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The influence of topical antiglaucoma drugs on the reduction of the decrease of visual field sensitivity due to optic nerve head drusen: Case report 外用抗青光眼药物对减轻视神经头水肿所致视野敏感性下降的影响1例
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-34895
Marija Radenković, G. Stanković-Babić, Jasmina Đorđević-Jocić, Marija Trenkić, S. Cekić, Milka Vasovic
Optic nerve head drusen are congenital anomalies of the optic nerve, a form of calcium degeneration of axons of the optic nerve head. Initially asymptomatic, drusen may be one of the causes of progressive optic neuropathy. They are clinically presented as acellular, hyaline deposits of globular appearance in prelaminar segment of the optic nerve head. They occure due to: altered axonal transport, small diameter of scleral channel, compression and ischemia. Frequent complications include progressive visual field defects, ischemic optic neuropathy, central retinal artery or vein occlusion, or peripapillar neovascularization. Diagnostic tools: ophthalmoscopy, angiography, computerized perimetry, B-scan ultrasonography, CT, OCT, HRT, GDx, electrophysiological testing. The treatment is medicamentous, laser, or surgery. Most of the pilot studies confirms the benefit of topical hypotensive drugs even when the drusen are not associated with glaucoma. The decrease of intraocular pressure reduces compression of the optic nerve axons and improves reperfusion. This paper presents a young patient with bilateral optic nerve head drusen, progressive scotoma and topical hypotensive medication administered. After six months, scotoma and the loss of sensitivity were reduced. The effect of neuroprotective drugs is researched to reduce potential morbidity.
视神经头囊肿是视神经的先天性异常,是视神经头轴突钙变性的一种形式。最初无症状,但可能是进展性视神经病变的原因之一。临床表现为视神经头层前段无细胞、透明的球状沉积物。它们的发生是由于轴突转运改变,巩膜通道直径小,压迫和缺血。常见的并发症包括进行性视野缺损,缺血性视神经病变,视网膜中央动脉或静脉闭塞,或乳头周围新生血管。诊断工具:眼科检查、血管造影、计算机视野检查、b超、CT、OCT、HRT、GDx、电生理检查。治疗方法有药物、激光或手术。大多数初步研究证实了局部降压药物的益处,即使患者与青光眼无关。眼压的降低减轻了视神经轴突的压迫,改善了再灌注。本文报告一位年轻的双侧视神经头水肿,进行性暗瘤和局部降压药物治疗。6个月后,暗斑和敏感度下降。研究神经保护药物的作用,以降低潜在的发病率。
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引用次数: 0
Noise and its influence on human health 噪声及其对人体健康的影响
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-38021
S. Stankov, Bogdan Stepančev
Noise pollution can affect human health and have an influence on daily life on people. Being an unpleasant sound, noise is defined as unwanted sound which can cause auditory and non-auditory effects on human health. Apart from the exposure of noise in the workplace and its consecutive effects, noise as an exogenous stressor in everyday life has a various potential negative impacts on human health, both temporary or permanent. Occupational noise exposure mostly causes hearing loss and tinnitus among workers. The potential negative health effects of noise pollution include psychological distress, sleep disturbances, higher incidence of arterial hypertension and cardiovascular diseases. Also, noise exposure may be associated with an increased incidence of diabetes mellitus, headache, and pulmonary diseases, with possible effects of noise in health centers and hospitals on medical staff and patients. Noise pollution can have specific negative influence on sensitive humans, such as autistic and elderly people. Implementation of the different strategies and educational programs can reduce potential negative effects of noise on human health.
