Praxis Medica最新文献

{"title":"Benefit of the first phase of the cardiac rehabilitation after cardiac surgery","authors":"S. Nejkov, N. Đukić-Macut, Vesna Bokan-Mirković","doi":"10.5937/PRAMED2004013N","DOIUrl":"https://doi.org/10.5937/PRAMED2004013N","url":null,"abstract":"Introduction: Cardiovascular diseases (CVD) are leading factor in global mortality and morbidity. It is the cause of 1/3 of total annual mortality, while coronary heart disease (CHD), as one of the CVD entities, is responsible for 85% of deaths worldwide. The aim of the study is to show the importance of the first phase of cardiac rehabilitation (CR) in patients who are going on cardiac surgery, as well as the impact on respiratory function, the occurrence of pulmonary complications and the length of hospitalization. Methods: A sample of 18 patients was included in the randomized observer study. First phase of CR was carried out according to a predefined protocol. We used arterial blood gases (ABG) to evaluate the respiratory function, \"two-minute walk test\" (2MWT) to assess the functional capacity Data taken from medical documentation are the duration of mechanical ventilation (MV), the length of stay in the ICU, occurrence of the postoperative pulmonary complications and duration of total hospitalization. Results: The test sample consisted of 12 men (60.58 ± 8.33) and 6 women (66.00 ± 6.51). The mean value of CR was 6.15 ± 3.98 days and MV 19,67±11,23 hours. There were no pulmonary complications in 61,11% patients. Using ABG, a statistically significant difference was found in PO2 after extubating and at the last day in ICU (p = 0.01). 2MWT preoperatively significantly correlated with the examined on the last day of hospitalization (r = 0.648 p-value <0.001) well as the length of postoperative hospitalization and duration of mechanical ventilation (r = 0.708 p-value <0.001). Conclusion: The study showed that first phase of cardiac rehabilitation may positively affect the improvement of functional capacity.","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71029328","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}

{"title":"Incidence of ectopic thyroid tissue in the adrenal gland","authors":"M. Buzejić, B. Odalović, G. Zorić, B. Rovčanin, N. Slijepčević, K. Taušanović, M. Jovanovic, D. Vučen, B. Stepanovic, N. Kalezić, A. Tošković, I. Paunović, V. Živaljević","doi":"10.5937/PRAMED2004039B","DOIUrl":"https://doi.org/10.5937/PRAMED2004039B","url":null,"abstract":"Ectopic thyroid tissue is a rare pathological finding bellow the diaphragm and extremely rare finding is ectopic thyroid tissue in the adrenal gland. Thyroid tissue can be located anywhere along the way of embryological migration pathway of thyroglossal duct. In most cases of ectopic thyroid tissue, it is located in the neck. Pathohistologically ectopic thyroid tissue in all cases was formed of follicular cells that expressed TTF-1, Thyroglobulin, PAX8, and cytokeratin 7, and there was lack expression of calretinin. In the literature we found 15 such cases. Women are much more affected than men (14:1), and it usually presents in the fifth decade (mean age 49). In all cases it was composed of normal follicular cells, and C cells were not found. Review of the literature reveals that adrenal ectopic thyroid tissue is almost always cystic, and has distinctive pathologic features. The most important thing is that ectopic thyroid tissue must be distinguished from metastatic deposits from thyroid gland carcinoma.","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71029456","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}

{"title":"Ebstejn's anomaly in patients perioperative period during a non-cardiac surgery operation","authors":"Ljubiša Mirić, Tijana Smiljković, V. Perić, S. Mirić, Tjasa Ivosevic","doi":"10.5937/PRAMED2004055M","DOIUrl":"https://doi.org/10.5937/PRAMED2004055M","url":null,"abstract":"Introduction: Ebstein anomaly, a congenital heart defect characterized by a morphological and functional abnormality of the tricuspid valvula while moving the mouth of the tricuspid valvula towards the apex of the right chamber. Case report: A patient aged 39 years on the Department of Surgery was admitted under the image of an acute abdomen and the need for emergency surgical treatment. Routine preoperative preparation, laboratory treatment, examination of internist and examination of anesthesiologist on the part of the part was carried out. He has a history of occasional breathing problems during respiratory infection, a smoker. Clinical status, other than primary problems, is orderly. Operational treatment passed neatly, on the fourth postoperative day the patient complained of suffocation, lack of air and chest pain, translated into intensive care monitored (spo2 87% f about 110/min TA 90/60), blood gas analysis done and laboratory treatment (fibrinogen, D dimer) due to suspected pulmonary thromboembolia consulted cardiologist, dilation of the right atrium seen by ultrasound. Discussion: Non-cardiac surgeries in patients with pre-existing congenital heart defects are high-risk surgeries with increased mobility and mortality in the perioperative period. In accordance with the accompanying pathoanatomical and pathophysiological changes that define the congenital heart defect, a detailed plan must be made - anesthesiological management for each patient separately. Hemodynamic and respiratory stability with avoidance of hypoxia and paradoxical arrhythmias are the basic postulates in patients with Ebstein's anomaly.","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71029344","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}

