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Anthropometric differences of Roma and Non-roma newborns in Virovitica-Podravina County 波德拉维纳县罗姆人和非罗姆人新生儿的人口学差异
Q4 Medicine Pub Date : 2022-12-29 DOI: 10.13112/pc.2022.12
Jadranko Šegregur
The aim of this work is to assess anthropometric parameters of the Roma newborns in Virovitica-Podravina County and compare them with the values for the non-Roma group. This retrospective investigation includes 204 Roma and 408 non-Roma newborns, born at the maternity ward of the Virovitica General Hospital in the period from 1991 to 2010. Various parameters, such as birth weight and length, head perimeter, as well as the ponderal index and percentile values of birth weight, were assessed. Roma newborns have, on average, 321.7 g smaller weight, 1.3 cm smaller length and 0.7 cm smaller head perimeter at birth, compared to non-Roma newborns. The ponderal index was found to be 0.06 less for Roma newborns, with higher frequency of hypothrophic newborns, according to the percentile values of the birth weight. The differences in anthropometric parameter values of Roma and non-Roma newborns may be due to the ethnic identity, but also due to the impact of the surroundings and the lifestyle of the population itself. Assessed data could provide a better understanding to, and political direction for the improvement of the reproductive, as well as the overall health of the Roma population.
这项工作的目的是评估维拉维蒂察-波德拉维纳县罗姆新生儿的人体测量参数,并将其与非罗姆群体的值进行比较。这项回顾性调查包括1991年至2010年期间在维罗维察综合医院产科病房出生的204名罗姆人和408名非罗姆人新生儿。评估了各种参数,如出生体重和身高、头部周长,以及出生体重的体重指数和百分位数。与非罗姆新生儿相比,罗姆新生儿出生时平均体重减少321.7克,身长减少1.3厘米,头部周长减少0.7厘米。根据出生体重的百分位数,罗姆新生儿的体重指数低0.06,新生儿低血压的发生率更高。罗姆人和非罗姆人新生儿的人体测量参数值的差异可能是由于种族认同,也可能是由于周围环境和人口生活方式本身的影响。评估的数据可以更好地了解罗姆人的生殖状况和总体健康状况,并为改善这一状况提供政治方向。
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引用次数: 0
Localized tenosynovial gigantocellular tumor of the ankle in an adolescent: case report and literature review 青少年踝关节局部腱鞘巨细胞瘤:病例报告及文献复习
Q4 Medicine Pub Date : 2022-12-29 DOI: 10.13112/pc.2022.15
D. Dimnjaković, Tin Karakaš, I. Bojanić
Tenosynovial giant cell tumor (TGCT) is a rare, benign monoarticular disease that affects the synovial lining of joint, tendon or bursa. We distinguish two forms of the disease, localized and diffuse forms, both of which are histologically identical. The incidence rate of the localized form of TGCT (LTGCT) is 10 cases per million people, of which about 5% of all cases occur in the ankle. We present a rare case of LTGCT in the anterior part of the ankle in an adolescent, which was manifested by swelling and occasional pain, especially during sports activities. On the magnetic resonance imaging (MRI) a heterogeneously structured, well encapsulated tumor was visible in the anterior part of the ankle. In addition to the painless swelling in the anterior part of the ankle, the physical examination revealed a deficit of dorsiflexion of the foot. The operation was performed arthroscopically but the tumor could not be removed in a single piece due to its size, so it was removed in multiple pieces. Histopathological analysis confirmed that the tumor was TGCT. During the two-year follow-up period, the patient did not have problems with the operated ankle and no recurrence of the disease was observed on control MRIs. TGCT should be considered as a possible differential diagnosis, especially when pain and swelling of the ankle occur without injury. Arthroscopic surgery is a safe and effective method of treatment if it is performed by an experienced surgeon backed by a welltrained team. The choice of the type of surgical treatment should be determined depending on the anatomical position of the formation in the joint and the surgeon’s assessment and preference.
