Modern society has not forgotten yet epidemics that killed millions in the last millennium and the COVID-19 pandemic caused by the SARS CoV-2 has recently emerged With the onset of the Wuhan epidemic in the Chinese province of Hubei, the initially called new corona virus due to the similarity of 80 % to the 2002 SARS virus was renamed to SARS CoV-2 The virus was originally isolated from bronchoalveolar aspirate specimens Viral RNK was detected in 6 of 41 blood samples with clinical signs of infection A senior Chinese expert told to the media that the median incubation period was 7 days, ranging from 2 -1 2 The International Health Regulations Emergency Committee for Epidemics gives a preliminary estimate basic reproduction number R0 of 1 4 - 2 5 COVID-19 is mainly transmitted by close contact with the infected by drops due to sneezing and coughing Fever, cough, myalgia and fatigue are the predominant initial signs and symptoms The clinical picture is non-specific Exacerbation occurs suddenly, as bilateral interstitial pneumonia that requires admission to intensive care Initial lethality in hospitalised cases was 15 %, but these estimates had to be taken with reserve as the situation evolved According to recent data, the global fatality rate is 3 7 %, the lethality rate in China is 3 9 % and in Italy 6 8 % According to data from the Chinese Centre for Disease Control and Prevention, of 44,672 confirmed cases 1,023 people died, therefore lethality was 2 3 % In the absence of specific prevention and control measures, mankind is limited to general prevention measures [ABSTRACT FROM AUTHOR] Copyright of Scripta Medica is the property of Scripta Medica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission However, users may print, download, or email articles for individual use This abstract may be abridged No warranty is given about the accuracy of the copy Users should refer to the original published version of the material for the full abstract (Copyright applies to all Abstracts )
Introduction. Asthma and obesity are the most common chronic health disorders in children. Although heredity plays a significant role in their development, environmental factors and early exposure have contributed to the increasing incidence of both disorders in recent decades. The aim of the study was to estimate asthma prevalence in schoolchildren in Indjija, Srem District, Serbia, and to investigate differences in nutritional status of children with asthma as well as differences between their nutritional status and prescribed asthma medications. Material and Methods. A cross-sectional retrospective cohort study was conducted at the Primary Health Center in Indjija. Of all the medical records of children aged 6 - 14 years, a cohort of children with asthma was formed. The retrospective study evaluated their nutritional status and the prescribed asthma medications. Results. The prevalence of asthma in children aged 6 - 14 was 6.9%. Children with asthma were significantly more overweight and obese (40.5%) than children without asthma. Boys accounted for 63.7% of children with asthma, with a statistically significant gender difference. Abnormal nutritional status was found in 44.3% of children with asthma and boys with asthma were significantly more obese (23%) compared to girls (7.8%). Overweight and obese children with asthma were not prescribed significantly more medications to relieve asthma symptoms than normal-weight children. Conclusion. The prevalence of asthma among schoolchildren in Indjija was 6.9%. Children with asthma were more likely to be overweight and obese than children without asthma, whereas boys with asthma were significantly more obese than girls. No significant differences were found between their nutritional status and prescribed asthma medications.
Chronic non-communicable diseases are diseases that arise as a response of the human body to a number of factors, the most important of which are ecological and socio-economic factors. According to the World Health Organization, their classification is based on mortality and morbidity statistics. The top four leading causes of death are as follows: cardiovascular diseases, malignancies, chronic respiratory diseases and diabetes. Non-communicable diseases (NCDs) present a global public health problem, leading to over 40 million deaths a year, whereby the population aged 30 to 69 years account for one third of the total number of deaths. Risk factors for the development of chronic NCDs can be divided into metabolic and environmental ones. Metabolic risk factors include hypertension, hyperglycemia, hyperlipidemia and obesity. Environmental risk factors include: alcohol and tobacco consumption, followed by physical inactivity and unhealthy diet. Unhealthy diet, apart from posing a risk for the development of NCDs, is also the cause of metabolic risk factor development, namely hypertension and obesity. The world nutritional authorities are focused on making dietary recommendations to prevent the rising trend and subsequently reduce morbidity from NCDs.
Atherosclerosis is the leading cause of cardiovascular disease (CVD) worldwide. Recently, mortality and morbidity from CVD have shown a trend in its occurrence in earlier years, while these diseases have been associated with older age until recently. In developed countries, mortality from diseases caused by atherosclerosis has decreased over the last 50 years. However, such a trend is not reflected in both underdeveloped and developing countries where mortality remains high. Risk factors have been identified and their control can influence the reduction in morbidity and mortality from CVD associated with atherosclerosis. Among these, the so-called variable risk factors are the following: increased concentration of LDL cholesterol fraction (LDL) and/or decreased concentration of HDL cholesterol fraction (HDL), hypertension, cigarette consumption, diabetes mellitus/metabolic syndrome, improper diet, while genetic predisposition is still considered to be an invariable risk factor. In order to reduce the incidence of atherosclerosis, the World Health Organization recommends a two-pronged approach that includes public health interventions to reduce population risk factors and medical interventions for individuals at high risk with stricter surveillance of risk factors. Examples of multisectoral public health interventions include increasing taxes on cigarettes and alcohol, followed by a massive campaign to promote physical activities and healthy diet, that is to promote healthy lifestyles.
