The study shows the contribution of Matija Perak to the development of phthisiological service in Petrinja and the suppression of TB in the Sisak - Banija region in the period from 1946 to 1978. ...Having obtained data from the archive documents, it was possible to reconstruct his curative and preventive activities in the suppression of morbidity and mortality from TB in the Sisak - Banija region. His organizational and managerial, professional-scientific and publicistic work is highlighted, as well as his role in the reorientation of the profession towards chronic non-TB diseases and the education of new generations of phthisiologists in Petrinja.
What has been researched and reconstructed, based on archival documents and data from professional literature, is the activity of the State school-polyclinic in Petrinja, from its foundation in 1925 ...to its termination in 1945. Key figures taking part in its activity have also been highlighted. Founded as one of the first school-polyclinics in Croatia, the State school-polyclinic in Petrinja developed complete preventive and curative health activities aimed at school population in Petrinja as well as at pupils from the village schools in Petrinja County. These activities were based on carrying out thorough check-ups, giving school children vaccination, and taking other counter-epidemic measures, providing health and sanitary education, exercising sanitary supervision of schools and pupils' homes, implementing remedial measures in the field, taking extra care of socially handicapped children, providing regular diet and healthy meals for the poorest (who got prescription glasses for free, as well as medicines, fish-liver oil, who got their teeth filled, hair cut and were given the opportunity to recuperate in the youth holiday camps at the seaside and in the mountains.) The activities also encompassed the efficient treatment of the sick, among whom the various infectious and internist diseases (anaemia, undernourishment, struma, rickets) and dental caries were prevalent. Its twenty-year-old continuous activity aimed at providing school population with health care represents a successful synthesis of preventive and curative health principles based on progressive ideas of social medicine promoted by Andrija Štampar, who was a promoter and reformer of public health service in our regions. Due to being well-organized and the professional enthusiasm of its managers and staff, the State school-polyclinic in Petrinja efficiently promoted public hygiene and addressed the specific health needs of the school population. While promoting integral health care, maintaining and improving physical and mental health of children and youth in the schools in Petrinja and the other schools nearby, it raised the reputation of health care in Petrinja and contributed to the development of the Croatian school of medicine.
Na temelju arhivskih dokumenata i literaturnih podataka istraženo je i rekonstruirano djelovanje Državne školske poliklinike u Petrinji u razdoblju od njezina osnutka 1925. do prestanka postojanja ...1945. i apostrofirani su ključni nositelji njezine djelatnosti. Osnovana kao jedna od prvih školskih poliklinika u Hrvatskoj, petrinjska Državna školska poliklinika razvila je cjelovitu preventivnu i kurativnu zdravstvenu djelatnost kod petrinjske školske populacije i učenika seoskih škola petrinjskog kotara. Njezino neprekidno dvadesetogodišnje djelovanje na zdravstvenoj zaštiti školske populacije uspjela je sinteza preventivnih i kurativnih zdravstvenih načela utemeljenih na naprednim idejama socijalne medicine Andrije Štampara, promotora i reformatora javnoga zdravstva na našim prostorima. Promičući cjelovitu zdravstvenu skrb, čuvajući i unaprjeđujući tjelesno i duševno zdravlje djece i mladeži petrinjskih i okolnih škola, podignula je ugled petrinjskog zdravstva i pridonijela razvoju hrvatske školske medicine.
What has been researched and reconstructed, based on archival documents and data from professional literature, is the activity of the State school-polyclinic in Petrinja, from its foundation in 1925 to its termination in 1945. Key figures taking part in its activity have also been highlighted.
Founded as one of the first school-polyclinics in Croatia, the State school-polyclinic in Petrinja developed complete preventive and curative health activities aimed at school population in Petrinja as well as at pupils from the village schools in Petrinja County. These activities were based on carrying out thorough check-ups, giving school children vaccination, and taking other counter-epidemic measures, providing health and sanitary education, exercising sanitary supervision of schools and pupils’ homes, implementing remedial measures in the field, taking extra care of socially handicapped children, providing regular diet and healthy meals for the poorest (who got prescription glasses for free, as well as medicines, fish-liver oil, who got their teeth filled, hair cut and were given the opportunity to recuperate in the youth holiday camps at the seaside and in the mountains.) The activities also encompassed the efficient treatment of the sick, among whom the various infectious and internist diseases (anaemia, undernourishment, struma, rickets) and dental caries were prevalent.
Its twenty-year-old continuous activity aimed at providing school population with health care represents a successful synthesis of preventive and curative health principles based on progressive ideas of social medicine promoted by Andrija Štampar, who was a promoter and reformer of public health service in our regions.
Due to being well-organized and the professional enthusiasm of its managers and staff, the State school-polyclinic in Petrinja efficiently promoted public hygiene and addressed the specific health needs of the school population. While promoting integral health care, maintaining and improving physical and mental health of children and youth in the schools in Petrinja and the other schools nearby, it raised the reputation of health care in Petrinja and contributed to the development of the Croatian school of medicine.
