T. Biazar, Parisa Sabbagh, S. Ebrahimpour, M. Bayani
Eosinophilic gastroenteritis (EGE) as a rare inflammatory gastrointestinal (GI) disorder is primarily characterized by long-term or recurrent abdominal pain. Peripheral eosinophilia is usually caused by eosinophilic infiltrations into the multiple layers of the GI tract. In this report, a case of EGE with an acute abdomen is presented. A 14-year-old female experienced severe abdominal pain and hypereosinophilia. She underwent appendectomy due to severe abdominal pain approximately one week before readmission. Because of the persistence of pain, the upper GI endoscopy and biopsy were performed and the result of the pathological examination was eosinophilic gastroenteritis. Due to the nonspecificity of EGE symptoms, it is recommended that clinicians study pathology in atypical and nonresponsive GI diseases; biopsy should be performed as well.
{"title":"Eosinophilic gastroenteritis with acute abdomen: A case report","authors":"T. Biazar, Parisa Sabbagh, S. Ebrahimpour, M. Bayani","doi":"10.5937/AFMNAI2101096B","DOIUrl":"https://doi.org/10.5937/AFMNAI2101096B","url":null,"abstract":"Eosinophilic gastroenteritis (EGE) as a rare inflammatory gastrointestinal (GI) disorder is primarily characterized by long-term or recurrent abdominal pain. Peripheral eosinophilia is usually caused by eosinophilic infiltrations into the multiple layers of the GI tract. In this report, a case of EGE with an acute abdomen is presented. A 14-year-old female experienced severe abdominal pain and hypereosinophilia. She underwent appendectomy due to severe abdominal pain approximately one week before readmission. Because of the persistence of pain, the upper GI endoscopy and biopsy were performed and the result of the pathological examination was eosinophilic gastroenteritis. Due to the nonspecificity of EGE symptoms, it is recommended that clinicians study pathology in atypical and nonresponsive GI diseases; biopsy should be performed as well.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"38 1","pages":"96-100"},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195174","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}
Javad Dehghannezhad, V. Zamanzadeh, Zhilla Heydarpoor Damanabad, H. Hassankhani, M. Boyle, A. Dadashzadeh
Caring for COVID-19 patients at home is a global challenge. This study aimed to review recommendations put forward on home care for patients with suspected COVID-19 presenting with mild clinical features. This is a review of the scientific literature covering COVID-19 and home care from the medical electronic databases such as PubMed, ProQuest, Google Scholar, and CINAHL. The electronic databases were searched from the beginning of 2019 to the end of August 2020. The search terms included home care, COVID-19, coronavirus disease 2019, caring, and nursing care. Articles were included if they reported on aspects of home care for managing patients with mild clinical features of COVID-19. Articles were excluded if they reported on management within healthcare facilities, were about therapeutic management not possible in home care, and non-study type articles. Reference lists of retrieved journals were also reviewed. There was a total of 1,970 identified articles; 950 studies were duplicates and were removed, after which 500 titles and abstracts remained for review. Review of the title and abstracts found 60 articles which met the inclusion criteria. After analysis of the full text articles, 12 articles were included in this study. The main areas covering home care can be summarized as home-based quarantine, management of contacts, early diagnosis at home, control of clinical features (i.e. fever and cough), appropriate nutrition and adequate fluid intake, establishment of a monitoring center, psychological support, and telemedicine. The use of home quarantine for people with mild clinical features of COVID-19 is possible with support services and will assist in reducing the demand on hospitals.
