EXPERIENCES IN TREATING LAUGIER'S FRACTURES

Laugier's fractures are rare because they are located deep in the elbow joint and are thus protected from any direct trauma. This study shows two patients whose Laugier's fractures were surgically treated. Surgical interventions were performed using the Campbell surgical approach. The ulnar nerve was mobilised for a distance of 12 cm, and then a tenotomy of the triceps brachii muscle and a posterior capsulectomy of the elbow joint were performed. A temporary repositioning followed by a permanent fixation were undertaken using two 3.2mm screws. The screws were inserted from the back, through the posterolateral and posteromedial pillars of the humeral condyle, to the front and medially. The tip of the screw was kept subchondrally in the bone of the humeral capitellum or trochlea and did not go through the cartilage. The stitches of the wound were done by layers, and prior to that a transposition of the ulnar nerve was performed medially. A plaster cast was worn on the upper arm for three weeks, with mandatory prophylaxis of periarticular ossification by taking indomethacin, 25mg three times a day. Upon removing the plaster cast, the patients underwent outpatient physical therapy for two weeks followed by inpatient physical therapy with full weight-bearing. Laugier's fractures have been insufficiently described in the literature. Surgical treatment does not have an alternative, and timely diagnosis and surgical and physical therapy yield, according to the Mayo elbow performance index, good results

Laparoscopy in gynecologic oncology: A review of literature

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Sociološke dimenzije šećerne bolesti tipa 2

U radu pokušavamo u kratkim crtama kroz literaturni pregled nabrojiti sociološke dimenzije dijabetesa tipa 2. Od globalnih društvenih procesa, globalizacije i urbanizacije, do zdravstvene sposobnosti pojedinca, pokušavamo sažeti aktualna saznanja   o društvenim dimenzijama pandemije dijabetesa kroz različit utjecaj na obrasce ponašanja i stilove života. čak i ovakva površna analiza može biti dobar indikator gdje i kako intervenirati u društvene strukture kako bi se pandemija dijabetesa zaustavila i kontrolirala. Shodno tome, najveća odgovornost leži u institucijama na koje klinička i znanstvena struka ima malo realnog utjecaja, ali bi je trebalo osnažiti kroz javnozdravstvenu metodologiju

Sociološke dimenzije šećerne bolesti tipa 2

U radu pokušavamo u kratkim crtama kroz literaturni pregled nabrojiti sociološke dimenzije dijabetesa tipa 2. Od globalnih društvenih procesa, globalizacije i urbanizacije, do zdravstvene sposobnosti pojedinca, pokušavamo sažeti aktualna saznanja   o društvenim dimenzijama pandemije dijabetesa kroz različit utjecaj na obrasce ponašanja i stilove života. čak i ovakva površna analiza može biti dobar indikator gdje i kako intervenirati u društvene strukture kako bi se pandemija dijabetesa zaustavila i kontrolirala. Shodno tome, najveća odgovornost leži u institucijama na koje klinička i znanstvena struka ima malo realnog utjecaja, ali bi je trebalo osnažiti kroz javnozdravstvenu metodologiju

Legijski logor u Viminacijumu: arheološka istraživanja severnog bedema u 2018. godini

