Acta medica academica最新文献

A Round Ligament Mesothelial Cyst Imitating an Inguinal Hernia in a Woman of Reproductive Age. 育龄妇女一例酷似腹股沟疝的圆韧带间皮囊肿。

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.455

Christos Vrysis, Vasileios Gkatziolis, Nicole Demetriou, Konstantinos Geroulis, Rodanthi Mastrogianni, Alexandros Dais, Dimitrios Giovanitis, Marios Ponirakos, Konstantinos Papadimitropoulos

{"title":"A Round Ligament Mesothelial Cyst Imitating an Inguinal Hernia in a Woman of Reproductive Age.","authors":"Christos Vrysis, Vasileios Gkatziolis, Nicole Demetriou, Konstantinos Geroulis, Rodanthi Mastrogianni, Alexandros Dais, Dimitrios Giovanitis, Marios Ponirakos, Konstantinos Papadimitropoulos","doi":"10.5644/ama2006-124.455","DOIUrl":"10.5644/ama2006-124.455","url":null,"abstract":"Objective: A wide range of lesions, including a mesothelial cyst of the uterine round ligament, are included in the differential diagnosis of a groin mass. Our study emphasizes the rarity of this ailment and the significance of correct preoperative diagnosis in guiding our treatment approach.Case report: A 43-year-old female patient, presented to our hospital with a five-year history of swelling and slight discomfort in the right groin. A nonreducible inguinal mass with greater projection during a Valsalva maneuver was found. An abdominal CT scan revealed a well-defined lesion located near the right horn of the uterus and extending through the inguinal canal. The patient was brought to the operating room with the clinical suspicion of an inguinal hernia. A soft mass measuring 4.5×2×1.8cm was discovered in the right round ligament, and it was surgically removed. Histopathological examination confirmed a mesothelial cystic lesion. The patient's condition, after a period of 12 months, continues to be satisfactory.Conclusion: Few cases of uterine round ligament mesothelial cysts have been reported worldwide. Their cause is unknown, and preoperative diagnosis is unreliable. Resection relieves symptoms, and histological examination of the surgical specimen confirms the diagnosis. Additional clinical cases are needed to create a systematic clinical approach.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"314-319"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802431","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

Institutional Experience of Lymphoproliferative Disorders with Initial Diagnosis Made via Fine Needle Aspiration at Otolaryngology Clinic. 耳鼻喉科门诊细针抽吸初步诊断淋巴增生性疾病的机构经验。

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.456

Alaa S Hrizat, Jerald Gong, Stacey M Gargano

{"title":"Institutional Experience of Lymphoproliferative Disorders with Initial Diagnosis Made via Fine Needle Aspiration at Otolaryngology Clinic.","authors":"Alaa S Hrizat, Jerald Gong, Stacey M Gargano","doi":"10.5644/ama2006-124.456","DOIUrl":"10.5644/ama2006-124.456","url":null,"abstract":"Background: This study characterizes lymphomas presenting as palpable head and neck masses and evaluates the role of fine needle aspiration (FNA) and flow cytometry (FC) in diagnosis.Design: A 5-year retrospective review of FNAs performed by pathologists in an ENT clinic identified cases with a predominant lymphoid population that lacked an epithelial component. Cytology, FC, and subsequent surgical pathology diagnoses were correlated.Results: Of 821 FNAs, 154 (19%) met selection criteria. Reactive lymph nodes accounted for 43% (67/154), with most diagnosed as 'negative for malignancy,' except one 'atypical' (ATY) case. Lymphoma was confirmed in 57% (87/154) of cases, categorized as ATY (55%), suspicious for lymphoma (SFM) (36%), or positive for lymphoma (PFM) (9%). Lymphoma patients were older (median 66 vs. 46 years). Thyroid and salivary gland lymphomas typically indicated systemic involvement, except for two cases of marginal zone lymphoma (MZL) in patients with Sjögren syndrome. FC alone had a sensitivity of 67.5% for detecting lymphoma, but when combined with cytology, the sensitivity increased to 100%. The combined approach maintained a specificity of 98%. More abnormal clonal cells were identified by FC in PFM cases compared to SFM or ATY cases (P=0.004). Cytologic atypia with negative FC occurred in 29% of lymphomas, including Hodgkin and diffuse large B-cell lymphoma (DLBCL).Conclusion: Lymphomas presenting as neck masses are diverse, with FNA playing a key diagnostic role. Cytologic atypia and FC complement each other, as some cases show minimal atypia but positive FC, while others show significant atypia with negative FC.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"274-285"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802450","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

