Acta clinica Croatica最新文献

筛选
英文 中文
EFFECT OF UNCOMPLICATED ULTRASOUND PHACOEMULSIFICATION CATARACT SURGERY ON CENTRAL MACULAR THICKNESS CHANGES IN THE EARLY POSTOPERATIVE PERIOD IN DIABETIC PATIENTS. 简单超声乳化白内障手术对糖尿病患者术后早期中央黄斑厚度变化的影响。
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.21
Ivana Pivić-Kovačević, Suzana Matić, Josip Barać, Marija Jelić Vuković, Tvrtka Benašić, Željka Salinger
{"title":"EFFECT OF UNCOMPLICATED ULTRASOUND PHACOEMULSIFICATION CATARACT SURGERY ON CENTRAL MACULAR THICKNESS CHANGES IN THE EARLY POSTOPERATIVE PERIOD IN DIABETIC PATIENTS.","authors":"Ivana Pivić-Kovačević, Suzana Matić, Josip Barać, Marija Jelić Vuković, Tvrtka Benašić, Željka Salinger","doi":"10.20471/acc.2024.63.03-04.21","DOIUrl":"10.20471/acc.2024.63.03-04.21","url":null,"abstract":"<p><p>The aim of this prospective study was to determine changes in central macular thickness in the early postoperative period after uncomplicated phacoemulsification cataract surgery in diabetic patients using spectral domain optical coherence tomography (SD-OCT). Uncomplicated ultrasound phacoemulsification cataract surgery causes minimal changes of retinal layer thickness, which may result in subclinical cystoid macular edema development. This prospective study included 55 patients divided into two groups. Group 1 included diabetic patients with cataract, and group 2 included patients with cataract and without diabetes. All patients underwent uncomplicated ultrasound phacoemulsification cataract surgery at the Department of Ophthalmology, University Hospital Osijek in the period from November 2017 to January 2018. Patients were followed-up for one month after surgery. At each examination, OCT recording of the eye undergoing cataract surgery was performed. A statistically significant difference in central macular thickness in the diabetic group and control group (p=0.0005 both) was confirmed preoperatively and one month after cataract surgery. A statistically significant difference in central macular thickness was confirmed in diabetic group (p=0.006), as well as in the control group of patients (p=0.01) seven days and one month after cataract surgery. There was no statistically significant difference in macular thickness changes between the diabetic and control group of patients preoperatively (p=0.618), seven days (p=0.6848) or one month after cataract surgery (p=1). The effect of HbA1c on macular thickness change in diabetic patients was not statistically significant. The mean HbA1c in diabetic patients was 7.24±1.34%. There was no statistically significant difference in the effect of cumulative dissipated energy on macular thickness change in either group. This study confirmed a statistically significant correlation of the effect of fluid volume consumption on macular thickness changes in diabetic patients. There was no statistically significant effect of fluid volume consumption on macular thickness change in the control group of patients. Uncomplicated ultrasound phacoemulsification cataract surgery caused changes in cen-tral macular thickness in the early postoperative period in both patient groups. Changes in central macular thickness in the observed period were not manifested with clinically significant macular edema or by a more significant decrease in visual acuity. All patients had significant improvement in visual acuity seven days and one month after cataract surgery.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"619-625"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231215","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
EFFECTS OF TREATMENT WITH TEMSIROLIMUS VERSUS INTERFERON ALPHA ON SURVIVAL OF PATIENTS WITH METASTATIC RENAL CELL CARCINOMA - SINGLE-CENTER REAL-WORLD EXPERIENCE. 替西莫司与干扰素α治疗对转移性肾细胞癌患者生存的影响-单中心真实世界经验。
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.19
Ivan Levakov, Saša Vojinov, Miloš Maletin, Dimitrije Jeremić, Mladen Popov, Olivera Levakov, Dragan Grbić
