2,346 results match your criteria: ""Sestre milosrdnice" University Hospital[Affiliation]"

Although changes in dietary sodium intake alter blood pressure (BP) in salt-sensitive individuals, pathophysiological mechanisms are still unknown. It has been reported that uromodulin is involved in sodium tubular transport, and genome-wide association studies pointed to gene as one of the most important gene candidates for arterial hypertension. Our aim was to analyze urinary uromodulin, salt intake and BP in 326 young middle-aged subjects (mean age 36±8 years, 49.

View Article and Find Full Text PDF

This study compared the self-assessed health-related quality of life (HRQoL) and degree of depression between patients with chronic neuropathic nonodontogenic orofacial pain (NOFP) and healthy controls using the Short Form Survey (SF-36) health status questionnaire and Beck Depression Inventory II (BDI-II). This controlled cross-sectional study included 100 patients and 119 healthy controls. The diagnostic protocol recorded the following: 1) pain intensity using a visual analog scale for the time of examination and during the one-month prior; 2) evidence for neuropathic pain using the Leeds questionnaire for neuropathic signs and symptoms (LANSS); 3) emotional status using the BDI-II; and 4) HRQoL using the SF-36 questionnaire.

View Article and Find Full Text PDF

The concentration of interleukin 6 (IL-6) and tumor necrosis factor alpha (TNF-α) in the blood is higher in patients with active multiple sclerosis (MS) compared to those with inactive disease. The concentration of IL-6 and TNF-α in the blood is higher in patients with Hashimoto's thyroiditis (HT) compared to those with a healthy thyroid. The aim of the study was to assess whether serum IL-6 and TNF-α levels correlated with saliva in patients with inactive MS and whether there was a difference in these groups of patients depending of thyroid status.

View Article and Find Full Text PDF

Chronic spontaneous urticaria (CSU) is a dermatological disorder accompanied by itching that greatly affects the quality of life and quality of sleep. Therefore, it is assumed that CSU patients consequently experience reduced melatonin secretion and lower values of serum or salivary melatonin. This pilot study included 20 patients with CSU (chronic urticaria of unknown etiology that lasts for more than 6 weeks) and 10 healthy controls.

View Article and Find Full Text PDF

Loss of income and out-of-pocket expenditures are important causes of financial hardship in many patients with cancer, even in high-income countries. The far-reaching consequences extend beyond the patients themselves to their relatives, including caregivers and dependents. European research to date has been limited and is hampered by the absence of a coherent theoretical framework and by heterogeneous methods and terminology.

View Article and Find Full Text PDF

Cystic fibrosis-related diabetes (CFRD) is the most common comorbidity in patients with cystic fibrosis (CF). CFRD has been correlated with important clinical outcomes, including poor nutrition, reduced pulmonary function, and earlier mortality. However, clinical decline due to abnormalities of blood glucose (dysglycemia) begins early in CF, before the diagnosis of CFRD by the gold-standard oral glucose tolerance test (OGTT).

View Article and Find Full Text PDF

The early identification of aggressive forms of cancer is of high importance in treating papillary thyroid cancer (PTC). Disease dissemination is a major factor influencing patient survival. Mutation status of oncogene, V600E, is proposed to be an indicator of disease recurrence; however, its influence on PTC dissemination has not been deciphered.

View Article and Find Full Text PDF

This study explores the complication of secondary intraocular pressure (IOP) elevation and consequent glaucoma development in Graves' orbitopathy (GO), an autoimmune disorder associated with hyperthyroidism. Utilizing Octopus 900 visual field testing and optical coherence tomography (OCT), the research established correlations between functional and structural changes in optic nerve regions in patients with GO and patients with GO with elevated IOP (GO IOP) groups. A comparison with primary open-angle glaucoma (POAG) was conducted in a cohort of 182 subjects.

View Article and Find Full Text PDF

Antimicrobial resistance (AMR) poses a global threat, leading to increased mortality and necessitating urgent action-however, its impact on athletes and the world of sports has hitherto been neglected. Sports environments (including athletic and aquatic) exhibit high levels of microbial contamination, potentially contributing to the spread of resistant microorganisms during physical activities. Moreover, the literature suggests that travel for sports events may lead to changes in athletes' gut microbiomes and potentially impact their antibiotic resistance profiles, raising questions about the broader implications for individual and public/global health.

