Acta clinica Croatica最新文献_第10页

QUALITY OF LIFE OF OSTOMATES - A QUALITATIVE STUDY. 口气孔动物的生活质量——一项定性研究。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.4

Vanja Vasiljev, Marina Haring, Denis Juraga, Darko Roviš, Aleksandar Racz, Tomislav Rukavina

{"title":"QUALITY OF LIFE OF OSTOMATES - A QUALITATIVE STUDY.","authors":"Vanja Vasiljev, Marina Haring, Denis Juraga, Darko Roviš, Aleksandar Racz, Tomislav Rukavina","doi":"10.20471/acc.2024.63.01.4","DOIUrl":"10.20471/acc.2024.63.01.4","url":null,"abstract":"Facing a malignant disease, surgery and creation of an intestinal stoma is a complex process in anyone's life. Adjusting to a new way of life can be complicated, stressful and challenging for patients. With continued education from professional caregivers, the patient and/or family can avoid or mitigate adverse events and improve the quality of life of stoma carriers. The aim of this study was to investigate the quality of life of stoma patients and their relationship with health education in hospital in a qualitative way. The present study included 15 patients of both sexes older than 18 years and living with a stoma for at least one year after surgery. Patients were interviewed using a semi-structured interview, which was recorded. Transcripts were made and analyzed after the interview. A total of 6 women and 9 men aged between 40 and 86 years took part in the study. The results show that patients were very satisfied with health education they received in hospital, but their subjective experience of the quality of life was not satisfactory in all areas analyzed, such as travel and social life. Stoma has an impact on the participants' quality of life. High quality health education of patients by professionals, as well as family and social support play an important role in the lives of stoma patients. These are protective factors that improve the participants' quality of life.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"29-35"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

OSTEOSARCOMA IN A PATIENT WITH CRANIAL FIBROUS DYSPLASIA: A CASE REPORT. 颅骨纤维结构不良患者发生骨肉瘤1例报告。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.23

Danko Müller, Naranđa Aljinović Ratković, Igor Blivajs, Dalibor Franćeski, Karolina Krstanac, Sven Seiwerth

引用次数: 0

DIAGNOSIS AND HABILITATION OF CONGENITAL MUSCULAR TORTICOLLIS: A NARRATIVE REVIEW. 先天性肌性斜颈的诊断和康复：叙述回顾。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.19

Valentina Matijević, Danijel Mikulić, Danijela Rašić Markota, Asija Rota Čeprnja, Goranka Radmilović

{"title":"DIAGNOSIS AND HABILITATION OF CONGENITAL MUSCULAR TORTICOLLIS: A NARRATIVE REVIEW.","authors":"Valentina Matijević, Danijel Mikulić, Danijela Rašić Markota, Asija Rota Čeprnja, Goranka Radmilović","doi":"10.20471/acc.2024.63.01.19","DOIUrl":"10.20471/acc.2024.63.01.19","url":null,"abstract":"Congenital muscular torticollis (CMT) is one of the most common congenital musculoskeletal deformities, and is defined as tilted head position with hypertonic sternocleidomastoid muscle and limited cervical spine mobility. Incidences up to 16% have been recorded, more often in male children. Clinical features are characterized by an inclined position of the head on the diseased side and a gaze directed towards the healthy side, deformities such as plagiocephaly, and various complications. In order to prevent this, it is recommended to screen all infants up to four months of age. Diagnosis is usually made through history and physical examination. CMT treatment is carried out conservatively, and the habilitation program is created individually, depending on the degree of CMT. The habilitation program includes neck stretching exercises, neck muscle strengthening exercises, motor activities that encourage a symmetrical movement pattern, adaptation to the environment, and education and support of parents or guardians to ensure a daily, intensive home program. Early treatment is one of the main prognostic factors on which the outcome and duration of treatment depend. As this is the only prognostic factor that we can act on, our goal is to speed up the diagnosis and therapy implementation until the cure.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"157-164"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

