Salivary melatonin values significantly correlate with reduced quality of life in chronic spontaneous urticaria patients: a pilot study
This study was the first to analyze melatonin in CSU patients, also suggesting a possible new therapeutic option for the treatment of CSU.PMID:38549588 | PMC:PMC10969637 | DOI:10.20471/acc.2023.62.02.17 (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Iva Be šlić Alen Vrtari ć Ante Be šlić Ivana Škrinjar Danijel Crnkovi ć Liborija Lugovi ć-Mihić Source Type: research
Primary angiitis of the central nervous system - a diagnostic challenge
Acta Clin Croat. 2023 Aug;62(2):355-361. doi: 10.20471/acc.2023.62.02.14.ABSTRACTPrimary angiitis of the central nervous system (PACNS) is a rare and severe disease confined to the central nervous system, i.e., the brain and spinal cord. The etiology, pathogenesis and immune mechanism of PACNS have not yet been completely elucidated. The diagnosis is challenging; it is based upon constellation of clinical picture, cerebrospinal fluid analysis, imaging methods or tissue biopsy as the gold standard. In differential diagnosis of PACNS, it is necessary to rule out infectious, malignant or systemic inflammatory diseases, as wel...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Jo ško Mitrović Majda Golob Ines Lazibat Source Type: research
Opioid free general anesthesia in clinical practice - a review article
Acta Clin Croat. 2023 Aug;62(2):362-367. doi: 10.20471/acc.2023.62.02.15.ABSTRACTCurrently, enhanced recovery after surgery (ERAS) protocols are multimodal perioperative care pathways with the goal to achieve early patient recovery after surgery with minimal postoperative complications. According to studies, opioid free general anesthesia has many perioperative benefits and should be part of the ERAS protocols in specific surgical and patient indications. Opioid free general anesthesia is a multimodal balanced technique that is based on the concept that opioids are not used preoperatively or intraoperatively until the pati...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Sanja Sakan Žana Turudić Sanja Peremin Andrej Šribar Nata ša Sojčić Marcela Čučković Domagoj Vergles Jasminka Per šec Source Type: research
Avascular overhanging bleb reduction with modified sutureless technique
In conclusion, this less invasive technique preserves better bleb function without ripping the surrounding ischemic tissue. The procedure is safe and easy to perform, with less surgical time and fast recovery.PMID:38549591 | PMC:PMC10969647 | DOI:10.20471/acc.2023.62.02.18 (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Marta Pazos Ana Mart ínez-Palmer Vladimir Poposki Source Type: research
Impact of air transport on blood sample quality
Acta Clin Croat. 2023 Aug;62(2):345-354. doi: 10.20471/acc.2023.62.02.13.ABSTRACTThe aim of this study was to establish the impact of air transport on blood samples packaged with and without cooling elements and effect of outdoor temperature on sample quality. Venous samples from 38 blood donors in winter and 36 in summer were tested for hemolysis and complete blood count. One tube per subject was kept in controlled conditions at +4 °C. Two sets of tubes were sent by plane from Zagreb to Brussels, one with and one without cooling elements, and another two sets were sent to London following the same principle. Packages wit...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Irena Juki ć Tomislav Vuk Zvonimir Maji ć Ivanka Batarilo Jasna Bingulac-Popovi ć Ana He ćimović Marina Lampalo Maja Strauss Patko Source Type: research
Intranasal pleomorphic adenoma arising from the lateral nasal wall
Acta Clin Croat. 2023 Aug;62(2):387-390. doi: 10.20471/acc.2023.62.02.20.ABSTRACTPleomorphic adenoma is very rare in the sinonasal region, with the most common localization on the nasal septum, followed by lateral nasal wall. In the case presented, a 72-year-old woman was complaining of the right sided nasal obstruction without any other symptoms. The symptom started a year before and increased progressively. Anterior rhinoscopy revealed a mucosa-covered, smooth-surfaced, soft, polypoid, pale, grayish-pink in color mass in the right nasal cavity, approximately 2x2 cm in size. Nasal endoscopy showed the mass to have a broad...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Ljiljana Jovan čević Aleksandra Fejsa Levakov Bojana Jovan čević Source Type: research
Refractory guillain-barr É syndrome in a patient with asymptomatic multiple myeloma successfully treated with low-dose rituximab
Acta Clin Croat. 2023 Aug;62(2):382-386. doi: 10.20471/acc.2023.62.02.19.ABSTRACTDespite being extremely rare, Guillain-Barré syndrome (GBS) has been recognized as a neurological complication of multiple myeloma, with variable responses to plasmapheresis (PEX), intravenous immunoglobulins (IVIG), and anti-myeloma therapies. In this paper, we report a case of a female patient with asymptomatic multiple myeloma (aMM) who initially presented as PEX- and IVIG-refractory GBS. After failure of PEX, IVIG, and anti-myeloma therapy (bortezomib, melphalan, and prednisone), the patient was eventually successfully treated with low-do...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Ivan Kre čak Velka Gveri ć-Krečak Source Type: research
The concentration of interleukin 6 and tumor necrosis factor alpha in saliva and blood of patients with inactive multiple sclerosis and coexisting hashimoto's thyroiditis
Acta Clin Croat. 2023 Aug;62(2):339-344. doi: 10.20471/acc.2023.62.02.12.ABSTRACTThe 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 thyroi...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Ines Šiško Markoš Maja Franceschi Valentina Vidranski Pave Marko š Tomislav Juki ć Ana Fr öbe Vanja Ba šić Kes Source Type: research
