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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Acute kidney injury (AKI) comprises several syndromes that are associated with a sudden decrease in renal function. AKI is a common condition especially among critically ill patients. It is typically multifactorial and of great prognostic significance. ⋯ Furthermore, as AKI is multi-factorial and heterogeneous in origin, it seems likely that not one single marker but a panel of biomarkers will be required to detect all subtypes of AKI early during their evolution. This has initiated proteomic studies to develop panels of biomarkers which may facilitate early detection of AKI. The present review will focus on the most important clinical studies evaluating the ability of single AKI biomarkers and on those in clinical proteomics that attempted to establish panels of biomarkers in urine for early and accurate AKI diagnosis and prognosis.
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Observational Study
Early prognosis in patients with community-acquired severe sepsis and septic shock: analysis of 184 consecutive cases.
To determine the risk factors on hospital mortality in patients with community-acquired severe sepsis and septic shock in the first 24 hours after admission to the intensive care unit. ⋯ Our results highlight the importance of three or more organ dys-functions, acute respiratory failure, positive blood culture and chronic heart failure as independent risk factors for mortality in the first 24 hours after admission in patients with severe sepsis and septic shock. This will benefit the early identification of patients at high risk for poor outcomes that contributes to intensive management and appropriate treatment interventions.