Klinički aspekt izolacije netuberkuloznih mikobakterija iz uzoraka respiratornog sustava (iskašljaj, aspirat bronha, bronhoalveolarni lavat) u bolesnika s plućnom tuberkulozom u Hrvatskoj još uvijek ...nije dovoljno poznat. Cilj rada je utvrđivanje učestalosti i kliničkog značaja koizolacije, te naknadne izolacije netuberkuloznih mikobakterija (NTM) u bolesnika od aktivne tuberkuloze pluća u Sisačko – moslavačkoj županiji, koja zadnja dva desetljeća ima najveću incidenciju tuberkuloze u Hrvatskoj. Retrospektivno su analizirani podaci za 285 bolesnika s pozitivnim kulturama uzoraka iz dišnoga trakta na Mycobacterium tuberculosis, koji su od 2007. do 2016. liječeni bolnički i kontrolirani ambulantno zbog aktivne tuberkuloze pluća na Odjelu za plućne bolesti OB „Dr. Ivo Pedišić“ Sisak – lokacija Petrinja, a kod kojih su porastom na kulturi identificirane i NTM. Za određivanje kliničkog značaja izolata NTM korišteni su revidirani kriteriji Američkog torakalnog društva (ATS) i Američkog društva za infektivne bolesti (IDSA) iz 2007. godine. Ovom prvom kliničkom analizom navedenog fenomena u Hrvatskoj, registrirana su četiri bolesnika koji su imali koizolaciju NTM (1,4%) i dva bolesnika kod kojih su izolati NTM identificirani po završenom liječenju (0,7%). Troje bolesnika imalo je dvostruke (50%), a troje jednostruke izolate NTM. Kod nijednog od njih nisu bili ispunjeni cjeloviti kriteriji ATS/IDSA za plućnu mikobakteriozu i kod svih je nastupila spontana konverzija sputuma na NTM. Zaključuje se da se u svim slučajevima radilo o kolonizaciji dišnog sustava NTM bez razvoja klinički značajne plućne infekcije.
Cilj: Prikazati pacijenta koji boluje od kronične plućne aspergiloze i kod kojega je dugotrajna primjena kortikosteroida zbog kronične opstruktivne plućne bolesti predstavljala važan faktor rizika u ...nastanku i razvoju infekcije. Prikaz slučaja: Prikazujemo slučaj 52-godišnjeg pacijenta, kahektičnog, HIV seronegativnog potatora i pušača, koji je nakon preboljele plućne mikobakterioze uzrokovane Mycobacterium kansasii zadobio kroničnu kavitarnu aspergilozu pluća koja je dokazana na temelju radioloških, mikrobioloških (pozitivne kulture Aspergillus fumigatusa u uzorcima sputuma, aspiratu bronha i bronhoalveolarnom lavatu) i krvnih nalaza (IgG protutijela i pozitivan galaktomananski antigen na Aspergillus). Transbronhalnom biopsijom pluća dokazana je granulomska reakcija bez hifalne invazije. Unatoč tretmanu peroralnim i intravenskim antifungicima slučaj je završio letalnim ishodom, najvjerojatnije zbog razvoja invazivnije forme plućne aspergiloze. Zaključak: Zbog nedostatka nedvosmislenih dijagnostičkih i terapijskih kriterija, kronična plućna aspergiloza predstavlja nemali izazov za neposrednog kliničara, tim više što je riječ o kontinuiranoj bolesti koja u svojoj evoluciji iskazuje različite oblike kliničke i radiološke prezentacije. Njen relativno visok morbiditet i mortalitet, unatoč ciljanoj antifungalnoj terapiji, ukazuje na potrebu daljnjih proučavanja, prioritetno onih koji se odnose na identifikaciju pojedinih prezentacija bolesti i efikasnost terapijskih postupaka.
U radu je prezentiran doprinos Matije Peraka razvoju ftizeološke djelatnosti u Petrinji i suzbijanju tuberkuloze u sisačko-banijskoj regiji u razdoblju od 1946. do 1978. godine. Temeljem arhivskih ...dokumenata rekonstruirano je njegovo kurativno i preventivno djelovanje na suzbijanju pobola i pomora od tuberkuloze. Istaknut je njegov organizacijsko-rukovodni, stručno-znanstveni i publicistički rad te njegova uloga u preorijentaciji struke na kronične netuberkulozne bolesti i edukaciji novih generacija petrinjskih ftizeologa.
U radu su analizirane uloga i važnost fiberbronhoskopije u ranoj i konačnoj dijagnozi aktivne tuberkuloze pluća u 102 bolesnika liječena u razdoblju od 1. siječnja 2007. do 31. prosinca 2012. godine ...na Odsjeku za plućne bolesti Opće bolnice »Dr. Ivo Pedišić« u Sisku – lokacija Petrinja, a čiji su inicijalni uzorci sputuma bili direktno negativni na acidorezistentne bacile. Analizirana je dijagnostička uspješnost pojedinih bronhoskopskih procedura, kao i njihovih kombinacija. Rana dijagnoza aktivne tuberkuloze pluća postavljena je kod 31 bolesnika (30,39%), a konačna dijagnoza kod 67 bolesnika (65,68%). Dijagnoza aktivne plućne tuberkuloze postavljena je jedino na bazi uzoraka uzetih tijekom fiberbronhoskopije kod 28 bolesnika (9,65%). Statistički značajan broj bolesnika u kojih je dijagnoza postavljena fiberbronhoskopijom ističe važnost ove metode u dijagnostici aktivne tuberkuloze pluća u bolesnika čiji su sputumi mikroskopski direktno negativni i/ili u onih koji ne mogu spontano iskašljati primjeren uzorak.
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