Materia socio-medica最新文献

{"title":"The Site of Musculoskeletal Pain in School Children with Excessive Body Weight and Obesity in Bosnia and Herzegovina","authors":"Selma Azabagić, N. Pranjić","doi":"10.5455/msm.2019.31.88-92","DOIUrl":"https://doi.org/10.5455/msm.2019.31.88-92","url":null,"abstract":"Introduction: The number of school age children with excessive body weight and perception of musculoskeletal pain is on the rise. Aim: The aim of this study is to identify the most common sites of acute and chronic musculoskeletal pain in school children with excessive body weight and obesity. Methods: A survey included 1315 children aged 9-14 years from September 2016 to January 2017 in the Primary schools of Canton Tuzla. The weight and height were measured for each subject based on which a body mass index was determined and two groups were categorized: a group of children with excessive BMI and obesity (N = 406), and the remaining respondents were part of the control group. The Nordic questionnaire was utilized to examine places of perception of musculoskeletal pain experienced by children in the preceding 7 days (acute) or preceding 1 year (chronic pain). Results: Prevalence of overweight and obesity in school children is 31% (significantly higher in boys than in girls, 38%: 25%). The incidence of acute and chronic pain in children with normal BMI 49% is significantly higher than in excessive BMI 45% or in children with overweight 39.1%. Obesity and overweight are risk factors for the development of nonspecific musculoskeletal pain (OR = 1.161, 95% CI, 1.020-1.322). The most common places for chronic pain associated with overweight and obesity are neck (OR = 1.212, 95% CI, 0.893-1.644) and knee (OR = 1.103, 95% CI, 0.690-1.760). While the most common place of acute pain is knee (OR = 1.127 , 95% CI, 0.673-1.890). Conclusion: The relationship between excessive body weight and chronic musculoskeletal pain (MSP) in the neck and knees indicates the cumulative effect of exposure to excessive body weight and obesity in BiH school children.","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 1","pages":"88 - 92"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46235221","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}

{"title":"Characteristics of Elderly Frequent Attendees in Slovene Family Medicine Practices - a Cross-sectional Study","authors":"J. Rifel, P. Selič","doi":"10.5455/msm.2019.31.93-98","DOIUrl":"https://doi.org/10.5455/msm.2019.31.93-98","url":null,"abstract":"Introduction: Frequent attendance in family medicine practices is associated with elderly patients and those with chronic diseases. Longstanding frequent attendees have more social and psychiatric problems, medically unexplained conditions, and chronic diseases, and are prescribed more psychotropic drugs and analgesics. Aim: To fill the lack of data on the factors associated with frequent attendance at family medicine practices by the elderly. Methods: Forty family physicians (FPs) participated in this cross-sectional study in 2017 and randomly recruited up to 20 of their patients; 624 patients were recruited. From the patients’ health records, the FPs collected demographic data, lifestyle factors, all the patients’ diagnoses, all the drugs prescribed in the previous 12 months, multi-morbidity (CIRS-G index), the quality of life index (EQ-5D) and the number of visits to the family medicine practice in the previous 12 months. The Self-Rating Depression Scale was administered to the patients. Statistical analysis was carried out using the IBM SPSS 20.0 package, with appropriate non-parametric tests (Mann-Whitney U test, chi-square test) to check significant differences between groups of patients. Multivariate modelling was carried out to evaluate the associations between the number of visits to the FP and independent variables. Results: The number of prescribed drugs (p=0.026), haematological problems (p=0.005) and genitourinary problems (p=0.001) were associated with frequent attendance. Patients with borderline depression were approximately three times more likely to be frequent attendees than non-depressed patients. Conclusion: Polypharmacy, haematological and genitourinary problems are associated with frequent attendance in elderly patients. Further longitudinal studies are required to validate our findings.","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 1","pages":"93 - 98"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43097488","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}

