Acta clinica Croatica最新文献_第3页

TURKISH VALIDITY AND RELIABILITY STUDY OF A SYMPTOM SCREENING TOOL (MINI-SSPedi) IN 4-7-YEAR-OLD CHILDREN RECEIVING CANCER TREATMENT.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-10-01 DOI: 10.20471/acc.2024.63.02.10

Hamide Zengin, Aslı Akdeniz Kudubes, Gülcin Ozalp Gerceker

{"title":"TURKISH VALIDITY AND RELIABILITY STUDY OF A SYMPTOM SCREENING TOOL (MINI-SSPedi) IN 4-7-YEAR-OLD CHILDREN RECEIVING CANCER TREATMENT.","authors":"Hamide Zengin, Aslı Akdeniz Kudubes, Gülcin Ozalp Gerceker","doi":"10.20471/acc.2024.63.02.10","DOIUrl":"10.20471/acc.2024.63.02.10","url":null,"abstract":"This research was carried out to adapt the Symptom Screening in Pediatrics Tool for Turkish children with cancer aged 4-7 years, and to evaluate its validity and reliability. This study, which was descriptive and methodological, was conducted on 159 children receiving cancer treatments between June 2021 and December 2021. Data collection tools included a socio-demographic form and the Symptom Screening in Pediatrics Tool for children aged 4-7 years (mini-SSPedi). Data were analyzed using Cronbach's alpha, factor analysis, and item-total score analysis. There were 15 items on the mini-SSPedi, and it had one dimension. The results of the exploratory factor analysis indicated that total factor loading was >0.30 and that the Kaiser-Meyer-Olkin value was 0.831. The confirmatory factor analysis indicated that the fit indices were χ2/sd: 1.739 (p=0.000), GFI 0.895, CFI 0.919, TLI 0.897, RMSEA 0.068 and SRMR 0.064. Cronbach's alpha coefficient of the total scale was 0.846. The correlation between the items and total scale score ranged between 0.411 and 0.749. The mini-SSPedi was found to be a valid and reliable scale for the Turkish sample. The mini-SSPedi can contribute to determination of symptom screening in children with cancer aged 4-7 years.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 2","pages":"340-350"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655807","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

WORD PROCESSING ABILITIES IN SUBJECTS AFTER STROKE OR TRAUMATIC BRAIN INJURY.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-10-01 DOI: 10.20471/acc.2024.63.02.4

Karolina Lice, Ana Matić Škorić, Jelena Kuvač Kraljević

{"title":"WORD PROCESSING ABILITIES IN SUBJECTS AFTER STROKE OR TRAUMATIC BRAIN INJURY.","authors":"Karolina Lice, Ana Matić Škorić, Jelena Kuvač Kraljević","doi":"10.20471/acc.2024.63.02.4","DOIUrl":"10.20471/acc.2024.63.02.4","url":null,"abstract":"Acquired language disorder is a common consequence of stroke and traumatic brain injury (TBI). Following the logogen model, this study investigated word processing abilities of post-stroke and post-TBI patients. Within- and between-group differences in word comprehension, naming, and reading were observed, as well as predominant errors in performance. Twenty-two post-stroke and 22 post-TBI patients were tested using tasks from the Comprehensive Aphasia Test-HR (CAT-HR). Post-TBI patients outperformed post-stroke patients in naming and reading. Both groups exhibited neologisms, phonological, semantic and unrelated errors, although in different proportions. In word comprehension and naming, post-TBI patients primarily exhibited semantic errors, whereas post-stroke patients had equally distributed phonological and semantic errors. In reading, both groups predominantly produced phonological errors. Error distribution differed only in naming, with post-TBI patients exhibiting more semantic errors than post-stroke patients. Therefore, performance in naming differentiated these groups most. Although error analysis is rather insightful, one cannot expect a particular profile of language disturbances in post-stroke and post-TBI patients. The findings obtained bear concrete clinical implications, especially those related to the role and meaning of the errors produced by the patient to determine the exact location of the processing deficits.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 2","pages":"283-299"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912861/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655854","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

