Croatian medical journal
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Croatian medical journal · Feb 2024
Case ReportsGamma knife thalamotomy in treating refractory tremor: initial clinical experience in Croatia.
Tremor refractory to pharmacological therapy significantly reduces the patient´s quality of life, often leading to early retirement and social isolation. Gamma knife (GK) stereotactic radiosurgery of the unilateral thalamic ventral intermediate nucleus is an advanced, minimally invasive surgical procedure for symptomatic tremor suppression. ⋯ We present two patients with severe, disabling tremor (one with parkinsonian and one with essential tremor) successfully treated with GK thalamotomy, performed in Croatia for the first time. GK thalamotomy should be considered in patients with refractory tremors and contraindications for deep brain stimulation.
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Croatian medical journal · Feb 2024
Review Case ReportsBreast lump as the initial presentation of metastatic uterine leiomyosarcoma: a case report and comprehensive literature review.
Uterine leiomyosarcoma (uLMS) is a rare but aggressive cancer with a high metastatic potential and an unfavorable prognosis. A 54-year-old woman with a history of uterine fibroids clinically presented with a painless, palpable left breast mass measuring 20 mm. A core biopsy of the breast mass demonstrated a cellular spindle cell neoplasm (a potentially malignant smooth muscle neoplasm; B4). ⋯ This case highlights the importance of considering unusual metastatic patterns when evaluating breast masses, particularly in patients with a history of non-specific uterine conditions. Comprehensive diagnostic work-up, including imaging and histopathologic examinations, is crucial for an accurate diagnosis of uLMS and appropriate treatment selection. Further studies are needed to better understand the underlying mechanisms and optimal management strategies for metastatic uLMS.
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Croatian medical journal · Feb 2024
Cross-cultural adaptation and reproducibility of the EPIC-Norfolk food frequency questionnaire in young people living in Croatia.
To translate and adapt the European Prospective Investigation of Cancer (EPIC)-Norfolk food frequency questionnaire (FFQ) for use in Croatia, and to assess the reliability and reproducibility of the Croatian version of the EPIC-Norfolk FFQ. ⋯ The Croatian version of the EPIC-Norfolk FFQ can be a useful tool for assessing dietary intakes in young people in Croatia and possibly in neighboring countries with similar languages and dietary habits.
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Croatian medical journal · Feb 2024
The utility of the systemic immune inflammation and systemic inflammation response indices in suspected intermediate-risk pulmonary embolism.
To evaluate the utility of the systemic immune inflammation index (SII) and systemic inflammation response index (SIRI) in diagnosing pulmonary embolism (PE) in emergency medicine. ⋯ The SII and SIRI may be used to support the diagnosis of PE in the emergency department.
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Croatian medical journal · Feb 2024
Evaluation of evidence-based medicine adoption among Nigerian surgeons: competence, knowledge, attitudes, practices, and barriers.
To determine the competence, knowledge, attitude, and barriers to evidence-based medicine (EBM) among surgeons in southwest Nigeria. ⋯ Surgeons in Nigeria have a high level of awareness and use of EBM, as indicated by the 72% awareness rate found in our study, but their knowledge and confidence in its application are low. Our findings indicate that the quality of EBM training in the region needs to be reevaluated.