9 research outputs found
ADENOCARCINOMA OF THE SMALL INTESTINE AS THE CAUSE OF AN ACUTE ABDOMEN ā TWO CASE REPORTS WITH A REVIEW OF THE LITERATURE
THE INFLUENCE OF DREINAGE IN THE TREATMENT OF CHRONIC PILONIDAL SINUS DISEASE USING MIDLINE CLOSURE
Unsatisfactory postsurgical end results in the treatment of chronic pilonidal sinus disease caused by long term healing, pain,
inconvenience and recurrences of the lesion still remain problem after various surgical techniques have been described and used.
This study was designed to show results of several aspects of midline closure technique with respect for surgical complications,
hospitalization length and recurrence. This study included 90 patients with pilonidal sinus treated by surgery with midline closure at
the department of General surgery of Clinical Hospital Mostar between January 2004 and January 2009. The patients were divided
in three groups considering the type of drainage used. Data collected retrospectively included demographics, positive diagnosis of
chronic pilonidal sinus, operative technique, type of drainage, complications, hospital stay and recurrence of the disease. Mean
hospital stay after excision and midline closure technique was 4.68 days Complication rate was 18/90 (20%). Infection occurred in
18 patients (20%), dehiscence occurred in 10 patients (11.1%). Mean recurrence rate during follow up period was 12/90 (13.3%);
range, 24-84 months. There was no statistically significant difference among three groups in hospital stay length (p>0.05), in
complication rate (Ļ2=1.66, p>0.05), nor in recurrence rate (Ļ2=1.91, p>0.05). Statistically significant difference was shown
between complication rate among non drained and actively drained patients (Ļ2=1.11, p<0.05).
Primary midline closure is not a satisfactory method in the treatment of chronic pilonidal sinus, especially without drainage,
leading to numerous complications and high rate of recurrence
Level of physical activity and daily sitting time: factors of sedentary lifestyle in young adults
Tjelesna aktivnost ubraja jedna je od osnovnih ljudskih potreba za funkcioniranje i održavanje zdravlja. NajveÄi problem danaÅ”nje djece, adolescenata i studenata je naÄin provoÄenja slobodnog vremena, koje je pretežno ispunjen gledanjem televizije, koriÅ”tenjem raÄunala i mobitela. Sedentarni stil života, bilo da je shvaÄen kao reducirano vrijeme provedeno u tjelesnoj aktivnosti odnosno vrijeme provedeno u sjedenju, smatra se neovisnim Äimbenikom rizika za nastanak razliÄitih kroniÄnih bolesti i direktno utjeÄe na smrtnost. Ovim istraživanjem htjeli smo utvrditi i objasniti razlike u tjelesnoj aktivnosti i vremenu provedenom u sjedeÄem položaju izmeÄu dvije grupe ispitanika, studenata kineziologije u Pekingu i u Zagrebu. U istraživanju je sudjelovalo 238 ispitanika, studenata kineziologije s KinezioloÅ”kog fakulteta u Zagebu (UNIZG) i PekinÅ”kog fakulteta za sport (BSU). Sudionici su ispunili IPAQ upitnik u kratkom obliku (IPAQ SF), prisjeÄajuÄi se svih aktivnosti koje su obavljali u proteklih sedam dana. Rezultati sugeriraju kako obje grupe ispitanika zadovoljavaju kriterije propisane od strane SZO vezane uz preporuÄenu razinu tjelesne aktivnosti, iako su uoÄene znaÄajne razlike izmeÄu dviju grupa (UNIZG 186,79 minuta dnevno Ā± SD ; BSU 109,93 minuta dnevno Ā± SD). Isto tako, obje grupe ispitanika provode manje vremena u sjedeÄem položaju u odnosu na opÄu populaciju. MeÄutim, smatramo da su rezultati provedenog vremena u sjedeÄoj poziciji za ovu populaciju previsoki (UNIZG 221,27 minuta Ā± SD ; BSU 380,30 minuta Ā± SD). U danaÅ”nje vrijeme kada moderne tehnologije dodatno potiÄu sjedilaÄki naÄin života, izuzetno je bitno djecu i mlade ljude sustavno poticati na ukljuÄivanje u razliÄite sportske programe kako bi razvili cjeloživotnu naviku bavljenja redovitim tjelesnim vježbanjem. U protivnom, velika je moguÄnost razvoja dugoroÄnih zdravstvenih poremeÄaja nastalih pod utjecajem sedentarnog naÄina života.Physical activity is one of the basic human needs to maintain health and normal functioning. The biggest problem of todayās children, adolescents and students is the way they spend their leisure time, which is mostly occupied with watching television, using computers and mobile phones. A sedentary lifestyle, whether understood as a reduced time spent in physical activity or time spent sitting, is considered an independent risk factor for the development of various chronic diseases and directly affects mortality. With this research, we wanted to identify and explain the differences in physical activity and sitting time between two groups, kinesiology students in Beijing and Zagreb. The study involved 238 participants, kinesiology students from the Faculty of Kinesiology, University in
