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Subtalar Arthroereisis for Symptomatic Flexible Flatfoot in Adolescents: A Prospective Study of 26 Feet. 青少年有症状的柔韧性扁平足的距下关节挛缩:一项26英尺的前瞻性研究。
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.131-136
Mohammad Alkhatatba, Suhaib Bani Essa, Moawiah Khatatbeh, Ahmad Radaideh, Hamzeh Ziad Audat, Ahmad Bani Younes, Mutaz Alrawashdeh, Jehad Abualadas, Naser Obeidat, Jamal Al-Omari, Yazan Anaqreh

Background: Flexible flatfoot is a normal finding in infants and the arch is shaped spontaneously in most children before the age of 10 years. Flexible flatfoot is a common deformity in both adolescent and adult populations.

Objective: This prospective study aims to assess the functional and radiological outcomes of subtalar arthroereisis in adolescent patients with symptomatic flexible flatfoot.

Methods: This is a prospective study and included 26 feet in 19 patients who underwent subtalar arthroereisis for symptomatic flexible flatfeet deformity. Preoperative and postoperative functional assessment based on the American Orthopedic Foot and Ankle Society (AOFAS) hindfoot scale. Radiographic parameters included preoperative and postoperative Kite`s angle, talonavicular coverage angle, Anterior-Posterior talo-1st metatarsal angle, Meary`s angle, talar declination angle, calcaneal inclination angle and lateral talocalcaneal angle.

Results: The mean follow-up period was 22.5±9.4 months and the mean preoperative AOFAS score was 54.6±6.0, while the mean AOFAS score at the last follow-up visit was 86.3±3.9 (P<0.001).The mean preoperative and postoperative radiological measurements were 19.0°±8.2° and 7.4°±3.9° for the AP Talo-1st metatarsal angle (P<0.001); 23.6°±9.1° and 8.0°±4.0° for talonavicular coverage angle (P<0.001); 35.4°±3.7° and 24.1°±3.4° for Kite`s angle (P<0.003); 22.4°±6.1° and 7.5°±3.7° for Meary`s angle (P<0.001); 41.0°±4.4° and 25.2°±7.1° for talar declination angle (P<0.001); 13.5°±3.7° and 21.3°±3.6° for calcaneal inclination angle (P<0.001) and 52.4°±7.2° and 42.9°±4.8° for lateral talocalcaneal angle (P<0.041) respectively.

Conclusion: Subtalar arthroereisis is an effective and minimally invasive procedure that showed clinical and radiological improvement for symptomatic flexible flatfoot in our study group.

背景:柔性扁平足在婴儿中是一种正常的发现,大多数10岁前的儿童的足弓是自发形成的。柔性扁平足是青少年和成人中常见的畸形。目的:本前瞻性研究旨在评估青少年有症状的柔性扁平足患者的距下关节挛缩的功能和影像学结果。方法:这是一项前瞻性研究,纳入了19例因症状性柔韧性扁平足畸形而行距下关节挛缩的26脚患者。术前和术后功能评估基于美国骨科足踝协会(AOFAS)后足量表。影像学参数包括术前术后Kite角、距骨覆盖角、距骨-第一跖前后角、Meary角、距骨偏角、跟骨倾斜角和距骨外侧角。结果:平均随访时间为22.5±9.4个月,术前平均AOFAS评分为54.6±6.0分,末次随访时平均AOFAS评分为86.3±3.9分(p)。结论:距下关节融合术是一种有效的微创手术,对我们研究组的症状性柔韧性扁平足有临床和影像学改善。
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引用次数: 0
Health-related Quality of Life Among Comorbidity Patients With Type 2 Diabetes Mellitus and Hypertension. 2型糖尿病合并高血压患者的健康相关生活质量
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.199-205
Tran Thi Ly, Duong Hoang Thanh, Pham Hong Ha, Nguyen Hong Viet, Nguyen Phuong Hoa, Tran Hoa

Background: Evaluating the Health-Related Quality of Life (HRQoL) in patients with hypertension and diabetes is vital for improving treatment adherence and outcomes.

Objective: This study assessed HRQoL and its influencing factors among patients with both type 2 diabetes mellitus and hypertension at Can Tho Hospital, Vietnam.

Methods: A cross-sectional study was performed on 310 outpatients at the polyclinic, using the Short Form-36 Health Survey (SF-36) between July 2021 and July 2022.

