Modified Ritgen Maneuver in Perineal Protection - Sixty-Year Experience.
Authors: Habek D, Tikvica Luetić A, Marton I, Prka M, Pavlović G, Kuljak Ž, Švanjug D, Mužina Z Abstract The aim is to present the 60-year experience in modified Ritgen maneuver according to perineal injuries. This retrospective clinical observational study (1950-2010) analyzed the impact of modified Ritgen maneuver delivery technique (controlled fetal head deflexion with left hand and synchronous reduction of perineal strain with extended right hand thumb along the right side of the vulva and perineum without pushing) on peripartum perineal tears at the Maternity Ward, Bjelovar General Hospital in Bjelo...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Presence of Intramyocardial Fat Tissue in the Right Atrium and Right Ventricle - Postmortem Human Analysis.
Authors: Selthofer-Relatić K, Belovari T, Bijelić N, Kibel A, Rajc J Abstract Histologic and radiologic studies describe intramyocardial fat tissue as a normal finding or as part of cardiac pathology. The role of fat cells within the myocardium is not fully understood. The aim of this study was to assess fat tissue distribution in the myocardium of right atrium (RA) and right ventricle (RV) and age differences in subjects free from cardiac disease. The study included 10 males without cardiac disease divided into two groups according to age (below/above 50 years). Three cross sections were performed (RV free wall ...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Protective Effect of Blepharospasm on the Anterior Segment of the Eye.
In conclusion, comparison of the results between the two groups of patients may implicate that advanced blepharospasm has a protective effect on ocular surface. PMID: 30256021 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Questionnaire on the Midwives' Knowledge About Oral Emergency Contraception.
Authors: Pavičić Baldani D, Škrgatić L, Šprem Goldštajn M, Goluža T, Flisar I, Pagon S Abstract The aim of the study was to assess the level of knowledge of midwives working in different clinical settings about oral emergency contraception. The study included 225 midwives; during the period from December 2015 to February 2016, they completed a 16-item web-based survey using the SurveyMonkey software available on the Croatian Midwives Chamber site. In total 277 participants started to fill out the survey and 225 participants responded to all 16 questions. Demographic, educational and profess...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Sexual Activity in Patients with Cardiac Diseases.
In conclusion, in routine clinical practice, patients should be approached individually and multidisciplinarily in order to detect and eliminate the factors that interfere with normal sexual activities and disturb the quality of life. PMID: 30256023 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Improvement of Sexual and Reproductive Function in Men with Spinal Cord Lesion.
Authors: Kasum M, Orešković S, Kordić M, Čehić E, Hauptman D, Ejubović E, Lila A, Smolčić G Abstract The aim of the review is to establish sexual and reproductive functions in men with spinal cord lesion (SCL). Many sexual and reproductive dysfunctions may be found in these patients including individual's low self-esteem, delay of orgasm, erectile or ejaculatory disorder and abnormalities of semen, which are characterized by lower sperm motility or viability. Owing to improvements in physical medicine and rehabilitation, the focus has been shifted from keeping patients alive towards ensuring the quali...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Spontaneous Rupture of Internal Iliac Artery in Pregnancy: Case Report.
We present a case of a 30-year-old primipara admitted to our department in 39th week of gestation after sudden onset of intense abdominal pain. On admission, the patient was pale, tachycardiac, but with normal blood pressure and afebrile. Symptoms of acute abdomen were clear and surgery was indicated. Diagnosis was confirmed during cesarean section. Enlarged gravid uterus compressed the ruptured artery and prevented heavier bleeding. Acute bleeding due to arterial rupture causes severe symptoms, predominantly abdominal pain. Changes in blood count become significant some time after the onset of rupture. As the gravid uteru...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Does Urinary Tract Ultrasound Have Its Place in the Treatment of Early Neonatal Jaundice? Neonatal Bilateral Adrenal Hemorrhage: Case Report.