Zagreb (UNIZG) and the Beijing Sport University (BSU). Participants completed the IPAQ questionnaire in short form (IPAQ SF), recalling all the activities they had performed in the past seven days. The results suggest that both groups are achieving recommended level of physical activity according to the WHO, although significant differences were found between the two groups (UNIZG 186.79 minutes per day Ā± SD; BSU 109.93 minutes per day Ā± SD). Likewise, both groups of participants spend less time in a sitting position compared to the general population. However, we believe that the results of time spent while sitting are too high for this population (UNIZG 221.27 minutes Ā± SD; BSU 380.30 minutes Ā± SD). Nowadays, when modern technologies additionally encourage a sedentary lifestyle, it is extremely important to systematically encourage children and young adults to get involved in various sports programs in order to develop a lifelong routine of regular physical exercise. Otherwise, there is a high possibility of developing longterm health disorders caused by a sedentary lifestyle
Wounds of extremities: experience with 480 wounded extremitie
Prikazani su rezultati lijeÄenja 1186 stradalih u domovinskom ratu na podruÄju opÄine Vinkovci, i to od 01. srpnja 1991. do 30. lipnja 1992. god. Od svih ozlijeÄenih muÅ”karci su Äinili 85,49% (1014), žene 10,3 (122) i djeca 4,2% (50). NajveÄi je broj ozlijeÄen krhotinama eksplozivnih naprava (granate, rakete) 85,48%, minama 8,48%, metkom 4,18%, a 1,92% je zadobilo opekotine, obiÄno III stupnja. UÄinjeno je 178 (28,52%) zahvata na gornjim i 302 (48,39%) kirurÅ”ka zahvata na donjim udovima. Moderna oružja s projektilima velikih poÄetnih brzina dovode do izuzetno ozbiljnih rana s masivnom destrukcijom tkiva. Krhotine bombi, granata ili mina postižu brzinu i od 1800 m/sec. RazarajuÄi uÄinci prijenosa velike kinetiÄke energije na tkiva su dobro poznati i prouÄeni.
Iako i nije izravno pogoÄena projektilom, kost Äe frakturirati ako se naÄe unutar prostora zvanog "privremena Å”upljina", koja može biti i 30-40 puta veÄa od promjera projektila, a koÅ”tani ulomci postaju sekundarni projektili i dodatno proÅ”iruju podruÄje tkivnog oÅ”teÄenja. Najteže ozljede udova posljedica su eksplozivnog djelovanja mina ili granata. NaÄela primarnog zbrinjavanja otvorenih prijeloma u ratnih rana su jasno odreÄena:
ā¢ ekscizija kože
ā¢ ekscizija svih devitaliziranih dijelova tkiva
ā¢ odstranjenje stranih tijela
ā¢ odstranjenje fragmenata kortikalisa koji su bez
kontakta s tkivom
ā¢ fragmenti spongioze se mogu oÄistiti i koristiti
kao koŔtani graft
ā¢ ispiranje rane
ā¢ stabilizacija kosti (metoda izbora je vanjska
fiksacija)
ā¢ rekonstrukcija magistralnih krvnih žila
ā¢ izbjegavati primarnu rekonstrukciju živaca ili
tetivaThere are 1186 casualites, victims of the 1991-1992 war in Vinkovci, Eastern Slavonija, Croatia, represented in this text. Out of them, 480 were operated on for a war wound of an extremity. Types of wounds and their distribution, methods of surgical treatment and the results have been analyzed
ADENOCARCINOMA OF THE SMALL INTESTINE AS THE CAUSE OF AN ACUTE ABDOMEN ā TWO CASE REPORTS WITH A REVIEW OF THE LITERATURE
THE INFLUENCE OF DREINAGE IN THE TREATMENT OF CHRONIC PILONIDAL SINUS DISEASE USING MIDLINE CLOSURE
Unsatisfactory postsurgical end results in the treatment of chronic pilonidal sinus disease caused by long term healing, pain,
inconvenience and recurrences of the lesion still remain problem after various surgical techniques have been described and used.
This study was designed to show results of several aspects of midline closure technique with respect for surgical complications,
hospitalization length and recurrence. This study included 90 patients with pilonidal sinus treated by surgery with midline closure at
the department of General surgery of Clinical Hospital Mostar between January 2004 and January 2009. The patients were divided
in three groups considering the type of drainage used. Data collected retrospectively included demographics, positive diagnosis of
chronic pilonidal sinus, operative technique, type of drainage, complications, hospital stay and recurrence of the disease. Mean
hospital stay after excision and midline closure technique was 4.68 days Complication rate was 18/90 (20%). Infection occurred in
18 patients (20%), dehiscence occurred in 10 patients (11.1%). Mean recurrence rate during follow up period was 12/90 (13.3%);
range, 24-84 months. There was no statistically significant difference among three groups in hospital stay length (p>0.05), in
complication rate (Ļ2=1.66, p>0.05), nor in recurrence rate (Ļ2=1.91, p>0.05). Statistically significant difference was shown
between complication rate among non drained and actively drained patients (Ļ2=1.11, p<0.05).
Primary midline closure is not a satisfactory method in the treatment of chronic pilonidal sinus, especially without drainage,
leading to numerous complications and high rate of recurrence