SUCCESSFUL ABLATION OF CONCEALED ACCESSORY PATHWAY MEDIATED SUPRAVENTRICULAR TACHYCARDIA IN A 5-YEAR-OLD CHILD WITH EBSTEIN ANOMALY. 成功消融了一名患有爱博斯坦畸形的 5 岁儿童的隐蔽性旁路介导的室上性心动过速。

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.24

Nikola Krmek, Vladimir Jegdić, Mirta Rode

{"title":"SUCCESSFUL ABLATION OF CONCEALED ACCESSORY PATHWAY MEDIATED SUPRAVENTRICULAR TACHYCARDIA IN A 5-YEAR-OLD CHILD WITH EBSTEIN ANOMALY.","authors":"Nikola Krmek, Vladimir Jegdić, Mirta Rode","doi":"10.20471/acc.2024.63.01.24","DOIUrl":"10.20471/acc.2024.63.01.24","url":null,"abstract":"Here we report a case of a 5-year-old boy with Ebstein anomaly and supraventricular tachycardia. He was diagnosed with Ebstein anomaly at the age of 3 months during the workup for afebrile convulsions, and has been followed by a pediatric cardiologist since. Electrocardiography recorded a small Rr` pattern in V1 on a few occasions, without other abnormalities. At the age of 2.5 years, the first episode of supraventricular tachycardia was recorded and stopped with adenosine. He was started on atenolol and was asymptomatic until a year later when he presented with the second recorded supraventricular tachycardia. He was referred to our institution for an electrophysiology study with ablation. Tachycardia was entrained and all the maneuvers were in accordance with atrioventricular reentry tachycardia. Tricuspid annulus was mapped during tachycardia. The earliest atrial signals appeared in the posteroseptal region of the valve, mechanical blocking of the tachycardia was recorded in that region, and early fractionated signal was present during ventricular retrograde pacing. The pathway was successfully ablated. Basal electrocardiogram was without change after ablation and the patient did not experience recurrence of tachycardia during follow-up. This case shows the efficacy and importance of ablation in Ebstein anomaly, without x-ray or intracardiac echocardiography.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"197-202"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431892","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

WHAT DO PATIENTS THINK ABOUT PSYCHIATRIST'S ATTIRE? A CROATIAN STUDY.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.14

Maja Škarić, Branka Aukst-Margetić, Branimir Margetić, Sara Bestulić, Zdenkica Borko-Ivandić

{"title":"WHAT DO PATIENTS THINK ABOUT PSYCHIATRIST'S ATTIRE? A CROATIAN STUDY.","authors":"Maja Škarić, Branka Aukst-Margetić, Branimir Margetić, Sara Bestulić, Zdenkica Borko-Ivandić","doi":"10.20471/acc.2024.63.01.14","DOIUrl":"10.20471/acc.2024.63.01.14","url":null,"abstract":"The aim was to investigate patient attitudes regarding psychiatrist attire, sociodemographic characteristics, and mutual addressing. A total of 340 both inpatients and outpatients at a psychiatric hospital in Croatia were assessed about their preferences regarding psychiatrist wearing a name badge, gender, age, ways of mutual addressing, and attire. The majority of patients, inpatients significantly more often, thought that a psychiatrist should wear a name badge. Female patients preferred female psychiatrist more than male and vice versa. Inpatients also preferred female psychiatrist. Patients with affective and anxiety disorder were more likely to choose female psychiatrists, patients with addiction more often had no preferences, and patients with psychotic disorders preferred male psychiatrists. Younger patients preferred younger psychiatrists and inpatients preferred psychiatrists in the 35-50 age group. Patients with anxiety disorder more often opted for psychiatrists older than 50. Patients with anxiety disorders would rather be addressed by their first name, whereas patients with psychotic disorders more often preferred to be addressed by their title and surname. Patient attitude about how they should address the psychiatrist did not differ according to any of the variables assessed. Most patients thought that white coat was most appropriate attire for psychiatrist and psychiatrists in white coat were considered most competent, empathic, accessible, and friendly in comparison with psychiatrists wearing suits, smart attire, or casual clothing. Other than preference for white coat, patient preferences significantly differed according to their sociodemographic characteristics and diagnosis. Psychiatrists should bear that in mind to establish better rapport in doctor-patient relationship.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"115-122"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432126","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

