The quality of life of lumbar radiculopathy patients under conservative treatment

Background/Aim. The quality of life of lumbar radiculopathy patients conditioned by their health status is a result of both their subjective perception of the disease and their objective health status. The aim of this study was to evaluate the quality of life of lumbar radiculopathy patients under conservative treatment by means of generic and another lumbar syndrome specific questionnaires. Methods. A total of 50 patients (33 males, 17 females average age 46.1 years,) under conservative treatment in a hospital over four weeks were included in the study. They were interviewed using two questionnaires: the SF36 (Short form (36) Health Survey) generic questionnaire measuring eight domains of their quality of life summarized into two main ones (i.e. overall physical and overall mental health), and the lumbar syndrome specific North American Spine Society - Low Back Pain Outcome Instrument (NASS LBP), a questionnaire measuring four domains (functional limitations, motor and sensitive neurological symptoms, expectations from the treatment and satisfaction with it). Results. The values of physical health domain was low as 31.1 at the beginning of the treatment, were rising over the following six months and dropped insignificantly after four years (42.1/48.7 /47.0) The mental health values (47.2) did not alter as compared to that of the general population. A values of the quality of life stabilized within six months. The neurological symptoms domain did not correlate with other value scales and domains. Conclusion. The quality of life of lumbar radiculopathy patients was impaired only from its physical aspect, but after conservative treatment it improved over the following six months. After four years there is an insignificant drop of all quality of life values, indicating a need for a longer term monitoring of there patients

KVALITETA ŽIVOTA PACIJENTICA S OSTEOPOROTIČNIM VERTEBRALNIM PRIJELOMIMA

The aim of this study was to estimate the quality of life in females with primary osteoporosis and vertebral fractures as a consequence of the disease, and to compare it to people without vertebral fractures. Subjects and Methods: Our crosssectional study included 200 female patients with primary osteoporosis (100 with vertebral fractures and 100 without fractures), mean age 63.85±8.52 years, who received treatment at the Clinic for Medical Rehabilitation, Clinical Center of Vojvodina in Novi Sad. Data were based on history, questionnaire, and measurements of bone mineral density by DXA method using the Lunar Prodigy Primo device. Quality of life assessment was done by use of the Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41). Vertebral deformities were established by lateral radiography of the cervical, thoracic and lumbar regions by an experienced radiologist. Statistically signifi cant differences were established between the two groups, in particular for pain (t=-2.72, p=0.01), daily activities (t=-3.67, p=0.01), performing housework (t=- 4.84, p=0.01), mobility (t=-3.40, p=0.01), leisure activities (t=-2.66, p=0.01) and perception of health status (t=2.48, p=0.05). Results: The results indicated that the quality of life in patients with vertebral fractures did not differ according to the level of fracture compared to the control group. Patients with vertebral fractures had a number of limitations due to pain and poorer physical functioning compared to those without fractures, while the quality of life dependence on the level of fracture was not recorded.Cilj istraživanja bio je procijeniti kvalitetu života žena s primarnom osteoporozom i prisutnim vertebralnim prijelomima kao posljedicom bolesti u odnosu na osobe bez vertebralnih prijeloma. U ispitivanju je sudjelovalo 200 bolesnica s primarnom osteoporozom (100 s vertebralnim prijelomima, 100 bez vertebralnih prijeloma) srednje dobi 63,85±8,52 godina, koje su provele terapiju u Klinici za medicinsku rehabilitaciju Kliničkog centra Vojvodine u Novom Sadu. Podatci su zasnovani na anamnezi, upitnicima, kao i mjerenjima mineralne koštane gustoće metodom DXA pomoću uređaja Lunar Prodigy Primo. Vertebralne frakture su potvrđene rendgenskim slikama cervikalne, torakalne i lumbalne kralježnice očitanim od iskusnog radiologa. Kvaliteta života procijenjena je primjenom upitnika QUALEFFO-41. Dobiveni rezultati ukazali su na statistički značajne razlike između ispitivanih skupina u intenzitetu boli (t=-2,72; p=0,01), svakodnevnim aktivnostima (t=-3,67; p=0,01), obavljanju kućanskih poslova (t=-4,84; p=0,01), pokretljivosti (t=-3,40; p=0,01), društvenim aktivnostima (t=-2,66; p=0,01), percepciji zdravstvenog stanja (t=2,48; p=0,05). Rezultati ukazuju na to da se kvaliteta života u bolesnica s vertebralnim prijelomima ne razlikuje prema razini prijeloma u odnosu na kontrolnu skupinu. Bolesnici s vertebralnim prijelomima imaju brojna ograničenja zbog boli i lošijeg fi zičkog funkcioniranja u odnosu na osobe bez osteoporotičnih prijeloma, dok zavisnost kvalitete života o razini prijeloma nije utvrđena