{"title":"Review on home care recommendations for patients with suspected COVID-19 presenting with mild symptoms","authors":"Javad Dehghannezhad, V. Zamanzadeh, Zhilla Heydarpoor Damanabad, H. Hassankhani, M. Boyle, A. Dadashzadeh","doi":"10.5937/afmnai38-30415","DOIUrl":"https://doi.org/10.5937/afmnai38-30415","url":null,"abstract":"Caring for COVID-19 patients at home is a global challenge. This study aimed to review recommendations put forward on home care for patients with suspected COVID-19 presenting with mild clinical features. This is a review of the scientific literature covering COVID-19 and home care from the medical electronic databases such as PubMed, ProQuest, Google Scholar, and CINAHL. The electronic databases were searched from the beginning of 2019 to the end of August 2020. The search terms included home care, COVID-19, coronavirus disease 2019, caring, and nursing care. Articles were included if they reported on aspects of home care for managing patients with mild clinical features of COVID-19. Articles were excluded if they reported on management within healthcare facilities, were about therapeutic management not possible in home care, and non-study type articles. Reference lists of retrieved journals were also reviewed. There was a total of 1,970 identified articles; 950 studies were duplicates and were removed, after which 500 titles and abstracts remained for review. Review of the title and abstracts found 60 articles which met the inclusion criteria. After analysis of the full text articles, 12 articles were included in this study. The main areas covering home care can be summarized as home-based quarantine, management of contacts, early diagnosis at home, control of clinical features (i.e. fever and cough), appropriate nutrition and adequate fluid intake, establishment of a monitoring center, psychological support, and telemedicine. The use of home quarantine for people with mild clinical features of COVID-19 is possible with support services and will assist in reducing the demand on hospitals.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195742","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}
Atefe Farivar, A. Sanagoo, L. Jouybari, V. Ali, S. Moghaddam, Aanraki Rahmania
Among the hospital-acquired infections, ventilator-associated pneumonia (VAP) has the highest mortality and morbidity rates. The aim of this study was to identify VAP in the intensive care unit (ICU) and its association with the severity of the disease. This descriptive-analytic study was conducted in Golestan University of Medical Sciences (Northern Iran). In the present study, 239 patients undergoing mechanical ventilation hospitalized in ICU were selected through non-random sampling. Data were recorded by using APACHE II criteria and diagnosis of VAP was made based on clinical criterion and physician confirmation. Data were analyzed by independent t-test, Chi-square test, Mann-Whitney test, and single-variable logistic test. The incidence of VAP was 19.2% and it was significantly related to mean arterial pressure (P = 0.035) and male sex (P = 0.122). There was a significant and direct correlation between the incidence of VAP and the increase in the value of gastric residual volume > 200 ml (P = 0.001). The findings of this study showed that male sex, increased arterial pressure, and gastric residual volume were the risk factors for the development of of VAP.
{"title":"Evaluation of pneumonia due to mechanical ventilation and its association with the severity of disease in patients admitted to intensive care unit","authors":"Atefe Farivar, A. Sanagoo, L. Jouybari, V. Ali, S. Moghaddam, Aanraki Rahmania","doi":"10.5937/afmnai38-28766","DOIUrl":"https://doi.org/10.5937/afmnai38-28766","url":null,"abstract":"Among the hospital-acquired infections, ventilator-associated pneumonia (VAP) has the highest mortality and morbidity rates. The aim of this study was to identify VAP in the intensive care unit (ICU) and its association with the severity of the disease. This descriptive-analytic study was conducted in Golestan University of Medical Sciences (Northern Iran). In the present study, 239 patients undergoing mechanical ventilation hospitalized in ICU were selected through non-random sampling. Data were recorded by using APACHE II criteria and diagnosis of VAP was made based on clinical criterion and physician confirmation. Data were analyzed by independent t-test, Chi-square test, Mann-Whitney test, and single-variable logistic test. The incidence of VAP was 19.2% and it was significantly related to mean arterial pressure (P = 0.035) and male sex (P = 0.122). There was a significant and direct correlation between the incidence of VAP and the increase in the value of gastric residual volume > 200 ml (P = 0.001). The findings of this study showed that male sex, increased arterial pressure, and gastric residual volume were the risk factors for the development of of VAP.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71194959","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}
R. Marković, Č. Šagrić, A. Višnjić, M. Stojanović, A. Ignjatović, Zorana Deljanin
The priority for the period of COVID-19 outbreak was to provide fast, well-timed dissemination of information to the general population (especially vulnerable groups) as well to health professionals and professionals from other areas of public life (police, army, local governments, education, and the business sector) on behavior change and prevention measures, in terms of guidance for the current epidemiological situation. At the Public Health Institute Niš, Serbia, we directed activities relying primarily on formal intervention approaches, WHO guidance and on information and knowledge gained at the April 2019 WHO "Emergency Risk Communication training and plan-writing workshop" in Belgrade/Serbia. To define the advantages and disadvantages of the applied method for dissemination of information, we followed the reporting guidance contained in Duncan E and colleagues', Guidance for reporting intervention development studies in health research (GUIDED). Guidelines for treatment and recommendations were disseminated through standard communication channels. A local public health network with a large number of partners from the governmental and non-governmental sector, established in recent years, was a kind of channel for dissemination of materials. We realized that formal intervention approaches should be rapidly improved by better mapping of all population groups, by modern ways of communication, by urgent introduction of digital communication channels such as telemedicine, smart phone engagement and internet applications, in order to educate and exchange information more efficiently and quickly, especially in crisis situations such as COVID-19 epidemics/pandemics.