CIVILIAN GUNSHOT VICTIM WITH LOW-ENERGY BULLET INJURIES TO LOWER EXTREMITIES AND ATYPICAL LEFT DISTAL FEMUR FRACTURE: A CASE REPORT.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.26

Marijana Bekić, Dejan Blažević, Denis Mulabdić, Marko Ostojić, Dinko Vidović, Marijo Bekić

{"title":"CIVILIAN GUNSHOT VICTIM WITH LOW-ENERGY BULLET INJURIES TO LOWER EXTREMITIES AND ATYPICAL LEFT DISTAL FEMUR FRACTURE: A CASE REPORT.","authors":"Marijana Bekić, Dejan Blažević, Denis Mulabdić, Marko Ostojić, Dinko Vidović, Marijo Bekić","doi":"10.20471/acc.2024.63.01.26","DOIUrl":"10.20471/acc.2024.63.01.26","url":null,"abstract":"This case report details the management of low-velocity gunshot wounds (GSWs) in a 28-year-old man, emphasizing the distinctive challenges and treatment strategies in urban civilian settings. This study contributes to medical literature by providing insights into the complexities of treating atypical fractures caused by GSWs, especially involving nonstandard ammunition. The patient, involved in an urban gunfight, sustained multiple low-velocity GSWs to his lower limbs. The diagnoses included an atypical intra-articular fracture in the left distal femur and a foreign body in the right lower leg. Treatment involved emergency surgery with K-wire stabilization for the left femur fracture and exploratory surgery for the right leg. No foreign bodies were found in the right leg, but subsequent analysis revealed pseudo-encapsulated calcification, indicative of previous fat necrosis. In 15 days after the initial trauma, the final surgical intervention took place, during which a low-contact condylar plate was placed on the left distal femur. Postoperative recovery was successful, with the patient regaining full mobility and range of motion after one year. Low-velocity GSWs in civilian settings can result in complex atypical fractures requiring specialized surgical intervention and management.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"207-213"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432190","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

EARLY ONSET OF MULTIPLE SCLEROSIS - CLINICAL FEATURES.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.3

Vesna Suknjaja, Lorand Sakalaš, Miroslav Ilin

引用次数: 0

EFFECT OF PREOPERATIVE PHYSICAL EDUCATION ON POSTOPERATIVE OUTCOME IN PATIENTS WITH TOTAL HIP REPLACEMENT - A PROSPECTIVE COHORT STUDY.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.1

Ivana Grle, Maki Grle, Damir Franjić, Mateo Bevanda, Mladenka Naletilić

{"title":"EFFECT OF PREOPERATIVE PHYSICAL EDUCATION ON POSTOPERATIVE OUTCOME IN PATIENTS WITH TOTAL HIP REPLACEMENT - A PROSPECTIVE COHORT STUDY.","authors":"Ivana Grle, Maki Grle, Damir Franjić, Mateo Bevanda, Mladenka Naletilić","doi":"10.20471/acc.2024.63.01.1","DOIUrl":"10.20471/acc.2024.63.01.1","url":null,"abstract":"Hip osteoarthritis is the leading cause of hip pain around the world. Patients are aiming to relieve pain as fast as possible and return to everyday activities. The aim of the study was to investigate the effect of preoperative physical education on postoperative rehabilitation in patients after total hip arthroplasty (THA). There were 60 patients divided in two equal groups. One group underwent 3-day preoperative education and the other did not. The two groups were compared according to their preoperative and postoperative visual analog scale (VAS), range of motion (ROM), Harris Hip Score (HHS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and 36-Item Short Form Survey (SF-36). Patient general characteristics were similar in the two groups. Patients that received preoperative training had lower VAS scores, greater ROM, higher HHS and lower WOMAC score on postoperative day 42 (p<0.05 all). These patients had no complications. There were no between-group differences in the SF-36 questionnaire. In conclusion, patients that underwent preoperative rehabilitation protocol before THA had lower pain and disability scores and better functional outcomes.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"3-10"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432266","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

ELEVATED SERUM C-REACTIVE PROTEIN LEVELS IN COVID-19 PATIENTS WITH SCIATICA: IMPLICATIONS FOR PROGNOSIS AND TREATMENT STRATEGIES.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.18

