Acta clinica Croatica最新文献

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PATIENT-REPORTED SURVEY TO ASSESS CLINICAL STATUS AND SURGICAL OUTCOME AFTER ANTERIOR CERVICAL DISCECTOMY AND FUSION USING AN ALLOGRAFT WITH A FIXED ANGLE OF INCLINATION. 评估颈椎前路椎间盘切除术和固定倾斜角度同种异体植骨融合后临床状态和手术结果的患者报告调查。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-10-01 DOI: 10.20471/acc.2024.63.02.12
Goran Lakičević, Bruno Splavski, Sandra Lakičević, Krešimir Rotim
{"title":"PATIENT-REPORTED SURVEY TO ASSESS CLINICAL STATUS AND SURGICAL OUTCOME AFTER ANTERIOR CERVICAL DISCECTOMY AND FUSION USING AN ALLOGRAFT WITH A FIXED ANGLE OF INCLINATION.","authors":"Goran Lakičević, Bruno Splavski, Sandra Lakičević, Krešimir Rotim","doi":"10.20471/acc.2024.63.02.12","DOIUrl":"10.20471/acc.2024.63.02.12","url":null,"abstract":"<p><p>Degenerative cervical disc disease can be surgically treated by various procedures, one of which is anterior cervical discectomy and fusion (ACDF). It is used to stabilize the spine and decompress neural structures of the spinal canal. However, measuring its impact on postoperative clinical status and surgical outcome is difficult. That is the reason why patient-reported surveys are commonly used to assess clinical status and surgical outcomes. To evaluate the surgical outcomes of ACDF with an allograft with a fixed angle of inclination at one cervical level, we conducted a prospective study on 60 patients over one year. We used a structured patient-reported survey based on the visual analog scale (VAS), Oswestry Disability Index (ODI), and Odom questionnaire. Most patients experienced significant reduction in pain intensity in their arms and neck after undergoing ACDF with a carbon wedged-shaped allograft with a fixed inclination angle of 7º. This improvement was equally represented across all age groups and levels of the cervical spine operated on. Most patients also experienced a decrease in postoperative disability, as measured by the ODI, regardless of their age or the level of the cervical spine operated on. The majority of them rated their outcomes as either excellent or good, which was true across all age groups and levels of the cervical spine. In conclusion, patient-reported clinical status and outcome surveys are valuable and easy-to-perform tools for evaluating the quality of life of patients suffering from degenerative cervical disc disease after ACDF with a carbon cage having a fixed inclination angle.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 2","pages":"358-367"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655801","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
GIGANTISM AND ACROMEGALY THROUGH HISTORY. 巨人症和肢端肥大症的历史。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-10-01 DOI: 10.20471/acc.2024.63.02.15
Maša Malenica, Tena Trbojević, Stjepan Herceg, Monika Kukuruzović, Iva Šeparović, Nina Rotim, Krešimir Rotim
{"title":"GIGANTISM AND ACROMEGALY THROUGH HISTORY.","authors":"Maša Malenica, Tena Trbojević, Stjepan Herceg, Monika Kukuruzović, Iva Šeparović, Nina Rotim, Krešimir Rotim","doi":"10.20471/acc.2024.63.02.15","DOIUrl":"10.20471/acc.2024.63.02.15","url":null,"abstract":"<p><p>Giants and acromegalists have long captured attention, and they were often almost mythical creatures of great strength and power. Due to their expressive appearance, they were recorded in myths and works of art much earlier than they were of interest to medical practitioners. The first recognition was made by a Dutch physician Johannes Wier in 1567, but the first description and appellation originated by Pierre Marie in 1886. Involvement and interest from neurosurgeons followed, and in 1907, Hermann Schloffer performed the first transsphenoidal surgery in a patient with pituitary adenoma. In 1909, Harvey Cushing linked removal of the enlarged pituitary gland to regression of acromegaly and considered 'growth hormone' a pathophysiological trigger. Knowledge of acromegaly has been enhanced by the discovery of growth hormone (GH) and insulin-like growth factor (IGF-I) and evidence for an association between GH hypersecretion and elevated circulating IGF-I with the clinical phenotype. After 1970, pharmacotherapy (dopamine agonists, somatostatin analogs and GH receptor blockers) was introduced. Despite advances in drug therapy and radiotherapy, surgical treatment still provides optimal results (first-line treatment) after more than a century of attempts. In this paper, we present gigantism and acromegaly over time, important turning points from its recognition to the current insights and fundamental approach reminding us of the immense prosperity of medicine and science. The development of basic sciences and clinical endocrinology will enable progress and improvement of comprehension in the pathogenesis and diagnostics, as well as curative modalities.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 2","pages":"384-392"},"PeriodicalIF":0.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655632","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. 早期多发性硬化症的临床特征。
