Acta Medica Croatica最新文献

{"title":"[PARENT’S AND CHILDREN’S BEHAVIOR AND KNOWLEDGE ABOUT ORAL HEALTH].","authors":"M Beljan,&nbsp;Z Puharić,&nbsp;M Žulec,&nbsp;D Borić,&nbsp;K Radičanin Neumuller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Responsible health behavior plays an important role in every individual. Oral health quality results from the level of\u0000information available, attitudes, habits and nutrition. Family is the most important environment where children can acquire\u0000knowledge, attitudes and habits related to oral health. The aim of the study was to compare the habits of parents and\u0000children related to their oral health, and to conclude how parental behavior influences oral health of their children. The\u0000study included 101 parent-child pairs (age 11-15 years), their knowledge and behavior according to their oral hygiene,\u0000fluoro-prophylaxis and nutrition assessed by anonymous questionnaire. Oral health of parents was estimated according to\u0000their tooth loss and compensation, while oral health of children was assessed by dental examination. A total of 101 child-parent\u0000pairs were included. Most children were excellent pupils (43.56%). In the group of parents, most participants were\u0000mothers (73.27%). Most parents had high school education (65.35%) and were employed (61.62%), and most perceived\u0000themselves to be living with average financial situation (86%). A comparable proportion of parents (95%) and children\u0000(87%) believed that it was necessary to wash teeth at least twice a day (p=0.125) and most of them thought it necessary to\u0000brush teeth for 1-3 minutes (57% of children and 57.43% of parents; p=0.599). The majority of children (56%) and parents\u0000(72%) considered it necessary to use dental floss with a toothbrush and toothpaste (p=0.065), while 63% of children and\u000071.72% of parents believed that toothpaste contained fluoride (p=0.156). Most of the parents (72.3%) and children (65.35%)\u0000brushed teeth in the morning and at bedtime (p=0.167) for 1-3 minutes (p=0.098). About 30% of parents and children used\u0000the handler for brushing teeth (p=1). Most children (86.32%) and parents (92.1%) had 3-5 meals a day (p=0.181), and 80%\u0000of them had their teeth examined by a dentist the year before (p=0.658). The children believing that teeth should be brushed\u0000only in the morning have a 3.38-fold greater chance to develop tooth disorders (DMFT >0; p=0.004). Those that do not\u0000know that caries and periodontal diseases can be prevented have a 26.3-fold greater chance to develop caries compared\u0000to those who are aware of it. Children of parents who only brush their teeth in the morning have a 25 times higher chance\u0000of developing CEP >0 as compared with those that brush their teeth after each meal (p=0.016). Children of parents who\u0000give them money to buy snacks are 2.9 times more likely to develop CEP >0 (p=0.01) compared to children without money\u0000for snack. Children of parents who feel that their health is not good have 3.9 times higher chance of developing CEP >0\u0000as compared to those whose parents think they have a neat bite (p=0.017). Oral hygiene in Croatia is still not at a level of\u0000the standards in Western countries. Ignorance about oral hygiene and irresponsible health behavior are the","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":" ","pages":"165-71"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39984376","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":"[SURGICAL TREATMENT OF THYROID GLAND IN ELDERLY PATIENTS: OUR EXPERIENCES].","authors":"I Kovačić,&nbsp;M Kovačić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The share of elderly persons in the population is growing rapidly and continuously. Requirements for their surgical treatment\u0000are increasing and so is the number of published papers on the safety and success of some surgical procedures performed\u0000in these patients. The present study included 183 patients aged ≥65 out of 897 patients surgically treated for thyroid gland\u0000diseases. They were divided into two groups (group 1 aged 65-69 and group 2 aged ≥70) in order to determine between-group\u0000differences in the indications, surgical strategy, final histopathologic analysis, preoperative physical status, number\u0000of comorbid diseases and postoperative complications. Analysis of the results justified our decision to divide our patients\u0000into two groups of younger and older ones. In group 1, the indications for surgery were mostly benign changes (93.2%),\u0000whereas malignant, verified and suspected disease was considerably more frequent in group 2 (21.8%), with a significantly\u0000higher percentage of compressive syndrome. Significant between-group differences were recorded in the preoperative\u0000physical status (group 2: ASA III and IV, 73.8% and 5%, respectively), number of thyroidectomies performed (group 1,\u000056.2% vs. group 2, 77.3%) and secondary hemithyroidectomy. A difference was also found in the number of surgical and\u0000non surgical complications. The absence of a higher percentage of permanent complications, hypocalcemia and recurrent\u0000laryngeal nerve paralysis, in total and by groups, confirmed that surgical treatment of thyroid gland diseases can be\u0000considered safe and successful in older age groups, regardless of the between-group differences observed.