26 research outputs found
The incidence of caries and molar incisor hypomineralization in children in SOS Children's Villages in Croatia
Cilj istraživanja: Cilj ovoga istraživanja bio je ispitati imaju li djeca SOS DjeÄjeg sela veÄi/manji DMFT indeks od djece koja žive u bioloÅ”kim obiteljima te imaju li SOS majke bolju/loÅ”iju procjenu oralnog zdravlja djece od procjene bioloÅ”kih majki ruralnog i urbanog podruÄja. Kod sve tri ispitivane skupine djece istražena je i uÄestalost molarnoincizivne hipomineralizacij e. Ispitanici i metode: Istraživanje je obuhvatilo djecu SOS DjeÄjeg sela u Hrvatskoj, te djecu iz bioloÅ”kih obitelji ruralnog i urbanog podruÄja. Djeca su pregledana vizualno-taktilnom metodom prema standardiziranim uvjetima Svjetske zdravstvene organizacije. DIAGNOdent pen ureÄajem oÄitane su vrijednosti demineralizacije na pretkutnjacima i kutnjacima trajnih zubi. Prije stomatoloÅ”kog pregleda djeci je izmjerena tjelesna masa i visina radi izraÄuna indeksa tjelesne mase. IzraÄunati su dmft/DMFT, dmfs/DMFS i SiC indeksi. Napravljena je analiza ispunjenih upitnika. Rezultati: Djeca SOS DjeÄjeg sela pokazala su najniže srednje vrijednosti dft/dfs (2.42/3.31) i DMFT (1.61) indeksa u odnosu na djecu iz ruralnog i urbanog podruÄja. Kruskal-Wallis test pokazao je znaÄajnu razliku (p=0.02) u vrijednostima SiC indeksa izmeÄu ispitivane djece. Od ukupno pregledanih zubi DIAGNOdent ureÄajem vrijednosti koje odreÄuju 1 i 2 stadij demineralizacije oÄitane su na znaÄajno veÄem broju kutnjaka. UÄestalost MIH-a kod djece iz SOS DjeÄjeg sela je znaÄajno viÅ”a (7.34%) u odnosu na ostalu djecu. ITM svih ispitivanih skupina ukazuje na normalnu tjelesnu težinu. U skupinama djece iz SOS DjeÄjeg sela i iz ruralnog podruÄja u odnosu na djecu iz urbanog podruÄja kao najbitniji Äimbenik analizom glavnih komponenata izdvojila se oralna higijena. Kao podjednako važan Äimbenik za sve ispitanike je procjena oralnog zdravlja i prehrambene navike. Za skupinu djece iz SOS DjeÄjeg sela najmanje znaÄajan Äimbenik je socioekonomski status koji je najznaÄajniji za djecu iz urbanog podruÄja. ZakljuÄak: Djece iz SOS DjeÄjeg sela imaju najniže dft/DMFT, dfs/DMFS i SiC indekse. UÄestalost MIH-a kod djece iz SOS DjeÄjeg sela je najviÅ”a. Najbitniji Äimbenik koji utjeÄe na oralno zdravlje u skupini djece iz SOS DjeÄjeg sela izdvaja se oralna higijena, a kao najmanje znaÄajan je socioekonomski status. Procjena oralnog zdravlja od strane SOS majki ne razlikuje se u odnosu na procjenu bioloÅ”kih majki djece iz ruralnog i urbanog podruÄja.Objective: The aim of this study was to examine whether the children of SOS Children's Village have a higher DMFT index than children living in biological families and whether SOS mothers have a better/poorer assessment of oral health from the assessment of biological mothers in rural and urban areas. All three investigated groups of children also studied the molar-invasive hypomineralization rate. Subjects and Methods: The research covered the children of the SOS Children's Village in Croatia and children from the biological families of the rural and urban areas. The children were examined by a visual-tactical method under standardized conditions of the World Health Organization. The DIAGNOdent pen unit reads the values of demineralization on the premolares and molars of permanent teeth. Before the dental examination, the children were measured body mass and height to calculate the body mass index. Calculated are dmft/DMFT, dmfs/DMFS and SiC indices. An analysis of completed questionnaires was made. Results: The children of the SOS Children's Village showed the lowest mean values of dft/dfs (2.42/3.31) and DMFT (1.61) of the index compared to children from rural and urban areas. The Kruskal-Wallis test showed a significant difference (p=0.02) in the SiC index values among the examined children. Of the total examined teeth, the DIAGNOdent device values that determine the 1 and 2 stages of demineralization are read on a significantly larger number of molars. The frequency of MIH in children in SOS Children's Village is significantly higher (7.34%) than in other children. The ITM of all the examined groups indicates normal body weight. In the groups of children from the SOS Children's Village and rural areas compared to the children from the urban area as the most important factor by analyzing the main components was the oral hygiene. An equally important factor for all respondents is the assessment of oral health and nutrition habits. For a group of children from the SOS Children's Village, the least important factor is the socioeconomic status that is most significant for children from the urban area. Conclusion: Children from SOS Children's Village have the lowest dft/DMFT, dfs/DMFS and SiC indices. The MIH frequency in children in SOS Children's Village is highest. The most important factor influencing oral health in the SOS Children's Village group is oral hygiene, 60 and as a least significant socioeconomic status. The assessment of oral health by SOS mothers is not different from the assessment of biological mothers of rural and urban children
Postoji li audiovestibularni post-COVID sindrom?
