Malignant Neoplasms of Breast and Female Genital Organs (C50, C51-C58) in the Osijek-Baranja County, Croatia

Breast cancer (C50) and neoplasms of female genital organs (C51-C58) represent one of the most frequent cancer groups among females in economically developed countries. The Institute of Public Health of the Osijek-Baranja County in collaboration with different county institutes provide updated information on the cancer occurrence and trends in the Osijek-Baranja County (OBC). The aim of this article is to provide information on the tendencies relating to these cancer groups in the OBC during the period from 2001 to 2009, which will be the first report on these cancer sites on a county level in Croatia. This article processes data on cancer incidence and mortality, appertaining age distribution, median age, cancer survival and length of stay in the county hospitals collected in period 1996–2010. In the OBC, the overall incidence rates of breast, cervix uteri, corpus uteri and ovary cancer were, using the EU standard population, 82.9, 13.0, 19.0 and 14.5/100,000, respectively, and are all characterized by a declining tendency in the second period except breast cancer. The overall breast incidence rate resembles the Croatian average and way exceeds the corresponding Central and Eastern Europe incidence rates, but is still bellow the Northern Europe ones. Also, the overall mortality rates of breast, cervix uteri, corpus uteri and ovary cancer were 29.6, 5.0, 8.1 and 9.6/100,000, respectively, and are all featured by a increasing tendency. The cancer 5-year relative survival rate from breast, cervix uteri, corpus uteri and ovary cancer in period 2001–2005 amounted to 64.2%, 66.1%, 57.4% and 43.0%, respectively. The overall median ages at diagnosis of breast, cervix uteri, corpus uteri and ovary cancer totalled 61.9, 56.4, 66.4 and 60.8 years, respectively, while the median ages at death from these cancers were 68.7, 65.7, 70.3 and 67.6 years, respectively. During the entire 9-year period, the average length of stay in hospital due to breast, cervix uteri, corpus uteri and ovary cancer were 12.1, 14.8, 18.5 and 11.3 days, respectively. The length of stay in hospital decreased for all but for ovary cancer. Implementation and consolidation of women’s awareness of these cancers and relating early diagnostic activities within the OBC population seem to be the most effective ways to reduce the appertaining risks and thus to encourage changes in the lifestyle

Malignant Neoplasms of Male Genital Organs (C60-C63) in the Osijek-Baranja County, Croatia

Cancers of male genital organs (C60-C63) and in particular, prostate cancer, represent one of the most frequent cancer groups among males in economically developed countries and growing cancer group in developing countries. The Institute of Public Health of the Osijek-Baranja County in collaborate with different county institutes provide updated information on the cancer occurrence and trends in the Osijek-Baranja County (OBC). The aim of this article is to provide information on the tendencies relating to this cancer group in the OBC during the period from 2001 to 2009, which will be the first report on these cancer sites on a county level in Croatia. This article processes data on cancer incidence and mortality, appertaining age distribution, median age at diagnosis and at death, cancer survival and length of stay in hospital in the OBC. From 2001 to 2009, a total of 891 males were diagnosed with cancers of male genital organs and treated in either of the two OBC hospitals. These cancers accounted for 6.2% of all registered cancers and for 12.5% of all registered cancers among males. Overall age-standardized incidence rate was 60.9/100,000 and it growing strongly during the nine-year period. Although the mortality rate increased too (overall rate was 30.5/100,000), the increase was not as huge as the one in the rate of incidence. Overall median ages at diagnosis and at death were 67.1 years and 74.6 years, respectively. The 5-year relative survival rate was estimated to be 53.4%. This report reveals weak reduction in the average length of stay in hospital per patient in the 9-years period (from 11.8 to 11.3 days) and at the same time, the number of admissions almost tripled (from 84 to 221), which is a consequence of the same rise in the number of newly registered cases. During the course of the illness, an average patient was hospitalized 1.6 times and the average length of hospital care was 11.0 days. All the indicators of the quality of the health care provided to C60-C63 cancer patients in the OBC suggest that further advancement in raising the level of diagnostics and treatment should and can be expected in order to reach the corresponding EU standards. An increased incidence and mortality rate from C60-C63 cancers leads to the conclusion that great efforts should be invested into raising the awareness of the male population over 45 years of age on the recognition of the first symptoms of this cancer group and on early preventive examination as to decrease the mortality rate and increase the survival rate and the quality of life of patients suffering from this cancer group

