867 results match your criteria: "University hospital "Sveti Duh"[Affiliation]"

Unlabelled: The objective was to determine the associations between several biochemical indicators and the dynamics of concentration change across four physical fitness phases over the period of a competitive season. Furthermore, associations between serum calprotectin and biomarkers of inflammation or muscle injury and physical indicators were examined.

Subjects And Methods: Twenty professional male water polo players (median age: 28 (22-42)) were included in this study.

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New anti-aging strategies: a narrative review.

Acta Dermatovenerol Alp Pannonica Adriat

December 2023

Department of Dermatology, School of Medicine, European University Cyprus, Nicosia, Cyprus.

The objective of anti-aging medicine is to decelerate the aging process and mitigate its associated effects, such as susceptibility to cancer, diabetes, and cardiovascular and neurodegenerative diseases. This review provides an overview of the latest advancements in this field, considering both pharmaceutical and non-pharmaceutical approaches. Electronic literature search involved three databases: MEDLINE, Cochrane, and Google Scholar, supplemented by other available literature.

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Mirror syndrome is a rare condition of generalized maternal oedema caused by fetal hydrops. A 37-year-old patient was admitted to our hospital because of suspected mirror syndrome caused by fetal cardiomyopathy. At 26 week of gestation patient developed bilateral pulmonary oedema as her condition rapidly deteriorated.

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Article Synopsis
  • Prenatal cardiology focuses on early detection and treatment of congenital heart defects (CHD) through fetal echocardiography and interventions, aiding both pediatric and adult patients.
  • The study emphasizes the importance of left atrial strain (LAS) in evaluating fetal heart conditions and predicting potential structural and functional disorders during specific gestational periods.
  • The findings suggest that LAS measurements can provide valuable insights for clinical decision-making, enhancing care for both cardiac and noncardiac complications in pregnancy.
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The "Candy-Stripe" Graft for Anterior Cruciate Ligament Reconstruction.

Arthrosc Tech

November 2023

Department of Orthopedic Surgery and Traumatology, Kantonsspital Baselland, Bruderholz, Switzerland.

Anterior cruciate ligament (ACL) reconstruction is a common surgical procedure; however, graft failure with recurrent instability occurs in a significant percentage of patients. One known predictor of suboptimal outcomes is the diameter of the ACL graft, with grafts less than 8 mm in diameter associated with poorer outcomes. Factors such as graft harvest technique, preparation, and biological remodeling can also affect success.

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Aims: Natriuretic peptide (NP) uptake varies in Emergency Departments (EDs) across Europe. The 'Peptide for Life' (P4L) initiative, led by Heart Failure Association, aims to enhance NP utilization for early diagnosis of heart failure (HF). We tested the hypothesis that implementing an educational campaign in Western Balkan countries would significantly increase NP adoption rates in the ED.

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Article Synopsis
  • AI is transforming maternal-fetal medicine and obstetrics by enhancing diagnostic accuracy and improving patient care through advanced tools and techniques.
  • A comprehensive literature review showed that AI applications, such as perinatal ultrasound and fetal heart rate monitoring, can reduce examination time and workload for physicians while improving outcomes.
  • Although AI holds great promise for personalized healthcare, its successful adoption in the field faces challenges regarding interpretability and reliability that need to be addressed.
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Triiodothyronine hormone supplementation therapy in septic shock patients with euthyroid sick syndrome: two pilot, placebo-controlled, randomized trials.

Anaesth Crit Care Pain Med

April 2024

Department of Anesthesiology, Resuscitation and Intensive Care, Cantonal Hospital, Zenica, Bosnia and Herzegovina; Faculty of Medicine, Zenica, Bosnia and Herzegovina. Electronic address:

Background: To assess 28-day survival in two pilot groups of septic shock patients with euthyroid sick syndrome (ESS) supplemented with triiodothyronine (T3).

Methods: A total of 95 septic shock patients with ESS were divided according to values of the thyroid hormones into low T3 and low T3T4 groups. Among 48 patients with low T3, 24 (50%) were randomized to T3 for 4 days and 24 (50%) to placebo.

