Medica Jadertina最新文献_第5页

Rijetki slučaj empijema cavum septi pellucidi i principi neurokirurškog zbrinjavanja 罕见的七透明腔病例及神经外科治疗原则

Medica Jadertina Pub Date : 2023-06-02 DOI: 10.57140/mj.53.1.7

Alma Efendić, Hakija Bečulić, Rasim Skomorac, Aldin Jusić, Edin Selimović, Emir Begagić, Fatima Juković-Bihorac

引用次数: 0

Mental health and well-being in healthcare workers in Croatia during COVID-19 pandemic 2019冠状病毒病大流行期间克罗地亚卫生保健工作者的心理健康和福祉

Medica Jadertina Pub Date : 2023-06-02 DOI: 10.57140/mj.53.1.3

Andrea Tokić, Ivana Gusar, Matilda Nikolić Ivanišević

{"title":"Mental health and well-being in healthcare workers in Croatia during COVID-19 pandemic","authors":"Andrea Tokić, Ivana Gusar, Matilda Nikolić Ivanišević","doi":"10.57140/mj.53.1.3","DOIUrl":"https://doi.org/10.57140/mj.53.1.3","url":null,"abstract":"Aim: To examine changes in general and work well-being of health professionals in the Republic ofCroatia during the first and second waves of the pandemic COVID-19. Although there are numerousstudies, in our country and worldwide, that have examined the general and/or work well-being of healthcare workers during the pandemic(s), few researchers have used a longitudinal approach.Participants and methods: Ninety-two participants took part in the study. Most of the participantswere nurses and technicians (N=88; 95.65%), while physicians were represented to a much lesser extent(N=4; 4.35%). The sample was dominated by women (N=82; 89.1%), compared to men (N=10; 10.9%).Data from all participants were collected at two measurement time points corresponding to the two wavesof the pandemic in the Republic of Croatia. In addition to questions on sociodemographic characteristics(age, gender, workplace...), the following instruments were used: DASS-42 (to assess depression, anxietyand stress), Short Mental Health Inventory, Oldenburg Burnout Inventory and Job Satisfaction Scale.Results: A statistically significant increase in the level of depression (p < 0.05), anxiety (p < 0.05), andstress (p < 0.05) was found during the second wave of the pandemic compared to the first wave. Nosignificant changes were found in the general mental health status of the participants (p > 0.05). Regardingwork well-being, a significantly higher level of exhaustion was found (p < 0.05), while no significantchange was recorded in the level of alienation (p > 0.05), nor in the participants' job satisfaction (p > 0.05).Conclusion: Although the second wave of the pandemic was associated with an increase in depression,anxiety, stress, and exhaustion among convenient sample of health care workers, there was no decrease inlevels of mental health, job satisfaction, and alienation (burnout dimension).","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48551732","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

Quality of life of elderly persons with disabilities in the Republic of Croatia 克罗地亚共和国残疾老年人的生活质量

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.1

T. Benjak, Vanja Vasiljev Marchesi, Marijana Pavlić, Marijana Dumančić, Marijana Gojčeta, Marica Mirić, Lelia Kiš-Glavaš, Dejana Bouillet, Zrinka Špoljarić, Ana Vuljanić, G. Vuletić