Clinical Importance of Significant Asimptomatic Bacteriuria in Newborns and Infants During Early Postnatal Period

The aim of the study was to detect newborns at risk for developing renal impairment, and to point out the importance of significant asimptomatic bacteriuria in perinatal period and early infancy. Severe urinary tract anomalies are very often accompanied only by asimptomatic bacteriuria in perinatal period. Three urinalysis ware done after delivery. 212 newborns with significant asimptomatic bacteriuria underwent ultrasound examination, and were followed up to three months. Those with normal findings and with passing bacteriuria in the first 2 months were excluded. Group of 52 newborns underwent radioisotope examination. Frequency of urinary tract anomalies in newborns was 34.6%. Increased risk for renal impairment had children with urinary tract anomalies in close family, urinary tract infection or bacteriuria, EPH gestosis and prepartal symptoms of febrile infection in mother, children with IUGR, strangulated umbilical cord, prolonged jaundice and attacks of peripheral cyanosis in perinatal period

Od urednika broja

U nešto više od 80 godina postojanja, Zavod za javno zdravstvo Osječko-baranjske županije je dobio priliku u cijelosti urediti jedan broj ovog časopisa. Tu je prigodu iskoristio veliki broj stručnjaka u ustanovi koji su ukupno napisali 40-tak radova, najviše stručnih, ali i preglednih, gotovo isključivo koristeći podatke koji su prikupljani ili nastali u našoj ustanovi

Frequency and characteristic of the patients with psychiatric diagnosis in the surgery of the firm "Mara" - stylish weaving in Osijek

S ciljem da se dobije uvid u stanje mentalnog zdravlja radnika Radne organizacije »Mara« — stilsko pletivo, Osijek, izvršeno je istraživanje učestalostii karakteristika bolesnika s psihičkim tegobama me­đu radnicima. Od 561 radnika, 104 imaju psihičke tegobe i određenu dijagnozu. Godišnje je evidentirano 4 % novooboljelih. Neurastenija je najčešća i javlja se u 18 bolesnika (za 5 godina). Osam posto KV radnika i 4,4 % NKV radnika godišnje je evidentirano zbog psihičkih smetnji. U dobi do 19 godina nema psihič­kih bolesnika, ali od 40 do 49 godina ima 9 % bolesnika s psihičkim tegobama. U dobi od 50 do 59 godina ima 6,5% od ukupnog broja psihičkih bolesnika. Zbog psihičkih smetnji radnici godišnje provode na bolovanju prosječno 400 dana. U dobi od 40 do 49 godina u prosjeku svaki radnik RO bude jedan dan u godini na bolovanju zbog psihičkih smetnji, a u dobi od 50 do 59 godina dva dana. KV radnici i oni sa SSS bili su zbog psihičkih smetnji 1471 dan na bolovanju (za 5 godina), a NKV 540 dana.In order to get insight into the mental health of the people employed in the firm »Mara« — Stylish Weaving in Osijek, a research was carried out, investigating the frequency and characteristics of psychological disorders among the employed. Out of 561 employees, 104 have psychological disturbances and a certain diagnosis. There are 4 % of new patients registered per year. The most frequent diagnosis is neurasthenia, appearing in 18 cases within 5 years. Psychological disorders were registered in 8 % of the qualified and 4.4 % of the unqualified workers per year. Nine percent of the patients were aged 40 — 49 years and 6.5 % 50 — 59 years. There were no psychiatric patients younger than 19. On the average, workers spent 400 days a year on sick-leave due to psychiatric diagnosis (one day a year in the age group 40 — 49 and two days in the group 50 — 59 years). Due to psychological disorders, qualified workers and the employees with intermediate specialist training spent 1471 days within 5 years on sick-leave. The rate for the unqualified workers is 540 days

Promjene u strukturi zaposlenih u zdravstvu Osječko-baranjske županije od 1994. - 2006. godine (1994 - 2006 changes of the structure of health workers in the county of Osijek-baranya)