{"title":"Errors and artifacts on radiographs","authors":"S. Nikolić, A. Milenković, B. Tomić, B. Radovic, M. Gasic","doi":"10.5937/pramed2002019n","DOIUrl":"https://doi.org/10.5937/pramed2002019n","url":null,"abstract":"Introduction: The process of recording a patient includes a procedure with several separate segments during work that together provide the imaging to be obtained for adequate radiological analysis. Throughout the process, it is possible to experience errors that create artifacts on X-rays which ultimately results in an inadequate recording that is not for valid analysis. Aim: Determine the total number of radiological films that are not for valid analysis. Sort out and analyze errors in radiographs according to the work process. Provide recommendations for improving the quality in the process of recording the patient. Material and methods: A prospective study was conducted at the Radiology Clinic of the Clinical Hospital Center Pristina-Gracanica, for two calendar years. All films that are not for valid analysis were considered. The radiological procedure of patient imaging was broken down into logical segments so that possible errors could be observed. We have summarized the causes of the artifacts in five appropriate groups (errors made by the recording technique, during the acquisition of the image, caused by the object of recording, during the processing of films in an automated machine and improper handling of films). Results: The total amount of used X-ray films is 32600 pieces, of which 242 (0.74%) were errors and artifacts. The most common format of a film with an error or artifact was 30x40 cm. A frequency of errors according to the cause of the occurrence is classified into appropriate groups. The largest number was in a group 1 - 155 (64.04%), in a group 2 - 3 (1.24%), in a group 3 - 13 (5.37%), in a group 4 - 67 (27.69%), and in a group 5 - 4 (1.66%). Conclusion: In the proper systematization of all observed errors and artifacts of X-ray film, it allows us to realise the place of error during the whole process of recording and processing of the film. We hereby wish to propose their elimination and improve the quality of the radiology department.","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71028729","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}

{"title":"Role of general practice doctor in the treatment of Signet ring cell carcinoma","authors":"S. Knežević, Ivan Z. Gajović, Ljiljana Đurović","doi":"10.5937/pramed1902051k","DOIUrl":"https://doi.org/10.5937/pramed1902051k","url":null,"abstract":"Introduction: Stomach cancer is the second in mortality and the fourth most frequent of all cancers in the world. In the recent decades, the number of patients with Signet ring cell carcinoma type has been growing. Unknown etiology with proven risk factors such as smoked and salted foods, smoking, metabolic syndrome, alcohol abuse and Helicobacter pylori infection. Five-year span survival is 20%-40%.","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71028793","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}

{"title":"Testing the correlation between occupational stress and occupational burnout among nurses working in public health institutions","authors":"Oliver Bojčeski, M. Galjak, L. Kulić, Slađana Đurić, M. Mirković, J. Milosevic","doi":"10.5937/pramed1904013b","DOIUrl":"https://doi.org/10.5937/pramed1904013b","url":null,"abstract":"quality to examine between and METHODS : An examination was carried out to determine aconnection between occupational burnout and occupational stress among nurses working in the hospital, at the departments of surgery, gynecology and emergency. For the evaluation of professional burnout among nurses, the Maslach Burnout Inventory, MBI-HSS pattern, was used, and Matteson and Ivancevich Questionnaire was used to assess occupational stress. Statistical data processing was done by the SPSS 17 software.RESULTS A total of 60 examinees were included in the study, 20 of them from the Surgery, Gynecology and Emergency department. Of these, 51 (81.7%) arefemale and 9 (18.3%) are male . The average age of nurses is 41.45 years, from which 40.9on Surgery; 41.8 on E mergency; 41.65 on Gynecology, and the average years of service are 17.91. Descriptive statistics for the examined variables are shown and it can be seen that there is a low level of occupational stress, i.e. the result is below 21.In the occupational burnout variable, respondents show the medium level of emotional exhaustion (M=24.05), low level depersonalization (M=3.83) and low level of lack of professional achievement subscale (M=38.71). The test results confirm the first hypothesis (H1) that with the increaseof occupational stress levels, the level of occupational burnout among nurses also increases.Occupational stress correlates with occupational burnout (r=0.529, p<0.01), i.e. nurses who have higher results of occupational stress, have more occupational burnout results also. The results of the tests involving correlations between occupational burnout and occupational stress dimensions show that with the increase of occupational stress the dimension of emotional exhaustion also increases (r=0.493, p<0.01), that there is no significant correlation between occupational stress and the dimension of depersonalization, and that the dimension of occupational stress and the dimension of individual realization have significant connection (r=0.393, p=0.01). The results show that there is no statistically significant difference between departments when it comes to occupational burnout, i.e. nurses working in Surgery do not have higher results of occupational burnout than nurses working in Gynecology and Emergency F(0.679) p>0.05, and that there is no statistically significant difference between the departments in terms of occupational stress, i.e. nurses working in Surgery do not have higher occupational stress results than ones working in Gynecology and Emergency department F(0.722) p>0.05. The results do not show significant differences in the level of occupational burnout and occupational stress in relation to nurses' age and years of service. DISCUSSION AND CONCLUSION : The results of the study show that with increased occupationalstressoccupational burnout also increases and that nurses have low levels of occupationalstress, low depresonization, low level of lack of personal achievement and a medi","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71028934","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}

