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The efficacy of an aerosol box to prevent infections during aerosol-generating procedures 气雾剂箱在产生气雾剂的过程中防止感染的功效
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.6016/ZdravVestn.3187
Luka Pušnik, Matej Serdinšek, T. Pintaric, N. Umek
The new risks faced by healthcare workers in the COVID-19 pandemic have inspired the development of new forms of personal protective equipment (PPE). Such a novel PPE is an aerosol box modified and adapted to facilitate safer intubation of patients infected with SARS-CoV2. Hitherto, the idea of a protective aerosol box has found clinical application in anaesthesiology and many other fields of medicine and dentistry. However, numerous criticisms of the original design have led to the evolution of new forms that gradually improved the original shortcomings. The present modified design improves the safety and simplicity of use while reducing the operator's hindrance during interventions. Operator training is also extremely important for the correct and safe use of the aerosol box in clinical practice. Aerosol box does significantly affect the speed of intubation therefore it is not recommended in urgent cases. Many authors have been able to prove that the use of the original box, as well as its later modifications, adequately protects healthcare workers from large and small water droplets. However, the use of the original form increases the risk of infection with aerosol particles.
COVID-19大流行期间卫生保健工作者面临的新风险激发了新型个人防护装备(PPE)的开发。这种新型个人防护装备是一种经过改进和调整的气雾剂盒,以促进SARS-CoV2感染患者更安全的插管。迄今为止,防护气雾剂盒的概念已在麻醉学和许多其他医学和牙科领域得到临床应用。然而,对原始设计的众多批评导致了新形式的演变,逐渐改善了原始的缺点。目前改进的设计提高了安全性和使用的简单性,同时减少了操作人员在干预过程中的障碍。在临床实践中,操作人员的培训对于正确和安全使用气雾剂盒也非常重要。气雾剂盒会显著影响插管速度,因此不建议在紧急情况下使用。许多作者已经能够证明,使用原始盒子,以及其后来的修改,充分保护卫生保健工作者免受大小水滴。然而,使用原始形式会增加气溶胶颗粒感染的风险。
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引用次数: 1
Sialendoscopy before, during and after the COVID-19 pandemic 在COVID-19大流行之前、期间和之后进行唾液内窥镜检查
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.6016/ZdravVestn.3182
A. Aničin, Robert Šifrer, J. Urbančič
The sialendoscopic techniques represent a new paradigm that has essentially changed the management of the obstructive salivary gland disease. The COVID-19 epidemic represents a new challenge for the health system of each particular country and puts numerous particularly elective surgical procedures to the test. The surgical procedures of head and neck, especial - ly the ones of oral cavity, present a high risk for the transmission of COVID-19. During sialendoscopy and sialendoscopically assisted surgery, the surgical and anaesthesiological teams are exposed to the saliva and the products of reflexes of the sen - sitive anatomical regions of the oral cavity and the rest of the upper aerodigestive tract. The level of risk of the surgical pro - cedure according to the phase of surgery, type of anaesthesia, personal protective equipment and current epidemiological situation of COVID-19 remains unknown. At first, the emergent and later also elective sialendoscopic and sialendoscopically assisted procedures were performed during the COVID-19 epidemic in the University Department of Otorhinolaryngology and Cervicofacial Surgery Ljubljana. We believe that in the period of containable COVID-19 epidemiological situation, taking into account indications and protective measures, the sialendoscopic surgery is safe for the patient and the practitioner.
