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Chronic Abdominal Pain, an Overlooked Diagnosis of Median Arcuate Ligament Syndrome (MALS) 慢性腹痛,正中弓韧带综合征(MALS)的一个被忽视的诊断
Pub Date : 2022-03-01 DOI: 10.2478/prilozi-2022-0009
D. Nikolova, S. Antović, P. Karagjozov, Vilijam Kitevski, M. Trajkovska, M. Dimitrova, G. Deriban, Emilija Nikolovska Trpcevska, A. V. Nikolovska
Abstract Median arcuate ligament syndrome (MALS) is a rare condition that is often overlooked as a result of its nonspecific symptoms. It is usually presented with nausea, bloating, abdominal postprandial pain, and weight loss. The diagnosis of MALS is usually delayed and made by excluding other causes for the symptoms. The diagnosis of this syndrome is based on clinical presentation and radiological findings on computer tomography angiography (CTA) or magnetic resonance angiography (MRA). Surgery is treatment of choice, with promising results from laparoscopic surgery.
摘要正中弓状韧带综合征(MALS)是一种罕见的疾病,由于其非特异性症状而经常被忽视。通常表现为恶心、腹胀、腹部餐后疼痛和体重减轻。肌萎缩侧索硬化症的诊断通常是延迟的,并通过排除症状的其他原因来做出诊断。该综合征的诊断基于临床表现和计算机断层血管造影(CTA)或磁共振血管造影(MRA)的放射学表现。手术是治疗的选择,腹腔镜手术有很好的效果。
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引用次数: 0
Correlation Between the Different Types of Antipsychotics and Serum Cortisol, Dehidroepiandrosterone Sulfat and their Ratio in Schizophrenia 不同类型抗精神病药物与精神分裂症患者血清皮质醇、去汗表雄酮硫脂及其比值的关系
Pub Date : 2022-03-01 DOI: 10.2478/prilozi-2022-0003
Z. Babinkostova, N. Manuševa, S. Markovic
Abstract Background: Evidence for disturbances in HPA activation and abnormal HPA regulatory mechanisms in schizophrenia is accumulating. Aim: To compare serum levels of cortisol, DHEA-S and their ratio between patients with schizophrenia and healthy controls and among patients before and after treatment with different types of antipsychotics. Material and methods: In this clinical prospective study, 60 patients with schizophrenia and 40 healthy age and sex matched control subjects were included. All patients experienced an acute exacerbation of the illness (PANSS: P1 and P3 ≥ 4). Clinical evaluation of patients was performed using the Positive and Negative Symptom Scale. A questionnaire for socio-demographic and clinical data collection was used. Serum levels of cortisol, DHEA-S and their ratio were measured at baseline in all participants and after 3 and 6 weeks, respectively, of the antipsychotic treatment with different types of antipsychotics in patients with schizophrenia. Results: Patients with schizophrenia had significantly higher serum cortisol and DHEA-S levels in comparison to the control group. There was no significant difference in serum levels of cortisol, DHEA-S and their ratio between patients treated with different types of antipsychotics (typical/atypical). Serum levels of the analyzed hormones significantly reduce during the 6-week period of examination in both subgroups treated with different types of antipsychotics. Conclusion: Elevated serum cortisol and DHEA-S in schizophrenic patients might be associated with their role in the pathophysiology of the disorder. There is no significant difference in serum levels of cortisol, DHEA-S and their ratio among the patients treated with different types of antipsychotics.
背景:精神分裂症患者HPA激活障碍和异常HPA调节机制的证据越来越多。目的:比较精神分裂症患者与健康对照组及不同类型抗精神病药物治疗前后血清皮质醇、DHEA-S水平及其比值。材料与方法:本临床前瞻性研究纳入60例精神分裂症患者和40例年龄、性别匹配的健康对照。所有患者均出现疾病急性加重(PANSS: P1和P3≥4)。采用阳性和阴性症状量表对患者进行临床评估。问卷调查用于社会人口统计和临床数据收集。在精神分裂症患者使用不同类型的抗精神病药物进行抗精神病治疗3周和6周后,分别测量所有参与者的血清皮质醇、DHEA-S水平及其比值。结果:精神分裂症患者血清皮质醇和DHEA-S水平明显高于对照组。不同类型抗精神病药物治疗组(典型/非典型)血清皮质醇、DHEA-S水平及其比值无显著差异。在接受不同类型抗精神病药物治疗的两个亚组中,血清中所分析的激素水平在6周的检查期间显著降低。结论:精神分裂症患者血清皮质醇和DHEA-S升高可能与其在精神分裂症病理生理中的作用有关。不同类型抗精神病药物治疗组血清皮质醇、DHEA-S水平及其比值无显著差异。
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引用次数: 1
O društveno-političkim prilikama u Smederevskom sandžaku i Bosanskom ejaletu krajem 18. i prvim decenijama 19. stoljeća
Pub Date : 2022-01-01 DOI: 10.51237/issn.2744-1172.2022.51.129
Amir Dzinic
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引用次数: 0
Balkansko ratno vazduhoplovstvo i njegova borbena dejstva iznad Bosne i Hercegovine
Pub Date : 2022-01-01 DOI: 10.51237/issn.2744-1172.2022.51.197
S. Vrana
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引用次数: 0
Rehabilitacija degradiranog Mustafa-paše Daltabana u Bosni ratne 1698. godine
Pub Date : 2022-01-01 DOI: 10.51237/issn.2744-1172.2022.51.111
Faruk Taslidža
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引用次数: 0
Slučaj srpske škole u Kumanovu u svjetlu dokumenata Osmanskog arhiva
Pub Date : 2022-01-01 DOI: 10.51237/issn.2744-1172.2022.51.181
A. Lila, Merjema Imamovic
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引用次数: 0
O društveno-političkim prilikama u kadiluku Ljubinje u 17. stoljeću (do početka Bečkog / Morejskog rata)
Pub Date : 2022-01-01 DOI: 10.51237/issn.2744-1172.2022.51.81
Sedad Bešlija
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引用次数: 0
Svjetlo u tunelu: Električna energija i elektrifikacija u Bosni i Hercegovini do sredine 1970-ih godina
Pub Date : 2022-01-01 DOI: 10.51237/issn.2744-1172.2022.51.247
Dženita Sarač-Rujanac
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引用次数: 0
Odluke Velikog vijeća Dubrovačke Republike o Osmanskom Carstvu i Osmanlijama (1417–1496)*
Pub Date : 2022-01-01 DOI: 10.51237/issn.2744-1172.2022.51.17
Enes Dedić
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引用次数: 0
Trebinjska vlastela Poznanovići
Pub Date : 2021-01-01 DOI: 10.51237/issn.2744-1172.2021.50.21
Esad Kurtović
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引用次数: 0
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