Croatian Medical Journal最新文献_第7页

Breast lump as the initial presentation of metastatic uterine leiomyosarcoma: a case report and comprehensive literature review. 以乳房肿块为首发表现的转移性子宫肌层肉瘤：一份病例报告和全面的文献综述。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Nermina Ibisevic, Kresimir Tomic, Alen Humackic, Zlatko Guzin, Blanka Lukic, Semir Vranic

{"title":"Breast lump as the initial presentation of metastatic uterine leiomyosarcoma: a case report and comprehensive literature review.","authors":"Nermina Ibisevic, Kresimir Tomic, Alen Humackic, Zlatko Guzin, Blanka Lukic, Semir Vranic","doi":"","DOIUrl":"","url":null,"abstract":"Uterine leiomyosarcoma (uLMS) is a rare but aggressive cancer with a high metastatic potential and an unfavorable prognosis. A 54-year-old woman with a history of uterine fibroids clinically presented with a painless, palpable left breast mass measuring 20 mm. A core biopsy of the breast mass demonstrated a cellular spindle cell neoplasm (a potentially malignant smooth muscle neoplasm; B4). A wide local breast-mass excision was performed, revealing grade-2 leiomyosarcoma. A re-review of the uterine fibroids revealed that the largest one (200 × 130 mm), initially diagnosed as symplastic leiomyoma, was morphologically identical to the breast lesion. Additional diagnostic work-up revealed multiple liver and pulmonary metastases with a suspected metastatic sclerotic lesion in the L3 projection. The patient was subsequently treated with chemotherapy protocol for metastatic uLMS. The latest follow-up in September 2023 confirmed stable disease. This case highlights the importance of considering unusual metastatic patterns when evaluating breast masses, particularly in patients with a history of non-specific uterine conditions. Comprehensive diagnostic work-up, including imaging and histopathologic examinations, is crucial for an accurate diagnosis of uLMS and appropriate treatment selection. Further studies are needed to better understand the underlying mechanisms and optimal management strategies for metastatic uLMS.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 1","pages":"51-58"},"PeriodicalIF":1.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring changes in the perception of e-professionalism among medical and dental students: a quantitative cross-sectional study. 探索医科和牙科学生对电子专业主义认知的变化：一项定量横断面研究。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Danko Relić, Marko Marelić, Joško Viskić, Lovela Machala Poplašen, Marjeta Majer, Kristijan Sedak, Tea Vukušić Rukavina

{"title":"Exploring changes in the perception of e-professionalism among medical and dental students: a quantitative cross-sectional study.","authors":"Danko Relić, Marko Marelić, Joško Viskić, Lovela Machala Poplašen, Marjeta Majer, Kristijan Sedak, Tea Vukušić Rukavina","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To compare e-professionalism perceptions between medical and dental students, focusing on their awareness and understanding of guidelines for developing e-professionalism.Methods: A cross-sectional quantitative study was conducted at the University of Zagreb School of Medicine (UZSM) and School of Dental Medicine (UZSDM) in 2022/2023. Data were gathered through a questionnaire designed specifically for the survey.Results: Of the 646 questionnaires collected, 626 were analyzed, with a response rate of 33.95% for UZSM and 37.83% for UZSDM. Most respondents (71.4%) were female, with a median age of 21. Medical students significantly more frequently considered it unprofessional to publish posts containing photos of patients/clients (96.5% vs 75.1%), endorsements of health products without conflict-of-interest disclosures (60.6% vs 33.0%), and posts describing patient interactions without revealing identifying information (51.7% vs 27.4%). In contrast, dental medicine students more frequently considered it unprofessional to publish posts with swearing or foul language (81.2% vs 67.4%), critical comments about lecturers (68.0% vs 46.9%), and criticisms of course material or the institution (52.3% vs 36.4%). Only 23.2% of students were aware of e-professionalism guidelines, with 37.9% of those familiar with their content.Conclusion: While medical and dental students recognize the importance of e-professionalism, their perceptions have substantial differences. The need for promoting existing guidelines and integrating e-professionalism into curricula is evident. Continuous monitoring and research in this domain are essential to ensure future health care professionals maintain high standards of online professionalism.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 1","pages":"43-50"},"PeriodicalIF":1.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Before attributing facial diplegia to neuroborreliosis, a plethora of differential diagnoses must be ruled out. 在将面部偏瘫归咎于神经源性疾病之前，必须排除大量的鉴别诊断。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Josef Finsterer

引用次数: 0

Children as complex patients. 儿童是复杂的病人。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Aleksandar Džakula, Iva Lukačević Lovrenčić

