Abstract:
:In the past few decades, the survivor rate from childhood cancers has significantly increased due to constant modifications and improvements in treatment protocols, so the estimates are that childhood cancer occurs in 1 per 600 children, and that 1 per 450 adolescents or young adults is a long-term cancer survivor. Nevertheless, radiation treatment is still a necessary option that certainly contributes to greater survival rate (75%), until new approaches to patients with malignant diseases are accepted. In our clinical practice, surgical treatment for malignant brain tumor is followed by radio- and chemotherapy tailored according to patient age and tumor type, position and size. During a six-year period, neuropsychological functioning was tested in 21 patients upon completion of treatment and retested in 19 patients in the stage of primary disease remission. Comparison of the test-retest results revealed some, statistically nonsignificant decline in full scale IQ, verbal and performance subscales, and graphomotor skills. However, the results showed a statistically significant improvement in several cognitive functions including short-term memory, information fund (suggesting long-term memory improvement), visuospatial functions measured by object assemble and block design subtests. There were no statistically significant differences between the patients younger and older than 7 years. Results also suggested an improved quality of recovery expressed by numerous school re-entries, without age or sex differences. Trials are continued to follow-up the possible long -term adverse effects of the aggressive oncologic therapy.
journal_name
Acta Clin Croatjournal_title
Acta clinica Croaticaauthors
Divcić B,Hajnzić TFsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
67-75issue
2eissn
0353-9466issn
1333-9451journal_volume
47pub_type
杂志文章abstract::Bleaching agents have effect on chemical/physical and morphological structure of enamel and dentin that must be taken into account when this therapy is used. The aim of this in vitro study was to evaluate the effects of two bleaching agents containing a high concentration of hydrogen peroxide for professional use on h...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::Improving organization and patient care quality in intensive care units is increasingly important as intensive care unit diagnostic and therapeutic procedures account for a growing proportion of hospital services. We identified the lack of comprehensive national and international registries available in the contempora...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2020.59.02.06
更新日期:2020-06-01 00:00:00
abstract::The principal iron storage protein is ferritin, which is primarily present in cytoplasm. The most common cause of hyperferritinemia is iron overload, which is either primary or secondary. Hyperferritinemia is commonly found in patients with chronic kidney disease regardless of their hemoglobin level and is often consi...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-06-01 00:00:00
abstract::Gastrointestinal stromal tumors (GISTs) are mesenchymal neoplasms most frequently found in the stomach and presenting without symptoms or with unspecific ones such as hemorrhage and abdominal pain. The malignant potential of GIST is variable and there are several prognostic indexes for treatment and follow up. The sup...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract::Fetal alcohol syndrome is defined by a triad of symptoms such as facial dysmorphology, prenatal and postnatal growth deficiency, and central nervous system dysfunction. It is the result of teratogenic effects of alcohol consumption in pregnancy. The prevalence of fetal alcohol syndrome is 1 to 3 per 1000 live births. ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2014-03-01 00:00:00
abstract::Chemical peels are growing in popularity with new agents, formulas and methods giving them greater reliability and safety. Although the operative procedure may seem relatively simple, proper knowledge and skills of the physician and education of the patient is crucial. It is very important for the physician to know ch...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract::Airway management in a polytraumatized patient with severe spinal and thoracic deformities demands detailed investigation of anatomical characteristics of the head, neck and airways, as well as thoracic configuration, before attempting endotracheal intubation. This enables the physician to predict a difficult airway a...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-09-01 00:00:00
abstract::The aim of this study was to describe relevant medical history, clinical symptoms and outcomes in 12 patients having undergone surgical treatment of intra-articular ganglion cysts of the knee at our Department from January 2010 to June 2016. Patient demographics, medical history, knee manifestations, management and ou...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.03.01
更新日期:2017-09-01 00:00:00
abstract::The first beginnings of ophthalmic echography in Croatia started at the turn of the 1960s and 1970s. When the two largest medical institutions in Croatia, Sestre milosrdnice University Hospital (former Dr. Mladen Stojanović General Hospital) and Zagreb University Hospital Center, both in Zagreb, were supplied with ult...
