Initial clinical experience with ahmed valve implantation in refractory pediatric glaucoma.
In conclusion, AGV implantation appears to be a viable option for the management of refractory pediatric glaucoma and shows success in IOP control. However, there was a relatively high complication rate limiting the overall success rate. PMID: 29116736 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Comparison of cormack lehane grading system and intubation difficulty score in patients intubated by d-blade video and direct macintosh laryngoscope: a randomized controlled study.
COMPARISON OF CORMACK LEHANE GRADING SYSTEM AND INTUBATION DIFFICULTY SCORE IN PATIENTS INTUBATED BY D-BLADE VIDEO AND DIRECT MACINTOSH LARYNGOSCOPE: A RANDOMIZED CONTROLLED STUDY. Acta Clin Croat. 2016 12;55(4):560-4 Authors: Pažur I, Maldini B, Hostić V, Ožegić O, Obraz M Abstract D-blade is a relatively new device in the field of videolaryngoscopy, designed for airway management by enabling indirectoscopic glottic view. In our study, we investigated efficiency of D-blade in comparison with direct Macintosh laryngoscope (gold standard). Fifty-two adult patients with normal airway scheduled for el...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Personality changes following brain artery aneurysm surgery.
PERSONALITY CHANGES FOLLOWING BRAIN ARTERY ANEURYSM SURGERY. Acta Clin Croat. 2016 12;55(4):565-78 Authors: Pačić-Turk L, Šulentić T, Meštrović AH, Paladino J, Mrak G Abstract Neuropsychological testing of patients in the course of their recovery from brain injuries enables analysis of cognitive deficiencies and/or emotional changes. The principle study objective was to define organic and/or reactive personality changes and the course of these changes in the function of the time span following brain artery aneurysm surgery in both female and male patients. The study was carried out at...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Serum neuron-specific enolase as a marker of brain ischemia-reperfusion injury in patients undergoing carotid endarterectomy.
SERUM NEURON-SPECIFIC ENOLASE AS A MARKER OF BRAIN ISCHEMIA-REPERFUSION INJURY IN PATIENTS UNDERGOING CAROTID ENDARTERECTOMY. Acta Clin Croat. 2016 12;55(4):579-84 Authors: Iłżecki M, Iłżecka J, Przywara S, Terlecki P, Grabarska A, Stepulak A, Zubilewicz T Abstract In patients with atherosclerotic stenosis of the extracranial segment of internal carotid artery, surgical intervention is an effective method to prevent cerebral ischemic stroke. However, this surgical procedure may cause vascular brain damage. The aim of the study was to investigate consequential brain ischemia-reperfusion injury by me...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Use of alternative and complementary medicine in patients with malignant diseases in high-volume cancer center and future aspects.
USE OF ALTERNATIVE AND COMPLEMENTARY MEDICINE IN PATIENTS WITH MALIGNANT DISEASES IN HIGH-VOLUME CANCER CENTER AND FUTURE ASPECTS. Acta Clin Croat. 2016 12;55(4):585-92 Authors: Kust D, Šamija I, Marić-Brozić J, Svetec B, Miletić M, Mamić G, Bolanča A, Kusić Z, Fröbe A Abstract Usage of complementary and alternative medicine (CAM) is steadily increasing over the last decades, gaining medical, economic and sociological importance. The aim of the present study was to assess the use of complementary and alternative therapies in cancer patients. A cross-sectional, descriptive survey desig...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Sensitivity and specificity of feny Ö-lindberg and teicher scores in the diagnosis of acute appendicitis in women.
SENSITIVITY AND SPECIFICITY OF FENYÖ-LINDBERG AND TEICHER SCORES IN THE DIAGNOSIS OF ACUTE APPENDICITIS IN WOMEN. Acta Clin Croat. 2016 12;55(4):593-9 Authors: Madžar Z, Kopljar M, Madžar T, Mesić M, Mišić DM, Čiček S, Zovak M Abstract The aim of the study was to assess diagnostic accuracy (sensitivity and specificity) of Fenyö-Lindberg and Teicher scores for distinguishing patients that need immediate surgical treatment from the others, in a female population from an urban setting. The study prospectively included 130 female patients admitted to the emergency department with abd...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Comparison of psychomotor development screening test and clinical assessment of psychomotor development.
