No abstract

Since the surgical treatment of hemorrhoidal disease has been characterized by intense postoperative pain, recent studies have tried to modify the standard Milligan-Morgans technique. The up-to-date literature, in the experience of authors, has confirmed that the new method of Harmonic Scalpel hemorrhoidectomy reduces postoperative pain. The aim of our study was to statistically evaluate, based on our experience, the efficacy of this surgical approach in terms of reducing postoperative pain and establishing a stable hemostasis. Seventy-seven (77) patients suffering from hemorrhoidal disease, stage III and IV, underwent surgery in our clinic during the last five years. The postoperative pain was determined using the visual analog scale on the 1st, 2nd and 7th postoperative days. Patients were divided into two groups in regard to the surgical procedure applied. The data were statistically processed using the Statistica 7.0 software. We concluded that Harmonic Scalpel hemorrhoidectomy, due to less thermal damage, statistically significantly reduced postoperative pain with better hemostasis, compared with Milligan-Morgan's method of treating hemorrhoidal disease.

The caudate nucleus, as a part of the striatum (neostriatum or dorsal striatum), is involved in the control of cognitive, motor and limbic functions. The majority of the caudate nucleus cells are projection spiny neurons, whose activity is determined by excitatory inputs from the cortex, thalamus, globus pallidus and brainstem. A qualitative analysis of human caudate nucleus neurons involves the description of the structure and features of cells, and accordingly, their classification into an appropriate type. The aim of this study is to determine the justification of the current qualitative classification of spiny neurons in the precommissural head of the human caudate nucleus by quantifying morphological properties of neurons. After the qualitative analysis of microscopic images of the Golgi-impregnated caudate nucleus neurons, five morphological properties of cells were measured/quantified. In terms of the dendritic field area, caudate nucleus neurons were divided into two subgroups: small and large neurons. In our sample of 251 projection nerve cells, 58.17 % (146) were small and 41.83 % (105) were large neurons. These data show that suggested groups of spiny neurons in the human caudate nucleus differ in their morphology. Since the structure and function of cells are closely correlated, it is possible that these morphologically different types of neurons may represent different functional groups.

No abstract

Introduction/Objective Craniofacial dysmorphology has been shown as the most prominent among physical anomalies in schizophrenia patients. The aim of the present study was to investigate the frequency of craniofacial anomalies in Serbian schizophrenia patients. Methods A list of 27 minor physical anomalies (modified Waldrop scale) and nine ratios of craniofacial measures was used to detect the presence of craniofacial dysmorphology in 126 schizophrenia patients and 124 healthy controls. Results Compared to the healthy subjects, schizophrenia patients had significantly higher rates of the following minor physical anomalies: fine hair, two or more hair whorls, fused eyebrows, wide nose basis, low-seated ears, high steepled and high flat palate, and furrowed tongue (most prevalent were vertical fissures and diffusely distributed fissures) with significance of p ≤ 0.001. The best predicting parameters for distinguishing between schizophrenics and controls were the inner canthus distance, the outer canthus distance, hair whorls (all at level p = 0.000), and high steepled palate (p ≤ 0.001). ConclusionThe results of the present study confirm the neurodevelopmental concept of schizophrenia, being potentially useful for further psychiatric-anthropological research. Clinical significance is reflected in the possibility of monitoring the potential mental illness in childhood through potential ectodermal markers, as well as the possibility of their comparison with the psychological profile in early adolescence.