Croatian Medical Journal最新文献_第5页

Alcohol use among Croatian adolescents: the alignment of 13-year-old and 15-year-old girls with boys, and the impact of the COVID-19 pandemic. 克罗地亚青少年的酒精使用情况：13岁和15岁女孩与男孩的一致性，以及COVID-19大流行的影响

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Maja Valentić, Tonka Karin, Luka Šimetin, Lara Petković, Filip Šimetin, Mirjana Kujundžić Tiljak

{"title":"Alcohol use among Croatian adolescents: the alignment of 13-year-old and 15-year-old girls with boys, and the impact of the COVID-19 pandemic.","authors":"Maja Valentić, Tonka Karin, Luka Šimetin, Lara Petković, Filip Šimetin, Mirjana Kujundžić Tiljak","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To determine age and gender patterns of alcohol use among Croatian pupils and assess whether alcohol use was associated with factors related to school, peers, family, and the COVID-19 pandemic.Methods: Data were collected from the 2022 Health Behavior in School-aged Children cross-sectional study conducted in Croatia involving 5338 pupils. Pearson χ2 test and multivariate logistic regression were performed.Results: At the age of 11, boys were drinking alcohol more than girls (P<0.001), while 13- and 15-year-old girls aligned with boys. Lifetime alcohol use was positively associated with schoolwork pressure in 11-year-old girls (OR 3.28, CI 1.36-7.75) and boys (OR 1.87, CI 1.03-3.37). The COVID-19 pandemic negatively affected mental health in 13- (OR 2.21, 1.56-3.13) and 15-year-old girls (OR 1.50, CI 1.01-2.23), and life in 15-year-old boys (OR 1.83, 1.03-3.27). Recent alcohol use was positively associated with hospitalization of a close family member for COVID-19 in 11-year-old girls (OR 2.35, 1.05-5.28), low peer support in 13-year-old boys (OR 1.49, 1.01-2.20), difficult communication with father in 15-year-old girls (OR 1.49,1.05-2.12), negative COVID-19 impact on mental health in 13-year-old girls (OR 1.67,1.13-2.47), and negative COVID-19 impact on life in 15-year-old boys (OR 1.79, 1.08-2.98). Lifetime drunkenness was positively associated with negative COVID-19 impact on mental health in 13- (OR, 2.03,1.28-3.21) and 15-year-old girls (OR 2.12, 1.49-3.01), and with positive or neutral COVID-19 impact on life in 15-year-old girls (OR 0.65, 0.43-0.97).Conclusion: Preventive activities should offer support systems to minimize the negative COVID-19 impact, with special attention to girls' needs.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 6","pages":"483-492"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Lung long distance: histopathological changes in lung tissue after COVID-19 pneumonia. 肺长距离：COVID-19肺炎后肺组织的组织病理学改变。

IF 1.5 4区医学

Croatian Medical Journal Pub Date : 2024-12-30

Grgur Salai, Jasna Tekavec-Trkanjec, Ivona Kovačević, Čedna Tomasović-Lončarić, Arijana Pačić, Mirna Vergles, Đivo Ljubičić, Daria Cvetković-Kučić, Ivica Lukšić, Bruno Baršić

{"title":"Lung long distance: histopathological changes in lung tissue after COVID-19 pneumonia.","authors":"Grgur Salai, Jasna Tekavec-Trkanjec, Ivona Kovačević, Čedna Tomasović-Lončarić, Arijana Pačić, Mirna Vergles, Đivo Ljubičić, Daria Cvetković-Kučić, Ivica Lukšić, Bruno Baršić","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To investigate histopathological changes in the lung tissue of long-COVID patients.Methods: In this cross-sectional study, transbronchial lung biopsy was performed in long-COVID patients with persisting symptoms and radiological abnormalities. Histopathologic analyses were performed by using hematoxylin-eosin, Martius, Scarlet and Blue, Movat's, thyroid transcription factor 1, CD34, and CD68 staining.Results: Adequate biopsy samples were obtained from 29/32 patients. The median (Q1-Q3) time from disease onset to biopsy was 13 (9-20) weeks. We observed several histopathologic patterns: DAD with vascular abnormalities (VA) (n=8); VA with inflammatory pattern (n=4); inflammatory pattern (n=13), and fibrotic pattern (n=4). VA included capillary thrombi, dilated venules, and dissection of small pulmonary arteries. DAD with VA was detected up to the 9th week from the onset of disease; inflammatory pattern from the 8th to 28th week (4 patients with this pattern biopsied in the 11th-13th week had accompanying VA); and a predominantly fibrotic pattern was found at weeks 8, 10, 48, and 49.Conclusion: Our study observed a slow recovery of lung tissue with long-lasting DAD and VA, likely followed by interstitial inflammation or focal fibrosis. These findings might be the underlying cause of the slow recovery of long-COVID patients.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 6","pages":"501-509"},"PeriodicalIF":1.5,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11748447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A new generation of health professionals - ethical dilemmas and challenges. 新一代卫生专业人员--伦理困境与挑战。

IF 16.4 4区医学