ANXIETY, FEARS AND FEAR-AVOIDANCE BELIEFS AND THERAPEUTIC OUTCOME AFTER LUMBAR MICRODISCECTOMY. 腰椎微椎间盘切除术后的焦虑、恐惧和恐惧回避信念与治疗结果。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.15

Slobodan P Pantelinac, Dušica S Simić-Panić, Gordana V Devečerski, Snežana T Tomašević Todorović

{"title":"ANXIETY, FEARS AND FEAR-AVOIDANCE BELIEFS AND THERAPEUTIC OUTCOME AFTER LUMBAR MICRODISCECTOMY.","authors":"Slobodan P Pantelinac, Dušica S Simić-Panić, Gordana V Devečerski, Snežana T Tomašević Todorović","doi":"10.20471/acc.2024.63.01.15","DOIUrl":"10.20471/acc.2024.63.01.15","url":null,"abstract":"Microdiscectomy is one of the surgical methods for the treatment of herniated intervertebral disc in patients with low back pain. The aim of the research was to evaluate the presence of psychological and cognitive-behavioral factors, including anxiety, fears and fear-avoidance beliefs of physical activity and work and their correlation with the pain and functional disability in patients after lumbar microdiscectomy and subsequent physical therapy. The research was performed on 198 patients (95 men and 103 women), mean age 50.20±10.26 years. The following questionnaires were used in the study: Spielberger Anxiety Inventory-State and Trait; Fear-Avoidance Beliefs Questionnaire (Physical activity and Work); for intensity of pain, visual analog scale and Oswestry Low Back Pain Disability Questionnaire. These assessments were carried out after microdiscectomy, as follows: just before rehabilitation treatment, and 1, 3 and 6 months after microdiscectomy. The pain and functional disability had significant correlations with the following factors: anxiety-state (p<0.01), anxiety-trait (p<0.01), fear/avoidance beliefs - physical activity (p<0.01) and fear/avoidance beliefs - work (p<0.01). The pain and functional disability in patients after lumbar microdiscectomy showed significant correlation with anxiety, fears and fear-avoidance beliefs. The mentioned psychological and cognitive-behavioral factors can predict the degree of functional recovery and indicate additional therapy after lumbar microdiscectomy.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"123-133"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SHOULD PATIENT AGE AND BODY MASS BE TAKEN IN CONSIDERATION WHEN ZERO FLUORO ABLATION IS SCHEDULED? 当计划进行零氟消融时，是否应考虑患者的年龄和体重？

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.17

Nikola Krmek, László Környei, Ivana Kralik, Diana Delić-Brkljačić, Milan Milošević, Mirta Rode, Flóra Kocsis, Vjekoslav Radeljić

{"title":"SHOULD PATIENT AGE AND BODY MASS BE TAKEN IN CONSIDERATION WHEN ZERO FLUORO ABLATION IS SCHEDULED?","authors":"Nikola Krmek, László Környei, Ivana Kralik, Diana Delić-Brkljačić, Milan Milošević, Mirta Rode, Flóra Kocsis, Vjekoslav Radeljić","doi":"10.20471/acc.2024.63.01.17","DOIUrl":"10.20471/acc.2024.63.01.17","url":null,"abstract":"Since the introduction of 3D mapping systems, the use of x-rays in electrophysiology procedures has significantly decreased. The goal of this study was to analyze the frequency of x-ray use in pediatric electrophysiology in relation to age or body mass, indication for the procedure, and arrhythmia substrate. This retrospective, cross-sectional study included all pediatric procedures in two centers, Gottsegen Cardiovascular Center, Budapest, Hungary and Sestre milosrdnice University Hospital Center, Zagreb, Croatia. Patient data included weight, age, sex, presence of structural heart disease, indication for the electrophysiology study, arrhythmia substrate, and x-ray use. A total of 914 participants were analyzed, mean age 13.25 years and mean mass 53.20 kg. Of all procedures, 62.04% were performed without and 37.96% with fluoroscopy. There were no statistically significant differences in the frequency of x-ray use when comparing the groups by sex (p=0.181), age (p=0.380) or mass (p=0.120). Left-sided accessory pathways required x-ray use most frequently, whereas unknown substrates and of the known substrates atrioventricular nodal reentry tachycardia required it least frequently (p<0.001). Younger or smaller children were not irradiated more frequently during electrophysiology procedures performed with 3D mapping systems. In conclusion, there is no reason to postpone the procedure based on radiation frequency use.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"142-148"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