{"title":"COVID-19 outbreak: How the public health network could function better in disseminating information and instruction for action: Lessons learned","authors":"R. Marković, Č. Šagrić, A. Višnjić, M. Stojanović, A. Ignjatović, Zorana Deljanin","doi":"10.5937/afmnai38-31387","DOIUrl":"https://doi.org/10.5937/afmnai38-31387","url":null,"abstract":"The priority for the period of COVID-19 outbreak was to provide fast, well-timed dissemination of information to the general population (especially vulnerable groups) as well to health professionals and professionals from other areas of public life (police, army, local governments, education, and the business sector) on behavior change and prevention measures, in terms of guidance for the current epidemiological situation. At the Public Health Institute Niš, Serbia, we directed activities relying primarily on formal intervention approaches, WHO guidance and on information and knowledge gained at the April 2019 WHO \"Emergency Risk Communication training and plan-writing workshop\" in Belgrade/Serbia. To define the advantages and disadvantages of the applied method for dissemination of information, we followed the reporting guidance contained in Duncan E and colleagues', Guidance for reporting intervention development studies in health research (GUIDED). Guidelines for treatment and recommendations were disseminated through standard communication channels. A local public health network with a large number of partners from the governmental and non-governmental sector, established in recent years, was a kind of channel for dissemination of materials. We realized that formal intervention approaches should be rapidly improved by better mapping of all population groups, by modern ways of communication, by urgent introduction of digital communication channels such as telemedicine, smart phone engagement and internet applications, in order to educate and exchange information more efficiently and quickly, especially in crisis situations such as COVID-19 epidemics/pandemics.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"124 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195803","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}
I. Aleksic, S. Šarić, B. Ilić, S. Stojanović, M. Deljanin-Ilić
Pulmonary arterial hypertension (PAH), which occurs in about 15% of patients with systemic sclerosis (SSc), is a progressive vasculopathy and despite modern therapeutic options is still one of the leading causes of death in these patients. We presented a patient diagnosed with the overlap syndrome (systemic sclerosis and rheumatoid arthritis) with a predominance of the clinical picture of systemic sclerosis (SSc), established in November 2018. She was initially treated by a rheumatologist with an antimalarial, which was soon discontinued by an ophthalmologist, followed by azathioprine which was excluded due to an allergic reaction. She has been continuously on corticosteroid therapy, and since January 2020, mycophenolate mofetil has been added to treatment. The patient was diagnosed with primary biliary cirrhosis by a gastroenterologist after clinical findings and additional examination methods; also, pulmonary fibrosis was diagnosed by a pulmonologist. In January 2020, deterioration of echocardiographic findings was registered (dilated right heart cavity, right ventricular systolic pressure (RVSP) 72 mmHg, tricuspid regurgitation 3+). Sildenafil was proposed by a responsible cardiologist for therapy that was not approved by gastroenterologist. Due to worsening of her symptoms in the form of pronounced fatigue, shortness of breath, in August 2020, a cardiologist of the Institute "Niška Banja" started bosentan therapy in a dose of 2 x 62.5 mg per day. After the applied therapy, the patient had a subjective improvement and reduction of symptoms. In November 2020, a control echocardiographic examination registered a decrease in RVSP to 55 mmHg. In addition to the therapy proposed by the responsible rheumatologist (mycophenolate mofetil 2 g daily, prednisolone 15 - 20 mg daily), the therapy prescribed by her cardiologist was also continued (bosentan 62.5 mg 2 x 1), with regular controls and monitoring of laboratory analyses. PAH in patients with SSc has a worse prognosis than idiopathic PAH, and additionally depends on RVSP and functional class. The process of treating PAH in patients with SSc requires a complex strategy that includes initial assessment of disease severity and subsequent responses to the therapy.