Istraživanja legijskog utvrđenja u Viminacijumu započeta su krajem 19. veka. Radovi su nastavljeni početkom 20. veka, a naredna, sondažna iskopavanja kastruma, vršena su osamdesetih godina prošlog veka.2 Obimniji radovi sprovođeni su 2002. i 2003. godine na prostoru severne kapije (porta praetoria),3 a ova istraživanja nastavljena su u kraćem vremenskom periodu sredinom 2010. godine. Početkom 2016. godine započeta su zaštitna iskopavanja legijskog utvrđenja, koja su nastavljena tokom 2017. godine.4 Istraživanja su bila usmerena na severozapadni deo logora, a njima je, pored zapadnog bedema, zapadne kapije (porta principalis sinistra) i odbrambenog rova, bio obuhvaćen i severni bedem, zajedno sa ugaonom i bočnim kulama. Tokom 2018. godine nastavljena su zaštitna iskopavanja u zoni zapadnog i severnog bedema viminacijumskog utvrđenja.5 U severnom delu logora završena su istraživanja na prostoru sonde 24, a otvoreno je i pet novih sondi (sonde 25, 34–37)6 (sl. 1). Ovogodišnjim istraživanjima nastavljeno je praćenje severnog bedema i potvrđene su dve faze izgradnje kastruma, koje su konstatovane u prethodnim kampanjama. Prvu fazu, koja se datuje u poslednje decenije 1. veka, odlikuje utvrđenje građeno od komada prirodno zapečene zemlje, odnosno crvenke,7 dok drugoj fazi, datovanoj u 2. vek, odgovara logor izgrađen od škriljca i krečnjaka. Uz severni bedem otkrivene su tri bočne kule iz različitih faza izgradnje logora, a vršeni su i radovi na prostoru severne kapije. Istraživanjima je obuhvaćen i manji deo odbrambenog rova, koji se prostirao oko utvrđenja. U unutrašnjosti logora radilo se na otkrivanju severoistočnog dela objekta 1, koji je definisan 2017. godine, dok su završena istraživanja zidova koji se prostiru između severnog bedema i ove građevine. Krajem 2018. godine, u neposrednoj blizini bedema započeta su i sistematska arheološka iskopavanja, koja su usmerena na severozapadni deo logora (Sektor I) i podrazumevala su zapadni deo objekta 1 (sl. 1)

Sposobnost održavanja pažnje i ispoljavanje hiperaktivnosti i impulsivnosti u zavisnosti od pola deteta

Abilities of keeping attention, expressing hyperactivity and impulsiveness, i.e. difficulties in controlling them, represent the basis of the criterion upon which hyperactivity is defined. This paper is on the sex differences in abilities of keeping attention and expressing hyperactivity and impulsiveness of the children of ordinary population. Interviewees (64) were children of the fourth grade, age 10, and they were divided into two groups depending on the sex - 32 boys and 32 girls. Estimation of a child's behavior was done by 18 items scale IVJR- R and teachers were estimators. Arithmetical mean on the scale IVJER-R on our interviewees was low (M=2, 92), which means that children of the ordinary population, the examined behavior is not so widely expressed (possible range of scores is from 0 to 18). Differences between boys and girls are connected to abilities of keeping attention, and they are expressed within limits expected for that age. The second part of the scale referring to hyper-activity and impulsiveness, average score is lower than in the first part of the scale, which shows difficulties in deferring hyperactivity and impulsiveness as manifested forms of behavior. Results of the realized research show that there is no statistically significant difference between boys and girls considering the ability of keeping attention and expressing hyperactivity and impulsiveness.Sposobnost održavanja pažnje, ispoljavanje hiperaktivnosti i impulsivnosti, odnosno teškoće u njihovom kontrolisanju predstavljaju okosnicu kriterijuma definisanja hiperaktivnosti. U ovom radu bavili smo se ispitivanjem polnih razlika u sposobnosti održavanja pažnje i ispoljavanju hiperaktivnosti i impulsivnosti kod dece normalne populacije. Ispitanici su bili učenici četvrtog razreda osnovne škole (N = 64) podeljeni u dve grupe u odnosu na pol (32 dečaka i 32 devojčice). Procena ponašanja deteta vršena je 18-ajtemskom skalom IVJER-R, a procenjivači su bili učitelji. Aritmetička sredina na skali IVJER-R dobijena na našim ispitanicima je niska (M = 2.92), što navodi na zaključak da se kod dece normalne populacije ispitivana ponašanja slabo ispoljavaju (mogući raspon skorova od 0 do 18). Razlike između dečaka i devojčica vezane za sposobnost održavanja pažnje ispoljavaju se u granicama očekivanih za uzrast. U drugom delu skale koji se odnosi na hiperaktivnost i impulsivnost, srednje vrednosti su još niže nego u prvom delu skale, što upućuje na teškoću razlikovanja hiperaktivnosti i impulsivnosti kao manifestnih oblika ponašanja. Rezultati realizovanog istraživanja pokazuju da nema statistički značajne razlike između dečaka i devojčica u pogledu sposobnosti održavanja pažnje i ispoljavanja hiperaktivnosti i impulsivnosti