The purpose of this study was to present and analyze patients with audiovestibular
post COVID-19 syndrome, and highlight the most characteristic and most common findings. We
analyzed 87 patients aged between 20 and 86 years who presented to the Audiology Division between
February 1, 2021 and July 1, 2021 after having been isolated due to the SARS-CoV-2 infection. Study
patients presented with complaints of persistent hearing loss, tinnitus, and vertigo, lasting for more than
3 months. Study results showed that there was acute sensorineural hearing loss in 4 patients during the
SARS-CoV-2 infection. None of the patients experienced complete hearing recovery after 3 months.
High frequency hearing loss (at 4 kHz and 6 kHz) occurred bilaterally, and was found in 52 patients.
This finding of gradual hearing loss was both the most characteristic and most common in COVID patients.
Extensive damage can directly occur to inner ear structures, including hair cells, the Corti organ,
and the cochlear nerve because of this viral infection. A total of 73 patients had tinnitus. 68 patients had
unilateral tinnitus, and only 5 patients had bilateral tinnitus. Exacerbation of tinnitus was recorded in 12
patients and new-onset tinnitus in 61 patients. Vertigo occurred in 9 patients, all of which were new-onset.
A conclusion of our research is that audiovestibular post-COVID syndrome does exist. Further
research with more patients and over a longer period is needed to obtain a better and longer effect on
the audiovestibular system and audiovestibular complications, as well as an insight into possible recovery.Svrha ovog istraživanja bio je prikazati i analizirati bolesnike s audiovestibularnim post-COVID-19 sindromom te
istaknuti karakteristiÄne i najÄeÅ”Äe nalaze. Analizirali smo 87 bolesnika u dobi od 20 do 86 godina koji su se od 1. veljaÄe
2021. do 1. srpnja 2021. godine javili u AudioloŔki odjel nakon Ŕto su prvi put izolirani zbog infekcije SARS-CoV-2, s
pritužbama na trajni gubitak sluha, tinitus i vrtoglavicu koji su trajali dulje od 3 mjeseca. Rezultati studije pokazuju da je
doŔlo do akutnog gubitka sluha kod 4 bolesnika tijekom infekcije SARS-CoV-2. Niti jedan od bolesnika nije doživio potpun
oporavak sluha nakon 3 mjeseca. Visokofrekventni gubitak sluha (na 4 kHz i 6 kHz) dogodio se obostrano, a pronaÄen je u
52 bolesnika. Ovaj nalaz gubitka sluha bio je i najkarakteristiÄniji i najÄeÅ”Äi u bolesnika s infekcijom COVID. Tinitus je imalo
73 bolesnika. Jednostrani tinitus imalo je 68 bolesnika, a bilateralni tinitus samo 5 bolesnika. PogorŔanje tinitusa zabilježeno
je u 12 bolesnika, a novonastali tinitus u 61 bolesnika. Vrtoglavica se pojavila u 9 bolesnika, od kojih su svi bili novonastali.
