521 results match your criteria: "Dubrava University Hospital[Affiliation]"

: Patients with non-infarct-related artery chronic total occlusion (non-IRA CTO) found during percutaneous coronary intervention (PCI) in acute coronary syndromes (ACSs) are not rare and have worse clinical outcomes. We aimed to analyze their long-term clinical outcomes in regard to clinical characteristics, revascularization strategies, and adherence to medical therapy. : The dual-center ACS registry of patients treated from Jan 2017 to May 2023 was used to identify 1950 patients with timely PCI in ACS who survived to discharge with documented adequate demographic, clinical, and angiographic characteristics, treatment strategies, and medical therapy adherence during a median follow-up time of 49 months.

View Article and Find Full Text PDF

In the myocardium of control subjects and patients undergoing heart transplantation or left ventricular assist device implantation (LVAD), we analyzed concentrations of Al, As, Cd, Pb, and Ni using inductively coupled plasma mass spectrometry. Myocardial generation of oxidative-stress-induced lipid peroxidation was analyzed by quantifying concentration of 4-Hydroxynonenal (4-HNE) with ELISA and pro-apoptotic DAPK2 gene expression was determined with quantitative RT-PCR. Compared to six control hearts, myocardial samples of 128 individuals undergoing heart transplantation or LVAD implantation exhibited a moderate increase in deposition of five tested non-essential elements, which was significantly increased only for Cd and cumulative deposition of Al, As, Cd, and Pb.

View Article and Find Full Text PDF

Background: Universities are increasingly offering training in research integrity (RI) to enhance research quality and foster RI. Despite the importance of integrating scientific virtues into such training, there is a lack of assessment of virtue ethics-based RI training.

Methods: This was a randomised controlled study assessing the impact of a virtue-based training for RI, performed at the University of Split School of Medicine in 2020-2021.

View Article and Find Full Text PDF

Background And Aims: In the past few years, some reports have shown that serum chloride concentration is a more powerful prognostic predictor than serum sodium levels in heart failure (HF). Elevated Na/Cl ratio has shown to be independently associated with all-cause death in acute HF. We evaluated changes in serum chloride concentrations and Na/Cl ratio in correlation with various clinical factors during 12 months of follow-up in patients in whom SGLT2is were initiated as part of HF therapy.

View Article and Find Full Text PDF
Article Synopsis
  • Disorders of consciousness (DoC) refer to conditions where a person has reduced awareness or ability to respond, and deep brain stimulation (DBS) is being explored as a treatment, with varying effectiveness based on patient specifics and stimulation methods.
  • In a study of 40 DoC patients receiving DBS, improved consciousness was linked to better gray matter preservation, particularly in the striatum, and effective stimulation targeted specific brain areas, particularly the thalamic centromedian-parafascicular complex.
  • The research highlights the need for precise electrode placement and suggests a connection between successful DBS treatment for DoC and mechanisms involved in other conditions that impair consciousness, such as absence seizures and brain lesions
View Article and Find Full Text PDF

Implementing verifiable oncological imaging by quality assurance and optimization (i‑Violin) : Protocol for a European multicenter study.

Radiologie (Heidelb)

November 2024

Institute of Medical Technology, Faculty for electrical engineering and Information Technology, Otto-von-Guericke-University Magdeburg, Otto-Hahn-Str. 2, 39106, Magdeburg, Germany.

Background: Advanced imaging techniques play a pivotal role in oncology. A large variety of computed tomography (CT) scanners, scan protocols, and acquisition techniques have led to a wide range in image quality and radiation exposure. This study aims at implementing verifiable oncological imaging by quality assurance and optimization (i-Violin) through harmonizing image quality and radiation dose across Europe.

View Article and Find Full Text PDF

Long-Term Outcomes of Rituximab-Treated Adult Patients with Podocytopathies.

J Am Soc Nephrol

October 2024

Department of Internal Medicine IV (Nephrology and Hypertension), Medical University Innsbruck, Innsbruck, Austria.

Article Synopsis
  • A retrospective study of 183 adult patients treated with rituximab for podocytopathies showed that 82% achieved complete or partial remission within 6 months.
  • *Long-term follow-up revealed that 55% of initial responders maintained relapse-free survival over three years, with improved outcomes linked to maintenance therapy.
  • *Patients on maintenance therapy experienced significantly fewer relapses per year and maintained stable kidney function compared to non-responders.
View Article and Find Full Text PDF

Odontogenic abscesses are a common cause of emergency visits to oral and maxillofacial surgery departments and can lead to life-threatening complications if they are not recognized and treated promptly. The aim of this study was to evaluate the prognostic value of the Aggregate Index of Systemic Inflammation (AISI) in comparison to other systemic inflammatory indices, including the Systemic Immune Inflammation Index (SII), the Neutrophil-to-Lymphocyte Ratio (NLR), the Platelet-to-Lymphocyte Ratio (PLR), and the Lymphocyte-to-Monocyte Ratio (LMR), in predicting the severity of odontogenic abscesses. This retrospective study included 221 patients hospitalized for odontogenic abscesses at Dubrava University Hospital between January 2019 and December 2023.

View Article and Find Full Text PDF
Article Synopsis
  • Genetic variants in the tau gene have been linked to increased risk for Alzheimer's disease (AD) and other neurodegenerative disorders, with specific haplotypes H1 and H2 thought to contribute to these risks.
  • The study analyzed 964 individuals, including those with AD, mild cognitive impairment, other dementias, and healthy controls, to assess the impact of certain polymorphisms on cognitive performance.
  • Key findings showed that certain alleles and haplotypes were associated with poorer cognitive test results and pathological levels of cerebrospinal fluid biomarkers, indicating a complex relationship between genetic factors and AD, necessitating further research.
View Article and Find Full Text PDF

Wide exposure VS. stab surgical incisions in necrotizing fasciitis of the head and neck: a retrospective analysis of 22 cases.

