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Composition, labelling, and safety of food supplements based on bee products in the legislative framework of the European Union – Croatian experiences / Sastav, označavanje i zdravstvena ispravnost dodataka prehrani koji se temelje na pčelinjim proizvodima u pravnom okviru Europske unije – hrvatska iskustva

the Council, and repealing Commission Directive 87/250/EEC, Council Directive 90/496/EEC, Commission Directive 1999/10/EC, Directive 2000/13/EC of the European Parliament and of the Council, Commission Directives 2002/67/EC and 2008/5/EC and Commission Regulation (EC) No 608/2004 [displayed 15 March 2015]. Available at http://eur-lex.europa.eu/legal-content/en/ALL/?uri=CELEX:32011R1169 5. Regulation (EC) No 1924/2006 of the European Parliament and of the Council of 20 December 2006 on the nutritional and health claims made on foods [displayed 15

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Employment status of workers with a diagnosed occupational disease in Croatia: a 10-year trend (2005-2014)

claims [MSc thesis]. Bifröst: University of Bifröst; 2011. 10. Samardžić T, Varnai VM, Bakotić M, Babić Ž, Brans R, Cvijetić Avdagić S, Štampar Šmaguc D, Kovačević I, Macan J. Skin health and safety at work in Croatian hairdressing apprentices. Contact Dermatitis 2016;75:25-31. doi: 10.1111/cod.12603 11. ICD-10: International statistical classification of diseases and related health problems: tenth revision. 2nd ed. Geneva: WHO, 2009. 12. Croatian Institute for Health Protection and Safety at Work. Profesionalne bolesti

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Discrepancies in the evaluation of incapacity for work in a patient with epidermolysis bullosa acquisita between public pension fund and occupational medicine expert raise the issue of competencies

Abstrat

A 50-year-old female patient suffering from a severe form of epidermolysis bullosa acquisita (EBA) took legal action against the Croatian Pension Insurance Institute (CPII) in an attempt to overturn their assessment that she was no longer capable of working as a seamstress but still capable of doing administrative jobs. Her claim was that she was not capable of doing any job at all. She was first diagnosed EBA in 2000, and the disease progressed slowly with intermittent remissions. In 2012, skin erosions appeared on her feet, followed by the loss of all toenails and lesions and infiltrations on the tongue and oral mucosa. Her whole body was covered in oozing wounds, she was in pain, and parts of her skin would stick to fabric while changing clothes or bandages. The most recent findings showed oesophageal stricture. She can consume only liquid food and is on the waiting list for receiving a feeding tube. The occupational health expert witness confirmed that the patient was generally incapable of work and was fighting her life. The judge and CPII lawyers fully accepted this report and the earlier assessment was overturned. To avoid incompetent assessments of working (in)capacity in the future, CPII and similar institutions should engage occupational medicine specialists to work in their assessment teams.

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The Use of Mercury-Based Medical Devices Across Croatian Healthcare Facilities

The Use of Mercury-Based Medical Devices Across Croatian Healthcare Facilities

In 2009, we conducted a survey to assess the use of mercury-based thermometers and sphygmomanometers and their disposal in Croatian healthcare facilities. The questionnaire addressing the use of mercury-based medical devices, waste management, preferences between mercury-based and electronic devices, and the knowledge on mercury toxicity was filled by ward nurses affiliated with 40 (71.4 %) out of 56 contacted healthcare facilities. Only one of these facilities had given up the use of mercury-containing medical devices at the time. As many as 84.6 % of the nurses believed that broken devices did not increase the risk of mercury exposure, even though 90 % claimed they were aware of mercury toxicity. In fact, 69.4 % of the nurses preferred mercury-containing devices on account of their precision and reliability and because they received little training in the use of electronic devices.

Breaking of thermometers and sphygmomanometers is common in healthcare facilities. The number of broken thermometers and sphygmomanometers was estimated to 278 and five per month, respectively. Only 18 (46.2 %) of the surveyed healthcare facilities claimed to have had a proper disposal procedure for mercury from broken devices. Nurses, who most often handle these devices and collect mercury spills, are primarily exposed to mercury vapours via inhalation. Croatia has adopted the EU Directive 76/769/EEC intended to reduce mercury exposure in the living and working environment. Our survey suggests that all healthcare professionals need training in proper management of broken mercury-based medical devices, nurses in particular. To reduce the risk of exposure, all Croatian healthcare facilities should implement guidelines for staff protection and programmes to gradually replace mercury-based with electronic devices.

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Sodium glycerophosphate and prescribed calcium concentrations in pediatric parenteral nutrition: a retrospective observational study and economic evaluation

Abstract

Background

The risk of precipitation limits calcium and phosphate concentrations that can be administered parenterally to pediatric patients. As an alternative to dipotassium phosphate, sodium glycerophosphate (NaGlyP) is claimed to reduce the risk of precipitation in solutions for parenteral administration.

