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Hepatic Steatosis is the Most Common Finding in Abdominal Ultrasonography Performed in Patients with Psoriasis before Biological Agent Treatment 肝脏脂肪变性是银屑病患者在接受生物制剂治疗前进行腹部超声波检查时最常见的发现
IF 0.3 Pub Date : 2024-01-05 DOI: 10.55453/rjmm.2024.127.3.9
F. Tamer, O. Atliya, Muhterem Polat, Esra Adisen
Psoriasis has been associated with metabolic syndrome and nonalcoholic fatty liver disease. We wanted to investigate the abdominal ultrasonography results of psoriasis patients before biological agent treatment. Between April 2019 and February2022, abdominal ultrasonography results of psoriasis patients which were performed before biological agent treatment were reviewed retrospectively. This study included 90 patients, 45 females, and 45 males with a mean age of 48.91±13.43 years. The most common ultrasonography finding was increased echogenicity of the liver parenchyma due to steatosis (58.9%) which was followed by an increase in liver size (25.6%), kidney cysts (17.8%), gallstones (8.9%) and increase in spleen size (7.8%). Hepatic steatosis was more frequent in older patients (p 0.001), patients with diabetes (p=0.007), and patients who were previously treated with biological agents (p=0.007). 70.4% of the patients with moderate or severe hepatic steatosis were female. Herein, hepatic steatosis was detected in 53 (58.9%) patients. Nonalcoholic fatty liver disease which presents as hepatic steatosis in early stages has an asymptomatic course and poor prognosis in psoriasis patients. We suggest that abdominal ultrasonography should be performed in psoriasis patients before biological agent treatment, especially in females, patients with advanced age, patients who were previously treated with biological agents, and patients with diabetes.
银屑病与代谢综合征和非酒精性脂肪肝有关。我们希望调查银屑病患者在接受生物制剂治疗前的腹部超声波检查结果。在2019年4月至2022年2月期间,我们对生物制剂治疗前银屑病患者的腹部超声波检查结果进行了回顾性回顾。该研究共纳入90例患者,其中女性45例,男性45例,平均年龄(48.91±13.43)岁。最常见的超声波检查结果是脂肪变性导致的肝实质回声增强(58.9%),其次是肝脏体积增大(25.6%)、肾囊肿(17.8%)、胆结石(8.9%)和脾脏体积增大(7.8%)。肝脏脂肪变性在老年患者(P 0.001)、糖尿病患者(P=0.007)和曾接受生物制剂治疗的患者(P=0.007)中更为常见。70.4%的中度或重度肝脂肪变性患者为女性。其中,53 例(58.9%)患者发现肝脏脂肪变性。早期表现为肝脏脂肪变性的非酒精性脂肪肝在银屑病患者中无症状,预后较差。我们建议,银屑病患者在接受生物制剂治疗前应进行腹部超声波检查,尤其是女性、高龄患者、曾接受过生物制剂治疗的患者和糖尿病患者。
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引用次数: 0
A Conceptual Analysis of Post-psychotic Depression 精神病后抑郁的概念分析
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.6
Octavian Vasiliu, A. Mangalagiu, B. Petrescu, C. Cândea, Corina Tudor, Cristina F. Pleșa, Diana G. Vasiliu, Cristian Năstase, Carmen A. Sirbu
"The conundrum of post-psychotic depression (PPD) is still present in the psychiatric literature, for more than a century since it was first described by Mayer-Gross. After a short existence in the DSM-IV and ICD-10, this nosological construct was excluded from newer versions of the mental disorders classifications. Therefore, an exploratory analysis of the PPD concept was considered useful both from clinical and theoretical perspectives. There is a high prevalence of depressive symptoms in patients with schizophrenia spectrum disorders (SSD) and, although not all of them represent cases of PPD, they are considered risk factors for suicide. The arguments and contra-arguments for/against PPD were reviewed, and the potential pharmacological interventions for this disorder were analyzed. The explored evidence indicates that PPD is worth further investigation, and in order to differentiate it from schizoaffective disorder, negative symptoms of SSD, or depressive manifestations within the acute psychotic episodes, clearly defined criteria should be found. The use of validated scales, like the Calgary Depression Scale for Schizophrenia and the InterSePT Scale for Suicidal Thinking, is recommended for the initial assessment of depression and suicidal risk in patients with SSD, but also for their monitoring during the acute and maintenance phases. Besides the administration of combined, antidepressant and antipsychotic treatment, the use of clozapine, and the recommendation to initiate treatment for SSD with atypical antipsychotics whenever possible, there is a dearth of studies exploring specific interventions for PPD. Future studies are expected to address the validity of the nosological construct of PPD and the most adequate therapeutic and prophylactic interventions in patients with SSD."
