Croatian medical journal
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One of the many problems of academic medicine is its detachment from actual health problems of the population. Family medicine has a potential of bridging this gap. The paper describes the positive experience from introducing family medicine as a new academic discipline to the medical school in Slovenia. ⋯ Medical academic establishment has benefited by being exposed to new ideas in research and education. The key to success was the fact that the academic world accepted a newcomer to its midst and that the newcomer managed to integrate its principles into the rules of the academic environment. The next step in this process is to apply some of the positive experiences of the family medicine department to the curriculum reform of the entire faculty.
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To classify ocular lymphomas in patients treated at the Zagreb University Hospital Center according to the new classification of the World Health Organization (WHO) and to determine factors with prognostic significance. ⋯ Most ocular adnexal lymphomas usually have a B-cell immunophenotype, the morphologic and immunohistochemical features of extranodal marginal zone B-cell lymphoma, and a favorable prognosis. Our data suggest that CD43 could be useful to separate the group of patients with extranodal marginal zone B-cell lymphomas with unfavorable prognosis from those that have a good prognosis. CD43 positive ocular lymphomas are associated with a higher rate of subsequent distant recurrence and the rate of lymphoma-related death.
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Scientific approach to academic medicine crisis would require research to provide evidence for the present state of academic medicine and future actions. The prerequisites for such a research would be clear definitions, appropriate indicators, and measuring instruments. The approach should be holistic, covering tripartite academic medicine activity: education, research, and health care.
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Croatian medical journal · Apr 2004
Randomized Controlled Trial Comparative Study Clinical TrialComparison of pressure support and T-tube weaning from mechanical ventilation: randomized prospective study.
To compare T-tube and pressure support ventilation (PSV) as two methods of weaning patients from mechanical ventilation. ⋯ In patients with weaning difficulties, PSV with 8 cm H(2)O was more successful weaning method than T-tube.
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Croatian medical journal · Apr 2004
Randomized Controlled Trial Clinical TrialEffects of corticosteroids on inflammatory response following cardiopulmonary bypass.
To investigate the effects of corticosteroids on the reduction of inflammatory response after cardiopulmonary bypass. ⋯ It seems that the administration of corticosteroids prior to the initiation of cardiopulmonary bypass may alleviate the intensity of the inflammatory response, as evidenced by reduced increase in inflammatory mediators.