174 research outputs found
IMR902615 Supplemental Material - Supplemental material for Influence of depression and self-esteem on oral health-related quality of life in students
No full textSupplemental material, IMR902615 Supplemental Material for Influence of depression and self-esteem on oral health-related quality of life in students by Roxana Oancea, Bogdan Timar, Ion Papava, Bredicean Ana Cristina, Adrian Cosmin Ilie and Liana Dehelean in Journal of International Medical Research</p
Remembering the Jewish student dormitory Belgrade
No full textJevrejski studentski dom se nalazio u zgradi sinagoge u Beogradu u ulici Maršala Birjuzova broj 19, tada Kosmajska 19. Na levoj strani zgrade, od prizemlja do trećeg sprata. Sobe, spavaonice, nalazile su se na drugom i trećem spratu. Na prvom spratu se nalazila učionica, a u prizemlju se nalazila trpezarija. Na drugom spratu su bila kupatila, muško i žensko. Jevrejski studentski dom formiran je krajem 1945 godine. Trajao je do 1957 ili 1958 godine, kada više nije bilo studenata u domu. Ko su bili domaši?
To su bili posleratni beskućnici, čije su porodice i domaćinstva bili potpuno ili delimično uništeni, to su bili omladinci koji su slučajno ostali u životu u koncentracionim ili logorima uništenja, koji su se vratili iz ratova u partizanima ili bili u ilegali, ili se skrivali za vreme okupacije od nacistickih dželata ili od domaćih kvislinga, ili su se vratili iz nemačkih ili sovjetskih zarobljeništava, ili nisu sebi mogli da priušte iznajmljivanje privatnih soba ako su bili iz unutrašnjosti. Oni su bili pretežno is Srbije, ali bili su i iz Makedonije i Bosne i Hercegovine. Za sve njih Jevrejski studentski dom je bilo PORODIČNO UTOČIŠTE.The Jewish students' dormitory was located in the building of the synagogue in Belgrade at 19 Maršala Birjuzova Street, then Kosmajska 19. On the left side of the building, from the ground floor to the third floor. The rooms, the dormitories, were on the second and third floors. There was a classroom on the first floor and a dining room on the ground floor. On the second floor were the male and female bathrooms. The Jewish dormitory was formed at the end of 1945. It lasted until 1957 or 1958 when there were no more students in the dormitory. Residents were post-war homeless people, whose families and households were completely or partially destroyed, these were young people who happened to be alive in concentration or extermination camps, who returned from wars in partisans or were illegal, or hid behind during the occupation by Nazi executioners or by domestic quislings, they either returned from German or Soviet captivity or could not afford to rent private rooms if they were from the interior. They were mostly from Serbia, but they were also from Macedonia and Bosnia and Herzegovina. For all of them, the Jewish dormitory was a FAMILY SHELTER.Autor je sa ovim radom 2015. godine učestvovao na 59. nagradnom konkursu Saveza jevrejskih opština Srbije.With this paper, in 2015, the author participated in the 59th award competition of the Federation of Jewish Communities of Serbia
Impact of neuropathy on the adherence to diabetes-related self-care activities: a cross-sectional study
No full textBogdan Timar,1 Romulus Timar,2 Adalbert Schiller,2 Cristian Oancea,3 Deiana Roman,1 Mihaela Vlad,2 Bogdan Balinisteanu,4 Octavian Mazilu5 1Department of Functional Sciences, 2Second Department of Internal Medicine, 3Department of Infectious Diseases, 4Department of Microscopic Morphology, 5First Department of Surgery, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Purpose: The purpose of this study was to evaluate the impact of the presence and severity of neuropathy and depression on the patient’s adherence to diabetes-related self-care activities (DRSCA) in a cohort of patients with type 2 diabetes mellitus (T2DM).Patients and methods: In this cross-sectional, noninterventional study, 198 patients with T2DM were enrolled according to a population-based, consecutive-case enrollment principle. In all patients, the adherence to DRSCA was evaluated using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire; a higher SDSCA score is associated with a better adherence. The presence and severity of neuropathy was assessed using the Michigan Neuropathy Screening Instrument (MNSI) and the severity of depression using the Patient Health Questionnaire-9 (PHQ-9).Results: The presence of neuropathy was associated with a decreased SDSCA score (26 points vs 37 points; P<0.001), an increased severe depression prevalence (24.7% vs 4.3%; P<0.001), and an increased PHQ-9 score (12 points vs 7 points; P<0.001). The MNSI