噪声污染会影响人体健康,对人们的日常生活产生影响。噪音是一种令人不愉快的声音,它被定义为对人类健康造成听觉和非听觉影响的不需要的声音。除了在工作场所接触噪音及其连续影响外,噪音作为日常生活中的外源性压力源,对人体健康有各种潜在的负面影响,有暂时的,也有永久的。职业性噪声暴露是造成工人听力损失和耳鸣的主要原因。噪音污染对健康的潜在负面影响包括心理困扰、睡眠障碍、动脉高血压和心血管疾病的发病率增加。此外,接触噪音可能与糖尿病、头痛和肺部疾病的发病率增加有关,卫生中心和医院的噪音可能对医务人员和病人产生影响。噪音污染会对敏感人群产生特定的负面影响,比如自闭症患者和老年人。实施不同的策略和教育计划可以减少噪音对人类健康的潜在负面影响。
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引用次数: 0
Computer literacy and the impact of health information systems on work and quality control in nursing practice 计算机知识和卫生信息系统对护理工作和质量控制的影响
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-39340
Christos Alexopoulos, Bojan Veljković, Marija Mikić-Mladenović, I. Milojević, Marko Jovanovic, Momčilo Todorović, Tijana Jončić
Objective. To determine whether the method of acquiring IT knowledge affects computer literacy and how the implementation of HIS affects work and quality control. Methods. The research was conducted as a cross-sectional study, in the population of nurses. The sample consisted of 116 respondents, who voluntarily agreed to participate in the research. Results. Respondents who have formal education in informatics showed a higher level of knowledge than respondents who do not. It was established that there is a statistically significant difference in computer literacy between respondents who acquired IT knowledge in different ways. Those who rated themselves better have higher scores on the knowledge test. The data indicate the existence of statistical significance of differences depending on the self-assessment of one's own computer skills. Almost half (46.7%) of respondents believe that the implementation of HIS made work easier, while 26% of them believe that it had no impact on work or made work more difficult. The largest percentage (59.9%) of respondents believed that the health information system facilitated quality control. Conclusion. The way of acquiring knowledge has the greatest influence on the computer literacy of nurses: nurses who had formal IT education showed a higher level of computer literacy. Nurses believe that thanks to the implementation of HIS, the quality control of the provided services has been significantly improved. The majority of health workers in the initial stages of introduction, application and development of the health information system had no formal education. Nevertheless, with the support of the institutions, they made a significant contribution to the implementation of HIS in the Republic of Serbia.
目标。确定获取资讯科技知识的方法是否会影响电脑知识,以及实施资讯系统如何影响工作和品质控制。方法。该研究是在护士人群中进行的横断面研究。样本由116名自愿同意参与研究的受访者组成。结果。受过正规信息学教育的受访者比没有受过正规信息学教育的受访者表现出更高的知识水平。研究发现,以不同方式获取资讯科技知识的受访者,其电脑素养有显著差异。那些对自己评价更好的人在知识测试中得分更高。这些数据表明,依赖于个人计算机技能自我评估的差异存在统计学意义。近一半(46.7%)的受访者认为实施卫生信息系统使工作更容易,而26%的受访者认为对工作没有影响或使工作更困难。最大比例(59.9%)的受访者认为卫生信息系统促进了质量控制。结论。获取知识的方式对护士计算机素养的影响最大:接受过正规IT教育的护士计算机素养水平较高。护士认为,由于实施了卫生信息系统,所提供服务的质量控制得到了显著改善。在引进、应用和发展卫生信息系统的最初阶段,大多数卫生工作者没有受过正规教育。然而,在各机构的支持下,它们对在塞尔维亚共和国实施卫生系统作出了重大贡献。
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引用次数: 0
Diagnostic and prognostic value of selenium and Selenoprotein P in patients with comorbid course of nonalcoholic fatty liver disease and arterial hypertension 硒和硒蛋白P在非酒精性脂肪肝合并动脉性高血压患者中的诊断和预后价值
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-36421
N. Zhelezniakova, I. Tverezovska
Objective. To evaluate the diagnostic and prognostic value of Selenoprotein P and selenium in the progression of liver damage in patients with nonalcoholic fatty liver disease (NAFLD). Methods. The study involved 120 patients: 50 with isolated NAFLD, 50 with comorbid NAFLD and hypertension, established according to the global and local guidelines. The control group included 20 relatively healthy volunteers. Liver function parameters, selenium and Selenoprotein P levels were assessed, and predictors of steatohepatitis were identified. Pearson's ch2, Mann-Whitney test, logistic regression was used. Results. The study found significant predominance of levels of Selenoprotein P (Sel P) and selenium in controls (71.0 (54.3; 76.1) ng/ml and 108.0 (96.9; 118.8) ng/ml respectively) compared with the NAFLD + hypertension (19.7 (8.0; 26.7) ng/ml and 43.5 (39.9; 49.1) ng/ml, p <0.001) and the NAFLD group (43.1 (41.3; 45.4) ng/ml and 67.2 (61.5; 77.4) ng/ml, respectively, p <0.001). Regression analysis determined association of Sel P and Sel levels with steatohepatitis: respectively, OR = 1,143 (95.0% CI 1,068-1,224) (p <0.001) and OR = 1,054 (95.0% CI 1,012-1,098) (p = 0.011). Other predictors of steatohepatitis were aspartateaminotransferase (OR = 1,421 (95.0% CI 1,198-1,687), p <0.001) and systolic blood pressure (OR = 1,089 (95.0% CI 1,017-1,116), p = 0.014). Conclusion. Levels of selenium and Selenoprotein P are associated with greater liver damage in patients with NAFLD, and the concomitant increase in systemic blood pressure is an additional factor that adversely affects the course of NAFLD, increasing the intensity of liver damage in such patients.
