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Acute Kidney Injury Classifications in the Prediction of In-hospital Mortality and Renal Function Non-recovery. 急性肾损伤分类在预测院内死亡率和肾功能未恢复中的应用
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.304-308
Aida Hamzic-Mehmedbasic, Melina Mackic, Damir Rebic, Hajrudin Spahovic, Ajla Arnautovic-Halimic, Nadina Jakirlic

Background: In the last two decades diagnostic criteria for acute kidney injury (AKI) were developed: Risk, Injury, Failure, Loss of Kidney Function, End-Stage Kidney Disease (RIFLE), Acute Kidney Injury Network (AKIN), and Kidney Disease: Improving Global Outcomes (KDIGO) classifications.

Objective: The study aimed to determine the incidence of AKI based on the RIFLE, AKIN, and KDIGO criteria, as well as analyze their predictive value for mortality and renal function outcome.

Methods: This was a single-center prospective study of patients diagnosed with AKI. Acute kidney injury was defined and classified according to the RIFLE, AKIN, and KDIGO criteria. The outcomes were renal function outcome and in-hospital mortality.

Results: The incidence rates of AKI based on the RIFLE, AKIN, and KDIGO criteria were 13.4%, 14-36%, and 14.64%, respectively. Multiple regression analysis showed that higher stages of AKI according to the KDIGO criteria were independently associated with non-recovery of renal function (p=0.011). However, the predictive ability of RIFLE, AKIN and KDIGO classifications for renal function recovery was poor (Area Under the Receiver Operating Characteristics-AUROC=0.599, AUROC=0.637, AUROC=0.659, respectively). According to the RIFLE and AKIN criteria, in-hospital mortality was statistically significantly higher in stage Failure/3 (p=0.0403 and p=0.0329, respectively) compared to stages Risk/1 and Injury/2. Receiver Operating Characteristics (ROC) analysis showed that all three classifications had poor predictive ability for in-hospital mortality (AUROC=0.675, AUROC=0.66, AUROC=0.681).

Conclusions: KDIGO classification is an independent predictor of renal function non-recovery. However, by ROC analysis, all three classifications have poor predictive ability for renal function outcome and mortality.

背景:在过去的二十年中,急性肾损伤(AKI)的诊断标准被制定出来:风险、损伤、衰竭、肾功能丧失、终末期肾病(RIFLE)、急性肾损伤网络(AKIN)和肾病:目标:该研究旨在根据 RIFLE、AKIN 和 KDIGO 标准确定 AKI 的发生率,并分析它们对死亡率和肾功能结果的预测价值:这是一项针对确诊为急性肾损伤患者的单中心前瞻性研究。急性肾损伤根据 RIFLE、AKIN 和 KDIGO 标准进行定义和分类。研究结果为肾功能结果和院内死亡率:根据 RIFLE、AKIN 和 KDIGO 标准,急性肾损伤的发生率分别为 13.4%、14-36% 和 14.64%。多元回归分析显示,根据KDIGO标准,AKI分期越高,肾功能越难恢复(P=0.011)。然而,RIFLE、AKIN 和 KDIGO 分级对肾功能恢复的预测能力较差(Receiver Operating Characteristics-AUROC 下面积分别为 0.599、AUROC=0.637、AUROC=0.659)。根据 RIFLE 和 AKIN 标准,与风险/1 期和损伤/2 期相比,Failure/3 期的院内死亡率明显更高(分别为 p=0.0403 和 p=0.0329)。接收者操作特征(ROC)分析表明,所有三种分级对院内死亡率的预测能力均较差(AUROC=0.675、AUROC=0.66、AUROC=0.681):结论:KDIGO 分级是肾功能未恢复的独立预测指标。结论:KDIGO分级是预测肾功能未恢复的独立指标,但通过ROC分析,三种分级对肾功能结果和死亡率的预测能力均较差。
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引用次数: 0
Traumatic Birth Experience and Breastfeeding Ineffectiveness - a Literature Review. 创伤性分娩经历与母乳喂养无效--文献综述。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.325-333
Maria Tzitiridou-Chatzopoulou, Eirini Orovou, Rafailia Skoura, Panagiotis Eskitzis, Maria Dagla, Maria Iliadou, Ermioni Palaska, Evangelia Antoniou

Background: A traumatic birth experience can affect the breastfeeding process and make it ineffective. The aim of this study was to identify the factors associated with breastfeeding ineffectiveness after birth trauma, through the world literature. There are several factors responsible for a traumatic birth experience, such as obstetric violence, postpartum complications and complications induced by doctors, invasive vaginal deliveries, emergency caesarean sections, admission of a neonate to the Neonatal Intensive Unit, past traumatic life events and mental health problems.

Objective: The aim of this study was to identify the factors associated with breastfeeding ineffectiveness after birth trauma, through the world literature.

Methods: An extended search was conducted to identify relevant for breastfeeding and traumatic birth experiences manuscripts for this study. Databases including PubMed, PsycINFO and Google Scholar. The search was limited to articles published in English the last decade.

Results: Factors that contribute to the ineffectiveness of breastfeeding after a traumatic birth are hormonal, medication, insufficient support from the partner, reliving the traumatic birth experience, past traumatic experiences in the woman's life and her mental state.

Conclusion: The mental trauma during childbirth is complex and multifactorial. Therefore, it is necessary to take measures on the one hand to prevent mental trauma during childbirth and on the other hand to make interventions to deal with the consequences of the trauma on the mental health of the mother and on breastfeeding which is directly affected.