{"title":"EFFECTS OF TREATMENT WITH TEMSIROLIMUS VERSUS INTERFERON ALPHA ON SURVIVAL OF PATIENTS WITH METASTATIC RENAL CELL CARCINOMA - SINGLE-CENTER REAL-WORLD EXPERIENCE.","authors":"Ivan Levakov, Saša Vojinov, Miloš Maletin, Dimitrije Jeremić, Mladen Popov, Olivera Levakov, Dragan Grbić","doi":"10.20471/acc.2024.63.03-04.19","DOIUrl":"10.20471/acc.2024.63.03-04.19","url":null,"abstract":"<p><p>Vascular endothelial growth factor (VEGF) and mammalian target of rapamycin (mTOR) inhibitors are two main groups of drugs for targeted treatment of metastatic renal cell carcinoma (mRCC). Inhibition of angiogenesis and other growth pathways that are pivotal for tumor progression lead to significant improvement of survival in patients with mRCC. The main aim of this study was to compare the effects of temsirolimus (mTOR inhibitor) and interferon alpha-2a (IFN-alpha-2a) on overall survival (OS) and progression-free survival (PFS) in patients with T3 stage mRCC who developed lung metastasis in the first two years after radical nephrectomy. A total of 60 patients diagnosed with T3 stage renal cancer who developed metastases in the lungs within two years after radical nephrectomy were included in a prospective study conducted at the Department for Urology, Clinical Center of Vojvodina and partially retrospective study at the Oncology Institute in Sremska Kamenica. Patients were divided into two groups consisting of 30 patients according to treatment with temsirolimus or IFN-alpha. During the first year of treatment, OS of patients treated with temsirolimus was 23.33%, whereas in patients treated with IFN-alpha it was 16.67%. Median survival in patients treated with temsirolimus was 9.3 months, whereas in patients treated with IFN-alpha it was 6.9 months, yielding a statistically significant difference (p=0.028). Patients treated with temsirolimus showed a statistically significantly longer median PFS compared to patients treated with IFN-alpha (p<0.0085). In conclusion, temsirolimus therapy had a significantly positive effect on survival in patients with mRCC. Patients treated with temsirolimus showed significantly longer median survival and median PFS compared to patients treated with IFN-alpha.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"604-610"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490455/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231231","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
NEW INSIGHTS INTO DEVELOPMENT OF MATERNITY HOSPITALS IN THE REPUBLIC OF CROATIA AFTER WORLD WAR II: OUTPATIENT MATERNITY DEPARTMENT IN KLANJEC, HRVATSKO ZAGORJE, CROATIA. 对第二次世界大战后克罗地亚共和国妇产医院发展的新认识:克罗地亚扎戈里赫瓦茨科克兰热妇产门诊。
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.39
Rajko Fureš, Milan Stanojević, Žana Stanić, Dora Fureš, Vesna Ćosić, Željka Fureš, Sanja Malinac Malojčić, Martin Gredičak, Zlatko Hrgović, Ivana Erceg Ivkošić, Nika Mikelin
{"title":"NEW INSIGHTS INTO DEVELOPMENT OF MATERNITY HOSPITALS IN THE REPUBLIC OF CROATIA AFTER WORLD WAR II: OUTPATIENT MATERNITY DEPARTMENT IN KLANJEC, HRVATSKO ZAGORJE, CROATIA.","authors":"Rajko Fureš, Milan Stanojević, Žana Stanić, Dora Fureš, Vesna Ćosić, Željka Fureš, Sanja Malinac Malojčić, Martin Gredičak, Zlatko Hrgović, Ivana Erceg Ivkošić, Nika Mikelin","doi":"10.20471/acc.2024.63.03-04.39","DOIUrl":"10.20471/acc.2024.63.03-04.39","url":null,"abstract":"<p><p>In the area of today's Krapina-Zagorje County, after World War II, there were three outpatient maternity departments (OMD) in Krapina, Klanjec and Pregrada, making a considerable step forward in public health improvement. The first and biggest OMD was located in the Klanjec Public Health Center. In parallel with establishment of the maternity hospital (MH) in Zabok, all OMDs throughout today's Krapina-Zagorje County were closed. The aim of our research was to present the activities of Klanjec OMD (KOMD) and show its impact on perinatal health. Data on KOMD activities were obtained from the Birth Registry. Major obstetric procedures, including delivery by cesarean section, were not performed in KOMD. Based on the above, numerous transports of women in labor and postpartum transports were organized to maternity wards in large centers. The most common cause for transport were transports during childbirth caused by prolonged labor. In conclusion, organization of OMD in the area of today's Krapina-Zagorje County significantly improved perinatal care in the 1950s. It was followed by gradual closure of OMD which could not meet the newly set spatial, material and personnel demands, along with the establishment of maternity hospitals in general and university hospitals. The trend of perinatal and maternal mortality reduction in the Zagorje region that began with the establishment of inpatient maternity department at the Zabok Hospital continues to this day.