This document discusses soft tissue tumors of the breast. It begins by stating that any soft tissue tumor can occur in the breast, but they are very rare compared to breast carcinoma. It then discusses both benign and malignant soft tissue tumors that can occur in the breast. For benign tumors, it mentions lipomas, angiomas, neurofibromas, and benign stromal spindle cell tumors. For malignant tumors, it mentions sarcomas, which make up less than 1% of breast malignancies. It discusses specific subtypes like liposarcomas, osteosarcomas, rhabdomyosarcomas, and malignant stromal spindle cell tumors. It provides histologic details and immunohistochemical profiles to
This document discusses soft tissue tumors of the breast. It begins by stating that any soft tissue tumor can occur in the breast, but they are very rare compared to breast carcinoma. It then discusses both benign and malignant soft tissue tumors that can occur in the breast. For benign tumors, it mentions lipomas, angiomas, neurofibromas, and benign stromal spindle cell tumors. For malignant tumors, it mentions sarcomas, which make up less than 1% of breast malignancies. It discusses specific subtypes like liposarcomas, osteosarcomas, rhabdomyosarcomas, and malignant stromal spindle cell tumors. It provides histologic details and immunohistochemical profiles to
The document discusses cooperation between southeast Europe, specifically a partnership between Hamburg and Belgrade for medical education and training exchanges. Key points:
- Students and doctors from Belgrade will travel to Hamburg, and vice versa, for 4-week clinical training programs.
- Belgrade will host summer schools in endocrinology and immunology, funded by European medical societies, attracting over 120 and 42 participants respectively.
- Establishing cooperation between medical institutions can help standardize medical education, improve quality of healthcare, and facilitate research collaboration and specialization training across countries.
Craniofacial surgery Dr Milan KnezevicLKSedukacija
The document discusses cranial deformity that can occur when the bones of the skull fuse too early after birth. It provides statistics on 142 patients who underwent surgical procedures between 2001 and 2008 to correct cranial deformities. The majority of cases were for scaphocephaly, with other cases including trigonocephaly, various craniofacial syndromes, plagiocephaly, and multiple-suture synostosis. Complications included infections, hematomas, and tears during both primary and secondary surgical procedures. Most patient outcomes from the surgeries were considered good.
Lymphangiomyomatosis presentation dr. med. i. nenadicLKSedukacija
Lymphangioleiomyomatosis (LAM) is a rare lung disease that affects young women. It involves the abnormal growth of smooth muscle cells in the lungs and lymphatic vessels. A 34-year old female patient underwent a lung resection for suspected LAM. Histological examination revealed features consistent with LAM, including cystic lung destruction. LAM is often misdiagnosed and requires differentiation from other cystic lung diseases. While there is no effective treatment, mTOR inhibition shows promise in stabilizing lung function and symptoms in LAM patients.
Versatility of anterolateral thigh free flap n. rajacic mdLKSedukacija
This document discusses the versatility of the anterolateral thigh free flap for reconstruction. It notes the anterolateral thigh flap has advantages such as a long vascular pedicle, large donor area, possibility of thinning the flap, and minimal donor site morbidity. The document describes the vascular anatomy, preoperative requirements, types of flaps that can be created, and concludes the anterolateral thigh flap is extremely reliable for reconstructing various defects.
This document discusses nerve injuries that can occur during mandibular impaction surgeries such as the removal of lower third molar teeth. It provides classifications of nerve injuries including Seddon and Sunderland classifications. Mechanisms of nerve injuries include crush, stretch, laceration and ischemia. The document outlines techniques to prevent nerve injuries during surgery such as careful planning of incisions and use of imaging to identify nerves. It also discusses evaluating and managing nerve injuries post-operatively through neurosensory testing.
Hepatotoxicity fast food dr ludwig kramerLKSedukacija
This document discusses the potential hepatotoxic effects of fast food consumption. It begins by defining fast food and noting the industrialized nature of modern fast food production. It then discusses changes in dietary patterns in Western nations that have increased fast food consumption. Specifically, it notes that daily caloric intake has increased by 150-300 calories in industrialized countries over past decades, with around 50% of increased calories coming from sugar-sweetened beverages. The document raises concerns that fast food and sugar-sweetened beverages are positively associated with deleterious health effects due to their high carbohydrate content and the rapid absorption of these carbohydrates. It discusses the links between fast food/beverage consumption and non-alcoholic fatty liver
The document discusses cooperation between southeast Europe, specifically a partnership between Hamburg and Belgrade for medical education and training exchanges. Key points:
- Students and doctors from Belgrade will travel to Hamburg, and vice versa, for 4-week clinical training programs.
- Belgrade will host summer schools in endocrinology and immunology, funded by European medical societies, attracting over 120 and 42 participants respectively.
