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Mikacic M, Begovic TI, Jerkovic I, Batinic MM, Kovacic V. Severe rhabdomyolysis after exertional heat stroke treated with a hemoadsorber CytoSorb: lesson for the clinical nephrologist ®. J Nephrol 2024:10.1007/s40620-024-01918-7. [PMID: 38512381 DOI: 10.1007/s40620-024-01918-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Accepted: 01/28/2024] [Indexed: 03/23/2024]
Affiliation(s)
- Marijana Mikacic
- Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, Internal Medicine Department, University of Split School of Medicine, University Hospital of Split, Spinciceva 1, 21000, Split, Croatia
| | - Tanja Ilic Begovic
- Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, Internal Medicine Department, University of Split School of Medicine, University Hospital of Split, Spinciceva 1, 21000, Split, Croatia
| | - Ivan Jerkovic
- Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, Internal Medicine Department, University of Split School of Medicine, University Hospital of Split, Spinciceva 1, 21000, Split, Croatia
| | - Marina Maras Batinic
- Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, Internal Medicine Department, University of Split School of Medicine, University Hospital of Split, Spinciceva 1, 21000, Split, Croatia
| | - Vedran Kovacic
- Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, Internal Medicine Department, University of Split School of Medicine, University Hospital of Split, Spinciceva 1, 21000, Split, Croatia.
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Kovacic V, Kvartuc L, Mikacic M, Jerkovic I, Begovic TI, Maras M, Nazlic J. Clinical and demographic features with outcome predictors of adult patients with acute intoxication admitted to a medical intensive care unit in the Mediterranean part of Croatia. Toxicol Res (Camb) 2023; 12:626-634. [PMID: 37663800 PMCID: PMC10470373 DOI: 10.1093/toxres/tfad054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 05/30/2023] [Accepted: 06/20/2023] [Indexed: 09/05/2023] Open
Abstract
Background The objective of the study was to assess the demographics, clinical parameters, and outcome of acute intoxications among adult patients admitted to a medical intensive care unit in southern Croatia. Materials and Methods An observational retrospective study was conducted over a 1-year period. The subjects were patients admitted to the intensive care unit for acute poisoning. Results In all, 81 subjects (32.1% females) aged 43.16 ± 14.77 years were admitted to the intensive care unit because of poisoning (14.97% of the total annual intensive care unit admissions). Psychiatric disorders were previously established in 76.5% participants, and 69.1% of all acute intoxications were classified as suicidal. Non-suicidal subjects differed from suicidal subjects in age (37.36 ± 9.71 vs. 45.75 ± 15.93 years; P = 0.009), in pCO2 (6.38 ± 1.78 vs. 5.50 ± 1.26 kPa; P = 0.020), in length-of-stay in intensive care unit (median 1.00, interquartile range 1.00 vs. median 2.00, interquartile range 2.00 days; P = 0.022), and in length-of-stay in hospital (median 2.00, interquartile range 2.00 vs. median 10.50, interquartile range 15.25 days; P < 0.001). Three (3.7%) patients died. Pharmaceutical psychoactive drug intoxications were the most common poisoning cases; of these, diazepam was the most frequent (16.8%), followed by ethanol (9.0%) and alprazolam (7.8%). Benzodiazepines/hypnotics were the most common group (28.7%), followed by antipsychotics (13.2%). Intoxications with more than 1 poison accounted for the largest number of cases (67.9%). The number of toxins was significantly correlated with length-of-stay in the hospital (rho = -0.265; P = 0.008), systolic blood pressure (rho = -0.318; P = 0.002), and diastolic blood pressure (rho = -0.262; P = 0.009). The electrocardiogram was considered abnormal in 50.62% of the cases. Conclusion Acute intoxicants were most commonly caused by psychiatric pharmaceutical drugs. Multidrug exposure was a typical pattern of acute intoxication.
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Affiliation(s)
- Vedran Kovacic
- Internal Medicine Department, Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, University Hospital of Split, 21000 Split, Croatia
| | - Lukas Kvartuc
- University of Split School of Medicine, 21000 Split, Croatia
| | - Marijana Mikacic
- Internal Medicine Department, Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, University Hospital of Split, 21000 Split, Croatia
| | - Ivan Jerkovic
- Internal Medicine Department, Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, University Hospital of Split, 21000 Split, Croatia
| | - Tanja Ilic Begovic
- Internal Medicine Department, Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, University Hospital of Split, 21000 Split, Croatia
| | - Marina Maras
- Internal Medicine Department, Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, University Hospital of Split, 21000 Split, Croatia
| | - Jurica Nazlic
- Internal Medicine Department, Division of Emergency and Intensive Medicine with Clinical Pharmacology and Toxicology, University Hospital of Split, 21000 Split, Croatia
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Jerkovic I, Bukic J, Leskur D, Seselja Perisin A, Rusic D, Bozic J, Zuvela T, Vuko S, Vukovic J, Modun D. Young Women's Attitudes and Behaviors in Treatment and Prevention of UTIs: Are Biomedical Students at an Advantage? Antibiotics (Basel) 2023; 12:1107. [PMID: 37508203 PMCID: PMC10376538 DOI: 10.3390/antibiotics12071107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 06/16/2023] [Accepted: 06/25/2023] [Indexed: 07/30/2023] Open
Abstract
We wanted to investigate whether students who study within biomedical fields (i.e., medicine, pharmacy science) differ from those whose studies are not connected to the biomedical field in terms of their attitudes and behaviors related to urinary tract infections (UTIs). This was a cross-sectional survey-based study conducted among 392 female students, of whom 243 attended a biomedical school and 149 (38.0%) attended a non-biomedical school, using a previously published tool. The survey was distributed as an online link via student representatives at different faculties. Only 22 (5.6%) of women felt that they could not recognize a UTI. A greater proportion of biomedical students wiped front to back, while significantly more non-biomedical students chose cotton underwear and avoided daily sanitary pads compared to biomedical students. As many as 215 (54.8%) women stated that they used cranberry preparations. Biomedical students showed greater awareness about possible resistance to repeated treatment (p = 0.002) and greater knowledge of possible interactions of antibiotics (p < 0.001). This study reveals that young women are confident in recognizing an UTIs, are open to alternative treatments, and would consider UTI management in a pharmacy setting. However, it reveals that there might be gaps in their knowledge regarding antibiotic resistance risks, possible interactions, and efficacy of available preparations, as participants from the group of biomedical students showed greater knowledge and different behaviors.
