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Lip print pattern variations in the population of Vojvodina Province, Serbia: A pilot study 塞尔维亚伏伊伏丁那省人口唇印模式的变化:一项试点研究
Pub Date : 2018-01-01 DOI: 10.2298/MPNS1806162V
S. Veselinović, D. Zigic, J. T. Veljovic, Z. A. Maletin, S. Babovic
Introduction. Lip prints are considered to be an important form of transfer evidence, analogous to fingerprints, and can be very useful in forensic investigations and personal identification. Although previous studies have confirmed that lip print patterns are individual and unique for each person, they show similarities between family members, strongly indicating the possibility of inheritance pattern of lip prints. Since heredity may play an important role in lip print development, ethnic groups geographically closely located tend to share similar patterns of lip prints in comparison to more distant populations, so a characteristic lip pattern may indicate a person's geographical and racial origin. Material and Methods. Lip prints of 211 healthy individuals (107 females and 104 males), residents of Vojvodina Province, Serbia, were analyzed and classified using the Suzuki and Tsuchihashi classification. Results. In the studied sample, type II pattern was the most common in both the upper and lower lip, being predominant in 45.85% of the studied samples. It was followed by types III, I, and IV accounting for 31.28%, 15.28% and 4.62%, respectively. The results of the current study are in accordance with the results of previous studies of European populations. The Pearson chi-square test showed a statistically significant difference between the lip print patterns in males and females. Conclusion. A comparison of lip print patterns between males and females showed a statistically significant difference, supporting the hypothesis that lip prints may be useful in sex determination.
介绍。唇印被认为是一种重要的转移证据形式,类似于指纹,在法医调查和个人身份识别中非常有用。虽然之前的研究已经证实,唇印模式是每个人的个体和独特的,但它们显示了家庭成员之间的相似性,这有力地表明了唇印遗传模式的可能性。由于遗传可能在唇印的形成中起着重要的作用,地理位置较近的种族群体与距离较远的人群相比,往往具有相似的唇印模式,因此一个特征的唇印模式可能表明一个人的地理和种族起源。材料和方法。对塞尔维亚伏伊伏丁那省211名健康个体(女性107人,男性104人)的唇印进行了分析,并采用Suzuki和Tsuchihashi分类方法进行了分类。结果。在研究样本中,II型型以上唇和下唇最常见,占45.85%。其次是III型、I型和IV型,分别占31.28%、15.28%和4.62%。目前的研究结果与之前对欧洲人口的研究结果一致。皮尔逊卡方检验显示,男性和女性的唇印模式有统计学上的显著差异。结论。一项对男性和女性唇印模式的比较显示了统计上的显著差异,支持了唇印可能在性别决定中有用的假设。
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引用次数: 1
Early stroke after carotid endarterectomy : A case series during a 5-year period 颈动脉内膜切除术后早期中风:5年期间的病例系列
Pub Date : 2018-01-01 DOI: 10.2298/MPNS1812389M
C. Manojlović, D. Milošević, N. Budakov, V. Marković, D. Nikolić
Introduction. Carotid endarterectomy is an efficient surgical procedure of primary and secondary prevention of ischemic stroke in asymptomatic and symptomatic patients with extra cranial carotid artery disease. Material and Methods. In this paper we analyzed incidence, risk factors, potential causes and preventive measures for early stroke after carotid endarterectomy in patients (809) who underwent surgery for carotid artery stenosis at the Clinic of Vascular and Endovascular Surgery of the Clinical Center of Vojvodina in Novi Sad during a five year period (April 2013 - March 2018). Results and Discussion. Early operative stroke was registered in 12 patients with no significant difference between symptomatic (2.8%) and asymptomatic (1.1%) patients (odds ratio - 2,56, 95% confidence interval - 0.8063 to 8.1770 standard deviation 1,596; p = 0,11). Contralateral carotid occlusion (odds ratio - 3.1154, 95% confidence interval - 1.1620 to 8.3522, p = 0.0239) and no dual antiplatelet therapy (odds ratio - 3.1154, 95% confidence interval - 1.8537 to 526.4871; p = 0.0169) were pointed out as risk factors for operative stroke. Most of the perioperative and early postoperative strokes after carotid endarterectomy were due to arterial-arterial thromboembolism, intracerebral hemorrhage and acute carotid occlusion that developed rarely and were associated with severe neurological deficit. Conclusion. Even though our results are in agreement with the literature data, additional measures for surgical quality control would further decrease the incidence of operative stroke.
