Acta medica academica最新文献_第3页

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 : 2024-05-31 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":"https://doi.org/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":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","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

The Genesis of Multidisciplinary Health Professionals Teams for Pain Management. A History from the Hellenic Antiquity to Modern Palliative Medicine 多学科医护人员疼痛管理团队的起源。从希腊古代到现代姑息医学的发展史

Acta medica academica Pub Date : 2024-05-14 DOI: 10.5644/ama2006-124.439

Heleni Karassava, Loukas Agorgianitis, Evaggelos Mavrommatis

引用次数: 0

Late Adverse Effects after Treatment for Childhood Acute Leukemia 儿童急性白血病治疗后的晚期不良反应

Acta medica academica Pub Date : 2024-04-15 DOI: 10.5644/ama2006-124.438

Jelena Roganovic, Riccardo Haupt, E. Bárdi, L. Hjorth, Gisela Michel, Vesna Pavasovic, Katrin Scheinemann, H. V. D. van der Pal, L. Zadravec Zaletel, Ana E. Amariutei, Roderick Skinner, PanCare Board

{"title":"Late Adverse Effects after Treatment for Childhood Acute Leukemia","authors":"Jelena Roganovic, Riccardo Haupt, E. Bárdi, L. Hjorth, Gisela Michel, Vesna Pavasovic, Katrin Scheinemann, H. V. D. van der Pal, L. Zadravec Zaletel, Ana E. Amariutei, Roderick Skinner, PanCare Board","doi":"10.5644/ama2006-124.438","DOIUrl":"https://doi.org/10.5644/ama2006-124.438","url":null,"abstract":"The aim of this review is to raise awareness and knowledge among healthcare professionals and policymakers about late adverse effects in survivors of childhood leukemia. With contemporary treatment, over 90% of children with acute lymphoblastic leukemia (ALL) and over 60% with acute myeloid leukemia (AML) are cured. Large cohort studies demonstrate that 20% of ALL and most AML survivors have at least one chronic health condition by 20-25 years after diagnosis. These are life-changing or threatening in some survivors and contribute to increased premature mortality. We describe the frequency, causes, clinical features, and natural history of the most frequent and severe late adverse effects in childhood leukemia survivors, including subsequent malignant neoplasms, metabolic toxicity, gonadotoxicity and impaired fertility, endocrinopathy and growth disturbances, bone toxicity, central and peripheral neurotoxicity, cardiotoxicity, psychosocial late effects, accelerated ageing and late mortality. The wide range of late effects in survivors of haemopoietic stem cell transplant is highlighted. Recent developments informing the approach to long-term survivorship care are discussed, including electronic personalized patient-specific treatment summaries and care plans such as the Survivor Passport (SurPass), surveillance guidelines and models of care. The importance of ongoing vigilance is stressed given the increasing use of novel targeted drugs with limited experience of long-term outcomes. \u0000Conclusion. It is vital to raise awareness of the existence and severity of late effects of childhood leukemia therapy among parents, patients, health professionals, and policymakers. Structured long-term surveillance recommendations are necessary to standardize follow-up care.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"289 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140703933","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

Difficulties in Accessing the List and Full Text of the Defended PhD Theses from Medical Schools: a Retrospective Case Study from Croatia. 获取医学院已答辩博士论文清单和全文的困难：克罗地亚的回顾性案例研究》（Difficulties in Accessing the List and Full Text of the Defended PhD Theses from Medical Schools: a Retrospective Case Study from Croatia）。

Acta medica academica Pub Date : 2024-04-09 DOI: 10.5644/ama2006-124.437

Livia Puljak, Matea Tolić, Marko Sablić, Vlatko Silobrčić, Marija Heffer, Bojan Polić, O. Barcot, D. Sapunar

