Lijec̆nic̆ki vjesnik
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Lijec̆nic̆ki vjesnik · Jun 2007
[Analysis of preoperative autologous blood donation in patients having revision hip arthroplasty].
Preoperative donation of blood for autologous transfusion has become a routine practice for patients who are scheduled to have an ortopaedic procedure. The purpose of this retrospective study was to evaluate the effect of preoperative autologous donation on reduction of allogeneic blood transfusion in patients undergoing revision hip arthroplasty. Data of 289 patients who had had a revision total hip arthroplasty during sixty-six-month period were evaluated retrospectively. ⋯ Preoperative autologous blood reduced allogeneic blood transfusion in patients who had a revision of femoral component only or revision of acetabular component only. Two predonated autologous units and basic hemoglobin level >150 g/L reduced allogeneic blood transfusion in patients who had revision of acetabular and femoral component. All patients who had revision of acetabular and femoral component and had basic hemoglobin level <120 g/L, required additional allogeneic blood transfusion despite predonation blood.
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Lijec̆nic̆ki vjesnik · May 2007
[Specialty preferences among final-year medical students at Zagreb University Medical School].
The aim of this study was to investigate the sixth-year medical students' specialty preferences, at the Zagreb University Medical School. A total of 603 students were recruited during a three-year period (2003-2005), with a response rate of 83.3%. One third had a preferred specialty upon enrolment at the Medical School. ⋯ Students who were interested in internal medicine reported the best academic performance, while those who were interested in the family medicine (general practice) reported the poorest academic performance. The study indicates that family medicine, anaesthesiology, and radiology were the least commonly reported as specialties of the students' choice, compared to percentage of specialists employed in Croatian health care service. The most wanted specialties were ear-nose-throat and orthopaedics.
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Spontaneous aortocaval fistula is a rare complication of abdominal aortic aneurysm rupture. A definitive preoperative diagnosis sometimes is difficult, because ofnonspecific and highly variable clinical symptoms. Classic signs such as low back pain, palpable pulsatile abdominal mass, abdominal bruit and thrill, dyspnea and high-output cardiac failure are present in less than 50% of cases. In this article we report the case of a 68-year-old patient with an aortocaval fistula who was admitted in hospital because of abdominal pain and hematuria.
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Good organization and coordination of emergency services are one of the most crucial factors, which influences the number of survivors and severity of incident overall health and structural long-term damages. Different studies showed that poor leadership is the main cause for poor intervention results at mass casualty incidents. This article briefly presents French, American, and English incident command systems at mass casualty incident and other crisis. If the incident command want to achieve the best intervention results then they, independently from command level and formal system, should establish a proper level of flexibility, controllable span of command, use of common terminology, effective use and accountability of resources, integrated and available telecommunications with profound exchange of information and intelligence.