Acta medica academica最新文献

{"title":"A Giant Polypoid Gastric Heterotopia of the Ileum as a Cause of Intussusception in an Adolescent.","authors":"Jasmina Redzepagic, Kenan Karavdic, Alena Firdus, Haris Kuric, Deniz Bulja, Nermina Ibisevic, Zlatan Zvizdic, Semir Vranic","doi":"10.5644/ama2006-124.382","DOIUrl":"https://doi.org/10.5644/ama2006-124.382","url":null,"abstract":"No abstract available.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 2","pages":"132-133"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a8/f8/AMA-51-132.PMC9982848.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9102515","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}

{"title":"Pseudohyponatremia Secondary to Hypercholesterolemia in the Setting of Intrahepatic Cholestasis due to Metastatic Liver Disease: A Case Report and Review of the Literature.","authors":"Leili Pourafkari,&nbsp;Christian Cavalieri,&nbsp;Seyedeh Kimia Yavari,&nbsp;Nader D Nader","doi":"10.5644/ama2006-124.381","DOIUrl":"https://doi.org/10.5644/ama2006-124.381","url":null,"abstract":"<p><strong>Objective: </strong>We describe a rare case of pseudohyponatremia in the setting of hypercholesterolemia caused by cholestasis due to metastatic liver disease and provide a review of the published cases in the literature.</p><p><strong>Case report: </strong>We report a case of pseudohyponatremia in a 60-year-old man with rectal cancer with extensive metastasis to the liver. While assessing the patient for hyponatremia, extremely elevated serum cholesterol with normal serum osmolality was detected leading to the diagnosis of pseudohyponatremia. This is one of very few reports of pseudohyponatremia in patients with elevated cholesterol in cholestatic liver disease.</p><p><strong>Conclusion: </strong>Hypercholesterolemia is an exceedingly rare cause for pseudohyponatremia. Although pseudohyponatremia per se does not carry a risk to the patient, the delay in diagnosis and treatment plans may pose additional risks. Pseudohyponatremia needs to be considered in patients with low sodium and co-existing cholestasis from metastatic liver disease.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 2","pages":"128-131"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/76/AMA-51-128.PMC9982855.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9102517","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}

{"title":"Medical Biography of Isak Samokovlija: The Famous Bosnian-Herzegovinian Writer.","authors":"Husref Tahirović","doi":"10.5644/ama2006-124.384","DOIUrl":"https://doi.org/10.5644/ama2006-124.384","url":null,"abstract":"<p><p>The purpose of this paper is to shed light on the biographical, professional, and health-educational works of Dr. Isak Samakovlija, who was better known as a writer than a doctor in the country where he was born. He was born in 1889 in Goražde, the easternmost province in the Austrian-Hungarian monarchy, into a modest Jewish merchant family. He attended high school in Sarajevo and completed his studies in medicine in Vienna in 1917. During the First World War, he served twice in the Austro- Hungarian army. After the end of the First World War in 1918, he completed a medical internship at the National Hospital in Sarajevo. He began his service as a doctor, first in Goražde and then in Fojnica and Sarajevo. After the establishment of the Independent State of Croatia in May 1941, he was dismissed from his duties in the service without the right to pension or support, and without the right to appeal. In the Independent State of Croatia, he was twice mobilized into the Home Guard and was manager of the clinic in the Alipašin Most refugee camp. After World War II, he was the head of the Health Education Department of the Ministry of Public Health of the People's Republic of Bosnia and Herzegovina in Sarajevo. Together with a group of enthusiastic doctors, he founded and edited the first Bosnian medical journal Život i Zdravlje (Life and Health). In that journal, Dr. Samokovlija published 29 articles of health and educational content. In 1949, Dr. Samokovlija left the Ministry of Public Health and continued to edit the literature and art journal Brazda, but he still had a private practice until the end of his life. He died in Sarajevo on January 15, 1955. He was buried with the highest state honors at the Jewish cemetery in Sarajevo. CONCLUSION: Isak Samakovlija (1889-1955) was one of the first medical doctors born in Bosnia and Herzegovina. He made a significant contribution to the improvement of people's health after the First and Second World Wars in the places where he worked. His special contribution are his articles on health education.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 2","pages":"147-162"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/49/AMA-51-147.PMC10018996.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9130345","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}

