Efficacy and Safety of Inferior Turbinate Coblation-Channeling in the Treatment of Nasal Obstructions

The aim of this study was to evaluate the safety and effectiveness of coblation-channeling in the treatment of inferior turbinate hypertrophy. The study was conducted in the Department of ENT, Head and Neck Surgery, Split University Hospital Center, Split, Croatia. Fifty-two patients with inferior turbinate hypertrophy who were refractory to medical therapy were evaluated for coblation. The procedures were performed under local anesthesia using an ArthroCare ReFlexUltra 45 wand; three submucosal channels were made per turbinate. Clinical examinations, a questionnaire on individual nasal symptoms (hyposmia, nasal drainage and post-nasal drip), a 10-cm visual analog scale (VAS) grading general nasal obstructions, and rhinomanometry before and 8 weeks after the treatment were administered to assess treatment outcomes. No adverse effects were encountered. Nasal breathing was significantly improved in all patients, decreasing the VAS from a median of 7 (range 2–9) to 1 (range 0–3) (p<0.001). Total nasal resistance decreased from 0.44 Pa±0.50 to 0.24 Pa±0.11 (p=0.005). Improvement was statistically significant for all three symptoms (hyposmia [p=0.005], nasal drainage [p=0.003] and post-nasal drip [p<0.001]). In this paper, we demonstrate that coblation-channeling of the hypertrophic inferior turbinate is an effective and safe way to reduce nasal obstruction symptoms

Efficacy and Safety of Inferior Turbinate Coblation-Channeling in the Treatment of Nasal Obstructions

The aim of this study was to evaluate the safety and effectiveness of coblation-channeling in the treatment of inferior turbinate hypertrophy. The study was conducted in the Department of ENT, Head and Neck Surgery, Split University Hospital Center, Split, Croatia. Fifty-two patients with inferior turbinate hypertrophy who were refractory to medical therapy were evaluated for coblation. The procedures were performed under local anesthesia using an ArthroCare ReFlexUltra 45 wand; three submucosal channels were made per turbinate. Clinical examinations, a questionnaire on individual nasal symptoms (hyposmia, nasal drainage and post-nasal drip), a 10-cm visual analog scale (VAS) grading general nasal obstructions, and rhinomanometry before and 8 weeks after the treatment were administered to assess treatment outcomes. No adverse effects were encountered. Nasal breathing was significantly improved in all patients, decreasing the VAS from a median of 7 (range 2–9) to 1 (range 0–3) (p<0.001). Total nasal resistance decreased from 0.44 Pa±0.50 to 0.24 Pa±0.11 (p=0.005). Improvement was statistically significant for all three symptoms (hyposmia [p=0.005], nasal drainage [p=0.003] and post-nasal drip [p<0.001]). In this paper, we demonstrate that coblation-channeling of the hypertrophic inferior turbinate is an effective and safe way to reduce nasal obstruction symptoms

ATTITUDES TOWARD COMPLEMENTARY AND ALTERNATIVE MEDICINE, BELIEFS IN AFTERLIFE AND RELIGIOSITY AMONG PSYCHIATRISTS, PSYCHOLOGISTS AND THEOLOGISTS

Background: The aim of our study was to investigate the differences in beliefs, attitudes toward CAM, beliefs in afterlife and religiosity among the sample of psychiatrists, psychologists, and theologists. Relationship among these constructs could have impact on the concept of mental health. Subjects and methods: Research was conducted in the Split urban area, Croatia, during 2017 on a sample of psychiatrists (n=51), psychologists (n=55), and theologists (n=25). Participants were presented a figure of the human body, which contained numbers identifying eight different regions of the body. Participants were asked to select which region best represents the location of the self, soul, and mind in the body. We used CAIMAQ (The Complementary, Alternative and Integrative Medicine Attitudes Questionnaire) which contains five subscales. The Afterdeath Beliefs Scale was used to measure the varieties of afterlife beliefs. Analyses showed that applied questionnaires have appropriate reliability and expected factor structure. Results: The most frequent locations of the Soul were 9 (37%, Not located in any centralized region in the body) and 5 (31% chest), whereas Self and Mind were mostly located in the head (43% and 73%). Psychiatrists and psychologists have average scores on positive pole of CAIMAQ but did not differ significantly (p>0.05). There were statistical differences between theologists and psychologists/psychiatrists on two subscales: “nutritional counseling and dietary/food supplements can be effective in the treatment of pathology” and “attitudes toward a holistic understanding of the disease” (p<0.05). There were significant correlations between religion and three CAIMAQ subscales. Although they were mostly religious, psychiatrists and psychologists had a higher average score on Annihilation than theologists. They also did not believe in body resurrection and connection between behavior during life and after death. Conclusion: The results of our study could have impact on the concept of mental health and in the future must be deeper evaluated within qualitative research methodology