COMPARISON OF PSYCHOMOTOR DEVELOPMENT SCREENING TEST AND CLINICAL ASSESSMENT OF PSYCHOMOTOR DEVELOPMENT. Acta Clin Croat. 2016 12;55(4):600-6 Authors: Radmilović G, Matijević V, Zavoreo I Abstract Numerous adverse factors are acting in the prenatal, perinatal and postnatal period of life and may be the cause of later mild or severe deviations from normal psychomotor development. Therefore, it is crucial to identify infants with neurological risk factors and infants that already have a delay from orderly development, in order to immediately initiate the rehabilitation process. The aim of this study wa...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Microhardness of bulk-fill composite materials.
MICROHARDNESS OF BULK-FILL COMPOSITE MATERIALS. Acta Clin Croat. 2016 12;55(4):607-14 Authors: Kelić K, Matić S, Marović D, Klarić E, Tarle Z Abstract The aim of the study was to determine microhardness of high- and low-viscosity bulk-fill composite resins and compare it with conventional composite materials. Four materials of high-viscosity were tested, including three bulk-fills: QuiXfi l (QF), x-tra fi l (XTF) and Tetric EvoCeram Bulk Fill (TEBCF), while nanohybrid composite GrandioSO (GSO) served as control. The other four were low-viscosity composites, three bulk-fill materials: Smart Dentin R...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Effect of delivery and episiotomy on the emergence of urinary incontinence in women: review of literature.
EFFECT OF DELIVERY AND EPISIOTOMY ON THE EMERGENCE OF URINARY INCONTINENCE IN WOMEN: REVIEW OF LITERATURE. Acta Clin Croat. 2016 12;55(4):615-24 Authors: Živković K, Živković N, Župić T, Hodžić D, Mandić V, Orešković S Abstract Episiotomy is obstetric procedure during which the incision extends the vestibule of the vagina during the second stage of labor. Episiotomy was extensively spread with gradual increase of rates in the first half of the 20th century and was performed medio-laterally in all nulliparous women with the idea to protect fetal head from trauma and pelvic floor from in...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Diagnostic value of fine needle aspiration cytology for breast tumors.
DIAGNOSTIC VALUE OF FINE NEEDLE ASPIRATION CYTOLOGY FOR BREAST TUMORS. Acta Clin Croat. 2016 12;55(4):625-8 Authors: Mišković J, Zorić A, Mišković HR, Šoljić V Abstract Breast cancer is the most frequently diagnosed cancer and the leading cause of death from cancer in women. The accuracy of diagnosis can be increased with a combination of clinical examination, imaging diagnostics, and fi ne needle aspiration cytology (FNAC) or core needle biopsy, also known as triple test. The aim of the study was to evaluate the sensitivity and specificity of FNAC in the diagnosis of breast tu...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Genetic etiology of primary premature ovarian insufficiency.
GENETIC ETIOLOGY OF PRIMARY PREMATURE OVARIAN INSUFFICIENCY. Acta Clin Croat. 2016 12;55(4):629-35 Authors: Franić-Ivanišević M, Franić D, Ivović M, Tančić-Gajić M, Marina L, Barac M, Vujović S Abstract Primary premature ovarian insufficiency (PPOI) is characterized by hypergonadotropic amenorrhea and hypoestrogenism in women under 40 years of age. PPOI incidence is 1:10,000 in women aged 18-25, 1:1000 in women aged 25-30 and 1:100 in women aged 35-40. In 10%-28% of cases, PPOI causes primary and in 4%-18% secondary amenorrhea. The process is a consequence of accelerated oocyte atresia, ...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Knowledge, attitudes and habits regarding oral health in first- and final-year dental students.
KNOWLEDGE, ATTITUDES AND HABITS REGARDING ORAL HEALTH IN FIRST- AND FINAL-YEAR DENTAL STUDENTS. Acta Clin Croat. 2016 12;55(4):636-43 Authors: Lujo M, Meštrović M, Malčić AI, Matijević J, Jukić S Abstract The purpose of the research was to compare oral health behavior and plaque indices between Croatian first-year and final-year dental students. Therefore, 46.9% of first-year and 47% of final-year dental students were surveyed using the Hiroshima University Dental Behavior Inventory (HU-DBI) questionnaire and had their plaque indices determined. Descriptive statistics analysis, nonparametri...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

‘plug free’ connector placement modification of a bilayer patch device in male indirect inguinal hernioplasty.
