14 research outputs found
SrÄano-pluÄne interakcije s posljediÄnim pluÄnim abnormalnostima u bolesnika s kroniÄnim srÄanim zatajenjem
Chronic heart failure places heavy burden on patients, their families and on health care resources, accounting for high numbers of hospital admissions. Despite huge improvements in the treatment of many heart disorders, the clinical syndrome of chronic heart failure as a fi nal pathway of heart pathology is an exception, in that its prevalence is rising, and only small prolongations in survival are occurring. It is associated with high morbidity and poor prognosis, and a survival rate worse than that for some malignant tumors. Th e reasons for the increasing overall prevalence of chronic heart failure in developed countries lie in prolonged survival owing to modern pharmacological or invasive treatment, better secondary prevention, and aging of the population. Chronic pulmonary disease is common in patients with chronic heart failure. Th rough sharing some risk factors and overlapping pathophysiological processes, they present diagnostic and therapeutic challenge. Th e aim of this article is to review various mechanisms responsible for the symptoms of chronic heart failure with consecutive pulmonary interaction and abnormalities in lung function.KroniÄno srÄano zatajenje znaÄajno optereÄuje bolesnika i njegovu obitelj kao i zdravstveni sustav u cjelini buduÄi da je odgovorno za velik broj hospitalizacija. UnatoÄ golemim naporima u lijeÄenju veÄine srÄanih poremeÄaja iznimka ostaje kliniÄki sindrom kroniÄnog srÄanog zatajenja uÄestalost kojega raste s neznatnim uspjehom produženja ukupnog preživljenja bolesnika. KroniÄno srÄano zatajenje je povezano s visokom stopom pobola te nepovoljnom prognozom, Äak loÅ”ijom usporeÄujuÄi sa stopom preživljenja za neke vrste zloÄudnih tumora. Razlog porasta uÄestalosti kroniÄnog srÄanog zatajenja u razvijenim zemljama je produljenje ljudskog vijeka zahvaljujuÄi mjerama suvremenog farmakoloÅ”kog i intenzivnog lijeÄenja, boljoj sekundarnoj profi laksi i starenju populacije. KroniÄna pluÄna bolest je Äesta pojava u bolesnika s kroniÄnim srÄanim zatajenjem. Oba stanja predstavljaju dijagnostiÄki i terapijski izazov buduÄi da dijele pojedine zajedniÄke Äimbenike rizika i patofi zioloÅ”ke mehanizme nastanka. Cilj ovoga rada je ispitati razliÄite mehanizme odgovorne za simptome kroniÄnog srÄanog zatajenja s posljediÄnim pluÄnim interakcijama i abnormalnostima pluÄne funkcije
Functional-nodal method of the development of strategic spatial planning documentation
Nova generacija dokumenata prostornog ureÄenja zahtijeva prilagodbu novim gospodarskim i inim razvojnim planovima ali i novim parametrima razvoja suvremenog druÅ”tva. U cilju osiguranja kvalitetnih prostorno-planskih pretpostavki gospodarskog i opÄe druÅ”tvenog razvoja nužno je odrediti optimalnu metodu izrade dokumenata prostornog ureÄenja regionalne razine. Provedeno istraživanje je obuhvatilo analizu moguÄih modela izrade strateÅ”kih dokumenata prostornog ureÄenja, analizu metoda izrade prostornih planova županija te na osnovi usporedbe uspjeÅ”nosti pojedinih planova utvrÄivanje optimalne metode njihove izrade. IzvrÅ”eno je za potrebe odreÄivanja metode izrade, novog, Prostornog plana Primorsko-goranske županije.A new generation of physical planning documentation requires adaptation to new economic and many other development plans as well as to new parameters in the development of modern society. In order to ensure quality spatial planning prerequisites for the economic and social development, it is necessary to determine the optimal method of the development of physical planning documents at regional levels. The study included the analysis of possible models of strategic physical planning documentation development; the analysis of the methods of spatial plans development of the counties; and, based on the performance comparison of individual plans, determining the optimal method of their development. This was done for the purpose of determining the methods of developing the new Spatial Plan of Primorje-Gorski Kotar County
INFLUENCE OF SMOKING DURING PREGNANCY ON EARLY AND LATE DEVELOPMENT OF THE CHILD
