Osnovna nacela cudoređa i deontologije profesija. Opcenito o cudoređu i deontologiji u sudskim vj... more Osnovna nacela cudoređa i deontologije profesija. Opcenito o cudoređu i deontologiji u sudskim vjestacenjima. Osnovne pravne odrednice o vjestacenju. Cudoređe i deontologija vjestacenja u medicini i stomatologiji. Posebno o cudoređu i deontologiji u sudskoj ginekologiji i porodiljstvu.
Uspješnost zanošenja ovisna je o nizu čimbenika koji posredno moderiraju donošenje živog i vitaln... more Uspješnost zanošenja ovisna je o nizu čimbenika koji posredno moderiraju donošenje živog i vitalnog djeteta. Unatrag pedesetak godina cijeli slijed parametara koji opisuju reprodukciju i njene ishode u Europi pokazuju silazni trend. Uz biološke odrednice (ovulacija, kvaliteta sjemena, frekvencija koitusa, stopa oplodnje, spontani gubitak trud¬noće), najbolji demografski pokazatelji plodnosti su stopa živorođenih dizigotnih blizanaca, stopa ukupnog fertiliteta (total fertility rate, TFR; Hrvatska 2003: 1,33) i stopa obnavljanja ženskog stanovništva (Hrvatska 2001:0,66). Najniži prirodni prirast (PP) Hrvatska je zabilježila 2003. godine (–2,1). Daljnji negativno eksponencijski trend u smislu broja, dobi i odnosa spolova će se i dalje nastaviti te će u odnosu na 2001., 2031. godine u Hrvatskoj živjeti 17% manje stanov¬nika. Uzroci nekoć idiopatskog infertiliteta danas su prepoznati u životnoj dobi i čimbenicima koji su sastavnice načina života.¬ Oni podjednako utječu na uspješnost meto...
Energy‐based treatments have been found to be a promising treatment modality for improving stress... more Energy‐based treatments have been found to be a promising treatment modality for improving stress urinary incontinence (SUI) symptoms. This prospective two‐center study was designed to evaluate the efficacy of fractional‐pixel CO2 laser for the treatment of SUI.
Background. In the past thirty years, there has been a significant rise of public and private hea... more Background. In the past thirty years, there has been a significant rise of public and private health institutions' interest in the prediction and management of medical risks. The need of risk management is a direct consequence of the growing number of legal actions against medical malpractice. The concept of risk management involves three basic processes: risk identification, risk analysis, and risk management. Risk includes an evaluation of vulnerability and management of events that could potentially endanger the operation of a health institution, comprising a balance between the consequential costs of medical malpractice and the costs of risk reduction (anticipation). Thus the potential financial consequences of risk exposure are crucial in the formation of diagnostic and treatment protocols, whereas improvement of the quality of medical care as well as patient protection are the primary aims of risk management. Conclusions. Postmenopausal health care is not an exempt when co...
45 patients diagnosed with cervical intraepithelial neoplasia (CIN) in the presence/ absence of h... more 45 patients diagnosed with cervical intraepithelial neoplasia (CIN) in the presence/ absence of high risk human papilloma virus (hrHPV) and bacterial/yeast infections were divided into three subgroups and treated with albothyl, 5-fl uorouracil or interferon. Following the therapy in the 22.2% of the patients total clearance and in 48.9% of them lower grade lesions were observed. Clearance of hrHPV was found in 93.3 % of the patients. Signifi cant difference among types of therapy was not observed.
Infection with specific human papillomavirus (HPV) types is the strongest risk factor in cervical... more Infection with specific human papillomavirus (HPV) types is the strongest risk factor in cervical carcinogenesis. In this study we analysed, by means of polymerase chain reaction (PCR), cervical specimens obtained from consenting women with abnormal Pap smears collected from 1996 to 1998. Consensus- and type-specific-primers directed PCR were used in order to detect the presence and to determine the most common HPV types: 6, 11, 16, 18, 31 and 33. Out of 1874 specimens, 1207 (64%) contained one or more HPV types. Approximately half HPVs were typed (621 out of 1207) and the others remained untyped (586 out of 1207), 51% and 49%, respectively. Beside low-risk HPV 6/11 (5%), the most frequently observed HPVs were high-risk HPV types, especially type 16 (12%), while HPV types 18 (2%), 31 (5%) and 33 (3%) were less frequent. The HPV positivity rate declined with age, although all HPV types were equally distributed in different age groups. The presence of HPV DNA significantly increased f...