KVALITETA ŽIVOTA PACIJENTICA S OSTEOPOROTIČNIM VERTEBRALNIM PRIJELOMIMA

The aim of this study was to estimate the quality of life in females with primary osteoporosis and vertebral fractures as a consequence of the disease, and to compare it to people without vertebral fractures. Subjects and Methods: Our crosssectional study included 200 female patients with primary osteoporosis (100 with vertebral fractures and 100 without fractures), mean age 63.85±8.52 years, who received treatment at the Clinic for Medical Rehabilitation, Clinical Center of Vojvodina in Novi Sad. Data were based on history, questionnaire, and measurements of bone mineral density by DXA method using the Lunar Prodigy Primo device. Quality of life assessment was done by use of the Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41). Vertebral deformities were established by lateral radiography of the cervical, thoracic and lumbar regions by an experienced radiologist. Statistically signifi cant differences were established between the two groups, in particular for pain (t=-2.72, p=0.01), daily activities (t=-3.67, p=0.01), performing housework (t=- 4.84, p=0.01), mobility (t=-3.40, p=0.01), leisure activities (t=-2.66, p=0.01) and perception of health status (t=2.48, p=0.05). Results: The results indicated that the quality of life in patients with vertebral fractures did not differ according to the level of fracture compared to the control group. Patients with vertebral fractures had a number of limitations due to pain and poorer physical functioning compared to those without fractures, while the quality of life dependence on the level of fracture was not recorded.Cilj istraživanja bio je procijeniti kvalitetu života žena s primarnom osteoporozom i prisutnim vertebralnim prijelomima kao posljedicom bolesti u odnosu na osobe bez vertebralnih prijeloma. U ispitivanju je sudjelovalo 200 bolesnica s primarnom osteoporozom (100 s vertebralnim prijelomima, 100 bez vertebralnih prijeloma) srednje dobi 63,85±8,52 godina, koje su provele terapiju u Klinici za medicinsku rehabilitaciju Kliničkog centra Vojvodine u Novom Sadu. Podatci su zasnovani na anamnezi, upitnicima, kao i mjerenjima mineralne koštane gustoće metodom DXA pomoću uređaja Lunar Prodigy Primo. Vertebralne frakture su potvrđene rendgenskim slikama cervikalne, torakalne i lumbalne kralježnice očitanim od iskusnog radiologa. Kvaliteta života procijenjena je primjenom upitnika QUALEFFO-41. Dobiveni rezultati ukazali su na statistički značajne razlike između ispitivanih skupina u intenzitetu boli (t=-2,72; p=0,01), svakodnevnim aktivnostima (t=-3,67; p=0,01), obavljanju kućanskih poslova (t=-4,84; p=0,01), pokretljivosti (t=-3,40; p=0,01), društvenim aktivnostima (t=-2,66; p=0,01), percepciji zdravstvenog stanja (t=2,48; p=0,05). Rezultati ukazuju na to da se kvaliteta života u bolesnica s vertebralnim prijelomima ne razlikuje prema razini prijeloma u odnosu na kontrolnu skupinu. Bolesnici s vertebralnim prijelomima imaju brojna ograničenja zbog boli i lošijeg fi zičkog funkcioniranja u odnosu na osobe bez osteoporotičnih prijeloma, dok zavisnost kvalitete života o razini prijeloma nije utvrđena

