NEKARDIOGENI EDEM PLUĆA NAKON CARSKOG REZA

Acute dyspnea during and after pregnancy should bring a number of important conditions to the mind of a physician. Pulmonary embolism, amniotic fl uid embolism, pneumonia, aspiration and pulmonary edema must be considered. Although pulmonary edema is a very rare condition, the most common contributing factors include the administration of tocolytic agents, underlying cardiac disease, iatrogenic fluid overload and preeclampsia. We report on a case of noncardiogenic pulmonary edema in a 36-year-old woman a few hours after cesarean section. The acute event was probably due to iatrogenic fl uid overload combined with hemodynamic effects of oxytocin in interaction with hemodynamic changes at the end of pregnancy. The patient was successfully treated with diuretics and oxygen therapy, and after a few hours her chest radiograph and respiratory status were normal.Pojava akutne dispneje za vrijeme i nakon trudnoće treba pobuditi sumnju na nekoliko važnih diferencijalnih dijagnoza kao što su plućna tromboembolija, embolija amnionskom tekućinom, pneumonija, aspiracija i plućni edem. Plućni edem se javlja rijetko i obično je precipitiran tokolizom, već postojećom bolesti srca, volumnim preopterećenjem ili preeklampsijom. Opisujemo slučaj 36-godišnje bolesnice s nekardiogenim edemom pluća koji se manifestirao nekoliko sati nakon carskog reza kao rezultat volumnog opterećenja te istodobnog antidiuretskog djelovanja oksitocina i hemodinamskih promjena pred kraj trudnoće. Bolesnica je uspješno liječena diureticima i oksigenoterapijom. Nekoliko sati kasnije kontrolna slika srca i pluća i respiracijski status bili su normalni, a bolesnica nedugo zatim otpuštena iz bolnice

LIJEČENJE TEŠKE DIJABETIČKE KETOACIDOZE U MLADE OSOBE

We present a case of severe diabetic ketoacidosis in a 19-year-old male with a history of poor compliance to insulin therapy. At arrival to our Emergency Department, the patient was comatose with extreme hyperglycemia, severe diabetic ketoacidosis, lactic acidosis and dehydration. The treatment consisted of intensive fl uid replacement and correction of all metabolic disturbances until complete recovery. In the vast majority of severe diabetic ketoacidosis cases, relatively fast and successful treatment result can be expected if intensive therapy is applied and if ketoacidosis is not triggered by a serious illness. Some essential contemporary guidelines and the importance of individual treatment approach are pointed out in the article. The role of high serum procalcitonin value in diabetic ketoacidosis is discussed.Prikazan je slučaj 19-godišnjeg bolesnika od dijabetesa koji nije redovito primjenjivao inzulin. Bolesnik je doveden na naš objedinjeni hitni prijam u komatoznom stanju, s ekstremnom hiperglikemijom, teškom dijabetičkom ketoacidozom, laktacidozom i dehidracijom. Liječen je intenzivnom nadoknadom volumena i korekcijom svih metaboličkih poremećaja do potpunog oporavka. U velikoj većini slučajeva teških dijabetičkih ketoacidoza može se očekivati relativno brza i uspješna korekcija ako se primijeni intenzivno liječenje i ako ketoacidoza nije potaknuta ozbiljnom bolesti. U članku su navedene neke bitne suvremene smjernice u liječenju i naglašena je važnost individualnog pristupa. Raspravljena je i uloga visoke serumske vrijednosti prokalcitonina u dijabetičkoj ketoacidozi