Abstract:(Histološke osobitosti postmenopauzalne osteoporoze potvrđuju povećanu razgradnju kosti,... more Abstract:(Histološke osobitosti postmenopauzalne osteoporoze potvrđuju povećanu razgradnju kosti, a razlike u odnosu na literarne podatke vjerojatno proizlaze iz veličine i odabira uzorka, a ne osobitosti populacijske skupine. Nova saznanja o staničnim ...
Hypothesis / aims of study Although the initial treatment for SUI should include nonsurgical ther... more Hypothesis / aims of study Although the initial treatment for SUI should include nonsurgical therapies, surgical procedures are more likely implemented to cure SUI but are associated with more adverse events. Less invasive operative mesh techniques are relatively effective, but are not immune to complications such as bleeding, bladder perforation, urethral injury, infection, and the retention requiring mesh resection (1). In patients for whom the risks of anaesthesia and surgery are too high, a minimally invasive approach is recommended and further research is needed in terms of more compliant, less invasive and low-cost methods for the treatment of SUI and pelvic floor dysfunction (2).
Olea europea, the olive tree, is an ancient tree that originates from the Mediterranean environme... more Olea europea, the olive tree, is an ancient tree that originates from the Mediterranean environment of Asia Minor. The edible olive fruit is also used for its oil, gained by the process of pressing, a nutrient with proven beneficial effects. Virgin olive oil is the natural juice of the olive fruit, which plays a major role in the healthy Mediterranean diet. The source of its health effects are the biophenols and squalenes (oleocanthal, tyrosol, hydroxytyrosol, oleuropein) it contains. They provide an exceptional antioxidative activity, removing harmful compounds from the body. Oxidants are essential in the genesis of many diseases and conditions, such as cardiovascular disorders, cancer, osteoporosis, Alzheimer disease, and premenstrual syndrome. Oleic acid, an unsaturated fatty acid, has demonstrated a significant effect in the prevention of malignant diseases such as colon cancer and breast cancer. Biophenols from olive oil successfully suppress the synthesis of LDL, a protein tha...
Istraživanja Svjetske zdravstvene organizacije procjenjuju da 65-80% svjetske populacije koristi ... more Istraživanja Svjetske zdravstvene organizacije procjenjuju da 65-80% svjetske populacije koristi tradicionalnu medicinu kao osnovni oblik zdravstvene intervencije. Uporaba herbalnih pripravaka, dominantna forma lijecenja u zemljama u razvoju, u znacajnom je porastu i u zemljama Zapada. Zajednica prakticara konvencionalne medicine ne pridaje komplementarnoj i alternativnoj medicini (KAM) veliko znacenje zbog nedostatnih i ponekad metodoloski neprihvatljivih studija. S druge strane, vecina medicinara i zdravstvenih profesionalaca nije upoznata s kvalitetnim znanstvenim dokazima koji uistinu postoje. Zato je potrebno insistirati na prospektivnim, dobro dizajniranim istraživanjima koja ce prikazati stupanj efikasnosti i sigurnosti postupaka i terapija karakteristicnih za KAM. Prikazan je pregled cinjenica baziranih na znanstvenim istraživanjima biljaka ili biljnih ekstrakata koji se koriste u perimenopauzalnoj medicini.
The objective of this labeled, prospective, single center pilot study study was to assess the ef... more The objective of this labeled, prospective, single center pilot study study was to assess the efficacy and safety of a novel minimally invasive, nonablative laser treatment in the early stages of SUI. A total of 39 patients suffering from mildtomoderate stress urinary incontinence underwent treatment with an Er:YAG (2940 nm) laser in nonablative fractional mode. Assessment tools included the ICIQUI SF questionnaire for assessing the degree of incontinence and its impact on the quality of life, the Qtip test for evaluating the mobility of the urethra and bladder neck, PISQ12 for assessing quality of life in the area of sexuality, and perineometry for the measurement of muscle strength. Followups were scheduled after 1 month for 39 patients, after 3 months for 22 patients and after 6 months for 6 patients. Preliminary results of posttreatment evaluation showed significant improvement (p< 0.05) in all the domains tested: ICIQUI scores decreased by more than 3 points at al...