"自梅尔-格罗斯(Mayer-Gross)首次描述精神病后抑郁症(PPD)以来,一个多世纪以来,精神病学文献中仍然存在着这一难题。在 DSM-IV 和 ICD-10 中存在了很短的时间后,这一命名结构被排除在新版精神障碍分类之外。因此,从临床和理论的角度来看,对 PPD 概念进行探索性分析都是有益的。在精神分裂症谱系障碍(SSD)患者中,抑郁症状的发生率很高,尽管并非所有患者都是 PPD 病例,但这些抑郁症状被认为是自杀的危险因素。研究人员回顾了支持/反对 PPD 的论点和论据,并分析了针对这种疾病的潜在药物干预措施。所探讨的证据表明,PPD 值得进一步研究,为了将其与精神分裂情感障碍、SSD 的阴性症状或急性精神病发作中的抑郁表现区分开来,应该找到明确界定的标准。建议使用经过验证的量表,如卡尔加里精神分裂症抑郁量表(Calgary Depression Scale for Schizophrenia)和自杀想法量表(InterSePT Scale for Suicidal Thinking),对 SSD 患者的抑郁和自杀风险进行初步评估,并在急性期和维持期对其进行监测。除了联合使用抗抑郁剂和抗精神病药物治疗、使用氯氮平以及建议尽可能使用非典型抗精神病药物开始治疗 SSD 外,目前还缺乏针对 PPD 的具体干预措施的研究。未来的研究有望解决PPD这一命名结构的有效性问题,以及针对SSD患者的最适当的治疗和预防性干预措施。
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引用次数: 0
Psychometric Properties of the Method "Evaluation of Negative Mental Reactions and States of Combatants" and Experience of its Application in Short-term Psychological Recovery 战斗人员消极心理反应和状态评估 "方法的心理计量特性及其在短期心理康复中的应用经验
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.8
Yanina Matsegora, O. Kolesnichenko, I. Prykhodko, Viktoriia Kuzina, Vitalii Panok, Andrii Pashchenko, Serhii Shandruk, Natalia Penkova, Stanislav Larionov
"The article shows the development of the method of psychological evaluation called “Evaluation of Negative Mental Reactions and States of Combatants”. In the study participated 1300 male servicemen (29.84% from junior lieutenant to colonel and servicemen under contract and demobilized, and 70.16% from private to senior warrant officer). The age of participants varied from 20 to 55 years. The system of evaluation developed consisted of 16 instruments that could help to determine the presence of negative psychological symptoms of servicemen related to their participation in hostilities. The results indicated that the evaluation method developed is a tool that allows determining the presence of negative psychological symptoms related to participation in combat. Likewise, it is a useful and fast method to assess the effectiveness of short-term psychological recovery programs. Unlike existing methods of diagnosing negative mental reactions and states of an individual, which arose after their participation in hostilities, the developed psychodiagnostic toolkit could consider the physical and mental fatigue of the respondents, their deterioration, and other cognitive dysfunctions."
