- Type of paper
: Paper in journal
Title: Compared assesment of the study results and WHO and INSERM
supplied data on the occurence, prevention, economics, and legislation of
traumatism in childhood
- Authors:
- Tomić, Krunoslav (65910)
- Abramović, Vladimir (74572)
- Maldini, Branka (132870)
- Gogolja, Dubravko (115011)
Journal: Arhiv zašt. majke & djeteta
Number: 35
ISSN: 0004-1289
Volume: 35
Year: 1991
Pages: from 195 to 203
Number of references: 26
Language: hrvatski
Summary: The first results of a study of child injuries within
theframework of the 3-01-351 research project have proved comparablewith
the WHO and INSERM observations. They both suggest that theproblem is of
paramount importance not only from health but alsofrom socio-economic
aspects, especially in medium and highlyindustrialised countries, but the
literature data warn that theproblem is becoming ever more serious also in
developingcountries. In a global review of the first results of
variousrelated studies, the authors draw attention to a great
manyshortcomings in the understanding and origin of child injuries inthis
country but also in more developed countries, although theWHO and INSERM
have given an invaluable contribution to theproblems of the epidemiology
and morbidity rate of injuries,those two key problems of accidents in
children. A commonconclusion of a great many investigators, including the
author's,is that a common definition of accidents in children is
lacking,resulting in the lack of a common methodology in the follow-up
ofthe phenomenon of injuries themselves. One of the essentialreasons for a
poor follow-up of child injuries is the inadequatemotivation among health
workers and also the shortage of medicaldocumentation in health
institutions. In a comparable review ofthe literature it is evident that in
many developed a specialimportance is given to the legislative aspects of
child injuries,which unfortunately is not the case in this country.
Keywords: child traumatism, economics of traumatism, legislation and prevention of injuries
- Type of paper
: Paper in journal
Title: Assessment of the authors's own studies of the use of the
pediatric trauma score in the treatment of the head injured child
- Authors:
- Maldini, Branka (132870)
- Tomić, Krunoslav (65910)
Journal: Arhiv zašt. majke & djeteta
Number: 36
ISSN: 0004-1289
Volume: 36
Year: 1992
Pages: from 205 to 214
Number of references: 31
Language: hrvatski
Summary: The authors analysed the possibilities of how by the
pediatrictrauma score (PTS) to exactly predict the degree and severity
ofhead injuries in children with or without multiple bone fracturesand most
easily identify a seriously injured child and ensureadequate transport to
the corresponding medical centre. The studywas conducted at the University
Child Surgery Unit of theInstitute for Mother and Child Health in Zagreb.
It included 113children admitted to the Intensive Care Unit within 12
hoursfolowing injury. The study lasted 18 months. The results haveshown
that within the PTS distribution there is the threshold ofthe injury
seriousness amounting to 8 scores. Below this valuethe seriousness of the
injury is significantly increased(P<0.01), representing a mortality threat.
The conclusion is thatat the PTS value below <= 8 scores, the head injured
child shouldbe treated in the corresponding medical centre. All the
childrenwith the PTS value of 2 scores ended in death (P<0.001), whilethe
survival scale value amounted to 3 scores. The authorsconclude that the use
of the PTS method can detect the presenceor absence of significant
craniocerebral injuries and improvethe survival rate. For this reason, the
adoption of the PTSassessment and the proper treatment of the severely
injuredchild, as well as the adequate transport to a correspondingmedical
centre considerably minimize the invalidity and mortalityof the traumatized
child.
Keywords: Pediatric Trauma Score, Severely head injured child, Pediatric trauma
- Type of paper
: Paper in journal
Title: Dominant injuries observed in multiply injured children
- Authors:
- Tomić, Krunoslav (65910)
Journal: Čovjek i promet
Number: 1
ISSN: 0350-8765
Volume: 17
Year: 1991
Pages: from 97 to 100
Number of references: 7
Language: hrvatski
Summary: High percentage of severe multiple injuries and high
mortalityand disability rates constitute the main characteristics of
roadtraffic related polytrauma inflicting children. In this reportthe study
of medical records of children treated for injuriessustained in road
accidents is presented.
- Type of paper
: Paper in journal
Title:
- Authors:
- Tomić, Krunoslav (65910)
Journal: Čovjek i promet
Volume: 5
Year: 1993
Pages: from 103 to 105
Number of references: 9
Language: hrvatski
Summary: Modern civilization futher reports the appalling endemic
aspectof children trauma to a major extent originating from roadtraffic
accidents, which at the same time make the majoretiological factor in
polytrauma and mortality in children.