Eur Arch Otorhinolaryngol

October 2024

Department of Maxillofacial Surgery, University of Zagreb School of Medicine, Dubrava University Hospital, Avenue Gojka Suska 6, Zagreb, 10000, Croatia.

Article Synopsis
  • Necrotizing fasciitis of the head and neck is a severe bacterial infection that requires surgical treatment, with this study exploring two surgical methods: traditional wide exposure incisions versus minimally invasive stab incisions.
  • The analysis involved 22 patients, revealing a 9.1% overall mortality rate, with stab incisions showing longer hospital stays and a higher, albeit not statistically significant, mortality rate compared to wide exposure.
  • While wide exposure remains the standard for extensive cases due to better management of tissue damage, stab incisions may reduce complications and be suitable for select patients with fewer health issues.
View Article and Find Full Text PDF
Article Synopsis
  • Rheumatoid arthritis (RA) patients often lose muscle and handgrip strength, which makes it hard for them to live normal lives.
  • This study looked at 267 RA patients in Croatia to see what factors, like their exercise habits and medications, affect their muscle strength.
  • It found that for women, things like weight, height, and exercise help improve muscle strength, while certain medications and severe symptoms make it worse.
View Article and Find Full Text PDF
Article Synopsis
  • Blowout fractures of the orbit are common injuries, but there is no agreed-upon best way or timing for treatment.
  • A study at Dubrava University Hospital analyzed 91 patients and found that those treated within 48 hours of their injury had significantly lower complication rates.
  • Early treatment, including antibiotics and corticosteroids, as well as coordinated care, is crucial for better outcomes in blowout fracture cases.
View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the role of C4d deposits in patients with primary IgA nephropathy (pIgAN) and finds that C4d is present in 45.3% of patients, indicating activation of the lectin pathway of the complement system.* -
  • C4d-positive patients exhibited worse renal health outcomes, such as higher blood pressure, increased proteinuria, and lower eGFR, leading to faster progression to kidney failure.* -
  • The findings suggest that C4d can serve as an independent predictor of disease progression in pIgAN, but the implications for treatment using complement inhibitors remain unclear.*
View Article and Find Full Text PDF

This study was designed to examine the association between myocardial concentrations of the trace elements Cu, Fe, Mn, Mo, and Zn and the expression of mitochondrial unfolded protein response (UPRmt) elements and the age of patients who received heart transplantation or a left-ventricular assist device (ageHTx/LVAD). Inductively coupled plasma mass spectrometry was used to determine the concentration of Cu, Fe, Mn, Mo, and Zn in the myocardium of control subjects and patients undergoing heart transplantation or left-ventricular assist device (LVAD) implantation. We used ELISA to quantify the expression of UPRmt proteins and 4-Hydroxynonenal (4-HNE), which served as a marker of oxidative-stress-induced lipid peroxidation.

View Article and Find Full Text PDF
Article Synopsis
  • The study looked at the risks of retinal detachment (RD) after a specific eye surgery called Boston Type 1 Keratoprosthesis (B1KPro) during the first year and beyond.
  • They found that 29% of patients experienced RD, with most cases happening within the first year (21%) and fewer later (7%).
  • Important risk factors for early RD included low eye pressure (hypotony), previous eye surgeries, and certain eye conditions, while changes in the retina before surgery were linked to later RD.
View Article and Find Full Text PDF

The aim of this study is to translate, cross-culturally adapt, and validate the Croatian Athlete Psychological Strain Questionnaire (APSQ-Cro) as part of the Sport Mental Health Assessment Tool 1 (SMHAT-1) validation. We assessed the reliability and applicability of the APSQ-Cro among Croatian athletes. The international sports community is increasingly focused on mental health issues in athletes, highlighting the need for early detection tools like the Athlete Psychological Strain Questionnaire (APSQ) and SMHAT-1.

View Article and Find Full Text PDF
Article Synopsis
  • The EHRA survey aimed to assess the current practices and accessibility of genetic testing for cardiac diseases across Europe, highlighting the increase in clinical indications in recent years.
  • From 357 respondents across 69 countries, 39% reported no genetic testing or a low annual rate, with 78% facing limitations in access due to factors like lack of dedicated units and reimbursement issues.
  • The survey emphasized the importance of genetic counseling and recommended cascade testing for family members, revealing varied perceptions of the value of genetic testing in diagnosis, prognosis, and treatment based on the specific inherited conditions.
View Article and Find Full Text PDF

 Previous research on connection between the ABO blood group and bladder cancer has been based on determining the ABO phenotype. This specific research is extended to the molecular level, providing more information about particular ABO alleles.  To investigate the impact of the ABO blood group genotype or phenotype as a risk factor for urinary bladder cancer.

View Article and Find Full Text PDF

Utilizing Deep Learning for Diagnosing Radicular Cysts.

Diagnostics (Basel)

July 2024

Department of Maxillofacial and Oral Surgery, Dubrava University Hospital, Avenija Gojka Šuška 6, 10000 Zagreb, Croatia.

Objectives: The purpose of this study was to develop a deep learning algorithm capable of diagnosing radicular cysts in the lower jaw on panoramic radiographs.

Materials And Methods: In this study, we conducted a comprehensive analysis of 138 radicular cysts and 100 normal panoramic radiographs collected from 2013 to 2023 at Clinical Hospital Dubrava. The images were annotated by a team comprising a radiologist and a maxillofacial surgeon, utilizing the GNU Image Manipulation Program.

View Article and Find Full Text PDF