Prilozi / Makedonska akademija na naukite i umetnostite, Oddelenie za biološki i medicinski nauki = Contributions / Macedonian Academy of Sciences and Arts, Section of Biological and Medical Sciences
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Randomized Controlled Trial Comparative Study
Continuous femoral nerve block versus fascia iliaca compartment block as postoperative analgesia in patients with hip fracture.
Systemic postoperative analgesia is inefficient in most patients with hip fracture, which is the reason for pain, especially during leg movement. Peripheral and plexus nerve blocks are an efficient option for postoperative pain relief. The aim of this study was to compare the effect and duration of continuous FNB versus a single FIC block as a postoperative analgesia in patients with hip fracture. ⋯ Pain relief in the postoperative period was superior in the FNB group versus the FIC group at rest and in movement in patients with hip fracture.
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The aim of the study was to determine the predicting tests for difficult airway and difficult intubation in apparently normal patients. ⋯ We used only two criteria for describing both the visibility of the oropharyngeal structures and the quality of the laryngeal view. The effective and reliable prediction requires a combination of several parameters (BMI, head and neck movement, dentition status, upper lip bite test, interincisor gap and thyromental distance).
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(Full text is available at http://www.manu.edu.mk/prilozi). The Macedonian Society of Nephrology, Dialysis, Transplantation and Artificial Organs (MSNDTVO) held its Fourth Congress with international participation from 21 to 24 June 2012, in Ohrid, Republic of Macedonia. The European Renal Association - European Dialysis and Transplantation Association (ERA-EDTA) was a patron of this congress with support in the form of a one-day course for Continuing Medical Education (CME) and with a number of topics presented from members of the group for development of recommendations (European Renal Best Practice - ERBP group). ⋯ The Congress was rated by all delegates and lecturers to be on a high scientific level and well organized. Of particular importance is also the fact that, after many years, all presidents of the national nephrology associations and nephrologists from the Balkans and beyond were gathered together, which enabled an exchange of experience and achievements, but also the possibility of considering an actual dimension of the achieved level of implementation of particular guidelines in the respective countries, as a special incentive for further development where it is really needed. The Fourth Congress of MSNDTAO was successful in scientific terms, but also showed the good-will for regional cooperation and friendship for the generations of nephrologists from the wider Balkan region, showing that despite political turbulences, nephrologists remain doctors without borders and prejudices.
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The aim of this study is to show the different diagnostic procedures and treatment in patients diagnosed with congenital choledochal cysts. Choledochal cysts are congenital anomalies of the bile ducts and include cystic dilatation of the extrahepatic and intrahepatic biliary ducts or both. The study shows ten patients diagnosed as having choledochal cysts. ⋯ Patients with Caroli disease were conservatively treated and 3 with interventional endoscopic procedures. Despite US evidence suggesting choledochal cyst diagnosis, other supportive radiographic imaging modalities such as MRCP, ERCP and PTC are required to define the precise cyst anatomy and are essential for the preoperative assessment. Total cyst excision is recommended for reducing cyst-related complications and risk of cholangiocarcinoma.