"文章介绍了名为 "战斗人员消极心理反应和状态评估 "的心理评估方法的发展情况。1300 名男性军人(29.84% 从少尉到上校以及合同军人和复员军人,70.16% 从二等兵到高级准尉)参加了这项研究。参与者的年龄从 20 岁到 55 岁不等。所开发的评估系统包括 16 种工具,可帮助确定军人是否存在与参与敌对行动有关的负面心理症状。结果表明,所开发的评估方法是一种可以确定是否存在与参加战斗有关的负面心理症状的工具。同样,它也是评估短期心理康复计划有效性的一种有用而快速的方法。与现有的诊断个人在参加敌对行动后出现的负面心理反应和状态的方法不同,所开发的心理诊断工具包可以考虑受访者的身心疲劳、衰退和其他认知功能障碍"。
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引用次数: 0
Associations Between Medical Students' Opinions on Usage of Internet Services and Digital Teaching Tools 医学生对互联网服务和数字化教学工具使用情况的看法之间的关联
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.9
Cristina G. Dascălu, Magda E. Antohe, Raluca S. Costache, V. Purcarea
"Currently, the educational process must integrate new tools, to keep pace with technological progress. Our paper aims to investigate the extent to which the preferences of medical students for the autonomous use of multimedia resources in the learning process are correlated with their opinions towards the Internet and the intensity of using it in their daily activities. Methods: We investigated 395 medical students from 4 medical universities in Romania, 75.9% females, and 88.8% in the 1st and 2nd years of study. Students were asked to express on Likert-scales their agreement with a list of statements about Internet services, as well as whether they like learning using multimedia tools and how intensively they use Internet services. Results: The students agree to a medium to large extent with the favorable statements about Internet services but are also aware of the negative influences that indiscriminate use of such technology can have. The intensity of Internet usage is high, although not exaggerated. With small exceptions, the students who enjoy using multimedia resources during the learning process have also favorable opinions about Internet services, and use them constantly, mainly for information and instant messaging on social networks."
"当前,教育过程必须整合新工具,以跟上技术进步的步伐。本文旨在研究医科学生在学习过程中自主使用多媒体资源的偏好与他们对互联网的看法以及在日常活动中使用互联网的强度之间的相关程度。调查方法我们调查了罗马尼亚 4 所医科大学的 395 名医学生,其中 75.9% 为女生,88.8% 为一、二年级学生。我们要求学生用李克特量表对一系列有关互联网服务的陈述表示同意,并回答他们是否喜欢使用多媒体工具学习以及他们使用互联网服务的密集程度。结果显示学生对有关互联网服务的有利说法基本认同,但也意识到滥用这种技术可能带来的负面影响。互联网的使用强度很高,但并不夸张。除少数例外,喜欢在学习过程中使用多媒体资源的学生也对互联网服务持赞成态度,并经常使用互联网,主要是为了获取信息和在社交网络上发送即时信息"。
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引用次数: 0
Investigating the Predictive Power of the Theory of Planned Behavior on the Behavioral Intention of Healthy Eating in Adolescents 调查计划行为理论对青少年健康饮食行为意向的预测力
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.5
E. Ashrafi, Farbod E.F. Azar, Morteza Mansourian, Fereshteh Osmani
"Background: Adolescence is a complex and sensitive period, and learning nutritional concepts during this period is very important. The purpose of the present study is to determine the predictive power of the theory of planned behavior on the behavioral intention of healthy eating in adolescents. Methods: 400 first-grade female students of Bandar Anzali participated in this descriptive-correlational study. Among the first secondary schools of this city, two schools were randomly selected and sampled by census method. The data collection tool was the healthy eating behavior questionnaire based on the theory of planned behavior, which included two sections of demographic information and the constructs of the theory of planned behavior, which were checked and confirmed with the content validity ratio, content validity index, and alpha coefficient. Data were analyzed using SPSS version 22 software. Results: Linear regression analysis showed that a total of 34% of the variance of healthy eating behavior intention is predicted by the constructs of perceived behavioral control and attitude. Conclusion: Considering the high predictive power of the theory of planned behavior in the field of healthy eating behavior, educational interventions based on it and centered on predictive structures are suggested."
