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Total 170 results found since Jan 2013.

Incidence of acute symptomatic seizures  in patients with covid-19: a single-center study
Acta Clin Croat. 2021 Dec;60(Suppl 3):50-56. doi: 10.20471/acc.2021.60.s3.07.ABSTRACTThe most common neurological symptoms in patients with SARS-CoV-2 infection are headache, myalgia, encephalopathy, dizziness, dysgeusia and anosmia, making more than 90 percent of neurological manifestations of COVID-19. Other neurological manifestations such as stroke, movement disorder symptoms or epileptic seizures are rare but rather devastating, with possible lethal outcome. The primary aim of this study was to estimate the prevalence of acute symptomatic seizures among COVID-19 patients, while secondary aim was to determine their pos...
Source: Acta Clinica Croatica - November 21, 2022 Category: General Medicine Authors: Ivana Šušak Sporiš Davor Spori š Zrinka Čolak Romić Petra Bago Ro žanković Silvio Ba šić Source Type: research

Prevalence of the metabolic syndrome in the old institutionalized people in Zagreb, Croatia.
Abstract Metabolic syndrome (MeS) is defined by a cluster of abnormalities comprising obesity, hypertension, carbohydrate intolerance and dyslipidemia. MeS increases the risk of developing various diseases, including coronary heart disease, stroke, peripheral angiopathy and type 2 diabetes. In our study, the subjects were 561 persons, residents of 11 homes for the elderly in Zagreb, Croatia. There were 160 men (28.5%) and 401 women (71.5%), aged from 56 to 96 years (the average being 79 years). Physical examination was conducted, which included blood pressure measurement, and body height and weight. Blood samples ...
Source: Collegium Antropologicum - March 1, 2013 Category: Epidemiology Authors: Nevajda B, Havelka-Mestrović A, Bilić M, Nevajda AP, Romić D, Vuletić V, Cukljek S, Sicaja M, Bocina Z Tags: Coll Antropol Source Type: research

Determination of the effects of pulmonary arterial hypertension and therapy on the cardiovascular system of rats by impedance cardiography.
Conclusion. PAH did not have an effect on LV function of rats, or if it did, the effect was compensated by physiological processes. Also, sildenafil treatment deteriorated the LV cardiac index. PMID: 25358882 [PubMed - in process]
Source: Croatian Medical Journal - October 30, 2014 Category: Journals (General) Authors: Buyukakilli B, Gurgul S, Cıtırık D, Hallioglu O, Ozeren M, Tasdelen B Tags: Croat Med J Source Type: research

C-reactive protein, renal function, and cardiovascular outcome in patients with symptomatic peripheral artery disease and preserved left ventricular systolic function.
CONCLUSION: Elevated admission CRP and renal impairment are independent predictors of MACE in symptomatic PAD patients with preserved LVEF. PMID: 26321028 [PubMed - in process]
Source: Croatian Medical Journal - August 31, 2015 Category: Journals (General) Authors: Vrsalović M, Vučur K, Car B, Krčmar T, Vrsalović Presečki A Tags: Croat Med J Source Type: research

Pseudobulbar affect in multiple sclerosis patients.
PSEUDOBULBAR AFFECT IN MULTIPLE SCLEROSIS PATIENTS. Acta Clin Croat. 2015 Jun;54(2):159-63 Authors: Vidović V, Rovazdi MČ, Kraml O, Kes VB Abstract The aim of the study was to determine the prevalence of pseudobulbar affect (PBA) in patients with multiple sclerosis (MS) and to analyze the link between PBA and patient age, sex, clinical course of MS, disease duration and degree of disability. The study was conducted on 79 MS patients that underwent inpatient rehabilitation at the Lipik Special Hospital for Medical Rehabilitation in the period from August 15, 2014 to February 15, 2015. PBA is a term us...
Source: Acta Clinica Croatica - November 30, 2015 Category: Journals (General) Tags: Acta Clin Croat Source Type: research

MTHFR C677T and prothrombin G20210A mutations in a woman from Dalmatia with silent brain infarction. .
Authors: Ivica N, Pintarić I, Titlić M Abstract A 55-year-old, previously healthy woman, presented with frequent headaches. She had no neurological disturbances, but had a positive family history; her father died from stroke. Magnetic resonance imaging showed brain infarction; therefore detailed diagnostic evaluation of thrombophilia markers and genetic testing were performed. The patient was found to be homozy- gous for the C677T mutation of the methylenetetrahydrofolate reductase gene and heterozygous for the mutation of the prothrombin G20210A gene. No other cause of cerebral infarction was found in the patien...
Source: Acta Clinica Croatica - November 30, 2015 Category: Journals (General) Tags: Acta Clin Croat Source Type: research