介绍。颈动脉内膜切除术是无症状和有症状的颅外颈动脉病变患者缺血性卒中一级和二级预防的有效手术方法。材料和方法。在本文中,我们分析了在诺维萨德伏伊伏丁那临床中心血管和血管内手术诊所(809例)接受颈动脉狭窄手术的患者(2013年4月至2018年3月)颈动脉内膜切除术后早期卒中的发生率、危险因素、潜在原因和预防措施。结果和讨论。12例患者登记了早期手术卒中,有症状(2.8%)和无症状(1.1%)患者之间无显著差异(优势比- 2,56,95%置信区间- 0.8063至8.1770,标准差为1,596;P = 0,11)。对侧颈动脉闭塞(优势比- 3.1154,95%可信区间- 1.1620至8.3522,p = 0.0239)和无双重抗血小板治疗(优势比- 3.1154,95%可信区间- 1.8537至526.4871;P = 0.0169)为手术卒中的危险因素。颈动脉内膜切除术后围手术期及术后早期卒中多为动脉-动脉血栓栓塞、脑出血及急性颈动脉闭塞所致,发生较少,伴有严重的神经功能缺损。结论。尽管我们的结果与文献数据一致,但额外的手术质量控制措施将进一步降低手术卒中的发生率。
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引用次数: 0
A large idiopathic pseudoaneurysm of the popliteal artery: A case report 腘动脉大特发性假性动脉瘤1例
Pub Date : 2018-01-01 DOI: 10.2298/MPNS1804125B
S. Budinski, D. Nikolić, J. Pasternak
Introduction. Pseudoaneurysm, also known as a false aneurysm, is a collection of blood which passes through individual layers of the blood vessel or through all layers, but it is retained in the surrounding soft tissues. Case Report. We report presents a 41-year-old patient with a large idiopathic pseudaneurysm of the second segment of the popliteal artery, referred by an orthopedist with a magnetic resonance image of the left leg. The patient's medical history showed that the pain started three weeks ago, the swelling in the left popliteal fossa about 6 months ago, and a large, painful, non-pulsatile tumefaction was found during the examination, resulting in a 90 degrees flexion contracture of the left knee. The magnetic resonance showed a pseudoaneurysm of the left popliteal artery, and an emergency computed tomography angiography was performed; it confirmed a pseudoaneurysm of the left leg second segment of the left popliteal artery without signs of obliterative diseases. The posterior approach and exposition of the popliteal artery was applied; autovenous graft interposition with a great saphenous vein of the right leg was done. Conclusion. Early diagnosis plays an important role in avoiding temporary and permanent complications. Arterial reconstruction with autovein grafting is a gold standard and a method of choice in the surgery of the pseudaneurysm of the popliteal artery. The temporary setting of occlusive Fogarty catheters reduces damage to the surrounding tissue, accelerates bleeding control, which together shortens the time of surgery.
