353 research outputs found
Six decades of the Pula neuropsychiatric meetings - from neuropsychiatry to borderlands of neurology and psychiatry: brain and mind
No full textIn 2010, the International Neuropsychiatric Pula Symposia, from 2005 Congresses (INPS/INPC), founded in 1961 by Zagreb and Graz University Neuropsychiatry Departments, celebrated their 50th anniversary of successful development. The co-author of the paper, Boško Barac, witnessed their growth from 1966, collaborating in their organization from 1974 with the first Secretary General Gerald Grinschgl; elected for his successor after his unexpected death in 1985, he was leading the Kuratorium (Scientific Board) as Secretary General for 23 years, collaborating in this period with his Austrian partner and friend Helmut Lechner. In 2007, Barac handed over this
responsible function to the co-author Vida Demarin. Starting when neuropsychiatry was a unique discipline, the INPC followed the processes of emancipation of neurology and psychiatry and their
evolution to independent disciplines with new subspecialties. These respectable conferences greatly surpassed the significance of the two disciplines, neurology and psychiatry, granting collaboration of borderland medical and non-medical disciplines, connecting experts from the region, European countries and the world. Inaugurated in ‘cold-war’ times, in their first phase they enabled to make professional and human contacts between scientists from the two divided ‘blocs’ thanks to the ‘non-aligned’ position of the then Yugoslavia, fostering the ideas of mutual understanding and
collaboration. On the other hand, the scientific development of the meetings took in the center of their study fields connecting the two disciplines, giving a quite unique quality to these meetings. For many years, the meetings cherished specific neurologic and psychiatric topics, at the same time planning increasing important topics of the ‘borderland areas’ in their programs. For the important achievements, they earned the title of the Pula School of Science and Humanism, promoting interdisciplinary scientific collaboration important for humanistic goals of medicine. Medicine, as science and practice, although founded on biological grounds, is primarily a human activity serving to individual man and the whole human race. Modern neurology and psychiatry are no longer restricted to diagnosing and curing brain and nerves or psychiatric disorders, and are nowadays important as a science of human mind and discipline caring about the human brain, the complex organ of each individual man, collective human consciousness and our mental life. Such atmosphere contributed to the fall of the totalitarian, narrow-minded political, ideological or nationalistic thinking, aiming to tolerance and humane democratic developments in the united Europe and the preparation for
peaceful living of various nations, races, religions and viewpoints in the 21st century
Back to normal
No full textIn all of our editorials in the last two years, the Covid-19 pan- demic issue was present. Finally, the day has come for the title of one of our editorials – Brighter Light at the End of the Tunnel (RAD CASA 547=54-55, 2021) – to come true.
Dear readers. From the glance at the double issue of our jour-
nal currently in front of you, it is obvious that we have indeed returned to normal. This becomes evident looking at the number and diversity of the published articles and particularly at the so- called social section of our journal entitled NEWS and EDU- CATION. The list of book reviews follows: Vladimir Medved (editor): Measurement and Analysis of Human Locomotion, Springer Nature Switzerland Ag 2021; Vanja Bašić-Kes, Vida De- marin: MIGRENE, Medicinska naklada, Zagreb, 2022; Mirna Šitum, Vedrana Bulat and associates: Psoriasis, CASA and Medix, Zagreb, 2022; Marko Pećina, Stella Fatović-Ferenčić (editors): Discussions and Materials for the History of Science, Book 21, CASA, Zagreb, 2021. Let us now list the reviews of the scien- tific and professional symposia held recently, which were mainly organised by members of the Department of Medical Sciences: Mind & Brain, Pula Congress (Vida Demarin); Summer Stroke School Dubrovnik (Vida Demarin); CroVascular Event (Mislav Vrsalović); Brain Week (Ivica Kostović); Hypertension (Bojan Jelaković); PNEI (Vida Demarin); Cardiology Colloquium in Dubrovnik (Davor Miličić).