目标。探讨硒蛋白P和硒在非酒精性脂肪性肝病(NAFLD)患者肝损害进展中的诊断和预后价值。方法。该研究涉及120例患者:50例孤立性NAFLD, 50例合并NAFLD和高血压,根据全球和当地指南建立。对照组包括20名相对健康的志愿者。评估肝功能参数、硒和硒蛋白P水平,并确定脂肪性肝炎的预测因素。采用Pearson's ch2, Mann-Whitney检验,logistic回归。结果。研究发现,硒蛋白P (selp)和硒水平在对照组中显著优势(71.0 (54.3;76.1) ng/ml和108.0 (96.9;分别为118.8 ng/ml)与NAFLD +高血压(19.7 (8.0;26.7) ng/ml和43.5 (39.9;49.1) ng/ml, p <0.001), NAFLD组为43.1 (41.3;45.4) ng/ml和67.2 (61.5;77.4) ng/ml, p <0.001)。回归分析确定了Sel P和Sel水平与脂肪性肝炎的相关性:分别OR = 1,143 (95.0% CI 1,068-1,224) (P <0.001)和OR = 1,054 (95.0% CI 1,012-1,098) (P = 0.011)。脂肪性肝炎的其他预测因子是天冬氨酸转氨酶(OR = 1421 (95.0% CI 1198 - 1687), p <0.001)和收缩压(OR = 1089 (95.0% CI 1017 - 1116), p = 0.014)。结论。硒和硒蛋白P水平与NAFLD患者更严重的肝损害相关,同时伴随的全身血压升高是对NAFLD病程产生不利影响的另一个因素,增加了这类患者肝损害的强度。
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引用次数: 1
Nutritional recommendations during long-term administration of glucocorticoids 长期使用糖皮质激素期间的营养建议
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-42254
Hajnalka Požar
Glucocorticoids are highly effective medications used for the treatment of inflammatory and autoimmune disorders in rheumatology, pulmonology and neurology. However, using these medications for a long period of time, or in excessive doses, carries the risk of unwanted effects. Most typical sideeffects can be successfully prevented or reduced with adequate nutritional strategies. Increased appetite and weight gain can be reduced with regular meals with a selection of fresh, unprocessed foods in accordance with the principles of proper nutrition. Hypertension requires a reduced salt intake by < 3.75 g (1/2 teaspoon), along with the use of other herbs spices. Insulin resistance and elevated blood sugar levels can be reduced, by avoiding foods rich in simple carbohydrates, sugar and by preferring complex carbohydrates (whole grains, starchy foods, fruits, vegetables). Due to the high risk of osteoporosis, it is recommended to consume three servings of dairy products and fish per day in order to obtain an adequate intake of vitamin D. However, patients may find these recommendations unclear or overly strict, and they may require assistance, motivation, and repetition of information for practical application of these advice in everyday life.
