Acta medica Iugoslavica最新文献

{"title":"[A bronchiolitis epidemic caused by respiratory syncytial viruses].","authors":"A Jelić,&nbsp;O Jelić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the typical period of the year (autumn-winter 1986-1987) an outbreak of bronchiolitis in infants caused by respiratory syncytial virus (RSV) occurred. The acute course of the illness, a severe clinical picture, and a very fast spread of infection called for the very rapid techniques for detecting the etiological agent. Applying the direct immunofluorescent antibody test (DFTA) in samples of nasopharyngeal secretions, RSV was found to be responsible for the epidemic. Later the same samples of the material were inoculated into tissue cultures and RSV was isolated. Fourfold or higher titres of complement fixing antibodies in paired serum samples confirmed the infection with RSV. During the outbreak of bronchiolitis 72 children aged under 15 months (only one child was older than one year) were hospitalized. The majority of cases of RSV bronchiolitis was noticed in infants in the first six months of life (81.9%, chi 2 = 31.1, p less than 0.01). Boys against girls were in relation as 1.25:1. Because of the broncho-obstructive component of the illness, respiratory failure was the dominant sign in the clinical picture of bronchiolitis; 34.7% of the patients were afebrile, 16.7% were in the state of hyperpyrexy and 48.6% with temperature up to 38 degrees C. Oxygen and symptomatic therapy were the basic treatment. In severe cases corticosteroids and antibiotic were administered for a short time. The classical type of bronchiolitis in infancy as the most severe among acute infections of respiratory organs because of its poor prognosis at the very beginning and the long-term sequels is a serious medical problem. Emphasis is laid on the importance and usefulness of the virologic diagnosis, especially the application of rapid DFTA techniques in the acute stages of bronchiolitis caused by infections with respiratory syncytial virus during the epidemic occurrence of this agent.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 3","pages":"247-58"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13546093","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 superego in patients' dreams in group analysis.","authors":"E Klain,&nbsp;L Moro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The paper gives an introduction to the superego in patients' dreams in group analysis and presents new contributions to the theory of the superego. The following aspects are dealt with in more detail: the superego as resistance to change, the superego in the group, the dream is the group--the group is the dream, uncovering the superego in a group member's dream, possibilities of therapeutic action on the superego in the group, working with a member's dream in the group, countertransference reactions to \"superego-dreams\" in the group and the therapeutic effect of the \"superego-dream\" analysis in the group.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 4","pages":"307-323"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13246695","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":"[Mortality in gastric cancer in Yugoslavia 1969-1983].","authors":"B Adanja,&nbsp;M Jarebinski,&nbsp;H Vlajinac,&nbsp;V Pantović","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>From 1969 to 1983, 3658 death cases of stomach cancer in Yugoslavia were recorded, the standardized mortality rate being 15.9 per 100,000. In the same period, the highest mortality rates were noticed in Slovenia--23.5% and in Croatia and Macedonia--21.5% in each republic. Serbia and Bosnia and Herzegovina followed with 21.5 deaths from stomach cancer per 100,000 in each republic. Montenegro has the lowest mortality rate--5.7%. During 15 years, there was a marked decrease of the stomach cancer mortality for both sexes in Yugoslavia; the equation of the linear trend were y = 24.9-0.23x for males and y = 12.3-0.6x for females. According to the WHO statistical data on the stomach cancer mortality, Yugoslavia occupies the middle place among the countries with high and low risks of cancer.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 1","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13487117","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":"[Respiratory symptoms and ventilatory capacity in pig-farm workers].","authors":"E Zuskin,&nbsp;Z Zagar,&nbsp;B Kanceljak,&nbsp;B Kopjar,&nbsp;M Tonković-Lojović","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A group of 59 swine farmers was studied to assess the prevalence of acute and chronic respiratory symptoms and ventilatory capacity changes. Among men there was a significantly higher prevalence of almost all chronic respiratory symptoms compared to the control workers. For female workers there was a significantly higher prevalence of chronic cough, dyspnea and chest tightness than in control workers. There was a high prevalence of acute symptoms during work shift among the swine confinement workers. Significant acute reductions were recorded for all ventilatory capacity tests being largest for FEF25 indicating obstructive changes mostly in smaller airways. All significantly lower ventilatory capacity data in male and FVC and FEV1 in women were found in comparison to predicted normal values. The results obtained indicate that exposure in swine confinement buildings may cause the development of respiratory symptoms and ventilatory capacity abnormalities.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 5","pages":"499-512"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232617","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 role of myopic ametropia in visual field examination].","authors":"B Cerovski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author examined 30 myopic patients to determine the influence of myopic refractive anomaly and adequate correction of close and far vision on the visual field findings established by Goldmann kynetic perimetry in photopia and on the interpretation of the results obtained. The hypothesis was statistically tested by a variance between the two arithmetic mean values. The results have shown that the logarithmic model was the most appropriate one. It has been found that there are virtually no visual field changes in patients with up to---2.50 diopters and without the correction of ametropia, while in patients with---3.0 diopters incipient changes in the form of a narrowed internal isopter were seen.