Medicinski Casopis最新文献

{"title":"The influence of topical antiglaucoma drugs on the reduction of the decrease of visual field sensitivity due to optic nerve head drusen: Case report","authors":"Marija Radenković, G. Stanković-Babić, Jasmina Đorđević-Jocić, Marija Trenkić, S. Cekić, Milka Vasovic","doi":"10.5937/mckg56-34895","DOIUrl":"https://doi.org/10.5937/mckg56-34895","url":null,"abstract":"Optic nerve head drusen are congenital anomalies of the optic nerve, a form of calcium degeneration of axons of the optic nerve head. Initially asymptomatic, drusen may be one of the causes of progressive optic neuropathy. They are clinically presented as acellular, hyaline deposits of globular appearance in prelaminar segment of the optic nerve head. They occure due to: altered axonal transport, small diameter of scleral channel, compression and ischemia. Frequent complications include progressive visual field defects, ischemic optic neuropathy, central retinal artery or vein occlusion, or peripapillar neovascularization. Diagnostic tools: ophthalmoscopy, angiography, computerized perimetry, B-scan ultrasonography, CT, OCT, HRT, GDx, electrophysiological testing. The treatment is medicamentous, laser, or surgery. Most of the pilot studies confirms the benefit of topical hypotensive drugs even when the drusen are not associated with glaucoma. The decrease of intraocular pressure reduces compression of the optic nerve axons and improves reperfusion. This paper presents a young patient with bilateral optic nerve head drusen, progressive scotoma and topical hypotensive medication administered. After six months, scotoma and the loss of sensitivity were reduced. The effect of neuroprotective drugs is researched to reduce potential morbidity.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70986782","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":"Noise and its influence on human health","authors":"S. Stankov, Bogdan Stepančev","doi":"10.5937/mckg56-38021","DOIUrl":"https://doi.org/10.5937/mckg56-38021","url":null,"abstract":"Noise pollution can affect human health and have an influence on daily life on people. Being an unpleasant sound, noise is defined as unwanted sound which can cause auditory and non-auditory effects on human health. Apart from the exposure of noise in the workplace and its consecutive effects, noise as an exogenous stressor in everyday life has a various potential negative impacts on human health, both temporary or permanent. Occupational noise exposure mostly causes hearing loss and tinnitus among workers. The potential negative health effects of noise pollution include psychological distress, sleep disturbances, higher incidence of arterial hypertension and cardiovascular diseases. Also, noise exposure may be associated with an increased incidence of diabetes mellitus, headache, and pulmonary diseases, with possible effects of noise in health centers and hospitals on medical staff and patients. Noise pollution can have specific negative influence on sensitive humans, such as autistic and elderly people. Implementation of the different strategies and educational programs can reduce potential negative effects of noise on human health.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70987319","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":"Computer literacy and the impact of health information systems on work and quality control in nursing practice","authors":"Christos Alexopoulos, Bojan Veljković, Marija Mikić-Mladenović, I. Milojević, Marko Jovanovic, Momčilo Todorović, Tijana Jončić","doi":"10.5937/mckg56-39340","DOIUrl":"https://doi.org/10.5937/mckg56-39340","url":null,"abstract":"Objective. To determine whether the method of acquiring IT knowledge affects computer literacy and how the implementation of HIS affects work and quality control. Methods. The research was conducted as a cross-sectional study, in the population of nurses. The sample consisted of 116 respondents, who voluntarily agreed to participate in the research. Results. Respondents who have formal education in informatics showed a higher level of knowledge than respondents who do not. It was established that there is a statistically significant difference in computer literacy between respondents who acquired IT knowledge in different ways. Those who rated themselves better have higher scores on the knowledge test. The data indicate the existence of statistical significance of differences depending on the self-assessment of one's own computer skills. Almost half (46.7%) of respondents believe that the implementation of HIS made work easier, while 26% of them believe that it had no impact on work or made work more difficult. The largest percentage (59.9%) of respondents believed that the health information system facilitated quality control. Conclusion. The way of acquiring knowledge has the greatest influence on the computer literacy of nurses: nurses who had formal IT education showed a higher level of computer literacy. Nurses believe that thanks to the implementation of HIS, the quality control of the provided services has been significantly improved. The majority of health workers in the initial stages of introduction, application and development of the health information system had no formal education. Nevertheless, with the support of the institutions, they made a significant contribution to the implementation of HIS in the Republic of Serbia.