{"title":"Difficulties in Accessing the List and Full Text of the Defended PhD Theses from Medical Schools: a Retrospective Case Study from Croatia.","authors":"Livia Puljak, Matea Tolić, Marko Sablić, Vlatko Silobrčić, Marija Heffer, Bojan Polić, O. Barcot, D. Sapunar","doi":"10.5644/ama2006-124.437","DOIUrl":"https://doi.org/10.5644/ama2006-124.437","url":null,"abstract":"OBJECTIVE\u0000To conduct scientometric studies on PhD (\"Doctor of Philosophy\") theses (i.e., doctoral theses), researchers should be able to access the theses. We aimed to explore how to obtain a list and full text of the defended PhD theses from medical schools in Croatia over 30 years (from the beginning of 1992 to the end of 2021).\u0000\u0000\u0000METHODS\u0000We tried to obtain information from the Croatian Bureau of Statistics, the National and University Library in Zagreb (NSK), universities, medical schools and online repositories.\u0000\u0000\u0000RESULTS\u0000We could not find a single list (source) of all PhD theses. Based on 4 different sources (website of the University of Zagreb and Medical School in Rijeka; school administrator from Split; library catalog from Osijek), we gathered information that from the beginning of 1992 to the end of 2021, there were 2955 PhD theses defended at medical schools in Croatia - 357 in Osijek, 550 in Rijeka, 337 in Split and 1711 in Zagreb. In May 2022, the online Croatian Digital Dissertations Repository contained 631 (22%) of full-text theses in Portable Document Format (PDF). University of Zagreb School of Medicine has its own repository that holds the full text of 834 (49%) of their PhD theses. One of the three PhD programs of the University of Split School of Medicine, namely Translational Research in Biomedicine (TRIBE), published full texts of all PhD theses defended at that program on its website. NSK held 2650 (90%) of the theses in a printed version.\u0000\u0000\u0000CONCLUSION\u0000It was extremely challenging to access the list and full texts of doctoral theses defended in Croatia. Making PhD theses publicly available would ensure transparency and enable analyses that should improve scientific policy.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"21 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140722019","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

Establishment of a Unified Register of Donor Sexual Gametes in the Republic of Kazakhstan. 在哈萨克斯坦共和国建立性配子捐献者统一登记册。

Acta medica academica Pub Date : 2024-04-08 DOI: 10.5644/ama2006-124.436

Leila Chalova, Vyacheslav Lokshin, Vladimir Kiyan, Botagoz Turdaliyeva, A. Kinzhibayev

{"title":"Establishment of a Unified Register of Donor Sexual Gametes in the Republic of Kazakhstan.","authors":"Leila Chalova, Vyacheslav Lokshin, Vladimir Kiyan, Botagoz Turdaliyeva, A. Kinzhibayev","doi":"10.5644/ama2006-124.436","DOIUrl":"https://doi.org/10.5644/ama2006-124.436","url":null,"abstract":"OBJECTIVE\u0000The purpose of this narrative review paper was to review the state and development of the field of donor gametes in Kazakhstan, compare its legislative and technical capabilities with other countries and identify key steps towards the establishment of a unified register of donor gametes in the Republic.\u0000\u0000\u0000MATERIALS AND METHODS\u0000The narrative review paper conducted an analysis of scientific publications and legal documents to examine the implementation of Assisted Reproductive Technologies (ART), focusing on Donor Sexual Gametes (DSG), globally. It utilized medical publications from 2019 to 2023, legal acts, and recommendations from global health organizations to analyze eligibility criteria, legal regulations, and the social aspects of ART across different regions.\u0000\u0000\u0000RESULTS\u0000In Kazakhstan, ART is regulated by legislation, with DSG procedures governed by age limits, medical screening, and restrictions on the number of children born from donated gametes. Worldwide, practices vary, but there is growing interest in establishing a unified register of reproductive donor material to enhance transparency and accountability. However, legal gaps and ethical considerations must be addressed.\u0000\u0000\u0000CONCLUSION\u0000The study identifies gaps in Kazakhstan's legislation compared to Western countries, emphasizing the necessity for enhanced legal rights for donors and recipients, including options for anonymity. Ethical concerns highlight the importance of confidentiality and data security in accessing the donor registry. Overall, implementing such a register promises to enhance transparency, safety, and accountability in reproductive medicine.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"250 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140730592","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

George Sclavunos (1869-1954): Anatomical Insights and His Contribution into the "Magenstrasse of Waldeyer". 乔治-斯克拉夫诺斯（1869-1954 年）：解剖学见解及其对 "瓦尔德耶尔的马根大街 "的贡献。

