Croatian Medical Journal Citation Score in Web of Science, Scopus, and Google Scholar

Aim To analyze the 2007 citation count of articles published by the Croatian Medical Journal in 2005-2006 based on data from the Web of Science, Scopus, and Google Scholar. Methods Web of Science and Scopus were searched for the articles published in 2005-2006. As all articles returned by Scopus were included in Web of Science, the latter list was the sample for further analysis. Total citation counts for each article on the list were retrieved from Web of Science, Scopus, and Google Scholar. The overlap and unique citations were compared and analyzed. Proportions were compared using χ2-test. Results Google Scholar returned the greatest proportion of articles with citations (45%), followed by Scopus (42%), and Web of Science (38%). Almost a half (49%) of articles had no citations and 11% had an equal number of identical citations in all 3 databases. The greatest overlap was found between Web of Science and Scopus (54%), followed by Scopus and Google Scholar (51%), and Web of Science and Google Scholar (44%). The greatest number of unique citations was found by Google Scholar (n = 86). The majority of these citations (64%) came from journals, followed by books and PhD theses. Approximately 55% of all citing documents were full-text resources in open access. The language of citing documents was mostly English, but as many as 25 citing documents (29%) were in Chinese. Conclusion Google Scholar shares a total of 42% citations returned by two others, more influential, bibliographic resources. The list of unique citations in Google Scholar is predominantly journal based, but these journals are mainly of local character. Citations received by internationally recognized medical journals are crucial for increasing the visibility of small medical journals but Google Scholar may serve as an alternative bibliometric tool for an orientational citation insight

Arnold-Chiari malformation - A case report

A case of a 14-year-old girl suffering from intense headaches is presented. At the first pediatrician\u27s examination, the patient had regular findings. Prolonged P100 wave latencies were found by testing the visual evoked potentials. After further examination following repeated headaches, Arnold Chiari type I malformation was diagnosed. Arnold Chiari malformation is classified as downward displacement of one or both cerebellar tonsils through foramen magnum. The most common symptom is occipital or suboccipital headaches that usually happens after hard physical effort. Changes in visual evoked potential latencies can be present before other clinical symptoms and can be a useful tool in the diagnostics of headaches in children and adolescents

FIRM SPECIFIC CHARACTERISTICS AND REINSURANCE – EVIDENCE FROM CROATIAN INSURANCE COMPANIES

Reinsurance is the most important method of insurance companies’ actuarial risk management. Insurance companies’ internal factors of the reinsurance demand in the Republic of Croatia are examined in this paper. Random effects panel model was estimated by using the data about internal characteristics of 19 insurers in the period between 2006 and 2011. The results of empirical analysis show that important factors of the insurance companies’ decisions regarding the purchase of reinsurance are leverage, size, return on investment, ownership structure, as well as a share of non-life insurance in total insurance business. Underwriting result and asset volatility do not show statistically significant effect on reinsurance demand in the Croatian insurance market

Service Gaps and Employee Training Fixing Luxury Experiences

The luxury hotel industry faces the challenge to provide excellent service experiences to its customers. This paper aimed to identify service gaps in luxury hotels to confirm the need for employee training. Previous studies emphasized the importance of training and development, to arm employees with the capability to deliver excellent service in a servicescape as part of a Gestalt configuration. To identify service gaps and the need of training, content analysis was used as a method. The analysis had the objective to confirm the assumed guests’ desires of luxury services in the secondary research and identify the significance of employee training to arm human resources to fulfill guests’ expectations. Results indicated that about significant portion of overall comments have reported service failures. This confirmed the need for training in hard skills and soft skills to fix luxury experiences to close the trending service gaps of rudeness, slowness, lack of attention, lack of skills, poor supervision and lack of problemsolving skills

Poslijeoperacijsko liječenje boli nakon kirurškog liječenja sindroma karpalnog tunela: usporedba prakse sa smjernicama