{"title":"Quality of life of elderly persons with disabilities in the Republic of Croatia","authors":"T. Benjak, Vanja Vasiljev Marchesi, Marijana Pavlić, Marijana Dumančić, Marijana Gojčeta, Marica Mirić, Lelia Kiš-Glavaš, Dejana Bouillet, Zrinka Špoljarić, Ana Vuljanić, G. Vuletić","doi":"10.57140/mj.52.4.1","DOIUrl":"https://doi.org/10.57140/mj.52.4.1","url":null,"abstract":"Uvod: Pokazalo se da kvaliteta života pojedinca ne ovisi samo o ekonomskom napretku, nego i onjegovim subjektivnim prosudbama, te bi stoga praćenje subjektivne kvalitete života trebalo postatipreduvjet za donošenje političkih pravaca. Rad se bavi usporedbom kvalitete života osoba s invaliditetomstarije životne dobi s normativnim vrijednostima opisanim u znanstvenoj literaturi, a prema regijamaRepublike Hrvatske.Ispitanici i metode: Uzorak je obuhvatio 450 osoba s invaliditetom u dobi od 50 ili više godina (299 izkontinentalne i 151 iz priobalne Hrvatske). Osobna kvaliteta života ispitivala se pomoću Indeksa osobnedobrobiti za odrasle. Prikupljeni su podaci o sociodemografskim obilježjima ispitanika. U obradi sukorištene deskriptivne statističke metode, te Mann-Whitney U test za utvrđivanje razlike između regija.Rezultati: Ukupna kvaliteta života značajno je niža od teorijski pretpostavljene normativne vrijednosti zaopću populaciju. Najniži rezultat postignut je na domenama Zdravlje i Sigurnost u budućnost, a najvišarazina dobivena je na domeni Bliskih odnosa. Ispitanici u kontinentalnoj Hrvatskoj izvijestili su u prosjekunešto višu ukupnu kvalitetu života (53,02 naspram 49,31), no oba su rezultata bila ispod normativnograspona. Na razini domene postojale su značajne razlike u zadovoljstvu bliskim odnosima, povezanošću sazajednicom i osjećajem sigurnosti, pri čemu je skupina iz kontinentalne regije iskazala značajno većezadovoljstvo u odnosu na priobalnu regiju. Za ostale domene utvrđene su podjednake vrijednosti izmeđuregija.Zaključak: Kvaliteta života osoba s invaliditetom starije životne dobi je ispod normativnih vrijednosti,što prema teoriji homeostaze može dovesti do narušavanja zdravlja. Rezultati istraživanja mogu se koristitikao osnova za kreiranje pravaca razvoja kojima bi cilj trebao biti unaprjeđenje kvalitete života i očuvanjezdravlja osoba s invaliditetom, pogotovo osoba starije životne dobi","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45066569","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

Synchronous squamous cell carcinoma of the larynx and intrahepatic cholangio carcinoma – a case report 喉部鳞状细胞癌合并肝内胆管癌1例

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.9

A. Mišković, Ivana Pajić Matić, J. Samardžić, Ivan Vučković, D. Sauerborn, Tomislav Stojadinović, Karolina Veselski

{"title":"Synchronous squamous cell carcinoma of the larynx and intrahepatic cholangio carcinoma – a case report","authors":"A. Mišković, Ivana Pajić Matić, J. Samardžić, Ivan Vučković, D. Sauerborn, Tomislav Stojadinović, Karolina Veselski","doi":"10.57140/mj.52.4.9","DOIUrl":"https://doi.org/10.57140/mj.52.4.9","url":null,"abstract":"Postaviti dijagnozu zloćudne bolesti tijekom prvog pregleda bolesnika u hitnoj ambulanti nije jednostavno. Ako tijekom obrade proširenosti bolesti posumnjamo na inoperabilnost karcinoma, metastaziranje ili drugu zloćudnu novotvorinu, zadatak postaje još teži. Nedostatak protokola za aktivno liječenje bolesnika s dva sinkrona karcinoma udaljenih regija predstavlja veliki problem kod rijetkih bolesnika. Bolesnica u dobi od 64 godine javila se u hitnu ambulantu zbog promuklosti i razvoja obostrane otekline na vratu. Postavili smo dijagnozu karcinoma epiglotisa s obostranim metastazama u vratu. U sklopu obrade bolesnice uočili smo neočekivanu hipovaskularnu leziju jetrenog parenhima te smo dijagnosticirali kolangiokarcinom jetre. S obzirom na dva sinkrona karcinoma, bolesnicu smo uputili multidisciplinarnom onkološkom timu koji je indicirao konkomitantnu kemoradioterapiju, a liječenje je još uvijek u tijeku. Dva sinkrona karcinoma udaljenih regija izrazito su rijetka. Pretraživanjem baza podataka Pubmed i Google Scholar opisan je još samo jedan slučaj istovremenog karcinoma grkljana i kolangiokarcinoma u kojem nije provedeno aktivno liječenje, već samo palijativna skrb. Slučaj naše bolesnice pokazuje kako postoje terapijske opcije koje mogu produljiti život i poboljšati kvalitetu života takvih bolesnika.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42874041","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

Povijesna važnost uspostave protuepidemijskih mjera učinkovitih u prevenciji zaraznih bolesti u Hrvatskoj i u svijetu