背景:分娩创伤会影响母乳喂养过程,使母乳喂养无效。本研究的目的是通过世界范围内的文献,找出分娩创伤后母乳喂养无效的相关因素。造成分娩创伤经历的因素有多种,如产科暴力、产后并发症和医生诱发的并发症、侵入性阴道分娩、紧急剖腹产、新生儿入住新生儿重症监护室、过去的创伤性生活事件和心理健康问题等:本研究的目的是通过世界范围内的文献,找出与分娩创伤后母乳喂养无效相关的因素:方法:我们进行了一次扩展搜索,为本研究寻找与母乳喂养和分娩创伤经历相关的手稿。数据库包括 PubMed、PsycINFO 和 Google Scholar。搜索仅限于过去十年间发表的英文文章:结果:导致创伤性分娩后母乳喂养无效的因素包括荷尔蒙、药物、伴侣支持不足、重温创伤性分娩经历、妇女过去的创伤性经历及其精神状态:结论:分娩过程中的精神创伤是复杂的、多因素的。因此,一方面有必要采取措施预防分娩时的精神创伤,另一方面也有必要采取干预措施,以应对精神创伤对产妇心理健康和直接影响母乳喂养的后果。
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引用次数: 0
Echocardiographic Findings of Covid-19 Patients in Canton Sarajevo During the Third Wave of the Covid-19 Pandemic. 第三波 Covid-19 大流行期间萨拉热窝州 Covid-19 患者的超声心动图检查结果。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.290-294
Armin Sljivo, Lejla Brigic, Arian Abdulkhaliq, Ilma Dadic, Leopold Reiter, Iman Sirucic, Mohammed Abdulkadir, Ahmed Mulac

Background: Increasing evidence indicates that COVID-19 may result in cardiac issues in certain individuals, such as myocarditis, arrhythmias, and heart failure. Ongoing research on echocardiographic manifestations is still limited.

Objective: To investigate the incidence and patterns of left and right ventricular dysfunction in COVID-19 patients.

Methods: This study retrospectively observed COVID-19 patients admitted to the Clinical Center of University of Sarajevo during the third wave, with a particular focus on cardiac evaluations.

Results: Our patients, predominantely male 155 (72.4%), with a mean age of 66.2±11.4, having hypertension 86 (40.1%), diabetes mellitus 61 (28.5%), hyperlipidemia 144 (67.3%), were active smokers 87 (40.6%), had family history of cardiovascular diseases 123 (57.5%) and were COVID-19 positive 95 (44.4%), presented because of chest pain 78 (36.4%), dyspnea 103 (48.1%), palpitations 67 (31.3%), fatigue 106 (49.5%) and peripheral oedema 30 (14.0%). COVID-19 patients reported much higher symptoms of dyspnea (65 (68.4%) vs 38 (31.9%)) and fatigue (73 (76.8%) vs 33 (27.7%)) than COVID-19 negative patients. On the initial laboratory report, COVID-19 patients had a significantly (p<0.05) higher mean score of C-reactive protein (24.0±4.8 vs. 6.0±2.1), D-dimer (1.6±2.5 vs 0.8±0.6), ALT (94.8±17.2 vs 36.5±19.9) and creatinine (128.0±80.8 vs. 93.4±40.1) when compared to COVID-19 negative patients. COVID-19 patients had enlarged left atrium diametes (31.6±5.6 vs 27.5±5.3), enlarged left ventricular diameter both in systole (27.9±18.1 vs 23.3±16.3) and diastole (39.3±24.1 vs 34.9±22.7), reduced left ventricular ejection fraction (53.5±9.2 vs 59.8±4.3) and elevated right ventricular systolic pressure (37.0±16.4 vs 35.1±8.6).

Conclusion: COVID-19 patients had enlarged left atrium, enlarged systolic and diastolic left ventricular diameter, reduced left ventricular ejection fraction and elevated right ventricular systolic pressure.

背景:越来越多的证据表明,COVID-19 可能会导致某些人出现心脏问题,如心肌炎、心律失常和心力衰竭。目前有关超声心动图表现的研究仍然有限:调查 COVID-19 患者左右心室功能障碍的发生率和模式:本研究回顾性地观察了萨拉热窝大学临床中心在第三波期间收治的COVID-19患者,尤其侧重于心脏评估:患者主要为男性,155 人(72.4%),平均年龄(66.2±11.4)岁,高血压 86 人(40.1%),糖尿病 61 人(28.5%),高脂血症 144 人(67.3%),吸烟者 87 人(40.6%),有家族病史。6%),有心血管疾病家族史 123 人(57.5%),COVID-19 阳性 95 人(44.4%),因胸痛 78 人(36.4%)、呼吸困难 103 人(48.1%)、心悸 67 人(31.3%)、乏力 106 人(49.5%)和外周水肿 30 人(14.0%)就诊。COVID-19 患者报告的呼吸困难(65(68.4%)对 38(31.9%)和疲劳(73(76.8%)对 33(27.7%))症状远高于 COVID-19 阴性患者。在最初的化验报告中,COVID-19 患者的血压明显升高(p 结论:COVID-19 患者的血压升高主要是由于血糖升高所致:COVID-19患者的左心房增大,左心室收缩期和舒张期直径增大,左心室射血分数降低,右心室收缩压升高。
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引用次数: 0
Epidemiological Insight of Pertussis in Bosnia and Herzegovina. 波斯尼亚和黑塞哥维那百日咳流行病学透视。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.309-311
Elma Rustempasic-Haskovic, Mirela Lisicic-Konakovic, Belma Karadza, Sahiba Agic-Habib, Sakib Catic

Background: Pertussis is an infectious respiratory disease caused by the bacterium Bordetella pertussis. The bacterium releases toxins that can lead to complications on the respiratory and nervous systems and even death. The disease occurs in people of all ages, but it is most severe in children under the age of five.