肺动脉高压(PAH)发生在约15%的系统性硬化症(SSc)患者中，是一种进行性血管病变，尽管有现代治疗选择，但仍是这些患者死亡的主要原因之一。我们报告了一位被诊断为重叠综合征(系统性硬化症和类风湿性关节炎)的患者，其临床表现以系统性硬化症(SSc)为主，于2018年11月确诊。她最初由一名风湿病专家用抗疟疾药物治疗，一名眼科医生很快停止了治疗，随后又用硫唑嘌呤治疗，但由于过敏反应而被排除在外。她一直在接受皮质类固醇治疗，自2020年1月起，在治疗中加入了霉酚酸酯。经临床表现和其他检查方法，胃肠病学家诊断为原发性胆汁性肝硬化;此外，肺纤维化是由肺科医生诊断的。2020年1月，超声心动图表现恶化(右心腔扩张，右心室收缩压(RVSP) 72 mmHg，三尖瓣反流3+)。西地那非是由一位负责任的心脏病专家提出的，但没有得到胃肠病学家的批准。由于她的症状恶化，表现为明显的疲劳、呼吸短促，2020年8月，该研究所的心脏病专家“Niška Banja”开始以每天2 x 62.5毫克的剂量进行波生坦治疗。应用治疗后，患者主观症状有所改善和减轻。2020年11月，对照超声心动图检查显示RVSP降至55 mmHg。除了风湿病医生建议的治疗(霉酚酸酯2g /天，强的松龙15 - 20mg /天)，她的心脏病医生开的治疗也继续(波生坦62.5 mg 2 x 1)，定期对照和监测实验室分析。SSc患者的PAH预后比特发性PAH差，并且还取决于RVSP和功能分级。治疗SSc患者的多环芳烃需要一个复杂的策略，包括疾病严重程度的初步评估和随后的治疗反应。
{"title":"Systemic sclerosis and pulmonary arterial hypertension: A case report","authors":"I. Aleksic, S. Šarić, B. Ilić, S. Stojanović, M. Deljanin-Ilić","doi":"10.5937/afmnai38-32030","DOIUrl":"https://doi.org/10.5937/afmnai38-32030","url":null,"abstract":"Pulmonary arterial hypertension (PAH), which occurs in about 15% of patients with systemic sclerosis (SSc), is a progressive vasculopathy and despite modern therapeutic options is still one of the leading causes of death in these patients. We presented a patient diagnosed with the overlap syndrome (systemic sclerosis and rheumatoid arthritis) with a predominance of the clinical picture of systemic sclerosis (SSc), established in November 2018. She was initially treated by a rheumatologist with an antimalarial, which was soon discontinued by an ophthalmologist, followed by azathioprine which was excluded due to an allergic reaction. She has been continuously on corticosteroid therapy, and since January 2020, mycophenolate mofetil has been added to treatment. The patient was diagnosed with primary biliary cirrhosis by a gastroenterologist after clinical findings and additional examination methods; also, pulmonary fibrosis was diagnosed by a pulmonologist. In January 2020, deterioration of echocardiographic findings was registered (dilated right heart cavity, right ventricular systolic pressure (RVSP) 72 mmHg, tricuspid regurgitation 3+). Sildenafil was proposed by a responsible cardiologist for therapy that was not approved by gastroenterologist. Due to worsening of her symptoms in the form of pronounced fatigue, shortness of breath, in August 2020, a cardiologist of the Institute \"Niška Banja\" started bosentan therapy in a dose of 2 x 62.5 mg per day. After the applied therapy, the patient had a subjective improvement and reduction of symptoms. In November 2020, a control echocardiographic examination registered a decrease in RVSP to 55 mmHg. In addition to the therapy proposed by the responsible rheumatologist (mycophenolate mofetil 2 g daily, prednisolone 15 - 20 mg daily), the therapy prescribed by her cardiologist was also continued (bosentan 62.5 mg 2 x 1), with regular controls and monitoring of laboratory analyses. PAH in patients with SSc has a worse prognosis than idiopathic PAH, and additionally depends on RVSP and functional class. The process of treating PAH in patients with SSc requires a complex strategy that includes initial assessment of disease severity and subsequent responses to the therapy.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195817","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}
S. Milutinović, A. Stanković, S. Ivanović, Sanja Trgovčević, T. Kilibarda
It is of particular importance to use validated questionnaires to remove fear of needles and blood collection, as this public health problem has been observed in a large number of patients and may inadequately affect medical healthcare. The aim of the study was to conduct a research on the reliability of the questionnaire on the fear of blood sampling among students of the Faculty of Medical Sciences in Kragujevac. The method used in this research was a cross-sectional study. The sample involved the students of medicine, pharmacy, dentistry and professional studies of health care at the Faculty of Medical Sciences in Kragujevac (Republic of Serbia), a total of 300 students, which was 20% of the student population at the aforementioned faculty. The research instrument was the questionnaire The Blood-Injection Symptom Scale (BISS) which contained 22 questions. The research lasted one month during 2016. Statistical data processing was performed using IBM SPSS Statistics 21. Cronbach's Alpha value - 0.894 and other parameters used to determine reliability showed a high reliability of this questionnaire. After explorative factor analysis, three factors that most affect adverse outcomes for venepuncture were obtained - vasovagal symptoms that occur as a result of fear, fear of needles and consequences of puncture, and the fear of hospitals and personnel who take blood samples. The BISS questionnaire showed good reliability in the population of students of the Faculty of Medicine in Kragujevac and can be used in the general population for examining the fear of needles, the consequences of needle stings, fear of hospitals and people who take blood samples, and therefore to prevent these symptoms.