Objective. The aim of this study was to examine the effect of expanded hemodialysis on the degree of b2-microglobulin removal. Methods. Sixteen patients treated with extended MCO hemodialysis were examined. The main parameter for assessing the efficiency of removal of uremic toxins of middle molecular weight is the concentration of b2-microglobulin in the serum before and after a single session of extended MCO hemodialysis. The following were used for statistical analysis: Kolmogorov-Smirnov test, Student's T test for bound samples and Wilcoxon test. Results. Extended MCO hemodialysis effectively removes uremic toxins of middle molecular weight. The reduction index of b2-microglobulin during a single session of extended MCO hemodialysis is 70.60 ± 5.88%. The average loss of albumin during a single session of extended MCO hemodialysis is 1.88 ± 1.02 g/4h, and the index of albumin reduction is 4.94 ± 2.49%. Conclusion. Extended MCO hemodialysis effectively removes b2-microglobulin. The b2-microglobulin reduction index is ~ 71% and the albumin loss is less than 4.0 g/4h. This dialysis modality prevents the development of amyloidosis, atherosclerosis and atherosclerotic cardiovascular diseases in the population of patients treated with regular hemodialysis.
The environmental benefits of green roofs have been widely recognized. In recent years, increasing attention has been paid to moisture management in the green roof systems. The moisture in the green roof has an influence on its thermal and hydrological performances. An accurate measurement of water content in green roof substrate is important for irrigation monitoring, optimal irrigation management, and plant growth. Knowing the performance and characteristics of the sensor for the chosen substrate layer in a green roof system is essential. This paper presents laboratory calibration of the capacitive moisture sensor in two types of the green roof substrate layer. The volumetric water content of several mineral wool and soil samples, with the water content from low until saturated, were measured using the gravimetric method and related to frequency obtained by the sensor. The results have shown that the capacitive moisture sensor has a good response to water content variation.
Poremećaji hoda i poremećaji ravnoteže uobičajeni su klinički problemi za starije osobe. Uzroci poremećaja hoda su individualni, često zbog fiziološkog procesa starenja i somatskih bolesti. Poremećaji hoda dovode do gubitka lične slobode, pada i povreda i rezultiraju značajnim smanjenjem kvaliteta života. Kod starijih osoba, kontrola statičke i dinamičke kontrole položaja i ritma je poremećena, što dovodi do izmijenjenog hoda, smanjuje se korak, povećava se širina hoda kako bi se održala ravnoteža, gornji dio tijela se savija prema naprijed da bi se održala ravnoteža, ruke se ne pomiču dok hodaju, hod je nepravilan, teže je započeti prve korake nakon sjedenja ili stajanja, kao i okretanja. Ako je moguće, najbolje je tretirati etiološki faktor, tj. osnovne bolesti, kao što su parkinsonizam, neki metabolički poremećaji itd. Treba voditi računa o nusefektima nekih lijekova, naročito antiparkinsonika, sedativa, hipnotika i antidepresiva. Također je potrebno uključiti i druge specijaliste, kao što su reumatolozi, fizijatri i fizioterapeuti, kao i internisti, kardiolozi i dijabetolozi. Kognitivne strategije također mogu biti korisne, na primjer usmjeravanje pažnje na svaki pojedinačni korak, a ne čin hodanja kao takav, svjesno pokušavajući napraviti pojedinačne velike korake, ili mentalno brojanje, kao i upotreba pomagala za hodanje.
SAŽETAK: Uvod: Alergija na hranu je u zadnjih 20 godina postala značajan zdravstveni problem. Prevalencija se kreće od 3-38% samoprijavljenih slučajeva, odnosno od 1-7% dijagnosticiranih slučajeva alergije. Zadnjih godina su poduzeti brojni projekti kako bi se odredila prevalencija, vrsta alergena, uzroci alergija, veza sa ostalim zdravstvenim problemima, načini dijagnosticiranja, provođenje kontrole rizika u prehrambenoj industriji, prilagođavanje zakonske regulative potrebama alergičnih osoba itd. Dok su neke države uradile mnogo po ovom pitanju, još uvijek je veliki broj onih koji nemaju podataka o alergijama na hranu na svom području, a takva je situacija i u BiH. Cilj rada: Utvrditi prevalenciju alergija na hranu iz anketnog ispitivanja u Kantonu Sarajevo. Utvrditi kakva je učestalost nekih drugih alergija kod ispitanika. Materijal i metod rada: Ovo presječno istraživanje o alergiji na hranu provedeno je tokom marta i aprila 2017. među stanovnicima Kantona Sarajevo oba spola i svih dobnih skupina metodom slučajnog uzorka. Posebno dizajniran anketni upitnik od 16 pitanja popunilo je 480 ispitanika. Istraživanje je provedeno retrospektivno. Rezultati: Rezultati ankete provedene na području Kantona Sarajevo pokazuju procenat od 51% osoba koje prijavljuju da imaju neku vrstu alergije, među njima je 20% prijavljenih alergija na hranu, odnosno 11,7 % slučajeva dijagnosticiranih alergija na hranu, a u odnosu na ukupan broj od 480 (100%) ispitanika koji su učestvovali u anketi. Najčešće prijavljeni alergeni su: mlijeko i mliječni proizvodi, žitarice, jaja, kikiriki, orašasti plodovi, riba (sa školjkama i rakovima) i jaja. Zaključak: Dobiveni rezultat prevalencije alergije na hranu u našem istraživanju u ukupnom ispitanom uzorku od 480 anketiranih, njih je 96 (20%) ispitanika što ukazuje da je problem alergija na području Kantona Sarajevo značajan, i da se učestalost kreće u vrijednostima koje su karakteristične i za druge regije Evrope i svijeta. Zakonska regulativa se redovno usklađuje sa pravnom tekovinom Evropske unije, ali postoji nedostatak lako dostupnih informacija, koje bi alergičnim osobama olakšale proces dijagnosticiranja, preveniranja kontakta sa alergenima i snalaženje u svakodnevnom životu. Ključne riječi: alergija na hranuprevalencija; alergeni u hrani; Kanton Sarajevo
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