View Article and Find Full Text PDF
Article Synopsis
  • Data on oral lesions related to COVID-19 show a low prevalence of 1.42%, based on a study of 15 patients from Croatia examined between November 2020 and January 2024.
  • The most frequent oral issues identified include nonspecific erosions, stomatitis, and various salivary gland disorders, with the tongue being the most affected area.
  • These oral manifestations were primarily observed in middle-aged patients and appeared in a mild form, showing no correlation with the severity of their COVID-19 symptoms.
View Article and Find Full Text PDF

Background: Mutations in one or multiple genes can lead to hypodontia and its characteristic features. Numerous studies have shown a strong genetic influence on the occurrence of hypodontia, and identified several genes, including AXIN2, EDA, FGF3, FGFR2, FGFR10, WNT10A, MSX1, and PAX9, that are directly associated with dental agenesis and carcinogenesis. The objective of this study was to investigate the occurrence and pattern of tooth agenesis, microdontia, and palatally displaced canine (PDC) in women diagnosed with papillary thyroid cancer (PTC), compared to a control group of women without any malignancy or thyroid disease.

View Article and Find Full Text PDF

Introduction: Tinnitus is a frequent condition that indicates the sensation of sound in the absence of a corresponding external stimulus and can significantly impair the quality of life. The main risk factor for developing tinnitus is hearing loss. The diagnosis of tinnitus is based on history, assessment of tinnitus severity, clinical examination, and audiological tests.

View Article and Find Full Text PDF

Solitary Clear Cell Renal Cell Carcinoma Metastasis to the Eyelid: A Case Report.

Case Rep Oncol

March 2024

University Department of Ophthalmology and Optometry, University Hospital Center, Sestre milosrdnice, Zagreb, Croatia.

Introduction: This study is a case of solitary clear cell renal cell carcinoma (ccRCC) eyelid metastasis in a 66-year-old man as the first sign of a primary tumor. ccRCC usually spreads to the lungs, mediastinum, bones, liver, and brain, while ocular metastases are rare.

Case Presentation: Solitary metastasis presented as a solid mass in the central third of the upper eyelid, which has been growing for 3 weeks.

View Article and Find Full Text PDF

Theranostics of Thyroid Cancer.

Semin Nucl Med

July 2024

Department of Oncology and Nuclear Medicine, University Hospital Center Sestre Milosrdnice, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia.

Molecular imaging is pivotal in evaluating and managing patients with different thyroid cancer histotypes. The existing, pathology-based, risk stratification systems can be usefully refined, by incorporating tumor-specific molecular and molecular imaging biomarkers with theranostic value, allowing patient-specific treatment decisions. Molecular imaging with different radioactive iodine isotopes (ie, I, I, I) is a central component of differentiated carcinoma (DTC)'s risk stratification while [F]F-fluorodeoxyglucose ([F]FDG) PET/CT is interrogated about disease aggressiveness and presence of distant metastases.

View Article and Find Full Text PDF
Article Synopsis
  • The study focused on the characteristics and dermatoscopic features of cutaneous metastases (CMs) from various primary tumors, highlighting the challenge of diagnosing them.
  • A total of 583 patients were analyzed, with melanomas being the most common primary tumors, and a significant portion of the metastases was found in the head and neck region.
  • The findings suggest that pigmented melanoma metastases often appear as structureless blue lesions, while amelanotic metastases display linear serpentine vessels; both types can be confused with other skin lesions.
View Article and Find Full Text PDF

Brain metastasis as a first clinical presentation of endometrial cancer: A case report.

Eur J Obstet Gynecol Reprod Biol

May 2024

Department of Obstetrics and Gynecology, University Hospital Centre Zagreb, Kišpatićeva 12, Zagreb, Croatia; School of Medicine, University of Zagreb, Šalata 3, Zagreb, Croatia.

View Article and Find Full Text PDF

Background: Periacinar retraction clefts represent a histopathological criterion supporting the diagnosis of prostatic adenocarcinoma. The origin of these clefts in prostatic adenocarcinoma remains unclear. Exploring the established functions of E-cadherin and β-catenin as intercellular adhesion proteins, and aiming to elucidate the origin of periacinar retraction clefting, we conducted a correlation study between the immunohistochemical expression of E-cadherin and β-catenin and the presence of periacinar retraction clefts in prostatic adenocarcinoma.

