Aim: To present a very rare case of empyema cavuma septi pellucidi. Case report: A 5-year-old male child was admitted to the Department of Infectious Diseases Cantonal Hospital Zenica because of fever (38.30C), headache and vomiting. The patient developed intracranial hypertension as a result of a compressive purulent collection formed due to meningitis between the lamine of the septum pelucidum with consequent intracranial hypertension. Conclusion: The decision regarding the modality of treatment was not easy. We considered that empyema evacuation using the transcallosalinterhemispheric approach allows the complete removal of purulent collection and the placement of drainage, which allows additional emptying of the empyema cavity and prevents empyema recurrence. Empyema evacuation with drainage and antibiotic therapy have shown beneficial results.
{"title":"Rijetki slučaj empijema cavum septi pellucidi i principi neurokirurškog zbrinjavanja","authors":"Alma Efendić, Hakija Bečulić, Rasim Skomorac, Aldin Jusić, Edin Selimović, Emir Begagić, Fatima Juković-Bihorac","doi":"10.57140/mj.53.1.7","DOIUrl":"https://doi.org/10.57140/mj.53.1.7","url":null,"abstract":"Aim: To present a very rare case of empyema cavuma septi pellucidi. Case report: A 5-year-old male child was admitted to the Department of Infectious Diseases Cantonal Hospital Zenica because of fever (38.30C), headache and vomiting. The patient developed intracranial hypertension as a result of a compressive purulent collection formed due to meningitis between the lamine of the septum pelucidum with consequent intracranial hypertension. Conclusion: The decision regarding the modality of treatment was not easy. We considered that empyema evacuation using the transcallosalinterhemispheric approach allows the complete removal of purulent collection and the placement of drainage, which allows additional emptying of the empyema cavity and prevents empyema recurrence. Empyema evacuation with drainage and antibiotic therapy have shown beneficial results.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48933125","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}
Andrea Tokić, Ivana Gusar, Matilda Nikolić Ivanišević
Aim: To examine changes in general and work well-being of health professionals in the Republic ofCroatia during the first and second waves of the pandemic COVID-19. Although there are numerousstudies, in our country and worldwide, that have examined the general and/or work well-being of healthcare workers during the pandemic(s), few researchers have used a longitudinal approach.Participants and methods: Ninety-two participants took part in the study. Most of the participantswere nurses and technicians (N=88; 95.65%), while physicians were represented to a much lesser extent(N=4; 4.35%). The sample was dominated by women (N=82; 89.1%), compared to men (N=10; 10.9%).Data from all participants were collected at two measurement time points corresponding to the two wavesof the pandemic in the Republic of Croatia. In addition to questions on sociodemographic characteristics(age, gender, workplace...), the following instruments were used: DASS-42 (to assess depression, anxietyand stress), Short Mental Health Inventory, Oldenburg Burnout Inventory and Job Satisfaction Scale.Results: A statistically significant increase in the level of depression (p < 0.05), anxiety (p < 0.05), andstress (p < 0.05) was found during the second wave of the pandemic compared to the first wave. Nosignificant changes were found in the general mental health status of the participants (p > 0.05). Regardingwork well-being, a significantly higher level of exhaustion was found (p < 0.05), while no significantchange was recorded in the level of alienation (p > 0.05), nor in the participants' job satisfaction (p > 0.05).Conclusion: Although the second wave of the pandemic was associated with an increase in depression,anxiety, stress, and exhaustion among convenient sample of health care workers, there was no decrease inlevels of mental health, job satisfaction, and alienation (burnout dimension).