ZakljuÄak naÅ”ega istraživanja je da audiovestibularni post-COVID sindrom postoji. Potrebna su daljnja istraživanja s viÅ”e
bolesnikai kroz dulje vrijeme kako bi se dobio bolji i dugotrajniji uÄinak na audiovestibularni sustav i audiovestibularne
komplikacije, kao i uvid u moguÄi oporavak
UÄinak dnevne tjelesne aktivnosti na aktivnost upalnih bolesti crijeva kod bolesnika koji ne uzimaju terapiju
It has been suggested that various environmental factors play a very important role in the etiology of inflammatory bowel diseases (IBDs) and that they have a significant effect on the course of these diseases. The aim of this study was to investigate the effect of daily physical activity on the activity of IBDs in therapy-free patients. This cross-sectional population based study was conducted in eastern Croatia from January to June 2016. e study included 312 patients, mean age 49.9Ā±15.0 years, 53.2% of males and 46.8% of females; there were 63.4% of ulcerative colitis (UC) and 36.6% of Crohnās disease (CD) patients. Sociodemographic characteristics of patients, data on their
daily physical activity and type of therapy taken were collected through a specifically designed and validated questionnaire, while the activity of UC and CD was evaluated using the Mayo index and Harvey-Bradshaw index. The study showed that 24.0% of patients were not taking therapy. Daily physical activity was connected to IBD in study patients when taking both diseases collectively (Fisher exact test; p<0.001), as well as to the inactivity of CD (Fisher exact test; p=0.001) and UC (Fisher exact test; p=0.006), when observing each disease separately. Daily physical activity was connected to the inactivity of IBDs in patients not taking therapy. It is necessary to educate all IBD patients about the importance of physical activity in order to control their disease.Smatra se kako razliÄiti okoliÅ”ni Äimbenici igraju vrlo važnu ulogu u etiologiji upalnih bolesti crijeva (UBC) te kako imaju znaÄajan uÄinak na tijek ovih bolesti. Cilj ovog istraživanja bio je ispitati uÄinak dnevne tjelesne aktivnosti na aktivnost UBC kod bolesnika koji ne uzimaju terapiju. Ovo presjeÄno populacijsko istraživanje provedeno je u istoÄnoj Hrvatskoj od sijeÄnja do lipnja 2016. godine. Istraživanje je obuhvatilo 312 bolesnika srednje dobi 49,9Ā±15,0 godina; 53,2% muÅ”karaca i 46,8% žena; 63,4% oboljelih od ulcerativnog kolitisa (UC) i 36,6% oboljelih od Crohnove bolesti (CB). Sociodemografska obilježja bolesnika, podaci o njihovoj dnevnoj tjelesnoj aktivnosti i vrsti terapije koju uzimaju prikupljeni su pomoÄu posebno dizajniranog i validiranog upitnika, dok je aktivnost UC i CB ocijenjena primjenom indeksa Mayo i indeksa Harvey-Bradshaw. Istraživanje je pokazalo kako 24,0% bolesnika ne uzima terapiju. Dnevna tjelesna aktivnost bila je povezana s neaktivnom UBC kod bolesnika kada su zajedniÄki promatrane obje bolesti (Fisherov egzaktni test; p<0,001) te je bila povezana s neaktivnoÅ”Äu CB (Fisherov egzaktni test; p=0,001) i UC (Fisherov egzaktni test, p=0,006) kad je svaka bolest promatrana zasebno. Dnevna tjelesna aktivnost povezana je s neaktivnoÅ”Äu UBC kod bolesnika koji ne uzimaju terapiju. Potrebno je sve bolesnike s UBC poduÄiti o važnosti tjelesne aktivnosti za kontrolu njihove bolesti
Birth Weight of Healthy Newborns in Zagreb Area, Croatia
The aim of this study was to assess birth weight of healthy newborns from the City of Zagreb and Zagreb County, Croatia. Birth weights of healthy newborns, born at the Department of Obstetrics and Gynecology, University Hospital Center Ā»ZagrebĀ« in the year 2001, were included into analysis. Since there were only few newborns in the 22ndā27th week of gestation, they were excluded from the study. Small number of data points was also noticed in 28thā36th week of gestation, and was supplemented with the data from the years 2000, 2002 and 2003. The method of analysis used in this study was described by Altman and Chitty (Br. J. Obstet. Gynaecol., 101 (1994) 29). After the application of well defined exclusion criteria, the final sample consisted of 4,252 newborns. Percentile values for the four groups of newborns (male genderāprimipara, male genderāmultipara, female genderāprimipara, female genderāmultipara) were defined, yielding highest birth weight values in the male genderāmultipara group (50th percentile of 40th gestational week
was 3551.3 g), while female genderāprimipara newborns were the lightest among the four sub-samples studied (50th percentile of 40th gestational week was 3399.9 g). New percentile values for percentile curves plotting are presented here and recommended for use in the clinical practice
The incidence of caries and molar incisor hypomineralization in children in SOS Children's Villages in Croatia