{"title":"Compilation and testing the reliability of questionnaires about the fear of blood extraction (venipuncture) among students of Medical Faculty of Kragujevac","authors":"S. Milutinović, A. Stanković, S. Ivanović, Sanja Trgovčević, T. Kilibarda","doi":"10.5937/afmnai38-25165","DOIUrl":"https://doi.org/10.5937/afmnai38-25165","url":null,"abstract":"It is of particular importance to use validated questionnaires to remove fear of needles and blood collection, as this public health problem has been observed in a large number of patients and may inadequately affect medical healthcare. The aim of the study was to conduct a research on the reliability of the questionnaire on the fear of blood sampling among students of the Faculty of Medical Sciences in Kragujevac. The method used in this research was a cross-sectional study. The sample involved the students of medicine, pharmacy, dentistry and professional studies of health care at the Faculty of Medical Sciences in Kragujevac (Republic of Serbia), a total of 300 students, which was 20% of the student population at the aforementioned faculty. The research instrument was the questionnaire The Blood-Injection Symptom Scale (BISS) which contained 22 questions. The research lasted one month during 2016. Statistical data processing was performed using IBM SPSS Statistics 21. Cronbach's Alpha value - 0.894 and other parameters used to determine reliability showed a high reliability of this questionnaire. After explorative factor analysis, three factors that most affect adverse outcomes for venepuncture were obtained - vasovagal symptoms that occur as a result of fear, fear of needles and consequences of puncture, and the fear of hospitals and personnel who take blood samples. The BISS questionnaire showed good reliability in the population of students of the Faculty of Medicine in Kragujevac and can be used in the general population for examining the fear of needles, the consequences of needle stings, fear of hospitals and people who take blood samples, and therefore to prevent these symptoms.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195302","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 aim of the study was to analyze and compare consultation lengths in Emergency Medical Service (EMS) Belgrade ambulatory clinic which relates to patient age, gender, existing diagnoses and prescribed treatment (therapy or referral to another healthcare institution). We analyzed the data from the electronic database on consultation lengths from one EMS Belgrade Ambulatory Clinic. For patients who were further referred to another healthcare institution transfer, the waiting time was included in the total consultation time. We used the statistical package SPSS 11.0 for Windows for the statistical processing. Statistical significance was defined for the level of p < 0.05. The average consultation time was 21.07 ± 13.44 minutes. Usually, it lasted between 10 to 20 minutes. Consultations lasted longer in female patients (21.68 minutes), patients over 65 years of age (24.65 minutes), in patients with multiple diagnoses (26.1 and 27.28 minutes), as well as in patients where therapy was prescribed and administered in the ambulatory clinic (25.72 minutes), or in patients referred to other healthcare institutions. Statistically, the differences were highly significant (p < 0.01). When considering patients' diagnoses, longest consultations were in patients diagnosed with infectious diseases (average 30.88 minutes), followed by patients diagnosed with diseases of the circulatory system (27.86 minutes) and patients with diseases of the respiratory system (21.56 minutes). The differences were statistically significant (p < 0.01). Patients' age, gender, disease diagnosis and administered therapy affect the consultations time. Depending on the diagnosis, consultations last longer for infectious, cardiovascular and respiratory diseases.