引用次数: 0

Gamma knife thalamotomy in treating refractory tremor: initial clinical experience in Croatia. 伽玛刀丘脑切开术治疗难治性震颤：克罗地亚的初步临床经验。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Slaven Lasić, Sergej Marasanov, Marjan Rožanković, Petra Bago Rožanković

引用次数: 0

Cross-cultural adaptation and reproducibility of the EPIC-Norfolk food frequency questionnaire in young people living in Croatia. 生活在克罗地亚的年轻人对 EPIC-Norfolk 食物频率问卷的跨文化适应性和可重复性。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Erna Davidović Cvetko, Ines Drenjančević, Ivana Jukić, Ana Stupin, Petar Šušnjara, Martina Vulin, Martina Kos, Matea Lukić, Lorena Stanojević

{"title":"Cross-cultural adaptation and reproducibility of the EPIC-Norfolk food frequency questionnaire in young people living in Croatia.","authors":"Erna Davidović Cvetko, Ines Drenjančević, Ivana Jukić, Ana Stupin, Petar Šušnjara, Martina Vulin, Martina Kos, Matea Lukić, Lorena Stanojević","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To translate and adapt the European Prospective Investigation of Cancer (EPIC)-Norfolk food frequency questionnaire (FFQ) for use in Croatia, and to assess the reliability and reproducibility of the Croatian version of the EPIC-Norfolk FFQ.Methods: Translation and cross-cultural adaptation were performed according to published recommendations. Reliability was assessed in 140 respondents (61 men; age range 8-40 years) divided into three groups: young adults, pregnant women, and children and adolescents. Reproducibility was assessed in the group of young adults (32/61 men), who completed the questionnaire on two occasions three months apart.Results: The EPIC-Norfolk FFQ showed good reliability (Cronbach alpha=0.874). Most nutrient intakes showed good reproducibility (intraclass correlation coefficient [ICC] between 0.7 and 0.9). Poor reproducibility was observed for alcohol (ICC=0.337), and moderate reproducibility was observed for beta-carotene (ICC=0.692) and total carbohydrates (ICC=0.698). Nutrient intakes measured by FFQ on two occasions did not significantly differ.Conclusion: The Croatian version of the EPIC-Norfolk FFQ can be a useful tool for assessing dietary intakes in young people in Croatia and possibly in neighboring countries with similar languages and dietary habits.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 1","pages":"20-29"},"PeriodicalIF":1.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SARS-CoV-2 infection among physicians over time in Ontario, Canada: a population-based retrospective cohort study. 加拿大安大略省随时间变化的医生 SARS-CoV-2 感染情况：基于人群的回顾性队列研究。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Steven Habbous, Natasha Saunders, Kelvin Kw Chan, Susy Hota, Jonathan Wang, David Messenger, Erik Hellsten

{"title":"SARS-CoV-2 infection among physicians over time in Ontario, Canada: a population-based retrospective cohort study.","authors":"Steven Habbous, Natasha Saunders, Kelvin Kw Chan, Susy Hota, Jonathan Wang, David Messenger, Erik Hellsten","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To assess this risk of SARS-CoV-2 infection among Ontario physicians by specialty and in comparison with non-physician controls during the COVID-19 pandemic.Methods: In this retrospective cohort study, the primary outcome was incident SARS-CoV-2 infection confirmed by polymerase chain reaction (PCR). Secondary outcomes were hospitalization, use of critical care, and mortality.Results: From March 1, 2020 to December 31, 2022, 6172/30 617 (20%) active Ontario physicians tested positive for SARS-CoV-2. Infection was less likely if physicians were older (OR 0.78 [0.76-0.81] per 10 years), rural residents (OR 0.70 [0.59-0.83]), and lived in more marginalized neighborhoods (OR 0.74 [0.62-0.89]), but more likely if they were female (OR 1.14 [1.07-1.22]), worked in long-term care settings (OR 1.16 [1.02-1.32]), had higher patient volumes (OR 2.05 [1.82-2.30] for highest vs lowest), and were pediatricians (OR 1.25 [1.09-1.44]). Compared with community-matched controls (n=29 763), physicians had a higher risk of infection during the first two waves of the pandemic (OR 1.38 [1.20-1.59]) but by wave 3 the risk was no longer significantly different (OR 0.93 [0.83-1.05]). Physicians were less likely to be hospitalized within 14 days of their first positive PCR test than non-physicians (P<0.0001), but there was no difference in the use of critical care (P=0.48) or mortality (P=0.15).Conclusion: Physicians had higher rates of infection than community-matched controls during the first two waves of the pandemic in Ontario, but not from wave 3 onward. Physicians practicing in long-term care facilities and pediatricians were more likely to test positive for SARS-CoV-2 than other physicians.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 1","pages":"30-42"},"PeriodicalIF":1.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915769/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The utility of the systemic immune inflammation and systemic inflammation response indices in suspected intermediate-risk pulmonary embolism. 全身免疫炎症和全身炎症反应指数在疑似中危肺栓塞中的实用性。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Muhammed Fuad Uslu, Mustafa Yilmaz, Metin Ateşçelik, Feti Ahmet Atilgan