‘PLUG FREE’ CONNECTOR PLACEMENT MODIFICATION OF A BILAYER PATCH DEVICE IN MALE INDIRECT INGUINAL HERNIOPLASTY. Acta Clin Croat. 2016 12;55(4):644-9 Authors: Ilić MD, Putnik SS Abstract The bilayer patch device (Ethicon, Prolen Hernia System®) for inguinal hernia repair has a connector that acts as a ‚plug‘ in the internal inguinal ring. The position of this ‚plug‘ component may be responsible for higher incidence of chronic pain and intestinal damage. We assumed that changing the position of the connector of a bilayer patch device (PHS®) and placing it media...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Treatment of postherpetic neuralgia with 5% topical lidocaine plaster – experience from a small county hospital: case report.
TREATMENT OF POSTHERPETIC NEURALGIA WITH 5% TOPICAL LIDOCAINE PLASTER – EXPERIENCE FROM A SMALL COUNTY HOSPITAL: CASE REPORT. Acta Clin Croat. 2016 12;55(4):655-8 Authors: Kontić M, Vičić-Hudorović V, Hudorović N Abstract Postherpetic neuralgia (PHN) characterized by chronic neuropathic pain is a common complication of herpes zoster. We investigated the efficacy, safety and cost of treating refractory chronic neuropathic pain with 5% topical lidocaine plaster (TLP) in a female patient attending pain unit at a small county hospital. An 80-year-old female diagnosed with PHN presented with seve...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Combined treatment of ruptured middle cerebral artery aneurysm followed by subarachnoid hemorrhage and acute subdural hematoma in multiple aneurysm disease of cerebral blood vessels: case report.
This report presents a 44-year-old female patient suffering from multiple cerebral aneurysm disease, who was urgently treated after rupture by both endovascular (for multiple aneurysms) and surgical (for acute subdural hematoma) approach in the same act under general anesthesia, which resulted in complete recovery of the patient. PMID: 29117659 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Nebivolol induced hyperkalemia: case report.
In conclusion, hyperkalemia is a harmful adverse event with possible lethal outcome, and it may be caused by nebivolol. Therefore, medical professionals have to be aware of this side effect and hyperkalemia should be listed as an adverse event in nebivolol SmPC. PMID: 29117660 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

A rare case of infectious multifocal serpiginoid choroiditis.
A RARE CASE OF INFECTIOUS MULTIFOCAL SERPIGINOID CHOROIDITIS. Acta Clin Croat. 2016 12;55(4):667-70 Authors: Mitrašević M, Jovanović S, Radotić F, Pešić S, Jovanović Z Abstract Multifocal serpiginoid choroiditis is an infectious variety of serpiginous choroiditis. The disease is characterized by infectious etiology and overlapping clinical features in an intermediary form of acute posterior multifocal placoid pigment epitheliopathy and serpiginous choroiditis. In a 33-year-old patient, bilateral multiple placoid partially confluent chorioretinal lesions were diagnosed after a febrile...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Acute gallbladder torsion with gangrene and cholelithiasis – a rare condition.
We report a case of a 75-year-old female with acute torsion of the gallbladder with gangrene and cholelithiasis. On admission, the patient underwent physical examination, laboratory blood analysis, abdominal ultrasound and plain abdominal x-ray. Due to the signs of acute abdomen and poor general condition of the patient, urgent surgical procedure was indicated. Intraoperatively, the gallbladder was found to be greatly enlarged, gangrenous and greatly distended with 360° clockwise torsion around its mesentery. Cholecystectomy was performed. Gallbladder torsion is a rare surgical emergency which physicians should bear in...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Historical review.
HISTORICAL REVIEW. Acta Clin Croat. 2016 12;55(4):675 Authors: Sušec T PMID: 29117663 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Pituitary abscess with unusual clinical course.
