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Journal Cover   Acta Medica Academica
  [2 followers]  Follow
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1840-1848 - ISSN (Online) 1840-2879
   Published by Academy of Sciences and Arts of Bosnia and Herzegovina Homepage  [1 journal]
  • Only a minority of patients in the urological emergency unit need urgent
           urology care

    • Authors: Žana Saratlija Novaković, Davor Librenjak
      Abstract: Objective. To present patients who were examined, monitored and admitted at the urological emergency unit (UEU) at the University Hospital, Split during the summer and winter of 2010 and to establish who of them were really in need of immediate urological care. Methods. A retrospective study of patients and diagnoses of patients examined at the UEU was undertaken during two winter and two summer months 2010. We compared the total number of patients, the number of patients with urological issues, patients with urological emergencies, patients with non-urological issues, patients who were briefly monitored at the UEU, and patients admitted to the urology department, within these two periods. Descriptive statistic and chi squared tests were used. Results. During the winter period 465 patients were examined at the UEU and during the summer 733 patients. During the summer period there were statistically more urological issues (_2=12.3; p=0.005) and urological emergencies (_2=4.14; p=0.042) while in the winter period there were more non-urological issues and more patients were monitored at the UEU (_2=33.9; p
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • Farmakologija renin-angiotenzin sistema

    • Authors: Enver Zerem
      Abstract: No abstract available.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • International publications of authors from Bosnia and Herzegovina in
           Current Contents indexed publications in the first half of 2014

    • Authors: Nerma Tanović
      Abstract: No abstract available.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • Double superior vena cava: Two cases in Thai cadavers

    • Authors: Sitthichai Iamsaard, Pipatphong Kanla, Channarong Arunyanart
      Abstract: No abstract available.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • A call for greater power in an era of publishing negative results

    • Authors: Anna L Oberhofer, Robert P Lennon
      Abstract: Historically, medical journals published only positive results from experimentation. With the growth of electronic media, many journals are now able to publish negative results as well. Because most medical experiments are designed to have different thresholds of significance for positive and negative results, this can lead readers to misunderstand the level of significance of a published negative result. We propose a technical shift – setting equal to β – to avoid this potential for misunderstanding.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • Mitral valve replacement in a patient with infective endocarditis and
           aneurysm of the cerebral artery: A case report

    • Authors: Senka Mesihović-Dinarević, Mirza Halimić, Zijo Begić, Almira Kadić, Mirsad Kacila, Edin Omerbašić, Nusreta Hadžimuratović, Eldin Burazerović
      Abstract: Objective. Endocarditis can have profound and devastating neurological consequences, with the vast majority of these complications in patients with left-sided valvular disease. The approach to the acute management of stroke in children with infective endocarditis is limited by the inadequacy of published data on their clinical course and outcome. Case report. This case report presents a 12 year old girl with diagnosed endocarditis, complicated with intracranial hemorrhage, due to the rupture of an aneurysm of the peripheral branch medial cerebral artery and gradient therapeutic approach, with an excellent final result. Conclusion. Congestive heart failure resulting from valvular insufficiency required mitral valve replacement, after cerebral aneurysm clipping.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • The relationship of Bradykinin B2 receptor gene variation with obesity,
           hypertension and lipid variables in obese patients

    • Authors: Nur Bakir, Hasan Mert Bozkus, Meliha Koldemir Gündüz, Penbe Çagatay, Mustafa Taskın, Belgin Süsleyici Duman
      Abstract: Objective. This study examined the association of C-58T genotypes with obesity/hypertension related parameters and serum lipids in obese (n=108) and non-obese (n=80) patients. Materials and methods. Bradykinin receptor (B2R) C-58T genotypes were determined by PCR–RFLP. Results. B2R gene C-58T frequencies for T/T (homozygous wild type), T/C (heterozygous) and C/C (homozygous polymorphic) genotypes for obese and non-obese patients were respectively: 36.1%, 37.5%; 45.4%, 52.5% and 18.5%, 10%. Obese patients using diuretic medication had lower C/C genotype frequency compared to T/T and T/C genotypes. Total cholesterol (T-Chol) (p=0.035) levels were found to be associated with B2R C-58T polymorphism, where the T/T genotype had higher total cholesterol levels compared to the T/C genotype in obese patients. Non-obese patients using oral antidiabetic medication had higher C/C genotype frequency than that of T/T and T/C genotypes. Waist circumference (p=0.016) and diastolic blood pressure (p=0.01) levels were elevated in the non-obese subjects with the C/C genotype compared to T/C and T/T. Conclusion. Although B2R C-58T gene polymorphism was not found to be effective on obesity with logistic regression analysis in the whole study population in obese subjects, the T-Chol decreasing effect of the B2R gene C allele and the higher waist circumference measurements in the non-obese subjects may indicate there may be a link between B2R gene C-58T polymorphism and obesity in study populations of higher numbers.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • Congenital cardiac anomalies in myelomeningocele patients