Osnovna nacela cudoređa i deontologije profesija. Opcenito o cudoređu i deontologiji u sudskim vj... more Osnovna nacela cudoređa i deontologije profesija. Opcenito o cudoređu i deontologiji u sudskim vjestacenjima. Osnovne pravne odrednice o vjestacenju. Cudoređe i deontologija vjestacenja u medicini i stomatologiji. Posebno o cudoređu i deontologiji u sudskoj ginekologiji i porodiljstvu.
Uspješnost zanošenja ovisna je o nizu čimbenika koji posredno moderiraju donošenje živog i vitaln... more Uspješnost zanošenja ovisna je o nizu čimbenika koji posredno moderiraju donošenje živog i vitalnog djeteta. Unatrag pedesetak godina cijeli slijed parametara koji opisuju reprodukciju i njene ishode u Europi pokazuju silazni trend. Uz biološke odrednice (ovulacija, kvaliteta sjemena, frekvencija koitusa, stopa oplodnje, spontani gubitak trud¬noće), najbolji demografski pokazatelji plodnosti su stopa živorođenih dizigotnih blizanaca, stopa ukupnog fertiliteta (total fertility rate, TFR; Hrvatska 2003: 1,33) i stopa obnavljanja ženskog stanovništva (Hrvatska 2001:0,66). Najniži prirodni prirast (PP) Hrvatska je zabilježila 2003. godine (–2,1). Daljnji negativno eksponencijski trend u smislu broja, dobi i odnosa spolova će se i dalje nastaviti te će u odnosu na 2001., 2031. godine u Hrvatskoj živjeti 17% manje stanov¬nika. Uzroci nekoć idiopatskog infertiliteta danas su prepoznati u životnoj dobi i čimbenicima koji su sastavnice načina života.¬ Oni podjednako utječu na uspješnost meto...
Energy‐based treatments have been found to be a promising treatment modality for improving stress... more Energy‐based treatments have been found to be a promising treatment modality for improving stress urinary incontinence (SUI) symptoms. This prospective two‐center study was designed to evaluate the efficacy of fractional‐pixel CO2 laser for the treatment of SUI.
Background. In the past thirty years, there has been a significant rise of public and private hea... more Background. In the past thirty years, there has been a significant rise of public and private health institutions' interest in the prediction and management of medical risks. The need of risk management is a direct consequence of the growing number of legal actions against medical malpractice. The concept of risk management involves three basic processes: risk identification, risk analysis, and risk management. Risk includes an evaluation of vulnerability and management of events that could potentially endanger the operation of a health institution, comprising a balance between the consequential costs of medical malpractice and the costs of risk reduction (anticipation). Thus the potential financial consequences of risk exposure are crucial in the formation of diagnostic and treatment protocols, whereas improvement of the quality of medical care as well as patient protection are the primary aims of risk management. Conclusions. Postmenopausal health care is not an exempt when co...
45 patients diagnosed with cervical intraepithelial neoplasia (CIN) in the presence/ absence of h... more 45 patients diagnosed with cervical intraepithelial neoplasia (CIN) in the presence/ absence of high risk human papilloma virus (hrHPV) and bacterial/yeast infections were divided into three subgroups and treated with albothyl, 5-fl uorouracil or interferon. Following the therapy in the 22.2% of the patients total clearance and in 48.9% of them lower grade lesions were observed. Clearance of hrHPV was found in 93.3 % of the patients. Signifi cant difference among types of therapy was not observed.
Infection with specific human papillomavirus (HPV) types is the strongest risk factor in cervical... more Infection with specific human papillomavirus (HPV) types is the strongest risk factor in cervical carcinogenesis. In this study we analysed, by means of polymerase chain reaction (PCR), cervical specimens obtained from consenting women with abnormal Pap smears collected from 1996 to 1998. Consensus- and type-specific-primers directed PCR were used in order to detect the presence and to determine the most common HPV types: 6, 11, 16, 18, 31 and 33. Out of 1874 specimens, 1207 (64%) contained one or more HPV types. Approximately half HPVs were typed (621 out of 1207) and the others remained untyped (586 out of 1207), 51% and 49%, respectively. Beside low-risk HPV 6/11 (5%), the most frequently observed HPVs were high-risk HPV types, especially type 16 (12%), while HPV types 18 (2%), 31 (5%) and 33 (3%) were less frequent. The HPV positivity rate declined with age, although all HPV types were equally distributed in different age groups. The presence of HPV DNA significantly increased f...