{"title":"Evaluation of SARS-CoV-2 Antibody Response Post Third Dose COVID-19 mRNA Vaccination at Universitas Indonesia Hospital.","authors":"Rakhmad Hidayat,&nbsp;Alyssa Putri Mustika,&nbsp;Fhathia Avisha,&nbsp;Zlatikha Djuliannisaa,&nbsp;Dinisa Diah Winari,&nbsp;Ria Amiliah Putri,&nbsp;Heydi Marizky Lisman,&nbsp;Vandra Davin,&nbsp;Gemia Clarisa Fathi,&nbsp;Alvina Widhani,&nbsp;Muhammad Hafiz Aini,&nbsp;Yudhistira Yudhistira,&nbsp;Siti Azizah,&nbsp;Meilisa Rahmadani,&nbsp;Novita Dwi Istanti,&nbsp;Astuti Giantini","doi":"10.5644/ama2006-124.374","DOIUrl":"https://doi.org/10.5644/ama2006-124.374","url":null,"abstract":"<p><strong>Objective: </strong>The longevity of vaccine effectiveness and antibody titer after the Moderna mRNA COVID-19 vaccination booster in healthcare workers in Indonesia is not known.</p><p><strong>Materials and methods: </strong>We performed a prospective observational study of healthcare workers at the Universitas Indonesia Hospital after Moderna mRNA COVID-19 booster vaccination. An Immunology Analyzer with Chemiluminescence Immunoassay (CLIA) test was used to examine Anti SARS-CoV-2 S-RBD levels. Antibody levels were classified into two systems (3 categories, and 2 categories).</p><p><strong>Results: </strong>There were 31 male subjects (75.6%), 33 subjects (80.5%) aged 25-39 years, 17 subjects (41.5%) with overweight BMI, 35 subjects (85.4%) without comorbidities, and 29 subjects without previous history of COVID-19 infection (70.7%) who had antibody titer >1000 AU/ml. There were 27 subjects (65.9%) who had a booster shot ≥6 months after the second vaccination with antibody titer >1000 AU/ml. In this study, there was no significant correlation between antibody titer with factors such as gender, age, BMI, comorbidities, history of COVID-19 infection and time between the 2nd vaccination and booster vaccination.</p><p><strong>Conclusion: </strong>There is no significant correlation between antibody titer with factors such as gender, age, BMI, comorbidities, history of COVID-19 infection and time between the 2nd vaccination and booster vaccination.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 2","pages":"69-78"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7c/9a/AMA-51-69.PMC9982858.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9102516","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}

{"title":"Comparison of Effectiveness between Wycope Video Laryngoscope, C-MAC Video Laryngoscope, and Direct Laryngoscope in Intubation of Elective Surgery Patients.","authors":"Jayadi Jayadi,&nbsp;Anna Surgean Veterini,&nbsp;Edward Kusuma,&nbsp;Christrijogo Sumartono Waloejo,&nbsp;Prananda Surya Airlangga,&nbsp;Bambang Pujo Semedi","doi":"10.5644/ama2006-124.378","DOIUrl":"https://doi.org/10.5644/ama2006-124.378","url":null,"abstract":"<p><strong>Objective: </strong>Airway management has undergone a dramatic transformation since the arrival of video laryngoscope (VL). VL has higher intubation success rate on first try and lower complications in comparison to direct laryngoscope (DL). The use of VL is recommended in intubating COVID-19 patients to speed up intubation time and reduce failure rate. A team from Airlangga University developed Wycope Video Laryngoscope (Wycope VL), a VL with Wi-Fi connection to smartphones for an easier VL with low cost. This study aimed to compare the effectiveness of Wycope VL, C-MAC Video Laryngoscope (C-MAC VL), and DL.</p><p><strong>Materials and methods: </strong>This study was an analytic observational study with a cross sectional design, involving 63 patients who were divided into 3 groups based on the type of laryngoscope, namely Wycope VL, C-MAC VL, and DL. Intubation is carried out by 4th year anaesthesiology resident. Research subjects were patients who will undergo elective surgery at Dr. Soetomo General Hospital under general anaesthesia using orotracheal tube. Inclusion age of 19-64 years, PS ASA 1-2, no anatomical abnormalities of the airway, did not have difficult airway, and was willing to participate in the study.</p><p><strong>Results: </strong>All patients were successfully intubated without complications. C-MAC VL (5.33±1.42 seconds) and Wycope VL (5.95±0.74 seconds) was significantly faster in seeing vocal folds and glottis compared to DL (7.14±0.72 seconds) with P=0.000. DL was significantly faster in average time of intubation (15.52±5.90 seconds) compared to C-MAC VL (16.95±1.11 seconds) and Wycope VL (20.29±2.81 seconds) with P=0.000.</p><p><strong>Conclusion: </strong>DL was faster compared to VL in speed of intubation while C-MAC VL and Wycope VL was faster in viewing the vocal folds and glottis compared to DL.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 2","pages":"99-107"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d8/dc/AMA-51-99.PMC9982846.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9106998","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}

