The Croatian Academy of Medical Sciences (CAMS) has published this "Declaration on eHealth&q... more The Croatian Academy of Medical Sciences (CAMS) has published this "Declaration on eHealth" to warn all stakeholders (patients, health professionals, institutions, government agencies, suppliers) to use the huge potential of information and communication technologies (ICT) and solutions to improve health care in Croatia. The Declaration draws attention to areas of infrastructure such as: education, regulation and standardization, medical and health informatics (MHI) as a profession, the obligation of institutions, government bodies and suppliers. In addition to answering the question "what?", the Declaration addresses the most important question "how?". Instead of the existing "atomization" and disconnection of projects and solutions, the Declaration proposes the realization of a common concept of computerization in health and for health by establishing a central body at the state level (agency, office, institute, etc.) in which expertise, dec...
U Hrvatskoj ima otprilike sto tisuća orkestralnih glazbenika. Zdravlje glazbenika u odnosu na zah... more U Hrvatskoj ima otprilike sto tisuća orkestralnih glazbenika. Zdravlje glazbenika u odnosu na zahtjeve njihovog posla ozbiljno se razmatra u Hrvatskoj već više od pola stoljeća. Gotovo 75% svih glazbenika, studenata i profesionalaca svira uz tegobe koje su, većinom, posljedica sviranja. Gruba procjena ukazuje da postoji više od 80.000 glazbenika u Hrvatskoj koji nemaju odgovarajuću zdravstvenu skrb. Stoga su za rješavanje zdravstvenih poteškoća profesionalnih i budućih glazbenika, učenika i studenata kao i za prevenciju nastanka zdravstvenih tegoba nužni sustavni multidisciplinski pristupi. Uspostava zdravstvenog središta koje pokriva široki raspon područja poput medicine rada i sportske medicine, fizikalne medicine, reumatologije, ortopedije, neurologije, dermatologije, stomatologije i psihološke medicine može osigurati potrebno sustavno rješenje. Svrha zdravstvenog središta treba biti očuvanje zdravlja profesionalnih glazbenika sadašnjih i budućih kao i primjereno liječenje u slučajevima kada je do zdravstvenih teškoća već došlo.
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2017
Aim To examine two methods of extracting risks for undetected type 2 diabetes (T2D): derived from... more Aim To examine two methods of extracting risks for undetected type 2 diabetes (T2D): derived from electronic medical record(EMR) and family medicine (FM) assessment during pre-consultation phase. All risks were structured in three lists of patients' data using Wonca International Classification Committee(WICC). Missing data were detected in each list. Methods A prospective study included a group of 1883 patients(aged 45-70) identified with risks. Risks were assessed based on EMR for continuity variables and FM's assessment for episodes of disease and personal related information. Patients were categorized with final diagnostic test in normoglycaemia, impaired fasting glycaemia and undetected T2D. Results Total prevalence of diabetes was 10.9% (new 1.4%), of which 59.3% were females; mean age was 57.4. The EMR risks were hypertension in 1274 patients (yes 67.6%, no 27.9%, missing 4.4%), hypolipemic treatment in 690 (yes 36.6%, no 30.9%, miss 32.5%). In the episodes of disease...