{"title":"Mental health and well-being in healthcare workers in Croatia during COVID-19 pandemic","authors":"Andrea Tokić, Ivana Gusar, Matilda Nikolić Ivanišević","doi":"10.57140/mj.53.1.3","DOIUrl":"https://doi.org/10.57140/mj.53.1.3","url":null,"abstract":"Aim: To examine changes in general and work well-being of health professionals in the Republic ofCroatia during the first and second waves of the pandemic COVID-19. Although there are numerousstudies, in our country and worldwide, that have examined the general and/or work well-being of healthcare workers during the pandemic(s), few researchers have used a longitudinal approach.Participants and methods: Ninety-two participants took part in the study. Most of the participantswere nurses and technicians (N=88; 95.65%), while physicians were represented to a much lesser extent(N=4; 4.35%). The sample was dominated by women (N=82; 89.1%), compared to men (N=10; 10.9%).Data from all participants were collected at two measurement time points corresponding to the two wavesof the pandemic in the Republic of Croatia. In addition to questions on sociodemographic characteristics(age, gender, workplace...), the following instruments were used: DASS-42 (to assess depression, anxietyand stress), Short Mental Health Inventory, Oldenburg Burnout Inventory and Job Satisfaction Scale.Results: A statistically significant increase in the level of depression (p < 0.05), anxiety (p < 0.05), andstress (p < 0.05) was found during the second wave of the pandemic compared to the first wave. Nosignificant changes were found in the general mental health status of the participants (p > 0.05). Regardingwork well-being, a significantly higher level of exhaustion was found (p < 0.05), while no significantchange was recorded in the level of alienation (p > 0.05), nor in the participants' job satisfaction (p > 0.05).Conclusion: Although the second wave of the pandemic was associated with an increase in depression,anxiety, stress, and exhaustion among convenient sample of health care workers, there was no decrease inlevels of mental health, job satisfaction, and alienation (burnout dimension).","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48551732","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}
T. Benjak, Vanja Vasiljev Marchesi, Marijana Pavlić, Marijana Dumančić, Marijana Gojčeta, Marica Mirić, Lelia Kiš-Glavaš, Dejana Bouillet, Zrinka Špoljarić, Ana Vuljanić, G. Vuletić
Uvod: Pokazalo se da kvaliteta života pojedinca ne ovisi samo o ekonomskom napretku, nego i onjegovim subjektivnim prosudbama, te bi stoga praćenje subjektivne kvalitete života trebalo postatipreduvjet za donošenje političkih pravaca. Rad se bavi usporedbom kvalitete života osoba s invaliditetomstarije životne dobi s normativnim vrijednostima opisanim u znanstvenoj literaturi, a prema regijamaRepublike Hrvatske.Ispitanici i metode: Uzorak je obuhvatio 450 osoba s invaliditetom u dobi od 50 ili više godina (299 izkontinentalne i 151 iz priobalne Hrvatske). Osobna kvaliteta života ispitivala se pomoću Indeksa osobnedobrobiti za odrasle. Prikupljeni su podaci o sociodemografskim obilježjima ispitanika. U obradi sukorištene deskriptivne statističke metode, te Mann-Whitney U test za utvrđivanje razlike između regija.Rezultati: Ukupna kvaliteta života značajno je niža od teorijski pretpostavljene normativne vrijednosti zaopću populaciju. Najniži rezultat postignut je na domenama Zdravlje i Sigurnost u budućnost, a najvišarazina dobivena je na domeni Bliskih odnosa. Ispitanici u kontinentalnoj Hrvatskoj izvijestili su u prosjekunešto višu ukupnu kvalitetu života (53,02 naspram 49,31), no oba su rezultata bila ispod normativnograspona. Na razini domene postojale su značajne razlike u zadovoljstvu bliskim odnosima, povezanošću sazajednicom i osjećajem sigurnosti, pri čemu je skupina iz kontinentalne regije iskazala značajno većezadovoljstvo u odnosu na priobalnu regiju. Za ostale domene utvrđene su podjednake vrijednosti izmeđuregija.Zaključak: Kvaliteta života osoba s invaliditetom starije životne dobi je ispod normativnih vrijednosti,što prema teoriji homeostaze može dovesti do narušavanja zdravlja. Rezultati istraživanja mogu se koristitikao osnova za kreiranje pravaca razvoja kojima bi cilj trebao biti unaprjeđenje kvalitete života i očuvanjezdravlja osoba s invaliditetom, pogotovo osoba starije životne dobi