Tenosynovial巨细胞瘤(TGCT)是一种罕见的良性单关节疾病,影响关节、肌腱或滑囊的滑膜。我们区分两种疾病,局限性和弥漫性,这两种疾病在组织学上是相同的。局限性TGCT(LTGCT)的发病率为每百万人10例,其中约5%发生在脚踝。我们报告了一例罕见的青少年脚踝前部LTGCT病例,表现为肿胀和偶尔疼痛,尤其是在体育活动中。在核磁共振成像(MRI)上,可以在脚踝前部看到一个结构不均匀、包裹良好的肿瘤。除了脚踝前部无痛性肿胀外,体检还显示足部背屈不足。手术是在关节镜下进行的,但由于肿瘤的大小,无法单独切除,因此需要多块切除。组织病理学分析证实肿瘤为TGCT。在两年的随访期间,患者的脚踝手术没有出现问题,对照核磁共振成像也没有观察到疾病复发。TGCT应被视为一种可能的鉴别诊断,尤其是当脚踝疼痛和肿胀发生时没有受伤。如果由经验丰富的外科医生在训练有素的团队的支持下进行关节镜手术,那么关节镜手术是一种安全有效的治疗方法。手术治疗类型的选择应根据关节中形成的解剖位置以及外科医生的评估和偏好来确定。
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引用次数: 0
Staged reconstruction of radial longitudinal deficiency and thumb aplasia – case report and a review of the literature 桡骨纵向缺损和拇指发育不全的分期重建——病例报告和文献复习
Q4 Medicine Pub Date : 2022-12-29 DOI: 10.13112/pc.2022.13
Purpose: Presentation of surgical treatment of a girl with type IV radial longitudinal deficiency and type IV thumb hypoplasia as well as review of the most relevant literature published in the previous 25 years. Methods: The treatment consisted of placement of an external fixator and subsequent distraction in the radioulnar and proximodistal axis as the initial procedure followed by radialization according to Buck-Gramcko around the 2nd birthday, 10 weeks after the primary procedure. The last step of the treatment was a pollicization of the index finger performed before the 4th birthday. Results: The surgical treatment resulted with a very favorable outcome – a clinically stable wrist, radiologically well aligned carpus over the ulna and an index pollicised in such a manner that enables adequate opposition to the other fingers. Conclusion: A review of literature in the last 25 years shows that radialization of the ulna with a preceding distraction offers benefits over centralization alone. Distraction of the wrist protects the distal ulnar growth plate and thus promotes growth. Soft tissue release with a bilobar flap can also provide a good outcome as wells as a microvascular joint transfer from the 2nd toe whereas the latter requires advanced microsurgical skills.
目的:介绍一名IV型桡骨纵向缺损和IV型拇指发育不全女孩的手术治疗,并回顾过去25年发表的最相关文献。方法:治疗包括放置外固定器,随后在桡尺轴和近远轴进行牵张,作为初始手术,然后在2岁左右,即初始手术后10周,根据Buck Gramcko进行放射治疗。治疗的最后一步是在4岁生日前对食指进行花粉化。结果:手术治疗取得了非常有利的结果——临床上稳定的手腕,尺骨上的腕关节在放射学上排列良好,食指可以充分对抗其他手指。结论:对过去25年的文献综述表明,尺骨放射治疗加先前的分心比单纯集中治疗有好处。手腕的牵张保护了尺骨远端生长板,从而促进了生长。用双叶皮瓣松解软组织也可以提供良好的结果,以及从第二趾转移微血管关节,而后者需要先进的显微外科技术。
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引用次数: 0
Translation and adaptation of the Gross Motor Function Measure-88 to the Croatian language 总运动功能测量88对克罗地亚语的翻译和改编
Q4 Medicine Pub Date : 2022-12-29 DOI: 10.13112/pc.2022.11
Dunja Husnjak, Hrvoje Gudlin, M. Novak-Pavlic
The Gross Motor Function Measure-88 (GMFM-88) is a standardized observational instrument measuring gross motor function for children with cerebral palsy and Down syndrome. Clinicians in Croatia have been showing a growing interest in GMFM-88. However, only the English version of the measure was available, which possessed a barrier for its use in Croatia. The aim of this study was to translate the GMFM-88 test from English into Croatian and adapt it for use in clinical practice in Croatia. In this study, we followed the first five steps of the Sousa & Rojjanasrirat (2010) guideline for translation and adaptation. First, two authors independently did “forward” translation; a translation of the score sheet from English into Croatian. Then, the third author performed “backward” translation, which was checked and revised by the measure’s author. The pre-final version of the translated measure was tested through cognitive debriefing with seven clinicians. Participants pointed out the importance of the consistent use of terms and provided suggestions for improvement, such as changed word order or shortening of the translated items. Seventy two of 88 items were changed. With this study, we have initiated the adaptation of the GMFM-88 to Croatian. The next steps for fully validated GMFM-88 in the Croatian language is to do psychometric testing with children with cerebral palsy and Down syndrome in Croatia.