糖皮质激素是一种非常有效的药物,用于治疗风湿病学、肺病学和神经病学中的炎症和自身免疫性疾病。然而,长时间使用这些药物,或过量使用,会带来不良影响的风险。大多数典型的副作用可以通过适当的营养策略成功地预防或减少。根据适当的营养原则,选择新鲜、未经加工的食物,可以减少食欲增加和体重增加。高血压需要减少食盐摄入量< 3.75克(1/2茶匙),同时使用其他草药香料。胰岛素抵抗和升高的血糖水平可以通过避免富含简单碳水化合物和糖的食物,并通过选择复杂碳水化合物(全谷物,淀粉类食物,水果,蔬菜)来降低。由于骨质疏松症的高风险,建议每天食用三份乳制品和鱼类,以获得足够的维生素d摄入量。然而,患者可能会发现这些建议不明确或过于严格,他们可能需要帮助,动机和重复的信息,以在日常生活中实际应用这些建议。
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引用次数: 0
Prognostic contribution of two-dimensional left atrial strain in patients with asymptomatic mitral stenosis in the Tunisian population 二维左心房应变对突尼斯人群无症状二尖瓣狭窄患者预后的影响
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-41404
W. Yaakoubi, K. Taamallah, A. Haggui, N. Hajlaoui, W. Fehri
Objective. The two-dimensional strain is an objective echocardiographic technique allowing the quantification of myocardial deformation. The aim of this study was to specify prognostic contribution of left atrial strain in patients with asymptomatic mitral stenosis. Methods. We included consecutive patients followed for severe or moderately severe rheumatic Mitral Stenosis (MS), asymptomatic, during the period from January 2015 to June 2020 in the Military Hospital of Tunis. The patients followed were divided into two groups according to one criterion of judgment composed of: Cardiac mortality, The occurrence of hospitalization for cardiac reasons, The occurrence of atrial fibrillation (AF), The occurrence of a thromboembolic event, and the need for cardiac surgery or mitral valvuloplasty. Results. Initially eighty patients were selected, but only 53 were followed and then divided into two groups: 30 patients had at least one event and 23 patients had no events according to the occurrence of the major endpoint of the study. In a univariate study and for conventional echocardiographic parameters, we determined that if Left Atrium Area (LAA) is larger than 30 cm 2 and left atrium volume (LAV) more than 100ml/m 2, the risk of occurrence of an event increased significantly respectively (LAA: 69% vs 10%; p = 0.01; OR = 6.6; 95% CI [1.5-28]) and (LAV: 71.4% vs 39%; p = 0.002; OR = 4; 95% CI [1.1-13]). The same was true for left atrium deformation parameters, both Peak Atrial Longitudinal Strain (PALS) <25% and Peak Atrial Contraction Strain (PACS) <10 % were predictive of events in univariate study with the following respective odds ratios (ORs) (PALS: 83% vs 30.4%; p = 0.0001; OR = 11.4; 95% CI [3-42]), and (PACS: 90% vs 47%; p = 0.001; OR = 9.8; 95% CI [2.3-41]). In a multivariate study, the only independent parameter of the occurrence of an event was PACS <10% (p = 0.013; OR = 44; 95% CI [2.19-80]). Conclusion. PACS have prognostic value in asymptomatic MS as it predicts the occurrence of pathologic events in the followup of asymptomatic patients.