Objective: To present epidemiological data on this disease in the Federation of Bosnia and Herzegovina (FB&H) from 2018 to 2022, and from Central Bosnia Canton (CBC) for the period February-June 2018.

Methods: This descriptive epidemiological study collected data from the Institute of Hygiene and Epidemiology of the CBC and the Institute for Public Health of FB&H.

Results: In the specified period in the FB&H was confirmed 93 cases of Pertussis, 61 cases were reported from CBC, a total of 9 in Bugojno city. Confirmed cases from Bugojno were: 3 newborns, 3 infants, 2 three-year-old children and one 12-year-old child, 5 males and 4 females. Three children received first dose of Diphtheria-Tetanus-Pertussis-Hemophilus influenza type B vaccine, six children were not vaccinated. Children were under the supervision of pediatricians and infectious disease specialists, the disease passed without serious complications.

Conclusions: Pertussis is a highly contagious respiratory disease that lasts for weeks. Recovery can be complete, but more serious complications are possible, especially in young children. With the discovery of the vaccine, morbidity and mortality from this disease has been significantly reduced. However, the disease is still present worldwide, especially in underdeveloped and developing countries. By educating parents and educating the population on the importance of vaccination and achieving herd immunity, this disease can be completely eradicated in the near future. In recent years, many American and European countries recommend the immunization of pregnant women in the second half of pregnancy, which provides significant protection to newborns.

背景:百日咳是由百日咳杆菌引起的一种呼吸道传染病。百日咳杆菌会释放毒素,导致呼吸系统和神经系统并发症,甚至死亡。该病发生在各个年龄段的人群中,但以五岁以下儿童最为严重:介绍 2018 年至 2022 年波斯尼亚和黑塞哥维那联邦(FB&H)以及中波斯尼亚县(CBC)在 2018 年 2 月至 6 月期间有关该疾病的流行病学数据:这项描述性流行病学研究从波斯尼亚和黑塞哥维那联邦卫生与流行病学研究所和波斯尼亚和黑塞哥维那联邦公共卫生研究所收集数据:在规定时间内,波黑联邦共确诊 93 例百日咳病例,其中 61 例由 CBC 报告,布戈伊诺市共有 9 例。布戈伊诺市的确诊病例有3 名新生儿、3 名婴儿、2 名 3 岁儿童和 1 名 12 岁儿童(5 男 4 女)。三名儿童接种了第一剂白喉-破伤风-百日咳-乙型流感嗜血杆菌疫苗,六名儿童没有接种疫苗。孩子们在儿科医生和传染病专家的监护下,病情得到控制,没有出现严重并发症:百日咳是一种传染性极强的呼吸道疾病,病程长达数周。百日咳可以完全康复,但也可能出现更严重的并发症,尤其是在幼儿身上。随着疫苗的发现,这种疾病的发病率和死亡率已大大降低。然而,这种疾病在全球范围内仍然存在,尤其是在欠发达国家和发展中国家。通过对家长进行教育,让人们认识到接种疫苗的重要性,实现群体免疫,在不久的将来就能彻底根除这种疾病。近年来,许多欧美国家建议孕妇在怀孕后半期进行免疫接种,这为新生儿提供了重要的保护。
{"title":"Epidemiological Insight of Pertussis in Bosnia and Herzegovina.","authors":"Elma Rustempasic-Haskovic, Mirela Lisicic-Konakovic, Belma Karadza, Sahiba Agic-Habib, Sakib Catic","doi":"10.5455/msm.2023.35.309-311","DOIUrl":"10.5455/msm.2023.35.309-311","url":null,"abstract":"<p><strong>Background: </strong>Pertussis is an infectious respiratory disease caused by the bacterium <i>Bordetella pertussis</i>. The bacterium releases toxins that can lead to complications on the respiratory and nervous systems and even death. The disease occurs in people of all ages, but it is most severe in children under the age of five.</p><p><strong>Objective: </strong>To present epidemiological data on this disease in the Federation of Bosnia and Herzegovina (FB&H) from 2018 to 2022, and from Central Bosnia Canton (CBC) for the period February-June 2018.</p><p><strong>Methods: </strong>This descriptive epidemiological study collected data from the Institute of Hygiene and Epidemiology of the CBC and the Institute for Public Health of FB&H.</p><p><strong>Results: </strong>In the specified period in the FB&H was confirmed 93 cases of Pertussis, 61 cases were reported from CBC, a total of 9 in Bugojno city. Confirmed cases from Bugojno were: 3 newborns, 3 infants, 2 three-year-old children and one 12-year-old child, 5 males and 4 females. Three children received first dose of Diphtheria-Tetanus-Pertussis-Hemophilus influenza type B vaccine, six children were not vaccinated. Children were under the supervision of pediatricians and infectious disease specialists, the disease passed without serious complications.</p><p><strong>Conclusions: </strong>Pertussis is a highly contagious respiratory disease that lasts for weeks. Recovery can be complete, but more serious complications are possible, especially in young children. With the discovery of the vaccine, morbidity and mortality from this disease has been significantly reduced. However, the disease is still present worldwide, especially in underdeveloped and developing countries. By educating parents and educating the population on the importance of vaccination and achieving herd immunity, this disease can be completely eradicated in the near future. In recent years, many American and European countries recommend the immunization of pregnant women in the second half of pregnancy, which provides significant protection to newborns.</p>","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"35 4","pages":"309-311"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10875936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914363","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
Encapsulated Hematoma of the Bartholin's Glandule. 巴氏腺囊肿包裹性血肿
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.339-341
Petraq Mustaqe, Artemis Ibra, Georgios-Ioannis Verras, Fotios Iliopoulos, Levan Tchabashvili, Konstantinos Tasios, Vasileios Leivaditis, Konstantinos Bouchagier, Francesk Mulita