An Ectopic External Jugular Vein Draining into the Axillary Vein: a Rare Anatomical Variation with Clinical Implications. 异位颈外静脉向腋静脉引流：一种具有临床意义的罕见解剖变异。

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.441

Dimitra Daskalopoulou, Dimosthenis Chrysikos, Amir Shihada, Alexandros Samolis, Nikolaos Pappas, Dimitrios Filippou, Theodore Troupis

{"title":"An Ectopic External Jugular Vein Draining into the Axillary Vein: a Rare Anatomical Variation with Clinical Implications.","authors":"Dimitra Daskalopoulou, Dimosthenis Chrysikos, Amir Shihada, Alexandros Samolis, Nikolaos Pappas, Dimitrios Filippou, Theodore Troupis","doi":"10.5644/ama2006-124.441","DOIUrl":"10.5644/ama2006-124.441","url":null,"abstract":"Objective: The external jugular vein drains a considerable part of the head and neck and constitutes a vessel implicated in various procedures in the cervical region. The aim of this study is to present an uncommon anatomical variation of the external jugular vein, and discuss the clinical implications of its presence.Case report: We present a rare case of an ectopic external jugular vein terminating into the axillary vein, that we came across during routine dissection of a male cadaver of Greek origin.Conclusion: The venous system of the external jugular vein is used during procedures for the treatment of various conditions such as cardiac arrhythmias, hydrocephalus and defects of the head and neck. Hence, encountering the unpredictable course of a variant draining into the axillary vein may complicate these interventions, leading to multiple manipulations and undesirable results. Surgeons should be aware of the alternate anatomy of the venous system of the cervical region, and mindful of the possibility of encountering them.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"309-313"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564734","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

Obturator Nerve Variations: A Narrative Review.

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.465

Rouan Barakat, Viktoria-Maria Karaflou, Panagiotis Giavopoulos, Nikolaos Pappas, Georgios Tsakotos, Dimitrios Filippou

{"title":"Obturator Nerve Variations: A Narrative Review.","authors":"Rouan Barakat, Viktoria-Maria Karaflou, Panagiotis Giavopoulos, Nikolaos Pappas, Georgios Tsakotos, Dimitrios Filippou","doi":"10.5644/ama2006-124.465","DOIUrl":"https://doi.org/10.5644/ama2006-124.465","url":null,"abstract":"The aim is to understand the clinical significance of these variations in surgeries and diseases. To conduct this review, we used the PubMed database, considering factors such as the availability of full texts, the language and relevance to the topic, in order to acquire comprehensive and detailed findings. After applying our exclusion criteria, we narrowed the findings down to 11 useful results. Throughout our study, we observed significant variations concerning the obturator nerve. The nerve displays diverse paths and trajectories, leading to deviations from the commonly accepted anatomical description. Additionally, we identified variations in the division point of the obturator nerve and the resulting innervation patterns that it provides for muscles, joints, and skin. More precisely, we discovered differences regarding the path, the source and the level of composition. Moreover, the muscles innervated by the obturator nerve's anterior branch and posterior branch may vary. Furthermore, variations were observed in the innervation of both the skin and joints. CONCLUSION: Our research demonstrates that the obturator nerve is susceptible to many forms of variations. Accurate knowledge of these variations is crucial for minimizing iatrogenic complications and ensuring patient care.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"53 3","pages":"328-334"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190370","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

Translational Research on Polygenic Risk Scores in Common Neurodegenerative Diseases - A Scoping Review Protocol.