Javnozdravstveni nadzorni sustav služi kontinuiranom sustavnom prikupljanju, analizi i interpreta... more Javnozdravstveni nadzorni sustav služi kontinuiranom sustavnom prikupljanju, analizi i interpretaciji podataka radi planiranja, implementacije i evaluacije javnozdravstvene prakse. Zadatak mu je da rano upozorava na moguće događaje, pomaže pri kreiranju javnozdravstvene politike i strategije, dokumentira učinke i realizaciju cilja te pomaže pri određivanju javnozdravstvenih prioriteta. Nadziru se zarazne i druge bolesti, zdravstveni resursi te javnozdravstveni programi i intervencije. Najčešći nedostatak postojećih sustava je fragmentiranost, kašnjenje i neažurnost informacija. Suvremene informacijske tehnologije omogućavaju povezivanje unutar zdravstvenog sustava tako da nadzorni sustav crpi podatke direktno iz osnovnog sustava koji te podatke proizvede tako da primjerice nije potrebno ispunjavati obrazac za prijavu zarazne bolesti. Stoga se predlaže da se informatizacija zdravstva provodi tako da podaci za nadzor postanu nusprodukt bolničkih i drugih zdravstvenih informacijskih sustava, te da za nadzor nad bolestima izvor podataka bude elektronički zdravstveni zapis iz kojega se automatizmom izdvajaju relevantni podaci. Za nadzor nad ljudskim resursima izvori podataka su zdravstveno-obrazovne ustanove, ministarstvo zdravstva (stručni i specijalistički ispiti), komore (licence) te zdravstvene i druge ustanove što je sve potrebno sustavno povezati. Nadzor nad medicinskom opremom crpi podatke od svih onih koji sudjeluju u nabavi i korištenju opreme, dok nadzor nad javnozdravstvenim programima koristi podatke iz ustanova i tijela koja definiraju i/ili izvršavaju definirane programe.
In the poor Bosnia, in the early 20 th century endemic syphilis was widespread. Combating this di... more In the poor Bosnia, in the early 20 th century endemic syphilis was widespread. Combating this disease entailed the necessity of etiology research, diagnosis and clinical nature of the disease, as well as the insight into the epidemiological image of this unresolved health problem. Thanks to the visionary, the enthusiasm and persistence of the expert team of doctors from that time in Croatia, School of Public Health and the Rockefeller Foundation as financial support, conditions were created to conduct population monitoring and research called "survey". The team of experts from Croatia and Bosnia led by Dr. Ante Vuletic began this important public health intervention in Central Bosnia underneath the mountain Vlasic 1934. In villages of mountain Vlasic people were living in very difficult social and unsanitary conditions. "Interviewers" worked in makeshift clinics in the rural schools Opare, Rankovici, Vitovlje Mehorica, Turbe, Bila and Gornji Vakuf. A hundred years later, a team of university professors from the School of Public Health "Andrija Stampar" led by Professor Silvije Viletic followed the footsteps of century "survey" on Vlasic in the summer of 2014. They determined that with the integrated approach to population monitoring and testing endemic syphilis in Bosnia was successfully suppressed.
Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti, 2009
The aim of the study was to follow and analyze patient referrals from general practice (GP) to di... more The aim of the study was to follow and analyze patient referrals from general practice (GP) to diagnostic procedures and specialist consultations. Data on the kinds of diagnostic procedures, specialist consultations and requests for referrals were collected. Specific aim was to assess the contribution of referring for definitive diagnosis and to compare the frequency and contribution of first and repeat consultations. This prospective study was conducted in the course of one month at six GP practices (three urban and one rural practice in inland area, and one urban and one rural practice in coastal area of Croatia). Patient sociodemographic data (age and sex), referral request (by patient, GP, GP and specialist in agreement, specialist only) and kind of visit (first, follow-up) were collected. The contribution of referrals was assessed by GPs using modified Likert's scale (1-markedly significant, 2-significant, 3-undetermined, 4-small and 5-insignificant). On comparison of frequ...
Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti, 2010
To investigate dietary habits and assess pertinent regional differences observed in different par... more To investigate dietary habits and assess pertinent regional differences observed in different parts of the Republic of Croatia. Based on these results, to identify the geographical regions where inhabitants are at the highest risk of developing hypertension. The study was carried out in 2003, using a modified food consumption questionnaire (Croatian Health Survey, CHS 2003), and included a total of 9070 adults aged > or =18. The following six regions were investigated: mountainous, eastern, littoral, northern and central Croatia, and the City of Zagreb. The criterion used to establish diet-associated risk was the presence of at least one of the following variables: salting the food without tasting it first, regular consumption of dried meat products, and significant bread consumption ( > or =4 slices). The results pertinent to qualitative variables were expressed as frequencies. The analysis of dietary habits of the Croatian population revealed differences in the nutrition pat...