EXPOSURE TO ARSENIC IN DRINKING WATER AND RISK OF BLADDER CANCER. 饮用水中砷的暴露与膀胱癌的风险

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.7

Marijana Srećković, Dušan Backović, Tihomir Dugandžija, Igor Dragičević, Ljubica Pajić Nikolić, Maida Mulić, Bojan Damnjanović

{"title":"EXPOSURE TO ARSENIC IN DRINKING WATER AND RISK OF BLADDER CANCER.","authors":"Marijana Srećković, Dušan Backović, Tihomir Dugandžija, Igor Dragičević, Ljubica Pajić Nikolić, Maida Mulić, Bojan Damnjanović","doi":"10.20471/acc.2024.63.01.7","DOIUrl":"10.20471/acc.2024.63.01.7","url":null,"abstract":"The municipality of Bogatić, part of Mačva District, belongs to the Pannonian Basin, where high concentrations of arsenic in artesian wells were detected. Numerous epidemiological studies have confirmed the association of exposure to arsenic in drinking water and bladder cancer (C67). This retrospective ten-year analysis included age-standardized incidence rates (ASRs) and age-specific incidence rates of C67 in the municipality of Bogatić and rural municipalities of Mačva District. The concentration of arsenic in drinking water was determined at Šabac Public Health Institute (PHI) laboratories in 2015. ASRs were estimated using data from regional cancer registries at Šabac PHI and compared by use of the Mann-Whitney U test. Control population was recruited from an area where there were no artesian wells or hydrogeological conditions that would indicate elevated concentrations of arsenic in drinking water. Arsenic levels in all artesian wells in Bogatić municipality were 1.4 to 41 times higher than the maximum permissible concentration (mean 120 µg/L±165). Female subjects from Bogatić municipality had higher ASRs of C67 compared with the populations in rural municipalities of Mačva District (p<0.01), while the incidence of bladder cancer was by 13% greater than that in central Serbia (standardized incidence ratio, 113; 95% CI 96.97-131.35). Male subjects from Bogatić municipality had higher ASRs of C67 but the difference was not statistically significant (p>0.05). Our analyses suggested that exposure to arsenic in drinking water could triple the risk of bladder cancer. These results support the conclusions of previous studies that there may be an association between higher concentrations of arsenic in drinking water and higher ASRs of bladder cancer in both male and female subjects.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"55-64"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

PERCUTANEOUS CORONARY INTERVENTION OF THE SMALL DIAGONAL BRANCH IN ACUTE MYOCARDIAL INFARCTION WITHOUT ST ELEVATION COMPLICATED BY CORONARY ARTERY PERFORATION AND CARDIAC TAMPONADE. 无st抬高合并冠状动脉穿孔及心包填塞的急性心肌梗死经皮小斜支介入治疗。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.9

Martina Čančarević, Vjekoslav Radeljić, Matias Trbušić, Zdravko Babić, Ivan Zeljković, Nikola Kos