Cilj istraživanja: Cilj ovoga istraživanja bio je ispitati imaju li djeca SOS DjeÄjeg sela veÄi/manji DMFT indeks od djece koja žive u bioloÅ”kim obiteljima te imaju li SOS majke bolju/loÅ”iju procjenu oralnog zdravlja djece od procjene bioloÅ”kih majki ruralnog i urbanog podruÄja. Kod sve tri ispitivane skupine djece istražena je i uÄestalost molarnoincizivne hipomineralizacij e. Ispitanici i metode: Istraživanje je obuhvatilo djecu SOS DjeÄjeg sela u Hrvatskoj, te djecu iz bioloÅ”kih obitelji ruralnog i urbanog podruÄja. Djeca su pregledana vizualno-taktilnom metodom prema standardiziranim uvjetima Svjetske zdravstvene organizacije. DIAGNOdent pen ureÄajem oÄitane su vrijednosti demineralizacije na pretkutnjacima i kutnjacima trajnih zubi. Prije stomatoloÅ”kog pregleda djeci je izmjerena tjelesna masa i visina radi izraÄuna indeksa tjelesne mase. IzraÄunati su dmft/DMFT, dmfs/DMFS i SiC indeksi. Napravljena je analiza ispunjenih upitnika. Rezultati: Djeca SOS DjeÄjeg sela pokazala su najniže srednje vrijednosti dft/dfs (2.42/3.31) i DMFT (1.61) indeksa u odnosu na djecu iz ruralnog i urbanog podruÄja. Kruskal-Wallis test pokazao je znaÄajnu razliku (p=0.02) u vrijednostima SiC indeksa izmeÄu ispitivane djece. Od ukupno pregledanih zubi DIAGNOdent ureÄajem vrijednosti koje odreÄuju 1 i 2 stadij demineralizacije oÄitane su na znaÄajno veÄem broju kutnjaka. UÄestalost MIH-a kod djece iz SOS DjeÄjeg sela je znaÄajno viÅ”a (7.34%) u odnosu na ostalu djecu. ITM svih ispitivanih skupina ukazuje na normalnu tjelesnu težinu. U skupinama djece iz SOS DjeÄjeg sela i iz ruralnog podruÄja u odnosu na djecu iz urbanog podruÄja kao najbitniji Äimbenik analizom glavnih komponenata izdvojila se oralna higijena. Kao podjednako važan Äimbenik za sve ispitanike je procjena oralnog zdravlja i prehrambene navike. Za skupinu djece iz SOS DjeÄjeg sela najmanje znaÄajan Äimbenik je socioekonomski status koji je najznaÄajniji za djecu iz urbanog podruÄja. ZakljuÄak: Djece iz SOS DjeÄjeg sela imaju najniže dft/DMFT, dfs/DMFS i SiC indekse. UÄestalost MIH-a kod djece iz SOS DjeÄjeg sela je najviÅ”a. Najbitniji Äimbenik koji utjeÄe na oralno zdravlje u skupini djece iz SOS DjeÄjeg sela izdvaja se oralna higijena, a kao najmanje znaÄajan je socioekonomski status. Procjena oralnog zdravlja od strane SOS majki ne razlikuje se u odnosu na procjenu bioloÅ”kih majki djece iz ruralnog i urbanog podruÄja.Objective: The aim of this study was to examine whether the children of SOS Children's Village have a higher DMFT index than children living in biological families and whether SOS mothers have a better/poorer assessment of oral health from the assessment of biological mothers in rural and urban areas. All three investigated groups of children also studied the molar-invasive hypomineralization rate. Subjects and Methods: The research covered the children of the SOS Children's Village in Croatia and children from the biological families of the rural and urban areas. The children were examined by a visual-tactical method under standardized conditions of the World Health Organization. The DIAGNOdent pen unit reads the values of demineralization on the premolares and molars of permanent teeth. Before the dental examination, the children were measured body mass and height to calculate the body mass index. Calculated are dmft/DMFT, dmfs/DMFS and SiC indices. An analysis of completed questionnaires was made. Results: The children of the SOS Children's Village showed the lowest mean values of dft/dfs (2.42/3.31) and DMFT (1.61) of the index compared to children from rural and urban areas. The Kruskal-Wallis test showed a significant difference (p=0.02) in the SiC index values among the examined children. Of the total examined teeth, the DIAGNOdent device values that determine the 1 and 2 stages of demineralization are read on a significantly larger number of molars. The frequency of MIH in children in SOS Children's Village is significantly higher (7.34%) than in other children. The ITM of all the examined groups indicates normal body weight. In the groups of children from the SOS Children's Village and rural areas compared to the children from the urban area as the most important factor by analyzing the main components was the oral hygiene. An equally important factor for all respondents is the assessment of oral health and nutrition habits. For a group of children from the SOS Children's Village, the least important factor is the socioeconomic status that is most significant for children from the urban area. Conclusion: Children from SOS Children's Village have the lowest dft/DMFT, dfs/DMFS and SiC indices. The MIH frequency in children in SOS Children's Village is highest. The most important factor influencing oral health in the SOS Children's Village group is oral hygiene, 60 and as a least significant socioeconomic status. The assessment of oral health by SOS mothers is not different from the assessment of biological mothers of rural and urban children
Does Audiovestibular Post-COVID Syndrome Exist?