本研究的目的是分析和比较贝尔格莱德紧急医疗服务(EMS)门诊的会诊时间，这些时间与患者的年龄、性别、现有诊断和规定的治疗(治疗或转诊到另一个医疗机构)有关。我们分析了电子数据库中来自贝尔格莱德一家EMS门诊诊所会诊长度的数据。至于转介至其他医疗机构的病人，其轮候时间亦包括在总会诊时间内。采用SPSS 11.0 for Windows统计软件包进行统计处理。以p < 0.05为差异有统计学意义。平均就诊时间21.07±13.44分钟。通常，它会持续10到20分钟。女性患者(21.68分钟)、65岁以上患者(24.65分钟)、多重诊断患者(26.1分钟和27.28分钟)、在门诊开处方和接受治疗的患者(25.72分钟)或转介到其他医疗机构的患者的会诊时间更长。统计学上，差异极显著(p < 0.01)。考虑到患者的诊断，就诊时间最长的是传染病患者(平均30.88分钟)，其次是循环系统疾病(27.86分钟)和呼吸系统疾病(21.56分钟)。差异有统计学意义(p < 0.01)。患者的年龄、性别、疾病诊断和给予的治疗影响会诊时间。根据诊断，传染病、心血管和呼吸系统疾病的会诊时间更长。
{"title":"Consultation length in ambulatory clinic of Belgrade Emergency Medical Service","authors":"S. Živanović, M. Petrov-Kiurski","doi":"10.5937/afmnai38-28252","DOIUrl":"https://doi.org/10.5937/afmnai38-28252","url":null,"abstract":"The aim of the study was to analyze and compare consultation lengths in Emergency Medical Service (EMS) Belgrade ambulatory clinic which relates to patient age, gender, existing diagnoses and prescribed treatment (therapy or referral to another healthcare institution). We analyzed the data from the electronic database on consultation lengths from one EMS Belgrade Ambulatory Clinic. For patients who were further referred to another healthcare institution transfer, the waiting time was included in the total consultation time. We used the statistical package SPSS 11.0 for Windows for the statistical processing. Statistical significance was defined for the level of p < 0.05. The average consultation time was 21.07 ± 13.44 minutes. Usually, it lasted between 10 to 20 minutes. Consultations lasted longer in female patients (21.68 minutes), patients over 65 years of age (24.65 minutes), in patients with multiple diagnoses (26.1 and 27.28 minutes), as well as in patients where therapy was prescribed and administered in the ambulatory clinic (25.72 minutes), or in patients referred to other healthcare institutions. Statistically, the differences were highly significant (p < 0.01). When considering patients' diagnoses, longest consultations were in patients diagnosed with infectious diseases (average 30.88 minutes), followed by patients diagnosed with diseases of the circulatory system (27.86 minutes) and patients with diseases of the respiratory system (21.56 minutes). The differences were statistically significant (p < 0.01). Patients' age, gender, disease diagnosis and administered therapy affect the consultations time. Depending on the diagnosis, consultations last longer for infectious, cardiovascular and respiratory diseases.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195369","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}
This is an open uncontrolled study about the positive effects of a four-week rehabilitation spa program on the quality of life of 74 patients with ankylosing spondylitis. We assessed the following health status parameters on admission and discharge from the Institute Igalo, Montenegro: BASFI, BASDAI, ASDAS-CRP, ASAS 20 improvement criteria and SF-36 questionnaire. It was a "test-retest study". All the patients had six days of spa physical therapy per week during the four-week rehabilitation program, which made 24 therapy days in total. Therapy sets included the exercise program in gym and pool with mineral water, breathing exercises, massage therapy, balneotherapy (mud packs of baths, mineral and pearl baths, underwater massages), electrotherapy, sonotherapy, as well as thalassotherapy. Physiotherapy was prescribed by physician individually according to general health status and eventual contraindications. In all the observed parameters, statistical analysis showed that there was a highly significant improvement (p < 0.01). After four weeks of spa rehabilitation, ASAS 20 improvement index was achieved in 74.3% of patients with ankylosing spondylitis. Conclusions were that four weeks of complex spa physical therapy program in Institute Igalo led to a significant improvement of assessed parameters of disease activity, functional status and in domains of quality of life.