{"title":"PERCUTANEOUS CORONARY INTERVENTION OF THE SMALL DIAGONAL BRANCH IN ACUTE MYOCARDIAL INFARCTION WITHOUT ST ELEVATION COMPLICATED BY CORONARY ARTERY PERFORATION AND CARDIAC TAMPONADE.","authors":"Martina Čančarević, Vjekoslav Radeljić, Matias Trbušić, Zdravko Babić, Ivan Zeljković, Nikola Kos","doi":"10.20471/acc.2024.63.s1.9","DOIUrl":"10.20471/acc.2024.63.s1.9","url":null,"abstract":"Introduction: Small coronary artery disease is more common in elderly patients, smokers, patients with diabetes and chronic kidney disease. Percutaneous interventions on small coronary arteries are associated with an increased risk of complications (perforation, dissection and restenosis). Coronary artery perforation treatment includes cover stents and coil placement.Case report: A 73-year-old patient, without comorbidities, was hospitalized for acute non ST-elevation myocardial infarction. Coronary angiography showed subocclusion of the first diagonal branch (culprit lesion) while the other epicardial coronary arteries were without stenosis. Multiple predilatations of the target vessel were performed, and as it was a vessel with a diameter of less than 2 mm, no stent was placed. The final angiogram showed normal flow and good morphological result. Half an hour after the procedure, cardiac tamponade and cardiorespiratory arrest developed. Emergency pericardiocentesis was performed and after the return of spontaneous circulation, emergency recoronarography was performed. It showed perforation of the diagonal branch with contrast extravasation. Coronary coil was applied proximal to the perforation site. Perforation repair and hemodynamic stabilization were achieved.Conclusion: Coronary artery perforation is a life-threatening complication of percutaneous coronary intervention. The risk of perforation is higher in the case of small coronary arteries; it can be presented by delayed cardiac tamponade, which requires increased supervision of the patient.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"47-53"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

INTRAVASCULAR LITHOTRIPSY FOR SEVERE STENT UNDEREXPANSION. 血管内碎石术治疗严重支架扩张不足。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.19

Dario Dilber, Igor Šesto, Janko Szavits-Nossan, Alan Jelić, Andrija Škopljanac Mačina, Krešimir Štambuk

引用次数: 0

TECHNIQUE CROSSOVER IN STENTING CORONARY BIFURCATION. 冠状动脉分叉支架术的技术交叉。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.7

Sandra Šarić, Marin Vučković

引用次数: 0

TWO ACUTE STEMIS AND TWO ACUTE ISCHEMIC STROKES IN THE SAME PATIENT WITHIN FIVE DAYS - WHAT WENT WRONG? 同一个病人在五天内发生了两次急性干细胞和两次急性缺血性中风，哪里出了问题？

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-03-01 DOI: 10.20471/acc.2024.63.s1.17

Valentina Slivnjak, Igor Šesto, Alan Jelić, Vladimir Kalousek, Dora Cerovec, Andrija Škopljanac Mačina, Krešimir Štambuk

{"title":"TWO ACUTE STEMIS AND TWO ACUTE ISCHEMIC STROKES IN THE SAME PATIENT WITHIN FIVE DAYS - WHAT WENT WRONG?","authors":"Valentina Slivnjak, Igor Šesto, Alan Jelić, Vladimir Kalousek, Dora Cerovec, Andrija Škopljanac Mačina, Krešimir Štambuk","doi":"10.20471/acc.2024.63.s1.17","DOIUrl":"10.20471/acc.2024.63.s1.17","url":null,"abstract":"It is not uncommon for patients to suffer from both acute myocardial infarction and acute stroke during the hospitalization. According to some studies, about 12% of the elderly population initially hospitalized for acute ischemic stroke also develop type-1 acute myocardial infarction during the same hospitalization. On the other hand, about 0.9% of patients hospitalized for acute coronary syndrome develop acute stroke during the same hospitalization1. The therapeutic approach to such \"overlapping\" patients is challenging, especially if we also take into account a high risk of bleeding and/or active bleeding. Therefore, interdisciplinary collaboration between cardiology, neurology and interventional neuroradiology is of key importance. Timely intervention and adequate concomitant drug therapy (primarily antiplatelet and anticoagulant therapy) determine treatment outcomes and long-term results. In our recent clinical work, we treated a patient with a series of acute cardiac and cerebral incidents presenting multiple therapeutic dilemmas, who ultimately had an unfavourable neurological outcome.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 Suppl1","pages":"90-95"},"PeriodicalIF":0.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12207856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0