Acta clinica Croatica
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Acta clinica Croatica · Mar 2022
THE PREVALENCE OF SUBCLINICAL HYPOTHYROIDISM IN THE POPULATION OF ELDERLY NURSING HOME RESIDENTS IN ZAGREB.
The aim of the study was to investigate the prevalence of thyroid dysfunction, positive thyroid peroxidase antibodies (TPOAb) and hypercholesterolemia in elderly and younger subjects, and the association of subclinical hypothyroidism with hypercholesterolemia. The study included 204 elderly (136 females and 68 males, age median 71, range 60-92 years), and 83 younger control subjects (63 females and 20 males, age median 45, range 19-55 years). Subjects with prior thyroid dysfunction were excluded. ⋯ The mean cholesterol level was higher in elderly subjects in comparison with younger ones (p<0.01), and in elderly women vs. elderly men (p<0.01), but without difference between subclinical hypothyroidism and euthyroid subjects (6.0 mmol/L). In conclusion, subclinical hypothyroidism is the most prevalent thyroid dysfunction in elderly, with the highest prevalence in elderly women, and autoimmune thyroiditis is the most common etiology. Hypercholesterolemia was more related to older age, especially elderly females, but not influenced by subclinical hypothyroidism.
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Urinary incontinence (UI) is a condition that affects patients of all ages, starting with childhood. There are two peaks in its incidence, i.e., in childhood and another one in patients over 40 years of age, which increases continuously with patient age. It is a condition recognized by the World Health Organization as a set of diseases (International Classification of Diseases, ICD-10), and the International Classification of Functionality recognizes the associated extreme disablement. ⋯ UI can be an isolated problem, or it can be associated and/or aggravated by any associated disorder affecting the nervous system such as myelomeningoceles, Parkinson's disease or stroke. UI often affects the patient daily life, and it can have repercussions on their physical, financial, social, and emotional well-being. At last, it has a negative influence on their sexual health.
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Throughout history, Osijek and Slavonia were parts of numerous empires and states. In this paper, the authors depict dental health care of the inhabitants of Osijek and Slavonia throughout their history, since the ancient prehistoric times when dental medicine and medicine in general were 'in the hands' of gods and medicine men, throughout the period of the Roman Empire and Middle Ages, as well as the Turkish sovereignty, all the way to the modern era when Osijek and Slavonia became part of the Austrian Empire and many novelties were introduced in the society, among other things, and for those times, modern procedures of medicine and dental protection. ⋯ The authors illustrate the work of various 'dentists' who worked in Osijek, from military and town surgeons, barbers, and especially the work of doctors that needed to have formal school and specialist education after the reforms implemented in the 19th century. Thanks to the reforms of the Austrian, and later the Austrian-Hungarian authorities, the practice and work of people who were allowed to perform dental procedures started being regulated, prices were established, and punishments introduced for those who performed dental procedures without having the proper qualifications.
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Acta clinica Croatica · Mar 2022
MINERAL BONE DENSITY AND VITAMIN D LEVELS IN PATIENTS WITH PSORIATIC ARTHRITIS.
The objective of this study was to explore the possible differences in bone mass density (BMD) and markers of bone metabolism between patients with psoriasis with concomitant psoriatic arthritis (PsA) and patients with psoriasis only (PV). A comparable sample of both types of patients were included in analysis. In all patients, vitamin D serum levels along with inflammatory markers and parathyroid hormone (PTH) were measured. ⋯ Patients with PsA tended to have decreased BMD in axial skeleton, while BMD in appendicular skeleton was comparable between the groups. No statistically significant correlation was found of inflammatory markers, vitamin D and PTH levels with BMD in either patient group. A negative correlation was recorded between vitamin D serum concentration and PTH levels.
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Acta clinica Croatica · Mar 2022
Review Observational StudyA PROSPECTIVE OBSERVATIONAL STUDY TO ASSESS WAITING TIMES TO FIRST TREATMENT IN PATIENTS DIAGNOSED WITH BRAIN TUMOR.
The aim was to investigate and determine waiting intervals from diagnosis to first treatment in brain tumor patients. A prospective observational study was performed at the Department of Neurology, Split University Hospital Center, Split, Croatia, from February 21, 2016 until April 10, 2017. The inclusion criterion was the diagnosis of brain tumor confirmed by standard neuroimaging methods. ⋯ The median DTI of 15.5 days for brain tumors is still, by a wide margin, beyond the preferable one-digit number. When compared to the available data from other countries, however, it seems that the health system in Croatia provides the same, if not a slightly higher, level of efficiency. The median DTI for primary oncologic treatment did, however, indicate a substantial delay.