Lijec̆nic̆ki vjesnik
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Lijec̆nic̆ki vjesnik · Nov 2008
[Legal aspects of medical expert testimony and non-economic damage in civil liability of physician].
In the establishment of civil liability of physicians for damage caused, it is extremely important to establish all relevant facts for the court to render the appropriate verdict. One of the crucial instruments in the establishment of a presumed civil liability of physicians as well as in the establishment of the criteria for the assessment of a proper award, is the medical expert testimony--utilised as an essential proof. The comprehension of medical and legal professionals' replies to questions which every profession must answer in order to provide an objective access to the claim and a right and full establishment of the factual situation, is the imperative for a correct application of the law in the handling and settling of these claims, especially in the light of the new set up of the concept of non-economic damage. The medical and legal profession shall help placing the problems of civil liability of physicians into real frameworks, preventing any attempts of unnecessary stigmatization of medical profession and cases of unjustified and unfounded indemnification, and it shall objectively and professionally, based on the law, enable a full and absolute protection of patients and third parties and their rights to physical and mental health.
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Lijec̆nic̆ki vjesnik · Sep 2008
Biography Historical Article[Zvonimir Susić--doyen of Croatian neuropsychiatry in the 20th century].
There are three distinct phases in the life of Zvonimir Susić--neurologist, psychiatrist, forensic expert, educator, teacher, translator, and erudite of general and professional knowledge--Zagreb, Rijeka and Zadar phase. In Zagreb (1926-1946) he was promoted to physician (1932), there he was a student tutor, then the assistant at the Physiology Institute of the Medical Faculty; volunteer, hospital doctor (he got the specialization in 1938), assistant and head doctor of the Hospital for Mental Diseases in Vrapce, and the assistant professor (1941) at the Neuropsychiatric Department of the Zagreb University. In Rijeka (1947-1959) he reorganized Psychiatric and established the Neurology Department of the General Hospital "Brothers Dr. ⋯ He was frequent and imaginative lecturer in various sections in Croatian Medical Association and other public institutions. As a gifted polyglot he was occupied by the translation work when retired. In our, till then Middle-European culture-oriented medical area, he introduced values and patterns of French neurological and German neuropathological schools.
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Central poststroke pain is a type of neuropathic pain which is caused by damage to the central nervous system after a stroke and which is localized to the territory of the neurological deficit which corresponds to the cerebrovascular lesion. Stroke is the commonest cause of central neuropathic pain. ⋯ According to international guidelines for the treatment of central poststroke pain, the first line therapy is tricyclic antidepressants (amytriptilin and nortriptilin) or antiepileptic drugs (lamotrigine, gabapentine, pregabaline, carbamazepine). The second line is tramadol, opioids and fluvoxamin.