score was reverse correlated with SDSCA score (r=-0.527; P<0.001) and positively correlated with PHQ-9 score (r=0.495; P<0.001). The reverse correlation between MNSI score and SDSCA score was present for all the subcomponents of SDSCA questionnaire (diet, exercise, glycemic monitoring, and foot care).Conclusion: The presence of neuropathy is associated with decreases in the quality of adherence to DRSCA in patients with T2DM and with increases in the symptomatology of depression. The significant, negative association between the severity of T2DM and the quality of disease self-management points to a possible loop-type relationship between these two components, being possible a reciprocal augmentation with negative consequences on the global management of the disease. Keywords: type 2 diabetes mellitus, diabetes self-care, diabetic neuropathy, depression 
Origin and consolidation of fief-holding Timar system in the Ottoman State
No full textНа базі османських джерел та літератури з обраної проблематики автор подає огляд та
аналіз проблеми виникнення, походження військово-ленної тимарної системи та її закріплення в Османській державі. Тимарна система давала можливість утримувати багаточи-
сельну армію при скромних фінансових ресурсах і нерозвиненій фіскальній системі, оподатковувати всіх виробників і збирати податки повністю. Тимарна система - османська інсти-
туція, уведена на початку зростання могутності Османської держави, відіграла надзвичайно
важливу, фундаментальну роль в історії існування державної формації, сприяла її розквіту;
криза тимарної системи призвела до занепаду держави.On the basis of Ottoman written origins and literature of this problem the author presents the review and analysis of the
genesis, origin and consolidation consolidation of fief-holding timar system in the Ottoman State. Timar systemgave the opportunity
to keep the numerous army with poor financial resourses and undeveloped fiscal system, gave opportunity taxation all producers
and tocollect all taxes. This system is osman institution, which was introduced in the beginning of growth might Ottoman State,
played a very important, fundamental role in the history of existence of this state formation, promoted of prosperity.Crisis of
timar system caused for decline of might of the stat
Depression influences the quality of diabetes-related self-management activities in elderly patients with type 2 diabetes: a cross-sectional study
No full textGabriela Mut-Vitcu,1 Bogdan Timar,2 Romulus Timar,1 Cristian Oancea,3 Ioan Cosmin Citu4 1Second Department of Internal Medicine, 2Department of Functional Sciences, 3Department of Infectious Diseases, 4Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Purpose: To evaluate the prevalence of depression and its impact on the quality of diabetes-related self-care activities in elderly patients with type 2 diabetes. Patients and methods: In this cross-sectional study, 184 patients with type 2 diabetes were enrolled. Depression was evaluated using Patient Health Questionnaire-9 while the quality of diabetes-related self-care activities was assessed using the Summary of Diabetes-Related Self Care Activities Questionnaire. Results: In our study group, 53.3% of the patients had moderate depression, 17.9% had severe depression, and 28.8% had no depression symptoms. Patient’s age (P=0.024), presence of diabetic neuropathy (P<0.001), and body mass index (P=0.037) proved to be independent and significant predictors for developing depression in patients with type 2 diabetes. The severity of depression was reverse correlated with the quality of self-care activities for all the studied components: global score (r=-0.305), diet intervention score (r=-0.297), exercise score (r=-0.388), glycemic monitoring score (r=-0.055), and feet care score (r=-0.180). The presence of severe depression was associated with an increased prevalence of diabetes complications such as diabetic neuropathy and chronic kidney disease. Conclusion: The prevalence of depression is higher in patients with type 2 diabetes compared to general population. Depression has a major negative impact on the quality of diabetes-related self-care activities and, being a treatable condition, proactive screening followed in case of a positive diagnosis by adequate treatment should be performed in all patients with diabetes. Keywords: diabetes, depression, self-care, quality of lif
Origin and consolidation of fief-holding Timar system in the Ottoman State
No full textНа базі османських джерел та літератури з обраної проблематики автор подає огляд та