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"778-783"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231251","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
MILD COGNITIVE IMPAIRMENT AND CARDIOMETABOLIC RISK FACTORS IN BOSNIAN AND HERZEGOVINIAN PATIENTS WITH HEART FAILURE. 波斯尼亚和黑塞哥维那心力衰竭患者的轻度认知障碍和心脏代谢危险因素
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.38
Jasna Ibrahimović-Pašić, Orhan Lepara, Amela Dervišević, Nermina Babić, Nesina Avdagić, Amina Valjevac, Asija Začiragić
{"title":"MILD COGNITIVE IMPAIRMENT AND CARDIOMETABOLIC RISK FACTORS IN BOSNIAN AND HERZEGOVINIAN PATIENTS WITH HEART FAILURE.","authors":"Jasna Ibrahimović-Pašić, Orhan Lepara, Amela Dervišević, Nermina Babić, Nesina Avdagić, Amina Valjevac, Asija Začiragić","doi":"10.20471/acc.2024.63.03-04.38","DOIUrl":"10.20471/acc.2024.63.03-04.38","url":null,"abstract":"<p><p>The aim of the present study was to assess mild cognitive impairment (MCI) and cardiometabolic risk factors (CMRF) in Bosnian and Herzegovinian patients with heart failure (HF). This study included 80 patients with HF and 40 healthy controls. Montreal Cognitive Assessment (MoCA) testing was used to evaluate cognitive function. Abdominal obesity was assessed by waist circumference, and hypertension was assessed by the auscultatory method. Data on other CMRF and comorbidities, such as diabetes, smoking, alcohol consumption, and atrial fibrillation (AF), were gathered with a specially designed questionnaire. Lipids, C-reactive protein (CRP), and fibrinogen were assessed with standard laboratory methods. Student, Mann-Whitney, and Chi-square tests were used to determine significant differences between groups. Associations between categorical variables and correlation coefficients were assessed by the Chi-square and Spearman test, respectively. The prevalence of MCI in patients with HF was 77.5%. We found significant associations between MCI and diabetes, hypertension, AF, and smoking in patients with HF. We found no significant associations between MCI, abdominal obesity, and alcohol consumption. A significant positive correlation between MCI and total cholesterol was observed in patients with HF. Furthermore, a lower MoCA score was associated with higher values of CRP and fibrinogen in HF patients. The present study showed a high prevalence of MCI in Bosnian and Herzegovinian HF patients as well as its association with various CMRFs. These results suggest it is necessary to begin MCI screening in HF patients, especially since data from the literature point to improvement in cognitive performance with appropriate HF and concomitant CMRF treatment.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"769-777"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231268","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
RELATIONSHIP OF IMMUNOHISTOCHEMICAL EXPRESSION OF CD86/CD163 POSITIVE INTRATUMORAL MACROPHAGES WITH PROGNOSIS OF PANCREATIC DUCTAL ADENOCARCINOMA. cd86 / cd163阳性瘤内巨噬细胞免疫组化表达与胰腺导管腺癌预后的关系
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.29
Goran Glavčić, Mario Zovak, Slavica Sović, Silvija Mašić, Nina Blažević, Zvonimir Misir, Zdenko Bilić, Marin Glavčić, Petra Radulović
