The fracture of patella can be prevented by avoiding to take too much bone graft, by using the most precise tools for cutting, while rehabilitation must be carefully planned. The optimal treatment of the fracture of the patella after the reconstruction of the anterior cruciate ligament is a firm osteosynthesis, which allows healing of the bone and continuation of the rehabilitation program.
Introduction. Data on the incidence and age distribution of women with genital warts in Serbia are limited. The aim of this study was to determine the epidemiological characteristics of genital warts in the female population aged 15 - 69 years in Novi Sad. Material and Methods. A descriptive epidemiological study was conducted using the data of the Primary Health Care Center ?Novi Sad?. The study data refer to women examined by primary care gynecologists during a 12-year period (2010 - 2021). Results. During the observed period, 654 out of 240,494 examined women aged 15 - 69 years, i.e. 609 out of 164,578 women aged 15 - 49 years, had newly diagnosed genital warts. The cumulative overall incidence rate of genital warts in women aged 15 - 69 was 2.7/1,000 (95% confidence interval 2.64 - 2.77), while in women aged 15 - 49 it was 3.7/1,000 (95% confidence interval 3.61 - 3.79). The trend in genital warts incidence in both observed age groups was stable. The highest annual incidence rate of genital warts was registered among women aged 15 - 19 years, and it was statistically significantly (p < 0.0001) higher than in all the other age groups. The annual estimated number of women with newly diagnosed genital warts in Novi Sad was 547, of which 187 (34.2%) were women aged 15 - 19 years. Conclusion. Our results provide essential epidemiological data that may be used as the basis for future population studies, as well as for the evaluation of the effectiveness of the human papillomavirus vaccination campaign, after its wide implementation in the vulnerable population.
Introduction. Osteoporosis is a metabolic skeletal disease characterized by bone mineral density reduction, which may lead to an increased risk of bone fractures. Obesity is a condition of excessive body fat that causes or aggravates many public health problems. As it is easy to be measured, body mass index is widely used as an index of the degree of obesity. Material and Methods. The study included 1.372 female orthopedic patients between the ages of 30 to 79 years who visited the Clinical Centre of Vojvodina in Novi Sad to have a dual-energy x-ray absorptiometry (DEXA) examination in the period from March, 2010 to June, 2013. The following anthropometric data were collected: body mass index, body weight, height, dualenergy x-ray absorptiometry T-score and bone mineral density (BMD), as well as some other data. Results. The mean age was 62.08 years, the mean weight was 73.59 kg and the mean height was 1.6 m. There were 392 participants in the group of normal body mass index, 14 participants were underweight, and 966 were overweight and obese. In the overweight and obese group, 25.25% participants had osteoporosis, 35.4% had osteopenia and 39.33% had the normal T-score. In the normal body mass index group, 42.34% of the participants had osteoporosis, 29.3% had osteopenia and 28.31 had the normal T-score. In the underweight group, 57.14% of the participants had osteoporosis, 21.42% had osteopenia and 21.42% had the normal T-score. Conclusion. No strong correlation between body mass index and bone mineral density was found in our study, but it is obvious that there was a stronger correlation between body mass index and bone mineral density of the total hip than between body mass index and bone mineral density of the lumbar spine.
Introduction. Immunization is an important measure in the prevention of diseases that can seriously endanger health of the population. The aim of the study was to determine the attitudes of the adult population toward seasonal influenza immunization. Material and Methods. This cross-sectional prospective study including 160 adult subjects of both sexes was conducted from November 15, 2019 to December 15, 2019 at the General Medicine Department of the ?Liman? Health Center, Novi Sad, Serbia. The respondents filled out a questionnaire, specifically designed for this purpose. The collected data were used to analyze the influence of gender, age and employment status on personal attitudes toward seasonal influenza immunization. Results. The study included 160 examinees, 74 (46.2%) men and 86 (53.8%) women, average age of 63 years. There were 88 (55%) employed and 72 (45%) unemployed participants. Of 160 participants, 113 (72.4%) had a positive attitude toward vaccination, 20 (12.8%) had a negative attitude, while 23 (14.7%) respondents were undecided. No statistically significant difference was established between the sexes in attitudes toward immunization. Vaccination coverage was higher in unemployed compared to employed subjects (75% vs. 59.1%; p < .05). Unemployed respondents were more regularly vaccinated than the employed examinees (66.1% vs. 46.7%; p < .05). Conclusion. Higher vaccination coverage rates for planned immunizations against seasonal influenza can be achieved through better promotion strategies and health education of the population.
Many countries have resumed mass gathering events like music festivals, despite potential risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmissions. This study aimed to examine the frequency of SARS-CoV-2 infection among visitors to a mass event, the EXIT festival, in relation to the proposed preventive measures. A total of 466 visitors were included in this longitudinal study conducted in Novi Sad, Serbia, during July, 2021. All subjects were tested with RDT-Ag test for the presence of SARS-CoV-2 virus at the beginning of the study and seven days after. Basic socio-demographic and epidemiological data were collected through a questionnaire. The average age of participants was 28.34 ± 8.87 years with the majority of men (53.7%). There were 170 (36.5%) vaccinated participants. A 97.1% in vaccinated and 92.2% in unvaccinated group, reported to regularly wear a protective mask (p=0.029). At the second cross-sectional testing, 354 subjects were tested, of which 150 (42.4%) were vaccinated. There was no statistically significant difference in application of preventive measures during and after the festival, in respect to vaccination status of the participants. Twenty participants (5.6%) reported some of the COVID-19-like symptoms in the first seven days after visiting the festival, but no COVID-19 infection was confirmed at the RDT-Ag testing. Despite the potential effectiveness of applied preventive measures such as RDT-Ag screening, mask-wearing and vaccination, additional caution is needed when holding these events during a period of high SARS-CoV-2 transmission, as well as when the new virus variants emerge in community.
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