PITUITARY ABSCESS WITH UNUSUAL CLINICAL COURSE. Acta Clin Croat. 2016 12;55(4):650-4 Authors: Stojanoska MM, Kozić D, Bjelan M, Vuleković P, Vučković N, Vuković B, Zavišić BK Abstract The aim is to present unusual clinical course and magnetic resonance imaging (MRI) features of pituitary abscess. A 59-year-old man presented with fever, polyuria, polydipsia and marked weight loss within the last two months. Basic endocrinology tests revealed the presence of anterior pituitary dysfunction, associated with central diabetes insipidus and increased levels of inflammatory markers. The presence o...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Correlation between concentration of air pollutants and occurrence of cardiac arrhythmias in a region with humid continental climate.
In this study, we investigated the correlation of air temperature, pressure and concentration of air pollutants with the rate of admissions for cardiac arrhythmias at two clinical centers in the area with a humid continental climate. This retrospective study included 3749 patients with arrhythmias admitted to emergency department (ED). They were classified into four groups: supraventricular tachycardia (SVT), ventricular tachycardia (VT), atrial fibrillation/undulation (Afib/Aund), and palpitations (with no ECG changes, or with sinus tachycardia and extrasystoles). The number of patients, values of meteorological parameter...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Is apolipoprotein e ε2 associated with delayed onset of non-lesional temporal lobe epilepsy?
In conclusion, the results of our study suggested positive association of a specific ApoE genotype and onset of non-lesional temporal lobe epilepsy. PMID: 29120117 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Cyclin d1, ret and p27 expression in papillary thyroid microcarcinoma.
CYCLIN D1, RET AND P27 EXPRESSION IN PAPILLARY THYROID MICROCARCINOMA. Acta Clin Croat. 2017 03;56(1):15-20 Authors: Barić A, Marković V, Eterović D, Bedeković V, Kontić M, Kuščić LJ, Pisac VP, Punda A Abstract Th e aim of the study was to determine the influence of RET, p27 and cyclin D1 on regional lymph node metastases in papillary microcarcinoma. The analysis included 70 patients with papillary thyroid microcarcinoma that underwent surgery at Split University Hospital Center between 1999 and 2001. Immunohistochemistry was performed on formalin-fixed, paraffin-embedded tissue by the RE...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

The value of multidetector computed tomography of orbits in globe protrusion in comparison to hertel exophthalmometry.
THE VALUE OF MULTIDETECTOR COMPUTED TOMOGRAPHY OF ORBITS IN GLOBE PROTRUSION IN COMPARISON TO HERTEL EXOPHTHALMOMETRY. Acta Clin Croat. 2017 03;56(1):21-7 Authors: Đorić I, Žarković M, Radojičić Z, Repac N, Janićijević A, Rotim K, Tasić G, Rasulić L Abstract The use of multidetector computed tomography (MDCT) is an integral part of contemporary diagnostics of Graves‘ orbitopathy. The aim of this study was to assess proptosis measurement by MDCT and to compare it to the current standard, Hertel exophthalmometry. A cross-sectional study was conducted at the Clinical Centre of Serbia and i...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Risk factors associated with black tooth stain.
RISK FACTORS ASSOCIATED WITH BLACK TOOTH STAIN. Acta Clin Croat. 2017 03;56(1):28-35 Authors: Prskalo K, Sever EK, Alerić I, Jelić TA, Žaja I Abstract The aim of the study was to show whether there is any influence of food, drink or drug intake on the formation of tooth discoloration. A total of 500 patients aged 15-25 years were examined to take part in the study. Of these, 60 patients were selected and divided into two groups of 30 patients each. Group 1 included patients with black pigmentation on vestibular/oral tooth surfaces. Group 2 included patients without discoloration (control). Data were...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Changes in nursing students ’ attitudes towards nursing during undergraduate study.
CHANGES IN NURSING STUDENTS’ ATTITUDES TOWARDS NURSING DURING UNDERGRADUATE STUDY. Acta Clin Croat. 2017 03;56(1):36-43 Authors: Čukljek S, Jureša V, Bile CG, Režek B Abstract The aim of this study was to determine the attitudes of nursing students towards nursing, and changes in their attitudes during the study. A quantitative study with pre-post survey was conducted among nursing students enrolled in first study year in the academic year 2012/2013 (N=115) and third study year in the academic year 2014/2015 (N=106). Students voluntarily and anonymously completed a questionnaire consisti...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

The role of electromyographic blink reflex in the evaluation of headache incidence.