NEKARDIOGENI EDEM PLUĆA NAKON CARSKOG REZA

Acute dyspnea during and after pregnancy should bring a number of important conditions to the mind of a physician. Pulmonary embolism, amniotic fl uid embolism, pneumonia, aspiration and pulmonary edema must be considered. Although pulmonary edema is a very rare condition, the most common contributing factors include the administration of tocolytic agents, underlying cardiac disease, iatrogenic fluid overload and preeclampsia. We report on a case of noncardiogenic pulmonary edema in a 36-year-old woman a few hours after cesarean section. The acute event was probably due to iatrogenic fl uid overload combined with hemodynamic effects of oxytocin in interaction with hemodynamic changes at the end of pregnancy. The patient was successfully treated with diuretics and oxygen therapy, and after a few hours her chest radiograph and respiratory status were normal.Pojava akutne dispneje za vrijeme i nakon trudnoće treba pobuditi sumnju na nekoliko važnih diferencijalnih dijagnoza kao što su plućna tromboembolija, embolija amnionskom tekućinom, pneumonija, aspiracija i plućni edem. Plućni edem se javlja rijetko i obično je precipitiran tokolizom, već postojećom bolesti srca, volumnim preopterećenjem ili preeklampsijom. Opisujemo slučaj 36-godišnje bolesnice s nekardiogenim edemom pluća koji se manifestirao nekoliko sati nakon carskog reza kao rezultat volumnog opterećenja te istodobnog antidiuretskog djelovanja oksitocina i hemodinamskih promjena pred kraj trudnoće. Bolesnica je uspješno liječena diureticima i oksigenoterapijom. Nekoliko sati kasnije kontrolna slika srca i pluća i respiracijski status bili su normalni, a bolesnica nedugo zatim otpuštena iz bolnice

Razvoj multifunkcionalnoga bežičnoga mrežnoga uređaja WiFiBox

U radu je prikazan razvoj i izrada multifunkcionalnoga prijenosnoga bežičnoga mrežnoga uređaja WiFiBox. Prilikom projektiranja uređaja WiFiBox upotrijebljeno je sklopovlje što je moguće manjih dimenzija i male potrošnje električne energije koje za napajanje koristi punjivu bateriju. Detaljno je opisan izbor i potrebne modifikacije sklopovlja (GL.iNet usmjerivač, dodatna ALFA AWUS036H bežična mrežna kartica, Huawei E169 3G USB modem, antene itd.) i programa potrebnih za izradu uređaja WiFiBox te njegove mogućnosti. Uređajem WiFiBox upravlja OpenWRT Linux bazirani operacijski sustav namijenjen za usmjerivače i proširen paketima koji mu omogućuju napredne mogućnosti. Uređaj WiFiBox ima mogućnost funkcioniranja kao usmjerivač, ponavljač bežične mreže, dijeljenja mrežnog diska i 3G mobilnog interneta Wi-Fi vezom, testiranje zaštite bežičnih mreža te je omogućeno upravljanje uređajem WiFiBox na daljinu. Zbog svih navedenih mogućnosti uređaj WiFiBox može olakšati svakodnevni pristup internetu na mjestu gdje ne postoji standardna pretplatnička linija ili besplatna bežična mreža u dometu. Prednost uređaja WiFiBox je njegova široka upotreba i lako proširenje funkcija koje nudi uključenjem paketa potrebnih za njihovo izvođenje

Ne-melanomski tumori i predtumorske promjene u periodu od 1996. - 2002. Godine

Non-melanoma skin cancers and precancerous skin lesions have a significant morbidity although with relatively low mortality rates in geriatric population. These lesions developed especially on every day sun exposed skin regions. The aim of this study was to determine the prevalence, age and sex distribution of non-melanoma skin cancers and precancerous skin lesions among biopsy specimens collected during seven years (1996-2002) in the University Department of Pathology "Ljudevit Jurak". Also is analyzed their relationship with sun exposure on different body regions. During observed period there were2486 basal cell carcinoma, 419 squamous cell carcinoma and 468 precancerous skin lesions. Basal cell carcinoma was more common in males then in females with ratio 1:0,9 as well as squamous cell carcinoma with male to female ratio 1:0,8. Precancerous skin lesions were more frequent in the female population with male to female ratio 1:1,3. Maximal incidence for booth types of non-melanoma tumours was between 7and 79 years in both sexes while precancerous skin lesions appeared one-decade earlier. Also is found that analyzed skin lesions appear in 60-70% on skin of the head, which is almost permanently sun exposed body region.Nemelanomski tumori kože i predtumorske kožne promjene imaju značajan pobol iako uz nisku smrtnost u pacijenata treće životne dobi. Ove promjene se posebno razvijaju na dijelovima kože koji su svakodnevno izloženi suncu. Cilj ovog rada je prikazati učestalost, razdiobu po spolu i dobi nemelanomskih kožnih tumora i predtumorskih kožnih promjena u bioptičkom materijalu sedmogodišnjeg razdoblja (1996-2002) na Zavodu za Patologiju "Ljudevit Jurak". Također je proučavan odnos kožnih promjena i izloženosti različitih dijelova tijela suncu. U proučavanom periodu bilo je 2486 karcinoma bazalnih stanica, 419 karcinoma pločastih stanica i 468 predtumorskih kožnih promjena. Karcinom bazalnih stanica češće je bio prisutan u muškaraca nego u žena s omjerom 1:0.9 kao i karcinom pločastih stanica s omjerom 1:0,8. Predtumorske kožne lezije bile su češće prisutne kod žena, omjer muškaraca prema ženama bio je 1:1,3. Najveća učestalost za oba nemelanomska kožna tumora bila je između 70 i 79godina starosti u oba spola dok se predtumorske promjene nalaze desetljeće ranije. Proučavane kožne promjene u 60-70% nađene su na koži glave koja je skoro stalno suncu izloženo područje tijela

