Materia Socio-Medica最新文献

{"title":"Impact of Social Distancing on Geriatric Hip Fractures Among Jordanian Population During COVID-19 Pandemic.","authors":"Fadi M AlRousan,&nbsp;Abdullah Alkhawaldah,&nbsp;Razi Y Altarawneh,&nbsp;Ala K Al-Qudah,&nbsp;Ahmad K Almigdad","doi":"10.5455/msm.2022.33.37-39","DOIUrl":"https://doi.org/10.5455/msm.2022.33.37-39","url":null,"abstract":"<p><strong>Background: </strong>There were serious concerns about delivering the care and support to the elderly population in Jordan during the full lockdown period. In turn, this raised concerns about how this group of population will care for themselves and if this change in the situation will increase the risk of falls and related geriatric hip fractures. Hip fractures are a significant cause of morbidity and mortality in the geriatric population. Jordan has been affected by the coronavirus disease, COVID-19; pandemic like other parts of the world. The Jordanian authorities acted early to prevent the infection from spread, and lockdown along with social distancing measures were implemented early and enforced. Even though these measures successfully slowed the spread of the virus, some concerns were raised about the delivery of care by the family and caregivers to Jordanian geriatric population.</p><p><strong>Objective: </strong>We studied the effect of lockdown and social distancing in Jordan on hip fracture incidence among the geriatric population during the lockdown period.</p><p><strong>Methods: </strong>This retrospective observational study was conducted at two Jordanian Royal Medical Services (JRMS) hospitals, King Hussein Medical Center and Prince Rashid Hospital. Patients who were treated surgically for traumatic hip dislocation during lockdown (15th March to 30th April 2020) were compared with patients during the corresponding period in 2019 regarding the incidence of geriatric hip fractures.</p><p><strong>Results: </strong>The lockdown group included 102 trauma patients, 68 patients (66.7%) had geriatric hip fractures. On the other hand, the non-lockdown group included 144 patients, 45 (31.3%) had hip fractures. Thus, the proportion of patients with geriatric hip fractures in the lockdown group was significantly higher than the non-lockdown group (P=0.034). However, the geriatric hip fractures male to female ratio were the same in lockdown and non-lockdown groups (1:1.5).</p><p><strong>Conclusion: </strong>During the complete lockdown and social distancing due to COVID-19, the epidemiology of surgically treated fractures changed; there is a decrease in the total number of trauma patients and an increase in the proportion of geriatric hip fractures.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"34 1","pages":"37-39"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e9/58/MSM-34-37.PMC9229360.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40481082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication and Language Skills of Autistic Spectrum Disorders in Children and Their Parents' Emotions.","authors":"Amela Ibrahimagic,&nbsp;Nedim Patkovic,&nbsp;Bojan Radic,&nbsp;Selmir Hadzic","doi":"10.5455/msm.2021.33.250-256","DOIUrl":"https://doi.org/10.5455/msm.2021.33.250-256","url":null,"abstract":"<p><strong>Background: </strong>Autism spectrum disorder (ASD) is a developmental disability, which is a biologically based neurodevelopmental disorder that affects a child's social interaction and communication skills. Core deficits are identified in two domains: social communication/interaction and restrictive, repetitive patterns of behavior. Children and youth with ASD have service needs in behavioral, educational, health, leisure, family support, and other areas. Autism is a set of heterogeneous neurodevelopmental conditions, characterized by inability to acquire social skills, repetitive behaviors and failure of speech and nonverbal communication development.</p><p><strong>Objective: </strong>To examine frequency, correlation and predictivity of communication and language skills of autistic spectrum disorders (ASD) children and their parents' emotions.</p><p><strong>Methods: </strong>The sample consisted of 80 participants who are parents of children with ASD. The study was performed using a questionnaire made out for this research. Three groups of variables were analyzed: parental emotions variables; child's communication variables, child's language variables. Statistical analysis was performed by SPSS, and included basic statistical parameters and multiple regression analysis.</p><p><strong>Results: </strong>The most common ways of communicate for children with ASD are: Allowing to cuddle; Recognizes familiar faces; and Makes it known when he needs help or wants an item. The most common language forms of children ASD are: Following simple instructions; Understanding connected words/phrases; Pronouncing single words; and Looking at when called by name. Parents of children with ASD expressed the greatest agreement with the following statements: \"My child is more demanding than most other children\"; \"It seems to me that my child is very sensitive and easily upset\"; \"My child can't do much of what he's expected to know to do\", and \"I often lack energy.