PAMTEĆI POVIJEST KARDIOVASKULARNE KIRURGIJE U RIJECI, HRVATSKA (Uloga "manjeg" centra)

The article describes the development of the Cardiovascular surgery in Rijeka Croatia. It explains the historical and social circumstances of the region as well as the most important facts of the history of the medicine and surgery in this city. The standpoint of the paper is that all centers contribute to the progress of medicine. Besides the leading world centers which determine the pace of the development of medicine, all others are also relevant participants. The continous and coordinated efforts of leading and "minor" centers are also decisive in the field of cardiovascular surgery. The activity of Cardiovascular Surgery of the Clinical Hospital Center in fujeka, although a "minor" center, regarding international proportions, has been very important for the entire medicine in the region

REMEMBERING THE HISTORY OF CARDIOVASCULAR SURGERY IN RIJEKA, CROATIA (The Role of a "Minor" Centre)

The article describes the development of the Cardiovascular surgery in Rijeka Croatia. It explains the historical and social circumstances of the region as well as the most important facts of the history of the medicine and surgery in this city. The standpoint of the paper is that all centers contribute to the progress of medicine. Besides the leading world centers which determine the pace of the development of medicine, all others are also relevant participants. The continous and coordinated efforts of leading and "minor" centers are also decisive in the field of cardiovascular surgery. The activity of Cardiovascular Surgery of the Clinical Hospital Center in fujeka, although a "minor" center, regarding international proportions, has been very important for the entire medicine in the region

PAMTEĆI POVIJEST KARDIOVASKULARNE KIRURGIJE U RIJECI, HRVATSKA (Uloga "manjeg" centra)

The article describes the development of the Cardiovascular surgery in Rijeka Croatia. It explains the historical and social circumstances of the region as well as the most important facts of the history of the medicine and surgery in this city. The standpoint of the paper is that all centers contribute to the progress of medicine. Besides the leading world centers which determine the pace of the development of medicine, all others are also relevant participants. The continous and coordinated efforts of leading and "minor" centers are also decisive in the field of cardiovascular surgery. The activity of Cardiovascular Surgery of the Clinical Hospital Center in fujeka, although a "minor" center, regarding international proportions, has been very important for the entire medicine in the region

REMEMBERING THE HISTORY OF CARDIOVASCULAR SURGERY IN RIJEKA, CROATIA (The Role of a "Minor" Centre)

The article describes the development of the Cardiovascular surgery in Rijeka Croatia. It explains the historical and social circumstances of the region as well as the most important facts of the history of the medicine and surgery in this city. The standpoint of the paper is that all centers contribute to the progress of medicine. Besides the leading world centers which determine the pace of the development of medicine, all others are also relevant participants. The continous and coordinated efforts of leading and "minor" centers are also decisive in the field of cardiovascular surgery. The activity of Cardiovascular Surgery of the Clinical Hospital Center in fujeka, although a "minor" center, regarding international proportions, has been very important for the entire medicine in the region

CONTRIBUTION OF RIJEKA TO MEDICAL THOUGHT IN CROATIA (40 years of “Medicina")

liječničkog zbora, u četiri desetljeća dugu hodu svojim je ostvarenjima i neprekidnim radom već odavna dokazala da je jedna od temeljnih poveznica riječke medicine od vremena kada započinje ostvarenje najvićih dosega riječke moderne medicine do današnjih obljetnič kih dana. Utemeljena je jedinstvenim znanstvenim naporima i entuzijazmom plejade vrhunskih medicinskih stručnjaka koji su početkom druge polovice prošlog stoljeća ostvarili bitne programe na polju kliničke medicine, javnoga zdravstva i osnivanja najvećih ustanova medicinske edukacije. Medicina je općemedicinski časopis, ali je uvijek nastojala pratiti recentnu tematiku i moderna medicinska saznanja medicinskih specijalnosti i posebnosti u ostvarenju medicinske struke i znanosti u regiji. Za medicinske je kadrove i medicinske ustanove postala dio njihovih napora i dio njih samih, poprimajući prepoznatljivo obilježje reprezentanta ove medicinske sredine. Ovaj je rad kratak osvrt i sjećanje na vrijeme osnivanja i početne godine Medicine te na prominente njezinih dosega, čiji nas uzorni rad ispunjava gordošću.Due to its achievements and continuous work in the four decades of its existence, Medicina, professional and scientific journal of the Croatian Medical Association, Rijeka Branch, has proved to be one of the basic interconnections of Rijeka medicine, from the times when its highest achievements began to be reached until these anniversary days. It was founded with unique scientific efforts and the enthusiasm of a number of top class medical experts, who, in the beginning of the second half of the last century, realised important programmes in the field of clinical medicine, of public health care and in establishing highest institutions of medical education. Medicina is a journal of general medicine, but it has always endeavoured to follow the latest topics and achievements of medical specialities and specifics in the function of the medical profession and science of this region. Owing to their effort, it has become part of medical professionals and medical institutions themselves, assuming recognisable features representing this medical environment. This is a short review and recollection of the times when Medicina, this exemplary medical journal that fills us with pride, was founded and first published, together with its prominent achievement

