Medicinski pregled
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Drowning is a leading preventable cause of unintentional morbidity and mortality. The dominant pathophysiological mechanism of drowning includes the development of acute hypoxia. ⋯ In drowning, the victim with cardiac arrest requires advanced life support, including an early intubation. Extended medical measures, which are primarily provided by medical professionals, include cervical spine immobilization in case a spinal injury is suspected, or, establishment of the ventilation with oxygen, emergency transport, application of reanimation and advanced vital support measures.
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During the last several years many authors have found that the European System for Cardiac Operative Risk Evaluation is useful in the prediction of not only postoperative mortality but also of the length of stay in the intensive care unit, complication rate and overall treatment expenses. This study included 329 patients who had undergone isolated surgical myocardial revascularization at our Department during the period from January 1st to June 6th, 2008. For the operative risk evaluation, the additive European System for Cardiac Operative Risk Evaluaion was used. ⋯ The length of stay in the intensive care unit was 25.56, 32.43 and 49.59 hours for groups I, II and III, respectively. The difference in the mean length of stay in the intensive care unit between the groups was highly statistically significant (p < 0.001) with a positive correlation (R = 0.193; p < 0.001). There is a positive correlation in patients who had undergone surgical myocardial revascularization in terms of operative risk expressed by the additive European System for Cardiac Operative Risk Evaluation and length of stay in the intensive care unit, total intubation period and development of early postoperative complications.
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Biography Historical Article
[Forgotten great men of medicine--Baron Dominique Jean Larrey (1766-1842)].
BIOGRAPHY: Baron Dominique Jean Larrev was a French army surgeon who rose to become a surgeon-in-chief of Napoleon's Grande Armée. Many advances in the field of surgery have been attributed to him: he was one of the first to amputate at the hip-joint (1812); he pioneered the use of maggots to prevent infection in wounds; he gave the first description of a trench foot, and originated the first aid to combatants by getting stretcher-bearers to take wounded men immediately from the battlefield. EDUCATION AND CAREER: Larrey studied medicine in Paris and spent a short time in the navy before resuming his studies at the Parisian College de Chirurgie. ⋯ He remained loyal to Napoleon even after his abdication in 1814, and followed him on his final campaign (the hundred days). At Waterloo, he was captured and sentenced to death; however, he was saved by the personal intervention of the Prussian commander Blücher. Many historians put him in the line with chemist Antoine Lavoisier and doctors Joseph Guillotin and Jean Paul Marat.
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The reason for extremely high incidence of sexually transmitted inflections is the lack of necessary knowledge about the mode of transmission and protection measures. The aim of this study was to determine the level of knowledge about sexually transmitted infections in the population of female students of the University of Novi Sad. ⋯ Results obtained in this study indicate the need for implementation of educational activities about sexually transmitted infections, which would enable the preservation and promotion of reproductive health of young people.