Results: The average HRQoL score among patients was 50.56 ± 21.73. Normal HRQoL was observed in 68.7% of patients, 16.8% had good HRQoL, and 14.5% had poor HRQoL. Lower HRQoL was more common in older patients, females, those with lower education levels, unemployed individuals, insulin users, and those with complications. Significant factors affecting HRQoL included age, occupation, education, and treatment outcomes.

Conclusion: Patients with complications and those on insulin therapy should be closely monitored to maintain their overall health and HRQoL.

背景:评估高血压和糖尿病患者的健康相关生活质量(HRQoL)对于改善治疗依从性和预后至关重要。目的:探讨越南芹苴医院2型糖尿病合并高血压患者的HRQoL及其影响因素。方法:对2021年7月至2022年7月在该综合诊所就诊的310例门诊患者进行横断面研究,采用SF-36健康调查表。结果:患者HRQoL平均评分为50.56±21.73。68.7%的患者HRQoL正常,16.8%的患者HRQoL良好,14.5%的患者HRQoL较差。较低的HRQoL在老年患者、女性、受教育程度较低的患者、失业人群、胰岛素使用者和有并发症的患者中更为常见。影响HRQoL的重要因素包括年龄、职业、教育程度和治疗结果。结论:应密切监测并发症患者及胰岛素治疗患者的整体健康状况和HRQoL。
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引用次数: 0
The Functioning of Ethics Committees in Kazakhstan: Results and Recommendations. 哈萨克斯坦伦理委员会的运作:结果和建议。
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.192-198
Lldar Fakhradiyev, Alfiya Shamsutdinova, Gulnara Kulkayeva, Bakhyt Sarymsakova, Darina Menlayakova, Almira Manatova, Saniya Saussakova, Anel Ibrayeva, Shynar Tanabayeva, Kerim Munir

Background: Sixteen RECs were randomly selected from various institutions across Kazakhstan, representing both public and private sectors and covering biomedical and socio-behavioral research reviews.

Objective: This research addresses a critical knowledge gap by providing empirical data on REC operations in Kazakhstan, facilitating a better understanding of how these committees align with international ethical standards and best practices. Furthermore, by situating our findings within the broader context of REC performance in LMICs, we aim to highlight specific challenges unique to Kazakhstan and propose evidence-based recommendations.

Methods: Data were collected using a culturally adapted, semi-structured questionnaire based on a validated self-assessment tool. Descriptive statistics were used to analyze the data.

Results: The overall average score for the RECs was 71.9% out of a possible 100%, indicating generally effective functioning but highlighting significant areas needing improvement. Strengths included well-established organizational aspects, diverse membership, and adequate educational training. However, weaknesses were identified in the thoroughness of protocol evaluations and resource allocation, with low scores in "Review of Specific Protocol Items" (33.7%) and "REC Resources" (56.2%). Additionally, 38.5% of RECs were not registered with national authorities, underscoring the need for improved regulatory oversight.

Conclusion: While RECs in Kazakhstan demonstrate strengths in organizational structure and member training, critical gaps exist in protocol review processes and resource support. Targeted interventions - such as enhancing training programs for REC members, increasing funding and resources, and establishing a national accreditation system - are recommended to improve the quality of ethical oversight in research. Strengthening these areas will ensure comprehensive protocol reviews and better protection of research participants.

背景:从哈萨克斯坦各地的不同机构随机选择了16个RECs,代表了公共和私营部门,涵盖了生物医学和社会行为研究综述。目的:本研究通过提供哈萨克斯坦REC运营的经验数据,解决了一个关键的知识缺口,有助于更好地理解这些委员会如何与国际道德标准和最佳实践保持一致。此外,通过将我们的研究结果置于中低收入国家REC绩效的更广泛背景下,我们旨在突出哈萨克斯坦特有的具体挑战,并提出基于证据的建议。方法:采用基于有效自我评估工具的文化适应性半结构化问卷收集数据。采用描述性统计对数据进行分析。结果:RECs的总体平均得分为71.9%(满分为100%),表明功能总体有效,但突出了需要改进的重大领域。优势包括完善的组织方面,多样化的成员,和充分的教育培训。然而,在方案评估和资源分配的彻全性方面存在不足,“具体方案项目审查”(33.7%)和“REC资源”(56.2%)得分较低。此外,38.5%的RECs未在国家主管部门注册,这凸显了加强监管的必要性。结论:虽然哈萨克斯坦的RECs在组织结构和成员培训方面表现出优势,但在协议审查过程和资源支持方面存在重大差距。建议采取有针对性的干预措施——例如加强REC成员的培训项目、增加资金和资源以及建立一个国家认证系统——以提高研究中的伦理监督质量。加强这些领域将确保全面的方案审查和更好地保护研究参与者。
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引用次数: 0
Arterial Tortuosity Syndrome and Hypermobility of Joints - Case Presentation and a Review of Literature.
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.310-313
Ramush Bejiqi, Ragip Retkoceri, Arlinda Maloku, Aferdita Mustafa

