Evaluation of surface water pollution with atrazine, an endocrine disruptor chemical, in agricultural areas of Turopolje, Croatia.
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Biomedical subjects
Publications and source records attributed to Z Ostojić.
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AIM: To asses the intermediate rehabilitation outcome of patients with war-related below-knee amputations and compare it with the patients with other causes of amputation. METHOD: The study comprised 74 patients with below-knee stumps admitted for rehabilitation at the Department of Physical Therapy and Rehabilitation, Split University Hospital, Croatia, in 1994. They were fitted with a preliminary prosthesis, a donation from the Finish Red Cross. The rehabilitation was performed by a professional team and included regular bandaging of the stump, exercises to prevent knee and hip joint contracture, general fitness exercises, standing-up, falling and walking exercises, and electrostimulation of the thigh muscles. The time to reach each rehabilitation phase (walking with 2 crutches, walking with 1 crutch, walking with no crutches) was measured. The satisfaction of the patients with the prosthesis was also assessed at the end of rehabilitation. RESULTS: Among 74 patients with below knee amputation, war trauma was the cause for amputation in 31 patients, and in 6 of them the amputations were bilateral. Patients with war-related below-knee amputations were younger than the patients with amputations related to vascular disease, including diabetes. The rehabilitation time was significantly shorter in patients with war-related amputations (61.1+/-11.4 days to walking with no crutches) compared with patients with vascular disease-related amputations (80.9+/-8.1 days; p<0.001). The satisfaction with the prosthesis was more variable in patients with war-related amputations than in other patients. CONCLUSION: Early physical rehabilitation and replacement of the lost extremity with a preliminary prosthesis is an optimal intervention in below-knee amputations due to war-injury. Special attention should be paid to the psychological support to these patients during rehabilitation therapy.
The aim of this paper is to present the results of the operative treatment of the coracoclavicular ligament. According to Tossy, the injuries are classified into thre degrees. Younger patients and sportsmen (57) with the injury of the third degree were operated in the period from 1987-2000. The diagnostic methods were clinical examination and x-ray in the frontal and sagital plane. The patients were operated by Bosworth method. The operation technique which is described is slightly modified as it facilitates the surgeon's work and gives excellent post-operative results. The immobilisation was not used in the post-operative treatment. During the first week after operation a patient does static isometric exercises using the muscles of shoulders and arms, breathing exercises and passive exercises of the arm up to pain limit. The screw was removed under the local anesthesia after minimum of 6 weeks. Upon the removal of the osteosynthetic material we applied kynetic, hydro, magnetic and electrotherapy. The results of the operation were estimated after 2.5 months. Taking into consideration the functions of coracoclavicular ligament (the regulation of angle between clavicle and shoulder-blade, the limitation of rotation and elevation of clavicle, the support in bearing arm weight, the relaxation of joint between clavicle and shoulder-blade and the lateral reinforcement of acromioclavicular joint) its complete reconstruction is very important, and with the appropriate fixation of clavicle and shoulder-blade, accompanied by physical therapy, makes the basis for good results after the operation.
Cadmium and all three enumerated herbicide residues in dried samples of industrially grown true chamomile were found to be above the suggested and accepted tolerance values. The results are discussed with regard to the current Croatian regulation and FAO/WHO recommendations on herbicides and to human toxicology risk assessment. The paper gives a critical evaluation of the herbicide overuse in agricultural practice and strongly discouraged such practice. The authors advocate prospective use of plants as natural indicators of environmental contamination and toxicological burden of the human food chain.
The lumbar ache syndrome is more and more getting sign of a social disease because of its rate. Beside the conservative treatment very often the operative treatment is used too. Except the classical discectomy, a percutaneous lumbar discectomy had been used since the last year. In the work we gave the basic anatomical characteristics of the spiral column, stages of intervertebral disk dislocations and general characteristics of the acute ache syndrome. According to Aesculaps prospect we described the operating technique of percutaneous lumbar discectomy as well as the rehabilitation treatment of classical and percutaneous lumbar discectomy.
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The authors present the case of 51 year old woman admitted to surgical unit from dermatology because of symptoms of diffuse peritonitis urgent laparotomy revealed perforated ulcer of terminal ileum. Segmental resection of small bowel with end to end anastomosis was septic coli peritonitis performed, histologically with non-specific appearance. On 7th postoperative day the patient died. The cause of death was septic coli peritonitis with dehiscence of anastomosis.