引言：个人生活质量不仅表现为经济进步，而且表现为主观判断，因此监测主观生活质量应该成为通过政治权利的渠道。这项工作涉及老年残疾人的生活质量，具有科学文献中所述的正常价值观，并涉及克罗地亚共和国各地区。问卷和方法：样本包括450名50岁或以上的残疾人（299名来自大陆，151名来自克罗地亚）。Osobna kvalitetaživota ispitivala se pomoću Indeksa osobnedobrobiti za odrasle。收集受试者的社会人口学特征数据。U obradi sukorištene deskscriptivne statističke metode，te Mann Whitney U test za utvrřivanje razrike izmeřU regija。结果：总体生活质量显著低于总体人群的理论估计正常值。在未来的健康和安全领域取得了最低的结果，在中世纪领域取得了最高的水平。克罗地亚的受访者估计生活质量较高（53.02对49.31），但两个结果都低于正常阈值。在领域层面，亲密关系的满意度、与沟通者的关系以及安全感存在显著差异，来自大陆地区的一组人对普里奥巴特地区表示非常满意。对于其他域，在区域之间建立相同的值。最后，残疾老年人的生活质量低于正常值，根据稳态理论，这可能导致健康滥用。研究结果可作为制定发展指导方针的基础，旨在提高残疾人，特别是老年人的生活质量和保护他们。
{"title":"Quality of life of elderly persons with disabilities in the Republic of Croatia","authors":"T. Benjak, Vanja Vasiljev Marchesi, Marijana Pavlić, Marijana Dumančić, Marijana Gojčeta, Marica Mirić, Lelia Kiš-Glavaš, Dejana Bouillet, Zrinka Špoljarić, Ana Vuljanić, G. Vuletić","doi":"10.57140/mj.52.4.1","DOIUrl":"https://doi.org/10.57140/mj.52.4.1","url":null,"abstract":"Uvod: Pokazalo se da kvaliteta života pojedinca ne ovisi samo o ekonomskom napretku, nego i onjegovim subjektivnim prosudbama, te bi stoga praćenje subjektivne kvalitete života trebalo postatipreduvjet za donošenje političkih pravaca. Rad se bavi usporedbom kvalitete života osoba s invaliditetomstarije životne dobi s normativnim vrijednostima opisanim u znanstvenoj literaturi, a prema regijamaRepublike Hrvatske.Ispitanici i metode: Uzorak je obuhvatio 450 osoba s invaliditetom u dobi od 50 ili više godina (299 izkontinentalne i 151 iz priobalne Hrvatske). Osobna kvaliteta života ispitivala se pomoću Indeksa osobnedobrobiti za odrasle. Prikupljeni su podaci o sociodemografskim obilježjima ispitanika. U obradi sukorištene deskriptivne statističke metode, te Mann-Whitney U test za utvrđivanje razlike između regija.Rezultati: Ukupna kvaliteta života značajno je niža od teorijski pretpostavljene normativne vrijednosti zaopću populaciju. Najniži rezultat postignut je na domenama Zdravlje i Sigurnost u budućnost, a najvišarazina dobivena je na domeni Bliskih odnosa. Ispitanici u kontinentalnoj Hrvatskoj izvijestili su u prosjekunešto višu ukupnu kvalitetu života (53,02 naspram 49,31), no oba su rezultata bila ispod normativnograspona. Na razini domene postojale su značajne razlike u zadovoljstvu bliskim odnosima, povezanošću sazajednicom i osjećajem sigurnosti, pri čemu je skupina iz kontinentalne regije iskazala značajno većezadovoljstvo u odnosu na priobalnu regiju. Za ostale domene utvrđene su podjednake vrijednosti izmeđuregija.Zaključak: Kvaliteta života osoba s invaliditetom starije životne dobi je ispod normativnih vrijednosti,što prema teoriji homeostaze može dovesti do narušavanja zdravlja. Rezultati istraživanja mogu se koristitikao osnova za kreiranje pravaca razvoja kojima bi cilj trebao biti unaprjeđenje kvalitete života i očuvanjezdravlja osoba s invaliditetom, pogotovo osoba starije životne dobi","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45066569","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. Mišković, Ivana Pajić Matić, J. Samardžić, Ivan Vučković, D. Sauerborn, Tomislav Stojadinović, Karolina Veselski
Postaviti dijagnozu zloćudne bolesti tijekom prvog pregleda bolesnika u hitnoj ambulanti nije jednostavno. Ako tijekom obrade proširenosti bolesti posumnjamo na inoperabilnost karcinoma, metastaziranje ili drugu zloćudnu novotvorinu, zadatak postaje još teži. Nedostatak protokola za aktivno liječenje bolesnika s dva sinkrona karcinoma udaljenih regija predstavlja veliki problem kod rijetkih bolesnika. Bolesnica u dobi od 64 godine javila se u hitnu ambulantu zbog promuklosti i razvoja obostrane otekline na vratu. Postavili smo dijagnozu karcinoma epiglotisa s obostranim metastazama u vratu. U sklopu obrade bolesnice uočili smo neočekivanu hipovaskularnu leziju jetrenog parenhima te smo dijagnosticirali kolangiokarcinom jetre. S obzirom na dva sinkrona karcinoma, bolesnicu smo uputili multidisciplinarnom onkološkom timu koji je indicirao konkomitantnu kemoradioterapiju, a liječenje je još uvijek u tijeku. Dva sinkrona karcinoma udaljenih regija izrazito su rijetka. Pretraživanjem baza podataka Pubmed i Google Scholar opisan je još samo jedan slučaj istovremenog karcinoma grkljana i kolangiokarcinoma u kojem nije provedeno aktivno liječenje, već samo palijativna skrb. Slučaj naše bolesnice pokazuje kako postoje terapijske opcije koje mogu produljiti život i poboljšati kvalitetu života takvih bolesnika.