Bartholin's glands are important organs of the female reproductive system. These glands have the function of producing an alkaline mucoid secretion, which helps in vaginal and vulvar lubrication. There are several types of lesions that can be identified in these anatomical structures, where in most cases presented for medical examination, cysts and abscesses predominate. This is the presentation of a clinical case of a 55-year-old patient, who is presented to the surgeon for her complaints. Once the woman is examined, diagnosed, and treated adequately, she is taken into consideration for presenting her case in this study, while maintaining confidentiality. The presented clinical case provides a clinical framework not easy to establish an accurate diagnosis of a Bartholin gland cyst. Careful physical examination by the surgeon and careful preparation with electrosurgery verified the cyst-hematoma left and just above the posterior fornix, where some material was taken from the cyst capsule and hematoma and sent for histological examination. The histological response concluded with cystic hematoma of the Bartholin gland. Cystic lesions of the vagina are relatively common and usually represent a benign condition. Ways of managing Bartholin gland cysts vary depending on the discomfort they bring to the patient as well as the size or even the anatomical extent of the cystic lesion. However, the physical examination, with a careful inspection by the surgeon, combined with the imaging examinations, requires a biopsy examination, which is the confirmation of the diagnosis.

巴氏腺是女性生殖系统的重要器官。这些腺体具有产生碱性粘液分泌物的功能,有助于润滑阴道和外阴。在这些解剖结构中可以发现几种类型的病变,在大多数医学检查病例中,以囊肿和脓肿为主。这是一个 55 岁患者的临床病例,她因主诉而就诊于外科医生。在对这名妇女进行检查、诊断和适当治疗后,在保密的前提下,我们将考虑在本研究中介绍她的病例。本临床病例提供了一个不易准确诊断巴氏腺囊肿的临床框架。外科医生进行了仔细的体格检查,并通过电外科手术进行了精心准备,证实囊肿血肿位于后穹窿左上方,并从囊肿囊和血肿中提取了一些材料送去进行组织学检查。组织学反应的结论是巴氏腺囊性血肿。阴道囊性病变比较常见,通常为良性病变。处理巴氏腺囊肿的方法各不相同,这取决于囊肿给患者带来的不适以及囊肿的大小甚至解剖范围。不过,通过体格检查、外科医生的仔细检查以及影像学检查,需要进行活组织检查以确诊。
{"title":"Encapsulated Hematoma of the Bartholin's Glandule.","authors":"Petraq Mustaqe, Artemis Ibra, Georgios-Ioannis Verras, Fotios Iliopoulos, Levan Tchabashvili, Konstantinos Tasios, Vasileios Leivaditis, Konstantinos Bouchagier, Francesk Mulita","doi":"10.5455/msm.2023.35.339-341","DOIUrl":"10.5455/msm.2023.35.339-341","url":null,"abstract":"<p><p>Bartholin's glands are important organs of the female reproductive system. These glands have the function of producing an alkaline mucoid secretion, which helps in vaginal and vulvar lubrication. There are several types of lesions that can be identified in these anatomical structures, where in most cases presented for medical examination, cysts and abscesses predominate. This is the presentation of a clinical case of a 55-year-old patient, who is presented to the surgeon for her complaints. Once the woman is examined, diagnosed, and treated adequately, she is taken into consideration for presenting her case in this study, while maintaining confidentiality. The presented clinical case provides a clinical framework not easy to establish an accurate diagnosis of a Bartholin gland cyst. Careful physical examination by the surgeon and careful preparation with electrosurgery verified the cyst-hematoma left and just above the posterior fornix, where some material was taken from the cyst capsule and hematoma and sent for histological examination. The histological response concluded with cystic hematoma of the Bartholin gland. Cystic lesions of the vagina are relatively common and usually represent a benign condition. Ways of managing Bartholin gland cysts vary depending on the discomfort they bring to the patient as well as the size or even the anatomical extent of the cystic lesion. However, the physical examination, with a careful inspection by the surgeon, combined with the imaging examinations, requires a biopsy examination, which is the confirmation of the diagnosis.</p>","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"35 4","pages":"339-341"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10875947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914362","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
Burnout Among Healthcare Workers During Covid-19 Pandemic: Results from Seven Hospitals in Western Greece. Covid-19 大流行期间医护人员的职业倦怠:希腊西部七家医院的研究结果。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.285-289
Anastasia-Kiriaki Koutsouri, Despoina Gkentzi, Themis Paraskevas, Christos Michailides, Konstantinos Papantoniou, Michalis Kavvousanos, Anastasios Kantanis, Stelios Assimakopoulos, Markos Marangos, Maria Lagadinou

Background: Burnout is increasingly being recognized as a major concern, affecting the physical and mental well-being of Healthcare workers (HCWs).

Objective: The aim of the study was to investigate the incidence of occupational exhaustion in healthcare workers (doctors, nurses, paramedics, assistants, administrative staff) and possible contributing factors during the COVID-19 pandemic.

Methods: This study was conducted from March to September 2022 in seven (7) hospitals in Western Greece. It was carried out using an anonymous questionnaire. The questionnaire was designed based on results of previously published studies and consisted of 22 multiple-choice questions.

