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Biomedical subjects

M Curcić

Publications and source records attributed to M Curcić.

At least 19 recordsLinked to original sources
PubMed1991

[A case of attempted suicide with an enormous quantity of food].

Presented is a suicide attempt with an enormous amount of food in a young female affected with Anorexia mentalis of symptomatic alcoholism. Reacting to a conflict situation with her boyfriend, in a fit of anxiety and depression on a principal of a "short circuit reaction" she took an uncontrollably large amount of food. After an attempt of gastric lavage which was unsuccessful, a laparotomy and gastrotomy was carried out because of vital reasons. Eight kilograms of various types of undigested food and mushy contents were removed from the stomach. The surgical treatment lasted for 26 days, and treatment was resumed at the department for neuropsychiatry and the patient was released to go home as recovered after 84 days of treatment. The authors have presented this case as a very rare suicide attempt, because they have not found a description of a suicide attempt with food in domestic nor available world literature.

Adult↗
PubMed1989

[Psychological crises and the urban environment].

The influence of urbanization of psychic crises of the individuals was investigated in this paper. The investigation was performed in the framework of telephone services intended for giving help to people drawing to a crisis. These services are as follows: "Tele-apel" in Belgrade, "Klic v duŝevni stiski" in Ljubljana, "SOS telephone" in Subotica and "Tele-apel" in Sarajevo. The introductory part of this paper dealt with the short history of the development of the idea concerning the influence of social environment on psychic health and the appearance of crises. The most frequent urban and other social factors which brought about the psychic health disturbances were cited. Summing up the results of the investigation in all four services, the author put forward the ten most frequent actual problems which were responsible for the appearance of crises in investigated persons, such as: health problems, loneliness, partner problems, marital and familial problems, suicidal crises, problems between parents and children, alcohol as a problem, sexual problems, tablets and drugs as a problem and the loss of an important person. The influence of the urbanization factor is particularly emphasized in the appearance of loneliness, partner problems, marital and familial problems, suicidal crises, health problems, problems arising between parents and children as well as in sexual problems.

Crisis Intervention↗
PubMedDate not supplied

[Cerebellar infarct with complications].

INTRODUCTION: Symptoms of circulatory disorders depend on the volume and localization of the cerebellar infarction. An isolated blood vessel occlusion may have various symptoms due to numerous anastomoses in the cerebellar hemispheres. Dominant symptoms are vertigo, vomiting, nausea and balance disorders. Due to a great number of anastomoses between the three cerebral arteries, if only one of them is occluded, expected symptoms rarely occur, so that vertebral angiography performed in the first 24 hours from the onset of clinical picture, points to a lesion of the cerebellar parenchyma on the basis of radiologic signs of occlusion. Further on, brain computerized tomography solves the diagnostic dilemma, but unfortunately, ischemic cerebellar lesions are often detected only in pathoanatomic findings. Development and course of cerebellar malformation are of great importance for occurrence of symptoms. Cerebellar symptoms often occur in cases of brain-stem lesions. In dorsal hemisection lesions the following symptoms occur: vertigo, vomiting, nystagmus, taste disorders and secretory trophic disorders in the gastrointestinal tract. In cases of spreading to the pyramidal neurons the following symptoms occur: a soft palate and vocal cord paresis, swallowing difficulties and disorders of phonological as well as hemiplegia and sensibility disorders. CASE REPORT: This is a case of a male patient, 60 years of age. He was admitted to the Neuropsychiatric Department because of high blood pressure, severe headache in the back of the head, vertigo and nausea, without vomiting. He complained about weakness in the left side of the body. The somatic status was normal. In regard to neurologic status he had a slow photomotoric reaction of pupils to light, swallowing difficulties, hoarse voice, decreased pharyngeal reflex, symmetrically fast reflexes, walk on wide basis, in Romberg position unstable, whereas other findings were normal. Psychically average. The reaction to therapy was good. Subjectively the patient felt-well, but swallowing difficulties persisted. On the seventh day from admission his status suddenly aggravated, with severe vertigo, vomiting on several occasions, weakness and high temperature, hypotension, tachycardia, left eyelid ptosis with horizontal nystagmus when looking to the left. Lung radiography revealed bilateral pneumonia; computerized tomography of the brain revealed a great ischemic zone in the left cerebellar hemisphere discretely dislocating the brain mass to contralateral side. Resistant hypotension persisted. Surgical findings of the rectum revealed a dark content. Gastroscopy revealed esophageal candidiasis; mucus bleeding was spontaneous and at touch, whereas in the lower third of esophagus there was a mucous lesion. Haematinised blood was found in the stomach and duodenum. The patient's state continually aggravated and after massive stool blood loss a surgery was performed. A great penetrating ulcer was detected at the back duodenal wall 30 mm of size, visualizing the pancreas. A final surgical procedure was performed at the Clinic for Abdominal Surgery in Novi Sad. The postoperative course was good, but on the 7th postoperative day unexpected fatal outcome occurred due to massive lung embolism. Pathoanatomic examination revealed a postencephalomalacic pseudocyst in the left cerebellar hemisphere. CONCLUSION: This is a case report of a patient with lateral medullar syndrome associated with complications which can only partly be explained by the basic disease. Pneumonia and a secretory trophic disorder of the gastrointestinal tract are frequent complications that can be life threatening is spite of intensive management.

