Acta medica academica最新文献

Immunosuppressive-Free Renal Allograft Function After Allogeneic Hematopoietic Stem Cell Transplantation: A Case Report. 异基因造血干细胞移植后无免疫抑制肾移植功能一例报告。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.469

Vedad Herenda, Vasvija Katica, Lejla Burazerović, Aida Hamzić-Mehmedbašić, Lejla Ibričević-Balić, Damir Rebić

{"title":"Immunosuppressive-Free Renal Allograft Function After Allogeneic Hematopoietic Stem Cell Transplantation: A Case Report.","authors":"Vedad Herenda, Vasvija Katica, Lejla Burazerović, Aida Hamzić-Mehmedbašić, Lejla Ibričević-Balić, Damir Rebić","doi":"10.5644/ama2006-124.469","DOIUrl":"10.5644/ama2006-124.469","url":null,"abstract":"Objective: We describe a rare case of satisfactory renal allograft function without immunosuppressive therapy following allogeneic hematopoietic stem cell transplantation (alloHSCT).Case report: The patient was a 64-year-old male who had undergone a kidney transplant from a sibling donor in 2007. After 16 years, he required alloHSCT for acute myeloid leukemia (AML), with the same sibling serving as the donor for both transplants. HLA was a 50% match. Post-alloHSCT, immunosuppressive therapy was discontinued, and the renal allograft function remained stable. The patient later developed severe complications and succumbed to infection. Insights into the precise tolerance mechanisms were limited because laboratory evaluation for chimerism was not performed.Conclusion: There is potential for immunosuppressive-free renal allograft function after alloHSCT. This case underscores the significant risk of infection-related mortality. To achieve the best outcome, rigorous patient selection, tailored conditioning regimens, robust infection prevention strategies, and the possibility of combined transplantation for carefully selected patients are needed.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"40-46"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unlocking the Potential of Radiofrequency Ablation in Treating Hepatocellular Carcinoma Among Elderly Patients: A Literature Review. 释放射频消融治疗老年肝细胞癌的潜力：文献综述。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.473

Dina Aprillia Ariestine, Darmadi Darmadi

{"title":"Unlocking the Potential of Radiofrequency Ablation in Treating Hepatocellular Carcinoma Among Elderly Patients: A Literature Review.","authors":"Dina Aprillia Ariestine, Darmadi Darmadi","doi":"10.5644/ama2006-124.473","DOIUrl":"10.5644/ama2006-124.473","url":null,"abstract":"Objective: This study aimed to thoroughly assess and evaluate recent studies comparing radiofrequency ablation (RFA) and surgical resection in older patients with hepatocellular carcinoma (HCC).Methods: We searched the databases PubMed, Scopus, and Cochrane for articles published up to 31 October 2024. This review included studies comparing RFA and surgical resection in individuals with HCC aged 65 years or older. The exclusion criteria were non-human research, case reports, editorials, and studies involving patients with liver metastases or cholangiocarcinoma.Results: We found four retrospective cohort studies. The derived data showed no difference in one-year survival rates. However, the RFA group exhibited a better disease-free survival rate and a lower mortality rate than the surgical resection group.Conclusion: RFA outperformed surgical resection in terms of overall and disease-free survival rates while showing no appreciable variation in the occurrence of complications. However, this study underscores the need for more extensive research utilizing larger sample sizes, particularly in low- and middle-income countries.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"54 1","pages":"27-35"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case Report: Agranulocytosis in a Child Following Metamizole Use - A Diagnostic Challenge. 病例报告：儿童粒细胞缺乏症后使用的Metamizole -一个诊断挑战。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.472

Aljaž Pirnat, Tomaž Prelog, Janez Jazbec, Alenka Trampuš Bakija

{"title":"Case Report: Agranulocytosis in a Child Following Metamizole Use - A Diagnostic Challenge.","authors":"Aljaž Pirnat, Tomaž Prelog, Janez Jazbec, Alenka Trampuš Bakija","doi":"10.5644/ama2006-124.472","DOIUrl":"10.5644/ama2006-124.472","url":null,"abstract":"Objective: This case report describes a young female who developed agranulocytosis with blast cells in peripheral blood following prolonged metamizole use after ankle surgery.Case report: A 17-year-old female patient was admitted to the Department of Infectious Diseases due to high fever and sore throat. Initial diagnostics revealed agranulocytosis, followed by occurrence of blast cells and left shifted neutrophils in the peripheral blood, in subsequent days. Extensive further diagnostics were performed due to suspicion of leukaemia, which was excluded after flow cytometry and cytogenetic analysis of bone marrow aspirate. After all tests were completed, the patient disclosed that she had been using metamizole for four months following ankle surgery.Conclusion: In cases of agranulocytosis, involving a prolonged history of metamizole use accompanied by the presence of blast cells and granulocyte precursors in peripheral blood, we would recommend an initial diagnostic approach that includes a complete blood count with differential and flow cytometry of peripheral blood. Bone marrow aspiration may be postponed or deemed unnecessary if peripheral blood flow cytometry shows no aberrant populations and there are no other signs of leukaemia.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"51-55"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 BI-RADS 3 Ultrasound Findings: the Frequency and Incidence of Malignant Lesions, and Tumor Size. BI-RADS 3超声表现的评价：恶性病变的频率、发生率和肿瘤大小。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.467