Let us come back to the principal contents of our issue 58-59. We proudly mention six original articles – of high quality in our as well as the reviewers’ opinion – written as a result of the authors’ research. There follow three Reviews, three Reviews – Case Reports, and two Case Reports. Authors outside Croatia (from Slovenia and Northern Macedonia) wrote three out of fourteen articles. We take great pleasure in the fact that the wider region has accepted our journal well. In this context, we will continue conducting our activities, that is to say stimulat- ing cooperation with authors outside Croatia.
However, despite the optimistic title of this editorial, BACK TO NORMAL, we are convinced that in the issues to come,
DOI: 10.21857/yq32ohxv09
we will increasingly publish articles tackling the topic of the so-called Post-covid era: The new and unknown field, which is the title taken over from an earlier issue of our journal (RAD CASA 547=54-55: 120-123, 2021). We are all aware of the need for conducting studies to confirm or refuse the trigger effect of SARS-CoV-2 on the disorders of nearly any human organic system. In particular, the Post Covid Neurological Syn- drome (PCNS), with examples of patients developing a certain COVID brain fog, and various neurological symptoms, such as headache and the problem with smell and taste and dizziness in the post-Covid-19 period. We take pride in having the oppor- tunity to publish the article entitled Overview and management of different post-Covid conditions in this issue. Our thanks go to a group of authors – rather distinguished experts – for choos- ing our journal to publish their latest knowledge regarding
the pressing post-Covid problematics in. Here we quote the Conclusion of the said article:
The multi-organ sequelae of COVID-19 beyond the acute phase
of infection are increasingly being recognized. Continuation of research, including the identification and characterization of key clinical, serological, imaging and epidemiologic features of COV- ID-19 in the acute, subacute and chronic phases of disease, will help us to better understand the natural history and pathophysiol- ogy of this new disease entity. Currently, healthcare professionals caring for patients after acute COVID-19 have the key role of recognizing, documenting, investigating and managing ongoing or new symptoms, as well as following up organ-specific complications that developed during acute illness. Interdisciplinary cooperation
is needed for comprehensive care of these patients in the outpatient setting. Given the global scale of this pandemic, it is apparent that the healthcare needs for patients with sequelae of COVID-19 will continue to increase for the foreseeable future, which will sub- stantially burden the existing outpatient infrastructure. Thus, the development of scalable healthcare models and integration across disciplines for improved mental and physical health of survivors of COVID-19 in the long term is needed.
Following our practice so far in every double issue of our journal published at the end of June, we wish all our authors and readers a pleasant summer holiday, and a happy reunion afterwards in our places of work and within our families. We sincerely hope no new Covid-19 wave will surprise us, but we will naturally act with caution and precaution, so that back to normal may remain a permanent state
Six decades of the Pula neuropsychiatric meetings - from neuropsychiatry to borderlands of neurology and psychiatry: brain and mind
No full textMeđunarodni neuropsihijatrijski Pulski simpoziji, od 2005. godine Kongresi (INPS/INPC), osnovani 1961. godine od strane neuropsihijatrijskih klinika u Zagrebu i Grazu, 2010. godine proslavili su svoju pedesetu godišnjicu uspješnog postojanja. Boško Barac, koautor ovoga rada, svjedočio je njihovom rastu od 1966., sudjelujući u organizaciji od 1974. s prvim glavnim tajnikom Geraldom Grinschglom te je izabran za njegovog nasljednika nakon njegove iznenadne smrti. Tijekom 23 godine je vodio Kuratorium u suradnji sa svojim austrijskim partnerom i prijateljem Helmutom Lechnerom.