{"title":"RELATIONSHIP OF IMMUNOHISTOCHEMICAL EXPRESSION OF CD86/CD163 POSITIVE INTRATUMORAL MACROPHAGES WITH PROGNOSIS OF PANCREATIC DUCTAL ADENOCARCINOMA.","authors":"Goran Glavčić, Mario Zovak, Slavica Sović, Silvija Mašić, Nina Blažević, Zvonimir Misir, Zdenko Bilić, Marin Glavčić, Petra Radulović","doi":"10.20471/acc.2024.63.03-04.29","DOIUrl":"10.20471/acc.2024.63.03-04.29","url":null,"abstract":"<p><p>Recent studies have shown an association of the number of tumor-associated macrophages (TAM) with the prognosis and treatment outcomes of ductal pancreatic adenocarcinoma. This study aimed to examine the correlation between CD86 and CD163 macrophage expression and clinical-pathological characteristics of the disease in patients operated on for pancreatic carcinoma. A retrospective research was conducted in which the archival materials of the Ljudevit Jurak Department of Pathology, Sestre milosrdnice University Hospital Center were used together with all relevant patient clinical data obtained from the Hospital Information System on 76 patients operated on for pancreatic adenocarcinoma. In our study, the number of CD86 macrophages and the CD86/CD163 ratio showed a statistically significant correlation with increasing T and N stages of the disease. The number of CD163 macrophages did not show a statistically significant correlation with the mentioned variables. These results indicated that in our clinical conditions, proinflammatory (M1) macrophages were more expressed in locally advanced tumor stages with worse long-term prognoses. In conclusion, TAMs could be a valid prognostic marker or even a target for therapeutic agents but more studies will be needed to fully comprehend the impact of M1/M2 differentiation.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"684-692"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231284","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
SCREENING OF ASYMPTOMATIC COVID-19 CASES FROM THE ASPECT OF VIRUS SPREAD. 从病毒传播角度筛选新冠肺炎无症状病例
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.08
Mesut Ortatatli, Zahir Kilic, Ahu Pakdemirli, Levent Kenar
{"title":"SCREENING OF ASYMPTOMATIC COVID-19 CASES FROM THE ASPECT OF VIRUS SPREAD.","authors":"Mesut Ortatatli, Zahir Kilic, Ahu Pakdemirli, Levent Kenar","doi":"10.20471/acc.2024.63.03-04.08","DOIUrl":"10.20471/acc.2024.63.03-04.08","url":null,"abstract":"<p><p>The COVID-19 pandemic has hit the entire world. While symptomatic patients can be taken out of the infection chain, asymptomatic cases are very important for the spread of SARS-CoV-2. We investigated the relationship between isolating asymptomatic COVID-19 cases with close contacts by identifying and breaking the infection chain. This study included 3 asymptomatic COVID-19 cases identified during screening and 25 close contacts as a result of filiation. Twenty-five people with close contact were classified into groups A (n=8), B (n=6) and C (n=11). On SARS-CoV-2 PCR tests performed in close contacts, all of them were negative on day 0, whereas two group C subjects were positive on day 7. On antibody test applied on day 28, six subjects were positive in group A, two subjects were positive in group B, and one subject was positive in group C. A statistically significant decrease was observed in the number of infected people in the group where asymptomatic cases were identified and removed (p=0.04). It was determined that asymptomatic COVID-19 cases who were not isolated from the community had a 5-fold increased risk of infection. Screening and identification of asymptomatic cases is also essential to augment the effectiveness of quarantine and isolation measures.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"513-517"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231406","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 EFFECTS OF INTRAARTICULAR AND PERIARTICULAR KNEE PAIN MANAGEMENT ON THE REHABILITATION OF PATIENTS WITH KNEE OSTEOARTHRITIS AFTER CEPHALOMEDULLARY FIXATION OF PERTROCHANTERIC FRACTURES. 膝关节关节内和关节周围疼痛管理对股骨粗隆骨折头髓内固定后膝关节骨性关节炎患者康复的影响。
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.28
Maki Grle, Stefan Moro, Damir Franjić, Dajana Vladić, Robert Karlović, Ivana Grle, Jerko Prlić