We present a male neonate born at term, with early neonatal jaundice of unknown cause and without evi-dence of perinatal infection. Ultrasound of the urinary tract revealed hypoechoic formations in the upper poles of both kidneys, confirmed by magnetic resonance imaging of the abdomen. Clinical and laboratory test results showed no signs of adrenal insufficiency. There was no confirmation of em-bryonic tumor or neuroblastoma. Ultrasound of the urinary tract as an available and noninvasive test has its place in the treatment of early neonatal jaundice of unknown cause. Additional invasive treat-ment and unnecessary laparoto...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Traumatic Optic Neuropathy - Case Report with Discussion on Diagnostic Procedures and Therapy.
We present a 47-year-old male patient with a history of right eye keratoconus following a motorcycle crash. Visual acuity was of 'counting fingers at 2 meters' on the right eye due to keratoconus and 'counting fingers at 1 meter' on the left eye as a consequence of trauma. The Octopus visual field showed diffuse re-duction in retinal sensitivity and the Ishihara color test indicated dysfunction of color perception on the left eye. Relative afferent pupillary defect was also present. Computed tomography revealed multifragmentary fracture of the frontal sinus and the roof of the left orbit without bone displacement. Based on...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Dermis-Fat Graft for Correction of Recurrent Severe Upper Eyelid Retraction in Graves' Orbitopathy.
Authors: Kuzmanović Elabjer B, Miletić D, Bušić M, Bišćan Tvrdi A, Bosnar D, Bjeloš M Abstract Dermis-fat graft has been proven as a useful replacement tissue for eyelid and orbit reconstruction, but there is no evidence in the literature that it can be used for correction of upper eyelid retraction. This is the first report that presents two cases (four eyelids) of dermis-fat graft usage as a spacer in the treatment of severe recurrent upper eyelid retraction due to Graves' orbitopathy. Improvement was achieved with minimum complications, patient symptoms were reduced, and the results were...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Undetectable Serum Levels of Anti-M üllerian Hormone in Women with Ovarian Hyperstimulation Syndrome During In Vitro Fertilization and Successful Pregnancy Outcome: Case Report.
We report a unique case of undetectable serum levels of anti-müllerian hormone (AMH) in women with polycystic ovary syndrome (PCOS) who developed ovarian hyperstimulation syndrome (OHSS) during in vitro fertilization (IVF). A case is described of a 28-year-old woman with clinical symptoms of PCOS and AMH serum level below analytical sensitivity (
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Regression of Asymmetric Upper Extremity Tremor After Liver Transplantation in a Patient With Hepatic Encephalopathy: Case Report.
This report presents a case of a 43-year-old male with HE and asymmetric kinetic, postural and resting tremor of upper extremities. Magnetic resonance imaging (MRI) of the brain showed signal abnormalities in numerous areas. The patient underwent liver transplantation and six months after normalization of liver function, tremor as well as brain MRI abnormalities almost completely regressed. This case re-port presents the asymmetric and reversible kinetic, postural and resting tremor of upper extremities as part of the spectrum of neurological abnormalities in HE. PMID: 30256030 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Urticaria as a Rare Side Effect of Polyethylene Glycol-3350 in a Child: Case Report.
Authors: Sari Gökay S, Çelik T, Yusuf Sari M, Ekinci F, Dinçer Yildizdaş R, Levent Yilmaz H Abstract Polyethylene glycol electrolyte (PEG-3350) solution is usually used for bowel emptying before colonoscopy in adults. It has also been reported to be safe in children. It is thought that bowel irrigation with this solution can be a useful treatment alternative for poisoning with slow releasing drugs, swallowed packaged substances, enteric coated drugs, drugs not binding to charcoal, and heavy metals in children. Due to high molecular weight of PEG-3350, its absorption from the in-testinal mucosa i...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Guidelines for Diagnosis and Treatment of Chronic Lymphocytic Leukemia. Krohem B-Cll 2017.