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70987370","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":"Diagnostic and prognostic value of selenium and Selenoprotein P in patients with comorbid course of nonalcoholic fatty liver disease and arterial hypertension","authors":"N. Zhelezniakova, I. Tverezovska","doi":"10.5937/mckg56-36421","DOIUrl":"https://doi.org/10.5937/mckg56-36421","url":null,"abstract":"Objective. To evaluate the diagnostic and prognostic value of Selenoprotein P and selenium in the progression of liver damage in patients with nonalcoholic fatty liver disease (NAFLD). Methods. The study involved 120 patients: 50 with isolated NAFLD, 50 with comorbid NAFLD and hypertension, established according to the global and local guidelines. The control group included 20 relatively healthy volunteers. Liver function parameters, selenium and Selenoprotein P levels were assessed, and predictors of steatohepatitis were identified. Pearson's ch2, Mann-Whitney test, logistic regression was used. Results. The study found significant predominance of levels of Selenoprotein P (Sel P) and selenium in controls (71.0 (54.3; 76.1) ng/ml and 108.0 (96.9; 118.8) ng/ml respectively) compared with the NAFLD + hypertension (19.7 (8.0; 26.7) ng/ml and 43.5 (39.9; 49.1) ng/ml, p <0.001) and the NAFLD group (43.1 (41.3; 45.4) ng/ml and 67.2 (61.5; 77.4) ng/ml, respectively, p <0.001). Regression analysis determined association of Sel P and Sel levels with steatohepatitis: respectively, OR = 1,143 (95.0% CI 1,068-1,224) (p <0.001) and OR = 1,054 (95.0% CI 1,012-1,098) (p = 0.011). Other predictors of steatohepatitis were aspartateaminotransferase (OR = 1,421 (95.0% CI 1,198-1,687), p <0.001) and systolic blood pressure (OR = 1,089 (95.0% CI 1,017-1,116), p = 0.014). Conclusion. Levels of selenium and Selenoprotein P are associated with greater liver damage in patients with NAFLD, and the concomitant increase in systemic blood pressure is an additional factor that adversely affects the course of NAFLD, increasing the intensity of liver damage in such patients.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70986482","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":"Nutritional recommendations during long-term administration of glucocorticoids","authors":"Hajnalka Požar","doi":"10.5937/mckg56-42254","DOIUrl":"https://doi.org/10.5937/mckg56-42254","url":null,"abstract":"Glucocorticoids are highly effective medications used for the treatment of inflammatory and autoimmune disorders in rheumatology, pulmonology and neurology. However, using these medications for a long period of time, or in excessive doses, carries the risk of unwanted effects. Most typical sideeffects can be successfully prevented or reduced with adequate nutritional strategies. Increased appetite and weight gain can be reduced with regular meals with a selection of fresh, unprocessed foods in accordance with the principles of proper nutrition. Hypertension requires a reduced salt intake by < 3.75 g (1/2 teaspoon), along with the use of other herbs spices. Insulin resistance and elevated blood sugar levels can be reduced, by avoiding foods rich in simple carbohydrates, sugar and by preferring complex carbohydrates (whole grains, starchy foods, fruits, vegetables). Due to the high risk of osteoporosis, it is recommended to consume three servings of dairy products and fish per day in order to obtain an adequate intake of vitamin D. However, patients may find these recommendations unclear or overly strict, and they may require assistance, motivation, and repetition of information for practical application of these advice in everyday life.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70987572","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":"Prognostic contribution of two-dimensional left atrial strain in patients with asymptomatic mitral stenosis in the Tunisian population","authors":"W. Yaakoubi, K. Taamallah, A. Haggui, N. Hajlaoui, W. Fehri","doi":"10.5937/mckg56-41404","DOIUrl":"https://doi.org/10.5937/mckg56-41404","url":null,"abstract":"Objective. The two-dimensional strain is an objective echocardiographic technique allowing the quantification of myocardial deformation. The aim of this study was to specify prognostic contribution of left atrial strain in patients with asymptomatic mitral stenosis. Methods. We included consecutive patients followed for severe or moderately severe rheumatic Mitral Stenosis (MS), asymptomatic, during the period from January 2015 to June 2020 in the Military Hospital of Tunis. The patients followed were divided into two groups according to one criterion of judgment composed of: Cardiac mortality, The