Aim of our study was to determine the treatment habits of hypertension by general practitioners (... more Aim of our study was to determine the treatment habits of hypertension by general practitioners (GPs) as well as the monthly costs of prescribed antihypertensive drugs and their share in the total prescription drug expenditure approved by the Croatian Institute for Health Insurance (CIHI), the compulsory health insurance system. The study was performed in six GPs offices in Zagreb, serving 8,866 patients, in December 2005. The monthly costs of antihypertensive drugs prescribed by the GPs was obtained by summarizing the prices of all antihypertensive drugs prescribed in one month and then comparing the sum with total monthly prescription drug expenditure approved by the CIHI. The type and dosage of prescribed antihypertensive drugs were also analyzed. Hypertension was diagnosed in 2,342 (26.4%) patients. The monthly costs of prescribed antihypertensive drugs accounted for 52.33% of the total amount approved for medications by the CIHI. 945 (40.0%) hypertensive patients were taking an...
Studies in health technology and informatics, 2002
Sample of 177 cited papers from Current Contents in year 2001 containing word 'telemedicine&#... more Sample of 177 cited papers from Current Contents in year 2001 containing word 'telemedicine' as a keyword, and/or in title and/or in abstract. Most of papers were coming from Journal of Telemedicine & Telecare, International Journal of Medical Informatics and Telemedicine Journal & E-Health. Titles and abstracts were analysed statistically by using Sphinx Lexica as a tool and lexical statistics and lexical analysis as methods. Environment/neighbourhood of words potentially reflecting evaluation in telemedicine, enabled to make synthesis: evaluation or similar words were mentioned in connections with programs and plans of telemedicine application in the whole, with economic issue (minimizing, low-cost, reducing cost), with ICT evaluation, quality, and scarcely with methodology and criteria for evaluation.
The purpose of the present study was to assess the influence of a compulsory curriculum on first-... more The purpose of the present study was to assess the influence of a compulsory curriculum on first-year medical students. The ethical attitude study was performed at the School of Medicine, University of Rijeka, Croatia. The samples consisted of 171 medical students (68 males and 103 females) interviewed at the beginning of the first year of studies. Some of them, namely 143 (56 males and 87 females) were interviewed again at the end of the same academic year. Data were analysed by applying factor analysis under principal component model and varimax criterion as the rotation model. The results clearly show that the current compulsory curriculum without formal ethical education has a limited influence on first-year medical students. That points to the obvious necessity to implement the medical ethics in the course of medical education.
The study included 308 female workers employed in processing synthetic stockings and 160 controls... more The study included 308 female workers employed in processing synthetic stockings and 160 controls. The mean age of the exposed workers was 38 years with the mean exposure of 16 years. Most workers did not smoke while 41% of smokers consumed about 10 cigarettes a day. The data on acute and chronic respiratory symptoms were taken from all workers. Ventilatory capacity was measured by recording maximum expiratory flow-volume (MEFV) curves with readings on forced vital capacity (FVC), one-second forced expiratory volume (FEV1), and maximum expiratory flows at 50% and the last 25% (FEF50, and FEF25, respectively). Textile workers manifested a higher prevalence of chronic respiratory symptoms than did the controls, although the differences were statistically significant only for sinusitis, dyspnoea, and nasal catarrh. Occupational asthma was found in 3 (0.9%) textile workers. The prevalence of acute symptoms in the exposed workers was particularly high during shift, especially with regard...