{"title":"Synchronous squamous cell carcinoma of the larynx and intrahepatic cholangio carcinoma – a case report","authors":"A. Mišković, Ivana Pajić Matić, J. Samardžić, Ivan Vučković, D. Sauerborn, Tomislav Stojadinović, Karolina Veselski","doi":"10.57140/mj.52.4.9","DOIUrl":"https://doi.org/10.57140/mj.52.4.9","url":null,"abstract":"Postaviti dijagnozu zloćudne bolesti tijekom prvog pregleda bolesnika u hitnoj ambulanti nije jednostavno. Ako tijekom obrade proširenosti bolesti posumnjamo na inoperabilnost karcinoma, metastaziranje ili drugu zloćudnu novotvorinu, zadatak postaje još teži. Nedostatak protokola za aktivno liječenje bolesnika s dva sinkrona karcinoma udaljenih regija predstavlja veliki problem kod rijetkih bolesnika. Bolesnica u dobi od 64 godine javila se u hitnu ambulantu zbog promuklosti i razvoja obostrane otekline na vratu. Postavili smo dijagnozu karcinoma epiglotisa s obostranim metastazama u vratu. U sklopu obrade bolesnice uočili smo neočekivanu hipovaskularnu leziju jetrenog parenhima te smo dijagnosticirali kolangiokarcinom jetre. S obzirom na dva sinkrona karcinoma, bolesnicu smo uputili multidisciplinarnom onkološkom timu koji je indicirao konkomitantnu kemoradioterapiju, a liječenje je još uvijek u tijeku. Dva sinkrona karcinoma udaljenih regija izrazito su rijetka. Pretraživanjem baza podataka Pubmed i Google Scholar opisan je još samo jedan slučaj istovremenog karcinoma grkljana i kolangiokarcinoma u kojem nije provedeno aktivno liječenje, već samo palijativna skrb. Slučaj naše bolesnice pokazuje kako postoje terapijske opcije koje mogu produljiti život i poboljšati kvalitetu života takvih bolesnika.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42874041","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}
Povijest čovječanstva blisko je povezana s pojavom pandemija koje su pustošile svijet mijenjajući sociekonomska obilježja te utjecala na ishode ratnih sukoba i promjene državnih granica, ozbiljno prijeteći ljudskoj vrsti, budući da su zarazne bolesti bile uvjerljivo vodeći uzrok smrtnosti. Pandemija COVID-19 šokantno se odrazila na razne aspekte ljudskog postojanja, a svijet se našao pred izborom između scenarija koji se aktivno bori protiv virusa uvođenjem snažnih protuepidemijskih mjera, brojeći mrtve u tisućama i scenarija koji uslijed blagih mjera pušta virusu da se širi populacijom brojeći mrtve u milijunima. Dubrovnik je prvi grad u Europi koji je 1377. g. uveo preventivnu mjeru protiv širenja bolesti izoliranjem ljudi, životinja i dobara koji su tamo stizali iz sumnjivih zaraženih zemalja, što predstavlja prijelomni događaj u povijesti europske medicine, socijalne politike i pomorske trgovine. Revolucionarno otkriće cjepiva zauvijek je promijenilo tijek prirodne selekcije i omogućilo sadašnju razinu zdravlja i duljinu ljudskoga vijeka, pa se zasluženo smatra civilizacijskim postignućem, budući da je tom javnozdravstvenom mjerom spašeno više života nego nekom drugom intervencijom. Svjetska zdravstvena organizacija (WHO) je, uz potporu zemalja i partnera, podržala novu globalnu viziju i strategiju pod nazivom Agenda imunizacije 2030, kako bi se suočila s izazovima tijekom sljedećeg desetljeća u spašavanju više od 50 milijuna života, omogućivši cjepivo svima i svugdje.
