Hippokratia
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Trisomy 13 is a chromosomal defect with high prenatal and postnatal mortality that may reach 87 % during the first year of life. More than 90 % of cases of fetuses with trisomy 13 may be detected by first-trimester ultrasound based on severe fetal structural malformations together with increased nuchal translucency thickness. ⋯ This case highlights the importance of performing first-trimester fetal ultrasound by specialists in Fetal Medicine to avoid misdiagnosis. Trisomy 13 should be included in the differential diagnosis and prenatal counseling in cases with a single umbilical artery and increased fetal nuchal translucency, even in the absence of major anatomic anomalies. HIPPOKRATIA 2024, 28 (1):38-40.
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The kidney is the organ of the human body with the most common congenital anomalies in either development or vascular supply. Although the presence of a second feeding artery arising from a different level of the aorta is not uncommon, the occurrence of a feeding renal artery arising from the contralateral common iliac artery is an infrequent finding. ⋯ Awareness of such defects is essential in treatment planning in cases of endovascular surgery for abdominal aneurysm repair, as well as in cases of renal tumors where partial nephrectomy or embolization is contemplated or in the case of kidney transplantation. HIPPOKRATIA 2024, 28, 1: 35-37.
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The long-term studies for femoral neck fractures (FNFs) in young patients treated with closed reduction and internal fixation (CRIF) are limited. This study aimed to evaluate the long-term outcomes of a group of young patients (<65 years) with FNFs treated with CRIF at our department during the last decade. We estimated treatment failure rates and identified risk factors for poor outcomes. ⋯ During a mid-to-long follow-up, 17.3 % of patients under 65 years who were treated with CRIF and CSs for FNFs developed AVN. Age, trauma type, comorbidities, time from trauma to treatment, and the number of screws did not affect the outcomes. HIPPOKRATIA 2024, 28 (1):29-34.
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Gastrointestinal (GI) bleeding is common among hemodialysis (HD) patients. Endoscopic examination of the upper and lower GI tract often fails to identify hemorrhagic lesions in anemic HD patients. The study aims to evaluate lesions of the small bowel mucosa in HD vs non-HD patients with suspected small-bowel bleeding (SSBB) using capsule endoscopy (CE) after negative upper and lower GI endoscopies. ⋯ Compared with non-HD patients, HD patients who were investigated for potential GI bleeding demonstrated more severe and frequent small intestinal lesions with a higher probability of rebleeding. HIPPOKRATIA 2024, 28 (1):22-28.
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Detecting liver dysfunction/failure in the intensive care unit poses a challenge as individuals afflicted with these conditions often appear symptom-free, thereby complicating early diagnoses and contributing to unfavorable patient outcomes. The objective of this endeavor was to improve the chances of early diagnosis of liver dysfunction/failure by creating a predictive model for the critical care setting. This model has been designed to produce an index that reflects the probability of severe liver dysfunction/failure for patients in intensive care units, utilizing machine learning techniques. ⋯ Our machine learning approach facilitates early and timely intervention in the hepatic function of critically ill patients by their healthcare providers to prevent or minimize associated morbidity and mortality. HIPPOKRATIA 2024, 28 (1):1-10.