Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti
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Post-transplant erythrocytosis is defined as an increase in hematocrit above 55%. It occurs in 10%-15% of renal transplant recipients, most commonly from 8 to 24 months after transplantation. ⋯ The etiology is multifactorial and includes erythropoietin, renin-angiotensin system (RAS) and IGF-1 as the main factors. RAS inhibition with either ACE inhibitors or angiotensin receptor blockers is efficient therapy which decreases hematocrit in 90% of patients within 2 to 6 weeks, thus decreasing the incidence of fatal complications (like pulmonary embolism and stroke).
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Historical Article
[Chronologic annotation on the development of allergology and clinical immunology in Croatia].
This issue of Acta Medica Croatica is dedicated to historical development and role of allergology and clinical immunology in Croatia. Also listed are the names of experts who have historically marked allergology and contributed to its development. Understanding the origin of allergies as immune phenomena occurred in Croatia simultaneously to many other European countries. ⋯ It turned out that the work of institutions and physicians, as well as cooperation with the Croatian Immunological Society and other scientific institutions during the second half of the 20th century provided solid foundation for contemporary research, design and development of allergy subspecialty centers and units at various medical institutions all over Croatia. Members of the Croatian Society of Allergology and Clinical Immunology have played an important role in educating new generations of physicians and in the organization of numerous research projects, symposia, congresses and seminars. Continuous, scientific and professional work has resulted in active Society membership in the European Academy of Clinical Immunology and Allergology.
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Historical Article
[The history of kidney transplantation at Susak hospital].
Kidney transplantation is the most efficient method of renal replacement therapy. Development of kidney transplantation occurred in the second part of the 20th century. At Susak hospital, the first experimental surgical acts on animal models started in 1996. ⋯ One year later, first transplantation from cadaveric donor was performed. In the last 40 years, development of transplantation medicine in Rijeka and Croatia was successful and Rijeka has become one of the top transplantation centers in Croatia today. Since 2007, Department of Urology has become Referral Center for Kidney Transplantation of the Croatian Ministry of Health and Social Welfare.
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Historical Article
[Resuscitation by direct heart massage in the history of surgery and anesthesia of Bjelovar hospital].
This historical review presents cases of direct heart massage in patients with intraoperative cardiac arrest performed at Department of Surgery, Bjelovar General Hospital. Out of five cases recorded in the 1960-1970 period, resuscitation proved successful in two patients, but one patients living normal life free from any subsequent complications. The patient critical general condition, comorbidities and anesthesiology incidents as the possible causes of cardiac arrest are discussed, and the staffing and logistic problems encountered in a small-town hospital are presented.