аналіз проблеми виникнення, походження військово-ленної тимарної системи та її закріплення в Османській державі. Тимарна система давала можливість утримувати багаточи-
сельну армію при скромних фінансових ресурсах і нерозвиненій фіскальній системі, оподатковувати всіх виробників і збирати податки повністю. Тимарна система - османська інсти-
туція, уведена на початку зростання могутності Османської держави, відіграла надзвичайно
важливу, фундаментальну роль в історії існування державної формації, сприяла її розквіту;
криза тимарної системи призвела до занепаду держави.On the basis of Ottoman written origins and literature of this problem the author presents the review and analysis of the
genesis, origin and consolidation consolidation of fief-holding timar system in the Ottoman State. Timar systemgave the opportunity
to keep the numerous army with poor financial resourses and undeveloped fiscal system, gave opportunity taxation all producers
and tocollect all taxes. This system is osman institution, which was introduced in the beginning of growth might Ottoman State,
played a very important, fundamental role in the history of existence of this state formation, promoted of prosperity.Crisis of
timar system caused for decline of might of the stat
Origin and consolidation of fief-holding Timar system in the Ottoman State
No full textНа базі османських джерел та літератури з обраної проблематики автор подає огляд та
аналіз проблеми виникнення, походження військово-ленної тимарної системи та її закріплення в Османській державі. Тимарна система давала можливість утримувати багаточи-
сельну армію при скромних фінансових ресурсах і нерозвиненій фіскальній системі, оподатковувати всіх виробників і збирати податки повністю. Тимарна система - османська інсти-
туція, уведена на початку зростання могутності Османської держави, відіграла надзвичайно
важливу, фундаментальну роль в історії існування державної формації, сприяла її розквіту;
криза тимарної системи призвела до занепаду держави.On the basis of Ottoman written origins and literature of this problem the author presents the review and analysis of the
genesis, origin and consolidation consolidation of fief-holding timar system in the Ottoman State. Timar systemgave the opportunity
to keep the numerous army with poor financial resourses and undeveloped fiscal system, gave opportunity taxation all producers
and tocollect all taxes. This system is osman institution, which was introduced in the beginning of growth might Ottoman State,
played a very important, fundamental role in the history of existence of this state formation, promoted of prosperity.Crisis of
timar system caused for decline of might of the stat
Urinary tract infections in Romanian patients with diabetes: prevalence, etiology, and risk factors
No full textTeodora Chiţă,1,2 Bogdan Timar,1,2 Delia Muntean,1,2 Luminiţa Bădiţoiu,1,3 Florin Horhat,1,2 Elena Hogea,1 Roxana Moldovan,1,3 Romulus Timar,1,2 Monica Licker1,2 1Victor Babes University of Medicine and Pharmacy Timisoara, 2Pius Brinzeu Emergency Hospital, 3Regional Centre of Public Health, Timisoara, Romania Aim: Patients with diabetes mellitus (DM) have an increased risk of infections, especially urinary tract infections (UTIs). The aim of this study was to assess the prevalence and etiology of UTIs and identify the risk factors for their development in patients with DM. Patients and methods: In this retrospective, noninterventional study, the medical records of 2,465 adult patients with DM who were hospitalized in a Diabetes Clinic were reviewed. Data regarding the presence of UTI and possible associated risk factors were collected and their possible relation was analyzed. The study protocol and procedures were approved by the Ethics Committee of Timişoara Emergency Hospital. All data were collected and analyzed using SPSS v.17 statistical software. Results: The prevalence of UTIs in patients with DM was 12.0% (297 cases), being higher in females than in males and higher in patients with type 2 DM compared with patients with type 1 DM. In univariate logistic regression analysis, risk factors associated with UTIs were female gender, age, type 2 DM, longer duration of DM, and the presence of chronic kidney disease and coronary artery disease. Multivariate analysis identified age, duration of DM, and metabolic control (hemoglobin A1c levels) as independent risk factors for UTIs. The gram-negative bacilli from the Enterobacteriaceae family were predominant, with Escherichia coli being the most frequent of them (70.4%). Conclusion: UTIs are a frequent condition associated with DM. It is necessary to improve the care and the screening of UTIs in patients with DM to prevent the occurrence of possible associated severe renal complications. Keywords: urinary tract infections, diabetes mellitus, epidemiology, incidenc