Brain Infarction↗
PubMedDate not supplied

[Military hospitals in Senta (1944-1945)].

Authors have reviewed data on the history of the Soviet Army Military Hospital in Senta during 1944 and activities of the Military Hospital in Senta in the period 1944-1945. The paper also contains a list of the deceased in the Military Hospital with all available data.

History, 20th Century↗
PubMedDate not supplied

Smallpox vaccination in Senta County in the early 19th century.

The objective of this paper was to report data on vaccination against smallpox in the first decades of the 19th century in the documentation of the historical archives of Senta. The most important documents regulating smallpox vaccination, its control and way of conducting it are presented in complete. One of the most important documents is a poster proclamation from 1814 by which vaccination of children against smallpox was requested. Another document from 1817 was found and it certifies, with great certainty that at that time (or since that time) vaccination against smallpox was present at the territory of Senta. Authors consider that these documents are of utmost importance and that they represent documents enriching history of medicine in our regions.

History, 19th Century↗
PubMedDate not supplied

[Dr. Koloman (Kalman) Kalivoda, a physician from Senta and a participant in the first congress of Serbian physicians and naturalists in 1904].

INTRODUCTION: The first congress of Serbian physicians and naturalists was held in Belgrade from September 5-7, 1904. There were 433 active registered participants listed in the Collection of Congress Papers. A great number of physicians from Vojvodina took part in the work of Congress. There is an authentic list of 27 physicians participants from Vojvodina. Although they made only 6% of all participants, their attendance was of utmost importance due to delicate political situation of that time. However, there is no explanation why only one physician from Vojvodina read his paper at this meeting. It was Dr. Koloman Kalivoda from Senta and his paper was tittled "Alcoholism and People". CONGRESS REPORT: Dr. Koloman (Kalman) Kalivoda was probably born between 1870 and 1875. He moved to Senta in 1901 and in September 1901 started working as a regional physician in the third area. From 1908 he was a member of the Medical Board in Senta. He worked in Senta till October 31, 1918 when he submitted resignation from the post of a regional physician at the Assembly meeting. Then he moved from Senta and started civil service as a Hungarean Royal Resort physician. This paper presents Dr. Koloman's paper in complete, published in the Collection of Congress Papers. This paper received great attention and praises were found at several places such as: journal of "Czech Physicians", number 44 from 1904; "Serbian Literary Herald", volume XIII, number 3 and in journal called "Pozor" from Moravska, number 146 from 1904. Further on, authors comment on Dr. Koloman's attitudes to alcoholism and treatment of alcoholics. Some were estimated as drastic: "the role of alcohol in rase cleansing"; how to "exterminate" alcoholics; suggestions for "interning drunkards overcome by fury" and suggestions for passing a law which would forbid drunkards to get married. Such attitudes of Dr. Koloman Kalivoda towards alcoholism may be associated with the circumstances of that time in Senta, because there are reliable data according to which in 1894 there were 26,648 inhabitants in Senta, whereas one brandy taproom or tavern came on every 213 inhabitants. Contrary to these attitudes, authors think that Dr. Koloman had very progressive ideas in regard to prevention of alcoholism as well as some suggestions and measures that should be undertaken by the society from the aspect of public hygiene.

Alcoholism↗
PubMedDate not supplied

[Surgeons, midwives and physicians in Senta in the 18th and 19th centuries].