Hanifa Fejzić, Svjetlana Mujagić, Belkisa Izić

{"title":"Evaluation of BI-RADS 3 Ultrasound Findings: the Frequency and Incidence of Malignant Lesions, and Tumor Size.","authors":"Hanifa Fejzić, Svjetlana Mujagić, Belkisa Izić","doi":"10.5644/ama2006-124.467","DOIUrl":"10.5644/ama2006-124.467","url":null,"abstract":"Objective: The aim of the research was to determine the frequency of BI-RADS category 3 findings in ultrasound examinations in relation to the total number of patients, the frequency of malignant lesions, and their average size at the time of detection in BI-RADS 3 ultrasound findings.Patients and methods: A cross-sectional study was performed on 335 patients (aged 40-75 years) classified in BI-RADS category 3, at the Tuzla Breast Center, University Clinical Center, in the period from March 2017 to November 2020. A total of 13,760 ultrasound examinations were performed, using a Toshiba Xario 100 ultrasound machine with a 12 MHz linear probe. Patients were divided into premenopausal and postmenopausal groups, excluding patients with symptoms and those with previous breast cancer surgery. The images were stored using the Institution's Pictures Activation and Communication System.Results: BI-RADS category 3 findings accounted for 27% of all ultrasound examinations (N=3.715). Of these, 9.02% (N=335) underwent recommended short-term follow-up. Malignancy was identified in 1.49% of these cases (N=5), with an average tumor size of 13.6 mm at detection. The malignancy rate did not differ significantly between premenopausal and postmenopausal patients (P=0.412). The overall diagnostic yield for malignancy in BI-RADS 3 findings was low, but clinically significant.Conclusion: While the malignancy rate for BI-RADS category 3 findings is low (1.49%), careful monitoring and adherence to follow-up guideline are essential to balance early detection with avoidance of unnecessary biopsies and associated costs.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomical Variations of the Auditory Cortex and their Clinical Significance, Prevalence and a Review of the Literature. 听觉皮层的解剖变异及其临床意义、流行和文献综述。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.470

Konstantinos Papantzikos, Spyridon Kantartzis, Dimosthenis Chrysikos, Amir Shihada, Dimitrios Filippou, Maria Piagkou, Theodore Troupis

{"title":"Anatomical Variations of the Auditory Cortex and their Clinical Significance, Prevalence and a Review of the Literature.","authors":"Konstantinos Papantzikos, Spyridon Kantartzis, Dimosthenis Chrysikos, Amir Shihada, Dimitrios Filippou, Maria Piagkou, Theodore Troupis","doi":"10.5644/ama2006-124.470","DOIUrl":"10.5644/ama2006-124.470","url":null,"abstract":"Objective: This literature review aims to present anatomical variations in the primary and secondary auditory cortex, and an analysis of the categories (or classifications) of variation.Background: Many types of variation of the auditory cortex have been described, but there is a need to classify these variations and reveal their clinical implications.Methods: A detailed search in PubMed medical database was conducted, from October 2023 to November 2024 using the terms (\"anatomical\") AND (\"variations\" OR \"categories\" OR \"types\" OR \"differences\") AND (\"human\" OR \"man\") AND (\"auditory cortex\" OR \"auditory cortex\" [MeSH]) and 44 articles were found. Applying the inclusion and exclusion criteria, 29 articles were finally selected.Results: A number of asymmetries have been recorded related to the size of the cortex between the two hemispheres, the number of Heschl's gyri and Heschl's gyrus surface variations, the distribution of gray and white matter, and the surface and size of the secondary auditory cortex. Reviews, and all prospective and retrospective studies, as well as case reports, were eligible for this review.Discussion: Variations were found amongst patients of reduced auditory ability and the non-hearing impaired, musicians, amateur musicians, and non-musicians, right and left-handed people, men and women, and people with high and low pitch perception ability. Furthermore, variations were detected in people with dyslexia and learning disabilities.Conclusion: A significant number of anatomical variations of the auditory cortex have been recorded, and closer research will contribute to our comprehension of the origin of some discrepancies in everyday clinical practice.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"18-26"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genetic Analysis of Osteosarcoma Cells in a 9-year-old Boy: Genes Involved in Cell Cycle Control. 一名9岁男孩骨肉瘤细胞的遗传分析：参与细胞周期控制的基因。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.474

