Lijec̆nic̆ki vjesnik (Lijec Vjesn)

Publisher: National Library of Medicine (U.S.); National Science Foundation (U.S.); United States. Dept. of Health, Education, and Welfare; Zbor liječnika Hrvatske

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Other titles Medical journal
ISSN 0024-3477
OCLC 1756993
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

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    ABSTRACT: Radius fractures are the most common fractures in childhood. The main mechanism of injury is fall onto an outstretched hand. This retrospective study analyzed the data on 201 children admitted for radius fractures at KBC-Zagreb in the period 2011-2013. The study included 85 girls (42.3%) and 116 boys (57.7%) . The average age of the children was 9.6 years. Radius was injured in the distal segment in 79.1% of children. The sites of injuries were: park, campi and beach (24.9% of all children), playground, skate park and swimming pool (23.9%), kindergarten or school (20.9%), at home and around the house (17.9%), in the street (11.4%) and in the store or at a hotel (0.9%). The boys were mostly injured at playgrounds, during skating and at swimming pools (37.1% of all boys), while girls were mostly injured in parks, camps and at beach (42.4% girls). Fall was the major cause of the injury (49.3%), and children usually fell during ice skating and skating (32.3% of all falls). In 20.4% the injury was caused by pushing and hitting. The smallest percentage (9.5%) of children were injured in traffic accidents while riding a bike (only one child was hit by a car). Sport related activities caused injuries in 53.7% of the cases. Sport activities are the most important cause of the radial fractures in the pediatric population and falls during sports are the main mechanism of injury. The peak incidence is at 12 years for boys and at 10 years for girls, so intervention and/or prevention should be aimed at the age groups. Preventive actions should be focused on injuries that tend to occur in parks, schools and during sport activities.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):76-80.
  • Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):131-3.
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    ABSTRACT: Childhood tuberculosis is a unique disease regarding epidemiological and clinical features. The most effective measures to combat the spread of the disease are rapid detection and prompt and effective treatment. As most of the children have negative sputum microscopy, rapid diagnosis can be challenging. In this paper, the data on incidence, treatment, diagnostic and clinical characteristics of children treated for tuberculosis in the University Hospital Centre Split during 22 years are presented.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):70-5.
  • Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):129-30.
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    ABSTRACT: Endemic nephropathy (EN) is a chronic tubulointerstitial aristolochic acid nephropathy (AAN) affecting residents of the certain villages in the valleys of the major tributaries of the Danube river in the south-east Europe including Croatia. Patients with EN have a significantly higher incidence of transitional cell carcinoma of the ureter than the general population. A-T transversion of the p53 gene is now considered to be a mutational "signature" of aristolochic acid, which is a cause of endemic nephropathy. Currently used diagnostic criteria for EN are outdated, uneven (three types of criteria) and are not in agreement with proposed new guidelines for kidney diseases. Therefore, based on current knowledge and expertise of a group of scientists and experts from all countries with EN as well as world where AAN has been reported, new diagnostic criteria and the new classification of the population of endemic villages were created at a symposium on EN. EN presents a major public health problem and current knowledge about this disease as well as new diagnostic criteria should help us in its early detection and treatment and maybe in a near future its eradication.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):100-8.
  • Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):135.
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    ABSTRACT: The paper presents a fragment of the World War I journal, discovered recently to belong to Vladimir Jelovšek (1879-1934) the physician, writer and one of the most prominent editors of Liječnički vjesnik. The journal was written during his attendance at the eastern front from June 1915 to July 1916 beginning with the fall of Lvov and partly following both Brusilov's invasions. On the territory of Croatia the war journals written by medical representatives are very rare. However, such sources could extend our knowledge on individual war reflexions, soldiers' principles or mindset, as well as to enable the comparison of their content with the body of already published autobiographical and other sources. Recently detected journal of Vladimir Jelovšek exposes the individual perception of war carried out through traumatic war experience of an individual abruptly exposed to war conditions. Furthermore, it adds to our knowledge the Jelovšek's life enlightening in those segments of his life which haven't been explored so far.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):116-23.
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    ABSTRACT: Calcific uremic arteriolopathy or alciphylaxis is a malignant form of calcification of small arteries and arterioles, usually present in patients with chronic kidney disease and dialysis therapy. It causes high mortality. Histological distinctive feature are calcium deposits lining vascular intima. Calcification of medial muscle layer, inflammation and necrosis of subcutaneous adipose tissue are frequent. The disease begins with painful violaceous mottling, resembling livedo reticularis. Ths skin lesion progresses to ulcers and eschars, sometimes it becomes very vulnerable to secondary infection which can often develop into fatal sepsis. Our first patient with proximal form of calciphylaxis dies in repeated sepsis. The second patient with the distal form of calciphylaxis was treated successfully. The decisive moment was the use of calcimimetic. A multiinterventional strategy is likely to be more effective than any single therapy. It is necessary to regulate metabolism of calcium phosphate and secondary hyperparathyroidism. Effectiveness has been demonstrated using calcimimetics, sodium thiosulfate, oxygen therapy, careful application of biphosphonates and surgical procedures. Warfarin withdrawal is urgently recommended and subsequent vitamin K supplementation is appropriate. The control of infection is critically important and the use of carbonylated hemoglobin in the stage without infections could accelerate the wound healing.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):91-5.
  • Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):124-6.
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    ABSTRACT: Cancer of unknown primary (CUP) site comprises very heterogeneous group of various malignant tumors presented in metastatic phase of the disease. Diagnosis is set when primary site remains unidentified after a thorough diagnostic evaluation in patients with histologically proven malignant metastatic disease. Despite poor prognosis in most patients, favorable prognostic clinical entities have been recognized constituting the most important group of patients for oncological treatment. The following text presents the clinical guidelines in order to standardize the diagnosis, treatment and follow-up of patients with cancer of unknown primary site in the Republic of Croatia.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):65-9.
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    ABSTRACT: Lysosomal acid lipase deficiency is an autosomal recessive disorder with two distinct clinical phenotypes. Wolman disease is rapidly progressive with onset in early infancy. Complete enzyme deficiency results in massive accumulation of cholesterol esters and triglycerides in intestines, liver, spleen and other monocyte-macrophage system cells causing malabsorption, hepatosplenomegaly, liver failure and death in early infancy. Cholesterol ester storage disease may be diagnosed in childhood or later in life. It is characterized by chronic course and variable progression. Main features are variously expressed hepatopathy, including cirrhosis and liver failure, hypercholesterolemia and premature atherosclerosis. Characteristic is pathohistological finding of microvesicular steatosis and fibrosis and patognomonic are typical cholesterol ester crystals. Diagnosis is confirmed by enzyme assay and/or gene analysis. Until recently treatment was symptomatic. Ongoing clinical trials of enzyme replacement therapy have shown very promising results. We are presenting an infant with Wolman disease and two children with cholesterol ester storage disease with the aim to raise awareness about this disease and to start optimal care early.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):81-7.
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    ABSTRACT: Postupna detabuizacija seksualnosti, kako u laičkom tako i u znanstveno-istraživačkom smislu, rezultira povećanim brojem radova u kojima se ispituje odnos između bihevioralno-motivacijskih sustava privrženosti i seksualnosti tijekom proteklog desetljeća. Postavke teorije privrženosti imaju široku primjenu u istraživanjima ljudskoga ponašanja i kognitivno-emocionalnih karakteristika koje su u osnovi tih ponašanja. Stilovi prvrženosti, kao relativno stabilni obrasci tijekom života, dijelom određuju sliku o vlastitoj seksualnosti tj. seksualno samopoimanje, i moderiraju stupanj seksualnog zadovoljstva i zadovoljstvo partnerskom vezom. Konačne spoznaje o ovim odnosima, iako predmet značajnog istraživačkog interesa, još uvijek izostaju. U članku objavljenom u Liječničkom vjesniku prikazana su istraživanja koja povezuju sustave privrženosti i seksualnosti, te njihov doprinos seksualnom zadovoljstvu i zadovoljstvu vezom s ciljem poticanja budućih istraživanja o ovom važnom području ljudskog života.
    Lijec̆nic̆ki vjesnik 03/2015;
  • Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):127; discussion 127-8.
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    ABSTRACT: Posterior ankle impingement syndrome (PAIS) is a clinical syndrome characterized by posterior ankle pain which occurs in maximal forced plantar flexion of the foot. PAIS can be the result of an acute injury of the ankle, which is more often in general population, or it can be the result of the overuse syndrome, which is more often in athletes and ballet dancers. The etiology of PAIS may involve bony structures or soft tissue structures, or, more often, the combination of both. The diagnosis of PAIS is based on patient's clinical history and physical examination with the hyperplantarflexion test as a very important part of it. Physical examination should be completed with imaging techniques, which most often include magnetic resonance imaging (MRI) or computed tomography (CT) to confirm the diagnosis of PAIS. Conservative treatment is recommended as the primary treatment strategy. In those cases where 3 to 6 months of conservative treatment fails, open or, more often, arthroscopic/endoscopic surgery may be recommended. Nowadays, a 2-portal endoscopic approach introduced by van Dijk et al. in 2000 is the method of choice for the treatment of posterior ankle impingement syndrome.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):109-15.
  • Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):134.
  • Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):130-1.
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    ABSTRACT: Surgical treatment of lumbar intervertebral disc herniation is one of the most common neurosurgical procedures. Besides conventional surgical techniques, in the last more than 30 years, different methods with minimal damage to neuromuscular spine structures are being developed and introduced, all having the purpose of reducing postoperative back pain. The advantages of the minimally invasive spine surgery include: possibility of performing procedures under local anaesthesia, reduced hospital stay, limited blood loss with consecutively reduced fibrous tissue development. Patients are capable of return to work and everyday activities early after surgery. From the economical point of view, this kind of treatment is considered to be a cost-effective intervention. Three methods that are being used for treatment of lumbar intervertebral disc herniation are: percutaneous laser disc decompression (PLDD), microdiscectomy using tubular retractor system and selective endoscopic discectomy (SED). Conducted prospective studies have shown that minimally invasive methods are adequate alternative to classic surgical procedures.
    Lijec̆nic̆ki vjesnik 03/2015; 137(3-4):96-9.
  • Lijec̆nic̆ki vjesnik 02/2015; 137(1-2):30-33.