Zdravstveni prioriteti Brodsko-posavske županije utvrđeni projektom »Rukovođenje i upravljanje za zdravlje u lokalnoj upravi i samoupravi »

Zdravstveni prioriteti Brodsko-posavske županije utvrđeni projektom „Rukovođenje i upravljanje za zdravlje u lokalnoj upravi i samoupravi“ su: vodoopskrba i vodoodvodnja, nezdrava prehrana u školskoj dobi, povišen arterijski tlak, rak dojke i odlagališta komunalnog otpada

Zdravstveni prioriteti Brodsko-posavske županije utvrđeni projektom »Rukovođenje i upravljanje za zdravlje u lokalnoj upravi i samoupravi »

Zdravstveni prioriteti Brodsko-posavske županije utvrđeni projektom „Rukovođenje i upravljanje za zdravlje u lokalnoj upravi i samoupravi“ su: vodoopskrba i vodoodvodnja, nezdrava prehrana u školskoj dobi, povišen arterijski tlak, rak dojke i odlagališta komunalnog otpada

Prijavljivanje zaraznih bolesti

Sustav prijavljivanja oboljenja i/ili smrti od zaraznih bolesti kako na području Slavonskog Broda i pripadajućih općina, tako i na području Brodsko-posavske županije, pokazuje ujednačenost u promatranom razdoblju. Broj liječnika iz Opće bolnice „Dr.Josip Benčević“ koji prijavljuju zarazne bolesti u razdoblju od 2000. do 2004. godine kretao se između 7,8 i 10% svih uposlenih liječnika. Ukupan broj liječnika koji prijavljuju na području Slavonskog Broda i pripadajućih općina bio je između 25 i 27,5%. Apsolutni broj prijavljenih zaraznih bolesti znatno je manji od realnog broja. U odnosu na utvrđene pneumonije u primarnoj zdravstvenoj zaštiti, na području Brodsko-posavske županije prijavi se između 1 i 7%. Liječnici pedijatrijskog odjela Opće bolnice «Dr. Josip Benčević » nisu u razdoblju 2000.-2004. godine prijavili niti jednu pneumoniju. U odnosu na zarazne bolesti probavnog sustava koje su prema MKB šifrirane od A00 do A09, prijavljeno je između 10 i 14% utvrđenih bolesti. Liječnici pedijatrijskog odjela prijave između 9 i 18% utvrđenih dijareja i gastrnteritisa

Prijavljivanje zaraznih bolesti

Sustav prijavljivanja oboljenja i/ili smrti od zaraznih bolesti kako na području Slavonskog Broda i pripadajućih općina, tako i na području Brodsko-posavske županije, pokazuje ujednačenost u promatranom razdoblju. Broj liječnika iz Opće bolnice „Dr.Josip Benčević“ koji prijavljuju zarazne bolesti u razdoblju od 2000. do 2004. godine kretao se između 7,8 i 10% svih uposlenih liječnika. Ukupan broj liječnika koji prijavljuju na području Slavonskog Broda i pripadajućih općina bio je između 25 i 27,5%. Apsolutni broj prijavljenih zaraznih bolesti znatno je manji od realnog broja. U odnosu na utvrđene pneumonije u primarnoj zdravstvenoj zaštiti, na području Brodsko-posavske županije prijavi se između 1 i 7%. Liječnici pedijatrijskog odjela Opće bolnice «Dr. Josip Benčević » nisu u razdoblju 2000.-2004. godine prijavili niti jednu pneumoniju. U odnosu na zarazne bolesti probavnog sustava koje su prema MKB šifrirane od A00 do A09, prijavljeno je između 10 i 14% utvrđenih bolesti. Liječnici pedijatrijskog odjela prijave između 9 i 18% utvrđenih dijareja i gastrnteritisa

The Risk of Developing Endemic Nephropathy in Subjects with Proteinuria

Endemic nephropathy is a chronic tubulointerstitial disease characterized by early damage to the proximal tubule, with low-molecular weight proteinuria being an important hallmark and possible tool for early diagnosis. The aim of this retrospective cohort study was to assess the risk of developing endemic nephropathy in subjects with proteinuria from the endemic region in Croatia. The cohort study included subjects with proteinuria determined by the sulfosalicylic acid method (after 1988 with strip method), involved in the field survey conducted in the Croatian endemic village of Kaniža in 1975 and followed up until 1997. Subjects with endemic nephropathy established at the first visit and patients that failed to present for follow up visits after 1975. were excluded. In the field survey group that consisted of 624 subjects (286 male and 338 female), proteinuria was established in 157 subjects. Upon the application of exclusion and inclusion criteria, the study cohort included 111 of 157 subjects. The mean follow up was 7.26 years (95% confidence interval 4.06-10.46 years). During the follow up period, 19 (17%) subjects with initial proteinuria developed endemic nephropathy. The incidence density of endemic nephropathy among subjects with proteinuria was 1.3 per 100 persons/year. Estimated risk was 0.0137 (confidence interval 0.0087-0.0214) per year of exposure. The presence of proteinuria determined by the sulfosalicylic acid or test strip in subjects from the endemic village indicated that endemic nephropathy would develop in 1.3 of 100 subjects with proteinuria per year