"背景:青春期是一个复杂而敏感的时期,在这一时期学习营养概念非常重要。本研究旨在确定计划行为理论对青少年健康饮食行为意向的预测能力。方法:Bandar Anzali 的 400 名一年级女生参与了这项描述性相关研究。在该市第一中学中,通过普查法随机抽取了两所学校。数据收集工具是基于计划行为理论的健康饮食行为调查问卷,包括人口统计学信息和计划行为理论建构两个部分,并通过内容效度比、内容效度指数和阿尔法系数进行了检验和确认。数据采用 SPSS 22 版软件进行分析。结果显示线性回归分析表明,健康饮食行为意向变异的 34% 是由感知行为控制和态度这两个构念预测的。结论考虑到计划行为理论在健康饮食行为领域的高预测力,建议以计划行为理论为基础,以预测结构为中心进行教育干预"。
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引用次数: 0
Evaluation of Serum Magnesium Levels in Patients with Hypertension: A Case-control Study 评估高血压患者的血清镁水平:病例对照研究
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.2
Yılmaz Sezgin, İsmail G. Kalaycı
"There are conflicting data on the effects of magnesium on hypertension in the literature. Therefore we aim this study to investigate whether there is a relationship between serum magnesium levels and hypertension in newly diagnosed. This is a case-control study. The patients were selected from the records of patients who applied to the family medicine outpatient clinic between June 2016 and May 2017. A total of 276 patients, 68 patients with newly diagnosed hypertension in the case group and 208 patients without any disease in the control group were included in the study. Binary logistic regression analysis was performed between the case and control groups. The odds ratio for magnesium was 0.1 (0.012-0.810). When the value of the magnesium variable increases by 1mg/dl, the risk of hypertension decreases by 90%. However, in the presence of magnesium as an independent variable, the predictability rate of our model was expected to increase but decreased. The odds ratio for age was 1.14 (1.092-1.186). The odds ratio for exercise was 0.18 (0.03-0.99). The odds ratio for glucose was 1.03 (1.001-1.065). In our study that magnesium deficiency causes an increased risk of hypertension, the predictability rate of our model was expected to increase instead of decrease. These findings show that a cause-effect approach or incidental association cannot explain the relationship between magnesium and hypertension."
"文献中关于镁对高血压影响的数据相互矛盾。因此,我们的研究旨在调查血清镁水平与新诊断的高血压之间是否存在关系。这是一项病例对照研究。患者选自 2016 年 6 月至 2017 年 5 月期间申请到全科门诊就诊的患者记录。研究共纳入 276 名患者,其中病例组为 68 名新诊断的高血压患者,对照组为 208 名无任何疾病的患者。病例组和对照组之间进行了二元逻辑回归分析。镁的几率比为 0.1(0.012-0.810)。当镁变量值增加 1 毫克/分升时,患高血压的风险就会降低 90%。然而,在镁作为自变量的情况下,我们模型的预测率本应增加,但却降低了。年龄的几率比为 1.14(1.092-1.186)。运动的几率比为 0.18(0.03-0.99)。葡萄糖的几率比为 1.03(1.001-1.065)。在我们的研究中,镁缺乏会导致高血压风险增加,因此我们模型的预测率预计会增加而不是减少。这些研究结果表明,因果关系或偶然关联无法解释镁与高血压之间的关系。
{"title":"Evaluation of Serum Magnesium Levels in Patients with Hypertension: A Case-control Study","authors":"Yılmaz Sezgin, İsmail G. Kalaycı","doi":"10.55453/rjmm.2024.127.1.2","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.2","url":null,"abstract":"\"There are conflicting data on the effects of magnesium on hypertension in the literature. Therefore we aim this study to investigate whether there is a relationship between serum magnesium levels and hypertension in newly diagnosed. This is a case-control study. The patients were selected from the records of patients who applied to the family medicine outpatient clinic between June 2016 and May 2017. A total of 276 patients, 68 patients with newly diagnosed hypertension in the case group and 208 patients without any disease in the control group were included in the study. Binary logistic regression analysis was performed between the case and control groups. The odds ratio for magnesium was 0.1 (0.012-0.810). When the value of the magnesium variable increases by 1mg/dl, the risk of hypertension decreases by 90%. However, in the presence of magnesium as an independent variable, the predictability rate of our model was expected to increase but decreased. The odds ratio for age was 1.14 (1.092-1.186). The odds ratio for exercise was 0.18 (0.03-0.99). The odds ratio for glucose was 1.03 (1.001-1.065). In our study that magnesium deficiency causes an increased risk of hypertension, the predictability rate of our model was expected to increase instead of decrease. These findings show that a cause-effect approach or incidental association cannot explain the relationship between magnesium and hypertension.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Combat Stress in Military Personnel: Theory, Genesis, Prevention, and Control 军人的战斗压力:理论、起源、预防和控制