介绍。假性动脉瘤,也被称为假性动脉瘤,是一种血液的集合,它穿过血管的各个层或所有层,但它保留在周围的软组织中。病例报告。我们报告了一位41岁的患者,其腘动脉第二段有一个巨大的特发性假性动脉瘤,由骨科医生用左腿的磁共振图像转诊。患者病史显示,疼痛开始于三周前,约6个月前左腘窝肿胀,检查时发现大、痛、无搏动性肿胀,导致左膝90度屈曲挛缩。磁共振显示左腘动脉假性动脉瘤,并进行了紧急计算机断层血管造影;它证实了左腿左腘动脉第二段的假性动脉瘤,没有闭塞性疾病的迹象。应用后路显露腘动脉;采用自体静脉与右腿大隐静脉间置术。结论。早期诊断对于避免暂时性和永久性并发症起着重要作用。自体静脉移植动脉重建是腘动脉假性动脉瘤手术的金标准和首选方法。暂时设置阻塞的福格蒂导管减少了对周围组织的损伤,加速了出血的控制,这些共同缩短了手术时间。
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引用次数: 0
Epidemiological characteristics of suicide in the Autonomous Province of Vojvodina 伏伊伏丁那自治省自杀的流行病学特征
Pub Date : 2018-01-01 DOI: 10.2298/MPNS1810277K
Dragana Kačavenda-Babović, P. Djurić, R. Babović, T. Dugandžija, Jelena Djekić-Malbaša, Smiljana Rajčević
Introduction. Suicide is defined as a conscious and deliberate taking of one's own life, or a self-destructive behavior with a fatal outcome. Every year, millions of people are affected by suicide or the feeling of grief. The aim of our research was to review the basic epidemiological characteristics of suicide in the Autonomous Province of Vojvodina, in order to assist in targeted prevention programs. Material and Methods. A retrospective, observational study was conducted. The data were analyzed in chronological order and in accordance with different demographic characteristics and topographic distribution. Basic statistical indicators were used as parameters: non-standardized, standardized and specific mortality rates. Results. During the observed period, from 1991 until the end of 2010, in the Autonomous Province of Vojvodina, the average annual non-standardized suicide rate was 27.9/100,000 inhabitants. The highest suicide rate was recorded in 1992 and 1993 (33.7/100,000 and 34.5/100,000, respectively) and in 1999 (31.5/100,000). The highest age-specific suicide rate was recorded in ≥ 80 year-old age group (120.5/100,000). The suicide rates were significantly higher among males, while the most common suicide method for both sexes was by hanging (69.9%). The highest average annual suicide rate was recorded among widowers (176.9/100,000) and widows (37.8/100,000). The lowest number of suicides was recorded in persons with higher level of education. Conclusion. Since in the Autonomous Province of Vojvodina persons at increased risk for suicide include males, the elderly population, persons with low education levels, and people who lost their partners, suicide prevention strategies should target these groups, including primary and secondary prevention measures.
介绍。自杀被定义为有意识和故意地结束自己的生命,或一种具有致命后果的自我毁灭行为。每年,数以百万计的人受到自杀或悲伤情绪的影响。我们研究的目的是回顾伏伊伏丁那自治省自杀的基本流行病学特征,以协助有针对性的预防方案。材料和方法。进行回顾性观察性研究。根据不同的人口特征和地形分布,按时间顺序对数据进行分析。采用基本统计指标作为参数:非标准化、标准化和特定死亡率。结果。在1991年至2010年底的观察期间,伏伊伏丁那自治省的年均非标准化自杀率为27.9/10万居民。自杀率最高的年份是1992年和1993年(分别为33.7/10万和34.5/10万)和1999年(31.5/10万)。年龄≥80岁年龄组自杀率最高(120.5/10万)。男性的自杀率明显较高,而最常见的自杀方式是上吊(69.9%)。年平均自杀率最高的是鳏夫(176.9/10万)和寡妇(37.8/10万)。自杀人数最低的是受教育程度较高的人。结论。由于伏伊伏丁那自治省自杀风险增加的人群包括男性、老年人口、受教育程度低的人和失去伴侣的人,自杀预防战略应针对这些群体,包括初级和二级预防措施。
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引用次数: 0
The assessment of patient safety culture - the psychometric study of the Serbian version of the questionnaire hospital survey on patient safety culture 病人安全文化的评估——塞尔维亚版医院病人安全文化调查问卷的心理测量学研究
Pub Date : 2018-01-01 DOI: 10.2298/MPNS18S1045B
Branislava Brestovački-Svitlica, D. Milutinović, A. Božić, S. Maletin, Ivica Lalić
SummaryIntroduction. The advancement of patient safety culture with in a health institution is the basic component of reduction of errors and the improvement of the general quality of healthcare. The aim of this study was to assess the patient safety culture by means of Hospital Survey on Patient Safety Culture in the Serbian setting. Material and Methods. The survey was conducted in five health institutions in the form of cross section study, which included 1,435 health care workers. Results. Nine dimensions have been selected out of 37 items by explorative factor analysis. The total percentage of positive response was 51%. The highest (70%) and the lowest (33%) percentage of positive responses were obtained in the dimen sions “Overall perceptions of safety” and “Nonpunitive response to errors”, respectively. More than half of the respondents assessed the patient safety as excellent/very good. In the last 12 months, more than half of the respondents have not reported an adverse event. Conclusions. The survey results indicate that changes are necessary in all domains of patient safety culture. Healthcare policy makers have to take responsibility for the implementation of safety culture in every health institution. Patient safety culture can be observed and advanced by full commitment of all those involved in the health care system, understanding both the causes of adverse events and errors, as well as by applying efficient methods to reduce them to the minimum.