- Establishing cooperation between medical institutions can help standardize medical education, improve quality of healthcare, and facilitate research collaboration and specialization training across countries.
Craniofacial surgery Dr Milan KnezevicLKSedukacija
The document discusses cranial deformity that can occur when the bones of the skull fuse too early after birth. It provides statistics on 142 patients who underwent surgical procedures between 2001 and 2008 to correct cranial deformities. The majority of cases were for scaphocephaly, with other cases including trigonocephaly, various craniofacial syndromes, plagiocephaly, and multiple-suture synostosis. Complications included infections, hematomas, and tears during both primary and secondary surgical procedures. Most patient outcomes from the surgeries were considered good.
Lymphangiomyomatosis presentation dr. med. i. nenadicLKSedukacija
Lymphangioleiomyomatosis (LAM) is a rare lung disease that affects young women. It involves the abnormal growth of smooth muscle cells in the lungs and lymphatic vessels. A 34-year old female patient underwent a lung resection for suspected LAM. Histological examination revealed features consistent with LAM, including cystic lung destruction. LAM is often misdiagnosed and requires differentiation from other cystic lung diseases. While there is no effective treatment, mTOR inhibition shows promise in stabilizing lung function and symptoms in LAM patients.
Versatility of anterolateral thigh free flap n. rajacic mdLKSedukacija
This document discusses the versatility of the anterolateral thigh free flap for reconstruction. It notes the anterolateral thigh flap has advantages such as a long vascular pedicle, large donor area, possibility of thinning the flap, and minimal donor site morbidity. The document describes the vascular anatomy, preoperative requirements, types of flaps that can be created, and concludes the anterolateral thigh flap is extremely reliable for reconstructing various defects.
This document discusses nerve injuries that can occur during mandibular impaction surgeries such as the removal of lower third molar teeth. It provides classifications of nerve injuries including Seddon and Sunderland classifications. Mechanisms of nerve injuries include crush, stretch, laceration and ischemia. The document outlines techniques to prevent nerve injuries during surgery such as careful planning of incisions and use of imaging to identify nerves. It also discusses evaluating and managing nerve injuries post-operatively through neurosensory testing.
Hepatotoxicity fast food dr ludwig kramerLKSedukacija
This document discusses the potential hepatotoxic effects of fast food consumption. It begins by defining fast food and noting the industrialized nature of modern fast food production. It then discusses changes in dietary patterns in Western nations that have increased fast food consumption. Specifically, it notes that daily caloric intake has increased by 150-300 calories in industrialized countries over past decades, with around 50% of increased calories coming from sugar-sweetened beverages. The document raises concerns that fast food and sugar-sweetened beverages are positively associated with deleterious health effects due to their high carbohydrate content and the rapid absorption of these carbohydrates. It discusses the links between fast food/beverage consumption and non-alcoholic fatty liver
The document discusses soft tissue tumours in children, with a focus on rhabdomyosarcoma and molecular diagnostic techniques. It notes that soft tissue tumours in children are challenging to diagnose due to their rarity and morphological features. Molecular techniques such as fluorescence in situ hybridization and PCR have become important diagnostic and prognostic tools because many paediatric tumours have specific translocations and fusion genes. Rhabdomyosarcoma is the most common soft tissue sarcoma in children, and molecular analysis can distinguish between embryonal and alveolar subtypes, which have different prognoses. Immunohistochemistry is also useful but molecular analysis has provided more definitive diagnoses.
2. MOGUĆNOSTI WELLNESSA KAO POKRETAČA
ZDRAVSTVENOG TURIZMA
Pojam Wellnes je nastao od dve riječi: well-
being (dobar osjećaj) i fitness (kretanje).Time
je sama rječ obuhvatila dva pokreta u kojima
je centralna tema ZDRAVLJE.
Wellness kao životni stil
SPA wellness je pojam koji potiče i povezuje
se sa različitim izvorima i konceptima
povezanim sa korištenjem vode u ljekovite
svrhe
Wellness revolucija (veći rast od auto i PC
industrije)
3. MOGUĆNOSTI WELLNESSA KAO POKRETAČA
ZDRAVSTVENOG TURIZMA
WELLNES KAO NOSILAC
PONUDE:
• Wellness hoteli,
• Wellness centri.
WELLNESS KAO
KOMPLEMENTARNA PONUDA:
• Banjski centri,
• Kongresni centri,
• Hoteli,
• Moteli.
4. MOGUĆNOSTI WELLNESSA KAO POKRETAČA
ZDRAVSTVENOG TURIZMA
CILJNE GRUPE
POTROŠAČA:
• Potrošači sa višim primanjima,
• Mlađi potrošači,
• Obrazovaniji potrošači,
• Urbaniji potrošači,
• Potrošači koji nemaju mnogo slobodnog
vremena (poslovni ljudi)
• Potrošači iz inostranstva.