INTRODUCTION: Authors present history data on development of the medical profession in Prussia, Germany, Austria and Hungary, that is countries from which surgeons, midwives and physicians most often came to work in Senta. It has been established that mostly junior physicians and "surgeons" came to our country, and from the forties till nineties of the 19th century they made a considerable number of our first medical professionals. In 1872 a law was passed according to which only doctors of medicine with university degrees were allowed to practice medicine, and so junior physicians gradually disappeared. OUR INVESTIGATIONS AND DATA: The earliest data on health care of Senta date back to the tax register for 1771 according to which the expenditure for November contained expenses for bread and half of the allowance for fodder which were paid to the city surgeon. According to the census from 1774/75 the first registered barber surgeon was Mihalj Nad, whereas four years later he was advertised as a surgeon in the tax register. In the following years more surgeons were registered: Janos Grubanovic, Jozef Forgac, Antal Kovac and Johan Brun. The first city midwife registered in the city court record in 1794 was Doroteja Gubik. During 18th century at the territory of Senta only barbers and surgeons were known, and there were no graduated physicians. The first city physician who received a degree from the School of Medicine was Samuel Borod who started working in Senta on April 24, 1822. After that, during 19th century the following physicians worked in Senta: Dr. Laslo Eres, Dr. Jozef Cendic, Dr. Simon Slezinger, Dr. Janos Nepomuki Revai, Dr. Zigmund Veksler, Dr. Adolf Glikstal, Dr. Jozef Kelner, Dr. Mor Lendvai, Dr. Sandor Meri, Dr. Jozef Havel and Dr. Jozef Rejcer. Dr. Janos Nepomuki Revai was at the head of the public health care of our town for 40 years, whereas his predecessor Dr. Jozef Cendić was engaged in this honorable profession for 30 years. Dr. Janos Revai was an outstanding person who introduced vaccination against smallpox and diphtheria, prevented further spreading of trachoma, stopped a great epidemic of cholera in 1892/93 and continually worked on promotion and improvement of health care in Senta. During 19th century the following surgeons worked in Senta: Istvan Budai, Mihajlo Zivković, Jozua Veksler, Istvan Kalman, while the last surgeon working in Senta was Lajos Kuti. In the 19th century the following midwives were registered in Senta: Apolonija Hauser, Verona Kremzer, Regina Zinger, Jozefa Vig, Apolonija Bauc, Apolonija Hauber and Rozalija Huska. At the end, authors list all surgeons, midwives and physicians with complete data on them from all available documents.

Barber Surgeons↗
PubMedDate not supplied

[Suicides and attempted suicides with corrosive substances 1968-2000].

The authors analyzed attempted and committed suicides with corrosive substances registered at the Department of the General Hospital of the Health Center "Dr. Gere Istvan" in Senta in the period 1968-2000. Out of 42 registered, there were 33 attempted and 9 committed suicides with corrosive substances. In regard to the total number of suicides attempted and committed with poisoning, these poisonings take the last place, that is they come after suicides by drug intoxication, organophosphorus compounds and rodenticides. Data analysis included substance, sex, education level, marital status, occupation and underlying disease. It has been established that in regard to attempted suicides there is no difference in sex distribution, but in committed suicides females prevailed. Most subjects were married, had elementary education and by profession most were housewives, workers and agricultural workers. The most common motives for suicide were family and marital conflicts as well as alcohol consumption. Depression and alcoholism were most frequent underlying diseases. According to gathered data, authors conclude that suicide attempts with corrosive substances are decreasing from year to year. Suicides are mostly attempted with concentrated alkalies, but committed with concentrated acids. Depression and alcoholism are the commonest underlying diseases in patients attempting suicide. Esophageal stenosis is the most common complication in attempted suicides, whereas gastric perforation with peritonitis and esophageal perforation with mediastinal abscess are the most frequent complications in committed suicides.

Caustics↗
PubMedDate not supplied

[Suicide and attempted suicide with rodenticides from 1968 to 2000].

INTRODUCTION: The paper reviews rodenticides in use in Yugoslavia, their mechanism of action, typical clinical picture as well as general and specific treatment of poisoning. OBJECTIVES: Our aim was to present interventions performed in urgent treatment considering the fact that the mortality rate in rodenticide poisoning, especially with zinc phosphide is really small. MATERIAL AND METHODS: The study included history data of patients who attempted and committed suicide with rodenticides. Data analysis was done in regard to the poison, sex, qualification, marital status, motives, underlying disease and interventions performed. RESULTS OF INVESTIGATION: The total number of attempts was 88, out of which 85 were attempted and 3 committed suicides, mostly with zinc phosphide: 34 attempted (40%) and 3 committed (100%). There were 66 (75%) patients with elementary school, 61 (69%) patients were married, 36% were workers and 35% housewives, while marital or family conflicts were motives for suicide in 52 (59%) patients. There were 30 (34%) patients with depression, 28 (32%) were alcoholics and 23 (26%) patients suffered from neurosis. In 17 patients (19%) ambulatory gastric lavage was done, while in 56 (64%) patients it was done in the hospital. DISCUSSION: Attempted and committed suicides were most commonly done with zinc phosphide, and then come rat poisons. A considerably small number of interventions were recorded in the surrounding outpatient clinics, but it is only natural, because the furthest outpatient clinic is about 40 km away, so patients can make it to the hospital within 20 minutes and get adequate medical care. Although gastric lavage was excessive with activated charcoal and laxans, most lavages were inadequate and performed with water, not solution of sodium-bicarbonate. CONCLUSIONS: Suicides with rodenticides are still actual in medicine. Women attempt and commit suicide with rodenticides more often. Zinc phosphide is the most frequently used poison. These patients must be admitted to hospital and observed for at least three days. Zinc phosphide poisoning requires excessive gastric lavage with sodium bicarbonate solution, application of charcoal, laxanes, calcium preparations with excessive osmotic diuresis, whereas in poisoning with coumarin preparations, apart from gastric lavage, application of charcoal and laxanes as well as excessive osmotic diuresis, vitamin K and Dicynone are necessary.

Female↗