occurrence of hospitalization for cardiac reasons, The occurrence of atrial fibrillation (AF), The occurrence of a thromboembolic event, and the need for cardiac surgery or mitral valvuloplasty. Results. Initially eighty patients were selected, but only 53 were followed and then divided into two groups: 30 patients had at least one event and 23 patients had no events according to the occurrence of the major endpoint of the study. In a univariate study and for conventional echocardiographic parameters, we determined that if Left Atrium Area (LAA) is larger than 30 cm 2 and left atrium volume (LAV) more than 100ml/m 2, the risk of occurrence of an event increased significantly respectively (LAA: 69% vs 10%; p = 0.01; OR = 6.6; 95% CI [1.5-28]) and (LAV: 71.4% vs 39%; p = 0.002; OR = 4; 95% CI [1.1-13]). The same was true for left atrium deformation parameters, both Peak Atrial Longitudinal Strain (PALS) <25% and Peak Atrial Contraction Strain (PACS) <10 % were predictive of events in univariate study with the following respective odds ratios (ORs) (PALS: 83% vs 30.4%; p = 0.0001; OR = 11.4; 95% CI [3-42]), and (PACS: 90% vs 47%; p = 0.001; OR = 9.8; 95% CI [2.3-41]). In a multivariate study, the only independent parameter of the occurrence of an event was PACS <10% (p = 0.013; OR = 44; 95% CI [2.19-80]). Conclusion. PACS have prognostic value in asymptomatic MS as it predicts the occurrence of pathologic events in the followup of asymptomatic patients.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70987901","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":"Imaging methods of ovarian fibroma in a 55-year-old patient","authors":"Aleksandar Dević, A. Dević, M. Šorak, G. Zajic","doi":"10.5937/mckg56-36030","DOIUrl":"https://doi.org/10.5937/mckg56-36030","url":null,"abstract":"Objective. We present a patient aged 55 years, with ovarian fibroma measuring 134x72x112 mm and the associated fallopian tube measuring 55x9mm (previously analyzed ex tempore method). A fibroma is a benign ovarian tumor consisting of fibroblasts, collagen fibers and arising from the ovarian stroma. It accounts for 1% to 5% of all ovarian tumors and occurs in the population aged 20 to 80, most often after the age of 50. Methods. An ultrasonographic examination showed that the uterus swims in about 100 ml of anechoic free fluid. Anteuterine, a larger soft-tissue tumefaction, without a clear connection with the uterus, with clear borders and seemingly mobile, measures 106x80 mm. Following that, MSCT and MR of the abdomen and small pelvis were performed. After adequate preparation, the patient underwent a surgery, and the obtained material was sent for histopathological diagnosis. Results. The analyzed sample consisted of tumor proliferation of predominantly spindle cells organized by vertebrates, in some places vortex to zones of somewhat loose structure, focal with collagen and straight fibers. This histological finding is the most appropriate for fibroids, clearer preserved histological material. Conclusion. Surgery is the therapy of choice in the treatment of ovarian tumors. Despite the application and availability of all modern diagnostic methods, in this case report, the origin of the tumor was discovered by surgery. Consequently, we can conclude that accurate diagnosis of ovarian tumors is extremely difficult. In accordance with that, it is necessary to improve the existing techniques and discover new diagnostic procedures, on the basis of which the doctor would more easily decide, in the interest of the patient, on the adequate treatment of ovarian tumors.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70986883","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":"Depression, anxiety and stress among alcohol addicts","authors":"Stevan Barać, Medo Gutić, B. Vukcevic, Teodora Safiye, B. Radmanovic, Milan Đorđić, M. Sekulić, D. Stajić, Stefan Joksimović, Danijela Đoković, Snežana Samardžić","doi":"10.5937/mckg56-35057","DOIUrl":"https://doi.org/10.5937/mckg56-35057","url":null,"abstract":"Objective. The aim of the study was to examine the level of depression, anxiety and stress in alcohol addicts, i.e. to determine differences in the level of depression, anxiety and stress between the group of subjects diagnosed with F10.1 and the group of subjects diagnosed with F10.2, as well as to determine differences in sociodemographic characteristics and health status between the groups of subjects diagnosed with F10.1 and F10.2. Methods. Our study was designed as a non-experimental, observational cross-sectional study. It was conducted at the University Clinical Centre Kragujevac in the Clinic for Psychiatry, during January 2021. The sample consisted of 110 respondents of both sexes, aged 18 to 65, divided into two groups. The first group consisted of subjects diagnosed with alcohol dependence (F10.2), and the second group consisted of subjects diagnosed with alcohol abuse (F10.1). Results. Our study has shown that alcohol addicts have clinically significant and severe symptoms of depression, that