Dragan Jovanovic, Alwajih Tariq, Sara Dlugos

{"title":"Genetic Analysis of Osteosarcoma Cells in a 9-year-old Boy: Genes Involved in Cell Cycle Control.","authors":"Dragan Jovanovic, Alwajih Tariq, Sara Dlugos","doi":"10.5644/ama2006-124.474","DOIUrl":"10.5644/ama2006-124.474","url":null,"abstract":"Objective: This study describes mutations of genes that stimulate and regulate cell growth, programmed cell death, DNA repair, and cell growth suppression in a boy with osteosarcoma.Case report: We report a case of bone sarcoma in a 9-year-old boy with possible familial predisposition. In our patient, only a subset of tumor cells expressed the ATRX protein, which is known to control the expression of several genome regions. The function of the p53 protein, which acts as a transcription factor that regulates the DNA damage repair response, cell cycle progression, and apoptosis pathways, is lost in 40-50% of malignant cells. Retinoblastoma was positive in the predominant subset of tumor cells. Deletion is found on chromosome 9, cytoband 9p21.3, where the genes for CDKN2A and CDKN2B are located. Neoplastic cells were SATB2-positive in a substantial subset, with nuclear staining. The SATB2 protein is a DNA-binding protein involved in transcriptional regulation and chromatin remodeling. Chromosomal losses of 8p and 19q11-q13.43 were also found. These regions contain several tumor suppressor genes, including NKX3.1, whose reduced expression correlates with 8p loss in high-grade tumors. Although there was no known cancer syndrome in the family, the maternal grandfather had a similar tumor requiring amputation.Conclusion: Chromosomal instability is a hallmark of osteosarcoma and is characterized by heterogeneous and extensive genetic complexity. Various numerical and structural genomic rearrangements have been described in cancer cells. However, there is little consistent genetic change to understand the etiopathogenesis of this aggressive tumor.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"54 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Theodoros Aretaios (1829-1893) and the Foundation of Greek Orthopedic Surgery. Theodoros Aretaios（1829-1893）和希腊整形外科的基础。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.468

Panagiotis Mantzanas, Pavlos Lytsikas-Sarlis, Irina Noskova, Demetrios Zisiadis, Dimitra Makridaki, Konstantinos Laios

{"title":"Theodoros Aretaios (1829-1893) and the Foundation of Greek Orthopedic Surgery.","authors":"Panagiotis Mantzanas, Pavlos Lytsikas-Sarlis, Irina Noskova, Demetrios Zisiadis, Dimitra Makridaki, Konstantinos Laios","doi":"10.5644/ama2006-124.468","DOIUrl":"10.5644/ama2006-124.468","url":null,"abstract":"Objective: This historical vignette aims to elucidate the contributions of Professor Theodoros Aretaios (1829-1893) to orthopedic surgery in nineteenth-century Greece.Methods: Documentary research was conducted of Aretaios' personal patient archives, preserved in the National Library of Greece, to validate and evaluate his surgical practices.Results: The archival records revealed a total of 22 orthopedic cases. Aretaios primarily performed upper and lower limb amputations and dislocation reductions. Reconstructive bone and joint operations were less frequent in his practice.Conclusion: The role which may be played by the archival records is demonstrated within this historical vignette. The work of Theodoros Aretaios highlights the procedures performed in 19th century orthopedics in the new Greek state. Aretaios contributed to the establishment of the Greek school of surgical practice and many of the surgeons of his era followed his steps.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multimodal Anesthesia-Analgesia for Patients with Huntington's Disease: A Case Series. 亨廷顿舞蹈病患者的多模式麻醉-镇痛：一个病例系列。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.466