唾液内窥镜技术代表了一种新的范式,从根本上改变了梗阻性唾液腺疾病的治疗。COVID-19疫情对每个特定国家的卫生系统构成了新的挑战,并对许多特别选择性的外科手术提出了考验。头颈部外科手术,特别是口腔外科手术,是新冠病毒传播的高危部位。在进行咽镜检查和咽镜辅助手术时,外科和麻醉团队会接触到唾液以及口腔敏感解剖区域和上呼吸道其余部分反射的产物。根据手术阶段、麻醉类型、个人防护装备和当前COVID-19流行病学情况,手术程序的风险水平仍不得而知。在新冠肺炎疫情期间,卢布尔雅那大学耳鼻咽喉颈面外科首先开展了紧急手术,后来又开展了选择性鼻内窥镜和鼻内窥镜辅助手术。我们认为,在疫情可控时期,考虑到适应证和防护措施,鼻内窥镜手术对患者和医生都是安全的。
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引用次数: 0
THE EFFECT OF SARTANS ON THE PREGNANCY 沙坦对怀孕的影响
Q4 Medicine Pub Date : 2018-02-01 DOI: 10.6016/ZDRAVVESTN.2783
M. Cvijić, M. Horvat, Petra Jernejčič, K. Geršak
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引用次数: 0
PARAVAGINAL AND RETROPERITONEAL HAEMATOMA POST PARTUM 产后阴道旁和腹膜后血肿
Q4 Medicine Pub Date : 2018-02-01 DOI: 10.6016/ZdravVestn.2791
B. Lovšin, Z. Guzej, Dušan Deisinger
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引用次数: 0
Iatrogenic streptococcus salivarius meningitis: a case report 医源性唾液链球菌脑膜炎1例报告
Q4 Medicine Pub Date : 2017-11-01 DOI: 10.6016/SLOVMEDJOUR.V86I9-10.2216
Kristina Praper, Uršula Tišler, M. Jereb
We present a case of a 28-year-old patient who underwent spinal anaesthesia for caesarean section, and developed meningitis, Streptococcus salivarius was isolated in the cerebrospinal fluid. The Viridans streptococci are a part of a normal human mouth flora, therefore the patient most likely developed iatrogenic meningitis due to droplet transmission of bacteria intrathecally. We discuss etiology, pathogenesis, clinical presentation, diagnostic tools, treatment and prognosis of meningitis after intrathecal procedures and we emphasize the importance of strict aseptic technique while performing neuraxial procedures. Iatrogenic meningitis should be considered as a possible differential diagnosis in patients who present with symptoms and signs of meningitis after neuraxial blockade.
我们报告一例28岁的患者,因剖宫产手术接受脊髓麻醉,并发脑膜炎,脑脊液中分离出唾液链球菌。翠绿链球菌是正常人类口腔菌群的一部分,因此患者很可能由于细菌在鞘内的飞沫传播而发展为医源性脑膜炎。我们将讨论鞘内手术后脑膜炎的病因、发病机制、临床表现、诊断工具、治疗和预后,并强调在进行轴突手术时严格无菌技术的重要性。在神经轴阻断后出现脑膜炎症状和体征的患者中,应考虑医源性脑膜炎作为一种可能的鉴别诊断。
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引用次数: 0
Recommendations for the diagnosis and treatment of chronic venous disease 慢性静脉疾病的诊断和治疗建议
Q4 Medicine Pub Date : 2017-09-01 DOI: 10.6016/slovmedjour.v86i7-8.2631
Nada Kecelj Leskovec, M. Kozak, Anka Slana, K. Berger, A. Šikovec, Matej Makovec, A. Blinc, I. Žuran, T. Ručigaj
Clinical manifestations of chronic superficial venous insufficiency are described, followed by recommendations for diagnostic evaluation and various treatment possibilities.
慢性浅静脉功能不全的临床表现描述,随后建议诊断评估和各种治疗的可能性。
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引用次数: 2
PSYCHOLOGICAL ASPECTS OF ENCOPRESIS WITHOUT ORGANIC ETHIOLOGY 没有有机伦理学的隐入心理方面
Q4 Medicine Pub Date : 2016-10-13 DOI: 10.6016/SLOVMEDJOUR.V85I9.1474
V. Košir, Peter Janjusevic
Encopresis is defined as a voluntary or involuntary passage of stool in inappropriate places, causing soiling of clothes by a child aged four years or above whenbowelcontrolcannormally be expected. It affects 1 to 3% of paediatric population. This article focuses on retentive encopresis that is related to chronic constipation and overflow incontinence. Absence of bowel control has an important impact on physical health, psychosocial functioning and family life. Personal and contextual predisposing, precipitating, maintaining and protective factors for encopresis in a context of etiological hypotheses are discussed.Most children with encopresis have no physical problems to explain the disorder. Text is focusingon chronic constipation, chaotic family environment, parent-child interaction, developmental delay, and avoidance of defecation, the role of family, stressors and anxiety over toileting. Common causes of encopresis include a low fibre diet, lack of hydration, little or no exercise and premature toilet training.There is comorbidity with cognitive delays, learning disabilities, attention deficit disorder, conduct or oppositional disorders. In treatment the most effective outcome is shown cases where medical and psychological treatment programmes are used in conjoint manner. The main components are psychoeducation, clearing the faecal mass with laxative use and bowel retraining with toileting, accident management, diet and exercise. In cases, where children don't recognise when they are about to defecate, biofeedback may be a useful adjunct. With effective strategies encopresis can be eliminated, but relapses may occur.