ABSTRACT A database for studying tle influence of ecological factors on population health was dev... more ABSTRACT A database for studying tle influence of ecological factors on population health was developed. It contains medical data related to some of the health problems of the population n as well as ecological data which give an insight into the hygienic and sanitation conditions of a population segment. At present medical data comprise data on individuals with hypertension and chronic bronchitis, and data from the daily records of general practitioners will be collected to complete this data base. Ecological data comprise data on water supply and waste disposal as well as on the quality of housing. It is planned that they will be supplemented by data characterizing the ecological location where the population lives. It is shown that this health data base, integrating data on individuals and space, is capable of giving a prompt insight into the present status of the population from the medical and health-ecological standpoint. Simple queries supply information needed for the identification of the actual health problems of the population, its groups and individuals, and help the physician to acquire expeditious information needed for the solution of health problems and for planning necessary interventions in the population.
Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti, 2007
To estimate the regional prevalence of metabolic syndrome, and potential implication of socioecon... more To estimate the regional prevalence of metabolic syndrome, and potential implication of socioeconomic characteristics to it. Assessment was performed in a sample representative of the Croatian population (N=9070). The metabolic syndrome was defined as "waist circumference greater than 102 cm for male and 88 cm for female, and at least two of the following criteria: arterial blood pressure > or =140/90 mm Hg (regulated hypertonic was considered as normal blood pressure person), elevated blood lipids, and elevated blood sugar (self reported). Statistically, the prevalence and confidence intervals, and comparative figure for the prevalence of metabolic syndrome (according to Julious et al. 2001) were applied. The prevalence of metabolic syndrome in young adults (aged < or =34) was less than 1%. In older population groups the prevalence was greater. In the > or =65 age group, the prevalence (male 7.7, 95%CI 8.6-9.2; female 9.9, 95%CI 8.6. 11.1) was twofold that recorded in...
Archives of Industrial Hygiene and Toxicology, 2013
The impact of physician burnout on the quality of patient care is unclear. This cross-sectional s... more The impact of physician burnout on the quality of patient care is unclear. This cross-sectional study aimed to investigate the prevalence of burnout in family physicians in Croatia and its association with physician and practice characteristics, and patient enablement as a consultation outcome measure.Hundred and twenty-five out of 350 family physicians responded to our invitation to participate in the study. They were asked to collect data from 50 consecutive consultations with their adult patients who had to provide information on patient enablement (Patient Enablement Instrument). Physicians themselves provided their demographic and professional data, including workload, job satisfaction, consultation length, and burnout [Maslach Burnout Inventory - Human Services Survey (MBI-HSS )]. MBI-HSS scores were analysed in three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA).Of the responding physicians, 42.4 % scored high for EE burnout, ...
A historical survey of medical informatics (MI) in Croatia is presented from the beginnings in th... more A historical survey of medical informatics (MI) in Croatia is presented from the beginnings in the late sixties of the 20th century to the present time. Described are MI projects, applications in clinical medicine and public health, start and development of MI research and education, beginnings of international cooperation, establishment of the Croatian Society for MI and its membership to EFMI and IMIA. The current status of computerization of the Croatian healthcare system is sketched as well as the present graduate and postgraduate study MI curricula. The information contained in the paper shows that MI in Croatia developed and still develops along with its advancement elsewhere..
To investigate the medical informatics scientific output in 33 European countries. Medical Subjec... more To investigate the medical informatics scientific output in 33 European countries. Medical Subject Heading term &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;medical informatics&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; was used to identify all relevant articles published in 1998-2007 and indexed in the Medline database. The number of articles was adjusted to the population size of each included country in order to obtain the rates per million inhabitants. A total of 28,604 articles were identified. The highest number per million inhabitants was found for Switzerland and the lowest for Albania. Overall, European Union member states had higher output than non-member states, gross domestic product was strongly associated with the scientific output in the field of medical informatics (r = 0.88, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). While most countries had significant increase in the scientific output during the observed period, an adjustment to the European average output trend suggested that Lithuania, Portugal, Serbia and Spain had a greater increase than the rest of Europe. The results suggest large disparities across Europe. Further development of medical informatics as a profession and a clear recognition of the discipline are needed to reduce these disparities and propel further increase in research productivity.