Georgios Papastratigakis, Maria Christofaki, Alexandra Papaioannou

{"title":"Multimodal Anesthesia-Analgesia for Patients with Huntington's Disease: A Case Series.","authors":"Georgios Papastratigakis, Maria Christofaki, Alexandra Papaioannou","doi":"10.5644/ama2006-124.466","DOIUrl":"10.5644/ama2006-124.466","url":null,"abstract":"Objective: The aim of this article is to demonstrate that the anesthetic challenges faced by patients with Huntington's disease (HD) undergoing major surgery, can be successfully managed using modern, opioid-sparing, multimodal strategies.Case report: We present two case studies involving HD patients who received general anesthesia. The first patient also suffered from alcohol use disorder (AUD) and underwent thoracoscopic pleural biopsy. The second patient was scheduled for laparoscopic hemicolectomy. Due to the unavailability of ultrasound and excessive choreic movements, locoregional anesthetic techniques were not feasible. Both patients were successfully managed using similar opioid-sparing, multimodal anesthetic-analgesic strategies, and had uncomplicated postoperative courses. In both patients, a dexmedetomidine infusion was used, and both reported a brief amelioration of their chorea postoperatively.Conclusion: This is the first reported case of a patient with Huntington's disease with concurrent AUD undergoing general anesthesia using modern, opioid-sparing, multimodal, anesthetic-analgesic strategies. Even when the advantages of locoregional anesthesia are not available, HD patients can be safely and effectively treated using modern anesthetic methods that minimize opioid use and its associated side effects.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"36-39"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Case of Ruptured Heterotopic Pregnancy after Natural Conception Demanding Immediate Attention. 一例罕见的自然受孕后异位妊娠破裂需要立即关注。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.451

Dionysios Galatis, Christos Beneko, Konstantina Kalaitzi, Panagiotis-Konstantinos Karachalios, Ioannis Chatzipanagiotis, Ippokratis Diamantakis, Foteini Anifantaki, Vasileios Batsakoutsas, Nikolaos Kiriakopoulos

{"title":"A Rare Case of Ruptured Heterotopic Pregnancy after Natural Conception Demanding Immediate Attention.","authors":"Dionysios Galatis, Christos Beneko, Konstantina Kalaitzi, Panagiotis-Konstantinos Karachalios, Ioannis Chatzipanagiotis, Ippokratis Diamantakis, Foteini Anifantaki, Vasileios Batsakoutsas, Nikolaos Kiriakopoulos","doi":"10.5644/ama2006-124.451","DOIUrl":"10.5644/ama2006-124.451","url":null,"abstract":"Objective: We present the case of a ruptured heterotopic pregnancy after natural conception and its management during hospitalization.Case report: The patient presented to the emergency department of our hospital with symptoms of lower abdominal pain and vaginal blood loss. She reported a confirmed intrauterine pregnancy at 8 weeks' gestation following natural conception. The patient was admitted to the hospital with the diagnosis of a ruptured ovarian cyst. Due to hemodynamic instability, an urgent exploratory laparotomy was performed. The histological review showed an ectopic fallopian pregnancy, confirming the final diagnosis of an heterotopic pregnancy.Conclusion: Heterotopic pregnancy is a very rare condition, even more so if it happens spontaneously. As a result, it has been insufficiently studied in relation to proper management and timely diagnosis.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"47-50"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Rehab to Routine: Ensuring Lasting Lifestyle Changes After Cardiac Rehabilitation - First Experiences from the "Love Your Heart" Program. 从康复到日常：确保心脏康复后持久的生活方式改变-从“爱你的心”计划的第一次经验。

Acta medica academica Pub Date : 2025-04-01 DOI: 10.5644/ama2006-124.471

Barbara Jerončić, Lejla Jelovica, Gordana Starčević-Klasan, Kristijan Zulle, Željko Jovanović, Bojan Miletić

{"title":"From Rehab to Routine: Ensuring Lasting Lifestyle Changes After Cardiac Rehabilitation - First Experiences from the \"Love Your Heart\" Program.","authors":"Barbara Jerončić, Lejla Jelovica, Gordana Starčević-Klasan, Kristijan Zulle, Željko Jovanović, Bojan Miletić","doi":"10.5644/ama2006-124.471","DOIUrl":"10.5644/ama2006-124.471","url":null,"abstract":"Objective: The study assesses how well patients follow secondary prevention measures after completing an outpatient cardiac rehabilitation (CR) program.Materials and methods: This research involves 63 patients who completed an outpatient CR program between 2018 and 2020 at the Istrian Health Center in Pula, Croatia. Socio-demographic characteristics, levels of physical activity, adherence to a Mediterranean diet, and compliance with medical recommendations were assessed in a survey to gather data.Results: Out of the 63 patients surveyed, 51 responded (34 males, 17 females, average age 68.25 years). After completing a cardiac rehabilitation program, 78.4% maintained appropriate levels of physical activity but showed low adherence to a Mediterranean diet, with an average score of only 3.94 out of 9. Only a small percentage (2%) effectively followed medical recommendations.Conclusion: Despite the fact that patients maintain physical activity, there are still challenges regarding adherence to nutritional recommendations and medical advice. Long-term adherence can be improved by utilizing technology, involving family members, and offering education. Future research should focus on identifying obstacles to adherence and developing approaches to achieve lasting behavioral change.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12309306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0