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The Contrast Media Safety Committee of the European Society of Urogenital Radiology has, together with the Preanalytical Phase Working Group of the EFLM Science Committee, reviewed the literature and updated its recommendations to increase awareness and provide insight into these interferences. CLINICAL RELEVANCE STATEMENT: Contrast Media may interfere with clinical laboratory tests. Awareness of potential interference may prevent unwanted misdiagnosis.

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The Contrast Media Safety Committee of the European Society of Urogenital Radiology has, together with the Preanalytical Phase Working Group of the EFLM Science Committee, reviewed the literature and updated its recommendations to increase awareness and provide insight into these interferences.

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Introduction: The health-related quality of life (HRQoL) of people with (Pw) multiple sclerosis (MS) is usually deteriorated. It has been recently suggested that comorbidities may have the negative influence on the quality of life of the PwMS, but according to the best of our knowledge, only one study investigated, although in a very small cohort, the impact of individual comorbidity on the quality of life of PwMS. The aim of our investigation was to assess, in an international, multicentric study, the impact of comorbid seizure/epilepsy on the HRQoL in PwMS.

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: Patellar tendinopathy is one of the most significant problems in jumping and running athletes. Eccentric quadriceps exercise has been introduced into the therapy of patients with patellar tendinopathy in order to avoid weakening the tendon during rehabilitation. The use of decline boards with a decline angle of 25° has been the cornerstone of therapy over the last two decades.

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Modification of the Suprachoroidal Buckling Technique for the Treatment of Rhegmatogenous Retinal Detachment.

Retina

January 2024

Department of Ophthalmology, Reference Center of the Ministry of Health of the Republic of Croatia for Inherited Retinal Dystrophies, Reference Center of the Ministry of Health of the Republic of Croatia for Pediatric Ophthalmology and Strabismus, University Hospital "Sveti Duh", Zagreb, Croatia.

Purpose: To describe modification of the suprachoroidal buckling technique for the treatment of rhegmatogenous retinal detachment (RRD), which may improve the safety profile.

Methods: A single-surgeon foot-pedal-controlled automated suprachoroidal injection (SCI) of sodium hyaluronate 1%, namely ProVisc (Alcon Laboratories, Fort Worth, TX) was used for the treatment of RRD. MicroDose Injection Kit (MedOne Surgical, Sarasota, FL) including a connector and a 1-mL syringe, designed for subretinal injection, was used to adapt Constellation Vision System (Alcon Laboratories) console for SCI of ProVisc from the 1-mL syringe.

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Fluoroquinolones are a commonly prescribed class of antibiotics due to their broad spectrum of antimicrobial activity, favorable pharmacokinetic properties, ability to switch from parenteral to oral administration, and global availability. After beta-lactams, they are the second most common antibiotic class associated with drug allergies. The mechanism of fluoroquinolone-induced hypersensitivity reactions has not yet been fully understood, so the true incidence of hypersensitivity reactions remains unknown.

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The aim of our study was to connect the possible complications of early pregnancy (miscarriage and symptomatic ectopic pregnancy) up to the 12 week of gestation with biometeorological conditions while assuming a greater number of incidents with an unfavorable biometeorological forecast. We performed a retrospective observational study using medical data of a single medical center of Department of Gynecology and Obstetrics, Sveti Duh University Hospital and meteorological data from the Croatian Meteorological and Hydrometeorological Service in Zagreb. We tracked the number of visits to the gynecology and obstetrics emergency unit on a daily basis during 2017.

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CARDIOVASCULAR RISK IN WOMEN WITH PREECLAMPSIA.

Acta Clin Croat

December 2022

Division of Cardiology, Department of Internal Diseases, Sveti Duh University Hospital, Zagreb, Croatia.

In this study, possible biochemical and functional cardiovascular markers were assessed in women with preeclampsia. Fifty-five pregnant women with manifest moderate (mild) preeclampsia (PE) and fifty healthy women as a control group were included in this prospective study. Laboratory tests including lipid panel, C-reactive protein (CRP), and homocysteine levels as biohumoral markers of atherogenesis, as well as ergometry and the main cardiovascular risk factor markers were performed in all women during pregnancy and six months after delivery.

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Objectives: Chronic kidney disease (CKD) is a global health issue, ranking as the third leading cause of death worldwide. CKD diagnosis and management depend on clinical laboratory tests, necessitating consistency for precise patient care. Global harmonization of CKD testing through clinical practice guidelines (CPGs) is recommended.