    • Authors: Iman Moeini Naghani, Taraneh Hashemi Zonouz, Shima Shahjouei, Amir Azar Homayoun, Farideh Nejat, Mostafa El Khashab
      Abstract: Objective. Myelomeningocele may be isolated but more frequently is associated with other anomalies. Congenital heart disease occurs with different incidence rate in myelomeningocele which is observed more frequently with skeletal malformations. Methods. This study was undertaken in the Children’s Hospital Medical Center between 2010 to 2012 to evaluate 75 myelomeningocele patients for cardiac anomalies, with electrocardiography and echocardiography in addition to clinical examination of the cardiopulmonary system. Demographic information, myelomeningocele location and characteristics, orthopedic deformities, neurological deficits and radiographic findings were studied besides cardiologic assessments. Results. The ages of the patients ranged from 1 day to 4 years. The myelomeningocele locations were lumbosacral, lumbar and sacral area in most cases. Physical examination of the heart was abnormal in 6 children, but echocardiography revealed cardiac anomalies in only two children. Both children were female patients with severe scoliosis, multiple rib deficiencies and associated vertebral anomalies. Conclusion. Congenital heart defects are not very common in MMC patients. Female patients with suspicious clinical examinations for cardiac anomalies and associated rib and vertebral anomalies are advised to be investigated by echocardiography to rule out associated cardiac anomalies.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • Prognostic factors of overall survival for patients with stage II colon

    • Authors: Harsha Trivedi, Ushasree Chamarthy, Luciano Dicarlo, James Herman, Gordan Srkalovic
      Abstract: Objective. To analyze factors influencing survival of patients with stage II colon cancer treated at our cancer center (Sparrow Hospital) from February 1996 through December 2006. Patients and methods. Survival analyses on 197 patients’ age 71.1±0.9 years (29 to 97) were done using SAS system (V9.3, Cary NC). Analysis included age, gender, stage, surgery type, number of examined lymph nodes, pathological grade, tumor size and the use of adjuvant chemotherapy. Results. Mean follow up length was 48.1±2.3 months (0.1-133) and 56±3.3 (0.2-133) for survivors. The average number of removed lymph nodes was 18±13 (1-103). Adjuvant chemotherapy treatment (5-FU± leucovorin) was given to 49 patients, while others (148) were followed expectantly. There were 90 deaths during follow up. Only age exhibits a statistically significant relationship to survival (Hazard Ratio (HR) =1.06, 95% CI=1.03-1.08, p
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • The effects of diabetes mellitus and hypertension on work productivity

    • Authors: Vesna Krstović-Spremo, Maja Račić, Bojan N. Joksimović, Vedrana R. Joksimović
      Abstract: Objective. The primary objective of this paper is to examine the impact of diabetes mellitus on the ability to work in patients with diabetes mellitus. The second objective of this paper is to examine the differences in the ability to work between patients with diabetes mellitus and patients with other chronic diseases, such as hypertension. Material and methods. A study was conducted in 10 family medicine practices from two primary health care centers, Pale and East Sarajevo, in the period between July 2009 and May 2010, utilising a retrospective medical records review and a cross sectional survey. The outcomes used to portray respondent’s health status included functional measures and ability to work. Functional measures were analyzed using SF-36 and a general questionnaire. Absenteeism and productivity loss were retrospectively analyzed for the past ten years from a regional sick-leave database and the administrative records of the Commission for the assessment of work capacity for the Pension and Disability Insurance Fund of the Republika Srpska respectively. Results. Out of the total number of patients with diabetes, 24.6% had some form of disability. A statistically significant difference was found between the two groups; patients with diabetes mellitus were much more likely to have problems meeting the required standards at the workplace due to emotional and physical health issues compared to hypertensive patients. Conclusion. Diabetes mellitus appears to reduce an individual’s ability to work in comparison to patients with hypertension. There is a need to set up a diabetes mellitus prevention program and to develop and implement effective targeted intervention to help workers to manage their disease better.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
  • First-year dental students’ motivation and attitudes for choosing
           the dental profession

    • Authors: Nadya Avramova, Krassimira Yaneva, Boyko Bonev
      Abstract: Objective. To determine first-year dental students’ current motivation and attitudes for choosing the dental profession at the Faculty of Dental Medicine, Medical University – Sofia, Bulgaria. Material and methods. An anonymous questionnaire, consisting of 12 questions about students’ socio-demographic profile and their motivation for choosing dentistry, was administered to 119 first-year dental students at the Faculty of Dental Medicine of the Medical University of Sofia. The study was conducted at the beginning of the 2012-2013 academic year. The data was processed and analyzed with the following software: Microsoft Windows Server 2008 R2; Microsoft SQL Server 2008; Internet Information Server 7.5.; Microsoft SharePoint Server 2010. Results. The majority of the students (73%) were self-motivated for choosing dentistry as a career; 61% of them did not have relatives in the medical profession; 43% chose dental medicine because it is a prestigious, humane and noble profession; 50% – for financial security; 59% – because of the independence that it provides. There were no significant differences in the motivation between males and females. Conclusion. Independence, financial security and ‘prestige’ were the predominant motivating factors in this group of first-year dental students. Determining the reasons for choosing dentistry has important implications for the selection and training of students as well as for their future job satisfaction.
      PubDate: 2014-12-08
      Issue No: Vol. 43, No. 2 (2014)
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