目标。二维应变是一种客观的超声心动图技术,可以量化心肌变形。本研究的目的是明确左心房应变对无症状二尖瓣狭窄患者预后的影响。方法。我们纳入了2015年1月至2020年6月在突尼斯军事医院连续随访的重度或中度风湿性二尖瓣狭窄(MS)无症状患者。随访患者根据以下判断标准分为两组:心脏死亡率、因心脏原因住院的发生、房颤的发生、血栓栓塞事件的发生以及是否需要心脏手术或二尖瓣成形术。结果。最初选择了80名患者,但只有53名患者进行了随访,然后根据研究主要终点的发生情况分为两组:30名患者至少有一个事件,23名患者没有事件。在一项单变量研究和常规超声心动图参数中,我们确定如果左心房面积(LAA)大于30 cm 2,左心房容积(LAV)大于100ml/ m2,事件发生的风险分别显著增加(LAA: 69% vs 10%;P = 0.01;Or = 6.6;95% CI[1.5-28])和LAV: 71.4% vs 39%;P = 0.002;或= 4;95% ci[1.1-13])。左心房变形参数也是如此,在单变量研究中,峰值心房纵应变(PALS) <25%和峰值心房收缩应变(PACS) < 10%都是预测事件的因素,其各自的比值比(ORs)如下(PALS: 83% vs 30.4%;P = 0.0001;Or = 11.4;95% CI [3-42]), PACS: 90% vs 47%;P = 0.001;Or = 9.8;95% ci[2.3-41])。在多变量研究中,事件发生的唯一独立参数是PACS <10% (p = 0.013;或= 44;95% ci[2.19-80])。结论。PACS可预测无症状MS患者随访中病理事件的发生,对无症状MS有预后价值。
{"title":"Prognostic contribution of two-dimensional left atrial strain in patients with asymptomatic mitral stenosis in the Tunisian population","authors":"W. Yaakoubi, K. Taamallah, A. Haggui, N. Hajlaoui, W. Fehri","doi":"10.5937/mckg56-41404","DOIUrl":"https://doi.org/10.5937/mckg56-41404","url":null,"abstract":"Objective. The two-dimensional strain is an objective echocardiographic technique allowing the quantification of myocardial deformation. The aim of this study was to specify prognostic contribution of left atrial strain in patients with asymptomatic mitral stenosis. Methods. We included consecutive patients followed for severe or moderately severe rheumatic Mitral Stenosis (MS), asymptomatic, during the period from January 2015 to June 2020 in the Military Hospital of Tunis. The patients followed were divided into two groups according to one criterion of judgment composed of: Cardiac mortality, The occurrence of hospitalization for cardiac reasons, The occurrence of atrial fibrillation (AF), The occurrence of a thromboembolic event, and the need for cardiac surgery or mitral valvuloplasty. Results. Initially eighty patients were selected, but only 53 were followed and then divided into two groups: 30 patients had at least one event and 23 patients had no events according to the occurrence of the major endpoint of the study. In a univariate study and for conventional echocardiographic parameters, we determined that if Left Atrium Area (LAA) is larger than 30 cm 2 and left atrium volume (LAV) more than 100ml/m 2, the risk of occurrence of an event increased significantly respectively (LAA: 69% vs 10%; p = 0.01; OR = 6.6; 95% CI [1.5-28]) and (LAV: 71.4% vs 39%; p = 0.002; OR = 4; 95% CI [1.1-13]). The same was true for left atrium deformation parameters, both Peak Atrial Longitudinal Strain (PALS) <25% and Peak Atrial Contraction Strain (PACS) <10 % were predictive of events in univariate study with the following respective odds ratios (ORs) (PALS: 83% vs 30.4%; p = 0.0001; OR = 11.4; 95% CI [3-42]), and (PACS: 90% vs 47%; p = 0.001; OR = 9.8; 95% CI [2.3-41]). In a multivariate study, the only independent parameter of the occurrence of an event was PACS <10% (p = 0.013; OR = 44; 95% CI [2.19-80]). Conclusion. PACS have prognostic value in asymptomatic MS as it predicts the occurrence of pathologic events in the followup of asymptomatic patients.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70987901","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
Imaging methods of ovarian fibroma in a 55-year-old patient 55岁卵巢纤维瘤的影像学分析
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-36030
Aleksandar Dević, A. Dević, M. Šorak, G. Zajic
Objective. We present a patient aged 55 years, with ovarian fibroma measuring 134x72x112 mm and the associated fallopian tube measuring 55x9mm (previously analyzed ex tempore method). A fibroma is a benign ovarian tumor consisting of fibroblasts, collagen fibers and arising from the ovarian stroma. It accounts for 1% to 5% of all ovarian tumors and occurs in the population aged 20 to 80, most often after the age of 50. Methods. An ultrasonographic examination showed that the uterus swims in about 100 ml of anechoic free fluid. Anteuterine, a larger soft-tissue tumefaction, without a clear connection with the uterus, with clear borders and seemingly mobile, measures 106x80 mm. Following that, MSCT and MR of the abdomen and small pelvis were performed. After adequate preparation, the patient underwent a surgery, and the obtained material was sent for histopathological diagnosis. Results. The analyzed sample consisted of tumor proliferation of predominantly spindle cells organized by vertebrates, in some places vortex to zones of somewhat loose structure, focal with collagen and straight fibers. This histological finding is the most appropriate for fibroids, clearer preserved histological material. Conclusion. Surgery is the therapy of choice in the treatment of ovarian tumors. Despite the application and availability of all modern diagnostic methods, in this case report, the origin of the tumor was discovered by surgery. Consequently, we can conclude that accurate diagnosis of ovarian tumors is extremely difficult. In accordance with that, it is necessary to improve the existing techniques and discover new diagnostic procedures, on the basis of which the doctor would more easily decide, in the interest of the patient, on the adequate treatment of ovarian tumors.