Struktura i broj zaposlenih u zdravstvu jedan su od pokazatelja koji mogu pomoći u ocjeni stanja u zdravstvu na području Osječko-baranjske županije (Županija). Jasno je da bez dobre sadašnje i buduće zdravstvene kadrovske politike nije moguće rješavati zdravstvene zahtjeve koji su sada ili će se javiti u bliskoj budućnosti. U Zavodu za javno zdravstvo Osječko-baranjske županije (ZZJZ Osijek) su prikupljeni i obrađeni podaci o strukturi i broju zaposlenih u Županiji od 1994. do 2006. godine. Godine 1994. stopa zaposlenih u zdravstvu Županije je bila 1095/100.000 stanovnika, a stopa liječnika kao nositelja svih aktivnosti u zdravstvu bijaše 158. U Hrvatskoj je te godine stopa zaposlenika u zdravstvu bila 1290/100.000 stanovnika, a stopa liječnika bijaše 191. Godine 2006. stopa je u Županiji bila 1496/100.000, a stopa liječnika 228. U Hrvatskoj je iste godine stopa zaposlenih u zdravstvu bila 1705, a stopa liječnika 271/100.000 stanovnika Hrvatske. Š kolovanjem kadrova medicinska škola i medicinski fakultet i ostale zdravstvene ustanove u vremenu od 12 godina nisu uspjeli smanjiti negativnu razliku u stopi zdravstvenih djelatnika između Županije i Hrvatske. Jedino što je u zdravstvu Županije bolje u odnosu na prosjek Hrvatske su administrativno i tehničko osoblje. Trebala bi se što prije napraviti Županijska strategija zapošljavanja u zdravstvu koja treba dati odgovor zašto je stanje ovako i kako u kratkom vrjemenu nadomjestiti manjak zaposlenika u zdravstvu kako se ne bi loša struktura zdravstvenih djelatnika u zdravstvu dodatno urušila odljevom kadrova u Europu kada Hrvatska postane punopravna članica

Frequency and characteristic of the patients with psychiatric diagnosis in the surgery of the firm "Mara" - stylish weaving in Osijek

S ciljem da se dobije uvid u stanje mentalnog zdravlja radnika Radne organizacije »Mara« — stilsko pletivo, Osijek, izvršeno je istraživanje učestalostii karakteristika bolesnika s psihičkim tegobama me­đu radnicima. Od 561 radnika, 104 imaju psihičke tegobe i određenu dijagnozu. Godišnje je evidentirano 4 % novooboljelih. Neurastenija je najčešća i javlja se u 18 bolesnika (za 5 godina). Osam posto KV radnika i 4,4 % NKV radnika godišnje je evidentirano zbog psihičkih smetnji. U dobi do 19 godina nema psihič­kih bolesnika, ali od 40 do 49 godina ima 9 % bolesnika s psihičkim tegobama. U dobi od 50 do 59 godina ima 6,5% od ukupnog broja psihičkih bolesnika. Zbog psihičkih smetnji radnici godišnje provode na bolovanju prosječno 400 dana. U dobi od 40 do 49 godina u prosjeku svaki radnik RO bude jedan dan u godini na bolovanju zbog psihičkih smetnji, a u dobi od 50 do 59 godina dva dana. KV radnici i oni sa SSS bili su zbog psihičkih smetnji 1471 dan na bolovanju (za 5 godina), a NKV 540 dana.In order to get insight into the mental health of the people employed in the firm »Mara« — Stylish Weaving in Osijek, a research was carried out, investigating the frequency and characteristics of psychological disorders among the employed. Out of 561 employees, 104 have psychological disturbances and a certain diagnosis. There are 4 % of new patients registered per year. The most frequent diagnosis is neurasthenia, appearing in 18 cases within 5 years. Psychological disorders were registered in 8 % of the qualified and 4.4 % of the unqualified workers per year. Nine percent of the patients were aged 40 — 49 years and 6.5 % 50 — 59 years. There were no psychiatric patients younger than 19. On the average, workers spent 400 days a year on sick-leave due to psychiatric diagnosis (one day a year in the age group 40 — 49 and two days in the group 50 — 59 years). Due to psychological disorders, qualified workers and the employees with intermediate specialist training spent 1471 days within 5 years on sick-leave. The rate for the unqualified workers is 540 days