View Article and Find Full Text PDF

Introduction: Health disparities represent a crucial factor in cancer survival rates, awareness, quality of life, and mental health of people receiving a cancer diagnosis and their families. Income, education, geographic location, and ethnicity are some of the most important underlying reasons for health disparities in cancer across Europe. Costs of healthcare, access to information, psycho-oncological support options, integration of cancer research and innovative care, and multidisciplinary cancer teams are the main target areas when it comes to addressing disparities in the cancer context.

View Article and Find Full Text PDF

A collaboration of multidisciplinary experts from the European Association of Dermato-Oncology, the European Dermatology Forum, the European Academy of Dermatology and Venereology, and the European Union of Medical Specialists was formed to develop European recommendations on AK diagnosis and treatment, based on current literature and expert consensus. This guideline addresses the epidemiology, diagnostics, risk stratification and treatments in immunocompetent as well as immunosuppressed patients. Actinic keratoses (AK) are potential precursors of cutaneous squamous cell carcinoma (cSCC) and display typical histopathologic and immunohistochemical features of this malignancy in an early stage.

View Article and Find Full Text PDF

he Influence of Academician Franjo Kogoj on Global Dermatology.

Acta Dermatovenerol Croat

December 2023

Tomislav Duvančić, MD, PhD, Department of Dermatovenereology, Sestre milosrdnice University Hospital Center, Vinogradska 29, 10000 Zagreb, Croatia;

Academician Franjo Kogoj graduated medicine in 1920 in Prague, where he then pursued training in dermatovenerology. During later years, he also visited other dermatology clinics in Europe, where he collaborated with renowned dermatologists of the time, such as in Breslau (present day Wroclaw in Poland) with Josef Jadassohn and in Strasbourg with Lucien-Marie Pautrier. He was also active in the famous Saint-Louis hospital in Paris.

View Article and Find Full Text PDF
Article Synopsis
  • Several neurological issues can persist in patients who have recovered from COVID-19, and this study focused on their outcomes at the 6-month mark.
  • The research involved over 1,000 patients and found that approximately 52% showed stable or improved functional status, while 46% experienced worse outcomes, with factors like age and hospitalizations influencing these results.
  • Among the neurological symptoms that persisted, fatigue and memory or concentration problems were the most common, highlighting the need for awareness of long-term effects in COVID-19 survivors.
View Article and Find Full Text PDF

Study Design: Systematic Review of the Literature.

Objective: The purpose of this study was to perform a systematic review describing fusion rates for anterior cervical discectomy and fusion (ACDF) using autograft vs various interbody devices augmented with different osteobiologic materials.

Methods: A systematic review limited to the English language was performed in Medline, Embase and Cochrane library using Medical Subject Heading (MeSH) terms.

View Article and Find Full Text PDF

Study Design: Guideline.

Objectives: To develop an international guideline (AOGO) about the use of osteobiologics in anterior cervical discectomy and fusion (ACDF) for treating degenerative spine conditions.

Methods: The guideline development process was guided by AO Spine Knowledge Forum Degenerative (KF Degen) and followed the Guideline International Network McMaster Guideline Development Checklist.

View Article and Find Full Text PDF
Article Synopsis
  • Herpes simplex viruses (HSV-1 and HSV-2) are common viral infections, and a study in Croatia aimed to assess their prevalence among pregnant women from 2011 to 2021, updating previous research from 2005-2010.
  • The study tested 667 pregnant women for HSV antibodies, finding that 69.9% were positive for HSV-1 and only 3.8% for HSV-2, with an increase in HSV-2 prevalence linked to older age.
  • Results indicate that HSV-1 remains stable among pregnant women, while HSV-2 prevalence has decreased; the research highlights the need for serological screening to identify at-risk women during pregnancy.
View Article and Find Full Text PDF

This study examines the intricate relationship between protein glycosylation dynamics and therapeutic responses in Luminal A and Luminal B breast cancer subtypes, focusing on anastrozole and tamoxifen impacts. The present methods inadequately monitor and forecast patient reactions to these treatments, leaving individuals vulnerable to the potential adverse effects of these medications. This research investigated glycan structural changes by following patients for up to 9 months.

View Article and Find Full Text PDF