Croatian Medical Journal最新文献_第6页

Screening for diabetic peripheral neuropathy at community pharmacies in Slovakia. 斯洛伐克社区药房的糖尿病周围神经病变筛查。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Zuzana Pagáčová, Milan Grofik, Tomáš Fazekaš, Viera Žufková, Daniela Mináriková

{"title":"Screening for diabetic peripheral neuropathy at community pharmacies in Slovakia.","authors":"Zuzana Pagáčová, Milan Grofik, Tomáš Fazekaš, Viera Žufková, Daniela Mináriková","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To identify diabetic patients with a potential risk of developing diabetic peripheral neuropathy (DPN) in community pharmacies in Slovakia using a modified Michigan Neuropathy Screening Instrument questionnaire (MNSIq-12).Methods: This cross-sectional study enrolled 703 patients with type 1 and type 2 diabetes mellitus who had not been diagnosed with DPN. The study took place in selected community pharmacies across Slovakia in October 2019. The MNSIq-12 was administered by pharmacy students, and a Michigan score <1.5 was considered risky. The groups divided based on the Michigan score were compared in terms of duration of diabetes, age, body mass index (BMI), sex, weekly physical activity, level of education, and smoking.Results: The risk of developing DPN was detected in 6.6% of respondents with type 1 diabetes and 13.4% with type 2 diabetes. Patients with both types of diabetes (38.2%; 67.0%) reported fatigue and heaviness in the legs as the most common clinical symptoms that may indicate the development of DPN. Those with a Michigan score <1.5 were older (P<0.0001), had a higher BMI (P<0.0001), a lower level of education (P=0.0020), and were less physically active (P<0.0001). Conclusion Approximately one-eighth of patients with diabetes who visited community pharmacies were potentially at risk for developing DPN. The modified MNSIq-12 was shown to be a simple, time-effective, and non-invasive indicative screening tool that can be applied in the environment of community pharmacies.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 2","pages":"85-92"},"PeriodicalIF":1.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863209","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

Exploring ChatGPT's abilities in medical article writing and peer review. 探索 ChatGPT 在医学文章写作和同行评审方面的能力。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Gültekin Kadi, Mehmet Ali Aslaner

引用次数: 0

Factors contributing to variability in metformin concentration in polycystic ovary syndrome. 导致多囊卵巢综合征二甲双胍浓度变化的因素。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Valentina N Nikolić, Milan Stefanović, Dejan Mitić, Slavica Sunarić, Maša Jović, Hristina Trajković, Sanja Stanković, Aleksandra Ignjatović, Dragana Stokanović

{"title":"Factors contributing to variability in metformin concentration in polycystic ovary syndrome.","authors":"Valentina N Nikolić, Milan Stefanović, Dejan Mitić, Slavica Sunarić, Maša Jović, Hristina Trajković, Sanja Stanković, Aleksandra Ignjatović, Dragana Stokanović","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To investigate the factors affecting metformin concentrations after chronic administration in patients with polycystic ovary syndrome (PCOS), focusing on the pharmacokinetic variability and its implications for personalized therapy.Methods: This study enrolled 53 PCOS patients undergoing long-term metformin treatment at the Clinic for Gynecology and Obstetrics in Niš, Serbia, from February to December 2019. Pharmacokinetic parameters were measured from blood samples, and metformin concentrations were determined with validated analytical techniques.Results: There was a significant variability in metformin concentrations among PCOS patients, with body mass index (BMI) identified as a major influencing factor. Higher BMI was associated with lower plasma metformin levels, a finding suggesting an altered pharmacokinetic profile in obese patients.Conclusions: This study highlights the critical role of BMI in influencing metformin pharmacokinetics in PCOS patients and underscores the need for personalized treatment strategies in patients with PCOS.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 2","pages":"138-145"},"PeriodicalIF":1.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074935/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848147","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

Toxicity of benzodiazepines in the treatment of insomnia disorders in older adults: a systematic literature review. 治疗老年人失眠症时苯二氮卓类药物的毒性：系统性文献综述。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Annemarie Kim Kozole Smid, Ajda Mlakar, Vita Štukovnik

{"title":"Toxicity of benzodiazepines in the treatment of insomnia disorders in older adults: a systematic literature review.","authors":"Annemarie Kim Kozole Smid, Ajda Mlakar, Vita Štukovnik","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To review the literature data on the prevalence of benzodiazepines abuse and poisoning in older adults; the prevalence of polypharmacy with benzodiazepines in this demographic; and determine whether benzodiazepine anxiolytics or hypnotics were more frequently implicated in the cases of abuse and poisoning.Methods: We searched PubMed and Scopus for relevant studies published from January 1, 2013, to May 1, 2023. Twelve studies were included in the final selection.Results: The review highlights the diverse prevalence rates of benzodiazepine abuse and poisoning in the older adult population. Benzodiazepine anxiolytics were more frequently associated with negative outcomes than benzodiazepine hypnotics. Concurrent use of benzodiazepines, benzodiazepine-related medications, and opioids was reported, although these medications were not the only ones commonly used by the elderly.Conclusion: It is essential to increase awareness about adhering to prescribed pharmacological therapies to mitigate issues related to drug abuse and poisoning among older adults.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 2","pages":"146-155"},"PeriodicalIF":1.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851882","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