Authors: Jakšić B, Pejša V, Ostojić-Kolonić S, Kardum-Skelin I, Bašić-Kinda S, Coha B, Gverić-Krečak V, Vrhovac R, Jakšić O, Aurer I, Sinčić-Petričević J, Načinović-Duletić A, Nemet D Abstract Recent developments in the diagnosis and treatment of chronic lymphocytic leukemia (B-CLL) have led to change of approach in clinical practice. New treatments have been approved based on the results of randomized multicenter trials for first line and for salvage therapy, and the results of numerous ongoing clinical trials are permanently providing new answers and further refining of t...
Source: Acta Clinica Croatica - September 27, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Erythropoietin in the Evaluation of Treatment Outcomes in Patients with Polytrauma.
Authors: Arsenijević V, Šijački A, Marjanović I, Micić D, Nikolić V, Veljković A, Popović P, Stanković S, Jeremić V Abstract Polytrauma is a term describing patients with injuries involving multiple body regions that compromises function of the body and/or organ involved. The aim of the study was to evaluate the potential role of erythropoietin in predicting poorer outcome in trauma patients. This prospective study included 86 patients admitted to the Emergency Center of Serbia due to polytrauma assigned according to Injury Severity Score (ISS). The patients were further evaluated using the Acute Ph...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Clinical Significance of VEGF-A and Microvessel Density in Diffuse Large B-Cell Lymphoma and Low-Grade Follicular Lymphoma.
Authors: Shahini L, Gašparov S, Petruševska G, Manxhuka Kerliu S, Veselaj F, Kurshumliu F, Kavaja F Abstract Angiogenesis is essential for the development, growth and progression of tumors. Although vascular endothelial growth factor (VEGF) is a well-known proangiogenic factor, its impact on lymphoma has not yet been fully clarified. The aim of this study was to evaluate VEGF-A -expression and microvessel density (MVD) in aggressive lymphoma such as diffuse large B-cell lymphoma (DLBCL), in indolent lymphomas such as low-grade follicular lymphoma (FL), and in lymph node reactive follicular hyperplasia...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Position of Mandibular Condyles during Stabilization Splint Wearing.
Authors: Profozić A, Plazibat A, Polašek A, Pliško M, Čimić S Abstract The purpose of this study was to determine the position of mandibular condyles during wearing of stabilization splints with different thickness. Two stabilization splints were made for 10 completely dentate participants. First splint was made with minimal 1 mm distance at molar area between the upper and lower teeth, while the second splint was made 3 mm higher than the first splint. Condylar position measurements during splint wearing were done using ultrasound jaw tracking device with six degrees of freedom at the antero-poste...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Analysis of Airborne Dust as a Result of Plaster Cast Sawing.
Authors: Antabak A, Halužan D, Chouehne A, Mance M, Fuchs N, Prlić I, Bešlić I, Bencetić Klaić Z Abstract Plaster splints are used daily in surgical and orthopedic fields in order to immobilize injured children and adults. The aim of this study was to measure the aerodynamic diameter and concentration of dust particles in the air caused by sawing plaster splints (calcium sulfate dehy-drate). We performed fractional measurements of airborne dust particles. The measured particles, which can potentially be inhaled, may have a specific negative effect on human health. Measurements were conducted in laborato...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Structure-Function Relationship of Changes in Visual Field Indices with Quadrant and Average Retinal Nerve Fiber Layer Thickness in the Eyes with Exfoliation.
In conclusion, structural changes before VF impairment have an important role in early detection of glaucoma in subjects at risk. PMID: 29590713 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Manual Intracardiac Electrogram Method Is Accurate Alternative to Echocardiography for Atrioventricular and Interventricular Optimization in Cardiac Resynchronization Therapy.