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.3
I. Prykhodko, Yanina Matsegora, O. Kolesnichenko, Serhii Voloshko, Viktoriia Vintoniak, Nataliya Vasyukova, Liudmyla Budahiants, Viktoriia Kuzina, Serhii Motyka
"On February 24, 2022, the Russian-Ukrainian war began, in which hundreds of thousands of military personnel are participating. Almost all military personnel experience combat stress. In our opinion, the most fully reflecting the occurrence of stress in humans, including combat stress in military personnel, is the conservation of resource theory proposed by S. Hobfoll. According to this theory, stress occurs when: central or key resources (health, well-being, family, self-esteem, and a sense of purpose and meaning in life) are threatened with loss, are lost, or cannot be retrieved following significant effort. Combat stress in military personnel can manifest itself in the form of negative manifestations of the psychological, physical, psychophysiological, and behavioral register. The most effective system for the prevention and control of combat stress among military personnel was developed in the US Army. Such a program should contain medical and psychological work activities carried out in three stages: preparatory (before performing combat missions), the stage of direct performance of tasks in the combat zone, and the final stage (after completing tasks upon returning to permanent deployment points)."
"2022年2月24日,俄乌战争打响,数十万军人参战。几乎所有军人都经历过战斗压力。我们认为,最能充分反映人类压力(包括军人的战斗压力)发生的理论是 S. Hobfoll 提出的资源保护理论。根据这一理论,当中心或关键资源(健康、幸福、家庭、自尊以及生活的目的和意义感)面临丧失的威胁、失去或在付出巨大努力后无法挽回时,压力就会发生。军人的战斗压力可表现为心理、生理、心理生理和行为注册送68方面的负面表现。预防和控制军人战斗压力的最有效系统是由美国陆军开发的。这种计划应包括分三个阶段开展的医疗和心理工作活动:准备阶段(执行战斗任务前)、在战区直接执行任务阶段和最后阶段(完成任务返回永久部署点后)"。
{"title":"Combat Stress in Military Personnel: Theory, Genesis, Prevention, and Control","authors":"I. Prykhodko, Yanina Matsegora, O. Kolesnichenko, Serhii Voloshko, Viktoriia Vintoniak, Nataliya Vasyukova, Liudmyla Budahiants, Viktoriia Kuzina, Serhii Motyka","doi":"10.55453/rjmm.2024.127.1.3","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.3","url":null,"abstract":"\"On February 24, 2022, the Russian-Ukrainian war began, in which hundreds of thousands of military personnel are participating. Almost all military personnel experience combat stress. In our opinion, the most fully reflecting the occurrence of stress in humans, including combat stress in military personnel, is the conservation of resource theory proposed by S. Hobfoll. According to this theory, stress occurs when: central or key resources (health, well-being, family, self-esteem, and a sense of purpose and meaning in life) are threatened with loss, are lost, or cannot be retrieved following significant effort. Combat stress in military personnel can manifest itself in the form of negative manifestations of the psychological, physical, psychophysiological, and behavioral register. The most effective system for the prevention and control of combat stress among military personnel was developed in the US Army. Such a program should contain medical and psychological work activities carried out in three stages: preparatory (before performing combat missions), the stage of direct performance of tasks in the combat zone, and the final stage (after completing tasks upon returning to permanent deployment points).\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Survey on Mental Health Status in West of Iran: A Spatial Analysis 伊朗西部心理健康状况调查:空间分析
