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Depression and Suicide in Regards to Sex 与性有关的抑郁和自杀
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.11
A. Matošić, Hanna Pašić, A. Silić, Branka Vidrih, A. Puljić, M. Vilibić
Psychiatric disorders represent one of the leading problems of the public health community in the modern world today, especially because their incidence is steadily increasing and they are one of the main reasons for the overall disease burden in Europe. One of the most frequently diagnosed, yet under recognized diseases, is depression. Depression, whether a symptom, part of a syndrome or an independent diagnosis, is characterized by feelings of sadness, loss of interest and pleasure in activities that normally bring joy to a person, and can affect how a person feels, thinks and behaves. It affects all age and social groups, as well as both sexes, it is often comorbid with other physical diseases, and increases the risk of developing other physical diseases. There are certain differences between the sexes in the prevalence, the way a certain sex group deals with problems caused by depression, and the possible causes of these differences, which we present in more detail in this paper. Differences are observed in all cultures, environments and across different age groups. Patients suffering from depression have a particularly high risk of committing suicide. Suicide is a psychopathological phenomenon of multifactorial aetiology that is most often associated with psychiatry and mental disorders and is not a diagnosis in itself, but a complication of many psychiatric disorders. here are many differences in the rate of suicide by age and sex, as well as in the method of suicide, which we also present in more detail in this paper.
精神障碍是当今世界公共卫生界的主要问题之一,尤其是因为其发病率正在稳步上升,是欧洲整体疾病负担的主要原因之一。抑郁症是最常被诊断但未被充分认识的疾病之一。抑郁症,无论是一种症状、综合征的一部分还是独立诊断,其特征是对通常给人带来快乐的活动感到悲伤、失去兴趣和快乐,并会影响一个人的感受、思维和行为。它影响所有年龄和社会群体,也影响两性,经常与其他身体疾病合并,并增加患其他身体疾病的风险。在患病率、某个性别群体处理抑郁症问题的方式以及这些差异的可能原因方面,性别之间存在一定的差异,我们将在本文中更详细地介绍这些差异。在所有文化、环境和不同年龄组之间都存在差异。抑郁症患者自杀的风险特别高。自杀是一种多因素病因的精神病理学现象,通常与精神病学和精神障碍有关,它本身不是一种诊断,而是许多精神障碍的并发症。这里有许多不同年龄和性别的自杀率,以及自杀方式的差异,我们也在本文中更详细地介绍了这一点。
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引用次数: 0
Clinical and Demographic Determinants of Cognitive Disorders in Multiple Sclerosis Patients 多发性硬化症患者认知障碍的临床和人口学决定因素
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.04
Aida Šehanović, S. Kunić, D. Smajlović
Multiple sclerosis (MS) is a chronic, inflammatory, (auto) immune disease of the central nervous system (CNS). The aim of the study was to determine the distribution of cognitive disorders in MS in relation to demographic parameters, degree of clinical disability and depression. The prospective study included 135 subjects with MS in the Clinic of Neurology of the University Clinical Center in Tuzla. The first group consisted of women (101 respondents) and the second of men (34 respondents). Clinical assessment instruments were: Expanded Disability Status Scale Score, Mini Mental Status, Beck Depression Scale, Battery of Cognitive Function Assessment Tests: Wechsler Intelligence Scale, Revised Beta Test, Raven Coloured Progressive Matrix, Wechsler Memory Verification Scale, Audio Memory Test learning, Rey-Osterriecht complex character test, verbal fluency test. There were no significant differences between the mentioned groups in age, level of education, duration of the disease, severity of disease symptoms or in the prevalence of certain forms of MS. Cognitive disorders are present in 40-60 % of subjects with MS. Visuospatial, visuoconstructive, visuoperceptive functions, mnestic functions were most affected in both groups of respondents. There was no difference in the level of depression in relation to sex. Poor results of cognitive parameters in 32.7 % can be considered the cause of high scores of EDSS in female patients and in 29.2 % in patients, which is not statistically significant. The correlation between depression and EDSS is positive but not statistically significant in both sexes. Cognitive disorders are heterogeneous regardless of sex. Cognitive impairment in MS patients is related to impairment of working ability and memory, executive functions and attention. Subjects with a more severe degree of clinical disability had poorer cognitive functions.
