Visnja Adam - Academia.edu (original) (raw)
Papers by Visnja Adam
Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Apr 3, 2018
Sestrinski glasnik, Dec 1, 2017
Lijec̆nic̆ki vjesnik, 2012
Koncentrat protrombinskog kompleksa (PCC) indiciran je za akutnu reviziju oralnih antikoagulantni... more Koncentrat protrombinskog kompleksa (PCC) indiciran je za akutnu reviziju oralnih antikoagulantnih lijekova no u nekoliko europskih zemalja sve se cesce koristi izvan preporucene indikacije kod masivnih perioperacijskih krvarenja. Iako danas postoje vec brojni klinicki dokazi o njegovoj ucinkovitosti kod masivnih krvarenjam znanstveno utemeljeni dokazi su jos uvijek ograniceni. Međutim, upravo obecavajuce klinicke studije opravdavaju potrebu za daljnim istraživanjem i upucuju na sigurnu i ucinkovitu upotrebu PCC i u bolesnika s perioperacijskim masivnim krvarenjem. U ovom clanku dajemo kratki pregled dosadasnjih saznanja o PCC i indikacijama za njegovom primjenom, posebno kod masivnih perioperacijskih krvarenja.
Veterinary Medicine, Oct 17, 2017
Lijec̆nic̆ki vjesnik, May 8, 2017
![Research paper thumbnail of [Acute Pain Management in Patient on Opioid Substitution Therapy with Methadone or Buprenorphine]](https://attachments.academia-assets.com/120630412/thumbnails/1.jpg)
](PubMed, Sep 1, 2016
The result of the increase in drug abuse is a growing number of patients receiving methadone or b... more The result of the increase in drug abuse is a growing number of patients receiving methadone or buprenorphine substitution therapy. Physicians are increasingly confronted with patients on substitution therapy at the time when they are developing acute pain conditions or when they need surgery. Although pain has sensory qualities, it is a very personal and complex experience. The intensity and duration of pain are influenced by numerous factors. Poorly controlled pain leads to unnecessary suffering of the patients with the possibility of permanent changes in behavior and reduced quality of life. Efficacious pain treatment is considered a basic right of every patient. Because of the complex mechanisms of the emergence and transmission of pain and the emotional components that are involved in the experience of pain, appropriate pain relief in patients on substitution therapy is a major challenge for both the physicians and the patients. The article gives an overview of issues related to the treatment of acute pain and perioperative treatment in patients on substitution therapy with methadone and buprenorphine. The article highlights the wrong common misconception about pain treatment in these patients, which also are the most common cause of their inadequate treatment.
Sestrinski glasnik, Apr 15, 2017
PubMed, Dec 15, 2011
Because of development of laparoscopic surgery and by knowing of its pathophysiological effects o... more Because of development of laparoscopic surgery and by knowing of its pathophysiological effects on organism, indications for laparoscopic surgery have become more extensive, so this method is today used for therapeutic and diagnostic procedures. Although ventriculoperitoneal shunt is not normally considered a contraindication for laparoscopic surgery, pneumoperitoneum is described as a cause of raised intracranial pressure. Since 1992 when the first laparoscopic cholecystectomy was done at the University Department of Surgery of Sveti Duh Clinical Hospital in Zagreb, three patients with implanted ventriculoperitoneal shunt were managed successfully laparoscopically. In all three patients, there were no complications during and after the surgery. In this paper we present our experience of three cases and short review of the literature.
