SVIBOR - Papers quoted in CC - project code: 3-01-363
MINISTRY OF SCIENCE AND TECHNOLOGY
Strossmayerov trg 4, HR - 10000 ZAGREB
tel.: +385 1 459 44 44, fax: +385 1 459 44 69
E-mail: ured@znanost.hr
SVIBOR - Collecting Data on Projects in Croatia
Papers quoted in Current Contents on project 3-01-363
Quoted papers: 16
Other papers: 61
Total: 77
Title: Influence of early surgery in traumatic CSF fistulas and
on the occurence of menigitis.
- Authors:
- MELADA, ANTE (181896)
- ŠČAP, MIROSLAV (181905)
- PIRKER, NINOSLAV (166743)
Journal: Neurologia Croatica
Number: 1
ISSN: 0353-8842
Volume: 42
Year: 1993
Pages: from 57 to 63
Number of references: 21
Language: engleski
Summary: Differences in the occurence of meningitis during
conservative and early surgical treatment of posttraumatic CSF fistula were
analysed. Till 1985, conservative treatment was usuallz applied at the Dpt
of Neurosurgerz, Zagreb Universitz Hospital Center, and the incidence of
meningitis was 23%. During the 1989-1990 period, 1910 patients suffering
from head and brain injury, 67 (3,5%) of them with CSF fistula, were
examined. 52 patients were operated on, meningitis occured in 1,9% (one
patient) and one died after surgery. Four patients died before surgery due
to severe injuries. 11 patients had spontaneous closing of CSF fistula, in
5 patients CSF fistula relapsed and 3 were subsequentlz operated on. Among
these 11 patients, previouslz conservativelz treated, meningitis was
observed in 3(27%) patients, significantly higher than in patients operated
on. In our group of 67 patients with CSF fistula, four (5,9%) patients
developed meningitis, which was significantlz lower as compared to patients
conservatively treated before (23%). The authors conclude that earlz
surgerz for dural defect closing is the only long-term prophzlaxis for CSF
fistula and meningitis relapse.
Keywords: neurosurgerz, CSF fistula, meningitis, brain trauma
Title: Analysis of projectile destructive effect in missile brain
injury
- Authors:
- MELADA, ANTE (181896)
- IVEKOVIĆ, VELEBIT (99864)
- ŠKAVIĆ, JOSIP
Journal: Acta Medica Croatica
Number: 47
Year: 1993
Pages: from 135 to 140
Language: hrvatski
Keywords: brain injury, missile, destructive effect
Title: War head injury
- Authors:
- JELIČIĆ, IVAN (18406)
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 7 to 11
Language: hrvatski
Keywords: war, craniocerebral lesions, first aid
Title: General principles of treatment of war head injuries
- Authors:
- IVEKOVIĆ, VELEBIT (99864)
- JELIČIĆ, IVAN (18406)
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 13 to 17
Language: hrvatski
Keywords: war, war injuries, head injuries, neurosurgery, transport
Title: Principles of treatment of war head injuries in surgical
and neurosurgical departments.
- Authors:
- KOVAČEVIĆ, RAJKO (181942)
- IVEKOVIĆ, VELEBIT (99864)
- PIRKER, NINOSLAV (166743)
- STANČIĆ, LUKA
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 19 to 21
Language: hrvatski
Keywords: war, head injury, neurosurgery
Title: Agressive intensive management after severe war head
injury
- Authors:
- ŠČAP, MIROSLAV (181905)
- KUKIN, TOMISLAV (181863)
- KLJUČAR, IVO (181874)
- GRGAS, MARIN
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 23 to 26
Language: hrvatski
Summary: The aim of this study was to find the outcome according to
the GOS depending on the GCS using intensive management in patients after
severe head injury from war. During the war in Croatia, 262 head-injuried
patients were admitted to Universitz Department of Neurosurgery Zagreb. 73
had scores less than 8 GCS on admission or 48 hours after admission. After
radiologic examination and operation, it was necessary, aggressive
intensive management was performed. All the patients were mechanically
ventilated. When it was possible according to injurz, ICP was monitored
using Leeds boult (from 3 to 21 dazs). Arterial pressure was monitored
invasivelz. According to ICP and CPP the authors used manitol and/or
thiopenton, trzing to keep ICP below 20 mm Hg, and CPP near 65 mm Hg. All
patients received phenitoin. Prophzlactic antibiotic therapz was used
routinely for 7 days.In patients with GCS 3 or 4, mortality rate was 82,5%,
while in those with scores 5 to 6, and 7 to 8, mortality was 35,3%, and
20%, respectivelly.
Comparing these results with those gathered during the Lebanese conflict
in Israel, the authors can conclude that they are similar.