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.4

Anamarija Pisarović

{"title":"Povijesna važnost uspostave protuepidemijskih mjera učinkovitih u prevenciji zaraznih bolesti u Hrvatskoj i u svijetu","authors":"Anamarija Pisarović","doi":"10.57140/mj.52.4.4","DOIUrl":"https://doi.org/10.57140/mj.52.4.4","url":null,"abstract":"Povijest čovječanstva blisko je povezana s pojavom pandemija koje su pustošile svijet mijenjajući sociekonomska obilježja te utjecala na ishode ratnih sukoba i promjene državnih granica, ozbiljno prijeteći ljudskoj vrsti, budući da su zarazne bolesti bile uvjerljivo vodeći uzrok smrtnosti. Pandemija COVID-19 šokantno se odrazila na razne aspekte ljudskog postojanja, a svijet se našao pred izborom između scenarija koji se aktivno bori protiv virusa uvođenjem snažnih protuepidemijskih mjera, brojeći mrtve u tisućama i scenarija koji uslijed blagih mjera pušta virusu da se širi populacijom brojeći mrtve u milijunima. Dubrovnik je prvi grad u Europi koji je 1377. g. uveo preventivnu mjeru protiv širenja bolesti izoliranjem ljudi, životinja i dobara koji su tamo stizali iz sumnjivih zaraženih zemalja, što predstavlja prijelomni događaj u povijesti europske medicine, socijalne politike i pomorske trgovine. Revolucionarno otkriće cjepiva zauvijek je promijenilo tijek prirodne selekcije i omogućilo sadašnju razinu zdravlja i duljinu ljudskoga vijeka, pa se zasluženo smatra civilizacijskim postignućem, budući da je tom javnozdravstvenom mjerom spašeno više života nego nekom drugom intervencijom. Svjetska zdravstvena organizacija (WHO) je, uz potporu zemalja i partnera, podržala novu globalnu viziju i strategiju pod nazivom Agenda imunizacije 2030, kako bi se suočila s izazovima tijekom sljedećeg desetljeća u spašavanju više od 50 milijuna života, omogućivši cjepivo svima i svugdje.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42435696","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

Congenital diaphragmatic (Bochdalek) hernia of the fetus 胎儿先天性膈疝

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.5

V. Bartoš, Oľga Káčeríková

{"title":"Congenital diaphragmatic (Bochdalek) hernia of the fetus","authors":"V. Bartoš, Oľga Káčeríková","doi":"10.57140/mj.52.4.5","DOIUrl":"https://doi.org/10.57140/mj.52.4.5","url":null,"abstract":"Congenital diaphragmatic hernia (CDH) is a developmental malformation characterized by a defect in the diaphragm that allows abdominal viscera to move into the chest cavity. A routine ultrasound screening performed during pregnancy detects over half of all cases. This paper describes two women who were prenatally diagnosed to have a fetus with isolated posterolateral CDH. Both mothers underwent medical abortion. In the first case, a postmortem examination of the fetus revealed a large right-sided CDH, in which a part of the liver and small intestine were propagated into the chest. In the second one, a huge left-sided CDH was identified, in which the entire stomach, a large proportion of the small intestine and part of the left lobe of the liver were pushed up into the thoracic cavity. CDH is a diagnostically challenging birth defect with a marked variation in severity and corresponding survival. In utero-diagnosed cases usually represent more severe and prognostically unfavorable conditions than those that were postnatally diagnosed. Early prenatal detection of CDH may help improve the clinical outcome as the mother can be referred to a specialist center before the onset of labor for optimal perinatal management. A legal medical abortion should be the last option after all the others have been exhausted.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48808282","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