\"</p><p><strong>Conclusion: </strong>Parents of children with ASD proved that their children have significant delays in communication and language. Developed communication and language skills of the child with ASD are valid predictors of parents' emotions/attitudes. Speech and language therapy work focused on developing the ASD child's communication and language skills can be expected to improve parents' emotions/attitudes.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"250-256"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/5d/MSM-33-250.PMC8812368.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health of Teachers in Bosnia and Herzegovina in the Time of COVID-19 Pandemics.","authors":"Fehma Kovac,&nbsp;Haris Memisevic,&nbsp;Emira Svraka","doi":"10.5455/msm.2021.33.257-261","DOIUrl":"https://doi.org/10.5455/msm.2021.33.257-261","url":null,"abstract":"<p><strong>Background: </strong>The pandemic of COVID-19 has affected all spheres of life, including education. Teachers at all levels were faced with numerous challenges during the pandemic. These challenges had an impact on their mental health.</p><p><strong>Objective: </strong>The goal of the present study was to examine the depression, anxiety, and stress levels in teachers in Bosnia and Herzegovina.</p><p><strong>Methods: </strong>The sample for this study consisted of 559 teachers (471 female teachers and 88 male teachers). We used the Depression, Anxiety, and Stress Scale (DASS 21) to measure teachers' emotional states of depression, anxiety, and stress.</p><p><strong>Results: </strong>The findings of this study clearly indicate the high levels of depression, anxiety, and stress in teachers. We also identified that levels of support provided by family members and school administration served as protective factors in the time of crisis.</p><p><strong>Conclusion: </strong>Teachers in Bosnia and Herzegovina have a high prevalence of elevated depression, anxiety, and stress levels. The article concludes with some recommendations on how to improve the mental health of teachers.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"257-261"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/d7/MSM-33-257.PMC8812380.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness and Knowledge Towards Pediatric and Adult COVID-19 Vaccination: A Cross Sectional Community-based Study in Saudi Arabia.","authors":"Hanin Jaber AlGethami,&nbsp;Mohammed Abdullah Altamran,&nbsp;Mohammad Shibly Khan,&nbsp;Kadher Mohaideen Noorul Zaman,&nbsp;Nahla Alswaied","doi":"10.5455/msm.2021.33.262-268","DOIUrl":"https://doi.org/10.5455/msm.2021.33.262-268","url":null,"abstract":"<p><strong>Background: </strong>As the covid-19 vaccination programs scaling up globally, there remains a growing concern about the community level awareness towards it. We aimed to assess the knowledge and awareness among general population towards covid-19 in adult and pediatric population.</p><p><strong>Objective: </strong>The aim of the study was to assess the knowledge and awareness among adult Saudi people toward covid-19 vaccine for adults and children.</p><p><strong>Methods: </strong>We conducted a cross sectional, community-based study among a representative sample (N=1373) of adult population in Saudi Arabia during October 2021. A structured, closed ended and pre-tested questionnaire was used online to collect the quantitative data through non-random sampling.</p><p><strong>Results: </strong>A great majority (91%) considered the seriousness of covid-19. About 80% perceived the available vaccines to be highly protective against the COVID-19 infection and complications. While about 69.7% agreed that pediatric vaccination will reduce the spread of covid-19, about 77.3% agreed on encouraging the parents to vaccinate their children. Only 43% were aware that vaccination is safe for breast feeding women and about 50.6% considered the vaccination to be safe in pregnant females. About 52.8% responded that the pediatric vaccine has same safety as efficacy as that in adults. The association with knowledge items was observed to be significant (p<0.05) with occupation, education, income and being previously affected with covid-19.</p><p><strong>Conclusion: </strong>Overall, a high level of awareness was observed in our study, however, there were factors observed to be taken care such as vaccination in breast feeding and pregnant females as well as concerns related to safety and efficacy for pediatric vaccination.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"262-268"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/09/MSM-33-262.PMC8812373.