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Biomedical subjects

M Mimica

Publications and source records attributed to M Mimica.

At least 19 recordsLinked to original sources

Middle cerebral artery velocity waveforms in fetuses with absent umbilical artery end-diastolic flow.

Middle cerebral artery (MCA) velocity waveforms were analyzed in 21 fetuses with absent umbilical artery end-diastolic flow (AEDF). Resistance index (RI) was measured from MCA velocity waveforms when AEDF was observed for the first time and at consecutive examinations. Fetal distress defined by fetal heart rate monitoring was found in 19 cases (90%). The difference between MCA RI values of first and last examinations was statistically significant (p < 0.01). There was a positive correlation between MCA RI values at the first examination and the time passing to delivery (r = 0.52; p < 0.05). There was no significant correlation between MCA RI values and the incidence of an adverse perinatal outcome. Pregnancies with AEDF are of high risk for the development of fetal distress. MCA resistance index values decrease gradually in fetuses with AEDF suggesting continuous reduction of cerebral vascular resistance during chronic fetal hypoxia.

Blood Flow Velocity

Usefulness and limitations of laparoscopy in the diagnosis of tuberculous peritonitis.

The value of laparoscopy in the diagnosis of tuberculous peritonitis was determined in 32 patients diagnosed histologically as having the condition. In 27 (85%) patients the diagnosis was obtained by laparoscopy combined with peritoneal biopsy. In five patients in whom laparoscopy was unsuccessful, the diagnosis was established by laparotomy. The visually established diagnosis was unreliable and needed histological confirmation. In the ascitic form of tuberculous peritonitis laparoscopy was a safe method which enabled a definitive diagnosis. In the fibroadhesive form of tuberculous peritonitis laparoscopy was risky and gave insufficient information, the diagnosis easily being established by laparotomy.

Adolescent

Proteinuria in the elderly.

In a representative sample of 624 people, 65-84 years of age, from six regions of Croatia, Yugoslavia, proteinuria was investigated on the basis of certain medical characteristics. Established proteinuria was seen in 30.8% of females and 27.4% of males. Proteinuria was found to be significantly more common in people with urinary tract infections. Arterial hypertension with heart failure was more often seen in patients with than in patients without proteinuria, but the difference was not statistically significant.

Aged

Right bundle branch block in a prospective population study.

The prevalence of right bundle branch block (RBBB) according to clinical findings was investigated in 4210 randomly selected subjects of both sexes, aged 35 to 54, in 1969 and after a period of three years (1972). Rheumatic heart disease and decreased forced vital capacity were more often found in persons with RBBB than in persons without RBBB. The prevalence of RBBB was 0.24% in 1969 and 0.35% in 1972. Incomplete RBBB (iRBBB) was found in 2.95% in 1969 and in 1.64% in 1972. The R1 smaller than the R wave in V1 or V2 was seen in 3.37% in 1969 and in 2.72% in 1972. RBBB remained constant over a period of three years, iRBBB was constant in 40.8% and R1 smaller than the R wave in V1/V2 was constant in 34.8%. Hypertension and depression of the S-T segment and inverted T wave before and after exercise were not more frequent in subjects with RBBB than in those without RBBB.

Adult

Left axis deviation and tall R waves in the electrocardiogram.

ECG findings indicating significant left axis deviation and tall R waves (left type) according to the Minnesota Code have been investigated in 4210 subjects of both sexes aged 35-54. The changes were analysed twice over a period of three years. Left axis deviation was seen in 2.9%. It was least frequent in the youngest subjects and occurred 2.5 times more often in men than in women. The prevalence of tall R waves was 2.2%. It also was least frequently seen in the youngest subjects and was two times more common in men than in women. This finding was significantly connected with changes in the S-T segment and T waves at rest or after exercise. However, as many as 66% of the subjects with tall R waves had no S-T segment or T wave changes. Both left axis deviation and tall R waves were significantly associated with combined diastolic-systolic hypertension. Left axis deviation was fairly stable. Tall R waves were persistent in only one third of the subjects, reflecting the dynamics of the myocardium. It was more often seen in connection with signs of myocardial ischemia.

Adult