Lijec̆nic̆ki vjesnik, 2011
PubMed, Mar 1, 2012
Paraneoplastic limbic encephalitis (PLE) is a condition characterized by nervous system damage or... more Paraneoplastic limbic encephalitis (PLE) is a condition characterized by nervous system damage or dysfunction without indication that the nervous system is directly affected by tumor cells. Since it is clinically presented with an array of neuropsychiatric symptoms that usually precede the occurrence of malignant disease, and because of mimicking a psychiatric disease, it can sometimes make the diagnosis difficult and can be overlooked. Typical presentations consist of progressive confusion and deficits in short-term memory, which worsen over days to weeks. The current hypothesis on the pathogenesis of PLE implicates an autoimmune process involving antigens shared by tumor cells and neuronal cells in limbic structures. It has been considered that the autoantibodies cross-react with antigens on normal cells such as the neurons, resulting in cytotoxicity, or they can form complexes with a circulating antigen to induce organ damage through immune complex deposition. The treatment of PLE involves underlying cancer removal by surgery, chemotherapy, radiotherapy or hormonal treatment, and immunosuppressive therapy. Unfortunately, this therapy combination is still generally unsatisfactory. Although PLE is a relatively rare neurologic disorder, because of its association with malignancies and difficulty in diagnosing, this article gives a brief review of the literature and summarizes current knowledge of this syndrome.
Zbornik sveučilišta Libertas, Dec 9, 2020
Acta medica Croatica, Nov 18, 2018
Acta medica Croatica, Nov 18, 2018
Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Mar 16, 2020
Lijec̆nic̆ki vjesnik, 2014
Sukladno kurikulumu cilj tecaja je edukacija lijecnika na specijalizaciji i specijalista iz anest... more Sukladno kurikulumu cilj tecaja je edukacija lijecnika na specijalizaciji i specijalista iz anesteziologije, te specijalista drugih struka koji se u okviru ambulante za lijecenje boli bave metodama olaksavanja maligne boli i benigne kronicne boli kod kompleksnih regionalnih bolnih sindroma (CRPS), neuropatske boli i drugih oblika kronicne i maligne boli uporabljujuci minimalno invazivnie tehnika lijecenja boli. Medicinska edukacija organizirana je u radionicama koje vode iskusni mentori vjestina izvođenja epiduralnog bloka i perineuralnog bloka sa ili bez katetera, vjestina lokalne infiltracijske anestezije (LIA) bolnih tocki mekih tkiva i Intraartikularne primjene lijekova. U programu tecaja je pokazati sposobnost procjene i indikacije za stimulacijske metode: akupunktura iglena i laserska stimulacija, TENS, medikamentozna terapija: pri malignoj i kronicnoj benignoj boli zglobova i mekih tkiva.
Acta Clinica Croatica, 2017
Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Apr 3, 2018
Sestrinski glasnik, Dec 1, 2017
Lijec̆nic̆ki vjesnik, 2012
Koncentrat protrombinskog kompleksa (PCC) indiciran je za akutnu reviziju oralnih antikoagulantni... more Koncentrat protrombinskog kompleksa (PCC) indiciran je za akutnu reviziju oralnih antikoagulantnih lijekova no u nekoliko europskih zemalja sve se cesce koristi izvan preporucene indikacije kod masivnih perioperacijskih krvarenja. Iako danas postoje vec brojni klinicki dokazi o njegovoj ucinkovitosti kod masivnih krvarenjam znanstveno utemeljeni dokazi su jos uvijek ograniceni. Međutim, upravo obecavajuce klinicke studije opravdavaju potrebu za daljnim istraživanjem i upucuju na sigurnu i ucinkovitu upotrebu PCC i u bolesnika s perioperacijskim masivnim krvarenjem. U ovom clanku dajemo kratki pregled dosadasnjih saznanja o PCC i indikacijama za njegovom primjenom, posebno kod masivnih perioperacijskih krvarenja.
Veterinary Medicine, Oct 17, 2017
Lijec̆nic̆ki vjesnik, May 8, 2017
PubMed, Sep 1, 2016
The result of the increase in drug abuse is a growing number of patients receiving methadone or b... more The result of the increase in drug abuse is a growing number of patients receiving methadone or buprenorphine substitution therapy. Physicians are increasingly confronted with patients on substitution therapy at the time when they are developing acute pain conditions or when they need surgery. Although pain has sensory qualities, it is a very personal and complex experience. The intensity and duration of pain are influenced by numerous factors. Poorly controlled pain leads to unnecessary suffering of the patients with the possibility of permanent changes in behavior and reduced quality of life. Efficacious pain treatment is considered a basic right of every patient. Because of the complex mechanisms of the emergence and transmission of pain and the emotional components that are involved in the experience of pain, appropriate pain relief in patients on substitution therapy is a major challenge for both the physicians and the patients. The article gives an overview of issues related to the treatment of acute pain and perioperative treatment in patients on substitution therapy with methadone and buprenorphine. The article highlights the wrong common misconception about pain treatment in these patients, which also are the most common cause of their inadequate treatment.