THE ROLE OF ELECTROMYOGRAPHIC BLINK REFLEX IN THE EVALUATION OF HEADACHE INCIDENCE. Acta Clin Croat. 2017 03;56(1):44-7 Authors: Cesarik M, Zavoreo I, Zadro-Matovina L, Madžar T, Kes VB Abstract Migraine and tension type headache are the most common disabling primary headache disorders. Epidemiological studies have documented their high prevalence and high socioeconomic and personal impacts. According to recent data, migraine ranks as the third most prevalent disorder and seventh-highest specific cause of disability worldwide. Tension-type headache has lifetime prevalence in the general population ran...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

In vitro effects of selenium on human glioblastoma multiforme cell lines: a preliminary study.
In conclusion, our results suggest that SeMet induces cell death at high doses, while increasing cell proliferation at low doses. In the view of the data obtained in this investigation, further studies focusing on the possibility of using SeMet against different types of GBM and in combination with prospect synergic compounds are considered to be worthwhile. PMID: 29120131 [PubMed - in process] (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Bone mineral density in relation to metabolic syndrome components in postmenopausal women with diabetes mellitus type 2.
The objective of this study was to investigate the relationship between central adiposity and hyperinsulinemia, as well as inflammation markers with vertebral and femoral BMD and bone turnover markers in postmenopausal women with type 2 diabetes. Femoral and vertebral BMD, osteocalcin, pyrilinks D, beta-CrossLaps (B-CTx), insulin, C-reactive protein (CRP), fibrinogen and plasminogen activator inhibitor-1 (PAI-1) were measured in 114 postmenopausal female patients with diabetes type 2. The patients of similar age, HbA1c levels and diabetes duration were divided into 2 groups based on their body mass index (BMI) values: lowe...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Postoperative atrial fibrillation prophylaxis and lung resection – our experience with 608 consecutive patients.
POSTOPERATIVE ATRIAL FIBRILLATION PROPHYLAXIS AND LUNG RESECTION – OUR EXPERIENCE WITH 608 CONSECUTIVE PATIENTS. Acta Clin Croat. 2017 03;56(1):64-72 Authors: Karadža V, Stančić-Rokotov D, Macan JŠ, Hodoba N, Kolarić N, Sakan S Abstract Postoperative atrial fibrillation is a common complication after lung resection. It is burdened by increased mortality and morbidity, prolonged hospitalization, and higher resource utilization in thoracic surgery patients. Therefore, some kind of pharmacological prophylaxis is recommended. In our patients, diltiazem, a calcium antagonist, is administere...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

High tumor stroma proportion is a worse prognostic factor in colorectal cancer.
HIGH TUMOR STROMA PROPORTION IS A WORSE PROGNOSTIC FACTOR IN COLORECTAL CANCER. Acta Clin Croat. 2017 03;56(1):73-9 Authors: Flam J, Gugić D, Benšić M, Tomić S, Rajc J Abstract High stroma proportion appears to be a very important prognostic factor in esophageal and breast cancer. Previous researches have shown that it might have a similar effect on colorectal cancer. The aim of this study was to determine whether tumor stroma proportion influenced patient survival. This retrospective study included 236 patients with colorectal cancer having undergone surgery in 2006 and 2007 at Osijek Univer...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Restless legs syndrome in multiple sclerosis patients – patient experience at lipik special hospital for medical rehabilitation.
RESTLESS LEGS SYNDROME IN MULTIPLE SCLEROSIS PATIENTS – PATIENT EXPERIENCE AT LIPIK SPECIAL HOSPITAL FOR MEDICAL REHABILITATION. Acta Clin Croat. 2017 03;56(1):80-3 Authors: Rovazdi MČ, Vidović V, Kraml O, Kes VB Abstract The study included 60 patients with multiple sclerosis (MS) hospitalized at our institution from September 1 to December 31, 2014. The aim of the study was to assess the prevalence of restless legs syndrome (RLS) in MS patients and RLS relationship with patient age, sex, degree of disability, form of MS, time elapsed from MS diagnosis and use of antidepressants. The diagnosis ...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Differences in health-promoting lifestyle profile among croatian medical students according to gender and year of study.
