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Cette étude se propose de comparer la distribution et l’utilisation de certaines conjonctions de subordination temporelles en français et en croate (français : tant que/ aussi longtemps que, jusqu’à ce que ; croate : dok). Tout en étant universelle, la catégorie grammaticale du temps donne lieu à des conceptualisations langagières tout à fait comparables mais différentes. Notre expérience linguistique du français et du croate et notamment l’expérience de l’enseignement du français aux croatophones nous ont permis de remarquer que les différences dans leurs conceptualisations respectives suscitent certaines divergences entre les deux systèmes, et sont par conséquent susceptibles d’entraîner des difficultés dans l’apprentissage du français par les croatophones. Le but de cette étude est de mettre en évidence quelques différences dans l’utilisation de ces conjonctions de subordination temporelles françaises et leurs équivalents croates en tenant compte des temps, modes et aspects ainsi que des rapports chronologiques entre le procès de la proposition principale et celui de la subordonnée introduite par la conjonction temporelle. Nos observations sur la sémantique de la temporalité s’appuieront sur des exemples puisés à des grammaires et à un corpus parallèle (de textes littéraires français et leurs traductions croates et inversement).

Resistance to chemotherapeutics used in the treatment of urinary tract infection is increasing throughout the world. Taking into account clinical experiences, as well as current bacterial resistance in Croatia and neighboring countries, the selection of antibiotic should be the optimal one. Treatment of urinary tract infection in children is particularly demanding due to their age and inclination to severe systemic reaction and renal scarring. If parenteral antibiotics are administered initially, it should be switched to oral medication as soon as possible. Financial aspects of antimicrobial therapy are also very important with the main goal to seek the optimal cost/benefit ratio. Financial orientation must appreciate the basic primum non nocere as a conditio sine qua non postulate as well.

A severe hypertension was found in a 9 month old boy with signs and symptoms of severe arterial hypertension. An upper left branch renal artery stenosis complicated with multiple thrombosis and cardiac hypertrophy was diagnosed. Surgical heminephrectomy of the upper pole of the left kidney was successful in blood pressure normalization with significant improve of cardiac function and thrombosis recanalization.

Svrha studije je bila procijeniti rizik nastanka urolitijaze u djece lijecene ceftriaksonom. Retrospektivno je analizirano 238-ero djece s cistopijelonefritisom, lijecene u 2011. godini, ceftriaksonom u standardnoj dozi od 60 mg/kg/dan kroz 10 dana. Slikovnom obradom u 74-ero djece nađene su anomalije mokracnog sustava, od cega u njih 66-ero vezikoureteralni refluks, a u 7- ero hidronefroza. Ni u jednog djeteta nije nađena urolitijaza. Klinickim pracenjem kroz mjesec dana nije bilo klinickih i/ili laboratorijskih indirektnih znakova urolitijaze. Može se zakljuciti da je lijecenje ceftriaksonom u standardnoj dozi i dužini trajanja sigurno. Oprez je nužan ako su potrebne vise doze i/ili produženo davanje. U tom slucaju preporucujemo pregled mokracnog sustava i žucnjaka, probir na hiperkalciuriju i alkalinizaciju urina.

We are presenting a rare case of a spontaneous extensive perirenal hematoma caused by ruptured renal adenocarcinoma in a patient who was on warfarin therapy because she had atrial fibrillation and three myocardial infarctions. A 77-year-old woman was admitted to our department with acute right flank pain and hemorrhagic shock. The anamnestic data revealed no trauma and hematuria. Abdominal ultrasonography and computed tomography scan showed large retroperitoneal hematoma. The patient underwent urgent surgery and radical nephrectomy was performed. A large retroperitoneal hematoma was found originating from a ruptured renal neoplasm in the upper pole of the right kidney. The pathohistological diagnosis was chromophobe renal cell carcinoma. The clinical, diagnostic and therapeutic peculiarities of this rare condition are presented, along with the literature review on the topic.

