1,099 results match your criteria: ""Sestre Milosrdnice" University Hospital Center[Affiliation]"

Background/objectives: Increased systemic concentrations of YKL-40 are seen in various inflammatory conditions. We explored the relationship between the serum YKL-40 concentrations and subsequent disease severity in patients with acute pancreatitis (AP).

Methods: Consecutive adults with AP were prospectively enrolled, and classified as having mild, moderate or severe disease.

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The determination of endogenous steroids in hair and fur: A systematic review of methodologies.

J Steroid Biochem Mol Biol

February 2025

Department of Public Health and Primary Care, Institute of Population Health, Trinity College Dublin, Dublin, Ireland; School of Medicine, Trinity College Dublin, Dublin, Ireland. Electronic address:

Background: Endogenous steroid hormone assessment is essential for clinical practice. These hormones are typically measured in blood. More recently, measurement of steroids in hair samples has been gaining in popularity, so we have reviewed the methodologies used for this to-date.

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Midseptal and Anteroseptal Accessory Pathway Ablation in Children.

J Clin Med

November 2024

University Hospital Center Sestre Milosrdnice, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.

The goal of this study is to document outcomes of ablation for high-risk accessory pathways in paediatrics using 3D mapping systems with minimal to zero fluoroscopy. It is a cross-sectional, multicentre study, conducted between 2013 and 2023, and involving four different centres in Hungary, Croatia, Kuwait, and Slovenia. A total of 128 procedures were performed on 111 patients.

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. National surveys have reported variable prevalence of chronic kidney disease (CKD), due to differences in the characteristics of the population, study design, equations used for the estimated glomerular filtration rate (eGFR), and definitions. The EH-UH 2 survey is the first study evaluating CKD prevalence, characteristics, and awareness in Croatia.

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Introduction: Non-unions are fractures that do not heal properly, resulting in a false joint formation at the fracture site. This condition leads to major health issues and imposes a burden on national healthcare systems. The etiology of non-unions is still not fully understood; therefore, we aimed to identify potential systemic factors that may contribute to their formation.

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Background: Approximately 10%-20% of prostate cancers progress to metastatic and castration-resistant forms (mCRPC). Radioligand (RLT) therapy with [Lu]Lu-prostate-specific membrane antigen (PSMA) is an approved treatment for metastasized mCRPC. Moreover, Actinium-225 (Ac), an alpha-emitter isotope, has also been used to label PSMA and, recently, to treat mCRPC patients with encouraging results.

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Background And Aims: Preanalytical errors due to interferences can lead to inaccurate results, necessitating an understanding of potential interferences for each test. This study explores the impact of elevated concentrations of ascorbic acid and glucose on urine analysis, a pivotal diagnostic tool.

Methods: Conducted at the Clinical Institute of Chemistry, KBC Sestre milosrdnice, the research utilized a 24-hour urine sample.

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Article Synopsis
  • * Current guidelines emphasize that lower levels of low-density lipoprotein cholesterol (LDL-C) are better, advocating for early and aggressive treatment, including a variety of effective medications beyond just statins.
  • * The International Lipid Expert Panel (ILEP) has published guidelines for optimizing LLT in post-ACS patients, highlighting the need for combination therapies and personalized care to improve adherence and treatment outcomes among high-risk individuals.
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Corneal crosslinking (CXL) is a medical procedure used to treat keratoconus. CXL works by strengthening the collagen fibers of the cornea through the application of riboflavin (vitamin B2) and ultraviolet (UV) light, which helps to stabilize the cornea and prevent further deterioration. There is a recognized risk that CXL can trigger the reactivation of dormant herpes simplex virus (HSV), leading to herpetic keratitis even in patients with no history of herpetic disease.

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Clitoromegaly can be congenital or acquired, and it is usually associated with exposure to androgen excess. Pathophysiological mechanisms responsible for transient clitoromegaly in premature female infants have not been fully elucidated. Herein, we present the case of an extremely premature female twin infant, with an extensive web of skin on the back of the left leg, hypoplastic left labia majora, and normal clitoris appearance at birth.

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Article Synopsis
  • Pseudothrombocytopenia (PTCP) is a rare issue where platelet counts appear low due to aggregation, leading to possible misdiagnoses and unsafe clinical decisions if not recognized quickly.
  • The most frequent cause of PTCP is ethylenediaminetetraacetic acid (EDTA), and there are various management strategies documented, though expert guidance is limited.
  • A collaborative group in Croatia developed minimal recommendations to help standardize the detection and reporting of platelet counts from EDTA-induced PTCP, aimed at laboratory professionals and healthcare providers involved in blood sample management.
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Introduction: Reliable and accurate measurement of blood glucose concentration is of crucial importance for making clinical decisions in diagnosis diabetes, gestational diabetes and impaired fasting glucose tolerance.

Materials And Methods: Survey was performed in form of questionnaire. Questionnaire was sent to all Croatian laboratories (N = 204) in electronic form using SurveyMonkey cloud-based software (SurveyMonkey, Inc.

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Introduction: In highly stressed circumstances, such as COVID-19 pandemic, biomarkers of the vaccine-induced immunity could be especially convenient. The main aim of our study was to determine C-C motif ligand 20 (CCL20) concentration after Ad26.COV2.