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":" ","pages":"185-90"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39983417","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":"[DWI MAGNETIC RESONANCE IN CHARACTERIZATION OF FOCAL LIVER LESIONS].","authors":"E Jahić,&nbsp;A Sofić,&nbsp;A Husić-Selimović","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to examine the possibilities of measuring ADC/DWI values with the ROI method for precise\u0000differentiation of focal liver lesions from normal liver parenchyma. The study included 100 liver lesions sized ≥1 cm, previously\u0000detected in patients by ultrasound and computed tomography. It is done by measuring the diffusion coefficient ADC folder\u0000(MRI 3T), setting the ROI on the periphery of hepatic lesions, on the liver parenchyma around the focal hepatic lesions and\u0000on liver parenchyma that is distant to hepatic lesions. In our study, difference between the average ADC value of focal\u0000liver lesions (1.24 x10(-3) mm(2)/s) and normal liver parenchyma around focal liver lesions (1.001x10(-3) mm(2)/s) was statistically\u0000confirmed. There was statistically proven difference in the average ADC values between normal liver parenchyma around\u0000focal lesions and liver parenchyma located distant from focal lesions of (1.003x10-3 mm2/s). Wilcoxon rank test yielded\u0000differences in the average (median) ADC values between total lesions in patients and liver parenchyma directly around\u0000focal lesions (p<0.0005). Wilcoxon rank test showed no differences in the average (median) ADC between liver parenchyma\u0000directly around focal lesions and distant of focal hepatic lesions (p<0.0005). The results obtained for each focal liver lesion\u0000were compared with histopathology findings obtained by puncture or surgery, and for cystic lesions radiological follow up\u0000was sufficient. For all liver lesions, the resulting overall DWI/ADC sensitivity was 92% and specificity 77%. Kendall’s tau-b\u0000coefficient of concordance showed a statistically significant correlation between our DWI diagnosis and histopathology\u0000verification for all liver lesions (p<0.0005). He mangiomas and cysts showed greatest difference in ADC values as compared\u0000with healthy liver. ADC values of hepatocellular carcinoma (HCC) and the surrounding normal liver parenchyma were not\u0000statistically different, which can be explained by similarities in their cell structure. Related articles conclude that DWI has\u0000inadequate sensitivity in detecting HCC, explaining this minimal difference in cellularity of well differentiated HCC and liver\u0000parenchyma. DWI/ADC has the potential to differentiate and reliably define the limits of focal lesions of the normal liver\u0000parenchyma. ADC delimitation of focal lesions of the liver parenchyma is most reliable for hemangiomas and cysts, while\u0000ADC delimitation of HCC can pose diagnostic difficulties.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":" ","pages":"179-84"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39983251","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":"[ACUTE PAIN MANAGEMENT IN PATIENT ON OPIOID SUBSTITUTION THERAPY WITH\u0000METHADONE OR BUPRENORPHINE].","authors":"V Nesek Adam,&nbsp;M Matolić,&nbsp;E Grizelj Stojčić,&nbsp;V Mršić,&nbsp;Ž Rašić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The result of the increase in drug abuse is a growing number of patients receiving methadone or buprenorphine\u0000substitution therapy. Physicians are increasingly confronted with patients on substitution therapy at the time when they\u0000are developing acute pain conditions or when they need surgery. Although pain has sensory qualities, it is a very personal\u0000and complex experience. The intensity and duration of pain are influenced by numerous factors. Poorly controlled pain\u0000leads to unnecessary suffering of the patients with the possibility of permanent changes in behavior and reduced quality\u0000of life. Efficacious pain treatment is considered a basic right of every patient. Because of the complex mechanisms of the\u0000emergence and transmission of pain and the emotional components that are involved in the experience of pain, appropriate\u0000pain relief in patients on substitution therapy is a major challenge for both the physicians and the patients. The article gives\u0000an overview of issues related to the treatment of acute pain and perioperative treatment in patients on substitution therapy\u0000with methadone and buprenorphine. The article highlights the wrong common misconception about pain treatment in these\u0000patients, which also are the most common cause of their inadequate treatment.