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation Between Inflammatory and Biochemical Parameters in Patients with Diabetes and Urinary Tract Infection.","authors":"Azra Burekovic,&nbsp;Edhem Haskovic,&nbsp;Faruk Ceric,&nbsp;Dzenana Halilovic","doi":"10.5455/msm.2021.33.240-243","DOIUrl":"https://doi.org/10.5455/msm.2021.33.240-243","url":null,"abstract":"<p><strong>Background: </strong>Hyperglycemia, polyuria, and glycosuria are all risk factors for the frequency of urinary tract infections in patients with diabetes.</p><p><strong>Objective: </strong>The aim of this study is to establish correlation between inflammatory and biochemical parameters in patients with diabetes and urinary tract infection.</p><p><strong>Methods: </strong>Total number 116 patients were monitored, at the ages between 18-95 years, with diabetes and urinary tract infection, of which 59.49% women and 40.51% men. Patients were with a duration of diabetes from 0 to over 20 years, with an average fasting glycemia of 9.54 mmol/l, and postprandial glycemia 13.94 mmol/l, HbA1C 9.92%, which have been poorly regulated in the last 3-4 months. Inflammatory parameters SE, CRP, leukocytes were correlated with inflammatory parameters of urine sediment and positive urine cultures.</p><p><strong>Results: </strong>Average values of urea, creatinine, and proteinuria were positively correlated with the duration of diabetes. Escherichia coli, Enterococcus feecalis, and Candida albicans were the most common pathogens isolated in urine culture, 51 patients had reinfection once, 39 patients had two reinfections, and 26 patients had three reinfections during the 6-month follow-up.</p><p><strong>Conclusion: </strong>Duration of diabetes, long-term poor glycoregulation lead to microangiopathic changes in the kidneys in the form of diabetic nephropathy with retention of nitrogenous substances of urea, creatinine with proteinuria, and acute hyperglycemia, polyuria and glycosuria, further leading to frequent urinary tract infections.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"240-243"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/df/MSM-33-240.PMC8812372.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Overview of Play Therapy.","authors":"Konstantinos Koukourikos,&nbsp;Areti Tsaloglidou,&nbsp;Laila Tzeha,&nbsp;Christos Iliadis,&nbsp;Aikaterini Frantzana,&nbsp;Aristi Katsimbeli,&nbsp;Lambrini Kourkouta","doi":"10.5455/msm.2021.33.293-297","DOIUrl":"https://doi.org/10.5455/msm.2021.33.293-297","url":null,"abstract":"<p><strong>Background: </strong>Play is an essential parameter of children's growth and expression and this is the reason of why the use of play therapy is considered as fundamental means of preventing and dealing with problems and difficulties presented to children.</p><p><strong>Objective: </strong>The aim of this paper is to review the parameters related to this issue, emphasizing the efficacy of this therapeutic approach to various problems of children.</p><p><strong>Methods: </strong>A review of the recent literature on the issue, searching through Greek and international databases (Medline, Heal-link), in English and Greek language.</p><p><strong>Results: </strong>The review shows that play therapy as a form of prevention and treatment is suitable mainly for preschool and school age children. It is addressed to children who are in a transition period of their lives (after a divorce, a loss), with difficulties in managing feelings, in socializing or children who have behavioral problems. It is also addressed to children who have been witnesses of domestic violence, who have suffered some form of abuse, children who are to undergo a major surgery or those who have speech disorders. Furthermore, it is suitable for children who have some kind of developmental disorder (autism or attention deficit / hyperactivity disorder). Its efficiency is demonstrated by numerous research papers reporting a significant decrease of negative emotions and behaviors by its use.</p><p><strong>Conclusion: </strong>Play therapy is an alternative proposal of intervention on important issues related to children. Its implementation and value is widely known and is constantly expanding. The only condition for its implementation is the correct theoretical training of the professionals and the proper diagnosis.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"293-297"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/57/10/MSM-33-293.PMC8812369.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methylene Blue as Inexpensive and Reliable Sole Sentinel Lymph Node Mapping Agent for Patients with Invasive Ductal Carcinoma.","authors":"Emir Halilbasic,&nbsp;Ermina Iljazovic,&nbsp;Zlatan Mehmedovic,&nbsp;Eldar Brkic,&nbsp;Goran Sarkanovic","doi":"10.5455/msm.2021.33.282-287","DOIUrl":"https://doi.org/10.5455/msm.2021.33.282-287","url":null,"abstract":"<p><strong>Background: </strong>Invasive ductal cancer (IDC) represents about 75% of all breast malignancies. There are many breast cancer prognostic factors, but the ones that have the most impact on the survival rates in advanced breast cancer are tumor size and regional lymph node involvement. Axillary lymph node dissection (ALND) has particularly important and undoubtful role in current surgical options for breast cancer treatment. With the introduction of sentinel lymph node biopsy (SLNB) for breast cancer patients it was possible to identify those to whom regional spread of the disease did not occur at the time of surgery, and thus spare them an unnecessary ALND procedure.