Comorbidities and functional disability in chronic low back pain

Jandrić-Kočić, Marijana

doi:10.5937/opmed1904043j

Cited by 4 publications

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“…Na osnovu brojnih do sada sprovedenih istraživanja procenjuje se da čak 80% odraslih osoba ima bol u donjem delu leđa bar jednom u toku života (1)(2)(3). Nešto više zaposlenih muškaraca (5-7%) nego žena (4-6%) traži pomoć zbog bola u donjem delu leđa kod svog izabranog lekara primarne zdravstvene zaštite (1,2).…”

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“…Najčešće bol u donjem delu leđa pogađa radno aktivno stanovništvo (1,2). U većini zemalja sveta ukazuje se na velike troškove lečenja ovog stanja, a u Sjedinjenim Američkim Državama troškovi lečenja bola u donjem delu leđa su odmah iza troškova lečenja malignih i kardiovaskularnih bolesti (3). Posledice bola u donjem delu leđa mogu dovesti do niskog (smanjena radna produktivnost ali bez narušenih svakodnevnih rutinskih aktivnosti) ili visokog stepena funkcionalne onesposobljenosti (ograničene svakodnevne rutinske aktivnosti i to npr.…”

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Sleep disorder and functional disability in chronic low back pain

Jandrić-Kočić¹

2019

Zdravstvena zaštita

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_______ 1 SAŽETAK Uvod/Cilj: Hronični bol u donjem delu leđa često je praćen promenama u trajanju i kvalitetu sna. S druge strane, narušena struktura sna negativno utiče na kvalitet života obolelih. Cilj istraživanja je bio da se ispita da li postoji veza između prisustva poremećaja spavanja i stepena funkcionalne onesposobljenosti kod osoba sa hroničnim bolom u donjem delu leđa. Metode: Studijom preseka obuhvaćeno je 150 osoba sa hroničnim bolom u donjem delu leđa koje su se javile u Dom zdravlja Krupa na Uni u periodu od 01.10.2016. do 01.10. 2018.godine. Pored opšteg upitnika, u istraživanju su korišćeni Upitnik o nesposobnosti po Rolandu Morisu (engl. Roland Morris Disability Questionnaire) i Pitsburčki indeks kvaliteta sna (engl. Pittsburgh Sleep Quality Index). U statističkoj analizi podataka primenjen je hi kvadrat test. Rezultati: Od 150 osoba sa hroničnim bolom u donjem delu leđa 88 (58,7%) su činile žene, a 62 (41,3%) muškarci. Prosečna starost ispitanika je bila 54,0 ± 5,7 godina. Žene su bile statistički značajno starije nego muškarci. Muškarci i žene, kao i osobe uzrasta 40-59 godina i 60-79 godina, sa narušenim kvalitetom sna su značajno češće imali viši stepen funkcionalne onesposobljenosti nego osobe sa nenarušenim kvalitetom sna. Kod najmlađih osoba (20-39 godina) sa niskom funkcionalnom onesposobljenošću 5,3% je imalo narušen kvalitet sna, a 4,3% u uzrastu 40-59 godina i 4,0% u uzrastu 60-79 godina. Među osobama sa višim stepenom funkcionalne onesposobljenosti ni jedna osoba nije imala narušen kvalitet sna u uzrastu 20-39 godina, a sve osobe uzrasta 40-59 i 60-79 godina su imale narušen san. Zaključak: Neophodna su dalja istraživanja o povezanosti kvaliteta sna i stepena funkcionalne onesposobljenosti osoba sa hroničnim bolom u donjem delu leđa. Edukacija o higijeni spavanja, rutinska procena kvaliteta sna i rana terapijska intervencija kod osoba sa hroničnim bolom u donjem delu leđa mogu doprineti smanjivanju funkcionalne onesposobljenosti, kao i troškova zdravstvene zaštite i radnog apsentizma.