The Croatian Academy of Medical Sciences (CAMS) has published this "Declaration on eHealth&q... more The Croatian Academy of Medical Sciences (CAMS) has published this "Declaration on eHealth" to warn all stakeholders (patients, health professionals, institutions, government agencies, suppliers) to use the huge potential of information and communication technologies (ICT) and solutions to improve health care in Croatia. The Declaration draws attention to areas of infrastructure such as: education, regulation and standardization, medical and health informatics (MHI) as a profession, the obligation of institutions, government bodies and suppliers. In addition to answering the question "what?", the Declaration addresses the most important question "how?". Instead of the existing "atomization" and disconnection of projects and solutions, the Declaration proposes the realization of a common concept of computerization in health and for health by establishing a central body at the state level (agency, office, institute, etc.) in which expertise, dec...
U Hrvatskoj ima otprilike sto tisuća orkestralnih glazbenika. Zdravlje glazbenika u odnosu na zah... more U Hrvatskoj ima otprilike sto tisuća orkestralnih glazbenika. Zdravlje glazbenika u odnosu na zahtjeve njihovog posla ozbiljno se razmatra u Hrvatskoj već više od pola stoljeća. Gotovo 75% svih glazbenika, studenata i profesionalaca svira uz tegobe koje su, većinom, posljedica sviranja. Gruba procjena ukazuje da postoji više od 80.000 glazbenika u Hrvatskoj koji nemaju odgovarajuću zdravstvenu skrb. Stoga su za rješavanje zdravstvenih poteškoća profesionalnih i budućih glazbenika, učenika i studenata kao i za prevenciju nastanka zdravstvenih tegoba nužni sustavni multidisciplinski pristupi. Uspostava zdravstvenog središta koje pokriva široki raspon područja poput medicine rada i sportske medicine, fizikalne medicine, reumatologije, ortopedije, neurologije, dermatologije, stomatologije i psihološke medicine može osigurati potrebno sustavno rješenje. Svrha zdravstvenog središta treba biti očuvanje zdravlja profesionalnih glazbenika sadašnjih i budućih kao i primjereno liječenje u slučajevima kada je do zdravstvenih teškoća već došlo.
Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina, 2017
Aim To examine two methods of extracting risks for undetected type 2 diabetes (T2D): derived from... more Aim To examine two methods of extracting risks for undetected type 2 diabetes (T2D): derived from electronic medical record(EMR) and family medicine (FM) assessment during pre-consultation phase. All risks were structured in three lists of patients' data using Wonca International Classification Committee(WICC). Missing data were detected in each list. Methods A prospective study included a group of 1883 patients(aged 45-70) identified with risks. Risks were assessed based on EMR for continuity variables and FM's assessment for episodes of disease and personal related information. Patients were categorized with final diagnostic test in normoglycaemia, impaired fasting glycaemia and undetected T2D. Results Total prevalence of diabetes was 10.9% (new 1.4%), of which 59.3% were females; mean age was 57.4. The EMR risks were hypertension in 1274 patients (yes 67.6%, no 27.9%, missing 4.4%), hypolipemic treatment in 690 (yes 36.6%, no 30.9%, miss 32.5%). In the episodes of disease...