symptoms were positively correlated with stress levels, and that short-term stress of milder intensity was associated with occasional alcohol abuse, while prolonged stress was a predictor of alcohol dependence. No statistically significant association of alcohol dependence and alcohol abuse with anxiety was found. It was also found that alcohol dependence is associated with certain sociodemographic characteristics such as gender and marital status, education level, employment status, as well as health status and the number of hospitalizations. Conclusion. With this study, we have shown how much stress is present and important in the genesis of alcoholism, as well as the positive correlation of depression and alcohol dependence, and the importance of sociodemographic characteristics in their genesis.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70986941","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":"Ectopic pelvic kidney in a child: A case report","authors":"","doi":"10.5937/mckg56-39508","DOIUrl":"https://doi.org/10.5937/mckg56-39508","url":null,"abstract":"Ntroduction. An ectopic pelvic kidney is an anatomical anomaly in the position of the kidney. In the stage of metanephros, its movement, rotation, and lifting from the pelvis to the lumbar area are absent. Due to vascular or other abnormalities, the kidney does not reach its usual anatomical position and therefore remains ectopic. The position in which it can be placed is retroperitoneal, abdominal, or thoracic, with numerous variations. Case report: A three-month-old male infant underwent kidney screening during an ultrasound examination of the hips. There had been a positive family history in the mother and maternal aunt of the existence of an ectopic, left pelvic kidney, without complications and accompanying symptoms. The clinical findings of the infant's systems were normal, he was developing in terms of body mass. The analyzes of urine, biochemistry, and urine culture did not show any pathological findings. Ultrasound examination showed that the left renal lobe was completely filled with spleen, without visualization of the left kidney. In the right lumbar box, there was the right kidney, with regular dimensions, clear edges and normal thickness of the parenchyma. Inferior to the right kidney, in the area of the right lumbar region, facing inwards, there was the left kidney with regular ultrasonographic characteristics. Urinary bladder was properly positioned, with normal dimensions and wall thickness. The infant was advised to see a pediatric nephrologist. Conclusion: This is another case of an ectopic kidney recorded during an echosonographic examination of the hips, thus demonstrating the importance of routine ultrasound examinations of the abdomen, in order to increase the possibility of early detection of anomalies of the abdominal organs.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70987013","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":"Panic attack in the outpatient clinic of emergency medical services in Belgrade","authors":"S. Živanović","doi":"10.5937/mckg56-39987","DOIUrl":"https://doi.org/10.5937/mckg56-39987","url":null,"abstract":"Objective. Panic attack is defined as specific, frightening experience of intense fear and impending catastrophe that is accompanied by numerous somatic symptoms. The scope of study was to show the presentation of panic attack disorder in patients in EMS Belgrade Ambulatory Clinic, its frequency, temporal patterns and prescribed therapy. Methods. The research is a cross-sectional study of the work of a one general practitioner and a gerontology subspecialist from the City institute outpatient clinic in Belgrade EMS, in the period from 18.12. 2014. to 16.01. 2019. in each patient's medical record there was at least one or more complaints recorded. Results. Out of 8398 patients, 61 were found with a diagnosis of panic attack, which is 0.73% of the total number of examined patients. 50.82% were male and 49.18% female, with an average age of 39.92. The most common symptoms were respiratory, as well as numbness and tingling, dizziness, feelings of insecurity and fainting, in 80.3% of cases, patients had somewhat similar symptoms previously, whereas 31.1% presented with an actual panic attack. Of the total number of patients 21.3% of them have already been treated for anxiety and depressive disorder. Ten of them tried to help themselves by taking either bromazepam and diazepam tablets on their own, whereas 35.5% were actually prescribed diazepam by our staff physicians. Conclusion: Panic attack is most often presented as a respiratory manifestation. Patients call for medical assistance somewhat more frequently at nighttime when community healthcare centers are closed, however, this is of no statistical significance. The administered therapy was diazepam orally or intramuscularly.","PeriodicalId":39117,"journal":{"name":"Medicinski Casopis","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70987426","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}