2,266 results match your criteria: "University Hospital Centre Zagreb.[Affiliation]"

Unique Needs and Challenges Experienced by Young People With Stroke: An International Qualitative Analysis.

Neurol Clin Pract

February 2025

University of Southern California (MD, CW), Los Angeles; Université de Montréal (MD); CRIR-Institut universitaire sur la réadaptation en déficience physique de Montréal (IURDPM) (MD), CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Quebec, Canada; Cyprus University of Technology (MC), Limassol, Cyprus; University of Fribourg (MC), Switzerland; Singapore Institute of Technology (LKK); Singapore General Hospital (ST); University Hospital Centre Zagreb (DB), Croatia; University of Virginia (SC); Richmond VA Medical Center (SC); Assiut University (AN), Egypt; Antwerp University Hospital (LY), Belgium; University of Tasmania (DA), Hobart (TAS); The Florey Institute of Neuroscience and Mental Health (JB), Heidelberg, Victoria, Australia; and The KITE Research Institute- Toronto Rehabilitation Institute (UG), University Health Network, Ontario, Canada.

Background And Objectives: Stroke in young adults has a lifelong impact on activities of daily life, including driving, leisure, and community-based activities; social participation; and reduced productivity. The needs of young people with stroke (YPwS) are likely to vary across different countries, and the development of age-adapted information and interventions is therefore critical in addressing those needs. This study aims to (1) identify the unmet needs of people with stroke aged 18 to 55 years across countries with varied income levels and cultural backgrounds and (2) determine their preferred means to access knowledge and information about stroke in the young.

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Expression of activin A in liver tissue and the outcome of patients with biliary atresia.

Front Pediatr

November 2024

Department of Pediatrics, School of Medicine, University Hospital Centre Zagreb, University of Zagreb, Zagreb, Croatia.

Article Synopsis
  • Biliary atresia (BA) is a serious, rare liver disease that can cause cirrhosis and death if untreated, with the standard treatment being hepatoportoenterostomy (HPE).
  • A study of 37 patients undergoing HPE analyzed activin A expression in liver tissue to assess its impact on long-term outcomes, categorizing patients based on the intensity of activin A staining (weak, moderate, strong).
  • Results showed that those with weak activin A expression had significantly better outcomes, achieving higher rates of jaundice clearance and survival with their native liver compared to those with moderate or strong activin A expression.
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Article Synopsis
  • Cyclin D-dependent kinase 4/6 inhibitors, along with aromatase inhibitors and estrogen receptor degraders, are being evaluated for their effectiveness in therapeutic drug monitoring due to a lack of routine clinical methods.
  • This study assesses three sample preparation techniques: dispersive liquid-liquid microextraction (DLLME), solid-phase extraction (SPE), and phospholipid removal (PLR), for accurately measuring these drugs in patient plasma.
  • Results show that all methods are highly precise and accurate, with DLLME being the most eco-friendly, PLR allowing for high throughput, and SPE offering superior analytical performance, enabling users to choose the best method based on their needs.
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Background: The Abdominal Compartment Society (WSACS) established consensus definitions and recommendations for the management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in 2006, and they were last updated in 2013. The WSACS conducted an international survey between 2022 and 2023 to seek the agreement of healthcare practitioners (HCPs) worldwide on current and new candidate statements that may be used for future guidelines.

Methods: A self-administered, online cross-sectional survey was conducted under the auspices of the WSACS to assess the level of agreement among HCPs over current and new candidate statements.

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The superiority of TBI-based versus chemotherapy-conditioning for allo-HSCT in children with ALL has been established in the international, prospective phase-III FORUM study (#NCT01949129), randomizing 417 patients ≤ 18 years at diagnosis (4-21 years at HSCT) in CR, transplanted from HLA-matched sibling or unrelated donors. Due to the unavailability of TBI in some regions and to accommodate individual contraindications, this study reports the pre-specified comparison of outcomes of patients receiving busulfan-based (BU) or treosulfan-based (TREO) regimens from 2013 to 2018. 180 and 128 patients (median age 9.

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Endoscopic retrograde cholangiopancreatography training conditions, results from a pan-European survey: Between vision and reality.

United European Gastroenterol J

November 2024

Junge Gastroenterologie (JuGa) - German Young Gastroenterology Study Group of the DGVS - German Society for Digestive and Metabolic Diseases, Berlin, Germany.

