Background
There is a large variability in clinical practice and in the literature, and no controlled trial with adequate sample size for performing pneumatic balloon dilation (BD) for achalasia. We ...aimed to evaluate the efficacy and safety of pneumatic BD for achalasia over a 12-year period.
Methods
We undertook a retrospective review of the medical records of 45 patients who underwent BD for achalasia at a single institution between 2000 and 2013. The primary objectives were the efficacy and safety of BD, patients were followed up every 6 months and the secondary goal was the evaluation of the epidemiological characteristics of achalasia.
Results
A total of 45 patients were analysed, of whom 25 (55.6 %) were female. The mean age (SD) of the sample was 54 years. Out of 66 dilations, we were successful in 62 dilations (93.94 %); three were unsuccessful due to perforation of the oesophagus, and one dilation was declared unsuccessful. Of the total patients, three (6.6 %) needed more than two BDs.
Conclusion
Endoscopically controlled BD based on the free choice of the diameter of a balloon and duration of dilation is an effective and safe therapeutic modality of achalasia.
there is no epidemiological estimation of the incidence and prevalence of CDin the adult population in Bosnia and Herzegovina(B&H), nor there are reports about the clinical presentation of CDin ...patients in B&H.
to assess the epidemiological and clinical characteristics of CDin the adult population in Tuzla Canton in northeast of Bosnia and Herzegovina.
we retrospectively analyzed all hospital records of both adult inpatients and outpatients evaluated in University Clinical Center Tuzla, with suspected CD and residing in Tuzla Canton of B&H between 1.1.2007 and 31.12.2009.
during the 3-year period we registered 42 cases of celiac disease (CD) with 31/42 (73.8%) of female and 11/42 (26.2%) of male patients - male to female ratio 1 to 2.82. The average annual crude incidence of CD during the observed period was 2.55/105 population (%95 CI=1.74-3.36). The average crude incidence in men was 1.51/105 and 4.08/105 in women. The average annual standardized incidence during the time period 2007-2009 was 1.89/105 (%95 CI=1.32-2.56). The sum prevalence during the study period was 7.66/105 population. Prevalence among men was 4.53/105 and 12.23/105 among women.
The incidence of CD in our region is demonstrating a steep rise and apparently low prevalence in our region is merely a result of poor availability of diagnostics in previous years.
Cilj rada je evaluirati prisustvo aterosklerotskog plaka na krvnim sudovima glave i vrata te procjeniti promjene u cirkulaciji kroz krvne sudove mozga u bolesnika sa sistemskim eritemskim lupusom ...(SLE).
U 35 pacijenata sa SLE prosječne životne dobi 37,67±9,96 godina i dužine trajanja bolesti od 3,8±4,51godina uradila se Doppler ultrasonografija karotidnih arterija da bi se ustanovilo eventualno prisustvo zadebljanja intima-media zida krvnog suda ili prisustvo aterosklerotskog plaka. Perfuziona scintigrafija mozga uradi se u 15 od 35 pacijenata sa ciljem procjene promjena u cirkulaciji kroz krvne sudove mozga. Mjereno ultrazvučno 2/35 pacijenata sa lupusom su imali aterosklerotski plak, a 2/35 zadebljanje zida krvnog suda. Rezultati scintigrafije mozga su pokazali blage cirkulatorne promjene na karotidogramu u 5/15 pacijenata, 4/15 pacijenata su imali blage promjene u cirkulaciji kroz aa. cerebri mediae. 1/15 je imao teške promjene u karotidnoj cirkulaciji, dok je u 5/15 pacijenata nalaz bio uredan. U pacijenata sa SLE postoji određen stepen aterosklerotskih promjena te samo rana dijegnoza može doprinjeti pravodobnoj terapijskoj intervenciji.
Cilj rada je kroz izjave trenera capoeire dobiti uvid u njihovu perspektivu o tome kako djeca i mladi prihvaćaju capoeiru, kakav učinak ima na razvoj djece i mladih te koje preporuke imaju za pristup ...budućem radu. Provedeno je kvalitativno istraživanje intervjuiranjem devet trenera u Hrvatskoj, a dobiveni podaci obrađeni su tematskom analizom podataka. Rezultati istraživanja pokazali su da djeca i mladi generalno dobro prihvaćaju capoeiru. Dobrobiti capoeire su: osjećaj prihvaćenosti i pripadanja, učenju tolerancije prema različitostima, unapređenje socijalnih vještina, samopoštovanje i samopouzdanje, fleksibilnost prema individualnim potrebama djece, nenatjecateljsko i suradničko okruženje, fizički razvoj, prilika za socijalizaciju i resocijalizaciju, otvorenost prema različitim kulturama te razvijanje muzikalnosti. Izazovi i mogućnosti unapređenja vođenja djece i mladih putem capoeire su uvažavanje i integriranje u rad individualnosti djece, razumijevanje stvarne djetetove razvojne potrebe, korištenje vlastite kreativnosti u radu, samonadziranje, edukacija, samorazvoj, odnosno ulaganje u profesionalni i osobni razvoj trenera.
The aim of this study was to evaluate the presence of atherosclerotic plaque of head and neck blood vessels and to determine the dynamics of circulation through the brain blood vessels in patients ...with systemic lupus erythematosus (SLE). In 35 patients with SLE aged 37.67+/-9.96 and whose disease lasted 3.8+/-4.51 years, Doppler carotid ultrasonography was used to identify the presence of intima-media thickness or atherosclerotic plaque. Brain perfusion scintigraphy was done in 15 out of 35 patients in order to evaluate the dynamics in circulation through carotid and cerebral media arteries. Measured by Doppler ultrasound, 2/35 of examined lupus patients had a plaque and the 2/35 had an intimal-medial thickness. The results of perfusion scintigraphy in 15 examined patients out 35 with SLE showed that 5/15 had mild circulatory changes in carotidogram. 4/15 patients had mild changes in cerebra media arteries circulation, 1/15 had severe changes in carotid circulation and 5/15 patients had normal brain scintigraphy finding. Some of the patients with SLE have atherosclerotic changes and only the early detection of atherosclerosis may provide an opportunity for therapeutic intervention.
To establish the presence of pericarditis and exudative pleuritis in patients with systemic lupus erythematosus (SLE) prior to and after glicocorticoid and cytotoxic therapy.
In 43 patients, 39 women ...and 4 men, with SLE (disease was diagnosed according to revised American College of Rheumatology ACR criterias, 1997), aged between 20 and 61 and averaged disease duration of 5.54 +/- 5.74 years, heart/lung radiology and heart echosonography were performed in order to discover possible serositis (pericarditis and exudative pleuritis) prior to and after cytotoxic and glucocorticoid therapy.
The presence of pericarditis and exudative pleuritis was established in 20 patients (47%) before the therapy. After the therapy pericarditis was present in 2 patients, average volume of 150 ml, and exudative pleuritis was also present in phrenicocostal sinus, but its volume was minimal. This table is showing the results of our study on patients with SLE and serositis. The results were compared with the results of European and Belgrade group in year 2000. table: see text
Higher frequency of serositis (pericarditis and exudative pleuritis) in our study is probably a result of more active disease, and the effects of cytotoxic and glucocorticoid therapy were satisfing exept in two patients who were resistant on therapy. That is the reason why we had to consider plasmapheresis.