{"title":"Large Bowel Obstruction Secondary to Urinary Retention.","authors":"Seyedeh Kimia Yavari,&nbsp;Leili Pourafkari","doi":"10.5644/ama2006-124.372","DOIUrl":"https://doi.org/10.5644/ama2006-124.372","url":null,"abstract":"No abstract available.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 1","pages":"64-65"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1a/b0/AMA-51-64.PMC9982847.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9101481","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}

{"title":"Anatomic Variation of the Sciatic Nerve: A Study on the Prevalence, and Bifurcation Loci in Relation to the Piriformis and Popliteal Fossa.","authors":"Atoni D Atoni,&nbsp;Charles A Oyinbo,&nbsp;Daminola A U Francis,&nbsp;Ugochukwu L Tabowei","doi":"10.5644/ama2006-124.370","DOIUrl":"https://doi.org/10.5644/ama2006-124.370","url":null,"abstract":"<p><strong>Objective: </strong>To examine and identify sciatic nerve variations in relation to the piriformis muscle, its prevalence, pattern and the course of its bifurcation loci.</p><p><strong>Materials and methods: </strong>Twenty-eight formalin fixed male cadavers comprising 56 lower limbs were used for this study. Dissection of the gluteal region and posterior compartment of the thigh was conducted to expose the sciatic nerve. Variations in the sciatic nerve anatomy, their relationship to the piriformis muscle and points of bifurcation, and other observable features were noted and recorded.</p><p><strong>Results: </strong>Fifty-two lower limbs (93%) showed normal anatomy of the sciatic nerve. Four regions (7.1%) showed variations in the morphology of the sciatic nerve. Of these, one (1.8%) showed a variation of the sciatic nerve with the piriformis muscle. This single case showed a common peroneal nerve emerging on the left between the heads of a double piriformis muscle - a variant not described in the original Beaton and Anson classification, with the tibial nerve deep to the muscle. In two other limbs, the sciatic nerves showed a normal relationship with the piriformis, but had variations in the bifurcation loci (bilateral). The divisions were in upper third and middle third of the right and left thighs respectively.</p><p><strong>Conclusion: </strong>Knowledge of the level of bifurcation and distribution of the sciatic nerve and its location is important. This nerve is commonly encountered by neurologists, orthopaedics, and anaesthesiologists. The uncommon anatomical findings described are relevant to surgeons to enable them to perform efficient surgical procedures and avoid errors.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 1","pages":"52-58"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/87/49/AMA-51-52.PMC9982851.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9101480","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}

{"title":"Femoral 3-in-1 Nerve Block for Total Knee Replacement, an Analgesic Approach Not to Be Neglected. Single Center Experience and Literature Review.","authors":"Vlasios Karageorgos,&nbsp;Kalliopi Brofidi,&nbsp;Nefeli Stefanidou,&nbsp;Alexandra Papaioannou,&nbsp;Ioannis Daskalakis,&nbsp;Ioannis Sperelakis,&nbsp;Konstantine Balalis","doi":"10.5644/ama2006-124.365","DOIUrl":"https://doi.org/10.5644/ama2006-124.365","url":null,"abstract":"<p><strong>Objectives: </strong>Total Knee Replacement Surgery (TKR) is one of the most common elective orthopedic operations. Postoperative pain after total knee replacement, remains a challenge. In this retrospective observational study, we evaluated the effectiveness of 3-in-1 nerve block in patients after total knee arthroplasty compared to standard opioid treatment, and we state the reasons why this approach should still be considered.</p><p><strong>Methods: </strong>To evaluate the effectiveness of the 3-in-1 nerve block, we assessed the acute pain service archive and compared the values of the visual analog scale, by separating patients into two groups according to the analgesic regimen they received as per local protocols. In group A, patients received 0.25% bupivacaine through a 3 in 1 block catheter and additional meperidine IM if needed, while in group B they received meperidine every six hours.</p><p><strong>Results: </strong>Our analysis showed the statistically significant better effectiveness of 3-in-1 nerve block with bupivacaine administration in postoperative TKR pain control compared to repeated administration of meperidine.</p><p><strong>Conclusion: </strong>The results of our study suggest that 3-in-1 nerve block with bupivacaine is an option that must always be considered in order to alleviate post-operative pain after TKR.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 1","pages":"14-20"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/4c/AMA-51-14.PMC9982856.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9107634","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}