Utjecaj komorbiditeta na ishod rehabilitacije nakon ishemijskog moždanog udara

Comorbidity decreases survival but it still remains unknown to what extent functional recovery after ischemic stroke is affected. The aim of this research was to determine the prevalence of the most common comorbidities in patients with ischemic stroke and to examine their predictive value on the functional status and recovery. In order to obtain relevant information for this research, we conducted a prospective study over a two-year period. It included patients with acute/subacute ischemic stroke who had inhospital rehabilitation treatment in our institution. Functional status of the patients was evaluated by the following three aspects at the beginning and at the end of rehabilitation treatment: Rivermead Mobility Index was used for mobility, Barthel Index for independence in activities of daily living, and modified Rankin Scale for total disability. Modified Charlston Comorbidity Index was used to assess comorbidity. Multivariate analysis was applied to evaluate the impact of recorded comorbidities on the patient functional outcome. Independent predictors of rehabilitation success in our study were the value of modified Charlston Comorbidity Index, atrial fibrillation and myocardial infarction. Our study demonstrated that patients with more comorbidities had worse functional outcome after stroke, so it is important to consider the comorbidity status when planning the rehabilitation treatment.Komorbiditeti smanjuju preživljavanje nakon ishemijskog moždanog udara, ali još uvijek ostaje nepoznato koliki je njihov utjecaj na funkcijski oporavak. Cilj ovoga istraživanja bio je utvrditi učestalost najčešćih komorbiditeta u bolesnika s ishemijskim moždanim udarom i ispitati njihovu prediktivnu vrijednost na funkcijski status i oporavak. U cilju dobivanja relevantnih podataka za ovu studiju proveli smo prospektivno istraživanje u razdoblju od dvije godine. Studija je uključila bolesnike s akutnim/subakutnim ishemijskim moždanim udarom koji su imali bolnički rehabilitacijski tretman u našoj ustanovi. Funkcijsko stanje bolesnika je ocijenjeno s tri aspekta na početku i na kraju rehabilitacijskog tretmana: Indeks mobilnosti Rivermead je primijenjen za mobilnost, Barthelov indeks za neovisnost u aktivnostima svakodnevnog života, a modificirana Rankinova ljestvica za ukupnu onesposobljenost. Charlstonov indeks komorbiditeta modificiran za moždani udar je primijenjen za procjenu komorbiditeta u bolesnika. Multivarijatna analiza primijenjena je za procjenu utjecaja ispitivanih komorbiditeta na funkcionalni ishod bolesnika. Nezavisni prediktori uspjeha rehabilitacije u našem istraživanju bili su vrijednost Charlstonova indeksa komorbiditeta modificiranog za moždani udar, atrijska fibrilacija i infarkt miokarda. S obzirom na to da je naše istraživanje pokazalo kako bolesnici s većim brojem komorbiditeta postižu lošiji funkcijski ishod nakon ishemijskog moždanog udara, bitno je razmotriti komorbiditetni status pri planiranju rehabilitacijskog tretmana

Uticaj pesticida na biljke, mikroorganizme zemljišta i zdravstvenu bezbednost hrane u biljnoj proizvodnji

Pesticides, is chemical agents for plant protection, and are mostly used in agriculture and forestry (90%), i.e. in plant production. In addition to accumulating in the environment, pesticides act on plants, microorganisms and other members of the biocenosis, and through the food chain, they reach the human body, where they exhibit active biological effects. In this study, the impact of pesticides on plants, soil microorganisms and food safety in crop production is considered.Pesticidi, su hemijska sredstva za zaštitu bilja, i najviše se upotrebljavaju u poljoprivredi i šumarstvu (90%), odnosno u biljnoj proizvodnji. Pored akumuliranja u životnoj sredini, pesticidi djeluju na biljke, mikroorganizme i ostale članove biocenoza, a preko lanaca ishrane, dospevaju i u organizam čoveka, u kojem ispoljavaju aktivna biološka dejstva. U ovoj stidiji razmatra se uticaj pesticida na biljke, mikroorganizme zemljišta i zdravstvenu bezbednost hrane u biljnoj proizvodnji

GUIDELINES FOR DIAGNOSIS, TREATMENT AND MONITORING PATIENTS WITH SMALL CELL LUNG CANCER

Rak pluća najučestalija je zloćudna bolest u muškaraca, a pri vrhu je učestalosti i u žena. Među oboljelima 15% čine bolesnici s rakom pluća malih stanica. S obzirom na agresivnu prirodu ove bolesti i lošu prognozu, vrlo je važno definirati i implementirati standardizirani pristup dijagnostičkoj obradi, liječenju, kao i praćenju ovih bolesnika. Metode liječenja uključuju kemoterapiju, radioterapiju i, rijetko, kirurgiju ovisno o stadiju bolesti i općem stanju bolesnika.Lung cancer is the most common male cancer, and one of the most common female cancers. Small cell lung cancers account for 15% of lung cancers. Due to the aggressiveness of the disease and bad prognosis, it is important to define and implement standardized approach for diagnostics, treatment and monitoring of these patients. Treatment modalities include chemotherapy, radiotherapy, and, rarely, surgery according to the stage of the disease and patient condition