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.463

Mojca Čižek Sajko, Jana Suklan, Džanan Osmanović, Borut Peterlin

{"title":"Translational Research on Polygenic Risk Scores in Common Neurodegenerative Diseases - A Scoping Review Protocol.","authors":"Mojca Čižek Sajko, Jana Suklan, Džanan Osmanović, Borut Peterlin","doi":"10.5644/ama2006-124.463","DOIUrl":"https://doi.org/10.5644/ama2006-124.463","url":null,"abstract":"Objective: The purpose of this protocol is to clearly describe the process for the scoping review we plan to conduct on the topic of polygenic risk scores (PRS) in common neurodegenerative diseases. We will present the review's objective, the strategy for evidence search, the data extraction and analysis procedure, and how the results will be presented.Methods: The inclusion criteria for the planned scoping review will focus on evidence sources that involve PRS applied to neurogenerative diseases such as Multiple sclerosis, Parkinson's disease, Alzheimer's disease, and Amyotrophic lateral sclerosis in any phase of translational research, from early development to clinical implementation. This includes its use in risk prediction, early diagnosis, prognosis, and treatment decision-making. The research questions were created based on the population, context, and concept framework. We will consider both peer-reviewed papers and grey literature published in English or German for inclusion. Two independent reviewers will search for information.Concluison: The findings from the scoping review will be presented descriptively and summarized according to the research questions to illustrate the current status of translational research on PRS in common neurodegenerative diseases.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"53 3","pages":"303-308"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190439","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

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.458

Ana Paric, Kresimir Tomic, Lejla Alidzanovic, Adnan Fojnica, Semir Vranic

{"title":"HPV-Related Cancers in Bosnia and Herzegovina: A Comprehensive Review.","authors":"Ana Paric, Kresimir Tomic, Lejla Alidzanovic, Adnan Fojnica, Semir Vranic","doi":"10.5644/ama2006-124.458","DOIUrl":"10.5644/ama2006-124.458","url":null,"abstract":"This review assesses the burden of human papillomavirus (HPV)-related cancers in Bosnia and Herzegovina (BH), aiming to inform strategies for prevention and early detection. Despite the availability of highly effective HPV vaccines and screening programs, HPV-related cancers remain a significant public health burden worldwide. We conducted a comprehensive search of PubMed and GLOBOCAN to identify all available data on HPV prevalence/genotype and HPV-related malignancies in BH, including information on HPV vaccination and cervical cancer screening. A comprehensive literature search revealed limited data on HPV prevalence and HPV-related cancers, as well as the absence of a national HPV vaccination or cervical cancer screening program in BH. In the largest study with available data from BH, HPV prevalence was 43% among women undergoing routine gynecologic exams. HPV-16 was identified as the most common cause of cervical cancer. The HPV prevalence was 50% in head and neck cancer, with HPV-18 being the most prevalent subtype. HPV was detected in 80% of patients with colorectal cancer, and HPV-16 was the most common subtype. Conclusions. HPV-related cancers, particularly cervical cancer, represent a significant public health problem in BH. Implementation of a national HPV vaccination program, along with organized cervical cancer screening is essential to reduce HPV-related morbidity and mortality. Addressing systemic challenges, such as establishing a comprehensive cancer registry, is essential for effective HPV prevention and control. Raising public awareness about HPV infection, its consequences, and the importance of prevention is essential for vaccine acceptance and promoting healthy behaviors. By investing in HPV prevention, BH can significantly improve the health and well-being of its population, particularly women.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"237-273"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802443","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

The Efficacy of Various Orthodontic Appliances in the Treatment of Obstructive Sleep Apnea. 各种正畸矫治器治疗阻塞性睡眠呼吸暂停的疗效观察。

