Lijec̆nic̆ki vjesnik
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Organ transplantation becomes an accepted method of treatment, being closely accompanied with the development of transplantation ethics. Numerous problems and dilemmas occurring in this process can be grouped as problems connected with confirming death, and ethic dilemmas connected with obtaining and distributing organs. ⋯ A difficult question of just organ distribution causes many ethical dilemmas. Solution should be sought in the multidisciplinary approach of bioethics with medicine, politics, legislature and sociology.
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Laparoscopic surgery is a technique by which abdominal surgical treatments are performed in minimally invasive way. Many operations that once required long hospitalization are now being performed with laparoscopic technique. It has significantly reduced postoperative pain and the number of complications, shorter hospital stay, with faster recovery, and more rapid return to normal activities. ⋯ Surgical treatments are usually performed in general endotracheal anesthesia, although regional or local one could be applied too. The choice of anestesiologic technique and anesthetics depends upon preoperative patient's condition, the kind of surgical treatment, anesthesiologist's evaluation, and at last upon the cooperation among patients, anesthesiologist and surgeon. The basic aim of anesthesia is respiratory and hemodynamic patient's stability, and the choice of anesthesiologic technique and anesthesia should enable satisfactory analgesia, amnesia, muscular relaxation, faster recovery and shorter hospital stay.
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Lijec̆nic̆ki vjesnik · Nov 2003
Historical Article[Dubrovnik at the crossroads of the traditional hospital and the modern concept of hospice units].
A short reminiscence of medical history in ancient Dubrovnik inspires for sustainable development of health care system and social care for the future. The main goal of the research is to confirm the necessity to establish hospice units in Dubrovnik, within an organized palliative care. Palliative care program offers preservation of the optimal quality of life for patients with advanced disease and very limited prognosis. ⋯ According to the results, only 14% of the death-rate in the Dubrovnik area were patients who did not belong to the mentioned groups. Patients who are in the terminal phase of their life and are not hospitalized have a greater need for an organized palliative care, due to the fact that permanent expert medical care is not always available to them. Significant percentage of geriatric population and oncologic patients dies out of Dubrovnik hospital.
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Acute pancreatitis varies from mild to severe fulminant disease. Once the diagnosis of acute pancreatitis is established, the treatment is dependent on the early assessment of disease severity based on objective clinical and laboratory parameters. ⋯ The roles of initial treatment and monitoring, nutritional support, specific therapy and antibiotic prophylaxis are analysed. The therapeutic approach to patients with early and late complications of acute pancreatitis could be medical, endoscopic or surgical and recommendations for relevant management are given.
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Lijec̆nic̆ki vjesnik · Jul 2003
Historical Article[The Journal of Slavonian Physicians (Glasnik druztva Slavonskih Liecnika), the journal of the medical society in Croatia 1877-1878].
If we discuss chronological appearance of medical journals as official gazettes of medical associations in this part of the world and Europe, then Glasnik druztva slavonskih liecnika (Glasnik DSL) is the first and the oldest medical journal of this kind in Croatia, whose first number is dated January 1, 1877, and the last December 1, 1878. It is the gazette of the Slavonian Medical Association in Osiek (DSL in Osiek), a professional medical association founded in 1874, which today marks its activity as the Croatian Medical Association--Osijek Branch (HLZ). Our goal was to investigate the key determinants of its appearance in the context of the role and contribution of Slavonian physicians in the promotion and development of Croatian medical literature, particularly medical periodicals in the 19th century. ⋯ The results are presented in several separate chapters which offer new scientific knowledge about the history of the medical Journal Glasnik DSL, and about the role of Slavonian physicians and DSL in Osiek in the promotion of Croatian medical terminology and the development of professional medical literature from the middle of the 19th century through 1878. In Glasnik DSL we today recognize our first medical periodical as the oldest scientific and professional gazette of the medical association; the unique source and material for studying the history of Croatian medical journals; history of medical associations; health-related circumstances, conditions of work and striving of physician, and professional and scientific scopes in Croatia in the 19th century. Each number is by itself a value and a bibilographic rarity, all numbers together represent a unique monument to Croatian medical heritage, whose availability for the new generations is facilitated by publishing the reprint issue in 1999.