Results: There were 259 (60.2%) female and 178 (39.8%) male participants enrolled in the study. The majority of the respondents were nurses (n=207, 48.1%), followed by doctors (n+ 178, 41.4%). There was a marked increase in emotional exhaustion, depersonalization, personal fulfillment and pandemic-related total burnout in participants older than 61 years old (40,05±2,2, 27,16±1,0, 21,11±4,1, 88,32±4,3, respectively). Widow/ers healthcare workers were mostly affected from pandemic related burnout compared to married, unmarried, and divorced healthcare workers. Respondents without postgraduate education demonstrated significantly greater prevalence of emotional exhaustion, depersonalization and pandemic-related total burnout in comparison to those with doctoral/master degree. The prevalence of personal and work-related burnout among paramedics and administrative staff was higher than that seen in doctors and nurses(32,82±3,8 vs32,08±5,0/29,11±4,7 22,33±4,0 vs21,57±3,1/18,89±5,4 19,60±3,9 vs17,26±2,8/15,24±3,7 74,76±10,4 vs70,92±9,5/63,23±12,1).The prevalence of emotional exhaustion and work-related total burnout was significantly higher among doctors, nurses, paramedics, and administrative staff working with direct contact with COVID-19 patients than those among healthcare workers working without direct contact with COVID-19 patients.

Conclusion: The present study highlights the impact of the COVID-19 pandemic on healthcare workers.

背景:职业倦怠越来越被认为是一个主要问题,影响着医护人员(HCWs)的身心健康:本研究旨在调查医护人员(医生、护士、护理人员、助理、行政人员)在 COVID-19 大流行期间的职业倦怠发生率以及可能的诱因:本研究于 2022 年 3 月至 9 月在希腊西部七(7)家医院进行。研究采用匿名问卷调查的方式进行。问卷是根据以前发表的研究结果设计的,包括 22 道选择题:共有 259 名女性(60.2%)和 178 名男性(39.8%)参加了研究。大多数受访者是护士(207 人,占 48.1%),其次是医生(178 人,占 41.4%)。61岁以上的参与者在情感衰竭、人格解体、个人成就感和与大流行相关的总倦怠感方面有明显增加(分别为40,05±2,2、27,16±1,0、21,11±4,1、88,32±4,3)。与已婚、未婚和离异的医护人员相比,丧偶/已婚医护人员的职业倦怠程度最高。与拥有博士/硕士学位的受访者相比,未受过研究生教育的受访者在情绪衰竭、人格解体和与大流行相关的总倦怠感方面的发生率明显更高。辅助医务人员和行政人员的个人和工作相关倦怠感高于医生和护士(32,82±3,8 vs 32,08±5,0/29,11±4,7 22,33±4,0 vs 21,57±3,1/18,89±5,4 19,60±3,9 vs 17,26±2,8/15,24±3,7 74,76±10,4 vs 70,92±9,5/63,23±12,1)。在与 COVID-19 患者直接接触的医生、护士、护理人员和行政人员中,情绪衰竭和工作相关总倦怠的发生率明显高于不与 COVID-19 患者直接接触的医护人员:本研究强调了 COVID-19 大流行对医护人员的影响。
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引用次数: 0
Dental Anomalies in a Sample of Lebanese Children: a Retrospective Study. 黎巴嫩儿童牙齿畸形:一项回顾性研究。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.319-324
Samia Aboujaoude, Charline Rizk, Sayde Sokhn, Carla Moukarzel, Georges Aoun

Background: Dental anomalies (DAs) represent a significant chapter in pediatric dentistry with a lot of practical relevance. Both primary and permanent dentitions may be affected.

Objective: The main objective of our study was to evaluate, using digital panoramic radiographs, the prevalence, distribution, and patterns of DAs in a sample of Lebanese children aged between 8 and 15 years old.

Methods: 112 digital panoramic radiographs of patients aged between 8 and 15 years (60 males and 52 females) from the year 2017 till 2022 attending the department of Pediatric Dentistry and Dental Public Health at the Faculty of Dental Medicine at the Lebanese University were assessed for DAs of number (hypodontia, oligodontia, hyperdontia), of size (microdontia, macrodontia), of shape (fusion, gemination, dilaceration, taurodontism), of position (transposition, ectopia, impaction), and of structure (dentin dysplasia, amelogenesis imperfecta, dentinogenesis imperfecta). The data were analyzed statistically using Chi-square and Fisher's exact tests.

Results: Out of 112 patient radiographs, 84 showed at least one DA, which suggests a very high prevalence (75%). Among them, 36.9% exhibited multiple types of anomalies. These 84 patients showed a total of 274 DAs, distributed equally among males and females.

Conclusion: Dentists should be alerted to the presence of DAs. Their high prevalence requires careful clinical and radiological examinations for early detection. Regular monitoring is mandatory and could guide preventive approaches to minimize associated dental complications.