Acta medica academica Pub Date : 2024-04-01 DOI: 10.5644/ama2006-124.433

Ioanna Verzoviti, Michail Saintanis, Dimosthenis Chrysikos, Dimitrios Filippou, Dimitrios Schizas, Ioannis K Antonopoulos, Theodore Troupis

{"title":"George Sclavunos (1869-1954): Anatomical Insights and His Contribution into the \"Magenstrasse of Waldeyer\".","authors":"Ioanna Verzoviti, Michail Saintanis, Dimosthenis Chrysikos, Dimitrios Filippou, Dimitrios Schizas, Ioannis K Antonopoulos, Theodore Troupis","doi":"10.5644/ama2006-124.433","DOIUrl":"10.5644/ama2006-124.433","url":null,"abstract":"The purpose of this article is to present a well-known physician and highlight his contribution into an essential, but neglected anatomical feature. George Sclavunos (1869-1954) was a 20th century Greek physician, whose scientific work was a significant milestone in global medical knowledge. In 1899 he became Professor of Anatomy and Head Director of the Department of Anatomy. In 1906 Sclavunos G. published the first volume of the three volume book \"Human Anatomy\" (1906-1926), which is characterized by its unparalleled illustrations. For more than a century it was the most important book of medical literature in Greece. In 1926 he became a Full Member of the Academy of Athens and was named Life Partner of the International Anatomical Society. His interests included Anatomy, Physiology, Histology, as well as Osteology and Syndesmology. In his book \"Human Anatomy\", he described for first time the \"Sialine Groove of the Stomach\", which was described by Waldeyer-Hartz almost at the same time as the \"Magenstrasse\", a German word that means \"stomach road\". It is a ribbon-like path that extends along the lesser curvature of the stomach from the gastric cardia to the antrum and releases the gastric content directly into the small intestine. Its importance is confirmed by its association not only with drug delivery, but also with anti-obesity surgical techniques. The old German term has come back into common medical usage in view of the commonly performed Magenstrasse and Mill procedure, a form of bariatric surgery. CONCLUSION: Sclavunos G. managed to observe an anatomical structure that has remained of great importance until today.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"106-113"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140144225","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

Prejudice and Fear as Influences in Relation to a Successful Organ Donation - Experiences of Immigrants Living in Sweden. 偏见和恐惧对成功捐献器官的影响--生活在瑞典的移民的经历。

Acta medica academica Pub Date : 2024-04-01 DOI: 10.5644/ama2006-124.432

Ferid Krupic, Melissa Krupic, Jelena Kovacevic-Prstojevic, Svemir Custovic, Lutvo Sporisevic, Parvaneh Lindström

{"title":"Prejudice and Fear as Influences in Relation to a Successful Organ Donation - Experiences of Immigrants Living in Sweden.","authors":"Ferid Krupic, Melissa Krupic, Jelena Kovacevic-Prstojevic, Svemir Custovic, Lutvo Sporisevic, Parvaneh Lindström","doi":"10.5644/ama2006-124.432","DOIUrl":"10.5644/ama2006-124.432","url":null,"abstract":"Objectives: The purpose of this study was to determine whether fear and prejudice in relation to organ donation and the transplantation of organs may influence the decision to become an organ donor.Materials and methods: Data were collected through four group interviews using open-ended questions and qualitative content analysis. Forty participants, 16 males and 24 females from seven countries, participated in the focus group interviews.Results: The analysis resulted in three main categories, and nine subcategories. Fears and prejudice caused by tradition and customs, approval of organ donation by family members, perception of the body as a gift from parents, the influence of religious leaders, knowledge about the religious understanding of organ donation, influence of social ambience on respondents, knowledge of the donation process in the healthcare system, including knowing about life after eventual organ donation, were some of predictors in the decision to agree to organ donation.Conclusion: More education on the factors that influence organ donation, more information in schools, health institutions and through the media, as well as more research with the aim of \"dispelling\" fears and prejudice about organ donation would significantly improve the current situation and result in a larger number of potential organ donors.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"53 1","pages":"35-45"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564737","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

An X across the Chest: A Rare Case of a Criss-crossed Sternalis Muscle. 胸前的 "X"：胸骨肌十字交叉的罕见病例

Acta medica academica Pub Date : 2024-04-01 DOI: 10.5644/ama2006-124.420

Swapna Ramakrishnan, Ishan Mahajan, T Nikitha, Robert Kevin Fernandez, Minnie Pillay