Aleksandar Kostić, Jovan Ilić, Nikola Stojanović, Radmilo Janković, Vesna Nikolov, Slavko Živković

{"title":"ELEVATED SERUM C-REACTIVE PROTEIN LEVELS IN COVID-19 PATIENTS WITH SCIATICA: IMPLICATIONS FOR PROGNOSIS AND TREATMENT STRATEGIES.","authors":"Aleksandar Kostić, Jovan Ilić, Nikola Stojanović, Radmilo Janković, Vesna Nikolov, Slavko Živković","doi":"10.20471/acc.2024.63.01.18","DOIUrl":"10.20471/acc.2024.63.01.18","url":null,"abstract":"To the best of our knowledge, no previous study has reported characteristics of C-reactive protein (CRP) levels in COVID-19 patients with comorbidities such as sciatica and lumbar syndrome. The objective of this study was to examine whether CRP levels rose significantly in COVID-19 patients with acute sciatica as compared to COVID-19 patients without it. This prospective study was performed on 147 patients previously diagnosed with COVID-19 infection who were admitted to the COVID hospital. Myalgia (p=0.00008) and lower back pain (p=0.00001) occurred much more frequently in the study group than in the control group. There was a high probability that patients with a previous history of sciatica may experience it again during their stay in COVID-19 hospital and that patients without it would not (p=0.00001). There was a significant correlation between the severity of sciatica and CRP levels (r=0.19, p=0.0174). Our results suggest that serum CRP levels are significantly higher in COVID-19 patients with concomitant sciatica in comparison to patients without sciatic pain, indicating a connection between the increased systemic inflammation in COVID-19 and sciatica. Given that the occurrence of COVID-19 in patients with sciatica is not rare, the knowledge about this matter is of high medical relevance.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"149-156"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432268","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

THE IMPACT OF PREOPERATIVE SALIVARY UREA AND SUPEROXIDE DISMUTASE ACTIVITIES ON POSTOPERATIVE PAIN AFTER SURGICAL REMOVAL OF MANDIBULAR THIRD MOLARS.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.16

Nino Grgić, Marko Tarle, Ante Perić, Slavica Potočki, Daria Pašalić, Berislav Perić

{"title":"THE IMPACT OF PREOPERATIVE SALIVARY UREA AND SUPEROXIDE DISMUTASE ACTIVITIES ON POSTOPERATIVE PAIN AFTER SURGICAL REMOVAL OF MANDIBULAR THIRD MOLARS.","authors":"Nino Grgić, Marko Tarle, Ante Perić, Slavica Potočki, Daria Pašalić, Berislav Perić","doi":"10.20471/acc.2024.63.01.16","DOIUrl":"10.20471/acc.2024.63.01.16","url":null,"abstract":"The most frequent surgical procedure in oral surgery is extraction of mandibular third molars, which could be associated with postoperative complications such as pain, swelling, and trismus. We aimed to investigate the association of salivary urea and antioxidative enzyme activities with the intensity of postoperative pain after wisdom tooth extraction. This cross-sectional prospective study included 66 subjects (median age 25, range 17-47 years). Salivary urea and superoxide dismutase (SOD) were determined by enzymatic colorimetric tests. The questionnaire for study participants included demographic and history data, as well as data on personal experience of pain in grade 0-10 according to the visual analog scale (VAS). Grading 1-3 was considered as low (VAS-1), 4-6 mild (VAS-2) and 7-10 as severe pain (VAS-3). Moderate positive correlation was recorded between urea concentration and SOD activity in saliva (r=0.46). Moderate negative correlations were found between urea salivary concentration and VAS grading value reported after 12 hours (r=0.51). The concentrations of urea significantly differed among the three VAS categories (p<0.001), whereas salivary SOD activities did not differ among the categories. Preoperative salivary urea concentration and SOD activity might be associated with postsurgical pain after surgical removal of mandibular third molars.","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"134-141"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827404/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143431943","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

VEIN OF GALEN ANEURYSMAL MALFORMATION IN A NEONATE.

IF 0.7 4区医学

Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.25

Lidija Banjac, Boban Banjac

引用次数: 0