Background: Arterial tortuosity syndrome (ATS) is a rare congenital connective tissue disorder characterized by elongation and generalized tortuosity of the major and distal arteries, including the aorta. Clinically syndrome is associated with hyperextensible skin and hypermobility of joints.

Objective: Here we present a three-year-old boy who was referred to our center for investigation of incidental murmur; but subsequently he was found to have ATS.

Results: A 3-year-old boy with lax joints and hyper flexibility of the skin was found to have severe tortuosity of the great vessels along with critical aortic coarctation. Diagnosis and management aspects have been discussed. This review delves into a variety of strategies that could be harnessed to enhance radiology diagnostic services, thereby better-serving stroke patients in multidisciplinary hospital settings. It sheds light on the current hurdles in the optimization of stroke management, discussing them in detail. This article also explores the application and significance of Process Mapping in streamlining workflow for stroke management in hospitals, providing insights into its benefits, challenges, and future implications. Furthermore, the potential of Artificial Intelligence (AI) and Machine Learning (ML) in refining stroke management processes is also analysed and discussed.

Conclusion: The quest for optimizing the organization of radiology diagnostic services in multidisciplinary hospitals unveils a multi-pronged pathway. It beckons a harmonious blend of technological innovation, operational finesse, and multidisciplinary camaraderie. stepwise implementation of the identified optimization strategies, coupled with a continual assessment of their impact on patient care and operational efficiency, is recommended.

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引用次数: 0
Medical, Surgical and Experimental Approaches to Acute Mesenteric Ischemia and Reperfusion. 急性肠系膜缺血和再灌注的内科、外科和实验方法。
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.77-81
Zoran Matkovic, Zoran Aleksic

Background: Acute mesenteric ishemia(AMI) is a rare but very serious disease with high rate of mortality and morbidity. About 1-2% of all gastrointestinal disease is AMI. Mortality is about 60-80% and depends of time between starting of symptoms and establishing of diagnosis, type AMI, comorbidities. AMI is often in older population with coronary syndrom and atrial fibrilation. AMI may be occlusive(embolisatio arteriae mesentericae superior(AMS), or thrombosis of AMS, mesenterial vein thrombosis) and nonoclusive form(NOMI). NOMI is rising in critical ill patients in shock or sepsis. Pathophysiology of AMI is very complex and significant role in this proces has ischemia and also reperfusion. Reperfusion injury including oxidative stres, inflamation, infection. The best diagnostic approach is CT angiography but after high clinical suspicion on AMI. Patients have sudden, catastrophic abdominal pain, vomitus, bloody diarrhoea. Therapy is multidisciplinary-basic treatment(resuscitation with cristaloids, antibiotic, anticoagulans...), surgical treatment-resection necrotic segments of intestinum without anastomosis or endovascular treatment. In early phases conservative treatment is possible( vasodilatation, thrombolysis). In some countries there are Intestinal Stroke Centers (ISC) in which patients with AMI have better prognosis. Because of progressive nature of AMI( rapide worsening) rare are clinical study,but there are many experimental study on animal models. Most of experimental study investigate protective effects of some supstances on damage on intestinum and remote organs during ishemia and reperfusion.

Objective: To present literature data of clinical and experimental study, describe experiments on animal models and mention supstances whit promising results in protective strategies during AMI.

Methods: We analysed Pubmed by using mesh terms such as acute mesenteric ischemia, intestinal injury, reperfusion, experimental study, clinical and therapeutic approach. Results: Sudden abdominal pain resists on opioids analgetics, high rate of CRP, hyperlactatemia, increase of D dimer is enough for suspicion of AMI. Often is delayed in establishing of diagnosis of AMI. CT angiography has sensitivity of 94%. Pneumatosis is sign of necrosis of intestinal wall. Classical surgical approach is dominant, more than 70%,. Endovascular treatment became often last few years. Experimental studies investigate occlusion of AMS with atraumatic clamp, with schemia and reperfusion in different intervals Most animals models are on wistar male rats.