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.2.7
Ehsan Nazari, Hojjat Sayyadi, Fathola Mohamadian, Sehat Aibod, A. Sahebi, Maryam Kheiry, Yousef Veisani
"Mental disorders clearly are among the major challenges of global health causing many concerns for health systems, health experts, and health policy makers. The present study was conducted to evaluate the mental health program in comprehensive health centers and health houses under the coverage of Ilam University of Medical Sciences in the West of Iran. The present study was conducted based on the reports obtained from the mental health program in 2019. The data were recorded into registration and evaluation forms of mental disorders with the codes 102-19-03 and 102-19-01 and then entered into the Excel software. The prevalence per 100 and 100,000 people, as well as their 95% confidence intervals were calculated using Formula 1 ROUND (Number of cases*100000/population) and Formula 2 ROUND (Prevalence ±1.96*SQRT (Prevalence *(1- Prevalence)/population). The results showed that the prevalence of depression was 19,100 [95% CI: 18999-19201] 19100), and the prevalence of anxiety was 304,66 [95% CI: 20348-30584] per 100,000 population. The highest prevalence among mental disorders was related to depression and anxiety. Considering the high average score of mental health status in people over 65 years old, it is necessary to implement measures and interventions to improve these individuals’ mental condition and upgrade their mental health."
"精神障碍显然是全球卫生面临的主要挑战之一,引起了卫生系统、卫生专家和卫生政策制定者的广泛关注。本研究旨在评估伊朗西部伊拉姆医科大学覆盖范围内的综合保健中心和保健院的心理健康计划。本研究是根据 2019 年心理健康项目获得的报告进行的。数据记录在精神障碍登记和评估表中,代码分别为 102-19-03 和 102-19-01,然后输入 Excel 软件。使用公式 1 ROUND(病例数*100000/人群)和公式 2 ROUND(患病率±1.96*SQRT(患病率*(1-患病率)/人群)计算出每 100 人和 100000 人的患病率及其 95% 的置信区间。结果显示,每 10 万人中抑郁症患病率为 19 100 [95% CI:18999-19201] 19100),焦虑症患病率为 304 66 [95% CI:20348-30584]。精神障碍中发病率最高的是抑郁症和焦虑症。考虑到 65 岁以上老年人的心理健康状况平均得分较高,有必要采取措施和干预措施来改善这些人的心理状况,提高他们的心理健康水平。
{"title":"A Survey on Mental Health Status in West of Iran: A Spatial Analysis","authors":"Ehsan Nazari, Hojjat Sayyadi, Fathola Mohamadian, Sehat Aibod, A. Sahebi, Maryam Kheiry, Yousef Veisani","doi":"10.55453/rjmm.2024.127.2.7","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.2.7","url":null,"abstract":"\"Mental disorders clearly are among the major challenges of global health causing many concerns for health systems, health experts, and health policy makers. The present study was conducted to evaluate the mental health program in comprehensive health centers and health houses under the coverage of Ilam University of Medical Sciences in the West of Iran. The present study was conducted based on the reports obtained from the mental health program in 2019. The data were recorded into registration and evaluation forms of mental disorders with the codes 102-19-03 and 102-19-01 and then entered into the Excel software. The prevalence per 100 and 100,000 people, as well as their 95% confidence intervals were calculated using Formula 1 ROUND (Number of cases*100000/population) and Formula 2 ROUND (Prevalence ±1.96*SQRT (Prevalence *(1- Prevalence)/population). The results showed that the prevalence of depression was 19,100 [95% CI: 18999-19201] 19100), and the prevalence of anxiety was 304,66 [95% CI: 20348-30584] per 100,000 population. The highest prevalence among mental disorders was related to depression and anxiety. Considering the high average score of mental health status in people over 65 years old, it is necessary to implement measures and interventions to improve these individuals’ mental condition and upgrade their mental health.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Total Synovectomy on Blood Loss and Knee Function. A Prospective Randomized Study 全关节滑膜切除术对失血量和膝关节功能的影响。前瞻性随机研究