Inverted supernumerary nasal tooth 倒置的多生鼻牙

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.8

Thomas Ferenc, Goran Zovak, V. Vidjak

引用次数: 0

Atipični meningeom paranazalnih šupljina - prikaz slučaja

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.7

Matija Miškec, Hrvoje Čupić, Tomislav Gregurić, Tomislav Baudoin

{"title":"Atipični meningeom paranazalnih šupljina - prikaz slučaja","authors":"Matija Miškec, Hrvoje Čupić, Tomislav Gregurić, Tomislav Baudoin","doi":"10.57140/mj.52.4.7","DOIUrl":"https://doi.org/10.57140/mj.52.4.7","url":null,"abstract":"Uvod: Meningeomi su najčešći primarni tumori središnjeg živčanog sustava kod odraslih, te čine preko 30% svih intrakranijalnih tumora. Prema Svjetskoj zdravstvenoj organizaciji (World Health Organization - WHO) klasificiraju se kao benigni (WHO gradus I), atipični (WHO gradus II), te maligni/anaplastični (WHO gradus III). Ekstrakranijalni meningeomi, bez intrakranijalne komponente, vrlo su rijetki, te čine samo 1-2% slučajeva svih meningeoma. Prikaz slučaja: Šezdesetjednogodišnjem muškarcu s recidivom tumora etmoidnog sinusa lijevo, učinjena je endoskopska resekcija. Bolesniku je prije 7 godina (2015. g.) učinjena prva endoskopska operacija tumora etmoida lijevo. Patohistološki nalaz tada je pokazao da se radi o metastazi karcinoma bubrega. Bolesniku je prije 17 godina (2005. g.) učinjena desnostrana nefrektomija radi primarnog karcinoma bubrega. Rezultati opsežne imunohistokemijske analize reseciranog recidiva tumora upućuju na to da se radi o atipičnom meningeomu. S obzirom na dvije različite patohistološke dijagnoze, učinjena je revizija materijala prve endoskopske operacije, odnosno dodatna imunohistokemijska analiza. U spomenutoj naknadnoj imunohistokemijskoj analizi upotrijebljeni su, ranije nedostupni, specifični markeri potencijalnog metastatskog karcinoma bubrežnih stanica. Pokazalo se da su spomenuti specifični markeri negativni u oba uzorka, odnosno da se nije radilo o metastazi karcinoma bubrega, već o atipičnom meningeomu. Zaključak: Atipični meningeomi paranazalnih šupljina vrlo su rijetka stanja nerazjašnjene etiologije. Radikalna kirurška ekscizija bi trebala biti glavni cilj, kako bi se smanjila pojava recidiva. S obzirom na to da su atipični meningeomi skloni recidiviranju, potrebno je redovito praćenje takvih bolesnika.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43286236","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

Apsces dubokih vratnih prostora kao komplikacija Pottove bolesti. Prikaz slučaja

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.6

Ž. Odobašić, Maja Pobi Salajpal, Matija Miškec, Vlatka Kovačić Vrbanić, Leon Vrtarić, Marijana Boček, Nevena Janđik, Helena Radičević Milun, Mislav Kovačić, Valentino Potroško

引用次数: 0

Body image and body mass index of pregnant woman do not affect the growth indicators of newborns. A Cross-Sectional Study 孕妇的身体形象和体重指数不影响新生儿的生长指标。横断面研究

Medica Jadertina Pub Date : 2023-02-28 DOI: 10.57140/mj.52.4.2

M. Keshavarz, M. Kaviani, Setareh Derakhshanpour, Marzich Akbarzadeh

{"title":"Body image and body mass index of pregnant woman do not affect the growth indicators of newborns. A Cross-Sectional Study","authors":"M. Keshavarz, M. Kaviani, Setareh Derakhshanpour, Marzich Akbarzadeh","doi":"10.57140/mj.52.4.2","DOIUrl":"https://doi.org/10.57140/mj.52.4.2","url":null,"abstract":"Aims: The aim of the study is to investigate the relationship between the body image and body mass index (BMI) of pregnant women with newborn growth indicators in selected hospitals of Shiraz University of Medical Sciences. Methods: A cross-sectional study was conducted on 420 pregnant women over 17 years old, who were selected by consumptive sampling method, in the hospitals affiliated to Shiraz University of Medical Sciences. The research questionnaire was conducted through the multidimensional questionnaire of a person's attitude towards her body image (MBSRQ). Due to the large number of sample size, Pearson's inferential test was used and P<0.05 was considered statistically significant. Results: The mean age of the women was 29.52±6.04 year, mean BMI was 24.66±3.96 kg/m2, and mean score of body image was 249.86±22.27. The body image score was not significantly associated with newborn growth indicators (birthweight p=0.222, length p=0.534, head circumference p=0.537). Also, the women’s BMI was not significantly related to the newborn growth indicators (birthweight p=0.180, length p=0.577, head circumference p=0.720). The BMI was inversely related to satisfaction with different body parts (p<0.001), individual's attitude towards weight (p<0.001) and total score of women's body image (p<0.001). Conclusions: the body image in pregnancy had a significant relationship with the women's BMI. However, more comprehensive prospective studies are recommended to carefully examine the effects of pregnant women's body image on newborns growth (both term and preterm), because studies in this area are very limited.","PeriodicalId":39401,"journal":{"name":"Medica Jadertina","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48150918","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