{"title":"An X across the Chest: A Rare Case of a Criss-crossed Sternalis Muscle.","authors":"Swapna Ramakrishnan, Ishan Mahajan, T Nikitha, Robert Kevin Fernandez, Minnie Pillay","doi":"10.5644/ama2006-124.420","DOIUrl":"10.5644/ama2006-124.420","url":null,"abstract":"Objective: The present case study aims at drawing attention to a very rare presentation of the sternalis muscle noticed during routine dissection, and is intended to highlight the clinical significance and usefulness of this unique muscle in reconstructive surgeries, especially of the breast.Case report: Though many morphological variants of the muscle have been reported, we came across a unique bilateral sternalis muscle during routine dissection for undergraduate medical teaching, in an 80-year-old male cadaver. The muscle originates on both sides from the external oblique aponeurosis from the fleshy belly, and after becom-ing tendinous, converges in the midline to form a common tendon at the level of the sternal angle, and then splits again into two tendons which become continuous with the ipsilateral sternocleidomastoid.Conclusion: Notwithstanding the fact that the presence of a sternalis can be misdiagnosed as a wide range of anterior chest wall lesions and tumors, especially with misdiag-nosis of breast masses in routine mammograms, it has great use as a muscular flap for reconstructive surgeries of the anterior chest wall, head, neck and breast.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":" ","pages":"102-105"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984127","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

Response to Letter to the Editor by Josef Finsterer, MD, PhD: "The More Intensive the Diagnostic Workup, the More Likely It Is That the Cause of Coccygodynia Can Be Clarified". 对医学博士 Josef Finsterer 致编辑的信的回复："诊断工作越深入，越有可能明确尾骨神经痛的病因"。

Acta medica academica Pub Date : 2024-04-01 DOI: 10.5644/ama2006-124.431

Spyridon P Galanakos, Nikolaos D Karakousis, George Bablekos, Sophia Fontara

引用次数: 0

Autonomic Dysfunction in Amyotrophic Lateral Sclerosis - A Case-Control Study. 肌萎缩侧索硬化症的自主神经功能障碍--一项病例对照研究。

Acta medica academica Pub Date : 2024-04-01 DOI: 10.5644/ama2006-124.440

Mehedi Hasan, Sk Mahbub Alam, Hasan Zahidur Rahman, Md Abdullah Saeed Khan, Muhammad Rezeul Huq

{"title":"Autonomic Dysfunction in Amyotrophic Lateral Sclerosis - A Case-Control Study.","authors":"Mehedi Hasan, Sk Mahbub Alam, Hasan Zahidur Rahman, Md Abdullah Saeed Khan, Muhammad Rezeul Huq","doi":"10.5644/ama2006-124.440","DOIUrl":"10.5644/ama2006-124.440","url":null,"abstract":"Introduction: This study aimed to explore autonomic nervous system involvement in amyotrophic lateral sclerosis (ALS) patients by evaluating sympathetic skin response (SSR).Materials and methods: The study included 35 sporadic (ALS) patients (cases), and 35 healthy age and sex-matched participants (controls) aged <60 years. SSR was recorded in the electrophysiology lab of the Neurology Department of Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Patients with diseases associated with peripheral or autonomic neuropathy were excluded. Prolonged latency (delayed SSR) or an absent response was considered abnormal SSR.Results: SSR was found to be abnormal in 17 (48.6 %) ALS cases, with an absent response in the upper limbs of six cases (17.1%). Abnormal SSR was more prevalent in the lower limbs, with 33 (94.3%) and 20 (57.1%) cases having a delayed or absent response, respectively. In comparison, SSR was normal in all control participants (P-value <0.05). Abnormal SSR was significantly more common in the lower limbs of ALS cases with bulbar palsy than those without bulbar palsy (P-value=0.04). There was no association of SSR with disease severity and duration.Conclusion: ALS is significantly associated with abnormal SSR, indicating autonomic nervous system involvement. There could also be an association between bulbar palsy and abnormal SSR among ALS patients. Further studies should be carried out to determine the association of abnormal SSR with disease severity, duration, and type.","PeriodicalId":38313,"journal":{"name":"Acta medica academica","volume":"53 1","pages":"24-34"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11237907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564736","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