尿潴留被定义为四岁或以上的儿童在正常情况下可以控制肠道的情况下,自愿或非自愿地在不适当的地方排便,导致衣服被弄脏。它影响1%至3%的儿科人口。本文主要讨论与慢性便秘和溢流性尿失禁有关的潴留性尿潴留。缺乏肠道控制对身体健康、社会心理功能和家庭生活有重要影响。在病原学假设的背景下,讨论了个人和环境的易感性,沉淀,维持和保护因素。大多数患有隐尿症的儿童没有身体上的问题来解释这种疾病。文本的重点是慢性便秘,混乱的家庭环境,亲子互动,发育迟缓,避免排便,家庭的作用,压力源和焦虑对如厕。尿囊症的常见原因包括低纤维饮食、缺乏水分、很少或根本没有运动和过早的如厕训练。同时存在认知迟缓、学习障碍、注意力缺陷障碍、行为障碍或对立障碍。在治疗方面,结合使用医疗和心理治疗方案的案例显示出最有效的结果。主要内容包括心理教育、使用泻药清理粪便、如厕等肠道再训练、事故管理、饮食和运动。在某些情况下,当孩子们不知道他们何时要排便时,生物反馈可能是一个有用的辅助手段。通过有效的策略可以消除隐渗,但可能会复发。
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引用次数: 0
Možnosti zdravljenja napredovale Parkinsonove bolezni
Q4 Medicine Pub Date : 2016-08-29 DOI: 10.6016/ZdravVestn.1402
Dušan Flisar, Nina Zupančič Križnar, Maja Trošt, Zvezdan Pirtošek
Advanced stage of Parkinson's disease is associated with motor complications: motor fluctuations and dyskinesias. The disease can no longer be satisfactorily treated with oral therapy that is based on treatment with levodopa. Dying of dopamine neurons, a short half-life of levodopa and pulsatile stimulation of dopamine receptors are the main reasons for these complications. Currently, there are three options available to treat the advanced stage of Parkinson's disease: subcutaneous infusion of apomorphine, intrajejunal infusion of levodopa and deep brain stimulation. It is necessary to choose the optimal method of treatment that is most suitable for the individual patient.
帕金森病的晚期与运动并发症有关:运动波动和运动障碍。以左旋多巴为基础的口服治疗已不能令人满意地治疗这种疾病。多巴胺神经元死亡、左旋多巴半衰期短和多巴胺受体搏动性刺激是这些并发症的主要原因。目前,治疗晚期帕金森病有三种选择:皮下输注阿波啡、空肠内输注左旋多巴和深部脑刺激。有必要选择最适合个体患者的最佳治疗方法。
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引用次数: 1
PLANNED HOME BIRTH: A REVIEW 家庭计划生育:回顾
Q4 Medicine Pub Date : 2016-05-07 DOI: 10.6016/ZDRAVVESTN.1458
T. Serdinšek, I. Takač
Background : Home birth is as old as humanity, but still most middle- and high-income countries consider hospitals as the safest birth settings, as complications regarding birth are highly unpredictable. Despite this there are a few countries in which home birth in integrated into official healthcare system (the Netherlands, United Kingdom, Canada etc.). Home births can be divided into unplanned and planned, and the latter can be further categorized by the presence of the birth attendants. This review focuses on planned home births, which are differently represented throughout the world. In the United States 0.6-1.0% of all children are born at home, in the United Kingdom 2-3%, in Canada 1.6% and in the Netherlands 20-30%. For Slovenia, the number of planned home births is unknown; however, in 2010 0.1% of children were born outside medical facilities. Conclusions: The safety of home birth in still under the debate. While research confirms smaller number of obstetric interventions and some complications in mothers who give birth at home, the data regarding the neonatal and perinatal mortality and morbidity is still conflicting. This confirms the need for large multicentric trials in this field. Current home birth guidelines emphasize that women should be well informed regarding the possible advantages and disadvantages of home births. In addition, the emphasis is on definition of selection criteria for home birth, indications for intrapartal transfer to the hospital and appropriate education of birth attendants.