Background: Endoscopic retrograde cholangiopancreatography (ERCP) still has a relatively high complication rate, underscoring the importance of high-quality training. Despite existing guidelines, real-world data on training conditions remain limited. This pan-European survey aims to systematically explore the perceptions surrounding ERCP training.

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The Impact of Nutritional Components on Periodontal Health: A Literature Review.

Nutrients

November 2024

Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus (RHCC), Haifa P.O. Box 9602, Israel.

Periodontitis is a chronic inflammatory disease driven by the accumulation of bacterial plaque and the host's immune response, leading to the destruction of periodontal tissues. Nutrition, particularly the intake of micronutrients with anti-inflammatory and antioxidant properties, plays a crucial role in maintaining periodontal health. This review explores the impact of various micronutrients-vitamins (A, B, C, D, E), minerals (calcium, iron, zinc, potassium, copper, manganese, selenium), and omega-3 fatty acids-on periodontal disease prevention and management.

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Due to the limited treatment options and increased mortality rates, infection prevention and control strategies have been implemented for many years to mitigate dissemination of vancomycin-resistant enterococci (VRE) within healthcare settings. The overview provides an insight into the most recent research, particularly the pathogen's resilience in the healthcare environment, and the critical need for infection control strategies, which are currently being scrutinized by some researchers. The notable resilience of enterococci to various environmental conditions highlights the necessity for investigations into innovative technologies capable of effectively targeting the biofilm produced by enterococci on hospital surfaces.

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Comparison of Carbapenemases and Extended-Spectrum β-Lactamases and Resistance Phenotypes in Hospital- and Community-Acquired Isolates of from Croatia.

Microorganisms

November 2024

Biomedical Research Center Šalata, University of Zagreb School of Medicine, Department for Clinical Microbiology and Infection Prevention and Control, University Hospital Centre Zagreb, 10000 Zagreb, Croatia.

Article Synopsis
  • The study examined antibiotic resistance in carbapenem-resistant Klebsiella pneumoniae (CRKP) isolates in Europe, focusing on changes influenced by aging populations, migrations, and climate change over the last three years.
  • Researchers compared hospital and community isolates to analyze resistance mechanisms, trends, and types of carbapenemases and plasmids, using methods like disk diffusion and PCR.
  • Results showed high resistance rates to common antibiotics, with OXA-48 being the predominant carbapenemase found in the majority of isolates, indicating a similar trend to neighboring countries.
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Article Synopsis
  • Precision medicine is emerging in cancer treatment, particularly for advanced ccRCC, and there’s a need for new predictive biomarkers and treatments.
  • This study investigates inversin as a potential prognostic factor by comparing its expression in ccRCC tumors and normal kidney tissues, finding that lower levels of inversin are linked to worse survival outcomes.
  • Additionally, the study reveals that inversin's role and its interactome partners relate to tumor differentiation, immune response, and metastasis, highlighting their potential as markers for ccRCC prognosis.
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Background/objectives: Neuroendocrine neoplasms (NEN) are heterogeneous entities. Despite considerable advancement in the field, almost 50% of patients have metastatic disease, when liver transplantation (LT) is one of the possible treatments offering a cure in well-selected patients.

Methods: The present study aims to systematically review all the literature from 2000 onwards on using LT for patients with NEN-LM, with particular attention to the risk factors of death and recurrence.

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Enhancing therapeutic reasoning: key insights and recommendations for education in prescribing.

BMC Med Educ

November 2024

Department of Internal Medicine, Unit Pharmacotherapy, Amsterdam UMC, Vrije Universiteit, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.

Background: Despite efforts to improve undergraduate clinical pharmacology & therapeutics (CPT) education, prescribing errors are still made regularly. To improve CPT education and daily prescribing, it is crucial to understand how therapeutic reasoning works. Therefore, the aim of this study was to gain insight into the therapeutic reasoning process.

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Article Synopsis
  • The study investigates the effectiveness of F-fluorocholine PET/CT imaging in locating hyperfunctioning parathyroid glands in patients with primary hyperparathyroidism (pHPT) when other imaging methods were inconclusive.
  • Out of 167 patients, F-fluorocholine PET/CT identified 92.81% of lesions, showing high sensitivity and accuracy, leading to successful surgical interventions.
  • Post-surgery, patients experienced a significant reduction in parathyroid hormone levels, confirming the imaging's reliability for preoperative planning in pHPT cases.
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In patients diagnosed with B-acute lymphoblastic leukemia (B-ALL) or B-non-Hodgkin's lymphoma (B-NHL) relapsing after allogeneic stem cell transplantation (allo-HCT), it is a standard practice to perform anti-CD19 chimeric antigen receptor (CAR) T-cell therapy. When collected from the patient after allo-HCT, the produced CAR-T cells are likely to be donor T-cell-derived, creating unknown safety risks due to their potential allo-reactivity. We therefore performed an EBMT registry-based study on the incidence of graft-versus-host disease (GvHD) in this setting.