目标。我们报告了一位55岁的患者,卵巢纤维瘤尺寸为134x72x112 mm,相关的输卵管尺寸为55x9mm(以前的临时分析方法)。纤维瘤是一种良性卵巢肿瘤,由成纤维细胞、胶原纤维组成,起源于卵巢间质。它占所有卵巢肿瘤的1%至5%,发生在20至80岁的人群中,最常见于50岁以后。方法。超声检查显示子宫在约100毫升无回声的游离液体中游动。子宫前较大软组织肿物,与子宫连接不清,边界清晰,似可移动,尺寸为106x80mm。随后对腹部及小骨盆行MSCT、MR检查。在充分准备后,患者接受手术,并将获得的材料送去进行组织病理学诊断。结果。所分析的样本主要是由脊椎动物组织的梭形细胞组成的肿瘤增殖,在一些地方漩涡到结构松散的区域,胶原蛋白和直纤维聚集。这一组织学发现最适合于肌瘤,组织材料保存更清晰。结论。手术是卵巢肿瘤治疗的首选方法。尽管所有现代诊断方法的应用和可用性,在本病例报告中,肿瘤的起源是通过手术发现的。因此,我们可以得出结论,卵巢肿瘤的准确诊断是极其困难的。因此,有必要改进现有技术并发现新的诊断程序,在此基础上,医生将更容易决定,为了患者的利益,卵巢肿瘤的适当治疗。
{"title":"Imaging methods of ovarian fibroma in a 55-year-old patient","authors":"Aleksandar Dević, A. Dević, M. Šorak, G. Zajic","doi":"10.5937/mckg56-36030","DOIUrl":"https://doi.org/10.5937/mckg56-36030","url":null,"abstract":"Objective. We present a patient aged 55 years, with ovarian fibroma measuring 134x72x112 mm and the associated fallopian tube measuring 55x9mm (previously analyzed ex tempore method). A fibroma is a benign ovarian tumor consisting of fibroblasts, collagen fibers and arising from the ovarian stroma. It accounts for 1% to 5% of all ovarian tumors and occurs in the population aged 20 to 80, most often after the age of 50. Methods. An ultrasonographic examination showed that the uterus swims in about 100 ml of anechoic free fluid. Anteuterine, a larger soft-tissue tumefaction, without a clear connection with the uterus, with clear borders and seemingly mobile, measures 106x80 mm. Following that, MSCT and MR of the abdomen and small pelvis were performed. After adequate preparation, the patient underwent a surgery, and the obtained material was sent for histopathological diagnosis. Results. The analyzed sample consisted of tumor proliferation of predominantly spindle cells organized by vertebrates, in some places vortex to zones of somewhat loose structure, focal with collagen and straight fibers. This histological finding is the most appropriate for fibroids, clearer preserved histological material. Conclusion. Surgery is the therapy of choice in the treatment of ovarian tumors. Despite the application and availability of all modern diagnostic methods, in this case report, the origin of the tumor was discovered by surgery. Consequently, we can conclude that accurate diagnosis of ovarian tumors is extremely difficult. In accordance with that, it is necessary to improve the existing techniques and discover new diagnostic procedures, on the basis of which the doctor would more easily decide, in the interest of the patient, on the adequate treatment of ovarian tumors.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70986883","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
Depression, anxiety and stress among alcohol addicts 酒精成瘾者的抑郁、焦虑和压力
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-35057
Stevan Barać, Medo Gutić, B. Vukcevic, Teodora Safiye, B. Radmanovic, Milan Đorđić, M. Sekulić, D. Stajić, Stefan Joksimović, Danijela Đoković, Snežana Samardžić
Objective. The aim of the study was to examine the level of depression, anxiety and stress in alcohol addicts, i.e. to determine differences in the level of depression, anxiety and stress between the group of subjects diagnosed with F10.1 and the group of subjects diagnosed with F10.2, as well as to determine differences in sociodemographic characteristics and health status between the groups of subjects diagnosed with F10.1 and F10.2. Methods. Our study was designed as a non-experimental, observational cross-sectional study. It was conducted at the University Clinical Centre Kragujevac in the Clinic for Psychiatry, during January 2021. The sample consisted of 110 respondents