ABSTRACT
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 Stampar, 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.
Subject(s)
Preventive Health Services/history , School Health Services/history , Child , Dental Care for Children/history , History, 20th Century , Humans , Schools, Medical , YugoslaviaABSTRACT
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.
Subject(s)
Bacteriology/history , Physicians/history , Tuberculosis, Pulmonary/history , Croatia , History, 20th Century , Tuberculosis, Pulmonary/microbiology , YugoslaviaABSTRACT
The study has analysed the role and signiï¬ cance of ï¬ brobronchoscopy in the early and deï¬ nitive diagnosis of active pulmonary tuberculosis in 102 patients treated on the Pulmonary Ward of 'Dr Ivo Pedisic' hospital in Sisak location Petrinja from 1st January 2007 to 31st December 2012 and whose initial sputum specimens directly tested negative for acid resistant bacilli. What has been analysed is the diagnostic efï¬ ciency of particular bronchoscopic procedures themselves and their combinations. An early diagnosis of active tuberculosis has been made in 31 patients (30,39%), and deï¬ nitive diagnosis in 67 patients (65,68%). The etiological diagnosis of active pulmonary tuberculosis has been made only on the basis of specimens taken during ï¬ brobronchoscopy in 28 patients (9,65%). A statistically signiï¬ cant number of patients in whom diagnosis has been made by ï¬ brobronchoscopy emphasizes the importance of this method in the etiological diagnostics of active pulmonary TB in those patients whose sputum samples are microscopically directly negative and/or in those who cannot spontaneously expectorate valid sputum.