Abstract:(Histološke osobitosti postmenopauzalne osteoporoze potvrđuju povećanu razgradnju kosti,... more Abstract:(Histološke osobitosti postmenopauzalne osteoporoze potvrđuju povećanu razgradnju kosti, a razlike u odnosu na literarne podatke vjerojatno proizlaze iz veličine i odabira uzorka, a ne osobitosti populacijske skupine. Nova saznanja o staničnim ...
Hypothesis / aims of study Although the initial treatment for SUI should include nonsurgical ther... more Hypothesis / aims of study Although the initial treatment for SUI should include nonsurgical therapies, surgical procedures are more likely implemented to cure SUI but are associated with more adverse events. Less invasive operative mesh techniques are relatively effective, but are not immune to complications such as bleeding, bladder perforation, urethral injury, infection, and the retention requiring mesh resection (1). In patients for whom the risks of anaesthesia and surgery are too high, a minimally invasive approach is recommended and further research is needed in terms of more compliant, less invasive and low-cost methods for the treatment of SUI and pelvic floor dysfunction (2).
Olea europea, the olive tree, is an ancient tree that originates from the Mediterranean environme... more Olea europea, the olive tree, is an ancient tree that originates from the Mediterranean environment of Asia Minor. The edible olive fruit is also used for its oil, gained by the process of pressing, a nutrient with proven beneficial effects. Virgin olive oil is the natural juice of the olive fruit, which plays a major role in the healthy Mediterranean diet. The source of its health effects are the biophenols and squalenes (oleocanthal, tyrosol, hydroxytyrosol, oleuropein) it contains. They provide an exceptional antioxidative activity, removing harmful compounds from the body. Oxidants are essential in the genesis of many diseases and conditions, such as cardiovascular disorders, cancer, osteoporosis, Alzheimer disease, and premenstrual syndrome. Oleic acid, an unsaturated fatty acid, has demonstrated a significant effect in the prevention of malignant diseases such as colon cancer and breast cancer. Biophenols from olive oil successfully suppress the synthesis of LDL, a protein tha...
Istraživanja Svjetske zdravstvene organizacije procjenjuju da 65-80% svjetske populacije koristi ... more Istraživanja Svjetske zdravstvene organizacije procjenjuju da 65-80% svjetske populacije koristi tradicionalnu medicinu kao osnovni oblik zdravstvene intervencije. Uporaba herbalnih pripravaka, dominantna forma lijecenja u zemljama u razvoju, u znacajnom je porastu i u zemljama Zapada. Zajednica prakticara konvencionalne medicine ne pridaje komplementarnoj i alternativnoj medicini (KAM) veliko znacenje zbog nedostatnih i ponekad metodoloski neprihvatljivih studija. S druge strane, vecina medicinara i zdravstvenih profesionalaca nije upoznata s kvalitetnim znanstvenim dokazima koji uistinu postoje. Zato je potrebno insistirati na prospektivnim, dobro dizajniranim istraživanjima koja ce prikazati stupanj efikasnosti i sigurnosti postupaka i terapija karakteristicnih za KAM. Prikazan je pregled cinjenica baziranih na znanstvenim istraživanjima biljaka ili biljnih ekstrakata koji se koriste u perimenopauzalnoj medicini.
The objective of this labeled, prospective, single center pilot study study was to assess the ef... more The objective of this labeled, prospective, single center pilot study study was to assess the efficacy and safety of a novel minimally invasive, nonablative laser treatment in the early stages of SUI. A total of 39 patients suffering from mildtomoderate stress urinary incontinence underwent treatment with an Er:YAG (2940 nm) laser in nonablative fractional mode. Assessment tools included the ICIQUI SF questionnaire for assessing the degree of incontinence and its impact on the quality of life, the Qtip test for evaluating the mobility of the urethra and bladder neck, PISQ12 for assessing quality of life in the area of sexuality, and perineometry for the measurement of muscle strength. Followups were scheduled after 1 month for 39 patients, after 3 months for 22 patients and after 6 months for 6 patients. Preliminary results of posttreatment evaluation showed significant improvement (p< 0.05) in all the domains tested: ICIQUI scores decreased by more than 3 points at al...
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