Otprilike treÄina žena reproduktivne dobi puÅ”i. Cigaretni dim sadrži sastojke Å”tetne po zdravlje neroÄenog djeteta, ali i za njegovo kasnije zdravlje tijekom života. NovoroÄenÄad majki koje puÅ”e manje su porodne težine, a Äesto su i prijevremeno roÄena. PuÅ”enje tijekom trudnoÄe gotovo 2 puta poveÄava rizik od roÄenja djeteta niske porodne težine, Å”to je povezano s poveÄanim morbiditetom i mortalitetom u perinatalnom razdoblju te djeÄjoj dobi. DojenÄad majki koje puÅ”e tijekom trudnoÄe imaju dva do pet puta veÄi rizik od sindroma nagle dojenaÄke smrti. PuÅ”enje tijekom trudnoÄe takoÄer utjeÄe na kasniji fiziÄki i intelektualni razvoj djeteta. Cigaretni dim oÅ”teÄuje pluÄa neroÄenog djeteta u kljuÄnom stadiju razvoja, Å”to može dovesti do smanjenog kapaciteta pluÄa, ÄeÅ”Äe pojavnosti respiratornih infekcija, astme te emfizema Ā¬kasnije u životu. PuÅ”enje može doprinijeti nastanku odreÄenih priroÄenih malformacija. Trudnice treba upozoriti da puÅ”enje izlaže njihovo dijete riziku, a napor za sprjeÄavanje spomenutih komplikacija potrebno je usmjeriti na prevenciju uživanja nikotinskih proizvoda u djevojaka i žena generativne dobi.Among women of reproductive age approximately one-third smokes. Cigarette smoke contains substances harmful for the unborn baby and for the future health of the child. Babies whose mothers smoke are often smaller and Ā¬premature. Smoking increases the risk of low birth weight almost twice, which increases the risk for perinatal and infant morbidity and mortality. Babies whose mothers smoked during pregnancy are 2ā5 times more likely to die from sudden infant death syndrome. Smoking in pregnancy also has implications for the long-term physical growth and intellectual Ā¬development. Cigarette smoke damages the unborn babiesā lungs at crucial points of development, leading potentially to reduced lung capacity, respiratory infections, asthma and lung emphysema later in life. Smoking may contribute to Ā¬certain birth defects. Pregnant women should be advised that smoking endangers their child and efforts to reduce the above-mentioned complications should be focused on preventing nicotine addiction among girls and women in reproductive age
Continuous remote monitoring of COPD patientsājustification and explanation of the requirements and a survey of the available technologies
Remote patient monitoring should reduce mortality rates, improve care, and reduce costs. We present an overview of the available technologies for the remote monitoring of chronic obstructive pulmonary disease (COPD) patients, together with the most important medical information regarding COPD in a language that is adapted for engineers. Our aim is to bridge the gap between the technical and medical worlds and to facilitate and motivate future research in the field. We also present a justification, motivation, and explanation of how to monitor the most important parameters for COPD patients, together with pointers for the challenges that remain. Additionally, we propose and justify the importance of electrocardiograms (ECGs) and the arterial carbon dioxide partial pressure (PaCO2) as two crucial physiological parameters that have not been used so far to any great extent in the monitoring of COPD patients. We cover four possibilities for the remote monitoring of COPD patients: continuous monitoring during normal daily activities for the prediction and early detection of exacerbations and life-threatening events, monitoring during the home treatment of mild exacerbations, monitoring oxygen therapy applications, and monitoring exercise. We also present and discuss the current approaches to decision support at remote locations and list the normal and pathological values/ranges for all the relevant physiological parameters. The paper concludes with our insights into the future developments and remaining challenges for improvements to continuous remote monitoring systems
Early experience with subcutaneous implantable cardioverter-defibrillators: results from an emerging implantation centre
Cardiopulmonary Interactions with Consecutive Pulmonary Abnormalities in Patients with Chronic Heart Failure
Chronic heart failure places heavy burden on patients, their families and on health care resources, accounting for high numbers of hospital admissions. Despite huge improvements in the treatment of many heart disorders, the clinical syndrome of chronic heart failure as a fi nal pathway of heart pathology is an exception, in that its prevalence is rising, and only small prolongations in survival are occurring. It is associated with high morbidity and poor prognosis, and a survival rate worse than that for some malignant tumors. Th e reasons for the increasing overall prevalence of chronic heart failure in developed countries lie in prolonged survival owing to modern pharmacological or invasive treatment, better secondary prevention, and aging of the population. Chronic pulmonary disease is common in patients with chronic heart failure. Th rough sharing some risk factors and overlapping pathophysiological processes, they present diagnostic and therapeutic challenge. Th e aim of this article is to review various mechanisms responsible for the symptoms of chronic heart failure with consecutive pulmonary interaction and abnormalities in lung function