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Biomedical subjects

M Kokavec

Publications and source records attributed to M Kokavec.

At least 19 recordsLinked to original sources
PubMed2006

"Different" approach in the operative treatment of congenital clubfoot and its results.

OBJECTIVES: This study compared long-term results of the treatment of idiopathic clubfoot at two different University orthopaedic departments. BACKGROUND: The treatment of clubfoot is still controversial due to different severity and different treatment philosophies. METHODS: Authors retrospectively analyzed a group of 273 feet (145 patients) operated on at the Unit of Pediatric orthopaedics, Children University Hospital, Bratislava (group A) and the cohort of 60 feet (33 patients) operated on at the Ist University Department of Orthopaedics, Bratislava (group B), between 1993 and 2002 with follow up period from 2 to 11 years (average 72 months). In the group A, McKay procedure was indicated in 3 feet, Carroll operation in 35 feet and 160 feet were operated by Brockmanns posteromedial release and its modifications (cuboid and metatarsal osteotomies). In the group B, McKay procedure was done in 8 feet and 50 feet were operated on by Turco/ Zacepin procedure. RESULTS: Recurrences in both groups due to the insufficient first step operative reduction and mistakes in after treatment were 12%. Satisfactory results (excellent and good) were achieved in 88% of cases in both groups. CONCLUSION: This study shows, that the results of operative treatment of congenital clubfoot from two different departments (using different operative techniques but "a la carte philosophy") were comparable in most of the cases (Tab. 4, Fig. 3, Ref: 9).

Child↗
PubMed2005

[Paresis of the femoral nerve in pelvic extraperitoneal hematoma--case reports and literature review].

The authors describe two rare cases of femoral nerve paresis in pelvic extraperitoneal hematoma in children. The first case was a 13-year-old girl, with no trauma in her medical history, in whom the paresis was suspected to have inflammatory or tumorous etiology; the other case was a 14-year-old boy injured during playing football. In both patients, extraperitoneal pathology of the pelvis was evident clinically and was shown in CT scans; paresis of the femoral nerve was demonstrated by EMG. In both cases, surgical intervention revealed a hematoma causing neuropathy. This was removed and, within a year of first sign appearance, both patients were free from neurological symptoms. The authors consider early surgery to be a decisive factor in the course of this neurological complication, as the regeneration of nerve structures took nearly a year despite the adolescent age of the patients. No reports of similar conditions in children treated at the same institution were found in the relevant international literature.

Adolescent↗
PubMed2005

Combination of osteotomy of the first metatarsal according to Frejka with McBride operation procedure in surgical therapy of extreme hallux valgus.

Hallux valgus is to be perceived as a complex of deformities of the first ray of the foot, often accompanied by deformity of forefoot. Although, this deformity can be treated with as many as 200 surgical procedures, the authors would like to demonstrate the effect of their own approach. The authors evaluate the results of hallux valgus surgery combining the operation according to McBride and wedge osteotomy of the first metatarsal (MT) basis in 21 patients (37 surgeries) with post-surgical follow-up lasting from 29 to 45 months (i.e. 3 years in average). Pre-operative mean intermetatarsal 1-2 angle revealed by radiographs was surgically corrected from 21.7 degrees at the baseline to the mean degree of 8.8. The pre-surgical average 45.9-degree of great toe valgosity proved by radiographs was surgically improved to the mean of 13.5 degrees. 87% of patients expressed their personal satisfaction with their surgical results. The authors consider the combination of wedge osteotomy of the first metatarsal basis with the operation according to McBride to be suitable in the therapy of extreme valgosity of great toes with increased metatarsal angle between first and 2nd metatarsal in young patients with minimum of changes in the metatarsophalangeal joint developed due to arthrosis (Tab. 2, Fig. 6, Ref. 7).

Female↗
PubMed2001

[Role of forensic medicine and forensic psychiatry in solving the problem of organized crime].

Term--organized crime is not satisfactorily defined todate neither in forensic sciences, nor in lexical formulations. It is necessary to come to grips with the criminalistic and social pathological meaning of three terms--individual crime, grouped and organized crime as well as participation of forensic sciences including forensic medicine on solving problems of organized crime. Forensic medicine and forensic psychology can help to solve this acute problem of present development of social life. It can help in criminalistic expertize and insider activity in profiliation of perpetrators and victims. Mainly it will be about searching and improving of methodical approaches in solving of incriminated cases and its analysis for investigative organs and courts. Important asset in this problem must be also preventive portion in preclusion of criminality.

Crime↗
PubMed2000

[Views of forensic medicine and criminology on the pathodynamics of homicide].