Conclusion: AMI has still high rate of mortality. Better diagnostic and therapeutic principles (shorter interval between appearance of symptoms and starting of therapy, multidisciplinary approach, higher percent of endovascular procedures), could decrease mortality. Experimental studies on animal models may be succesfull in development of

背景:急性肠系膜缺血(AMI)是一种罕见但非常严重的疾病,死亡率和发病率都很高。在所有胃肠道疾病中,约有 1-2% 是急性肠系膜缺血。死亡率约为 60-80%,取决于症状出现与确诊之间的时间间隔、AMI 的类型和合并症。急性心肌梗死通常发生在患有冠状动脉综合征和心房颤动的老年人群中。AMI可分为闭塞型(肠系膜上动脉栓塞(AMS)或AMS血栓形成、肠系膜静脉血栓形成)和非闭塞型(NOMI)。NOMI在休克或败血症的危重病人中发病率较高。急性心肌梗死的病理生理学非常复杂,缺血和再灌注在其中起着重要作用。再灌注损伤包括氧化损伤、炎症和感染。最好的诊断方法是 CT 血管造影,但要在临床上高度怀疑急性心肌梗死之后进行。患者会突发灾难性腹痛、呕吐、血性腹泻。治疗方法是多学科的--基础治疗(使用抗菌素、抗生素、抗凝血剂......进行复苏)、手术治疗--切除坏死的肠段,但不吻合或进行血管内治疗。早期可以采取保守治疗(血管扩张、溶栓)。一些国家设有肠道卒中中心(ISC),AMI 患者在这些中心的预后较好。由于急性心肌梗死具有进展性(急剧恶化),临床研究很少,但有许多动物模型实验研究。大多数实验研究探讨了某些物质在缺血和再灌注过程中对肠道和远处器官损伤的保护作用:介绍临床和实验研究的文献数据,描述动物模型实验,并提及在急性心肌梗死期间具有保护性策略的药物:方法:我们使用急性肠系膜缺血、肠道损伤、再灌注、实验研究、临床和治疗方法等关键词对 Pubmed 进行了分析。结果服用阿片类镇痛药后出现突发性腹痛、CRP升高、高乳酸血症、D二聚体升高足以让人怀疑是急性肠系膜缺血。急性心肌梗死的诊断往往被延迟。CT 血管造影的敏感性为 94%。气肿是肠壁坏死的标志。传统手术方法占主导地位,超过 70%。近几年,血管内治疗开始普及。大多数动物模型以雄性 Wistar 大鼠为对象:结论:急性心肌梗死的死亡率仍然很高。更好的诊断和治疗原则(缩短症状出现与开始治疗之间的时间间隔、多学科方法、提高血管内手术的比例)可以降低死亡率。对动物模型的实验研究可能会在未来成功开发出新的临床保守治疗急性心肌梗死早期阶段的方法。
{"title":"Medical, Surgical and Experimental Approaches to Acute Mesenteric Ischemia and Reperfusion.","authors":"Zoran Matkovic, Zoran Aleksic","doi":"10.5455/msm.2024.36.77-81","DOIUrl":"https://doi.org/10.5455/msm.2024.36.77-81","url":null,"abstract":"<p><strong>Background: </strong>Acute mesenteric ishemia(AMI) is a rare but very serious disease with high rate of mortality and morbidity. About 1-2% of all gastrointestinal disease is AMI. Mortality is about 60-80% and depends of time between starting of symptoms and establishing of diagnosis, type AMI, comorbidities. AMI is often in older population with coronary syndrom and atrial fibrilation. AMI may be occlusive(embolisatio arteriae mesentericae superior(AMS), or thrombosis of AMS, mesenterial vein thrombosis) and nonoclusive form(NOMI). NOMI is rising in critical ill patients in shock or sepsis. Pathophysiology of AMI is very complex and significant role in this proces has ischemia and also reperfusion. Reperfusion injury including oxidative stres, inflamation, infection. The best diagnostic approach is CT angiography but after high clinical suspicion on AMI. Patients have sudden, catastrophic abdominal pain, vomitus, bloody diarrhoea. Therapy is multidisciplinary-basic treatment(resuscitation with cristaloids, antibiotic, anticoagulans...), surgical treatment-resection necrotic segments of intestinum without anastomosis or endovascular treatment. In early phases conservative treatment is possible( vasodilatation, thrombolysis). In some countries there are Intestinal Stroke Centers (ISC) in which patients with AMI have better prognosis. Because of progressive nature of AMI( rapide worsening) rare are clinical study,but there are many experimental study on animal models. Most of experimental study investigate protective effects of some supstances on damage on intestinum and remote organs during ishemia and reperfusion.</p><p><strong>Objective: </strong>To present literature data of clinical and experimental study, describe experiments on animal models and mention supstances whit promising results in protective strategies during AMI.</p><p><strong>Methods: </strong>We analysed Pubmed by using mesh terms such as acute mesenteric ischemia, intestinal injury, reperfusion, experimental study, clinical and therapeutic approach. Results: Sudden abdominal pain resists on opioids analgetics, high rate of CRP, hyperlactatemia, increase of D dimer is enough for suspicion of AMI. Often is delayed in establishing of diagnosis of AMI. CT angiography has sensitivity of 94%. Pneumatosis is sign of necrosis of intestinal wall. Classical surgical approach is dominant, more than 70%,. Endovascular treatment became often last few years. Experimental studies investigate occlusion of AMS with atraumatic clamp, with schemia and reperfusion in different intervals Most animals models are on wistar male rats.</p><p><strong>Conclusion: </strong>AMI has still high rate of mortality. Better diagnostic and therapeutic principles (shorter interval between appearance of symptoms and starting of therapy, multidisciplinary approach, higher percent of endovascular procedures), could decrease mortality. Experimental studies on animal models may be succesfull in development of","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"36 1","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10999141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140870518","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}
引用次数: 0
Investigation of Sexual Education Programs for Adolescents With Autism and the Role of Parents in Providing Support. 孤独症青少年性教育项目及家长支持作用的调查。
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.155-159
Anastasia Panagiotakopoulou, Ilias Vasileiou, Dimitra V Katsarou