总运动功能测量88(GMFM-88)是一种标准化的观察仪器,用于测量脑瘫和唐氏综合征儿童的总运动功能。克罗地亚的临床医生对GMFM-88越来越感兴趣。然而,该措施只有英文版,在克罗地亚使用该措施存在障碍。本研究的目的是将GMFM-88测试从英语翻译成克罗地亚语,并将其用于克罗地亚的临床实践。在这项研究中,我们遵循了Sousa&Rojjansrirat(2010)翻译和改编指南的前五个步骤。首先,两位作者独立进行了“正向”翻译;将成绩表从英语翻译成克罗地亚语。然后,第三作者进行了“反向”翻译,并由测量作者进行了检查和修订。翻译后的测量结果的最终版本通过与七名临床医生的认知汇报进行了测试。与会者指出了一致使用术语的重要性,并提出了改进建议,如更改语序或缩短翻译项目。88个项目中有72个被更改。通过这项研究,我们已经开始将GMFM-88改编为克罗地亚语。在克罗地亚语中完全验证GMFM-88的下一步是对克罗地亚脑瘫和唐氏综合症儿童进行心理测量测试。
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引用次数: 0
Non-infectious unilateral cervical lymphadenopathy in children - a case report 儿童非感染性单侧宫颈淋巴结病1例报告
Q4 Medicine Pub Date : 2022-12-29 DOI: 10.13112/pc.2022.14
P. Bukovec, Izabela Kranjčec, S. Gašparov, H. Živić
Cervical lymphadenopathy in children is often the reason to seek medical attention. According to the literature, 90% of children aged 4-9 years has cervical lymphadenopathy, mainly caused by acute infections, that is treated in the out-of-hospital setting. In a small, but significant number of cases, cervical lymphadenopathy is caused by malignancy and wide range of other clinical entities, that require more detailed clinical approach. Three patients with non-infectous unilateral cervical lymphadenopathy are presented; adolescent boy with unicentric Castleman disease, young adult with progressive transformation of germinal centers, and an infant with viral parotitis mistaken for cervical lymphadenopathy. Unicentric Castleman disease was diagnosed by pathohistological assesment of excised lymph node to a 14-year-old boy after 7 months of persistent cervical lymphadenopathy, and close follow-up was suggested as no disease progression was verified by PETCT. Histopathological-clinical diagnosis of progressive transformation of germinal centers was established in an adolescent with 3-month history of lymphadenopathy, after extensive radiological and infectious assesment. Chronic reccurent course of the disease was once again confirmed, as this patient awaits his third extirpation in the last year. Viral parotitis is one of the conditions that can mimic cervical lymphadenopathy as showed with the third presented patient – a 6-month-old male infant with the submandibular swelling lasting for three days. This article emphasises the importance of a detailed history taking and clinical assesment, but is also a reminder of a less often, noninfectious causes of lymphadenopathy in children, where systematic approach is the key to a correct diagnosis and treatment.
小儿颈淋巴肿大常是求医的原因。根据文献,90%的4-9岁儿童患有宫颈淋巴结病,主要由急性感染引起,在院外治疗。在少数但重要的病例中,宫颈淋巴结病是由恶性肿瘤和其他广泛的临床实体引起的,这需要更详细的临床方法。本文报告3例非感染性单侧宫颈淋巴结病;单中心Castleman病的青春期男孩,生发中心进行性转变的年轻人,以及被误认为颈淋巴肿大的病毒性腮腺炎的婴儿。我们对一名14岁男孩的单中心型Castleman病进行了诊断,该男孩在持续7个月的颈部淋巴结病变后,通过切除淋巴结的病理组织学评估诊断为单中心型Castleman病,由于PETCT未证实疾病进展,建议密切随访。在广泛的放射学和感染性评估后,在一名有3个月淋巴结病病史的青少年中建立了生发中心进行性转化的组织病理学-临床诊断。慢性复发的病程再一次被证实,因为这个病人在去年等待他的第三次切除。病毒性腮腺炎是一种可以模仿颈部淋巴结病的疾病,第三例患者是一名6个月大的男婴,其下颌下肿胀持续了三天。这篇文章强调了详细的病史和临床评估的重要性,但也提醒了一个不太常见的,非感染性原因的儿童淋巴结病,其中系统的方法是正确诊断和治疗的关键。
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引用次数: 0
Behavior, attitudes and knowledge of healthcare workers about breastfeeding 医护人员对母乳喂养的行为、态度和知识
Q4 Medicine Pub Date : 2022-12-29 DOI: 10.13112/pc.2022.10
M. Čatipović, Z. Puharić, Lorena Golić
