1,713 results match your criteria: "University Hospital "Dubrava"[Affiliation]"

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
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Background And Objectives: The commonly used antiseizure medication lamotrigine is a substrate to ATP binding cassette subfamily G member 2 (ABCG2) transporter. The objective of this study was to evaluate the effect of the common loss-of-function polymorphism ABCG2 c.421C>A (rs2231142) on the lamotrigine trough concentrations at steady state in adults with epilepsy.

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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.

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Meningiomas are among the most common primary tumors of the central nervous system. In the past several decades, many researchers have emphasized the importance of radiographic findings and their possible role in predicting the various aspects of the meningioma biology. One of the factors most commonly analyzed with respect to the lesions' clinical behavior is peritumoral brain edema (PTBE), not only one of the most common signs associated with meningiomas, but also a significant clinical problem.

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Higher red blood cell distribution width (RDW) levels have gained attention in the prognostication of many chronic metabolic and malignant diseases, as well as coronavirus disease 2019 (COVID-19). We aimed to evaluate whether accounting for RDW might contribute to risk stratification when added to commonly used risk scoring systems in adult COVID-19 patients. We retrospectively analyzed a cohort of 3212 non-critical COVID-19 patients hospitalized in a tertiary-level institution from March 2020 to June 2021.

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is an opportunistic pathogen known for two main pathotypes: classical (cKp), often multidrug-resistant and common in hospitals, and hypervirulent (hvKp), associated with severe community-acquired infections. The recent emergence of strains combining hypervirulence and resistance is alarming. This study investigates the distribution of sequence types (STs), resistance, and virulence factors in strains causing bloodstream and urinary tract infections in Croatia.

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Objective: To evaluate the diagnostic performance of abbreviated breast MRI compared with mammography in women with a family history of breast cancer included in the Croatian National Breast Screening Program.

Methods: 178 women with a family history of breast cancer aged 50 to 69 underwent abbreviated breast MRI and mammography. Radiological findings for each method were categorized according to the BI-RADS classification.

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Background: Patients with advanced chronic liver disease (ACLD) are at high risk of developing hepatocellular carcinoma (HCC). Therefore, biannual surveillance is recommended. This large-scale multicenter study aimed to stratify the risk of HCC development in ACLD.

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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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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.
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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.

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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.
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Background: Ensuring appropriate computed tomography (CT) utilization optimizes patient care while minimizing radiation exposure. Decision support tools show promise for standardizing appropriateness.

Objectives: In the current study, we aimed to assess CT appropriateness rates using the European Society of Radiology (ESR) iGuide criteria across seven European countries.

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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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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.
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Article Synopsis
  • Pediatric mandibular condyle fractures can lead to serious issues like pain and facial deformities if not treated correctly, yet there’s no agreed-upon treatment method.
  • A study analyzed how these fractures are managed in children aged 0 to 16 across 14 maxillofacial departments worldwide, examining treatment approaches over an 11-year period.
  • The research found that treatment methods varied significantly among departments, with expectant management, closed treatment, and open reduction being utilized, all showing effectiveness with low complication rates.
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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.
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Bipolar radiofrequency ablation of refractory ventricular arrhythmias: results from a multicentre network.

Europace

October 2024

Cardioangiologisches Centrum Bethanien, Department Kardiologie, Markus Krankenhaus, Frankfurt, Germany.

Article Synopsis
  • Advanced bipolar radiofrequency catheter ablation (Bi-RFA) is being studied as a new treatment for patients with ventricular tachycardia (VT) and premature ventricular contractions (PVC) that do not respond to standard unipolar radiofrequency ablation (Uni-RFA).
  • A multicenter registry conducted in Europe showed that out of 91 patients treated with Bi-RFA, 74% achieved elimination of clinical VT/PVC, and 78% experienced a significant reduction in PVC burden during follow-up.
  • The procedure was found to be generally safe and feasible, though there were some major complications reported, indicating that Bi-RFA could be a valid option for managing refractory VT/PVC
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Effect of adequacy of empirical antibiotic therapy for hospital-acquired bloodstream infections on intensive care unit patient prognosis: a causal inference approach using data from the Eurobact2 study.

Clin Microbiol Infect

December 2024

OUTCOMEREA Research Group, Drancy, France; Institut National de la Santé et de la Recherche Medicale, Infection Antimicrobial Modelisation Evolution, U1137, Team Decision Science in Infectious Diseases, Paris, France; Assistance Publique Hôpitaux de Paris, Bichat hospital, Medical and infectious diseases ICU, F75018, Paris France. Electronic address:

Article Synopsis
  • Hospital-acquired bloodstream infections (HA-BSI) in ICU patients can be life-threatening, and this study aimed to see how early adequate antibiotic treatment affects 28-day mortality rates for patients who survive at least one day after infection onset.
  • Using data from a multicenter study with 2,418 patients, researchers found that those who received adequate treatment within 24 hours had a lower 28-day mortality rate (32.8%) compared to those who were inadequately treated (40%).
  • The study concluded that inadequate antibiotic therapy within 24 hours contributes significantly to 28-day mortality, indicating that quicker treatment could greatly improve patient outcomes in cases of HA-BSI.
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Proteomic exploration of potential blood biomarkers in haemophilic arthropathy.

Health Sci Rep

September 2024

Centre for Translational and Clinical Research, Department of Proteomics University of Zagreb, School of Medicine Zagreb Croatia.

Background And Aims: The pathophysiology of haemophilic arthropathy (HA) is complex and largely undefined. Proteomic analyses provide insights into the intricate mechanisms of the HA.Our study aimed to identify differentially expressed proteins in relation to the severity of HA, explore their pathophysiological roles, and evaluate their potential as HA biomarkers.

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The perception of the risk of sexually transmitted infections (STIs) is a well-researched phenomenon, but not in relation to cyberchondria and health literacy. Therefore, our aim was to examine the association between the assessment of the risk of sexually transmitted diseases and HIV, cyberchondria, and health literacy. : This study was conducted in 2020-2021 in Croatia.

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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.
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Background: Bortezomib, dexamethasone and cyclophosphamide (VCd) remains a popular regimen, due to its activity and low toxicity, while bortezomib, lenalidomide and dexamethasone (VRd) is widely used in US and Europe; both are combined with anti-CD38 monoclonal antibodies but VCd and VRd have not been compared directly in adequately powered prospective trials.

Aim: We compared the outcomes of 1216 patients treated with VCd (N = 690) or VRd (N = 526) in a real-world setting.

Results: Patients treated with VCd had more often severe renal dysfunction, ISS-3 disease, hypercalcemia, elevated LDH, anemia, thrombocytopenia, poor performance while VRd-treated were older and received less often autologous transplant but more frequently maintenance but the duration of induction was similar.

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