A 69-year-old man was admitted for resection of rectal adenocarcinoma diagnosed by colonoscopy. Preoperative computed tomography scan and abdominal ultrasonography revealed bilateral renal tumors measuring up to 2 and 2.8 cm in largest diameter, respectively. The patient underwent partial colectomy and bilateral partial nephrectomy. Microscopically, rectal adenocarcinoma penetrated the submucosa, without invasion of the muscularis propria. Both renal tumors were clear cell renal carcinomas of Fuhrmann nuclear grade 2. To our knowledge, this is the first case of synchronous adenocarcinoma of the rectum and bilateral clear cell renal cell carcinoma described in the literature to date.

Results of ureteral reimplantation in infants with primary vesicoureteral reflux (VUR) were retrospectively reviewed and evaluated. From January 1991 till December 2000, a total of 156 patients with primary VUR underwent ureteral reimplantation at University Department of Urology, Sestre milosrdnice University Hospital, Zagreb, Croatia. The indications for surgery were high-grade reflux, breakthrough urinary tract infections, and non-compliance with medical treatment. Ureteral reimplantation was performed according to Cohen.s method (134/156) and Gil-Vernet (22/156) transvesical method. Out of 156 patients treated for primary VUR, 57 patients presented with left sided VUR and 40 with right sided VUR, whereas 52 patients required treatment for bilateral VUR, giving a total of 219 VUR repairs. Five patients had ureteral duplication accompanied by one sided VUR, whereas two patients had ureteral duplication accompanied by bilateral VUR. Out of the 156 surgically treated patients 2 (1.28%) presented with recurrent VUR, 3 (1.93%) with contralateral VUR, 5 (3.2%) patients were treated for urinary tract infection postoperatively, and none of our patients presented with stenosis. The overall complication-free percentage of surgically treated VUR in our study was 93.6%, while 96.8% were successfully treated for VUR. The present results show that transvesical ureteral repairs in infants are safe and very effective for the prevention of urinary tract infections. After surgical treatment in infancy, the individual renal growth of children with primary VUR is stable., Proveden je retrospektivni pregled i procjena rezultata reimplantacije uretera u dojenčadi s primarnim vezikoureteralnim refluksom (VUR). Od siječnja 1991. do prosinca 2000. godine ukupno je 156 bolesnika s primarnim VUR podvrgnuto reimplantaciji uretera na Klinici za urologiju Kliničke bolnice Sestara milosrdnica u Zagrebu, Hrvatska. Indikacije za operaciju bile su refluks visokog stupnja, masivna infekcija mokraćnog sustava te nepridržavanje medikamentnog liječenja. Reimplantacija uretera provedena je prema Cohenovoj metodi (134/156) i Gil-Vernetovoj transvezikalnoj metodi (22/156). Od 156 bolesnika liječenih zbog primarnog VUR 57 ih je imalo lijevostrani VUR, a 40 desnostrani VUR, dok je 52 bolesnika imalo obostrani VUR, tj. ukupno 219 popravaka zbog VUR. Petoro bolesnika je imalo duplikaciju uretera praćenu jednostranim VUR, dok ih je dvoje imalo duplikaciju uretera praćenu jednostranim VUR. Od 156 kirurški liječenih bolesnika dvoje (1,28%) ih je došlo s ponovljenim VUR, troje (1,93%) s kontralateralnim VUR, petoro (3,2%) ih je poslijeoperacijski liječeno zbog infekcije mokraćnog sustava, dok se stenoza nije razvila ni u jednog od naših bolesnika. Sveukupni postotak kirurški liječenog VUR bez komplikacija u našoj studiji je iznosio 93,6%, dok je postotak uspješnog izlječenja VUR bio 96,8%. Ovi rezultati pokazuju kako je transvezikalni popravak uretera u dojenčadi siguran i vrlo učinkovit u sprječavanju infekcije mokraćnog sustava. Rast pojedinog bubrega u djece s primarnim VUR je stabilan nakon kirurškog liječenja u dojenačkoj dobi.