Comparative effects of regulated deficit irrigation (RDI) and partial root-zone drying (PRD) on growth and cell wall peroxidase activity in tomato fruits

The effects of regulated deficit irrigation (RDI) and partial root-zone drying (PRD) on tomato fruit growth and cell wall peroxidase activity in tomato exocarp were investigated in growth chamber conditions. The RDI treatment was 50% of water given to fully irrigated (FI) plants and the PRD treatment was 50% of water of FI plants applied to one half of the root system while the other half dried down, with irrigation shifted when soil water content of the dry side decreased 15-20%. RDI significantly reduced fruit diameter, though PRD reduced fresh weight while having no significant effect on fruit diameter. The activity of peroxidase was significantly higher in RDI and PRD treated plants compared to those of FI. Differences between RDI and PRD were expressed on temporal basis. In the fruits of RDI treated plants peroxidase activity began to increase in the phase when fruit growth started to decline with the peak of enzyme activity of 6.1 HRPEU g(-1) FW reached in the phase of mature green fruits when fruit growth rate was minimal. Increase of peroxidase activity in PRD fruits coincided with the ripening phase and the peak of enzyme activity (5.3 HRPEU g(-1) FW) was measured at the end of fruit ripening. These data potentially identified contrasting and different roles of tomato exocarp cell wall peroxidase in RDI and PRD treated plants. In RDI treated plants peroxidase may have a role in restricting fruit growth rate, although the increase in enzyme activity during ripening of PRD treated fruit pointed out that peroxidase may also control fruit maturation by inducing more rapid process.This is the peer-reviewed version of Savić, S., Stikić, R., Vucelić-Radović, B., Bogicević, B., Jovanović, Z.,& Hadži-Tašković-Šukalović, V.. (2008). Comparative effects of regulated deficit irrigation (RDI) and partial root-zone drying (PRD) on growth and cell wall peroxidase activity in tomato fruits. in Scientia Horticulturae Amsterdam : Elsevier., 117(1), 15-20. [https://doi.org/10.1016/j.scienta.2008.03.009