Vascular cognitive impairment in diabetes mellitus: are prevention and treatment effective?
Authors: Zavoreo I, Madžar Z, Demarin V, Kes VB Abstract Vascular dementia is caused by progressive atherosclerosis leading to multiple small strokes and subsequent brain damage. Approximately 10%-20% of all cases of dementia are attributed to vascular dementia. The 5-year survival rate is 39% for patients with vascular dementia compared with 75% for age-matched controls. It is a growing public health concern because of the lack of effective curative treatment options and rising global prevalence. Duration of diabetes mellitus of 10 years or longer, onset of diabetes before age 65, treatment with insulin and oral ...
Source: Acta Clinica Croatica - November 30, 2015 Category: Journals (General) Tags: Acta Clin Croat Source Type: research

Unusual clinical cases that mimic acute disseminated encephalomyelitis.
We report on six cases of different etiologies that mimicked the clinical and radiologic findings of ADEM. The cases were collected from four different reference hospitals in Turkey. The same radiologist from the Akdeniz University Faculty of Medicine examined the magnetic resonance images of all patients. Three (50%) patients had antecedent infections. Initial symptoms of the patients were as follows: fever in 50%, altered consciousness in 33.3% and convulsions in 16.7% of patients. Neurologic examination showed long tract signs in 83.3%, ataxia in 50% and altered consciousness in 50% of patients. Cerebrospinal fluid exam...
Source: Acta Clinica Croatica - December 19, 2015 Category: Journals (General) Tags: Acta Clin Croat Source Type: research

New insights into coupling and uncoupling of cerebral blood flow and metabolism in the brain.
Abstract The brain has high metabolic and energy needs and requires continuous cerebral blood flow (CBF), which is facilitated by a tight coupling between neuronal activity, CBF, and metabolism. Upon neuronal activation, there is an increase in energy demand, which is then met by a hemodynamic response that increases CBF. Such regional CBF increase in response to neuronal activation is observed using neuroimaging techniques such as functional magnetic resonance imaging and positron emission tomography. The mechanisms and mediators (eg, nitric oxide, astrocytes, and ion channels) that regulate CBF-metabolism coupli...
Source: Croatian Medical Journal - June 29, 2016 Category: Journals (General) Authors: Venkat P, Chopp M, Chen J Tags: Croat Med J Source Type: research

The Patterns of Non-vitamin K Antagonist Oral Anticoagulants (NOACs) Use in Patients with Atrial Fibrillation in Seven Balkan Countries: a Report from the BALKAN-AF Survey
ConclusionsNOACs are increasingly used in AF patients in the Balkan Region, but NOAC use is predominantly guided by factors other than evidence-based decision-making (e.g., drug availability on the market or reimbursement policy). Efforts are needed to establish an evidence-based approach to OAC selection and to facilitate the optimal use of OAC, thus improving the outcomes in AF patients in this large region.
Source: Advances in Therapy - August 9, 2017 Category: Drugs & Pharmacology Source Type: research

A combination of levobupivacaine and lidocaine for paravertebral block in breast cancer patients undergoing quadrantectomy causes greater hemodynamic oscillations than levobupivacaine alone.
CONCLUSION: The use of 0.5% levobupivacaine in comparison with 0.5% levobupivacaine with 2% lidocaine solution for PVB had a longer time-to-block onset, but it also reduced hemodynamic disturbances and prolonged the analgesic effect. PMID: 28857520 [PubMed - in process]
Source: Croatian Medical Journal - August 31, 2017 Category: General Medicine Authors: Župčić M, Graf Župčić S, Duzel V, Šimurina T, Šakić L, Fudurić J, Peršec J, Milošević M, Stanec Z, Korušić A, Barišin S Tags: Croat Med J 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

Comparison of RISK-PCI, GRACE, TIMI risk scores for prediction of major adverse cardiac events in patients with acute coronary syndrome.
CONCLUSIONS: In comparison with the GRACE and TIMI scores, RISK-PCI score showed a non-inferior ability to predict 30-day MACE and death in ACS patients. Moreover, RISK-PCI was the only scoring system that could predict recurrent ischemia requiring TVR. PMID: 29308832 [PubMed - in process]
Source: Croatian Medical Journal - December 31, 2017 Category: General Medicine Authors: Jakimov T, Mrdović I, Filipović B, Zdravković M, Djoković A, Hinić S, Milić N, Filipović B Tags: Croat Med J Source Type: research

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