Authors: Pezo Nikolić B, Lovrić D, Ljubas Maček J, Rešković Lukšić V, Matasić R, Šeparović Hanževački J Abstract Some manufacturers do not provide automated intracardiac electrogram method (IEGM) systems for atrioventricular (AV) and interventricular (VV) delay optimization in cardiac resynchronization therapy (CRT). We aimed to evaluate the accuracy of manual IEGM method in 48 patients previously implanted with Medtronic Syncra CRT. All patients underwent standard device interrogation followed by CRT optimization by IEGM method and by echocardiography one month after implantation. The...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Nutritional Status and Nutrition Quality in Patients with Non-Alcoholic Fatty Liver Disease.
Authors: Vranešić Bender D, Nutrizio M, Jošić M, Ljubas Kelečić D, Karas I, Premužić M, Domislović V, Rotim C, Krznarić Ž Abstract Non-alcoholic fatty liver disease (NAFLD) is becoming a major health burden with increasing prevalence worldwide due to its close association with the epidemic of obesity. Currently there is no standardized pharmacological treatment, and the only proven effective therapeutic strategy is lifestyle modification, therefore it is important to determine the potential dietary targets for the prevention and treatment of NAFLD. We assessed nutritional status in 30 patient...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

The Role of Endothelial Dysfunction in the Mechanism of Gastroesophageal Reflux Disease Development in Patients with Ischemic Heart Disease.
Authors: Oparin A, Vnukova A Abstract Ischemic heart disease (IHD) and gastroesophageal reflux disease (GERD) are among the most common diseases worldwide, which in a considerable percentage of cases occur together, thus complicating symptoms, posing problems for timely diagnosis and hindering development of a comprehensive treatment regimen for both diseases. Research has shown that endothelial dysfunction is one of the major pathophysiological mechanisms in the development of IHD. Endothelial dysfunction also affects regional perfusion of the esophagus, thus compromising esophageal tissue defense mechanisms. The ...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

A Retrospective Study of Discordant Twin Growth in Dichorionic Twin Pregnancies and Risk of Preterm Delivery at Split University Hospital Centre: Three-Year Experience.
Authors: Vulić M, Lalić L, Vulić L, Roje D, Benzon Z, Meštrović Z Abstract The aim was to determine whether discordant twin growth has an impact on preterm birth in dichorionic pregnancies. This retrospective study included dichorionic twin pregnancies in the period from January 1, 2013 to December 31, 2015. The following variables were investigated: maternal age (years), parity, body mass index (kg/m2), week (≤366/7 and ≥37) and mode of delivery (vaginal and cesarean section), birth weight (grams) and Apgar score (≤7, 8-10). Discordant twin growth in dichorionic pregnancies was found to be asso...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Analysis of the Hemoglobin Level Drop in Patients with Hip Fracture After Admission.
Authors: Kamiloski V, Kasapinova K Abstract The studies that evaluated blood loss during hip surgery found a relatively small loss that does not explain the large hemoglobin drop postoperatively. The aim of this study was to determine the fall in hemoglobin level after admission and rehydration in patients with hip fractures and to identify the patients that need blood transfusion. This retrospective study included data on 374 patients with hip fracture with surgery delayed by more than 24 hours and complete blood count repeated prior to surgery after fluid resuscitation for a minimum of 24 hours. The hemoglobin le...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Effect of Smelling Amniotic Fluid on Comfort and Crying in Preterm Infants During Peripheral Cannulation: A Randomized Controlled Trial.
Authors: Küçük Alemdar D, Güdücü Tüfekci F Abstract The aim of the study was to investigate the effect of smelling amniotic fluid on comfort and duration of crying caused by peripheral cannulation in preterm infants. This was a randomized controlled trial. The study sample consisted of 80 preterm infants meeting the case selection criteria. The infants were randomly assigned to experimental and control group. Upon exclusion of some infants from the study, total number of infants in both groups was 61. The infants in the amniotic fluid group smelled amniotic fluid for 15 minutes ...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Implementation of Venous Thromboembolism Prophylaxis Guidelines in Clinical Practice: A Retrospective Study in Two Croatian Hospitals.
