Slovenian Medical Journal最新文献_第10页

Vpliv pandemije covida-19 na vključevanje telemedicine v zdravstveni sistem: dejavniki, ki so to omogočili in kako lahko telemedicina koristi zdravstvu tudi po koncu pandemije

Slovenian Medical Journal Pub Date : 2022-07-20 DOI: 10.6016/zdravvestn.3264

Ula Magdalena Battelino, Eva Turk

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Prepoznava in obravnava obporodnih poškodb analnega sfinktra

Slovenian Medical Journal Pub Date : 2022-07-20 DOI: 10.6016/zdravvestn.3329

Tamara Serdinšek, Gregor Prša, Ivan Žebeljan

{"title":"Prepoznava in obravnava obporodnih poškodb analnega sfinktra","authors":"Tamara Serdinšek, Gregor Prša, Ivan Žebeljan","doi":"10.6016/zdravvestn.3329","DOIUrl":"https://doi.org/10.6016/zdravvestn.3329","url":null,"abstract":"Pri več kot 85 % žensk med vaginalnim porodom pride do določene stopnje poškodbe presredka, pri čemer se obporodne poškodbe analnega sfinktra pojavljajo v povprečju pri 0,5–7 % vseh vaginalnih porodov. Kar 20–40 % primerov obporodnih poškodb analnega sfinktra je prikritih ali spregledanih, zato jih je izjemno pomembno prepoznati. Če odkrijemo poškodbo analnega sfinktra, jo je treba oskrbeti v operacijski dvorani. Pred kirurško oskrbo moramo zagotoviti ustrezno osvetlitev in analgezijo ter rano natančno pregledati. Anorektalno sluznico zašijemo s posameznimi ali kontinuiranimi šivi, notranji analni sfinkter pa s posameznimi ali t. i. šivi mattress. Pri poškodbah zunanjega analnega sfinktra, ki zajemajo celotno dolžino in debelino mišice, lahko uporabimo bodisi tehniko šivanja konec s koncem bodisi tehniko prekrivanja, pri delnih poškodbah pa tehniko konec s koncem. Na koncu zašijemo še mišice in kožo presredka. Perioperativno je treba uporabiti antibiotično zaščito in odvajala. Po obporodni poškodbi analnega sfinktra je potrebno bolnico spremljati. Prvi pregled naj bo 6 do 12 tednov po porodu. Najpogostejše posledice poškodb analnega sfinktra so bolečina v presredku, bolečine ob spolnih odnosih in druge težave v spolnosti ter analna inkontinenca, ki se pojavi v 15–61 % primerov. Potrebno je opraviti svetovanje glede načina poroda v naslednji nosečnosti, saj se ponovna poškodba analnega sfinktra pojavi v 4–8 %.","PeriodicalId":21777,"journal":{"name":"Slovenian Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81972701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Dolgoročni potek in izid bolezni pri bolnikih z intermediarnim uveitisom s spremljanjem vsaj 20 let

Slovenian Medical Journal Pub Date : 2022-07-19 DOI: 10.6016/zdravvestn.3349

Nina Krhlikar, Lan Umek, Nataša Vidović Valentinčič

{"title":"Dolgoročni potek in izid bolezni pri bolnikih z intermediarnim uveitisom s spremljanjem vsaj 20 let","authors":"Nina Krhlikar, Lan Umek, Nataša Vidović Valentinčič","doi":"10.6016/zdravvestn.3349","DOIUrl":"https://doi.org/10.6016/zdravvestn.3349","url":null,"abstract":"Izhodišča: Intermediarni uveitis (IU) je kronična vnetna očesna bolezen z glavnino vnetja v steklovini. Gre za redko bolezen s kroničnim potekom, ki prizadene predvsem delovno aktivno populacijo in lahko povzroči začasno ali trajno izgubo vida. Namen naše študije je preučiti dolgoročni potek IU pri bolnikih z vsaj 20-letnim spremljanjem. \u0000Metode: Gre za retrospektivno presečno študijo dolgoročnega poteka IU pri bolnikih z vsaj 20-letnim spremljanjem. V študijo so bili vključeni vsi bolniki z IU z začetkom spremljanja v uveitični ambulanti Očesne klinike med letoma 1985 in 1995. Študija je zastavljena kot nadaljevanje že objavljene študije Vidovič Valentinčič in sodelavcev z 10-letnim spremljanjem iste kohorte bolnikov. \u0000Rezultati: Iz začetne kohorte 29 bolnikov z IU smo 20 bolnikov spremljali vsaj 20 let s povprečnim časom spremljanja 25,3 let (95% IZ 23,2–27,4). Po 20 ali več letih spremljanja je remisijo doseglo 17/20 bolnikov s povprečnim časom do remisije 11,14 let (95% IZ 7,94– 14,34). Do ponovnega zagona bolezni je po povprečno 8,2 letih (95% IZ 2,8–13,6) prišlo pri 6/17 bolnikov z remisijo. Odstotek slepih in slabovidnih oči je postopoma naraščal do 10 let, nato pa se je stabiliziral. Po 20 ali več letih je bilo slepih ali slabovidnih 28,2 % oči. Glavni vzrok za izgubo vida je bil cistoidni makularni edem (CME) z razvojem makularne atrofije. \u0000Zaključek: IU je kronična bolezen z dolgotrajnim potekom, pogostimi zapleti, ki lahko povzročijo trajno izgubo vida, in ponovnimi zagoni, zaradi česar je potrebno dolgoročno vodenje bolnikov z IU, zgodnje diagnosticiranje in intenzivno zdravljenje CME.","PeriodicalId":21777,"journal":{"name":"Slovenian Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89881316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Preprečevanja zgodnjih invazivnih okužb novorojenčka zaradi streptokoka skupine B – mikrobiološke metode za ugotavljanje nosilstva pred in ob porodu