CONTRIBUTION OF RIJEKA TO MEDICAL THOUGHT IN CROATIA (40 years of “Medicina")

liječničkog zbora, u četiri desetljeća dugu hodu svojim je ostvarenjima i neprekidnim radom već odavna dokazala da je jedna od temeljnih poveznica riječke medicine od vremena kada započinje ostvarenje najvićih dosega riječke moderne medicine do današnjih obljetnič kih dana. Utemeljena je jedinstvenim znanstvenim naporima i entuzijazmom plejade vrhunskih medicinskih stručnjaka koji su početkom druge polovice prošlog stoljeća ostvarili bitne programe na polju kliničke medicine, javnoga zdravstva i osnivanja najvećih ustanova medicinske edukacije. Medicina je općemedicinski časopis, ali je uvijek nastojala pratiti recentnu tematiku i moderna medicinska saznanja medicinskih specijalnosti i posebnosti u ostvarenju medicinske struke i znanosti u regiji. Za medicinske je kadrove i medicinske ustanove postala dio njihovih napora i dio njih samih, poprimajući prepoznatljivo obilježje reprezentanta ove medicinske sredine. Ovaj je rad kratak osvrt i sjećanje na vrijeme osnivanja i početne godine Medicine te na prominente njezinih dosega, čiji nas uzorni rad ispunjava gordošću.Due to its achievements and continuous work in the four decades of its existence, Medicina, professional and scientific journal of the Croatian Medical Association, Rijeka Branch, has proved to be one of the basic interconnections of Rijeka medicine, from the times when its highest achievements began to be reached until these anniversary days. It was founded with unique scientific efforts and the enthusiasm of a number of top class medical experts, who, in the beginning of the second half of the last century, realised important programmes in the field of clinical medicine, of public health care and in establishing highest institutions of medical education. Medicina is a journal of general medicine, but it has always endeavoured to follow the latest topics and achievements of medical specialities and specifics in the function of the medical profession and science of this region. Owing to their effort, it has become part of medical professionals and medical institutions themselves, assuming recognisable features representing this medical environment. This is a short review and recollection of the times when Medicina, this exemplary medical journal that fills us with pride, was founded and first published, together with its prominent achievement

Klinički ishod u bolesnika nakon operacije hernije intervertebralnog diska pomoću proteze za rekonstrukciju defekta anulusa: rezultati dvogodišnjeg praćenja

Annular Reinforcement Device represents a modification of operative treatment of intervertebral disk herniation. It is a prosthesis that is anchored into the body of the vertebra. The intradiscal part of the implant is placed in the inner part of the annulus fibrosus defect. The aim of this technique is to reduce the incidence of reherniation and the degree of intervertebral space collapse, which is the most frequent adverse effect of diskectomy. Clinical outcomes of the treatment group indicated a statistically significant improvement with respect to the control group. Furthermore, over the period of two years, no cases of symptomatic reherniation were recorded. Considering that no serious complications occurred during the procedures, it would appear that this is an implant that, given its encouraging results, should be further verified in carefully designed future studies.Ugradnja proteze za rekonstrukciju defekta anulusa čini modifikaciju operacijskog liječenja hernije intervertebralnog diska. Radi se o protezi koja se ugrađuje (usidri) u korpus kralješka. Intradiskalni dio implantata postavlja se s unutarnje strane defekta anulusa fibrozusa. Cilj navedene tehnike je smanjivanje incidencije rehernijacija te smanjivanje stupnja kolapsa intervertebralnog prostora kao najčešćih neželjenih posljedica diskektomije. Klinički ishod ispitivane skupine pokazao je statistički značajan napredak u odnosu na kontrolnu skupinu. Također tijekom dvije godine nije zabilježen nijedan slučaj simptomatske rehernijacije. S obzirom na to da nije bilo ozbiljnih komplikacija tijekom samog zahvata, smatramo da se radi o implantatu čiji početni rezultati ohrabruju te se moraju potvrditi u slijedećim dobro dizajniranim prospektivnim studijama