背景:牙齿畸形(DAs)是儿童牙科的重要组成部分,具有很大的现实意义。基牙和恒牙都可能受到影响:我们研究的主要目的是通过数字全景X光片,评估8至15岁黎巴嫩儿童样本中牙齿畸形的发生率、分布和模式。研究方法从 2017 年到 2022 年,在黎巴嫩大学牙科学院儿童牙科和牙科公共卫生系就诊的 112 名 8 至 15 岁患者(60 名男性和 52 名女性)的数字全景X光片中,评估了 DAs 的数量(hypodontia、 oligodontia、hyperdontia、hyperdontia、hyperdontia、hyperdontia、hyperdontia、hyperdontia、hyperdontia、hyperdontia)、少牙合、多牙合)、大小(小牙合、大牙合)、形状(融合、宝石化、扩张、陶土牙)、位置(移位、异位、嵌顿)和结构(牙本质发育不良、成髓不全、牙本质发育不全)。采用卡方检验(Chi-square)和费雪精确检验(Fisher's exact)对数据进行统计分析:在 112 例患者的影像学检查中,有 84 例患者至少出现了一种牙本质发育不全,患病率非常高(75%)。其中,36.9%的患者表现出多种类型的异常。这 84 名患者共出现 274 个畸形,男女比例相当:结论:牙科医生应警惕DA的存在。结论:牙科医生应警惕牙周畸形的存在,其高发率要求进行仔细的临床和放射学检查,以便及早发现。定期监测是必须的,这可以指导采取预防措施,最大限度地减少相关的牙科并发症。
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引用次数: 0
Use of Complementary and Alternative Medicines (CAMs) Among Diabetic Patients in Al Ahsa, Saudi Arabia: A Cross-Sectional Study. 沙特阿拉伯 Al Ahsa 地区糖尿病患者使用补充和替代药物 (CAM)的情况:一项横断面研究。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.256-263
Abdullah Almaqhawi, Elham Al Hayim, Fatima Ali Al Amer, Sukainah Almuhanna, Nurah Abdullatef Al Khteeb, Shatha Hamed Al Khwajah

Background: Complementary and Alternative Medicine (CAM) is a popular practice among Saudis. CAM refers to drugs and medical procedures that doctors do not typically employ.

Objective: The study's goal was to determine the prevalence of CAM and the most prevalent form used among patients with diabetes in Al Ahsa, Saudi Arabia.

Methods: This cross-sectional study enrolled individuals with diabetes mellitus (DM) in Al Ahsa, Saudi Arabia. Online questionnaires were employed between March to July 2023 to collect data on sociodemographic characteristics, information about diabetes, knowledge and use of CAM, and the different types of herbal supplements used.

Results: Of the 386 patients, 54.1% were males, 45.9% were aged between 46 and 60 years old, and 45.9% had heard of CAM. The most popular CAM treatment for diabetes was biologically based, and the most common reason for using CAM was its accessibility (27.1%). The majority (82.1%) of diabetic patients reported using CAM as a treatment. Independent predictors of CAM use were diabetes complications, having heard of CAM, and social media.

Conclusion: CAM use has a high prevalence in the treatment of diabetes. Independent predictors of CAM use were a shorter disease duration, diabetes complications, having heard of CAM, and social media. To avoid negative and unnecessary side effects, patients must be informed about CAM use.

背景:补充和替代医学(CAM)在沙特人中很流行。CAM 指的是医生通常不会使用的药物和医疗程序:本研究的目的是确定 CAM 在沙特阿拉伯 Al Ahsa 的糖尿病患者中的流行程度以及最常用的形式:这项横断面研究招募了沙特阿拉伯阿赫萨的糖尿病(DM)患者。在 2023 年 3 月至 7 月期间,采用在线问卷调查的方式收集了有关社会人口学特征、糖尿病相关信息、对 CAM 的了解和使用情况以及所使用的不同类型草药补充剂的数据:在 386 名患者中,54.1% 为男性,45.9% 年龄在 46 岁至 60 岁之间,45.9% 听说过 CAM。最常用的治疗糖尿病的 CAM 方法是生物疗法,使用 CAM 的最常见原因是其可获得性(27.1%)。大多数糖尿病患者(82.1%)表示使用过治疗法。糖尿病并发症、听说过 CAM 和社交媒体是使用 CAM 的独立预测因素:结论:在治疗糖尿病的过程中,使用 CAM 的比例很高。使用 CAM 的独立预测因素包括病程较短、糖尿病并发症、听说过 CAM 以及社交媒体。为避免负面和不必要的副作用,患者必须了解使用 CAM 的相关信息。
{"title":"Use of Complementary and Alternative Medicines (CAMs) Among Diabetic Patients in Al Ahsa, Saudi Arabia: A Cross-Sectional Study.","authors":"Abdullah Almaqhawi, Elham Al Hayim, Fatima Ali Al Amer, Sukainah Almuhanna, Nurah Abdullatef Al Khteeb, Shatha Hamed Al Khwajah","doi":"10.5455/msm.2023.35.256-263","DOIUrl":"10.5455/msm.2023.35.256-263","url":null,"abstract":"<p><strong>Background: </strong>Complementary and Alternative Medicine (CAM) is a popular practice among Saudis. CAM refers to drugs and medical procedures that doctors do not typically employ.</p><p><strong>Objective: </strong>The study's goal was to determine the prevalence of CAM and the most prevalent form used among patients with diabetes in Al Ahsa, Saudi Arabia.</p><p><strong>Methods: </strong>This cross-sectional study enrolled individuals with diabetes mellitus (DM) in Al Ahsa, Saudi Arabia. Online questionnaires were employed between March to July 2023 to collect data on sociodemographic characteristics, information about diabetes, knowledge and use of CAM, and the different types of herbal supplements used.</p><p><strong>Results: </strong>Of the 386 patients, 54.1% were males, 45.9% were aged between 46 and 60 years old, and 45.9% had heard of CAM. The most popular CAM treatment for diabetes was biologically based, and the most common reason for using CAM was its accessibility (27.1%). The majority (82.1%) of diabetic patients reported using CAM as a treatment. Independent predictors of CAM use were diabetes complications, having heard of CAM, and social media.</p><p><strong>Conclusion: </strong>CAM use has a high prevalence in the treatment of diabetes. Independent predictors of CAM use were a shorter disease duration, diabetes complications, having heard of CAM, and social media. To avoid negative and unnecessary side effects, patients must be informed about CAM use.</p>","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"35 4","pages":"256-263"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10875948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914320","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
Prothrombotic, Proinflammatory Markers, and Troponin in Type 2 Diabetes Mellitus Might Be a Predictive Factors for Pulmonary Embolism. 2 型糖尿病患者的促血栓形成、促炎症标记物和肌钙蛋白可能是肺栓塞的预测因素。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.264-269
Jasmina Bosnjic

Background: The association between diabetes mellitus type 2 (T2DM) and pulmonary embolism (PE) is still unclear.