{"title":"THE EFFECTS OF INTRAARTICULAR AND PERIARTICULAR KNEE PAIN MANAGEMENT ON THE REHABILITATION OF PATIENTS WITH KNEE OSTEOARTHRITIS AFTER CEPHALOMEDULLARY FIXATION OF PERTROCHANTERIC FRACTURES.","authors":"Maki Grle, Stefan Moro, Damir Franjić, Dajana Vladić, Robert Karlović, Ivana Grle, Jerko Prlić","doi":"10.20471/acc.2024.63.03-04.28","DOIUrl":"10.20471/acc.2024.63.03-04.28","url":null,"abstract":"<p><p>The gold standard for pertrochanteric fractures is closed reduction with traction and intramedullary osteosynthesis. A significant number of patients report knee pain after surgery, which could be associated with gonarthrosis and traction. In this research we wanted to determine if managing knee pain affects the rehabilitation of patients. There were three groups: the first group received a post-operative intra-articular (IA) injection containing methylprednisolone with lidocaine; the second group received the same combination periarticularly (PA); and the control group did not receive any form of injection. We measured the Visual Analogue Scale (VAS) score on the 3rd and 12th postoperative days, as well as six weeks after surgery. We measured knee range of motion (ROM) on the 12th postoperative day and six weeks after surgery. We calculated the Harris Hip Score (HHS) on the 3rd day and six weeks postoperatively. There were 27 patients. Preoperative Kellgren-Lawrence and VAS pain scores were similar. The IA group demonstrated the lowest VAS pain score after six weeks. ROM did not improve between groups on the 12th day and six weeks postoperatively. HHS was best in the IA group after 6 weeks. Injection of methylprednisolone with lidocaine into the knee improved postoperative rehabilitation in patients with knee osteoarthritis undergoing ipsilateral cephalomedullary fixation for a pertrochanteric fracture.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"678-683"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231026","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 EFFECT OF ANESTHESIA ON POSTOPERATIVE COGNITIVE DYSFUNCTION. 麻醉对术后认知功能障碍的影响。
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.33
Miro Bilić, Martina Lukšić, Martina Miklić Bublić, Zrinka Orešković, Davor Mijatović, Vilena Vrbanović Mijatović
{"title":"THE EFFECT OF ANESTHESIA ON POSTOPERATIVE COGNITIVE DYSFUNCTION.","authors":"Miro Bilić, Martina Lukšić, Martina Miklić Bublić, Zrinka Orešković, Davor Mijatović, Vilena Vrbanović Mijatović","doi":"10.20471/acc.2024.63.03-04.33","DOIUrl":"10.20471/acc.2024.63.03-04.33","url":null,"abstract":"<p><p>Postoperative cognitive dysfunction (POCD) is a newly developed cognitive function deficit after surgery. The aim of the study was to determine the incidence of POCD after anesthesia and possible risk factors. A prospective study was conducted on 90 patients scheduled for elective surgery under general (60 patients) or regional (30 patients) anesthesia. Each patient completed the Montreal cognitive assessment (MoCa) test the day before and the day after surgery. Data on comorbidities, previous COVID-19 infection, demographic and anesthesia related data were also collected. The day after surgery, POCD defined according to the 2 scores rule was present in 38 (42.2%) patients. A lower level of education (p=0.023), previous COVID-19 infection (p=0.032), higher Charlson comorbidity index (CCI) (p=0.014), and general anesthesia (p=0.035) were identified as risk factors, whereas a statistically significant negative correlation with preoperative (p=0.001) and postoperative result (p=0.001) was proven for age. The results indicated that a significant proportion of patients after general or regional anesthesia developed POCD depending on patient education, CCI, COVID-19 infection, and type of anesthesia. It was also shown that older age correlated with poorer MoCa test result independently of anesthesia. These factors can be identified before the procedure under anesthesia, thus offering the possibility of adjusting anesthesia and postoperative care in patients at risk of developing POCD.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"724-732"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231114","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
COMPARISON OF CORNEAL DENSITOMETRY AND VISUAL ACUITY REFRACTIVE RESULTS AFTER ALCOHOL-ASSISTED AND MECHANICAL (ROTATING BRUSH) EPITHELIUM REMOVAL TECHNIQUES IN MYOPIC PHOTOREFRACTIVE KERATECTOMY. 酒精辅助和机械(旋转刷)上皮去除技术在近视屈光性角膜切除术中角膜密度测定和视力屈光结果的比较。
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.23