Godine 2007. Barac je predao svoju odgovornu funkciju koautorici Vidi Demarin. Počevši od kada je neuropsihijatrija bila jedinstvena disciplina, INPC je pratio process emancipacije neurologije i psihijatrije i njihov razvoj u neovisne discipline s novim subspecijalizacijama. Ove ugledne konferencije uvelike nadmašuju važnost samih disciplina, neurologije i psihijatrije, omogućujući suradnju graničnih medicinskih i nemedicinskih disciplina, spajajući stručnjake iz regije, Europe i svijeta. Inauguriran za vrijeme “hladnog rata”, u svojoj prvoj fazi omogućavao je profesionalni i ljudski kontakt među znanstvenicima dvaju “blokova” zahvaljujući “nesvrstanom” položaju Jugoslavije, udomljujući ideje međusobnog razumijevanja i suradnje. Znanstveni razvoj ovih sastanaka je s druge strane povezivao dvije discipline dajući im jedinstvenu
kvalitetu. Dugi niz godina njegovane su specifične neurološke i psihijatrijske teme, uz istodobno planiranje posvećivanja programa “graničnim područjima”. Zbog svojih postignuća dobila je zasluženi naslov Pulska škola znanosti i humanizma, promovirajući interdisciplinarnu suradnju važnu za humanističke ciljeve u medicini. Medicina, kao znanost i praksa, iako temeljena na biološkoj osnovi, primarno je humana aktivnost koja služi pojedincu i cijelom ljudskom rodu. Moderna neurologija i psihijatrija više nisu ograničene na dijagnosticiranje i liječenje mozga i živaca ili psihijatrijskih poremećaja, već su danas važne kao znanosti ljudskog uma i kao discipline koje se brinu o ljudskom mozgu, složenom organu svakog
pojedinca, zajedničke ljudske svijesti i našem mentalnom životu. Takva je atmosfera doprinijela padu totalitarnog, uskoumnog političkog, ideološkog ili nacionalističkog razmišljanja, u cilju tolerancije i humanog demokratskog razvoja u Europi i pripreme za miran suživot različitih nacija, rasa i religija u 21. stoljeću.In 2010, the International Neuropsychiatric Pula Symposia, from 2005 Congresses (INPS/INPC), founded in 1961 by Zagreb and Graz University Neuropsychiatry Departments, celebrated their 50th anniversary of successful development. The co-author of the paper, Boško Barac, witnessed their growth from 1966, collaborating in their organization from 1974 with the first Secretary General Gerald Grinschgl; elected for his successor after his unexpected death in 1985, he was leading the Kuratorium (Scientific Board) as Secretary General for 23 years, collaborating in this period with his Austrian partner and friend Helmut Lechner. In 2007, Barac handed over this
responsible function to the co-author Vida Demarin. Starting when neuropsychiatry was a unique discipline, the INPC followed the processes of emancipation of neurology and psychiatry and their
evolution to independent disciplines with new subspecialties. These respectable conferences greatly surpassed the significance of the two disciplines, neurology and psychiatry, granting collaboration of borderland medical and non-medical disciplines, connecting experts from the region, European countries and the world. Inaugurated in ‘cold-war’ times, in their first phase they enabled to make professional and human contacts between scientists from the two divided ‘blocs’ thanks to the ‘non-aligned’ position of the then Yugoslavia, fostering the ideas of mutual understanding and
collaboration. On the other hand, the scientific development of the meetings took in the center of their study fields connecting the two disciplines, giving a quite unique quality to these meetings. For many years, the meetings cherished specific neurologic and psychiatric topics, at the same time planning increasing important topics of the ‘borderland areas’ in their programs. For the important achievements, they earned the title of the Pula School of Science and Humanism, promoting interdisciplinary scientific collaboration important for humanistic goals of medicine. Medicine, as science and practice, although founded on biological grounds, is primarily a human activity serving to individual man and the whole human race. Modern neurology and psychiatry are no longer restricted to diagnosing and curing brain and nerves or psychiatric disorders, and are nowadays important as a science of human mind and discipline caring about the human brain, the complex organ of each individual man, collective human consciousness and our mental life. Such atmosphere contributed to the fall of the totalitarian, narrow-minded political, ideological or nationalistic thinking, aiming to tolerance and humane democratic developments in the united Europe and the preparation for
peaceful living of various nations, races, religions and viewpoints in the 21st century
Analysis of the blink reflex in multiple sclerosis patients
No full textMultipla skleroza (MS) je kronična autoimuna bolest središnjeg živčanog sustava čije je
osnovno obilježje upala, demijelinizacija i degeneracija aksona. Neurofiziološke metode u
dijagnostici MS su uz magnetsku rezonanciju (MR) neizostavan dio dijagnostičkog algoritma.