of both sexes, aged 18 to 65, divided into two groups. The first group consisted of subjects diagnosed with alcohol dependence (F10.2), and the second group consisted of subjects diagnosed with alcohol abuse (F10.1). Results. Our study has shown that alcohol addicts have clinically significant and severe symptoms of depression, that symptoms were positively correlated with stress levels, and that short-term stress of milder intensity was associated with occasional alcohol abuse, while prolonged stress was a predictor of alcohol dependence. No statistically significant association of alcohol dependence and alcohol abuse with anxiety was found. It was also found that alcohol dependence is associated with certain sociodemographic characteristics such as gender and marital status, education level, employment status, as well as health status and the number of hospitalizations. Conclusion. With this study, we have shown how much stress is present and important in the genesis of alcoholism, as well as the positive correlation of depression and alcohol dependence, and the importance of sociodemographic characteristics in their genesis.
目标。本研究的目的是检查酒精成瘾者的抑郁、焦虑和压力水平,即确定诊断为F10.1的受试者组与诊断为F10.2的受试者组之间抑郁、焦虑和压力水平的差异,以及确定诊断为F10.1和F10.2的受试者组之间社会人口统计学特征和健康状况的差异。方法。我们的研究被设计为一项非实验性、观察性的横断面研究。该研究于2021年1月在精神病学诊所的克拉古耶瓦茨大学临床中心进行。样本包括110名男女受访者,年龄在18岁至65岁之间,分为两组。第一组为诊断为酒精依赖的受试者(F10.2),第二组为诊断为酒精滥用的受试者(F10.1)。结果。我们的研究表明,酒精成瘾者有临床上显著和严重的抑郁症状,症状与压力水平呈正相关,轻度短期压力与偶尔的酒精滥用有关,而长期压力是酒精依赖的预测因子。没有发现酒精依赖和酒精滥用与焦虑有统计学意义的关联。研究还发现,酒精依赖与某些社会人口特征有关,如性别和婚姻状况、教育水平、就业状况以及健康状况和住院次数。结论。通过这项研究,我们已经证明了压力在酒精中毒的发生中存在的重要性,以及抑郁和酒精依赖之间的正相关关系,以及社会人口特征在其发生中的重要性。
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引用次数: 0
Ectopic pelvic kidney in a child: A case report 儿童盆腔肾异位1例
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-39508
Ntroduction. An ectopic pelvic kidney is an anatomical anomaly in the position of the kidney. In the stage of metanephros, its movement, rotation, and lifting from the pelvis to the lumbar area are absent. Due to vascular or other abnormalities, the kidney does not reach its usual anatomical position and therefore remains ectopic. The position in which it can be placed is retroperitoneal, abdominal, or thoracic, with numerous variations. Case report: A three-month-old male infant underwent kidney screening during an ultrasound examination of the hips. There had been a positive family history in the mother and maternal aunt of the existence of an ectopic, left pelvic kidney, without complications and accompanying symptoms. The clinical findings of the infant's systems were normal, he was developing in terms of body mass. The analyzes of urine, biochemistry, and urine culture did not show any pathological findings. Ultrasound examination showed that the left renal lobe was completely filled with spleen, without visualization of the left kidney. In the right lumbar box, there was the right kidney, with regular dimensions, clear edges and normal thickness of the parenchyma. Inferior to the right kidney, in the area of the right lumbar region, facing inwards, there was the left kidney with regular ultrasonographic characteristics. Urinary bladder was properly positioned, with normal dimensions and wall thickness. The infant was advised to see a pediatric nephrologist. Conclusion: This is another case of an ectopic kidney recorded during an echosonographic examination of the hips, thus demonstrating the importance of routine ultrasound examinations of the abdomen, in order to increase the possibility of early detection of anomalies of the abdominal organs.
