Argument za jednodnevno praćenje bolesnika s rakom

We wanted to assess the distribution of patients and to quantify the travel expenses for specialists’ consultation in cancer care. From 1st to 31st October 2018 specialists consulted 2856 with the malignant disease at University Hospital for Tumors. We looked at rectal cancer (C20) specifically and identified 163 rectal cancer patients. Travel expenses are derived from the following: 1,35 € per kilometer for patients outside of the city of Zagreb, as denoted by the county they live in, and minimal public transport fee for the patients residing in Zagreb (2,70 €). Cost of their return transport within Zagreb was 313,2 € while 21362,16 € costed the return transport to and from the hospital from outside of Zagreb. The average cost per patient per visit 132,98 €. An estimate for 2856 patients is 379784,22 €. Transport cost for a patient being consulted on cancer care is a substantial part of not recognized costs in system analysis. The process of assessing travel costs display the area of gravitation toward a cancer center. 36% of patients were from Zagreb.Procjenili smo distribuciju bolesnika i kvantificirali putne troškove savjetovanja specijalista u liječenju raka. Od 1. do 31. listopada 2018. konzultirano je 2856 osoba s malignim bolestima, od toga 163 s rakom rektuma Putni troškovi iznosili su: 1,35 € po kilometru za one izvan Zagreba i 2,70 € za javni prijevoz onih u Zagrebu. Ukupni troškovi povratnog prijevoza u Zagrebu iznosili su 313,2 €, dok je 21362,16 € koštao povratni prijevoz za bolesnike izvan Zagreba. Prosječna cijena po osobi i po dolasku iznosila je 132,98 €. Procjena za 2856 bolesnika je 379784,22 €.Troškovi prijevoza za one koji se savjetuju o njezi karcinoma predstavljaju značajan dio nepriznatih troškova u analizi sustava. Proces procjene troškova putovanja usputno prikazuje područje gravitiranja pacijenata prema centru za maligne bolesti. Oko 36% bolesnika je iz Zagreba

The Use of Color Duplex Ultrasound and Magnetic Resonance Imaging in the Dissolution of Idiopathic Recurrent Priapism in Patient with Congenital Penile Curvature – A Case Report

Priapism, penile erection characterized as prolonged and devoid of sexual stimulation or excitement is a rare condition. It is critical to distinguish between low- and high-flow priapism, because the treatment algorithm differs markedly for these 2 conditions. The diagnosis is made clinically and confirmed with color Doppler ultrasonographic imaging (CDUS). We present a 21 year old men with high-flow priapism and left lateral congenital penile curvature. A duplex Winter shunt procedure was employed with corporeal irrigation of heparin solution and adrenalin solution instillation, but the priapism returned 12 hours after. Following several days slow instillation of phenilephrine or adrenaline solution accompanied by oral flutamide therapy resulted in complete detumescence. We used both CDUS and magnetic resonance imaging (MRI) before and after treatment of priapism. Although CDUS has been the primary modality for cross-sectional imaging of the penis, the superior soft-tissue contrast and spatial resolution afforded by MRI provide an opportunity to advance imaging evaluation of this organ