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
{"title":"EARLY ONSET OF MULTIPLE SCLEROSIS - CLINICAL FEATURES.","authors":"Vesna Suknjaja, Lorand Sakalaš, Miroslav Ilin","doi":"10.20471/acc.2024.63.01.3","DOIUrl":"10.20471/acc.2024.63.01.3","url":null,"abstract":"<p><p>The onset of multiple sclerosis (MS) in childhood is a diagnostic challenge. The aim of our study was to analyze the parameters of MS with an early onset in relation to the symptoms and course of the disease in adult patients. This study included patients treated with signs and symptoms of initial central nrvous system demyelinating disease, which were divided into a group of 52 patiensts who developed the disease before the age of 18 (children) and another group aged 20-55 years (adults). Children rarely had polysymptomatic onset (p=0.020). The most common initial symptoms in children were optic neuritis (35.3%) and ataxia (35.3%). In the group of adult patients, sensory disturbances (41.6%) were the most common initial symptoms, followed by pyramidal symptoms (37.6%). Monitoring the time of second relapse revealed it to have occurred in 40 (78.4%) pediatric patients and 79 (78.2%) adult patients after a median of 12 months and 9 months, respectively. In conclusion, the initial manifestations of MS in children do not differ much from MS in adults according to the disease characteristics.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"23-28"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432265","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":"<p><p>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.</p>","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. 病人对精神科医生的着装有什么看法?克罗地亚的一项研究。
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":"<p><p>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 <i>vice versa</i>. 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.</p>","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. 平民中枪受害者下肢低能子弹伤并非典型左股骨远端骨折1例报告。
IF 0.7 4区 医学
Acta clinica Croatica Pub Date : 2024-04-01 DOI: 10.20471/acc.2024.63.01.26
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":"<p><p>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.</p>","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
ELEVATED SERUM C-REACTIVE PROTEIN LEVELS IN COVID-19 PATIENTS WITH SCIATICA: IMPLICATIONS FOR PROGNOSIS AND TREATMENT STRATEGIES. COVID-19坐骨神经痛患者血清c反应蛋白水平升高:对预后和治疗策略的影响
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":"<p><p>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.</p>","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
EFFECT OF PREOPERATIVE PHYSICAL EDUCATION ON POSTOPERATIVE OUTCOME IN PATIENTS WITH TOTAL HIP REPLACEMENT - A PROSPECTIVE COHORT STUDY. 术前体育教育对全髋关节置换术患者术后预后的影响——一项前瞻性队列研究。
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":"<p><p>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.</p>","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
THE IMPACT OF PREOPERATIVE SALIVARY UREA AND SUPEROXIDE DISMUTASE ACTIVITIES ON POSTOPERATIVE PAIN AFTER SURGICAL REMOVAL OF MANDIBULAR THIRD MOLARS. 术前唾液尿素和超氧化物歧化酶活性对下颌第三磨牙术后疼痛的影响。
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":"<p><p>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.</p>","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. 新生儿肾静脉动脉瘤样畸形。
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
{"title":"VEIN OF GALEN ANEURYSMAL MALFORMATION IN A NEONATE.","authors":"Lidija Banjac, Boban Banjac","doi":"10.20471/acc.2024.63.01.25","DOIUrl":"10.20471/acc.2024.63.01.25","url":null,"abstract":"<p><p>In this article, we present a neonate with the vein of Galen aneurysmal malformation, a rare blood vessel malformation of the brain, which was clinically manifested by signs of cardiac failure. Cranial ultrasound suspected the existence of the vein of Galen aneurysmal malformation, and the diagnosis was confirmed by computed tomography and magnetic resonance imaging. Based on our case, we believe that cranial ultrasound should be included in the screening protocol for neonates with cardiac failure. In addition, we believe that endovascular embolization of the blood vessels that supply the aneurysm is the method of choice in treating the vein of Galen aneurysmal malformation. Treatment of neonates with the vein of Galen aneurysmal malformation is challenging and requires a multidisciplinary approach (neonatologists, cardiologists, neuroradiologists, and neurosurgeons).</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 1","pages":"203-206"},"PeriodicalIF":0.7,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11827409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432125","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
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