Background: Sexual education of adolescents with autism spectrum disorder (ASD) is a complex challenge, as the lack of specialized programs limits effective learning. Adolescents with ASD have difficulty understanding abstract concepts such as consent, personal boundaries and safety, which increases the risk of exploitation.

Objective: This study seeks to examine the experiences and challenges parents face in providing sexuality education to their children with ASD, highlighting the need for programs that respond to the particular needs of these adolescents.

Methods: The research was based on a qualitative methodology, using semi-structured interviews with 10 parents of adolescents with autism, aged 12-18 years. Thematic analysis of the data revealed important categories related to sexuality, consent, personal boundaries, and safety.

Results: Parents face serious difficulties in communicating these issues with their children. The lack of specialized tools and limited support from the education system make it difficult to provide sex education. The need for practical examples and repeated teaching was emphasized.

Conclusion: The research highlights the imperative to develop tailored sex education programs that will help adolescents with ASD understand critical concepts. Collaboration between parents, educators and health professionals is vital to strengthen sexuality education and protect adolescents from potential risks of exploitation.

背景:自闭症谱系障碍(ASD)青少年的性教育是一项复杂的挑战,因为缺乏专门的计划限制了有效的学习。患有自闭症谱系障碍的青少年很难理解诸如同意、个人界限和安全等抽象概念,这增加了被剥削的风险。目的:本研究旨在探讨父母在为自闭症儿童提供性教育时所面临的经验和挑战,并强调需要针对这些青少年的特殊需求制定相应的计划。方法:采用半结构化访谈法,对10名12-18岁自闭症青少年的父母进行访谈。数据的专题分析揭示了与性、同意、个人界限和安全相关的重要类别。结果:父母在与孩子沟通这些问题时面临严重困难。由于缺乏专门的工具和教育系统的有限支持,很难提供性教育。强调了实际例子和重复教学的必要性。结论:该研究强调了开发量身定制的性教育项目的必要性,这将帮助患有ASD的青少年理解关键概念。家长、教育工作者和保健专业人员之间的合作对于加强性教育和保护青少年免受剥削的潜在风险至关重要。
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引用次数: 0
Knowledge, Attitudes, and Practices Regarding COVID-19 Vaccination Among Internally Displaced People in the Kurdistan Region of Iraq (KRG). 伊拉克库尔德斯坦地区境内流离失所者关于COVID-19疫苗接种的知识、态度和做法
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.120-125
Arian Abdulkhaliq, Leopold Reiter, Ioannis Zeglis, Wisam Natour, Ialda Nassiri, Ines Rahouande

Background: Iraq has yet to establish and initiate any vaccination initiatives to address the ongoing COVID-19 outbreak and mitigate its spread and mortality.