SummaryIntroduction。在医疗机构中推进患者安全文化是减少错误和提高医疗保健总体质量的基本组成部分。本研究的目的是评估病人安全文化,通过医院调查病人安全文化在塞尔维亚设置。材料和方法。该调查以横断面调查的形式在5家卫生机构进行,调查对象为1435名卫生工作者。结果。通过探索性因子分析,从37个项目中筛选出9个维度。总阳性率为51%。在“对安全的总体感知”和“对错误的非惩罚性反应”两个维度中,积极回应的比例分别最高(70%)和最低(33%)。超过一半的受访者对患者安全的评价为“优秀/非常好”。在过去的12个月里,超过一半的受访者没有报告过不良事件。结论。调查结果表明,在患者安全文化的各个领域都需要改变。卫生保健政策制定者必须承担在每个卫生机构实施安全文化的责任。通过卫生保健系统中所有相关人员的充分承诺,了解不良事件和错误的原因,以及采用有效的方法将其减少到最低限度,可以观察和推进患者安全文化。
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引用次数: 2
Association between human papillomavirus infection and atypical cervical squamous cells 人乳头瘤病毒感染与非典型宫颈鳞状细胞的关系
Pub Date : 2018-01-01 DOI: 10.2298/MPNS1810301D
D. Dabeski
Introduction. The aim of the study was to confirm the association between human papillomavirus infection and atypical cervical squamous cells. Material and Methods. This cross-sectional study, conducted in the period from January 2016 to June 2017, included 128 sexually active women, aged 20 to 59 years with squamous cell abnormalities of the cervical cytology, who came to their annual gynecological exam at the University Clinic of Gynecology and Obstetrics in Skopje. All patients underwent human papillomavirus testing and colposcopy cervical biopsy with endocervical curettage for histopathological analysis. Results. Data analysis showed an increase in the human papillomavirus infection alongside with cytological (p = 0.029296) and histopathological (p = 0.029443) increasing grades of cervical lesions. It showed an association between the oncogenic potential of the virus and the cytological (p = 0.000086) and histopathological (p = 0.00001) grades of cervical lesions. A human papillomavirus infection was detected in 75.00% of the examined women. The relationship between the prevalence of high-risk and low-risk human papillomavirus genotypes was 56.25%: 10.94%. Mixed human papillomavirus infection was detected in 32.03% of all patients, in 42.71% of human papillomavirus positive patients. The most common human papillomavirus genotypes, in descending order, were human papillomavirus-16 (43.75%), human papillomavirus-31 (15.62%), human papillomavirus-18 10.4%), human papillomavirus-45 (9.37%), human papillomavirus-33 (7.29%), etc. Conclusion. This study has confirmed an association between human papillomavirus infection and squamous cell abnormalities of the uterine cervix. Young women under 30 years of age were the most affected group.