Mosquitos in the municipality of Jelenje

Cilj: Otkriti zastupljenost pojedinih vrsta komaraca te napraviti kartu rasprostranjenostiuzorkovanih legala. Istraživanje je provedeno u svrhu kontrole pojavljivanja zaraznih bolestičiji su vektori komarci. Metode: Prilikom provedbe istraživanja korišteni materijali su:ovipozicijske klopke koje se sastoje od plastične posude i lesonitske letvice, 70 %-tni etanol,staklene bočice, plastične posudice za pohranu uzoraka te aplikacija Map coordinates. Istraživanjeje provedeno postavljanjem ovipozicijskih klopki na 40 lokacija unutar područja OpćineJelenje, uzorkovanjem ličinki i odraslih jedinki komaraca. Rezultati: U razdoblju od travnja dolipnja 2015. godine na području Općine Jelenje na 22 lokacije iz 29 različitih legla prikupljenoje 137 ličinki komaraca. Prikupljeno je ukupno 6 uzoraka odraslih jedinki. Svi determiniraniuzorci pripadaju jednom od navedenih rodova komaraca: Aedes, Anopheles, Culex i Culiseta.Određivanje vrsta prikupljenih uzoraka provedeno je u laboratoriju Nastavnog zavoda za javnozdravstvo Primorsko-goranske županije. Zaključak: Postojeći uvjeti potrebni za razvoj i razmnožavanjete prisutni vektorski potencijal determiniranih komaraca uz eventualnu pojavnostuzročnika mogu imati značajan utjecaj na širenje zaraznih bolesti. Prekomjerna brojnostjedinki komaraca zbog povoljnih životnih uvjeta, kao i zbog povećanih migracija ljudi te transportaroba, postaje sve izraženiji problem za ljudsko zdravlje te je potrebno osvijestiti javnosto važnosti i načinima sprječavanja razmnožavanja i širenja komaraca.Aim: The purpose of this research was to determine abundance of the certainmosquito species and to create distribution chart of the sampled population. Methods: Theresearch was conducted by setting oviposition traps on 40 locations inside the area of theJelenje municipality. Also, larvae and adult mosquitoes were collected. Results: 29 larvaesamples of larvae were collected on 22 locations in a period from April to June 2015, so thetotal number of sampled larvae is 137. Six adult mosquitoes were collected. All determinedspecies belong to one of this genus of mosquitoes: Aedes, Anopheles, Culex and Culiseta.Determination of the type of the collected samples was conducted in the laboratory of theTeaching Institute of Public Health Primorsko-goranska County. Conclusion: Existingconditions which are necessary for the development and reproduction, with present vectorpotential of determined mosquitoes and with the possible occurrence of pathogens, canhave a significant impact on the spread of infectious diseases. Excessive number ofmosquitoes, enabled by favoring life conditions and increased migrations and merchandisetransport can become a problem for human health and it is necessary to educate the publicabout importance and ways of suppressing breeding of mosquitoes and their expansion

Tumori kože periorbitalne regije i vjeđa u razdoblju 1998 do 2002

The aim of this study was to determine the prevalence, sex and age distribution and localization of the skin tumours and precancerous skin lesions in the periorbital region and eyelids during the 1998-2002 period among biopsy specimens in University Department of Pathology "Ljudevit Jurak" During observed period there were total number of 286 tumours and precancerous lesions. The most common was basal cell carcinoma with slightly female prevalence. Other analyzed lesions; nevus, precancerous lesions and squamous cell carcinoma were found with significantly higher female prevalence. The most frequent localization for all lesions was on the eyelids probably as the consequence of UV irradiation. Average age and standard deviation for all lesions in time of diagnoses was 65±8 years for males and 64±7 years for females. All patients with skin lesions should be advised of the risk of recurrent or new tumours. Prevention remains of prime importance in minimizing the morbidity and mortality of lesions in this region. Exposure to ultra-violet (UV), especially UV-B, radiation is the most common cause for genetic abnormalities in cells and provoked factor in oncogenesis of skin tumours.U radu je prikazana učestalost, razdioba po godinama i spolu te lokalizaciji kožnih tumora i predtumorskih promjena u bioptičkom materijalu na Kliničkom Zavodu za Patologiju "Ljudevit Jurak". u vremenu od 1998-2002. godine u području oko očne duplje i na kapcima. U proučavanom razdoblju nađeno je 286 tumora i predtumorskih promjena. Najčešći tumor bio je karcinom bazalnih stanica s nešto češćim javljanjem u žena. Ostale analizirane promjene; madeži, predtumorske promjene i karcinom pločastih stanica nađeni su sa značajno većom učestalošću u žena. Najčešća lokalizacija analiziranih promjena je na kapcima kao moguća posljedica UV zračenja. Prosječna dob u svim promjenama u trenutku postavljanja dijagnoze i standardna devijacija bila je 65±8 godina u muškaraca i 64±7 godina u žena. Svi bolesnici s promjenama na koži imaju rizik pojave novih tumora. Najvažniji faktor u smanjenju pobola i smrtnosti promjena u ovoj regiji ostaje prevencija. Izlaganje UV zračenju, posebice UV-B zračenju je najvažniji poznati uzrok promjena genetskog materijala u stanici i provocirajući čimbenik u razvoju kožnih tumora

