Acta medica (Hradec Kralove)最新文献_第8页

Uroflowmetry in Non-Monosymptomatic Nocturnal Enuresis in Children of Coastal Region of Croatia. 克罗地亚沿海地区儿童非单症状性夜间遗尿的尿流测定。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.28

Sandra Prgomet, Marjan Saraga, Sandra Benzon, Daniel Turudić, Dragan Ledina, Danko Milošević

{"title":"Uroflowmetry in Non-Monosymptomatic Nocturnal Enuresis in Children of Coastal Region of Croatia.","authors":"Sandra Prgomet, Marjan Saraga, Sandra Benzon, Daniel Turudić, Dragan Ledina, Danko Milošević","doi":"10.14712/18059694.2020.28","DOIUrl":"https://doi.org/10.14712/18059694.2020.28","url":null,"abstract":"Purpose: The aim of the study was to describe clinical characteristics and bladder assessment in children with Non-Monosymptomatic Nocturnal Enuresis (NMNE) in coastal region of Croatia.Materials and methods: Records on 85 patients with NMNE were retrospectively reviewed. Bladder assessments were performed in all children. In this research we: (i) compare clinical characteristics and features of bladder assessment: uroflowmetry, post void residuals (PVR) and bladder wall thickness between boys and girls with NMNE and we compare (ii) clinical characteristics and bladder assessment between children with primary and secondary NMNE.Results: There were 46 girls and 39 boys. The total of 59 children had primary NMNE and 26 children had secondary NMNE. Uroflow pattern was abnormal in 42% of all children with NMNE. Abnormal uroflow pattern in children with NMNE was more often in girls than in boys (P < 0.05) and in children with secondary than in children with primary NMNE (P < 0.05). Ultrasound evidence of bladder wall thickness was more frequent in boys than in girls. Girls were more likely to have dysfunctional voiding and larger residual urinary volume than boys.Conclusions: Abnormal uroflow pattern in children with NMNE was more often in girls than boys and in children with secondary than in children with primary NMNE.","PeriodicalId":35758,"journal":{"name":"Acta medica (Hradec Kralove)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38543328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Penile Degloving and Dorsal Dartos Flap Rotation Surgery in the Management of Severe Isolated Penile Torsion in a 6-Year-Old Boy. 阴茎脱套及背侧蝶瓣旋转手术治疗1例6岁男童严重孤立性阴茎扭转。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.16

Zlatan Zvizdic, Emir Milisic, Semir Vranic

引用次数: 3

Recurrent Aphthous Stomatitis in Children: A Practical Guideline for Paediatric Practitioners. 儿童复发性口腔炎:儿科医生的实用指南。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.56

Romana Koberová, Vlasta Merglová, Vladimíra Radochová

引用次数: 1

Corneal Graft Success Rates in HSV Keratitis: A Systematic Review. HSV角膜炎的角膜移植成功率:一项系统综述。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.57

Konstantinos Skarentzos, Eleftherios Chatzimichael, Eirini-Kanella Panagiotopoulou, Sergios Taliantzis, Aristeidis Konstantinidis, Georgios Labiris

{"title":"Corneal Graft Success Rates in HSV Keratitis: A Systematic Review.","authors":"Konstantinos Skarentzos, Eleftherios Chatzimichael, Eirini-Kanella Panagiotopoulou, Sergios Taliantzis, Aristeidis Konstantinidis, Georgios Labiris","doi":"10.14712/18059694.2020.57","DOIUrl":"https://doi.org/10.14712/18059694.2020.57","url":null,"abstract":"Herpes Simplex Virus (HSV) has worldwide prevalence. The primary objective of this systematic review was to compare penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK) regarding the efficacy and complications of the treatment of corneal scarring caused by herpes simplex keratitis. Out of the 469 articles identified during the combined search of the literature based on the PubMed and Cochrane libraries, 10 retrospective and 2 prospective studies published from January 2010 to December 2019 were included. The study outcomes indicated that both surgical approaches resulted in a comparable improvement of visual acuity (VA). However, DALK demonstrated fewer complications in the majority of studies. Higher graft survival rates were associated with higher acyclovir (ACV) doses (above 800 mg/day), topical steroid and antibiotic drops. In conclusion, in terms of postoperative VA, both PK and DALK demonstrate comparable efficacy. However, DALK, which is applied in less severe HSK cases, is associated with fewer complications and better graft survival rates. High dosages of ACV, topical steroids and antibiotics contribute significantly to improved postoperative outcomes.","PeriodicalId":35758,"journal":{"name":"Acta medica (Hradec Kralove)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39092731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Perception of Undergraduate Students at the Faculty of Medicine in Hradec Králové Regarding Their Endodontic Education and Suggested Improvements. 赫拉代克Králové医学院本科生对牙髓学教育的看法及建议改进。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.19