Objective: The aim of this study was to determine the prognostic value of prothrombotic, proinflammatory markers, and troponin for pulmonary embolism and its complications in patients with type 2 diabetes mellitus.

Methods: The retrospective cohort study included 294 patients with type 2 diabetes mellitus divided into two groups: (a) the first group with pulmonary embolism (n=165); (b) the control group without pulmonary embolism (n=129). The data were collected from May 2018 to May 2023. In all patients we analyzed: anthropometric parameters, laboratory parameters (troponin, D-dimer, CRP, fibrinogen, uric acid, glucose, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides), arterial blood pressure, antiphospholipid antibodies, HOMA-IR index, CT angiography of the pulmonary artery, rate of adverse clinical events in pulmonary embolism (need for inotropic catecholamine support, fibrinolysis, cardiopulmonary resuscitation) and rate of intrahospital mortality from pulmonary embolism.

Results: Troponin levels were significantly higher in the PE group compared to the non-PE group (p = 0.002). D-dimer, CRP, uric acid, fibrinogen and HOMA- IR were significantly elevated in the PE group compared to the non-PE group (p < 0.001). Patients with pulmonary embolism in T2DM proved to have significantly more in-hospital death within 10 days of hospital admission (p<0.001), compared to patients with T2DM, without pulmonary embolism.

Conclusion: Prothrombotic, proinflammatory markers, and troponin have good prognostic value for short-term outcomes in PE among patients with T2DM.

背景:2型糖尿病(T2DM)与肺栓塞(PE)之间的关系尚不明确:本研究旨在确定促血栓形成、促炎症标志物和肌钙蛋白对2型糖尿病患者肺栓塞及其并发症的预后价值:回顾性队列研究纳入294例2型糖尿病患者,分为两组:(a)第一组肺栓塞患者(n=165);(b)对照组无肺栓塞患者(n=129)。数据收集时间为 2018 年 5 月至 2023 年 5 月。我们对所有患者进行了分析:人体测量参数、实验室参数(肌钙蛋白、D-二聚体、CRP、纤维蛋白原、尿酸、葡萄糖、总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、甘油三酯)、动脉血压、抗磷脂抗体、HOMA-IR 指数、肺动脉 CT 血管造影、肺栓塞不良临床事件发生率(需要肌力性儿茶酚胺支持、纤维蛋白溶解、心肺复苏)和肺栓塞院内死亡率。研究结果肺栓塞组的肌钙蛋白水平明显高于非肺栓塞组(P = 0.002)。与非 PE 组相比,PE 组的 D-二聚体、CRP、尿酸、纤维蛋白原和 HOMA- IR 明显升高(P < 0.001)。事实证明,T2DM 肺栓塞患者在入院后 10 天内的院内死亡人数明显增加(p 结论:T2DM 肺栓塞患者的血栓形成率、血脂升高率和血糖升高率均明显高于非 PE 组(p < 0.001):促血栓形成指标、促炎症指标和肌钙蛋白对 T2DM 患者肺栓塞的短期预后具有良好的预测价值。
{"title":"Prothrombotic, Proinflammatory Markers, and Troponin in Type 2 Diabetes Mellitus Might Be a Predictive Factors for Pulmonary Embolism.","authors":"Jasmina Bosnjic","doi":"10.5455/msm.2023.35.264-269","DOIUrl":"10.5455/msm.2023.35.264-269","url":null,"abstract":"<p><strong>Background: </strong>The association between diabetes mellitus type 2 (T2DM) and pulmonary embolism (PE) is still unclear.</p><p><strong>Objective: </strong>The aim of this study was to determine the prognostic value of prothrombotic, proinflammatory markers, and troponin for pulmonary embolism and its complications in patients with type 2 diabetes mellitus.</p><p><strong>Methods: </strong>The retrospective cohort study included 294 patients with type 2 diabetes mellitus divided into two groups: (a) the first group with pulmonary embolism (n=165); (b) the control group without pulmonary embolism (n=129). The data were collected from May 2018 to May 2023. In all patients we analyzed: anthropometric parameters, laboratory parameters (troponin, D-dimer, CRP, fibrinogen, uric acid, glucose, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides), arterial blood pressure, antiphospholipid antibodies, HOMA-IR index, CT angiography of the pulmonary artery, rate of adverse clinical events in pulmonary embolism (need for inotropic catecholamine support, fibrinolysis, cardiopulmonary resuscitation) and rate of intrahospital mortality from pulmonary embolism.</p><p><strong>Results: </strong>Troponin levels were significantly higher in the PE group compared to the non-PE group (p = 0.002). D-dimer, CRP, uric acid, fibrinogen and HOMA- IR were significantly elevated in the PE group compared to the non-PE group (p < 0.001). Patients with pulmonary embolism in T2DM proved to have significantly more in-hospital death within 10 days of hospital admission (p<0.001), compared to patients with T2DM, without pulmonary embolism.</p><p><strong>Conclusion: </strong>Prothrombotic, proinflammatory markers, and troponin have good prognostic value for short-term outcomes in PE among patients with T2DM.</p>","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"35 4","pages":"264-269"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10875931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914365","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
Psychiatric Morbidity Among Older Hospitalized Patients. 老年住院病人的精神病发病率。
Pub Date : 2023-01-01 DOI: 10.5455/msm.2023.35.275-279
Nerminka Aljukic, Mevludin Hasanovic, Izet Pajevic, Esmina Avdibegovic, Anel Brigic