Authors: Marušić S, Knežević A, Bačić Vrca V, Marinović I, Bačić J, Obreli Neto PR, Amidžić Klarić D, Diklić D Abstract The aim of this study was to evaluate the implementation of the 9th edition of the American College of Chest Physicians (ACCP9) guidelines for prevention of venous thromboembolism in nonsurgical patients in clinical practice in one university and one general Croatian hospital. A retrospective study was conducted at Zadar General Hospital from Zadar and Dubrava University Hospital from Zagreb. Medical charts of all patients admitted to Medical Departments in two periods, before a...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Chemerin Blood Levels are Associated with MRI Measured Volumes of Abdominal Adipose Tissue Compartments and Lifestyle Choices.
Authors: Salha T, Andrijević D, Vrselja Z, Šerić V, Radić R, Curic G Abstract Obesity is a low-grade chronic inflammatory state, in which a cytokine chemerin with its immunometabolic modulation has an important role. We aimed to study in a healthy population relationships between serum chemerin levels, lifestyle choices and magnetic resonance imaging (MRI) assessed volumes of abdominal visceral (VAT) and subcutaneous (SAT) adipose tissues, which have different cytokine expression profiles. Overall, 73 healthy participants undertook lifestyle questionnaire and underwent anthropometric measurements along wi...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Association of Pentraxin-3, Galectin-3 and Matrix Metalloproteinase-9/Timp-1 with Cardiovascular Risk in Renal Disease Patients.
Authors: Miljković M, Stefanović A, Bogavac-Stanojević N, Simić-Ogrizović S, Dumić J, Černe D, Jelić-Ivanović Z, Kotur-Stevuljević J Abstract Inflammation, apoptosis and extracellular remodeling play significant roles in cardiovascular disease (CVD) underlying the major causes of mortality in renal patients. In 19 pre-dialysis patients, 21 dialysis patients and 20 control subjects, the concentrations of pentraxin-3, galectin-3, MMP-9 and TIMP-1 were determined by ELISA. CVD risk was calculated according to the Framingham risk score algorithm. Pentraxin-3 was increased in renal patients compared to healthy controls (p
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Business Performance of Health Spa Tourism Providers in Relation to the Structure of Employees in the Republic of Croatia.
Authors: Vrkljan S, Grazio S Abstract Health spa tourism services are provided in special hospitals for medical rehabilitation and health resorts, and include controlled use of natural healing factors and physical therapy under medical supervision in order to improve and preserve health. Health tourism is a service industry and therefore labor-intensive industry in which human resources are one of the key factors of business success. The aim of this study was to analyze business performance of special hospitals for medical rehabilitation and health resorts in Croatia in relation to the structure of employees, speci...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Comparing Diagnostic Accuracy of Direct Questioning Versus Schematic Evaluation of Chronic Pain Localization.
Authors: Doroudi T, Kolivand P, Divanbeigi A, Jalali M, Reza Karambakhsh A, Moghimi M, Amini A, Kabir A Abstract None of the previous studies localized pain in comparison with graphic scheme. Our aim was to investigate the validity of direct questioning about the main pain localization in comparison with schematic evaluation. In this cross-sectional study, 331 patients, mean age 49.4±10.72 years, localized their main pain site anatomically with manikin and by direct questioning. Two methods were employed to localize pain: direct questioning and schematic evaluation (manikin). Sensitivity, specificity, accura...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Nutritional Issues and Nutrition Support in Older Home Care Patients in the City of Zagreb.
The objective of this study was to evaluate nutritional status of elderly home care patients immediately after hospital discharge and to determine factors that affect nutritional status using questionnaires based on validated tools (NRS-2002, DETERMINE checklist) and basic medical history data. The study involved 76 elderly individuals (51.3% of them older than 70) living in the City of Zagreb. The nutritional status assessment using the NRS-2002 tool showed that 57.6% of the subjects were at nutritional risk. The findings of the assessment by use of the DETERMINE tool were also unfavorable, indicating that 82.1% of person...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Bleeding Peptic Ulcer - Tertiary Center Experience: Epidemiology, Treatment and Prognosis.