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.1
Mihnea A Petre, M. Gherghe, D. Cotor, Alexandru Luchian, Liliana L. Preotescu, Cristian Scheau, R. Cergan
"Synovial proliferation is a common intraoperative finding during total knee arthroplasty (TKA) and many studies have proposed synovectomy for the reduction of postoperative pain. We included 180 patients that were split into two groups, one which received a total synovectomy (TS) and the other with partial synovectomy (PS). We measured the amount of intra- and post-operative bleeding as well as perceived pain (using the Visual Analogue Scale) and knee function (using the Knee Society Knee Score) at 4 and 12 weeks. The blood loss during the surgical procedure was 367.77 ± 115.71 mL for TS, while the other group recorded 295.55 ± 106.17 mL (p < 0.05). Regarding postoperative bleeding, the TS group aspirated 533.77 ± 281.65 mL, which was significantly higher than the PS group (404.44 ± 211.55 mL, p < 0.05). No significant differences were recorded between the TS and PS groups regarding pain and knee function at 12 weeks. Total synovectomy demonstrated significantly higher blood loss and lower postoperative hemoglobin levels, even though knee function and pain level did not show improvements. We consider that the decision of performing synovectomy should rely on the clinical indication and, if conditions allow for it, a limited resection should be attempted."
"滑膜增生是全膝关节置换术(TKA)中常见的术中症状,许多研究都提出了滑膜切除术来减轻术后疼痛。我们将 180 名患者分为两组,一组接受全滑膜切除术(TS),另一组接受部分滑膜切除术(PS)。我们测量了术中和术后出血量,以及4周和12周时的疼痛感(使用视觉模拟量表)和膝关节功能(使用膝关节协会膝关节评分)。在手术过程中,TS 组的失血量为 367.77 ± 115.71 mL,而另一组为 295.55 ± 106.17 mL(P < 0.05)。至于术后出血量,TS 组为 533.77 ± 281.65 mL,明显高于 PS 组(404.44 ± 211.55 mL,P < 0.05)。12 周后,TS 组和 PS 组在疼痛和膝关节功能方面无明显差异。尽管膝关节功能和疼痛水平没有改善,但全滑膜切除术的失血量明显增加,术后血红蛋白水平明显降低。我们认为,进行滑膜切除术的决定应取决于临床指征,如果条件允许,应尝试进行有限切除"。
{"title":"The Impact of Total Synovectomy on Blood Loss and Knee Function. A Prospective Randomized Study","authors":"Mihnea A Petre, M. Gherghe, D. Cotor, Alexandru Luchian, Liliana L. Preotescu, Cristian Scheau, R. Cergan","doi":"10.55453/rjmm.2024.127.1.1","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.1","url":null,"abstract":"\"Synovial proliferation is a common intraoperative finding during total knee arthroplasty (TKA) and many studies have proposed synovectomy for the reduction of postoperative pain. We included 180 patients that were split into two groups, one which received a total synovectomy (TS) and the other with partial synovectomy (PS). We measured the amount of intra- and post-operative bleeding as well as perceived pain (using the Visual Analogue Scale) and knee function (using the Knee Society Knee Score) at 4 and 12 weeks. The blood loss during the surgical procedure was 367.77 ± 115.71 mL for TS, while the other group recorded 295.55 ± 106.17 mL (p < 0.05). Regarding postoperative bleeding, the TS group aspirated 533.77 ± 281.65 mL, which was significantly higher than the PS group (404.44 ± 211.55 mL, p < 0.05). No significant differences were recorded between the TS and PS groups regarding pain and knee function at 12 weeks. Total synovectomy demonstrated significantly higher blood loss and lower postoperative hemoglobin levels, even though knee function and pain level did not show improvements. We consider that the decision of performing synovectomy should rely on the clinical indication and, if conditions allow for it, a limited resection should be attempted.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Adsorption Therapy as an Extracorporeal Blood Purification Technique in Critically Ill Covid-19 Patients 将吸附疗法作为体外血液净化技术用于重症 Covid-19 患者的评估