Trauma and violence represent the domains of forensic medical expertise. The objective finding on the victim of the homicide makes it possible to reconstruct the way and mechanism of the injury connected with it and thus to determine the cause of death. The traces of violence contain many indices pointing at specific personal characteristics of the culprit, his motivation to the crime and his state of mind at the time of the homicide. To judge the penal responsibility and the guilt of the culprit it is important for the court to have the analysis of the dynamics and of the causal background of the crime, especially the synthetic evaluation of subjective, situation, or eventually psychological factors of violence with the mortal effect. The interdisciplinary forensic-medical, forensic-psychological and psychophytological approach will make it possible to provide the court with a complex forensic expertise.

Criminology↗
PubMed1996

[Complications in catheterization of the subclavian vein].

The authors of the article inform about the complications of the infraclavicular subclavian vein catheterization, enclosing some practical cases. They suggest the applicable steps that should be taken in case of the death due to the catheterization not only for pathologists but also for the regular clinical staff.

Adolescent↗
PubMed1994

[Ongoing problems of road signs in transportation control].

The diagnosis and evaluation of causes of traffic accidents frequently calls for effective mutual collaboration of forensic medical officers and transport psychologists. Both scientific disciplines participate in prevention of traffic injuries as regards theoretical arguments and practical provisions. The Bratislava Institute of Forensic Medicine, based on many years of professional and practical experience, participates in the elaboration of principles of risk-free transport of urban and non-urban traffic as well as in preventive provisions and suggestions for conditions of traffic the field. Due to social and economic changes they will be faced in future with more complicated traffic problems/safety of pedestrians--children, old people. In transport man adapts, due to biological laws, with greater difficulties to technical signs of controlled traffic which assumes rapid, immediate and inevitable reactions. Transport safety cannot be resolved unless within prevention a radical solution will be found for the risk of alcoholism, toxicomania, ever increasing speed of vehicles and greater traffic density.

Accidents, Traffic↗
PubMed1991

[Long-term results of the Collona acetabuloplasty].

The authors evaluate in their paper the long-term results of capsular acetabuloplasty by Colonna's method in the material of the First Orthopaedic Clinic, Faculty Hospital Bratislava. The mean time interval after operation was 20 years. The results are compared with previous evaluations made by Cervenanský and Kalman. Very favourable results were recorded in 3% of the patients, good results in 24%, satisfactory results in 39% and poor results in 39% and poor results in 34% of the patients. A marked shift towards unsatisfactory results is due to incorrect indication of acetabuloplasty which in the was a certain compromise, and also due to the surgical technique. The authors assume that correct and early prevention and treatment will eliminate capsular acetabuloplasty from the range of standard surgical therapeutic procedures in L.c.c.

Acetabulum↗
PubMed1991

[Aspects of criminal participation in suicide].

The authors' aim was to draw attention to the problem of participation in suicide. Suicide associated with penal responsibility is infrequent, the authors assume, however, that it deserves more attention. When elucidating the background and objective circumstances of suicide, the detection and evidence of participation in suicide is a very difficult and responsible task. Participation in suicide is not necessarily obvious and easy to prove at first. Based on their own experience assembled during an aimed analysis of 934 cases of suicide the authors draw attention to risk situations when investigation of possible participation is justified. Obtaining more accurate and extensive information, more active detection of people responsible for this criminal activity and their punishment is according to the authors important for the prevention of suicides.

Crime↗
PubMed1985

[The beginnings of the Institute of Forensic Medicine in Bratislava].

At the beginning of October 1919 doc. MUDr. Frantisek Prokop came to Bratislava to organize and build the Institute of Forensic Medicine of the Medical Faculty of the Comenius University. The submitted investigation, based on assembled documents, gives an account of the existence and activities of this department. The Institute had to be built from scratch; during the first years it was inadequately equipped and understaffed. In 1925 MUDr. Herman Krsek became one of the assistants and in 1935 he was awarded the title of reader in forensic medicine.

Academies and Institutes↗
PubMed1983

[Founding of the Institute of Forensic Medicine in Bratislava].

The Institute of Forensic Medicine at the Bratislava Medical School came into existence in 1919. Its founder and the first director was Professor Frantisek The study analyzes circumstances preceding the foundation. Bratislava Medical School and the Institute owe their existence to the fraternal and unselfish aid of Czech people and of progressive Czech scholars. Professor Prokop studied at the Charles University Medical School, here in Prague Institute of Forensic Medicine chose his field of work, gained deep expert knowledge and kept continuous contact and cooperation.

Czechoslovakia↗