DIFFERENCES IN HEALTH-PROMOTING LIFESTYLE PROFILE AMONG CROATIAN MEDICAL STUDENTS ACCORDING TO GENDER AND YEAR OF STUDY. Acta Clin Croat. 2017 03;56(1):84-91 Authors: Mašina T, Madžar T, Musil V, Milošević M Abstract Increasing awareness of healthy lifestyle is important during the period of adolescence because habits are difficult to modify in adulthood. The aim of the study was to examine gender differences in health-promoting lifestyle among medical students and to analyze changes between the first and second year of the study. This cross sectional study was conducted on a sample of ...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

The association between retinol-binding protein 4 and cardiovascular risk score is mediated by waist circumference in overweight/obese adolescent girls.
THE ASSOCIATION BETWEEN RETINOL-BINDING PROTEIN 4 AND CARDIOVASCULAR RISK SCORE IS MEDIATED BY WAIST CIRCUMFERENCE IN OVERWEIGHT/OBESE ADOLESCENT GIRLS. Acta Clin Croat. 2017 03;56(1):92-8 Authors: Klisić A, Kavarić N, Bjelaković B, Soldatović I, Martinović M, Kotur-Stevuljević J Abstract Retinol-binding protein 4 (RBP4) is an emerging risk factor for atherosclerotic disease in adults. However, to our knowledge, there are no studies examining the relationship between RBP4 and cardiovascular risk in young population. Therefore, we aimed to estimate this potential relationship in overweight/obese a...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Incidence, etiology and outcome of ventilator-associated pneumonia in patients with percutaneous tracheotomy.
INCIDENCE, ETIOLOGY AND OUTCOME OF VENTILATOR-ASSOCIATED PNEUMONIA IN PATIENTS WITH PERCUTANEOUS TRACHEOTOMY. Acta Clin Croat. 2017 03;56(1):99-109 Authors: Turković TM, Obraz M, Glogoški MZ, Juranić I, Bodulica B, Kovačić J Abstract Although the incidence of ventilator-associated pneumonia (VAP) is very high, there are still many uncertainties about clinical course of VAP among tracheotomized patients. The goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology, as well as outcome of VAP patients with tracheotomy. The study was conducted in a 15-be...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

First aid management in emergency care of dental injuries – knowledge among teachers in rijeka, croatia.
FIRST AID MANAGEMENT IN EMERGENCY CARE OF DENTAL INJURIES – KNOWLEDGE AMONG TEACHERS IN RIJEKA, CROATIA. Acta Clin Croat. 2017 03;56(1):110-6 Authors: Bakarčić D, Hrvatin S, Maroević M, Jokić NI Abstract The aim of the present cross-sectional study was to investigate the knowledge and attitude regarding emergency treatment of dental trauma among elementary school teachers in the city of Rijeka, Croatia. A total of 144 teachers answered a four-part questionnaire which comprised questions regarding demographic data, role and responsibility at the working place, knowledge about dental trauma, an...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Predisposing factors responsible for the occurrence of bacterial purulent meningoencephalitis.
PREDISPOSING FACTORS RESPONSIBLE FOR THE OCCURRENCE OF BACTERIAL PURULENT MENINGOENCEPHALITIS. Acta Clin Croat. 2017 03;56(1):117-23 Authors: Dupanović B, Gajović O, Terzić D, Andrić B, Todorović Z, Jakovljević B, Živković D Abstract Bacterial purulent meningoencephalitis (BPME) is a life-threatening infectious disease caused by various pyogenic bacteria. The disease is defined as the inflammatory process of leptomeninges (visceral layer, pia mater and arachnoid membrane) and brain parenchyma with exudates in the subarachnoid space and surrounding brain structures. The aim of the study was to d...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Diabetic macular edema: traditional and novel treatment.
DIABETIC MACULAR EDEMA: TRADITIONAL AND NOVEL TREATMENT. Acta Clin Croat. 2017 03;56(1):124-32 Authors: Tomić M, Vrabec R, Poljičanin T, Ljubić S, Duvnjak L Abstract Diabetes is one of the leading public health problems worldwide. Diabetic macular edema (DME) is the main cause of vision loss in patients with diabetes. Ideal metabolic control of diabetes is the primary goal of treatment and the basic way of preventing and stopping the progression of DME. Although laser photocoagulation has been the standard treatment of DME for nearly three decades, superior outcomes can be achieved with novel, intra...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Diabetic macular edema: traditional and novel treatment.
