Lyme borreliosis and pregnancy

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Svest, znanje i ponašanje srednjoškolaca u vezi sa polno prenosivim infekcijama

Introduction. This paper presents the results of a research conducted among senior high school students in northern Kosovo and Metohija on their knowledge about sexually transmitted infections, emphasizing their awareness and sources of information, as well as their sexual behavior and use of contraceptives. Material and Methods. The survey of senior high school students was done using a previously prepared anonymous questionnaire which was followed by statistical processing of fully completed questionnaires. Results. The research included students aged 17 to 19; 63% were females and 37% males; 35.8% were sexually active. The correct definition of sexually transmitted infections was identified by 49%. School was the source of information on these infections for 45.6% of students and biology class for 45.7%. There were 40.6% sexually active male respondents and 33.0% of female (on average, 18 years old). Of the surveyed students of both sexes, 40.6% became sexually active at the age of 17. Condom use was reported by 49% of respondents of both sexes, whereas 50.8% of sexually active students always used condoms. There were 38.7% (38.9% girls, 38.4% boys) of students who used condoms for protection against sexually transmitted infections, and 58.1% of them personally decided whether to use them. Conclusion. The majority of our respondents were able to identify the correct definition of sexually transmitted infections, and they most often heard of the human immunodeficiency virus/ acquired immune deficiency syndrome. School was their most common source of information, biology class, and a considerable number were informed about this issue on the Internet. The majority of sexually active girls did not use any contraceptives. School curricula and parent-child relationships should have a greater impact on the youth's awareness of reproductive health.Uvod. Rad prikazuje rezultate anketiranja učenika završnih razreda srednjih škola na severnom Kosovu i Metohiji o polno prenosivim infekcijama, njihovoj obaveštenosti i izvorima informisanja, njihovoj seksualnoj aktivnosti i korišćenju kontraceptivnih sredstava. Materijal i metode. Anketiranje učenika završnih razreda srednjih škola na severu Kosova i Metohije prethodno pripremljenim anonimnim upitnikom. Statistički su obrađeni kompletno popunjeni upitnici. Rezultati. Istraživanjem su obuhvaćeni učenici od 17 do 19 godina, 63% ženskog i 37% muškog pola; 35,8% ispitanika je seksualno aktivno. Tačnu definiciju polno prenosivih infekcija prepoznalo je 49% anketiranih učenika. Škola je izvor informisanosti o polno prenosivim infekcijama za 45,6% učenika, a za 45,7% anketiranih časovi biologije u školi. Seksualno je aktivno 40,6% učenika i 33% učenica; oni imaju prosečno 18 godina. Polno aktivno pre sedamnaeste godine postalo je 40,6% anketiranih učenika. Većina seksualno aktivnih ispitanika, 49%, oba pola koristi kondom kao kontraceptivno sredstvo. Uvek koristi kondom 50,8% polno aktivnih učenika. Seksualno aktivni ispitanici koriste kondom zbog zaštite od polno prenosivih infekcija ̶ 38,7% (38,9% učenica i 38,4% učenika), a 58,1% lično odlučuje o njihovoj primeni. Zaključak. Većina naših ispitanika je prepoznala tačnu definiciju polno prenosivih infekcija, a najčešće su čuli za infekciju virusom humane imunodeficijencije/sindrom stečene imunodeficijencije. Ispitanici su najčešće bili obavešteni u školi, na časovima biologije, a znatan broj je informisan o ovom problemu putem interneta. Školski sadržaji i razgovor sa roditeljima bi trebalo značajnije da utiču na svest mladih o reproduktivnom zdravlju

Lichen planus disseminatus partim vesiculosus after COVID-19 vaccine

Introduction: Lichen planus is an autoimmune inflammatory disease that can be associated with infections, drugs and vaccines. As concerning the potential triggering effect of vaccine, there is evidence a few cases of new-onset lichen planus that appeared after COVID vaccine, particularly the Pfizer/BioNTech vaccine. Case report: This report is a case of a newonset lichen planus triggered by the Pfizer/BioNTech vaccine administration in a healthy young female. Dermatological examination revealed polygonal, itchy, erythematous papules on trunk, upper and lower limbs, that coalesced into brownish plaques in the ankles, flexural wrist and knee. No mucosal involvement was noted. In view of the clinical picture, the timing of the skin eruption with respect to the vaccine and the histopathologic findings, a vaccine-induced lichen planus triggered by the COVID-19 vaccine has been diagnosed. Conclusion: Lichen planus or lichenoid-like eruption as a cutaneous manifestation following COVID-19 vaccines are rare, and the pathogenesis for its development is still unclear. Clinical trials showed that the leading vaccines upregulate Tcell response (Th1) and incrementing inflammatory cytokines involved in the pathogenesis of autoimmune diseases, such as lichen planus. Although we still do not completely understand its pathogenesis, dermatologists should be aware of the possibility and keep an eye out for worsening or debut of this disease after the COVID-19 vaccine. Vaccinated patients should be monitored for skin manifestations, and dermatological evaluation should be offered, when needed