Javnozdravstveni nadzorni sustav služi kontinuiranom sustavnom prikupljanju, analizi i interpreta... more Javnozdravstveni nadzorni sustav služi kontinuiranom sustavnom prikupljanju, analizi i interpretaciji podataka radi planiranja, implementacije i evaluacije javnozdravstvene prakse. Zadatak mu je da rano upozorava na moguće događaje, pomaže pri kreiranju javnozdravstvene politike i strategije, dokumentira učinke i realizaciju cilja te pomaže pri određivanju javnozdravstvenih prioriteta. Nadziru se zarazne i druge bolesti, zdravstveni resursi te javnozdravstveni programi i intervencije. Najčešći nedostatak postojećih sustava je fragmentiranost, kašnjenje i neažurnost informacija. Suvremene informacijske tehnologije omogućavaju povezivanje unutar zdravstvenog sustava tako da nadzorni sustav crpi podatke direktno iz osnovnog sustava koji te podatke proizvede tako da primjerice nije potrebno ispunjavati obrazac za prijavu zarazne bolesti. Stoga se predlaže da se informatizacija zdravstva provodi tako da podaci za nadzor postanu nusprodukt bolničkih i drugih zdravstvenih informacijskih sustava, te da za nadzor nad bolestima izvor podataka bude elektronički zdravstveni zapis iz kojega se automatizmom izdvajaju relevantni podaci. Za nadzor nad ljudskim resursima izvori podataka su zdravstveno-obrazovne ustanove, ministarstvo zdravstva (stručni i specijalistički ispiti), komore (licence) te zdravstvene i druge ustanove što je sve potrebno sustavno povezati. Nadzor nad medicinskom opremom crpi podatke od svih onih koji sudjeluju u nabavi i korištenju opreme, dok nadzor nad javnozdravstvenim programima koristi podatke iz ustanova i tijela koja definiraju i/ili izvršavaju definirane programe.
In the poor Bosnia, in the early 20 th century endemic syphilis was widespread. Combating this di... more In the poor Bosnia, in the early 20 th century endemic syphilis was widespread. Combating this disease entailed the necessity of etiology research, diagnosis and clinical nature of the disease, as well as the insight into the epidemiological image of this unresolved health problem. Thanks to the visionary, the enthusiasm and persistence of the expert team of doctors from that time in Croatia, School of Public Health and the Rockefeller Foundation as financial support, conditions were created to conduct population monitoring and research called "survey". The team of experts from Croatia and Bosnia led by Dr. Ante Vuletic began this important public health intervention in Central Bosnia underneath the mountain Vlasic 1934. In villages of mountain Vlasic people were living in very difficult social and unsanitary conditions. "Interviewers" worked in makeshift clinics in the rural schools Opare, Rankovici, Vitovlje Mehorica, Turbe, Bila and Gornji Vakuf. A hundred years later, a team of university professors from the School of Public Health "Andrija Stampar" led by Professor Silvije Viletic followed the footsteps of century "survey" on Vlasic in the summer of 2014. They determined that with the integrated approach to population monitoring and testing endemic syphilis in Bosnia was successfully suppressed.
Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti, 2009
The aim of the study was to follow and analyze patient referrals from general practice (GP) to di... more The aim of the study was to follow and analyze patient referrals from general practice (GP) to diagnostic procedures and specialist consultations. Data on the kinds of diagnostic procedures, specialist consultations and requests for referrals were collected. Specific aim was to assess the contribution of referring for definitive diagnosis and to compare the frequency and contribution of first and repeat consultations. This prospective study was conducted in the course of one month at six GP practices (three urban and one rural practice in inland area, and one urban and one rural practice in coastal area of Croatia). Patient sociodemographic data (age and sex), referral request (by patient, GP, GP and specialist in agreement, specialist only) and kind of visit (first, follow-up) were collected. The contribution of referrals was assessed by GPs using modified Likert's scale (1-markedly significant, 2-significant, 3-undetermined, 4-small and 5-insignificant). On comparison of frequ...
Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti, 2010
To investigate dietary habits and assess pertinent regional differences observed in different par... more To investigate dietary habits and assess pertinent regional differences observed in different parts of the Republic of Croatia. Based on these results, to identify the geographical regions where inhabitants are at the highest risk of developing hypertension. The study was carried out in 2003, using a modified food consumption questionnaire (Croatian Health Survey, CHS 2003), and included a total of 9070 adults aged > or =18. The following six regions were investigated: mountainous, eastern, littoral, northern and central Croatia, and the City of Zagreb. The criterion used to establish diet-associated risk was the presence of at least one of the following variables: salting the food without tasting it first, regular consumption of dried meat products, and significant bread consumption ( > or =4 slices). The results pertinent to qualitative variables were expressed as frequencies. The analysis of dietary habits of the Croatian population revealed differences in the nutrition pat...