The Risk of Developing Endemic Nephropathy in Subjects with Proteinuria

Endemic nephropathy is a chronic tubulointerstitial disease characterized by early damage to the proximal tubule, with low-molecular weight proteinuria being an important hallmark and possible tool for early diagnosis. The aim of this retrospective cohort study was to assess the risk of developing endemic nephropathy in subjects with proteinuria from the endemic region in Croatia. The cohort study included subjects with proteinuria determined by the sulfosalicylic acid method (after 1988 with strip method), involved in the field survey conducted in the Croatian endemic village of Kaniža in 1975 and followed up until 1997. Subjects with endemic nephropathy established at the first visit and patients that failed to present for follow up visits after 1975. were excluded. In the field survey group that consisted of 624 subjects (286 male and 338 female), proteinuria was established in 157 subjects. Upon the application of exclusion and inclusion criteria, the study cohort included 111 of 157 subjects. The mean follow up was 7.26 years (95% confidence interval 4.06-10.46 years). During the follow up period, 19 (17%) subjects with initial proteinuria developed endemic nephropathy. The incidence density of endemic nephropathy among subjects with proteinuria was 1.3 per 100 persons/year. Estimated risk was 0.0137 (confidence interval 0.0087-0.0214) per year of exposure. The presence of proteinuria determined by the sulfosalicylic acid or test strip in subjects from the endemic village indicated that endemic nephropathy would develop in 1.3 of 100 subjects with proteinuria per year

National Program of Breast Cancer Early Detection in Brod-Posavina County (East Croatia)

Results of the National Program of Breast Cancer Early Detection in Brod-Posavina County during the 2006-2012 period are presented. Response rate in two National Program cycles, cancers detected according to factors such as first and last menstruation, age at cancer detection, deliveries and mammography findings according to the Breast Imaging Reporting and Data System (BI-RADS) before diagnosis verification were analyzed. Data were obtained from the software connecting Public Health Institutes via Ministry of Health server and questionnaires filled out by the women presenting for screening and processed by the method of descriptive statistics. Mammography findings were classified according to the BI-RADS classification. In two National Program cycles during the 2006-2012 period, women aged 50-69 were called for mammography screening. In the first cycle, the response rate in Brod-Posavina County was 53.2%, with 71 cancers detected at a mean age of 61.3 years. In the second cycle, the response rate was 57.0%, with 44 cancers detected at a mean age of 62.5 years. In the first and second cycles, there were 21.1% and 14.3% of mammography findings requiring additional work-up (BI-RADS 0), respectively. Particular risk factors such as early menarche, late menopause, parity, positive family history and presence of benign breast lesions were not demonstrated in women with verified cancer. There was no increase in the incidence of breast cancer per 100,000 inhabitants in the Brod-Posavina County following implementation of the National Program. In conclusion, efforts should be focused on increasing public health awareness, ensuring appropriate professional staff engaged in screening, and improving medical care in order to reduce the time elapsed from establishing suspicion to confirming the diagnosis of breast cancer

Prvi nalaz vrste Oculina patagonica (Cnidaria, Scleractinia) u Jadranskom moru

Scleractinian coral Oculina patagonica De Angelis 1908, non-indigenous species for the Adriatic Sea, was for the first time recorded during biological baseline survey in the harbour of Split (eastern coast of the Central Adriatic Sea), in May 2011. Colony was found in fouling community at depth of 3 m on concrete vertical wall. The surface of single colony was approximately 200 cm2. This record could be the base for future monitoring of possible spreading of this species, and to observe its behaviour in competition with the algal community and sedentary benthic invertebrates that were dominant on the surfaces of harbour walls.Kameni koralj Oculina patagonica De Angelis 1908, strana vrsta u Jadranskom moru, prvi je put zabilježen za vrijeme biološkog istraživanja nultog stanja u luci Split (istočna obala srednjeg Jadrana) u svibnju 2011. godine. Kolonija je pronađena u obraštajnoj zajednici na dubini od 3 m na vertikalnom zidu. Površina ove kolonije je bila oko 200 cm2. Ovaj nalaz može biti osnova za buduće praćenje mogućeg širenja vrste, te za promatranje njenog ponašanja u kompeticiji sa zajednicom algi i sedentarnih bentoskih beskralješnjaka koji su bili prevladavajući na površinama zidova luke