Sestrinski glasnik, Apr 15, 2017
PubMed, Dec 15, 2011
Because of development of laparoscopic surgery and by knowing of its pathophysiological effects o... more Because of development of laparoscopic surgery and by knowing of its pathophysiological effects on organism, indications for laparoscopic surgery have become more extensive, so this method is today used for therapeutic and diagnostic procedures. Although ventriculoperitoneal shunt is not normally considered a contraindication for laparoscopic surgery, pneumoperitoneum is described as a cause of raised intracranial pressure. Since 1992 when the first laparoscopic cholecystectomy was done at the University Department of Surgery of Sveti Duh Clinical Hospital in Zagreb, three patients with implanted ventriculoperitoneal shunt were managed successfully laparoscopically. In all three patients, there were no complications during and after the surgery. In this paper we present our experience of three cases and short review of the literature.
Lijec̆nic̆ki vjesnik, 2011
PubMed, Mar 1, 2012
Paraneoplastic limbic encephalitis (PLE) is a condition characterized by nervous system damage or... more Paraneoplastic limbic encephalitis (PLE) is a condition characterized by nervous system damage or dysfunction without indication that the nervous system is directly affected by tumor cells. Since it is clinically presented with an array of neuropsychiatric symptoms that usually precede the occurrence of malignant disease, and because of mimicking a psychiatric disease, it can sometimes make the diagnosis difficult and can be overlooked. Typical presentations consist of progressive confusion and deficits in short-term memory, which worsen over days to weeks. The current hypothesis on the pathogenesis of PLE implicates an autoimmune process involving antigens shared by tumor cells and neuronal cells in limbic structures. It has been considered that the autoantibodies cross-react with antigens on normal cells such as the neurons, resulting in cytotoxicity, or they can form complexes with a circulating antigen to induce organ damage through immune complex deposition. The treatment of PLE involves underlying cancer removal by surgery, chemotherapy, radiotherapy or hormonal treatment, and immunosuppressive therapy. Unfortunately, this therapy combination is still generally unsatisfactory. Although PLE is a relatively rare neurologic disorder, because of its association with malignancies and difficulty in diagnosing, this article gives a brief review of the literature and summarizes current knowledge of this syndrome.
Zbornik sveučilišta Libertas, Dec 9, 2020
Acta medica Croatica, Nov 18, 2018
Acta medica Croatica, Nov 18, 2018
Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Mar 16, 2020
Lijec̆nic̆ki vjesnik, 2014
Sukladno kurikulumu cilj tecaja je edukacija lijecnika na specijalizaciji i specijalista iz anest... more Sukladno kurikulumu cilj tecaja je edukacija lijecnika na specijalizaciji i specijalista iz anesteziologije, te specijalista drugih struka koji se u okviru ambulante za lijecenje boli bave metodama olaksavanja maligne boli i benigne kronicne boli kod kompleksnih regionalnih bolnih sindroma (CRPS), neuropatske boli i drugih oblika kronicne i maligne boli uporabljujuci minimalno invazivnie tehnika lijecenja boli. Medicinska edukacija organizirana je u radionicama koje vode iskusni mentori vjestina izvođenja epiduralnog bloka i perineuralnog bloka sa ili bez katetera, vjestina lokalne infiltracijske anestezije (LIA) bolnih tocki mekih tkiva i Intraartikularne primjene lijekova. U programu tecaja je pokazati sposobnost procjene i indikacije za stimulacijske metode: akupunktura iglena i laserska stimulacija, TENS, medikamentozna terapija: pri malignoj i kronicnoj benignoj boli zglobova i mekih tkiva.
Acta Clinica Croatica, 2017