背景:家庭分娩与人类一样古老,但大多数中等收入和高收入国家仍然认为医院是最安全的分娩场所,因为分娩并发症是高度不可预测的。尽管如此,仍有少数国家将家庭分娩纳入官方医疗保健系统(荷兰、英国、加拿大等)。家中分娩可分为计划外分娩和计划分娩,计划外分娩可根据助产人员的在场情况进一步分类。本综述的重点是计划生育,这在世界各地有不同的代表性。在美国,0.6% -1.0%的孩子是在家里出生的,在英国是2% -3%,在加拿大是1.6%,在荷兰是20% -30%。在斯洛文尼亚,计划在家分娩的人数不详;然而,2010年,0.1%的儿童出生在医疗设施之外。结论:在家分娩的安全性仍存在争议。虽然研究证实,在家分娩的母亲进行产科干预的人数较少,而且出现了一些并发症,但有关新生儿和围产期死亡率和发病率的数据仍然相互矛盾。这证实了在该领域进行大型多中心试验的必要性。目前的在家分娩指导方针强调,妇女应该充分了解在家分娩可能的利弊。此外,重点是确定在家分娩的选择标准、分娩时转院的指征以及对接生员的适当教育。
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引用次数: 0
Blood group astrology - why the AB0 blood groups do not determine the human character nor the appropriate nutrition 血型占星术——为什么AB0血型不能决定人的性格和适当的营养
Q4 Medicine Pub Date : 2016-03-23 DOI: 10.6016/SLOVMEDJOUR.V85I2.1316
Martina Gajšek Grbec, M. Pfeifer, P. Rožman
AB0 blood groups are inherited markers on blood cells. Since their discovery, there were numerous attempts to be attributed a wide variety of biological functions they don’t possess. The purpose of this article is primarily to inform the professional, as well as lay public that the theory of healthy nutrition based on AB0 blood groups represents nothing more than a pseudoscience used for mass exploitation and commercial purposes. ABO blood groups were attributed such characteristics by naturopathic doctor Peter D'Adamo, who on the basis of false methods and erroneous assumptions wrote a bestseller "Eat Right For Your Type". It claims that the blood groupsAB0 represent a "key to the functioning of our immune system" and that the blood group based diet represents a “key to the health of every man”. As in the case of nutrition based on the ABO blood groups, the scientific knowledge in the field of immunohematology is misused to mislead the lay public, we are obliged to explain the real meaning and the role of blood groups in health and disease, the misuse of blood groups in relation to healthy nutrition.
AB0血型是血细胞上的遗传标记。自从它们被发现以来,有许多人试图将它们归因于它们不具备的各种生物功能。这篇文章的主要目的是告知专业人士,以及普通大众,基于AB0血型的健康营养理论只不过是一种用于大规模开发和商业目的的伪科学。自然疗法医生彼得·达达莫认为ABO血型具有这样的特征,他基于错误的方法和错误的假设,写了一本畅销书《适合你的血型的饮食》。该公司声称,血型sab0代表着“我们免疫系统功能的关键”,而基于血型的饮食代表着“每个人健康的关键”。就像以ABO血型为基础的营养一样,免疫血液学领域的科学知识被滥用来误导非专业公众,我们有义务解释血型在健康和疾病中的真正含义和作用,血型的滥用与健康营养有关。
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引用次数: 0
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Zdravniski Vestnik-Slovenian Medical Journal
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