Acta clinica Croatica
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Acta clinica Croatica · Dec 2023
RELATIONSHIP OF MASTOID PNEUMATIZATION AND AGE WITH COMPUTED TOMOGRAPHY MEASURED SPHENOID SINUS VOLUME.
The aim was to measure sphenoid sinus volume on the basis of computed tomography data post processing and to investigate the possible relationship with age, gender and mastoid pneumatization. Sphenoid sinus volume was measured using the semi-automatic post processing algorithm of MSCT DICOM datasets of 66 patients. There were 35 female and 31 male subjects. ⋯ In conclusion, volumetric measurements of paranasal sinuses may be accurately performed on the basis of MSCT data post processing. Sphenoid volume was positively correlated with mastoid pneumatization and age. Virtual endoscopy and 3D volume rendering may accurately display anatomic structures of sphenoid sinuses.
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Acta clinica Croatica · Dec 2023
REBLEEDING RATE AND THE NEED OF BLOOD TRANSFUSION ARE HIGHER IN PATIENTS WITH UPPER GASTROINTESTINAL TUMOR BLEEDING THAN IN PATIENTS WITH PEPTIC ULCER BLEEDING.
The aim of our 5-year study (from January 2008 to December 2012) was to compare the incidence of peptic ulcer bleeding (PUB) to bleeding from tumors of the upper gastrointestinal tract. The percentage of re-bleeding within the first 30 days of hospital admission, as well as the need of blood transfusions, are also reported. Statistical data were collected on 2198 patients who were treated in our emergency department due to upper gastrointestinal bleeding (UGIB) in the form of melena or hematemesis. ⋯ The percentage of re-bleeding was lower (9.7% vs. 19.7%, p<0.01) and blood transfusions were less often required (49.5% vs. 75.4%, p<0.01) in PUB. Due to uncontrolled bleeding (5.9% vs. 3.3%, p<0.01), surgical treatment was more often required in cases of PUB, as well as larger volumes of blood transfusion. Patients with PUB had a lower rate of re-bleeding, required surgical intervention more often, and required red blood cell transfusions less frequently.
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Parathyroid cancer is an extremely rare malignancy that usually leads to hyperparathyroidism. The aim of this report is to present clinical and ultrasonographic features of tumors in six patients (5 females; mean age 53.2 years) treated for parathyroid carcinoma at the Department of Nuclear Medicine during 20 years. Most patients presented with hypercalcemia, and one of them had a previous history of long-term secondary hyperparathyroidism and was treated with hemodialysis. ⋯ Preoperative imaging procedures such as ultrasound with targeted fine needle-aspiration biopsy and Tc99m-sestamibi scan helped determine the location and extent of the disease, but definitive diagnosis was made after the surgery. Parathyroid cancer is a rare form of malignant tumor that is difficult to diagnose preoperatively due to similar clinical features with benign causes of hyperparathyroidism such as hyperplasia and adenomas, especially atypical ones that require regular follow-up. Complete surgical resection provides the best chance of cure, although metastatic disease is possible.
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Acta clinica Croatica · Dec 2023
Observational StudyEFFECTS OF PREOPERATIVE ANXIETY, DEPRESSION AND PAIN ON QUALITY OF POSTOPERATIVE RECOVERY AND ACUTE POSTOPERATIVE PAIN AFTER RADICAL PROSTATECTOMY: A PROSPECTIVE OBSERVATIONAL STUDY.
Patients with prostate cancer are often in psychological distress and pain preoperatively. The aim of this study was to examine the effects of preoperative anxiety, depression and pain on the quality of postoperative recovery and acute postoperative pain after radical prostatectomy. One hundred and sixty patients scheduled for open or laparoscopic radical prostatectomy were enrolled in a prospective observational study. ⋯ In logistic regression models, preoperative pain was predictor of clinically significant pain at rest (OR, 2.86; 95% CI 1.11-7.36) and STAI-S of clinically significant pain on movement (OR, 2.21; 95% CI, 1.08-4.52). In conclusion, state anxiety had negative impact on QoR and acute pain after radical prostatectomy. Preoperative pain was associated with acute postoperative pain.
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Acta clinica Croatica · Dec 2023
THE PREDICTIVE ROLE OF LEPTIN IN MALNUTRITION-INFLAMMATION COMPLEX SYNDROME IN HEMODIALYSIS PATIENTS.
Leptin is a protein hormone secreted by adipocytes. Its role in malnutrition-inflammation complex syndrome (MICS) in hemodialysis (HD) patients has not been fully resolved yet. We aimed to assess the predictive role of serum leptin in MICS in maintenance HD patients. ⋯ Leptin exhibited good sensitivity (0.89), while its specificity was similar to that of other nutritional and inflammatory parameters (0.45 for leptin vs. 0.65 for body mass index, 0.46 for MIS, 0.63 for C-reactive protein, 0.44 for albumins, 0.47 for ferritin and 0.50 for transferrin). The ROC curve analysis identified leptin levels of ≤3.4 ng/mL in men and ≤11.4 ng/mL in women to have the best predictive value for MICS. In conclusion, leptin appears to be a reliable marker of MICS.