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Affiliation(s)
- Ivan Jerkovic
- Department of Internal Medicine, University Hospital of Split, Spinciceva 1, 21000 Split, Croatia
| | - Josipa Bukic
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
| | - Dario Leskur
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
| | - Ana Seselja Perisin
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
| | - Doris Rusic
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
| | - Josko Bozic
- Department of Pathophysiology, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
| | - Tomislav Zuvela
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
| | - Sara Vuko
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
| | - Jonatan Vukovic
- Department of Internal Medicine, University Hospital of Split, Spinciceva 1, 21000 Split, Croatia
| | - Darko Modun
- Department of Pharmacy, University of Split School of Medicine, Soltanska 2, 21000 Split, Croatia
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Jerkovic I, Kovacic V, Ticinovic Kurir T, Bozic J, Tandara L. Serum Catestatin Level as a Stratification Assessment Tool in Non-Critical COVID-19 Patients. Int J Environ Res Public Health 2023; 20:1136. [PMID: 36673891 PMCID: PMC9858918 DOI: 10.3390/ijerph20021136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/11/2022] [Revised: 01/01/2023] [Accepted: 01/05/2023] [Indexed: 06/17/2023]
Abstract
Introduction: Catestatin (CST) is a peptide with immunomodulatory, anti-inflammatory, and anti-microbial activities. There are only a few studies that have investigated plasma CST levels in COVID-19 patients (mostly in ICU patients). In our work, the aim was to demonstrate serum CST levels and their correlation with clinical outcomes in a group of severe COVID-19 patients admitted to the non-ICU department. Methods: The subjects were 32 patients (25 females, 7 males) admitted to the non-ICU unit for COVID-19 patients. Results: CST levels in our cohort were higher (8.91 ± 7.00) than previously reported CST levels in control subjects. We found a significant positive correlation between serum CST levels and C-reactive protein (r = 0.423, p = 0.008), D-dimers (r = 0.395, p = 0.013), hsTNT (high-sensitivity troponin T) (r = 0.603, p < 0.001), proBNP (N-terminal pro-brain natriuretic peptide) (r = 0.569, p < 0.001), and hospitalization days (r = 0.388, p = 0.014). There was a difference between groups of participants with SOFA <3 (n = 18) and SOFA >=3 (n = 14) in catestatin serum levels (7.25 ± 3.66 vs. 11.05 ± 9.52 ng/mL), but the difference was statistically insignificant (p = 0.065). Conclusion: We considered plasma CST level at hospital admission as a possible tool for early risk assessment in non-critical COVID-19 patients. This study is an attempt to clarify the complex pathophysiological mechanisms present in the development of severe forms of SARS-CoV2 infection.
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Affiliation(s)
- Ivan Jerkovic
- Department for Urgent and Intensive Medicine with Clinical Pharmacology and Toxicology, Internal Medicine Clinic, University Hospital Split, University of Split School of Medicine, 21000 Split, Croatia
| | - Vedran Kovacic
- Department for Urgent and Intensive Medicine with Clinical Pharmacology and Toxicology, Internal Medicine Clinic, University Hospital Split, University of Split School of Medicine, 21000 Split, Croatia
| | - Tina Ticinovic Kurir
- Department of Endocrinology, Internal Medicine Clinic, University Hospital Split, University of Split School of Medicine, 21000 Split, Croatia
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia
| | - Josko Bozic
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia
| | - Leida Tandara
- Department of Medical Laboratory Diagnostics, University Hospital Split, University of Split School of Medicine, 21000 Split, Croatia
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Arbanas G, Maroevic S, Bolcic F, Musica T, Jerkovic I. 696 Gender roles and sexual functioning in people of different sexual orientations. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Arbanas G, Payne I, Ivezic E, Maroevic S, Jerkovic I. P-02-003 Sexual partner satisfaction - mitigating factor in the sexual functioning of women with psychological problems. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Jerkovic I, Kranjac M, Suste M, Kus PM, Svecnjak L. Rhamnus frangula Honey: Screening of Volatile Organic Compounds and Their Composition After Short-Term Heating. Chem Nat Compd 2015. [DOI: 10.1007/s10600-015-1523-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Mastelic J, Politeo O, Jerkovic I, Radosevic N. Composition and Antimicrobial Activity of Helichrysum italicum Essential Oil and Its Terpene and Terpenoid Fractions. Chem Nat Compd 2005. [DOI: 10.1007/s10600-005-0069-z] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Jerkovic I, Mastelic J, Milos M, Juteau F, Masotti V, Viano J. Chemical variability ofArtemisia vulgaris L. essential oils originated from the Mediterranean area of France and Croatia. FLAVOUR FRAG J 2003. [DOI: 10.1002/ffj.1246] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Jerkovic I, Mastelic J, Milos M. The impact of both the season of collection and drying on the volatile constituents of Origanum vulgare L. ssp. hirtum grown wild in Croatia. Int J Food Sci Technol 2001. [DOI: 10.1046/j.1365-2621.2001.00502.x] [Citation(s) in RCA: 95] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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