{"title":"Povijesna važnost uspostave protuepidemijskih mjera učinkovitih u prevenciji zaraznih bolesti u Hrvatskoj i u svijetu","authors":"Anamarija Pisarović","doi":"10.57140/mj.52.4.4","DOIUrl":"https://doi.org/10.57140/mj.52.4.4","url":null,"abstract":"Povijest čovječanstva blisko je povezana s pojavom pandemija koje su pustošile svijet mijenjajući sociekonomska obilježja te utjecala na ishode ratnih sukoba i promjene državnih granica, ozbiljno prijeteći ljudskoj vrsti, budući da su zarazne bolesti bile uvjerljivo vodeći uzrok smrtnosti. Pandemija COVID-19 šokantno se odrazila na razne aspekte ljudskog postojanja, a svijet se našao pred izborom između scenarija koji se aktivno bori protiv virusa uvođenjem snažnih protuepidemijskih mjera, brojeći mrtve u tisućama i scenarija koji uslijed blagih mjera pušta virusu da se širi populacijom brojeći mrtve u milijunima. Dubrovnik je prvi grad u Europi koji je 1377. g. uveo preventivnu mjeru protiv širenja bolesti izoliranjem ljudi, životinja i dobara koji su tamo stizali iz sumnjivih zaraženih zemalja, što predstavlja prijelomni događaj u povijesti europske medicine, socijalne politike i pomorske trgovine. Revolucionarno otkriće cjepiva zauvijek je promijenilo tijek prirodne selekcije i omogućilo sadašnju razinu zdravlja i duljinu ljudskoga vijeka, pa se zasluženo smatra civilizacijskim postignućem, budući da je tom javnozdravstvenom mjerom spašeno više života nego nekom drugom intervencijom. Svjetska zdravstvena organizacija (WHO) je, uz potporu zemalja i partnera, podržala novu globalnu viziju i strategiju pod nazivom Agenda imunizacije 2030, kako bi se suočila s izazovima tijekom sljedećeg desetljeća u spašavanju više od 50 milijuna života, omogućivši cjepivo svima i svugdje.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42435696","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}
Congenital diaphragmatic hernia (CDH) is a developmental malformation characterized by a defect in the diaphragm that allows abdominal viscera to move into the chest cavity. A routine ultrasound screening performed during pregnancy detects over half of all cases. This paper describes two women who were prenatally diagnosed to have a fetus with isolated posterolateral CDH. Both mothers underwent medical abortion. In the first case, a postmortem examination of the fetus revealed a large right-sided CDH, in which a part of the liver and small intestine were propagated into the chest. In the second one, a huge left-sided CDH was identified, in which the entire stomach, a large proportion of the small intestine and part of the left lobe of the liver were pushed up into the thoracic cavity. CDH is a diagnostically challenging birth defect with a marked variation in severity and corresponding survival. In utero-diagnosed cases usually represent more severe and prognostically unfavorable conditions than those that were postnatally diagnosed. Early prenatal detection of CDH may help improve the clinical outcome as the mother can be referred to a specialist center before the onset of labor for optimal perinatal management. A legal medical abortion should be the last option after all the others have been exhausted.
{"title":"Congenital diaphragmatic (Bochdalek) hernia of the fetus","authors":"V. Bartoš, Oľga Káčeríková","doi":"10.57140/mj.52.4.5","DOIUrl":"https://doi.org/10.57140/mj.52.4.5","url":null,"abstract":"Congenital diaphragmatic hernia (CDH) is a developmental malformation characterized by a defect in the diaphragm that allows abdominal viscera to move into the chest cavity. A routine ultrasound screening performed during pregnancy detects over half of all cases. This paper describes two women who were prenatally diagnosed to have a fetus with isolated posterolateral CDH. Both mothers underwent medical abortion. In the first case, a postmortem examination of the fetus revealed a large right-sided CDH, in which a part of the liver and small intestine were propagated into the chest. In the second one, a huge left-sided CDH was identified, in which the entire stomach, a large proportion of the small intestine and part of the left lobe of the liver were pushed up into the thoracic cavity. CDH is a diagnostically challenging birth defect with a marked variation in severity and corresponding survival. In utero-diagnosed cases usually represent more severe and prognostically unfavorable conditions than those that were postnatally diagnosed. Early prenatal detection of CDH may help improve the clinical outcome as the mother can be referred to a specialist center before the onset of labor for optimal perinatal management. A legal medical abortion should be the last option after all the others have been exhausted.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48808282","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}
