Original Scientific Paper / Izvorni znanstveni članak
Ivan Božić, Tonći Batinić
Department of Health Sciences University of Split, Split, Croatia, Clinical Hospital Center Split
Corresponding author: Ivan Božić, Department of Health Sciences University of Split, Split, Croatia, e-mail:
Nowadays, there are more and more advantages of endovascular treatments for aneurysms of the abdominal aorta compared to open surgical treatment. Endovascular procedure is less invasive and the mortality rate is significantly lower in contrast to open surgical treatment. One of the complications of endovascular treatment of abdominal aortic aneurysm is the occurrence of permeability or endoleak. In this paper, we investigated the frequency and characteristics of endoleaks in patients treated endovascularly for the abdominal aortic aneurysm. Work methods are based on statistical data processing of 60 patients who were treated at the Clinical Department for diagnostic and interventional radiology, University Hospital Split. The data is collected from the archives of the mentioned clinical institute from patients who were treated in the period from January 2016 to May 2019. The analysis revealed that endoleak appeared in 63% of patients. The most common type of endoleak that occurred was endoleak type II. Reintervention related to endoleak was required in 4 patients. In most patients, endoleak type II gradually receded and did not require re-intervention. The average follow-up time of the patients analyzed in this study was 26 months. The average number of controls was 4. Endovascular treatment is a newer method of treatment and constant monitoring of the implanted stent-graft is required.
Keywords: abdominal aortic aneurysm, endovascular treatment, endoleak
Motivation of Healthcare Professionals in Times of Crisis
Motivation of employees is one of the key factors in successful management of healthcare system. In this time of crisis, when the strain on healthcare system reaches its peak, the question of how to motivate healthcare professionals is often raised. The process of motivation is a complex job, and satisfied employees are the precondition for achieving the designated goal. There is no strictly defined formula for measuring a person’s motivation. We all possess the inner strength that puts us in motion, but we differ regarding our ambitions and skills. It is important to recognize the talent of each individual and encourage them to act. Therefore, the role of manager is crucial in the motivation process. Due to technological progress, the needs of employees differ and change over time. It is therefore necessary to use different motivation techniques. Self-confidence of employees increases with the feeling of belonging and involvement in the planning process. By respecting abilities of each individual and by promoting, praising, and rewarding their effort, the quality of healthcare will not be lacking.
Key words: patient, manager, motivation, strength, healthcare professional