Psihološki vidovi duhovnog očinstva. Psihologija duhovnog očinstva/oca

Govori se o psihološkom vidu duhovnog očinstva

Je li možda trenutak da preispitamo definiciju kognitivnih poremećaja nakon kardiokirurškog zahvata? Važnost metodološke dosljednosti

High incidence and significance of repercussions on patient health and healthcare system make postoperative cognitive dysfunction (POCD) a major problem following cardiac surgery. POCD frequency drops over time since surgery and its occurrence are related to different aspects of cognitive deterioration that markedly impair the patient quality of life. Therefore, a substantial number of papers have focused on this complex postoperative complication, however, with limited achievement in clarifying it. The underlying mechanisms of POCD development and contributing factors are still unclear. A significant issue in POCD research is the lack of uniformity in defining cognitive impairment among investigators, including unique terminology of cognitive changes, a battery of appropriate neuropsychological tests, timing of assessment, and statistical approach. Thus, the aim of this review is to address the difficulties in establishing POCD definition, with inclusion of specific recommendations based on recent publications.Visoka učestalost i značajnost utjecaja na zdravlje bolesnika i zdravstveni sustav čini poslijeoperacijske kognitivne poremećaje (POKP) važnom komplikacijom kardiokirurškog zahvata. Učestalost POKP nakon zahvata s vremenom se smanjuje te je njihova pojava povezana s različitim poremećajima kognitivnih funkcija, što posljedično značajno narušava kvalitetu bolesnikova života. Stoga, brojni radovi su posvećeni ovoj složenoj poslijeoperacijskoj komplikaciji, ali bez značajnije postignutog uspjeha u njenom razjašnjavanju. Mehanizmi nastanka kao i čimbenici rizika POKP još uvijek su nejasni. Značajnu poteškoću u ispitivanju POKP predstavlja nepostojanje jedinstvene definicije kognitivnog oštećenja među istraživačima, a koje bi zahtijevalo primjenu jedinstvene terminologije kognitivnih promjena, uporabu odgovarajuće baterije neuropsihologijskih testova, odgovarajuće vremenske trenutke provođenja testova i uporabu prikladne statističke metode. Zbog toga, cilj ovog preglednog članka je naglasiti poteškoće s kojim se istraživači susreću tijekom postavljanja dijagnoze POKP, te uključivanje preporuka na temelju pregleda dostupne literature

IZAZOVI U PERCEPCIJI I PRIJEVODU ENGLESKOG POSLOVNOG NAZIVLJA U HRVATSKOM JEZIKU

We can all witness that the global economy, the use of the Internet and social media have result-ed in a greater number of English business terms circulating on the global level, thus inevitably affecting the Croatian language as well. In this article, the authors observe different translations of certain frequently used business English terms from the course books and differences in their perception in English and Croatian language. These differences may be due to students` immer-sion in the new social and educational environment, their previous knowledge of English lan-guage and their acquisition of new vocabulary for specific purposes during their studies at the Polytechnic of Šibenik.Svi možemo svjedočiti da su globalna ekonomija, upotreba Interneta i društvenih medija rezultirali većim brojem engleskog poslovnog nazivlja koji kruži na globalnoj razini, što neizostavno utječe i na hrvatski jezik. Autori u ovom radu analiziraju različite prijevode pojedinih često korištenih izraza poslovnog engleskog iz udžbenika i razlike u njihovoj percepciji na engleskom i hrvatskom jeziku. Te razlike mogu biti posljedica uključivanja studenata u novo društveno i obrazovno okruženje, njihovog prethodnog poznavanja engleskog jezika i stjecanja novog vokabulara za posebne svrhe tijekom studija na Veleučilištu u Šibeniku

IZAZOVI U PERCEPCIJI I PRIJEVODU ENGLESKOG POSLOVNOG NAZIVLJA U HRVATSKOM JEZIKU

We can all witness that the global economy, the use of the Internet and social media have result-ed in a greater number of English business terms circulating on the global level, thus inevitably affecting the Croatian language as well. In this article, the authors observe different translations of certain frequently used business English terms from the course books and differences in their perception in English and Croatian language. These differences may be due to students` immer-sion in the new social and educational environment, their previous knowledge of English lan-guage and their acquisition of new vocabulary for specific purposes during their studies at the Polytechnic of Šibenik.Svi možemo svjedočiti da su globalna ekonomija, upotreba Interneta i društvenih medija rezultirali većim brojem engleskog poslovnog nazivlja koji kruži na globalnoj razini, što neizostavno utječe i na hrvatski jezik. Autori u ovom radu analiziraju različite prijevode pojedinih često korištenih izraza poslovnog engleskog iz udžbenika i razlike u njihovoj percepciji na engleskom i hrvatskom jeziku. Te razlike mogu biti posljedica uključivanja studenata u novo društveno i obrazovno okruženje, njihovog prethodnog poznavanja engleskog jezika i stjecanja novog vokabulara za posebne svrhe tijekom studija na Veleučilištu u Šibeniku

Mozgovnjak (Brain, Cerebral Subject) and Mozgovnjaštvo (Brainhood), Contemporary Form of Anthropology and Personality Psychology