VIRAL HEPATITIS - CROATIAN CONSENSUS STATEMENT 2013

Hrvatske konsenzus konferencije o virusnim hepatitisima održane su 2005. i 2009. g. (1). S obzirom na brojne nove spoznaje o epidemiologiji, dijagnostici i liječenju virusnih hepatitisa (poglavito kroničnog hepatitisa C genotipa 1) u protekle četiri godine, 28. veljače 2013. g. održana je nova Hrvatska konsensus konferencija o virusnim hepatitisima u Zagrebu. Sažeti tekst ove Hrvatske konsenzus konferencije o virusnim hepatitisima sadrži prikaz novih spoznaja o epidemiologiji virusnih hepatitisa, serološkoj i mo¬lekularnoj dijagnostici virusnih hepatitisa, određivanju polimorfizma promotora gena za IL-28, procjeni stadija fibroze, algoritmu dijagnostičkog praćenja bolesnika, liječenju kroničnog hepatitisa C (genotipovi 1-6) i hepatitisa B, liječenju specijalnih populacija (djeca, bolesnici na dijalizi, bolesnici liječeni transplantacijom, osobe s HIV/HCV koinfekcijom) i nuspojavama liječenja.Croatian Consensus Conferences on Viral Hepatitis took place in 2005 and 2009. Considering the numerous novel concepts on the epidemiology, diagnosis and management of viral hepatitis (chronic hepatitis C genotype 1 in particular) that have emerged in the past four years, a new Croatian Consensus Conference on Viral Hepatitis was held in Zagreb on February 28, 2013. The abridged text of the Croatian Consensus Conference on Viral Hepatitis 2013 presents the new concepts on the epidemiology of viral hepatitis, serologic and molecular diagnosis of viral hepatitis, determination of the IL-28 gene promoter polymorphism, fi¬brosis grading, algorithm for patient diagnostic follow up, treatment of chronic hepatitis C (genotypes 1-6) and hepatitis B, treat¬ment of special populations (children, dialysis patients, transplanted patients, individuals with HIV/HCV co-infection), and therapy side effects

VIRAL HEPATITIS - CROATIAN CONSENSUS STATEMENT 2013

Hrvatske konsenzus konferencije o virusnim hepatitisima održane su 2005. i 2009. g. (1). S obzirom na brojne nove spoznaje o epidemiologiji, dijagnostici i liječenju virusnih hepatitisa (poglavito kroničnog hepatitisa C genotipa 1) u protekle četiri godine, 28. veljače 2013. g. održana je nova Hrvatska konsensus konferencija o virusnim hepatitisima u Zagrebu. Sažeti tekst ove Hrvatske konsenzus konferencije o virusnim hepatitisima sadrži prikaz novih spoznaja o epidemiologiji virusnih hepatitisa, serološkoj i mo¬lekularnoj dijagnostici virusnih hepatitisa, određivanju polimorfizma promotora gena za IL-28, procjeni stadija fibroze, algoritmu dijagnostičkog praćenja bolesnika, liječenju kroničnog hepatitisa C (genotipovi 1-6) i hepatitisa B, liječenju specijalnih populacija (djeca, bolesnici na dijalizi, bolesnici liječeni transplantacijom, osobe s HIV/HCV koinfekcijom) i nuspojavama liječenja.Croatian Consensus Conferences on Viral Hepatitis took place in 2005 and 2009. Considering the numerous novel concepts on the epidemiology, diagnosis and management of viral hepatitis (chronic hepatitis C genotype 1 in particular) that have emerged in the past four years, a new Croatian Consensus Conference on Viral Hepatitis was held in Zagreb on February 28, 2013. The abridged text of the Croatian Consensus Conference on Viral Hepatitis 2013 presents the new concepts on the epidemiology of viral hepatitis, serologic and molecular diagnosis of viral hepatitis, determination of the IL-28 gene promoter polymorphism, fi¬brosis grading, algorithm for patient diagnostic follow up, treatment of chronic hepatitis C (genotypes 1-6) and hepatitis B, treat¬ment of special populations (children, dialysis patients, transplanted patients, individuals with HIV/HCV co-infection), and therapy side effects