Igor Knezović, Sara Djurić, Nada Vrkić, Andjelko Parać, Nina Jovanović
{"title":"COMPARISON OF CORNEAL DENSITOMETRY AND VISUAL ACUITY REFRACTIVE RESULTS AFTER ALCOHOL-ASSISTED AND MECHANICAL (ROTATING BRUSH) EPITHELIUM REMOVAL TECHNIQUES IN MYOPIC PHOTOREFRACTIVE KERATECTOMY.","authors":"Igor Knezović, Sara Djurić, Nada Vrkić, Andjelko Parać, Nina Jovanović","doi":"10.20471/acc.2024.63.03-04.23","DOIUrl":"10.20471/acc.2024.63.03-04.23","url":null,"abstract":"<p><p>The aim was to compare corneal densitometry, haze development, visual and refractive results after photorefractive keratectomy (PRK) performed with different epithelial removal techniques. This study included 42 patients (84 eyes) who underwent PRK with one eye de-epithelialized with 20% ethanol solution (PRK-a group) and another one with rotating brush (PRK-b group). The procedures were performed by the same surgeon on the same laser platform after comprehensive preoperative assessment. Follow up examinations of the patients were scheduled on postoperative day 4, then 1, 3 and 12 months postoperatively. Faster recovery of visual acuity was achieved in the PRK-b group during 12-month postoperative period but differences were statistically nonsignificant. Haze was significantly less present in the brush group measured 12 months after surgery. Also, eyes in the PRK-b group returned close to its basal corneal densitometry values faster than those that underwent PRK-a. Short-term visual recovery occurred faster in the PRK-b group. Less haze development and better corneal transparency were achieved in the PRK-b group throughout the 12-month follow-up period. However, both procedures showed great results and patient satisfaction was high regardless of the de-epithelialization method.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"638-646"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231138","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
DENGUE FEVER IN TURKEY: CASES AND PUBLIC HEALTH IMPLICATIONS. 土耳其的登革热:病例和公共卫生影响。
IF 0.8 4区 医学
Acta clinica Croatica Pub Date : 2024-12-01 DOI: 10.20471/acc.2024.63.03-04.01
Tugba Sari, Dilek Menemenlioglu, Perihan Alkan, Ebru Aydin, Hasan Irmak, Irfan Sencan
{"title":"DENGUE FEVER IN TURKEY: CASES AND PUBLIC HEALTH IMPLICATIONS.","authors":"Tugba Sari, Dilek Menemenlioglu, Perihan Alkan, Ebru Aydin, Hasan Irmak, Irfan Sencan","doi":"10.20471/acc.2024.63.03-04.01","DOIUrl":"10.20471/acc.2024.63.03-04.01","url":null,"abstract":"<p><p>Dengue virus is endemic in almost all tropical and sub-tropical countries which also are popular tourist destinations, and it is a major international public health problem. Presented herein are six travel-associated dengue fever cases diagnosed between 2016 and 2017 in Turkey. The current situation in Turkey and in the world, as well as epidemiological data regarding the vector and relationship between the disease and traveling are also discussed. This retrospective study evaluated dengue fever cases identified using serological and molecular methods between January 2016 and February 2017 in the National Virology Reference Laboratory. Two patients had a travel history to Maldives, two patients to Thailand, one patient to Sri Lanka, and one patient to Guiana. Fever was present in all cases. The most common other symptoms were fatigue, myalgia, and arthralgia. Increased liver enzymes (50%) and thrombocytopenia (66%) were the most commonly encountered laboratory changes. In conclusion, imported dengue fever cases are increasingly reported due to facilitation of international travels and increasing commercial activities. Before traveling to a region where dengue fever is endemic, consulting a travel medicine counseling desk or a doctor is suggested. Dengue fever should be kept in mind in a patient with travel history presenting with fever, elevated liver enzyme and thrombocytopenia.</p>","PeriodicalId":7072,"journal":{"name":"Acta clinica Croatica","volume":"63 3-4","pages":"461-467"},"PeriodicalIF":0.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145231145","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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信