The paper deals with statistical data to illustrate the fact
ontrauma-related mortality in children in the countries of Europe,the USA,
and Japan, supported by the respective analysis of agroup of examinees
treated at the Clinic for Children Orthopedyfor injuries sustained in road
traffic accidents.
The paper promotes the opinion that legislation makes the keyin prevention
of children injures, particulary from RTAs, and itis therefore
indispensable to promote such regulations toeffectively act upon the
reduction of children trauma inCroatia.
Keywords: Child traumatism, legislation and prevention of injuries
- Type of paper
: Paper in journal
Title: The infection of war wounds in children by Acinetobacter
calcoaceticus
- Authors:
- Maldini, Branka (132870)
- Vrdoljak, Javor
- Javorović, Branko
- Fattorini, Ivan
Journal: Arhiv zašt. majke & djeteta
Number: 36
ISSN: 0004-1289
Volume: 36
Year: 1992
Pages: from 155 to 164
Number of references: 31
Language: engleski
Summary: In the intensive care unit of the Institute for Mother and
ChildHealth in Zagreb between October 1991 and February 1992 16children
were treated suffering from wounds obtained in the wareffected areas of
Croatia. The average age of the children was8.3 years. The war wounds were
most commonly caused by fire armsand parts of mines and shells, and in 56%
cases there were woundsto the pelvis and lower extremities. In 9 children
the woundswere infected, and Acinetobacter calcoaceticus was isolated.
Thiswas treated with the broad spectrum antibiotic imipenem. Theinfection
was successfully treated in 80% of patients, but intwo children the wound
became reinfected and Acinetobactercalcoaceticus reappeared. On the basis
of their own tests theauthors recommend imipenem as the antibiotic of
choice in thetreatment of war wounds in children infected with
Acinetobactercalcoaceticus. It was also seen that treatment should
continuefor more than 15 days, otherwise there is a great possibility
ofreinfection and recolonization of the bacteria. Treatment withimipenem
significantly reduced and avoided the formation ofaminoglicoide resistent
strains.
Keywords: Acinetobacter calcoaceticus, war wounds, child
- Type of paper
: Paper in journal
Title: Reanimational treatment of children with polytraumatism
- Authors:
- Maldini, Branka (132870)
Journal: Pediatria Croatica
Year: 1995
Pages: from 39 to 42
Number of references: 27
Language: hrvatski
- Type of paper
: Paper in proceedings
Title: Particularities of the transport of an injured child
- Authors:
- Maldini, Branka (132870)
Proceedings title: II Stručni dani hitne medicine
Language: hrvatski
Place: Zagreb
Year: 1994
- Type of paper
: Summary in proceedings
Title: Traffic-related polytraumatism in children
- Authors:
- Tomić, Krunoslav (65910)
Proceedings title: Kongres medicine prometa Alpe-Jadran
Language: hrvatski
Place: Zagreb
Year: 1991
- Type of paper
: Summary in proceedings
Title: The Epidemiological and Clinical Characteristics of
polytraumatism in Children
- Authors:
- Tomić, Krunoslav (65910)
Proceedings title: 7. Simposium Alpe-Adria, Garmisch-Partenkirchen
Language: njemački
Place: Garmisch-Partenkirchen, Deutschland
Year: 1991
Meeting: Proceeding of the 7th Simposium Alpe-Adria
- Type of paper
: Mentorship
Title: The influence of infection on the survival of a
polytraumatized child
Faculty: Medicinski fakultet Zagrebačko sveučilište
Mentor: MALDINI BRANKA
Author: Škurić dr.med. Jadranka
Degree level: M.A.
- Type of paper
: Mentorship
Title:
Faculty: Medicinski fakultet Zagrebačko sveučilište
Mentor: TOMIĆ KRUNOSLAV
Date of defense: 05/31/95
Author: Lonćar dr.med. Božo
Degree level: M.A.
- Type of paper
: Mentorship
Title:
Faculty: Medicinski fakultet Zagrebačko sveučilište
Mentor: TOMIĆ KRUNOSLAV
Author: Kljenak dr.med. Antun
Degree level: M.A.
- Type of paper
: Mentorship
Title:
Faculty: Medicinski fakultet Zagrebačko sveučilište
Mentor: TOMIĆ KRUNOSLAV
Date of defense: 06/01/95
Author: Paar Maja
Degree level: D.A.
- Type of paper
: Mentorship
Title:
Faculty: Medicinski fakultet Zagrebačko sveučilište
Mentor: TOMIĆ KRUNOSLAV
Date of defense: 07/01/95
Author: Ivušić Slađana
Degree level: D.A.
- Type of paper
: Invited lecture
Title: Perticularities of the transport of an injured child
Year: 1994