Th e management of postoperative pain after carpal tunnel syndrome surgical treatment at a tertiary hospital was analyzed and compared with the guidelines for perioperative pain management. This retrospective study included 579 patients operated on for carpal tunnel syndrome at the Split University Hospital Center in Split, Croatia. Th e following key data were collected from patient medical records: age, gender, type and dosage of premedication, type and dosage of anesthesia, type and dosage of postoperative analgesia per each postoperative day. Th e procedures related to perioperative pain were analyzed and compared with the current guidelines for perioperative acute pain management. Study results showed that 99.6% of patients with carpal tunnel syndrome were operated under local anesthesia, of which 2.9% also received sedation. Analgesics were prescribed to 45% of patients after surgery, and according to patient charts, 39% of patients actually received postoperative analgesic(s). Generally, postoperative pain was treated on the fi rst postoperative day, mostly with nonsteroidal anti-infl ammatory drugs. Only two patients received weak opioids for postoperative pain. Many recommendations from the guidelines for perioperative acute pain management were not followed. In conclusion, the guidelines should be followed and appropriate interventions used to improve postoperative pain management.Analizirali smo liječenje poslijeoperacijske boli nakon kirurškog liječenja sindroma karpalnog tunela u tercijarnoj bolnici i usporedili ga sa smjernicama za liječenje perioperacijske boli. Proveli smo retrospektivnu studiju u koju je bilo uključeno 579 bolesnika koji su operirani zbog sindroma karpalnog tunela u Kliničkom bolničkom centru Split, Hrvatska. Prikupljeni su sljedeći podatci iz povijesti bolesti: dob, spol, vrsta i doza premedikacije, vrsta i doza anestezije, vrsta i doza poslijeoperacijske analgezije za svaki poslijeoperacijski dan. Analizirani su postupci vezani za perioperacijsku bol i uspoređeni s važećim smjernicama. Rezultati su pokazali da je 99,6% bolesnika operirano u lokalnoj anesteziji, a 2,9% ih je uz to primilo sedaciju. Analgetici su propisani u 45% bolesnika nakon zahvata, a prema povijestima bolesti 39% bolesnika je analgetik zaista i dobilo. Poslijeoperacijska bol je liječena uglavnom samo prvog poslijeoperacijskog dana, većinom pomoću nesteroidnih protuupalnih lijekova. Samo je dvoje bolesnika dobilo slabi opioid za ublažavanje poslijeoperacijske boli. Brojne preporuke iz smjernica za perioperacijsko liječenje boli nisu se slijedile. Zaključno, nužno je slijediti smjernice i provesti prikladne intervencije kako bi se poboljšalo perioperacijsko liječenje boli

Changes in the Eyelids and Conjunctiva Caused by Ultraviolet Radiation

The aim of this study was to show the frequency, sex and age distribution of eyelids skin tumor changes and degenerative changes of the conjunctiva for the period of three years (2011–2013) at the Department of Ophthalmology in Split. We analyzed the eyelids skin lesions in biopsy material at the Department of Pathology and the same were compared with the profession of the patients. In this period there were found 131 tumor changes of the eyelids. The most common tumor was the basal cell carcinoma (118) with the higher frequency in women. There were 10 squamous cell carcinomas with the equal representation among sexes and three melanomas. There were 79 female and 52 male patients. There were 299 pterygiums operated with the higher frequency in women (68.2%). Exposure to UV radiation, particulary UVB radiation is the most common causative factor for genetic abnormalities in cells and provoked factor in oncogenesis of skin tumors. In our research we found a correlation between changes in the eyelids and conjunctiva caused by UV radiation with the professional interest of the respondents. Due to high incidence of eyelids skin tumor changes in the population professionally exposed to UV radiation, medical professionals should be aware of the importance of the public education on the etiology of these tumors and the importance of the UV protection

ASSESSMENT OF DEFENCE MECHANISMS THAT MOTHER USES IN COPING WITH LOSS OF HER SON

Cilj istraživanja: Cilj istraživanja bio je procijeniti mehanizme obrane prisutne u svjedočanstvima majki i načine sučeljavanja koje one koriste u nošenju s nestankom i posmrtnom identifikacijom sina. Materijali i metode: U ovom istraživanju sudjelovalo je 26 majki nestalih hrvatskih vojnika iz Osječko-baranjske županije, prosječne starosne dobi između 53 i 77 godina. Ispitanice koje su sudjelovale u istraživanju izgubile su 27 sinova (jedna je izgubila dva sina). Prosječna starosna dob nestalih osoba na koje se svjedočanstvo odnosilo bila je 26 godine (raspon godina između 21-31), 25 osoba nestalo je 1991. godine, a dvojica 1992. godine. Tijela devet osoba su pronađena i identificirana nakon 7,5 godina traženja. Devetnaest osoba, u vrijeme ispitivanja, još se uvijek vodilo nestalim. Podatci korišteni u ovom diplomskom radu prikupljani su u razdoblju od lipnja do rujna 1999. godine za potrebe istraživanja „Osobitosti procesa žalovanja za sinom nestalim u ratu i/ili posmrtno identificiranim“. U analizi sadržaja svjedočanstva koristili smo postupak faktorske analize da bismo definirali mehanizme obrane i mehanizme sučeljavanja koje majke koriste u sučeljavanju s gubitkom sina. Rezultati: Primijenjena je analiza glavnih komponenti. Na osnovi svojstvenih vrijednosti (EIG) većih od 1, kriterija postotka objašnjenja varijance i Cattellovog dijagrama izlučena su 3 faktora zajednička mehanizmima obrane i 4 faktora zajednička načinima sučeljavanja. Zaključci: Negacija događaja, poricanje, izolacija kao narativno odsustvo spomena smrti i sublimacija su najčešće korišteni mehanizmi obrane u majki koje su izgubile sina. Evaluacije stvarnosti, autistično povlačenje, pasivna agresija prema preživjelima, simbiotsko maštanje te perceptivna disocijacija bili su prevladavajući načini sučeljavanja s gubitkom.Objective: Objective of research was to assess defence mechanisms in testimonies of mothers, as well as coping strategies that they use in coping with loss and postmortal identification of their sons. Material and Methods: Twenty six mothers of croatian soldiers from Osjecko-baranjska county participated in this research. Age of interrogated mothers was between 53 and 77 years. They lost 27 sons (one of them lost two of her sons). The average age of missing persons was 26 (spanning from 21-31), 25 persons disappeared in 1991 and two of them in 1992. Bodies of 9 missing persons were found and identified after 7,5 years of search. 19 persons, during the time of collecting these testimonies, were still missing. Data used in this research was collected from June to September of 1999. for the purposes of research „Characteristics of parent's mourning processes for disappeared sons and/or postmortal identified“. In the analysis of the content of testimonies we used factor analysis to determine defence mechanisms and coping strategies that mothers use in coping with the loss of their son. Results: We used the analysis of main components. Based on values (EIG) greater then 1, criterion of percentage of explanation of variance and Cattell diagram 3 factos were extracted specific to defence mechanisms and 4 factors specific to coping strategies. Conclusions: Negation, denial, isolation and sublimation were the most used defence mechanisms by mothers who lost their son. Furthermore, devaluation, autistic withdrawal, passive aggression towards the survivors, symbiotic fantasy and perceptive dissociation were prevailing coping strategies