5. MOGUĆNOSTI WELLNESSA KAO POKRETAČA
ZDRAVSTVENOG TURIZMA
SEGMENTI VELNES PONUDE:
• Medical wellness,
• Spa wellness i
• Spa beauty.
6. MOGUĆNOSTI WELLNESSA KAO POKRETAČA
ZDRAVSTVENOG TURIZMA
MEDICAL WELLNESS:
• Tretmani s termomineralnom vodom
• Tretmani ljekovitim blatom
7. MOGUĆNOSTI WELLNESSA KAO POKRETAČA
ZDRAVSTVENOG TURIZMA
SPA WELLNESS:
• Rekreativni bazen,
• Masaže,
• Saune,
• Fitness.
8. MOGUĆNOSTI WELLNESSA KAO POKRETAČA
ZDRAVSTVENOG TURIZMA
SPA BEAUTY:
• Anticelulitni tretmani,
• Njega lica,
• Njega tijela.
9. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
PREDNOSTI WELLNESSA
KAO OBLIKA
ZDRAVSTVENOG TURIZMA:
• Rastuća grana,
• Nezasićeno tržište,
• Zadovoljavajuća profitna margina,
• Novi proizvod u trendu,
• Obogaćivanje postojeće ponude.
10. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
MANE WELLNESSA KAO
OBLIKA ZDRAVSTVENOG
TURIZMA U REGIONU:
• Viskoka početna ulaganja,
• Needukovani kadrovi,
• Smanjenja tražnja usljed loše platežne
moći stanovništva,
• Nepostojanje tradicije korišćenja
wellness usluga (osim Slovenije)
11. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
REZULTATI ISTRAŽIVANJA
U HRVATSKOJ:
Posjećujete li wellness centre?
Bio/la sam nekoliko puta, ali ne
prakticiram odlaske u wellness centre -
37%
Da, povremeno odlazim - 34%
Ne - 24%
Da, redovito odlazim - 5%
12. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
REZULTATI ISTRAŽIVANJA
U HRVATSKOJ:
Koliko prosječno često idete u wellness
centre?
Nekoliko puta godišnje - 71%
Jednom mjesečno - 19%
Jednom sedmično - 7%
Nekoliko puta sedmično - 3%
13. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
REZULTATI ISTRAŽIVANJA
U HRVATSKOJ:
Kakvo je vaše mišljenje o wellness
programima?
Volim ovakve stvari, veoma opuštaju i
svakome preporučam - 58%
Nemam dovoljno iskustva u vezi sa
wellness programima, pa ne mogu
procijeniti - 34%
Ne oduševljava me previše - 8%
14. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
REZULTATI ISTRAŽIVANJA
U HRVATSKOJ:
Na kojim mjestima preferirate odlaske u
wellness? (mogućnost više odgovora)
Banje - 45%
Hoteli - 44%
Wellness centri - 39%
Svejedno mi je - 17%
Nešto drugo - 1%
15. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
REZULTATI ISTRAŽIVANJA
U HRVATSKOJ:
Koje wellness usluge najčešće koristite?
(mogućnost više odgovora)
Masaže - 72%
Bazene - 69%
Saune - 60%
Tretmane opuštanja - 27%
Tretmane lica i tijela - 18%
Sve podjednako - 6%
Nešto drugo - 1%
16. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
REZULTATI ISTRAŽIVANJA
U HRVATSKOJ:
Kakvo je vaše mišljenje o cijenama
wellness usluga?
Preskupe su - 42%
Ako je usluga zaista na razini, nemam
ništa protiv da i cijena bude viša - 21%
Ne mogu procijeniti - 19%
Smatram da su cijene realne - 18%
Prejeftine su - 0%
17. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
ISKUSTVA ZTC BANJA
VRUĆICA AD TESLIĆ
Pozitivna:
• Rast prihoda po osnovu novih
potrošača iz zemlje i inostranstva,
• Rast prihoda po osnovu novih
proizvoda,
• Povećan broj noćenja po osnovu
prodatih višednevnih wellness paketa,
• Osnova privlačenja novih poslovnih
grupa (wellness kao komplementarna
ponuda)
18. MOGUĆNOSTI WELLNESSA KAO
POKRETAČA ZDRAVSTVENOG TURIZMA
ISKUSTVA ZTC BANJA
VRUĆICA AD TESLIĆ
Negativna:
• Problemi prilikom projektovanja,
• Djelimična preinvestiranost zbog
nedostatka iskustva o potrebama
potrošača,
• Nepostojanje na tržištu rada
kvalifikovane radne snage,
• Visoki troškovi održavanja.