Objective: This study aimed to evaluate the existing knowledge, attitudes, and behaviors surrounding COVID-19 vaccination amid the third wave of the outbreak.

Methods: This cross-sectional study utilized an anonymous online questionnaire, modeled after a study conducted in Bosnia and Herzegovina, to investigate COVID-19 vaccination attitudes and practices during the third wave of the outbreak in the country.

Results: In total, 2744 subjects from 27 camp for Internally Displaced People (IDP camps) in the Kurdistan region of Iraq, mostly male 1642 (61.4%), either with no previous education 701 (26.2%) or with a primary school degree 973 (36.4%), married 1610 (60.2%) and since 2014 1540 (57.6%) stationaed in the IDP Camps were included in the study. Mean age of our sample was 35.2±12.9 ranging 18- 94 years. The mean knowledge test score for our sample was 6.9±3.7 with correct answer rates ranging 27.7-78.2%. Only 31 (1.2%) of subjects scored maximum points on the knowledge test score. In total 1170 (42.7%) subjects agreed that COVID-19 vaccination programs will prevail in a battle versus COVID-19, while 1592 (58.0%) agreed that everyone should be vaccinated against COVID-19. Regarding the vaccination rates, only 421 (15.3%) have already been vaccinated against COVID-19, while 1658 (62.7%) expressed interest to get vaccinated in the future.

Conclusion: Our study sheds light on vaccination attitudes among IDP camps in the Kurdistan region of Iraq. Despite lower knowledge scores, willingness to vaccinate against COVID-19 is relatively high, likely due to limited access to vaccines, perceived risk of the disease, and trust in healthcare providers.

背景:伊拉克尚未制定和启动任何疫苗接种举措,以应对当前的COVID-19疫情并减轻其传播和死亡率。目的:本研究旨在评估在第三波疫情爆发期间,人们对COVID-19疫苗接种的现有知识、态度和行为。方法:本横断面研究采用匿名在线问卷,模仿在波斯尼亚和黑塞哥维那进行的一项研究,调查该国第三波疫情期间COVID-19疫苗接种的态度和做法。结果:共有来自伊拉克库尔德斯坦地区27个国内流离失所者营地(IDP营地)的2744名受试者被纳入研究,其中大部分为男性1642人(61.4%),没有受过教育的701人(26.2%)或小学学历973人(36.4%),已婚1610人(60.2%),2014年以来在IDP营地居住的1540人(57.6%)。样本平均年龄为35.2±12.9岁,年龄范围为18- 94岁。我们样本的平均知识测试得分为6.9±3.7分,正确率为27.7-78.2%。只有31个科目(1.2%)在知识测试中得分最高。共有1170人(42.7%)同意COVID-19疫苗接种计划将在与COVID-19的战斗中占上风,1592人(58.0%)同意每个人都应该接种COVID-19疫苗。从疫苗接种率来看,已经接种疫苗的人只有421人(15.3%),而表示有意向接种疫苗的人只有1658人(62.7%)。结论:我们的研究揭示了伊拉克库尔德斯坦地区国内流离失所者营地的疫苗接种态度。尽管知识得分较低,但接种COVID-19疫苗的意愿相对较高,这可能是由于获得疫苗的机会有限、认识到该疾病的风险以及对医疗保健提供者的信任。
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引用次数: 0
The Role of Modifying Risk Factors as Well as Body Mass Index, Waist Circumference and Hip to Waist Ratio as Anthropometric Indicators and Parameters of Obesity in the Occurence of Stroke. 修正危险因素以及体重指数、腰围和臀腰比作为肥胖的人体测量指标和参数在卒中发生中的作用
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.137-142
Merita Tiric-Campara, Edina Djozic, Suljo Kunic, Amra Salkic, Amel Amidzic, Amira Skopljak

Background: Evaluated values of body mass index (BMI), waist circumeference (WC) and waist-to-hip ratio (WHR) increase the risk of stroke, but the extent to which this is mediated by hypertension, diabetes, lipid status, smoking and alcohol consumption is not fully understood.

Objective: The aim of this research is to examine the influence of modifying and non-modifying factors as well as obesity defined through BMI, WC and WHR on the occurrence of stroke.