Objectives

To determine the calcium concentrations, NaGlyP, and dipotassium phosphate prescribed in pediatric parenteral nutrition orders and the cost–benefit of the organic phosphate.

Methods

We retrospectively collected cross-sectional data for parenteral nutrition orders from September 2014 to August 2015 for pediatric patients including neonates and children aged <18 years who were admitted to King Chulalongkorn Memorial Hospital, Bangkok, Thailand. Calcium concentration, calcium concentration adjustments, and costs of phosphate used per bag were analyzed.

Results

Of 2,192 parenteral nutrition orders, NaGlyP was used in 2,128 (97.1%) with calcium concentrations in the range of 0.84–139.91 mmol/L, which were significantly higher than calcium concentrations used with dipotassium phosphate (0.00–12.21 mmol/L, P < 0.001). There was no report of visible precipitation. Median costs of NaGlyP and dipotassium phosphate used per unit bag were not significantly different (35.88 and 41.25 Thai baht [THB] or 1.04 and 1.20 USD per bag, respectively, P>0.99; (1 USD equivalent to 34.241 THB U.S. Federal Reserve Bank G5.A annual average rate 2015).

Conclusions

Higher calcium concentrations could be achieved without increasing the direct cost per unit bag significantly as a result of using NaGlyP, an alternative to dipotassium phosphate as a source of phosphate for patients who require high amounts of calcium in parenteral nutrition.

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Human Lifespan: To Live and Outlive 100 Years?

. PLoS Comput Biol 2007;3:e170. Brückel J. Hormonelle "Verjüngungskuren". Warnen Sie Ihre Patienten vor falschen Versprechungen! [Hormonal "rejuvenation". Warning your patients from false claims! in German]. MMW Fortschr Med 2002;144:24-7. World Health Organisation (WHO). Population ageing: a looming public health challenge. Health Millions 1998;24:20-2. Life expectancy. Timeline for humans. [pristup 10. travnja 2007.]. Dostupno na http

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Workplace Noise Exposure After Modernisation of an Aluminium Processing Complex

occupational hearing losses among military engineers and their civilian counterparts. J Aud Res 1983;23:241-50. Alleyne BC, Dufresne RM, Kanji N, Reesal MR. Costs of workers' compensation claims for hearing loss. J Occup Med 1989;31:134-8. Alberti PW. Noise-the most ubiquitous pollutant. Noise Health 1998;1:3-5. Nelson DI, Schwela D. Foreword. In: Goelzer B, Hanson CH, Sehrndt GA editors. Occupational exposure to noise evaluation, prevention and control. Special Report S 64. Dortmund and

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Efficacy of Mineral Cationic Carrier Against Sulphur Mustard in Skin Decontamination

medianeffective dose (LD 50 or ED 50 ) and instructions in their use. Biometrics 1952;8:249-63. O'Brien C. Britain launches two studies of Gulf War syndrome. Nature 1996;384:604. Wadman M. US claims of "no chemical links" to Gulf War illnesses under fire. Nature 1997;385:187. Vandekar M, Komanov I, Kobrehel D. Istraživanje perkutane toksičnosti organofosfornih spojeva: Učinak površine kontaminacije i koncentracije otrova na brzinu prodiranja paraoksona kroz kožu [Study of dermal toxicity of

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Skin Decontamination with Mineral Cationic Carrier Against Sarin Determined In Vivo

fighting foams. Biotechnol Bioeng 1999;62:659--65. Simonian AL, Grimsley JK, Flounders AW, Schoeniger JS, Cheng TC, DeFrank JJ, Wild JR. Enzyme based biosensor for the direct detection of fluorine-containing organophosphates. Anal Chim Acta 2001;442:15--23. Volans AP. Sarin - Guidelines on the management of victims of a nerve gas attack. J Accident Emerg Med 1996;13:202--6. Wadman M. US claims of no chemical links' to Gulf War illnesses under fire. Nature 1997

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A suggestion for royal jelly specifications / Prijedlog globalnih standarda za matičnu mliječ

administration of royal jelly inhibits the development of atopic dermatitislike skin lesions in NC/Nga mice. Int Immunopharmacol 2003;3:1313-24. doi:10.1016/S1567-5769(03)00132-2 4. Erem C, Deger O, Ovali E, Barlak Y. The effects of royal jelly on autoimmunity in Graves’ disease. Endocrine 2006;30:175-83. doi: 10.1385/ENDO:30:2:175 5. European Food Safety Authority. Scientific Opinion on the substantiation of health claims related to: anthocyanidins and proanthocyanidins (ID 1787, 1788, 1789, 1790, 1791); sodium alginate and ulva (ID 1873

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