Slovenian Medical Journal Pub Date : 2022-07-13 DOI: 10.6016/zdravvestn.3202

Samo Jeverica, Ajda Kovačič, Gal Kranjc, Petra Vovko, Miha Lučovnik

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Atypically located incidental appendicitis during laparoscopic cholecystectomy 腹腔镜胆囊切除术中不典型位置的偶然阑尾炎

Slovenian Medical Journal Pub Date : 2022-07-12 DOI: 10.6016/zdravvestn.3333

Y. Doğan

{"title":"Atypically located incidental appendicitis during laparoscopic cholecystectomy","authors":"Y. Doğan","doi":"10.6016/zdravvestn.3333","DOIUrl":"https://doi.org/10.6016/zdravvestn.3333","url":null,"abstract":"Appendicitis is the most common surgical emergency. It classically presents with periumbilical pain that localizes to the right lower quadrant and nausea, vomiting, anorexia, and fever. Acute appendicitis may result from an obstructing faecolith or some other mechanical blockage. However, appendicitis presenting with rare and misleading right upper quadrant pain may result in an initial false-negative diagnosis by the physician and even result in negative findings on computed tomography (CT) or ultrasound, increasing the risk of perforation/abscess formation and prolonged hospital stay. This report presents a case of atypical appendicitis during laparoscopic cholecystectomy where the correct diagnosis was not initially considered. Unusual localization was documented several times, otherwise known as classical localization of the appendix. Findings of acute appendicitis varied according to the localization of the appendix. The most common position was the retrocaecal region (65-70%). Other localizations were paraileal, postileal, promontoric, pelvic, subcaecal, paracolic and retrocaecal. These conditions were important to recognise, given that they may need additional specific management. This case report study showed atypical located incidental appendicitis during laparoscopic cholecystectomy.","PeriodicalId":21777,"journal":{"name":"Slovenian Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89625383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Predlog za obravnavo bolnika z astmo na primarni in pulmološki specialistični ravni v Sloveniji

Slovenian Medical Journal Pub Date : 2022-07-12 DOI: 10.6016/zdravvestn.3325

Sabina Škrgat, Davorina Petek, Mitja Košnik, Irena Hudoklin, Mihaela Zidarn, Nadja Triller, Peter Kopač, Tonka Poplas Susič, Saša Letonja, Stanislav Kajba, Ana Ogrič Lapajne, Igor Koren, Ana Novakovič, Irma Rozman, Jure Šorli, Jasmina Gabrijelčič, Natalija Edelbaher, Tjaša Šubic, Nikša Šegota, Mateja Marc Malovrh, Irena Šarc, Nissera Bajrovič, Katarina Osolnik, Andrej Pangerc, Matjaž Fležar

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Razvoj slovenske medicinske periodične publicistike

Slovenian Medical Journal Pub Date : 2022-07-11 DOI: 10.6016/zdravvestn.3376

Dušan Sket

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Primerjava kliničnega izida vstavitve totalne endoproteze kolka preko anteriornega in lateralnega pristopa: sistematični pregled z metaanalizo