{"title":"Positive effects of a four-week rehabilitation spa program on quality of life in patients with ankylosing spondylitis","authors":"Dušan Mustur","doi":"10.5937/afmnai38-33135","DOIUrl":"https://doi.org/10.5937/afmnai38-33135","url":null,"abstract":"This is an open uncontrolled study about the positive effects of a four-week rehabilitation spa program on the quality of life of 74 patients with ankylosing spondylitis. We assessed the following health status parameters on admission and discharge from the Institute Igalo, Montenegro: BASFI, BASDAI, ASDAS-CRP, ASAS 20 improvement criteria and SF-36 questionnaire. It was a \"test-retest study\". All the patients had six days of spa physical therapy per week during the four-week rehabilitation program, which made 24 therapy days in total. Therapy sets included the exercise program in gym and pool with mineral water, breathing exercises, massage therapy, balneotherapy (mud packs of baths, mineral and pearl baths, underwater massages), electrotherapy, sonotherapy, as well as thalassotherapy. Physiotherapy was prescribed by physician individually according to general health status and eventual contraindications. In all the observed parameters, statistical analysis showed that there was a highly significant improvement (p < 0.01). After four weeks of spa rehabilitation, ASAS 20 improvement index was achieved in 74.3% of patients with ankylosing spondylitis. Conclusions were that four weeks of complex spa physical therapy program in Institute Igalo led to a significant improvement of assessed parameters of disease activity, functional status and in domains of quality of life.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195432","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}
Ertapenem, a member of the carbapenem group of antibiotics, is a broad-spectrum antibiotic that is effective against multidrug-resistant gram-positive and gram-negative infections. In patients with acute or chronic kidney damage, one of the most serious side effects of ertapenem is neurotoxicity. Various clinical conditions such as seizures, hallucinations, delirium, confusion, and nystagmus may occur. Previous history of cerebral pathologies is a known risk factor for ertapenem-associated neurotoxicity. Immediate discontinuation of treatment is required. Although the symptoms usually resolve rapidly, cases with longer duration of symptoms have also been reported. Close monitoring of neurological status in such patients is essential.
{"title":"Ertapenem neurotoxicity in patients with kidney damage: A case report","authors":"A. Alp, Yalkin Dalda","doi":"10.5937/afmnai38-31596","DOIUrl":"https://doi.org/10.5937/afmnai38-31596","url":null,"abstract":"Ertapenem, a member of the carbapenem group of antibiotics, is a broad-spectrum antibiotic that is effective against multidrug-resistant gram-positive and gram-negative infections. In patients with acute or chronic kidney damage, one of the most serious side effects of ertapenem is neurotoxicity. Various clinical conditions such as seizures, hallucinations, delirium, confusion, and nystagmus may occur. Previous history of cerebral pathologies is a known risk factor for ertapenem-associated neurotoxicity. Immediate discontinuation of treatment is required. Although the symptoms usually resolve rapidly, cases with longer duration of symptoms have also been reported. Close monitoring of neurological status in such patients is essential.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195809","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 purpose of this study was to examine the practical importance of the correlation values between plasma and salivary cortisol levels using meta-analysis study. In this way, researchers focusing on cortisol levels in different individuals can use more systemic, practical and reliable evidence than using just salivary or plasma cortisol levels separately. For this purpose, correlational studies from 2000 up to now were collected and analyzed by meta-analysis. Results based on 18 effect sizes (n = 743) revealed that effect sizes of the correlations between plasma and salivary cortisol levels represented large effects. The overall combined effect size (Hedges's = 1.55) also represented a large effect. This finding indicates the practical importance of the correlation values for stress studies. The use of the correlation values for examining the cortisol levels in stress studies will be discussed in detail.
{"title":"Is correlation between plasma and salivary cortisol levels an important indicator of stress?: A meta-analysis study","authors":"B. Köksal","doi":"10.5937/afmnai38-29970","DOIUrl":"https://doi.org/10.5937/afmnai38-29970","url":null,"abstract":"The purpose of this study was to examine the practical importance of the correlation values between plasma and salivary cortisol levels using meta-analysis study. In this way, researchers focusing on cortisol levels in different individuals can use more systemic, practical and reliable evidence than using just salivary or plasma cortisol levels separately. For this purpose, correlational studies from 2000 up to now were collected and analyzed by meta-analysis. Results based on 18 effect sizes (n = 743) revealed that effect sizes of the correlations between plasma and salivary cortisol levels represented large effects. The overall combined effect size (Hedges's = 1.55) also represented a large effect. This finding indicates the practical importance of the correlation values for stress studies. The use of the correlation values for examining the cortisol levels in stress studies will be discussed in detail.","PeriodicalId":7132,"journal":{"name":"Acta Facultatis Medicae Naissensis","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71195862","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}
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