Martin Kapitán, Lenka Vavřičková, Jakub Suchánek

{"title":"Perception of Undergraduate Students at the Faculty of Medicine in Hradec Králové Regarding Their Endodontic Education and Suggested Improvements.","authors":"Martin Kapitán, Lenka Vavřičková, Jakub Suchánek","doi":"10.14712/18059694.2020.19","DOIUrl":"https://doi.org/10.14712/18059694.2020.19","url":null,"abstract":"Aim: The aim of this study was to assess the perception of undergraduate dentistry students at Charles University, Faculty of Medicine in Hradec Králové, the Czech Republic regarding their endodontic education within the context of the Undergraduate Curriculum Guidelines for Endodontology by the European Society of Endodontology (ESE). The secondary aim was to compare this perception among students in the Czech and English groups.Methodology: A questionnaire survey was conducted among fifth year students at the very end of their studies.Results: The students returned 60 filled questionnaires, making the response rate of 75.9%. More than two thirds of the respondents declared that they were competent at or had knowledge of most of the major competencies defined by the ESE. Eighty seven percent of respondents felt competent to perform a root canal treatment on anterior teeth; 86.7% on premolars; and 48.3% on molars. Nearly all respondents (98.3%) recommended more opportunities to practice on patients.Conclusions: The overall perception of the students was that their endodontic education was sufficient and largely conformed to the guidelines. Insufficient exposure to endodontic practice on patients was identified as a deficiency. There were no significant differences in perceptions between the two study groups.","PeriodicalId":35758,"journal":{"name":"Acta medica (Hradec Kralove)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38252846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anomalous Course of Accessory Splenic Arteries in Gastrosplenic Ligament: Case Report and Clinico-Embryological Basis. 胃脾韧带脾副动脉异常走行:1例报告及临床胚胎学基础。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.31

Rajprasath Ramakrishnan, Dinesh Kumar Viswakumar, Bhavani Prasad Goriparthi

引用次数: 1

Pierre Robin Sequence: Diagnostic Difficulties Faced while Differentiating Isolated and Syndromic Forms. 皮埃尔·罗宾序列:在区分孤立型和综合征型时所面临的诊断困难。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.23

Girish Gulab Meshram, Neeraj Kaur, Kanwaljeet Singh Hura

{"title":"Pierre Robin Sequence: Diagnostic Difficulties Faced while Differentiating Isolated and Syndromic Forms.","authors":"Girish Gulab Meshram, Neeraj Kaur, Kanwaljeet Singh Hura","doi":"10.14712/18059694.2020.23","DOIUrl":"https://doi.org/10.14712/18059694.2020.23","url":null,"abstract":"Pierre Robin sequence (PRS) is characterized by the triad of retrognathia, glossoptosis, and airway obstruction. PRS may occur in isolation or in conjunction with other syndromes. Distinguishing isolated and syndromic forms of PRS helps clinicians decide the management plan. We describe two cases of PRS of Indian ethnicity and describe some of the difficulties that we faced while distinguishing isolated PRS from syndromic PRS. Both cases had a similar clinical presentation. However, one of the cases had a positive family history of congenital deafness and cleft palate, whereas the other case had apparent upper limb anomalies. These facts heightened the suspicion of an associated syndrome. However, based on the available facts and after thorough investigations, a tentative diagnosis of isolated PRS was made for both the patients. Both the cases were managed conservatively and were advised a long-term follow-up. When the associated anomalies are few, minor or concealed at birth, longitudinal follow-up of all PRS cases combined with thorough diagnostics including chromosomal analysis could help differentiate syndromic PRS from isolated PRS. Regardless, all cases of PRS require a multidisciplinary approach.","PeriodicalId":35758,"journal":{"name":"Acta medica (Hradec Kralove)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38252850","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Association of PAI-1 rs1799889 Polymorphism with Susceptibility to Ischemic Stroke: a Huge Meta-Analysis based on 44 Studies. PAI-1 rs1799889多态性与缺血性卒中易感性的关联:一项基于44项研究的大型meta分析

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.13

Mohammadali Jafari, Mohammad Hossein Jarahzadeh, Seyed Alireza Dastgheib, Neda Seifi-Shalamzari, Ali Raee-Ezzabadi, Jalal Sadeghizadeh-Yazdi, Elahe Akbarian, Hossein Neamatzadeh