The impact of changes in psoriasis area and severity index by body regions on quality of life in patients with psoriasis

Psoriasis severity varies by body region, with each affected region having a different impact on patient quality of life (QoL). The aim of this study was to assess the impact of changes in the Psoriasis Area and Severity Index (PASI) scores by body region on QoL in patients with psoriasis after treatment. A total of 100 patients with psoriasis were recruited to the study. All patients completed the generic EuroQol-5D instrument and two specific QoL measures, Dermatology Life Quality Index (DLQI) and Psoriasis Disability Index (PDI) at the beginning of the study, and 50 patients successfully completed the same questionnaires four weeks after the end of the treatment. Clinical severity was assessed using PASI total score and PASI body region (head, trunk, arms, and legs) scores. QoL improved after treatment, and PASI improvements on visible body regions (head, legs, and arms) showed significant correlation with the most sub-areas of the Visual Analog Scale (EQ VAS), DLQI, and PDI. Multiple linear regression analysis revealed that PASI improvement (particularly on the head), sex, age, and disease duration were predictors of QoL score changes for most domains of the three instruments. Improvement of psoriasis in visible body regions has an appreciable influence on QoL improvement, and may positively affect treatment success in patients with psoriasis. riadPro-Regular;color:black;mso-ansi-language:EN-US; mso-fareast-language:HR;mso-bidi-language:TA\u27&gt;The proportion of ADHD in patients with AD was 7.1% as compared to 4.1% in controls. ADHD was more frequent in boys with AD (9.6% vs. 5.2%, odds ratio (OR) 1.9, 95% confidence interval (CI) 1.1-3.2) but not in girls with AD (4.6% vs. 2.9% OR 1.5). In multivariate analyses, AD was associated with ADHD (OR 2.1, 95% CI 1.3-3.4). The current study demonstrated an association between AD and ADHD. This report and earlier observations emphasize the need for detection and treatment of ADHD in atopic patients.  </p

Genital infections mycoplasma

During the retrospective study, which was conducted in the period from 01.01. to 31.12.2012, we have examined 1035 samples of vaginal secretions, cervical swabs and urethral swab the UU and Mh. The main objective of the study was to determine the incidence of mycoplasma infections, the distribution by sex, age of patients, the clinical diagnosis for which it was conducted microbiological testing of patients and determine the sensitivity of the isolated pathogens to antibiotics. From a total of 1035 samples tested positive findings were in 331 patients, of which 316 (95.5%) women and 15 (4.5%) males. The difference was statistically significant. There were no statistically significant differences in average age among women (29 years) and women (30). Infection with a UU was statistically significantly higher (70.1%) compared to the MH (5.4%) and a mixed infection (24.5%). The incidence of infections caused by UU in females was 70% and 80% in males. Males and females do not differ significantly according to the frequency of infections caused by UU. The highest incidence of female patients, was diagnosed with vulvovaginitis 34% Colpitis had 22%; Colpitis and cervicitis-17%, while only Cervicitis was diagnosed in 10% of patients. The difference in the incidence of clinical diagnosis was statistically significant. The difference in the incidence of clinical diagnosis was statistically significant. All pathogens isolated showed significantly greater osteljivost three or more antibiotics. The sensitivity of the three or more antibiotics is not significantly associated with the cause of the infection

Does age influence the quality of life in children with atopic dermatitis?

BACKGROUND:Atopic dermatitis (AD) is one of the most common childhood skin diseases that can affect the quality of life (QoL) of children. The QoL of Montenegrin children with AD has not been sufficiently explored. The aim of this study was to assess their QoL with special emphasize on age differences. METHODS:This cross-sectional study included children with AD seen at the Clinic of Dermatology and Venereology, Clinical Center of Montenegro (CCM) in Podgorica between August 2017 and July 2018. The QoL was assessed with the Infants' Dermatitis Quality of Life Index (IDQOL) and the Children's Dermatology Life Quality Index (CDLQI). Disease severity was measured by the Three Item Severity (TIS) score. RESULTS:A total of 386 children with AD aged from newborn to 16 years took part in this study. The mean total score of the QoL was 14.7 in infants (0-4 years old), 19.4 in younger children (5-9 years old), and 16.6 in older children (10-16 years old). Age was in negative correlation with the CDLQI score, leisure domain of the CDLQI and CDLQI sleep, and in positive correlation with the IDQOL child mood. TIS score was in positive correlation with both the IDQOL and CDLQI score. CONCLUSIONS:The QoL measured by CDLQI was more impaired in younger children, whilst IDQOL child mood was more impaired in older infants. The most impaired QoL was seen in children in the age group 5-9 years. Regardless of disease severity, treatment and counseling of children suffering from AD should be tailored specifically to their age