Service Gaps and Employee Training Fixing Luxury Experiences

The luxury hotel industry faces the challenge to provide excellent service experiences to its customers. This paper aimed to identify service gaps in luxury hotels to confirm the need for employee training. Previous studies emphasized the importance of training and development, to arm employees with the capability to deliver excellent service in a servicescape as part of a Gestalt configuration. To identify service gaps and the need of training, content analysis was used as a method. The analysis had the objective to confirm the assumed guests’ desires of luxury services in the secondary research and identify the significance of employee training to arm human resources to fulfill guests’ expectations. Results indicated that about significant portion of overall comments have reported service failures. This confirmed the need for training in hard skills and soft skills to fix luxury experiences to close the trending service gaps of rudeness, slowness, lack of attention, lack of skills, poor supervision and lack of problemsolving skills

Safety and efficacy of opioid analgesic recommended for pain and paliative care by the World health organization : diploma thesis

Uvod: Bol je neugodan osjet i emocionalno iskustvo povezano sa stvarnim ili potencijalnim oštećenjem tkiva. Cilj: Cilj ovog istraživanja je bio pronaći i analizirati dokaze o djelotvornosti i sigurnosti lijekova koje Svjetska zdravstvena organizacija (SZO) preporučuje na Listi osnovnih lijekova (engl. Essential Medicines List, EML), te time potvrditi jeli njihovo uvrštavanje na spomenutu listu opravdano. Metode: Pretražene su četiri bibliografske baze podataka i analizirana je kvaliteta sustavnih pregleda. Rezultati: U istraživanje je uključeno 13 sustavnih pregleda. U tim sustavnim pregledima najviše je analizirana djelotvornost i sigurnost morfina. Većina njih je zaključila da je morfin jednako djelotvoran ili lošiji od aktivnih komparatora. Jedan sustavni pregled je zaključio da rutinska primjena morfina nije opravdana kod novorođenčadi koja koriste umjetno disanje. Jedan sustavni pregled zaključuje da upotreba ketamina nije dovoljna za sprječavanje razvoja ovisnosti o opioidima. Samo jedan sustavni pregled je ispitivao djelotvornost i sigurnost oksikodona i tu nema zaključaka zasebno za oksikodon. Sustavni pregled u kojem je analiziran hidromorfon zaključuje kako je taj lijek jednak morfinu ili bolji za akutnu bol. Niti jedan sustavni pregled nije analizirao uporabu tih lijekova u palijativnoj skrbi djece. Zaključak: Upitna je opravdanost uvrštavanja tih lijekova na SZO EML za liječenje boli u djece. Svi uključeni radovi ukazuju na potrebu za daljnjim kliničkim pokusima o djelotvornosti i sigurnosti tih lijekova za liječenje boli, a nema ni dokaza iz sustavnih pregleda o tim lijekovima za palijativnu skrb u djece.Background: Pain is an unpleasant sensation and an emotional experience associated with actual or potential tissue damage. Aim: The aim of this study was to find evidence from relevant systematic reviews and analyze the effectiveness and safety evidence of the opioid analgesics listed on the WHO EML for pain and palliative care in children, and therefore to analyze whether their inclusion on the WHO EML is justified. Methods: Four databases were searched and the quality of reporting was analyzed. Results: Thirteen systematic reviews were included in the study. The effectiveness and safety of morphine was mostly analyzed in those systematic reviews. Most of them concluded that morphine is equally effective or worse than active comparators. One systematic review concluded that routine use of morphine is not justified in the infants who are using artificial respiration. One of the systematic reviews concludes that the use of ketamine is not sufficient for the prevention of opioid dependence. Only one of the systematic reviews studied the effectiveness and safety of oxycodone and there weren’t conclusions solely for oxycodone. The systematic review which analyzed hydromorphone concludes that it is equal or better compared to morphine in acute pain. None of the systematic reviews alalyzed the use of these medicines in palliative care of children