The eruption of a tooth into the nasal cavity is a rare and incidental finding during routine clinical or radiological examination. Since the 1960s there were more than 60 reported cases of nasal teeth. To the best of our knowledge, this is only the sixth case report of a supernumerary intranasal canine in the selected period. A 22-year-old male presented with a history of recurrent rhinorrhea, nasal congestion, tension headaches, and insomnia but without previous epistaxis or facial trauma episodes, and with no history of congenital craniofacial malformations. Following a computed tomography examination, a diagnosis of a supernumerary inverted ectopic canine eruption into the left nasal cavity was established. To identify such rarities and prevent possible complications, it is essential to acquire detailed patient history, be familiar with both normal and variant maxillofacial structures, and conduct systematic radiological image analysis
{"title":"Inverted supernumerary nasal tooth","authors":"Thomas Ferenc, Goran Zovak, V. Vidjak","doi":"10.57140/mj.52.4.8","DOIUrl":"https://doi.org/10.57140/mj.52.4.8","url":null,"abstract":"The eruption of a tooth into the nasal cavity is a rare and incidental finding during routine clinical or radiological examination. Since the 1960s there were more than 60 reported cases of nasal teeth. To the best of our knowledge, this is only the sixth case report of a supernumerary intranasal canine in the selected period. A 22-year-old male presented with a history of recurrent rhinorrhea, nasal congestion, tension headaches, and insomnia but without previous epistaxis or facial trauma episodes, and with no history of congenital craniofacial malformations. Following a computed tomography examination, a diagnosis of a supernumerary inverted ectopic canine eruption into the left nasal cavity was established. To identify such rarities and prevent possible complications, it is essential to acquire detailed patient history, be familiar with both normal and variant maxillofacial structures, and conduct systematic radiological image analysis","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45523766","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}
Matija Miškec, Hrvoje Čupić, Tomislav Gregurić, Tomislav Baudoin
Uvod: Meningeomi su najčešći primarni tumori središnjeg živčanog sustava kod odraslih, te čine preko 30% svih intrakranijalnih tumora. Prema Svjetskoj zdravstvenoj organizaciji (World Health Organization - WHO) klasificiraju se kao benigni (WHO gradus I), atipični (WHO gradus II), te maligni/anaplastični (WHO gradus III). Ekstrakranijalni meningeomi, bez intrakranijalne komponente, vrlo su rijetki, te čine samo 1-2% slučajeva svih meningeoma. Prikaz slučaja: Šezdesetjednogodišnjem muškarcu s recidivom tumora etmoidnog sinusa lijevo, učinjena je endoskopska resekcija. Bolesniku je prije 7 godina (2015. g.) učinjena prva endoskopska operacija tumora etmoida lijevo. Patohistološki nalaz tada je pokazao da se radi o metastazi karcinoma bubrega. Bolesniku je prije 17 godina (2005. g.) učinjena desnostrana nefrektomija radi primarnog karcinoma bubrega. Rezultati opsežne imunohistokemijske analize reseciranog recidiva tumora upućuju na to da se radi o atipičnom meningeomu. S obzirom na dvije različite patohistološke dijagnoze, učinjena je revizija materijala prve endoskopske operacije, odnosno dodatna imunohistokemijska analiza. U spomenutoj naknadnoj imunohistokemijskoj analizi upotrijebljeni su, ranije nedostupni, specifični markeri potencijalnog metastatskog karcinoma bubrežnih stanica. Pokazalo se da su spomenuti specifični markeri negativni u oba uzorka, odnosno da se nije radilo o metastazi karcinoma bubrega, već o atipičnom meningeomu. Zaključak: Atipični meningeomi paranazalnih šupljina vrlo su rijetka stanja nerazjašnjene etiologije. Radikalna kirurška ekscizija bi trebala biti glavni cilj, kako bi se smanjila pojava recidiva. S obzirom na to da su atipični meningeomi skloni recidiviranju, potrebno je redovito praćenje takvih bolesnika.
