A 6.6-year-old girl presented for leftsided cardiac enlargement on chestradiography (Panel A). Th ree yearsearlier she had undergone a lobectomyof the lower lobe of the leftlung for extraction of an echinococcalcyst.

Objective – The research was undertaken to analyze the dietary habits and lifestyle of adolescents from Trogir, Croatia, and to determine the proportion of overweight subjects according to International Obesity Task Force (IOTF) standards.  Subjects and Methods – This pilot study was undertaken in 2009 on a sample of 497 adolescents aged 14-19 years, 322 of whom were girls (79%). The subjects filled out an anonymous questionnaire about their lifestyle and dietary habits and they were measured anthropometrically. The cut off value for overweight was defined according to IOTF standards and is equivalent to Body Mass Index (BMI) equal or higher than 25 kg/m2 in adults.  Results – We detected gender differences in terms of lifestyle and dietary habits. Breakfast is equally often skipped by both boys and girls, but girls significantly often skip also lunch (p=0.050) and dinner (p<0.001). Boys consumed low-quality diet significantly more often than girls. While half of the population consumed olive oil daily, it can be said for less than 30% of girls and 40% of boys eat fresh fruit (p=0.018). Number of boys and girls who smoke did not differ significantly but twice as much boys than girls consumed alcohol (48% vs. 24%, p<0.001). On the other hand, boys were more often involved in out-of-school sports (p<0.001). In this population, 22.8% of boys and 9% of girls had BMI ≥ 25 kg/m2 for their age and sex.  Conclusion – This study results indicate the presence unhealthy lifestyle and dietary habits of the adolescents from Trogir, especially boys. Therefore, we will focus on planning the programme to elevate awareness regarding the importance and effect of healthy adolescents` lifestyle on decreased morbidity and mortality risk in the adulthood.

An otherwise healthy, 12.5-year-old malepresented with sudden onset chest pain, wasadmitted to hospital for elevated blood pres-Panel 1Panel 2Acta Medica Academica 2011;40(1):83DOI 10.5644/ama2006-124.12sure. Physical examination showed systolicheart murmur grade 2/6 in the aortic areawith abdominal vascular murmur and normalperipheral pulses. Blood pressure waselevated: (left arm) 170/110 mmHg, (left leg)185/115 mmHg. The plasma renin activity(6.5 nmol/l/h) was elevated. Renal functionwas normal. Doppler blood flow fromboth renal arteries showed a suspected mildobstruction.

Severe pain control is an indispensable and important part of the treatment of children with malignant diseases. The specificity of treatment is connected to the opiate’s metabolism, but it is more difficult to estimate pain and there is fear of side effects, which leads to sub-dosing and poor analgesia. The aim of this study is to show that rational use of opiates secures efficient pain suppression in children in the terminal phase of malignant diseases. Oral morphine with fast impact is the gold standard in the initial phase of severe cancer pain therapy and for the treatment of shooting pain in children. Slow release opiates are suitable for long-term use, as they combine efficiency and compatibility. Rotation of fentanyl transdermal allows simpler usage, decreases side-effects and provides good analgesia for children who cannot take opiates orally. Along with an individual estimate of the child’s condition, it is important to take care of equianalgetic doses of opiates and support therapy.