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Pain and function deteriorate in patients awaiting total joint arthroplasty that has been postponed due to the COVID-19 pandemic

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World Journal of Orthopedics 2021年第3期12卷 152-168页

作者： Jurek Rafal Tomasz Pietrzak Zia Maharaj Magdalena Erasmus Nkhodiseni Sikhauli josip nenad cakic Lipalo Mokete Department of Orthopaedics University of the WitwatersrandJohannesburg 2193GautengSouth Africa Department of Orthopaedic Surgery Charlotte Maxeke Johannesburg Academic HospitalJohannesburg 2193GautengSouth Africa Department of Orthopaedic Surgery Life FourwaysJohannesburg 2193GautengSouth Africa

BACKGROUND Elective total joint arthroplasty(TJA)procedures have been postponed as part of the coronavirus disease 2019(COVID-19)response to avert healthcare system *** hip arthroplasty(THA)and total knee arthroplasty(TKA)procedures comprise the highest volume of elective procedures performed at health care facilities *** To determine the demand for TJA despite the pandemic and the impact of surgery postponement on physical and mental *** We conducted a prospective cross-sectional telephonic interview-based study on patients awaiting THA and TKA at an academic institution in South *** questionnaire consisted of four *** first section recorded baseline demographic data and medical co-morbidities,the length of time spent awaiting TJA,and the patients’desire to undergo elective surgery despite the COVID-19 *** 2 and Section 3 assessed the patients’current physical and mental health,respectively,as a consequence of deferred surgical *** last section established the patients’perception of the healthcare system’s response to the COVID-19 pandemic and necessity to postpone elective *** received counseling and education on the current state of surgery during the COVID-19 pandemic and associated ***,patients were once again asked about their desire to undergo TJA during the COVID-19 *** We included 185 patients(65.95%female;mean age:50.28 years)awaiting TJA for a mean of 26.42±30.1 ***,88.65%of patients wanted TJA despite the COVID-19 *** awaiting TJA for 1-3 years were 3.3-fold more likely to want surgery than those waiting<1 year(P<0.000).Patients with comorbidities were 8.4-fold less likely to want TJA than those with no comorbidities(P=0.013).After receiving education,the patients wanting TJA decreased to 54.05%.Patients who changed their opinion after education had less insight on the increased morbidity(P=0.046)and mortality(P=0.001)asso

关键词： Total hip arthroplasty Total knee arthroplasty Elective surgery COVID-19 Waiting lists Primary total joint arthroplasty

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A non-contiguous recurrence of the ciliary body melanoma—is cataract surgery a risk factor?

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International Journal of Ophthalmology(English edition) 2020年第4期13卷 681-683页

作者： Biljana Kuzmanovic Elabjer Mladen Busic Mirjana Bjelos Daliborka Miletic nenad Vukojevic University Eye Clinic Faculty of Dental Medicine and Health Care OsijekFaculty of Medicine OsijekUniversity Josip Juraj Strossmayer in OsijekUniversity Hospital"Sveti Duh"Zagreb 10000Croatia University Eye Clinic University Hospital Centre ZagrebZagreb 10000Croatia

Dear Editor,We would like to present a case of non-contiguous recurrence of ciliary body melanoma following cataract surgery, detected by ultrasound biomicroscopy(UBM), three years after ruthenium-106(106 Ru) *** biomicrosopy is a crucial tool in analysis of localization, size, and borders of the ciliary body tumours, local invasion, and follow-up after treatment[1]. According to the guidelines[2], examination of treated eyes should be performed every 3-6 mo following brachytherapy, actively searching for complications or tumour recurrence.

关键词： melanoma surgery cataract

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Epidemiology of hepatitis C in Croatia in the European context

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World Journal of Gastroenterology 2015年第32期21卷 9476-9493页

作者： Tatjana Vilibic-Cavlek Jasmina Kucinar Bernard Kaic Maja Vilibic nenad Pandak Ljubo Barbic Vladimir Stevanovic Jasmina Vranes Department of Virology Croatian National Institute of Public Health and School of Medicine University of Zagreb Department of Microbiology Istria County Institute of Public Health Department of Epidemiology Croatian National Institute of Public Health Vrapce University Psychiatric Hospital Department of Infectious Diseases General Hospital "Dr Josip Bencevic" School of Medicine University of Osijek Department of Microbiology and Infectious Diseases with Clinic Faculty of Veterinary Medicine University of Zagreb Department of Microbiology Public Health Institute "Dr Andrija Stampar" and School of Medicine University of Zagreb

We analyzed prevalence, risk factors and hepatitis C virus(HCV) genotype distribution in different population groups in Croatia in the context of HCV epidemiology in Europe, with the aim to gather all existing information on HCV infection in Croatia which will be used to advise upon preventive measures. It is estimated that 35000-45000 of the Croatian population is chronically infected with HCV. Like in other European countries, there have been changes in the HCV epidemiology in Croatia over the past few decades. In some risk groups(polytransfused and hemodialysis patients), a significant decrease in the HCV prevalence was observed after the introduction of routine HCV screening of blood/blood products in 1992. Injecting drug users(IDUs) still represent a group with the highest risk for HCV infection with prevalence ranging from 29% to 65%. Compared to the prevalence in theCroatian general population(0.9%), higher prevalence rates were found in prison populations(8.3%-44%), human immunodeficiency virus-infected patients(15%), persons with high-risk sexual behavior(4.6%) and alcohol abusers(2.4%). Low/very low prevalence was reported in children and adolescents(0.3%) as well as in blood donors(0%-0.009%). In addition, distribution of HCV genotypes has changed due to different routes of transmission. In the general population, genotypes 1 and 3 are most widely distributed(60.4%-79.8% and 12.9%-47.9%, respectively). The similar genotype distribution is found in groups with high-risk sexual behavior. Genotype 3 is predominant in Croatian IDUs(60.5%-83.9%) while in the prison population genotypes 3 and 1 are equally distributed(52.4% and 47.6%). Data on HCV prevalence and risk factors for transmission are useful for implementation of preventive measures and HCV screening.

关键词： Hepatitis C Seroprevalence Genotypes Croatia Europ

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