ABSTRACT
In this paper is being presented the health condition of the inhabitants in F Bosnia and Herzegovina on the basis of the available negative indicators of health as follows: morbidity and mortality. The morbidity is being presented the review of the leading diseases of the adult inhabitants old 19 and more years, of preschool and school age children. The mortality, as better indicator of health condition of the inhabitants, is presented by leading causes of death, according the sex and age. These data we compared with those from 1991 and noticed that are not recorded great deviations.
Subject(s)
Vital Statistics , Adolescent , Adult , Bosnia and Herzegovina/epidemiology , Cause of Death , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Infections/epidemiology , Middle Aged , Morbidity , MortalityABSTRACT
Medical education, especially continuous one, is considered as a very important strategy in assuring health care quality. It represents the most dynamic structural element of the health care quality. In this presentation we used the structural approach to quality assurance, through examination of medical literature utilisation trends from a number of health professionals and students of biomedical schools. In the research we used questionnaires which contained the questions related to the motivation of the subjects to use the medical literature and its availability to them. 34 students of biomedical schools were interviewed through questionnaires, 45 students of high nursery school and 32 medical doctors. The results showed that motivation of the subjects in the survey, both students and medical doctors to use medical literature is significant. However the possibility to use professional literature in their libraries is very limited because of the lack of new literature. Only 3% of interviewed medical doctors and students use Internet in their education. Technological delay in the process of education in Bosnia and Herzegovina caused by the war will significantly influence the level of health care quality in our country in the next period.
Subject(s)
Education, Medical , Bosnia and Herzegovina , Education, Medical, Continuing , InternetABSTRACT
The results of the therapy of pulmonary tuberculosis in 90 mentally retarded patients in various forms and degrees of retardation are presented. General and clinical condition of 62 patients was very bad prior to the onset of antituberculotic therapy and most of them were immobile due to the mental retardation and dissemination of pulmonary tuberculosis. In 30 patients advanced form of tuberculosis, in 54 patients mild form and in 6 patients a minimal degree of tuberculosis were found. In hospitalized patients all clinical forms of pulmonary tuberculosis were found. The therapy started with triplicate antituberculotic therapy and the patients were also administered other drugs due to their mental retardation. During the first two months of antituberculotic therapy a high mortality rate was registered (27 or 30%) especially in younger patients. The reason for such high rate cannot be attributed only to pulmonary tuberculosis but also to the primary disease as was the main reason of patients' hospitalization at the institute for mentally retarded persons. Many complications in antituberculotic use could not be registered since many of the basic data could not be obtained from mentally retarded subjects. The complete recovery or improvement of pulmonary tuberculosis was achieved in 63 patients.
