Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti
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Case Reports
[Acute compartment syndrome as a complication of prolonged surgery in the Lloyd Davies position].
Acute compartment syndrome of the muscle is condition in which prolonged increase of tissue pressure in closed unyelding fascial compartments reduces capillary perfusion below a level necessary for tissue viability leading to muscle and nerve ischaemia for few hours. There are wide variety different clinical settings associated with compartment syndrome. ⋯ We present female patient developed limb compartment sindrome after surgical procedure which lasted 6,5 hours in the Lloyd Davies position for extensive rectovaginal endometriosis. In this article we rewiev different contributing factors that may predispose to compartment syndrome during Lloyd Davies position and undescore importance of recognise the risk factor and prevent the esthablishment of acute compartment syndrome during and after surgery in the Lloyd Davies position.
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Man is mortal, which means that as the earthly body perishes being, final. Disease and death will always be an inevitable and integral part of human experience. The way in which we try to identify and respond to the unique and individual needs of the dying is an indication of our maturity as a society. ⋯ These effects are achieved through the use of various musical techniques, such as musical improvisation, songwriting, receiving creative techniques, guided by imagination and music. These techniques allow the diversity of objectives in treating patients such as reducing anxiety and stress, relaxation, pain control, reducing confusion spiritual, emotional expression, experience, self-awareness, encourage creative expression, causing mood swings - emotional, cognitive and behavioral, inducing the patient's imagination, enabling patient's chronological classification of life experiences, and the elaboration of unresolved pain, sorrow or errors. Adequate selection and use of musical techniques in palliative care in the service of achieving the best possible quality of life for patients at the end of life.
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Testing attitudes and opinions ofgraduate students in Osijek towards organ donation and transplantation. Examinees and methods: The research included 99 students of math gymnasium in Osijek (54 males and 45 females, mean age 18 years). They fulfilled an anonymous questionnaire, consisted of 24 questions about transplantation, willingness to donate organs, consciousness of importance of donating organs and attitudes of religion towards organ donation. Statistical analysis was made by SPSS 16.0 computer program using Chi-square test. ⋯ High school graduates have mostly heard about organ transplantation (many of them by television) and the majority has positive attitude and are willing to donate theirs and to receive organs from another person. Such willingness and tendency towards organ donation should be taken with reserve, because it was relatively young population, without life experience in similar situations. Within their population, believers are predominating, and they often don't know whether their religion is pro organ donation or against it. Smaller proportion, but still the majority of the examinees, considers the transplantation to be a safe procedure. Women and men show differences regarding information, attitudes and willingness to make a sacrifice. Women are more willing to donate organs to a family member. Still, there is not enough discussion about transplantation inside each family. Rate of ignorance and lack of information about transplantation and organ donation, indicates a need for better representation of this topic in media, schools, religious institutions and inside family.
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Sleeping disorders are common among chronic hemodialysis (HD) patients and obstructive sleep apnea (OSA) syndrome frequency is often underestimated. ⋯ The patients on chronic HD in University Hospital Centre Osijek had high frequency of risk for sleep apnea syndrome, especially women. The risk related risks and comorbidities in those patients were also common. Excessive daytime sleepiness was significantly higher in those with risk for OSA and the risk related cut-off score for excessive daily sleepiness was lower than the official for ESS. Polysomnography should be performed in the patients at risk also to assess specificity of STOP and ESS questionnaires in the patients at maintenance HD.
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Tunneled dialysis catheters are one of the methods for vascular access in hemodialysis patients. In the Clinical Hospital Merkur placement of tunneled dialysis catheters was started in 2007. The aim of this study was to analyze results of that program. ⋯ Jugular veins are best location for placement of tunneled dialysis catheter. There is no statistical difference of catheter survival after placement de novo or after over the wire exchange in the presence of previous catheter.