81. Posterior C1-C2 fixation for atlantoaxial instability due to a dysplastic C1 arch, complicated by an accidental vertebral artery injury managed with intravascular intervention and salvage contralateral unilateral fusionArmand Dominik Škapin, Juš Kšela, Miha Vodičar, 2025, review article Abstract: Posterior fixation with fusion is recommended in symptomatic congenital anomalies of the upper cervical spine. Altered vertebral anatomy in such cases increases the likelihood of intraoperative complications, where injury to the vertebral artery (VA) may result in cerebellar and dorsolateral medulla oblongata ischemia. Prompt and appropriate intervention is paramount if complications arise. We present a patient with a dysplastic C1 arch, leading to atlantodental arthrosis and anterior C1 subluxation with resultant compressive myelopathy of the spinal cord. During elective surgery, a VA injury occurred, which was managed with intravascular intervention and salvage contralateral posterior unilateral C1-C2 fusion. Postoperatively, the patient developed partial Wallenberg syndrome. Imaging revealed two ischemic changes in the cerebellar hemisphere. One year after surgery, the patient showed substantial improvement following comprehensive rehabilitation, able to ambulate without support and maintain a significant level of independence in everyday activities.
Keywords: congenital, dysplasia, atlantoaxial instability, C1-C2
Published in DiRROS: 17.12.2025; Views: 72; Downloads: 38
 Full text (450,02 KB)
This document has many files! More... |
82. Outpatient hysteroscopic treatment of cervical ectopic pregnancy in a primigravida using the Ho:YAG laser : a case report and operative protocol evaluationDimitar Cvetkov, David Lukanović, Angel Yordanov, 2025, other scientific articles Abstract: Background and Clinical Significance: Cervical ectopic pregnancy (CEP) is a rare and potentially serious condition, in which the embryo implants within the cervical canal rather than the uterine cavity and is present in less than 1% of all ectopic pregnancies. There are different treatment options depending on the particular situation and the woman’s reproductive desire but conservative approaches as the first line of treatment is preferred in all cases and hysteroscopic resection of the fetus is one of these options. Several types of laser systems are available for use in hysteroscopic surgery, including neodymium:YAG (Nd:YAG) lasers, KTP and Argon lasers, as well as diode lasers. The holmium:YAG (Ho:YAG) laser, although more commonly used in urology due to its ability to cut, coagulate, and vaporize tissue, has gained interest in gynecologic procedures because of its precision and favorable safety profile. Case Presentation: We present the case of a 32-year-old woman, pregnant for the first time, who was diagnosed with CEP and successfully treated using a Ho:YAG laser during an outpatient hysteroscopic procedure. As far as we know, this is the first published case using this approach. Conclusions: The Ho:YAG laser is a proven tool for outpatient hysteroscopic procedures like septum and adhesion removal. Its ability to both cut and coagulate offers a minimally invasive, fertility-sparing option for managing cervical ectopic pregnancy. With the right patient and proper backup plans in place, this approach could be a promising alternative to more aggressive treatments.
Keywords: cervical ectopic pregnancy, hysteroscopic resection, holmium:YAG (Ho:YAG) laser
Published in DiRROS: 17.12.2025; Views: 63; Downloads: 24
Full text (2,61 MB)
This document has many files! More... |
83. Exploring the impact of home-based serious smartphone resuscitation gaming on stress among nursing students practicing simulated adult basic life support : randomized waitlist controlled trialNino Fijačko, Benjamin S. Abella, Špela Metličar, Leon Kopitar, Robert Greif, Gregor Štiglic, Pavel Skok, Matej Strnad, 2025, original scientific article Keywords: adult basic life support, stress, serious games, gaming, simulation
Published in DiRROS: 17.12.2025; Views: 50; Downloads: 19
Full text (732,70 KB)
This document has many files! More... |
84. |
85. Simpozij - Melanom in nemelanomski kožni raki : zbornik povzetkov2025, not set Keywords: kožni tumorji, kožni melanom, kirurško zdravljenje, sistemsko zdravljenje, registri, biološki označevalci, elektrokemoterapija, radioterapija, nuklearna medicina, zborniki, ktronske knjige
Published in DiRROS: 17.12.2025; Views: 66; Downloads: 34
Full text (547,84 KB)
This document has many files! More... |
86. |
87. |
88. |
89. |
90. Diversity of ESBL-producing E. coli in various water and sediment typesLeon Marič, Maja Rupnik, Sandra Janežič, 2025, original scientific article Abstract: Antimicrobial resistance is a major global health threat, and aquatic ecosystems serve as critical interfaces between human activity and the environment, providing reservoirs and pathways for the spread of resistant bacteria. In this study, we investigated the prevalence and diversity of ESBL-producing Escherichia coli across multiple aquatic environments in Slovenia by analysing water, sediment, and wastewater treatment plant (WWTP) influent samples collected between June 2023 and April 2024. ESBL-producing E. coli was detected in 93% of WWTP influents, 61% of water, and 35% of sediment samples. From 315 positive samples, 564 isolates were subjected to whole genome sequencing. In total, 134 MLST-sequence types (STs) were identified, with globally prevalent lineages (ST131, ST38, ST10, ST69, ST1193) occurring across regions and sample types. Clonally related isolates occurred in geographically distant sites, and persistent strains were observed over time, suggesting both local persistence and broader dissemination. Fourteen distinct ESBL genes were detected, predominantly plasmid-encoded blaCTX-M-15. Water samples captured the greatest ST diversity, whereas sediment and WWTP influents provided complementary insights. Combining sample types improved detection of overall diversity, with water and sediment or WWTP samples providing the most comprehensive overview. Our findings demonstrate widespread and dynamic dissemination of ESBL-producing E. coli in Slovenian aquatic environments and emphasize the value of integrated sampling strategies for effective surveillance.
Keywords: E. coli, ESBL, sediment, water
Published in DiRROS: 17.12.2025; Views: 52; Downloads: 31
Full text (2,61 MB)
This document has many files! More... |