In conclusion, PUB is the main cause of UGIB, characterized by a significant rebleeding rate and mortality. PMID: 29590726 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Nonverbal Memory Capacity in Persons with Epilepsy Is Associated with Depression Rather than Anxiety.
Authors: Matešić K, Tadinac M, Hećimović H Abstract Epilepsy is characterized by repeated epileptic seizures, which are manifested in various ways and depend on the location and size of foci in the brain. Long-term seizures with secondary generalization can cause memory problems. Numerous studies demonstrate the connection of memory damage and lateralization in medial temporal lobe epilepsy (TLE). However, the results were not always consistent with the material-specific memory model. A possible explanation for these inconsistent data is the insufficient control of psychological variables that can affect ...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Diabetic Polyneuropathy and Risk of Falls: Fear of Falling and Other Factors.
Authors: Bokan-Mirković V, Škarić-Karanikić Ž, Nejkov S, Vuković M, Ćirović D Abstract The aim of the study was to analyze postural stability, walking speed and fear of falling in patients with diabetic polyneuropathy (DPN) in order to determine the risk factors for falls, as well as the effect of DPN characteristics as additional factors. A sample of 48 patients with type 2 diabetes and DPN were enrolled in this non-randomized observational study. The patients were divided into two groups of fallers and non-fallers. All subjects underwent evaluation with the Functional Reach Test (FRT), Tinetti Falls...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Determination of Predictive Anatomic Parameters for Bleeding of Brain Arteriovenous Malformations by Multidetector CT Angiography.
Authors: Milatović B, Tasić G, Nikolić I, Đorić I, Repac N, Šćepanović V, Janićijević A, Rotim K, Rasulić L Abstract Patients with brain arteriovenous malformation (AVM) have a certain risk to bleed, and the goal of this study was to examine the effect of radiological and clinical predictive characteristics of AVM hemorrhage using multidetector computed tomographic (MDCT) angiography. The study included a series of 57 patients, mean age 35.46 years, who were diagnosed during their hospitalization at Clinical Department of Neurosurgery, Clinical Center of Serbia, in the period from January 2008 to M...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Serum Osteoprotegerin in Patients with Calcified Aortic Valve Stenosis in Relation to Heart Failure.
Authors: Makarović S, Makarović Z, Bilić-Ćurčić I, Milas-Ahić J, Mihaljević I, Franceschi M, Jukić T Abstract The aim of the study was to assess the role of serum osteoprotegerin (OPG) as a biomarker in patients with aortic valve stenosis (AS) in relation to heart failure and symptomatic status. This was a case control study, which included 51 patients with AS and 39 control subjects. At the time of study enrolment, detailed medical history was obtained and all subjects underwent physical examination, chest x-ray and echocardiography. OPG levels were measured in all subjects, and serum N-terminal of the pr...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Parental Socioeconomic Status as a Predictor of Physical and Mental Health Outcomes in Children - Literature Review.
Authors: Vukojević M, Zovko A, Talić I, Tanović M, Rešić B, Vrdoljak I, Splavski B Abstract Parental socioeconomic status is a multidimensional concept of special importance for the growth, development, health outcomes and education of children. Its definition generally refers to the amount of parents' income, their employment status and level of education. Hence, lack of economic resources and poverty of parents affect all aspects of the child's life, health outcomes and education, as well as his/her social inclusion. Accordingly, the consequences of a reduced parental socioeconomic status leave long-te...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Genetic Aspects of Hereditary Arrhythmogenic Syndromes in Children and Adults.
