, joint stiffness, overactive reflexes, involuntary jerky movements, which may include spasms and clonus, pain, decreased functional abilities and delayed motor development, difficulty with care and hygiene, unusual posture, abnormal positioning of fingers, wrists, arms, or shoulders, contractures or muscle tightness. Management of spasticity- therapeutic treatment: physical therapy and rehabilitation, medicamentous and surgical treatment. Conclusion. Spasticity is a complex phenomenon with constant hyperactivity of the sceletal muscles, it is one component of upper motoneuron syndrome and many neurological diseases and disorders. Therapeutic treatment of spasticity should be highly specific, individualized, multidisciplinar and conducted carefully, controlled with the purpose of functional improvement and pain relief. It is significant to know that sometimes spasticity is useful and should not be removed. There is a need for standardized protocols for 'best practice' in management of spasticity.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"1 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79886591","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}
{"title":"Breastfeeding through the centuries","authors":"O. Milankov","doi":"10.2298/MPNS1806151M","DOIUrl":"https://doi.org/10.2298/MPNS1806151M","url":null,"abstract":"","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"42 1","pages":"151-156"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82816495","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}
A. Božić, I. Mikov, Djordje Gajdobranski, Branislava Brestovački-Svitlica, Zlatko Ćirić
SummaryIntroduction. Even though lumbar pain is one of the most com mon medical problems of today, it is difficult to determine its precise origin. When identifying the risk factors for developing lumbar pain, one should also take into account the personal characteristics such as gender, age, body mass index, smoking habits, physical activities etc. The basic goal of this study was to assess the relationship between the socio-demographic char acteristics (age, gender, level of education), the body mass in -dex, smoking habits, and lumbar pain in nurses. Material and Methods. This cross-sectional study was conducted in five healthcare institutions in the area of Vojvodina by interviewing nurses by means of the modified Nordic questionnaire. Results. The participants were predominantly female, the majority of them having secondary school degree. The study revealed a statistically significant relationship between lumbar pain and the increase of age and body mass index, while smoking habits did not influence the occurrence of lumbar pain. Conclusion. A better organization of work in relation to the age and gender as well body mass control would reduce the risk of lumbar pain.
{"title":"Influence of personal characteristics on the occurrence of lumbar pain in nurses","authors":"A. Božić, I. Mikov, Djordje Gajdobranski, Branislava Brestovački-Svitlica, Zlatko Ćirić","doi":"10.2298/MPNS18S1065B","DOIUrl":"https://doi.org/10.2298/MPNS18S1065B","url":null,"abstract":"SummaryIntroduction. Even though lumbar pain is one of the most com mon medical problems of today, it is difficult to determine its precise origin. When identifying the risk factors for developing lumbar pain, one should also take into account the personal characteristics such as gender, age, body mass index, smoking habits, physical activities etc. The basic goal of this study was to assess the relationship between the socio-demographic char acteristics (age, gender, level of education), the body mass in -dex, smoking habits, and lumbar pain in nurses. Material and Methods. This cross-sectional study was conducted in five healthcare institutions in the area of Vojvodina by interviewing nurses by means of the modified Nordic questionnaire. Results. The participants were predominantly female, the majority of them having secondary school degree. The study revealed a statistically significant relationship between lumbar pain and the increase of age and body mass index, while smoking habits did not influence the occurrence of lumbar pain. Conclusion. A better organization of work in relation to the age and gender as well body mass control would reduce the risk of lumbar pain.","PeriodicalId":18511,"journal":{"name":"Medicinski pregled","volume":"1 1","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86279107","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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