{"title":"Use of Food Supplements in Diabetes Mellitus Treatment in Bosnia and Herzegovina from the Pharmacists Perspective","authors":"T. Čatić, R. Jusufović","doi":"10.5455/msm.2019.31.141-145","DOIUrl":"https://doi.org/10.5455/msm.2019.31.141-145","url":null,"abstract":"Introduction: Food supplements utilization is showing increasing trend among healthy as well as chronic disease population. Diabetes as a pandemic disease is treated by different interventions and traditional pharmacological treatment, but also utilization of natural products and food supplements (FS) are becoming important. Role of the pharmacist in diabetes management includes different interventions like counseling and recommendation of FS. Aim: To explore current trends in dietary supplements utilization among diabetic patients from the pharmacists’ perspective, pharmacists’ attitudes and knowledge about this group of products and suggest future directions related to this issue. Methods: We have analyzed pharmacists’ perception of FS utilization for diabetes and its complication treatment by conducting online survey. The survey was developed by authors based on research aim and published literature. Results: It has been found that 72% of patients with diabetes are purchasing different FS and that they are willing to pay between 5,0-15,0 EUR per visit for this products. Even in majority of cases pharmacists proactively advice patients about FS selection they identify need for specific education in this field in order to strengthen their competencies and competitiveness. Pharmacists also identified need for FS specially formulated and intended for blood glucose controls and most often diabetes complications and related conditions. Conclusion: This is the first study in this field conducted in Bosnia and Herzegovina suggesting further activities and research of this topic.","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 1","pages":"141 - 145"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5455/msm.2019.31.141-145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49222727","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}

{"title":"Depression in Survivors of Acute Myocardial Infarction.","authors":"Aneta Spasovska Trajanovska,&nbsp;Jorgo Kostov,&nbsp;Zanina Perevska","doi":"10.5455/msm.2019.31.110-114","DOIUrl":"https://doi.org/10.5455/msm.2019.31.110-114","url":null,"abstract":"<p><strong>Introduction: </strong>There was growing evidence of increased cardiovascular risk in patients with depressive disorders.</p><p><strong>Aim: </strong>To determinate the percentage of depression of the three investigated groups of patients with myocardial infarction and to determinate the correlation between sociodemographic characteristic and level of depression in survivors of AMI.</p><p><strong>Methods: </strong>The study was designed as observation cross-section including 120 patients treated at the University Clinic of Cardiology Skopje during 2018-2019 year, observed as 3 groups: group 1 was presented with patients during hospitalization for AMI, group 2 were patients survivors after 3 months of the acute coronary event and group 3 patients survivors after 12 months of the acute coronary event, Depression status was assessed using BDI.</p><p><strong>Results: </strong>the three groups presented almost equal representation of depression according BDI (X²=1,182, df=2, p=0,913) presented with 34,1 %, 30,8% and 30% respectively. The three groups of patients did not show significant difference according distribution of gender smoking , physical activity, stress, diabetes mellitus, age, mean BDI, BMI, Systolic BP, age of education and marital status . Only group 3 presented significantly higher diastole BP comparing in group 1 and group 2 (F=9,532, df=2,p< 0,001). The depression (BDI score) in examination groups was associated with sociodemographic and clinical parameters where female gender, higher education level, decreased BMI, smoking, decreased physical activity, younger age and single status are independent predictors of depression in patients who survived acute myocardial infarction.</p><p><strong>Conclusion: </strong>The results obtained in our study showed indicative representation of depression in patients survivors of AMI and significant association with sociodemographic and clinical parameters as predictors of depressive disorder. Regular screening for depression in patients survivors of AMI may improve the therapy decision, prognosis and the quality of patients' life.</p>","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 2","pages":"110-114"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/5d/MSM-31-110.PMC6690317.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Most Influential Scientists in the Development of Public Health (1): Jules Rene Guerin (1801-1886)","authors":"I. Masic","doi":"10.5455/MSM.2019.31.150-150","DOIUrl":"https://doi.org/10.5455/MSM.2019.31.150-150","url":null,"abstract":"Jules Rene Guerin (Boussu, Belgium, 1801–Hyres, 1886) commenced his medical studies at Paris in 1821, obtaining his doctorate at that university in 1826 (1-3). He was early attracted to journalism, and two years later he founded the medical journal Gazette de sante, of which he was both editor and publisher, and for which he also wrote articles.","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 1","pages":"150 - 150"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45361582","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}