多发性硬化症(MS)是一种慢性炎症性中枢神经系统(CNS)自身免疫性疾病。该研究的目的是确定MS中认知障碍的分布与人口学参数、临床残疾程度和抑郁症的关系。这项前瞻性研究包括图兹拉大学临床中心神经内科135名多发性硬化症患者。第一组是女性(101人),第二组是男性(34人)。临床评估工具为:扩展残疾状态量表评分、迷你精神状态量表、贝克抑郁量表、认知功能评估测试系列:韦氏智力量表、修订Beta测试、Raven彩色递进矩阵、韦氏记忆验证量表、音频记忆测试学习、雷-奥斯特里特复杂性格测试、语言流畅性测试。上述两组之间在年龄、受教育程度、病程、疾病症状严重程度或某些形式的多发性硬化症患病率方面没有显著差异。40- 60%的多发性硬化症患者存在认知障碍,视觉空间、视觉构建、视觉感知功能和遗忘功能在两组应答者中均受影响最大。抑郁程度与性别没有关系。女性患者中有32.7%的认知参数结果较差,而男性患者中有29.2%的认知参数结果较差,两者比较无统计学意义。抑郁与EDSS呈正相关,但在两性中无统计学意义。认知障碍是不分性别的异质性。多发性硬化症患者的认知功能障碍与工作能力、记忆力、执行功能和注意力的损害有关。临床残疾程度越严重的受试者认知功能越差。
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引用次数: 0
Epidemiology of Parkinson’s Disease 帕金森病的流行病学
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.1201/b12948-7
S. Telarović
Letter to the Editor
给编辑的信
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引用次数: 59
Cardiovascular Disease and Sex 心血管疾病与性
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.06
D. Delić-Brkljačić, K. Golubić
One of the primary causes of death worldwide is cardiovascular disease (CVD). Women typically have a lower incidence of CVD than men, however after acute cardiovascular events, women have a higher mortality and worse prognosis. Different CVDs, such as coronary heart disease, stroke, heart failure, and aortic diseases, exhibit these sex variances. These differences have raised serious concerns so sex consideration is significant for the prevention, diagnosis, treatment, and management of CVD. In order to highlight the need of taking sex differences into account when determining cardiovascular risk, this study seeks to offer an overview of sex-related differences in numerous common CVDs as well as an analysis of potential factors linked with the disparities. Future studies should focus on how to define and include sex-related indicators into the methods currently used for cardiovascular risk assessment and management.
心血管疾病是全世界死亡的主要原因之一。女性的心血管疾病发病率通常低于男性,但在急性心血管事件后,女性的死亡率更高,预后更差。不同的心血管疾病,如冠心病、中风、心力衰竭和主动脉疾病,表现出这些性别差异。这些差异引起了人们的严重关注,因此性别考虑对心血管疾病的预防、诊断、治疗和管理具有重要意义。为了强调在确定心血管风险时考虑性别差异的必要性,本研究试图概述许多常见心血管疾病中与性别相关的差异,并分析与差异相关的潜在因素。未来的研究应侧重于如何定义性别相关指标,并将其纳入目前用于心血管风险评估和管理的方法中。
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引用次数: 0
Dementia and Palliative Care: Sex Differences 痴呆症与姑息治疗:性别差异
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.08
Lea Kunkera, Regina Sjaus, N. Klepac
Patients who need palliative care have complex physical and psychosocial needs during their illness. The results of previous studies show clear sex inequalities in the occurrence of various symptoms and the need for palliative care. Despite the undoubted sex differences in the creation of palliative care, sex is not a key determinant and is regularly neglected. According to the results of previous studies, women live longer than men, but they live more years with dis- abilities, especially with cognitive impairment. They end up in hospices much more often than men and die more often in institutions (21 % vs. 10 %). The biggest sex differences are present in the domain of caregivers. Most caregivers are women and according to the results of studies it is evident that more than 75 % of all caregivers are women and that women spend 50 % more time providing care than men. The time and effort that women put into caregiving is largely unrecognised and assumed to be a ‘natural’ role for women. In contrast, male caregivers are seen as heroes and numerous studies show that male caregivers receive more support than female caregivers. This is thought to be the reason why female carers have more physical and mental health problems, including anxiety and depression. Health professionals also play a role in the creation of this stereotype. A recent study showed that nurses felt that wives and daughters of patients needed less help than husbands and sons. Overall, all studies show that although women provide most of the care during life, they often lack a reciprocal level of care at the end of their lives. The policy of palliative care is focused on the approach that care at the end of life ‘in the community’ is desirable and achievable for everyone. Unfortunately, the fact that in this context care falls disproportionately on one person - who is most likely a woman - is ignored.
