Bullying among School Children: A Case Report

The case study shows an example of peer violence, a physical attack on a high school student. The attacker was a child his own age attending the same school. Immediately after the attack the victim visited his chosen family doctor accompanying by mother. After interviewing in calm and safe environment and physical examination he was referred to the hospital emergency, because of evident trauma. During the follow up, it was obvious that the patient is interested in talking about the event but is uncomfortable to do so in front of his mother. Having obtained the mother’s permission the conversation was carried out alone and the patient revealed all the details regarding the assault as well as his own feelings. The case study contains a description of the incident, the basic information regarding types of abuse amongst children, information on how to approach a victim as well as the obligation to report every type of abuse

A Role of Croatian Family Doctors in the Provision of Women’s Health Care: A Study Based on Routinely Collected Data

The aim of this study was to investigate how often Croatian FDs are involved in the provision of women’s health, having in mind that women’s health is primarily organized by the gynecological service. Only the data related to women’s health were collected from the Croatian health statistical yearbooks from 1995 to 2012, in which ICD X was used. Results showed that total number of diagnoses are increasing. The greatest increase is observed in the category named as other diseases of female organs, then diagnoses related to the pregnancy, delivery and postpartum and malignant diseases, especially, breast cancer. Contrary, number of menopausal disorders continuing decreased. Diagnoses related to family planning (Z30) are relative small in amount and stabile. Results indicated that policy makers should take in account readiness of FDs to be involved in the provision of women’s health

Ambulatory Care Sensitive Conditions at Out-of-hospital Emergence Services in Croatia: A Longitudinal Study Based on Routinely Collected Data

Conditions for which a hospital and emergency utilization can be considered avoidable are often referred as ambulatory care sensitive conditions (ACSCs). Until now, there has been no published research related to ACSCs in Croatia. This study was undertaken with the aim of determining the trends relating to ACSCs in out-of-hospital ES from 1995– 2012. The study is based on data from the Croatian Health Service Yearbooks. Five chronic and three acute conditions were chosen: diabetes, hypertension, congestive heart failure, angina pectoris, asthma and COPD, bacterial pneumonia, urinary tract infections and skin infections. The results indicate that the ES in Croatia is overused, and consequently ACSCs are over-represented; 23.3% Croatian citizens visited the ES and around 15% of all diagnoses belonged to the ACSCs, with decreased trend. The leading diagnosis is hypertension, followed by asthma and COPD. For a better understanding of the importance of ACSC within the Croatian context, further research is needed

USE OF CONTRACEPTION IN WOMEN FROM THE ZAPREŠIĆ AREA AND FACTORS INFLUENCING THE CHOICE OF METHOD: A CROSS-SECTIONAL STUDY

Poticaj za ovo istraživanje bio je nedostatak objektivnih pokazatelja o korištenju kontracepcije u Hrvatskoj. Cilj je bio ispitati koliko žene Zaprešića i okolice koriste kontracepciju, te koji su čimbenici na to utjecali. Istraživanje je bilo presječno, a provedeno je u osam ordinacija obiteljske medicine u gradu Zaprešiću i šest ordinacija u okolnim mjestima. Uzorak je bio namjerni, žene u dobi 18-45 godina koje su došle u ordinacije u ispitivanom razdoblju zbog bilo kojeg razloga. Korišten je anketni upitnik dizajniran za potrebe istraživanja. Od 283 žena koje su ispunile upitnike 44,2 % je koristilo neku od metoda kontracepcije. Najčešće je to bio prezervativ (24,7 %) i peroralni kontraceptivi (24,1 %), te kombinacije različitih metoda (20,0 %). Najčešći razlozi odabira su jednostavnost korištenja (32,9 %), neškodljivost (24,6 %) i učinkovitost (22,8 %). Najveći broj žena je metodu odabrao u dogovoru s ginekologom (48,8 %), manji u dogovoru s partnerom (29,4 %) i samostalno (18,2 %). Kontracepcijsku metodu mijenjalo je 45,5 % žena. Rezultati logističke regresije su pokazali da su prediktori korištenja kontracepcije viši stupanj obrazovanja, radni status, prekidi trudnoće i pregledi kod ginekologa. Zaključak autora jest da relativno mali broj žena Zaprešića i okolice koristi kontracepciju. Na korištenje i izbor kontracepcije utjecali su mjesto stanovanja, dob, obrazovanje, te bračni i radni status.There have long been no surveys in the fi eld of family planning in Croatia. There were some carried out by commercial agencies and some related to adolescents, but none focused on women of reproductive age. Therefore, we embarked upon this survey including women living in the town of Zaprešić and its surroundings. The aims of the study were to investigate how many of them used contraception, which methods prevailed, how they made their choice and whether demographic and health care characteristics had have any infl uence on it. This cross-sectional survey was conducted at eight family medicine practices from the town of Zaprešić town and six practices from nearby rural settings. We used a purposeful sampling method; women aged 18-45 visiting family medicine practices for different reasons were asked to participate in the study. Those that agreed were given a questionnaire designed for this survey and based on literature results. The questions were closed and related to the women’s demographic and some health-related characteristics and those related to the usage of contraception, such as the method used, how they made their choice, if they made any changes and why. The STATA/IC 11.2 (license 30110536846) was used on data processing. Descriptive statistics was used with Pearso

Trends in Family Planning and Contraception Carried out in Primary Health Care in Croatia: 1995–2012: Study Based on Routinely Collected Data

The lack of objective findings provided the reason to undertake this study with the main aim of exploring the trends in family planning and contraception carried out in primary health care in Croatia. Based on the Croatian health statistical yearbooks from 1995 to 2012, data were collected on the number and structure of visits and the number and type of prescribed contraceptives by public and private gynecological practices, and visits to family practices and school medicine services. The results showed that only a small number of fertile women received primary care for family planning issues, trends that are evident through the entire follow-up period. A trend of »migration« from the public to the private sector is also observed. Family doctors and school medicine are almost entirely excluded from the provision of family planning despite the magnitude of the family planning problem resulting in a waste of human and material resources