IF 0.3 Pub Date : 2024-01-01 DOI: 10.55453/rjmm.2024.127.1.7
Mehmet E. Yuksel, Nazan H. Selmi, Ç. M. Ayaz, Seval Izdes
"We aimed to evaluate the efficacy of adsorption therapy as an extracorporeal blood purification technique in critically ill patients with Coronavirus disease 2019 (COVID-19). A retrospective analysis was performed on 17 adult patients with severe COVID-19, who underwent adsorption therapy using an HA330 cartridge, at Ankara City Hospital. Each adsorption therapy was administered for three consecutive days, and each therapy session lasted three hours. Several parameters, including cytokine levels, blood count, biochemistry panel, clinical status, and mortality rate were assessed before and after each therapy session. The results obtained from this study revealed that adsorption therapy reduced IL-6 levels and improved oxygenation in the short term. However, heart rate, mean arterial pressure and SOFA score did not demonstrate significant changes. Notably, the dose of norepinephrine increased after the third session. Regrettably, only 4 out of 17 patients (23.5%) survived. Consequently, adsorption therapy appears to be effective in reducing IL-6 levels in severe COVID-19 patients. Nonetheless, further investigation is warranted to evaluate its impact on clinical outcomes."
"我们的目的是评估吸附疗法作为体外血液净化技术对 2019 年冠状病毒病(COVID-19)重症患者的疗效。安卡拉市医院对 17 名重症 COVID-19 成人患者进行了回顾性分析,这些患者使用 HA330 血盒接受了吸附疗法。每次吸附治疗连续进行三天,每次治疗持续三小时。每次治疗前后都会对细胞因子水平、血细胞计数、生化检查、临床状态和死亡率等参数进行评估。研究结果表明,吸附疗法在短期内降低了 IL-6 水平,改善了氧合。然而,心率、平均动脉压和 SOFA 评分并未出现显著变化。值得注意的是,去甲肾上腺素的剂量在第三个疗程后有所增加。遗憾的是,17 名患者中只有 4 人(23.5%)存活。因此,吸附疗法似乎能有效降低重症 COVID-19 患者的 IL-6 水平。尽管如此,仍有必要进行进一步研究,以评估其对临床结果的影响"。
{"title":"Evaluation of Adsorption Therapy as an Extracorporeal Blood Purification Technique in Critically Ill Covid-19 Patients","authors":"Mehmet E. Yuksel, Nazan H. Selmi, Ç. M. Ayaz, Seval Izdes","doi":"10.55453/rjmm.2024.127.1.7","DOIUrl":"https://doi.org/10.55453/rjmm.2024.127.1.7","url":null,"abstract":"\"We aimed to evaluate the efficacy of adsorption therapy as an extracorporeal blood purification technique in critically ill patients with Coronavirus disease 2019 (COVID-19). A retrospective analysis was performed on 17 adult patients with severe COVID-19, who underwent adsorption therapy using an HA330 cartridge, at Ankara City Hospital. Each adsorption therapy was administered for three consecutive days, and each therapy session lasted three hours. Several parameters, including cytokine levels, blood count, biochemistry panel, clinical status, and mortality rate were assessed before and after each therapy session. The results obtained from this study revealed that adsorption therapy reduced IL-6 levels and improved oxygenation in the short term. However, heart rate, mean arterial pressure and SOFA score did not demonstrate significant changes. Notably, the dose of norepinephrine increased after the third session. Regrettably, only 4 out of 17 patients (23.5%) survived. Consequently, adsorption therapy appears to be effective in reducing IL-6 levels in severe COVID-19 patients. Nonetheless, further investigation is warranted to evaluate its impact on clinical outcomes.\"","PeriodicalId":21298,"journal":{"name":"Romanian Journal of Military Medicine","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Romanian Journal of Military Medicine
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