Transformation matrix approach to dynamics of manipulative robots

This paper considers the problem of defining and solving problems in robot mechanics that is fundamental for successful design and performance of robot control system. It considers a few different approaches for describing dynamics of robots and forming of dynamics models with purpose to get a set of mathematical equations describing activity of torques and forces on robot arm in form of motion equations describing the dynamic behavior of the manipulator. It describes the formulation, characteristics and properties of dynamics equations of motion, which are suitable for control purposes, through three different formulations, whereby advantages and disadvantages of each are described separately. To realize practical application of dynamics calculation and solving them using the PC computer, the method use 3×3 rotation matrices and 4×4 homogeneous transformation matrices

Koncept napredne tehnologije izrade specijalne tehnološke opreme za procesnu industriju

The paper deals with the manufacturing technology of refiner plates that are used for preparing the paper pulp in the paper industry. The manufacturing technology consists of casting, heat treatment, machining and balancing. Special attention is given to the selection of materials used for casting of the refiner plate segments, and to defining the appropriate heat treatment in order to make the tools with optimal technical characteristics. Defining the technological parameters for the process of plain grinding of the refiner plate as well as noting the few negative effects occurring during the grinding process are presented in the paper. The paper also pays attention to the influence of machining technology on the micro-surface of the cutting elements, because it has a significant influence not only on the cutting edge but even on the surface quality and the total consumption of energy in the cutting process.U radu je opisana tehnologija izrade diskastih pločastih noževa koji se koriste za pripremu papirne mase - pulpe u industriji papira i celuloze. Tehnologija izrade sastoji se iz lijevanja, toplinske obrade, strojne obrade i uravnoteženja. Naročita pažnja u ovom radu posvećena je definiranju materijala koji se koristi za lijevanje pločastih noževa i projektiranju odgovarajuće termičke obrade kako bi dobili alate potrebnih tehničkih karakteristika. Definiranje tehnoloških parametara za proces ravnog brušenja pločastih noževa i neke negativne pojave u procesu brušenja također su dati u ovom radu. Rad ukazuje na utjecaj tehnologije obrade na mikropovršinu reznih elemenata, a koja ima bitan utjecaj kako na rezni rub tako na kvalitetu površine i ukupan utrošak električne energije u procesu mljevenja

An Increasing Older Population Dictates the Need to Organise Palliative Care and Estabilish Hospices

The aim of this study is to assess population needs for the organisation of palliative care and establishment of hospices. An opinion poll was created to investigate these needs. The research was carried out in 2007/2008 among 1564 citizens not working in health services, and 789 health service workers – a total of 2353 people questioned in 7 towns of the Republic of Croatia. The significant results obtained using adequate statistical methods confirm that 90.6% of all respondents favour the introduction of a palliative care system and 88% favour the establishment of hospices. This leads us to conclude that the need to establish a palliative care system and hospices has been recognised by citizens and health service workers, thus their implementation in the Republic of Croatia without further delay should be recommended

Influence of the »Rijeka Model« of Bioethics Education on Attitudes of Medical Students towards Death and Dying – A Cross Sectional Study

The aim of this study was to assess attitude towards euthanasia, and the influence of socio-demographic data and death education carried out through the »Rijeka model« of bioethics education for the first-year medical students of the School of Medicine, University of Rijeka, Croatia. The cross-sectional study was conducted in the academic year 2003/ 2004. 124 (61% female) participants were surveyed by using an anonymous questionnaire before and after training. Catholics (p= 0.003) and students from areas with populations of less than 50,000 inhabitants (p=0.001) had significantly negative attitude towards euthanasia than others before the course, yet no differences were found following this training. Attitude towards euthanasia was significantly positive after the course (p=0.005). All items in the questionnaire, except »Croatia should legalise euthanasia«, received more positive scores after the course. Death education carried through the »Rijeka model« of bioethics education has changed attitudes of medical students towards a more positive perception of euthanasia