{"title":"Specific pattern of 18F-2-fluoro-2-deoxy-D-glucose positron emission tomography in differential diagnosis of Alzheimer disease: Case report","authors":"B. Radovic, L. Brajković, S. Nikolic","doi":"10.5937/PRAMED1901039R","DOIUrl":"https://doi.org/10.5937/PRAMED1901039R","url":null,"abstract":"","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71028895","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}

{"title":"Extracranial carotid atherosclerosis in genesis infarction brain in the border zones supratentorial localization","authors":"V. Mitrović, Ramil Marić, Snežana Filipović-Danić, N. Petrović","doi":"10.5937/PRAMED1901015M","DOIUrl":"https://doi.org/10.5937/PRAMED1901015M","url":null,"abstract":"Introduction: The emergence of brain infarction depends to a great extent on the status of collateral blood circulation and is associated with hemodynamic instability. This kind of brain infarction is usually found in border vascular zones. Infarction of borderline fields arises between vascular territories ACA and ACM or between ACM and ACP, deep paraventricular infarcts in internal border zones, wound or triangular cortical infarcts, as well as major infarctions involving the entire irrigated territory of ACM. Aim:To define the atherosclerotic stenosis of the inner carotid artery and its significance in brain infarction genes in the borderline of supratentorial localization. Material and methods: Inclusion criteria for inclusion in the study are the existence of an infarct lesion in a predetermined border cortical and subcortical area of supratentorial localization. Data on extracranial atherosclerotic carotid disease were obtained by ultrasonographic inspection of a commercially available apparatus, 7-9 and 9-14 MHz probes/catheter. As a criterion for assessing the degree of carotid stenosis, the formula of the apparatus software was used: 100 x (A - B) / wherein Ais the area of the cross-section of the artery at the site of the largest stenosis, and the B surface of the free lumen artery cross section on the largest stenosis site. Results: The study included 30 selected patients, 12 (40%) females, aged 47-79, (± 62.3 years) and 18 (60%) male, aged 43-79 (± 58.7 years). Cortical infarction of the frontal border region (ACA - ACM) was seen in 11 (36.6%), 15 (50%) ACM - ACP infarct, while subcortical infarction between the surface and deep branches a. Cerebri media ACM - ACM), seen in 4 (13.4%) patients. Carotid atherosclerosis in the form of occlusion or significant stenosis with unilateral localization was observed in 6 (26%) patients, while bilateral changes were present in 17 (74%) patients. In the ACA + ACM group (ACM + ACM), a statistically significant increase in bilateral carotid artery involvement was observed in the group of patients with cerebral infarction of the last ACM-ACP border region (p = 0.018). Conclusion: The two-sided significant steno-occlusive atherosclerotic disease of the inner carotid artery is a very common and statistically significant finding in patients with endocardial infarction of supratentorial localization. This finding corroborates the pathophysiological explanation of this entity and opens up adequate therapeutic perspectives in the prevention and treatment of this kind of stroke.","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71028240","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}

{"title":"Histological characteristics and volume density of elastic fibers in the dermis during aging","authors":"S. Leštarević, P. Mandić, M. Mijović, M. Dejanović, D. Marjanović, S. Matejic, M. Filipovic","doi":"10.5937/pramed1902001l","DOIUrl":"https://doi.org/10.5937/pramed1902001l","url":null,"abstract":"2 3 4 Leštarević Snežana1, Mandić Predrag , Mijović Milica , Dejanović Mirjana , 5 6 7 Marjanović Dragan , Matejić Suzana , Filipović Milan 1 Institut za histologiju i embriologiju, Medicinski fakultet Univerziteta u Prištini, Kosovska Mitrovica 2 Institut za anatomiju, Medicinski fakultet Univerziteta u Prištini, Kosovska Mitrovica 3 Institut za patološku anatomiju, Medicinski fakultet Univerziteta u Prištini, Kosovska Mitrovica 4 Institut za fiziologiju, Medicinski fakultet Univerziteta u Prištini, Kosovska Mitrovica 5 Stomatološka klinika, Medicinski fakultet Univerziteta u Prištini, Kosovska Mitrovica 6 Institut za sudsku medicinu, Medicinski fakultet Univerziteta u Prištini, Kosovska Mitrovica 7 Klinika za hirurgiju, Medicinski fakultet Univerziteta u Prištini, Kosovska Mitrovica","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71028583","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}

{"title":"The influence of phacoemulsification on corneal oedema in patients with glaucoma","authors":"Ivan Bogosavljevic, I. Marjanović, M. Gasic, M. Božić, V. Marić, Jana Mirković, Mona Varga, M. Saranovic, M. Jeremić","doi":"10.5937/pramed1902009b","DOIUrl":"https://doi.org/10.5937/pramed1902009b","url":null,"abstract":"","PeriodicalId":31688,"journal":{"name":"Praxis Medica","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71028604","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}