Aim of our study was to determine the treatment habits of hypertension by general practitioners (... more Aim of our study was to determine the treatment habits of hypertension by general practitioners (GPs) as well as the monthly costs of prescribed antihypertensive drugs and their share in the total prescription drug expenditure approved by the Croatian Institute for Health Insurance (CIHI), the compulsory health insurance system. The study was performed in six GPs offices in Zagreb, serving 8,866 patients, in December 2005. The monthly costs of antihypertensive drugs prescribed by the GPs was obtained by summarizing the prices of all antihypertensive drugs prescribed in one month and then comparing the sum with total monthly prescription drug expenditure approved by the CIHI. The type and dosage of prescribed antihypertensive drugs were also analyzed. Hypertension was diagnosed in 2,342 (26.4%) patients. The monthly costs of prescribed antihypertensive drugs accounted for 52.33% of the total amount approved for medications by the CIHI. 945 (40.0%) hypertensive patients were taking an...
Studies in health technology and informatics, 2002
Sample of 177 cited papers from Current Contents in year 2001 containing word 'telemedicine&#... more Sample of 177 cited papers from Current Contents in year 2001 containing word 'telemedicine' as a keyword, and/or in title and/or in abstract. Most of papers were coming from Journal of Telemedicine & Telecare, International Journal of Medical Informatics and Telemedicine Journal & E-Health. Titles and abstracts were analysed statistically by using Sphinx Lexica as a tool and lexical statistics and lexical analysis as methods. Environment/neighbourhood of words potentially reflecting evaluation in telemedicine, enabled to make synthesis: evaluation or similar words were mentioned in connections with programs and plans of telemedicine application in the whole, with economic issue (minimizing, low-cost, reducing cost), with ICT evaluation, quality, and scarcely with methodology and criteria for evaluation.
The purpose of the present study was to assess the influence of a compulsory curriculum on first-... more The purpose of the present study was to assess the influence of a compulsory curriculum on first-year medical students. The ethical attitude study was performed at the School of Medicine, University of Rijeka, Croatia. The samples consisted of 171 medical students (68 males and 103 females) interviewed at the beginning of the first year of studies. Some of them, namely 143 (56 males and 87 females) were interviewed again at the end of the same academic year. Data were analysed by applying factor analysis under principal component model and varimax criterion as the rotation model. The results clearly show that the current compulsory curriculum without formal ethical education has a limited influence on first-year medical students. That points to the obvious necessity to implement the medical ethics in the course of medical education.
The study included 308 female workers employed in processing synthetic stockings and 160 controls... more The study included 308 female workers employed in processing synthetic stockings and 160 controls. The mean age of the exposed workers was 38 years with the mean exposure of 16 years. Most workers did not smoke while 41% of smokers consumed about 10 cigarettes a day. The data on acute and chronic respiratory symptoms were taken from all workers. Ventilatory capacity was measured by recording maximum expiratory flow-volume (MEFV) curves with readings on forced vital capacity (FVC), one-second forced expiratory volume (FEV1), and maximum expiratory flows at 50% and the last 25% (FEF50, and FEF25, respectively). Textile workers manifested a higher prevalence of chronic respiratory symptoms than did the controls, although the differences were statistically significant only for sinusitis, dyspnoea, and nasal catarrh. Occupational asthma was found in 3 (0.9%) textile workers. The prevalence of acute symptoms in the exposed workers was particularly high during shift, especially with regard...
ABSTRACT A database for studying tle influence of ecological factors on population health was dev... more ABSTRACT A database for studying tle influence of ecological factors on population health was developed. It contains medical data related to some of the health problems of the population n as well as ecological data which give an insight into the hygienic and sanitation conditions of a population segment. At present medical data comprise data on individuals with hypertension and chronic bronchitis, and data from the daily records of general practitioners will be collected to complete this data base. Ecological data comprise data on water supply and waste disposal as well as on the quality of housing. It is planned that they will be supplemented by data characterizing the ecological location where the population lives. It is shown that this health data base, integrating data on individuals and space, is capable of giving a prompt insight into the present status of the population from the medical and health-ecological standpoint. Simple queries supply information needed for the identification of the actual health problems of the population, its groups and individuals, and help the physician to acquire expeditious information needed for the solution of health problems and for planning necessary interventions in the population.