Methods: A total of 440 subjects were included in the cohort divided in to two groups. The first group were patients with stroke and another without stroke. We investigate modifable factor for stroke (hypertension (HTA), lipid status, diabetes mellitus (DM), smoking, alcohol consumption, educational status) as well as WHR, BMI and WC as determinants for obesitiy.

Results: The majority of respondents in both groups had a secondary level of education. Smoking and alcohol consumption were slightly more prevalent in the group without stroke, while HTA and DM were slightly more prevalent in the group with stroke, but without a statistically significant difference. The largest number of respodents without stroke had HDL cholesterol values in the range of optimal >1.5, 70.9%, while 35.5% of respodents with stroke had values in the risk range, as well as 32.3% in the high risk range. LDL cholesterol values were on average statistically significantly higher in the group of respodents with stroke - 3.77±1.29 compared to the values in respodents without stroke - 3.20±1.20. The largest WC had patients with a hemorrhagic stroke 96.4 ± 15.5 cm. The average BMI was slightly higher in the group of patients with embolic stroke (28.5 ± 2.8) compared to patients with hemorrhagic stroke (28.4 ± 5.9) and thrombotic stroke (28.1 ± 4, 2). WHR was almost identical in all three types of stroke.

Conclusion: There is correlation between modifable risk factor and obesity in stroke occurence.

背景:身体质量指数(BMI)、腰围(WC)和腰臀比(WHR)的评估值会增加卒中的风险,但高血压、糖尿病、血脂状况、吸烟和饮酒在多大程度上介导了卒中的风险尚不完全清楚。目的:本研究旨在探讨修正性和非修正性因素以及BMI、WC和WHR定义的肥胖对脑卒中发生的影响。方法:将440名受试者纳入队列,分为两组。第一组是中风患者,另一组没有中风。我们研究了中风的可改变因素(高血压(HTA)、血脂状况、糖尿病(DM)、吸烟、饮酒、教育状况)以及WHR、BMI和WC作为肥胖的决定因素。结果:两组中的大多数受访者都具有中等教育水平。吸烟和饮酒在没有中风的组中略显普遍,而HTA和DM在中风的组中略显普遍,但没有统计学上的显著差异。未卒中的受访者中HDL胆固醇值在最佳bbb1.5范围内的人数最多,为70.9%,而卒中的受访者中有35.5%的人处于危险范围内,32.3%的人处于高危范围。低密度脂蛋白胆固醇水平在卒中组(3.77±1.29)高于非卒中组(3.20±1.20)。出血性卒中患者最大腰围为96.4±15.5 cm。栓塞性脑卒中组的平均BMI(28.5±2.8)略高于出血性脑卒中组(28.4±5.9)和血栓性脑卒中组(28.1±4.2)。三种脑卒中类型的WHR几乎相同。结论:肥胖与脑卒中的发生存在相关性。
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引用次数: 0
Investigating the Interrelationships Between Obesity, Academic Achievement, Physical Activity, and Social Support Among Jazan University Students. 调查贾赞大学生肥胖、学习成绩、体育锻炼和社会支持之间的相互关系。
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.59-64
Omar Oraibi, Mohammed Somaili, Khaled Daghriri, Mohammed Alameer, Mohamed Arishi, Ali Sahli, Mohammed Haidar, Atiah Najmi, Faisal Otaif, Hanadi Abueishah, Bassem Oraibi, Abdulhameed Alhazmi, Luai Alhazmi

Background: In developing and developed countries, the prevalence of overweight and obesity has grown. The college phase is a critical period during which healthy behaviors are learned through lifestyle and social environment. College students are prone to increased stress, negatively affecting their daily activities and academic performance.

Objective: The general study objective was to investigate the prevalence of obesity among Jazan University students.

Methods: This observational cross-sectional study used a pre-tested self-administered anonymous electronic questionnaire to evaluate the prevalence of obesity among 474 Jazan University students and its association with academic performance, physical activity, and social support. Data were analyzed using the Statistical Package for the Social Sciences, and associations between variables were assessed using the chi-square test.

Results: Approximately 21% and 9.2% of the male and female students were obese, respectively, and the prevalence of obesity significantly differed between them. The use of one or more tobacco products was significantly associated with the prevalence of obesity (P < 0.001); the prevalence of obesity was substantially higher among the tobacco product users than among the non-users (35.3% vs. 14.4%). The presence of a morbidity was also significantly associated with the prevalence of obesity (P = 0.007); the prevalence of obesity was significantly higher among the students with at least one comorbidity than among the medically free students (28.8% vs. 14.9%). Conversely, obesity was not associated with academic performance and depression. Specifically, the grade point average was not affected across the academic years (P = 0.085 and P = 0.308, respectively).