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.448

Amina Građanin, Azra Jelešković, Vildana Džemidžić, Alisa Tiro, Lejla Redžepagić-Vražalica

{"title":"The Efficacy of Various Orthodontic Appliances in the Treatment of Obstructive Sleep Apnea.","authors":"Amina Građanin, Azra Jelešković, Vildana Džemidžić, Alisa Tiro, Lejla Redžepagić-Vražalica","doi":"10.5644/ama2006-124.448","DOIUrl":"10.5644/ama2006-124.448","url":null,"abstract":"Objective: The goal of this review was to determine the effectiveness of different types of monobloc and bibloc mandibular advancement device (MAD) devices in the treatment of all forms of obstructive sleep apnea (OSA), by reviewing the available literature.Methods: A systematic literature search was performed in PubMed, ResearchGate, NCBI and Google Scholar databases. The search included articles in English, published in the inclusive time period from 2000 to 2024.Results: A total of 13 studies were analyzed that directly compared the effectiveness of monobloc and bibloc devices. The studies were published in the period from 2000 to 2024, and included crossover and parallel randomized controlled trials, as well as cross and parallel cohort studies. Out of the 13 studies, four were classified as RCT parallel studies, six were RCT crossover studies, two cohort parallel studies, and one cohort crossover study. The duration of the studies was variable, ranging from four weeks to one year, with six studies having a so-called \"washout period\" between the use of monobloc and bibloc MAD devices.Conclusion: Both monobloc and bibloc devices show significant success rates in the treatment of mild to moderate OSA.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"286-292"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802454","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

Workplace Factors Contributing to Professional Stress in Family Medicine.

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.464

Nataša Trifunović, Hasiba Erkočević, Elvira Hasanović, Hamza Jatić, Senada Džebo, Rabija Mehmedović, Nevena Todorović, Zaim Jatić

{"title":"Workplace Factors Contributing to Professional Stress in Family Medicine.","authors":"Nataša Trifunović, Hasiba Erkočević, Elvira Hasanović, Hamza Jatić, Senada Džebo, Rabija Mehmedović, Nevena Todorović, Zaim Jatić","doi":"10.5644/ama2006-124.464","DOIUrl":"https://doi.org/10.5644/ama2006-124.464","url":null,"abstract":"Objectives: The main objective was to assess the relationship between sociodemographic and occupational factors and stress levels among healthcare workers in family medicine in Bosnia and Herzegovina, using the PSS-10-BH scale.Material and methods: A cross-sectional study was conducted using the PSS-10-BH questionnaire distributed via Google Forms to primary care nurses and physicians between July and August 2022.Results: The study included 272 participants, with a mean age of 44.7 (±10.55), predominantly women (86.8%) and physicians (58.8%). The mean PSS-10-BH total score for the sample was 21.26 (±6.77) ranging from 3 to 36. The linear regression model indicated male gender and older age showed an association with slightly lower stress levels. Marital status and the number of children showed a slight positive association with stress levels. Occupation (B=-3.068, 95%CI: -5.442 to -0.694, P=0.012) was associated with stress, with physicians tending to report lower stress levels compared to nurses. Years of work experience (B=0.060, 95%CI: -0.190 to 0.309, P=0.636), and patient load (B=0.082, 95%CI: 0.027 to 0.137, P=0.004) were associated with higher stress levels. The results suggest that work-related variables are significant predictors of stress levels as measured by the PSS-10-BH scale in this sample of healthcare workers. The included predictors explain 10% of the variability in the outcome, indicating additional unidentified contributing factors.Conclusion: Occupational factors, particularly profession, work experience, and daily patient load, significantly influence stress levels in healthcare workers. Further research is needed to explore other potential influences and refine interventions aimed at managing stress in this population.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"53 3","pages":"343-351"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190447","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