DIABETIC MACULAR EDEMA: TRADITIONAL AND NOVEL TREATMENT. Acta Clin Croat. 2017 03;56(1):124-32 Authors: Tomić M, Vrabec R, Poljičanin T, Ljubić S, Duvnjak L Abstract Diabetes is one of the leading public health problems worldwide. Diabetic macular edema (DME) is the main cause of vision loss in patients with diabetes. Ideal metabolic control of diabetes is the primary goal of treatment and the basic way of preventing and stopping the progression of DME. Although laser photocoagulation has been the standard treatment of DME for nearly three decades, superior outcomes can be achieved with novel, intra...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Current medical strategies in the prevention of ovarian hyperstimulation syndrome.
CURRENT MEDICAL STRATEGIES IN THE PREVENTION OF OVARIAN HYPERSTIMULATION SYNDROME. Acta Clin Croat. 2017 03;56(1):133-42 Authors: Kasum M, Orešković S, Franulić D, Čehić E, Lila A, Vujić G, Grgić F Abstract The purpose of this review is to analyze current medical strategies in the prevention of ovarian hyperstimulation syndrome (OHSS) during ovarian stimulation for in vitro fertilization. Owing to contemporary preventive measures of OHSS, the incidence of moderate and severe forms of the syndrome varies between 0.18% and 1.40%. Although none of medical strategies is completely effective, t...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Rituximab maintenance strategy in advanced follicular lymphoma: facts and controversies.
RITUXIMAB MAINTENANCE STRATEGY IN ADVANCED FOLLICULAR LYMPHOMA: FACTS AND CONTROVERSIES. Acta Clin Croat. 2017 03;56(1):143-56 Authors: Milunović V, Patekar MB, Jakubac KM, Rogulj IM, Radić-Krišto D, Planinc-Peraica A, Kolonić SO Abstract Rituximab is a chimeric monoclonal CD20 antibody used in the treatment of CD20 positive non-Hodgkin lymphomas and has revolutionized treatment approach to these hematologic malignancies in the last decade. The main aim of this review is to present data on the use of rituximab in the treatment of follicular lymphoma (FL). We will focus on rituximab maintenanc...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Accommodation to diagnosis of trigeminal neuralgia.
ACCOMMODATION TO DIAGNOSIS OF TRIGEMINAL NEURALGIA. Acta Clin Croat. 2017 03;56(1):157-61 Authors: Kes VB, Matovina LZ Abstract Trigeminal neuralgia is one of the most common causes of facial pain. It implies short lasting episodes of unilateral electric shock-like pain with abrupt onset and termination, in the distribution of one or more divisions of the trigeminal nerve that are triggered by innocuous stimuli. Most cases of trigeminal neuralgia are caused by compression of the trigeminal nerve root. Depending on the etiology, trigeminal neuralgia can be classified as classic trigeminal neuralgia or p...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Abdominal wall endometriosis eleven years after cesarean section: case report.
We report a case of a 37-year-old woman with abdominal wall endometriosis 11 years after cesarean section. She had low abdominal pain related to menstrual cycle, which intensified at the end of menstrual bleeding. A nodule painful to palpation was found in the medial part of previous Pfannenstiel incision. Ultrasound guided biopsy was performed and the diagnosis of endometriosis confirmed. Surgery is the treatment of choice for abdominal wall endometriosis. Excision with histologically proven free surgical margins of 1 cm is mandatory to prevent recurrence. A wide spectrum of mimicking conditions is the main reason for lat...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Klebsiella pneumoniae oxa-48 in a urology patient: case report.
We present an isolate of Klebsiella pneumoniae OXA-48 isolated in a 68-year-old man who underwent radical prostatectomy due to prostate cancer. The antibiotic susceptibility testing to a wide range of antibiotics was performed by disk diffusion method and determination of minimal inhibitory concentrations. The isolate was classified as multidrug-resistant. It showed intermediate susceptibility to imipenem and meropenem, resistance to ertapenem, and sensitivity only to colistin, amikacin, and trimethoprim-sulfamethoxazole. The isolate was positive for ESBLs, negative for AmpC. Polymerase chain reaction and sequencing reveal...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Developmental venous anomaly serving as a draining vein of brain arteriovenous malformation.