Conclusion: Obesity is significantly associated with male sex and the use of one or more tobacco products. This finding warrants the need for strategic and multidisciplinary plans at all levels to encourage healthy behaviors among college students, including an active, healthy lifestyle.

背景:在发展中国家和发达国家,超重和肥胖的发病率都在增长。大学阶段是通过生活方式和社会环境学习健康行为的关键时期。大学生的压力容易增加,对他们的日常活动和学习成绩产生负面影响:研究的总体目标是调查贾赞大学学生的肥胖率:这项观察性横断面研究使用了一份预先测试的自填式匿名电子问卷,以评估 474 名贾赞大学学生的肥胖患病率及其与学习成绩、体育锻炼和社会支持的关系。数据采用社会科学统计软件包进行分析,变量之间的关联采用卡方检验进行评估:结果:分别约有 21% 和 9.2% 的男生和女生肥胖,而且他们之间的肥胖率存在显著差异。使用一种或多种烟草制品与肥胖率明显相关(P < 0.001);使用烟草制品者的肥胖率大大高于不使用烟草制品者(35.3% 对 14.4%)。是否患有某种疾病也与肥胖症的患病率有显著关系(P = 0.007);至少患有一种并发症的学生的肥胖症患病率明显高于未患病的学生(28.8% 对 14.9%)。相反,肥胖与学习成绩和抑郁并无关联。具体而言,各学年的平均学分绩点未受影响(P = 0.085 和 P = 0.308):结论:肥胖与男性性别和使用一种或多种烟草产品有很大关系。这一发现表明,有必要在各个层面制定战略性的多学科计划,以鼓励大学生的健康行为,包括积极健康的生活方式。
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引用次数: 0
Efficacy of Non-surgical Treatment of Periodontal Diseases Using the Vector® Paro Pro Ultrasonic Device.
Pub Date : 2024-01-01 DOI: 10.5455/msm.2024.36.305-309
Mirjana Gojkov Vukelic, Sanja Hadzic, Enes Pasic, Indira Mujic Jahic, Arma Muharemovic, Anisa Zoronjic

Background: Non-surgical periodontal therapy, including mechanical debridement and root planning, is the gold standard in the treatment of periodontal diseases. The most commonly used instruments for non-surgical therapy are sonic/ultrasonic devices and manual instruments such as curettes.

Objective: This study evaluates the clinical effectiveness and patient experience of non-surgical periodontal therapy using the Vector® Paro Pro ultrasonic device, emphasizing its impact on periodontal indices and patient comfort.

Methods: Fifty patients with gingivitis, periodontitis, or peri-implantitis participated. Baseline data, including Plaque Index (PI), Gingival Index (GI), Papillary Bleeding Index (PBI), Probing Depth (PD), and Clinical Attachment Loss (CAL), were recorded. Patients underwent treatment using the Vector® Paro Pro system. Evaluations were conducted at baseline, two weeks, and one month post-therapy. Statistical analyses utilized repeated measures ANOVA and paired t-tests, with a significance threshold of p<0.05. Patient experience was assessed via a questionnaire.

Results: All periodontal indices showed significant improvement post-therapy. The mean PI decreased from 1.18±0.12 to 0.52±0.08 after two weeks and 0.44±0.09 after one month (p<0.001). Significant reductions were observed in PBI (from 1.68±0.10 to 0.46±0.09) and PD (>4 mm pockets: from 5.55±0.19 to 3.65±0.45; p<0.001). CAL improved significantly (from 0.80±0.18 to 0.70±0.16 after one month; p<0.001). Patient-reported outcomes revealed that 98% experienced no pain during therapy.

Conclusion: The Vector® Paro Pro ultrasonic device demonstrated significant clinical improvements in periodontal health, particularly in bleeding reduction and deep pocket management. Its hydroxyapatite-enhanced fluid effectively polished root surfaces and reduced post-therapeutic sensitivity. Patients reported minimal discomfort, underscoring the device's potential as a comfortable, efficient alternative for non-surgical periodontal therapy. Further studies with longer follow-up periods are recommended to confirm these findings.

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引用次数: 0
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Materia socio-medica
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