介绍。该研究的目的是确认人类乳头瘤病毒感染与非典型宫颈鳞状细胞之间的联系。材料和方法。这项横断面研究于2016年1月至2017年6月期间进行,包括128名年龄在20至59岁的性活跃女性,宫颈细胞学鳞状细胞异常,她们在斯科普里大学妇产科诊所进行年度妇科检查。所有患者均行人乳头瘤病毒检测和阴道镜宫颈活检及宫颈内膜刮除术进行组织病理学分析。结果。数据分析显示,人乳头瘤病毒感染随着细胞学(p = 0.029296)和组织病理学(p = 0.029443)宫颈病变等级的增加而增加。它显示了病毒的致癌潜能与宫颈病变的细胞学(p = 0.000086)和组织病理学(p = 0.00001)分级之间的关联。在接受检查的妇女中检出75.00%的人乳头瘤病毒感染。高危型和低危型人乳头瘤病毒患病率的相关性为56.25%:10.94%。32.03%的患者存在混合性人乳头瘤病毒感染,42.71%的患者存在混合性人乳头瘤病毒感染。最常见的人乳头瘤病毒基因型依次为人乳头瘤病毒-16型(43.75%)、人乳头瘤病毒-31型(15.62%)、人乳头瘤病毒-18型(10.4%)、人乳头瘤病毒-45型(9.37%)、人乳头瘤病毒-33型(7.29%)等。结论。本研究证实了人乳头瘤病毒感染与宫颈鳞状细胞异常之间的联系。30岁以下的年轻妇女是受影响最大的群体。
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引用次数: 0
History of research involving mentally disabled persons - from exploitation through exclusion to appropriate inclusion 涉及智障人士的研究历史——从剥削到排斥再到适当包容
Pub Date : 2018-01-01 DOI: 10.2298/MPNS1810337D
T. Dakić
Introduction. The inability to protect their own interests makes mentally disabled subjects particularly vulnerable; they face an increased likelihood of being wronged or harmed in the context of research. Therefore, they are due to having extra protection and safeguarding. History of research misconduct and abuse of mentally ill patients. The 20th century abounds with examples of ethically inadmissible experiments conducted on decisionally impaired patients. The most infamous among them are surely the atrocities of the Nazi doctors, whose fraudulent ex­periments resulted in death of hundreds of thousands of imprisoned innocent and mentally ill individuals. Current and previous regulations and recommendations on research involving the mentally ill. Extreme use of potentially vulnerable mentally ill persons in research has led to a set of policies and practices for protection from exploitation and abuse of human research participants. While the regulations initially protected these vulnerable patients by prohibiting research including the mentally disabled, current guidelines propose appropriate safe­guarding so that they may be involved in appropriate research. Conclusion. Protection measures for the mentally disabled persons who are unable to consent to their involvement in research, by banning all biomedical research including the mentally ill are restrictive and unnecessary. Even if well-intended, such overprotection is discriminatory and implies that new treatments for conditions that directly affect the incapacitated subjects will not be developed. Providing that they are properly protected from unnecessary harms, appropriate inclusion of vulnerable mentally ill patients in research is necessary in order to meet their health needs in a safe manner.
介绍。无法保护自身利益使智障受试者特别容易受到伤害;他们在研究中受到冤枉或伤害的可能性越来越大。因此,他们是由于有额外的保护和保障。研究不当和虐待精神病患者的历史。在20世纪,对决策障碍患者进行道德上不可接受的实验的例子比比皆是。其中最臭名昭著的无疑是纳粹医生的暴行,他们的欺诈性实验导致数十万被监禁的无辜者和精神病患者死亡。关于精神疾病研究的现行和以前的法规和建议。在研究中极端利用可能易受伤害的精神病患者,导致了一套保护人类研究参与者免遭剥削和虐待的政策和做法。虽然法规最初通过禁止包括智障在内的研究来保护这些易受伤害的患者,但目前的指导方针提出了适当的安全保护措施,以便他们可以参与适当的研究。结论。通过禁止包括精神病患者在内的所有生物医学研究,对无法同意参与研究的精神残疾者采取的保护措施是限制性的和不必要的。即使是出于好意,这种过度保护也是歧视性的,并意味着对直接影响无行为能力受试者的病症的新治疗方法将无法开发出来。只要他们得到适当保护,免受不必要的伤害,就有必要将易受伤害的精神病患者适当纳入研究,以便以安全的方式满足他们的健康需要。
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引用次数: 0
Meteoropathy and meteorosensitive persons 气象病及气象敏感人士
Pub Date : 2018-01-01 DOI: 10.2298/MPNS1804131Z
M. Zikic, T. Rabi-Žikić
Introduction. The authors are dealing with the questions often asked by their patients: how weather changes, oscillations in humidity, air pressure and other climate factors affect functioning of the human body. Meteorology and Biometeorology. Definitions of meteorology and biometeorology are given, describing some of the most important characteristics, such as the types of disorders and the reasons for their occurrence, frequency, gender and age factors, etc. with particular reference to disorders related to the mental and nervous functions. Discussion. The possibilities of prevention, the importance of monitoring biometeorology forecasts and the questionable need for drug use during the seasonal shifts, which cause fatigue, irritability, poor concentration and apathy, hypersensitivity to pain, headache, dizziness, anxiety, head buzzing, etc. are discussed.