Slovenian Medical Journal Pub Date : 2022-06-17 DOI: 10.6016/zdravvestn.3179

Samo Roškar, Rihard Trebše

{"title":"Primerjava kliničnega izida vstavitve totalne endoproteze kolka preko anteriornega in lateralnega pristopa: sistematični pregled z metaanalizo","authors":"Samo Roškar, Rihard Trebše","doi":"10.6016/zdravvestn.3179","DOIUrl":"https://doi.org/10.6016/zdravvestn.3179","url":null,"abstract":"Izhodišča: Totalna endoproteza kolka velja za enega najuspešnejših posegov v ortopedski kirurgiji. Pomemben dejavnik vpliva na izid je izbira kirurškega pristopa. Trenutno je v svetu najbolj razširjen stranski pristop, v zadnjem času pa postaja zaradi manj poškodb mehkih tkiv vse bolj priljubljen sprednji pristop. \u0000Metode: V sistemski pregled smo vključili randomizirane kontrolirane raziskave iz podatkovnih baz PubMed in Cochrane Library ter raziskave, prijavljene pri Clinical Trials. Iskanje smo opravili decembra 2019. Zabeležili smo podatek o državi, velikosti vzorca, posegu, izidu in času spremljanja. Metaanalizo smo opravili s programom Review Manager 5.3. \u0000Rezultati: V metaanalizo smo vključili 7 randomiziranih kontroliranih raziskav s 723 preiskovanci. Med sprednjim in stranskim pristopom totalne endoproteze kolka ni razlik v funkcionalnem stanju, vrednotenem po Harrisu ob koncu spremljanja, v oceni bolečine po vizualni analogni lestvici tako v zgodnjem kot poznem obdobju po operaciji, v izgubi krvi, v potrebi po transfuziji, v trajanju bolnišnične oskrbe in v pojavnosti zapletov med operacijo in po njej. \u0000Zaključki: Primerjava sprednjega in stranskega pristopa kaže, da med pristopoma ni statistično pomembnih razlik v funkcionalnem stanju ob koncu spremljanja, v oceni bolečine tako v zgodnjem kot poznem obdobju po operaciji, v izgubi krvi, v potrebi po transfuziji, v trajanju bolnišnične oskrbe in v pojavnosti zapletov med operacijo in po njej. Trenutno ne poteka nobena randomizirana kontrolirana raziskava, ki bi primerjala izid sprednjega in stranskega pristopa z natančno zastavljenim protokolom spremljanja.","PeriodicalId":21777,"journal":{"name":"Slovenian Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83931549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Spontaneous atypical muscle bleeding of the anterior abdominal wall in patient with COVID-19 – case report 新冠肺炎患者前腹壁自发性非典型肌肉出血1例

Slovenian Medical Journal Pub Date : 2022-06-14 DOI: 10.6016/zdravvestn.3317

Džemail Detanac, Dzenana A. Detanac, Mehmed Mujdragić, K. Doklestić, D. Bihorac, J. Pavlović, Lejla Ćeranić, Kemal Alihodžić

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Attitudes toward mental disorder among medical students 医学生对精神障碍的态度

Slovenian Medical Journal Pub Date : 2022-06-07 DOI: 10.6016/zdravvestn.3311

Klara Vaupotič, Špela Uplaznik, H. GREGORIČ KUMPERŠČAK, Anja Plemenitaš Ilješ

{"title":"Attitudes toward mental disorder among medical students","authors":"Klara Vaupotič, Špela Uplaznik, H. GREGORIČ KUMPERŠČAK, Anja Plemenitaš Ilješ","doi":"10.6016/zdravvestn.3311","DOIUrl":"https://doi.org/10.6016/zdravvestn.3311","url":null,"abstract":"Background: People with mental disorders are among the most stigmatized and vulnerable members of society. Our research study intended to determine the medical students’ attitude toward mental disorders, the presence of stigma, and whether either changed throughout their six-year medical education. \u0000Methods: The sample included 200 medical students of the University of Maribor. Empirical data were collected using the CAMI scale (Community Attitudes Towards the Mentally Ill), the Comparison of Attitudes of Patients and Students in Slovenia questionnaire, and additional questions regarding specific mental disorders. The results were processed using the SPSS 25 program. Descriptive statistics methods were applied, including the ANOVA test. Statistically, significant correlations and differences were checked at a 5% risk level. \u0000Results: The students strongly agreed with the positive statements and disagreed with the negative statements on the CAMI scale (MV=3.93; SD=0.34; p=0.046). No significant discrepancies between individual undergraduate years were observed; the sixth-year students expressed the most positive attitude among all students. The mean value of all statements was 3.9 (Y1-Y6 SD=0.5), indicating a low presence of stigma. \u0000Conclusion: The students expressed a positive attitude toward mental disorders. In sixth-year students, the least stigma, and better knowledge and attitude towards mental disorders were observed. Education, clerkship, and hearing personal confessions about experiencing a mental disorder are needed as they improve attitudes toward them.","PeriodicalId":21777,"journal":{"name":"Slovenian Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84312370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0