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":" ","pages":"173-8"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39983750","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":"[Letter].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":" ","pages":"199"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39983986","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":"[RARE LOCALIZATION OF OSTEOID OSTEOMA--DISTAL PHALANX OF THE RING FINGER].","authors":"K Barbarić,&nbsp;M Prutki,&nbsp;D Starčević,&nbsp;S Seiwerth,&nbsp;I Bojanić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With this clinical observation we would like to bring to mind osteoid osteoma as a possible cause of problems of distal\u0000phalanx of the fingers. Osteoid osteoma occurs rarely at this location and has atypical presentation. The main symptoms\u0000are swelling and redness of the fingertip with nail deformity, while typical night pain may not be present. Unusual clinical\u0000and x-ray presentation of tumor in this localization can make diagnosis of osteoid osteoma very difficult. A 20-year-old\u0000patient reported pain in the fingertip of his right ring finger persisting for five years. Swelling and redness of the fingertip\u0000combined with nail deformity was also present. X-rays showed osteolysis in the base of distal phalanx. Magnetic resonance\u0000imaging showed suspicion of osteoid osteoma, which was confirmed by computed tomography (CT). We performed\u0000surgical removal of osteoid osteoma in February 2014. The tumor was approached by longitudinal incision on the lateral\u0000side of the distal phalanx of the ring finger and the basal part of distal phalanx was cut with a small chisel to enable access\u0000to cystic change of the bone. Tumor removal with excochleation was performed and the material thus obtained was sent\u0000for histopathologic analysis. After surgery, the ring finger was immobilized in a plaster splint for a three-week period. After\u0000removal of immobilization, the patient was referred to physical therapy consisting of individual exercises in order to obtain\u0000the full range of motion in all joints of the hands and strengthen hand and forearm muscles. After surgical removal of osteoid\u0000osteoma, all symptoms disappeared completely. Histopathologic findings confirmed the diagnosis of osteoid osteoma.\u0000After physical therapy, he returned to daily activities without any problems. On regular follow ups at 3, 6 and 12 months after\u0000surgery, clinical findings were normal and the patient had no pain or discomforts. Full recovery was shown by the result of\u0000the DASH questionnaire three months after the procedure. Preoperative DASH score 54.4 decreased to 0. Distal phalanx of\u0000the finger is a very rare localization of osteoid osteoma, and typical night pain may not be present. In addition, appearance\u0000on x-rays is not typical. Instead of central enlightenment surrounded with sclerosis, x-rays usually show a lytic lesion. For\u0000this reason, it may be difficult to make the diagnosis of osteoid osteoma. The main symptom is permanent pain, swelling\u0000and redness of the finger, with nail deformity. The imaging method of choice is CT, which must be performed with thin layers\u0000of 1 to 2 mm. Furthermore, cooperation of surgeon and radiologist is extremely important to reach the accurate diagnosis.\u0000Many treatment options are described in the literature, such as CT-guided percutaneous thermocoagulation, destruction\u0000of lesions with alcohol, or CT-guided radiofrequency ablation. However, due to the proximity of neurovascular structures,\u0000tendons and joints, the best method for treatment osteoid o","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":" ","pages":"191-5"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39983270","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":"OPENING REMARKS.","authors":"S. M. Kulišić, J. Lipozenčić","doi":"10.1163/22116176-90000127","DOIUrl":"https://doi.org/10.1163/22116176-90000127","url":null,"abstract":"As this year’s event coincides with the beginning of my term as President of the PPC, I would like to take the opportunity to talk to you a little about my vision of the field of peace operations and of the role of the Pearson Centre. With regards to the field of peace operations, I would like to address the questions of why, what and who. Firstly, why is it important for the international community to continue its commitment to helping war-torn regions of our globe emerge from conflict? In my opinion, it is a question of enlightened self-interest. We live in a highly interconnected and interdependent world. No amount of internal domestic security can prevent terrorist attacks. Our best strategy for protecting our own security is to be proactive in addressing the situations that become fertile ground for terrorist ideas. For me, a key lesson from the tragic events of September 11 is the need for the international community to increase its commitment to playing a role in the search for long-term sustainable solutions.","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":"70 1 1","pages":"4, 