Person-centered care in ophthalmology: current knowledge and perspectives. 眼科以人为本的护理：当前的知识和观点。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Snježana Kaštelan, Neda Pjevač, Marijana Braš, Veljko Đorđević, Nada Pjevač Keleminić, Juan E Mezzich

引用次数: 0

Palliative care - too complex to make it simple. 姑息关怀--复杂得不能再简单。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Aleksandar Džakula, Karmen Lončarek, Dorja Vočanec

引用次数: 0

Neurological side effects after SARS-CoV-2 vaccinations require thorough and comprehensive investigations. 接种 SARS-CoV-2 疫苗后出现的神经系统副作用需要进行彻底和全面的检查。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Josef Finsterer

引用次数: 0

The effect of somatic mutations in mitochondrial DNA on the survival of patients with primary brain tumors. 线粒体 DNA 的体细胞突变对原发性脑肿瘤患者生存期的影响。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Siti Zulaikha Nashwa Mohd Khair, Siti Muslihah Ab Radzak, Zamzuri Idris, Anani Aila Mat Zin, Wan Muhamad Amir Wan Ahmad, Abdul Aziz Mohamed Yusoff

{"title":"The effect of somatic mutations in mitochondrial DNA on the survival of patients with primary brain tumors.","authors":"Siti Zulaikha Nashwa Mohd Khair, Siti Muslihah Ab Radzak, Zamzuri Idris, Anani Aila Mat Zin, Wan Muhamad Amir Wan Ahmad, Abdul Aziz Mohamed Yusoff","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To assess the presence of mitochondrial (mt) DNA somatic mutations, determine the relationship between clinicopathological characteristics and mutations, and assess the survival outcomes in Malay patients with primary brain tumors.Methods: The study enrolled 54 patients with primary brain tumors. DNA extracted from paired tissue and blood samples was subjected to Sanger sequencing to identify alterations in the entire mtDNA. The associations between clinicopathological characteristics and mutations were evaluated. Cox-regression multivariate analysis was conducted to identify factors significantly associated with survival, and Kaplan-Meier analysis was used to compare the survival of patients with and without mutations.Results: Overall, 29.6% of the patients harbored 19 somatic mutations distributed across 15 loci within the mtDNA. Notably, 36.8% of these mutations were not previously documented in MITOMAP. One newly identified mutation caused a frameshift in the ATPase6 gene, resulting in a premature stop codon. Three mutations were classified as deleterious in the MitImpact2 database. Overall, 1097 mtDNA polymorphisms were identified across 331 different locations. Patients with mutations exhibited significantly shorter survival than patients without mutations.Conclusions: mtDNA mutations negatively affected the survival outcomes of Malaysian patients with primary brain tumors. However, studies with larger samples are needed to confirm the association between mutation burden and survival rates.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 2","pages":"111-121"},"PeriodicalIF":1.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140862393","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

Scientists from small countries on the hunt for scientometric figures - global indicators and local finances. 小国科学家寻找科学计量学数字--全球指标和地方财政。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Damir Stanzer

引用次数: 0

The mediating role of depressive, anxiety, and physical symptoms on work ability index in employed women with breast cancer: a prospective study from Croatia. 抑郁、焦虑和躯体症状对患有乳腺癌的在职妇女工作能力指数的中介作用：克罗地亚的一项前瞻性研究。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-04-30

Ivana Prga Borojević, Ines Amber Kincaid, Martina Bago, Tajana Prga Bajić, Ružica Valent, Klaudia Knezić, Bojana Knežević, Darko Marčinko

{"title":"The mediating role of depressive, anxiety, and physical symptoms on work ability index in employed women with breast cancer: a prospective study from Croatia.","authors":"Ivana Prga Borojević, Ines Amber Kincaid, Martina Bago, Tajana Prga Bajić, Ružica Valent, Klaudia Knezić, Bojana Knežević, Darko Marčinko","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To explore the relationship between the current work ability index (WAI) and depressive and anxiety symptoms in breast cancer (BC) patients and the role of depressive, anxiety, and physical symptoms in mediating this relationship.Methods: This prospective study enrolled 83 employed women with BC. At baseline assessment (in the first three months following BC diagnosis) and follow-up assessment (one year after baseline), participants completed the WAI, Beck Depression Inventory-II, State-Trait Anxiety Inventory, and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire with a breast cancer-specific module. Mediation analyses were conducted to explore the mechanism by which depressive, anxiety, and physical symptoms influenced the relationship between WAI and depressive and anxiety symptoms.Results: WAI was negatively associated with depressive and anxiety symptoms. The effect of baseline depressive and trait anxiety symptoms on WAI at follow-up was mediated by both depressive and trait anxiety symptoms, as well as by physical symptoms at follow-up. The effect of baseline state anxiety symptoms on WAI at follow-up was mediated only by state anxiety symptoms at follow-up.Conclusions: Baseline depressive and anxiety symptoms affect WAI at follow-up not only through persisting depressive and anxiety symptoms observed at follow-up but also through physical symptoms at follow-up. This indicates that efforts aimed at improving psychological health may result in simultaneous improvements in both psychological and physical health, as well as the resulting WAI.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 2","pages":"101-110"},"PeriodicalIF":1.9,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11074940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849833","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