Factors influencing the quality of life perception in patients with type 2 diabetes mellitus
No full textRomulus Timar,1 Iulian Velea,2 Bogdan Timar,3 Diana Lungeanu,3 Cristian Oancea,4 Deiana Roman,5 Octavian Mazilu6 1Second Department of Internal Medicine, 2Department of Pediatrics, 3Department of Functional Sciences, 4Department of Infectious Diseases, 5Faculty of General Medicine, “Victor Babes” University of Medicine and Pharmacy, 6First Department of Surgery, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania Purpose: To evaluate the impact of several factors on the patient’s perception on quality of life in a group of patients with type 2 diabetes mellitus (T2DM).Patients and methods: In this cross-sectional study, 198 patients with T2DM were enrolled according to a consecutive-case population-based study design. In all participants, the perception on the quality of life was measured using the quality of life index – diabetes version III proposed by Ferrans and Powers. We evaluated the impact of several anthropometric and diabetes-related (ie, diabetes history and quality of glycemic control) factors on the patient’s perception on the quality of life.Results: The presence of diabetes complications was associated with a decreased quality of life: retinopathy (1 vs 5 points; P<0.001), chronic kidney disease (-1 vs 5 points; P<0.001), and neuropathy (-1 vs 5 points; P<0.001). A significant reverse correlation was found between the patient’s quality of life and depression’s severity (Spearman’s r=-0.345; P<0.001) and body mass index (Spearman’s r=-0.158; P=0.026). A positive association between the quality of life and the quality of diabetes-related self-care activities was found (Spearman’s r=0.338; P<0.001). No significant association was found between the patient’s quality of life and the quality of glycemic control, diabetes duration, age, gender, or smoking status.Conclusion: To improve the patient’s quality of life, special care should be given to the modifiable diabetes-related factors: the prevention and treatment of diabetes complications, treatment of depression, and weight loss in obese and overweight patients. Keywords: quality of life, type 2 diabetes, diabetes complications, diabetes-related self-care activitie
Validation and cross-cultural adaptation of the depression Patient’s Health Questionnaire – 9 in the Romanian population of patients with Type 2 Diabetes Mellitus
No full textNicoleta Lupascu,1 Bogdan Timar,2,3 Alin Albai,1,3 Deiana Roman,1 Ovidiu Potre,4,5 Romulus Timar1,31Second Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 2Department of Functional Sciences, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 3Department of Diabetes and Metabolic Diseases, “Pius Brinzeu” Emergency Hospital, Timisoara, Romania; 4First Department of Internal Medicine, “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania; 5Department of Hematology, Municipal Emergency Hospital, Timisoara, RomaniaPurpose: To validate and to evaluate the performance in depression screening of the Patient’s Health Questionnaire – 9 (PHQ-9) for Romanian patients with Type 2 Diabetes Mellitus (T2DM).Patients and methods: In a consecutive-case, population-based, non-interventional study design 107 hospitalized patients with T2DM were enrolled. The PHQ-9 was evaluated in regard to its acceptability, ceiling and floor effect, reproducibility, and test–retest performance. Its validity was tested by comparing it to the Beck depression scale, which is a validated tool for this patient population.Results: The PHQ-9 questionnaire had an excellent acceptability, having no non-responders for any of its questions and a median completion time of 3 mins and 12 s, a good reliability with a Cronbach’s α=0.897 [0.865–0.924] 95%CI, a good test–retest performance (Spearman’s rho =0.972; p<0.001 between two administrations of the test) without any ceiling or floor effect observed for the total score. At the same time, the score demonstrated a good validity when compared to a more complex and previously validated instrument like the Beck depression scale (Spearman’s rho =0.777; p<0.001). The limits of agreement (Bland-Altmann analysis) between the two measurements are 2.6 to −2.5 points.Conclusion: The PHQ-9 is a valid, useful instrument for depression screening in Romanian patients with T2DM.Keywords: questionnaire validation, depression screening, chronic diseases, screening instrument, depression in diabete
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