需要姑息治疗的患者在患病期间有复杂的身体和心理需求。先前的研究结果表明,在各种症状的发生和姑息治疗的需求方面存在明显的性别不平等。尽管在姑息治疗的创建过程中存在着毋庸置疑的性别差异,但性别并不是一个关键的决定因素,而且经常被忽视。根据先前的研究结果,女性的寿命比男性长,但她们的残疾寿命更长,尤其是认知障碍。他们最终住进收容所的频率比男性高得多,在机构中死亡的频率也更高(21%对10%)。最大的性别差异出现在照顾者领域。大多数护理人员都是女性,根据研究结果,很明显,75%以上的护理人员是女性,女性提供护理的时间比男性多50%。女性在护理方面投入的时间和精力在很大程度上没有得到认可,并被认为是女性的“自然”角色。相比之下,男性护理人员被视为英雄,大量研究表明,男性护理者比女性护理者获得更多的支持。这被认为是女性护理人员有更多身心健康问题的原因,包括焦虑和抑郁。卫生专业人员也在这种刻板印象的形成中发挥了作用。最近的一项研究表明,护士认为患者的妻子和女儿比丈夫和儿子需要更少的帮助。总体而言,所有研究都表明,尽管女性在一生中提供了大部分护理,但她们在生命结束时往往缺乏对等的护理。姑息治疗政策的重点是“在社区”进行临终关怀,这对每个人来说都是可取和可实现的。不幸的是,在这种情况下,护理不成比例地落在一个人身上,而这个人很可能是女性,这一事实却被忽视了。
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引用次数: 0
Intersex Differences in Functional Neurological Disorders 功能性神经疾病的Intersex差异
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.26
S. Tomasović, Andrija Meštrović, Gordana Sičaja, Hrvoje Tomasović, Jelena Košćak Lukač, Josip Sremec, Koraljka Bačić Baronica
Letter to the Editor
给编辑的信
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引用次数: 0
Venous Sinus Thrombosis – Women’s Disease? 静脉窦血栓——女性疾病?
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.21
S. Frol
Letter to the Editor
给编辑的信
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引用次数: 0
Female with Fibromuscular Dysplasia 女性纤维肌发育不良
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.18
Melanija Pintarić, Rafaela Vukasović, A. Lovrenčić‐Huzjan
Fibromuscular dysplasia (FMD) is a noninflammatory, nonatherosclerotic disorder that cause arterials steno- sis, occlusion, aneurysm, dissection, and artery tortuosity. The etiology of FMD remains unknown. The most frequently involved arteries are the renal, internal carotid, vertebral arteries and visceral. Among adults, FMD is more common in females. Most common symptoms are renovascular hypertension, headache, pulsatile tinnitus, neck pain, and abdominal pain. We present a 62-year old female patient who was diagnosed with grade 3 arterial hypertension at the age of twenty -nine. During diagnostic treatment, narrowing of the right renal artery was determined and percutaneous transcutaneous angioplasty of the right renal artery was performed. Diagnosis of fibromuscular dysplasia was suspected. After this procedure, the value of blood pressure was normalized. At the age of forty, the patient was re-introduced with antihypertensive, and CT angiography showed 50 % lumen stenosis of the right renal artery. She was referred to a neurologist. The patient has been complaining about frequent headaches, pulsatile tinnitus in the right ear, increased fatigue, and occasional abdominal pain for many years. Neurosonological testing showed partially wall thickening in the left common carotid artery and multiple stenosis and dilatation of the left internal carotid artery. The left vertebral artery has multiple stenoses and dilatations in the distal V1 segment. The findings indicated changes in fibromuscular dysplasia and the diagnosis of FMD was confirmed.
纤维肌发育不良(FMD)是一种非炎症、非动脉粥样硬化性疾病,可导致动脉狭窄、闭塞、动脉瘤、夹层和动脉扭曲。FMD的病因尚不清楚。最常见的受累动脉是肾动脉、颈内动脉、椎动脉和内脏动脉。在成年人中,口蹄疫在女性中更为常见。最常见的症状是肾血管性高血压、头痛、搏动性耳鸣、颈部疼痛和腹痛。我们报告一位62岁的女性患者,她在29岁时被诊断为3级动脉高压。在诊断治疗过程中,确定右肾动脉狭窄,并对右肾动脉进行经皮血管成形术。怀疑诊断为纤维肌发育不良。在这个过程之后,血压值被标准化。患者在40岁时再次服用降压药,CT血管造影术显示右肾动脉管腔狭窄50%。她被转诊给神经科医生。多年来,患者一直抱怨频繁头痛、右耳搏动性耳鸣、疲劳加剧和偶尔腹痛。神经声学检查显示左颈总动脉部分壁增厚,左颈内动脉多处狭窄和扩张。左椎动脉在远端V1段有多处狭窄和扩张。这些发现表明纤维肌发育不良的变化,FMD的诊断得到了证实。
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引用次数: 0
A Step Towards Precision Medicine 迈向精准医疗的一步
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.00
A. Lovrenčić‐Huzjan
Editorial
社论
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引用次数: 0
Tension - Type Headache in Clinical Practice 紧张性头痛在临床中的应用
Q3 Medicine Pub Date : 2023-02-20 DOI: 10.20471/may.2023.59.01.25
M. Titlić
Letter to the Editor
给编辑的信
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引用次数: 0
期刊
Archives of Psychiatry Research
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