条目：脑膜是成人最常见的原发性神经系统肿瘤，占颅内肿瘤的30%以上。根据世界卫生组织（世界卫生组织），它们被分为良性（世界卫生组织第一级）、慢性（世界卫生组织第二级）、恶性/间变性（世界卫生组织第三级）。没有颅内成分的硬膜外脑膜瘤非常罕见，仅占所有脑膜瘤的1-2%。该病例显示一名60岁的男子患有左侧乙状窦肿瘤，已进行内镜切除。Bolesniku je prije 7 godina（2015。（g） 对左侧肿瘤乙状结肠进行了第一次内镜手术。病理学结果表明这是癌症的转移。患者是17年前（2005年）。（g） 由于原发性癌症导致的右肾切除术。再生肿瘤的整体免疫组织化学分析结果表明，它与脑膜有关。由于两种不同的病理支持诊断，进行了第一次内镜手术材料修订，即额外的免疫组织学分析。在上述随后的免疫抑制分析中，使用了先前不可用的潜在肾细胞转移癌的特异性标志物。两个样本中的特异性标志物均为阴性，即不是关于癌症肾转移，而是关于软脑膜。结论：在不明原因的行为学中，枕边腔的枕性脑膜水肿非常罕见。Radikalna kirurška ekscizija bi trebala biti glavni cilj，kako bi se smanjila pojava recidiva。由于癫痫脑膜是从回收中去除的，因此需要对此类患者进行定期监测。
{"title":"Atipični meningeom paranazalnih šupljina - prikaz slučaja","authors":"Matija Miškec, Hrvoje Čupić, Tomislav Gregurić, Tomislav Baudoin","doi":"10.57140/mj.52.4.7","DOIUrl":"https://doi.org/10.57140/mj.52.4.7","url":null,"abstract":"Uvod: Meningeomi su najčešći primarni tumori središnjeg živčanog sustava kod odraslih, te čine preko 30% svih intrakranijalnih tumora. Prema Svjetskoj zdravstvenoj organizaciji (World Health Organization - WHO) klasificiraju se kao benigni (WHO gradus I), atipični (WHO gradus II), te maligni/anaplastični (WHO gradus III). Ekstrakranijalni meningeomi, bez intrakranijalne komponente, vrlo su rijetki, te čine samo 1-2% slučajeva svih meningeoma. Prikaz slučaja: Šezdesetjednogodišnjem muškarcu s recidivom tumora etmoidnog sinusa lijevo, učinjena je endoskopska resekcija. Bolesniku je prije 7 godina (2015. g.) učinjena prva endoskopska operacija tumora etmoida lijevo. Patohistološki nalaz tada je pokazao da se radi o metastazi karcinoma bubrega. Bolesniku je prije 17 godina (2005. g.) učinjena desnostrana nefrektomija radi primarnog karcinoma bubrega. Rezultati opsežne imunohistokemijske analize reseciranog recidiva tumora upućuju na to da se radi o atipičnom meningeomu. S obzirom na dvije različite patohistološke dijagnoze, učinjena je revizija materijala prve endoskopske operacije, odnosno dodatna imunohistokemijska analiza. U spomenutoj naknadnoj imunohistokemijskoj analizi upotrijebljeni su, ranije nedostupni, specifični markeri potencijalnog metastatskog karcinoma bubrežnih stanica. Pokazalo se da su spomenuti specifični markeri negativni u oba uzorka, odnosno da se nije radilo o metastazi karcinoma bubrega, već o atipičnom meningeomu. Zaključak: Atipični meningeomi paranazalnih šupljina vrlo su rijetka stanja nerazjašnjene etiologije. Radikalna kirurška ekscizija bi trebala biti glavni cilj, kako bi se smanjila pojava recidiva. S obzirom na to da su atipični meningeomi skloni recidiviranju, potrebno je redovito praćenje takvih bolesnika.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43286236","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}
Ž. Odobašić, Maja Pobi Salajpal, Matija Miškec, Vlatka Kovačić Vrbanić, Leon Vrtarić, Marijana Boček, Nevena Janđik, Helena Radičević Milun, Mislav Kovačić, Valentino Potroško
Pottova bolest ekstrapulmonalni je koštano-zglobni oblik tuberkuloze kod koje bacili Mycobacterium tuberculosis uzrokuju osteomijelitis kralježaka. Kod Pottove bolesti dolazi do razvoja kroničnog apscesa koji se još naziva i hladni apsces zbog odsutnosti boli i drugih znakova upale. Ako se hladni apsces razvije u području cervikalne kralježnice, može doći do njegova širenja prema stražnjoj stijenci ždrijela kroz duboke vratne prostora smještene anteriorno od cervikalnih kralježaka. U našem radu prikazujemo slučaj bolesnice s apscesom dubokih vratnih prostora koji je uzrokovan Pottovom bolešću cervikalne kralježnice. Apsces se prezentirao kao izbočina na stražnjoj stijenci ždrijela udružena s otežanim gutanjem, disanjem, inspiratornim stridorom i tetraparezom.