Characteristics of hearing recovery in children with chronic otitis media with effusion after ventilation tube insertion
This study also investigated whether there was a difference in the mean hearing improvement between the left and right ear, how many months passed before recovery of eustachian tube function, and how long the aeration of the middle ear lasted. The children included in the study were between six and twelve years of age, diagnosed with COME by audiological processing (type B tympanometric recording and conductive hearing loss up to 40 dB on pure tone audiometry) and underwent surgical insertion of ventilation tubes in both ears. Patient data included preoperative tympanometric records, preoperative and postoperative tone aud...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Anita D želalija Marisa Klan čnik Ozren Marin Krni ć Source Type: research
The use of tranexamic acid in dermatology
Acta Clin Croat. 2023 Aug;62(2):368-372. doi: 10.20471/acc.2023.62.02.16.ABSTRACTTranexamic acid is a synthetic derivative of the amino acid lysine, an antifibrinolytic that is primarily used to reduce bleeding in surgery, trauma, and dental procedures. Its anti-inflammatory and anti-angiogenic properties, as well as its ability to suppress melanogenesis have enabled it to be used in dermatology in the treatment of skin conditions such as melasma, acne, post-inflammatory hyperpigmentation, rosacea and angioedema. Tranexamic acid can be used by various routes of administration including oral, topical and intradermal injecti...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Klara Ga ćina An đela Krstanović Ćosić Source Type: research
Determination of the pra positivity percentage in male patients with chronic kidney disease by using flow cytometry technique
In conclusion, PRA levels of the candidates for kidney transplantation should always be measured to assess their state of sensitization before transplantation, even though they have no risk factors known to cause anti-HLA antibody development.PMID:38549598 | PMC:PMC10969642 | DOI:10.20471/acc.2023.62.02.02 (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Fatma Avc ı Merdin H üseyin Koçak Sadi K öksoy Source Type: research
Fadi evaluation of the effects of kinesitherapy after ankle fracture
Acta Clin Croat. 2023 Aug;62(2):270-276. doi: 10.20471/acc.2023.62.02.03.ABSTRACTThe aim of the study was to analyze the values of Foot and Ankle Disability Index (FADI) after kinesitherapy in subjects with bimalleolar or trimalleolar fracture of the ankle after surgery treatment and the obtained values of manual muscle test (MMT) and range of motion (ROM) after rehabilitation, compared with the obtained values of FADI index and on that basis evaluate its possibility in assessing the functionality of the respondents after surgery for bimalleolar or trimalleolar fracture of the ankle. The sample included 60 subjects over th...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Vanda Zovko Omeragi ć Edina Tanovi ć Edin Me šanović Muris Pecar Source Type: research
Multidimensionality and multidisciplinarity of chronic neuropathic nonodontogenic orofacial pain
In conclusion, NOFP significantly reduces the self-reported HRQoL. NOFP is also related to the development of depression, but does not affect its severity. There is a significant correlation between depression and low quality of life in patients with NOFP.PMID:38549600 | PMC:PMC10969634 | DOI:10.20471/acc.2023.62.02.01 (Source: Acta Clinica Croatica)
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Du ška Šklebar Ivan Šklebar Marijan Cesarik Vinko Čatipović Ante Barada Milan Milo šević Vanja Ba šić Kes Source Type: research
Is flexible bronchoscopy a safe procedure for critical care patients with respiratory failure?
Acta Clin Croat. 2023 Aug;62(2):291-299. doi: 10.20471/acc.2023.62.02.06.ABSTRACTFlexible bronchoscopy (FB) plays an important role in critical care patients. But, critical care patients with respiratory failure are at an increased risk of developing complications. Considering the developments in intensive care unit care in recent years, we aimed to evaluate the use of FB in these patients. We retrospectively reviewed patients who underwent FB in critical care between 2014 and 2020. A total of 143 patients underwent FB during the study period. Arterial blood gas measurement on the FB day revealed a mean PaO2/FiO2 of 186.94...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Asl ıhan Gürün Kaya Mira ç Öz Umut Dilegelen Duygu Ecer Serhat Erol Fatma Çiftçi Ayd ın Çiledağ Ak ın Kaya Source Type: research
The impact of total physical activity on microvascular complications in type 1 diabetes mellitus patients
Acta Clin Croat. 2023 Aug;62(2):330-338. doi: 10.20471/acc.2023.62.02.11.ABSTRACTThe incidence of diabetes is increasing worldwide, emphasizing an emerging need for blood glucose control optimization to prevent the development of chronic complications and improve the quality of life. This retrospective cohort study aimed to investigate the effects of total physical activity on microvascular diabetic complication development in patients with type 1 diabetes mellitus (T1DM). The study included 71 T1DM patients, average age 41 years and HbA1c 7.78%. Most patients (82.1%) reported having hypoglycemia, while the minority of pat...
Source: Acta Clinica Croatica - March 29, 2024 Category: General Medicine Authors: Katarina Tur činović Vjekoslav Cigrovski Ines Bili ć-Ćurćić Anna Mrzljak Lucija Kuna Sanja Klobu čar Maja Cigrovski Berkovi ć Source Type: research