Background: Globally, life expectancy is increasing, leading to an equal proportion of elderly and young individuals, which carries extensive implications. In Bosnia and Herzegovina (BiH), the average age at death in 2021 was 77 years, positioning BiH in the middle of the global list of average life expectancy. Current studiesinvestigate whether the prevalence of psychiatric disorders increases or decreases with age, but results are inconsistent regarding the role of age.There is no prior research on mental disorders in the elderly population in BiH. The experience of the previous war in BiH and the post-war complex "transitional period" have been associated with specific challenges to the mental health of this population, inspiring our research topic.

Objective: The aim of this study was to investigate the psychiatric morbidity in hospitalized individuals aged≥55 years.

Methods: The sample consisted of all patients over age 55 treated at the Department of Psychiatry in Tuzla between January 2018 and December 2020 (N=637), divided into four age categories. Data were obtained from medical records, and for research purposes, a specific questionnaire was constructed.

Results: The predominant psychiatric morbidity stemmed from the category of affective disorders, most common within the "55-64 years" age group, while organic mental disorders were more prevalent in other age groups.Substance use disorders were present in patients aged "55-64 years", with a sharp decline in their prevalence in older age. Female participants had a significantly higher prevalence of affective, psychotic, neurotic, and stress-related disorders, whereas male participants exhibited an increased prevalence of organic mental and substance use disorders.

Conclusion: In total sample, the most prevalent diagnoses belong to the category of affective disorders. Female were most frequently diagnosed with affective disorders, whereas organic mental disorders and substance use disorders prevail in male.

背景:在全球范围内,预期寿命不断延长,导致老年人和年轻人的比例相等,这产生了广泛的影响。在波斯尼亚和黑塞哥维那(波黑),2021 年的平均死亡年龄为 77 岁,在全球平均预期寿命排名中位居中游。目前的研究调查了精神疾病的发病率是否会随着年龄的增长而增加或减少,但关于年龄的作用,研究结果并不一致。波黑之前的战争经历和战后复杂的 "过渡时期 "对这一人群的心理健康造成了特殊的挑战,从而激发了我们的研究课题:本研究旨在调查年龄≥55 岁的住院患者的精神病发病率:样本包括 2018 年 1 月至 2020 年 12 月期间在图兹拉精神病科接受治疗的所有 55 岁以上患者(N=637),分为四个年龄组。数据来自病历,为便于研究,还制作了一份专门的调查问卷:主要的精神病发病率来自情感障碍类别,在 "55-64 岁 "年龄组中最为常见,而器质性精神障碍在其他年龄组中更为普遍。"55-64 岁 "患者中存在药物使用障碍,随着年龄的增长,其发病率急剧下降。女性参与者中情感障碍、精神障碍、神经障碍和压力相关障碍的患病率明显较高,而男性参与者中器质性精神障碍和药物滥用障碍的患病率较高:结论:在所有样本中,最常见的诊断属于情感障碍。结论:在所有样本中,最常见的诊断属于情感障碍,女性最常被诊断为情感障碍,而男性则以器质性精神障碍和药物使用障碍为主。
{"title":"Psychiatric Morbidity Among Older Hospitalized Patients.","authors":"Nerminka Aljukic, Mevludin Hasanovic, Izet Pajevic, Esmina Avdibegovic, Anel Brigic","doi":"10.5455/msm.2023.35.275-279","DOIUrl":"10.5455/msm.2023.35.275-279","url":null,"abstract":"<p><strong>Background: </strong>Globally, life expectancy is increasing, leading to an equal proportion of elderly and young individuals, which carries extensive implications. In Bosnia and Herzegovina (BiH), the average age at death in 2021 was 77 years, positioning BiH in the middle of the global list of average life expectancy. Current studiesinvestigate whether the prevalence of psychiatric disorders increases or decreases with age, but results are inconsistent regarding the role of age.There is no prior research on mental disorders in the elderly population in BiH. The experience of the previous war in BiH and the post-war complex \"transitional period\" have been associated with specific challenges to the mental health of this population, inspiring our research topic.</p><p><strong>Objective: </strong>The aim of this study was to investigate the psychiatric morbidity in hospitalized individuals aged≥55 years.</p><p><strong>Methods: </strong>The sample consisted of all patients over age 55 treated at the Department of Psychiatry in Tuzla between January 2018 and December 2020 (N=637), divided into four age categories. Data were obtained from medical records, and for research purposes, a specific questionnaire was constructed.</p><p><strong>Results: </strong>The predominant psychiatric morbidity stemmed from the category of affective disorders, most common within the \"55-64 years\" age group, while organic mental disorders were more prevalent in other age groups.Substance use disorders were present in patients aged \"55-64 years\", with a sharp decline in their prevalence in older age. Female participants had a significantly higher prevalence of affective, psychotic, neurotic, and stress-related disorders, whereas male participants exhibited an increased prevalence of organic mental and substance use disorders.</p><p><strong>Conclusion: </strong>In total sample, the most prevalent diagnoses belong to the category of affective disorders. Female were most frequently diagnosed with affective disorders, whereas organic mental disorders and substance use disorders prevail in male.</p>","PeriodicalId":94128,"journal":{"name":"Materia socio-medica","volume":"35 4","pages":"275-279"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10875944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914366","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
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Materia socio-medica
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