DEVELOPMENTAL VENOUS ANOMALY SERVING AS A DRAINING VEIN OF BRAIN ARTERIOVENOUS MALFORMATION. Acta Clin Croat. 2017 03;56(1):172-8 Authors: Rasulić L, Vitošević F, Rotim K, Medenica SM, Nestorović D Abstract Developmental venous anomalies are cerebral vascular malformations that present normal venous drainage of cerebral tissue. With increased and accessible usage of modern diagnostic tools, they are now one of the most commonly diagnosed cerebral vascular malformations. Although developmental venous anomalies are considered to be benign lesions, association with arteriovenous malformation ren...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Common bile duct stricture after laparoscopic cholecystectomy: case report.
We present a case of a 78-year-old jaundiced male patient who sustained common hepatic duct injury during laparoscopic cholecystectomy eight months earlier. Exploratory laparotomy, ERCP and MRCP revealed a metal clip placed just below hepatic duct confluence and causing stricture of bile duct with dilatation of bile ducts proximal to the level of stenosis (Strasberg classification type E3 injury). Repair of the injury was performed by creating termino-lateral hepaticojejunostomy between the right and left hepatic ducts and retrocolic Roux en-Y jejunal limb. By presenting this case, we wish to emphasize the importance of ti...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Abdominal ultrasound – the leading method in duodenal gist diagnostics.
ABDOMINAL ULTRASOUND – THE LEADING METHOD IN DUODENAL GIST DIAGNOSTICS. Acta Clin Croat. 2017 03;56(1):183-7 Authors: Bohnec S, Budimir I, Hrabar D, Babić N, Budimir I, Nikolić M, Pavić I Abstract Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the digestive tract and are generally asymptomatic. A 39-year-old female patient was hospitalized in 2012 at Clinical Department of Internal Medicine, Sestre milosrdnice University Hospital Center, for a focal hypodense irregular circular lesion located in segment III of the left hepatic lobe, accidentally found by ultra...
Source: Acta Clinica Croatica - November 10, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Do growth hormone and insulin-like growth factor 1 affect prognosis in patients with killip i and ii class acute myocardial infarction?
DO GROWTH HORMONE AND INSULIN-LIKE GROWTH FACTOR 1 AFFECT PROGNOSIS IN PATIENTS WITH KILLIP I AND II CLASS ACUTE MYOCARDIAL INFARCTION? Acta Clin Croat. 2016 09;55(3):345-53 Authors: Dizdarević-Hudić L, Kusljugić Z, Baraković F, Hajder M, Hudić I Abstract We investigated concentrations and roles of insulin-like growth factor 1 (IGF-1) and its binding protein (IGF1BP-3), growth hormone (GH), insulin, and markers of insulin resistance and inflammation in acute myocardial infarction (AMI). We aimed to assess any possible association between serum GH/IGF-1 axis following AMI and short-term survival ra...
Source: Acta Clinica Croatica - October 20, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Changes of drusen number and central retinal thickness in age-related macular degeneration patients over two years.
In this study, we analyzed 44 eyes with drusiform dry ARMD using high resolution optical coherence tomography over a 2-year period. Our results showed a statistically significant increase in drusen number in both females and males in the 2-year period. On average, increment by 4 and 5 drusen per eye during the 2-year period was recorded in female and male patients with drusiform dry ARMD, respectively. Also, statistical analysis of the central retinal thickness showed that women with drusiform dry ARMD had a statistically significantly thinner macula than their male counterparts. PMID: 29045093 [PubMed - in process] (S...
Source: Acta Clinica Croatica - October 20, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research

Ventilator-associated pneumonia: comparing cadaveric liver transplant and non-transplant surgical patients.
VENTILATOR-ASSOCIATED PNEUMONIA: COMPARING CADAVERIC LIVER TRANSPLANT AND NON-TRANSPLANT SURGICAL PATIENTS. Acta Clin Croat. 2016 09;55(3):360-9 Authors: Brusich KT, Acan I, Filipčić NV Abstract Ventilator-associated pneumonia is a frequent complication in intensive care surgical patients, particularly those with high severity scores on admission. We studied the incidence and clinical outcome of ventilator-associated pneumonia among patients undergoing major general surgery procedures and those undergoing cadaveric liver transplantation in our hospital. Patients with the intensive care unit stay long...
Source: Acta Clinica Croatica - October 20, 2017 Category: General Medicine Tags: Acta Clin Croat Source Type: research