Cilj ovog istraživanja bio je ispitati elektrofiziološke karakteristike refleksa treptaja (RT),
usporediti ih s analizom slušnih evociranih potencijala (BAEP) i korelirati s nalazom MR. U
istraživanju je sudjelovalo 60 ispitanika s dijagnozom klinički definitivne MS koji su
podijeljeni u 2 podgrupe: u 19 ispitanika bili su prisutni znaci oštećenja moždanog debla
(MD podgrupa), a 41 ispitanik je bio bez znakova oštećenja moždanog debla (nonMD
podgrupa). Kontrolna skupina je bila sastavljena od 60 zdravih ispitanika, sukladnih po dobi i
spolu. Svim ispitanicima je učinjena analiza RT i analiza BAEP-a, a ispitanicima podgrupe
MD i nonMD su analizirani podaci o prisustvu demijelinizacijskih lezija u moždanom deblu u
nalazu MR. Mjerene su latencije komponenti R1, R2 i R2` RT i IPL III-V latencija u nalazu
BAEP-a te su rezultati pokazali statistički značajnu razliku u vrijednostima svih komponenti
izmjerenim u MD i nonMD skupini u odnosu na kontrolnu skupinu kao i u usporedbi MD i
nonMD skupine. Vrijednosti IPL III-V se nisu razlikovale u MD niti u nonMD skupini u
odnosu na kontrolnu skupinu niti je zabilježena razlika njihovom međusobnom usporedbom.
Statistički značajna razlika je utvrđena u korelaciji produljene R1 komponente s nalazom MR
u obje ispitivane skupine bolesnika. Analiza RT se pokazala kao osjetljivija neurofiziološka
metoda u oboljelih od MS u odnosu na BAEP, neovisno o prisustvu znakova oštećenja
moždanog debla.Multiple sclerosis (MS) is a chronic autoimmune disease of the central nervous system
characterised by inflammation, demyelinisation and axonal degeneration. Neurophysiological
methods are indispensable part of diagnostic algorithm in MS. The aim of this study was to
examine the electrophysiological characteristics of the blink reflex (BR), compare them with
the brainstem auditory evoked potentials (BAEP) and correlate with MRI findings. The study
included 60 subjects with a clinically definitive MS divided into 2 subgroups: 19 subjects
with symptoms of brainstem damage (MD subgroup) and 41 subjects without signs of
brainstem damage (nonMD subgroup). As a control group 60 age and gender matched healthy
subjects were included. Analysis of BR and BAEP was done on all participants. Data of MRI
findings, regarding presence of demyelinating lesion in brainstem were analyzed in MD and
nonMD subgroup. We analized latencies of R1, R2 and R2' of BR and IPL III-V of BAEP.
The results showed statistically significant difference in the values of all components of BR
measured in the MD and nonMD group compared to the control group as well as MD
compared to nonMD group. The values of IPL III-V did not differ in either MD or nonMD
group compared to the control group. Statistically significant difference was found in
correlation of R1 component and MRI finding in both MS groups. Difference in IPL III-V
latencies noted between MD and nonMD group was not statistically significant. BR analysis
has been shown to be a more sensitive neurophysiological method in patients with MS than
BAEP, regardless of the presence of brainstem damage
HEADACHE SCHOOL - How to improve the Migraine Diagnosis and Treatment; Headache in Neurological Practice
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