{"title":"Evaluation of Thyroid Hormone Status and Bone Density Ratio in Euthyroid Postmenopausal Women in Early and Late Stage of Bone Loss","authors":"Ajla Arnautović-Halimić, A. Begić, Selma Agić-Bilalagić, Amila Bašić, Amila Hadžimuratović, Dzan Ahmed-Jesenkovic","doi":"10.5455/msm.2019.31.115-118","DOIUrl":"https://doi.org/10.5455/msm.2019.31.115-118","url":null,"abstract":"Introduction: Osteoporosis is a consequence of reduction in bone mass and disorders of bone structure, which makes the bones prone to fractures. Physiological variations of thyroid-stimulating hormone (TSH) may be an early indicator of the predisposing basis of the emergence of osteoporosis. Aim: To evaluate the thyroid hormone status and bone density ratio in euthyroid postmenopausal women in early and late stage of bone loss. Methods: The research is an observational, intersected, controlled study involving postmenopausal women admitted to the Clinic for Nuclear medicine and endocrinology of the Clinical Center University of Sarajevo (CCUS). The study included a total of 120 postmenopausal subjects divided into two groups. First group included 60 postmenopausal patients with osteoporosis, 30 of them were at the early stage of postmenopause, and 30 were in the late postmenopausal phase. The second group consisted of 60 postmenopausal patients with preserved bone mass, 30 of which were in the early stage of postmenopause and 30 in the late postmenopausal phase. For all patients included in the study follicle-stimulating hormone (FSH), TSH, free thyroxine (FT4), free triiodothyronine (FT3) were analyzed. Results: The mean duration of the postmenopausal period was statistically significantly higher in the group of women with osteoporosis (11.4 ± 1.1 years). The mean values of FSH were statistically significantly higher in the group of women with osteoporosis (54.0 ± 2.6 IU / L). The mean level of TSH and FT3 did not statistically significantly differ in the group of women with osteoporosis compared to the control group of women. The mean FT4 level in women with osteoporosis was statistically significantly lower (14.7 ± 0.29 pmol / L) compared to the control group of women (15.95 ± 0.3 pmol / L) (p = 0.004). Conclusion: In our examined group, the FT4 patient (mean) was significantly lower in the serum of women with osteoporosis compared to subjects with preserved bone mass. It would be most effective to recognize risk factors in order to influence them on time, and to alleviate and slow down the consequences of osteoporosis. One of these possible factors is the hormonal status of the thyroid gland, that is, TSH whose physiological variations may be an early indicator of the predisposing basis for the emergence of osteoporosis. The frequency and prevalence of these medical problems require additional research, and it is also a great challenge to understand the effects of thyroid hormone on bone tissue.","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 1","pages":"115 - 118"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44639317","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}

{"title":"The Most Influential Scientists in the Development of Public Health (2): Rudolf Ludwig Virchow (1821-1902)","authors":"I. Masic","doi":"10.5455/MSM.2019.31.151-152","DOIUrl":"https://doi.org/10.5455/MSM.2019.31.151-152","url":null,"abstract":"Rudolf Ludwig Carl Virchow (1821-1902) was a German doctor, anthropologist, pathologist, prehistorian, biologist, writer, editor, and politician, known for his advancement of public health (1-4). He is known as “the father of modern pathology” because his work helped to discredit humourism, bringing more science to medicine (1). He is also known as the founder of Social medicine and Veterinary pathology, and to his colleagues, the “Pope of medicine” (2).","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 1","pages":"151 - 152"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41548803","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}

{"title":"The Contribution of Biofeedback Brain Boy Method to the Treatment of Anxiety Disorders","authors":"Eleftheria Zafeiri, Agapi Kandylaki, S. Zyga, Ioannis Zarogiannis, G. Panoutsopoulos","doi":"10.5455/msm.2019.31.105-109","DOIUrl":"https://doi.org/10.5455/msm.2019.31.105-109","url":null,"abstract":"Introduction: Anxiety management is one of the most important health issues which is being faced by humans today. Biofeedback, as a method of neurophysiology, has been added to the methods recommended for this purpose. Aim: The aim of the study was to measure the effectiveness of biofeedback method by using Brain Boy Universal Professional in the treatment of anxiety disorders. Methods: The sample of this research study consisted of 50 individuals, suffering from symptoms of anxiety, who underwent biofeedback therapy. For the purposes of this study, the self-administered questionnaire Hamilton Rating Scale for Anxiety was completed by the individuals both before the initiation of the therapy and after individuals had completed ten sessions of treatment with biofeedback. Results: Prior to biofeedback, 26% of the participants showed mild to moderate anxiety, 12% a medium severity of anxiety and the remaining 62% severe anxiety. After the completion of 10 sessions of biofeedback, 78% of the participants was found to experience mild to moderate anxiety, 12% a medium severity of anxiety and only 10% of severe anxiety. Conclusion: Biofeedback can be a therapeutic method for the treatment of anxiety disorders, giving treatment to patients who do not respond to drugs but also to patients who want to apply to undergo such treatment alongside other therapeutic methods including drugs.","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"31 1","pages":"105 - 109"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48317915","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}

