84 research outputs found
Odlaganje homogentizinske kiseline u duge kosti s litiÄkim promjenama dijafiza u bolesnice s ohronozom
Presentation is made of a 58-year-old female patient with alkaptonuria and ochronosis. Calcification and ossification of intervertebral disks in the lumbar, thoracic and cervical spine were developed. In addition, diaphyseal lytic changes of the femur, tibia and fibula were observed. The lesions were diffuse and unequal. Diaphysis of the long bones had a āmoth-eatenā bone appearance. No data on such changes were found in the available literature.Prikazana je 58-godiÅ”nja bolesnica s alkaptonurijom i ohronozom. NaÄena je kalcifikacija i osifikacija intervertebralnog diskalumbalne, torakalne i vratne kraljeÅ”nice. Usto, bile su razvijene litiÄke promjene femura, tibije i fibule. Lezije su bile difuzne. Dijafize dugih cjevastih kostiju izgledale su kao da su ih āizjeli moljciā. U dostupnoj literaturi nije naÄen opis takvih promjena
Prilog genetiÄkoj etiologiji kompleksnog regionalnog bolnog sindroma - tip I (syndroma algodystrophicum) na temelju kvantitativne analize digitopalmarnih dermatoglifa u Å”ezdesetorice muÅ”karaca
The patterns of the ridges of the skin of the fingers and palms were determined in sixty men with complex regional pain syndrome (type I) as a measure of disease prevention. The study included 25 dermatoglyphic traits: number of epidermal ridges on all ten fingers; their sum for five and ten fingers; four traits on both palms, i.e. between a-b, b-c and c-d triradii; atd angles: and their bilateral sum. The data obtained were compared with those recorded in a control group of 200 pairs of imprints of phenotipycally healthy male adults from the Zagreb area. Statistically significant difference from control values were found in 12 dermatoglyphic variables, including an increased sum of ridges on nine fingers (except for left second finger pad), and total sum for five and ten fingers. These findings suggested the polygenic system responsible for development of dermatoglyphics to be identical with some polygenic loci for the onset of algodystrophy syndrome, which might prove useful in disease prevention (e.g., taking fingerprints following a trauma and before rehabilitation), and to facilitate identification of risk groups, and thus the treatment for this longterm and yet obscure syndrome.U svrhu prevencije, u ovom se genetiÄkom ispitivanju, istražio broj kožnih grebenova na prstima i dlanovima Å”ezdesetorice muÅ”karaca s kompleksnim regionalnim sindromom Tip I (Syndroma algodystrophicum). Ispitivanje je provedeno u 25 dermatoglifskih znaÄajki: broju epidermalnih grebenova na svih deset prstiju, njihovu sveukupnom zbroju na pet i deset prstiju, Äetirima svojstvima na oba dlana - izmeÄu triradijusa a-b, b-c i c-d, te atd kutovima, i njihovom obostranom zbroju. Dobiveni podaci su usporeÄeni s kontrolnom skupinom - 200 pari otisaka odraslih i fenotipskih zdravih osoba ZagrebaÄke regije. U dvanaest dermatoglifskih varijabli pronaÄene su statistiÄki znaÄajne razlike prema kontroli: u poviÅ”enom broju grebenova na devet prstiju (izuzev jagodice drugog prsta lijevo), te u ukupnom zbroju na pet i deset prstiju zajedno. Iz toga se može pretpostaviti, kako je poligenetiÄki sustav odgovoran za razvoj dermatoglifa identiÄan s nekim lokusima za oboljevanje od algodistrofiÄnog sindroma, a Å”to bi se moglo iskoristiti u preventivne svrhe (uzimanjem otisaka ruku nakon traume, odnosno prije rehabilitacije), te formiranjem riziÄnih skupina, a time i usmjeriti lijeÄenje tog dugotrajnog i tajanstvenog poremeÄaja
Dermatoglifi u psorijatiÄnom simetriÄnom poliartritisu u pedeset žena - kvantitativna analiza
Quantitative dermatoglyphic analysis of digitopalmar ridge count was used to research psoriatic symmetrical polyarthritis in fifty women. Analyzed were 25 dermatoglyphics traits: number of epidermal ridges on all ten fingers, their sum for five and ten fingers, four traits on both palms, i.e. between a-b, b-c, c-d and a-d triradii, and atd angles and their bilateral sum. The data obtained were compared with those recorded in a control group of 200 pairs of imprints of phenotypically healthy females from Zagreb area. Statistically significant differences were found in 13 variables in decreased ridge count in all ten fingers, their sum in five and ten fingers separately. Accordingly, a polygenetic system identical in some loci to polygenic system predisposing to women psoriatic symmetrical polyarthritis susceptibility might be found responsible for the dermatoglyphic pattern development.U radu se kvantitativnom analizom digitopalmarnog kompleksa istražio broj grebenova u 50 žena sa simetriÄnim psorijatiÄnim poliartritisom. Analizirano je 25 varijabli, broj grebenova na svih deset prstiju Å”aka, zatim, sveukupno na pet i deset prstiju, te izmeÄu triradijusa a-b, b-c, c-d i a-d na oba dlana, zatim, njihov ukupan broj na jednom i oba dlana, te atd kutovi na oba dlana i njihov ukupni broj u stupnjevima. Dobiveni podaci usporeÄeni su sa kontrolnom skupinom - 200 pari otisaka odraslih i fenotipski zdravih žena ZagrebaÄke regije. StatistiÄki znaÄajne razlike prema kontroli naÄene su u 13 varijabli u smislu smanjenja broja kožnih grebenova na svih deset prstiju, i njihovu zbroju na pet i deset prstiju zasebno. Stoga se dade zakljuÄiti kako je poligeneski sustav u razvoju dermatoglifa identiÄan s nekim lokusima za razvoj simetriÄnog psorijatiÄnog poliartritisa u žena