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: Rheumatoid arthritis (RA) is a chronic systemic autoimmune and inflammatory disease. Conventional synthetic and biologic disease-modifying antirheumatic drugs (DMARDs), Janus kinase inhibitors, and rituximab are used to treat the disease. There are no recommendations or guidelines for the treatment of patients with both inflammatory arthritis and end-stage renal disease (ESRD), despite the safety and efficacy of the mentioned drugs.

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In the pharmacokinetic analysis of ethanol after oral administration, only single- or two-compartment models are used, but their precision in estimating pharmacokinetic parameters might be insufficient. In a recent study, pharmacokinetic analysis using a modified Norberg three-compartment model was performed after oral administration of differently sweetened alcoholic solutions and compared to pharmacokinetic analysis using the classic Widmark model. On three occasions, eight male volunteers consumed differently sweetened alcoholic solutions: non-sweetened, sweetened with sucrose, and sweetened with steviol glycoside.

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Article Synopsis
  • The study evaluates the feasibility, safety, and outcomes of laparoscopic colorectal resections performed by a novice surgeon without supervision in order to understand the effectiveness of such an approach.
  • Over a period from June 2019 to March 2022, 40 elective cases were analyzed, revealing an average operative time of 219.5 minutes, with a conversion rate of 12.5% and a low incidence of major postoperative complications.
  • Findings indicated that while the learning curve resulted in shorter operative times, there were some significant complications, including incomplete resections and intraoperative injuries; however, no 90-day mortality occurred and cancer recurrence was noted in 10% of patients during follow-up.
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Background: Orthotopic urinary diversion is the preferred diversion after cystectomy. Neobladder reconstruction with a longer ileum segment (60 cm) is advantageous for obtaining a large capacity and continence at the beginning; however, the long-term risk of residual urine, chronic infection, and the need for intermittent catheterization is more pronounced with the neobladder constructed with a longer ileal segment compared to the neobladder tailored from the shorter ileal segment.

Objective: To establish the differences in the functional outcome of a shorter (< 45 cm) and longer (⩾ 45 cm) ileal segment usage in the reconstruction of the Hautmann ileal neobladder following the radical cystectomy.

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Article Synopsis
  • * A literature review and case study are presented to illustrate the vulnerabilities of AI, revealing that current regulations are insufficient to address ethical concerns related to LLMs.
  • * The paper proposes solutions such as explainable AI, collaboration for ethical guidelines, and policy changes to create a comprehensive regulatory framework to balance the benefits and risks of AI in healthcare and security.
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Genetics in ophthalmology: molecular blueprints of retinoblastoma.

Hum Genomics

September 2023

Department of Biology, School of Medicine, University of Zagreb, Šalata 3, 10000, Zagreb, Croatia.

This review presents current knowledge on the molecular biology of retinoblastoma (RB). Retinoblastoma is an intraocular tumor with hereditary and sporadic forms. 8,000 new cases of this ocular malignancy of the developing retina are diagnosed each year worldwide.

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Novel Variant c.134A>G, p.(Tyr45Cys): Phenotype-Genotype Correlation Revealed Likely Benign Clinical Significance.

Int J Mol Sci

July 2023

University Eye Department, Reference Center of the Ministry of Health of the Republic of Croatia for Inherited Retinal Dystrophies, Reference Center of the Ministry of Health of the Republic of Croatia for Pediatric Ophthalmology and Strabismus, University Hospital "Sveti Duh", 10000 Zagreb, Croatia.

Pathogenic variants in are associated with autosomal dominant retinitis pigmentosa 10 (RP10), and Leber congenital amaurosis 11. This case report of a 13-year-old girl with Down's syndrome and keratoglobus is aimed at linking the novel variant c.134A>G, p.

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Unlike in children, intussusception is very rare in adults and accounts for only 1% of ileus in that population. While intussusception in children is most often idiopathic, in adults the cause of intussusception in most cases is tumor and most often metastatic adenocarcinoma. It is an extremely rare phenomenon for intestinal melanoma metastasis to be the cause of intussusception and has been described in the literature so far only in a limited number of case reports.

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