Glavobolje kod adolescenata - učestalost, rizični čimbenici i druge zdravstvene poteškoće: hrvatsko presječno istraživanje

Headaches are very common in school population. The aim of this study was to determine epidemiological data on headaches among Croatian schoolchildren and their connection to risk factors and other health complaints. In the study, we used the Croatian database of the international research entitled Health Behavior in School-aged Children for 2013/2014. It is a cross-sectional study conducted every four years in 44 countries among children aged 11-16. The students were interviewed using an anonymous standardized questionnaire. The Croatian sample consisted of 5741 students, of which 2857(49.8%) girls and 2884 (50.2%) boys. The response rate was 85.9%. Headaches were reported to be often (once a week to daily) by 23.5% of students and were more often in girls and in higher school grades. They were positively linked to cigarette smoking and health complaints such as back pain and stomachache, bad mood, nervousness, irritability, difficulties with sleeping and dizziness. Headaches are associated to many health problems and can cause difficulties in student functioning. This could be a serious problem. This study pointed to connection of headaches with cigarette smoking and importance to underpin the smoking prevention programsGlavobolje su vrlo česte kod školske djece. Cilj ovoga rada bio je utvrditi epidemiološke karakteristike glavobolja kod školske djece i njihovu povezanost s rizičnim čimbenicima i drugim zdravstvenim tegobama. Koristili smo hrvatsku bazu podataka međunarodnog istraživanja Health Behavior in School-aged Children za 2013./2014. godinu. To je presječno istraživanje koje se provodi svake četiri godine u 44 zemlje, a uključuje školsku djecu u dobi od 11 do 16 godina. Učenici se ispituju standardiziranim, anonimnim upitnikom. Uzorkom je u Hrvatskoj obuhvaćeno 5741 učenika, od kojih je bilo 49,8% učenica (n=2857) i 50,2% učenika (n=2884), uz odziv od 85,9%. Glavobolje je imalo često (od jednom tjedno do svakodnevno) 23,5% učenika i to češće kod učenica u višim razredima. Utvrđena je pozitivna povezanost s pušenjem cigareta i drugim zdravstvenim tegobama poput bolova u leđima i trbuhu te lošim raspoloženjem, nervozom, iritabilnosti, poteškoćama spavanja i vrtoglavicama. Glavobolje su povezane s mnogim zdravstvenim tegobama i mogu utjecati na funkcioniranje učenika, što može biti ozbiljan problem. Ovaj rad je ukazao na povezanost glavobolja i pušenja cigareta te na važnost jačanja preventivnih programa u tu svrhu

Pojava stranog invazivnog školjkaša Arcuatula senhousia u nakupinama stranog invazivnog mnogočetinaša Ficopomatus enigmaticus u delti rijeke Neretve na istočnoj obali Jadranskog mora

Non-indigenous invasive bivalve Arcuatula senhousia was recorded in the area of the eastern Adriatic Sea in Neretva River Delta, in 2010, among tubes of well established aggregations of non-indigenous species of sedentary polychaete Ficopomatus enigmaticus at depths from 0.5 to 1 m. It was very abundant, with the maximal abundance of 102 N/400 cm2, only in very thick fouling aggregations, but any traces of colonization of this species on soft sediments were not observed. Community that inhabits aggregations of invasive polychaete was described in the paper. Occurrence of Arcuatula senhousia in wider area of very important port for international maritime transport suggests that the ballast waters could be possible vector of introduction of this species. The analysis of the sediment revealed that the species was introduced recently. In contrary, Ficopomatus enigmaticus was introduced in the area earlier.Strana invazivna vrsta školjkaša Arcuatula senhousia je zabilježena 2010. godine na području istočnog Jadrana u delti rijeke Neretve, između cjevčica dobro razvijenih nakupina strane vrste sedentarnog mnogočetinaša Ficopomatus enigmaticus na dubinama od 0,5 do 1 m. Bila je vrlo brojna, s najvećom abundancijom od 102 N/400 cm2, samo u vrlo debelim nakupinama u obraštaju. Tragovi kolonizacije ove vrste na sedimentnom dnu nisu opaženi. U radu je opisana i zajednica koja naseljava nakupine ovog invazivnog mnogočetinaša. Pojava vrste A. senhousia na širem području vrlo važne luke za međunarodni pomorski promet ukazuje da balastne vode mogu biti vektor unosa ove vrste. Analiza sedimenta je pokazala da je vrsta nedavno unesena. Za razliku od nje, vrsta F. enigmaticus je, na ovo područje, unesena ranije