</p><p><strong>Objective: </strong>To determine the rate of sentinel lymph node (SLN) detection using only methylene blue dye as a mapping agent, as well as to correlate the number of positive SLNs with the number of positive non-sentinel lymph nodes (non-SLNs).</p><p><strong>Methods: </strong>The study represents a prospective study that included 50 female patients with histologically confirmed invasive ductal carcinoma (IDC) who underwent SLNB using only methylene blue dye as the mapping agent, while the detection and harvest of SNL was done by visual control only. All patients also underwent an obligatory complete ALND, which was as that time the institutional oncological protocol for surgical treatment of histologically confirmed IDC. The final data such as tumor size, SLN and non-SLN status were obtained by further analysis of pathohistological reports from tumor biopsy and other surgical specimens.</p><p><strong>Results: </strong>The accuracy rate of SLN detection was 98%. The number of detected SLN was in the range of 1 to 6, with an average of 2 for each patient. The number of positive SLN was in significant correlation with the number of tumor-affected non-SNL (p<0,001). Further analysis showed that for each increase in the number of positive SLN by 1, the risk of positive non-SLN increased 6-fold, OR=6,22 (p<0,001).</p><p><strong>Conclusion: </strong>Use of methylene blue dye as a sole mapping agent when performing SLNB in patients with IDC is a reliable and effective method that can be safely implemented in medical institutions that lack availability of nuclear medicine services or significant monetary funds.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"282-287"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d4/ab/MSM-33-282.PMC8812375.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Epidemiological Characteristics of Autoimmune Thyroiditis in the Tuzla Canton in the Period from 2015 to 2020.","authors":"Belkisa Izic,&nbsp;Amer Custovic,&nbsp;Selma Caluk,&nbsp;Hanifa Fejzic,&nbsp;Broza Saric Kundalic,&nbsp;Maida Sljivic Husejnovic","doi":"10.5455/msm.2021.33.288-292","DOIUrl":"https://doi.org/10.5455/msm.2021.33.288-292","url":null,"abstract":"<p><strong>Background: </strong>Bosnia and Herzegovina (B&H) is one of the countries of Southeast Europe with the lack of data about chronic autoimmune thyroid diseases (CAITD) epidemiology.</p><p><strong>Objective: </strong>This research aimed to assess incidence of CAITD in the Tuzla Canton of B&H during a 6-year period (2015-2020).</p><p><strong>Methods: </strong>We retrospectively evaluated 82,000 hospital records of inpatients and outpatients with possible thyroid symptoms residing in Tuzla Canton of B&H (total of 445,028 inhabitants). The study included patients with laboratory and clinical proof of autoimmune thyroid diseases (AITD). Incidence rates were calculated with age standardisation using European standard population. Trends in incidence were evaluated as moving three-year averages.</p><p><strong>Results: </strong>During the observed period, 1875 patients satisfied the diagnostic criteria for CAITD with male to female ratio of 1: 8.01. Median age of all cases was 46 years (interquartile range: 31 to 61) and women and men were on average the same age at the time of diagnosis. The overall standardized incidence was found to be 71.25 per 105 (%95 CI=63.36-79.15). The overall standardized incidence in men was 16.25 per 105 and 123.74 per 105 in women. In the end of the observed period, AITD prevalence was 427.52 per 105 (% 95 CI=408.17-446.87).</p><p><strong>Conclusion: </strong>There was a slight decline of incidence in our region during the observed period. This decrease might be the result of combination of various factors, mainly the Corona epidemics outbreak and emigration. On the basis of the lower incidence rate in the Tuzla Canton, one can assume that iodine prophylaxis carried out in order to eradicate goitre had satisfied expectations because there had not been any enormous increase in patients with AITD.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"288-292"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/59/MSM-33-288.PMC8812379.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors of Synchronous Breast and Thyroid Cancer: a Controlled Multicenter Study and Review of the Literature.","authors":"Stefanos Zervoudis,&nbsp;Georgios Iatrakis,&nbsp;Anisa Markja,&nbsp;Georgios Tsatsaris,&nbsp;Anastasia Bothou,&nbsp;Georg Fg von Tempelhoff,&nbsp;Mirsini Balafouta,&nbsp;Pana Tsikouras","doi":"10.5455/msm.2021.33.298-303","DOIUrl":"10.5455/msm.2021.33.298-303","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer (BC) is one of the most common cancers diagnosed in women in the United States. Thyroid cancer (TC) is also one of the fastest increasing cancer types in the United States, with most cases being papillary thyroid carcinomas.