Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina
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Aim To determine whether there has been a change in frequency of selected otorhinolaryngology - head and neck surgical procedures during a 5-year period. Methods Comparative cross-sectional analyses of surgical candidates and procedures performed at the Department of Otorhinolaryngology and Maxillofacial Surgery during the period 2013‒2017 were done. Data on patients' demographics and cases of selected surgical procedures were extracted from the operating room log books. ⋯ Used data are specific to two studied cantons and do not represent a nationally representative database. The generalisability of the present results to Bosnia and Herzegovina as a whole might be limited. Therefore, similar future investigations conducted in other large hospitals in our country are warranted.
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Aim To determine psychological characteristics of war veterans after the war in Bosnia and Herzegovina (B&H). Methods The study included 207 war veterans with war experience in B&H. Evaluation of veterans was conducted by the Harvard Trauma Questionnaire (HTQ)-B&H version, Emotion Profile Index (EPI), Life Style Questionnaire (Life Style index - LSI). ⋯ Conclusion War veterans with post-traumatic stress disorder experienced more traumatic experiences and show more severe symptoms of post-traumatic stress disorder. In the emotional profile, there was a lower level of emotional states, and coping strategies with posttraumatic stress disorder were negating, intellectualization and compensation. The treatment of post-traumatic stress disorder is becoming a conspicuous public health problem.
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Aim To determine the spectrum of causative agent of prosthetic joint infections in orthopaedics. Methods In the group of 50 patients with periprosthetic infection the results of microbiological analysis of minimally two samples gained intraoperatively were analysed. ⋯ Conclusion A better understanding of the most common agents responsible for prosthetic joint infection helps us to properly prepare the patient (by eradicating of potential focus) with adequate antibiotic prophylaxis and early treatment of suspected infections to further reduce the incidence of infectious complications in orthopaedics. It is important to bear in mind that patients who have undergone total joint replacement have a risk of infection for the rest of their lives.
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Aim To analyse potential clinical implications of the distance between large retroperitoneal vessels and lower segment of the lumbar spine in the supine and prone position. Methods Prospective, non-randomised study included 40 patients of different age and gender. For all patients magnetic resonance imaging of the lumbar spine was performed in supine and prone position. ⋯ There was a statistically significant difference between the distance from the left common iliac artery to the anterior contour of L4/L5 intervertebral disc (p<0.05). Conclusion Knowledge of the anatomic relationship between iliac vessels and structures of the lower segment of the lumbar spine is very important in the prevention of a potentially severe complication, such as artificial common iliac vessels rupture. Our study showed that the risk of lesions of the common left iliac artery was lesser in the prone position.
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Aim Proximal humeral fractures are common and most complex patterns currently represent a challenge for surgeons. Difficulties in obtaining good anatomical reduction (particularly of great tuberosity) often lead to unsatisfactory results; choices often fall onto prosthesis implantation against fixation options. The aim of this study was to compare a new design of proximal humeral plate with the most used plates in the treatment of these injures by analysing outcomes and complications. ⋯ The PGR had a positive impact on treatment results of varuspattern of proximal humeral fractures. Conclusions The PGR allowed good clinical and radiographic results in the treatment of proximal humeral fractures, comparable to those obtained with Philos. Also, PGR had the advantage to aid and keep the anatomical reduction of patterns of fracture involving the greater tuberosity.