3"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1163/22116176-90000127","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64568558","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":"[CHARACTERISTICS AND INCIDENCE OF HEAD AND NECK SKIN MALIGNANT NEOPLASMS IN THE POPULATION OF THE OSIJEK-BARANYA COUNTY 2004-2012].","authors":"Želimir Orkić, Dinko Puntarić, Eda Puntarić, Ida Puntarić, Domagoj Vidosavljević, Vlatka Gvozdić, Dijana Mayer","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Unlabelled: </strong>The aim of this study was to investigate the incidence and characteristics of malignant neoplasms of the skin of the head and neck region in the Osijek-Baranya County during the 2004-2012 period according to gender, age, place of residence, place of work, occupation, type and location of the neoplasm, and phenotypic characteristics of patients.</p><p><strong>Subjects: </strong>The study included all subjects with the diagnosis confirmed by histopathology finding and residents of the Osijek-Baranya County. The study included a total of 2952 persons, 1487 (50.4%) male and 1465 (49.6%) female, yielding an approximate annual incidence of 104/100,000. Mean age was 72 years. Respondents were mostly from rural areas (n = 1952, 66.2%). There were 2137 (72.4%) of respondents mostly working outdoors, mainly farmers (n = 907, 42.4%) and construction workers (n = 889, 41.6%).</p><p><strong>Results: </strong>According to the type of neoplasm, the basal cell type was most common with 2160 (73.2%) patients. Ninety-three (3.1 %) patients had malignant melanoma. According to localization, face was the most common site of malignant neoplasms with 839 (28.7%) and nose with 643 (22.0%) patients. Squamous cell carcinoma was significantly more common in men (n = 341, 56.6%) as compared with women (n = 262, (43.4%; p = 0.005). Subjects with malignant melanoma were significantly younger, with median age of 67 years. There were no significant differences according to the type of malignant neoplasms and place of residence, place of business, and occupation with regard to working outdoors or indoors. According to localization, significantly more squamous cell malignancies were found on the ears and lips (p = 0.039 and p < 0.001, respectively), malignant melanomas on the neck, head and eyes (p = 0.004, p < 0.001 and p = 0.026, respectively), and basal cell neoplasms on the nose (p = 0.002). There were no significant differences in the type and frequency of malignant neoplasms according to hair and eye color.</p><p><strong>Conclusion: </strong>It is obvious that the disease occurs after a decades-long incubation period and the cumulative effect of exposure to risk factors, with direct sun exposure, seems to have a significant role. Additional research is needed.</p>","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":"69 1","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811749","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":"[debridement algorithm].","authors":"Marin Marinović, Nera Fumić, Stanislava Laginja, I. Aldo","doi":"10.12968/jowc.2013.22.sup1.s39","DOIUrl":"https://doi.org/10.12968/jowc.2013.22.sup1.s39","url":null,"abstract":"Prolonged life expectancy increases the proportion of elderly population. The incidence of injury increases with older age. A variety of comorbidities (circulation disorders, diabetes mellitus, metabolic imbalances, etc.) and reduced biological tissue regeneration potential that accompanies older age, lead to a higher prevalence of chronic wounds. This poses a significant health, social and economic burden upon the society. Injuries in the elderly demand significant involvement of medical and non-medical staff in the prehospital and hospital treatment of the injured, with high material consumption and reduced quality of life in these patients, their families and caregivers. Debridement is a crucial medical procedure in the treatment of acute and chronic wounds. The aim of debridement is removal of all residues in wound bed and environment. Debridement can be conducted several times when there is proper indication. There are several ways of debridement procedure, each having advantages and disadvantages. The method of debridement is chosen by the physician or other medical professional. It is based on wound characteristics and the physician's expertise and capabilities. In the same type of wound, various types of debridement can be combined, all with the aim of faster and better wound healing.","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":"68 Suppl 1 1","pages":"95-101"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66259177","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":"Word of introduction.","authors":"N. Kučišec-Tepeš","doi":"10.2307/j.ctt1ffjhwf.3","DOIUrl":"https://doi.org/10.2307/j.ctt1ffjhwf.3","url":null,"abstract":"","PeriodicalId":35756,"journal":{"name":"Acta Medica Croatica","volume":"67 Suppl 1 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2013-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68716555","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}