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T2Bacteria panel used simultaneously with blood cultures helps to determine the etiology of bloodstream infections.

Acta Microbiol Immunol Hung

December 2024

3Department of Clinical Microbiology, Infection Prevention and Control, University Hospital Centre Zagreb, 10 000 Zagreb, Croatia.

Bloodstream infections (BSI) result in significant morbidity and mortality rates, and delayed administration of appropriate antimicrobial treatment is a major predictor of poor outcomes. T2 magnetic resonance (T2MR®) (T2 Biosystems®, Lexington, MA, USA) is an innovative technology that can rapidly identify pathogens from a sample of whole blood in a remarkably short time frame of 3-5 h. We are evaluating if the T2Bacteria Panel (T2BP) contributes to the etiological diagnosis of bloodstream infections when combined with standard blood cultures (BC).

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Quality of life is a multidimensional concept that includes both positive and negative aspects of well-being and life, as well as social, psychological and physical health. It is related to health and refers to the optimal level of mental, physical and social functioning.The aim of the research was to examine the effects of vortioxetine on the quality of life in patients with schizophrenia.

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Huppke-Brendel syndrome (HBS) is an autosomal recessive disorder caused by mutations, a gene coding for the acetyl-CoA transporter-1 (AT-1). So far it has been described in nine pediatric and one adult patient. Therapeutic trials with copper histidinate failed to achieve any clinical improvement.

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Delayed postpancreatectomy hemorrhage as the role of endovascular approach: Four case reports.

World J Clin Cases

November 2024

Department of Internal Medicine Clinic with Dialysis Center, University Clinical Hospital Mostar, Mostar 88000, Bosnia and Herzegovina.

Background: Pancreatic resection is still associated with high morbidity rates and delayed postpancreatectomy hemorrhage (PPH) is the most feared complication as it may lead to hemorrhagic shock or serious septic complications. Today, endovascular approach represent safe and efficient method for minimally invasive management of extraluminal PPH.

Case Summary: We describe four patients whose postoperative recovery after pancreatic resection was complicated by postoperative pancreatic fistula (POPF) and visceral artery hemorrhage.

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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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Background: Previous studies exploring the application of noninvasive ventilation or high-flow nasal cannula in patients with COVID-19-related acute respiratory distress syndrome (ARDS) have yielded conflicting results on whether any method of respiratory support is superior. Our aim is to compare the efficacy and safety of respiratory therapy with high-flow nasal cannula and noninvasive ventilation with continuous positive airway pressure in treatment of COVID-19-related ARDS.

Methods: This is a retrospective cohort study based on data from patients who received respiratory support as part of their treatment in the COVID intensive care unit at the University Hospital Centre Zagreb between February 2021 and February 2023.

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Antibacterial Efficacy of Rotary and Reciprocating Instrumentation Techniques.

Acta Stomatol Croat

September 2024

Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Croatia.

Objectives: To clinically evaluate the effectiveness of rotary (ProTaper Next [PTN]) and reciprocating (Wave One Gold [WOG]) instrumentation techniques in eliminating bacteria from the root canals of teeth with apical periodontitis during a single-visit root canal treatment.

Materials And Methods: Forty patients were randomly assigned to the WOG or PTN instrumentation techniques groups. A single-visit root canal treatment was performed on all the patients.

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Croatian nurses' and nursing students' attitudes towards pressure ulcer/injury prevention.

J Tissue Viability

October 2023

University of Applied Health Sciences, Mlinarska 38, 10 000, Zagreb, Croatia; University Hospital Centre Zagreb, Kišpatićeva St 12, 10 000, Zagreb, Croatia. Electronic address:

Aim: The research aimed to validate the Croatian version of the Attitude towards a Pressure Ulcer Prevention Instrument (APuP) and determine the attitudes of students and nurses towards pressure injury prevention.

Methods: The cross-sectional study included 440 participants (114 nurses and 326 nursing students). The study used APuP translated into Croatian.

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