Breastfeeding is undoubtedly the best food for newborns and infants. In the process of breastfeeding, the child establishes the foundations of attachment, on which he will build the foundations of all subsequent relationships. Breastfeeding has health benefits for the mother. The invitation to participate in this research was answered by a small number of men in terms of gender, and doctors in terms of profession. The results of the research show in general scarce participation of health professionals in education about breastfeeding (frequently/regularly less than 20%). Counseling parents on exclusive and complete breastfeeding is often contrary to UNICEF/WHO guidelines. The worst responses of healthcare workers on the scale of attitudes are regarding breastfeeding in a public place, acceptance of breastfeeding as a fundamental human relationship and the role of the father in supporting the breastfeeding mother. On the scale of knowledge, the worst responses are regarding knowledge of the legal regulation of public advertising of breast milk substitutes, stopping breastfeeding when the mother is febrile or taking some medication, the importance of rooming in and the need to stop breastfeeding when the child starts nursery/kindergarten. Breastfeeding education for future healthcare workers during their education should be improved. In working with healthcare professionals who are already employed, work should be done to raise awareness of the obligation to provide information about breastfeeding in accordance with WHO/UNICEF recommendations. Parents who have already decided to breastfeed their child have the right to continuous support during the entire period of breastfeeding. To achieve the goals of the WHO/UNICEF in 2030, only positive developments in the health system will not be enough, but at the level of the entire society
母乳喂养无疑是新生儿和婴儿最好的食物。在母乳喂养的过程中,孩子建立了依恋的基础,他将在此基础上建立所有后续关系的基础。母乳喂养对母亲的健康有益。参与这项研究的邀请得到了少数男性和医生的回应。研究结果表明,卫生专业人员普遍很少参与母乳喂养教育(经常/定期不到20%)。就纯母乳喂养和完全母乳喂养向父母提供咨询往往违反儿童基金会/世界卫生组织的指导方针。在态度方面,医护人员的反应最差的是在公共场所母乳喂养、接受母乳喂养是一种基本的人际关系以及父亲在支持母乳喂养母亲方面的作用。在知识层面上,反应最差的是对母乳替代品公共广告的法律法规的了解,当母亲发烧或服用一些药物时停止母乳喂养,同住的重要性,以及当孩子开始幼儿园/幼儿园时需要停止母乳喂养。应改进未来医护人员在接受教育期间的母乳喂养教育。在与已经就业的保健专业人员合作时,应努力提高人们对根据世界卫生组织/联合国儿童基金会的建议提供母乳喂养信息的义务的认识。已经决定母乳喂养孩子的父母有权在整个母乳喂养期间获得持续的支持。为了在2030年实现世界卫生组织/联合国儿童基金会的目标,只有卫生系统的积极发展是不够的,而是在整个社会层面
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引用次数: 0
From phenotype to biological treatment of severe asthma 从表型到重度哮喘的生物治疗
Q4 Medicine Pub Date : 2022-06-30 DOI: 10.13112/pc.2022.4
Blaženka Kljaić Bukvić, Irena Ivković Jureković, M. Navratil, M. Rogulj, D. Bandić, J. Kelečić, Silvije Šegulja, D. Richter
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引用次数: 0
https://www.paedcro.com/en/2125-from-phenotype-to-biological-treatment-of-severe-asthma https://www.paedcro.com/en/2125-from-phenotype-to-biological-treatment-of-severe-asthma
Q4 Medicine Pub Date : 2022-06-30 DOI: 10.13112/pc.2022.5
I. Topalušić, Irena Ivković Jureković, A. Stipić Marković, B. Jakus
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引用次数: 0
The approach to a child with severe asthma 儿童严重哮喘的治疗方法
Q4 Medicine Pub Date : 2022-06-30 DOI: 10.13112/pc.2022.3
Blaženka Kljaić Bukvić, Irena Ivković Jureković, M. Navratil, M. Rogulj, D. Bandić, J. Kelečić, Silvije Šegulja, D. Richter
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引用次数: 0
Differences Between the Two Most Common Forms of Neurofibromatosis and the Importance of their Exact Diagnosis- a case report 两种最常见形式的神经纤维瘤病的差异及其准确诊断的重要性-一个病例报告
Q4 Medicine Pub Date : 2022-06-30 DOI: 10.13112/pc.2022.7
H. Jednačak, I. Pašalić, Barbara Vukić, Sara Dejanović Bekić, M. Pavlovic
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引用次数: 0
期刊
Paediatria Croatica
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