Anatomical Variations of the Vermiform Appendix. 蚓状阑尾的解剖变异。

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.461

Athanasios Sakellariadis, Foteini Sofou, Dimosthenis Chrysikos, Theodoros Sampsakos-Mariolis, Dimitrios Schizas, Theodoros Troupis, Dimitrios Filippou

{"title":"Anatomical Variations of the Vermiform Appendix.","authors":"Athanasios Sakellariadis, Foteini Sofou, Dimosthenis Chrysikos, Theodoros Sampsakos-Mariolis, Dimitrios Schizas, Theodoros Troupis, Dimitrios Filippou","doi":"10.5644/ama2006-124.461","DOIUrl":"10.5644/ama2006-124.461","url":null,"abstract":"Objective: The aim of the present work is to systematically review and present the existing literature on anatomical variations of the appendix.Methods: Detailed research was conducted in the PubMed medical database, using the terms \"Appendix\" AND \"Anatomical variations\", and 74 articles were initially revealed. After the application of the inclusion and exclusion criteria, all the non-related articles were excluded, and thus 40 articles were finally selected.Discussion: The data analysis suggests that the location and form of the appendix may significantly vary among individuals. Common anatomical variations concerning its location include retrocecal, pelvic, retro-ileal, pre-ileal, prececal and paracecal appendices. The first two variants are the most common, although there is a discrepancy regarding their exact incidence. Rarely, the appendix may be intracecal, intramural, subhepatic or located in the left abdomen; mismatches of the McBurney guide point with the base of the appendix are also recorded. Concerning the appendix's form, several variations in the length, diameter, shape and number of appendages (doubling, tripling) may be present.Conclusions: As evident from the presentation of the results, the vermiform appendix presents a wide variety and number of anatomical variations. The latter are of particular clinical importance and should be known to doctors - especially surgeons - to avoid complications in clinical practice.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"335-342"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886058","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

Resilience in the Face of War: a Collaborative Autoethnography of a Ukrainian Refugee Student's Journey through Europe Striving to Find Oneself. 面对战争的恢复力：一个乌克兰难民学生在欧洲努力寻找自我的旅程的合作民族志。

Acta medica academica Pub Date : 2024-12-01 DOI: 10.5644/ama2006-124.462

Mariia Shmatkova, Darko Hren, Livia Puljak

{"title":"Resilience in the Face of War: a Collaborative Autoethnography of a Ukrainian Refugee Student's Journey through Europe Striving to Find Oneself.","authors":"Mariia Shmatkova, Darko Hren, Livia Puljak","doi":"10.5644/ama2006-124.462","DOIUrl":"10.5644/ama2006-124.462","url":null,"abstract":"Objective: This study presents the personal experience of a 19-year-old student who fled the war in Ukraine, journeyed across multiple countries, and ultimately enrolled in a university psychology program in Croatia.Methods: A collaborative autoethnographic approach was employed to explore the student's experience as a war refugee, traversing Europe, and beginning university life in a foreign country. Data were collected through the student's reflective writing. A thematic analysis was conducted to identify key emotional and experiential themes.Results: The narrative provides a comprehensive account of the student's emotional and physical journey, beginning with the onset of war in Ukraine and progressing through her travels in Romania, Bulgaria, the United Kingdom, and Ireland, before settling in Croatia. Thematic analysis revealed a complex interaction of emotions, family dynamics, community support, and the challenges of adapting to a new environment. Despite numerous obstacles, the student and her family remained hopeful and proactive in seeking a better future. The narrative also underscores the therapeutic impact of sharing personal stories.Conclusions: The findings highlight storytelling as a powerful medium for personal healing. Moreover, the study emphasizes the collective importance of individual narratives in fostering empathy, understanding, and connection across diverse communities. The narrative underscores the resilience of individuals and the crucial role of compassion and support in times of crisis. This resilience is not just about surviving but finding ways to thrive and contribute meaningfully despite the uncertainties and disruptions caused by the war.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"352-372"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886158","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