journal_title:Acta clinica Croatica
pub_type: 历史文章,杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::Person-oriented medicine is characterized by a holistic approach in patient ma- nagement that embraces physical, psychological, social and spiritual aspects of health and dise- ase. It responds to the needs of patients and health care workers to form an effective therapeutic relationship based on trust, empathy, compa...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:
更新日期:2014-12-01 00:00:00
abstract::Heart rate variability (HRV) gives information on the sympathetic-parasympathetic autonomic balance. The aim of the study was to analyze sympathovagal balance after acute spinal cord injury (SCI), demonstrated by linear measures in time and frequency domain of HRV and to analyze the effect of corticosteroids on HRV pa...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2016.55.02.08
更新日期:2016-06-01 00:00:00
abstract::Pulmonary hamartoma is the most common benign tumor of the lung. It accounts for 77% of all benign lung tumors but less than 1% of all lung tumors. Malignant alteration is -extremely rare. Surgical removal is therapy of choice. Uniportal video-assisted thoracic surgery is an easy-to-learn variant of video-assisted tho...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.32
更新日期:2017-12-01 00:00:00
abstract::The aim was to evaluate sexual function of healthy women in Croatia and the possible impact of depression, anxiety, and sociodemographic factors. A total of 204 healthy women filled in a basic sociodemographic questionnaire, the Patient Health Questionnaire-9, Anxiety Disorder-7, and Female Sexual Function Index (FSFI...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.04.12
更新日期:2019-12-01 00:00:00
abstract::Previous findings on peripartum anxiety are inconsistent in respect to the prevalence and course of peripartum anxiety with comorbidity of depression. Our aim was threefold: (1) to examine the course of elevated anxiety during pregnancy, immediately after childbirth, and six weeks postpartum; (2) to establish comorbid...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.05
更新日期:2018-03-01 00:00:00
abstract::The aim of our study was to describe and interpret national trends in thyroid cancer in Croatian men and women during the 1988-2010 period, to better understand the incidence and mortality trends in comparison with other populations, and to determine the proportion of certain histologic subtypes of thyroid cancer and ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract::Although the incidence of ventilator-associated pneumonia (VAP) is very high, there are still many uncertainties about clinical course of VAP among tracheotomized patients. The goal of the present study was to determine the impact of tracheotomy on VAP incidence and etiology, as well as outcome of VAP patients with tr...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.01.15
更新日期:2017-03-01 00:00:00
abstract::A rare clinical case of intraplacental intervillous hemorrhage (Kline's hemorrhage) is presented. After delivery of a premature newborn (810 g/35 cm) in 27th week of uncomplicated pregnancy, peripartum observation of the premature placenta (270 g, 16 x 16 x 1.8) suggested multiple intraplacental cavernae with semiflui...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract::Foreign body ingestion is a common problem in children, but magnet ingestion is relatively rare. However, when it occurs, it tends to have a high rate of complications. This is a case report of a 3-year-old child who swallowed multiple magnetic toys, subsequently developing jejunoileal perforation and volvulus. This c...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract::Terson's syndrome describes the concurrence of intracranial hemorrhage, vitreous hemorrhage and juxtapapillary subinternal limiting membrane and retinal hemorrhage. In most cases, the retinal and vitreous hemorrhage will clear spontaneously. Vitrectomy was indicated by persistent hemorrhage in two cases. Ultrasound wa...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
abstract::A case is presented of a 59-year-old male patient with a 5-year history of sarcoidosis. In the last half a year, deterioration of his intellectual abilities was noticed. Psychological testing detected a mild cognitive disorder. Laboratory diagnostics found a decreased level of testosterone and magnetic resonance imagi...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract::Stress fractures are considered as multifactorial overuse injuries occurring in 0.3%-0.8% of patients suffering from rheumatic diseases, with rheumatoid arthritis being the most common underlying condition. Stress fractures can be classified according to the condition of the bone affected as: 1) fatigue stress fractur...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract::Histologic and radiologic studies describe intramyocardial fat tissue as a normal finding or as part of cardiac pathology. The role of fat cells within the myocardium is not fully understood. The aim of this study was to assess fat tissue distribution in the myocardium of right atrium (RA) and right ventricle (RV) and...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2018.57.01.15
更新日期:2018-03-01 00:00:00
abstract::The aim of this study was to assess the efficacy of high-sensitivity C-reactive protein (hsCRP), cardiac troponin T (cTnT) and creatine kinase (CK) as long-term predictors of reduced systolic function in patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary int...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.01.12
更新日期:2019-03-01 00:00:00
abstract::Rabies is a zoonotic disease (a disease transmitted to humans from animals) that is caused by a virus. The disease affects domestic and wild animals, and is spread to people through close contact with infectious material, usually saliva, via bites or scratches. Rabies is present on all continents with the exception of...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,评审
doi:10.20471/acc.2016.55.01.20
更新日期:2016-03-01 00:00:00
abstract::Thrombolysis with intravenous recombinant tissue plasminogen activator (rtPA) is the first evidence based treatment for acute ischemic stroke, which aims to reduce the cerebrovascular lesion. At University Department of Neurology, Sestre milosrdnice University Hospital, Zagreb, thrombolytic therapy with intravenous rt...
journal_title:Acta clinica Croatica
pub_type: 杂志文章,多中心研究
doi:
更新日期:2009-09-01 00:00:00
abstract::The aim of this study was to evaluate the implementation of the 9th edition of the American College of Chest Physicians (ACCP9) guidelines for prevention of venous thromboembolism in nonsurgical patients in clinical practice in one university and one general Croatian hospital. A retrospective study was conducted at Za...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2017.56.04.12
更新日期:2017-12-01 00:00:00
abstract::The broad acceptance of "spot scanning" or "flying spot" excimer lasers in the last decade has enabled the domination of corneal ablative laser surgery over other refractive surgical procedures for the correction of hyperopia, hyperopic and mixed astigmatism. This review outlines the most important reasons why the abl...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00
abstract::Acute disseminated encephalomyelitis (ADEM) is an inflammatory demyelinating disease of the central nervous system that usually affects children and young adults. It most commonly has a monophasic course, although relapses are reported. Clinical presentation of the disease includes encephalopathy and multifocal neurol...
journal_title:Acta clinica Croatica
pub_type:
doi:10.20471/acc.2019.58.01.22
更新日期:2019-03-01 00:00:00
abstract::The aim of this paper is to present epidemiological features of reported patients with invasive meningococcal disease in the Split-Dalmatia County in the period from January 1996 to December 2010. During the 15-year period (1996-2010), a total of 119 patients were reported to have invasive meningococcal disease, yield...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:
更新日期:2013-12-01 00:00:00
abstract::The aim of this study was to evaluate the quantitative sonoelastographic values recorded on shear-wave sonoelastography (SWE) of high-risk breast lesions and ductal carcinoma in situ (DCIS). We retrospectively analyzed histopathologic and SWE data (quantitative maximum, minimum and mean stiffness, lesion-to-fat ratio ...
journal_title:Acta clinica Croatica
pub_type: 杂志文章
doi:10.20471/acc.2019.58.01.02
更新日期:2019-03-01 00:00:00