GUIDELINES FOR DIAGNOSIS, TREATMENT AND MONITORING PATIENTS WITH NON-SMALL CELL LUNG CANCER

Rak pluća najučestalija je zloćudna bolest u muškaraca, a pri vrhu je učestalosti i u žena. Među oboljelima 85% čine bolesnici s rakom pluća nemalih stanica. S obzirom na agresivnu prirodu ove bolesti i lošu prognozu ako se ne dijagnosticira u ranom stadiju bolesti, vrlo je važno definirati i provoditi standardizirani pristup u dijagnostici, liječenju i praćenju ovih bolesnika. Metode liječenja uključuju kirurgiju, kemoterapiju, radioterapiju, ciljanu biološku terapiju i imunoterapiju ovisno o stadiju bolesti, biološkim obilježjima tumora i općem stanju bolesnika.Lung cancer is the most common male cancer, and one of the most common female cancers. Non-small cell lung cancers account for 85% of lung cancers. Due to the aggressiveness of the disease and bad prognosis if it is not diagnosed early, it is important to define and implement standardized approach for diagnostics, treatment and monitoring of these patients. Treatment modalities include surgery, chemotherapy, radiotherapy, targeted biologic therapy and immunotherapy according to the stage, specific tumour histological subtype and patient condition

Smjernice za dijagnozu, liječenje i praćenje bolesnika oboljelih od raka pluća nemalih stanica [Guidelines for diagnosis, treatment and monitoring patients with non-small cell lung cancer]

Lung cancer is the most common male cancer, and one of the most common female cancers. Non-small cell lung cancers account for 85% of lung cancers. Due to the aggressiveness of the disease and bad prognosis if it is not diagnosed early, it is important to define and implement standardized approach for diagnostics, treatment and monitoring of these patients. Treatment modalities include surgery, chemotherapy, radiotherapy, targeted biologic therapy and immunotherapy according to the stage, specific tumour histological subtype and patient condition

Water for all : Proceedings of the 7th international scientific and professional conference Water for all

The 7th International Scientific and Professional Conference Water for all is organized to honour the World Water Day by the Josip Juraj Strossmayer University of Osijek, European Hygienic Engineering & Design Group (EHEDG), Danube Parks, Croatian Food Agency, Croatian Water, Faculty of Food Technology Osijek, Faculty of Agriculture in Osijek, Faculty of Civil Engineering Osijek, Josip Juraj Strossmayer University of Osijek Department of Biology, Josip Juraj Strossmayer University of Osijek Department of Chemistry, Nature Park “Kopački rit”, Osijek- Baranja County, Public Health Institute of the Osijek- Baranja County and „Vodovod-Osijek“ -water supply company in Osijek. The topic of World Water Day 2017 was "Wastewater" emphasizing the importance and influence of wastewater treatments on global environment. The international scientific and professional conference Water for all is a gathering of scientists and experts in the field of water management, including chemists, biologists, civil and agriculture engineers, with a goal to remind people about the significance of fresh water and to promote an interdisciplinary approach and sustainability for fresh water resource management. The Conference has been held since 2011. About 300 scientists and engineers submitted 95 abstracts to the 7th International Scientific and Professional Conference Water for all, out of which 33 was presented orally and 62 as posters. 47 full papers were accepted by the Scientific Committee. 38 full papers became the part of the this Proceedings while 9 papers were accepted for publication in Croatian Journal of Food Science and Technology and Electronic Journal of the Faculty of Civil Engineering Osijek - e-GFOS

Massive traumatic myositis ossificans

Introduction. Traumatic myositis ossificans (TMO) is a rare condition, which can jeopardize athletic careers, especially in cases when a large ossification is formed. The aim of this paper is to present the results of treating a large TMO mass by application of physical procedures. Case outline. A TMO mass of large dimensions was detected in a 13-year-old competitive athlete two months after the patient sustained a direct blow to the quadriceps. Physical treatment lasted three months. The patient was able to carry out normal daily activities and recreational sports activities without limitation eight months after the initial injury. The imaging over a five-year follow-up detected a decrease in height and width of the ossification, but also a discrete increase in its length. Conclusion. Physical therapy resulted in full functional recovery, regardless of the massive ossification. The height and width of the ossification was reduced, but its length increased