790 research outputs found

    Hyperbaric Oxygen Therapy: Solution for Difficult to Heal Acute Wounds? Systematic Review

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    Hyperbaric oxygen therapy (HBOT) is used to treat various wound types. However, the possible beneficial and harmful effects of HBOT for acute wounds are unclear. We undertook a systematic review to evaluate the effectiveness of HBOT compared to other interventions on wound healing and adverse effects in patients with acute wounds. To detect all available randomized controlled trials (RCTs) we searched five relevant databases up to March 2010. Trial selection, quality assessment, data extraction, and data synthesis were conducted by two of the authors independently. We included five trials, totaling 360 patients. These trials, with some methodologic flaws, included different kinds of wound and focused on different outcome parameters, which prohibited meta-analysis. A French trial (n = 36 patients) reported that significantly more crush wounds healed with HBOT than with sham HBOT [relative risk (RR) 1.70, 95% confidence interval (CI) 1.11-2.61]. Moreover, there were significantly fewer additional surgical procedures required with HBOT (RR 1.60, 95% CI 1.03-2.50), and there was significantly less tissue necrosis (RR 1.70, 95% CI 1.11-2.61). In one of two American trials (n = 141) burn wounds healed significantly quicker with HBOT (P <0.005) than with routine burn care. A British trial (n = 48) compared HBOT with usual care. HBOT resulted in a significantly higher percentage of healthy graft area in split skin grafts (RR 3.50, 95% CI 1.35-9.11). In a Chinese trial (n = 145) HBOT did not significantly improve flap survival in patients with limb skin defects. HBOT, if readily available, appears effective for the management of acute, difficult to heal wound

    Oaza zdravog razuma u duhovnoj pustinji (Suzana Marjanić: Topoi umjetnosti performansa: lokalna vizura, Durieux/ Hrvatska sekcija, AICA, 2018.)

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    Christian Democratic parties have been a stable feature of many western European party systems since the early 20th century. As Tim Immerzeel, Eva Jaspers and Marcel Lubbers write, however, support for Christian Democrats has fallen significantly in several European countries. Based on an analysis of voting patterns in Europe, they argue that radical right parties have the potential to win the votes of religious citizens who have traditionally supported Christian Democratic parties. This effect depends to a large extent on how threatened Christian voters feel by the presence of immigrants subscribing to other belief systems
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