{"title":"Apsces dubokih vratnih prostora kao komplikacija Pottove bolesti. Prikaz slučaja","authors":"Ž. Odobašić, Maja Pobi Salajpal, Matija Miškec, Vlatka Kovačić Vrbanić, Leon Vrtarić, Marijana Boček, Nevena Janđik, Helena Radičević Milun, Mislav Kovačić, Valentino Potroško","doi":"10.57140/mj.52.4.6","DOIUrl":"https://doi.org/10.57140/mj.52.4.6","url":null,"abstract":"Pottova bolest ekstrapulmonalni je koštano-zglobni oblik tuberkuloze kod koje bacili Mycobacterium tuberculosis uzrokuju osteomijelitis kralježaka. Kod Pottove bolesti dolazi do razvoja kroničnog apscesa koji se još naziva i hladni apsces zbog odsutnosti boli i drugih znakova upale. Ako se hladni apsces razvije u području cervikalne kralježnice, može doći do njegova širenja prema stražnjoj stijenci ždrijela kroz duboke vratne prostora smještene anteriorno od cervikalnih kralježaka. U našem radu prikazujemo slučaj bolesnice s apscesom dubokih vratnih prostora koji je uzrokovan Pottovom bolešću cervikalne kralježnice. Apsces se prezentirao kao izbočina na stražnjoj stijenci ždrijela udružena s otežanim gutanjem, disanjem, inspiratornim stridorom i tetraparezom.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42712795","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}
M. Keshavarz, M. Kaviani, Setareh Derakhshanpour, Marzich Akbarzadeh
Aims: The aim of the study is to investigate the relationship between the body image and body mass index (BMI) of pregnant women with newborn growth indicators in selected hospitals of Shiraz University of Medical Sciences. Methods: A cross-sectional study was conducted on 420 pregnant women over 17 years old, who were selected by consumptive sampling method, in the hospitals affiliated to Shiraz University of Medical Sciences. The research questionnaire was conducted through the multidimensional questionnaire of a person's attitude towards her body image (MBSRQ). Due to the large number of sample size, Pearson's inferential test was used and P<0.05 was considered statistically significant. Results: The mean age of the women was 29.52±6.04 year, mean BMI was 24.66±3.96 kg/m2, and mean score of body image was 249.86±22.27. The body image score was not significantly associated with newborn growth indicators (birthweight p=0.222, length p=0.534, head circumference p=0.537). Also, the women’s BMI was not significantly related to the newborn growth indicators (birthweight p=0.180, length p=0.577, head circumference p=0.720). The BMI was inversely related to satisfaction with different body parts (p<0.001), individual's attitude towards weight (p<0.001) and total score of women's body image (p<0.001). Conclusions: the body image in pregnancy had a significant relationship with the women's BMI. However, more comprehensive prospective studies are recommended to carefully examine the effects of pregnant women's body image on newborns growth (both term and preterm), because studies in this area are very limited.
{"title":"Body image and body mass index of pregnant woman do not affect the growth indicators of newborns. A Cross-Sectional Study","authors":"M. Keshavarz, M. Kaviani, Setareh Derakhshanpour, Marzich Akbarzadeh","doi":"10.57140/mj.52.4.2","DOIUrl":"https://doi.org/10.57140/mj.52.4.2","url":null,"abstract":"Aims: The aim of the study is to investigate the relationship between the body image and body mass index (BMI) of pregnant women with newborn growth indicators in selected hospitals of Shiraz University of Medical Sciences. Methods: A cross-sectional study was conducted on 420 pregnant women over 17 years old, who were selected by consumptive sampling method, in the hospitals affiliated to Shiraz University of Medical Sciences. The research questionnaire was conducted through the multidimensional questionnaire of a person's attitude towards her body image (MBSRQ). Due to the large number of sample size, Pearson's inferential test was used and P<0.05 was considered statistically significant. Results: The mean age of the women was 29.52±6.04 year, mean BMI was 24.66±3.96 kg/m2, and mean score of body image was 249.86±22.27. The body image score was not significantly associated with newborn growth indicators (birthweight p=0.222, length p=0.534, head circumference p=0.537). Also, the women’s BMI was not significantly related to the newborn growth indicators (birthweight p=0.180, length p=0.577, head circumference p=0.720). The BMI was inversely related to satisfaction with different body parts (p<0.001), individual's attitude towards weight (p<0.001) and total score of women's body image (p<0.001). Conclusions: the body image in pregnancy had a significant relationship with the women's BMI. However, more comprehensive prospective studies are recommended to carefully examine the effects of pregnant women's body image on newborns growth (both term and preterm), because studies in this area are very limited.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48150918","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：