{"title":"Prof Zelimir Jaksic, MD, PhD (1930-2017)","authors":"I. Masic","doi":"10.5455/MSM.2018.30.76-76","DOIUrl":"https://doi.org/10.5455/MSM.2018.30.76-76","url":null,"abstract":"In summer of the year 2017, unfortunately, passed away respective academician Zelimir Jaksic, former dean of Faculty of Medicine, University of Zagreb and former Director of “Andrija Stampar” School of Public Health in Zagreb. In 1955, he graduated from the Faculty of Medicine at the University of Zagreb. From 1955 to 1959, he worked in the Department of General Medicine at the Zagreb Primary Health Care Center. He completed residency in the Hygiene and Social Medicine and became specialist in 1960. In 1965, he presented his doctoral dissertation on the topic “Assessment of Diabetes Incidence and its Early Detection”. He was habilitated at the Faculty of Medicine of the University of Zagreb in 1967. Then he was elected as a full professor of Social Medicine at the Faculty of Medicine, University of Zagreb, in 1974. Professor Zelimir Jaksic was a fruitful organizer and researcher of numerous research and field experiments in epidemiology and the prevention of chronic diseases. Special emphasis was placed on the organization of Primary Health Care and Medical Education. From 1972 to 1974, he was the head of the World Health Organization’s Health Service Development Research team in Iran. The head of the Health Care Institute of the School of Public Health from 1975 to 1977, and for two years later he established the Primary Care and General Medicine Department at the Faculty of Medicine, University of Zagreb. The duty of the Director of the School of Public Health “Andrija Stampar” carried from 1978 to 1981. At that time, he established and coordinated international postgraduate courses in “Planning and Management of Primary Health Care in Developing Countries” and “Training of Teachers in General Medical Practice”, and since 1982, he was the Director of the World Health Organization’s Primary Health Care Collaboration Center at the School of National Health “Andrija Stampar”. In 1985 became the main researcher of the international project “Continuous Education for Primary Health Care Using Video and Computer Technologies” in collaboration with Japan. Since 1972 professor Zelimir Jaksic was a regular member of the Academy of Medical Sciences of Croatia. In 1983 he was admitted to the Royal College of General Practitioners in London, and in 1988 he became professor at the Boston University. Professor Jaksic was the main project researcher between Yugoslavia and Japan. From 1987 to 1990, he was a vice dean, and later Dean of the Faculty of Medicine at the University of Zagreb. For his contribution to the Development of General medicine in the world in 1999, at Palma de Mallorca received Hippocrates Medal from the European branch of the World Association of Family Physicians WONCA Europe. In 2005 he was elected to Professor emeritus of the University of Zagreb. Generations of undergraduate and postgraduate students, as well as generations of specialists and specialists of General and Social Medicine will remember professor Jaksic as a calm, patient an","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"30 1","pages":"76 - 76"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48370335","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}

{"title":"Honorary Fellows of the European Federation for Medical Informatics","authors":"F. H. France","doi":"10.5455/msm.2017.29.155-155","DOIUrl":"https://doi.org/10.5455/msm.2017.29.155-155","url":null,"abstract":"Since its creation in 1976, the European Federation for Medical Informatics (EFMI) has elected twenty nine “Honorary Fellows”, a highly selected group of European scientists, experts, managers, teachers and leaders recognized by their peers for their important contribution to the field of health informatics. They can be considered as“pioneers” in research, education and services to the community. They opened a new world by using computerized information systems and by developing digitized medicine. They were nominated by all European scientific societies of Medical Informatics (now 32). EFMI is IMIA Europe (national scientific societies members of the International Medical Informatics Association in the European Region). Izet Masic wrote a monograph describing the role and the career of all “EFMI Honorary Fellows” elected from 1985 to 2016, with their portraits and their specific role in the development and organization of Medical informatics. He took into account their environment by writing an introduction on the history of EFMI, its role and objectives, as well as its specific meetings: MIE congresses, Medical Informatics in Europe and STCs, Special Topic Conferences. He described also EFMI Working groups activities in many fields: education, electronic health records, primary health care informatics, nursing informatics, security, safety and ethics, minimum basic data sets for casemix, resources management and outcomes of care, open source software, natural language understanding,... Informatics is a term that has been introduced by François Grémy from France and Peter Leo Reichertz from Germany before being accepted all over the world. Their contribution to the education and to the development of European Research programs supported by the European Commission in Medical informatics has been essential. Their role in the creation of hospital information systems as well as in the building of an infrastructure for scientific cooperation in the field in Europe should be underlined. Other names like those of John Anderson, Barry Barber, Hans Peterson, Jean-Raoul Scherrer cannot be forgotten, as well as those of all other “Honorary Fellows” that make the core of this book... Brussels, May 25th, 2017 Prof Francis H. Roger France, MD, PhD University of Louvain, Brussels, Belgium","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"29 1","pages":"155 - 155"},"PeriodicalIF":0.0,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42248201","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}