{"title":"The utility of the systemic immune inflammation and systemic inflammation response indices in suspected intermediate-risk pulmonary embolism.","authors":"Muhammed Fuad Uslu, Mustafa Yilmaz, Metin Ateşçelik, Feti Ahmet Atilgan","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To evaluate the utility of the systemic immune inflammation index (SII) and systemic inflammation response index (SIRI) in diagnosing pulmonary embolism (PE) in emergency medicine.Methods: We retrospectively reviewed the data of patients who presented to the emergency department and underwent contrast-enhanced computed tomography pulmonary angiography for suspected PE between January 1 and December 31, 2021. In 81/168 patients, the diagnosis of PE was confirmed and in 87/168 it was rejected. The data were analyzed with receiver operating characteristic analysis and binary logistic regression analysis.Results: Patients with PE had a higher white blood cell count (P<0.001), neutrophils (P=0.002), monocytes (P=0.013), neutrophil/lymphocyte ratio (P<0.001), SII (P<0.001), and SIRI (P<0.001), and a lower lymphocyte count (P=0.002). The SII had a sensitivity of 75.31% and a specificity of 71.26%, while the SIRI had a sensitivity of 82.72% and a specificity of 68.97%. Binary logistic regression analysis showed that the Wells score, D-dimer level, and SII independently influenced the diagnosis of PE.Conclusion: The SII and SIRI may be used to support the diagnosis of PE in the emergency department.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 1","pages":"13-19"},"PeriodicalIF":1.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of evidence-based medicine adoption among Nigerian surgeons: competence, knowledge, attitudes, practices, and barriers. 评估尼日利亚外科医生采用循证医学的情况：能力、知识、态度、实践和障碍。

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Kehinde Oluwadiya, Anthony Olasinde, Ibironke Oluwadiya, Johnson Ogunlusi, Eyitayo Alab

{"title":"Evaluation of evidence-based medicine adoption among Nigerian surgeons: competence, knowledge, attitudes, practices, and barriers.","authors":"Kehinde Oluwadiya, Anthony Olasinde, Ibironke Oluwadiya, Johnson Ogunlusi, Eyitayo Alab","doi":"","DOIUrl":"","url":null,"abstract":"Aim: To determine the competence, knowledge, attitude, and barriers to evidence-based medicine (EBM) among surgeons in southwest Nigeria.Methods: Between April 1 and June 30, 2019, a composite questionnaire consisting of the McAllister knowledge and attitude questionnaire, the Zwolsman barrier questionnaire, and 5 questions from the Berlin Questionnaire (BQ) on competence in EBM was administered to 185 surgeons and trainees in five hospitals in southwest Nigeria.Results: The study involved 169 respondents (57 surgeons and 112 trainees). A total of 122 (72.1%) participants reported to always/often use EBM in their practice and 47 (27.9%) to rarely/never use EBM. The majority of both groups still relied on traditional sources of information in their clinical practice. Even though self-identified EBM-users (28% points) scored significantly higher on the BQ than non-users (23.8% points), there was no difference in their performance on the McAllister and Zwolsman questionnaires. Paradoxically, those with prior training in EBM were not more likely to use EBM than those without training, and there were no significant differences in their BQ scores.Conclusions: Surgeons in Nigeria have a high level of awareness and use of EBM, as indicated by the 72% awareness rate found in our study, but their knowledge and confidence in its application are low. Our findings indicate that the quality of EBM training in the region needs to be reevaluated.","PeriodicalId":10796,"journal":{"name":"Croatian Medical Journal","volume":"65 1","pages":"3-12"},"PeriodicalIF":1.9,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10915763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140021131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Large multi-modal models - the present or future of artificial intelligence in medicine? 大型多模态模型--医学人工智能的现在还是未来？

IF 1.9 4区医学

Croatian Medical Journal Pub Date : 2024-02-29

Zdenko Sonicki

引用次数: 0