Uvod. Destruktivnost u agresivnom ponasanju se interpretira multikauzalno,a psihijatrijski uzroci su bioloske, socijalne i psihopatoloske prirode. Cilj jeispitivanje unistavanja života u formi suicida i homicida u Bosni i Hercegoviniu periodu od 01. 01. 2001. do 31. 12. 2010.Metode. Studija ima multicentricnu, retrospektivnu formu. Mjerni instrumentisu bili: lista opstih podataka, Hamiltonova skala (HAMD), profil indeksemocija (P.I.E-Plutchik R.) i postmortem SSIPA-intervju sa deskriptivnom imultivarijantnom statistickom analizom.Rezultati. Multivarijantna regresiona analiza je pokazala da su sljedecevarijable znacajno povezane sa suicidom: starost [OR= 0,810 (95%), CI=0,770 - 1,100, P=0,003]; migracije [OR=0,830 (95%), CI = 0,825 -1,125, P=0,001];depresija [OR=1,150 (95%); CI=0,790-0,990, P=0,001] i destruktivnost na P. I.E. testu. Sa homicidom su znacajno povezane sljedece varijable: edukacijaoca [OR=0,910 (95%), CI=0,620-1,100, P<0,001], život u blizini mjesta zlocina[OR=0,630 (95%), CI=0,970-0,910, P<0,001]; predgrađu [OR=0,850 (95%),CI = 0,930 -1,25, P<0,001]; destruktivnost [OR= 0,670 (95%), CI= 990–1,210,P<0,001]; inkorporacija, orijentacija i bias na P. I. E testu.Zakljucak. Studija je potvrdila porast destruktivnosti kod agresivnog ponasanjau suicidu i homicidu u Bosni i Hercegovini, sto ima medikolegalni znacaj.Studija ukazuje i na socijalne i psihopatoloske odlike pocinilaca agresivnostiu Bosni i Hercegovini.Kljucne rijeci: destruktivnost,
Background/Aims: The aim of this study was to find out the prevalence of the most frequent risk factors for chronic kidney disease (CKD) and the prevalence of urinary abnormalities in adult inhabitants of three Balkan endemic nephropathy (BEN) villages near Bijeljina, Bosnia and Herzegovina. Methods: The survey consisted of an interview, blood pressure measurement, and urine dipstick test for proteinuria, hematuria, and glycosuria. Results: The study involved 1625 (739 males, aged 51 ± 16 years) subjects: 319 (19.6%) with positive family history for BEN, 585 (36%) with hypertension, 604 (37.2%) above 60 years, 146 (9%) with diabetes, and 566 (34.8%) with none of these risk factors. Proteinuria was present in 6.2–7.1% of the subjects with risk factors for CKD but in 3.4% of those without risk factors. Systolic blood pressure and BEN in brother/sister were found to be significant variables associated with proteinuria, but female gender and history of kidney disease with hematuria. Conclusion: In addition to a family burden for BEN, other risk factors for CKD were highly prevalent in BEN villages of the Bijeljina municipality. The frequency of proteinuria was higher in the at-risk group than in the group without risk factors and increased with the number of risk factors.
AIM Several studies, comparing early and long-term results of the conventional carotid endarterectomy (CEA) and eversion carotid endarterectomy (EEA), were conducted for past 10 years. Nevertheless, it still remaining difficult to choose optimal endarterectomy technique. Choice yet mainly depends of experience of attending surgeon. The aim of this study was the comparison early and long-term results of the EEA and CEA. METHODS Randomly, 103 patients were operated on in the eversion, and 98 patients in the conventional technique; 97 (48.3%) patients were asymptomatic and 104 (51.7%) had symptomatic lesions. All patients underwent preoperative cervical duplex scanning and neurological examination. The surgical procedure was carried out under general anesthesia. In cases with retrograde blood pressure less than 20 mmHg shunt was used; 78.6% of all CEA were finished up with ''patch'' angioplasty and 21.4% by primary suture. The primary outcomes were perioperative and late mortality, perioperative and late central neurological complications, a long-term survival rate and late restenosis incidence. RESULTS The mean follow-up was 38 months. Mortality and long-term survival rate were similar in compared groups. The perioperative central neurological complications incidence were comparable in study groups (3.9% vs 12.1% , odds ratio 3.45, 95% confidence interval 1.1-11.1; P=0.029). The late restenosis incidence was significantly lower in eversion group (0.0% vs 6.1%). CONCLUSION EEA has an advantage over the conventional procedure. The authors recommend CEA in cases when retrograde pressure indicated the use of the intraluminal shunting.
We present the cases of two patients with primary venous aneurysms of the upper extremity involving basilic and cephalic veins. This rare disorder is described with a review of the literature, where we found only seven previously reported cases of such aneurysms.
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