Acta medica Croatica : c̆asopis Hravatske akademije medicinskih znanosti, 2007
To estimate the regional prevalence of metabolic syndrome, and potential implication of socioecon... more To estimate the regional prevalence of metabolic syndrome, and potential implication of socioeconomic characteristics to it. Assessment was performed in a sample representative of the Croatian population (N=9070). The metabolic syndrome was defined as "waist circumference greater than 102 cm for male and 88 cm for female, and at least two of the following criteria: arterial blood pressure > or =140/90 mm Hg (regulated hypertonic was considered as normal blood pressure person), elevated blood lipids, and elevated blood sugar (self reported). Statistically, the prevalence and confidence intervals, and comparative figure for the prevalence of metabolic syndrome (according to Julious et al. 2001) were applied. The prevalence of metabolic syndrome in young adults (aged < or =34) was less than 1%. In older population groups the prevalence was greater. In the > or =65 age group, the prevalence (male 7.7, 95%CI 8.6-9.2; female 9.9, 95%CI 8.6. 11.1) was twofold that recorded in...
Archives of Industrial Hygiene and Toxicology, 2013
The impact of physician burnout on the quality of patient care is unclear. This cross-sectional s... more The impact of physician burnout on the quality of patient care is unclear. This cross-sectional study aimed to investigate the prevalence of burnout in family physicians in Croatia and its association with physician and practice characteristics, and patient enablement as a consultation outcome measure.Hundred and twenty-five out of 350 family physicians responded to our invitation to participate in the study. They were asked to collect data from 50 consecutive consultations with their adult patients who had to provide information on patient enablement (Patient Enablement Instrument). Physicians themselves provided their demographic and professional data, including workload, job satisfaction, consultation length, and burnout [Maslach Burnout Inventory - Human Services Survey (MBI-HSS )]. MBI-HSS scores were analysed in three dimensions: emotional exhaustion (EE), depersonalisation (DP), and personal accomplishment (PA).Of the responding physicians, 42.4 % scored high for EE burnout, ...
A historical survey of medical informatics (MI) in Croatia is presented from the beginnings in th... more A historical survey of medical informatics (MI) in Croatia is presented from the beginnings in the late sixties of the 20th century to the present time. Described are MI projects, applications in clinical medicine and public health, start and development of MI research and education, beginnings of international cooperation, establishment of the Croatian Society for MI and its membership to EFMI and IMIA. The current status of computerization of the Croatian healthcare system is sketched as well as the present graduate and postgraduate study MI curricula. The information contained in the paper shows that MI in Croatia developed and still develops along with its advancement elsewhere..
To investigate the medical informatics scientific output in 33 European countries. Medical Subjec... more To investigate the medical informatics scientific output in 33 European countries. Medical Subject Heading term &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;medical informatics&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; was used to identify all relevant articles published in 1998-2007 and indexed in the Medline database. The number of articles was adjusted to the population size of each included country in order to obtain the rates per million inhabitants. A total of 28,604 articles were identified. The highest number per million inhabitants was found for Switzerland and the lowest for Albania. Overall, European Union member states had higher output than non-member states, gross domestic product was strongly associated with the scientific output in the field of medical informatics (r = 0.88, p &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 0.001). While most countries had significant increase in the scientific output during the observed period, an adjustment to the European average output trend suggested that Lithuania, Portugal, Serbia and Spain had a greater increase than the rest of Europe. The results suggest large disparities across Europe. Further development of medical informatics as a profession and a clear recognition of the discipline are needed to reduce these disparities and propel further increase in research productivity.
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