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Acute kidney injury after open-heart surgery procedures
Anže Djordjević, Stamenko Šušak, Lazar Velicki, Miha Antonič, 2021, review article

Abstract: Cardiac surgery-associated acute kidney injury (CS-AKI) is a major complication associated with increased morbidity and mortality. There are multiple diagnostic criteria for CS-AKI. Despite many new investigations available for improved AKI diagnostics, creatinine and urea remain the cornerstone of diagnostics in everyday clinical practice. There are three major pathophysiological mechanisms that contribute to kidney injury, i.e. renal hypoperfusion, inflammation with oxidative stress, and use of nephrotoxic agents. Some risk factors have been identified that can be modified during the course of treatment (use of nephrotoxic agents, duration of cardiopulmonary bypass, type of extracorporeal circulation, postoperative low cardiac output or hypotension). The aim of AKI prevention should always be to prevent aggravation of renal failure and, if possible, to avoid progression to renal replacement therapy, which in turn brings worse long-term outcomes.
Keywords: kidney injuries, cardiac surgery, perfusion, oxidative stress, dialysis
Published in DKUM: 09.08.2024; Views: 103; Downloads: 13
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3.
Use of ergonomic principles in manual order picking systems
Nina Labus, Brigita Gajšek, 2018, original scientific article

Abstract: Successful companies are continually striving to streamline costs and optimize processes, enabling them to grow progress, develop and ensure competitiveness on the market. A large part of the costs arises in warehouses, where up to 55% of total costs are generated by order- picking, which makes it important and interesting in terms of research. The paper explores "picker to part" order- picking concept, which enables flexible work and is the optimal choice for most companies. The concept is associated with a high level of work- related injuries and work -related illnesses. Work requires physical efforts resulting from handling heavy goods, performing repetitive movements and using manipulative means. Hum an as the main actor of the concept affects the costs caused by picking and the quality of work done, which depends on technological support, physically and psychologically capable and motivated people. Due to the high costs of service, the focus on time planning and productivity increases. Contrary, the lack of attention is paid to the working conditions and the health status of the pickers. To overcome this gab, a review of scientific and professional literature on ergonomic principles in picking concept "picker to part" was carried out, followed by a quantitative survey of ergonomic properties in warehousing activities. Results revealed that more than 60% of the surveyed order-pickers associate problems with health with the characteristics of work, about 24% of them associate health problems with the use of a particular means of transport, and all agree that provided measures to reduce physical effort and greater support of technologies influence on increased speed of work and better health status of order-pickers.
Keywords: injuries, picker-to-part, ergonomics, picking, productivity, costs
Published in DKUM: 25.04.2018; Views: 1555; Downloads: 509
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4.
Titanium alloy femoral neck fracture - clinical and metallurgical analysis in 6 cases
Samo K. Fokter, Rebeka Rudolf, Andrej Moličnik, 2016, original scientific article

Keywords: hip, arthroplasty, prosthetics, prostheses, implants, injuries, complications, reoperation, orthopedic surgery
Published in DKUM: 24.07.2017; Views: 1359; Downloads: 402
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5.
Platelet-rich plasma, especially when combined with a TGF-ß inhibitor promotes proliferation, viability and myogenic differentiation of myoblasts in vitro
Robi Kelc, Martin Trapečar, Lidija Gradišnik, Marjan Rupnik, Matjaž Vogrin, 2015, original scientific article

Abstract: Regeneration of skeletal muscle after injury is limited by scar formation, slow healing time and a high recurrence rate. A therapy based on platelet-rich plasma (PRP) has become a promising lead for tendon and ligament injuries in recent years, however concerns have been raised that PRP-derived TGF-β could contribute to fibrotic remodelling in skeletal muscle after injury. Due to the lack of scientific grounds for a PRP -based muscle regeneration therapy, we have designed a study using human myogenic progenitors and evaluated the potential of PRP alone and in combination with decorin (a TGF-β inhibitor), to alter myoblast proliferation, metabolic activity, cytokine profile and expression of myogenic regulatory factors (MRFs). Advanced imaging multicolor single-cell analysis enabled us to create a valuable picture on the ratio of quiescent, activated and terminally committed myoblasts in treated versus control cell populations. Finally high-resolution confocal microscopy validated the potential of PRP and decorin to stimulate the formation of polynucleated myotubules. PRP was shown to down-regulate fibrotic cytokines, increase cell viability and proliferation, enhance the expression of MRFs, and contribute to a significant myogenic shift during differentiation. When combined with decorin further synergistc effects were identified. These results suggest that PRP could not only prevent fibrosis but could also stimulate muscle commitment, especially when combined with a TGF-β inhibitor.
Keywords: muscles, skeletal, injuries, TGF-beta, plasma, thrombocytes, myoblasts, fibrosis, prevention, regeneration
Published in DKUM: 19.06.2017; Views: 1459; Downloads: 187
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