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Sleep disorder and functional disability in chronic low back pain

Jandrić-Kočić¹

2019

Zdravstvena zaštita

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Influence of alcohol drinking forms on development of depression, anxiety and somatic disorder in the area of Krupa na Uni

Jandrić-Kočić¹,

Knežević²

2021

Med gl Spec bol štit Zlatibor

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Introduction: Alcohol consumption can lead to different psychiatric pathologies, both during maintenance of the addictive cycle and after abstinence is established. Objective: The study aimed to examine the existence of a statistically significant association of drinking patterns alcohol with the intensity of anxiety, depression and somatic disorders in alcohol users. Methods: The study was performed as a cross-sectional study at the Health Center Krupa na Uni in the period from 01.10.2018. to 01.06.2019. The sample consisted of 110 randomly selected patients consuming alcohol, 35 (31.8%) women and 75 (68.2%) men, with an average age of 51 ± 1.9 years. The survey used the following questionnaires: Alcohol Use Disorders Identification Test, Generalized Anxiety Disorder, Patient Health Questionnaire, Beck's Depression Inventory. The chi-square test was used in the data analysis. Results: Low-risk drinking was verified in 36 (32.7%) of respondents, high-risk drinking in 50 (45.5%) of them. Harmful drinking was found in 20 (18.2%) of respondents, alcohol abuse in 4 (3.6%) of them. Symptoms of anxiety were 85 (77. 3%) of respondents. The same number of subjects had somatic problems. 66 (60.0%) of the study participants were depressed. There was a statistically significant association of drinking patterns with the intensity of anxiety and depression (p <0.05). In the case of somatic disorders, the same was not verified (p> 0.05) Conclusion: The pattern of drinking alcohol is consistent with the intensity of anxiety disorders. Harmful drinking alcohol results in intense somatic distress, while alcohol abuse is not statistically significantly associated with the same. The intensity of depression is correlated with the pattern of drinking alcohol. The obtained results are in accordance with researchers from other countries.

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Iritable bowel syndrome as the first manifestation of Hashimoto's tireoiditis

Jandrić-Kočić¹

2020

PONS

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Introduction. Hashimoto's thyreoiditis has a complex effect on the gastrointestinal tract, which includes hormone receptor alteration, neuromuscular disorders, myopathies caused by intestinal wall infiltration. Case report. A 44-year-old patient appears in the family medicine clinic due to moderate pain in the lower part of the abdomen present for the past three months, which intensifies before defecation and stops immediately after defecation. He has two to four liquid stools daily in which he has not noticed the presence of mucus or blood for the past two months. He negates earlier illnesses as well as diseases relevant to heredity. Physical examination provides a neat finding. Ultrasound examination of the abdomen is within the age range. Thyroid ultrasound identifies the right flap of a 48x24x10 mm diametre with hypoechogenic calcified nodus 14x12 mm in diameter (meets the criteria of the American Thyroid Association for aspiration biopsy), left flap of 44x20x14 mm diameter. The following are the laboratory findings: TSH 7.66 mIU/l, FT4 6.42 pmol/l, TG 5080 ng/ml, calcitonin 8.94 pg/ml, TG-At 24.99 IU/ ml, TPO-At 500 IU/ml. The patient is instructed on a hygienic dietary regimen and includes spasmolytic and antidiarrheal, and referred to a nuclear medicine specialist who performs an aspiration biopsy (TBSRTC IV follicular tumor). The Oncology Consilium indicates surgery (right-sided lobectomy) with extempore verification and further follow-up. Pathohistological examination of the removed right lobe excludes the presence of malignant disease (struma coloides multinodosa glandulae thyroideae). Antidiarrheal therapy is discontinued and replacement therapy is administered (levothyroxine sodium tablets 50 mcg, qd). Subsequent proctosigmoidoscopy shows a neat finding. One year after surgery the patient is in remission of the disease. Conclusion. Diagnostic evaluation of the thyroid gland in patients with irritable colon syndrome significantly improves quality of life, reduces occupational absenteeism and health care costs.

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Comorbidities and functional disability in chronic low back pain

Cited by 4 publications

References 18 publications

Sleep disorder and functional disability in chronic low back pain

Sleep disorder and functional disability in chronic low back pain

Influence of alcohol drinking forms on development of depression, anxiety and somatic disorder in the area of Krupa na Uni

Iritable bowel syndrome as the first manifestation of Hashimoto's tireoiditis

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