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Article Synopsis
  • The study investigates the relationship between psoriasis severity and clinical features of psoriatic arthritis (PsA) in a real-world clinical setting, as previous connections between the two have been unclear.
  • Seventy-six adult patients with both psoriasis and PsA were assessed for various clinical measures, including joint tenderness, swelling, and enthesitis, using standard evaluation metrics.
  • The results showed no significant link between psoriasis severity (PASI) and most PsA variables, except a moderate correlation with enthesitis, suggesting that higher psoriasis severity may indicate more enthesitis presence, especially in older patients.
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Icteria interference for 34 clinical chemistry analytes on different analytical platforms: Method or analyzer dependent?

Clin Chim Acta

January 2025

Working Group for Preanalytical Phase of the Croatian Society of Medical Biochemistry and Laboratory Medicine, Zagreb, Croatia; Department of Laboratory Medicine, Institute for clinical chemistry and pathobiochemistry, University Hospital Tübingen, Tübingen, Germany.

Article Synopsis
  • - This study investigated how increasing bilirubin levels affect 34 clinical chemistry tests across four different analytical platforms, positing that interference varies by both method and analyzer.
  • - Researchers prepared serum samples spiked with bilirubin and measured analyte values simultaneously at all locations, analyzing the data for consistency and potential bias.
  • - Results showed that while some interferences from bilirubin were consistent, others differed depending on the specific analyzer, suggesting variability in how different platforms handle icterus interference.
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Article Synopsis
  • The study assessed the link between disease activity and quality of life (QoL) in 143 adult patients with psoriatic arthritis (PsA), finding significant correlations between fatigue levels and various aspects of physical health.
  • Key disease measures, including the Disease Activity Score (DAS28) and functional assessments, were related to physical health outcomes, while markers like ESR and CRP showed no significant correlation.
  • The findings indicate that disease activity in PsA has a mild to moderate effect on health-related quality of life, highlighting the importance of managing both physical symptoms and fatigue in patients.
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Background: Stroke due to basilar artery occlusion (BAO) is a severe neurovascular condition with only recently proven effectiveness of mechanical thrombectomy as treatment. Early re-occlusion of the basilar artery (RE-BAO) is an even more challenging form of stroke to treat, associated with poor outcomes and still no optimal treatment guidelines. There are only a few reported cases covering this topic thus far.

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Chronic non-specific low back pain disability and depressive symptoms in working men and women: a cross-sectional study.

Rheumatol Int

December 2024

University Department of Rheumatology, Physical and Rehabilitation Medicine, Sestre milosrdnice University Hospital Center, Vinogradska cesta 29, Zagreb, 10000, Croatia.

Article Synopsis
  • * A study analyzed 203 Croatian workers aged 35-65, using the Roland Morris Disability Questionnaire (RMDQ) for disability and the Beck Depression Inventory-II (BDI-II) for depressive symptoms.
  • * Results showed that higher disability levels were correlated with severe depression, older age, longer work experience, and greater pain intensity, suggesting the need for screening for depression to tailor treatment plans.
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Article Synopsis
  • Beta defensins (β-defensins) are antimicrobial peptides mainly produced by epithelial cells to protect the skin and other organs from harmful microorganisms.* -
  • Human β-defensin 2 (HBD2) is linked to allergic reactions and is found at higher levels in patients with skin diseases like atopic dermatitis and psoriasis, contributing to conditions like chronic spontaneous urticaria (CSU).* -
  • Despite its potential as a marker for inflammation and a possible therapeutic target, more research is needed to understand the mechanisms behind elevated HBD2 levels in allergic skin diseases.*
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Sex dependence of postoperative pulmonary complications - A post hoc unmatched and matched analysis of LAS VEGAS.

J Clin Anesth

December 2024

Amsterdam University Medical Center, Department of Anaesthesiology, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands; Amsterdam University Medical Center, Department of Intensive Care, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands.

Article Synopsis
  • The study aimed to investigate whether there are differences in postoperative pulmonary complications (PPCs) between males and females following surgery under general anesthesia, using data from the LAS VEGAS study involving 146 hospitals across 29 countries.
  • A total of 9,697 patients were analyzed in two cohorts: an unmatched cohort (55.1% female, 44.9% male) and a matched cohort (50% female and male), finding no significant differences in PPC rates between the genders in both cohorts.
  • The study concluded that, in this international patient population, the incidence of PPCs did not differ significantly between males and females, as well as noting comparable hospital stays and mortality rates.*
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The purpose of this study was to examine the possible association between cheilitis and allergic reactions, and to use allergy skin tests to identify the allergens that induce allergic reactions in cheilitis patients (type I and type IV). We included 50 patients with recurrent cheilitis (reversible cheilitis) who were dermatologically examined and agreed to undergo allergy skin tests, i.e.

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THE ROLE OF INTERFERON-GAMMA RELEASE ASSAYS IN DIAGNOSIS OF LATENT TUBERCULOSIS INFECTION IN CHILDREN.

Acta Clin Croat

November 2023

Department of Pulmonology, Allergology, Rheumatology and Clinical Immunology, Zagreb Children's Hospital, Zagreb, Croatia.

Despite numerous published papers, diagnosis of latent tuberculosis infection (LTBI) in children is still an undefined area. The importance of this topic lies in the fact that one third of the world's population is infected with . The majority of infected individuals are LTBI cases which make a reservoir for future active tuberculosis (TB) patients.

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Article Synopsis
  • Isolated abducens nerve palsy is a rare but noted complication following lumbar punctures, often reported more in anesthesiology than neurology literature.* -
  • This condition typically arises one to three weeks post-procedure, necessitating a connection to lumbar puncture while ruling out other causes.* -
  • A case study of a 32-year-old man highlights this issue, as he developed right eye abducens palsy two days after his lumbar puncture for headache diagnosis, but treatment was refused.*
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