介绍。作者正在处理病人经常问的问题:天气变化、湿度波动、气压和其他气候因素是如何影响人体功能的。气象学和生物气象学。给出了气象学和生物气象学的定义,描述了一些最重要的特征,例如疾病的类型及其发生的原因、频率、性别和年龄因素等,特别是与精神和神经功能有关的疾病。讨论。讨论了预防的可能性、监测生物气象预报的重要性以及在季节变化期间使用药物的可疑必要性,这些变化会导致疲劳、易怒、注意力不集中和冷漠、对疼痛过敏、头痛、头晕、焦虑、头嗡嗡声等。
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引用次数: 9
Motivation and job satisfaction of healthcare professionals in urban and rural areas in the autonomous province of Vojvodina, Serbia 塞尔维亚伏伊伏丁那自治省城乡保健专业人员的积极性和工作满意度
Pub Date : 2018-01-01 DOI: 10.2298/mpns1802033g
M. Grujicic, J. Jovičić-Bata, B. Novaković
Introduction. Motivation and job satisfaction of healthcare professionals represent the basis for providing quality health care. The aim of the study was to establish whether there is a difference in motivation and job satisfaction among healthcare professionals in urban and rural areas in Vojvodina, Serbia. Material and Methods. The study included 574 healthcare professionals in urban area, and 145 in rural setting, from three health centers. Data collection was performed by a self-administered questionnaire. Results. Urban healthcare professionals, compared to rural healthcare workers, were significantly more motivated by the factor of work motivation - achieving the goals of the health center. In comparison with rural healthcare professionals, urban healthcare workers are significantly more satisfied with personal qualities of their immediate supervisors, job security guaranteed by their institution, immediate support at work they received from managers, and professional supervision of their work. Conclusion. Compared to rural healthcare professionals, urban healthcare workers are more work motivated and job satisfied.
介绍。医疗保健专业人员的动机和工作满意度是提供高质量医疗保健的基础。该研究的目的是确定在伏伊伏丁那省,塞尔维亚城市和农村地区的医疗保健专业人员的动机和工作满意度是否存在差异。材料和方法。该研究包括来自三个健康中心的574名城市医疗保健专业人员和145名农村医疗保健专业人员。数据收集通过自我管理的问卷进行。结果。与农村医务人员相比,城市医务人员的工作动机因素——实现保健中心的目标——明显更有动力。与农村卫生保健专业人员相比,城市卫生保健专业人员对其直接主管的个人素质、所在机构的工作保障、管理人员在工作中给予的即时支持以及对其工作的专业监督的满意度明显更高。结论。与农村卫生保健专业人员相比,城市卫生保健工作者的工作积极性和工作满意度更高。
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引用次数: 5
Transosseous osteosynthesis - the Ilizarov method 经骨接骨- Ilizarov方法
Pub Date : 2017-01-01 DOI: 10.2298/MPNS1708197L
Ivica Lalić
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引用次数: 0
期刊
Medicinski pregled
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