[Dispensatory aspects of preventive health care].
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Biomedical subjects
Publications and source records attributed to M Ajanović.
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The functional parameters Raw, Rrs, FEV1, RV, FEF25 and FEF50 have been examined in 1000 patients with bronchial obstruction. Measurement of airway resistance is the precise examination for bronchial obstruction. For the routine clinical examination the interruptional measurement of Rrs is sufficient (correlation test + 0.56). Resistance may be measured indirectly by dynamic pulmonary volume testing (correlation FEV1: Raw = -0.55; FEF50: Raw = -0.63).
Observations of the diagnostic procedures of 397 patients treated due to the pleural effusion have been presented. Some of the methods were very differential. Pleural effusions were not only an etiological problem but sometimes the morphological identification is very difficult because of the atypical view of the radiologic appearance. X-ray examinations of the effusion in many projections enables differentiation from other cases. In cases where clinical and X-ray examinations cannot be performed different procedures like transthoracic tap and explorative thoracotomy should be performed.
A case of specific tuberculous pericarditis is described. A short clinical and etiological classification of pericarditis is given. There are so many new forms of pericarditis today, like autoimmune, postirradiation, drug induced, etc. Specific tuberculous pericarditis is rarely registered today. One must intend to specify TB pericarditis almost if pericardial effusion is present. Pericardial punction is of much help in the diagnosis and treatment of pericardial effusion. Steroid therapy is very important in prevention of forming pericardial adhesions.