Les intoxications chez les enfants et l\u27organisation de la prevention et du traitement

U radu se analiziraju podaci o bolesnicima liječenim u bolnici u devetogodišnjem razdoblju, te se utvrđuje da je problem otrovanja u djece stalno prisutan i da ne pokazuje tendenciju sniženja. Upozorava se na mogućnost prikladnijeg organiziranja u sprečavanju i zbrinjavanju otrovanja u djece.Dans ce travail sont analysées des données rassemblées dans un hôpital durant une période de 9 années. On a trouvé que le problème des intoxications chez les enfants est toujours présent et ne tend pas á diminuer. La possibilité d\u27une organisation plus adéquate dans la prévention et le traitement des intoxications chez les enfants est montrée

Magnetska rezonancija u dijagnostici ozljeda koljenskoga zgloba

The possibilities of MR diagnosing knee pathology on high field scanners of 1T and 1.5T are well known. A sensitivity of 87%-100% and specificity of 64%-100% in diagnosing meniscal pathology are quoted in the literature. The aim of this work was to define the sensitivity and specificity of evaluation of meniscal lesions and cruciate ligament tears with a 0.2T permanent magnet of low field strength, as well as of other associated lesions of the bone, cartilage and collateral ligaments. We wished to estimate the value of particular sequences and projections of scanning chosen for certain pathology, and to recommend the type of scanning. MR findings were correlated with arthroscopy as the "gold standard method" in evaluating knee pathology. Two radiologists of different clinical experience interpreted MR findings by the principle of "interobserver difference". A total of 40 patients were examined, 32 men and 8 women, aged 17-46, mean age 27±5 years. The following sequences were used always in three projections: SE 1500/38; SE 1500/25; SE 1700/40; SE 200/38; SR 550/25; SR 550/38; GE 100/23/45; GE 100/23/60; and GE 500/23/40. We conclude that low field MRI is as sensitive and specific as diagnostic arthroscopy for traumatic meniscal lesions, yet better due to its noninvasiveness. MRI 0.2 T is of a lower specificity and sensitivity in detecting anterior cruciate ligament and chondral lesions in comparison with arthroscopy.Mogućnosti MR dijagnostike patologije koljenskoga zgloba na uređajima 1 i 1.5 T su poznate. U literaturi se navodi osjetljivost od 87%-100% i specifičnost od 64%-100% u dijagnostici patologije meniska na tim uređajima. Cilj rada bio je ustanoviti osjetljivost i specifičnost, odnosno vrijednost MR-e u pregledu meniska i ukriženih ligamenata koljenskoga zgloba MR-om 0.2T, niske jačine magnetskog polja, kao i procijeniti pridružene ozljede MR-om (ozljede hrskavice, kosti, kolateralnih ligamenata). Dobiveni MR nalazi korelirani su s artroskopijom kao zlatnim standardom. MR nalaze provjerilo je dvoje radiologa po načelu među promatračima ("interobserver difference"). Pregledano je ukupno 40 bolesnika, od toga 32 muškarca i 8 žena, u dobi od 17-46 godina, prosječne životne dobi 27±5 godina. Sljedeće sekvence su bile napravljene uvijek u tri projekcije: SE 1500/38; SE 1500/25; SE 1700/40; SE 200/38; SR 550/25; SR 550/38; GE 100/23/45; GE 100/23/60; GE 500/23/40. U zaključku: MR 0.2T je jednako osjetljiva metoda kao dijagnostička artroskopija u procjeni traumatskih ozljeda meniska, no dajemo joj prednost zbog neinvazivnosti. MR niske jačine polja slabije je osjetljiva metoda od artroskopije u procjeni lezije prednjega ukriženog ligamenta te ozljeda hrskavice

Les intoxications chez les enfants et l\u27organisation de la prevention et du traitement

U radu se analiziraju podaci o bolesnicima liječenim u bolnici u devetogodišnjem razdoblju, te se utvrđuje da je problem otrovanja u djece stalno prisutan i da ne pokazuje tendenciju sniženja. Upozorava se na mogućnost prikladnijeg organiziranja u sprečavanju i zbrinjavanju otrovanja u djece.Dans ce travail sont analysées des données rassemblées dans un hôpital durant une période de 9 années. On a trouvé que le problème des intoxications chez les enfants est toujours présent et ne tend pas á diminuer. La possibilité d\u27une organisation plus adéquate dans la prévention et le traitement des intoxications chez les enfants est montrée