In recent times, neuroscience has been one of the fastest-growing scientific branches with a noticeable influence on various scientific and professional areas of biomedicine as well as on scientific and professional humanistic and social areas. Based on neuroscience, many other scientific fields have emerged using the prefix neuro- in their names, such as neuropsychology, neurolinguistics, neuroascesis, and neuroculture. The expansion of the field of neuroscience has affected psychosocial, moral, and cultural values. Questions about the functioning of neurons and of the brain have grown into questions and answers about mental health and about humans in general. In short, to put it simply, the human being is reduced to the brain, because everything we know, say, or do, everything that we really are we are thanks to the brain. This has led us to the modern form of identity, for which the English-speaking world uses the term brainhood and which can be translated into the Croatian language with the new word mozgovnjaštvo. The derived Croatian term for a cerebral subject (brain) who is a representative of mozgovnjaštvo (brainhood) would be mozgovnjak. Mozgovnjaštvo (brainhood) advocates the idea or belief that we are all that we are, or all that we can be, thanks to the brain. Brainhood tends to place subjectivity somewhere in the body and regards it as the result of exclusively neural mechanisms, separated from anything social, human and religious. From the point of view of linguistics, mozgovnjak and mozgovnjaštvo are new words that fit into the formation system of the modern Croatian standard language. Mozgovnjak is a noun formed from an adjectival base using the suffix -jak (combined with iotation), and mozgovnjaštvo is a noun formed from a noun stem with the suffix -stvo (with a historical phonetic change: k + stvo > štvo)

Stavovi prema braku i motivacija za roditeljstvom kod studenata

Cilj je ovog istraživanja provjeriti kakvi su stavovi studenata prema braku i roditeljstvu te kakva je pritom uloga važnosti vjere u njihovom životu. U istraživanju je sudjelovalo 318 studenata sa Sveučilišta u Splitu i to 38 (11,9%) studenata i 279 (87,7%) studentica, prosječne dobi od 20 godina. S obzirom na podrijetlo, 202 sudionika je iz gradske sredine, 67 iz manjeg mjesta, te 49 sa sela. S obzirom na cjelovitost obitelji, gotovo 90% ih je iz cjelovitih obitelji, a 10% iz jednoroditeljskih

Učestalost i rizični čimbenici za razvoj oralnog alergijskog sindroma u odraslih bolesnika sa sezonskim alergijskim rinitisom

The aim of this study was to assess the prevalence of oral allergy syndrome (OAS) in patients with seasonal allergic rhinitis (SAR) and the possible risk factors for its development. This cross-sectional study was conducted in primary care offices in the Split-Dalmatia County during the period from March 1 to September 30, 2012. Data sources were medical history with confirmation of SAR (positive skin-prick test to seasonal inhalant allergens: grass, tree and weed pollens), anthropometric patient data (age, sex, weight and height), and a questionnaire in which patients evaluated their nasal and ocular symptoms, comorbidities and lifestyle. The χ2-test, Pearson χ2-test, Spearman\u27s rho correlation coefficient and Kolmogorov-Smirnov test were used on statistical analysis. The prevalence of OAS was 45.7%. The risk factors for OAS development were diabetes (p<0.001), severity of nasal symptoms (p<0.05) and severity of ocular symptoms (p<0.001). In conclusion, the prevalence of OAS in the Split-Dalmatia County is very high. The risks factors for OAS in patients with SAR are diabetes and severity of nasal and ocular symptoms.Cilj našega istraživanja bio je procijeniti učestalost oralnog alergijskog sindroma (OAS) u bolesnika sa sezonskim alergijskim rinitisom (SAR) te moguće rizične čimbenike za njegov nastanak. Ovo presječno istraživanje provedeno je u ordinacijama primarne zdravstvene zaštite Splitsko-dalmatinske županije u razdoblju od 1. ožujka 2012. do 30. rujna 2012. godine. Izvori podataka su bili: medicinska dokumentacija bolesnika (“karton”) u kojemu je potvrda dijagnoze SARa (pozitivan kožni-ubodni test na sezonske inhalacijske alergene: poleni trava, stabala i korova), antropometrijski podatci o bolesniku (spol, dob, težina i visina) i upitnik u kojemu bolesnici ocjenjuju nosne i očne simptome, komorbiditet i stil života. Od statističkih testova koristili smo χ2-test, Pearsonov χ2-test, Spearmanov test korelacije i Kolmogorov-Smirnovljev test. Učestalost OAS-a bila je 45,7%. Rizični čimbenici za njegov nastanak bili su: dijabetes (p<0,001) te ozbiljniji nosni (p<0,05) i očni simptomi (p<0,001). Može se zaključiti da je učestalost OAS-a u Splitsko-dalmatinskoj županiji visoka. Rizični čimbenici za nastanak OAS-a u bolesnika sa SAR-om su dijabetes i veća izraženost očnih i nosnih simptoma