{"title":"Association of PAI-1 rs1799889 Polymorphism with Susceptibility to Ischemic Stroke: a Huge Meta-Analysis based on 44 Studies.","authors":"Mohammadali Jafari, Mohammad Hossein Jarahzadeh, Seyed Alireza Dastgheib, Neda Seifi-Shalamzari, Ali Raee-Ezzabadi, Jalal Sadeghizadeh-Yazdi, Elahe Akbarian, Hossein Neamatzadeh","doi":"10.14712/18059694.2020.13","DOIUrl":"https://doi.org/10.14712/18059694.2020.13","url":null,"abstract":"Background: the PAI-1 rs1799889 polymorphism has been reported to be associated with susceptibility to ischemic stroke. However, the results of previous studies have been inconsistent or controversial. Hence, we performed a systematic review and meta-analysis to evaluate the association of PAI-1 rs1799889 polymorphism with ischemic stroke risk.Methods: A comprehensive literature search was performed on PubMed, Web of Science, Scopus, SciELO, CNKI, and CBD databases up to November 05, 2019. Pooled odds ratio (OR) with 95% confidence interval (CI) were used to access the strength of this association in fixed- or random-effects model.Results: A total of 44 case-control studies with 8,620 cases and 10,260 controls were selected. Pooled data showed a significant association between PAI-1 rs1799889 polymorphism and ischemic stroke risk in the overall populations (GG vs. AA: OR = 0.791, 95% CI 0.633-0.988, p = 0.039; GA vs. AA: OR = 0.807, 95% CI 0.683-0.953, p = 0.012; and GG+GA vs. AA: OR = 0.795, 95% CI 0.637-0.993, p = 0.043). Subgroup analysis by ethnicity revealed a significant association in Asian and Mixed populations, but not in Caucasians. Moreover, stratified analysis by country of origin revealed an increased risk of ischemic stroke in Chinese populations, but not among Dutch (Netherlands) and Swedish.Conclusions: This meta-analysis result suggested that PAI-1 rs1799889 polymorphism was associated with an increased risk of ischemic stroke, especially in Asian and Mixed populations.","PeriodicalId":35758,"journal":{"name":"Acta medica (Hradec Kralove)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37948611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms. 内脏动脉动脉瘤及内脏动脉假性动脉瘤的跨学科治疗。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.14

Peter Berek, Ivan Kopolovets, Csaba Dzsinich, Juraj Bober, Peter Štefanič, Vladimír Sihotský

{"title":"Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms.","authors":"Peter Berek, Ivan Kopolovets, Csaba Dzsinich, Juraj Bober, Peter Štefanič, Vladimír Sihotský","doi":"10.14712/18059694.2020.14","DOIUrl":"https://doi.org/10.14712/18059694.2020.14","url":null,"abstract":"The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angiography, while angiography was performed in 71.4% of the cases. Five (35.7%) patients with visceral artery pseudoaneurysms were emergently hospitalized; among them, the signs of bleeding were observed in 2 patients. In 9 patients, pathology was detected during tests for other conditions. Five (35.7%) patients underwent endovascular treatment, while 9 (64.3%) patients received surgical treatment. Endovascular interventions and open surgery demonstrated a nil mortality rate. After endovascular treatment, stent thrombosis was found in 1 patient. In the case of surgical treatment, visceral artery aneurysm was observed in 1 patient who underwent the resection of superior mesenteric artery pseudoaneurysm. Conclusions. The choice of the method of treating visceral artery aneurysms and visceral artery pseudoaneurysms depends on the location, size, anatomic features of the visceral arteries and the clinical course of the disease. Both endovascular and surgical treatment demonstrate good postoperative outcomes. Visceral ischemia is one of the most serious complications in the postoperative period, which can complicate both the diagnosis and the choice of treatment tactics.","PeriodicalId":35758,"journal":{"name":"Acta medica (Hradec Kralove)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37946996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Development of Pharyngocutaneous Fistula after Total Laryngectomy: The Predictive Value of C-reactive Protein/Albumin Ratio. 全喉切除术后咽皮瘘的发生:c反应蛋白/白蛋白比值的预测价值。

Acta medica (Hradec Kralove) Pub Date : 2020-01-01 DOI: 10.14712/18059694.2020.58

Abitter Yücel, Hilal Yücel, Fuat Aydemir, Mert Mutaf, Mehmet Akif Eryılmaz, Hamdi Arbağ

{"title":"Development of Pharyngocutaneous Fistula after Total Laryngectomy: The Predictive Value of C-reactive Protein/Albumin Ratio.","authors":"Abitter Yücel, Hilal Yücel, Fuat Aydemir, Mert Mutaf, Mehmet Akif Eryılmaz, Hamdi Arbağ","doi":"10.14712/18059694.2020.58","DOIUrl":"https://doi.org/10.14712/18059694.2020.58","url":null,"abstract":"Background: We aimed to evaluate whether C-reactive protein(CRP)/ Albumin ratio (CAR) performed in the early postoperative period after total laryngectomy could be a predictive factor for the development of pharyngocutaneous fistula (PCF).Methods: The files of patients with laryngeal squamous cell carcinoma who underwent total laryngectomy between January 2005 and January 2019 were retrospectively reviewed. Patients were divided into two groups: patients with PCF (PCF group) and without (Non-PCF group). CAR values and risk factors were compared between groups.Results: The overall incidence of PCF was 23.2%. There was a statistically significant difference between the two groups in terms of CRP and CAR levels (p = 0.001). The CAR value of 27.05 (sensitivity = 75.0% , specificity 68.2%, area under curve (AUC) = 0.742, 95% confidence interval 0.616-0.868) was determined as a cutoff value to describe the development of fistula in the early postoperative period. In multiple linear regression analysis, there was an independent relationship between presence of PCF and previous RT and CAR value.Conclusions: CAR, performed in the early postoperative period, may be a new and useful marker for predicting PCF after total laryngectomy.","PeriodicalId":35758,"journal":{"name":"Acta medica (Hradec Kralove)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39092732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3