Lijec̆nic̆ki vjesnik
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Lijec̆nic̆ki vjesnik · Jan 2010
[Succinylcholine use by anesthesiologists in Croatia--is it really abandoned?].
The aim was to establish the prevalence of succinylcholine use among Croatian anesthesiologists in adult elective and emergency surgery, as well as in pediatric surgery, regarding gender, position, working place, and working experience of physicians. The anesthesiologists were expected to express their personal opinions regarding the drug, as well as experienced side effects in their own clinical practice. A total of 125 anesthesiologists (out of 590 in Croatia) from both university and county hospitals in Croatia anonymously filled out the questionnaire regarding the use of succinylcholine (Appendix 1). ⋯ In conclusion, succinylcholine is still widely used by anesthesiologists in Croatia. The majority of surveyed physicians were aware of its possible dangerous adverse effects, but still use it in certain situations. Therefore, indications and contraindications for its use deserve expert consensus guidelines based on the available scientific evidence.
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Lijec̆nic̆ki vjesnik · Jan 2010
Case Reports[Influence of manual therapy of cervical spine on typical trigeminal neuralgia: a case report].
This article presents the case of a 43-year-old female patient with pain in the cervical spine area and a typical trigeminal neuralgia (TN; French name "tic douloureux") in the receptive field of the second and the third branches of the left trigeminal nerve. The patient came to our medical practice for a manual therapy of the cervical spine as the application of the standard therapy had not given her any pain reduction in the cervical spine area. ⋯ Before manual treatment, and in spite of antiepileptic drugs therapy and acupuncture, the patient had suffered from everyday typical TN attacks. The cessation of typical TN after manual therapy of cervical spine suggests a conclusion that the painful stimuli from the cervical spine structures can be manifested not only as atypical facial pain and/or a cervicogenic headache, but also as a typical TN (painful stimuli from the cervical spine structures-->trigeminocervical nuclei-->convergence of the painful stimuli-->referred pain in the receptive field of the trigeminal nerve-->typical or atypical TN and/or cervicogenic headache).
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Lijec̆nic̆ki vjesnik · Sep 2009
[Operative deliveries in Clinic of Gynecology and Obstetrics Tuzla, Bosnia and Herzegovina, during 1986-2005].
The aim of this paper was to determine the incidence of operative deliveries and to make a comparison between the incidence rate in the pre-war (1986-1991), war (1992-1995) and post-war (1996-2005) periods. ⋯ During the period of twenty years at the Clinic of Gynecology and Obstetrics in Tuzla a significant increase in the incidence of deliveries finished with Cesarean section was found.
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Lijec̆nic̆ki vjesnik · Sep 2009
Historical Article[Medical Association of the Croatian Coast and Gorski kotar].
In the Province Hospital Susak the Medical Association of the Croatian Coast and Gorski kotar was founded on October 2nd, 1936. At that time on the territory of the former District of Susak there were 59 physicians. The inauguration meeting was attended by 41 physicians and 26 of them voted for the autonomous Association rather than for one within the Croatian Medical Association of Zagreb. ⋯ D. It still kept functioning as an autonomous association. The following year the Association became the subsidiary of the Croatian Medical Association.
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Lijec̆nic̆ki vjesnik · Jul 2009
Practice Guideline[ISKRA guidelines on sore throat: diagnostic and therapeutic approach--Croatian national guidelines].
Sore throat is most commonly caused by viruses, but when caused by bacteria, the most important is group A streptococcus (GAS). The aim of these guidelines is to determine optimal treatment for streptococcal sore throat and reasonable indications for tonsillectomy, as well as recommend how to differentiate streptococcal infection for which antibiotics are justified, from numerous other sore throats where antibiotics wont have a significant effect on disease course, but might contribute to bacterial resistance to antibiotics. The development of the guidelines was initiated by the Interdisciplinary Section for Antibiotic Resistance Control (ISKRA) of the Croatian Ministry of Health and Social Welfare in accordance with the principles of AGREE (Appraisal of Guidelines for Research and Evaluation) methodology which means that the guidelines are the result of consensus between all interested professional societies and institutions. ⋯ Tonsillectomy is a widely accepted surgical procedure that decreases the number of sore throats in children and should be performed only if indications for this procedure are established. Absolute indications include five or more streptococcal infections per year, tonsillitis complications, permanent respiratory tract obstruction, obstructive sleep apnea syndrome and suspected tonsillar malignancy. Relative indications include chronic tonsillitis and occlusion disturbances.