</p><p><strong>Objective: </strong>To identify possible risk factors for the synchronous or metachronous co-occurrence of breast and thyroid cancers.</p><p><strong>Methods: </strong>We carried out a study, which consisted of data from four gynecological clinics: two in Greece (Athens, Alexandroupolis, Ioannina) and one in Germany, collected from June 2017 to June 2020. The patients were divided into two groups: the first group consisted of 58 patients with breast cancer and a personal history of thyroid cancer. The second group (control group) included 50 patients with the same characteristics as to age, parity, type of pregnancy, treatment for sterility, polycystic ovaries, regularity of the menstrual cycle, breast density, BMI, family history of cancer, blood group rhesus and histological results of breast cancer. The data we collected were analyzed using version 20 of the SPSS statistical package. The Chi-square test was used for statistical analysis and a p-value<0.005 was considered statistically significant.</p><p><strong>Results: </strong>The only factors that seem to be related with the association of breast and thyroid cancer were: history of abortion and multiparity.</p><p><strong>Conclusion: </strong>In our study there is a higher chance of developing breast cancer after diagnosing thyroid cancer and vice versa. More than genetic mutations, a possible hormonal pathway of these two malignancies is possible. The hormonal change in women who had many children or abortions could be a risk factor to develop both cancers. More studies are necessary to confirm our findings.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"298-303"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/4f/MSM-33-298.PMC8812374.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breastfeeding Promotion and the Results of the Maternity Ward - a Friend of Children Initiative Implementation in Bjelovar-Bilogora County in 2018.","authors":"Zeljka Ostovic,&nbsp;Marija Catipovic,&nbsp;Zlatko Hrgovic,&nbsp;Marko Lagancic,&nbsp;Iva Vusic,&nbsp;Rajko Fures,&nbsp;Zana Stanic,&nbsp;Sanja Malinac Malojcic,&nbsp;Martin Gredicak,&nbsp;Fabijan Feratovic","doi":"10.5455/msm.2021.33.269-275","DOIUrl":"https://doi.org/10.5455/msm.2021.33.269-275","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding has a beneficial effect on the overall health system of the child and the mother. After six months of age, it is recommended to introduce complementary feeding in parallel and to continue breastfeeding for at least one year of the child's life. Maternal education is one of the key tasks of medical staff during pregnancy and especially during lactation.</p><p><strong>Objective: </strong>The main objectives of the study is to determine the essential features of female respondents with regard to previous pregnancies, births and health visitors visits after birth; to determine the percentage of women whose lactation was started in hospital and who exclusively breastfed; to determine the differences in child's diet during a health visitor visit at two, four, six, nine and twelve months in regards to female respondents' age.</p><p><strong>Methods: </strong>The study has been conducted as a cross-sectional study. 571 women who gave birth in General Hospital of Bjelovar took part in the survey and the reviewing was continued by Health Visiting Service of Bjelovar-Bilogora County in 2018. The tools for data collection were IT system of General Hospital of Bjelovar, case histories as well as Health Visiting Service IT system.</p><p><strong>Results: </strong>Most of the female respondents are of the average age of 30 years. The study was conducted on a highly educated sample. 461 respondents have a certain form of education. Older respondents are considerably more educated (62 %). Single respondents and extramarital respondents are considerably of younger age. Older respondents predominantly live in the town, have more previous pregnancies and children compared to younger respondents. Lactation was started with 98.8 % respondents in hospital, and 96.7 % exclusively breastfed. The mothers of older ages breastfeed longer.</p><p><strong>Conclusion: </strong>Older, educated, employed, married, town residential female respondents decide upon breastfeeding and exclusively breastfeeding. Older respondents have more experience with previous pregnancies and lactation. The study has confirmed that older mothers breastfeed longer, while younger mothers more often reach for milk alternatives.</p>","PeriodicalId":18358,"journal":{"name":"Materia Socio-Medica","volume":"33 4","pages":"269-275"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/32/dc/MSM-33-269.PMC8812371.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39959856","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}