Keywords: war, head injuries, intensive management
Title: Late complications, rehabilitation and outcome of war
craniocerebral injuries
- Authors:
- HAUPTFELD, VALERIJA (150664)
- PAČIĆ, LJILJANA (150653)
- KEROS, PREDRAG
- PETRUŠIĆ, ILIJA
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 35 to 39
Language: hrvatski
Keywords: war craniocerebral injuries, late complications, rehabilitation
Title: Posttraumatic liquorrhea
- Authors:
- MELADA, ANTE (181896)
- BIĆANIN, GORAN
- CHUDY, DARKO
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 41 to 45
Language: hrvatski
Keywords: fistula, head trauma, missile, war
Title: Posttraumatic infection
- Authors:
- SEKULIĆ, ANTE (181885)
- HOTUJAC-ŠVERKO, MARIJA (100914)
- BRNOBIĆ, MILJENKO (62315)
- ŠČAP, MIROSLAV (181905)
- KALENIĆ, SMILJKA
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 47 to 48
Language: hrvatski
Keywords: posttraumatic infection gunshot wounds, prevention
Title: First medical care and transport
- Authors:
- BREČEK, IVAN (173980)
- BAJIĆ-RIFAI, MIROSLAVA
Journal: Acta Medica Croatica
Volume: 46
Year: 1992
Pages: from 65 to 67
Language: hrvatski
Keywords: first medical care, transport, war head injuries.
Title:
- Authors:
- ŠČAP, MIROSLAV (181905)
Journal: Liječnički Vjesnik
Volume: 117(
Year: 1995
Pages: from 59 to 61
Language: hrvatski
Title:
- Authors:
- MELADA, ANTE (181896)
- IVEKOVIĆ, VELEBIT (99864)
- ŠČAP, MIROSLAV (181905)
Journal: Journal of Neurotrauma
Volume: 12
Year: 1995
Pages: from 437
Language: engleski
Summary: During war in Croatia 262 injuried persons who sustained
mostlz missile head injury were treated at Department of neurosurgery
Zagreb. 29 of them developed CSF fistula. Five of them developed
meningitis, an incidence of 17,24%. These numbers are higher then the
incidence of CSF fistulas at peace time /3,5%).and the incidence of
meningitis (5,9%).The probable explanation of the number of liquorrheas at
the wound side is the inadequate operations in the war hospitals. In most
cases the cause of liquorrhoeas was direct fracture of scull base while the
small number of them were caused bz distant fracture from the entrance
wound because of missile kinetic energy effect on the scull. Our approach
to the problem is immediate operation depending on the patient condition,
with previous antibiotic profilaxis. Diagnostic methods are: the scull base
x-raz thomograms, computed thomograms and CT cisternographz, which is the
most adequate. Operation tehnics is plastic the defect of the scull base
with fascia, muscle or liodura using two-component fibrin glue (Beriplast).
We also use this glue for our original method in closure the dura defect
after transsphenoidal approach to CSF fistulas in sellar region.
Title:
- Authors:
- PERUŠKO, EDVARD (181916)
- ŠČAP, MIROSLAV (181905)
Journal: Medicina
Volume: 31
Year: 1995
Pages: from 28 to 32
Title:
- Authors:
- ŠČAP, MIROSLAV (181905)
Journal: Medicina
Volume: 31
Year: 1995
Pages: from 24 to 27
Summary: In this studz a new concept of mechanical ventilation for
neurosurgical patients is described. It is based on arteriojugular oxygen
ssaturation monitoring, which gives us information in global cerebral
oxygenation. Based od the narrow, normal or wide cerebral extraction of
oxzgen values the so called optimized hzperventilation can be achieved.
Title:
- Authors:
- ŠČAP, MIROSLAV (181905)
- KALENIĆ, SMILJKA
Journal: Liječnički Vjesnik
Volume: 113
Year: 1991
Pages: from 289
Language: hrvatski
Title:
- Authors:
- PAPA, JURICA
- BULJAT, GOJKO
- HEINRICH, ZDRAVKO
- HAJNŠEK, SANJA
- ŠČAP, MIROSLAV (181905)
- VALENT, ŠTEFICA
- KALENIĆ, SMILJKA
Journal: Croatian Medical Journal
Volume: 33
Year: 1992
Pages: from 225 to 228
Language: engleski
Summary: From april to september 1991, 415 wounded subjects were
treated at the Rebro Clinical Hospital in Zagreb, 362 at the Dpt of
Surgery, and 53 at the Dpt of Neurosurgery. Infections developed in 15,7%
of the wounded (wound infection in 14,6% and sepsis or meningitis in 1,1%).
All cases of sepsis and meningitis, as well as 88,2% of wound infections,
were hospital-acquired infections, whereas 7,9% occured within 48 hours
from injury. Aerobic bacteria (Enterobacteriacae, Pseudomonas aeruginosa,
Staphylococcus aureus, Acinetobacter spp) were found in 90%, whereas 9% of
cases referred to mixed aerobic-anaerobic flora. In one injured subject, a
clinical picture of gas gangrene developed. No streptococcal infections or
tetanus were recorded.
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