The purpose of this study was to present and analyze patients with audiovestibular
post COVID-19 syndrome, and highlight the most characteristic and most common findings. We
analyzed 87 patients aged between 20 and 86 years who presented to the Audiology Division between
February 1, 2021 and July 1, 2021 after having been isolated due to the SARS-CoV-2 infection. Study
patients presented with complaints of persistent hearing loss, tinnitus, and vertigo, lasting for more than
3 months. Study results showed that there was acute sensorineural hearing loss in 4 patients during the
SARS-CoV-2 infection. None of the patients experienced complete hearing recovery after 3 months.
High frequency hearing loss (at 4 kHz and 6 kHz) occurred bilaterally, and was found in 52 patients.
This finding of gradual hearing loss was both the most characteristic and most common in COVID patients.
Extensive damage can directly occur to inner ear structures, including hair cells, the Corti organ,
and the cochlear nerve because of this viral infection. A total of 73 patients had tinnitus. 68 patients had
unilateral tinnitus, and only 5 patients had bilateral tinnitus. Exacerbation of tinnitus was recorded in 12
patients and new-onset tinnitus in 61 patients. Vertigo occurred in 9 patients, all of which were new-onset.
A conclusion of our research is that audiovestibular post-COVID syndrome does exist. Further
research with more patients and over a longer period is needed to obtain a better and longer effect on
the audiovestibular system and audiovestibular complications, as well as an insight into possible recovery
Prevalence of MolarāIncisor Hypomineralization and Caries in Eight-Year-Old Children in Croatia
The aim of this study was to detect molarāincisor hypomineralization (MIH) and caries prevalence in eight-year-old children with early mixed dentition in Eastern Croatia. There is a lack of data on MIH in Croatia. There were 729 children examined in total: 356 (48.83%) were female and 373 (51.16%) were male. The presence of MIH was found in 95 children, the prevalence of MIH was 13%, and the remaining 634 (87%) did not have any changes associated with MIH. The prevalence of caries overall in the population of examined children was 11.48%. In the group of children with MIH, the prevalence of caries was 24.14%, while in the group of children with no MIH, the prevalence of caries was 11.18%. Teeth had a Decayed, Missing, and Filled Teeth (DMFT) index of 1.2, the value of the SiC index was 1.4, and the decayed, missing, and filled teeth (dmft) index for deciduous teeth was 5.8. Children with MIH had a caries index of DMFT 2.1, and the value of the SiC index was 2.6. The index of caries for non-MIH children was DMFT 1.1 and the SiC index was 1.2. MIH prevalence in Croatia is more common in girls than in boys. MIH has a significant impact on childrenās development and is a major factor in the occurrence of caries
Knowledge and Attitudes of Patients about Dental Implants as a Treatment Option after Tooth Extraction
The aim of the study is to determine patientsā knowledge and attitudes toward dental implants as a therapeutic option after tooth extraction and to examine the sources of information about dental implants and determine the most common barriers in deciding for this type of therapy. The cross-sectional study included 130 patients. An anonymous survey questionnaire was used to conduct the research. The survey questionnaire consists of a total of 17 multiple-choice questions. Respondents showed good knowledge of dental implants except for knowledge of dental implant duration where subjects mostly stated that a dental implant lasts a lifetime. For most respondents, the dentist is the main source of information related to dental implants. The cost of the procedure for most respondents is a major barrier in decision to install a dental implant, but most of them want to know more about dental implants. Statistically significant differences were observed in patients āknowledge in relation to age and level of education and patientsā attitudes in relation to gender, age, and level of education
Unusual Mechanism of Facial Nerve Palsy Caused by Penetrating Neck Trauma
We present a case of a low energy penetrating neck injury with only facial nerve (FN) palsy in the clinical finding. A 32-year-old male patient was admitted to the emergency department with a penetrating injury on the right side of the neck just behind the right ear, accompanied by evident right (FN) palsy, evaluated as House Brackmann grade IV. Computed tomography demonstrated an isolated soft tissue injury in the right retroauricular region without bone fracture, parotid gland lesion, or vascular structure involvement. The FN palsy was treated with corticosteroids (CS), and the patient had an uneventful and complete recovery. This case report presents an unusual mechanism of isolated, extratemporal, blunt injury of the FN after a penetrating neck injury followed by complete recovery