Authors: Miranović V, Crnogorac S Abstract Recent research has revealed the genetic etiology of a number of heart diseases that cause sudden cardiac death. Lethal channelopathies are of great importance among the genetically determined heart diseases. Their basic characteristics are unpredictable and deadly nature, autosomal dominant inheritance with variable expressivity and incomplete penetrance in structurally normal heart, and absence of morphological and histological clues that a standard autopsy can identify. Minimum screening of the relatives of sudden cardiac death victims involves taking medical history, ...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Role of Vestibular Evoked Myogenic Potentials as an Indicator of Recovery in Patients with Benign Paroxysmal Positional Vertigo.
Authors: Mendeš T, Maslovara S, Včeva A, Butković Soldo S Abstract Ocular vestibular evoked myogenic potentials (oVEMP) and cervical VEMP (cVEMP) are newer diagnostic methods, which allow an insight into the otolith senses. Our aim was to determine changes in certain parameters of the VEMP wave complex after successfully performed repositioning procedure, as an indicator of the state of recovery in patients with benign paroxysmal positional vertigo (BPPV). This may confirm the theory of otolith returning into the area of otolithic senses. The study included 48 patients with unilateral posterior semicircula...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

A Comparative Study of Data Collection Methods in the Process of Nursing: Detection of Chemotherapy Side Effects Using a Self-Reporting Questionnaire.
Authors: Di Muzio M, Marinucci A, De Benedictis A, Tartaglini D Abstract Ocular vestibular evoked myogenic potentials (oVEMP) and cervical VEMP (cVEMP) are newer diagnostic methods, which allow an insight into the otolith senses. Our aim was to determine changes in certain parameters of the VEMP wave complex after successfully performed repositioning procedure, as an indicator of the state of recovery in patients with benign paroxysmal positional vertigo (BPPV). This may confirm the theory of otolith returning into the area of otolithic senses. The study included 48 patients with unilateral posterior semicircular c...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Umbilical Cord Management and Stump Care in Normal Childbirth in Slovenian and Croatian Maternity Hospitals.
Authors: Mivšek AP, Petročnik P, Skubic M, Škodič Zakšek T, Jug Došler A Abstract The aim was to investigate first-care procedures for the newborn's umbilical cord at maternity hospitals in Slovenia and Croatia. The study was based on an empirical survey research approach and quantitative research paradigms and included all Slovenian (n=14) and all Croatian (n=35) maternity hospitals. Leaders of midwifery team of 14 Slovenian and 35 Croatian labor wards were invited to participate. The study was conducted in 2013, with 67% of Slovenian and 66% of Croatian maternity hospitals having res...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Incidence of Central Nervous System Tumors in Patients Hospitalized at Split University Hospital Centre During a Ten-Year Period (January 1, 2004 - December 31, 2013).
Authors: Mizdrak M, Džamonja G, Filipović Grčić P Abstract The aim was to evaluate the incidence and characteristics of central nervous system tumors in patients hospitalized at the Department of Neurology, Split University Hospital Centre, during a 10-year period. The study included data on 859 patients with the diagnosis of central nervous system (CNS) tumor. Diagnosis was based on the routine CNS neuroimaging methods (computed tomography/magnetic resonance imaging). Access to patient medical records provided demographic and clinical data, continued by collection of data on potential lethal outcome of patient...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Prevalence of Open Angle Glaucoma in Risk Groups in Slavonia and Baranya Region.
Authors: Barać J, Biuk D, Matić S, Barać I, Pelčić G, Bradvica M Abstract The aim of this prospective study was to detect primary open angle glaucoma (POAG) in its early stage in patients at a higher risk of its development, and to identify the risk group with the highest prevalence of POAG. The study was conducted at Department of Ophthalmology, Osijek University Hospital Centre, and included 250 patients divided into five groups, as follows: group 1, patients with diabetes type 1 and type 2; group 2, patients with arterial hypertension (blood pressure>140/90 mm Hg); group 3, patients with positive family ...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Effect of the Size of the Left Atrium on Sustained Sinus Rhythm in Patients Undergoing Mitral Valve Surgery and Concomitant Bipolar Radiofrequency Ablation for Atrial Fibrillation.