{"title":"Styloid Process Length Variations: An Osteological Study.","authors":"Eldan Kapur,&nbsp;Alma Voljevica,&nbsp;Maida Šahinović,&nbsp;Adis Šahinović,&nbsp;Armin Arapović","doi":"10.5644/ama2006-124.369","DOIUrl":"https://doi.org/10.5644/ama2006-124.369","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to study the morphometry of the styloid process of the temporal bone and the prevalence of an elongated styloid process in relation to side and gender.</p><p><strong>Material and method: </strong>The present study included 200 human skulls which were procured from the rich osteological collections of the Department of Anatomy, Faculty of Medicine, University of Sarajevo. The styloid process was observed macroscopically on both sides of all the skulls and elongations, if any, were noted. The lengths of the styloid processes were measured using digital vernier calipers. The measurements were taken from the point of emergence of the process (base) up to the tip.</p><p><strong>Results: </strong>Out of 200 specimens, only 14 cases (7%) exhibited an elongated styloid process. The mean length of the styloid process was 25.8±4.68 mm and 24.2±4.54 mm for the right and left sides, respectively. The size of the styloid process did not different significantly between the two sides (P=0.724). The mean length of the styloid process was 24.05±3.54 mm in females and 25.95±5.68 mm in males, and the difference was statistically significant (P=0.023).</p><p><strong>Conclusion: </strong>The study and knowledge of the anatomical variations of the styloid process in the Bosnian population may help clinicians to diagnose Eagle's syndrome. Knowledge of this disorder can prevent the worsening of the painful symptoms related to an elongated styloid process.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 1","pages":"46-51"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/54/56/AMA-51-46.PMC9982865.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9107639","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}

{"title":"Emphysematous Pyelonephritis with IgA-Dominant Infection-Related Glomerulonephritis: An Unusual Picture.","authors":"Kittiphan Chienwichai,&nbsp;Cheep Chareonlap,&nbsp;Poowadon Wetwittayakhlung,&nbsp;Pinit Chetthanukul,&nbsp;Arunchai Chang","doi":"10.5644/ama2006-124.371","DOIUrl":"https://doi.org/10.5644/ama2006-124.371","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this case report is to illustrate a very rare case of emphysematous pyelonephritis complicated by IgAdominant postinfectious glomerulonephritis.</p><p><strong>Case report: </strong>We report the case of a 53-year-old woman with emphysematous pyelonephritis who initially presented with unintentional weight loss for 3 months and subnephrotic range proteinuria without fever. Urinalysis revealed proteinuria, microscopic hematuria, and pyuria. A kidney biopsy was performed for suspected glomerulonephritis. The patient's right kidney biopsy was consistent with immunoglobulin A (IgA)-dominant infection-related glomerulonephritis. Abdominal computed tomography to seek the possible source of infection revealed staghorn stones obstructing dilated calyces and gas collection within the collecting system. The final diagnosis was emphysematous pyelonephritis of the left kidney complicated by IgA-dominant infection-related glomerulonephritis of the right kidney.</p><p><strong>Conclusion: </strong>We present an atypical presentation of emphysematous pyelonephritis in terms of clinical presentation (prolonged course of illness without fever) and its complications (IgA-dominant infection-related glomerulonephritis). This case study highlights the critical role of kidney biopsy in the diagnosis and the diverse clinical manifestations in clinical medicine.</p>","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"51 1","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/50/AMA-51-59.PMC9982857.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9101482","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}