Collegium antropologicum
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Collegium antropologicum · Jun 2003
Clinical TrialEfficacy and safety of propofol sedation during urgent upper gastrointestinal endoscopy--a prospective study.
The aim of this study was to investigate both the efficacy and safety of sedation with propofol during urgent therapeutic gastroscopy in patients with upper gastrointestinal bleeding. This prospective study included a total of 110 patients. Propofol was administered intravenously at the starting dose of 1 mg/kg body weight and was followed by repeated doses. ⋯ Potentially harmful drop in oxygen saturation below 85% was observed in 5.5% of patients, whereas a temporary drop in heart rate below 50 beats/min was observed in 11.8%, not requiring any intervention. Almost 93% of patients could not remember the beginning or the end of the intervention. This data demonstrates that sedation with propofol is suitable for use in patients with upper gastrointestinal bleeding undergoing urgent endoscopy.
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Social anxiety disorder (social phobia) is an irrational fear of being observed and judged by other people in various social settings. The individual is afraid that he or she will act in a way that will be humiliating or embarrassing. It is often a chronic, disabling condition that is characterized by a phobic avoidance of most social situations. ⋯ The medicaments of choice in the treatment of social anxiety disorder are selective serotonin reuptake inhibitors. Anxiolytics should be used only as a supplementary in the acute phase. Treatment of social anxiety disorder should last at least 3 months up to one year.
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The aim of our study is to evaluate results of treating war injuries of colon and rectum, after 10 years. During the war in Croatia, 21 wounded, with colon (19) and rectum (2) injuries, were treated in the Department of Surgery at Nova Gradiska General Hospital from August 1991 to April 1992. Bullet wounds accounted for 57% of the injuries. ⋯ Reoperation was necessary in two (9.5%) injured due to bowel obstruction four days following initial surgery because of adhesions. Three (14.3%) of the injured had wound infection, one of them died 30 days after injury due to sepsis, and two (9.5%) consequently developed ventral hernia that was operated after 4 and 5 years respectively. Four (19.0%) of the injured are still occasionally experiencing occasional abdominal pain.
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Collegium antropologicum · Dec 2000
Genograms of exile and return families in Croatia--a medical anthropological approach.
This article presents the most important results of an applied anthropological long-term study of the prolonged exile and return that many families are currently undergoing in Croatia. The results are elaborated with a special reflection upon two important overlapping issues concerning the methodological approach that was applied: firstly, it discusses the crucial questions which motivated the search for a tool that will not distort the experiences, reality and suffering of exile families; and secondly, it critically describes the application of the genogram (a tool borrowed from systemic family therapy) in the exile setting. This tool was not only useful in the clinical sense of psychotherapeutically helping the families, but was also a very flexible part of the methodology orientated towards evoking family history and providing valid knowledge about different family and living circumstances.
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Collegium antropologicum · Jun 2000
Case ReportsHereditary hemorrhagic telangiectasia or Rendu-Osler-Weber syndrome in the same family.
The authors present the case of three patients from the same family in whom hereditary hemorrhagic telangiectasia (HHT) or Rendu-Osler-Weber syndrome was diagnosed. The disease is rare and occurs with multiple telangiectases of the skin and mucosa, and pulmonary arteriovenous fistulae. The clinical status of our patients included multiple telangiectases of the skin and mucosa, recurrent epistaxis, exertion dyspnea and cyanosis. ⋯ A-V fistulae were confirmed by pulmonary angiography. The pulmonary A-V fistulae were operated in all three patients and diagnosis was confirmed by histopathological examination of the operated samples. Clinical improvement was observed after the operation and cyanosis, dyspnea, hypoxemia and polycythemia disappeared.