Authors: Avdagić H, Sijerčić Avdagić S, Pirić Avdagić M, Antonič M Abstract Atrial fibrillation is associated with systemic embolization and complications due to anticoagulant therapy. Radiofrequency ablation has been established as an effective and safe method for the treatment of atrial fibrillation. The aim of this study was to evaluate the effect of the size of the left atrium on the outcome of surgical radiofrequency ablation. Forty patients scheduled for elective mitral valve surgery and radiofrequency ablation were enrolled in the study. Group 1 consisted of patients with a left atrium diameter ≤5 ...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Gastrostomy Under Paravertebral Block in High-Risk Patients with Esophageal Cancer - Two Case Reports.
We present two cases, one of them a 57-year-old male ASA III patient scheduled for a gastrostomy procedure due to esophageal cancer with infiltration of the trachea. We also present a case of a 59-year-old male patient, ASA IV status, scheduled for the same procedure due to advanced esophageal cancer with a fistula between the left main bronchus and the esophagus and metastases in the left lung. The paravertebral space was identified with the use of an 8 Hertz (Hz) linear ultrasound probe and a nerve stimulator. Paravertebral block was successfully used for insertion of a gastrostomy, thereby enabling adequate anesthesia a...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Uniportal Video-Assisted Thoracic Surgery for Pulmonary Hamartoma: Case Report.
Authors: Djaković Ž, Janevski Z Abstract Pulmonary hamartoma is the most common benign tumor of the lung. It accounts for 77% of all benign lung tumors but less than 1% of all lung tumors. Malignant alteration is -extremely rare. Surgical removal is therapy of choice. Uniportal video-assisted thoracic surgery is an easy-to-learn variant of video-assisted thoracic surgery. The approach is very similar to classic thoracotomy. Instruments for both classic and video-assisted thoracic surgery can be combined. A case is presented of a 44-year-old female patient with pulmonary hamartoma treated by uniportal video-assist...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Relapse of Pleomorphic Adenoma from Childhood to Adulthood: Case Report.
Authors: Grabovac S, Grabovac Đ, Puharić Z, Malčić Dalipi V Abstract Pleomorphic adenoma is rarely seen in childhood. After detailed literature search, we did not come across a case of frequent relapse of this benign tumor from childhood to adulthood. The World Health Organization defines relapse of pleomorphic adenoma as a histologically benign tumor that can have local or distant metastasis. There is one hypothesis how benign tumor can metastasize. According to this hypothesis, probably during the first operative procedure the tissue around the tumor becomes permeable for tumor cells, which can lead to implan...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Myasthenia Gravis Associated With Thymoma And Aplastic Anemia: Case Report.
We report a 45-year-old male diagnosed with myasthenia gravis -associated with thymoma. We started treatment with pyridostigmine. After thymectomy, the patient -received 30 irradiation sessions. In the postoperative course, he had mild worsening of myasthenia gravis, which improved with prednisone. Five months later, he developed severe aplastic anemia. He was dependent on blood supplement. After allogeneic transplantation of bone marrow, he improved but later he -developed graft versus host disease. Myasthenia gravis was under good control with 480 mg of -pyridostigmine per day. PMID: 29590742 [PubMed - in process] (S...
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Intraoperative Spontaneous Rupture of Uterine Varicose Vein.
Authors: Habek D PMID: 29590743 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 31, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Vitamin D Status in Renal Transplant recipients is not Associated with Erectile Dysfunction.
In conclusion, we found no association of 25(OH)D concentration with the presence and severity of ED in renal transplant recipients. So far, there are no similar published data. PMID: 29485785 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 1, 2018 Category: General Medicine Tags: Acta Clin Croat Source Type: research