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 5","pages":"541-7"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232621","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":"Risk factors in nonarteritic anterior ischemic optic neuropathy.","authors":"B Cerovski,&nbsp;B Sarić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors have investigated risk factors associated with the occurrence of nonarteritic anterior ischemic optic neuropathy (AION) in 83 patients and 124 eyes. 12% of the patients with nonarteritic AION had diabetes mellitus, 37.3% hypertension, 14.5% atherosclerosis, while the rest (36.2%) were classified as idiopathic. The incidence of bilateral AION was slightly less than 50%. The period in which both eyes get affected is usually 1-2 months or longer. Nonarteritic AION can occur at any age, therefore it is seen in young people as well. The role of arterial hypertension and diabetes in pathogenesis of AION is still to be determined.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 5","pages":"533-40"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232620","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":"Some aspects of adrenocortical stress response following stroke.","authors":"M Korsić,&nbsp;V Brinar,&nbsp;V Plavsić,&nbsp;D Mihajlović,&nbsp;Z Giljević","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stress response measured as the cortisol secretion rate as well as urinary 17 oxogenic steroid (17 OGS) and 17 oxosteroid (17 OS) excretion was investigated in a group of 28 patients with stroke (11 with hypertensive intracerebral hemorrhage and 17 with ischemic cerebrovascular insult). Significantly higher cortisol secretion values were found in the group of patients who died (p less than 0.01). Similarly, the first day urinary 17 OGS excretion pointed to the greater adrenocortical response in patients who died (p less than 0.05). Urinary 17 OS excretion was normal or below normal in the majority of patients and no difference was found between either male or female patients who survived or died. Our findings indicate that adrenocortical changes which maximize the production of cortisol are operative soon after the onset of stroke. The cortisol secretion rate appeared to be a good indicator of the severity of the stress caused by stroke and may be useful in predicting the prognosis of the illness.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 2","pages":"137-45"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13267769","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":"[Small gastrin (G-17) serum levels after stimulation with food during conservative treatment of patients with chronic renal insufficiency].","authors":"P Kes,&nbsp;A Ivanovic,&nbsp;B Vizner,&nbsp;L Stefanić","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The physiological release mechanism for gastrin is complex, including both mechanical and chemical stimuli. Distention of the antrum is the main mechanical stimulus, and proteins and their degradation products constitute the most potent chemical stimuli. The aim of the present study was to examine the little gastrin (G-17) response to a test meal and to study the relationship between the G-17 concentration and gastric acid secretion in patients with various degrees of chronic renal failure (CRF). In 14 CRF patients under conservative treatment and 12 healthy control subjects, fasting and stimulated G-17 concentrations, as well as basal (BAO), maximal (MAO) and peak acid secretion (PAO) were measured. Mean fasting serum G-17 in CRF patients was 7.8 +/- 0.8 pmol/L, significantly higher (p less than 0.001) than in control subjects (5.9 +/- 1 pmol/L). However, the range of basal G-17 concentrations in both groups of subjects was not different from the normal values (4.2 +/- 11.3 pmol/L). The serum G-17 response to the food stimulation was significantly higher (p less than 0.001) in the control subjects than in the CRF patients. In normal subjects, the increment in the serum G-17 concentration rose to a peak at 30 min, but in the CRF patients the peak increment occurred at 60 min, and the response was more prolonged. There was a little difference in meal-stimulated serum G-17 concentrations in patients with various degrees of renal functional impairment. Basal acid output (BAO) was significantly higher (p less than 0.001) in the control subjects (2.62 +/- 0.51 mmol/h) than in the CRF patients (1.68 +/- 0.4 mmol/h). No significant difference in both the maximal acid output (MAO) and peak acid output (PAO) was found between the groups of CRF patients and control subjects. There was no relationship between G-17 concentrations and the gastric acid output in the CRF patients. From the results of the present study it is concluded that the human kidney is unimportant in the catabolism of G-17 but that the renal failure seems to decrease the rate of the peripheral extraction of gastrin by other tissues. The raised basal and meal-stimulated G-17 concentrations sometimes seen in CRF patients are associated with decreased rather than increased gastric acid secretions.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 5","pages":"471-87"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13232615","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":"[Classification of secretory otitis based on cytological analysis of middle ear transudate].","authors":"I Dvorski,&nbsp;N Sprem","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On the basis of the number of cell elements in the cytologic smear of the transudate from the middle ear, secretory otitis media was divided into four groups providing indication for therapeutic procedures. The first group is characterized by a mass of mucus and very scarce cell elements, suggesting a relatively short duration of illness and the healing by conservative therapy and adenoidectomy. The second group contained somewhat more cell elements in the cytologic smear, suggesting a longer duration of illness and requiring the use of a ventilation tubule in the therapeutic procedure. The third group showed a considerable cell infiltration and the appearance of individual collagenic fibres scattered in disorder in the smear. The transudate is dense, sticky, and dark. Its aspiration from the cavum is not easy. The finding suggests a long duration of illness, requiring a more active approach of the otosurgeon. The fourth group is characterized by a very scarce but dense aspirate from the middle ear. The cytologic smear shows an intense cell infiltration and a mass of collagenic fibres, which speaks for a very long duration of illness and for the necessity, in view of the formation of connective tissue in the middle ear, of an explorative tympanotomy coupled with adhesiolysis and the use of the ventilatory tubule.</p>","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 5","pages":"555-64"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13233948","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":"[Visual cortex disorders at the onset of subacute sclerosing panencephalitis].","authors":"Z Martinović,&nbsp;N Jović,&nbsp;C Vasiljević-Tadić","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":7058,"journal":{"name":"Acta medica Iugoslavica","volume":"44 5","pages":"577-87"},"PeriodicalIF":0.0,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13233950","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}