Ntroduction。异位盆腔肾是一种在肾脏位置上的解剖异常。在后肾期,它的运动、旋转和从骨盆到腰椎的提升都缺失了。由于血管或其他异常,肾脏不能达到其通常的解剖位置,因此仍然是异位。它可以放置在腹膜后、腹部或胸部,有许多变化。病例报告:一个三个月大的男婴在髋关节超声检查期间接受肾脏筛查。母亲和姨妈有左盆腔肾异位的阳性家族史,无并发症和伴随症状。婴儿的临床检查结果是正常的,他的体重正在发育。尿液分析、生化及尿培养未见任何病理结果。超声检查显示左肾完全被脾脏填满,未见左肾。右腰箱内可见右肾,尺寸规整,边缘清晰,实质厚度正常。在右肾下方,在右腰椎区,面朝内可见左肾,超声特征正常。膀胱位置正确,尺寸、壁厚正常。这个婴儿被建议去看儿科肾病专家。结论:这是另一例髋部超声检查中发现的异位肾,说明常规腹部超声检查的重要性,以增加早期发现腹部器官异常的可能性。
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引用次数: 0
Panic attack in the outpatient clinic of emergency medical services in Belgrade 贝尔格莱德紧急医疗服务门诊部的惊恐发作
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.5937/mckg56-39987
S. Živanović
Objective. Panic attack is defined as specific, frightening experience of intense fear and impending catastrophe that is accompanied by numerous somatic symptoms. The scope of study was to show the presentation of panic attack disorder in patients in EMS Belgrade Ambulatory Clinic, its frequency, temporal patterns and prescribed therapy. Methods. The research is a cross-sectional study of the work of a one general practitioner and a gerontology subspecialist from the City institute outpatient clinic in Belgrade EMS, in the period from 18.12. 2014. to 16.01. 2019. in each patient's medical record there was at least one or more complaints recorded. Results. Out of 8398 patients, 61 were found with a diagnosis of panic attack, which is 0.73% of the total number of examined patients. 50.82% were male and 49.18% female, with an average age of 39.92. The most common symptoms were respiratory, as well as numbness and tingling, dizziness, feelings of insecurity and fainting, in 80.3% of cases, patients had somewhat similar symptoms previously, whereas 31.1% presented with an actual panic attack. Of the total number of patients 21.3% of them have already been treated for anxiety and depressive disorder. Ten of them tried to help themselves by taking either bromazepam and diazepam tablets on their own, whereas 35.5% were actually prescribed diazepam by our staff physicians. Conclusion: Panic attack is most often presented as a respiratory manifestation. Patients call for medical assistance somewhat more frequently at nighttime when community healthcare centers are closed, however, this is of no statistical significance. The administered therapy was diazepam orally or intramuscularly.
目标。惊恐发作被定义为一种特殊的、可怕的经历,即强烈的恐惧和即将到来的灾难,伴随着许多躯体症状。研究的范围是显示恐慌发作障碍在急诊贝尔格莱德门诊病人的表现,其频率,时间模式和处方治疗。方法。本研究是一项横断面研究的工作,一名全科医生和老年专科医生从城市研究所门诊在贝尔格莱德EMS,从12月18日期间。2014. 到16.01。2019. 在每个病人的医疗记录中,至少记录了一项或多项投诉。结果。在8398名患者中,有61人被诊断为惊恐发作,占检查患者总数的0.73%。男性50.82%,女性49.18%,平均年龄39.92岁。最常见的症状是呼吸系统,以及麻木和刺痛,头晕,不安全感和昏厥,在80.3%的病例中,患者之前有一些类似的症状,而31.1%的患者表现为实际的恐慌发作。在患者总数中,21.3%的人已经接受过焦虑和抑郁障碍的治疗。其中10人试图通过自行服用溴西泮和地西泮片来帮助自己,而35.5%的人实际上是由我们的工作医师开的地西泮。结论:惊恐发作最常表现为呼吸症状。在社区保健中心关闭的夜间,患者的医疗求助频率有所增加,但这没有统计学意义。给予的治疗是口服或肌肉注射安定。
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Medicinski Casopis
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