Kvantitativna analiza digitopalmarnih dermatoglifa u pedesetorice bolesnika s psorijatiÄnim spondilitisom
By the quantitative dermatoglyphic analysis of digitopalmar ridge count in fifty male psoriatic spondylitis patients were researched 25 dermatoglyphics traits: number of epidermal ridges on the all ten fingers, their sum for five and ten fingers, four traits on the both palms, i.e. between a-b, b-c, c-d and a-d triradii, and atd angles and their bilateral sum in degrees. The data obtained were compared with those recorded in a control group of 200 pairs of imprints of phenotypically healthy males from the Zagreb area. Statistically significant differences to control were found in 13 variables in decreased ridge count in second, third, fourth and fifth finger on the right palm, and in their sum on the all five fingers, than in second, third, fourth and fifth finger on the left palm, and in their sum in the all fingers, and in the all ten fingers. Atd angle was decreased on the left palm, and on the both palm together. Accordingly a polygenetic system identical in some loci to polygenetic system predisposing to male psoriatic spondylitis susceptibility might be found responsible for dermatogliyphic pattern development.U radu se kvantitativnom analizom digitopalmarnih dermatoglifa istražio broj grebenova u pedeset muÅ”karaca s psorijatiÄnim spondilitisom. Analizirano je 25 varijabli, broj grebenova na svih deset prstiju Å”aka, zatim, sveukupno na pet i deset prstiju, te izmeÄu triradijusa a-b, b-c, c-d i a-d na oba dlana, te njihov ukupan broj na jednom i oba dlana, te atd kutovi na oba dlana i njihov ukupni broj u stupnjevima. Dobiveni podaci su usporeÄeni s kontrolnom skupinom od 200 pari otisaka odraslih i fenotipski zdravih muÅ”akaraca ZagrebaÄke regije. StatistiÄki znaÄajne razlike prema kontroli naÄene su u 13 varijabli u smislu smanjenja broja kožnih grebenova na drugom, treÄem, Äetvrtom i petom prstu desne ruke, te sveukupnom zbroju prstiju desne ruke, zatim, na drugom, treÄem, Äetvrtom i petom prstu lijeve ruke, sveukupnom zbroju prstiju lijeve ruke, te obostranom zbroju svih deset prstiju. Smanjen atd kut bio je na lijevom dlanu te njegovu obostranom zbroju na dlanovima. Iz toga se dade zakljuÄiti kako je poligenski sustav u razvoju dermatoglifa identiÄan s nekim lokusima za razvoj psorijatiÄnog spondilitisa u muÅ”karaca
HISTORICAL DEVELOPMENT OF PHYSICAL MEDICINE AND REHABILITATION MEDICINE IN CROATlA
Razvoj fizikalne medicine u Hrvatskoj je, kao i u susjednim zemljama, tekao
sporo. Produženjem prosjeÄnog oÄekivanog v1jeka populacije razvija se i ta struka, prvo
kao fizikalna terapija, zatim kao fizikalna medicina i naposlijetk.-u kao fizikalna medicina
i rehabilitacija, te ulazi u sve medicinske discipline s ciljem poboljŔanja kvalitete rada.
Da bi se to ostvarilo, bilo je potrebno prijeÄi odreÄen razvojni put i izravnati se s drugim
europskim zemljama u pogledu edukacije kadra i zdravstvenog standarda u bolnicama.As in neighbouring countries development of physical medicine and rehabilitation
medicine in Croatia was slow.
Increament of average life expentance results in progress in the first place of
physical therapy and later as physical medicine and rehabilitation medicine involving all
medical disciplines and imroving the quality of professional work. To accomplish that it
was necessary to pass a long way and egualise with other European countries in regard
of education and health standards in hospitals
Hip in rheumatic diseases
KliniÄka dijagnostika koksofemoralnog zgloba temelji se na poznavanju funkcionalne anatomije i primijenjene biomehanike, poznavanju tegoba i znakova bolesti zglobova te savladavanju fizikalnog pregleda lokomotornog sustava. Etiologija bolnog kuka vezana je za promjene intraartikularnih struktura (hrskavica, sinovijalna membrana, zglobna tijela), periartikularnih struktura zgloba kao i anatomskih struktura izvan podruÄja kuka s projekcijom boli u to podruÄje. KliniÄke manifestacije ovise o tome koje su strukture zahvaÄene. Glavni simptom je bol a može biti popraÄena Å”epanjem, zakoÄenoÅ”Äu zgloba kao i sistemskim znakovima kao Å”to je umor, iscrpljenost, gubitak tjelesne težine.
Iako je danaÅ”nja tehnologija za dijagnostiku muskuloskeletnih bolesti znatno unaprijeÄena, anamneza i dalje ostaje vrlo važna i gotovo nezamjenlljiva uz svakako iscrpan i kvalitetno proveden fizikalni pregled lokomotornog sustava.The clinical diagnosis of hip pain is based on functional anatomy knowledge, detailed medical history and careful physical examination of the joints, periarticular soft tissue, nerve and blood supply, abdomen and thoracolumbal spine. Pain in the hip region may arise from the hip itself, adjacent bones or periarticular soft tissue and in addition thoracolumbal spine disorders, intraabdominal pathologies and peripheral vascular diseases can present with reffered pain in this region. Pain is the main symptom and it can be accompanied with morning stiffness and presence of systemic symptoms such as fatique, fever, weight loss or worsening of pain at night.
Althought the technology for diagnostic testing is well developed, a detailed history is still as well as careful physical examination, essential for the precise diagnosis
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